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No place like home.

Teresa Benavidez1, Beth Friedman

  • 1Seton Healthcare Network, Austin, Tex., USA.

Healthcare Financial Management : Journal of the Healthcare Financial Management Association
|July 18, 2003
PubMed
Summary
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Seton Healthcare Network reduced claim denials and operational costs by implementing a home coding program. This initiative improved efficiency and filled all health information management coding vacancies.

Area of Science:

  • Health Information Management
  • Healthcare Operations
  • Medical Coding

Background:

  • Staffing shortages pose significant challenges in healthcare organizations.
  • Efficient medical coding is crucial for timely reimbursement and financial health.
  • Managing denied claims (DNFB) impacts revenue cycles and operational efficiency.

Purpose of the Study:

  • To evaluate the impact of establishing a home coding program on staffing burdens and financial metrics.
  • To assess the effectiveness of remote work models in health information management.
  • To determine the influence of a home coding program on denied claims and operational costs.

Main Methods:

  • Implementation of a home coding program within the Seton Healthcare Network.
  • Monitoring of denied-not-final-billed (DNFB) claims before and after program implementation.

Related Experiment Videos

  • Analysis of operational costs, including contract and as-needed labor expenses.
  • Tracking of health information management department coding vacancies.

    • Main Results:

    • Consistent decrease in DNFB claims pending code assignment.
    • Reduction in the organization's 'dollars holding' by 25 percent.
    • Operational cost savings of approximately $200,000 annually due to reduced reliance on contract and as-needed labor.
    • Successful fulfillment of all coding vacancies within the health information management department.

    Conclusions:

    • A home coding program can effectively alleviate staffing burdens in health information management.
    • Remote coding initiatives can lead to significant reductions in claim denials and financial holding costs.
    • Implementing a home coding program offers substantial operational cost savings and improves workforce stability.