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Re: Outpatient sign-in

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Sign in sheets are not a requirement.

Why not get away with them altogether?

Armin Loges, PT

Tampa, FL

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information intended solely for the named addressee(s). It may contain Private

Health Information (PHI) protected under HIPAA law and must be handled as such.

If you received this message in error, delete it and all it's attachments and

inform this sender for remedial measures. Thank you.

> Group,

>

> As we all become paperless, I ask about common practices for patient

> sign-in. Considering patient preference, HIPAA, paper flow/efficiency and

> all, we are thinking about doing away with our practice of one sign-in

> sheet that stays in a patient's chart. In our practice, the patient

> arrives, signs-in to their sheet in their chart at each visit.

>

> Questions:

>

> 1) Could we go to a common sign-in sheet, printed with every patient coming

> in that day?

> 2) Are there electronic applications available (patient confidentially

> signs with a stylus on a screen, for example)

> 3) What is THE best practice considering HIPAA, efficiency and regulatory

> issues.

>

> Thank you,

>

> Mike

> Salem, OR

> --

> Mike Studer,PT,MHS,NCS,CEEAA

> President, Northwest Rehabilitation Associates Inc.

> *2011 APTA Neurology Section Clinician of the Year*

> *Chair, Balance and Falls SIG - Geriatric Section APTA*

> Serving You With Specialist Care and a Personal Touch

> Phone:

> Fax:

> mike@...

> www.northwestrehab.com

> FB: Northwest Rehabilitation Associates

>

> --

> Mike Studer,PT,MHS,NCS,CEEAA

> President, Northwest Rehabilitation Associates Inc.

> *2011 APTA Neurology Section Clinician of the Year*

> *Chair, Balance and Falls SIG - Geriatric Section APTA*

> Serving You With Specialist Care and a Personal Touch

> Phone:

> Fax:

> mike@...

> www.northwestrehab.com

> FB: Northwest Rehabilitation Associates

>

>

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Sign in sheets are not a requirement.

Why not get away with them altogether?

Armin Loges, PT

Tampa, FL

This message and any of its attachments is private, confidential & privileged

information intended solely for the named addressee(s). It may contain Private

Health Information (PHI) protected under HIPAA law and must be handled as such.

If you received this message in error, delete it and all it's attachments and

inform this sender for remedial measures. Thank you.

> Group,

>

> As we all become paperless, I ask about common practices for patient

> sign-in. Considering patient preference, HIPAA, paper flow/efficiency and

> all, we are thinking about doing away with our practice of one sign-in

> sheet that stays in a patient's chart. In our practice, the patient

> arrives, signs-in to their sheet in their chart at each visit.

>

> Questions:

>

> 1) Could we go to a common sign-in sheet, printed with every patient coming

> in that day?

> 2) Are there electronic applications available (patient confidentially

> signs with a stylus on a screen, for example)

> 3) What is THE best practice considering HIPAA, efficiency and regulatory

> issues.

>

> Thank you,

>

> Mike

> Salem, OR

> --

> Mike Studer,PT,MHS,NCS,CEEAA

> President, Northwest Rehabilitation Associates Inc.

> *2011 APTA Neurology Section Clinician of the Year*

> *Chair, Balance and Falls SIG - Geriatric Section APTA*

> Serving You With Specialist Care and a Personal Touch

> Phone:

> Fax:

> mike@...

> www.northwestrehab.com

> FB: Northwest Rehabilitation Associates

>

> --

> Mike Studer,PT,MHS,NCS,CEEAA

> President, Northwest Rehabilitation Associates Inc.

> *2011 APTA Neurology Section Clinician of the Year*

> *Chair, Balance and Falls SIG - Geriatric Section APTA*

> Serving You With Specialist Care and a Personal Touch

> Phone:

> Fax:

> mike@...

> www.northwestrehab.com

> FB: Northwest Rehabilitation Associates

>

>

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Share on other sites

It may sound hard to believe but I have had patients receive a bill and call our

office to complain that they were not even seen on the day billed for, having

their signature on a sticker dated that day ends the argument for most and is

one reason we keep having patients sign in, they sign a sticker which is taken

off and placed on a sheet that is kept private, scanned and then shredded.

