OT medical Continuity of Care / Encounter Date

I did that already. I mention that I did that further down.

Nobody here is a doctor. Nobody here is medical records specialist. Nobody here is an insurance customer service representative. Nobody here is a medical software expert.

Every patient portal is different.

Precisely what do you expect us to be able to tell you?

Gee, you don't know micky by now?

What was the first sentence: "Does anyone know anyhthing about medical Continuity of Care Documents that point to an Encounter Date that is 8 or 9 months earlier?" If someone doesn't know anything about that, he needn't read further, he needn't answer.

Continuity of Care Documents are not related to the portal. They are among other things an attempt to have "a standardized way to exchange comprehensive clinical documents between providers". They are not the question.

The question is what does it mean when they are created 8 or 9 months after I saw the doctor, or, Have you ever heard of that happening.

Most of you I expect won't know anything, but if 1 or 2 of you know something, that would likely be a big help.

Optional information. No questions follow.

C-CDA has been adopted as the industry standard for creating patient care summary documents. What makes C-CDA significant and an improvement on previous standards is that the data exchanged is machine-readable, so it can be picked up by HIE systems and parsed out into patient records. The C-CDA format is specified as a requirement for EHR vendors pursuing ONC certification for their products. The C-CDA format is also specified as a requirement for Stage 2 of Meaningful Use.

--- I don't know what most of the abbreviations are but it shows that C-CDA format is required some of the time.

When done optimally, CCD exchange can reduce staff time spent gathering patient clinical information during transitions of care. And CCDs generally expand the clinical information available to community providers and give them more details on the care patients received at outside facilities. Combined with existing medication, imaging and lab data being shared from hospitals and labs, CCDs may give providers the additional clinical data needed at the point of care.

--- Then it goes on with the limitations. Some doctors send too much or too little. Despite all these efforts and costs born by the doctors and hospitals to make medical information easily portable, which I think go back about 20 years, a doctor told me last year that it doesn't yet work well.

But wrt my original question, no webpage says anything about creating them 8 months later, and there seem to be more CCD's than I've had appointments. I don't want to talk about it with the doctor if I don't have to. It will seem like an accusation and I'd rather discuss my health.

I'm a MyChart guy. Are you sure you didn't miss an appointment? Let's say a yearly wellness exam? They really want you to attend those after a certain age. They want to know about vaccines that you've taken or are due for: covid, flu, etc.. Do they know that about you? Wait to see how the "processing" goes. Best I can do.

Positive. I don't have automatically scheduled appointments. I think I once got yearly reminders, but I don't remember them lately.

it's some stupid flaw with the portal, I think. I did request my health record and it emailed to me the "chart" for that date. I think that contains all the older ones too. I haven't compared them closely, but every later one is a little longer than the previous one.

Some of their record-keeping on me is haphazard. I should have kept better records myself, and I should start now, and so should all of you. I can't just remember all the details.

I have a checkup about once a year, but for a couple reasons, I didn't until I was about 65 and it may have been a big mistake. By the time I was 68, the GP/internist noticed my calcium level and he and an endocrinologist figured out I had hyperparathyrodism. That gland afaik does only one thing, regulates calcium, and it was sucking the calcium out of my bones into my blood. A high level of calcium is bad. Osteopoosis in the making.

I'll never know when the hyper..ism. started and if it would have been noticed earlier if I'd gone for a checkup and bloodwork when I was 63 or

The doctor had great credentials, some geat med school, excellent intership and residency, but after I started with him he had the smallest, most cramped office I'd ever seen with some big thing on his desk so that we couldn't see each other unless I leaned to the side. Eventually the thing was removed but his office stayed the same. Yet other doctors in the practice had big offices. Plus I was in another office building and I happend to notice his name on the directory. He must have worked there fairly recently, plus another location in between, which made it seem like he had changed jobs maybe twice in 2 or

But there's no one I can ask. And I liked him.

The last time I saw him before he retired (at 75) he said I was too fat to check my prostate, but I was no fatter than I had been. He really didn't like his job anymore that last year and maybe earlier. Maybe he was just working bcause he needed the money. (His daughter was already an MD.)

He also apparently recorded me in the chart as having "age-related osteoporosis", same thing in 6 places, but the new doctor said he would change it or them to parathyroid related.

Good credentials are no proof of future performance. Or maybe he was great and I'm just too suspeicious.

They know, and I keep track without them. I've had everything except I'm waiting on this year's flu shot. I've been vaccinated for Corona 5 times. Long story why it's not just 4. Whatever, I haven't gotten it.

:-) thanks for trying.

I smell medicare billing fraud for fictitious appointments and procedures.

You may be as suspicious (suspecting, that is) as I am.

They have repeated Continuity of Care Documents in the chart, on days when I didn't even see the doctor. They routinely refer in the very first bold-print line to Encounter Date, which is usually 8 or 9 months earlier. I can't imagine the point of that. When the doctor has no patient to see, he sits at his desk and imagines what my health was like

I asked the secretary but she didn't know.

I googled a lot, and there was a thread here about that.

I will ask the receptionist in person next March, and I'll probably ask the doctor, if I can.

I wrote the doctor through the portal Thursday at 7PM and he wrote me back a detailed message at midnight that night! I thanked him and complimented him on working late.

Were you here a couple weeks ago when a clinic at a different hospital recorded on my portal that I had had an endoscopy for gastric reflux? And I don't have gastric reflux. It was actually an unsuccessful attempt to put in an anti-feeding tube, which I was supposed to pay for entirely, no insurance, but since it didn't work, without my having to ask, they refunded all my money. I thought they changed the description so they could bill Medicare for part of it, but I called Medicare and they hadn't billed a penny.

I'd examine all the CMS explanation of benefits (EOB) documents you've received and will be receiving pertaining to this provider and/or his/her office to see if he/they billed medicare for any of the phantom visits, incorrect diagnoses, or other health record discrepancies you've noted. If so, I'd waive those EOB statements in the face of the office manager and demand explanation(s). Also, I'd make sure your doctor was aware. Most times, the providers have no idea how their entries into the health record are being coded and submitted to insurance for payment. They might be complicit or they may be entire ignorant of what's going on in the business management section of their office.

However, if none of the issues you've posted here have resulted in medicare EOBs, I'd chalk it up to buggy health record software that will certainly confuse the patients and mislead future providers or even visits to your own provider if their his/her memory of your case needs refreshing when you have future contact. The doc needs to be aware that this is happening. In most cases, they don't unless informed by a patient or an unexpected contact from CMS!