“ The urology group believes that Six Sigma is one of the best ways to quantify quality in the work place. Implementing six sigma in a health care business requires a change in mind set that we are just now appreciating. Making it part of our work routine, rather than an addition to the work routine is a work in progress.”
Identify and evaluate CPC’s in the coding process. Identify and evaluate doctors on E & M coding process. Identify methods to improve the coding process for both doctors and coders. Identify and evaluate communication methods, such as audit tools and templates, to improve coding and documentation. Identify and evaluated doctor – coder relationship to improve training and communication of errors and questions.
For January 1 through June 30, 2006, we experienced 21 days that our receivables sat in collections. With a target of 19 days, this gap of 2 days led to a Cost of Poor Quality of $XXX,XXX. While there are several divisions that make up this total, this project will focus on Division 8, which had 23 days in receivables. With the target of 19 days, this gap of 4 days led to a Cost of Poor Quality of $XX,XXX.
From January 1 through June 30, 2006, TUG experienced a gap of 2 days in collections. Of this gap, incorrect demographic entry and the collection of insurance cards in Division 8 represented 10.4% of the overall problem. This 10.4% leads to a Cost of Poor Quality of $XX,XXX.
The goal of this project is to reduce the days in collections in Division 8 from 23 to 19 days by the end of 2006 by collecting and copying insurance cards and having correctly completed demographic forms to increase our cash flow by $XX,XXX. We will focus on the preparation of the demographic sheet and its entry into the MISYS system. The resources used will be the Division 8 front office staff, office manager, and the Norwood business office staff. For this case, the clinical process is out of scope
What – Presence of correct name, insurance company, insurance plan, and correct entry into MISYS will be tested via phone contact with new patients
Where – After patient visit
When – Random monthly sampling
How – Division 8 front desk staff will copy registration forms and insurance cards as they are received. These forms will be given to Josh, who will take a sample of the patients and verify that the information is correct by calling the patient. Correct entry into MISYS will be verified by checking the information in the system against the form.
Frequency – 10% of the patients will be selected at random