Solved by Expert Tutors
Solved by Expert Tutors

 (This is for my health care reimbursement class..I didn't know what

subject to put that under since medical wasn't an option) I need help with this- I have no idea where to even start.

The health information management team at Anywhere University Hospital (AUH) contracted with an auditing firm to perform full assessment coding review. The results from this baseline assessment are provided in four tables: Variation Log by Type of Error Variation Log by Coder Variation Log by MS-DRG MS-DRG Relationship Assessment You are the inpatient coding manager at AUH. Your director has asked you to develop an ongoing review and monitoring schedule for the next year based on the results from the outside review. Include internal and external reviews, coding in-services, physician workshops, and external seminars/educational sessions that will be performed and or provided for your staff. The schedule should be specific (include volumes and/or percentages of charts to be reviewed). Keep in mind that on average it takes 18 minutes to review one inpatient chart. Budget provides for $65,000 for external reviews. The average cost for reviewing one inpatient record by an external review team is $55.00 (fully loaded). In addition to preparing the schedule, outline how you will maintain coding quality statistics and report them back to the HIM Director and Compliance Committee at your facility. How will you reward your staff members who show great improvements? How will you reward and/or recognize that your staff has made improvements overall? Your Coding Team consists of: Coding Manager (you) 1-Data Quality Auditor (1 FTE) 8-Inpatient Coders (8 FTE) 2-RHIA, CCS 3-CCS 3-RHIT Results of the full assessment coding review for AUH: Two audits were performed: 1. Coding quality review by MS-DRG 2. MS-DRG Relationship Analysis Variation Log by Type of Error % of errors Inaccurate sequencing or specificity principal diagnosis, affect MS-DRG 17% Inaccurate sequencing or specificity principal diagnosis, non affect MS-DRG 16% Omission CC, affect MS-DRG 33% Omission CC, non affect MS-DRG 2% Inaccurate principal procedure, affect MS-DRG 3% Omission procedure, affect MS-DRG 4% More specific coding of diagnosis or procedure, non affect MS-DRG 12% Inaccurate coding 5% Missed diagnosis or procedure code 8% Variation Log by Coder Coder Error Rate Standard Coder 1 3% 5% Coder 2 9% 5%
Background image of page 1
Coder 3 8% 5% Coder 4 2% 5% Coder 5 4% 5% Coder 6 16% 5% Coder 7 12% 5% Coder 8 3% 5%
Background image of page 2
Show entire document
Sign up to view the entire interaction

Step-by-step answer

usce dui lectus, congue vel laoreet a

Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce

Health care reimbursement Review and monitoring schedule assignment.docx
risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lect moles a. Fus ec aliqu icitur m ipsum dolor sit amet, consec sum dolor sit amet, ec aliquet. Lorem ipsum dolor sit

Subscribe to view the full answer

Subject: Business, Economics

Why Join Course Hero?

Course Hero has all the homework and study help you need to succeed! We’ve got course-specific notes, study guides, and practice tests along with expert tutors.

  • -

    Study Documents

    Find the best study resources around, tagged to your specific courses. Share your own to gain free Course Hero access.

    Browse Documents
  • -

    Question & Answers

    Get one-on-one homework help from our expert tutors—available online 24/7. Ask your own questions or browse existing Q&A threads. Satisfaction guaranteed!

    Ask a Question
Let our 24/7 Economics tutors help you get unstuck! Ask your first question.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes