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Does your hospital have a Risk Management team or office? Contact them. (nm)

Posted By: Jurassic MT on 2007-02-25
In Reply to: Illegal??? - Shalyn840

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Why doesn't Risk Management say something to the docs? nm
nm
A member of my team simply did not make contact with
the trainer on the day of her scheduled training session on the secondary account! The primary account is easy for her as she is just off of a major university and now is doing small town work and whipping them out faster than I can log in patient information.

This is not fair, it seems to me. When I contacted her via e-mail to see how the account was going, she simply said that she had not been trained on it yet when I vividly recall that her training date was over a month ago.
As a patient, I would contact management for sure. They will listen
when all of their referring physicians start yelling. The referrals are the ones who make them money - right. As a patient, you are a paying customer "so to speak" I would certainly let my feelings on this issue known and heard throughout the department. Especially if my radiological study was abnormal.
In it to lesson annoying contact with the management species.
;p
I would contact the hospital administrator.
Obviously if they had diagnosed the fracture three days earlier she may not have fallen again because she surely would have been treated or put on bedrest until the surgery could be performed. Totally unacceptable.

I do work for a hospital and used to do radiology transcription and what happens is when the regular radiologist is gone the telecommunicated to another physician who should have given a preliminary. Once the regular radiologist is back he rereads and either agrees or disagrees. The ER doc does read them too but I do know of one instance where i used to work where an 18 man came in chest pain and they did a cxr and "found nothing" and sent him home. The radiologist read the film as a collapsed lung and the man was readmitted for five days and then eventually transferred to another hospital by the family's request.

I would definitely let them know how unhappy about the whole situation. If nothing they need to change their policy or procedures to keep it from happening again.
i would contact the office manager or ask to speak to doc himself sm
a lot of times it is the office staff doing the accounting/billing telling you when they will issue refund, etc. dentist is probably not even aware. i would make him aware and/or office manager aware and i bet they get your check right out.
re: MQ ohio office contact info

Worked there a few years back, think her name was Joanna, who did the training/hiring.  But I've heard of late (since they consolidated all Ohio offices) that there's a lot of new people.  Phone number is 888-899-5470.  HTH


Could you contact your personal physician's office and ask - I am sure they get info on this all
xx
Can someone from the Ohio MQ office give me a contact person and a phone number to call or an email
address. I am interesting in asking a few questions to someone there in hopes of possibly transferring but I need some info first before I go from one problem to the same one elsewhere.
When I worked pathology office in a hospital
My experience was that I worked 3 times as hard for a set wage than I ever did as an MT - and in medical records as MT earned set wage plus incentive.

At pathology lab, we were responsible for getting there first thing in the morning and transcribing all the micro before 10 a.m. so the pathologists could then look at slides and dictate the gross report. Doctors tried to get the gross reports back to us by 1 p.m. -- because they had to be typed by 3 p.m. so the doctors could sign the reports, and get them back to us so we could get them sorted and in the mail before we went home. In addition, we fielded phone calls, took messages for pathologists, searched for and mailed slides when other labs requested them, provided courier coverage to transport slides and things between our lab and hospital lab in the next building, and when we had a spare minute, we entered Pap smear results from precoded sheets used by the technicians reading the Pap smears (like between 10 a.m. and noon, if we had all the micro typed)!!! Every day was hurry up and meet this 2-hour deadline, then hurry to meet the next 2-hour deadline...

I learned a lot of terminology -- but I would have to be very hungry to do it again. It is hard to describe or comprehend a pathology secretary job unless you have actually been there, done that -- you will either love it or hate it... good luck.
Generally office notes versus hospital
For my accounts anyway, my multispecialty is office notes, letters, in office procedures and acute care is hospital notes.
I've been in MT for 20 years. Started out in the office at a hospital.

Switched to working for services from home for a while and now I work for the same hospital I started out at, but I work from home now.  So I guess you can say I've come full circle and now I'm back where I started.  I much prefer being an employee of a hospital versus an IC or employee of an MTSO.


