ipl-logo

Hm Quality Coordinator

1460 Words6 Pages

As the new HIM department quality coordinator, my duties and responsibilities will includes enforcing collaboration across the entire organization with multidisciplinary team members that consist of Nurses, allied health professionals, Physicians, and major departments. The function of HIM coordinator will also include providing ongoing education to members of the HIM department in the areas of billing, coding, and release of information, medical record transcription and maintaining data integrity. The HIM quality coordinator should report directly the HIM director and the organization’s Chief Information Officer. The first process in addressing the numerous issues that is plaguing the HIM department will involve the review of the department …show more content…

The HIM quality coordinator should include the HIM director and staff member in this process, and also make an attempt to secure upper management buy-in for the proposed solution. The HIM coordinator should seek collaboration across all departments in an attempt to address these issues, and develop an effective workflow process within the HIM department to ensure bill hold is held below $500,000.00 mark. Next step of action will involve having all physicians onboard with the new workflow process, which means that physicians make every effort to complete their patient’s file within a reasonable timeframe, and having a physician champion can help smooth things out. Lastly, there will be need to establish an effective policy to reduce the length of billing hold; this policy will specify a three to four day holding period, and with the support from upper management the organization can levy a penalty against any clinician/physician that fail to complete their patient’s file in a timely …show more content…

The policies and procedures should address the following areas that include, effective communication among various entities in the organization, education and training program for the every department, and most especially the HIM department, implementation of communication channel within the HIM department and other department in the organization, procedures for appropriate disciplinary action/corrective measures, and auditing/monitoring system. Furthermore, the policies and procedures should outline specific action plans that should be followed in the HIM department; the policies and procedures will be fashioned to adhere the guidelines and recommendations of major accrediting and professional organizations such as the American Health Information Management Association (AHIMA), the American Hospital Association (AHA), and National Center for Health Statistics. The issue of medical record availability should be addressed to specify the document requirements necessary for effective coding practice, and also the establishment of the role of physician advisor should be considered in order provide guidance on coding issue and to act as liaison between medical staff and the HIM department. Additionally, as part of the effort to address the coding issues, the HIM coordinator should set goals that will guarantee 100% coding accuracy report and less

Show More
Related
458 Words | 2 Pages

Initially, facilities voluntarily used HCPCS codes, but with the implementation of HIPAA in 1996, facilities began to report HCPCS for transaction codes (Webb, 2012). CPT (Current Procedural Terminology) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations (Rouse, 2015). The HCPCS level II coding system has a selected standard coding system with a wide acceptance among both public and private insurers. The HCPCS level II codes set are alphanumeric code set and primarily include non-physician products, supplies, and procedures not included in CPT. For HCPCS to bill the and identify the service that are been used such as.

Read More
352 Words | 2 Pages

This rule adopts standards for eight electronic transactions and for code sets to be used in those transactions. It also contains requirements concerning the use of these standards by health plans, health care clearinghouses, and certain health care providers. The use of these standard transactions and code sets will improve the Medicare and Medicaid programs and other Federal health programs and private health programs, and the effectiveness and efficiency of the health care industry in general, by simplifying the administration of the system and enabling the efficient electronic transmission of certain health information. It implements some of the requirements of the Administrative Simplification subtitle of the Health Insurance.

Read More
302 Words | 2 Pages

There are two Associations for Medical Coders, one is the American Health Information Management Association (AHIMA) and the other is the American Academy of Professional Coders (AAPC). AHIMA is the leading association of health information management for professionals all over the world (www.ahima.org 2015). In 1928, AHIMA was known for refining the quality of health records. “AHIMA is working to advance the implementation of electronic health records by leading key industry initiatives and advocating high and consistent standards” (www.ahima.org 2015). AHIMA 's credentials includes Certified Coding Associate (CCA)

Read More
350 Words | 2 Pages

Hi Prof. Antoisnne, It is imperative that the HIM professional establish data standards to ensure data quality and consistency. Establishing data standards would help to ensure patient safety, consistent delivery of health care services, plan coordination of care, and standardize healthcare reporting. Essentially, data standards are needed to assess the quality and consistency of collected data. Organizations need HIM professionals to familiarize themselves with these standards to create an organizational standardized data dictionary, format electronic health records, and standardize the exchange of health information across the continuum for general data management and to ensure the integrity and reliability of gathered data.

Read More
256 Words | 2 Pages

Quality assurance of medical records following sure all rules and regulations were followed for Joint Commission Accreditation of Healthcare Organization (JCAHO) review. Processed, logged, copied, and properly mailed records and correspondence to patients and outside agencies. Organized administrative activities for 297-person organization. Independently performed assigned duties in accordance with regulatory guidance and accreditation guidelines, using discretion and judgment to make appropriate methodology. Provided advice and regulatory guidance, verbally and written to staff.

