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Satellite is not secure so there may be concern for HIPAA

Posted By: In the know on 2005-08-09
In Reply to: satellite does not seem to be desirable in this field...can anybody tell me why? - nontechieMT

violation.  Also satellite downloads are not dependable, sometimes they can be just as slow as dial-up, depends on the weather and how many others are on the server.  


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Satellite isn't secure I think is the main

reason companies don't allow it and another is because the download speed is not consistent.  It can be as slow as dial-up at times.  There are also a lot of factors that can knock out your service, at least temporarily.   I had satellite for a year and overall it was okay, but if it snowed or rain hard I either had decreased signal or no signal, if the wind blew hard I might get tree limbs in the way of the signal or the signal was so sporadic that I couldn't download.  


 


Would definitely not go satellite. Most use DSL or cable, some with reimburse partial $$, satellite
x
Transcend, although they said my satellite was too slow, they do allow satellite with some accts. nm
nm
secure
Hi. Don't get freaked out. This happens all the time. As long as you are online, someone somewhere is going to try to invade you. As long as you have a firewall, you are safe. Don't worry. It was just a notification by Norton that they are doing their job. Rest easy.
Secure FTP...(sm)
To enable secure FTP, there must be a secure FTP server somewhere, as well as a secure FTP client on your local system (and on the system of anyone else who is uploading or downloading files to or from the server).

You could, technically speaking, run your own secure FTP server but most likely you'll want to use a secure FTP hosting provider. Google the phrase "secure FTP hosting", including the quotes, and browse the results to check out pricing.

For the secure FTP client, there are a number of choices ranging from free to $$. Before choosing one, though, I would get the hosting issue above settled and ask whether they recommend any particular client. If not, you can Google "secure FTP client" and browse the results, looking for two things:

1. An easy to use graphical interface that will let you "drag and drop" files to effect transfers to/from the server.

2. The price range you want. This, to me, would be secondary to item #1 above though.


A secure FTP would be the best way - sm
I would love to know how to get one myself/set one up too. I know how to use a FTP program to upload/download to my jobs to a FTP site, but have no clue how to go about setting one up for myself so I can have my one account send me their voice files that way. So I use mydocsonline.com for that purpose right now which is not expensive--$99 a year, price goes up with the number of users though. Very easy to use too. But I am sure if I could get my own secure FTP site it would be cheaper (I hope) though some appear to be a bit pricy from what I recall when I have looked into this before.
I don't believe this is a secure server.

Having said that, if you encrypt any files BEFORE uploading to their server, you should be OK. There is a webpage where you can ask specific questions--the link is below.


Your information is probably more secure than ever before.
http://www.mtstars.com/docs/statement.html
Thanks for your concern - sm
All of these possibilities have run through my mind too.

In truth, I think the dad was trying to protect her, given the tragedy they have faced in the last year. At least that is the one possibility that I am hoping. That one can be forgiven as compared to other possibilities.

I can't even imagine what must be going through her head. As a mother, I would want to protect my kids too if they had been hurt as she has.

I did a little internet searching on the story he gave me and did find that the accident and deaths really did happen so I don't doubt that at all. I think it's dad trying to do his best and trying to protect her from further hurting but also trying to do the right thing too.

On my steps this morning I found a little bouquet of flowers. I think they may have been from her. Sure, they were picked from my flower beds but... hey, it's a gesture and looks like a little kid put them together.

Again, I'm holding out for putting the best foot forward and try to be a good neighbor.

Everyone deserves a second chance.

Thanks for your concern - sm
I don't think she's going to be a problem.

When my husband and I divorced, my little angels turned into monsters. They were angry, confused, and scared. This little girl lost her mother and her baby brother. They aren't coming back and it's still pretty fresh.

My kids see their dad every other weekend so they know he's still around.

Just try to put yourself in her shoes at that age. Wow, that's a big thing for such a little girl to handle.

I think her dad is doing his best, has her in counseling, has his sister helping him learn to be Mr. Mom, and just trying to be everything to his daughter.

From what I gathered from my conversation with him the day after the puppy incident, he was absent from the home a lot on business before the accident. Said he had no clue what to do after his wife and son were gone. Said he thought he was a dad before but this whole thing opened his eyes to what he was missing.

The guy has moved across state, lost his wife and son, trying to learn all over again to parent his remaining child, and starting a new career so he can spend more time with his daughter.

