Whether you are single specialty Gastroenterology or multispecialty with Gastro cases, you are among many of us who have 2 new measures to track.
Being one that loves the phrase “fortune favors the prepared” I spent extra time studying the new guidelines and preparing a plan for reporting. Below I share my data collection steps in hopes that you may shorten the time you spend gathering this information.
- Obtain a printed procedure report from the billing software. Even better if you can pull just the 45378 and G0121 procedures!!
- Compare the list to your daily charge batches to remove the history of polyp, neoplasm, family history, etc. Highlight only those that DO NOT have a history.
- With the highlighted list, I went into my EMR system and viewed each Op Report and documented the recommendation for follow up.
- Lastly, I assigned a “+” (plus sign) to the ones that met the criteria and a “–” (minus sign) for those that did not. The denominator is my highlighted patients and the numerator is those that have a plus. Here is an example of how that looks using my friends and family’s names (keep in mind that the last 2 columns are handwritten by me:
| Physician | Patient | DOS | Procedure Code | Recommended follow up | Result | |
| 1 | Dr. ABC | Jessica | 4/1/2014 | 45378 | 10 years | + |
| 2 | Dr. ABC | Kari | 4/2/2014 | 45378 | 5-8 years | – |
| 3 | Dr. XYZ | Denise | 4/3/2014 | G0121 | 10 years | + |
| 4 | Dr. XYZ | Leslie | 4/4/2014 | G0121 | 10 years | + |
| 5 | Dr. LMN | Chris | 4/7/2014 | 45378 | 5-8 years-max 8 | – |
| 6 | ||||||
| 7 | Dr. ABC | Linda | 4/1/2014 | 45378 | 10 years | + |
| 8 | Dr. ABC | Camey | 4/2/2014 | 45378 | No documentation | – |
| 9 | Dr. XYZ | Patrick | 4/3/2014 | G0121 | 10 years | + |
| 10 | Dr. XYZ | Camille | 4/4/2014 | G0121 | 10 years | + |
| 12 | Dr. LMN | Sam | 4/8/2014 | 45378 | 10 years | + |
Denominator = 10 Numerator = 7 I can honestly tell you that for the month of April with a total volume of 400 procedures, this took me approximately an hour to complete. I am now half way to the required 96 cases per measure so only one more month of data collection! Yay! Here is a link to the http://www.oqrsupport.com website just in case you need the actual measure guidelines. And here is a great flowchart http://www.oqrsupport.com/media/tools/ASC-9_flowchart_FINAL_508.pdf</a
Author: Casey McFarland