Friday, January 23, 2009

CHDP Requirements in a paperless office

  • OK this is my first post, so Sarah please feel free to critique... offline :)

    We have met with our counties about the CHDP requirement to hand the patient a complete "written summary of findings" at the end of a visist.

    In an old paper enviornment this is accomplished by handing the patient a copy of the PM160 form. We are thinking of building templates for these visits that come close to mimicking the PM160. Our billing department has a method of billing the PM160 to the proper agencies on the back end in the business office. We would hand the patient a "written summary of findings" by printing the visit template from the EMR.

    Is anyone else doing this?

4 comments:

Jane Stafford said...

Thanks for posting Ray. Seems like everyone should be doing this to avoid duplication of data entry right?

Ray Parris said...

I think so. I'm curious how the other sites deal with CHDP. Do they fill out the CHDP form manually after charting the visit electronically?

Michael Aratow said...

Ray, I would love to find out how you are billing at the back end (if it is electronic), because from all our efforts, Sacramento won't take an electronic submission. We thought about mimicking PM160 forms as you suggest, but they are prenumbered specific to location and lot number, which would then preclude the creation of a digital equivalent of the PM160 that could sent to Sacramento (and another copy that could be given to the patient). As an aside, apparently, many of our patients wind up leaving their copies in the room!

Ray Parris said...

Michael,
Prior to EHR we would scan our encounter into our PMS (this is a bubble type scan not an image).

This process would create an encounter in our PMS, but the additional information on the CHDP form had to be keyed into our PMS.

It's a little extra data entry, but it allows us to print the CHDP for the county records and then bill the State electronically.

The same process would need to exist in the EHR world. The normal billing feature of EHR will create the claim, but billing staff will look at the EHR to retrieve the additional CHDP related data before sending the claim. Not ideal, but it would get the job done and not require paper (at least in the providers hand).