Question: Month Number of Claims Total Coding Errors Errors/ Claim Code A Error Code B Error Code C Error Code D Error Code E Error Code

Month Number of Claims Total Coding Errors Errors/ Claim Code A Error Code B Error Code C Error Code D Error Code E Error Code F Error Code G Error Code H Error Code I Error
1 716 868 1.21 79 98 227 189 198 26 17 26 8
2 850 936 1.10 91 62 295 211 205 28 2 21 21
3 1028 1090 1.06 155 109 307 298 152 9 5 40 15
4 790 1012 1.28 149 118 284 207 198 18 16 15 7
5 768 807 1.05 162 85 158 154 157 52 7 32 0
6 990 708 0.72 45 84 167 168 173 32 14 18 7
7 872 844 0.97 93 86 195 173 201 31 28 19 18
8 904 666 0.74 87 92 121 201 115 16 26 5 3
9 1038 646 0.62 59 75 165 165 98 19 37 24 4
10 1202 569 0.47 100 61 135 147 58 24 15 18 11
11 1096 612 0.56 118 59 98 219 43 28 21 11 15
12 978 625 0.64 92 110 117 206 58 19 14 9 0
13 1300 563 0.43 68 106 63 217 65 11 9 23 1
14 1052 429 0.41 77 57 52 169 25 8 7 26 8
15 788 605 0.77 103 81 46 243 61 17 21 24 9
248 244 161 629 151 36 37 73 18

Month Number of Claims Total Coding Errors

This question refers to the "Claims Processing" case. A hospital processes claims and the insurance companies often reject them for coding errors. A process improvement team has been working on a project to reduce coding errors for the past 15 months and the data for the number and type of coding errors can be downloaded from the link provided. Use this data to answer the question below. The team implemented several solutions that took effect after month 4. Use an appropriate control chart to assess process behavior over the 15 month time span. Is there evidence of an improvement? The data indicate that the process is stable over the 15 month time period and that the improvement actions were effective. The process varies, but is statistically stable; observed improvements are due to common cause variation, so there is no true improvement. The process is unstable over the 15 month timeframe, and there is no discernible trend in the number of coding errors. There is an apparent improvement trend, but the sample size is too small to draw any meaningful conclusions. The process is unstable over the 15 months, and displays a downward shift in the average errors/claims, indicating a favorable shift

Step by Step Solution

There are 3 Steps involved in it

1 Expert Approved Answer
Step: 1 Unlock blur-text-image
Question Has Been Solved by an Expert!

Get step-by-step solutions from verified subject matter experts

Step: 2 Unlock
Step: 3 Unlock

Students Have Also Explored These Related General Management Questions!