Using your knowledge of HIPAA Privacy and Security rules:
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Identify which lines should have further review and why
Identify additional information that would be needed to complete the review
Create a report format to be given to IT as a guide for future reports.
Employee Name | Patient’s Name | Document reviewed | Document changed |
Doe, Jane | Jones, Sally | H&P | |
Doe, John | Doe, John | Lab report | |
Doe, John | Doe, John | Code Summary | |
Jones, Sally | Doe Jane | Lab report | |
Martin, Mark | Smith, James | Discharge Summary | |
Martin, Mark | Smith, James | H&P | |
Martin, Mark | Smith, James | Lab report | |
Martin, Mark | Smith, James | Code Summary | |
Pike, James | Jones, Sally | Code Summary | |
Pike, James | Doe, John | Code Summary | |
Pike, James | Pike, James | Code Summary | |
Pike, James | Smith, James | Code Summary | |
Pike, James | VanGood, Rachel | Code Summary | |
Stevens, Sara | Brown, Allen | Lab report | |
Stevens, Sara | Brown, Abby | Lab report | |
Stevens, Sara | Brown, Joey | Lab report | |
VanGood, Rachel | VanGood, Sean | H&P | |
VanGood, Rachel | VanGood, Sean | Discharge Summary | |
VanGood, Rachel | VanGood, Sean | Progress notes | |
VanGood, Rachel | VanGood, Sean | Code Summary |
1. A listing of which entries on this report needs further review with an explanation as to why the additional review is necessary and what information is needed.
2. A sample new report format that would contain all of the information needed for an initial review for the IT department to use for future reports.
3. A one paragraph (four to seven sentences) explanation as to how HIPAA Privacy and Security rules and how data audits such as this one relates to compliance.
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