Documentation Integrity Team
Mandatory Orientation for New Physicians with Admitting
Privileges
Date: April 19, 2012
Name: Rebecca “Ali” Williams, RN, BSN, CCDS
Position: Manager of Documentation Integrity
Phone: 864-541-1609
E-mail: rawilliams@srhs.com
Proposal
Mandatory Documentation Integrity orientation/education for all new physicians with admitting privileges at the Village
Hospital and/or Spartanburg Medical Center prior to being credentialed. The 20-40 minute education/ orientation
session would include information on the query process and the impact of accurate, concise medical record
documentation on Severity of Illness, Risk of Mortality, Reimbursement and Profiling. (Presently, all Allied Health
Professionals are mandated to attend education prior to credentialing.)
Schedule
Physicians will be given the contact information to schedule a time at their convenience. Flexibility will be offered
Monday - Friday.
Allocation of tasks
1.
2.
3.
Medical Staff will notify new physicians within their packet material.
Physician will contact Documentation Integrity Team and schedule education.
Documentation Integrity Team will notify Medical Staff of Completion and send Certificate.
Benefits to Spartanburg Regional and Physicians
Agencies use the data hospitals provide to Medicare on the UB-04 to determine severity of illness, risk of mortality,
mortality index and complication rates. Not only does the hospital benefit with the previous mentioned, but the
geometric length of stay (GLOS) & reimbursement for utilization of services can be positively impacted with certain
key terms that are able to be coded to. Thorough documentation helps the hospital defense in RAC denials, legal
issues and communication of care amongst the medical providers. Physicians are also profiled by third parties and
the information is available to the public.
Support
Support from Medical Staff & Administration is needed to enforce compliance with documentation needs.
Presentation
Please note the following attachments:
1. The power point presentation that is discussed in the education /orientation course.
2. An article regarding “The Physician Report Card”
Cost estimate
No cost is involved.
April 19, 2012