I think I'm safe with a 10 year old. I'll be more aware of what is going on when she is around but, she's 10. Still a baby to me.

By the way, they have accepted my invitation to dinner Friday night, all three of them.

It's going to be okay.

After my not so nice divorce (husband is now living with the reason for our divorce) I have learned that I really do have more patience than I thought myself capable of. Dealing with the nasty GF of the husband, the husband's betrayal, the kids anger for the separation and then the divorce, and my inital feeling of failure... I could list a million things but, I'm happy now, my kids are happy, I get along well enough with the ex, civil with his girlfriend, heck, this little bump over the puppy is small taters next to the past few years I have had.

I don't plan on saving the girl. I just feel bad for her and I know that her healing is just beginning. Doesn't help if I encourage my kids to alienate her. Not very nice of me as an adult either. Just because of one incident out of 6 months. No, I think she deserves a little understanding, forgiveness, and patience.
Thanks for your concern. sm
I have been in this business 25+ years and have had my own hospital clients for years. I know what happens when administration changes. I appreciate your concern, but believe me, I will be fine.

Why would some be so worried about another's line rate? If it is true concern, it is quite refreshing to see such caring fellow MTs rather than the bitter bunch usually here.

Thanks again, and best of luck to you.

Good luck to you.
no, I do not. thanks for your concern.--nm
nm
Yes, this is a concern.
Can you say which region of the country you are in?  I have a feeling when this EMR stuff gets rolling, it's really going to impact MT quickly.  My personal physician's group (in Michigan) uses it now for their office notes and has absolutely no need for transcription services. 
A cell phone is not secure, so using it to

listen to dictation is not viable.  I have downloaded digital files via cell phone in a pinch, like during storms when I lose land-line.  If you got dictation via cell, you would have to re-record because there is no way to start/stop the dictation to transcribe live.  The quality of the dictation would not be as good as a land line or digital or whatever.   When you have unlimited service, it usually doesn't include unlimited data transfer so would not be feasible for downloading consistently.  


Just not a good idea any way you look at it, especially if this is your primary source of obtaining work. 


But I didn't think wireless was secure?
Just a long cable to my modem strung through the kitchen window.  LOL  Hubby wants to put a phone jack outside for me, but this is fine.
f-secure is also free and good....nm
x
I have a secure wireless router and
broadband service.  I use wav files so I'm not connected to a phone line.   being wireless, you're going to still be restricted to the signal strength anywhere you go kind of like using a cell phone but if you have a broadband connection on that mountain top with a wireless router connected to it, then your signal is coming from the router and not a tower that will have interference from trees, mountains etc.
Good secure FTP site.... sm
I just got overflow work from a local hospital and I am trying to get started as soon as possible.  I have done searches on this site, but wanted to know if anybody could recommended a secure, HIPAA-compliant FTP site that won't charge much as this is my first account and I have almost no start-up cash.  Any information would be helpful to me.  TIA.
You can secure wireless networks,
Making it necessary to put in a password to access it. That'll take care of the moochers!
Are you talking about a Secure Certificate?
I'm not sure if that is the same thing as an e-signature? Perhaps you mean encryption. I'm not sure why you would need to supply a secure certificate to send files to a client; encryption 128-bit encryption should be find; 256-bit even better.
Secure documentation transfer

Hi, I'm a medical transcriptionist/medical information technologist of a small MTSO called ScriptExcellence. I use "ScriptWave" for my workflow management/secure data transmission between the clients and myself and my subcontracted transcriptionists. The program was designed by my program developer brother, and my service has used it for two years with great success and low cost. If you'd like more information, check out the site at www.scriptwave.net. Best wishes to you!


secure documentation transfer

Congrats on getting the docs to move to digital! I'm a medical transcriptionist/medical information technologist of a small MTSO called ScriptExcellence. I use "ScriptWave" for my workflow management/secure data transmission between the clients and myself and my subcontracted transcriptionists. The program was designed by my program developer brother, and my service has used it for two years with great success and low cost. If you'd like more information, check out the site at www.scriptwave.net. Best wishes to you!


