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Preferences? Setting up NP with Doc signature block

Posted By: MTMidwest on 2008-07-31
In Reply to:

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. 

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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!
My preferences

I personally like Itype and MTWorld for installed platforms and Scribe for a web platform.

I HATED Intrascript and Emdat/Inscribe.  Too quirky.

Go to preferences.... sm

Unclick verify target window. 1 msec, 400 strokes. Click on simulate keystrokes. This is how mine is set and it fixed the problem for me. Hope that helps. Otherwise change the delay like another poster said.

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?
These are account preferences.
However, the company follows the BOS, first and second edition.  So apparently the first edition says one, two, three, etc. (client wants that).  The second edition says 1, 2, 3, etc. (client wants that).  I asked if I could transcribe one way or the other for both accounts and was told "no".  So I will transcribe "The 2 complaints the patient had......" or "The two complaints the patient had" depending on the account.  Talk about a bouncin...  I think it should be spelled out unless you are typing lab values... but that is just my opinion.  BOS rules in the online profession, but in the real world (my own accounts), I stick to what looks more professional - spelling numerous 1-9 out.  Once I reach 10, I type it that way.  JMO.  
go to options in preferences.....
Under the operation tab there should be a setting for hot keys. Click on it, and it should come up with the next key you hit will become your hot key. Or similar. I have an older version of shorthand, so if this is not an option, go to help and look up HOT KEYS. I have mine set to F9, since my other software programs never seem to use the F9 key. Hope this helps.
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.


Offering E-Signature to a Client



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.



 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.
Laptop preferences.......I currently have a Dell...

Hi Everyone!


For those of you who use laptops, I was just curious if you would share your brand preference.  I currently have a Dell and I love it.  I am thinking of getting a second laptop so my son would be able to use this one for school and I would then have one just for work.  Like I said I have a Dell and love it (and will probably purchase another Dell) but before purchasing another, I want to make sure I am not missing something with another brand. 



Preferences for on-line dictionaries

Do you have a favorite on-line dictionary?  I'm looking for both medical and non-medical.  Thanks.

HA! Ignore the signature above - I forgot to change it !!!!

A signature is authorization that the info is correct.
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.
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?
H&R Block
H&R Block always. The one time I didn't use them, I got audited and ended up having to dish out almost $3k in taxes & penalties.
Under preferences, auto display, and make sure
there is no check mark in front of the option to use Shift plus enter to expand.
Shorthand can be set to show a preferences window. I like it
Click Preferences box, put the Pause and Keystrokes at
Some sanity regarding tech and software preferences? sm
Just to pull the heck out of the other thread below :-) and, hopefully, interject "a logic" about the whole subject, if I can?....

Individual choices regarding what software to use are just that, choices. Each person can make their case for their decision(s) and others are free to accept or reject their reasoning or advice. It's that simple, really.

One person's stated choice should not necessarily be construed as a blanket indictment of someone else's choice. Either take the advice, or don't, but please take the time to research what you're using; evaluate the software on its own merits and how it fits with your needs, check out what others are saying about it and why, and, finally, whether it's worth the cost (if there is one) or the potential risk (if there is no cost).

It's really pretty simple, and shouldn't be so contentious, IMO. No? javascript:editor_insertHTML('text','');
best to have a brief consult with a CPA and I don't mean H&R Block

there are always a little bit of difference from state to state and where you live regarding a business license etc. Try to find a CPA that specializes in small businesses, especially if you can find someone who perhaps has other MT's for clients?  The gist of an IC is you do not have an employer, so you do not have someone to withhold taxes for you.  The thing that always throws IC's is the tax withholding stuff. They have a great fear about it. This is where the CPA will help you out a great deal so you can base decisions on facts, not fear.

You will have another form or to to fill out at tax time (Schedule C, etc.) and next year you will have to do quarterly payments, but it's not that hard.

Who Must Pay Estimated Tax

If you had a tax liability for 2005, you may have to pay estimated tax for 2006. 

the IRS has a nice site for small businesses, use the link below. any specific questions, feel free to email me.




Get an accountant...even H&R block will do.
I made the mistake of doing the taxes myself one year (TurboTax)and ended up getting audited for that year 2 years later. Luckily it only cost me $1200 but I'm sure it could have been much worse. I just go to H&R Block. At least if I get audited again, they'll handle all the work AND pay my fine if it's something they messed up on.
Here red this....H&R block was the one who told me about it first.
Top 10 Oddball Tax Deductions
TurboTax has outlined some outlandish tax deductions to help you increase your tax refund. We've uncovered what we think are the weirdest deductions allowed, from pet food to free beer to (we're not kidding) a girlfriend.

Can I deduct?
Admit it. As you've worked on your return, trying to come up with extra deductions to pump up your refund, you've taken a few flights of fancy. "Can I claim a deduction for all those blood donations at the Red Cross?" Nope.

