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.