Chapter Coding Supervisor Explained for Students (Easy Guide)
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Chapter 9 Review A coding supervisor must determine the number of FTEs needed to code 735 discharges per week. If it takes an average of 20 minutes to code each record and each coding professional works 7.5 productive hours per day, how many FTEs will the coding supervisor need? Assume a five-day work week. Round to one decimal place. The HIM department at Community Hospital will experience a 15 percent increase in the number of discharges coded per day as the result of opening an orthopedic clinic in the facility. The 15 percent increase is projected to be 50 additional records per day. The standard time to code this type of record is 15 minutes. Compute the number of FTEs required to handle this increased volume in coding based on a 7.5-hour productive day. Round to one decimal place. The HIM coding supervisor agrees to pay a new graduate $20.00 per hour. This is a full-time coding position at 2,080 hours per year. The cost for a full-time employee’s fringe benefits is 25 percent of the employee’s salary. How much must the supervisor budget for the employee’s salary and fringe benefits? The same supervisor in the scenario above agreed to increase the salary of the employee to $22.00 per hour once she passed her RHIT certification exam. Three months after beginning her employment, the employee passed her RHIT certification exam. What will the new budget be for salary and fringe benefits? The forms used to query physicians in your coding area cost $50.00 per 250 forms for the first 500 and $40 for every 100 thereafter. If you need to order 800 forms, what is the total cost to be budgeted? You currently lease scanning equipment at a cost of $2,750 per quarter and two copy machines at $150 each per month plus $0.01 per page copied. You estimate you will copy a total of 30,000 pages a year per copier. What will you need to budget annually for these leased copy machines? Use a Microsoft Excel spreadsheet to determine the variance and percent of variance for each item listed in the HIM department budget shown in the table that follows. Round to two decimal places. Community Hospital Health Information Department Fiscal Year 20XX Item Budget amount Actual amount Variance/% of variance Supplies $1,500 $1,495 Outside temp service $10,500 $8,500 Travel $2,500 $2,575 Conference fees $750 $800 Postage $2,000 $1,035 Subscriptions $325 $320 Maintenance contracts $6,000 $3,525 Last month, the ROI specialist received 580 requests for information. He was able to answer 307 within the specified time frame of three working days. What is the rate of compliance in answering requests within the specified time frame? Round to two decimal places. Create a Microsoft Excel spreadsheet of the hospital charges for the patients listed in the table that follows based on an average charge of $1,500 per day. Community Hospital Patient number Length of stay Estimated charges 126745 4 853275 6 903629 2 956825 7 957032 10 903412 8 934818 11 563498 9 985476 5 894532 3 Last year, Community Hospital had 32,687 discharges. Of these, 2,105 were readmissions. What is the hospital’s readmission rate? Round to two decimal places. In September, the hospital had 3 coding professionals who coded 1,500 inpatient records, and 22 of the records failed the quality screens. What is the average number of records coded by each coding professional? What was the average number of records coded each working day (Monday through Friday at 21 workdays) in September? Round to two decimal places. What percentage of records passed the quality screens? Round to two decimal places. At Community Hospital, each full-time employee is required to work 2,080 hours annually. The table that follows shows the amount of time that five employees were absent from work over the past year. Create a Microsoft Excel spreadsheet to answer the questions that follow. Round all answers to two decimal places. Hint: add columns to the spreadsheet for each calculation in a and b; add a total row for part c. Community Hospital Health Information Management Department Coding Section Absentee Report Annual Statistics 20XX Employee name Vacation hours used Sick leave hours used A 40 6 B 22 16 C 36 8 D 80 32 E 16 40 The coding department of Community Physician’s Clinic is interested in purchasing a software program that will edit claims before they are sent to the billing office. The license fee for the software is $60,000 per year. The software is expected to reduce the number of errors on claims and thus reduce the number of denials returned to the clinic. Currently, the department codes 47,600 provider visits per month and 500 claims are returned each month for recoding. The facility pays two FTEs in the billing office $14.00 per hour each plus 25 percent in benefits to refile the returned claims. The software company promises that its software will reduce the number of returned claims by 90 percent. What is the rate of claims that are currently being returned for recoding each month? Round to two decimal places. How many claims are estimated to be returned after the installation of the software? If the clinic eliminated the two FTEs that handle the returned claims, what savings would it realize after installation of the software? What is the payback period?
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