If the patients were aware of that, they could
Posted By: probably SUE the hosp. & MTSO. on 2007-12-31
In Reply to: Definitely no HIPAA in India, just came upon surgery sheet with patient names! - paintyper
nm
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we should just once, as patients (sm)
go to the dr's office and waste THEIR time!!! Let them know how it feels for a change. But then again, the doc wouldn't wait two seconds on a patient, now would they? Wow, whatta double standard! 
Patients
On a really bad day, I feel like a vampire for making money off of other people's misfortunes.
Maybe sometimes we have too much time to think! I don't know.
Just because 2 patients have the
same dx does not mean they are treated the same and symtoms are the same in many dxs. Do you have your degree?
Well, too bad that they have 30 patients - sm
to see so they don't want to spell things out. Do they cut corners on patient care, as well, when they have 30 patients to see - or is that reserved for us peon MTs? So they're "frustrated" with 30 patients - well, cut your patient load! We're not paid to "guess" or have to look up everything they don't feel like spelling, especially other doc's names. Just won't do it.
By the way, I wonder if they know how many documents we have to type a day (30 maybe?) to even eke out simple minimal wage - but that's OK, I suppose, compared to their 5 or 6-figure salaries.
Just give everybody the bum's rush because you have 30 patients. Suppose we did the same?
A party for our patients...
Every year, the staff in our clinic takes it on ourselves to throw a party for our patients. We all cook finger food, make snack trays, cookies, baked good, cheezes, bread, meat trays, the works. We have breakfast foods and lunch foods. We decorate tables in our lobby to spread this out on. We usually do this one day a week for the four weeks before Christmas so many patients will get to enjoy it. We have coffee, hot chocolate, orange juice, cokes and punch. We have fruits and dips....something for everyone, even diabetics. The patients are touched that we go to the trouble and we are touched by how much they love it! These patients have gone through enough suffering with their diseases and some are elderly and don't have family members. Some tell us this is their only Christmas! We have been doing this several years now and the patients are beginning to tell us to be sure we appoint them to return on the days we are having our "Christmas spread." I just thought I'd share the Christmas party that means the most to me... and this is definitely it! Just the look on their faces as they are enjoying it is Christmas to me.
It is not our job to judges the patients sm
or why or where they seek treatment. It is our job to transcribe the dictated reports. If you don't like the healthcare system, then go out and change it.
Just how many lives do YOUR patients have?
Apparently mine have more than one because I have one dictator who likes to use the following phrase: Patient was told that he might have death and loss of current life. 
Now we have to insist patients
being treated are actually examined before treatment is rendered?
Wasn't it bad enough medicine when ER docs would proclaim a diagnosis before exam, only to have to backpedal after taking a look?? I guess if they are going to do things in that order, doing physical exams is going to result in their looking stuupid, so their solution is not to do that part.
Big grrrr.
Do any of you ever feel sad for the patients?
Maybe it is because I am on my period and am more emotional than usual, but today typing all these terminal cancer reports is making me want to cry. I feel so sad for the patient and their families. I just cannot imagine being told that I only have a few months left of my life. And the doctors sound so cold about it. I know they are very used to it....I just know that I could never be a doctor. I could never get used to telling someone they are going to die.
A question regarding patients' rights
I was just wondering this. My mother was recently sent to a "liver specialist" who is local gastrointestinal doctor because of concern over persistently elevated liver function tests. He drew a LOT of blood work on her and only told her that it looks like she might have a fatty liver. He set her up to come back in six weeks to "get the results of her lab tests." SIX WEEKS! With her being very concerned, of course, we immediately searched the net and found out that fatty liver occurs in patients 1). who drink alcohol (she never has), 2). Patients who are overweight (she is not) or 3). Patients with diabetes (she hasn't got that, either). It says that a liver biopsy is how they find this out. He never mentioned doing one of those. My question is.. would a physician want to wait 6 weeks to find out lab results? You know it doesn't take 6 weeks to get the results back, they probably had them back within a day or two. In the meantime, she is stressing big time about what could be wrong. 
Not sure when doctors graduate their patients but
I have boys and we stopped when my oldest was 11 because they always made them strip down to their undies for checkups and checked their privates and I didn't feel that was necessary and my boys hated it.
No thanks. Anorexic geriatrics patients don't do it for me.
x
Very true, but a list of patients?
