Health Information Management

Tip: Ask these questions to determine quality coding measure practices

HIM-HIPAA Insider, October 13, 2009

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Many organizations have established coding quality expectations. Calculating coding quality varies from organization to organization, which makes comparing expectations difficult. To define the formula for measuring quality, determine what is important by asking these questions:
  • Is quality coding measured by ensuring that the proper diagnosis-related group is assigned?
  • Is quality coding measured by ensuring that all coder-assigned ambulatory payment classifications were captured?
  • Is quality coding measured by capturing all secondary/comorbid conditions that were actively treated/monitored during the stay?
  • Is quality coding measured by assigning the correct principal diagnosis or procedure?
  • Is quality coding measured by properly sequencing diagnoses?
 
Editor’s note: This tip was adapted from the HCPro book “More with Less: Best Practices for HIM Directors.” For ordering information, visit the HCMarketplace or call 887-727-1728.



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