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HIPAA only addresses PHI (protected health information) would is defined as anything that SM

Posted By: Tinks on 2006-10-24
In Reply to: I've been here. Better brush up on your - Whoa!

specifically identifies the patient, i.e. name, MRN, SSN, account numbers, etc.  As long as all identifying information is removed from a report, it poses no HIPAA violation to keep it on file.  Furthermore, as an employee of the hospital in the medical transcription department and charged with peforming QA, I have legitimate reasons to access a patient's chart.  HIPAA says so.


Go back and read your HIPAA laws again.




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demographics are not the only info that is HIPAA protected
Any info that could compromise a patient's privacy is protected. that includes any diagnostic information, tests, diagnoses, etc., and basically anything in that record.
Your name is not protected information
At the hospital I work in we were told your address and name are not considered protected information. However your symptoms, diagnosis and treatment are. I am not so sure I agree with this but apparently the hospital here doesn't think this is a problem.

A few months ago I took my father to a larger hospital near us to have surgery. After waiting in the waiting room for 6 hours the nurses told us the surgery was over the the doctor would be out to see us soon. Assuming since there were several smaller rooms that we would be taken into one of those for the update, NOPE. Right in front of every patient and family members right in the middle of the waiting room. Thank god my dad didn't have a circumcision or something embarrassing. I found that quite strange coming from one of the best hospitals in the whole state of Missouri.
HIPAA+Health Ins Portability and Accountability Act
x
Health Information Management?
.
Health Information Management is the (sm)
same thing as medical records department in a hospital. I've worked for a hospital that used this fancy (silly?) term. It just means hospital work, but does not include radiology, ER (in my experience) or pathology transcription (IME). It may or may not include cardiology procedure reports, neurology procedure reports (IME).
Health Information Management
nm
Treating private health information like a trade is wrong any way you look at it.
Let's see how you feel when you've been violated because your private health information was distributed for any and all purposes.
Advance for Health Information Professionals. Mostly geared toward coders now. nm
s
Health information personnel, medical records, clerical..sigh...nm
s
Changing Excel 2003 Addresses Into Word 2003 Addresses

Hello !


I have a large amount of addresses listed on an Excel 2003 spreadsheet.  I need these addresses for Word 2003 letters.  I end up copying the address from Excel and pasting it into Word, but as you can imagine, the pasted address is in a straight line and I end up having to type the address so it displays correctly for a letter.  Does anyone know if there is a simple way to change the Excel address format to a Word letter address format?  Thank you for your help.


Defined by profession
I have never met so many people quick to judge and I realized that these folks must be defined by their profession which is really sad. Really sad. What's even worse, is like you said, they obviously need respect from others to feel satisfied by what they do. I made no assumptions in my initial post. Sure, I can type, would it have been better had I said I can't type for a darn but want to do MT??? Sheesh. I thought it was more important that I stated my computer skills in general are top notch.

I am not looking for something to make a living at. I already have a career that I love and am passionate about. Was just looking to find out what kind of training I should do, or if I should even do training, so I can do something involving computers from home.

Every job, like you said, has those that think they are better because of this skill or that skill that you don't have. I may be an engineer, but I'm a young female in an all male industry. Talk about fun earning respect with that! But I'm not defined by my choice of profession. I love what I do and that's all that matters to me.
You want the history of how a line is defined?

I have a feeling you're going to need it.

Sheet of paper = 8-1/2 x 11 inches.
Courier font = 10 Keystrokes per inch

Type in Courier font from the left edge to the right edge (no margins) and you'll get 85 keystrokes. Create 1" margins on left and right side and you deduct 10 keystrokes per side. Therefore, 85 keystrokes less 10 keystrokes for left margin and 10 keystrokes for right margin leaves you 65 keystrokes a 1" left margin to a 1" right margin. That is considered a "real line," as opposed to a gross line where "anything on a line is a line." It doesn't matter if you type a whole sentence or just word. If it's on a line, it's counted as a line.

When we started using computers, people switched from Courier font to other fonts, but Times Roman 12 pt was the favored. So, to calculate a line when it's not running from left margin to right margin (Times Roman 12 pt is a smaller font than Courier (see below), you simply follow the rule:  65 keystrokes equals a line. This way, it doesn't matter what font you use, you're rate of pay will be the same. So, if you're getting 6 cents a line for a 65 char line (presuming that includes spaces), you'll be paid the same no matter if your font is:


My dog has fleas and he scratches his head. (Arial)
My dog has fleas and he scratches his head. (Courier)
My dog has fleas and he scratches his head. (Times Roman)
My dog has fleas and he scratches his head. (Verdana)

All of the lines are different lengths, but you will be paid the same no matter which font you use. You don't have to worry if the person who hires you wants you to use Gothic (huge font) and Mary Contrary to use Arial Narrow (very thin font). You will both be paid the same - 65 char/line.

