How to Answer Leader Manager Health Questions (Complete Guide)

Understanding this question requires applying core subject principles.

What This Question Is About

This question relates to leader manager health and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves leader manager health. A strong answer should include explanation, application, and examples.

Original Question

As a leader and manager, the health information administrator is responsible for monitoring and evaluating the performance of processes. This responsibility requires the manager to determine key performance indicators to be included in the monitoring and evaluation process. You are the HIM director at Memorial Hospital. You are a member of the revenue cycle department and are charged with monitoring and evaluating key HIM RC processes that impact the stability and health of the facility’s revenue cycle. During the claims production process claims are scrubbed and modified to ensure that a clean claim is submitted to the payer. Memorial Hospital tracks claims through this process so that inefficiencies in the RC can be addressed. Below is the claims production data for April through June. The HIM coding unit’s clean claim metric standard is 95 percent. Complete the following: Prepare a summary statement about the coding unit’s quarterly performance. Summarize the coding unit’s performance in relation to their standard. Is the unit performing as expected, or is there need for a root cause analysis and process improvement? If there is room for improvement, discuss some ways the coding manager could educate the staff and improve performance. Claim Production Quarterly Report—Memorial Hospital Claim Issue Identified by Scrubber Number of Claims Requiring Rework Prior to Submission April May June 5,500 claims processed 6,200 claims processed 5,850 claims processed Claim failed patient identifier edits 115 213 137 Claim failed provider identifier edits 12 5 21 Claim failed coding/modifier edits 220 496 351 Claim failed date of service edits 10 25 14

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