E s, PT, DPT, OCS, FAAOMPT

www.douglasspt.com

>

> > Group,

> >

> > As we all become paperless, I ask about common practices for patient

> > sign-in. Considering patient preference, HIPAA, paper flow/efficiency and

> > all, we are thinking about doing away with our practice of one sign-in

> > sheet that stays in a patient's chart. In our practice, the patient

> > arrives, signs-in to their sheet in their chart at each visit.

> >

> > Questions:

> >

> > 1) Could we go to a common sign-in sheet, printed with every patient coming

> > in that day?

> > 2) Are there electronic applications available (patient confidentially

> > signs with a stylus on a screen, for example)

> > 3) What is THE best practice considering HIPAA, efficiency and regulatory

> > issues.

> >

> > Thank you,

> >

> > Mike

> > Salem, OR

> > --

> > Mike Studer,PT,MHS,NCS,CEEAA

> > President, Northwest Rehabilitation Associates Inc.

> > *2011 APTA Neurology Section Clinician of the Year*

> > *Chair, Balance and Falls SIG - Geriatric Section APTA*

> > Serving You With Specialist Care and a Personal Touch

> > Phone:

> > Fax:

> > mike@...

> > www.northwestrehab.com

> > FB: Northwest Rehabilitation Associates

> >

> > --

> > Mike Studer,PT,MHS,NCS,CEEAA

> > President, Northwest Rehabilitation Associates Inc.

> > *2011 APTA Neurology Section Clinician of the Year*

> > *Chair, Balance and Falls SIG - Geriatric Section APTA*

> > Serving You With Specialist Care and a Personal Touch

> > Phone:

> > Fax:

> > mike@...

> > www.northwestrehab.com

> > FB: Northwest Rehabilitation Associates

> >

> >

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Absolutely, !

Whenever we send a bill, we should already be prepared to prove beyond

reasonable doubt that we're entitled to the payment. When we bill for one

service versus another, we should be fully prepared (before we send it) to

clearly prove beyond reasonable doubt that what we did clearly meets the

definition of the service in the Current Procedural Terminology (CPT) book.

Consider the alternative: A patient or payor accusing us of charging for

something that we did not deliver, or " fraud " . In the payor world, that is

the word they use interchangably with " physical therapy " , especially when a

non-therapist owner or manager is calling the shots.

Merry Christmas!

Dick

Dr. Hillyer, PT,DPT,MBA,MSM

Hillyer Consulting

700 El Dorado Pkwy W.

Cape Coral, FL 33914

Mobile

_____

From: PTManager [mailto:PTManager ] On Behalf

Of s

Sent: Sunday, December 11, 2011 1:33 PM

To: PTManager

Subject: Re: Outpatient sign-in

It may sound hard to believe but I have had patients receive a bill and call

our office to complain that they were not even seen on the day billed for,

having their signature on a sticker dated that day ends the argument for

most and is one reason we keep having patients sign in, they sign a sticker

which is taken off and placed on a sheet that is kept private, scanned and

then shredded.

E s, PT, DPT, OCS, FAAOMPT

www.douglasspt.com

>

> > Group,

> >

> > As we all become paperless, I ask about common practices for patient

> > sign-in. Considering patient preference, HIPAA, paper flow/efficiency

and

> > all, we are thinking about doing away with our practice of one sign-in

> > sheet that stays in a patient's chart. In our practice, the patient

> > arrives, signs-in to their sheet in their chart at each visit.

> >

> > Questions:

> >

> > 1) Could we go to a common sign-in sheet, printed with every patient

coming

> > in that day?

> > 2) Are there electronic applications available (patient confidentially

> > signs with a stylus on a screen, for example)

> > 3) What is THE best practice considering HIPAA, efficiency and

regulatory

> > issues.

> >

> > Thank you,

> >

> > Mike

> > Salem, OR

> > --

> > Mike Studer,PT,MHS,NCS,CEEAA

> > President, Northwest Rehabilitation Associates Inc.

