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Ehr: Challenges

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Submitted By harahachibu
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Reading Report I on EHR

By

Harah Koo

In fulfillment of the requirements for HLIN 301 Introduction to Health Record Management Terri Rouse, M.A., RHIA. December 2, 2012

Summary The introduction of advanced technology has lead to a transition period. Coders mostly deal with paper records and therefore feel more comfortable coding diagnosis found on paper. The Electronic health record systems or EHR alters the job description of the coder since there are new steps taken depending on the software used or the health care facility. These steps require training and familiarity with the electronic process (Batres, 2012, 76). Therefore, the coder faces not only opportunities but challenges since the EHR significantly changes how things are coded (Batres, 2012, 76). These challenges bring benefits since coders are trained on how to use the EHR system to save resources. Currently, it takes longer for coders to code since they are not familiar with all the functions and navigating tools in the EHR which are needed to complete records for patients (Batres, 2012, 76). Because the EHR is new, coders are trying to familiarize themselves with finding documentation and using the information efficiently. With instruction, records are found quickly and coders can immediately code for diagnosis and procedures. According to Batres (2012, 76), this makes sure that the hospital can be properly reimbursed and that all the data is accurate. Without adequate preparation, the hospital faces backlogging which in turn slows down productivity. Hospitals might use CAC or computer-assisted coding, which codes a patient’s diagnosis or procedure based on guidelines. The author states (Batres, 2012, 76) this would

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