HIM 2133 Module 2 Assignment Data Reporting Analysis
Module 2 Assignment
Data Reporting Analysis
Data collection is an important aspect of the revenue cycle functions. Collection begins with the recording of patient demographic and insurance information at the point of registration. It then continues throughout the revenue cycle workflow with the capture of treatment information, charges, diagnostic and procedural codes, claims data, and information resulting from payments and denials. The data is housed in various databases, some that are standalone and others that are integrated. These databases can be accessed by authorized personnel to obtain the data needed in the performance of the healthcare facility’s planning, operations, and reporting requirements.
You work as a Coding Manager at a hospital. The hospital is considering building an Ambulatory Surgery facility for orthopedic and general surgery procedures, and several providers are interested in moving their practices and surgical interventions to this new location. In preparation for the Request for Proposal (RFP), the executive team is in need of clinical data. The HIM Director has been contacted and asked to pull statistical data.
At the HIM Director’s request, you have created a report of the top 5 diagnoses/procedures that shows total charges, total reimbursement, and quarterly patient volumes. In addition to the report, the HIM Director would like for you to analyze the data.
To complete this assignment, first download a copy of the report. Then, in a separate Word document, type your responses to the questions below:
Which of the diagnoses/procedures would be the highest revenue generating?
Which of the diagnoses/procedures may be considered for exclusion from the initiative based on volumes or revenue-and why?
Which of the diagnoses/procedures has a high volume, but lowest revenue?
Which of the diagnoses/procedures would benefit the most with a shift in payer mix (increase or decrease in patient volumes by payer)? Which payer and what type of change in volumes?
Note: Payer mix is the proportion of reimbursement that is generated from the different payers within a subset. In this example, there are 3 payers contributing to the total reimbursement for the 5 different subsets of procedures performed.
Which of the diagnoses/procedures would benefit the most from increased patient volumes?
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.