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Serving Over 20,000 US Medical Transcriptionists

HIPAA is a joke. These reports go to third world countries. nm

Posted By: Who do they think they are kidding? on 2006-01-19
In Reply to: HIPAA - Suzanne

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There is a lot of offshoring and more countries
are trying to enter the field.  There are still companies who don't offshore, but when it comes to renew the contract in order to stay competative they can't raise their rates.   It all trickles down, no increase for the company, no increase for the MT.  There are companies that will give increases, but they are so small that over a period of a month will only mean $30.   I received 2 increases within my first year based on quality of work, but it has been 5 years since I've had an increase and they have cut benefits. 
One assumes that was a joke...
Humor, not meant to be taken seriously. Relax.
I thought it had to be a joke too. nm
 
HIPAA

You can post all the links you want, HIPAA says you cannot disclose PHI.  It does not state that a doctor/NP/any other medical dictator cannot put patient identifying information into their own report.  It says that if you want to use medical reports for research, then you must remove PHI. End of story.


BOS has nothing to do with this at all. BOS does not sign your checks.  I don't know who the person is who keeps posting that it is a HIPAA law, but they are WRONG and they are giving advice that is WRONG.  They obviously haven't bothered to read the link they keep posting or taken the time to ask questions to become better informed about things that they wish to discuss.  Shame on them.


 


 


Well, until you start the perfect MT organization, they are the only one around ..joke or not.

You are simply misinformed. It is not a HIPAA law.
It is obviously easier to take our identifying patient information when medical records are used for research, it is not a law. The person signing the check decides how much PI is in the report. Please be better informed if you are going to have new MTs information.
The physician cannot opt out of it. The patient cannot opt out of HIPAA, they can
sign a declaration to allow everyone to know their personal information. That isn't quite the same thing as you are stating.  But you answered a post with information that was not pertinent. Another posted stated that it was a "law" under HIPAA that patient's name could not be included in a record.  I don't understand the correlation with your post.
pls read hipaa link supplied above and.....sm
read the AAMT BOS....but bottom line, that poster Suzanne was right about one thing.....it's the client's wishes that count......you can only inform the MDs of the new changes in HIPAA and BOS but you cannot make them do anything they do not want to do...
All the encouragement in the world
and all the positive thinking anyone can muster will not make up for a poor education or lack of skills. When people try to explain to folks who've made a poor choice of schools that they will have difficulty with finding and keeping a job, they're not being mean. They're trying to point out that long-term success and job security will require further investment in time and money for proper training. The truth is just the truth, it's not mean. Just because you don't hear what you want to hear ("don't worry, everything will be all right, just try really hard and be really positive and you can turn limited skills and a poor education into a high income working only one hour a day while your baby plays in your lap") doesn't mean that anyone is being unkind. The cruelty is in the unrealistic Pollyanna "advice", not in the truth.
In the real world

Your employer or clients will tell you how to format SOAP notes.  There is no universal format law.  Each practice determines its own format.  One of my clients wants the name and account number on one line with the DOB and DOS on separate lines under that.  Another client wants each item on a separate line.  A thid client wants a different format altogether. 


There is no point in worrying about various formats until you have a job or a client, at which time you will be told what they want.


ESL dictators are everywhere in the MT world.
If you can't do them, you are going to be severely limited.
world-wide capabilities
Yeah, we do send stuff offshore, it helps us pay more for American transcriptionists. But that really isn't what I meant when we said that -- we have transcriptionists in France, Argentina, Canada, we do a fair amount of translation work, Internet captioining. I do my best to make sure that no matter what happens, the transcriptionists I work with will have work. I've heard a lot about EMRS putting people out of work, and Voice Rec, and so on. So I try to keep lots of options open so we can all stay in business.
i thought this was for the new MT, not the MT who knows everything in the entire world..
oh brother.
Welcome to the world of medical transcription.

Leave a blank where you can't hear something.  Complete the report and then go back again and relisten and see if you can fill in the blanks then.  If you get any feedback on blanks save it for future reference.  Some docs that have the same physical exam, or same operation talk really fast.  Even with a correct copy you may or may not be able to hear each word. 


Even the world's best MT leaves blanks on

occasion, and if they don't they should, because sometimes you just can't hear what is being said and guessing is worse than leaving a blank.  I can't promise you that you'll get to where you can decipher it, but experience will get you better.   When I first started doing ESLs I was majorly freaking, had a stress headache every day, yelling at my family constantly, crying because I was never going to be able to make enough money, etc.  I still leave blanks, but I have become somewhat talented at being able to do ESLs.  


Don't be afraid to leave a blank.  I am surprised at all the blanks that QA leaves in my reports.  Just do the best you can and then go back and relisten like I said before.  Make samples of any dictator that gives you problems.


I had a job once where my very first day they gave me 100% ESLs.  I was going to quit that day because I just could not do them.  The MTSO told me I really did very well and to hang in there.  When I got my corrections back and used them for the next time I could hear clearly when they were saying and got to where I could do them all day long with very little problem.  


World-wide capabilities just means they
offshore, without actually saying the offshore. 
Welcome to the world of real medical transcription.
That's what a lot of doctors' dictation sounds like. You have to be able to handle it. That's why it's on the tests.
They've been around a while & their website is up to date. Also say they have world-wide
,
Not the profession. MTs in house at hourly pay do great. The world of the
s
I just started yesterday with World Direct Transcription...

