Outlining the staff and productivity is a very important part of remaining productive. The staff members play and important role in the health care industry and its productivity. IPDS is the integrated product development systems that are used to empower team relationships and establish roles and responsibilities based on what an individuals and a team’s productivity should be.
The code editing process should be done by the management of the coders and should be followed by all members of the team. The coding process involves; coronary bypass with cardiac cath; cranial and peripheral nerve disorders; atherosclerosis; disorders of personality and impulse control; these are all categories in which codes are needing to be edited. These categories should all be divided by team members in conjunction with what management is saying needs to be done in order to correct the coding issues. Working together as a team will allow better productivity and a better possibility of a better outcome as far as coding corrections. The productivity should be measured by how many accounts were coding correctly and not necessarily how many were done. The mission for these goals will be to design implement and test to see just how the plan plays out as far as improving productivity and efficiency (IPDS guidelines, 99). The goal is to reduce the amount of claims going out that are coming back due to incorrect coding based on the insurance rules and regulations.
A plan should be set in place in order to achieve these goals. Knowing the insurance policies and procedures first hand will definitely play a major role in the amount of production that the claims are actually making. It is the coders and the data entry specialist’s job to ensure that the information is correct and that the coding is accurate based on the clinical data. If there were a spreadsheet in place to use as a guide for the first little while until the team got used to the idea of what the plan is then that is another part of the plan that needs to be instilled. The team needs to have meetings, like a morning briefing, in order to ensure that everybody is on the same page as far as what it means to remain productive. Again, keeping up with the insurances policies and procedures will most definitely aid in the outcome of the claims being paid in a timely manner.
There should always be a leader with a set goal in mind, not just for the day, but always. In the morning during the meeting the leader should reiterate the reason for the plan change and present it once again to keep it fresh in everyone’s minds. The goal should be to increase productivity while at the same time providing patient satisfaction, because the patients are like our customers, we must maintain a health loyalty to them at all times. You can’t maintain that relationship if their claims aren’t being billed accurately. So it is of utmost importance to instill the goal in all of the team member’s minds and if there is a slip up; and there will be. Then the leader should help the team member out by showing them how to change their ways next time, and maybe sit with them and make sure that they are following all regulations and guidelines. Sending out a claim that may be accurate today may not be accurate tomorrow because insurance companies change their policies all the time. It is Important to be up to date with the information that the insurance does give you on a regular basis.
References: IPDS, 1999. Toolsets/IPDS guidelines. http://fast.faa.gov/archive/v0702/iplt/ipds/ipds_guidance.htm#3.0 WHAT SHOULD BE INCLUDED IN A TEAM PLANE OR CHARTER