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Standard Operating Procedure: |
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Date: 09/10/2025 |
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Responsibility – Customer Service, Expediting, Intake, Indexing, anyone receiving and processing records and materials. |
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Overview
At Compex and ARS, all records emailed from a custodian must be sent to our designated general production email addresses, not to an individual agent’s personal email. This procedure safeguards our ability to control and secure sensitive materials containing protected personal information and helps prevent violations in the handling of documents.
We understand that, in the normal course of business, custodians may occasionally choose to send records directly to a specific agent. When this occurs, the following protocols must be followed to prevent violations in document handling, as well as to avoid unnecessary duplication of effort and waste in other departments.
Additionally, our intake and indexing teams should make these adjustments during the normal course of business to ensure consistency across the organization
Step-by-Step Instructions
All employees who handle records must perform a thorough review before forwarding them to production. While production will conduct a secondary quality control check, the primary responsibility lies with the uploader.
QA Review Requirements:
Due to the varying length of records, the level of review should correspond to the document’s size.
For all records received:
1. First five pages of records
2. Last five pages of records
3. Confirm whether a custodian certification/affidavit is included
4. Complete the additional protocol below based on number of pages.
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Record Length |
QA Expectation |
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up to 200 pages |
Review every page |
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>200 pages to 500 pages |
Review every 10th page |
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>500 pages - 1000 pages |
Review every 15th page |
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>1000 pages -1500 pages |
Review every 20th page |
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>1500 pages -2000 pages |
Review every 25th page |
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>2000 pages - 3000 pages |
Review every 30th page |
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>3000 pages - 5000 pages |
Review every 35th page |
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>5000 pages |
Review every 50th page |
Elements to Review on Each Page:
When performing a review, please ensure the following
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· Correct patient name, checking against an AKA if available. · Location Name, is this the correct location |
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· Correct order location (record type and order type match) |
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· Correct SSN or DOB |
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· Page numbers are sequential and aligned |
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· Page orientation is correct (not upside down or rotated) |
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· Legibility of text (font quality, resolution) |
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· Affidavit is from correct location and for correct patient |
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· Record content is within scope of the order/request and the correct order type · Records are not duplicative to ones already tagged to the order |
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· For TX: DWQs must be included, complete, notarized and notary’s stamp not expired · Is an invoice included that requires payment |
Process Records:
Next: Submit through FPC app and confirm that it was successful.
Oracle: Upload to the ShareFile folder.
For Customer Service and Expediting only and after uploading records:
Oracle orders:
Add a status, set the SB code as SB39 Production Inquiry, and set a call back for 4 business days.
Include the following in the status:
NEXT orders:
Add an inter-departmental status (303 – C110) note, make it available on the website and includes the following:
? Example inter-departmental status
System description:
48 pages of medical records and billing received, no custodian certification, films still outstanding, records processed through FPC app.
Web Description must be the following:
Records have been received from the provider. They are being reviewed for quality and accuracy by our production team. Once the records are validated, they will be released and delivered by your preferred method of receipt.
⚠️If you are an Expeditor or a Customer Service Agent working directly with the facility and you have received records without an affidavit, incorrect records or missing record types, please follow up with the custodian immediately.
✅Refer to the Quick Reference Guide as a resource, reviewing the SOP as needed for additional detail and clarification.
Quick Reference Guide
Quality Review of Records Prior to Submission to Production
Companion to SOP #: GE091025-01
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For All records received, review these 3 items. |
1. First five pages of records |
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Complete the additional protocol below based on number of pages. |
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Use the following elements during the review of records |
· Patient Name and Aka · Location Name · DOB & SS# · Order Location · Page # are complete and sequential · Page Orientation · Legibility · Custodian Affidavit/Certification completed due to requirement · DWQs are completed · Records are not duplicative |
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Process the Records |
· Next through FPC · Oracle through ShareFile |
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Status the order |
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Follow up for any missing or incomplete order types. |
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