Deficiency management is the responsibility of an organization and the organization decides where they spend the money to complete the task. Traditionally, this type of deficiency tracking is seen at the individual physician office (where they have the best handle on no-shows and cancellations, for example) or in the HIM department. No matter where it is completed – the facility as a whole is committing staffing hours and money on this necessary function.
I managed transcription for over 10 years and never had a transcriptionist do this kind of thing but if my facility wanted us to handle it, then I would have either 1) gotten approval to add and hire a clerical support person to do the work or 2) assigned it to the transcriptionists and then modified their required 'lines per hour' on performance appraisals. This work would reduce the volume that the transcription staff produces obviously. Again, there is a cost associated with deficiency checking, and the facility needs to decide where they want to spend it.
If the facility wants an outside transcription agency to do this clerical function – then again, it will cost them because the outside company will produce less transcription having their staff do the work, or add on 'clerical billable hours' or some such thing. Again, there will be a cost to the facility to complete deficiency checking. They need to decide where it can best be done and where they will spend the money to get it done.
Denise VanFleet, MS, RHIA |Program Coordinator, HIM BS Program; Assistant Professor
Rasmussen College - National Online