For us the issue is reimbursement from Medicare. A high percentage our outpatients are Medicare. If we can't get all signatures from the rehab therapists to the physician's in a 7 day window they automatically stop reimbursement until we send all documentation having to do with those visits. This is such a huge waste of resources on both sides and a loss of revenue and just a headache all around.
I would like to see some parameter settings that could be set at site level for all but even better - by user type. You've only lost a battle, maybe our collective voices together can win the war? Happy holidays everyone! Jeanne Cameron, AS Analyst, Clinical Informatics Olympic Medical Center -----Original Message----- From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Bodnar-Anderson, Cindy Sent: Tuesday, December 19, 2006 12:25 PM To: MEDITECH-L; [EMAIL PROTECTED] Subject: RE: [MEDITECH-L] RE: 2nd signature or co-signer in NUR/MPM I agree 1000%.... I sent several weeks of research to Meditech, detailing state (SD) and federal law on the issue of signatures, co-signatures, and residency requirements, when a signature is not needed, when it is.... I got NOTHING back. Good luck, it stopped our implementation for MPM... (in other words FAT CHANCE!) The process is broke, doesn't work, and needs to be NOT ignored by BOTH Meditech and LSS. By the way, I'm up to 5+ sites with a Residency program using Meditech..... I think we need our OWN parameters to control this separately from a non-residency situation. (Yes, I'm keeping track when I can glean that a site has a Residency program... I think we are an untapped resource, and software marketing differential capacity exists.) Especially where the opportunity exists to TRAIN the physicians on electronic records from the ground up. I haven't heard of ANY other software which can handle the residency signature requirements uniquely different than a post-graduate/residency "regular old signatures" situation. Any one else? (for instance, the signature requirements are different in the physician's clinic {LSS} than they are at the hospital. At the hospital, a Resident can sign for any outpatient diagnostic or therapeutic, non-invasive procedures. At the clinic, everything MUST be CO-SIGNED. BUT!!! The Resident's Signature can't be considered a "legal" signature at the clinic. LSS & Meditech both use Meditech's signature convention, so it just don't work, as once the document is "signed" by the Resident, it can't be changed without "addendas". Unacceptable in my view, and our residency program director's view as well. Can you tell, I've fought this battle and LOST!? Cindy Bodnar-Anderson IS, Senior Programmer/Analyst Regional Health Rapid City SD 57701 -----Original Message----- From: MEDITECH-L [mailto:[EMAIL PROTECTED] Sent: Thursday, December 14, 2006 10:03 AM To: [EMAIL PROTECTED] Subject: [MEDITECH-L] RE: 2nd signature or co-signer in NUR We all need to push Meditech to find a solution for the co-sig issue. We've all worked around it long enough - it needs fixin'! -----Original Message----- From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Kenny Whiteside Sent: Monday, December 11, 2006 11:32 AM To: [email protected]; [EMAIL PROTECTED] Subject: Re: [MEDITECH-L] 2nd signature or co-signer in NUR We do have Physical Therapist that "co-sign" the documentation of the techs. They do do this by editing the original documentation. However, we keep all documentation so that we can see what was originally documented vs. what was edited. Also, keep in mind that the therapist is responsible for what the tech does. Therefore/´ЁЁ͕͔ѡЁݡɕ٥ݥѡѕ´յхѥѡЁ´ЁѼͥѡЁ͡ձٔѡѼЁ´´´ɽɥє4(4)]͔ɥѕ´Ѽ܁䁄ѡɅЁѼѕȁɕ͔ѡՕɥ´ѡ͔Ѽͥ]ͼٔѡյЁݡѡȁѡ䁅ɔͥѡյхѥ´ɥѕȁݡѡȁѡ䁅ɔͥѕȁͽ̸)ЁѼѡ´ѱɔȄ4(4)-]ѕͥ4(4(4)-]ѕͥ M8I84)AѥЁ ɔ%ɵѥMѕ4) х݉Y5 ѕ4(ɝɽٔ ɍI4)!䰁9 4)ݡѕͥх݉م嵌ɜ4(4(IѕȰIͅȼܼЁA44)]ɔե L͍ɕ´ȁѕɑ66Ɩ'F7VVFF'W"W'6W2&V" [\\]ܞH\\\ [\HX[Y[Y[ X[ܚ\ˈH]HH[[KBH \X[ \][ۘ[[YX \\\ YY HXH \Yۈ[\\Y[܈[\[[ۈ܈ H\\[ [ H\\Y[ H \\\ ^H ]H[Y[ ][H \\\\ ݙ\[YܙY\ ] H \ \\\ [Y[][ۈ܈]Y[Hۈ \]H [H YXY[ H Yۘ] \H\ H[Yܘ[ HܚY[[\\Y[܈[\[[ۋHۛ H ^HH[ [ \\ ] [HY]XX\[Y[][ۋ\ H [\[\ܙ[^][ۈ\ ]ۙHY] [\ \\ۋ[[H[Y[][ۋBB\[[ۙH] \H[H ^H \[T[H[ \\ XX]Y. We are Magic 5.5 SR2. Thank you in advance. Rose Richter, RN MSN TriHealth Information Systems Meditech Clinical Applications Support phone: 513-569-6817 -- MEDITECH-L is powered by Serendipity. The best blog around, you can use it too. Check out <http://s9y.org> to find out how. =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= All messages should be posted in plain text. HTML will be converted to an attachment. 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