Discharge summary TAT?
Posted By: tia on 2006-04-27
In Reply to:
What is the minimum and maximum TAT for discharge summaries have you had?
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Death summary on someone who...
had died for the same disease as my dad, lymphoma. The summary went through the last month of her life and the hospital stay. At that time, my dad was not in the hospital, but was showing these same signs. So, I knew what was forthcoming for him. And, needless to say, it happened the same way with very few changes. Talk about a tear jerker and a tough one to type.
Death summary
Dr. dictates:
Reason for Death: Incompatibility with life.
Under the summary points
This statement was my favorite, and I do hope a lot of companies read this survey and learn from it!
"Speech-recognition technology is only a transcription tool, and not a transcription replacement. The job involves too much professional intelligence and sense-making ability to have it migrate completely to speech recognition."
I honestly don't think a company should be able to lower our rate of pay because of VR...We are still responsible for sitting and listening and correcting mistakes...although I have been fortunate enough not to have my company have any accounts that use VR yet...but I have a friend and her company is doing VR, and her rate of pay is ridiculous!
Inside gives a summary of cuts about to come
E-mail this page to a friend!
House Passes Budget Bill with Biggest Cuts in Medicaid, Medicare
Cuts $99.3 billion over 10 years - 27% from Medicaid, 23% from Medicare.
Feb. 1, 2006 – It's done. The House has passed and sent to President Bush the budget reconciliation bill that was strongly opposed by most senior citizen advocacy groups and newspaper editorials due to the deep cuts it makes in Medicaid and Medicare. It was a very close vote – 216 to 214. The bill cuts the budget by $38.8 billion over five years – 50 percent of the cuts are in Medicaid and Medicare.
Related Stories
Final House Vote on Budget Bill Could Cut Billions from Senior Programs
Passage expected Wednesday to cut Medicare, Medicaid
Jan. 30, 2006 – The Budget Reconciliation Bill, which many see as making drastic cuts in government programs for senior citizens – Medicaid and Medicare, is expected to hit the House floor on Wednesday for a final vote, the day after the President's State of the Union address. As reported today by the Capitol Hill Watch at KaiserNet.org, the bill will reduce federal spending by $99.3 billion over 10 years, with half of that coming from these senior programs. The Congressional Budget Office analysis says premiums for Medicaid beneficiaries in the bill could cause 110,000 to lose coverage by 2015. Read more...
Senate Budget Chair Calls for More Cuts in Medicare
Republicans to recycle old failed issues in 2006
Jan. 26, 2006 – The Republican chairman of the Senate Budget Committee is calling for more cuts in health care programs in fiscal 2007, which includes Medicare, according to The Daily Health Policy Report by KaiserNetwork.org, which cites CQ Today. The daily news summary says Republicans will also be targeting health care proposals this year, but most are proposals that have failed in the past. Read more...
• Homecare Industry Rallying Support to Kill Reconciliation Act
• Television Campaign to Stop Health Care Cuts for Seniors Launched by AFSCME
• Vote on Budget Set for Feb. 1; Senior Groups Seek to Sway GOP Moderates
The House first passed the bill on Dec. 19, 2005, by a vote of 212-206. It went to the Senate, where it passed by only one vote – 51-50. Due to procedural changes in the Senate, it had to go back to the House for this final vote. There was intensive lobbying by the senior citizen advocates and others since the Senate vote on Dec. 21, 2005, but they came only four votes closer.
The final vote was mostly along party lines, with Republicans supporting the bill and Democrats in opposition.
AARP CEO, Bill Novelli, quickly issued the following statement:
"Last night, in his State of the Union Address, the President said, "Keeping America competitive requires affordable health care. Our government has a responsibility to help provide health care for the poor and the elderly, and we are meeting that responsibility."
"Today the U.S. House of Representatives has turned a cold shoulder to that responsibility by further limiting eligibility for Medicaid, a program that serves the neediest -- the disabled, children, the poor and the elderly. It also approved a provision in its budget that will deny long-term care coverage to those who give money to charities, churches and family members in need.
