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Worker's Comp can be so complicated, and documentation is everything.....

Posted By: BWC MT on 2006-07-19
In Reply to: Workers' Compensation and the ER - medicolegal transcriptionist

The other complicated issue with this situation is the fact that many physicians are no longer taking on Worker's Comp cases, in new or well established patients, because of the complicated criteria for correct documentation and the long wait on overdue payment from BWC. In my area, several physicians have thrown in the towel with WC cases and no longer handle them. The patients are referred to Occupational Health Services in most cases, or told to go to Fast Track (ER service) for immediate treatment and documentation that is relevant to the injury. It is good if your family physician does accept WC cases. It is also good that he has decided to return the money to his employer and return to the doctor's office and treat the injury as it is, as a work related injury. In a situation like this, Documentation is everything, so the sooner he gets back to the doctor- the Better! Hope all goes well for him.


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worker's comp
Yes you get seen, tell the Doctor/hospital it is a worker's compensation case, they send the bill to the boss, but sometimes the bosses don't like the fact that their premiums may go up because of cases filed against them. This happened to my son, boss made him feel it was his fault for getting hurt on the job, cried about it, then changed his mind and my son told them at the hospital he got hurt on the job but the boss still has not signed the paperwork, so it is now in collection agency and have to straighten out the bill for x-rays and being seen in the ER. My son broke a finger in his left hand, no big deal, but his boss sure made him feel guilty about filing a claim. My son does not work for this company anymore which is a good thing. Of course giving your husband 100.00 is sure way of telling that something is wrong with his boss, maybe too many claims or maybe he is just afraid his premium will go up.
worker's comp
Do not quote me on this, but to my understanding if you are an actual employee and they take taxes out, then yes, worker's comp should cover.  If you are an independent contractor, then no. 
not eligible for worker's comp

unless you are an employee. ICs are not eligible for worker's comp or unemployment. ICs are expected to carry their own private disability - like AFLAC, etc. - like we can afford that.


Hate to be a downer, just didn't want you to get your hopes up on that one. Sorry to hear about your wrist. Not a good way to start the year. I would check with local assistance office.


Worker's Comp Reports
 Hi everyone...I just started typing worker's compensation reports (initials, fu,supps) as well as EMG/NCV reports and PI. What is the charge in the industry? I am hearing anywhere from $7.00/page to 1.35 per audio minute. Most reports are from 7 minutes to 15 minutes so per the inute does not seem right. Anyone out there type medical/legal reports??

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It's not complicated at all....
Down here in Mobile Alabama, we make Princess cake all the time. All ya do is go to Winn Dixie or Piggly Wigly and get an angel food cake. Bring it home, upwrap it, set it on a plate, and get one of those plastic tiaras you get at you local dollar store for 25 cents and set it atop.  Viola!  You got real, live, princess cake! 
It is a bit complicated. sm
They pulled my pay from me---lowered it to their beginning level and I just feel that is why they are trying to get rid of me.  So why don't they just fire me?  They took away one particular job type, which is something I do for another company all day long.  So it was a bogus reason.  Truthfully I think they are trying to cut corners money-wise but I sit and wonder sometimes if they want me to quit.  Just don't know but thanks for the information.
Do you know the song, Complicated?
Hope this works ----
Both are complicated and have their own languaged. sm
If you are good MT and have reference materials, neither are very difficult.
It's actually a very complicated question. sm
Most places I have been an employee, they expect you to work the full time, whatever it is. Since you are usually not hourly, the only benefit to working extra lines above required is the extra money you make. I think some places have tiers that raise your line rate or give a bonus for above a certain amount. For myself, I have found that if I must work 8 hours, I have to slow down because I wear out. I actually produce as much in 6 as I do in 8.

Does anyone else have another explanation?
If when you say "less complicated" you mean easier...
Derm. 
YES, if the pregnancy or delivery was complicated...nm
nm
thanks so much! i felt dumb, LOL. Definitely sounds complicated, but will be trying out how many l
'
These sites look great, didn't realize how complicated.

I totally agree. Operative notes are more complicated and should be
paid at a higher rate. I know it takes me longer to do them because so many different surgical pieces of equipment can be used etc.  Anatomy has never been a problem but mainly the different surgical equipment items. I would love to find a job that offered me more. I just dont know where they are.  
Where exactly is your documentation

I say keep documentation from your
boss stating you are to leave this off your log. Otherwise, you might be fired for putting it even when she/he told you to. Doctor's are the biggest babies!!
Really?! Is there some sort of documentation...
we can access to confirm that?  That's just far out.  Ever been in the lunch line in the hospital cafeteria with doctors discussing cases while waiting for the fricassee to be dished out?  What about these third-world countries where the work is being outsourced...they have 2 generations living in the same abode--think there's any privacy screening or dedicated office there?!  Sounds like bureaucratic bull poopie to me.  Kind of like asking "how old are you and do you have kids" without asking.  I'd take a picture of me at a nice fancy-pants office set up at Staples just out of spite if I was asked such a thing.  How the heck do you prove something like that unless you make a home visit?!  Somethin' just don't jive there is all I'm sayin'.
Please provide documentation. Thanks

Is the em dat (?) program user friendly - can you make lines - complicated to learn?nm

nm


Feedback on SPI Healthcare Documentation

Does anybody know anything good or bad about this company?  I am looking for a good MT employment position, and I have been burned before (by Voice Systems--they don't pay!). 


