Medical Data Entry Case Study

Universal patient identifiers can safely enhance efficiency to connect patients to their healthcare records. Although, many patients evade the anguish from adverse events due to a misidentification from the existing patient-matching technology, however misidentification in patients can have inflated financial ramifications to hospital systems. “Denied claims can become a huge waste of time and money for any practice manager; per a recent MGMA Connection article the average cost to rework a claim is $25. When you multiply that cost by dozens of denied claims, it quickly adds up”. (Taufen, A., MA., 2014). Moreover, organizations associated with healthcare risk squandering money due to patient misidentification consequently resulting in claim

Health Information Management (HIM) is the process of protecting, analyzing, inspecting and acquiring medical information such as health records, each time a patient is seen by a healthcare provider. The HIM professional is an important connection between doctors, nurses, patients, insurance companies and everyone in the medical field. Every time a healthcare professional sees and treats a patient, they record what they observed, how the patient was treated medically, and future steps in the treatment plan discussed between the patient and the healthcare worker. The medical record includes the patient’s symptoms, medical history that includes past, present, and family history, results of studies, such as x-ray reports, or lab results, diagnosis,

The first thing that outsourcing your medical billing and coding would do to eliminate some of the current issues that medical professionals have, is it would streamline your staff. There wouldn 't be a need for an entire staff of medical billing and coding specialists, or a manager for that department, depending on how large your practice is. When you calculate the costs of salaries, benefits, claim processing software, and the expense of payroll taxes among other things, you can see how outsourcing would

The Medical Records Department follows strict security measures to prevent any unauthorized access. The department has an access code on the door, and it is locked after hours. In addition, the staff uses internal messaging system to communicate and transmit confidential information between the two locations. The department is adequately organized, given the limited space, where the staff are grouped by function. The staff morale is high; I believe it is due to the management support, and open-door policy.

The healthcare industry generates a great amount of data every day, as a form of record keeping, patient care, compliance, and regulatory requirements. Just a decade ago, all this data was stored in the form of hard copy form, now it is rapidly transforming to digital data which is called EMR (Electronic Medical Record). The digitalization of the healthcare has not just reduced cost of care, but also improved quality of care due to the abundance data that organizations receive from the EMR to identify the flaws in their system. I work in the healthcare industry where improving quality of care is our primary goal. We use software called eCW , which is an integrated system.

Then, all that's left to do is simply plug in the hardware and software and step into the new world of digital patient files and cloud-based scheduling. Sounds easy. Right? Unfortunately, converting a medical practice operating under traditional conventions into a twenty-first century, fully compliant cloud-based model takes more than just covering the basics.

The policies and procedures should address the following areas that include, effective communication among various entities in the organization, education and training program for the every department, and most especially the HIM department, implementation of communication channel within the HIM department and other department in the organization, procedures for appropriate disciplinary action/corrective measures, and auditing/monitoring system. Furthermore, the policies and procedures should outline specific action plans that should be followed in the HIM department; the policies and procedures will be fashioned to adhere the guidelines and recommendations of major accrediting and professional organizations such as the American Health Information Management Association (AHIMA), the American Hospital Association (AHA), and National Center for Health Statistics. The issue of medical record availability should be addressed to specify the document requirements necessary for effective coding practice, and also the establishment of the role of physician advisor should be considered in order provide guidance on coding issue and to act as liaison between medical staff and the HIM department. Additionally, as part of the effort to address the coding issues, the HIM coordinator should set goals that will guarantee 100% coding accuracy report and less

This would result in more queries for clinicians which adds up to the time medical coders and clinicians will be unable to prepare ICD-9 claims. Ironically, this comes at a time when practices are being encouraged to make their business practices increasingly efficient and save cash to get through periods of delayed reimbursements after October 1. However, there is a solution of hiring more coders as employees or freelancers to cover the deficit. But this comes at the cost of more planning and budgeting for staffing.

Electronic Medical Records has several positive effects on the billing and coding process. For example, Electronic Medical Records helps to reduce cost for physicians and improve care for patients. Electronic Medical Records helps reduce medical errors for the physicians and unneeded diagnostic tests. The EMR can also help coordinate patient's information better such as diagnosis, medications, family history, and the test results of each patient on file. Electronic Medical Records helps to improve storing health information and EMR makes it easier to track results of each patient. The health care providers are able to quickly finish the patient charting. The Electronic Medical Records allows you to have flexibility to schedule more patients

I have gained knowledge about informatics. I have learned about the great importance of electronic medical records (EMR) to the current and future of patient charting and documentation. I have gain skills in how patient portals work, their purpose, as well as their importance to patient self-efficacy. My attitude has always been positive to the importance of informatics. I believe that change in health care can be difficult and very hard.

“Electronic health information exchange (HIE) allows doctors, nurses, pharmacists, other health care providers and patients to appropriately access and securely share a patient’s vital medical information electronically—improving the speed, quality, safety and cost of patient care” (HealthIT, 2014). Health Information exchange is becoming important in the communication between providers to provide the best care possible to patients. Every state along with their hospitals has their own way of exchanging information between each other.

Depending on the type of office and the patients there in, will determine what electronic health system you will need. Some doctors have patients that need a high level of care and lots of tests and other documented information, like cardiology. Other offices might be able to use a simple program because they don 't have many patients or the patients they do have don 't require extensive documentation. You have to consider the amount of time you may, or may not have to train the staff and get all the information transferred. Once the needs of the facility are determined, it is then important to decide on a system that will coincide. A beneficial EHR system will have great customer service, keep up on technological advances and good

Since its startup in 2005 its mission to disrupt the slow moving world of health care by providing a free service of Electronic Medical Records (EMR) to doctors and their facilities. This system will benefit doctors by cutting down cost, decrease medical errors, decrease mishandled or forgotten messages. It will help the overall goal of medical errors. It improves accuracy through record legibility and record

Quality care and protecting patient information is the major task of healthcare organization. Like in hospital, Ambulatory care

Introduction Since 1928, the American Health Information Management Association (AHIMA) has been at the forefront in improving healthcare information management. Health Information Management (HIM) is the practice of the acquirement, storage, and protection of crucial information concerning patients’ health and other personal data. Widespread computerization has introduced Electronic Health Records (EHRs), which has continued to replace the traditional paper-based records. AHIMA’s History and Mission