Hsm 542 You Decide Week 4

As the CFO of Marysville General Hospital, I realize we have a serious accounts receivable problem here. It has gotten out of control, and we are going to get it back in control. All it takes is a little effort from everyone to get us back on here. With the process improvement plan I am proposing, I will need the assistance and cooperation of the medical staff, the clinical departments, the business office, health information management, and all other departments.
To propose my plan of improving the current situation of the hospital, I will need to get a current report on all past, current and future collection data from the finance department to determine how much we are actually losing at this point. I need to collect the admissions and registration information from the business office. I also need electronic medical records information from health information management. I need a current report on charge captures from the nursing staff. I need a current report on the status of claims processing, payment posting, and secondary billing/patient follow-up.
We need to get some experienced personnel or train our current personnel to do the admissions more accurately. The nursing staff should not have to check vitals and register patients also. Patient registration should be done before the patient even sees the nurse unless it’s a life or death situation. Clear instructions will be given to these staff members to ensure that we have all the current contact and billing information and legible copies of all documents and claims are processed appropriately. With verification of all information, we should see a more smooth billing process and the correct plan codes being applied to the various