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Declining Patient Portal Problem

MU, CQR, PQRS, etc.

Last Post by Anonymous 1 second ago

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kkopp

(@kkopp)

Posts: 333

Honorable Member

Topic starter

I created a custom form to document when a patient declines the patient portal. I have shown our receptionists how to use the form. I calculated numbers the other day on CQR and the Patient Portal number has not increased at all. I have the form in GE as an office visit and using the PATPORTALPIN Obs term. Am I missing something or is this another CQR treat 🙂

Posted : July 28, 2015 2:58 am

gibsonmi

(@gibsonmi)

Posts: 827

Prominent Member

We use the "PTDECLINECVS" observation term and record 'T' for declines and that works for us, that is what the meaningful use checklist form from GE uses. We are on CPS 12.0.9

Posted : July 28, 2015 3:07 am

petemarkey

(@petemarkey)

Posts: 373

Honorable Member

Looks like it has to be within 4 days of the patients first visit during the reporting period, or populated prior to the reporting period. what is your reporting period set to? If you have patients that have visits in the reporting period prior to you starting using the obs term that might be the problem.

Also I am assuming this is for Measure 1 of Functional Requirement 7. Not Measure 2?

Other than that I don't think the portalpin observation value needs to be anything specific, just filled out.

You also get credit if a user registers on the portal without the portalpin observation term. Not sure if this has to match the 4 day rule or not.

This is just based on my reading, not actual practice (yet). But It might be the 4 day thing getting you.

Let us know.

Posted : July 28, 2015 4:59 am

kkopp

(@kkopp)

Posts: 333

Honorable Member

Topic starter

I went to a specific patient, back dated the Portal Declined to 1-5-15 and ran the numbers for quarter 1. The patient is still in the unmet category. I am beyond confused and GE does not have an answer for this.

Posted : July 29, 2015 3:06 am

sborchardt

(@sborchardt)

Posts: 218

Reputable Member

I think the reason it's not working when you back date is, the measure states you need to document within 4 days of the first visit in the reporting period. Even if you add a date to the flowsheet the system knows the true date the data was entered. This will cause problems for some clinics if CMS changes the rules and goes to a 90 reporting period. Because if you have seen the patient once in January and documented decline and the patient was seen in July and you didn't document. If you choose the Q3 reporting period, this patient will count against you, due to the documentation required within 4 days of the first visit in the reporting period. Hope that helps.

Steph

Posted : July 29, 2015 6:18 am

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