Read More
532 Words | 3 Pages

• When retrieving information from a nurse to update the patient 's file, never share that information to another nurse even if a question is asked. It is against HIPAA, and if a fellow employee overhears, it could cause possibly termination. • When asking a patient to update his demographic information on paper, be sure do it when other patients are not around. Scan the sheet immediately into the computer and dispose of if correctly in a shred-bin located in either zone of the emergency department. • When a family member of a patient comes in to the emergency looking for that patient, be sure the family member can verify the date of birth and first and last name of the patient they wish

Read More
840 Words | 4 Pages

The CEO at VHC must know all the stakeholders involved or influenced with the organization. The leader must keep everyone engaged with the organization’s mission which must include all top executives such as Board of Directors, owner, VP, CFO, MD CIO, CO, Health Services Administrator, Medical Director, Site manager, Office managers, and the staff such as Registrars, Admissions, Scheduling, Billing, Physicians and nurses. It is important to remain sensitive to the impact of the decisions made at the organization on all stakeholders. CEO needs to be honest and forthright with information and have open, transparent communications keeping each patient and each employee, including all stakeholders, fully informed about everything that affects them. It is the responsibility of the hospital health system leaders to embrace higher quality and lower costs as institutional aims, to foster a culture that prioritizes high-value care, to determine a path forward, and to steward and sustain the

Read More
524 Words | 3 Pages

Interestingly, the findings from the review of literature shed light to the challenges nurses encounter with the implementation of electronic health records and identify areas for improvement that could be made in an effort to achieve the goals of the HITECH act. Based on the review of literature, overall, the electronic health record is seen as a positive aspect to assisting nurses in providing positive outcomes for patients. However, challenges still exist with the daily utilization of the EHR, with communication among healthcare providers and interdisciplinary teams. These challenges present nurses with great difficulty as they attempt to provide care to their patients. Because some nurses continue to struggle with utilizing the electronic

Read More
562 Words | 3 Pages

The Healthcare Effectiveness Data and Information Set (HEDIS) and The Joint Commission grew out of a movement, which recognized the need to identify and measure quality health care in the United States. The origins of HEDIS and the Joint Commission may be traced to the establishment of “a minimum standards for hospital care” adopted by the American College of Surgeons as a part of the Hospitalization Standardization Program. The ACS directly linked quality medical care with a quality patient record. The concept of quality measurement came to light when statistician Walter A. Shewhart identifies good processes equal a good product.

Read More
394 Words | 2 Pages

When a patient is registered within an HCA hospital, or a client of HCA hospital, a system called Meditech is used. Meditech is a registration and data entry system which houses patient information and communicates with an organization’s patient accounting systems (“About Meditech,” n.d.). Input fields of Meditech include patient name, address, marital status, social security number, living will information, language, paperwork affirmations, and insurance information (“Meditech Outpatient Registration,” n.d.). Internal tools used by HCA and their clients for financial information include Host and Patient Accounting. Meditech will relay registration information to Host and Patient Accounting, which will then begin categorization and account

Read More
362 Words | 2 Pages

Professional developments through training programs are very important to HIM professionals. The programs will ensure the HIM professionals’ capabilities to keep up with the updated laws, regulations, and coding systems. They help the HIM professionals to maintain and enhance their skills and knowledge to deliver the highest quality of services and make significant contributions to HIM departments and the organizations. Based on the education levels, experiences, roles and responsibilities of HIM professionals, and the current specific requirements of the healthcare industry and organizations, the HIM training programs can be developed to meet the needs.

Read More
1329 Words | 6 Pages

“Coding accuracy is highly important to healthcare organization, and has an impact on revenues and describing health outcome.” In today’s medical world, medical practices can’t risk

Read More
572 Words | 3 Pages

When Jill presents her suggestions to the hospital administrator, she will be sure her implementations include the entire healthcare team, consider patients and their values, and will not be bias toward any additional suggestions someone else may have. Jill will take safe and proper legal steps in implementing changes within the hospital, and make sure it is focused on patient centered

Read More
152 Words | 1 Pages

Electronic Medical Records in hospitals and offices are a great way to have information systems for the data collection. Hospital and medical staff can use the information to report and collect any of the following registration as well as the admissions data. The data was never intended for qualify improvement but to also allow the survey to ensure the compliance with provisions. Even though hospitals play an important role to the health care system and represent the healthcare outlay. They are also the element for collecting reporting to the data language.

Read More
1867 Words | 8 Pages

Vital healthcare fraud and abuse guidelines and measures include defining access and authorization controls, as well as separating duties to reduce opportunities for fraud to occur (Colling, T 2011). • Employ honest people: make sure background checks are performed on all staff members. It’s always a plus to verify information provided such as education, employment, and criminal

Read More

More about Hm Quality Coordinator

Open Document