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Topic starter
If a provider closes the office for a week for a holiday, and a requst comes in during that time. Can the response be sent once the office is back open and still qualify for 3 "business days"?
Posted : January 10, 2014 12:49 am
No, i believe that is not how it works per Meaningful Use Guidelines and the way CPS Report pull the numbers. CPS Doesn't store anywhere when a patient has requested it, those there for their reporting is basing it off when the actual visit took place, if it the visit took place today, you have 3 days to provide them with an electronic copy, regardless if they requested it or not. I am not sure if this will change in CPS 12, but as of right now, this is how their reports pull.
Posted : January 13, 2014 8:26 am
Topic starter
I think you are referring to the clinical summaries being provided within three business days. I am asking about when I patient requests a copy of their medical record electronically.
Posted : January 13, 2014 10:58 pm
Below you will find the code used to run the report, this is the report that came with CPS, unless you have another one that i can see that code on, this is the concept that report is working with. So it looks like you might need to create a form with the OBS Terms in them for it to trigger that action on the report.
HDID's:
22297 - ROI REASON
22291 - ROI DTE RCVD
62091 - ROI METHOD
22292 - ROI DTE SENT
43789 - ROI MH SD DT
43790 - ROI DA SD DT
43791 - ROI HA SD DT
43792 - ROI GT SD DT
43793 - ROI DD SD DT
43794 - ROI EN SD DT
43795 - ROI LR SD DT
43796 - ROI XR SD DT
43797 - ROI OR SD DT
43798 - ROI CR SD DT
43799 - ROI ER SD DT
43800 - ROI RR SD DT
43801 - ROI PL SD DT
43802 - ROI ML SD DT
43803 - ROI AL SD DT
43804 - ROI IR SD DT
43805 - ROI OT SD DT
if(({RPTOBS.HDID} = 22291.00) and
(Date({RPTOBS.OBSVALUE}) >= {?startdate})
) then
(
local NumberVar recvdDayOfWeek := Dayofweek(cdate({RPTOBS.OBSVALUE}));
if(Date({RPTOBS.OBSVALUE}) + 6 <= ({?enddate})) then
(
bRecvd := true;
)
else if ((recvdDayOfWeek = 1) OR
(recvdDayOfWeek = 2)) AND
(Date({RPTOBS.OBSVALUE}) + 4 <= ({?enddate}+1)) then
(
bRecvd := true;
)
else if (recvdDayOfWeek = 7) And
(Date({RPTOBS.OBSVALUE}) + 5 <= ({?enddate}+1)) then
(
bRecvd := true;
);
if
( (instr(SentDatesList, ToText(Date({RPTOBS.OBSVALUE})) + "^") > 0) OR
(instr(SentDatesList, ToText(Date({RPTOBS.OBSVALUE}) + 1) + "^") > 0) OR
(instr(SentDatesList, ToText(Date({RPTOBS.OBSVALUE}) + 2) + "^") > 0) OR
(instr(SentDatesList, ToText(Date({RPTOBS.OBSVALUE}) + 3) + "^") > 0)
) then
(
bSent := true;
)
else if(
( recvdDayOfWeek = 4) OR
( recvdDayOfWeek = 5) OR
( recvdDayOfWeek = 6)
) AND ( (instr(SentDatesList, ToText(Date({RPTOBS.OBSVALUE}) + 4) + "^") > 0) OR
(instr(SentDatesList, ToText(Date({RPTOBS.OBSVALUE}) + 5) + "^") > 0) )
then
(
bSent := true;
)
else if ( recvdDayOfWeek = 7) AND (instr(SentDatesList, ToText(Date({RPTOBS.OBSVALUE}) + 4) + "^") > 0)
then
(
bSent := true;
)
);
if( (bMethod = false) and
({RPTOBS.HDID} = 62091.00) and
(lowercase({RPTOBS.OBSVALUE}) = "electronic")
) then
(
bMethod := true;
);
// Added the below condition for the 3rd obsterm ROI reason for the request made
if( (bReason = false) and
({RPTOBS.HDID} = 22297.00) and
(lowercase({RPTOBS.OBSVALUE}) = "copy for patient")
) then
(
bReason := true;
);
if(
({RPTOBS.HDID} in [22292.00, 43789.00, 43790.00, 43791.00, 43792.00, 43793.00,
43794.00, 43795.00, 43796.00, 43797.00, 43798.00, 43799.00,
43800.00, 43801.00, 43802.00, 43803.00, 43804.00, 43805.00])
) then
(
if (instr(SentDatesList, {RPTOBS.OBSVALUE} + "^") = 0) then
SentDatesList := SentDatesList + ToText(Date({RPTOBS.OBSVALUE})) + "^";
);
Posted : January 14, 2014 12:27 am
I will be creating this form shortly, if you are interested getting a copy, let me know via email below and i send it your way.
Posted : January 14, 2014 2:06 am
Actually, GE has an Authorization Form already. I have it if you need it. Email me and i can send it to you, tested and working.
Posted : January 14, 2014 7:55 am
Topic starter
We have the authorization form. I'm looking for definition of "business days" for CMS. Their website says business days are M-F except federal and state holidays. So if we close the office the whole week of Christmas and a request for records comes in, do we have three business days from the date the office reopens, or three business days from Christmas day?
Posted : January 14, 2014 9:55 pm
lbarrows said:
We have the authorization form. I'm looking for definition of "business days" for CMS. Their website says business days are M-F except federal and state holidays. So if we close the office the whole week of Christmas and a request for records comes in, do we have three business days from the date the office reopens, or three business days from Christmas day?
Per the code, it only looks at business days as M-F, so even if you close the whole week, you will not get credit if they requested the week before the closure, and you don't submit it until you guys re-open. If you would want the report to read it, it would have to be customized to know when your closed, and not just generic. But in reality, CMS does say this, but the report would have to be changed to actually work this way for your office:
Definition of Terms Business Days – Business days are defined as Monday through Friday excluding federal or state holidays on which the EP or their respective administrative staffs are unavailable.
Posted : January 15, 2014 12:27 am