"How about a charitable contribution for all the time I donate to the church?" Nope, again. "The wedding gift for the boss's daughter as an employee business expense?" Come on! On the other hand, over the years your fellow taxpayers have beaten the IRS in court on payments for many crazy things that most of us wouldn't even dream of claiming. We've uncovered what we think are the weirdest deductions allowed, ranging from pet food to free beer.

1. Pet food
A couple who owned a junkyard was allowed to write off the cost of cat food they set out to attract wild cats. The feral felines did more than just eat; they also took care of snakes and rats on the property, making the place safer for customers. When the case reached the Tax Court, IRS lawyers conceded that the cost was deductible.

2. Moving the family pet
If you are changing jobs and meet a couple of tests, you can deduct your moving expenses including the cost of moving your dog, cat or other pet from your old residence to your new home. Your pet be it a Pekingese or a python is treated the same as your other personal effects.

3. A trip to Bermuda
This island is more than just a scenic place to visit: It's a great place to schedule a tax write-off. Business conventions held in Bermuda are deductible without having to show that there was a special reason for the meeting to be held there. That's a sweet perk.

Other countries in the Caribbean region qualify, too, including Barbados, Costa Rica, Dominica, the Dominican Republic, Grenada, Guyana, Honduras, Jamaica, Saint Lucia, and Trinidad and Tobago. Meetings held in Canada, Mexico and all U.S. possessions also receive this favorable tax treatment. Attend a convention in Paris, Rome or Beijing, though, and there's no deduction unless you can show it made as much sense to travel abroad as to head to Pittsburgh.

4. Body oil
A pro bodybuilder used body oil to make his muscles glisten in the lights during his competitions. The Tax Court ruled that he could deduct the cost of the oil as a business expense. Lest it be seen as a softie, though, the Court nixed deductions for buffalo meat and special vitamin supplements to enhance strength and muscle development.

5. A private airplane
Rather than drive five to seven hours to check on their rental condo or be tied to the only daily commercial flight available, a couple bought their own plane. The Tax Court allowed them to deduct their condo-related trips on the aircraft, including the cost of fuel and depreciation for the portion of time used for business-related purposes, even though these costs increased their overall rental loss.

6. Babysitting fees
Fees paid to a sitter to enable a mother to get out of the house and do volunteer work for a charity are deductible as charitable contributions, even though the money didn't go directly to the charity, according to the Tax Court. The Court expressly rejected a contrary IRS revenue ruling.

7. Breast augmentation
In an effort to get more tips, a stripper with the stage name "Chesty Love" decided to get breast implants to make her a size 56FF. A female Tax Court judge allowed Chesty to write off the cost of her operation, equating her new assets to a stage prop. Alas, the operation proved to be a problem for Chesty. She later tripped and ruptured one of her implants.

8. Landscaping
Sole proprietors who regularly meet clients in a home office can deduct part of the costs of landscaping the property. The deductible portion is based on the percentage of the home that is used for business, according to the Tax Court. The Court also allowed a deduction for part of the costs of lawn care and driveway repairs.

9. Free beer
In a novel promotion, a gas station owner gave his customers free beer in lieu of trading stamps. Proving that sometimes beer and gasoline do mix, the Tax Court allowed the write-off as a business expense.

10. Swimming pool
A taxpayer with emphysema put in a pool after his doctor told him to develop an exercise regimen. He swam in it twice a day and improved his breathing capacity. Turns out he swam in the pool more than his family did.

The Tax Court allowed him to deduct the cost of the pool (to the extent the cost exceeded its added value to the property) as a medical expense because its primary purpose was for medical care. Also, the cost of heating the pool, pool chemicals and a proportionate part of insuring the pool area were treated as medical expenses.

Bonus Oddball Deduction
A girlfriend. The owner of several rental properties hired his live-in girlfriend to manage them. Her duties included finding furniture, overseeing repairs and running his home. The Tax Court let him deduct $2,500 of the $9,000 he paid her. The disallowed portion was for nondeductible personal services.

Updated for tax year 2008

Now H&R block did specify in their tax rules that....sm
The animal had to be a dog and be over 50 pounds in order for it to count. I am taking advantage of everything that is legal as they have screwed us over long enough.
Click on the Preferences icon, last one, and change Pause
Preferences, Operations, change Pause to 0 seconds
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!  

Actually, you can put a block on your credit report that
NO credit card companies solicit you at all. Look up the three credit reporting agencies online and see what their websites say. Experian, Equifax, and TransUnion. I don't get any at all except from American Express to my old business name.

As for the automated phone systems, I just push zero a bunch of times until I get a human. Impatient, I am!
yeah, me too, get about 20 a day anymore - block them - sm
that is what I do....granted a new crop comes in the next day, but I just keep blocking away. What is weird is I used to get a couple a day, now about a week or so ago it just went crazy and jumped to as you say 15-20 a day. I really don't want to change my email address either, so I guess I will just keep doing as I am doing, or else turn my Spamkiller back on.
You can block that number from reaching you.
They will block the number but not tell you who it is.

