Confidentiality, Privacy and Security

Ambulatory Setting Records' Deficiency P&P?

  • 1.  Ambulatory Setting Records' Deficiency P&P?

    Posted 08-15-2016 05:46
    Does anyone have record deficiency P&P for the above setting?

    I know about inpatient records' deficiencies but not for ambulatory.

    Any input is highly appreciated.

    Susan Oliver, RHIT, CCA,BA

    Sent from my iPhone

  • 2.  RE: Ambulatory Setting Records' Deficiency P&P?

    Posted 08-19-2016 11:47

    I am interested in this as well.

    Ashley Friedrich
    HIM Director

  • 3.  RE: Ambulatory Setting Records' Deficiency P&P?

    Posted 08-19-2016 12:00
    You have a new encrypted message from

    You have received an email message from 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?

    Disclaimer: This email is confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the sender.
    Copyright 2015 Barracuda Networks, Inc. All rights reserved

  • 4.  RE: Ambulatory Setting Records' Deficiency P&P?

    Posted 09-06-2016 16:14

    I am interested in this as well.

    This email (and accompanying documents) contains protected health information that is privileged, confidential and/or otherwise exempt from and protected from disclosure under applicable laws, including the Health Insurance Portability and Accountability Act. The information contained in this email (and any accompanying documents) is intended only for the personal and confidential use of the intended recipient. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this information in error and that any review, dissemination, distribution, copying or action taken in reliance on the contents of this communication is strictly prohibited. If you have received this communication in error, please destroy it immediately.

  • 5.  RE: Ambulatory Setting Records' Deficiency P&P?

    Posted 08-20-2016 09:07

    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.

    Julian D. Catano, MS, RHIA
    Corporate Service Line Manager
    Health Information Management

  • 6.  RE: Ambulatory Setting Records' Deficiency P&P?

    Posted 09-08-2016 04:35

    Thank you, Julian. That is very informative!

    Susan A. Oliver

  • 7.  RE: Ambulatory Setting Records' Deficiency P&P?

    Posted 02-22-2017 17:52
    I am also interested in this P&P.

    thank you,

    Mary Jane

    Mary Jane Green
    Director, HIM

  • 8.  RE: Ambulatory Setting Records' Deficiency P&P?

    Posted 02-22-2017 20:22
    I am interest in the p & p also 

    Sent from my iPhone

  • 9.  RE: Ambulatory Setting Records' Deficiency P&P?

    Posted 08-17-2020 12:48
    Good afternoon,

    I am circling back around to this conversation to see if anyone has additional information to add.  Documentation requirements for acute records are typically outlined in policies/procedures, rules and regulations, bylaws, etc., and I frequently rely on the TJC requirements for timely completion of records.  However, I am struggling to find information relevant to ambulatory practices that have recently become a part of our healthcare organization.

    Ashley F.