Question: You work for a small managed care organization (MCO) Splendid Healthcare that owns a hospital and two provider clinics in. Your MCO just received notice

You work for a small managed care organization (MCO) "Splendid Healthcare" that owns a hospital and two provider clinics in. Your MCO just received notice that it will be subject to a CMS Recovery Audit Contractor (RAC) audit on the following issues and has requested medical records from your hospital and provider clinics. 0001 Inpatient Hospital MS DRG Coding Validation 0011 Inappropriate Billing of Home Visit Professional Service Evaluation and Management Codes during Inpatient. Name and describe the law and code section that gives CMS and RAC auditors the right to access your medical records. (Give the legal source of the right). Your records are electronic, but not transferrable electronically in an interoperable fashion.How could you best meet the medical record request? Discuss interoperability requirements. How could you prepare to have an interoperable electronic health record (EHR) that meets CMS standards? Describe the steps you would take to move towards interoperability.?

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