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