VPN or secure file transfer
Are all VPN's secure? If not, which ones are? I need to purchase one soon.
Secure file transfer......(sm)
I've heard of several people using FilePhile for secure file transfers, although I have no personal experience with it. It's supposed to be free, easy, and HIPAA compliant.

http://www.filephile.net/index.php
What was the concern regarding Transform??
\
Overhiring is becoming a big concern.
Frequently, we are asked to get off the account we are working on as there is not enough work to go around, but this is sporadic, yet has been happening a lot lately so I suspect overhiring. If this continues, I may have to find another job, which is a shame because they are good person there but that will not pay my bills.
I think your concern is well founded. sm
I am looking to start re-schooling in the next year to get into a profession that cannot be offshored. Globalism is here to stay, and all jobs that can be used to extend corporation control into the global society will do just that. No sense not paying attention to the handwriting on the wall.

If benefits are a concern...
I would just find an job working from home that offers benefits. My job allows me to make money by the line, and also as long as I work full time, I get benefits. As the other poster, I too like being able to work from home and not deal with traffic getting to work, gas, work clothes, eating out, putting children in childcare, etc. It saves me so much money this way.

Also, I have been doing this for six years, and I haven't known any of the doctors personally.
Benefits are a concern. I am currently
working as an IC, and I am sick of the tax stuff - really wondering if I come out ahead to be honest working that way.  I definitely want benefits and have a prospective company interested in hiring me that offers benefits.  I have always known the doctors I have worked for.  I guess it's sort of a new working situation for me not to know the person I am typing for.  I don't know if I would miss that.  Do you find it hard to deal with a company who is across country that you can't just drive to at a moment's notice if you have a problem and can't communicate by phone or email with anyone?
Please take this as intended; as concern
Hair colorants can be quite toxic; you may want to research here. I have no affiliation with this site other than I wish to be an educated consumer and I am concerned about what I put in and on my body. Not trying to be preachy. Good luck to you.

http://www.ewg.org/reports/skindeep2/index.php
I understand your concern....
Sheri would like you guys to know this: When the site goes down and is replaced with old posts, then you will know it has been taken over. Please know she is working to get a new site at mtstars.net and it will be working as soon as possible. I do not work for MTStars and am just a poster but know what cybersquatting is. This is real. Be aware that a person has taken hostage the *domain name* for money (extortion) and if she doesn't comply in 12-24 hours, he will take over the site. This is real!
My concern about newbies getting a job -

In response to a previous post on newbies finding a job - I've been typing for almost 15 years and was lucky enough to "learn the right way" from a great mentor, learning all specialties.  Editing speech rec jobs is relatively easy when you have the background in all specialties like "us old folks".


At least for right now, I believe speech rec is only as good as the experienced Editor behind it to eyeball and correct any errors.  I hate to admit it, but speech rec has made dramatic improvements in its accuracy over the last few years.  It's here to stay, it's improving - and surprisingly, the people I work with really enjoy editing.


My concern though is when the old folks like me in the field retire, and many of us are getting close.  Newbies need the opportunity to get in the door and gain their experience in all specialties to take over as the older folks leave the field.  There needs to be mentors to continue to be available to these newbies to guide them along the way.  There are good schools out there, but to "learn it all" you really need to be actively working in the field on a job that gives the opportunity to learn all specialties.


This is my concern as speech recognition becomes more and more successful.  We will continue to need quality, seasoned transcriptionists to become quality, well rounded editors in the future. 


I've taught completely green people transcription, and I've taken newbies in and guided them along the way.  It is satisfying for me because someone took me green 15 years ago and gave me this opportunity, and for that I am eternally grateful.  Putting 3 kids through college was a lot easier thanks to my full time job and another part time job I had. 


Best of luck to all you newbies out there - if you can get your foot in the door at a local hospital, even working in house to start, its a good place to begin.  Gain all the experience you can.  I'm not sure working for these big shlock houses, the nationwide transcription companies, is the best place to start - it can be frustrating when you're given all the ESL docs and junk work and try to plug through it. 


Good luck newbies - keep on pluggin.  


 


Hear your concern about
the line situation. I use ShortHand and have shortcuts up the kazoo. The only thing Shorthand does for me is save my fingers and hands as I don't see a huge difference in my lines.

In fact since I have gotten really proficient with my macros, my lines in fact have gone down or stayed the same. I thought it was supposed to be a line booster. One can only go so fast and still maintain accuracy and fill in blanks along the way.

Makes ya wonder what is going on with that?
Need names of good, secure, FTP sites - sm

that are easy to use and access.  Have a doctor's office that will be sending me digital voice files in the next couple of weeks and need to switch them over easily to a new "system".  I prefer FTP though since I only have dial-up and I am used to using it with another job. Any preferences out there? Thanks.


