Data Abstracting Module – Medical Coding

December 18, 2020

Data Abstracting Module – Medical Coding

Access the 15 records to be coded in the Solcom application in the VLab.
Open the Solcom EDMS resource: Access https://ahima.solaritycloud.com/webclient/client/chart.aspx on Internet Explorer. It will not work on any other platform like Google Chrome, Firefox, Edge, etc. (You must ensure Microsoft Silverlight is downloaded first). Enter the username: HRZ001 and password: AHIMA#77
Search for each record by entering the patient number in the Master Patient Index Masterid field and then clicking on enter.
The 15 Patient numbers to be used for this assignment are: 328391, 300282, 348927, 388967, 398761, 322039, 324789, 330909, 320102, 394857, 330017, 333061, 398275, 308882, and 334562.
Next, access http://3m.ahima.org:8080/ on Internet Explorer, as well. This is the coder app.
For each record coded you will complete an abstract form, entering all requested data. Add notes to the abstract form to comment on missing data or data that was difficult to find in the record.
Code each of the 15 records by using the 3M. When coding the records, make sure to code and identify the CCs (complication & comorbidities).
Use the abstract form for each chart and enter data in the fields on the abstract form to include Medical Record Number, admit date, discharge date, point of origin, discharge status, attending physician, principal dx code, principal procedure code, other codes, comorbidities and complications.
Write a 1-2 page summary report identifying areas where information was missing or hard to find. From the notes you made while abstracting identify possible causes for the missing, incorrect or hard to find information. Also, indicate your recommendation for a solution for corrective action to be taken. Provide comments on what you learned from this project and what was most difficult for you to do. Submit this along with the completed abstract form for each record.