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We just went through a voluntary audit and we were dinged on our providers pushing charges prior to the office note being signed. We would like to know what other practices are doing to keep the providers from pushing charges and then waiting a week to a month before they sign their office note. We ideally would like the provider to push the charge and sign the note before the end of the day (in a perfect world) but since that is not happening in our clinics, I would like to hear any suggestions on best practices. The only thing that I can think of is to have all E&M codes set to Admin Hold and then hiring another FTE to work the Admin Hold list and release the charges as the providers sign their charts. This is not the best practice as I really don't want to hire an FTE. Thank you very much for your feedback.
Posted : November 17, 2014 12:26 pm
There is a checkbox in the EMR to have external charges turned on. Not sure what it is actually called. After checking that box in the EMR, go to CPS and reorder your columns in Billing to have the External Charge column as the first column. This column will say either Yes or No. A Yes would mean the chart is signed and ready to bring the order over. A no would mean the order is ready but the chart is not signed.
Then when you pull up a day of New visits in Billing Criteria, you would check the box at the bottom right of Billing Criteria that says "Include only visits awaiting unretrieved charges". The criteria will bring only those visits with a signed visit document. In the External Charge column it would say Yes, which means the visit is signed.
Posted : November 21, 2014 10:46 am
