Who is John Galt?
by, 08-31-2011 at 04:53 PM (1553 Views)
Originally posted by Lucian Newman III, MD on ComplyMD
It never occurred to me before to be concerned about “specificity of documentation.” I was busy and it seemed not to matter on the surface.
This concept was not taught in medical school or residency. I would never devote the time to learn how to do it. What changed?
– Perhaps it was the criticism of U.S. medicine that we consider to be the best in the world.
– Perhaps it was the alleged “98k medical errors."
– Perhaps it was the perpetual reimbursement decline for physicians.
– Perhaps it was the reality that EVERY physician is likely to be a lawsuit target in his career.
– Perhaps I realized my practice was no longer “private” - numerous internet sites showed my “quality."
+ Likely it was an amalgam of all of the above.
It seems now that physicians who don’t give a rip about the specifics of their work have lost their collective minds. It brings up a line from my favorite literary work ……….
Who is John Galt?
Now it seems to be easier to play the “game” that payors have instituted over the last 30 years; especially the dominant payor who reimburses the lowest rates and has the highest rate of charge rejection: Medicare. Electronic solutions exist to make information transfer more efficient. The objective is to COMPLETELY describe your patient on EVERY pass through a medical encounter to get credit for managing their problems. Physicians who believe they escape liability by ignoring co-morbidities are sorely mistaken.
Simply imagine a plaintiff’s lawyer asking, “So Dr X …….you were not aware your patient had a history of kidney transplantation?”
The DRG system which increases hospital reimbursement for documentation specificity also paints the picture of the patient for whom the physician cared. Physicians who dare not to participate will lose ground versus the world of their peers.
I frequently hear from physicians “What’s in it for me?” My response now is “Everything you trained for: Quality, Reputation, Reimbursement, and Respect." Documentation improvement is one change whose benefits have become crystal clear to me…