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Lesson 12 Forum - Team 1

Lesson 12 Forum - Team 1

Q You are the coding manager with a DNFB report that is over the limit the CFO desires. You have been tasked with determining what can be done to reduce the claims not billed, therefore reducing the DNFB. The CFO expects results quickly! Based on the below table, answer the following questions: *What problems got your hospital into this situation? *What are some possible solutions? *Where would you begin to obtain the quickest results? Discharged Not Final Billed Report ------------------------------------------------ Account # Discharge Date Total Charges Reason 123477 02/07/12 $24,000.00 02 559766 02/07/12 $12,522.00 02 123555 2/12/12 $2,459.00 01 123489 3/6/12 $1,332.55 01 154788 3/12/12 $62,444.52 06 123456 4/17/12 $38,289.99 05 897131 5/15/12 $21,422.34 03 221134 7/16/12 $2,477.93 02 213145 8/15/12 $5,749.31 01 264899 10/13/12 $7,111.21 01 589645 10/31/12 $9,422.11 01 152499 11/2/12 $10,405.76 01 123454 12/2/12 $8,718.16 01 Key: 01Missing Codes 02Missing Discharge Disposition 03Missing Admitting Diagnosis 04Billers Hold 05 Other - HIM 06Other - Business Office Any questions concerning this lesson or the textbook material should be posted to the link titled Ask Questions About L12 Here. I actively monitor that forum for student questions. Please do not request quiz answers or clarification to quiz answers until AFTER the quiz has closed, and you have had a chance to review the correct answers. If, after you have seen the correct answers you still have questions, you may post them to the link titled Ask Questions About L12 Here. To add your post, click on the Forum link below. From there, you will see a reply button. Once you post your reply, you have 30 minutes in which to edit your reply. When the 30 minutes have passed, you will be able to see the posts made by your classmates.

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DNFB meant discharged, not final billed. It is unbilled accounts where the patient has been discharged but the bills from the stay are still not submitted. There DNFB can be indicators that issue in the coding department that can affect the overall revenue cycle. This report contained 13 accounts with DNFB status, it concludes: 01Missing Codes x 7 cases 02Missing Discharge Disposition x 3 cases 03Missing Admitting Diagnosis x 1 case 04Billers Hold X 0 case 05 Other – HIM x 1 case 06Other - Business Office x 1 case The most problematic cases are missing codes followed by missing discharge disposition.