> > *2011 APTA Neurology Section Clinician of the Year*

> > *Chair, Balance and Falls SIG - Geriatric Section APTA*

> > Serving You With Specialist Care and a Personal Touch

> > Phone:

> > Fax:

> > mike@...

> > www.northwestrehab.com

> > FB: Northwest Rehabilitation Associates

> >

> > --

> > Mike Studer,PT,MHS,NCS,CEEAA

> > President, Northwest Rehabilitation Associates Inc.

> > *2011 APTA Neurology Section Clinician of the Year*

> > *Chair, Balance and Falls SIG - Geriatric Section APTA*

> > Serving You With Specialist Care and a Personal Touch

> > Phone:

> > Fax:

> > mike@...

> > www.northwestrehab.com

> > FB: Northwest Rehabilitation Associates

> >

> >

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  • 2 weeks later...

Same here about people saying they were not in the clinic. We use the sign in

sheets that about 25 lines with a peel off sticker. Throw the sticker away but

it transfers to an underlying sheet (like the old carbon paper) and at the end

of the day we keep the carbon filed. We keep them about a year.

Matt Capo, PT

Accelerated Physical Therapy and Occupational Health, Inc.

Bay St. Louis and Diamondhead, Misssissippi

Re: Outpatient sign-in

It may sound hard to believe but I have had patients receive a bill and call

our office to complain that they were not even seen on the day billed for,

having their signature on a sticker dated that day ends the argument for

most and is one reason we keep having patients sign in, they sign a sticker

which is taken off and placed on a sheet that is kept private, scanned and

then shredded.

E s, PT, DPT, OCS, FAAOMPT

www.douglasspt.com

>

> > Group,

> >

> > As we all become paperless, I ask about common practices for patient

> > sign-in. Considering patient preference, HIPAA, paper flow/efficiency

and

> > all, we are thinking about doing away with our practice of one sign-in

> > sheet that stays in a patient's chart. In our practice, the patient

> > arrives, signs-in to their sheet in their chart at each visit.

> >

> > Questions:

> >

> > 1) Could we go to a common sign-in sheet, printed with every patient

coming

> > in that day?

> > 2) Are there electronic applications available (patient confidentially

> > signs with a stylus on a screen, for example)

> > 3) What is THE best practice considering HIPAA, efficiency and

regulatory

> > issues.

> >

> > Thank you,

> >

> > Mike

> > Salem, OR

> > --

> > Mike Studer,PT,MHS,NCS,CEEAA

> > President, Northwest Rehabilitation Associates Inc.

> > *2011 APTA Neurology Section Clinician of the Year*

> > *Chair, Balance and Falls SIG - Geriatric Section APTA*

> > Serving You With Specialist Care and a Personal Touch

> > Phone:

> > Fax:

> > mike@...

> > www.northwestrehab.com

> > FB: Northwest Rehabilitation Associates

> >

> > --

> > Mike Studer,PT,MHS,NCS,CEEAA

> > President, Northwest Rehabilitation Associates Inc.

> > *2011 APTA Neurology Section Clinician of the Year*

> > *Chair, Balance and Falls SIG - Geriatric Section APTA*

> > Serving You With Specialist Care and a Personal Touch

> > Phone:

> > Fax:

> > mike@...

> > www.northwestrehab.com

> > FB: Northwest Rehabilitation Associates

> >

> >

Link to comment
Share on other sites

Same here about people saying they were not in the clinic. We use the sign in

sheets that about 25 lines with a peel off sticker. Throw the sticker away but

it transfers to an underlying sheet (like the old carbon paper) and at the end

of the day we keep the carbon filed. We keep them about a year.

Matt Capo, PT

Accelerated Physical Therapy and Occupational Health, Inc.

Bay St. Louis and Diamondhead, Misssissippi

Re: Outpatient sign-in

It may sound hard to believe but I have had patients receive a bill and call

our office to complain that they were not even seen on the day billed for,

having their signature on a sticker dated that day ends the argument for

most and is one reason we keep having patients sign in, they sign a sticker

which is taken off and placed on a sheet that is kept private, scanned and

then shredded.

