In Hospital RK, the coder is responsible for almost the whole coding process from medical record checking to coding report and internal audit.
Identification of patients with specific diseases for study from electronic patient records typically requires the use of selected medical codes but the process of selecting codes has not been well described.
He said: "This report looked at the quality of the coding process; we now need medical input to understand how and why this happened, and to understand if the coding was clinically appropriate.
Another activity where Indian firms could provide specialized business process support services was medical coding and analysis of patient charts to ease reimbursement-related analysis by insurance companies.
Figure 1 shows an example of data processing for the symptom "fever," including the coding process when it appears in natural language, in one of the variables in the medical record.
The hospital coding process starts when both physicians and nurses enter the clinical data into the medical record.
The coding process was primarily carried out by the principal investigator (NSCH) with support from a medical data assistant student.
Transaction and Code Sets rule: Regulates medical transactions, medical coding standards, and reporting.
The National Health Insurance Administration in Taiwan samples the medical charts routinely and makes detailed assessments for accuracy of medical coding.
The coding process is regularly updated.
