RE: mrb_talk digest: January 30, 2012

edited June 2016 in HIM Talk Archive
We are a small (48 bed) rural acute care hospital. We have 3 coders, use Meditech and 3M encoder. Our bill hold days are set at 4.

We use two methods to assess our backlog: 1) number of accounts uncoded, and 2) number of A/R days uncoded.

1) We have a goal of 500 accounts maximum (of any and all account types) to be in the discharged not coded category. We track these by month and by account type and actively follow-up aging outliers.

2) For A/R days, we calculate the average daily receivables $ (based on the prior 3 months), then divide that by the total receivables $. It gives you the number of A/R days sitting in coding. Our goal on this is 4.5 days.

These numbers performance numbers are produced every morning and shared with the coders and CFO. We document both of these numbers at our month-end on our HIM score card, which tracks key departmental goals.

As you know, coding is at the end of a series of departmental and medical staff processes, and the coders are unfortunately seen as the pinch point. They do a great job handling the pressure and getting the work done as efficiently as possible.

Marianne Dailey, RHIT, CHP, CPHQ
Director HIM & Privacy Officer
Central Peninsula Hospital
Soldotna, Alask 99669
(907) 714-4563

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