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Meaninful Use Reporting -- Visit Clinical Summary

MU, CQR, PQRS, etc.

Last Post by Anonymous 1 second ago

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acantu

(@acantu)

Posts: 722

Prominent Member

Topic starter

This is a fix for the CPS Meaningful Use report that requires the office visit chart to be signed off to count towards the reporting of Stage 1 Meaningful Use Provide a copy of a chart summary to the patient within 3 business days. This fix will remove the requirement of having to sign the chart, but still calculate if the summary was printed 3 business days of when the patient was first seen. This is the way CMS requires, CPS fails to report this correct. Just down, unzip the file, and replace it with the current version. That is it.

Download here :::

http://www.arnoldcantu.com/e-s.....ummary-fix

Posted : October 25, 2012 7:49 am

Mitch Kwiatkowski

(@mitch)

Posts: 111

Estimable Member

I would argue that the GE method isn't wrong. The CMS definition of an "office visit" per MU documentation: "Office visits include separate, billable encounters that result from evaluation and management services provided to the patient and include...."

Per other CMS requirements, a visit shouldn't/can't be billed (i.e., isn't billable) until it's signed by a provider. Even if the signature isn't required, you would still have to ensure that you have all of the required elements of an E&M service in order to consider it a billable encounter.

Posted : October 26, 2012 1:09 am

acantu

(@acantu)

Posts: 722

Prominent Member

Topic starter

Sorry, that has nothing to do with this report, that is billing…

Read the requirements::::

http://www.cms.gov/Regulations.....maries.pdf

No where does it say the office visit should be signed off in 3 days, what it says is the visit summary should be given to the patient within 3 days, so the current report GE has requires the document be signed off before it is calculated towards meaningful use… that is not correct.

Posted : October 26, 2012 2:27 am

Mitch Kwiatkowski

(@mitch)

Posts: 111

Estimable Member

I'm not saying the note has to be signed in 3 days. I'm saying the note has to be signed in order to be counted in the denominator, and the visit summary has to be provided within three business days of the document's clinical date. I don't agree with including unsigned office visit documents in the denominator, and the reason has everything to do with billing.

The first paragraph in my last post is from the MU document you cited. The key is that it refers to billable encounters and E&M services. If you extend that to what constitutes a valid E&M service, that means you have to make sure the note contains all elements to support an E&M code. The only way to do that without evaluating the actual contents of the document is to consider a final signature proof. If I have an unsigned office visit with only vital signs, med changes, and problem assessments, that is not a valid office visit per the CMS MU document, and it cannot be counted in the denominator. If you end your reporting period with 5 unsigned office visits, and you go to the CMS web site to attest, those 5 unsigned office visits should NOT count in the denominator for this objective. However, if you sign those office visits and then attest, they would count - regardless of when they were signed.

Posted : October 26, 2012 4:56 am

acantu

(@acantu)

Posts: 722

Prominent Member

Topic starter

GE automatically includes it, this fix takes the numerator having to be signed off, and calculates it correctly.

Posted : October 26, 2012 4:59 am

Mitch Kwiatkowski

(@mitch)

Posts: 111

Estimable Member

Sorry, maybe I'm not following what was changed. The reports I have from GE look correct in that they require a status of 'S' for the office visit (in both the numerator and denominator).

Posted : October 26, 2012 5:05 am

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

If the doctor signs off on the office visit and then later appends the document, is that considered in the denominator? The only way that information prints out on the patient summary is when the doctor signs off on the visit and then appends the document after the patient summary is printed?

Posted : November 28, 2012 5:50 am

Mitch Kwiatkowski

(@mitch)

Posts: 111

Estimable Member

The denominator is based on the document type which means only signed office visits would count. Appends do not affect the denominator at all. In the current GE report, the denominator is based on the clinical date - not the signature date - and the numerator is based on the date the summary was printed.

Posted : November 29, 2012 10:22 pm

acantu

(@acantu)

Posts: 722

Prominent Member

Topic starter

Mitch is correct about GE default report, the report i have on my website fixes the issue if your provider did not sign the CHART off yet. So as long as the summary was done within the 3 business days as required, this report will give you the credit. (Just updated report 12/1/2012)

Posted : December 3, 2012 1:06 am

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