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If the law requires that a patient's record be

Posted By: sm on 2009-03-06
In Reply to: How do you know unequivocally that the - laws will not be enforced overseas?

protected by HIPAA, and HIPAA laws have no effect overseas, wouldn't it logically be a violation to send the record overseas?


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That particular patient's record
is still confidential information, thus protected. Who knows, there may be contributing factors about that other patient and that is why the name was mentioned. Either way, if it was dictated to be transcribed and fits with the account specs, it is to be transcribed. I've worked for companies that did and did not allow patient and other names in their records, sometimes it just depends on what the client wants.
How can I record patient data as fast as possible

Radiology patients, so reports are short most often.  We have to log two several digit numbers, the types of exams (chest/abdomen) dates.  We have sheets to do this on but am thinking I should keep Wordpad open and type in there.


Any ideas on how I can do this and not lose momentum or time?  I do about 100 exams a day.


Thanks!


Putting patient versus The patient (sm)
When did this "rule" come about? I've been an MT/Editor/medeical records tech/ART for 30 years - Never, ever was I told to put that. You cannot make the sentence be "The patient sent to Radiology" but you can put "Patient sent to Radiology."

Thats just insane.
It was for a job, which requires me to ....sm
download ExpressScribe. I am trying to get this on there and it won't let me. To take the test, I have to have this ExpressScibe. So that is why I was trying to do it.
If it requires that much knowledge
above the normal they might consider paying a wage for it - starting .07 cpl doesn't exactly scream you're valued for your knowledge.
Editing requires a somewhat different set of SM
talents and skills, Carole. Some make more, some less, depending on that. Also, very important, depending on how the lines edited are being counted compared to the amount of work required--this can vary widely, even within a company depending on which account being worked on.
Excuse me, but VR requires the same
skill as a QA also. It would be exactly like reviewing a report sent to QA as it has to often times be corrected for grammar, punctuation, spelling, words, etc.; just as if an MT had sent it in for a question.
That doesn't even matter if the DOJ only requires your
SSN and address.  The criminal background checks aren't coming from the DOJ.  The MTSO or national is requiring a criminal background check.  That's their prerogative.  You either submit to the criminal background check, or you look for work elsewhere.  It's that simple.  There is NO law requiring background checks.  It's not a violation of privacy because you agree to it before it's done.  As the other poster said, what's wrong with it if you've got nothing to hide?  Many times, you're getting a computer and access to people's private health records.  I don't want a criminal having access to my medical records.
Co. requires outdated version...

Trying to get started with Focus and they require Microsoft Office Professional 2003.  I cannot get this from a reputable company.  They tell me that 2007 is not compatible with their system, but the people from microsoft doesn't see how it couldn't be.  Does anyone know a legal and reputable way to get this?


I have 1 year of experience.  Does anyone know of another good company that willh hire PT with this experience.  Thanks. 


But QAing requires much more knowledge
and experience than VR editing. They can hire newbies to do VR editing, but not QA.
Only if your city requires it. I work as an IC
and my city does not require a business license for this.
My question is why do you want that kind of pressure in a job that requires you to
work 80 hours a week? If working 80 hours is part of the job at any given time, why would you want it?
Becoming a nurse requires education and certification.

MT does NOT.  A flying monkey could become an MT with a little training.  Some people make it sound as if we're doing brain surgery here.  Honestly, we are glorified typists.  Anyone who thinks it's more than that is just trying to feel better about being a medical typist.  I get slammed all the time for this opinion, but the harsh reality of it is that this is NOT a difficult field to get into IF you have the proper skills.  Don't slam someone for being a nurse and wanting to transition to MT.  She has more education and certification in the medical field than we do.  As long as she has good grammar, spelling, research, and typing skills, SHE WILL DO GREAT!!!!  Why do people have to be so egotistical and negative on these boards?  We ought to encourage newbies getting into the field instead of telling them it's too difficult or they aren't qualified.  Hey, let's just alienate all the newbies and send the work overseas to people who don't have EFL skills.


You need Microsoft's Word. It is a program that requires
installation. The account sounds good at 13/cent a line. Better invest in Word (costs a bit) unless you have a kind friend who will share theirs with you.
Thanks for all the info. I will check and see what my State requires(nm)
xx
PA requires you to charge sales tax on your work...
if you send your completed work to a MT company or doctor within PA.  However, I send my work out of state, so I don't have to charge sales tax and I don't need a license.  I had asked someone at one of the companies I IC for and she said that she had heard of that before from one of the other girls.  When I lived in WA state, I had a business license from the state and had to file every year.  The sales tax thing was a real shock to hear at first!  
This is a very serious situation that requires medical attention
Believe me, it will be worth it. You need a slow steady six month wean off that powerful medication or your body could possibly seize up with an abrupt withdrawal - and that needs to be monitored by people who can help you.

