Health Information Management

Keep DNFB low in light of MS-DRGs, POA

Medical Records Briefing, August 1, 2008

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Most HIM directors probably cringe when they think about their discharge-not-final-billed (DNFB) rates—a constant challenge for even the most seasoned director.

MS-DRGs and the present-on-admission (POA) indicator are prompting hospitals to examine DNFB very closely to ensure proper and timely reimbursement, which is essential for an organization’s financial health, particularly during times of ongoing regulatory changes.

“Margins are so slim that this particular function [reducing DNFB] in HIM is one of those that I think has some of the highest visibility in an organization,” says Monica Pappas, RHIA, president of MPA Consulting, Inc., in Long Beach, CA.

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