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Follow all the same rules basically - sm

Posted By: XXX on 2006-01-27
In Reply to: HIPAA compliant at home sm - workinfool

Don't let others use your computer, don't discuss any work in specifics (i.e. names, etc.) with anybody), keep work secure whether on your computer, printed out, etc., use secure or encrypted email/FTP if you email your work product, do not let others look over your shoulder while you work and read the report, etc. Just basic common sense stuff in order to keep the information private. Where I used to work had these conference call meetings and we would all log in via the internet and phone and have our HIPAA training every 6-12 months, was a pain in the butt, especially when they decided to stop paying us for the time we spent "attending" the mandatory meetings. HIPAA is not a big deal, as I said, it is mainly common sense.


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MDI and Transcend both use basically the BOS rules
unless client requests something else.  Sounds more like one of Futurenet's nightmare accounts.  
follow the rules
I too thought crepitus was the only correct form -- until the pediatric rheumatologist "corrected" me and insisted on crepitance. (As the Red Queen says, "All ways here are MY ways.")
My job doesn't follow BOS rules
But I do have a copy of it for reference which I've only looked at a few times.
agree, my accounts won't follow their rules. NM
.
Some rules I follow..for #6, I think the first time an abbreviation is used, you expand and paren th
but no abbreviations in diagnosis at all.
Followup (or follow-up) for noun/adj. Follow up for verb. nm
nm
Bravo! 1 cm no 1-cm. Follow-up no follow up. 1 mg no 1mg. 1 space after period, no 2. S
dd
So basically she herself is QA?
x
I do basically the same as you, but I will
as I type in Word, and this helps with not having to go back and read the entire document.  I find that if I notice it right away, correct it, then I can move on, and it also helps if I need to re-listen to the term or phrase.  I have also noticed where my auto correct did not expand correctly, and even though my final spell check would most likely pick this up, I tend to be a little more careful with that as well.  I am so afraid to go with an Expander because I'm sort of afraid I'll lose that "specialist" touch you speak of. 
They are basically just saying
we will make your transcription look good like she looks good.

I don't see what the big deal is. Sex/beauty sells everything lately. It's just the world we live in, unfortunately. Every commercial on TV almost has some type of sexual undertones to it and some very obvious.
Basically, yes and no.
That doesn't help much, does it?

They all pretty much perform the same functions, but some have different types of connectors that hook to the computer and/or equipment.

I've got 2...a USB that hooks to my computer, and one that hooks directly into a Dictaphone. I know some other pedals connect to game ports. Sometimes the software allows you to set up a variety of pedals with different connectors.
It is basically just something you have to
make yourself do. I learned this way as when I started as an MT we were on typewriters, so you had no choice.
I feel basically the same way sm
why waste their time, as well as mine, just to say, "Hey, I'm your new sup"! Come on, if you need a message to figure that out...well, I don't know what to say about that!  Anyways, you're right.  I don't need anybody holding my hand...that's why I work at home!
You are so right - it's basically worthless
nm
But you could basically try 50 lines per sm
report, and go with that.  That is a reasonable ratio with the differing times you sated.  Would add up to about 1250 lines, give or take different dictators, and the ways lines are counted.   Some dictators take FOREVER to dictate 7 mins, others breeze through 3 mins, with lot of lines.
Basically, it boils down to this....
Back in the day, we were seduced!

Now we're being raped.
I agree. I mean as an IC you basically pay
so many write-offs.  Hire a tax professional your first year to see what things you need to write off.  From then on out, a lot of ICs actually do their own.  Employee status simply means the employer withholds tax money, but they also have a lot more control over you as far as set hours and pay for that matter. 
I basically tell them I know nothing about that route (sm)
Like you I was an MT for 7 years or so before I ever had kids. And even then I did not have the chance to work at home, nor would I have wanted to, actually. IMO with our work, the choice, if you have high-need babies like mine, is either (a) ignore the kid and work or (b) work when they're sleeping. Which means I don't get to sleep like, at all, because I had babies who did not sleep much.

I would, and have, done what you did the drugstore clerk. You can't tell some people anything.

I personally have told people who asked me, "I wouldn't. You won't make enough money for the aggravation." I've also told them, "If that was your plan, you should have started 5 years ago so you had all that under your belt before you had kids." Depends on the circumstance and how hateful I'm feeling that day. (blush)
In theory, it's basically the same as the other
MSWord version; it just has all the bells and whistles.
It was basically an example of a post on there.

Everything should be checked out first, but just like you confirmed, there are local practices for each state that will post for MTs.  I found one myself but I guess I was too late because they never contacted me. 


Just trying to help... 


Absolutely, but basically because
It seems ANYONE thinks they can do it. Even those with atrocious spoken English who apparently slept through basic high school English classes and those who have no gift for spelling at all seem to think that if they can play hunt-and-peck on a computer keyboard, they can be an MT.

I reached the point long ago and when I they propose that godawful question, "How do I become a medical transcriptionist?," I give them the most blunt answer I can without being downright rude...

"Take some night classes in basic English and spelling, then you'll have to take a couple of classes in anatomy and medical terminology. That's just to start."

