Question

As a health information technology professional, you will be tasked with developing training and development plans to ensure that employees are properly trained and provided with updates regarding health information management. After reading the scenario below, please respond by answering the following questions.

1. As the HIM Director, discuss how you would address this issue by determining if this was an honest error or if the new coding assistant needs more education or training. Provide information regarding your rationale.

2. What proactive measures could be taken to reduce or eliminate the errors mentioned in the scenario?

Scenario: The new coding employee at Glen Ellyn Medical Group office codes and submitted a claim to Blue Cross for an initial evaluation and management office visit when. However, the patient was an established patient with the practice and was seen strictly for a follow-up medical check.

Answer 1

1, As the HIM director their responsibility in maintaining,storing, patient health information and managing,coordinating the eligible medical coding staffs, and information security..professional medical coders play a important role in insurance companies..They must be specialized in medical coding, and documentation..new coding staffs need training and experience.. initially they lack in knowledge do not provide leniency..Audit that will identIde the risk and liability ...coders unequivocally play a role in denial avoidance, best suited to proactively should Identify the errors..

2 , proactively not reactively correct the errors and wanting to be make sure that practices do not make errors and not ever fall into the violation..when coders coding and submitting claims it is imperative what is documented is billed..denial avoidance should be best suits in process..