Question
Please help me with the question below pertaining to the case study and explain how you came up with the answers so I can better
Please help me with the question below pertaining to the case study and explain how you came up with the answers so I can better understand the material. Thank you.
Extended Cases 7.2 Coding productivity process
Case Study:
Aspen Hills Hospital's HIM director, Sabrina Cavanaugh is meeting with her coding supervisor, Patricia Reynolds, who has been concerned about inpatient coding productivity. Since ICD-10 implementation, productivity numbers have fallen and never rebounded like Patricia expected they would as coders became more familiar with the new classification system. Outsourcing costs as well as the discharged not final billed (DNFB) totals have been rising. There is pressure from administration to lower or eliminate the costs associated with outsourcing altogether. Currently, the outsourcing productivity standard is two charts per hour and rate of pay is $35.00 per hour. Inpatient discharges are relatively stable pre- and post-ICD-10 implementation, running between 60 to 70 discharges per day. Prior to ICD-10, there was no outsourcing, with seasonal increases in discharge volumes handled by overtime.
The following are coding staff details; productivity is calculated per hour.
Goal Productivity Goal Coding Productivity Prior to Productivity Productivity Experience Age Credential Records Coder Quality Prior ICD-10 Post Post ICD-10 30 61 CCS Inpatient Kathy Miller 97% 3 3.5 3 1.9 16 48 RHIT John Inpatient 95% 3 Reeves 3.1 3 1.5 7 33 Inpatient Charles 94% 3 Hathaway 2.9 3 1.25 20 42 CCS Outpatient/ Leonard 96% 15 17 ER 15 Lobmiller 16 2 24 Outpatient/ Jessica 15 18 15 ER Mccarthy 93% 17 10 37 RHIT Outpatient/ Andrea 94% 6 6.5 6 OPS 6 Delaware 5 28 CCA Outpatient/ Carmella ANC 95% 30 35 30 35 Casetti 14 50 Outpatient/ Robert Neff 92% 30 ANC 29 30 30Step by Step Solution
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