Coding Life Cycle: Electronic Health Records (Post-Implementation) The patient is discharged from the unit. The record is made available in the electronic health record. The chart goes to the "Deficiency Analysis" work queue. Charts with missing documentation used for coding are flagged electronically and sent to the physician. Charts that have no deficiencies are then added to the coding work queue and made available for coders. Coders complete coding using the integrated encoder. Once all codes are added, they click "submit," and the chart is completed. Coding Turnaround Time Electronic Health Records Medical Coder Discharge Date Date Sent to Coding Minutes for Coding Medical Record Number Coder 1 5/3/20 65 365874 5/1/20 5/2/20 48 Coder 2 523845 5/1/20 Coder 1 745854 5/3/20 63 5/2/20 Coder 4 5/4/20 49 25487 5/3/20 5/6/20 49 Coder 2 458256 5/5/20 48 Coder 3 458256 5/4/20 5/7/20 Coder 2 5/8/20 46 458256 5/6/20 EHR Release of Information Log (Post-Implementation) Records are requested in the department using a form or by logging on to the patient portal. The patient is also able to print their own records from the patient portal. All requested records are sent via encrypted email, automatically faxed, or prepared for patient pickup Release of Information Log Electronic Health Record Patient Date of Social Medical Date Date Method Type of Cost of Name Birth Security # Record # Requested Filled Record Sending Mary Ellen 7/7/85 XXX-XX-1468 286547 5/1/20 5/3/20 Encrypted ER Record $15 Moore Email Mark Arron 6/5/74 XXX-XX-2541 758520 5/3/20 5/5/20 Encrypted ER Record $15 Henry Emai Sue Ann 5/18/66 XXX-XX-5680 658200 5/4/20 5/6/20 Encrypted Radiology $12 Jones Email Report Lottie Mae 4/7/55 XXX-XX-7850 148520 5/10/20 5/12/20 Encrypted Operative $12 Parker Email Report Henry Allen 8/5/14 XXX-XX-1474 568500 5/12/20 5/15/20 Encrypted Full Chart $35 Douglas Email Coding Life Cycle: Paper Records (Pre-Implementation) The patient is discharged from the unit. The chart goes to chart completion. Flags are placed in the chart, and doctors are notified of their deficiencies. Once the chart is completed, the flags are removed from completed charts, and the charts are added to the red coding cart. These charts are ready for coding. Coders pick up charts for manual completion starting with the oldest. Coders begin working on charts. Charts with queries are placed in the yellow query cart. Completed charts are placed in the green completed coding cart with the coding abstract form attached. They are ready to be filed. Coding Turnaround Time Paper Records Medical Rec. Num. Discharge Date Date Sent to Coding Minutes for Coding 286547 Medical Coder 2/18/20 2/25/20 258523 53 Coder 2/18/20 2/24/20 79 258201 Coder 2 2/19/20 2/22/20 52 248526 Coder 1 2/19/20 2/24/20 61 268500 Coder 4 2/20/20 2/26/20 56 289404 Coder 1 2/20/20 2/28/20 65 248309 Coder 3 2/22/20 2/29/20 56 Coder 1Release of Information Manual Release of Information Log (Pre-Implementation) Records are requested in the department using a form. All records are copied and mailed, faxed, or prepared for patient pickup. The hospital time frame is within 30 days of request using the "Felder Community Hospital Release of Information Request." Community Hospital Release of Information Request Log Patient Date of Social Medical Date Name Date Method Birth Security # Type of Record Cost of Mary Ellen 2/16/45 XXX-XX-1453 Requested Filled 365874 Record 9/22/19 10/1/19 Sending Smith Printed for Lab Results $20 James 1/8/65 Pickup XXX-XX-5623 523845 1/4/20 2/12/20 Mailed Quinc ER Record $50 Robert Carl Tyrone 7/12/75 XXX-XX-9696 745854 1/6/20 1/30/20 Mailed Biggs Radiology $25 Janice 5/19/57 XXX-XX-6587 125487 Report 2/1/20 3/20/20 Elaine Mailed ER Record $50 Moore Crystal Lynn 1/4/82 XXX-XX-6258 458256 2/12/20 2/14/20 axed Operative $20 Mayfair Report Cynthia 6/4/76 XXX-XX-5241 749652 3/1/20 Marie Jones 3/17/20 Printed for Lab Results $20 John Earl 4/4/84 Pickup XXX-XX-9874 635241 3/1/20 4/2/20 Mailed Wright Radiology $25 Henry Allen Report 8/12/46 XXX-XX-1489 748741 3/6/20 3/18/20 Printed for Lab Results $20 Moore Pickup Connie Ann 7/4/76 XXX-XX-4151 366587 3/9/20 4/6/20 Faxed Lab Results $20 Lee XXX-XX-3695 358754 3/10/20 4/7/20 Printed for Lab Results $20 Heldi /18/96 Pickup Lineberry Full Chart $105 Leigh Ann 9/15/2000 XXX-Xx-7962 458958 3/11/20 4/1/20 Mailed Tooth 10/8/1999 |XXX-xx-1258 526852 3/15/20 3/30/20 Printed for Lab Results $20 Ann Lee Pickup Booker XXX-XX-8596 285745 3/15/20 4/18/20 Printed for Lab Results $20 Cindy Lou 6/18/65 Pickup Hobbs