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Serving Over 20,000 US Medical Transcriptionists

Watch for HIPAA requirements!

Posted By: clhmt on 2007-01-05
In Reply to: Digital - KH

I've just begun investigating this a bit myself. Files must be encrypted in specific manner, and/or a housed on a secure FTP server set up in order to be in compliance with HIPAA regulations.

Something to be aware of beyond just creation of the files.


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LOVE ER!!! I watch the re-runs every day, and watch the new ones on Thursday night!!
/
mq requirements
Part timers are supposed to do 4,000 lines/per week, 8,000/two weeks..Full timers 6,000/week, 12,000/per two weeks.
mq requirements
I was told by my TC, 8,000/pay period for part time.
me too with the requirements sm
of 20 years experience at least 45 years old and over!  (Acute care of course with all the junk that goes with it)
There are no age requirements for teachers
You are never too old to further your education. I know seniors who take college courses for self-improvement. My daughter will graduate in 9 months to be a teacher and she is 37. Teachers are high in demand. There is such a shortage, but don't go into it just for the money. If you do, you will be a crappy teacher.
different accounts, different requirements, but...
some things you probably should have available are MS Word, a wav player and foot pedal, and WinZip in case you need to unzip or zip files.
Line Requirements
Could those of you who are paid twice a month tell me what your line requirements are per pay period? I am wondering if 15,000 lines per pay period is around the average amount. TIA!
Not exactly right. If you WANT THE JOB, you'll fulfill their requirements. nm
x
if i make production requirements only
which is 1200 lines a day...it is about 2100 from the national, and then the local i pull about 500 to 1000 a month depending,

suffice it to say, however, that i have been withthe national for a month, and have not managed to get my lines in yet...though i had a bad run with mono int he middle of that.

I have been at this for 7 years, and can on a good day do upwards of 300 lines an hour, on a slow day..heh..you get the idea...

right now i am averaging about 2200 a month between the two jobs
Have 3 years to meet all the CE requirements.

QA stems from regulatory requirements
All hospitals are required to meet quality standards in order to maintain their accreditation status. There are QA reviews for the hospital as a whole, for each department, and for each function. It filters down level by level.

In the case of MTSOs, they have to meet the quality standards of their clients in order to stay in business.

It's not anything intended to harass employees, but to improve patient care.

And, yes, doctors are QA'd, but they're QA'd on the basis of their patient care. The quality of their medical record documentation does feed into that, but on a higher level than spelling and punctuation.


Poll on editing line requirements
I would like to know your line requirements per shift.  Please indicate whether this is production based on hourly or based on cpl.  Thanks!
check state certification requirements

Make sure you check not only how much a program may cost you, but what your state requirements are. I'm in Utah and we are required to pass a state exam to be licensed to practice. There is also a national exam that is supposedly good if you take it, but is get pricey. I took the course locally with a program that included an internship. I personally found the career boring and it didn't pay well enough for me to pursue it, but every state has different pay scales so check into it.


You should have a leg up because you do have to learn and memorize a lot of drug names and what they are for. Also, make sure your basic math skills are good. Mine stunk, so make sure you can remember how to add, subtract, multiply, and divide fractions and decimals. Good luck!!!


Minimum wage requirements when there's no work, perhaps?
Looks like the Q is having to pony up minimum wage to a lot of MTs when there is NJA and this, I believe, is the highest in CA. Interestingly, CA-based employees of the Q seem to get NJA less frequently than other regions.

It all depends on what state you live in and what their laws and requirements are. Check with your
x
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.


It's HIPAA
It's HIPAA, not HIPPA, and the provisions are only enforceable within the US.

There are free HIPAA courses online; you don't have to become certified, just become familiar with it so your work area, computer, etc. are compliant. Should be mandatory learning for all MTs.
it's HIPAA, not HIPPA. nm
x
HIPAA Compliance ?
Does anyone have any knowledge about a US MT typing from home and any HIPAA compliance violations if this MT also types from a 2nd residence in a different state for part of the year?
HIPAA response
HIPAA has more to do with the confidentiality of a patient's information. It has nothing to do with what residence you transcribe from, as long as you maintain the confidentiality of the patient's information. The company you work for may have some sort of requirement that you notify them if you'll be working from a location other than the location that they have on record for you.
Is it HIPAA compliant?
That certainly does sound like a great solution! You are right, I would probably want them to zip their files anyway since I have only dial-up available to me at home and would need it at a CG if I ever get to that point in my life.

Thank you for your feedback. It is sincerely appreciated.
HIPAA rules
A lot of the national transcription services have many accounts where the hospitals/docs still want the name of the patient in the body of the report and do not want "the patient" in the body of the report. So the facilities still respect what the doctors want.
It's HIPAA and you pronounce it hip-uh.
l
By the waq, it should be brEAch of HIPAA. nm
nm
HIPAA at the Hosptial

Was at the hospital yesterday for some radiology testing. To summon me from the waiting area (full of other patients), the person who does the registrations used my first and LAST NAME! Bleah!


Then, after I was registered and back in the waiting area, another patient entered, sat beside me, and said "So, you're here for the same thing I am--I heard you mention it when you were being registered. I was in the next cubicle."


Shortly after this a different hospital employee summoned another patient from the waiting area using first AND LAST NAME! EEEK!


