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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.

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    Ashley Friedrich
    HIM Director



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

    Posted 08-19-2016 12:00
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  • 4.  RE: Ambulatory Setting Records' Deficiency P&P?

    Posted 09-06-2016 16:14

    I am interested in this as well.



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  • 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.

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    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!

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    Susan A. Oliver
    AB, RHIT,CCA



  • 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

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    Mary Jane Green
    Director, HIM
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  • 8.  RE: Ambulatory Setting Records' Deficiency P&P?

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

    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.

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    Ashley F.
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