Question

An HIM professional takes data on denials that have been received by the healthcare over the past year. After manipulating the data, she learns that Dr. Smith's patient's account for 30 percent of all of the denials. She schedules a meeting with Dr. Smith to discuss the matter. What is the HIM professional conducting?

Answer 1

The HIM professional is analyzing healthcare service denials to uncover issues with processes or documentation related to Dr. Smith's patients and is preparing to discuss strategies to reduce future denials.

Step-by-step explanation:

The HIM professional is conducting a data analysis related to healthcare service denials, which is a common practice in health information management. By identifying that Dr. Smith's patient accounts for a significant percentage of all denials, the HIM professional aims to uncover potential issues in coding, billing processes, or medical documentation that may be contributing to these denials. It's likely that this analysis is part of a larger effort to improve the overall efficiency and financial performance of the healthcare organization. After spotting a trend or an issue, the professional schedules a meeting with Dr. Smith to discuss the findings, seek clarification, and develop strategies to reduce future denials, which might include additional staff training or changes in procedures.