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A signature is authorization that the info is correct.

Posted By: Unfortunately on 2006-03-09
In Reply to: medications - don't know

Anyone who has signed a income tax return knows this. A doctor who does not read his report before signing is incompetent. If a report is signed, it is sending a message that it is correct.


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Info. found on the internet isn't always correct,
87
The junk faxers aren't leaving correct info so you can track them down.
.
E-signature help. sm
Is this service available for IC MTs? I would like to get it, but have no knowledge of how to get it. Any suggestions would be helpful. Thanks!
check signature
It's going to be very tough to fight. The drivers licence would have to have been shown, so did you let somebody use it? Have your signature verified as well.

Most likely you will have to pay it and it can be expensive depending on where you are. My daughter-in-law got a ticket in Oregon for 500.00 for lack of proof of insurance. She had to pay the 500.00, plus another 400.00 to the state, PLUS she has to carry insurance in Oregon, even though she doesn't live there, for three years.
Electronic Signature/sm
I just add this phrase to the doctor signature line in the reports "(Electronic signature has been affixed)."  I do not have any special program.  Is there one out there?
Electronic signature
Where can I get information on electronic signatures and HIPAA compliance regarding this? Thanks!
You do not get any credit for the signature
line, patient demographics, carbon copy lines, etc. Some of this info may not take a lot of effort on your part, but it still will take a bit of input for which you will not be paid. These saves lines add up at the end of the day, thus saving the hospital tons of money. It makes you wonder what will be cut next to save a buck?
electronic signature software

I own a small home based medical transcription business and have been asked by prospective new clients about electronic signature capabilities.  Can anyone recommend a company or any advice regarding my document management needs.  I currently have physician offices set up digitally without any electronic signature capability at all.


Thanks


Offering E-Signature to a Client

 


Hi,


Does anyone know about offernig E-Signature to a client? Is there a way to do it easily, on your own -- I mean, instead of signing up with a big company like Vianeta or Bayscribe to handle all of the reports you type and want to send to a client.


Or... If that's the only way to go - through a big company - are there any big companies that are economical if you just have 1-2 doctor clients?  I know some of those companies charge like $5,000 as a set up fee.  Thank you.


Dave


 


 I mean, I'm sure you can do it


I think the on-line signature service
was something like 90 for me last year, can't remember exact amount, and he really helped me a lot.  The first couple of years, I went to an actual office too and got charged an arm and a leg and thought what's the deal, charged for every page and form they did and thought I can just plug the numbers that I gave her into those screens as well as she can.  They were charging more than my ex got charged at an accounting firm when we were married, and his business was WAY more complicated.  That's when I started doing my taxes myself using some system on-line.
HA! Ignore the signature above - I forgot to change it !!!!

one more ques nana: digital signature. ?how do you get it on there (sm)
On that first way you are describing --- are your docs able to SIGN OFF on the note digitally?
Preferences? Setting up NP with Doc signature block

Need to set up nurse practitioner dictator with Doc signature block, think I know how it should be set up but it's been awhile.  Any current examples or preferences of how anyone likes to do this?    Thanks. 


Might need to mail her a letter from a lawyer that requires a signature and take some action. nm
,
Do you put "License xxxxx" on a SOAP note for signature title?

I am typing up a SOAP note template for a new PT.  He gave me his credentials, plus his "number," which is his license number for his signature title.  He did not say to put License in front of the number, but I think it looks funny without it. Has anyone ever done this before?  Is it appropriate to put the word "License" before the number?  He is away from the office, otherwise I would ask him myself.   


Thank you!  


