Healthcare Leadership and Innovation

DNFC Aging Metric

  • 1.  DNFC Aging Metric

    Posted 10-19-2017 14:23
    We're updating much of the KPI we track for coding and our rev cycle but there's one I'm struggling to find a national standard or benchmark for and that's DNFC aging.  Dollar target is easy, but what about aging?

    For example, for simplicity sake, say our dollar target was $10M.  You can easily see who we're doing by taking our total DNFC and comparing it to $10M, but that only tells half the story because you could be over $10M but have most of the uncoded accounts be recent, or be under $10M but the aging on your account is awful.

    Anyone track the aging of their uncoded accounts with a target?

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    Seth Katz
    Associate Administrator, Information Management
    Truman Medical Center
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  • 2.  RE: DNFC Aging Metric

    Posted 10-25-2017 17:27

    I think this would be a great point of discussion for a call. I'd be happy to participate.

     

    Thanks!!

     

    Jannifer Owens, MSA, BSHA, CCS, CPC, CIRCC

    Senior HIMS Coding Director -  Banner Health

     

    525 W. Brown Rd. Mesa, AZ 85201

    480.684.7262 Office

    480.684.9736 Fax

    480.655.2511 Fax - Coding Requests

    Jannifer.Owens@BannerHealth.com

     

    Administrative Assistant: Susan Rea

    Susan.Rea@BannerHealth.com

     

     

    image001.png@01D2D561.CCFC0C60

     

    Health care made easier. Life made better.

     






  • 3.  RE: DNFC Aging Metric

    Posted 04-03-2018 19:30
    I am interested in this as well.  Currently I run our DNFC report and export it to an excel file.  I then sort the file from date of discharge oldest to newest then add a second sort level of highest unbilled balance to lowest to try to capture both ends of the spectrum.  However, sometimes I wonder if this is the best method? I have also considered if I need to sort by financial class somehow to capture timely filing windows.

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    Ashley Friedrich
    HIM Director & Privacy Officer
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  • 4.  RE: DNFC Aging Metric

    Posted 04-04-2018 07:51
    In one of my previous roles as a Corporate Coding Manager we had a huge "greenbar" report that I worked with our IT department to create.  This report had date first, account number, patient name, service line (we had many clinic and satellites which also fell under our DNFB), dollar amount and physician.  The report was also separated by type of hold - pre-cert, query, etc.  It was terribly voluminous as you can imagine but I could also pull it up electronically through the billing system for the enterprise.  I had this report printed twice a week so that either myself or one of the senior coders/analysts in the department could work this report on a regular basis.  It provided a way for us to find some of the pseudo accounts that were really only placeholders or where charges needed to be moved to an inpatient or outpatient surgical account.  It was a wealth of information for us to keep our unbilled within acceptable limits.  A couple of the interesting points that came out of this was that even though our department was responsible for the overall unbilled dollar amount we found many accounts in other areas where we would work with the departments to get the account coded appropriately and dropped (sports medicine, our Oncology Center and many of the satellite clinics).  With the migration to electronics this should be easier for IT to develop a report that you can "slice and dice" to accommodate however you want to work this report.  The key will be to work with IT and develop something that you both can understand and create a tool that will be useful.

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    Cheryl Bowling, RHIT, CCS, CHC, C-CDI
    Client Compliance Partner
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  • 5.  RE: DNFC Aging Metric

    Posted 07-07-2018 17:44
    ​If I may join your discussion, I think including payer information can capture the information on whose insurance has short filling deadline. Also adding formula to capture the follow up date will help as well when you generate your aging for the next cycle.

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    Maria Felisa Kuch, CCA, RHIT
    Manager, Revenue Cycle
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  • 6.  RE: DNFC Aging Metric

    Posted 07-05-2018 23:43
    We developed an access data base that we keep on a share  drive for the coders to track reason for any account they are not able to drop that is over the bill hold... for example inpt cases we have a reason for every account over 6 days uncoded.  We then create a trend line with the reasons that the chart is uncoded ie.  need dictation, missing charges, post discharge query etc... we aim to have the reason "uncoded" be as low as possible..

    The access database allow us to keep the reasons on from prior excel spreadsheets... until the bill is dropped and the whole line is gone from the spreadsheet.  Hope this is helpful!

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    Tracy D'Errico
    Director HIM
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  • 7.  RE: DNFC Aging Metric

    Posted 08-27-2018 12:48
    Has anyone found a metric from AHIMA on a best practice for DNFC days? Our goal currently for DNFB is 5 days (this is from HFMA best practices) as for coding however I'm looking to see if there is a current, nationwide benchmark for DNFC and cannot find anything from AHIMA. Any thoughts, ideas would be appreciated.

    Thank you!

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    Beth Kosman, RHIT, CCS, CCS-P
    HIM Director
    Ringgold County Hospital
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