Socio Economic Status, Payment Reform and Medical Records

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Yet Another Component of the Medical Record?

[Dr. David Edward Marcinko MBA CMP™]

http://www.CertifiedMedicalPlanner.org

Dr David E Marcinko MBAHistorically, medical records [paper or electronic] were previously used to aid in the quality of medical care.

Now they are also the basis for payment for services, not as a record or reflection of the care that was actually provided, but as a separate justification for billing. The lack of appropriate documentation now no longer threatens just non-payment for services but risks civil money penalties and criminal charges.

Enter S.E.S.

Today, the idea known as Socio Economic Status [SES] is conceptualized as the social standing, or class of an individual or group. It is often measured as a combination of education, income and occupation. Examinations of socioeconomic status often reveal inequities in access to medical resources, plus issues related to privilege, power and control.

Assessment

SES is increasingly being considered as another payment component [CPT® codes] to medical providers, as reflected in the paper medical record, EMR and elsewhere.

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eMRs

[Electronic Medical Records]

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3 Responses

  1. Dr. Marcinko,
    This concept will advance as we march toward socialized medicine.
    Bethany

    Like

  2. Paper dental records: A business advantage

    “Inevitable, serious HIPAA enforcement” will always increase the business advantages for paper-based dentists over those with expensive and dangerous electronic dental records as recommended by the American Dental Association.

    “Why Serious HIPAA Enforcement Is Inevitable – After being called out so publicly by the Inspector General, I wouldn’t be surprised if the OCR now feels it has something to prove. And Jerome B. Meites, OCR chief regional counsel for the Chicago area, agrees. In a recent talk at an American Bar Association conference, he predicted that previous efforts to crackdown on HIPAA violations would ‘pale in comparison’ to what’s in the pipeline.”

    By Roman Diaz for Touchstone Compliance
    [January 19, 2015]

    https://www.touchstonecompliance.com/why-serious-hipaa-enforcement-is-inevitable/

    If you are waiting for transparency from the ADA, give it up. I don’t think our professional organization will ever again be honest with us, Doc.

    D. Kellus Pruitt DDS
    http://www.crcpress.com/product/isbn/9781498725989

    Like

  3. Giving up Medical Records

    A recent piece in the New York Times profiled a young man with a remarkable medical history, and an equally remarkable approach to sharing it.

    http://www.kevinmd.com/blog/2015/04/is-it-time-to-surrender-control-of-the-medical-record.html

    This raises some profound issues regarding the self-monitoring movement and the “ownership” of patients’ health information, both of which have the potential to change our traditional practices in a big way.

    Gideon

    Like

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