Question

To better evaluate the denials of Medicare claims at ABC Hospital, Shelly (the Coding Manager) and

Diane (the Fiscal Claims Manager) must work together to review documentation, ICD-10-CM/PCS code and MS-DRG assignment, and CMS denial reasons. In order to ensure an effective working environment to efficiently manage and produce MS-DRGs and the reimbursement claims, the and the departments should have a strong relationship.

(A) Medical staff and billing
(B) Finance and billing
(C) Disclosure of health information staff and coders
(D) HIM and billing staff

Answer 1

HIM and billing staff

Step-by-step explanation:

The committee on professional development of AHIMA states that health information management (HIM) professionals are responsible for improving “the quality of healthcare by insuring that the best information is available for making any healthcare decision” by managing healthcare data and information resources.