27 Sep 4pagesYou are the HIM Director at General Hospital, a 60-bed acut
4pagesYou are the HIM Director at General Hospital, a 60-bed acute care facility.You need to evaluate your staff and determined if your department is meeting benchmarks and if you are able to justify the staff. Remember that coders are required to get education on ICD-10-CM for 24 CEU’s. All of your coders will be affected by this upcoming change in the nations coding system. You must design a training and development plan to ensure the coders have the adequate skills necessary to be successful. Make sure you justify for that training time with your staff.Your plan must address the following items:Perform a benchmark analysis on the Coding department. Make sure you put the data in Excel. In a Microsoft Word document, explain your findings. Identify trends. Look to see who is meeting productivity.Analyze your staffing and provide feedback to each individual on their performance in a formal performance appraisal report.Determine the location and method of delivery, including required number of hours per week needed to accomplish each the departments averageCreate a coder coverage plan to ensure coding does not get backlogged as a result of the training (e.g. will the coders work overtime, will you hire contract coding staff, etc.).Build a cost-benefit analysis for your decision to keep the coding coverage the same, add to it or remove from it. Put the data in Excel and explain your results in a Microsoft Word document. Should you hire contract coders or use your current staff?You require the following productivity from your coders:Inpatient/observation charts ? 3 per hourSame day surgery charts ? 4 per hourAncillary (e.g. lab, radiology) ? 23 per hourEmergency room charts ? 10 per hourThe annual volumes for each patient type are:Inpatient/observation ? 11,000Same day surgery ? 13,000Ancillary ? 101,000Emergency room ? 43,000Individual Annual AveragesNameYear 1Year 2Year 3Sarah610059006000Tonya583764005999Alex600259006200Brett610961106300Ciry501005000150900Donna500005020051000Deanna220882290021089Elaine221002109922900You have 4 full-time coders (all holding the CCS or RHIT credential) as follows:Sarah ? codes inpatient/observation accounts and makes $24/hourTonya- codes inpatient/observation accounts and makes $24/hourAlex ? codes same day surgery accounts and makes $21/hourBrett- codes same day surgery accounts and makes $21/hourCiry ? codes ancillary accounts and makes $15/hourDonna- codes ancillary accounts and makes $15/hourDeanna ? codes emergency room accounts and makes $18/hourElaina- codes emergency room accounts and makes $18/hourContract Coding Staff ExpensesSalary ? $60/hourHotel ? $89/night (includes taxes)Meals ? $40/dayLinks to Helpful Websites:AHIMA ICD-10 Preparation Guidancehttps://library.ahima.org/PdfView?oid=300536(Links to an external site.)CMS ICD-10 Overviewhttp://www.cms.hhs.gov/ICD10(Links to an external site.)NCHS ICD-10 Overviewhttps://www.cdc.gov/nchs/icd/index.htm?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fnchs%2Ficd.htm
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