Western Governors University Health Information Management Memo

Question Description

SCENARIO

Management of the health information management (HIM) department at Felder Hospital is requesting a report on records waiting to be dropped from the discharge not final billed (DNFB). These patient accounts cannot be coded and billed due to delinquencies like missing reports, missing signatures, or outstanding physician queries. The CFO is regularly asking the HIM director why records are outstanding on the DNFB report. HIM management needs this information to share with the CFO to show that a certain number of the records are waiting for physician documentation. The report will include patient demographics, payor types, reimbursement amount, number of days since discharge, clinical specialty, whether the patient was a readmit, and attending physician.

A HIM systems analyst 1 has pulled the relevant data into the attached Records Waiting to be Dropped from DNFB spreadsheet from the EHR and used this data to identify several different trends regarding payor type, hospital unit, and physician.

REQUIREMENTS

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly.

A. Refer to the attached Records Waiting to be Dropped from DNFB spreadsheet and use a data sort to do the following:

1. Describe a trend related to the health information management (HIM) department.

2. Identify the two physicians with the highest pending dollar amount.

3. Explain the relationship between readmits and diagnosis codes.

4. Analyze the financial impact that the findings from parts A1, A2, and A3 have on the hospital.

B. Create a memo addressed to the CFO that summarizes your findings from parts A1, A2, and A3.

C. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

D. Demonstrate professional communication in the content and presentation of your submission.

RUBRIC

A1. EXPLANATION OF TREND RELATED TO DEPARTMENT:

NOT EVIDENT

A description of a trend is not provided.

APPROACHING COMPETENCE

The description does not accurately identify a trend related to the HIM department. Or, the explanation does not logically support the identified trend using data from the spreadsheet.

COMPETENT

The description accurately identifies a trend related to the HIM department and logically supports the identified trend using data from the spreadsheet.

A2. IDENTIFICATION OF 2 PHYSICIANS WITH THE HIGHEST PENDING DOLLAR AMOUNT:

NOT EVIDENT

2 physicians are not identified.

APPROACHING COMPETENCE

The 2 physicians identified include 1 or more physicians that do not have the highest pending dollar amount.

COMPETENT

The 2 physicians with the highest pending dollar amount are accurately identified.

A3. RELATIONSHIP BETWEEN READMITS AND DIAGNOSIS CODES:

NOT EVIDENT

An explanation is not provided.

APPROACHING COMPETENCE

The explanation does not accurately identify the relationship between readmits and diagnosis codes. Or, the explanation does not logically support the identified relationship using data from the spreadsheet.

COMPETENT

The explanation accurately identifies the relationship between readmits and diagnosis codes and logically supports the identified relationship using data from the spreadsheet.

A4. ANALYSIS OF FINANCIAL IMPACT:

NOT EVIDENT

An analysis is not provided.

APPROACHING COMPETENCE

The analysis does not logically discuss each of the findings from parts A1, A2, and A3. Or the analysis does not logically describe the overall financial impact each of these findings have on the hospital.

COMPETENT

The analysis logically discusses the financial impact each of the findings from parts A1, A2, and A3 and logically describes the overall financial impact each of these findings have on the hospital.

B. MEMO SUMMARIZING FINDINGS:

NOT EVIDENT

A memo is not provided.

APPROACHING COMPETENCE

The memo does not accurately summarize each of the findings from parts A1, A2, and A3.

COMPETENT

The memo accurately summarizes the findings from parts A1, A2, and A3.

C. APA SOURCES:

NOT EVIDENT

The submission does not include in-text citations and references according to APA style for content that is quoted, paraphrased, or summarized.

APPROACHING COMPETENCE

The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized but does not demonstrate a consistent application of APA style.

COMPETENT

The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized and demonstrates a consistent application of APA style.

D. PROFESSIONAL COMMUNICATION:

NOT EVIDENT

Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.

APPROACHING COMPETENCE

Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.

COMPETENT

Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.

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