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 chief financial officer (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.
An 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.
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.
