What Is Trucode Encoder Essential?

Health information is a fundamental piece of data which represents a person, business, organization, or a community. This data is vital in monitoring and coordination of care for individuals and communities. It not only monitors and coordinates patient care, but reduces costly mistakes and prevent duplication of treatments as well as taking a pivotal role in preserving, securing, and protecting personal health information. Since, this information is extremely essential and sensitive, it must remain secure and safe to prevent frauds and cyber-attacks. First of all, this paper discusses vitality of the health information in regards to individuals, professionals, and organizations along with its benefits to improve overall quality of life. Secondly, it discusses the role of information technology in various aspects of the industry and the what the future holds within IT.

Electronic health information exchange allows doctors, nurses, pharmacists, other health care providers and patients to access and securely share a patient’s vital medical information electronically improving the speed, quality, safety and cost of patient care. In this paper I am going to explain the challenges of exchanging health information, privacy and security concerns, cost of set up and maintenance. Also, the three different types of exchanges. The benefits of health information exchange.

HIM Personnel play an important role in the Medicare system. Medicare has transitioned from “fee for service” to providing incentive payments for providers that issue high quality care at affordable prices. In order to achieve the “pay-for-quality” incentives hospitals and health care officials must improve their documentation processes. “If it isn’t documented, it wasn’t done” is more important than ever. It is the responsibility of the HIM professional to ensure the integrity of the patient chart. HIM professionals monitor the quality of documentation and ensure all clinical documentation is complete and accurate. HIM professionals are the key to identifying process problems while keeping in mind patient safety, quality of care, and revenue integrity. Medicare requires that hospitals report quality improvement measures in order to receive payments; HIM professionals can directly impact Medicare incentive payments. HIM professionals are directly involved with the Medicare Audit Improvement Act. The HIM professional collects health data that is subject to the audits; HIM professionals are the point of contact for responding to Medicare audit requests.

The Clinical Documentation Improvement (CDI) has emerged as the most vital drive for overcoming the issues associated with maintaining a complete and good sound medical record in the U.S healthcare system. The main focus of CDI is to enhance clinical clarity of the health records which usually involves the process of improving the medical/health records documentation in order to promote effective patient outcome, data quality measures and accurate reimbursement for services and care rendered. For a medical record to be meaningful and mirror the scope of treatment and services provided, it must be accurate and meet the established guidelines set forth by the governing bodies such as the Centers for Medicare and Medicare.

Interoperability is the way information is shared across an organization. Sharing information across all avenues of health care is imperative to quality patient care. Coordination between all members of the health care team can occur through a congruent system, eliminating unnecessary phone calls and paper work that take away from patient care. The sharing of information electronically reduces the likelihood that files could be lost or stolen which creates a liability for all those involved in the care of the patient.

Healthcare systems are highly complex, fragmented, and use multiple information technology systems and vendors who incorporate different standards resulting in inefficiency, waste, and medical errors (Healthinformatics, 2016). A patient 's medical information often gets trapped in silos, which prevents information from being shared with members of the healthcare community (Healthinformatics, 2016). With increasing healthcare costs, a system needed to be created that would lead to the development and nationwide implementation of an interoperable health information technology system to improve the quality and efficiency of healthcare. Introducing the National Health Information Network (NHIN), this organization can be defined as a set of

Health Information, therefore, is not just the patient data but the presentation of this data in a useful form and

Health Information Exchange (HIE) supports both transferring and sharing of health related information that is usually stored in multiple organizations, while maintaining the context and integrity of the information being exchanged (HIE, 2014). The goal of health information exchange is to expedite access to and retrieve clinical data to provide safe efficient, effective, equitable, timelier patient-centered care (HIE, 2014). HIE “provides access and retrieval of patient information to authorized users in order to provide safe, efficient, effective, and timely patient care” (HIE, 2014).

The introduction of information systems in health care industry has made enormous development in patient care and satisfaction. The interoperability of the different systems with in a organization is important to achieve effectiveness of the system. The process of developing and integrating the information system is time consuming, complex and costly. This paper is a report submitted by an informatics director to the chief operating officer of an organization proposing a solution to solve the communication problems within the information system.

Documentation records is related to the quality of patient care provided. It signifies the primary communication among multidisciplinary caregivers for efficient and effective intial treatment, for continuing care, and for the evidence that care and treatment occure. Regulatory agencies use the documentation as a means to measure the quality of services before granting accreditation or certification to healthcare organiztions. Some of those agencies include:

The Health Information Exchange has proven to be convenient and beneficial in essence of improving patient and health professionals’ ability to access patient medical histories and records by providing quicker, more reliable access. There have been some challenges recognized with the implementation of the health information exchange. While speeding up the process of retrieval of sensitive medical records has been a blessing, the process of electronic delivery of medical records has also been seen by some as risky. The electronic health information exchange allows health care providers to release vital private patient healthcare information via

The E/M code divisions are based on the setting the service is being provided (see list of codes below)

The initial investment of adopting the EHR is both costly and time-consuming, but most experts predict that the pros will outweigh the cons in the end. Meaningful use is beneficial because the providers are making better informed decisions about their patients due to the clinical guidelines and information that they are provided. Health information professionals will always be needed, just in a different capacity.

Electronic health information exchange is a dynamic evolving landscape that can help all doctors, pharmacists, nurses and any health care providers and patients to properly access fast to share patient basic health medical information via electronically improving quality, safety and speed and the cost of patient care HIE is fault finding for successful health care reform allowing to happen interoperability and significant use of health IT, and Health care Information and Management System Society (HIMSS) is here to help health care and health IT is qualified to understand all of the latest developments. There are various types of health information exchange and health information exchange organizations that are currently across the United States and its nation.

It is important to understand that using electronic health system helps physicians to provide a more accurate diagnosis which helps to reduce medical errors and incorrect diagnosis which make patients very happy knowing that physicians have their best interest at heart (Kudyba, 2010). In electronic health system, information is structured and well organized in a manner that helps to eliminate the time spent searching for information. Moreover, patients are very happy since electronic health system helps to provide privacy and security of patients’ information and data so as to eliminate the problem of leaving patients’ information unattended on papers so that unauthorized personnel can see and