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You are the coding supervisor with a DNFB report that is significantly over the limit that administration desires. You have been given the mandate to determine what needs to be done to significantly reduce the amount of claims not billed and bring the DNFB down. Your CFO is expecting immediate results.
Based on the table presented to you below, answer the 3 questions:
Where would you begin to give your CFO the quick fix that he wants?
What problems can you identify that got you into this situation?
What are some possible solutions for these problems?
Discharge Not Final Billed | |||
Acct. Number | Discharge Date | Total charges | Reason |
1234567 | 2/7/12 | $23456.87 | 02 |
1234569 | 2/7/12 | $12564.88 | 02 |
1235712 | 2/12/12 | $2458.99 | 01 |
1238932 | 3/6/12 | $1345.77 | 01 |
1239999 | 3/12/12 | $57764.22 | 06 |
1305790 | 4/17/12 | $39652.13 | 05 |
1317267 | 5/15/12 | $23731.80 | 03 |
1419000 | 7/16/12 | $2653.44 | 02 |
1489001 | 8/15/12 | $5457.39 | 01 |
1506389 | 09/20/12 | $7987.33 | 01 |
1521111 | 9/20/12 | $9564.44 | 01 |
1529387 | 9/22/12 | $10536.63 | 01 |
1679835 | 9/24/12 | $8745.19 | 02 |
Legend:
01 – Missing codes
02 – Missing discharge disposition
03 – Missing admitting diagnosis
04 – Billers hold
05 – other-HIM
06 – other-Business Office