N.J. Admin. Code § 8:31B-4.109

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:31B-4.109 - Medical Records (MRD)

(a) Function:

1. Medical Records is responsible for creating and maintaining a medical record for all patients and for maintaining a tumor registry in accordance with Department requirements. The revenue and cost associated with medical records transcriptions for persons outside of the hospital should be reported as reconciliations per N.J.A.C. 8:31B-4.62 through 4.66.

2. Functions include coding; typing; abstracting; filing; indexing; accessing; preparing birth and death certificates; processing court and other types of inquiries; maintaining and reporting data, such as patient days, visits, ancillary services, and statistics, by patient, disease, physician, and operation; and coordinating the flow of statistics with certain hospital stations.

(b) Statistics: Percentage of Time Spent.

N.J. Admin. Code § 8:31B-4.109

Amended by 50 N.J.R. 1494(a), effective 7/2/2018