Mikki has been in the Health Information Management field for 12 years and is currently the HIM and Clinical Documentation Improvement Director at Thibodaux Regional Medical Center. Her primary role is to oversee all aspects of the completion, availability, accuracy, and protection of the clinical information within the health record. This includes ensuring that the clinical documentation and coding of the medical record reflects the true severity of illness and risk of mortality of each patient, timely coding and Discharged Not Final Billed (DNFB) management, and Release of Information management.
In today’s healthcare market, financial challenges rank as the number one issue hospitals face. To maintain a margin to support its mission, hospital CEOs are always looking for opportunities to boost revenue through improved reimbursement. Managing discharged not final billed (DNFB) cases, where bills remain incomplete due to coding or documentation gaps, is one important way hospitals can improve financial performance. By expanding the use of analytics to every aspect of its billing services, Thibodaux Regional Medical Center has achieved impressive, sustained results. Three years after Thibodaux Regional launched its initial DNFB redesign effort, it continues to sustain and add to its improvement, realizing $2.4M in additional annual reimbursement and a 61% relative reduction in DNFB dollars, significantly improving its cash flow.