PROJECT OVERVIEWYour medical office has decided to audit all medical records for government...

Question

PROJECT OVERVIEWYour medical office has decided to audit all medical records for government compliance. As a medical office manager, you must utilize research to complete an operational plan for the audit as well as write up the tasks and policies that result from your audit findings.DELIVERABLESPart I: Operational AuditingTo complete operational plan you must:Describe your procedures for auditing the medical recordsInclude a description of roles and responsibilities of yourself and your employees.oInclude the information that you are asking the employees to audit the records for. (In other words, what critical information would you like to see evidence of in all medical records?)Perform a risk assessment for the medical records system in your office.Explain HIPAA guidelines and identify the relevant governmental policies that your office must comply with.Analysis – Present a detailed analysis of the relevant arguments that are specific to the case.Conclusion – State your conclusion of the case based on the findings, analysis, and rationale supporting your argument.Explain the consequences of not complying with government patient confidentiality policies.Part II: Post Audit TasksTo complete your post-audit tasks you must:Identify some common issues that would surface as a result of your audit. (You can utilize research to identify the types of issues and challenges that medical offices face.)Describe how you, as an effective office manager, would solve the common issues.Utilize effective communication and writing skills to create new employee policies that will rectify the issues surfaced in your audit.Perform a risk assessment for the medical records system in your office.Apply the principles of medical office management and explain how you would effectively implement the new policies throughout your medical office.Include policies surrounding ethical behavior and why such behavior is important in the medical office.Submit one document that includes your operational auditing plan and all of your post audit tasks.pls can you cite the sources under each pages not on a separate page.

Robert · Accepted Answer

Part I
 Medical audit is a quality improvement process that seeks to improve the patient care and 
outcomes through systematic review of care against explicit criteria and the 
implementation of change. 
The procedure for auditing the Medical Records is as follows: 
- A 10% random sample of all Medical Records is to be taken monthly by the Medical 
Records Supervisor or designee for auditing because it is difficult to take 100% 
sample because of the time constraint.  
- For every medical record a Monthly Chart Audit Checklist is to be maintained. The 
Checklist is the criteria-based monitoring tool which is used to ensure that a specific 
standard is always met.  
- A check mark is to be placed in front of the item that meets the standard and an “x” 
(in red ink) is to be placed in front of the item that does not meet the standard. So that 
in the end it will be easy to review what all point need to be considered. 
-  A complete list of deficiencies which needs to be corrected is to be sent to the 
responsible department Head within seven days of the conduct of audit.  
- The Medical Records Supervisor duty is to regularly check and verify that 
deficiencies which were founded earlier are corrected.   
- Items still deficient are to be reported to the appropriate Department Head.  
- Calculate the percentages that meet the standards and prepare a report to share within 
the service. 
(Putiick, G. (2008))
Role and responsibility as an employer are:  
- Explain to the whole team what all standards are applicable and what is required in all 
standards.  
- Check the compliance and regulatory guidelines.  
- Check the coding concepts.  
- Check the scope and statistical medical methodologies.  
- Check the quality assurance and risk analysis.  
- Communicate the results and findings with the higher authority.
Role and responsibility of employee are:  
- Communicate the results and findings with the designated employer.  
- Complete the work assigned by employer.  
- Review all records are maintained or not.   
- Document all the things reviewed so that it will be used by employer or him 
(employee) at the time of review or in future reference.  
(Putiick, G. (2008))
The critical information that needs to be checked in medical records are: The fees 
charged,

PROJECT OVERVIEW Your medical office has decided to audit all medical records for government compliance. As a medical office manager, you must utilize research to complete an operational plan for the...

PROJECT OVERVIEW

DELIVERABLES

Part I: Operational Auditing

Part II: Post Audit Tasks

Solution

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