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Compliance-Audit

Compliance-Audit

The purpose of compliance Audits module is to provide cross validation for Manual coding and corresponding documentation support, through this we can cross validate over coding or under coding before going for billing.

Functionalities:

  1. We can audit the accounts regarding to audit disease for finding whether the standards of the disease met or not.
  2. We can add new accounts under specific audit disease type.
  3. We have two queues in this module. One is for reviewed and other is for non-reviewed.
  4. We can do all operations what we can from View Document interface like search term/ jobid, adding disease or procedures, making new annoations, posting issues.
  5. We can see Laboratory conditions, vital signs, medications and meditech codes.
  6. We can see all the keywords of specific type inside Queue itself.
  7. We can see document-wise and account-wise all diseases, etilogy, sign or symptoms, clinical evaluations, diagnostics and therapetic treatments related to that account.
  8. We can make the account as reviewed as well as non-reviewed one.
  9. We can navigate to other accounts from view document interface.
  10. We can export audit reports for the corresponding account and use check fields facility.

Audit Disease Types:

  1. Encephalopathy
  2. Sepsis
  3. ARF
  4. ARF with Pathology
  5. ESRD
  6. Heart Failure
  7. Hypernatremia
  8. Hyponatremia
  9. Malnutrition
  10. Respiratory Failure
  11. Simple Pneumonia
  12. Complex Pneumonia

Compliance/Standard Terms:

  1. Primary Disease
  2. Etiology
  3. Sign or Symptoms
  4. Clinical Evaluations(CE)
  5. Diagnostics(DST)
  6. Therapeutic Treatments(TT)

EncphAnnotations Table status:

  1. Annotation insertion by KPAI - status=0
  2. Annotation insertion by KPAI - status=0
  3. Annotation deletion - status=1
  4. Annotation updated - status=3

Work Flow for Compliance Audit

Files

Tables

Facility DB

  • EncphAnnotations
  • EncphDataByViewMain
  • EncphReviewstatus
  • Meditechcodes
  • QAExecutetimes
  • ComplianceAuditAccountInfo

MedmineMaster

  • addedcaacclog

Stored Procedures

  • getEncphReviewAccCount
  • GetEncphAccounts
  • GetAllMeditechCodes
  • GetCAMessageStatus
  • InsertMeditechCode
  • EncepDataSplitting
  • EncepDataSplittingByAccno
  • ReviewEncphAnnotations
  • GetEncphAnnotations
  • GetAllExistingDxbyAccNo
  • GetAllExistingDxbyJobid
  • InsertNewEncphAnnotation
  • ChangeEncphAnnotation

JSP / Js

  • IcdIssueTracking/encephalopathyinfo.jsp
  • IcdIssueTracking/ReviewEncphAnnotations.jsp
  • IcdIssueTracking/getLabData.jsp
  • IcdIssueTracking/AuditDocInfo.jsp
  • IcdIssueTracking/defaultAnnotation.jsp
  • DrgQueryQueue/getPrimaryDx.jsp
  • IcdIssueTracking/jsonhandler.jsp
  • IcdIssueTracking/SearchDxPx.jsp
  • IcdIssueTracking/encephalopathy.js
  • IcdIssueTracking/auditdoc.js

Java

  • biz.codeextract.documentsummary.service.PatientVisitDetailsService.java
  • biz.codeextract.documentsummary.dao.PatientVisitDetailsDao.java
  • biz.kpai.complianceaudit.dao.ComplianceAuditDao.java
  • biz.kpai.complianceaudit.service.ComplianceAuditService.java
  • biz.codeextract.documentsummary.servlet.EncephalopathyJson.java
  • biz.codeextract.documentsummary.servlet.EncephalopathyDataTableObject.java