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Serving Over 20,000 US Medical Transcriptionists

the facilities are supposed to "self report" violations -

Posted By: Amanda on 2008-09-28
In Reply to: well, if not hippa police to enforce - quite useless. huge waste. - mtmame

when I worked inhouse it was explained to us that we were supposed to "self report" to the powers when we did something wrong and would then be fined for it. Who in the heck is going to do that?


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You can't bank "self-esteem" and if she wants to cut her losses, give it up.
Besides that, you take this to any court, small claims for instance, they can award you the money, but the court does not collect it. It's up to you. So you lost time on the work. Then you lose time in small claims but woo-hoo you win. Then prepare to waste more time collecting the debt small claims said is owed you.

What is your time worth. Mine is worth about 25-30 dollars an hour. I don't have the time or money to devote to chasing down a bad debt. I LOSE AGAIN. Self-esteem? I have self-esteem with or without a company not paying me.
Pay for HIPPA violations
I'm not certain who gets charged where transcription is concerned  - but the physician office gets hit with it for their office personnel.  I have a standing monthly appointment with a physician and I got so tired of them calling my name with a waiting room full of people that I first complained to the office manager - and then when that didn't work - went to HIPPA.  The next month - they were using a numbering system - sort of like at the ice cream store or the court house - you know, now serving #-whatever.  They have a piece of tape placed on the floor and you must stand behind it while another person is at the check-in counter, and they do not use your name until you are in a closed examing room.  I think that if HIPPA is to be taken seriously, then steps need to be taken to make sure that it is adhered to, even if it does mean making changes in office procedures, etc. 
I know of a company with MANY HIPAA violations.

Where do I go to report this?


They are all correct style and grammar rules. More concerning are the gross HIPPA violations sm
that you admit to. No MT should EVER go into another medical record to "check" on things.

The emails are not petty; the service obviously wants good quality and it is NONE OF YOUR BUSINESS WHAT OTHERS DO. Hold yourself to the highest standard and you will never have an issue.
The facilities have not...
been deceived.  You have been deceived.  You are certainly free to notify whomever you'd like, but do not be surprised if you do not achieve the results you expected.
Do they offer anything besides VA facilities now? nm
s
99% of time, what facilities want has nothing to
x
There will always be those niche facilities who want quality
p
Dont agree. I think there will always be those facilities/Drs
uio
We are not talking about naming facilities that
x
Maybe facilities use to dealing with employees
x
Maybe doctors don't, but most acute care facilities do.
x
By 2012, the Bush Admin wants all facilities EMR.
This won't happen, but it is the goal. Some doctors will still use transcriptionists to enter the info, but I'm guessing the job description will be changed to Medical Data Entry Person, not require any special skills, and be minimum wage--not that I'm pessimistic or anything.

Some will do it themselves, and some will resist until the very end and beyond, but these guys are probably still hand writing their notes, so that doesn't help us. lol!
Wow, I didn't know that. Both local docs/facilities and (m)
nationals that I work for have never asked about schooling. So IOW, if you don't have the experience, some may hired based on the education? I've only ever known of companies to hire if you have X amount of experience and they didn't care about your education. Good to know. I was wondering how to steer this friend, but looks like maybe she's doing the right thing going with CS?
Bucks stop at facilities who pay for MT service.
x
Oncology and some specialty AIDS facilities can be TOUGH.
nm
I have an idea...we can picket those facilities who use companies that offshore. sm
Every patient going in and coming out of that hospital/facility will know their private medical record is going offshore to be transcribed and therefore, there is risk of identity theft, lack of privacy, etc Just like those for ProLife and the like.

I think that will bring attention to the matter!

I know a huge hospital system in my town outsources their TX to MQ, who is now CBay, and now everything will be offshore. I think I will make my point and concerns when I have picket signs outside the President's window in a public area, so as not to be trespassing.

Free Speech in America.....right!!!
Nursing homes/care facilities aren't all they are cracked up to be (sm)
I have a sibling who just lost their spouse. Every time the spouse was in the nursing home, they became ill to the point of needing hospitalization. Dehydration? They weren't giving the poor thing fluids!!! Kidneys shut down and then they died.

I think I'd rather die before being put into a nursing home and I think I will add that to my advanced directives living will.
You do not need the 1099. You just need to report the income. Report the company/person ...sm
to the IRS for not sending out the 1099. 
AMs should not pass on info from facilities only makes that mt more nervous and more prone to errors
;
I charge the same amount for a "normal" report as for any other report.
You still have to listen to the dictation and change anything that's different.  I had one woman try to pull this on me.  She'd dictate, "Just pull up my normal, but change this, change that, switch that around, move that, add this, delete that, and change the other."  Then she'd only want to pay me what equated to $.03 per line.  She wanted 1:1 on her dictation to transcription ratios.  I told her to take her cheap account down the road because I'm worth more than that.
Oh, a report just came in. A report actually just slid in, can you believe it. Hip Hip Hooray. I

had better get that sucker typed before it gets out of ONE MINUTE TAT.


If you are careful with putting the correct report in the correct report shell and patient, you will
not have any problems. I only take away this option when someone is careless. There can be NO room for error on this. One mistake can be very serious. Many do it well though, so just double check and you will be fine.

