Rehabilitation Hospital Case Study

Improved Essays
MRC is Mississippi’s only comprehensive rehabilitation hospital, featuring programs specifically designed to treat people who have has a stroke, brain injury, or spinal cord injury. They also provide services for people with neurological and orthopedic illnesses and injuries. MRC has, twice, been the only hospital in MS to be names one of America’s Best by U.S. New & World Report as well as, twice, named one of only 16 Traumatic Brain Injury Model Systems in the nation. They have gained worldwide prominence for groundbreaking West Nile research being conducted by their Center for Neuroscience and Neurological Recovery.
I chose to interview Mary Palmertree Montana who is the Director of Medical Records at Methodist Rehabilitation Center (MRC) here in Jackson. She was a graduate of the program here at UMMC. She has been RHIA credentialed since 1996 and has over 11 years
…show more content…
MPM: I am not particularly involved in the revenue cycle. I sometimes perform quarterly audits for the business office. I review the coding and match it up with the documentation. Our main problem area is therapy. We usually have issues with the number or units.
My department is in charge of the unbilled reports. We review the age of the reports. Our standard is to close out the previous month by the 11th of the current month. The coder review the unbilled along with me.
GB: In the past two surveys by the Joint Commission, have you had any issues related to documentation?
MPM: Our last survey by the Joint Commission was December 2014 and CARF was March 2016. We have a re-occurring issue with verbal orders. Our corrective action plan was to go directly to the floors while the patients were still here and started going through the charts. We would flag the charts missing orders. We implemented a prospective audit rather than retrospective.
GB: Do you have an auditing program for documentation and improvement standards? How do you report those

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