I took Klonopin rx'ed for a year to help me sleep. When stress factor was removed, I tried to stop it and nearly went crazy literally. It sends you into a state that is highly agitated and your thought process is also going to be useless (you need to be with people whom you are safe with, people who know you). Tinnitus is one symptom that I experienced which was at a high decibel. Had I the ability to get away from work, I'd have gone into detox but instead, i cut pills up over six month period and weaned - even with the wean, you see, it is nearly unbearable. Oxycontin is being considered to be pulled off the shelf because of its highly addictive nature. When prescribed for over a two week period, providers should tell a patient what to expect when they want to stop the med; had I known, I would never have taken it. In the end, I appeared to be a drug-seeking individual when I was only in a state of anxiety due to the state my body and mind was in and could not tolerate it - leading me to beg for just one more prscription to get me off that monster of a drug.

Please, find another physician, possibly a psychiatrist as they are familiar with this, and get a regimen that will cause the least symptoms if you cannot go into a 30 day detox program.


I need help in MS Word. I have a new doc that requires almost every page to have different margins.

I used to have an account that we could type Control and L and that would make a page break with the margins for a letter.  I don't know how to create this.  I looked into macros in Word and am totally confused and have no idea what to do.


Can anyone help me figuer out a way I can assign Control and L for the letter margins and control P for progress note margins.  I'd really appreciate any help


The plural minutes requires "were". If he had said....sm
A period of 45 minutes (the singular period would be the subject thus requiring was). Also, it would be the possessive Dr. Smith's
This won't keep records in the US. It only requires "written notice" - sm
I support this law, but only because it's the only game in town on this issue. It does not prevent private information from going offshore.

The "written notice" will be buried in the legal gibberish of patient privacy notification forms that they're required to sign - in Section 18, subsection 49, paragraph M, subparagraph 27. And, it will be expressed in terms that sound a lot better than sending your information to Bangladesh.

Ditto, credit cards. This notice will come in one of those gosh-awful "notice of changes to your account" things that we get from time to time and that no one can comprehend.

As a matter of fact, this law might actually cause more records to go offshore because it presumably provides "cover" for any company that complies with this extremely weak requirement ("notice"). All they gotta do is sling some of legalese past you, buried in pages and pages of other legalese, and they're home free.
Where I work requires average of 1200
lines per day for a 2-week period.
I won't work for a company that requires me to pay long distance
After getting reamed over by one MTSO who verbally promised to pay my unlimited long distance bill and didn't. I have no use for long distance because I use an inexpensive calling card or the Internet.
Company requires a C-phone. Will a Lanier Lx-219 work as well? sm

What is the difference in a Dictaphone, C-phone, Lanier LX-219 and Lanier Expresswriter or Voicewriter?


Thanks!


Vonages requires high speed internet...

so you would need either DSL/cable or broadband.  I have broadband and hooked up to Vonage for 2 months for C-phone use.  The audio quality was frequently poor and I would have to reboot.  Some days I would just hook up to my home phone line to avoid the hassle.  The kicker was when I went to disconnect this month, they charged me $97 TO CANCEL!  Its all in the fine print, apparently.


My audio problems may well have had to do with broadband/satellite service more than anything.  If you have cable/DSL it may be worth a shot, but know that if you cancel after their 30-day trial you are going to pay! 


A macro shortcut requires that you strike 2 or more keys. nm
nm
Might need to mail her a letter from a lawyer that requires a signature and take some action. nm
,
It's a one-trick pony that requires us to sit on our butts on auto-pilot all day
Yeah, we do need to know terminology and how to use a computer to locate information, but every job has specifics that are required. How extensive is the knowledge we need if you think about it? We do the same thing every day, every month, every year like a hamster running in a wheel to nowhere.
What state requires a breast exam for a driver's license?!?!
nm
Agree! Board is like chatting. Work requires more brain cells.
x
PT position requires Lanier dictaphone but I have VDI 3006 Digital SuperStation

Can I use a VDI 3006 Digital SuperStation when the job calls for Lanier dictaphone?  I read a post that said Super Station could be used in place of Lanier but not the other way around.


And, if not...Do you think I should purchase a Lanier Dictaphone in order to get a PT job which sounds promising?  It would be a fast return on my investment and I could use it in the future.


