Create a detailed plan that discusses your recommendations


Assignment

The health information management team at XYZ University Hospital contracted with an auditing firm to perform a coding review. The results from this baseline assessment are provided in below:

• Variation Log by Type of Error

• Variation Log by Coder

Variation Log by Type of Error

% of errors

Inaccurate sequencing or specificity principal diagnosis, affect MS-DRG

17%

Inaccurate sequencing or specificity principal diagnosis, non affect MS-DRG

16%

Omission CC, affect MS-DRG

33%

Omission CC, non affect MS-DRG

2%

Inaccurate principal procedure, affect MS-DRG

3%

Omission procedure, affect MS-DRG

4%

More specific coding of diagnosis or procedure, non affect MS-DRG

12%

Inaccurate coding

5%

Missed diagnosis or procedure code

8%

Variation Log by Coder

Coder

Error Rate

Standard

Coder 1

3%

5%

Coder 2

9%

5%

Coder 3

8%

5%

Coder 4

2%

5%

Coder 5

4%

5%

Coder 6

16%

5%

Coder 7

12%

5%

Coder 8

3%

5%

You are the inpatient coding manager at XYZ University Hospital. Your director has asked you to develop an ongoing review and monitoring schedule for the next year based on the results from the outside review.

Create a detailed plan that discusses your recommendations. Ensure that the recommendations include elements from the AHIMA Standards of Ethical Coding and address the issues exposed by the audit.

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