An invoice by the patient? Some clients need to do their own book keeping. It is bad enough you have to worry about the content of the reports. To have to retype a patient name into an invoice with the line count is utterly ridiculous especially as an IC. IC's get taken advantage of. As an IC, yes you should be charging for "everything". If you're an employee, they can put it under "other duties as needed". Business is business. If it takes more time, that takes more money. End of story. Don't do nothing for nothing. Your clients sure do not. They go all this time with this Transcriptionist with her invoicing and then all of a sudden decide they want each patient name and line count? Cut me a break. You don't think there should be a charge for that? You can work for free, but I certainly WILL NOT! To make statements like be paid to walk to the computer is really being a bit of a smarty pants in my opinion. Keep it to yourself if you want to work for free, most people don't! Have a great day making nothing to do A LOT!
I read it... does it mean US patients would have to travel - nm
.
A lot of physicians refer to their patients
as heterosexual or having same sex partners, it is very relevant in some aspects, as in exposure to AIDS/HIV, etc.
New Doctor, some patients already typed
I got a new doctor. They girl who had been working for him left him in a big mess, undone dictations, etc. The office gave me a flashdrive to do with about 30 patients on it over the holiday weekend. Today they've told me ten patients had already been typed, how did I want to handle that? It seems they don't want to pay me for these. My husband says to bite the bullet and not charge them, since this is a new account and I'd like to keep it, is possible. What do you think? I know it's a land of confusion there from what is done to what is not done. Thanks!
It's called BEING FAIR TO PATIENTS
. Why should patient care suffer?! The patients haven't done anything wrong, even if management sucks. I thought that's what MTs were ultimately hired to benefit, the patients.
How does outsourcing dictation allow doctors to see more patients?
In an article in the MT News section, it states this. Do they really need to see more patients? Most of them herd them in and out like cows.
And that is because the GYN forgets to tell his patients that when changing pills you have to use an
alternate method of birth control for a month until the new level of hormones in the pills kick in, whether higher or lower. That is how come so many get pregnant on the "pill." The facts...my cousin is GYN and he tells all of his patients that.
Just wondering, for you MTSOs, about how many patients/reports per day...
For, say, an orthopedic surgeon, or a family practice doctor. Or, maybe, how many minutes of transcription on average per day.
THANKS.
these are the docs that I don't think care about their patients. my opinion. nm
ss
The clock does play into how much time is spent with patients
The way the CPT codes bill insurance have guidelines for the physicians built into them that give amounts of time spent with the patient (in addition to certain information covered in the ROS/PE), especially in consultations (whether inpatient or out), hospital discharge codes and critical care time (inpatient or out).
Yes, that computer is in fact billing the insurance company because it not only saves not having to pay an MT, it bypasses a billing clerk (eliminating that salary), and if the doctor's office space is paid for by a hospital, that file is sent to the hospital's database where a *scrubber* compares what the MD submits versus coding guidelines. If it is an independent office, the MD can upload all that day's billing before he walks out the door and leave it unattended to update patient accounts and reconcile the days money intake.
In a nut shell, your doctor is no longer just practicing medicine. Your MD is doing the documentation and billing and saving money on two warm bodies.
I understand your concern as I see it more and more in today's medical care, but yes, this is the way things are going. I am fortunate that my MD has been very computer literate for a long time, so the amount of time he spends with his laptop is minimal. Once he enters the info, he kicks his shoes back and we chat and get into a deeper discussion both professionally and personally (we've known each other a long time). Give your MD a chance to play catch up to what he or she is doing with that computer and you should see a more relaxed physician soon.
Good luck.
We need actual examples of patients harmed by outsourcing
to take to the media. Then we could probably get enough interest for someone to do an expose on it.
I do reports all the time where patients have asthma, COPD, emphysema, and
even cancer and continue to smoke. In our local paper they are following a woman in her battle with cancer. She continues to smoke, as does her husband. They were broke before the cancer diagnosis, having to borrow daughter's babysitting money to pay bills. Just think how much money they've blown on cigarettes.
I've even known one man with a trach who smoked through his trach.
I wasn't clear. I guess patients' names is what irks me the most. SM
and you know how famous they are for dictating "Krenazcyssky, Jane, that's J-A-N-E.
neat web site 'chemo angels'. Help cancer patients
http://www.chemoangels.com/
Doctors patrolling themselves? What a joke! They barely have time to see ALL their patients....
