Coding Manager Small Assignment Help: How to Answer This Question

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Original Question

You are the coding manager in a small, community hospital. Bill hold is 3 days, which accounts for 75% of the %8 million DNFB target. The clean claim rate averages 90%. Until recently, you have had no problem keeping the average DNFB under the target. However, over the past month, the DNFB has risen to $10 million. In discussions with the HIM department director, you determine the following: i. There have been only 3 sick days among the coders in the past month – all in the first week. ii. The analysts are a day behind due to an analyst being on vacation. iii. The interface between the transcription system and the EHR was down off and on for the past two weeks. iv. PFS went live with a new claim review system at the beginning of this month. The conversion went smoothly; however, there were multiple staff who hadn’t been trained by go-live, which delayed the handling of failed claims. PFS is beginning to catch up this week. Evaluate each of these known issues and their possible impact on the DNFB. Include in your evaluation which of these issues is most problematic and what needs to be addressed in order to correct it. Do not try to assign any dollar amounts to any of the issues.

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