One way to monitor records requests is by using a Release of Information System (ROI) and a strict disclosure management system. HIM systems must comply with HIPPA in order to stay operable but, these systems provide checks and balances and limit the possibility of corrupt records as well as record tampering. The RIO system is similar to being able to track a package. Records release can become a legal catastrophe if HIPPA is violated. Some aspects of record keeping is automated as well as fields are auto-populated based on information previously linked to the patient. A summary of visits, names of family members or any party involved in the treatment of a patient can all be customized to populate upon request. This information is all centrally located which follows the patient in their care plan, along with a time stamp of who has accessed the records and when. Which are all great ways to keep up with a patients overall healthcare plan. The time stamp of the employee also shows what stage the record itself is at or has it been recently requested? Who was the last healthcare professional to come into contact with the patient? Is this patient active, and who was the last person to interact with them? These are all tracked using an ROI system along with, finding out where the information has to be sent. There are more systems that …show more content…
The terms of medical terminology and treatment plans are completed using encoders and groupers. It is similar to deciding on an acronym for a specific task as well as publishing that acronym so all parties are knowledgeable is a job for a specific group of people. Having an agreed upon form of communication plus meaning for specific words and phrases, saves employees the time wasted looking up translation codes. Having a seamless translation for specific diagnosis or procedures also reduces claim rejection due to misspelled words or misinterpretation of treatment plans – ultimately expediting patient billing. Computer Assisted coding system aids in helping a coder from making any mistakes when coding a patient record. This system suggest an actual code to be assigned to the patient’s record. A computer assisted coding system furthermore uses natural language processing to evaluate clinical data to detect procedures and diagnoses to assign the right code to the system or patient document. This enhances productivity in a coder, but this should not be reliable to a coder. This central location for patient medical history works in conjunction with various registries that track the patient’s progress for some of the more complicated health issues. The registries also communicate with one another and update itself as new information becomes