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Key Stakeholder: Position and Department
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Key Roles with in HIM System
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Reports to?
Or Manages whom?
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Systems, Software, or Technology used.
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Impacted by Recommendation
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Role in Successful Implementation
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Value Statement
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Example:
Billing Officers
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Responsible for overseeing the billing process, ensuring CPT and ICD codes are entered properly.
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Reports to the Billing Manager. Oversees the CPT coders and medical billing staff.
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Uses hospital billing system (be sure to name system—for example, Medisoft) has access to patient EHR.
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Recommendation: Change workflow to add step to authentic billing codes to ensure reimbursement from relevant program occurs.
Impact: Adds one step on the front of billing to potentially reduce revenue loss or the need to resubmit on the back end.
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The billing officers are vital to this workflow change because they will be the ones to ensure that even with the extra authentication step that there is a minimal drop in productivity long-term.
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This workflow change delivers value by ensuring greater accuracy of initial billing and reimbursement submissions in order to increase revenues and decrease the need to redo and resubmit work.
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