Health Information Technologies and Processes

Delinquency Rate

  • 1.  Delinquency Rate

    Posted 07-31-2020 12:41

    I am in the process of editing our policy for delinquent physicians.
    What is your monthly delinquency rate?
    Do you think 7% is an achievable goal?

    Thanks,

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    Rivona Wasserman
    Him Manager
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  • 2.  RE: Delinquency Rate

    Posted 07-31-2020 13:15

    We had a CMS Validation Survey less than a year ago and we were cited for having two delinquent medical records.  According to CMS - zero tolerance for any delinquent records.  This is one of those instances where CMS and TJC are not on the same page.

     

    Donna Hofer, RHIA

    Director, HIM Department

     






  • 3.  RE: Delinquency Rate

    Posted 08-03-2020 07:48

    Hello,

     

    Yes it is. Ours is between 2-4%.

     

    Thanks,

    Karla

     






  • 4.  RE: Delinquency Rate

    Posted 08-14-2020 09:55
    Hi Karla,
    This sounds great. How do you manage to keep it that low?
    Are all physicians compliant? Do they get a notification that they have incomplete records?
    I am trying to find an efficient process, since I have a hard time getting physicians to complete their records.
    Thanks,

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    Rivona Wasserman
    Him Manager
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  • 5.  RE: Delinquency Rate

    Posted 08-14-2020 10:06

    Hi Rivona,

     

    It has taken many years but mostly because of accountability. We have great support from Administration, our CMO, and the Medical Executive Committee. We have a monthly system based practice dashboard that the Medical Executive Committee reviews and requires action on. We have tried to facilitate the process of chart completion as best as we can with 98% of any deficiency done electronically and not needed to be done onsite. We continue to warn of any charts 15 days and greater and suspend when delinquent. We do not allow provider to come off suspension unless every chart is completed, delinquent or not, and have a fee schedule if on suspension. Hope this helps.


    Thank you,


    Karla

     






  • 6.  RE: Delinquency Rate

    Posted 08-14-2020 10:08
    We run between 1-2%, main reason is we implemented suspension a number of years ago so that ensures the vast majority of records are completed long before the chart is delinquent.

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    Seth Katz
    Vice President of Him and Revenue Cycle
    Truman Medical Center
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  • 7.  RE: Delinquency Rate

    Posted 08-14-2020 10:22
    Thank you Seth.

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    Rivona Wasserman
    Him Manager
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  • 8.  RE: Delinquency Rate

    Posted 08-14-2020 10:20
    It helps a lot,
    Thank you Karla.

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    Rivona Wasserman
    Him Manager
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  • 9.  RE: Delinquency Rate

    Posted 08-25-2020 12:45
    Yes I do.  Ours is currently wtihin 1-3%.

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    Karen Baytops
    Assistant Director Him
    Dupont Hospital for Children
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  • 10.  RE: Delinquency Rate

    Posted 09-17-2020 11:52
    Can anyone confirm that there is a still a rule that states "Total number of delinquent records may not exceed 50% of the average monthly discharges." I cannot find information on this specific dictation.

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    Tara Vezina
    Licensing and Accreditation Specialist
    Ohio State University Medical Center
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  • 11.  RE: Delinquency Rate

    Posted 09-17-2020 11:56

    Supposedly it is a Joint Commission Standard, but when we had our CMS validation survey, CMS told us their expectation was 0%.  We were "dinged" even though our average delinquency rate was 2%.

     

    dh

     






  • 12.  RE: Delinquency Rate

    Posted 09-18-2020 22:23
    How are you going to get your delinquency rate to 0%?

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    Kayla Evans
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  • 13.  RE: Delinquency Rate

    Posted 09-21-2020 08:59

    We did!  We are an LTCH with a smaller, active Medical Staff, which makes it much more manageable.   Our CMO sent out a letter when we received the "ding" and now, anytime a record reaches 23 days, he personally calls the provider. 

     

    Donna