Question

Part 1: Determining Costs

For part 1 Submit your answer showing the appropriate calculations! This way I can tell if it was a math error or if you were not able to calculate costs.

Mrs. A. Smith has requested records from her last inpatient stay in the hospital and states that she will pick the records up when they are ready. Her stay was a result of a motor
vehicle accident and she is requesting the films of her head CT and leg MRI (5 films total) be specifically included; additionally, there are 47 total pages that will need to be printed
from the EHR. Your state imposes restrictions on what can be charged for production of medical record requests. Using the information below, calculate the cost to Mrs. Smith for
her records.

For requests made by patients or their representatives, hospitals may charge:

$3.40 per page for the first 10 pages,
68 cents per page for pages 11-50,
30 cents per page for pages numbering more than 50.

With respect to data resulting from an x-ray, MRI, or CAT scan, recorded on paper or film:  $3.15 per film

The actual cost of postage may be charged.

For a requests made by someone other than the patient or patient’s representative, hospitals
may charge:

An initial fee of $25.00 to compensate for the records search.
$1.75 per page for the first 10 pages,
68 cents per page for pages 11 through 50,
30 cents per page for pages numbering more than 50.

With respect to data resulting from an x-ray, MRI, or CAT scan, recorded on paper or film: $3.15 per film

The actual cost of postage may be charged.

Part 2: Reviewing for Errors

Martha, a new release of information clerk is being trained. She has been given a copy of the ROI procedure to follow, which is (in part) as follows:

Walk-in requests
1. Validate authorization
2. Process the request
3. Enter the request in the ROI database

On Friday morning, at the end of Martha’s first week, a woman stating she was Mrs. Turner walked in requesting records. Joyce, Martha’s trainer, had been called to the HIM director’s
office, so Martha was on her own. She presented Mrs. Turner with an authorization form, and then once it was completed, she printed the records requested. These were lab tests
which included pregnancy results. Martha presented the records to Mrs. Turner, and then proceeded to enter the information into the ROI database as per protocol. When
Joyce returned to the office, she reviewed Martha’s handling of the request. Joyce became concerned about the request because Mrs. Turner was well known to her and her review
of the authorization identified a concern with the signature. When she asked Martha for a description of the woman, her fears were confirmed as it was not Mrs. Turner who had
requested the records.

What changes could be recommended to the ROI procedure to ensure that this type of release error would be less likely to happen in the future?

Answer 1

Answer to part 1 :

1.Answer For requests made by patients or their representatives, the hospitals charge are:

Given That Mrs.A.Smith need to print 47 total pages and also need to print 5 films which includes CT scan and leg MRI scan from EHR.

-in this case, the cost for first 10 pages = $3.40 per each page.

-total cost for first 10 pages to print = $3.40 10 = $34

Then the remaining pages from total 47 pages = 47 total pages - 10 first pages = 37 pages.

The 37 pages are remained to print.

The cost for 11-50 pages to print per each page = 68 cents.

The remaining 37 pages to print the cost = 37 pages   68 cents

= 2516 cents.

conversion of cents to Dollars: (1 Dollar = 100 cents)

The 2516 cents are equal to = 2516 / 100cents per dollar = $25.16  

The cost of 37 pages to print = $25.16.

The cost of printing each film of CT scan and Leg MRI = $3.15

total cost of printing 5 films = 5 $3.15 = $15.75

-total cost for first 10 pages to print = $34

-The total cost of 37 pages to print = $25.16.

-total cost of printing 5 films = $15.75

The total cost of printing the all medical records pages = 10 first pages cost+ 37 pages cost + 5films cost  

=  $34 +  $25.16 +  $15.75

= $ 74.91

The total cost of printing =$ 74.91

2. Answer For requests made by someone other than  patients or their representatives, the hospitals charge are:

The intial fee for medical record search for someone = 25$

-in this case, the cost for first 10 pages = $1.75 per each page.

-total cost for first 10 pages to print = $1.75 10 = $17.5

Then the remaining pages from total 47 pages = 47 total pages - 10 first pages = 37 pages.

The 37 pages are remained to print.

The cost for 11-50 pages to print per each page = 68 cents.

The remaining 37 pages to print the cost = 37 pages   68 cents

= 2516 cents.

conversion of cents to Dollars: (1 Dollar = 100 cents)

The 2516 cents are equal to = 2516 / 100cents per dollar = $25.16  

The cost of 37 pages to print = $25.16.

The cost of printing each film of CT scan and Leg MRI = $3.15

total cost of printing 5 films = 5 $3.15 = $15.75

-The intial fee for medical record search = $25

-total cost for first 10 pages to print = $17.5

-The total cost of 37 pages to print = $25.16.

-total cost of printing 5 films = $15.75

The total cost of printing the all medical records pages done by someone rather than patient = Intial fee for records search + 10 first pages cost+ 37 pages cost + 5films cost  

= $25 + $17.5 +  $25.16 +  $15.75

= $ 83.41

The total cost of printing by someone =$ 83.41