ScenarioAs the coding manager, you are reviewing your monthly budget when your new coder knocks on the door. She explains that she is finishing a final college course and needs to interview an HIM professional for an assignment. You ask her to come back to your office tomorrow at 9am and you schedule a 30-minute segment with her on your calendar.
When she returns the next day, she begins by asking you to talk about insurance variations, and she asks if you can give a specific example, excluding PHI, of course.
You show her this example.
The coder also asks about external audits, and wonders if an audit always looks for coding errors. To exemplify the complexity of external audits that are a part of Health Information Management practices, you share a recent Medicare audit.
recent Medicare audit.
The new coder draws the conclusion that insurance is the biggest frustration in coding management. You want her to understand that while insurance contracts are a complex issue in your world, external regulations are a tremendous frustration for HIM, as well. The OIG, Office of the Inspector General, regulates HIM and many other areas of healthcare.
Areas of healthcare.
InstructionsComplete the three linked assignments and submit them in one zipped file.