 


For the record,
the solo-practices and smaller offices are outsourcing to the hospitals...


can anyone set the record for

My record is around 45.  Right now i'm on a report that is up to about 23.  Talk about toxic!


re-record
If re-recording to digital, pretty easy. Play either in handheld or transcriber, and use either computer or digital handheld to capture. Just need the connecting cord between two units - can get at Radio Shack.
if it was in my medical record?

It would depend upon whether or not it could have a negative impact upon my medical care. If the doctor dictated something like, "The patient has diabetes" (when I don't), yeah, I would ask them to correct the record. But for something like what was stated originally ... heck no. Let it stay.

But that's me ... I don't have OCD and I'm not anal retentive about this business like others. Never have been and never will be.

I still think you need to lighten up. There's a lot more to worry about in life than something like that.


expunging record
Just a thought -- a friend had a felony from years ago expunged from her record -- but background checks from then on noted the expungement on her record -- which raised red flags in itself.
another broken record...
me too. It absolutely befuddles me that anyone would be trying to get INTO this field, especially with all the ominous signs that are right out there for anyone to see. I think new moms with babes are just blinded by the idea of "working at home" and can't see the competition they are facing.  Me, I am in nursing school... not an easy job by any means...but I'll be good at it and will find my niche quickly and will always have a job! My biggest account is making noise about getting a VR system. If I wasn't in nursing school, I would be having a panic attack instead!
How did he get his record cleared?
You mentioned that he has a "clean record." I still have this thing on from 11 years ago. Did he have to do something in particular to clean his record or did it just drop off?
We all make dumb mistakes at some time in our lives, eh? LOL
Med Record Retention
That's a very broad question. It's my understanding that the answer depends on the State and the age of the patient at the time of service. Liability required juvenile records be kept forever since it used to be a base could be brought when the injury was first noticed, and that could be well into the adult years.
You have to record to the computer
Get a program like GoldWave (I think goldwave.com). You can buy a plug that goes one end in the transcriber and the other in the computer. One end goes in the transcriber earpiece plug and the other goes in the computer microphone plug.

Then play the transcriber while using Goldwave (or whatever) to record from the microphone input. It creates a WAV file or whatever you specify.
LOL. Did you tell your doctor so he could record it? - NM
NM
Public record
http://www.fbodaily.com/archive/2009/05-May/30-May-2009/FBO-01829906.htm

http://www.fbodaily.com/archive/2009/05-May/30-May-2009/FBO-01829905.htm

These 2 companies were just awarded all of VISN 7. Not sure exactly where the split is. Look on VA website for hospitals make up VISN 7.
Why don't you set the record straight Ms. AAMT?
Why are you sooooooo defensive?
Setting the record straight

You purchased an IN-155 foot pedal for compatiblility with DVI VoiceWav.  (We have sold nearly 1,000 of these with zero returns.)


When you called our toll free 800 number for support we told you that the problem was not the pedal and was either the software you were using or your computer.  Reluctantly, we agreed to do an exchange for you.  (FYI, when your first pedal came back to us it worked absolutely perfectly and still does.  In fact it is plugged into the same computer I am typing on at this moment.  It has been tested daily since it came back with no problems).


Now, you voice incorrect information on MTStars.  Your problem is in your computer.   


Please feel free to call us yet again if this is not clear to you.


Tom Wilkes


President


Executive Communication Systems


(800) 644-9525, ext. 101


It is about CLARITY in the medical record.
It makes the medical record easier to read, which means more accurate patient care
Try expunging the felony record. sm
My friend's daughter did this after being turned down for a job at Target. She was an adult. You will need some legal assistance to do it.
electronic medical record nm
/
A.S. in Medical Record Technology
This included a course in Medical Transcription.  Went to work in a physician's office.  My job title was medical records, but the main component of the job was transcription.  This led to later full-time transcription job. 
It's probably an electronic health record.
They probably got an electronic health record where it is basically a point and click system that creates a progress note, does the coding, etc. I think this is going to hurt transcription greatly.
In Microsoft Word, there should be a record
of changes made and who accessed the report and made it. SOmeone with more technical expertise should be able to tell you what you do.
IT users?? Need ideas on how to record (sm)

the rad report MR#s, DVI#s, Accession #s in IT so to save me time.  This is radiology and at times, recording the exam numbers takes longer than typing the report, so hopefully, you understand. 


My idea is to open a daily list on the blank page of the IT screen and then save it at the end of the day.  Does this sound plausible to you?


Thanks for your feedback! 


Rad MT


After 5 years, you can have your record expunged. sm
If you apply for some high-level security position, such as law enforcement, FBI, etc., it will still show up, but otherwise, you can trully answer "no" if asked if you have any convictions, etc. You do have to go through an attorney, and I do not know how much it costs.

Hope this helps.