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Your coding staff has been reporting an increase in the number of discharge dispositions that are incorrectly entered in the patients' records in the EHR by case managers. They have to take the productivity and a corresponding increase in the discharged whe, which is causing a decrease in staff complete a data collection over the next two weeks. 1. Using CMS information, determine the correct discharge status for the seven error types identified based on the information below. 2. Prepare an interpretation of the information and offer recommendations for error reduction to the case manager director: Coding staff identified the following on review of 198 discharged charts in the two-week period: - Pine Valley Community Hospital-critical access hospital - Valley High Children's Hospital-children's hospital - Valley View Hospital-long-term care hospital - Big valley VA Hospital-veteran's affairs hospital - Valley Vista-inpatient psychiatric hospital Errors found were: - 12 transfers to Pine Valley Community Hospital listed as "04." - 5 transfers to Valley High Children's Hospital listed as " 02 ." - 7 patients listed as expired "41." - 3 transfers to Pine Valley Community Hospital swing bed listed as "66." - 2 patients discharged to jail listed as "10." - 4 transfers to Valley View Hospital listed as "04." - I transfer to Big Valley VA Hospital inpatient psych unit listed as "65." Errors by case manager: - 25 errors by GNF.

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zel ek Kaybetti Sammy Benson, Downtown Bank'n tek boyutlu, yabanc ve hasarl ekleri ileyen zel ek Tasnif Birimi'ni denetledi. ekler birimine gnderildikten sonra manuel olarak yorumlanp, kayt altna alnp ilgili hesap hareketlerine girilerek iade iin dosyalanmtr. Sammy, departmanndaki ek tasnif memuruna nezaret etti. Bu iler, liseden yeni mezun olmu, grece eitimsiz, giri seviyesindeki kiiler tarafndan yaplyordu. Yaz boyunca Greater Downtown Bank, Community Upbeat kampanyasnn bir paras olarak dk gelirli, dezavantajl genleri irket genelinde eitli iler iin ie ald. Bu abaya katlmak iin nsan Kaynaklar Departman temsilcileri seilen liseleri ziyaret ederek rencilerle grtler. renciler zaten okul tarafndan n elemeden geirildiinden, grmeler "tanma" tartmalarndan biraz daha fazlasyd. Geen yaz, Sammy'nin birimi bu abadaki ilerden birini salad. Juanita Perez, bu balamda zel Kontrol memuru olarak almak zere ie alnd. C ortalamasn koruduu yerel meslek lisesinden mezun olduktan sonra Haziran aynda almaya balamas planlanyordu. Bu onun ilk tam zamanl iiydi. Juanita ksa bir greve balama program iin bankaya rapor verdiinde korkmutu. Sadece iteki ilk gn deil, ayn zamanda bankaya ilk geliiydi. Yine de cesaretini toplad ve planlad gibi nsan Kaynaklar Departmanna rapor verdi. Lobide bir sre bekledikten sonra kk bir toplant odasna gtrld ve burada kendisine ve dier iki yeni ie alnan kiiye eitli formlar ve belgeleri nasl doldurup imzalayacaklar gsterildi. Daha sonra, bir idari asistan yeni ie alnanlara alma programlar, molalar, fazla mesai, maa gizlilii, devam ve yan haklar hakknda bir dizi personel politikasn okudu. Tm bunlarn ne anlama geldiini merak ederek daha fazla form imzalad. Toplant sona ererken, nsan Kaynaklarndan bir telefon aldktan sonra Sammy Benson geldi. O ve Juanita ilk kez tantrld. Sammy, Juanita'ya bankann eitli ofislerini ve dier departmanlarn gstererek nsan Kaynaklar Departmanna kadar elik etti. Ona blgesini hzl bir ekilde gezdirdi ve giderken onu dier katiplerle tantrd. Ancak Sammy ilerini blmemeye dikkat etti ve Juanita'ya ne yaptklarn aklamad. alanlarn onu grnce ardklar yzlerindeki ifadeden belliydi. Ksa bir tur ve birka ksa tantmdan sonra Sammy, Juanita'ya iiyle ilgili baz temel talimatlar verdi. Juanita'ya yabanc ekleri ileme koyma iini verdi. Bu grevin renilmesi ve doru ekilde yaplmas en kolay i olduunu dnyordu. teki ilk gnnde, Sammy ona prosedr gstermek iin yaklak 15 dakika harcad: inceleme, kaydetme, girme, ayarlama, dosyalama. O gn daha sonraki bir toplant iin hazrlanmak zorunda olduu iin, onunla geirebilecei tm zaman buydu. lk haftann sonunda, Juanita baz eyleri anlamaya balam gibi grnyordu: e zamannda geldi, meguld ve olduka hotu ve birlikte olmas kolayd. Sammy, bu dnemde onunla olabildiince ok zaman geirmeyi amalad; ancak, abucak anlyor gibi grnd ve adam ok megul olduu iin, onu sonraki birka hafta boyunca yalnzca ara sra grd. Sonra, yaklak bir ay sonra, Juanita bir gn hastaland. Yerine baka biri getirildi ve Juanita'nn masasnda bir not defter.

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