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Does anyone know why doctors offices make you fill out


Posted: Aug 4, 2012

registration paperwork, i.e. name, address, phone, insurance info once a year even if nothing changes?  And even if the only change that has been made is that you've gotten a new card from the same insurance company, why can't they just take a copy of the new card and that be it?

I'm wondering this because I recently left the at-home MT biz to work in a doctor's office where I work the front desk, as well as transcribe office notes and I was told that we HAVE to get new paperwork on every patient once a year.  When a patient asked me why, I decided to do some research because maybe there are some regulations I don't know about, but I can't find a clear answer.  My research and knowledge on HIPAA is that with a physician's office, a patient only has to sign the HIPAA acknowledgement once and that covers his or her protected health information for as long as he or she is a patient of the practice.  It is not necessary to have them sign a new HIPAA acknowledgement yearly unless the actual HIPAA laws change in some way and the patients must be informed of the change. 

Which brings me back to the registration paperwork, so why do doctors office make their patients redo paperwork once a year and sign a HIPAA acknowledgement once a year?  Why isn't it possible to give the patient a print out of the info we have on file for them and if there are any corrections, the patient makes the corrections and returns the paperwork and if there are no corrections, the patient simply signs the printout and hand it back?

I'm asking this because I am finding that some people get very annoyed when they are asked to fill out paperwork.  I have been called a liar when I have politely told them it has been over a years since we got paperwork.  I have been told "I come here all of the time and nothing ever changes." 

Also when I check a patient in, I am instructed to verify that their address, phone, and insurance are still the same and if the address or insurance has changed, I have to make them fill out new paperwork.  So if they say everything is the same and I still have to turn around and make them fill out paperwork, they understandably get a little irritated.  I have even tried to cushion the blow of paperwork by sweetly telling them that it is actually more work for me when they have to fill out paperwork because I have to enter it all into the computer, etc.

So I'm hoping someone can direct me to a website that will give me the concrete regulation or law or whatever so the next time I'm asked why I can give an educated answer.

Thanks!

;

Ask your office manager. - Hayseed

[ In Reply To ..]
I had to do the same thing and this was 20 years ago and, yes, I got the same 'tudes from patients that you are experiencing. I was good at regurgitating, "I'm sorry, but it's simply Dr. Blankety Blanks policy. Here, would you like a Werthers or a sour drop?" I kid you not, a piece of candy would USUALLY help to calm an agitated patient down while they filled out the mundane paperwork. If it was an elderly patient, I would take the time to fill it out for them if they had no one with them and had a hard time seeing/writing.

Other than that, the only advice I can give you is to ask your office manager if he/she has any advice on how you can ease hostility at the window.

Good luck :)

I am one of those that hate re-doing the papers- sm - Zorro

[ In Reply To ..]
It is such a drag...same info for the last 14 years, still have to refill out all the papers again, be easy if they'd give you the old one to look at but they don't....I only have one doc that allows you to just initial and date the current form instead of filling it all out again...have another doc where we have to do it EVERY 6 MONTHS, crazy. I presume they do it for billing reasons, makes it easier for them to track you down to pay the bills if your insurance won't (or you lose your insurance). I don't think there is any legal requirement for it, it is just keeping things current in their files is all.

Former office manager here - llr

[ In Reply To ..]
It was hospital policy to ENSURE we had as correct of info as possible for billing/privacy/legal reasons. It makes more sense to print a copy & have them sign it, but if you have them fill it out again it's entirely on THEM if the info is wrong (there can be excuses if you print it). I believe this was mainly set up because of a few bad apples screaming/threatening/suing when the hospital did have bad info on them.

It takes 3 minutes and trust me - the office manager is just as tired - probably more so - of asking for it from everyone than you/patients are of filling it out.

It's more office policy than regulation. - sm

[ In Reply To ..]
I used to work in a clinic and they required patients to fill out new paperwork every year. The ofc mgr there told me it's because people can forget important changes, and filling out the new paperwork triggers their memory and the new info can be added to their chart.

Also, incorrect billing information will delay reimbursement. Nobody wants a late paycheck, not even the docs.

Some patients have poor vision, arthritic hands, memory issues, etc., and filling out paperwork is difficult and frustrating for them. It's great that you're considerate enough to be sympathetic to their situation.

Check with your office manager to see if there's a policy in place for patients who outright refuse to fill out the new paperwork. Also, make a note in that patient's EMR so that when they show up at the clinic again, you'll know not to ask them for new paperwork. This is what we did and it worked pretty well.

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