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[Solved]: Letitia James has just started working as the HIM…

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Letitia James has just started working as the HIM director in a large physicians group practice. The patients name is the primary patient identifier and the records are filed alphabetically. Letitia has noticed that misfiles are a frequent problem, and in the large practice, patients sometimes have similar names. The records are not kept in a uniform format. Many of the doctors use an integrated format, but four of the physicians use the POMR. The practice wants to transition to an electronic health record. In reviewing the encounter forms, Letitia finds codes that are no longer valid. Liticia then questions the staff and finds that no one can remember when the encounter form was updated. Letitia also notices that bills repeatedly are returned for invalid codes, and the electronic systems for patient registration and appointments have been implemented, but the employees also keep a manual appointment log. Letitia James then observes that a computer-generated list of appointments is given to the medical records clerk on the day prior to the appointments so the records can be pulled and accessible when the patients arrive. Numerous appointments that are entered in the manual log are not also entered in the electronic appointment system. The medical records clerk, consequently, spends quite a bit of time each day pulling records for those appointments that are not on the computer-generated list. Letitia has been asked to make suggestions for making the office run more smoothly. After reviewing the whole process in the practice, provide at least three main issues Letitia should address Develop a plan Letitia will need to implement to solve each of the problems identified above in question one.

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