What would you recommend to solve Molly's problems?

Which of the following would be the reference format with doi for this article by Leeman & Sandelwoski (2012)?
December 9, 2020
What testing does this woman need ordered due to her change in status both SHORTNESS OF BREATH and BLOOD PRESSURE?
December 9, 2020

What would you recommend to solve Molly's problems?

What would you recommend to solve Molly’s problems?

Molly, the coding supervisor of Homer General Hospital, has a problem. Her Discharged Not Final Billed (DNFB) report is staying significantly over the limit that administration desires. She is also behind in some of the compliance monitoring that needs to be completed. Molly has been given the mandate to determine what needs to be done to bring the DNFB down and still maintain quality, as well as keep current in the compliance monitoring. She pulled together the information shown in the table below. Analyze this situation from every aspect, including but not limited to quality, legal, and management, and answer the following questions:

1. What additional information should Molly gather?

2. What are Molly’s options?

3. How can you ensure quality of coding while at the same time emphasizing volume?

4.What would you recommend to solve Molly’s problems?

Data Table

Analysis for Discharged Not Final Billed (DNFB)

Number of current employees

Coding supervisor

1

Coders (all types of charts)

3

Number of vacant positions

Coders

1

Volume (average per day)

Inpatient

70

Outpatient

177

Emergency Room

122

Outpatient Surgery

90

Productivity Standards

(per 8-hour day)

Inpatient

25-28

Outpatient

170-185

ER

120-125

Outpatient Surgery

85-100

Amount of time currently spent on compliance issues

Hours per week

10

Amount of time that Molly feels should be dedicated to compliance to do it right

Hours per week

32

Current DNFB

$1.2 million

Desired DNFB level

$600,000

Aging

Current charts (3-day bill hold)

35%

4-10 days old

20%

11-21 days old

15%

22-30 days old

15%

More than 30 days old

10%

 

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