You also need to do is find out if spaces are included. If spaces are included then every KEYSTROKE is counted. If not, then only what you actually see (the letters) are counted. So, be sure to ask if spaces are included.

But, as far as getting 6 cents for a 65-char line ... I'm going to presume you're new to the business (what they call a newbie). As such, 6 cents per line is decent. Just make sure you get raises over time.

However, if you have at least 2 years of experience doing acute care and they offered you 6 cents per line, you really should refuse the offer ... unless it's either that or the bread lines.


The Administrator has clearly defined her rules at the top of the page. (SM)
If you do not understand them, please e-mail the Administrator or myself and we will be happy to assist you.

However, these policies are instituted after careful consideration against our experiences in running this board.

Goldbird

When I worked for a hospital, 2nd shift was defined as 3p to 11p and SM

3rd shift was 11p to 7a.  They also had policy that said if you worked something like 12 noon until 8 p.m. you would get 2nd shift, shift differential pay for all the hours worked after 3 p.m. and if you worked 7p.m. to 7 a.m. you got 2nd shift differential until 11 p.m. and then 3rd shift differential for the rest of your shift.


I wondered if they could have complicated it more?


how do get rid of password protected -sm
computer.  I had it so a password needed to be entered on my PC but would like to change that now.  How do I do that? Thanks.
Computer is now password protected...sm

Thanks for the advice!  I wish I could get a little better control of him - I have also told him computer = $$$.  He just feels he has to fix everything for some reason - ARGH!!!!!!  Oh well, the password should keep him off of my stuff - I wish it would be that easy for other things around the house!


Password-protected FTP sites are . . .
HIPAA compliant.  Are there any that do not require a password?  I have never encountered one.
Unions protected workers from exploitation
It seems me that had the unions had a watch dog group, abuse of that system would not have occurred. And there was abuse. A small percentage of people always seem to look for loop holes and then milk something good as long as they can until they ruin it for everybody.

But please, unions are good. If there were unions in Calif for the field workers, conditions would be improved and these unemployed workers across America who have lost their jobs to outsourcing could actually make a decent living at them without work that puts you into a chiropractors' office in ten years.

Of course, the price of food would have to go up or perhaps all of those filthy rich ranch owners would, instead, have to take a cut in income (now there is a possible answer).
What diff does it make if it is one during the day or at night? Your computer should be protected
:+
Files are emailed with password protected zip file attachments done in Word...(sm)
So I could use OE and send this way and ask for a reciept. I love that idea....
As far as addresses...
Depending on the state you can get a medical address book, which is a lot easier. Lists all docs, hospitals, nursing homes, etc. in alph. order.
I could do better (only 3 years exp. here) if I did not have to look up addresses - sm
I have good days where I average 200 lph sure, but a lot of the accounts I do require me to look up the doctor, so I have to go to AMA, or the hospitals directory on-line, etc. That really eats time. I limit it to 5 minutes generally then move on. I am also guilty of not being totally focused so that does not help as well. My goal this year (once the kids are back in school, 12 more days) is to buckle down and get serious. My goal is $100 a day which I know I can do and still have a fair amount of free time (afternoons off basically). But is it nice to hear of those who do well. Thanks.
should say email addresses (nm)
.
sorting addresses
I usually use MSWord and tables, and sort by fields, but you can do the same in Excel also.  Hope this helps. 
Do you have addresses? I would send them a
this in court.  Others have done this and it works well.
letters/addresses

Can someone tell my how to format a letter so that the Dr.s address in the letter will automatically show up in the envelope box without having to add the envelope to the document?


We do have our QA fill in names & addresses
All of our clients provide us names and addresses of referring physicians. Our QA maintains the lists, and we only ask that our MTs spell them phonetically. QA then corrects any mistakes.

As far as patient names, some doctors spell them for us and some do not. For those that don't, they get their reports back with their patient names spelled phonetically, and it's up to them to correct any mistakes.
Do not post e-mail addresses or (SM)

other personal information, such as names (first and last), or phone numbers.  