E s, PT, DPT, OCS, FAAOMPT

www.douglasspt.com

>

> > Group,

> >

> > As we all become paperless, I ask about common practices for patient

> > sign-in. Considering patient preference, HIPAA, paper flow/efficiency

and

> > all, we are thinking about doing away with our practice of one sign-in

> > sheet that stays in a patient's chart. In our practice, the patient

> > arrives, signs-in to their sheet in their chart at each visit.

> >

> > Questions:

> >

> > 1) Could we go to a common sign-in sheet, printed with every patient

coming

> > in that day?

> > 2) Are there electronic applications available (patient confidentially

> > signs with a stylus on a screen, for example)

> > 3) What is THE best practice considering HIPAA, efficiency and

regulatory

> > issues.

> >

> > Thank you,

> >

> > Mike

> > Salem, OR

> > --

> > Mike Studer,PT,MHS,NCS,CEEAA

> > President, Northwest Rehabilitation Associates Inc.

> > *2011 APTA Neurology Section Clinician of the Year*

> > *Chair, Balance and Falls SIG - Geriatric Section APTA*

> > Serving You With Specialist Care and a Personal Touch

> > Phone:

> > Fax:

> > mike@...

> > www.northwestrehab.com

> > FB: Northwest Rehabilitation Associates

> >

> > --

> > Mike Studer,PT,MHS,NCS,CEEAA

> > President, Northwest Rehabilitation Associates Inc.

> > *2011 APTA Neurology Section Clinician of the Year*

> > *Chair, Balance and Falls SIG - Geriatric Section APTA*

> > Serving You With Specialist Care and a Personal Touch

> > Phone:

> > Fax:

> > mike@...

> > www.northwestrehab.com

> > FB: Northwest Rehabilitation Associates

> >

> >

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Share on other sites

Same here about people saying they were not in the clinic. We use the sign in

sheets that about 25 lines with a peel off sticker. Throw the sticker away but

it transfers to an underlying sheet (like the old carbon paper) and at the end

of the day we keep the carbon filed. We keep them about a year.

Matt Capo, PT

Accelerated Physical Therapy and Occupational Health, Inc.

Bay St. Louis and Diamondhead, Misssissippi

Re: Outpatient sign-in

It may sound hard to believe but I have had patients receive a bill and call

our office to complain that they were not even seen on the day billed for,

having their signature on a sticker dated that day ends the argument for

most and is one reason we keep having patients sign in, they sign a sticker

which is taken off and placed on a sheet that is kept private, scanned and

then shredded.

E s, PT, DPT, OCS, FAAOMPT

www.douglasspt.com

>

> > Group,

> >

> > As we all become paperless, I ask about common practices for patient

> > sign-in. Considering patient preference, HIPAA, paper flow/efficiency

and

> > all, we are thinking about doing away with our practice of one sign-in

> > sheet that stays in a patient's chart. In our practice, the patient

> > arrives, signs-in to their sheet in their chart at each visit.

> >

> > Questions:

> >

> > 1) Could we go to a common sign-in sheet, printed with every patient

coming

> > in that day?

> > 2) Are there electronic applications available (patient confidentially

> > signs with a stylus on a screen, for example)

> > 3) What is THE best practice considering HIPAA, efficiency and

regulatory

> > issues.

> >

> > Thank you,

> >

> > Mike

> > Salem, OR

> > --

> > Mike Studer,PT,MHS,NCS,CEEAA

> > President, Northwest Rehabilitation Associates Inc.

> > *2011 APTA Neurology Section Clinician of the Year*

> > *Chair, Balance and Falls SIG - Geriatric Section APTA*

> > Serving You With Specialist Care and a Personal Touch

> > Phone:

> > Fax:

> > mike@...

> > www.northwestrehab.com

> > FB: Northwest Rehabilitation Associates

> >

> > --

> > Mike Studer,PT,MHS,NCS,CEEAA

> > President, Northwest Rehabilitation Associates Inc.

> > *2011 APTA Neurology Section Clinician of the Year*

> > *Chair, Balance and Falls SIG - Geriatric Section APTA*

> > Serving You With Specialist Care and a Personal Touch

> > Phone:

> > Fax:

> > mike@...

> > www.northwestrehab.com

> > FB: Northwest Rehabilitation Associates

> >

> >

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