groupVera Dimitropoulos, Nina Lean, Kerryn Butler-Henderson and Jennie Shepheard

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While activity-based funding (ABF) was introduced seven years ago as a way of funding Australian public hospitals, its impact on the clinical coding workforce is continuing to have professional practice implications. Shepheard (2017) provided an extensive examination of this impact in her article: How activity-based funding models impact on the clinical coding workforce. These impacts have resulted in reactive instead of strategic responses from governments and senior management in both the public and private health sectors and have placed unacceptable time pressures for quantity rather than quality clinical coding outcomes. The reactive responses are further complicated by a deficiency in the upskilling and acknowledgement of the Clinical Coder (CC) workforce to enable CCs to communicate about funding issues and documentation improvement strategies.

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