Reference no: EM131205788

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.