Do not post e-mail addresses. (SM)
Post deleted. Please feel free to re-post your reply without publishing an e-mail address.

Goldbird

One-view study, low-density lesion, poorly-defined lesion
dd
I agree. Can't believe that no one else isn't looking up addresses, resident's names, new m
s
I have to be careful with addresses, get "vagina" when I put in "VA" - sm
have to keep on my toes....even if I delete it smartype will put in some other va....word, so I just try to be extra careful when doing addresses. Kind of funny though.
The e-mail addresses are invalid a lot of the time and
they don't usually use the same e-mail address twice.    They put all that jibberish in there so you can't pick out a word or phrase to put in your filter that will block them out. 
LOL ----> you. Just now they did say he looked up addresses on maps on some of the sites.

saving his family from his short-comings.  hmmm


So, now we have him either


----killing them and going to see porn before offing himself


----setting up porn sites, not feeling good about himself, killing them, and can't kill self - hops plane and goes home to mommy.


----wow, this boggles the mind.


But then I'm back to why leave the computer - even if you were going to do suicide but chicken out?  why why why?  like, why go to England if you are guilty and *suicidal* anyway?  why not just pick up phone and say you did something? 


I just can't make the pieces fit.


As soon as everyone posts their Names, Addresses, & Phone Numbers
...publicly,...then I'll list my business info.

:)

E-mail address removed; please do not post EM addresses. (NM)
Goldbird
As can the looking up of addresses, names for the copies, deleting stuff that's not used on the
s
You're very lucky and obviously aren't looking up addresses or having to relisten to slop over
s
Anyone know how I can take addresses from a Word document and transfer them to mailing labels?

I have several hundred typed out, but cannot for the life of me figure out how to turn it into a mailing list.  I have downloaded Avrey Wizard, but when I try to do it, it asks me about field delimiters and no matter what I pick it doesn't work.  Maybe there is a simpler way??


Thanks!


Post deleted -- Do not post e-mail addresses. (NM)
Goldbird
That is against HIPAA
x
What about HIPAA?
   Our hospital is adamant about no accounts going offshore.  Not only because of quality, but also privacy, lawsuits, etc.  ESPECIALLY after what happened a couple years ago between UCSF Hospital and sub-sub-contractor in India.  (MT there who got gypped in pay held accounts for "ransom".)
HIPAA

Some in the office I work in said there are HIPAA rules that apply to transcription, such as font size, etc.  Does anyone know about this and where I can get more information.


Thanks


HIPAA and cc - what to do? sm
If doctor wants carbon copy sent, I'm told it's a violation of HIPAA rules. Please tell me where I can find this on the Internet. Thanks.
Why would that be against HIPAA?
I have to save my files at least through the invoice period anyway.  Why would it be against HIPAA to run them through IT? 
I'm not the OP, but yes, there is a HIPAA (sm)
violation if you keep copies of patient reports on your hard disks in a form where the patient is identifiable.

What I do to make my normals and IT glossaries is cut/paste a copy of the body of each report, with no info to identify the patient, into wordpad and save under the dictator's name (such as jones hysterectomy, smith HP, etc).
HIPAA
There is nothing in HIPAA that says this information cannot be in the record. What it says is that IF you need to de-identify the information for any reason, all of those things must be removed. Probably not the best policy to have but not a HIPAA violation.
HIPAA
I was recently hired as an employee at a doctors office and we have been discussing taking my MT work home. It is all on hard copy except for occasional e-mails I need to send to the office to download. What do I need to be doing to comply with HIPAA?
HIPAA req.
I use encrypted e-mail through CryptoHeaven, cryptoheaven.com.  They have a bunch of different packages and well priced.  All work must be kept confidential and protected as much as possible (lock box for saved work on CDs).  I keep all patient lists only to type and then they are shredded.  Make sure if you are faxing pt lists back and forth, you are using a front fax cover sheet with a statement on it regarding confidentiality, etc. (your doctor's office probably uses this when sending stuff from their office).  I also have the ability to lock my office when there are parties, etc. at the house just to be on the safe side. 
It's HIPAA............nm
nm
I don't know about HIPAA.... sm

But I wonder why they were asking you all those questions? The only thing I remember when enrolling my son was making sure his shots were up to date. Of course, we are talking a long time ago!


I don't understand why a kindergarten would need such a thorough medical history on their students. HIPAA or not, it sounds like invasion of privacy to me.