It may be that your user profile in EXText is not set up to allow you to add normals.  I've found with services they don't give their MTs a whole lot of freedom with their software.   


If you want to work at a local hospital or doctor's office, go to community college. Otherwise
if you want to work from home, for a national company, you need to take the course from either Andrews School or M-TEC. It does you no good to save money by taking the Penn Foster course, because most companies will NOT hire grads from that school, it is a poor course and does NOT prepare you sufficiently for MT work.
Should it be "life cycle management" or "lifecycle management"?
Having a debate at work.
I would contact the bank, stop the auto debits, contact the lender...
Contact the lender, explain that you stopped the payment because of financial difficulty. Ask if they have a hardship plan. You probably have a 20-day grace period on your loan payment, (they report to credit bureaus when 30 days late) and you probably also have a grace period on your insurance. In the meantime within those 20 days of grace, FIND A WAY to make some cash. It seems, at least from my experience, that when you get behind, it is almost impossible to catch up. If you use next month's check to pay last month's bills, you never get out of the hole. I've been in that downward spiral and I understand what you're going through. I've sold things on Ebay, consigned clothing at consignment stores, and worked two jobs just to stay afloat at times. Every little bit helps. It can be done. But don't WAIT, call them today!!
You mentioned the IRS. Try calling the Taxpayer Advocate's Service toll free at 1-877-777-4778. They are independent from the IRS and their function is to help solve IRS problems that cannot be solved through normal channels.





Depends on what kind of hospital? Large urban hospital or small community hospital? SM

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.


I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 


I should have specified, hospital inpatient coding and doc office coding are very different.
They follow different coding rules and an entirely different set of codes. I learned both while earning my B.S. in H.I.M., and both are challenging, though inpatient more so simply because there are more codes.
Honestly, you could get a job in a med rec dept without ANY certificate; some computer experience and your experience as an MT would get you in the door. It might just be doing chart assembly/completion, filing, etc., but there are certainly jobs in MR that don't require specific schooling. Then being in the dept you can really learn more about all the functions and pick the one you REALLY want to spend time, money, and effort on for additional schooling.
use at your own risk LOL
My company's samples come with warning labels on them, that they may contain mistakes. They're just guides, they can be very helpful at times.
They're all at risk...
It's called hacking.  It can be done to any computer regardless of which country that computer sits in.
It is more of a risk overseas. SM
If some company operating from an offshore country with a "store front" in the U.S., decides to retaliate against Dr. John Doe, and spreads 50 of his patient's medical records over the internet, how easy do you think it would be to track down the so-called contact (whose name cannot even be pronounced) for the transcription company who is nowhere to be found? HIPAA has now power to fine, penalize, or imprison any overseas operation because the HIPAA laws only apply here in the United States. IMO, there is a substantial safety risk in having medical records leave the country.
Normal xrays would have a very low risk
of causing infertility these days. Years ago, things might have been different. On the Gardasil issue, the doctor does not have a right to force this on anyone.
There is a risk, but if you have an idea how big the file should be
and you have good virus protection and adware/spyware software, then your risk is minimized.
It would be a lot of added risk to an already risky surgery. nm
nm
at the risk of sounding dumb, what is an ITOP? nm
x
at the risk of sounding dumb, what is an ITOP? nm
x
Offshore or onshore - personal information is at risk sm
when it is in private homes. The only way to avoid this is would be to not allow companies to import the SSN in their ADT feeds to companies that do outsource work. It doesn't matter whether it is a domestic MT, or offshore MT, or any other person with access to that information - AMERICANS are dishonest as all get out too. The only information we MTs need is Name, DOB, and MR#. The only people needing SSN info are the billing department to communicate with the insurance companies, no one else in the hospital should have access to it. It's a joke to think offshoring MT is what is causing the problem, it's human nature, people are greedy and want more - MTs for some reason seem to feel they need to blame offshore for this but it's really a copout and just another reason to place blame.