Do it correct always. It will learn. Everyone has to do it correct all the time. nm
x
If you are careful with putting the correct report in the correct report shell and patient, you will
not have any problems. I only take away this option when someone is careless. There can be NO room for error on this. One mistake can be very serious. Many do it well though, so just double check and you will be fine.

demographic info is not the only info ...sm
protected by HIPAA, as we all know. I saw that ad too and was surprised to see it. Any identifying info is considered Protected Health Information, including diagnoses, tests, etc. This MTSO should have known better than to ask for that.
okay, you are correct of course, except
The below posters are correct, of course. I called my boss and they said, "No, this would PROBABLY be against the privacy laws." About the 'Googling" of names, however, the only reason I have been Googling names is because the doctors won't SPELL THEM OUT, and my accounts are not 'searchable'. I do not use any info besides just the name...no SS #... if I find a Verbatio Kertalino (not a real name)in Google in the correct city, I can be pretty darn sure this is the correct person. If there is any specific reason I should not do this, I will stop, but I do not think so! If you posters are pretty SURE this is not ethical, I will call my boss and ask about that also! I use Google also, of course, to look up the spellings of local businesses and hospital and clinic names that they do not spell out. Otherwise, every single report would go to QA! And, if you can't post in a courteous manner, please do not bother posting at all!
That is correct
Any useful tips that a QA member can provide an MT is great. Expansions, websites, etc. If I fill in a blank, I would be apt to send an MT a link to go along with it where she can find it and bookmark it for later use.
5 gm is the correct way nm
x
You are very correct...
and it IS bad, but ya know something? I'm thinking that even we poor MQer's have it made compared to those in New Orleans. I know I finding myself b******* a lot less these days (rare for me lol!). Just my 2 cents (which you're right about - that will soon be the going rate at MQ lol)....
whether to correct
I certainly do correct. I've had them mention hysterectomies in males and such.
Let me correct something here
I agree with you that there is something wrong with having NO WORK. Keep in mind though, that a lot of these people were complaining just for the mere fact that they had several accounts and couldn't remember all the client specifics and not because they were out of work!
you are probably correct
The poor thing obviously has some serious issues.
That is correct.
nm
Correct way
BOS 2 says 10 to the 5th
She may be correct
She was probably speaking of 1% of the TOTAL JOBS through the U.S., not merely the segment of MT. She might also have sidestepped those with Green Cards who are working in this country. You see that with programming positions. And then there's that segment of jobs that people in this country don't want to do (i.e. scrubbing toilets), so the illegal aliens do that.

Look at the forest rather than the tree.
this is correct; nm
;
What is the correct way?

Being a nurse I have always charted/documented carcinoma in situ as CIN-I, CIN-II, CIN-III, etc.  Is this the same way when transcribing reports?  I know it was this way at one time but now with the change in the numbers rule per AAMT would we now transcribe this as CIN-1, CIN-2, CIN-3, etc.?


Thanks in advance,


Tabatha


Which is correct?
Med-Surg Floor, med-surg floor, etc.  Thanks
You are correct.

First shift would be considered daytime, second would be evening and third would be the graveyard shift (mine) that is midnight to morning. 


if I'm correct

This would happen ONLY if the company you work for pays unemployment tax. If they don't, you're up that well-known creek.

But the best people to answer that question would be the Labor Board.


you are correct. I should have said sm
2-5 years in an acute care setting with a hospital who knows what they are doing! haha.

I don't really know the answers to all of these problems BUT I do know that I don't have time to argue with an "experienced" MT nor do I have time to train one.

You have some great points!
You can correct this now by...sm
buying the Wireless-G router that has a booster. We did this for the PC that is farthest from the PC that has the main router on it and now that PC is as fast as the main one on its wireless connection. One word of caution: Be sure to set up a secured environment to prevent anyone from using your internet connection. I was amazed when I set up the booster that I was able to view 4 neighbors accounts and could have used them without their knowing. Information on how to set up the secured connection is available on the Linksys website and only took me about 5 minutes to do for the entire system in my house (and I'm NOT computer literate!)
You may be correct, however
as it has been stated, client or company preference outweighs what my be considered correct. The company I work for requires 2 spaces after a period. They do not care what may be the correct way as this is what the clients specified to them.
this is not exactly correct
the point I am trying to make is operating in a market economy. You posted, "If people are going to function as an IC, they need to understand they are in charge of what they are paid by the MTSO" which isn't exactly true. The MTSO states what they pay and the IC takes it or leaves it. This is the same as saying "you are in charge of telling your employer what you are paid." The employer can say the job pays $8 an hour and then you take it or leave it.  Which then you go on to say, "Personally, I tell an IC what I am willing to pay and if they accept it great, if not, I can negotiate."  Which is exactly why people are taking jobs that pay 5, 6, 7 cpl. Because they need the work, and they can't find jobs in the market that are paying higher, at least not ones that fulfill their other criteria too (perhaps part time, not with a big national, whatever). Most importantly, the falling line pay rates show that global competition is affecting our job market. MT's will need to be prepared to make less as time goes on, not more, over the long haul.
mac is correct - about 33-35%....sm