"Working with our members, AARP will continue the fight to have this ill-conceived policy reversed."
The bill would save $99.3 billion over 10 years, with half of that coming from Medicaid and Medicare - 27% from Medicaid and 23% from Medicare.
There's also $1 billion in new spending to extend an income subsidy program for dairy farmers and a reprieve for physicians who had faced a 4 percent cut in Medicare fees, according to the Associated Press.
A major boost to opponents was an estimate issued by the Congressional Budget Office estimating that 45,000 Medicaid beneficiaries would lose their coverage in FY 2010 because of higher premiums in the bill. The CBO report also estimated 65,000 beneficiaries would lose coverage in FY 2015.
Children would account for 60% of the Medicaid beneficiaries who would lose coverage, according to the report.
The report also estimates that 13 million Medicaid beneficiaries would have new or higher copayments for services such as physician visits and hospital care. In addition, 13 million Medicaid beneficiaries would pay more for prescription drugs by 2010, and 20 million would pay more by 2015, the report states.
According to the report, "About 80% of the savings from higher cost-sharing would be due to decreased use of services." The report estimates that 1.3 million Medicaid beneficiaries would have to pay premiums and that 1.6 million would lose benefits, most likely for dental, vision and mental health services.
In addition, the report estimates that 15% of Medicaid long-term care beneficiaries would have their coverage delayed because of additional restrictions on asset transfers.
The asset transfer provisions in the bill would impose punitive new restrictions on the ability of the elderly to transfer assets before qualifying for Medicaid coverage of nursing home care. (Click here to read these provisions.)
Short Stay Summary
For those of you who work in acute care, work type does your facility use for short stay summary? HP or DS?
Years ago I did a death summary by a GI doc.
I don't think GI docs are used to having patient's die and I don't know if it was his first patient to die not, but he was crying so hard at the end of thedictation it was hard for him to dictate. I think he was in his second year of practice, so around 30. I can't remember he if made a statement or not, but I'll always remember him crying.
Same here. Separate worktype for Short Stay Summary.
x
Discharge Summaries
Hello, can anyone help me? I have done medical transcription for three years at an acute care clinic. The doctor I worked for bought me text books and tested me until I had sufficient knowledge in the subject, and I became his medical transcriptionist.
I am now trying to find a job doing MT work at home, and I am currently taking an online test for a company. My question is, if a specific format is not indicated, which format do I use as a default, for
discharge summaries, acute care, operative, and radiology.
any help would be appreciated.
amber
Discharge Summaries (sm)
Do any of you do all discharge summaries? If so, can you build up speed if given the appropriate time to learn the account?
Discharge summaries
Not a mental block. Just a REALLY slow work type for me too. Hate them too, but as perverse as MQ is, I get them all day long!!
Breast discharge
I saw my doctor today for breast discharge, amber colored, from several ducts in the right breast. I am having a mammogram Friday. My doc did not feel any lumps. I am very nervous.
Has anyone had an experience similar to this and have some possibly reassuring words for me?
Thanking you all in advance.
how about 54 discharge meds??
That's got to be a record, at least from my end -- i was thankful when he dictated that reader was referred to chart for most of them -- wow. how can a body handle all that really??
Ask to start out on discharge summaries. I'm sure you can
NM
I do OP notes and discharge summaries and type about 500 lph
x
Discharge summaries are the pits. Consults and H&Ps might get better, maybe not.
absolutely love discharge summaries nm
nm
Are acute care discharge summaries (sm)
Considering job for small hospital doing DS. Rating 1-10, difficult being 10, easy to learn. What is line count compared to clinic work.
I used to have to type DSs (discharge and death summaries.)
It was tough, especially the young mothers or children.
H&P, Consults, OP reports & Discharge Summaries. nm
x
Hospital work - history and physicals, op notes, discharge summaries,
s
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
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