SPI Healthcare Documentation
Contact: Barb Batchelder
417 Welshwood Drive, Suite 201, Nashville, Tennessee 37211
SPI_MTUS@spitech.com
Telephone: 866-624-7672, Fax: 615-301-8423


Sorry. That just is not true. Or if it is, please show me documentation. nm
x
be armed with knowledge and documentation
Along with sending all employees W2s, a copy of every employee's W2 is transmitted along with a W3 with the totals of FICA/MED and Fed taxes.

The problem probably arises from what was sent in to IRS and Social Security that raised a flag. I really don't think that the SE part set off the flag. MQ might have tried to do a switch-a-roo and sent in a 1099 with the transmission. After you go in for the examination, this will probably clear it up. When I was with MQ, they sent me a W2 and a 1099, and was always leery of this but never had a problem. I left them in 2000 because of lack of work but always wondered about the dual reporting.
Just fax Admin proof, your documentation, that
x
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!


Association for Healthcare Documentation
"As a patient, I worry less about WHERE my records are being transcribed, and more about WHO is doing the transcription. I would opt for a qualified CMT in India handling my records over an unqualified individual transcribing from their dining room table with little experience and no security - where anyone could walk into their "home office" and access my information."

That's a laugh. She'd rather have a "qualified CMT in India" (where there is no HIPAA or anything like it) than an "unqualified individual transcribing from their dining room table..." Why am I supposed to assume that this picture of a dining room slacker is the opposite of an Indian MT?

How about another option, Ms. Fox: (Lemme guess: Karen Fox???) How about entrusting your records to a highly qualified American MT with professional standards & work ethic & who would do her/his best to protect the confidentiality of your records even if there were no laws against doing so, whose native language is American English, but who hasn't bothered to take some bogus test thought up by the chicks in Modesto to fund themselves, self-appointed guardians of all things MT? Now there's a novel idea.

Apparently she hasn't read the publication
http://mtindia.info/news/latest/heartland-information-services-spryance-inc.-merge.html

which would beg to differ with her contention that Indian MTs don't get any special pricing.

Well heck. My workload was cut to less than half after the hospital I work for began offshoring to people AHDI credentialed, people who have a cost of living that is a small fraction of mine & who can do the work I do for a small fraction of what I can do it for. I feel so much better knowing that at least they don't get a lapel pin.
Workers' comp for IC? Where to get?
I am an IC and have just been told I need to have WC Insurance. Where do I get it? Thanks for your help. suzq
Any MTs out there w/Workers' Comp. (sm)
eval transcription experience in Ortho, Neurology and/or Neurosurgery?   How many years' experience do you have, and for which state?  I'm wondering if it's a hard transition for someone with non-Workers' Comp Rad experience to transition to Ortho, etc. in WC.
Workman's Comp
The company I work for also was audited and they require their IC MTs to have Workman's Comp insurance.  Mine costs around $400.00.  I really like this company, so I bought the insurance.  It is really ridiculous because you have no employees and I had to exclude myself from the insurance policy as well. 
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!


additionally, ask, as well as receive, written documentation.
.
Association for Healthcare Documentation in India
Good for you for helping her make an INFORMED decision before taking the CMT exam. I can't imagine anyone knowing the full scope of AHDI's nefarious practices still wanting to take their exam.
I was a workers' comp historian in a
hand surgeon's office for two years. He and the hand therapist always said that regular breaks from the keyboard were important to prevent overuse injuries. I saw many cases of permanent disability in computer users who overdid it, and it's not worth it.
Workers' comp can be interesting
depending on the doctor's speciality, but you could get bored very quickly if it's orthopedics. However, you'll never know if they don't send you any work. I would start looking again. Good luck.
copying macros to other comp

 


this is for MS word.   copy normal.dot both from template folder and office folder and paste it to new computer at the same respective places, i.e. copied from template would be pasted to template folder of new computer and so on.


