4pages You are the HIM Director at General Hospital, a 60-bed acute care facility. You need to evaluate your staff and determined if your department is meeting benchmarks and if you are able to justif

4pages

You are the HIM Director at General Hospital, a 60-bed acute care facility.

You need to evaluate your staff and determined if your department is meeting benchmarks and if you are able to justify the staff. Remember that coders are required to get education on ICD-10-CM for 24 CEU’s. All of your coders will be affected by this upcoming change in the nation's coding system. You must design a training and development plan to ensure the coders have the adequate skills necessary to be successful. Make sure you justify for that training time with your staff.

Your plan must address the following items:

1. Perform a benchmark analysis on the Coding department. Make sure you put the data in Excel. In a Microsoft Word document, explain your findings. Identify trends. Look to see who is meeting productivity.
2. Analyze your staffing and provide feedback to each individual on their performance in a formal performance appraisal report.
3. Determine the location and method of delivery, including required number of hours per week needed to accomplish each the departments average
4. Create a coder coverage plan to ensure coding does not get backlogged as a result of the training (e.g. will the coders work overtime, will you hire contract coding staff, etc.).
5. Build a cost-benefit analysis for your decision to keep the coding coverage the same, add to it or remove from it. Put the data in Excel and explain your results in a Microsoft Word document. Should you hire contract coders or use your current staff?

You require the following productivity from your coders:

Inpatient/observation charts - 3 per hour

Same day surgery charts - 4 per hour

Ancillary (e.g. lab, radiology) - 23 per hour

Emergency room charts - 10 per hour

The annual volumes for each patient type are:

Inpatient/observation - 11,000

Same day surgery – 13,000

Ancillary – 101,000

Emergency room – 43,000

Individual Annual Averages

Name

Year 1

Year 2

Year 3

Sarah

6100

5900

6000

Tonya

5837

6400

5999

Alex

6002

5900

6200

Brett

6109

6110

6300

Ciry

50100

50001

50900

Donna

50000

50200

51000

Deanna

22088

22900

21089

Elaine

22100

21099

22900

You have 4 full-time coders (all holding the CCS or RHIT credential) as follows:

Sarah - codes inpatient/observation accounts and makes $24/hour

Tonya- codes inpatient/observation accounts and makes $24/hour

Alex - codes same day surgery accounts and makes $21/hour

Brett- codes same day surgery accounts and makes $21/hour

Ciry - codes ancillary accounts and makes $15/hour

Donna- codes ancillary accounts and makes $15/hour

Deanna - codes emergency room accounts and makes $18/hour

Elaina- codes emergency room accounts and makes $18/hour

Contract Coding Staff Expenses

Salary - $60/hour

Hotel - $89/night (includes taxes)

Meals - $40/day

Links to Helpful Websites:

AHIMA ICD-10 Preparation Guidance

https://library.ahima.org/PdfView?oid=300536(Links to an external site.)

CMS ICD-10 Overview

http://www.cms.hhs.gov/ICD10(Links to an external site.)

NCHS ICD-10 Overview

https://www.cdc.gov/nchs/icd/index.htm?CDC_AA_refVal=https://www.cdc.gov/nchs/icd.htm