They lose interest quite quickly when they realize they'll have to exert some effort.
basically I agree
I think definitely industry was better before the BOS, when good MTs simply used good English skills and common sense. Some uniformity in the business was an okay concept, but too much of the "rules" make no sense, and changes at the association's whim. Like another said, it **severely** reduces productivity, which works against the patient, the hospital and the MT. I flat refused to pay any attention to it for years, after a hospital supvr told me some of the "rules" in it, and only when I had to for employment, finally got one and now use it.
I found basically the same thing - sm
Obstetrics/Gynecology (OB/GYN)
Dayton, OH Doug Moore
York, PA Roseann Freundel --- was on the Residency list in 04-2004. So she has probably completed her residency and has moved to another state/country by now. Also the hospital would have the records I would think, especially since a resident did the delivery. Good luck.

I basically was offered a position..
She said I did excellent on the test. She asked to let them know how many minutes I would want, FT or PT, which I did, and haven't heard a thing since.
Ditto. That's basically what I have told my DH too. - sm
As for those protesting they would not want the money, that is not practical. I would have nothing then other than his 401K (which is quite healthy) and any money from the house if I sold it and moved up to where my family is and where housing costs 2-3 x as much. So that is how my husbands life insurance would be used, which is only $350K, so after I would settle everything I would not have much left as it is. But w/o the insurance I'd be in a very BIG hole. That is why you get it, no its not pleasant to discuss but it is necessary especially when kids are involved. I hope he is around for a long time to come but the odds are against my husband most likely as he has lung and bladder cancer in his family, and some other things as well which will probably preclude him living a long life. I hope that is not the case of course, but it does not hurt to have your financial house in order in case one of you die and leave the other with kids. Even without kids, money is always helpful.
Linking in radiology is basically when the
dictator dictates two separate exams under one requisition number and just linking the other exam with that number.

It's actually two reports dictated under one exam but you get paid for both exams by linking the second exam with the first. There are various ways to link a report depending on the software so I won't go into that.
Isn't editing basically proofreading!?!
Or do you just hit upload and that's how you get 650 an hour? Oh boy!
per diem is basically *as needed*, nm
nm
I too believe it is a trend, basically to cut costs. As far as MQ, SM
I don't work for them, but honestly, from reading posts, seems like they were just bought out by a mad scientist who thinks up ways to drive people crazy. Sort of a game of how far can we drive people before they crack.
It's basically a type of Dictaphone
where you you dial into the hospital's dictating unit to pick up your dictation. It has to be programmed for your individual accounts.
You are correct, same as Bush basically. nm
xxx
I talked to H about it and he basically said the same thing.
The day is not over yet.  LOL. 
Another "weird" one. My Mom basically checked out as a grandma.
She had no use for kids, and never paid mine a bit of attention. She was rather fond of my oldest, but never really the younger 2. She had her own stuff going on. Well, we lived our separate lives without a lot of communication. She would send a card with $5 in it now and again for my oldest, signed "Fondly, Grandma". Whatever. Well, according to the people who were with her when she died, she lingered for a few days, and kept carrying on about what a rotten grandmother she had been to my oldest daughter. Never mentioned the other 2, but that's not the point of the story! Well, naturally, I never mentioned this to any of my kids, let alone my oldest. About 2 nights later, my oldest came to me and said she had the "weirdest" dream, and how real it seemed. She said my mother had called her on the phone, and they had this loooooooooong conversation, like catching up on stuff, and how grandma kept telling her over and over how sorry she was - that now she realizes what a bad grandma she was, but that she would make it up to her someday when we're all together again...I nearly fainted. I then told her the story that was told to me about my Mom's last days...
A used drug book is basically not worth much
in the long run - so many MTs waste their precious $$ on used resources. Particularly in the world of drugs/pharmacology, even a 1 year old drug reference is basically worthless. Unless you just want to be able to claim "you have one" for your company, its already long outdated. Best to buy the current editions, no matter if you can get a used one cheaper. You are defeating the entire purpose - having an up-to-date reference for your knowledge.
They are basically "sister" drugs. I am allergic
to naproxen, so cannot take ibuprofen now, as they are closely related. I would think if naproxen isn't helping, neither will ibuprofen. Try something unrelated like Tylenol?
I go to Changes, which is the same thing basically as Curves and I could tell soon after starting
and I felt better.  I believe you still have to walk or some other type of exercise and diet.  I lost 12 pounds the first month.  The reason I joined is because I do not want to lose a lot of weight and still look terrible.  The BUDDY system is the way to go with diet and exercise!!
Hi, Trying. You're basically right about the straight typing, I think. SM
But as eScription learns to handle the practitioners' dictation, the product you are presented with is more and more an already-typed document and your job is to edit that. Speedy fingers are still helpful, but production also depends on ability to read quickly, recognize and correct technical errors quickly (potassium 45 to 4.5) and decide on necessary grammar/punctuation changes quickly. I have the dictation speed pumped up as high as I can manage to drop in periods and caps and so on and still keep up with.