IC Workers Comp Ins. Required?
thought i posted this earlier, cant find it, sorry if its redundant.  Im an IC, have been for 8+ years with the same company in MASS.  I live in WV.  I was contacted last week and was told that the company had been audited and all IC's were required to have Workers Comp insurance.  the policy costs $655 a year.  anyone have this same requirement?  I have other insurance, Aetna major medical, additional accidental death and dismemberment, long-term disability through my husband's employer, AEP.  So, is it necessary for me to carry comp ins? 
Workers' comp insurance for IC

Does anyone know if there is a law in NY state that you have to have Workers' comp insurance as an IC?  I was told by one company that you do and they will not hire me until I have the insurance, but I also saw on this website


http://www.ins.state.ny.us/ogco2005/rg050315.htm that you only need insurance if you have employees, which I do not.  They company says that is incorrect.  Anyone have any idea?

 

Thanks

Yeah, comp time!
I used to deliberately work in the middle of the night when I couldn't sleep because it was an extra $2 per hour plus production incentive. Those were the days. We also got quarterly bonuses if the hospital transcription stayed within TAT and accuracy was 98% or better.
Association for Healthcare Documentation Integrity (AHDI)
nm
It's Workers' Comp - they changed it about five years ago, maybe more nm
:
I use a wireless router and use 3 comp on mine
nm
Lots of psych, comp & pen reports, sm
Urology, domiciliary notes, general surgery, clinic notes, etc. I didn't think it was too bad at all. I liked the long comp & pen notes myself. The psych ones in particular would be 20-30 minutes of dictation on average for me. Some days I'd get slugged with them, but I certainly didn't get them daily.
with such great documentation, it sounds to me like you should be able to call the labor board
or at least unemployment...it is something you really should consider. there are civil service jobs, if you do not want to work at home, and you can get help finding a job that way.

this is what is needed when going to the labor board so they get a clear-cut look at what is happening in this business.

just because it saves a buck, should not mean employees should be able to be treated like dirt...

you have been pushed out of your job, sounds like, and that at least qualifies for unemployment.

believe me, any other job you find out there will be almost the same, but you could collect some money while you look for something with the same pay, am I correct?

SE or not, too, you have lost YOUR LIVELIHOOD. what do people think, like okay you have no way to make a living now...
Evil Co-Worker
Anyone else have an evil co-worker or two?  I work at home but there's always one that still manages to find me.  I would ilke to slap this current one if I could reach her through my computer.  She thinks she's my supervisor.  I try to be respectful and polite, but that's not working.  All my other co-workers are wonderful.   I can't find anything in the company handbook about slapping not being appropriate, so that's my next plan of action.  I just have to figure out a way to do that through cyberspace.
Evil Co-Worker
I agree! Give her enough rope and evenutally she will hang herself. You are so not alone. I had to deal with one of these types for nearly 2 years. I would be trying to get my work done on my account and her IMs were poping up left and right. I even had my "Busy Working" sign up! She never did her work -- waited until the last minute. Most times I ended up doing her share because of it. Unfortunately, no one in charge seemed to notice or just did not care since I was picking up what she lacked. The money was good because I was getting a ton of extra lines, but it was killing me and destroying my marriage. She would go on and on about her family all the time. Like I cared! Her kids were sick every other day. She always had an excuse why she didn't get her work done. The kicker? Once I had to do her work last minute about an hour or so before it was all due -- I am pounding away on my keyboard she Knows I am doing her work! The IMs pop up telling me how she is helping her sister write a resume! Hello! She should have been doing her own work or at the very least leaving me alone so I could do it for her. I would type my buttock off to have an evening free -- guess what? She would suddenly have some sort of problem as soon as she saw my work was finished and she would then be unable to do her own. Guess what came next? Yep -- I got stuck working while she got away with it. I swear it was like she was stalking me on-line. Don't know how she knew, but seemed like the second I got up to use the bathroom or went to the kitchen for a soda the IMs would bing. Just the memories still drive me crazy. I can relate. It's not a fun club to belong to.
I have never seen a harder worker than
my husband and he can do 2500 tops.  He used to QA between 4500 and 5000 daily - so he can really move through reports once he learns the doctor, their style of dictation, etc.  I'm on my second VR account and I'm embarrassed to tell you what I can do - I think 600 yesterday? I am dead serious.  It is a whole 'nother skill....
A co-worker I once had said that back in the
working at a medical facility, that's how the MTs there normally worked. They sat in the office with the doc and typed the report as he dictated it. Talk about pressure to perform! (But I'll bet when the docs had the MT sitting in their office, their dictation was less sloppy, too!)
Thanks..school wont give another copy since I am graduated now...also went to a whole new comp, sm
not just an upgrade. Could not pull the free program off the old one. thanks anyway. Just looking to get by on something inexpensive until I get some $$$ coming in.
I use Oriental Trading Comp. too, but I am crunched for time since other mom backed out on me! Thank
/
Yes, it's Independent Medical which are normally work comp related and Looooooong...
but very interesting.
A co-worker of my niece took in a family
When she went to work, they cleaned her out, including her kitchen utensils!!!