National Disability Forum - August 2018 "Acquiring and using Electronic Medical Records"

Background: Medical records are a key part of the disability process. By law, entitlement for Social Security’s disability programs is based on medically determinable impairments. To make decisions on disability claims, we rely heavily on medical records. Social Security is one of the largest disability insurers in the world. We request between 15 and 20 million medical records a year from almost 500,000 providers in order to make decisions on over 3 million disability claims annually. In an ever-changing landscape, with new ways to generate, copy, and interpret medical information we are committed to replacing our core technology systems with modern systems that enhance the customer experience, better focus our IT workforce to future need, and reduce IT and other operating cost. We are seeking your feedback on the topic acquiring and using medical records. Please see the questions below for comment.

National Disability Forum - August 2018 "Acquiring and using Electronic Medical Records"

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update our search for contact numbers and address

I would like to suggest we update our data Powerfinder.gov system and we create or merge with a telecommunication company when we have to search for addresses and contact information for the public when we are processing continuing disability medical non-responders.

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National Disability Forum - August 2018 "Acquiring and using Electronic Medical Records"

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Address Search Database for Benefits

To improve decreasing fraud and to help with the processing of claims, it would be beneficial to be able to search by address. This will assist by providing information to claims reps to be able to tell if multiple people are receiving benefits at the same address. Also it will help with mail distribution.

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National Disability Forum - August 2018 "Acquiring and using Electronic Medical Records"

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DIPS

Currently when you enter death information in DIPS when you access the THIS query it does not indicate what office or unit did the death input. There have been instances where the death input was erroneous and we have been unable to track down who did the input. My idea would be to have the office code and unit of who did the input show on the THIS query so we can verify what was used to enter the date of death

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National Disability Forum - August 2018 "Acquiring and using Electronic Medical Records"

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SSA Disability

Is it good customer service to have the 5 month waiting period for those with a terminal illness, like Stage 4 cancer? Couldn't we somehow document with medical proof the doctor predicts less than a year and waive the 5 month waiting period so they can be paid money as soon as possible. For many, they have been living on nothing and need the money desperately. What if the lack of money while waiting to be paid causes ...more »

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National Disability Forum - August 2018 "Acquiring and using Electronic Medical Records"

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consistency

Many times the HIT MER does not go back far enough and has to be re-requested. In addition, there is an inconsistency between when the field office requests and the DDS requests HIT MER. The HIT MER from the field office is able to be generated from a wet signature where as for the DDS it cannot be. In addition, DOD/VA HIT MER will often only contain the encounters and not the actual MER.

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National Disability Forum - August 2018 "Acquiring and using Electronic Medical Records"

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Viewing electronic records prior to dissemination

When data is received from the patient and also input from the medical facility( test results, observations ) it should viewed in totality by the patient or the patient representative prior to incorporating the data into the electronic file. The settings in which the data can be gathered vary.. walk in clinic, emergency room, hospital, Dr.'s office etc.. as well as the credentials of the people recording the data. Often ...more »

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