It will take a while for the practitioners and computer to get in the groove, though, and for some months the documents will come through in various degrees of mess, some good and some awful that you're just slogging through. During this period you guys are working to train the computer through your corrections feedback. The company I work for dealt with this by paying us full transcription rates for editing during the worst of this. Since editing production is a lot higher than transcription, though, the pay per line drops to reflect this. In our case, to half, but I still make more now because I can edit more than twice what I can type.

For that and for the work itself, I really like editing and would hate to go back to transcribing full time (a small percentage is still transcribing physicians who aren't willing to make the few adjustments needed to accommodate the computer's needs). And you're really fortunate in your hospital's choice because eScription/EditScript (the part you work with) is a wonderful program, easy to learn and work with. Best wishes. And have fun!
I've done it basically all and ops most of the time now and I really enjoy doing ops.
DS and H&Ps can be very sedative LOL  You do need to have a wider grasp of medical terminology and like Hayseed said, at least know your anatomy basics, and have your own resources and know how to use that provided on the internet, and not referring to Google (but that comes in handy once in a while when all else fails).  You have to be able to visualize as the doc is cutting away.  For example, cardiac anastomoses are like little tubes that have to be hooked up some way, side-to-side, end-to-side and so on.  When they cut out a specimen, you have to think of it as a nugget or chunk of meat that someone else is going to be looking at, so they have to orient this with a clip or a stitch here and there to let the pathologist know which side is what, which one has cancer the top, the side or the botton and so on.  Everything in the body is a bag, hose, tube and so on, so using common sense in typing this also helps a lot.
A TASP is basically a company that owns
your clients call in and dictate on their system, and you pay them usually based on the minutes of dictation.  That way you don't have to put out the money for a system of your own but you have access to a system.  Metroscript is one, Bytescribe has a TASP, and the owners of this site also have a TASP although I don't recall the name - but if they would like to post the name of it under my post that is fine with me.  There are others as well. 
I was at a job 2 weeks and qualified. I believe it is immediate, or basically, once you have a polic
nm
Basically, if you get a dial tone, it's hooked up right. NM

add to that ASR, getting paid 1/2 for basically re-typing reports! nm
xx
This is why I basically stay away from the message boards :(
nm
So basically, your price for selling out is $5500.
x
it basically is matter of what the client has asked the vendor
to do. We have actually had the floors call and ask what Kay Ciel is (yes, they have, so please don't comment on that). And the bottom line is isn't what the client wants? If you hire a painter to paint your house bright purple and pink polka dots, shouldn't the painter just paint the house bright purple with pink polka dots???
Basically, you make a projection of what you think you will clear for the year.
Then figure what the tax due on that amount would be and break it into four payments. There is a worksheet out there from the IRS the helps you to do this. Your state income and local taxes should also be paid quarterly and would be based on the same $$ amount.

The first year of IC is the hardest to guess because you will have deductions that you may not even be aware of but I would strongly encourage you to go IC!! I love it, despite the drawbacks as some posted below.

As a true IC, you decide when to work, how much you charge and don't let anyone else tell you that the clients you do work for have the right to dictate your work hours to you. Some have referred to working for a company or companies; if that's what you do and they dictate to you your hours, you're NOT an IC but an employee and therein lies the problem with scheduling.

There are way too many people out there who apparently think they are ICs when, in fact, they are employees. The companies that are telling them when to work, how much they will pay, are flat out wrong if they think they can call these people IC and then dictate the above parameters. Just make sure that the advice you are receiving regarding IC is actually from someone who really knows and understands what an IC is.
No, same dictators, same exact work, nothing has basically changed except
for VR sucking big time now. One physician who is letter A perfect in dictation years ago fine, now his work is a mess. I even asked if some of the reports had been sent to another country, starts with an I because they were not like I did at the very start of VRing. They were so good when I first started.
Basically formatting, how to type the headings, numbering, etc...sm
Are headings capitalized or followed with a colon?

ex.
HISTORY OF THE PRESENT ILLNESS:

Is it p.r.n., prn, h.s. or bedtime?

Just your basic formatting and styles. I may just download the ebook. Thanks!
Gotta a question... When you have an offer from a company, is it acceptable to basically..SM

give the company a set of terms.  Here's my issue.  I have 15+ years experience as an MT and I am finding after I've accepted the job, that I am placed on the crappiest account they have because of my years of wonderful "experience".  Then I'm told that they are paying me the higher cpl rate not because of years of experience but because I'm working on the crappy account that no one else can do.


I find it very difficult to earn a living this way and wonder if there are jobs out there where a seasoned MT can just sit down and type carefree 8 hours a day.  I'm not saying I don't want to ever type ESL dictation, but can I get an account where the majority is not ESL? 


I'm good at what I do.  I love OP notes and don't mind challenging work, but it's simply not fair.  I feel like I'm being penalized for my years of hard work more than rewarded and I resent it.


that would be same rules not some.
nm
different rules
for different settings. Cinics are allowed to use abbreviations pretty freely as to where hospitals are not for a lot of things due to possible misinterpretation. It all boils down to the fact that they are paying you and what they say goes!