I am interested in this as well.
You have received an email message from firstname.lastname@example.org that has been encrypted for privacy and security by the Barracuda Email Encryption Service.
To view the email message, click here to log into the Barracuda Message Center. You'll be prompted to either create a password or enter the one you may already have. You can also paste the following URL into your browser to access the Barracuda Message Center:
The secure message will expire in 30 days. Need Help?
Our organization's ambulatory requirements for Record Completion mirror our inpatient side for the most part in terms of when we perform analysis on the charts and the concepts / timeframes / methods for communicating deficiencies, reanalyzing charts, etc so there is no unique policy/procedure per se due to the different setting however there are some differences in how we hold physicians accountable which is hopefully subject to change in the near future as we engage our Medical Staff and Physician leaders.
One of the differences is that our Medical Staff Rule and Regulations, which dictate what providers are held responsible for in terms of record completion, is vague in the sense it does not adequately address deficiencies in the physician practice setting nor includes language for how to handle suspensions. Similar to the majority of all organizations, we have a suspension process we perform on a weekly basis for accounts eligible for suspension that will reach 30 days based on the rules and regs we follow but only for hospital accounts (inpatient / outpatient). We do not suspend providers in the practice setting. The only way deficiencies impact the providers in the ambulatory/practice setting at this time is an impact to practice revenues for unbilled charges holding due to deficient documentation, which translates to reduced RVUs, which then impacts physician productivity scores and therefore impacts their performance bonuses they get quarterly. But again there is no suspension. We're hoping discussions we're having with Medical Staff leadership will help us to enable the suspension process for the ambulatory/practice setting in the near future.
Thank you, Julian. That is very informative!