Improper disclosure of Protected Health Information (PHI) is costly to an organization’s bottom line as well as its reputation. MRO’s approach to Quality Assurance (QA) within our PHI disclosure management services solves this problem by reviewing every request processed through the ROI Online® system multiple times before it is released. Our QA process helps healthcare organizations enforce consistent policies, standardize processes and maintain best practices for PHI disclosure in multiple departments and outpatient facilities, ensuring compliance and limiting risk throughout their organization.
Many invalid authorizations are identified and corrected at a healthcare organization during the initial evaluation and tracking phase. However, with a wide variety of errors found across authorizations, the importance of a secondary review is critical to accuracy and in avoiding improper disclosures. MRO’s first QA stage checks the request to ensure the authorization is valid and that all HIPAA requirements are met, which boosts the accuracy of MRO releases to 99.3%.
MRO then drives accuracy to 99.99% by applying its proprietary optical character recognition (OCR) technology called IdentiScan® to the process. Before release, every patient record is scanned to validate that there are no comingled patient records. Any detected errors are quickly corrected and documented by MRO’s QA experts.
Based on industry research and in-depth analysis of thousands of ROI transactions, MRO has developed a calculation for assessing financial risk of penalties associated with PHI disclosure, determined by the number of ROI requests that are made to a healthcare organization annually. Find out your risk level with MRO’s online risk calculator.