What on Earth ever happened to the HIPAA regulations? HIPAA applies to the hospital setting, right?


Any suggestions?


HIPAA is a joke
as long as these private records continue to travel overseas beyond the reach of the long arm of U.S. courts and law enforcement.
It's not a HIPAA violation for sure. Can you
have the account use digital recorders that are uploaded to your FTP site? Bypass the TASP entirely. Or if you are the only transcriptionist, you can use Bytescribe's E-shuttle. Check it out at bytescribe.com
Ack, misspelled HIPAA!
I really do know how to spell HIPAA correctly, except when I'm being an airhead, sheesh!
HIPAA and Outsourcing

How can outsourcing to an offshore company, where a patient's sensitive personal and medical information is concerned, be HIPAA complient?  Shouldn't we as patients have the right to know if our medical info and personal data are being sent via the Internet to a foreign country?  Shouldn't we as patients be asked to sign a release/agreement to such a practice, notifiying us of this?  I have never asked my doctor/hospital if they outsourced to offshore companies...but I will now.  Wonder if I'll get a truthful answer. 


According to HIPAA, SS# are not to be on reports.
p
SSN is not a HIPAA issue here
HIPAA, health information, SSN is not health information, no way relates. SSN would be a schools way to verify date of birth and U.S. citizenship.
The joys of HIPAA
Or you could just activate a password-protected screen saver on the machine any time you needed to take a BR break and there was anyone with a 5-county radius of wherever your machine was.  Even the hospitals do that.  I have to laugh at HIPAA sometimes.  They're so worried someone might find out someone else has hemorrhoids, when most of the violations actually prosecuted that I've seen have involved hospital employees who had a legitimate right to see the patient demographics but used their position to perpetrate identity theft.  Hey, if somebody is dying of cancer, they might be dead before anyone notices the unauthorized spending spree.
HIPAA is a joke
Sorry, but I edit reports for a large department in a major medical center that are all transcribed, you guessed it, overseas. Names, medical record numbers, Social Security numbers, etc., etc., are ALL included. Nobody truly follows HIPAA where I work. I even had to bring a shredder in from home to shred patient info sheets sent to me from the doctors' offices. Not only that, but patient letters WITH identifying information are e-mailed back and forth all the time without encryption. Until HIPAA is actually enforced by anybody, I'm afraid nothing will ever change.
HIPAA compliance
I am thinking about trying to get my own accounts and am trying to plan for all types of scenarios.  For various reasons, I am not able to pick up and drop off tapes.  Obviously, digital would be the best way to go.  However, if a doctor absolutely wanted to use tapes, would it be a HIPAA violation to ship the tapes certified (requiring signature) via USPS or UPS?  What about the completed reports?  I had two physicians in the past who refused to go digital and I ended up having to stop working for them because it was becoming increasingly difficult to pick up and drop off tapes.  What are your thoughts?  TIA.
A DB does not violate HIPAA

Contrary to what you may have heard, the HIPAA regulations of 2003 address the medical transcription field only in passing. There is no extended discussion of the transcription field. On reading the entire thing, the (few) mentions of medical transcription appear almost as after-thoughts.


What those regulations state concerning medical transcription is that the Transcriptionist (or the MTSO) must take reasonable care (their terminology) in safeguarding the confidentiality of the records.


This has been interpreted by the leaders in the medical transcription field to mean:


1) The MT's computer is safeguarded so that unauthorized persons don't have access to her files.
2) Any electronic communication of those records is done in a secure fashion.


Now, I am fully aware that some MTSOs do not allow the completed report to remain on the MTs computer. That is their right. But to hear them state that such is a requirement of HIPAA is wrong. It is not. It is a requirement of THEIR implementation of HIPAA, not a requirement of HIPAA.


For an MT to have a database of the patients she transcribes is completely within HIPAA. However, she must ensure that others do not have access to her computer / files. That is HIPAA.


Merrry Christmas,


Vann Joe


Why surprised? Have said all along HIPAA is a
x
Violating HIPAA?

You're not serious are you?  There is no HIPAA violation at the eye doctor.  When you go to the eye doctor everyone knows you have bad eyes.  Do you wear glasses?  Are you hiding the fact that you can't see?  Please!  It isn't like sitting in a doctors office when no one knows what is wrong with you.  You're a joke!  Get a life!  You're the reason everything costs so darn much.  The rest of us have to pay the docs insurance because of morons like you.  I cannot even believe you would post such nonsense.


Everything you wanted to know about HIPAA
See link below, & especially important are the "HIPAA Regulations & Standards" links.

Happy reading.
This is HIPAA compliant? nm
nm
opps sorry, HIPAA
Sorry
HIPAA no-no today

I went to one of the many Quest Diagnostics labs today for routine labs.  There was a clipboard, where everyone signed in.  While it didn't matter to me based on the work we do, it did jump out at me.  The lady who was working in the front was maybe also a phlebotomist (maybe they've had lay-offs, too?), but it just dawned on me that they didn't secure our names.  I was about #10 on the list, so all the names above mine were right there.  In fact, I thought I saw one of our State Reps. in there until he looked up, and I knew it wasn't him.


Anyone else notice this stuff?  Just curious, that's all.