Couldn’t providers submit fake or altered clinical outcome questionnaires in order to get on the Honor Roll?
We believe providers understand the clinical importance of the clinical outcome questionnaires and would not engage in this type of fraudulent behavior. Nevertheless, PBH does monitor provider data submission in order to detect suspicious patterns, and has the contractual right to review patient records if necessary in order to verify the accuracy of the data submitted. In addition, PBH will periodically review the program criteria and determine whether additional criteria need to be added to further deter any dishonest data submission practices.
Related Questions
- Is the information shared on the clinical outcome questionnaires confidential? Can it be shared with others beyond the treating practitioner and PBH?
- When are hospitals supposed to submit clinical information for continued stay reviews?
- Does in vitro susceptibility predict clinical outcome in bacterial keratitis?
