ROI

[Sushirolls]

---

Members don't see this ad.

I use Luminello and lean heavy into the electronic functionallity. I will have patients sign electronic ROIs to facilitate record acquisition. Some entities balk, and respond back we want written signatures.

Thus far I've accommodated and gripe to/with patient their previous places is being ridiculous and some how get a signed ROI, either in office or by slowly mailing to patient and then them mailing back...

ROI's typically have a patient cell phone number on there... if you question its validity... call it. Or cross reference that cell phone number to that on file to confirm its the patients, and again, call it. "Yo, John Doe, records released to Sushirolls, that cool?"

I'm now getting grumping and thinking of sending a letter head letter to entities saying, you are being ridiculous and make note of a CC at bottom of the letter that I'm making a complaint with X.

But I'm sure on who X would be to complain to.

Please chime in y'all. Thoughts, feelings, experiences, whatever.

 

[WisNeuro]

Do you have personal relationships with your referral sources? As in talking to them on a semi-regular basis? I usually don't even need the ROI to get the records. They generally send me the stuff I want with the referral notes and order. And, if I need anything else, they usually send it over under continuity of care. Sometimes you get an office staffer who is new or doesn't get it, but I usually get the referrer to nip that in the bud pretty quickly.

 

[FlowRate]

I use Luminello and lean heavy into the electronic functionallity. I will have patients sign electronic ROIs to facilitate record acquisition. Some entities balk, and respond back we want written signatures.

Thus far I've accommodated and gripe to/with patient their previous places is being ridiculous and some how get a signed ROI, either in office or by slowly mailing to patient and then them mailing back...

ROI's typically have a patient cell phone number on there... if you question its validity... call it. Or cross reference that cell phone number to that on file to confirm its the patients, and again, call it. "Yo, John Doe, records released to Sushirolls, that cool?"

I'm now getting grumping and thinking of sending a letter head letter to entities saying, you are being ridiculous and make note of a CC at bottom of the letter that I'm making a complaint with X.

But I'm sure on who X would be to complain to.

Please chime in y'all. Thoughts, feelings, experiences, whatever.

Annoying that even 3 years after the start of the pandemic some people still haven't gotten with e-signatures.

Meanwhile almost every serious contract I've signed in the last several years has been by e-signature.

You could always ask the patient if they're okay with you using the typed signature function in Adobe for them.

 

[clozareal]

I imagine it's a way for them to delay doing their job in hopes that you would just forget about it.

In my state, electronic signatures are legal and acceptable. I wonder if they are resistant to change because of a lack of awareness or understanding regarding this legality.

It's such a burden for patients to get written signatures since they have to come into the office or handle mailing documents if they want original signatures.

I find that going to the medical records department of that specific institution and having them sign theirs is better than them signing mine.

 

[clausewitz2]

I imagine it's a way for them to delay doing their job in hopes that you would just forget about it.

In my state, electronic signatures are legal and acceptable. I wonder if they are resistant to change because of a lack of awareness or understanding regarding this legality.

It's such a burden for patients to get written signatures since they have to come into the office or handle mailing documents if they want original signatures.

I find that going to the medical records department of that specific institution and having them sign theirs is better than them signing mine.

As I as I can tell most ostensibly HIPAA-related regulations in place in most agencies and hospital systems are not so much motivated by observing the actual standards and requirements of HIPAA as some mix of 1) the legal department's maximal formulation of what will ensure that there are never grounds for even the most frivolous action of any kind and 2) hoops the institution can erect to deter anyone from actually requesting documentation to the greatest extent possible.

 

[comp1]

I've long thought that there should be equal or greater legal penalties for denying or setting up additional barriers to information sharing between providers as there are for inappropriate random sharing. The risk in not sharing information is infinitely more dangerous. Patients aren't generally going to die because their medical information gets shared, but they sure can if the right information ISN'T shared.

 

[splik]

I typically put it on my patients to get their records sent to me. makes it much easier. If they are being referred to me, I ask the referral source to send me the records and they never ask for an ROI in that case since they know me and it isn't necessary.

 

[Merovinge]

I've long thought that there should be equal or greater legal penalties for denying or setting up additional barriers to information sharing between providers as there are for inappropriate random sharing. The risk in not sharing information is infinitely more dangerous. Patients aren't generally going to die because their medical information gets shared, but they sure can if the right information ISN'T shared.

Unfortunately, with 0 dollars provided for folks to share information there either needs to be a big penalty (stick) or some reimbursement for the time (carrot).

This brings me back to a big gripe with medicine, I assure you when lawyer 1 is requested to share information with lawyer 2 they find a way to get paid. We have this system that does not positively reimburse some of the most important parts of the job. Sure now I can bill extra time if I happen to speak to the other professional on the date of service, but how freaking often does that happen? Doc calls you back day after apt, zero reimbursement for spending 15 minutes collaborating in a way that could save someone's life...

 

[vanfanal]

Unfortunately, with 0 dollars provided for folks to share information there either needs to be a big penalty (stick) or some reimbursement for the time (carrot).

This brings me back to a big gripe with medicine, I assure you when lawyer 1 is requested to share information with lawyer 2 they find a way to get paid. We have this system that does not positively reimburse some of the most important parts of the job. Sure now I can bill extra time if I happen to speak to the other professional on the date of service, but how freaking often does that happen? Doc calls you back day after apt, zero reimbursement for spending 15 minutes collaborating in a way that could save someone's life...

100%.
Other professionals ACTUALLY get paid for their time and expertise. Accountants and lawyers I work with charge based on their time and work and they’re in a genuine free market. Lawyer charges 50 bucks to complete a form. Dentist 100 to take and review and easy xray. My gripe with psych is that we don’t have such ancilliary billings. In medicine there’s a lot of extra work that goes unreimbursed but we still do it because of our altruistic nature and for safety and good care. Very common to hear of our colleagues charting outside of work hours etc.

 

[Sushirolls]

This incident is patient relocation to my area, from elsewhere in country, and trying to get records from a source I'll likely to never get from again.

My former area had a Big Box shop that was notorious for saying it had to be their form AND it had to be signed...

 

[comp1]

A lot of this non-revenue generating activity is really best addressed by being salaried with clear work hours. It's when the billing codes really start to matter for what you personally take home in income that it all becomes stressful.

 

[nexus73]

I think it's definitely doable for patients to get records themselves almost all the time. For one, it's probably easier for the patients to do this themselves, they can call, sign/fax/email the forms, etc and it's not a third party go between from the new docs office. It is also empowering to the patient to be self effective and advocate for themselves in this very basic, but also very important way. And the doc then doesn't have to spend time on non medical services. I would document that patient is aware they need to get records and if they haven't done so understand this may limit my ability to provide optimal care. And if they don't it could lead to patient being discharged from the practice. If this could be built into the online intake process somehow, like records from previous doc/hospitals need to be received before scheduling an intake.

 

[Sushirolls]

I send an E form through Luminello.
Patient fills it out.
I make a task for my assistant to fax it off to get the records.
I review them if/when they ever show up.
8 out of 10 goes smooth.
1 out of 10 patient fills out wrong, I have my assistant nudge them with more precise instructions.
Way less than 1 out of 10, my original post, dang places get snarky about E signatures.