Chat with us, powered by LiveChat Coding Manager At Hospital Case Study | WriteMoh

Coding Manager At Hospital Case Study

Question Description

There is no one “correct” answer to this exercise. However, some key items should be found on the students on-going review and monitoring schedule.

  1. The student should make a distinction between the duties of the coding manager and the data quality auditor in regards to the plan.
    1. Who will be responsible for providing education regarding coding issues?
    2. Who will be responsible for arranging clinical education sessions?
    3. Who will audit charts?
    4. Who will answer coding questions for the coders?
    5. Who will monitor coding improvement, and provide progressive discipline when required?

Note: the more administrative duties given to the data quality auditor, the fewer number of charts he/she can review on a daily basis

  1. The student should develop a schedule that optimally utilizes the data quality auditor’s position, before scheduling external reviews that have an additional cost.
  2. The data quality auditor’s review schedule should be designed to not delay the completing of accounts for billing. If the DQA has piles of charts to review, then the bills are not being released for payment. The workflow must be logical.
  3. There should be at least one education session per month. The month of September should include an in-service for ICD-9-CM updates and December should include an in-service for CPT/HCPCS updates. But there should also not be too many sessions per month so that productivity is not negatively affected.
  4. Educational topics should be related to clinical areas where there was significant MS-DRG coding variation [Respiratory, Cardiology and Vascular Services].
  5. Educational topics should relate to coding areas identified in the Variation Log by Type of Error including:
    1. Correct coding of major complications and comorbidities and complications and comorbidities

i. This is again emphasized in the MS-DRG relationship assessment where several pairs of with and without MCC/CC MS-DRGs are reported at a higher rate at the hospital than in the state.

    1. Correct sequencing of diagnoses
    2. Specificity of codes

i. A conversation regarding documentation issues may be warranted here.

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteDemy. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.

Do you need an answer to this or any other questions?

Have an assignment?

We are here to help you

Why we are the best

  •  High quality services
  •  On time delivery
  •  Professional writers
  •  Plagiarism free essays
  •  24/7 Customer Support
  • Satisfaction guarantee

Secure Payments