Proud to be an American home-based MT who is HONEST!
Yes, I agree. The risk is too high. Will purchase the cat flea repellant.
dd
Phentermine causes pulmonary hypertension - it is not worth the risk. Prozac - you can go either wa
x
My Norton's just blocked a browser exploit with a high security risk...
just now when I entered the main board forum here on MTSTars.  I would like to know what that is all about! 
huh? how? when someone says NFL team.SM

Please - don't look for a problem when there is no problem.  They said NFL teams - you know how many NFL teams there are????????????  Try 2 for each state.....American league, national league.  They said "celebs" - try a zillion.


If it ain't broke, don't fix it........nobody posting compromised any HIPAA laws or any patient confidentiality. 


Give us a break, eh?


you have a team?
Wow, that's a team I'd have NO part of. I feel sorry for your "team".
Have most people had good luck with their MQ office closing and moving to the regional office. Have
things gotten better or worse for you.
Yes, I lost mine. I upgraded the Office 2000 package to Office 2003. sm
I have over 2000 autocorrect entries and lost them all as well as my supplemental dictionary for my Stedman's spellcheck. Lots of grief!

Maybe you will be lucky and not lose anything. Good luck to you.
Jennifer? What? She is for the other team isn't she?
What was Kaysar thinking?
Anyone else have a team leader who cannot tell the
truth about anything and is extremely controlling, and how do you handle them? 
Orion team

Does anyone know anything about working for the orion team (oriontranscription.com)? 


Thanks, Lindsay


Drill team
My DH is a high school teacher and we go to tons of band competitions and football games  and I wasn't even aware that drills teams even exist anymore. There are cheerleaders and color guard, but drill team?  Are you sure that's what it is.  Maybe it's regional but in the east, no drill team.   Back when I was on drill team, it was a very large squad and the  moves were not "dance-like" at all.  We marched beyind the band and it was very marchy and military-like.  But then, even cheerleading has changed so much that it ALL looks the same to me, very "dancy."  My kids have taken  lots of  dance classes.  I would say that jazz or hip-hop would be fine, maybe hip-hop a little more. 
I don't know what a drill team is but
where my kids grew up cheerleading was the school activity of choice and most girls were in tumbling, gymnastics and dance often as soon as they were out of diapers. Fierce competition!
I do know how to manage a team, obviously,

since I have my own service.  I know that you can't put someone with much less experience in a position over a bunch of people with a lot of experience.  It just does not work.  I not only have a lot of MT experience, but I have been a service owner for quite a few years.  Before that, I worked in a hospital transcription department with a lot of seasoned MTs.  Through the years you see a lot of supervisory changes and what it boils down to is the experienced MTs need/want someone who knows more than they do, someone they can go to for help, when they need it.  With someone less experienced, they can't.


One of the big problems people had with Medquist when it started was that the "suits" were running things - not people who actually knew what they were doing when it came to transcription.  You have to know both sides of it.  And I can tell you from years and years of experience, it doesn't work when you try to put someone with less experience over those with lots of experience.  The seasoned MTs have NO respect for someone who knows less than they do.


Sorry, but that's the way it is.


not one name nor team name was stated....nm
.
Are we a team or are we competitors

Two days ago our supervisor came into our office because Dr. Neuro had dictated a report.  It was obviously an EEG. She did not know what template it went on.  Well, co-worker (super MT) just jumps up and said “I don’t know, you have to call home MT 1 and home MT 2 because they do cardio”  Well mind you, super MT has only been there a year.  I have been their 8 years and I have done ever single report that hospital offers including cardio, especially cardio because that is the first thing that pops into my Q.  (Doc dictate EGGs under cardio, it is up to us to put it in the template).  I found that insulting.  Then yesterday one of our male MTs needed help deciphering what a doc said.  Well super MT jumps tall cubicles to help so I just kept on typing.  She could not understand it either so she gets someone else who is not even an MT to listen.  It is petty but I find it insulting. I don’t do her that a way. 


