The health information management team at XYZ University Hospital contracted with an
auditing firm to perform a coding review. The results from this baseline assessment are provided
in below:
Variation Log by Type of Error
Variation Log by Coder
Variation Log by Type of Error
% of
errors
Inaccurate sequencing or specificity principal diagnosis, affect MS- 17%
DRG
Inaccurate sequencing or specificity principal diagnosis, non affect 16%
MS-DRG
Omission CC, affect MS-DRG
33%
Omission CC, non affect MS-DRG
2%
Inaccurate principal procedure, affect MS-DRG
3%
Omission procedure, affect MS-DRG
4%
More specific coding of diagnosis or procedure, non affect MS-DRG 12%
Inaccurate coding
5%
Missed diagnosis or procedure code
8%
Variation Log by Coder
Coder
Error Rate
Standard
Coder 1
3%
5%
Coder 2
9%
5%
Coder 3
8%
5%
Coder 4
2%
5%
Coder 5
4%
5%
Coder 6
16%
5%
Coder 7
12%
5%
Coder 8
3%
5%
You are the inpatient coding manager at XYZ University Hospital. Your director has asked you to
develop an ongoing review and monitoring schedule for the next year based on the results from
the outside review.
Create a detailed plan that discusses your recommendations. Ensure that the recommendations
include elements from the AHIMA Standards of Ethical Coding and address the issues exposed
by the audit.
