RE: Patient Registration

From:"Weems, Joyce"

It is a Medicare requirement of ALL outpatients seen in a hospital (or their
specimens thereof) that this MSP form be completed with EACH visit or
episode. We ask that the physician office take care of it, but of course
this doesn't always happen. I call the drs office - sometimes the patient,
but our hospital has been very compliant since the beginning of 2001 with
this. j
Joyce Weems
Pathology Manager
Saint Joseph's Hospital of Atlanta

	-----Original Message-----
	Sent:	Monday, May 20, 2002 11:54 AM
	To:	Paula Wilder
	Subject:	Re: Patient Registration

	JCAHO does require information on each patient...preop diagnosis,
specimen site, etc.   Yes, these need to be acquired prior to a diagnosis
being submitted.  Certain clinical information is critical for diagnosis.
For JCAHO compliance, phone calls to the doctor's office should provide you
with appropriate clinical data.   Unlabelled specimens are returned to
doctor's offices. 
	Insurance information is obviously required for billing purposes.
We require the doctor's offices to supply that for us as well.   
	Between Clinical data and insurance we are on the phone quite a bit
to doctor's offices (not to the patients.) 
	I can't help but wonder, though if what you are referring to is a
new regulation dumped on us by medicare (formerly known as HCFA.)    This is
a questionaire called an MSP, that Medicare patients need to fill out to
make medicare feel like it is being appropriately billed (as opposed to
workman's comp, other insurances, etc.)   the problem lies not so much with
patients that are seen by the hospital, but by non-patients.   Medicare is
still requiring that non-patients also fill out the form and they are
requiring this of the hospitals.  The questionaire is one that is directly
asked of the patient, so this would require phone calls on all Medicare
specimens...and that would be a night mare.   We are fighting this, but so
far, we have not heard of any changes.   Be aware though, that this is not a
JCAHO is a medicare reimbursement issue.     
	Barb Davies 
	Memorial Hospital 
	Colorado Springs, CO 

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	Paula Wilder  


		Paula Wilder  

	05/19/2002 07:33 AM 
	        Subject:        Patient Registration

	Hello everyone!
	We were recently told that in order to register Medicare patients,
we had to
	actually contact each patient for all the necessary information.
When we
	asked questions about specimens, etc. no one had an answer for us.
	coming to our institution in July.  We were told that we were not in
	compliance at this time and that next week sometime we will need to
	patients differently.  I just can't imagine contacting each and
	patient.  Does anyone else have this compliance issue?  Any input
would be
	very greatly appreciated.
	Thank you!!
	Paula Wilder
	St. Joseph Medical Center
	Towson, MD.
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