DNFB
As the new HIM Director, I believe the wisest decision would be to invest in a proper HIM assessment system to identify any issues or causes of the DNFB and implement solutions quickly, by adding an application of a tracking/monitoring system into the computer program for all flagged records and this will generate the DNFB report for daily flagged records and the dollar amount of DNFB.
Normally, any deficiencies should be analyzed within a 24 hour post discharge in order to assess any missing information and to improve the coder productivity and avoid the waste of time looking for the information. However, I would like to have all records corrected prior to the release of the patient in order to ensure accuracy by the time the coder gets the record and that process begins with the admitting/registrar department to recognize any discrepancies in the chart, whether it is a duplicate chart or an address or name change and it shouldn’t have to wait until it gets to coding to be corrected. This process will cut out the majority of the time and efficiency waste. I would like to cross-train the admitting/registrar department with basic coding information so that they will be able to recognize information that will later be necessary and will also cut down on errors through the system. This will also allow them to easily transition into coding if they are interested in the area of expertise and create more upward movement and encourage employee development.
The charts should be begin the process of coding post discharge within 5 days, and this will allow all departments to submit their information within two days and three days for the coding staff to complete their end of it. Another issue is that Clinicians shouldn’t wait for the HIM to flag a record; they can go ahead and take the initiative.
The physician query process allows for a 30 days but that doesn’t fit in well with the 5 day bill hold, so there will be a physician coding document training in order for
Normally, any deficiencies should be analyzed within a 24 hour post discharge in order to assess any missing information and to improve the coder productivity and avoid the waste of time looking for the information. However, I would like to have all records corrected prior to the release of the patient in order to ensure accuracy by the time the coder gets the record and that process begins with the admitting/registrar department to recognize any discrepancies in the chart, whether it is a duplicate chart or an address or name change and it shouldn’t have to wait until it gets to coding to be corrected. This process will cut out the majority of the time and efficiency waste. I would like to cross-train the admitting/registrar department with basic coding information so that they will be able to recognize information that will later be necessary and will also cut down on errors through the system. This will also allow them to easily transition into coding if they are interested in the area of expertise and create more upward movement and encourage employee development.
The charts should be begin the process of coding post discharge within 5 days, and this will allow all departments to submit their information within two days and three days for the coding staff to complete their end of it. Another issue is that Clinicians shouldn’t wait for the HIM to flag a record; they can go ahead and take the initiative.
The physician query process allows for a 30 days but that doesn’t fit in well with the 5 day bill hold, so there will be a physician coding document training in order for