Patients are geriatric with advanced copd

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Reference no: EM133617655

Scenario: You are an HIM department director and the revenue cycle manager at your facility. It is Monday morning and as you get settled at your desk you are presented with the following:

Your organization just hired a new pulmonologist on staff. He has an established practice and many of his patients are geriatric with advanced COPD, severe asthma, emphysema, or lung cancer. In one paragraph, explain the type of influence you expect to see in the organization's case mix index as a result of his hiring and and explain why you believe there will be an impact on the case mix index.

It has been brought to your attention in an email from one of your staff that one physician at your organization that has seven outstanding queries over the past month, several more than three weeks old. These are all regarding the clinical validity of a severe malnutrition diagnosis that he has listed on the charts. As revenue cycle manager, you want to get these issues resolved as quickly as possible, so you propose an internal escalation policy. Formulate/Make a policy in a Word document that will address this issue. Helpful website for developing policies and procedures.

Reference no: EM133617655

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