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Referrals (Physician). Chapter 14. objective. Place an order for a referral to a specialist. Key Concepts. Referral Specialist Treatments Scheduled testing Tracking a referral Status of a referral. Physician referrals.

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Presentation Transcript
objective
objective
  • Place an order for a referral to a specialist
key concepts
Key Concepts
  • Referral
  • Specialist
  • Treatments
  • Scheduled testing
  • Tracking a referral
  • Status of a referral
physician referrals
Physician referrals

Many times patients present with problems that require medical skills/knowledge beyond scope of abilities of treating physician. In these cases the treating physician will refer the patient to a specialist for further evaluation and/or treatment

specialist referrals
Specialist referrals
  • Allergist Psychiatrist
  • Cardiologist Rheumatologist
  • Endocrinologist Urologist
  • Gynecologist
  • Hematologist
  • Internal medicine doctor
  • Oncologist
  • Ophthalmologist
  • Orthopedic surgeon
  • Physiatrist
  • Plastic surgeon
treatment referrals
Treatment referrals
  • Physical therapist
  • Chiropractor
  • Acupuncturist
scheduled testing referrals
Scheduled testing referrals
  • MRI-magnetic resonance imaging
  • CT scan-computed tomography scan
  • EMG-electromyography
treating physician provides the following to specialist
Treating physician provides the following to specialist
  • Body parts involved or systemic reason for referral
  • Scheduling priority-immediately, as soon as possible, or at specialist’s convenience
  • Special chart notes about reason for referral
  • Chart for most recent patient visit
tracking referral
Tracking referral
  • Important function in medical workflow
  • Facility needs to know status of referral at all times to be able to provide that status to patient and everyone else who needs to know
  • Once referral is ordered, clinical staff will:
  • Obtain authorization for referral from patient’s payer
  • Coordinate with patient and specialist’s office to schedule first appointment
  • Receive specialist’s report after patient’s appointment and place in chart
  • Alert treating physician that specialist’s report is back and ready for review
  • Do This! Pg. 181
visit documentation screen
Visit Documentation Screen
  • Place cursor in Referrals/Authorizations field on Visit Documentation screen(Figure 14-1)
  • Click Referral/Auth. button
  • MedTrak automatically sets Visit Orders screen to the referral category-Clinical decision support (CDS) rule of MedTrak that complies with Meaningful Use Core Objective 11(Figure 14-2)
  • Click green cross next to order desired-screen refreshes indicating that order was placed(Figure 14-3
  • Click Exit screen button to return to Visit Documentation screen-Click Open Order
open orders
Open Orders
  • Questions appear for physician to answer
  • (Figure14-5)
  • Cursor in Notes field click Expanded Answer screen
  • (Figure 14-6)
  • After entering note, click Submit Answer button
  • Event triggers to answer remaining questions on the open order
  • (Figure 14-7)
  • After entering two triggers click Submit Answers button The Visit Documentation screen reappears showing order (14-8)
  • Do This! Pg. 187