The DNFB workflow is built using the iQUEUE workflow engine as well. The DNFB workflow creates workflow objects utilizing data from three (3) discrete data sources: data elements that are present in the ADT, data elements that exist in the electronic patient folder (scanned or imported), and data elements that are imported into the system from other 3rd party or hospital information systems (reports, etc.).
Typically, the existing DNFB report is received daily and each line item on the report is processed to determine how the work object should be created and assigned. Work objects are assigned based on configurable criteria. For example:
Coders: Any account that is new and has been determined to contain sufficient information for coding is routed to a coder. Existing accounts previously assigned to an associate for review, but have since been corrected and are now ready for coding, will also be assigned to coders for final review/coding.
Associates: Each department has assigned specific associate(s) to be responsible for completing/gathering missing information for specific accounts. Accounts will appear on each associates list that either have a hold code and/or are missing physician orders (or other required documentation). Associates locate missing information and forward accounts to coders for coding and release to billing.
For all accounts in the DNFB workflow, associates can click the account and view the corresponding documents stored in electronic patient folder (EPF). The initially displayed documents are configurable and associates may be given the ability to access all documents in the EPF. Accounts can be sorted by multiple criteria (dollar value, aging, etc.) and reports can be run on the same criteria. Associates can also add notes to accounts, forward accounts and/or distribute accounts for other associates for comment/follow up.
Finally, escalation policies and procedures can be enforced to ensure that all work objects are completed in an acceptable timeframe. If an object is delayed beyond established thresholds, it can be escalated to the appropriate manager for review and resolution.