Yes, they are supposed to, but
and it is our responsibility to do the VERY best we can with what we are given. I KNOW there are crappy dictators;I do way more than my share 'cause cherrypickers don't get called on the carpet(but that's another story). I don't earn much at this and it stinks, but I just can't believe that you think we do not contribute to patient care and are merely "typists". No wonder we can't get any respect in the form of better pay, etc. Just because the doctors make the big bucks we should do sloppy work? I don't think so. Don't you want your records or your family's to be accurate? I would hope so.
wow! are we supposed to be seeing this?
?
Well, how are they supposed to get the
they don't know where to send them? Considering that a lot of these people are refusing donations of clothing, food, toys, personal necessities, etc., because they just want the money, I'm sure they'll stay put somewhere for two weeks.
What's that supposed to mean? nm
xxx
What was it supposed to be?
t
Well, that's supposed to say 70s up there......
x
Actually, I would just like them to sit where they are supposed to. sm
Since my kids and breastfeeding, they hang down to my bellybutton so to speak. I would just like them firmed ang tightened back up and sit on my chest where God put them and not hang so much. I even tried standing on my head for 5 minutes at a time 3x day - and that didn't help any!! LOL.

You are actually supposed to be doing that as an IC. SM
You almost must have a commercial line counter. I use Sylcount.
not supposed to put looking for job ads--sm
on the job seekers board...you are supposed to post your resume on the resume site. If you post looking for a job on the job board, they will remove it. just letting you know. That is for company's looking for employees, not employees looking for jobs.
That is supposed to be *Looks*. nm
.
What is that supposed to mean?
x
This is supposed to be 0, not whatever that
x
We are supposed to either have our
e-mail open or be signed in to IM while we are working so we can be contacted quickly.  It's very helpful because we can see who is available if we have a question that perhaps another MT can answer or if we have an addendum somebody can pick up, that kind of thing. 
If you don't know that MTs are supposed
to be accurate 100% of the time, then why are you doing this to start with? None of us are 100% accurate, however, most companies expect a 98% accuracy rate, some even higher. Either you are not using a spellcheck/grammar check or just being careless.

Editors/QA only check reports that are sent in because of questions unless you are on 100% QA, or if they are assigned to do audits. They are not there to do your job for you.
You are not supposed to ask for help when
x
Its actually supposed to be generalized all over or anywhere
in your abdominal area, and then you know you're in trouble when it "localizes" to the right lower quadrant. 
was that supposed to be coherent? nm
nm
Darn it, was supposed to go under the
x
WHEN is this supposed to go into effect?
I have not received letter.. Is this everyone or just employees or just IC ??? Specific info would be lovely
MQ supposed miscalculation
I worked for MQ yeeeears ago, when they were new, so let me assure you they have been caught before making "miscalculations" in their pay before. This was before the new platform, of course, and they had to send me a check for over $700.


All-around it is supposed to be more efficient...
I understand all that, and I am all for whatever is best for the patient, but I am just hoping I can "hang on" until retirement, which will be in another 15 years or so (unless the government ups that to like 80 or something now!).

Unfortunately, even AAMT seems 'off the mark' - a little too late, with their trying to get everyone certified, etc. All that expense to the MT, and then for what - you will still be without a job.

From now on, I am going to try to figure out some other type of career, which come on, at the age of nearly 50, I do not know how realistic this is.

I appreciate the information someone posted about getting help as a "displaced worker" when jobs are replaced by either foreign countries or technology. Somewhere there will have to be assistance for us. They claim over 400,000 MTs. If you are an 'above average' MT and are willing to change, perhaps 1/4 of that will be able to work for the next 15 years?

Philips is one of the leaders in technology and has outsourcing overseas for a long time...
sorry - this was supposed to go under "Freakin out"
nm
You are supposed to place
your terms questions on proper board. This is per instructions of Moderator. They may remove your post if it is not categorized correctly.
Was this supposed to be someplace else?
I have been at JLG for a couple of months and I have found them to be honest to a tee. So why have you found them dishonest? Perhaps you might want to put this on the co board.
That was supposed to be NOT the poster.
nm
supposed to be Thirty Something. nm
s
Supposed to be scared?
I went to a dermatologist's office about a week ago. The PA saw me, guess physician on vacation. Lesion on face, was told possibly to have morphens and PA wanted to do biopsy. Have been MT for over 30 years but had never heard this diagnosis. When asked what it was, was told "possible connective tissue disorder," could be one of several things and not to look it up "because it would scare me." Then is when I was really scared, thinking malignancy, worst thing that came to mind. I went back this week for results of biopsy (not diagnostic of morphens) and told PA I did not look up as she did scare me. She then said that was what she and the physician "were supposed to do, scare the patients." I shook my head no, saying she was the first person in the medical field to have ever scared me. I had lots of lab work done to make sure this is not the diagnosis and go back next week for those but was given a hand out - if I had read this from the start would have thought did not fit most of the criteria listed and would have slept a lot better for the week. By the way, hope they don't give this to lay persons. Asked my husband to read a paragraph to see if he could comprehend it and he said absolutely not. Apparently morphens of the face supposedly sometimes related to scleroderma (which I did know) but mild form and this is the one I really love, when people die, usually die from something other than that. Know would not do any good to say something to physician about the "scare part" - would never be believed, my word against hers but after the lab work think that will be the last visit there.  
How are we supposed to post then because it
??