 


I am more of an introvert.  Super MT has a lot of friends that come in our office just basically gossip about the other people who work next door. I try to tune them out because I only have 8 hours to get my lines in because I have to be out by 4:30 to pick up my two children.  I cannot stay late like they do.  I used to go to lunch with super MT and her buds but stopped lately because I joined a gym and I go work out with another girl who happens to be on the top of their gossip list.  They don’t approve of her lifestyle, which it is questionable but it is her business.  She is a pleasant person to work out with we just happen to have a common interest in exercising.   All they wanted to talk about at lunch is talk about some TV show I have no clue what it is because I don’t have time to watch TV.   I have 2 small children and when I get home I have to hit the ground running with supper, dishes, grocery store.  I also have also turned down their outside parties, 1 because I could not find a babysitter (alcohol is involved at their parties) and the last one was because I was running on fumes until payday and a $20 meal just for me was way out of budget. 


 


I have explained most of the above to her about babysitting, interest in loosing weight, tight budgets and needing to get my line count up which is why I don’t talk as much and go to my introverted ways (they called me an introvert and super MT is an extrovert), not that I don’t watch TV and could care less what the people next door are doing and really could care less what my workout buddy is doing in her spare time.  Then again I may have told them that.  Should I be bending over backwards to be in their crowd?  I didn't know being their best friend was part of my job description.  I don’t think they are all as great as they think they are but I don’t see why we cannot at least respect each other as professionals. 


My team lead is not even an MT!

She never understands anything I am talking about. I have to explain things to her like she is a 2 year old, and even then she just doesn't get it. Why would a company put someone who is clueless about transcription in a position over other MTs!!!??? It is just another frustration to add to an every increasing list of frustrations. But, like you, I am keeping my mouth shut. I just don't get it!! 


Might be able to rent one from an office supply or office machine repair shop
s
I gave a tin of toffee for each office and a Lia Sophia necklace to each office manager. ~nm~
x
I gave a tin of toffee for each office and a Lia Sophia necklace to each office manager. ~nm~
x
Dog doesn't carry a gun, none of his team does. sm
His story is actually very interesting. I know he is abrasive at first adn the wife is a real piece of work, but they really do try to help the people they round up. Dog is a born-again Christian, and he tries to help the people straighten their lives out, isn't in it just for the case. In fact, his own son is in jail for 20 years because of drugs, and so he has a personal motivation for getting drug dealers off the streets. I never miss the show, I find him inspiring because he found his nitch in the world to try to work for good. Unconventional, but he really sincerely tries.
I think my team leader is bipolar.

She's all sunshine and happiness one day with kind words of praise.  The next day, she's sending out shrieking emails contradicting what she said the day before.


How do you select your team leaders? When did you
lasst post a promotional position open? In 3 yrs I saw this 1 time, January I think, but I see lots of new team leaders. You spend a lot of time on this board, but how many times have you taken enuf time to write e-mail to the MTs you have to let them know what is going on. When did you get promoted? Is Jason still around? Did you ever tell us when you have new accounts so we can change ifwe want to? No, youjust hire more MTs from outside to fill those jobs. Sorry, but your team leaders still have only 1 answer when we need more work and that is they don't know what accounts are behind. So what you did is what somebody else said. you added another layer of management to answer with I don't know. Yeah, you sent out an e-mail last week and a few other times about this 1 account that is behind, but what about the rest of the time?

I started coming to this board when I started looking for a second job so I could make enough money to survive after you sold to Transcend and started this big hiring binge so we don't have enough work.

I won't call you,I won't write you, I just am tired of the empty worthless responses I get. I will sit iin my corner and type during my shift, but I am not happy. The communication is still horrible in the company and team leaders just add to the massive confusion.
Team leaders tell you to find another job too.
Don't expect any help from that end.   I can't see what the team leaders do other than send out account status reports twice a day if they happen to be home or harrass you about petty crap. 
Yes, and his team members were supportive, which will help. sm

I've been trying to think of where I saw Kelly LeBrock before -- wasn't she the one who did those commercials for the shampoo, saying "Don't hate me because I'm beautiful?"   I might be thinking of someone else.  I guess I'm showing my age, just by mentioning that commercial ... oops. 


I never hear from my QA/team leader. sm
and last time I called into the office for something, they answered it and said BYE LYNDIA! and hung up. Rude, but true.