I also was a little nervous accepting this position, mainly because after posting a question on this forum regarding anyone's knowledge of this company, I received NO responses!  I am very happy with everything so far, the account I am on is great and my supervisor is very helpful!  Good luck Sonnett with your test!  Have you heard anything yet? 


Reports
On average, how many blank spaces does the average entry level MT leave in a report?Anyone!!!!!!!!!
VRA reports

Can anyone tell me exactly what VRA stands for?  I know it is supposed to be voice recognized something, but I have technology stuck in my head and can't get beyond that. Thanks for your help


.


sample reports
Does anyone know of a website that offers a good variety of ortho and/or physical therapy reports?  Most websites I find only have a few, if any.  Much appreciated!
I've also done quite a few reports
But haven't stopped to count them (at least until now LOL). I know in my last lesson there were 7-8 I did, plus partial reports to reinforce terminology, etc. The current lesson I think has that same amount, I preparing for the mail-in test now (yes, it can be e-mailed, I just prefer mail for some archaic reason). I'm just now in lesson 3 of course 3, so I'm right about halfway through I think.
Question about QA reports
I have been working at my first job out of school for about a month now. Just recently, I have noticed that all of my reports are being sent to about 4 different people, including the owner. Is this normal? I have been told I am doing just fine, but it makes me nervous that all of these people are looking at every report I do. I guess it wouldn't bother me if they had done this at the start, but I'm not sure why all of the sudden they are doing this. Maybe I am just being paranoid. Thanks for listening!
maybe your reports are too hard
I am new too, but I know the answer as well. And I just type office notes right now at my first job going on 4 months. Hmmm.
TV commercials promoting their MT schools also misrepresent the true essence of the MT world. nm
.
Depends too on how much repetition the reports have, sm
I think I would like to see and hear samples before I could figure it out. What happens if the tape is 54 minutes...do you carry over the 6 min extra to the next tape? Or is he saying If I give you 3 30 minutes cassettes a week, it's $60, whether they are full or not. Again if he says a bunch of the same stuff, it could be good! Just use the heck out of your word expander. 
No kidding I did 20 reports tonight SM

I do at least 30 reports per day and usually more like 40 or 50 - they are just office chart notes averaging 1 - 2 minutes per dictation, but still.....


It is really terrible that a school takes advantage of someone like that - I know now how many reports I do in a day, but someone who is not even a student yet and researching schools might not even think to ask how many reports are given for practice. 


20 reports and they consider you an employable transcriptionist?!?!?!?!

.


I recently had missing reports,
but I found out that I had not signed in or out correctly so the reports for that day were not counted in the total "clocked in" amount. They were accounted for and paid, but just did not show when I checked my status. With this company, I have to clock in and out. What got confusing was that sometimes the platform did not ask me to clock in, although I always exited and logged out. Maybe your problem is as simple as mine was, just a thought.


I see you only transcribe 100 reports with that school ...
not nearly enough. Also, the fact that I have been unable to find anyone who has heard of it means that most companies do not hire graduates of that school. JMHO.
Is there a way for you to print sample reports?

I used to print samples when I was a newbie starting out in radiology 19 years ago.  I found that if I did that, and then did handwritten notes on the samples, it made it better.  Put them in a notebook with dividers by either dictator or specialty, account, or whatever makes it easier. 


For some odd reason, I still to this day when learning a new account print out samples and make handwritten notes.  I tend to bring the notebook out, flip it to the dictator I'm working on and it gives me a sense of security. 


I also handwrote (I'm only 37-years-old) drug names on a sheet of paper.  I guess I'm from the old school, but handwriting things made me remember better.  I remember also needing to remember MD or DO for physicians and just as a pick-me-up - there was one his name was First I. Last, D.O., F.A.C.C. and we used to call him DOOFUS (behind his back of course)!!!      Just trying to make you smile! 


It will get better.  You live and learn!!!!  Believe me!!!!  Hang in there! 


what type of reports are you typing?

I do alot of psyche and some of my reports range from 150-450 lines per report.  So when you look at it like that it is not bad.  On the other had if you are doing radiology that would be totally different.  Again some of mines average from 15-30 lines.  That is with a 65 character line. 


Your experience transcribing reports in school
does not count as the type of experience they are looking for. The only way you are going to get a job is to keep testing, and ACE those tests. Eventually someone will offer you a position. That is what I did when I finished school to become an MT. But, you cannot list your *school* experience transcribing as experience when applying for companies because they will not accept that. We were all newbies once and it is a hard field to break in to. Keep applying, sending out your resume, and testing. That's the only way to do it other than trying to get a job at a hospital, clinic, etc. working outside the home.
You can't give an average. Radiology reports
are typically under 10 lines and you can do 100 a day.  I do Op notes for a hospital and can have reports that are 25 minutes long.  I also have a lot of ESLs and if I have a day where I have the really bad ones or the bad American dictators I don't generate as many reports.  If you are doing clinic work you would probably be able to do more reports than acute care, especially if you have the same doctors, because they you could set up macros for them.    I generally do 40 reports a day, have done as few as 28, as many as 72, but that doesn't really tell anyone anything. 
what is the difference between clinic and acute care reports?

----


Why doesn't someone give some good reports on other schools
One person on this board constantly rips the so-called Big 3. Instead of doing that, why doesn't she bring some good facts forward about her own school. That would be more productive.
Just keep saving his/her stuff as shortcuts/templates. After about 10 reports, you'll have
s