Page 20 - Company Newsletters

ABT NEWS
QUARTERLY NEWSLETTER 2nd Quarter 2016
Architecting document control systems for healthcare providers and pharmaceutical companies
Release of Information - An Insider’s View
The Release of Informa/on (ROI) process begins and ends with the Requestor, so we would like to take a moment to look more closely at the Requestor community.
Just who are these Requestors?
Requestors are mainly Pa/ents, insurance companies, lawyers, government agencies (federal, state, and local), facilitators (oCen third-party companies that process requests on behalf of insurance and legal en//es), and other Healthcare Providers who request Pa/ent medical records from a Healthcare Provider.
What types of requests are most common across the industry?
Spotlight on N ew In-house Client
http://sportmed.com/
The Center for Sports Medicine & Orthopaedics in ChaXanooga, TN (SportMed) began as a medical prac/ce in 1979 that evolved to meet the needs of the Southeast region. SportMed now has five loca/ons to serve its pa/ents.
SportMed’s 22 board-cer/fied doctors are trained to use the latest procedures and technologies to assist pa/ents in the following speciality areas: arthroscopic, foot and ankle, hand and elbow, shoulder and knee, and spinal surgery; total joint replacement; trauma/c injury, general orthopaedics; and sports medicine.
SportMed’s physicians are leaders in their profession, not just in ChaXanooga, but across the Southeast region. They have proudly set the standard for sports medicine in the Tennessee Valley.
Angela Ford
aford@abtmedinc.com
Page 1 of 2 www.abtmedinc.com
Type of Requestor
Healthcare Providers (con/nuing care) Government (including Disability) Legal Outsource Facilitators Insurance Pa/ents
Volume
35% to 50% 20% to 25% 15% to 20% 10% to 15%
7% to 10% 5% to 6%
Type
Non-billable Mostly Billable Billable
Billable
Billable Provider-specific
How long does it take to process Requestors’ requests?
The industry average /me for fulfilling a request is from 5 to 15 days. Requests from other Healthcare Providers (i.e., “Con/nuing Care” requests) are usually given top priority, and they are free to the Requestor (i.e., are non-billable). The vast majority of other request types require a Requestor to pay for the records (i.e., are billable). It is common prac/ce for ROI outsource companies—other than ABT ROI+ affiliates—to burden the client/Healthcare Provider with the task of handling the non-billable requests or to limit the number of non-billable requests they will handle to no more than the number of billable requests they handle. Therefore, the Healthcare Provider must fulfill the remaining non-billable requests, using its own resources with no fees available to offset the costs.
How are medical records typically delivered to Requestors?
Ninety percent (90%) of con/nuing care requests, which is the top-ranked request category by volume, are s/ll faxed from one Healthcare Provider to another. In this age of widespread web-based interac/ons, it is alarming that less than 58% of all requested medical records are delivered via the web. Outsource ROI vendors underwrite their “free services” by collec/ng substan/al fees from those Requestors that submit billable requests, and it is oCen only these billable