HINT 294 Developing a Coding Quality Plan
Question # 00335187
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Updated on: 07/10/2016 04:51 AM Due on: 07/10/2016
CASE 2-23
Developing a Coding Quality Plan
You have just been promoted to coding supervisor at a 300-physician clinic. The previous
supervisor was terminated for incompetence. The coding section is a disaster. There is no coding
quality program in place. There are no coding standards for either quality or productivity. There
is a high denial rate due to the coding problems. Your job is to resolve the coding section
deficiencies. Since you have been promoted from within the facility, you are already aware of
many of the problems. Your facility is in serious trouble with the Quality Improvement
Organization (QIO), and you fear that the OIG will show up on your doorstep soon. Although not
all of the financial difficulties the physician practice is having can be related to coding, many
can, as the facility is not receiving proper reimbursement.
1.
2.
3.
4.
What should you do to resolve the problems with quality of coding?
What should you do to reduce the denial rate?
What standard for quality of coding will you recommend?
What standard(s) for productivity will you recommend?
Developing a Coding Quality Plan
You have just been promoted to coding supervisor at a 300-physician clinic. The previous
supervisor was terminated for incompetence. The coding section is a disaster. There is no coding
quality program in place. There are no coding standards for either quality or productivity. There
is a high denial rate due to the coding problems. Your job is to resolve the coding section
deficiencies. Since you have been promoted from within the facility, you are already aware of
many of the problems. Your facility is in serious trouble with the Quality Improvement
Organization (QIO), and you fear that the OIG will show up on your doorstep soon. Although not
all of the financial difficulties the physician practice is having can be related to coding, many
can, as the facility is not receiving proper reimbursement.
1.
2.
3.
4.
What should you do to resolve the problems with quality of coding?
What should you do to reduce the denial rate?
What standard for quality of coding will you recommend?
What standard(s) for productivity will you recommend?
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Rating:
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Solution: HINT 294 Developing a Coding Quality Plan