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Title: Responses to Question about how other hospital handle Patients with Multiple Requisitions from Different Physicians
A couple of weeks ago I posed a question to the Meditech-L concerning how other hospitals handle outpatients with mulitple LAB and RAD requisitons. Here are the responses I received since some people asked that I post the responses:
Question: We are a Meditech 4.9 Magic hospital and are seeing more and more outpatients coming in for lab and radiology services that have two, and sometime three, scripts from different physicians. The scripts can be for the same laboratory test, different ones, or a combination. Our Registration department is unclear on how to handle these patients. Do you register them separately for each script, or do you register them once for all of them? If you register them once, how do make sure that the ordering physician only receives the lab results or radiology report that he or she ordered? If the patient is registered for each script, the patient must spend a longer time in Registration, must sign the same forms multiple times, and the billing department has to do a lot of work on their end to combine the accounts for billing purposes. We believe that other hospital must be facing the same problem and we would be interested in hearing about how you are handling this situation.
Responses:
(1)
Hi Mark,
When this happens to us, we have the patient register once, then in the lab or rad we create multiple requisitions. For example: Dr A. orders a CBC and a PT, Dr. B. orders a PT and a UA
Req #1 contains CBC with Dr. A as subm dr
Req #2 contains PT with Dr. A as subm dr and Dr. B as other dr.
Req #3 contains UA with Dr B as subm dr.
our reports print based on subm dr and other dr. we do not generate reports based on reg dr.
This works really well for us.
Let me know if you have any questions.
LeeAnne Williams
Boulder Community Hospital
Boulder Colorado
303-938-5327
(2)
Our facility registers the patients for each order when there are multiple because if you have all physicians combined for all the tests, we can't restrict them from getting tests that they did not order. If they go on separate registrations, they will only get those tests. The unfortunate thing is if tests overlap, you have to order them on separate registrations, result for example 2 Glucoses and credit one of them off so you aren't charging duplicate for the same test. This is done manually.
Al Green
Herrin Hospital Laboratory
618.942.2171 Ext 35171
(3)
Mark: There is no good answer to this problem. You have correctly pointed out the pros and cons of both methods. We currently register separately, but that is not my preference. I suspect that there is a fair amount of double-charging that gets though, and it causes much consternation for the techs, particularly when there is only one specimen tube (most of the time), and no clear indication that there are two or more Meditech specimens to result.
Rich Griffith
Coordinator, Info Mgmt, QM & Compliance
Hagerstown Medical Laboratory
Washington County Health System
Voice: 301-665-4906
e-mail: [EMAIL PROTECTED]
(4)
Mark,
What we do is explain to the patient that different docs ordered different tests, and ask them if they want all results to all docs. They invariably say yes, and we then fell free to list all docs. I'm not sure which doc is the registering doc in these case. My guess is that our admitting is not real consistent on that part.
Judy Hill [EMAIL PROTECTED]
(5)
Mark, I posed this question a few weeks ago on the L and received pretty much the same answer that the patient is registered separately on each script. That's how we've done it in the past and we'll continue to do so. It makes it cleaner in PCI, although it does require our data processing dept to "merge" the visits.
Renee Rinehart [EMAIL PROTECTED]
Mark Snyder, MT(ASCP),CLI
Systems Analyst
Information Services
Lawrence & Memorial Hospital
365 Montauk Ave.
New London, CT 06320
(860)271-4253
[EMAIL PROTECTED]
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