NO DOS How does DataFile handle the “wild goose chase” - requests for records for which no date of service (DOS) is found? LetDsvstartvwithvsomevbackgroundvstatistics: vvvvvvvvvv’vFC8WvTwenty’eightvstatesvallowvrecordsvcustodiansvtovbillvforvrecordsvrequestsvwhich vvvvvvvvvvvvvdovnotvreturnvavvdatevofvservicevForvthevpatientvdoesnDtvexistvinvthevorganizationDsv vvvvvvvvvvvvvsystemW vvvvvvvvvv’vFCWvTwovstatesvprohibitvthisvpractice vvvvvvvvvv’vFC/WvTwentyvstatesvdovnotvcarryvregulatoryvlanguagevwhichvallowsvorvprohibitsvthis vvvv vvvvvvvvvvvvvpracticeEvItvisvvague and open to interpretation. vvvvvvvvvvvvv v v v v v DataFilev willv alwaysv actv inv thev bestv interestv ofv ourv clientsv andv willv workv tirelesslyv tov removev thev burdenv ofv managingv thev relationshipv withv requestersEv Whatv followsv isv anv explanationv ofv ourv policyv regardingv nov datev ofv servicev beingv foundv asv wellv asv av practicalv examplevofvthisvpolicyvusingvourvhomevstatevofvMissouriEv No Date of Service Found vvvvvHerevisvwherevthevproverbialvrubbervmeetsvthevroadvinvregardsvtovrelationshipsvbetweenvDataFilevandv thirdvpartyvrequestersEvThevbottomvlinevisvthis:vIfvpermittedvbyvstatevlaw,vDataFilevwillvbillvforvrequestsvforv whichv nov datev ofv servicev canv bev locatedEv DataFilev treatsv thirdv partiesv withv respectv andv understandingv ofv workflowvcostsvandvwevexpectvthevsamevinvreturnEvvvvvvv vvvvvWhenvavthirdvpartyvseeksvavrecordvforvwhichvnovdatevofvservicevcanvbevfound,vitvmeansvthatvavmistakevwasv madev atv somev pointv duringv thev requestv workflowv priorv tov itv arrivingv atv yourv Forv DataFile’sWv doorstepEv Examplesvofvpossiblevmistakesvare: vvvvvvvvvvv’vPatientvgavevthevwrongvprovidervnamevandPorvnamevofvpracticeE vvvvvvvvvvv’vInsurancevcompanyvprovidedvcompletelyvwrongvinformationvandvnovpatientvexistsE vvvvvvvvvvv’vPatientvconfusedvwhichvservicesvtheyvreceivedvatvdifferentvprovidersEv vvvvvvvStatevlawsvarevmeantvtovensurevthatvequallyvbeneficialvrelationshipsvexistvbetweenvrequesters,vpatients,v andv ofv thev custodiansv ofv thev requestedv recordsEv Certainv statesv havev recognizedv thatv itv isv inv nov wayv thev responsibilityv ofv thev recordsv custodianv tov bearv thev burdenv ofv requesterv Forv patientWv mistakesEvHerev atv DataFile,v wev callv thisv typev ofv situationv thev xwildv goosev chasex,v meaningv thatv wev mustv executev ourv HIPAAv compliantvworkflowsvforveveryvrequestvwevget,vandvwhenvwevgetvtovthevendvofvthatvworkflowvwithvnovresult,v wevarevcompletelyvwithinvourvrightvtovseekvcompensationvforvunnecessarilyvdrainedvresourcesEv No DOS 1 of 3 NO DOS This policy is often disputed due to a lack of understanding on the part of third party requesters, who are unable to comprehend the amount of resources which are required for the processing of each request. These requesters may not order “that many” sets of medical records. Also, if ROI management is handled in-house by clinic staff and not an outside expert like DataFile, many providers’ offices do not understand all of the state laws and are less likely to seek compensation for their time in situations which take up time and money. In defense of the requester, they aren’t “used” to getting an invoice when no records are produced. DataFile believes that states have chosen not to exclude the practice of billing for this procedure with the goal of maintaining an equally distributed onus for only creating necessary workloads for all involved parties. DataFile has determined that third party requesters would be well within their rights to seek compensation from the entity which provided them with inaccurate information and initiated the process which resulted in the inability to find the desired medical records. Meaning, if a patient told the insurance company the wrong dates of service, then the fault lies with the patient. We do not believe it is unreasonable to expect of third party requesters that they will carefully monitor the information to be used in a request to ensure accuracy so that all parties involved are able to work as efficiently as possible. DataFile is always willing to discuss fees and regulations with third parties in order to share our understanding and professional best practices. In summation, someone must pay for the “wild goose chase”, we do not believe that cost should be unfairly passed on to DataFile, but even more importantly; DataFile will not allow it to be passed to our clients. Proof is in the Policy We at DataFile believe in using our experience to develop the policies which guide our business. In this case, our home state of Missouri can serve as an example of a state which does not clearly define whether or not a records custodian may charge for requests which do not return a date of service. Neither attorneys nor records custodians in the state of Missouri are able to cite regulatory language which clearly defines the permissibility of billing for records when no date of service is found. Despite the lack of definition, DataFile is able to produce a list of more than fifty attorneys in Missouri who pay a fee for these records on a regular basis. This mutually agreed upon practice is a result of the willingness of both parties to communicate openly and honestly about our respective positions on the regulatory standards. The attorneys who are willing to pay the fees for these services have realized that since the law does not specifically exclude the practice of billing for these records, the statutes cannot be leveraged in their favor simply because they “have never had to pay for these records before”. Monthly, DataFile collects fees for over 100 requests which do not return a date of service. No DOS 2 of 3 NO DOS Our Request of You If you or your team receives a call from a requester complaining about an invoice for “no records found” or “no date of service” please refer them to DataFile! As your partner, we don’t expect you to fight our battles for us, after all, this is why you partnered with us in the first place! It’s our “wild goose chase” that the requester sent us on, we’ll work it out with them and provide as little intrusion on your practice and your patients as possible. When it comes to customer service, if on a scale from 1-10 you cannot assign us "10", then we might as well be a zero. This is our theory because we do not believe that you deserve anything other than 100% satisfaction from your relationship with DataFile. If we’re not a “10” for you, call us today to schedule a meeting to change this. We’ll do everything within our power to ensure your satisfaction! Refer them to DataFile: 816-437-9134 status@datafiletechnologies.com No DOS 3 of 3
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