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Treatment of Refractory Headache: Potential Conflicts of Interest in Coding

Kornbluth, Joshua A. MD; Russell, James A. DO, FAAN

CONTINUUM: Lifelong Learning in Neurology: August 2012 - Volume 18 - Issue 4, Headache - p 896–899
doi: 10.1212/01.CON.0000418650.62526.b1
Ethical Perspectives

Issues directly or indirectly related to the increasing costs of health care services have the potential to adversely affect physicians’ fiduciary responsibilities to their patients. Coding deception in response to perceived unfairness in reimbursement practices represents one of these potential adverse influences. This case discussion addresses the potential motivations underlying coding deception and the reasons it cannot be supported from either a legal or ethical perspective.

Address correspondence to Dr Joshua Kornbluth, The Johns Hopkins Hospital, Department of Neurology, 600 N Wolfe Street, Baltimore, MD 21287,

Relationship Disclosure: Drs Kornbluth and Russell report no disclosures.

Unlabeled Use of Products/Investigational Use Disclosure: Drs Kornbluth and Russell report no disclosures.

© 2012 American Academy of Neurology