Healthcare leaders who know their financial data points understand there's one business metric that should never be on the upswing: discharged not final billed (DNFB). If an organization's bills don't leave the front door, its cash flow and opportunities to earn interest certainly will.
The C-Suite must set acceptable DNFB standards that are consistent in their measurement and organizational-specific issues, says Lou Ann Weidemann, MS, RHIA, CPEHR, FAHIMA, director of HIM Solutions at the American Health Information Management Association (AHIMA) in Chicago.
What can make DNFB rise?
Most organizations set a three-day threshold for accounts, she says, meaning that accounts that are not coded or dropped within three days of discharge appear on the DNFB. Other organizations choose to keep the DNFB at a percentage of overall revenue (e.g. 2%) as their measurement.
"Choose the measure that best fits the organization and stick with it," Weidemann says.