Appropriate Training Should Turn Ethical Reasoning into Ethical Practice

Practical Wisdom: A Review of Foundations of Ethical Practice, Research, and Teaching in Psychology and Counseling

The Qualitative Report ◽

10.46743/2160-3715/2012.1820 ◽

2015 ◽

Author(s):

Fatima Cotton

Keyword(s):

Ethical Issues ◽

Practical Wisdom ◽

Ethical Reasoning ◽

Real Life ◽

Practice Research ◽

Ethical Practice ◽

Life Situation ◽

Ethical Problems ◽

Research And Teaching ◽

Real Life Situation

In Karen Strohm Kitchener and Sharon K. Anderson’s Foundations of Ethical Practice, Research, and Teaching in Psychology and Counseling (2011) they use the term practical wisdom or prudence as a way to make right decisions in real life situation. The authors lay the foundation for conceptually dealing with ethical problems for psychologists, counselors, students, and trainees. The book is in two parts. In the first six chapters, the authors focus on the foundations of ethical reasoning. The next part focuses on the ethical issues psychologists and counselors are confronted with in their roles.

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Appropriate Training Should Turn Ethical Reasoning Into Ethical Practice

PsycEXTRA Dataset ◽

10.1037/e505262016-001 ◽

2015 ◽

Author(s):

Mathias J. Simmons ◽

Alexander T. Jackson ◽

Bradley J. Brummel

Keyword(s):

Ethical Reasoning ◽

Ethical Practice

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Professional Conduct and Handling Misconduct in Psychotherapy: Ethical Practice between Boundaries, Relationships, and Reality

The Oxford Handbook of Psychotherapy Ethics ◽

10.1093/oxfordhb/9780198817338.013.81 ◽

2020 ◽

Author(s):

Irina Franke ◽

Anita Riecher-Rössler

Keyword(s):

Ethical Reasoning ◽

Code Of Conduct ◽

Sexual Misconduct ◽

Professional Conduct ◽

Ethical Practice ◽

Professional Relationship ◽

Professional Misconduct ◽

Professional Boundaries ◽

Boundary Violation ◽

Person Of The Therapist

The special nature of the professional relationship in psychotherapy requires a code of conduct that protects the patient, but also allows therapeutic flexibility. However, the limits of professional conduct are transgressed when a psychotherapist goes beyond his or her professional boundaries to satisfy his or her own needs. The implications of misconduct are considered to be particularly severe in psychotherapy. Misconduct has various faces and facets. Sexual misconduct is the most drastic form of boundary violation; however, this should not detract attention from other forms of misconduct, especially because they often precede the more severe boundary violations. Any form of misconduct is profoundly connected with the person of the therapist. Nevertheless, research often addresses the question of what professional misconduct is, rather than how ethical professional conduct can be facilitated. This chapter aims to give an overview of the current literature to (1) define professional conduct and outline ethical reasoning, (2) describe different forms of misconduct, (3) discuss options for prevention and intervention, and (4) discuss options for improving training of future psychotherapists.

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A Guide to Coding and Billing for the Audiological Management of Patients Receiving Ototoxic Medical Treatments

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_pers-sig8-2018-0028 ◽

2019 ◽

Vol 4 (5) ◽

pp. 936-946

Author(s):

Dawn Konrad-Martin ◽

Neela Swanson ◽

Angela Garinis

Keyword(s):

Otoacoustic Emissions ◽

Best Practice ◽

Private Insurance ◽

Monitoring Program ◽

Current Method ◽

International Classification Of Diseases ◽

Ethical Practice ◽

Party Payer ◽

High Frequency Audiometry ◽

Icd 10

Purpose Improved medical care leading to increased survivorship among patients with cancer and infectious diseases has created a need for ototoxicity monitoring programs nationwide. The goal of this report is to promote effective and standardized coding and 3rd-party payer billing practices for the audiological management of symptomatic ototoxicity. Method The approach was to compile the relevant International Classification of Diseases, 10th Revision (ICD-10-CM) codes and Current Procedural Terminology (CPT; American Medical Association) codes and explain their use for obtaining reimbursement from Medicare, Medicaid, and private insurance. Results Each claim submitted to a payer for reimbursement of ototoxicity monitoring must include both ICD-10-CM codes to report the patient's diagnosis and CPT codes to report the services provided by the audiologist. Results address the general 3rd-party payer guidelines for ototoxicity monitoring and ICD-10-CM and CPT coding principles and provide illustrative examples. There is no “stand-alone” CPT code for high-frequency audiometry, an important test for ototoxicity monitoring. The current method of adding a –22 modifier to a standard audiometry code and then submitting a letter rationalizing why the test was done has inconsistent outcomes and is time intensive for the clinician. Similarly, some clinicians report difficulty getting reimbursed for detailed otoacoustic emissions testing in the context of ototoxicity monitoring. Conclusions Ethical practice, not reimbursement, must guide clinical practice. However, appropriate billing and coding resulting in 3rd-party reimbursement for audiology services rendered is critical for maintaining an effective ototoxicity monitoring program. Many 3rd-party payers reimburse for these services. For any CPT code, payment patterns vary widely within and across 3rd-party payers. Standardizing coding and billing practices as well as advocacy including letters from audiology national organizations may be necessary to help resolve these issues of coding and coverage in order to support best practice recommendations for ototoxicity monitoring.

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