Call them right after a phone call comes in that is a hang up. Apparently, this happens a lot since SBC has an 800 number for this request.
Our block has parties a lot that go well into the night. sm
They have even had a couple of bands come and play. This was a problem last year for me because I needed my sleep and worked weekends. This year, it will be nice since I now work nights. For a short street, it is really lively.
Been around the block lots of time but tell me
what is padding? I have worked in this field for over 30 years now. I have very good speed and regular typing I could do at least 2000 per day. Now with VR and straight combined I do about 3200 per day. My audio will not go that fast in order for me or anyone to do 1000 per hour. The most I have done in an hour (without having to slow the machine down, listening only) was about 600. It cannot be done with my audio system, totally impossible as fast as you can set it.
I've used H&R Block TaxCut
on-line mainly because over the years I've needed "people"  to help with questions on tax issues that were a little complicated, especially last year with a move, partial-residence state taxes, sale of home, etc.  I've not had any complaints with it.  I paid for the highest service last year so I had unlimited access for questions, and the guy was really great, reviewed and signed the tax returns and actually called me with some questions.  I've considered going to TurboTax though in the future because so many seem to like it, just haven't made the switch since I've got everything stored with TaxCut so far.
Yes, they can selectively block sites...
I worked for a company who did that.  They had a list of approved sites that we could access, such as onelook, rxlist, physician search sites, E-mail, etc.  They would also allow the MTs to put in requests for sites we thought should be added to the "allowed list." 
Be careful doing that unless you somehow block out the pt name - could be illegal. nm
I have my suggestion window turned OFF in preferences so I don't have to pick from the list. Much
A friend of mine also had a bad experience with H&R Block
How terrible. They can now block off the tear duct to
help keep moisture in the eyes.  I had the temporary one put in and it really did help.   I had one eye done and am not happy but I do not have the problems you do.  It is so hard to know if you will be in that small percentage with bad results.  I hope something is found to help relieve or correct some of the problems you are having...good luck and best wishes.
Great idea. Thanks. I've had a mental block on
Can an employer use software to search what is on your computer and how can you block this? (sm)
When an employer downloads their program onto your computer can they put software on it so that they can get into your computer and see what is on it, such as folders, files, etc?  If so, is there any way to block it?   This just popped into my mind the other day and I was wondering about it. 
Unlisted number, caller ID, and block unknown callers.
I think it's *67 to block unknown callers and *69 to find out last unblocked caller.  There is another key combination to press when you want the phone company and/or police department to trace nuisance calls.  You can fight this.  Public edcuators have it rough.  First, no respect in the classroom, then these punk kids think they can mess with you at home.  Fight back.  Escalate it to police chief, mayor, and supervisor of the phone company if you're getting nowhere with the lowly peons.
There is a setting
to fix that and I can't remember what it is. But I complained about it and our IT guys told me how to fix it. There is something that you have to "allow" to get it to work.
Need some ideas/suggestions for setting up a very tight QA program. I have no idea where to start with this one. Any help is appreciated.
As an IC you should be setting your OWN rates
And then you inform the clients of the increase--period. You don't "ask" for an increase. That would make you an employee.
I have no idea, but there is a way of setting - sm
in up in WP5.1 so it backs up your work every few minutes, and is saves a back up copy as well. Also if you have to shut down then you just go to your backup folder (you make one up) and there it is under a different name, and you bring that up and resave it and you generally have lost very little work. Email me if you want and I will dig out the instructions on how to set up the backup feature. The problem I have is sometimes I hit something, no idea which 2 keys and I delete my whole report, so the backup feature for me is a lifesaver. Thouhg I have learned the hard way not to save the report after I delete by accident, otherwise the only thing that is in the backup file is a blank file. Luckily I don't make a habit of doing that!
Aha. So it is a setting they could change.
I think they just haven't noticed or haven't had time to do it, but it's good to know it is possible to have it not spellcheck demographics. There is no reason for it since they wouldn't want us to change anything in the demographics.

You are setting yourself up to most likely fail...

if you try to start an MT business right out of school.  Unfortunately, people take the college courses for MT just to find out that most employers do require experience.  There are companies that do hire newbies, but one must have attended an "approved" school.  It's not too late for you though.  I see you as having 3 options:

1. You attend an "approved" MT course/start over with schooling.

2. You apply everywhere, check your newspaper, keep looking.

3. You attempt to start up your own business and learn as you go, although I highly don't recommend this route. 


Good luck!

Setting up Lanier LX-219?

I'm at a loss - I cannot find a manual anywere about how to set up my Lanier LX-219 equipment.  I have the terminal block, module and the unit.  two phone plugs on the grey box, one phone plug on the back of the unit.  Does anyone know where I can find a manual on how to set up the equipment? Thanks in advance