Compliance & Security

Providers in today’s regulatory environment face compliance pressures such as HIPAA regulations, clinical documentation regulations, data retention requirements, coding compliance requirements, potential audits, and the task of providing fortified security for all private health information.  MedcomSoft Record helps offices achieve compliance for each of these concerns, through certified, tested and audited functionality, constantly wrapped in reliable security.

MedcomSoft Record aids medical practices in achieving compliance through its:

• Automatic E&M coding calculator with detailed guidance
• Billing coding compliance checking with automatic suggestions
• Intelligent mass health electronic data storage and sub-second data retrieval capabilities
• Electronic messaging, certified to comply with HIPAA standards
  Robust enterprise-wide multi-level security protecting all areas of application data
• Automatic audit-logging of user activity throughout the system

Coding & Compliance Checking

To ensure compliance with stringent coding regulations, the MedcomSoft Record unique Evaluation and Management coding system automatically generates the proper code from any documented patient encounter. Accurate documentation and justification of all billing-levels and ICD codes are automatically captured and stored for future audit purposes.

MedcomSoft Record has implemented a system of compliance checking for orders relating to medical billing, diagnostic testing and Clinical Laboratory services that operates seamlessly to alert users of the need for ABNs and correct coding.

Based on the determination covered by the national and local rules, services may be covered or not. If the service is not covered, the patient should be informed that the cost of the service will not be covered by Medicare and Medicaid, and an Advance Beneficiary notice should be signed by the patient that indicates that they understand that the service will not be covered and that they are personally responsible for the cost associated with the performance of the service. This has significant financial implications for users who manage the care of Medicare patients. The system also determines which combination of codes may be accepted or rejected, as well as suggesting the order of services billed to maximize acceptance and compensation.

Data Management & HIPAA Standards

Data retention management is a major concern to healthcare providers largely due to the volume of data which providers are responsible for.  Data must be stored in a manner which complies to HIPAA regulations while still being readily available to providers for expedient utility. In addition, any time part of this information is transmitted to any outside party, the medium and format in which it is transmitted must comply with additional HIPAA regulations. Medical offices utilizing MedcomSoft Record benefit from both secure, HIPAA compliant data storage architecture, sub-second data availability, as well as data availability to multiple viewers concurrently even through remote locations. Additionally, data is always sent through certified HIPAA-compliant messages and transactions when transmitted to outside parties such as labs or clearinghouses.

Finally, automatic audit logging tracks user activity throughout the system using user stamps, activity descriptions, computer names and date and time stamps, allowing administrators to monitor and verify any activity that was done in the system.

Security

Security of electronic medical records has become imperative to healthcare providers.  To learn more about the security features of MedcomSoft Record read here.

Features & Functionalities