For years I paid quarterly taxes but now I just do it yearly.  It works out to 25-33% for me either way I do it. 


Good luck!!!! 



You are correct
All cost of living has skyrocketed...everything.  Really think about it an IC making 0.12 a line and paying approximately 43-45% in Federal, State, unemployment, etc.etc... 
Anyone know how if possible to correct...sm
a document in Word and have the correction and the error show in some way so I can return to MT, and she can see the error and the correction.  Is it even possible to somehow correct, then get rid of the errors easily so I would then have a finished product???
Correct
You are right again but I think all of the MT's that are complaining on this subject need to realize that small to medium sized MTSO's like the one I run do not drive these situations. It is the overseas market that started this. They have been lowballing line rates just to get the work and it is terrible quality but hospitals and large medical facilities don't seem to care. That is why we do not market those places anymore. The problem is that our large national companies have jumped right into the mix by using overseas MT's and charging these drastically low line rates to get all the business. Then this affects the american MT's negatively and they get paid less. The whole problem is that I don't think it will change any time soon.

Terry
It's correct, there are not enough MTs, because
adf
Correct

You are correct
The original poster asks us to visit "her" blog - but did that page look like a blog an MT would have set up quickly about this?

Of course not - the post is a slick gimmick to get people to believe it's a real money maker.

I for one ain't biting.
Actually, the correct way...sm
is from left top corner to the bottom right corner - diagonally.  It's the same with televisions, too. 
C would be correct..........*S*

May not be 100% correct but

Thought if there was a "right of survivorshp on deed" that it just directly went to you and so no probate is needed, also if a estate is under a certain amount, no probate is needed -- my folks did not have to be probated as it was under a certain amount.  Again, I could be wrong about some things. 


You are correct, but...sm
If the MTSO bids too low to pay his/her MTs a decent rate, then that MTSO will get what he/she pays for.

I know there are a million wannabe MTs out there who just want to make a few bucks a week working in their jammies who will gladly take 5-6 cents a line. Well, they can have it. My skill has been honed over almost two decades and I won't make less than I did when I started. I am a professional and set high standards for myself and won't compromise them.

The medical profession is famous for choosing the lowest bidder and someday it's going to come back and bite them in the behind.

When I choose a doctor or plumber or electrician, etc., I choose someone who can do the job well, has good references and a good track record of being the best in their field, not who happens to be the cheapest. Others I know who haven't done that and tried to save some $$$ with the cheap company found out the hard way that it wasn't usually cheaper after all was said and done.

I'm hoping the MT industry is learning that lesson now and comes back quickly to the respected profession it once was... I don't think I can stand it much longer if it doesn't.
IT = If. See, I can correct myself, if I want.
x
Yes, you are correct; it's 4/15. Sorry!
 
q.d. will never be correct if the MT SM

is transcribing for a JCAHO-accredited facility, not even in verbatim transcription.  If you do not know why, you probably need to look that up. 


If you cannot produce a 98% or better report by day #3 (and yes, this means you will type SLOWLY and CAREFULLY and LISTEN and USE FLAGS APPROPRIATELY) to get off QA review, then I maintain that your skills are not up to par to transcribe for most major services.  BOS or not, an experienced MT with 5 or 6 years of experience should be able to roll with whatever the style is at the job.