The gov. doesn't care one jot about secure records!
.
Use a secure method of transferring files.

Encrypted email for delivery of completed documents works, but voice files may be too large for that method. A secure FTP site, either your own or through a commerical provider such as mydoconline.com or ftptogo.com, would work for both documents and voice files. You may need an FTP program, but there are lots of free ones out there, like filezilla.com, which is what I use.


secure documentation transfer without an MTSO

Hi, I'm a medical transcriptionist/medical information technologist of a small MTSO called ScriptExcellence. I use "ScriptWave" for my workflow management/secure data transmission between the clients and myself and my subcontracted transcriptionists. The program was designed by my program developer brother, and my service has used it for two years with great success and low cost. It would be an easy way for you to securely transfer audio files/transcribed reports without using an MTSO. If you'd like more information, check out the site at www.scriptwave.net. Best wishes to you!


Need to set up FTP - Secure site recommendations / cost ??
I need to use a secure FTP to transfer medical files.  Is anyone using a particular FTP that they like.  What is cost associated with this.  Any info appreciated.  Thanks.
Not a problem if working on secure server
My company uploads/downloads work from a secure server, not an open Internet connection (as in web browser). Work does not travel over Internet, but directly from me to server to client and vice versa. Records are not kept on my computer, but the server. If that is the case with your setup, I'd think it would not matter if you are typing in New York or Timbuktu.
I can understand that concern. To be honest, I believe
that there will still be lots of opportunity for overtime.

There's going to be a few months of transition and, with any luck, the unhappy MTs will leave and that situation, coupled with constant new accounts coming on board, will generate more work than you're thinking about right now. It will have to be done, period.

There may be some occasions where overtime isn't as readily available but I expect that we will have plenty of times where we have some offer of overtime.

That's my speculation, at least.

yeah, but since capitation, sorry, but how much concern is there
for the patient? Just big business, like Walmart. Push people in, push them out, cut services...

Hospitals now want everything for nothing, and do not want to pay for it, as evidenced by the complete explosion of outsourcing...
Thanks. That is encouraging. My biggest concern is
visiting family at holidays and other times.  Do you bring some of your own food or just pick and choose from what is offered?  Or do you go "off the lifestyle" and then make up for the damage later? 
Bigger concern is your husband!!
Aside from the fact that your husband's friend is a jerk, what is your husband saying about the fact that he will not give you this female's phone # so you can call her back and let her hear a piece of reality here!! It's as if your hubby is saying this is a game here and it's "okay". Does the fact that this lady called him give him some kind of a charge, a little excitement for him? I would question his ethics first, after all, if he's willing to keep this number from you, what else would he think is none of your business? Sorry, but that's the bigger problem.
my concern with VOIP with a C-phone is
how is the voice quality? I would be interested in something like Vonage as I can take that with me and travel.
Thanks for your concern - no internet newbie here
What personal information? MT Registry only requires an e-mail address to register - no other information is required.
The e-mail address I use for any site can easily be dumped. Anybody buying gmail, hotmail or yahoo addresses is wasting their money.

First we have the conspiracy theorist and now a patronizing man acting like all the little women don't know how to protect themselves on the internet.
Yes, Yes! Sue the OWNER of the plastic pool because they did not secure it properly. Now it was a
deadly object due to THEIR negligence! Just think of the $$$. 
Trusting the other side was his biggest mistake. He should have kept himself secure.
x
I use Filezilla FTP software to send via secure FTP site.

There are lots of free FTP programs available.


I actually am on my way out the door, thanks for your concern! but the situation will not change
x
The trees are the main concern in a hurricane (sm)
the lake didn't even get close to the house during that supposed "100-year flood" in 1993 (not allison, the other one).  We went to the other side of Houston for Rita, came back the next day.  It was a mess with limbs all over but no trees down on our property.  Next-door neighbor had 3 down.  We've decided for the next one, we will stay in the garage and hope no trees fall on the house.
Take concern/questions to MTSO. Ask how line

you are being paid correctly at a certain line rate but if she cannot SHOW you how those figures are arrived at, I would be very leery that she is being less than honest with me.  If she knows exactly how she is figuring lines to pay you, she should be able to demonstrate to you how figures are arrived at.