Assessing and creating productivity benchmarks for your inpatient coding team

April 17th, 2018

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses how facilities can establish realistic productivity benchmarks for inpatient coding teams by considering review scope, payer mix, record format, case complexity, and ancillary CDI responsibilities. It is aimed at coding managers, CDI leaders, and health information management professionals who are building or refining performance standards in hospital documentation review programs. The piece places particular emphasis on inpatient record review strategy, broader review expansion, and the operational factors that influence day-to-day productivity.

Why This Topic Matters

Benchmarking is central to staffing, workflow planning, and program growth in inpatient coding and CDI operations. Understanding the operational factors that affect productivity helps organizations set attainable goals and allocate resources appropriately.

Article Sections

  1. Targeted reviews

    This section describes a targeted approach to inpatient record review and discusses how facilities may prioritize certain payer and documentation review areas. It also places the topic in the context of hospital coding oversight and audit awareness.

  2. Expanding reviews

    This section addresses broader review program expansion and the operational factors that can affect review volume and turnaround time. It also discusses how workload, record format, and related CDI responsibilities can influence staffing and benchmark planning.

What You Will Learn

  • How facilities think about setting productivity expectations for inpatient coding teams
  • Why record complexity and format can affect review pace
  • How payer mix and review scope influence CDI and coding workload
  • What operational responsibilities may need to be included in productivity planning
  • How benchmarking supports program growth and resource justification

Who Should Read This

  • Inpatient coding professionals
  • CDI specialists
  • Coding managers
  • Health information management leaders
  • Hospital compliance and audit staff

Code Ranges Discussed

  • MS-DRG: 177−179
  • MS-DRG: 193−195
  • MS-DRG: 871−872
  • MS-DRG: 689−690
  • MS-DRG: 190−192
  • MS-DRG: 291−293
  • MS-DRG: 064−066
  • MS-DRG: 377−379

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