Dream Factory by TruBridge Ideas Portal
We have some transcription that was signed by the physician, but was for the wrong patient, the document was signed, now we cannot amend or redline the information. HIPAA States that the patient's record be accurate. In this case it is not. When we send information out on these patients there is a chance that the other persons information is sent.
Karen, In the example you provided and amendment or addendum can be added to the document, however it cannot be completely deleted once it is signed. We have had several internal conversations about having the ability to mark those type of reports as erroneous or "deleted" without actually deleting the record since that would be a compliance issue. Are you referring to having that ability to mark an incorrect report as deleted so that it isn't seen by clinicians from within the system or part of the ROI process etc....something similar to how deleting a scanned image works currently?