Doctors today are totally incompetent for the most part. YOU cannot worry about it when it comes to transcribing their gawd awful reports. THAT is between the patient and the doc. Just knock the report out as fast as you can and make sure it's accurate and then after that, forget about it.
The docs make the big bucks - you don't! Let THEM worry about things that will eventually catch up with them, one of which is called the Karma bug, and that little bug ALWAYS bites those who don't deal fairly right in the butt! And big time, too! 
My nurse said most patients make calls with their cell, no problem
x
Ad-Aware SE
I have XP sp2 and have no problem using this.
What would you do if you are aware of a
already brought it to the Docs attention, but he doesn't care as long as he is making money (and he makes it hand over fist). Without going into detail....should I report him?
Are any also aware that--sm
In doing my taxes this year with an electronic program, and a feature to find more deductions, I clicked on a few of these added deductions and I was extremely surprised to find one that actually gives a deduction for people with their own home businesses if they use India personnel to do business with. Now how many people would take advantage of a deduction on their taxes if they outsourced to India? Quite a few, I would say, if all they thought about was the bottom line! In my view, it is pretty sad when our own government is undermining its own American jobs and population to third world countries! JMO
Perhaps you are not aware sm
of how much grammar rules have changed over the years, particularly when it comes to punctuation. As I said, I learned this long ago. And you are right in saying that the method I was taught is British, although I grew up in a small town in the U.S. Here is a quote from a British grammar site:
There are peculiar typographical reasons why the period and comma go inside the quotation mark in the United States. The following explanation comes from the "Frequently Asked Questions" file of alt.english.usage: "In the days when printing used raised bits of metal, "." and "," were the most delicate, and were in danger of damage (the face of the piece of type might break off from the body, or be bent or dented from above) if they had a '"' on one side and a blank space on the other. Hence the convention arose of always using '."' and ',"' rather than '".' and '",', regardless of logic." This seems to be an argument to return to something more logical, but there is little impetus to do so within the United States.
Ad-Aware
Also my neighbor who is a computer whiz and qeek put Ad-Aware on my computer and I run it once a week.
I am aware of that. I even have
2 acute care accounts that do not follow JHACO recommendations. All of our accounts specs are essentially to BOS standards with exceptions for the facility or specific dictators requested noted.
I was simply curious what other companies that use the BOS as were doing and that is why I asked specifically about companies that use the BOS as a guide.
No not that I am aware of...sm
They are a small company. I don't think they have enough work to outsource.
Yes, I am aware...
that they are 2 different features. I generally use AutoCorrect, sometimes AutoText. My files are saved in a different location than normal for Word 2003. I had an issue with this a long time ago when I was trying to move them to a different program, but I was able to find them eventually. As I said above, adding entries directly into my main Word program saved them into EXText, maybe that will help OP as well.
I'm aware of that but - sm
wasn't aware that it wouldn't show up on the pay stub. It was for this reason I wanted to verify that I was covered ... you never know with these companies, especially if you live in 1 state and the MTSO is located in another and the payroll office is in a third state. 
i know, i'm aware of these things, but don't you think too
that the aggressiveness, persistence of the family of the victim makes a HUGE difference as to the continued media play?
Something all MQers need to be aware of -- why
 Here is a post buried deep down the page here. (I'm going to repost it here for us to re-read)
I too am refusing to move over to ASR. and I too run out of work all the time
yet I can dial in and find work later - that was actually on the system for hours
before when I had dialed in earlier and been told NO JOBS!
SO WHERE HAD THAT JOB BEEN? WHY DID I GET A MSG THAT THERE WAS NO WORK? ..
The work room has obviously been not truthful with me - and probably others. Whitewashing it.
So, here it is. And I agree - Ain't that a great thing for patient care - let the report sit there and "cook" while people decide whether they will do it or not on ASR - then if nobody is going to do it - throw the left-overs to those of us out here starving to death - dialing in for hours finding no work. 
___________________
>>>>>>>>>>>>>>>>>>>>
I don't know about that, but I do know that towards the end of pay period...
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Posted By: MQite (sm) on 2005-09-17
In Reply to: An MQ recruiter told me yesterday if work is low they "cut off" the work - to SEs. And don't tell the
when we run out of work, I have to call in and have them special-assign me the ASR reports that just sit there like a lump and can't come to me automatically anymore since I don't (and won't) do ASR. Getting sick of it, too.
At least I do know what's going on now, after researching it via various sources. I pity the others who don't know and just assume there's totally no more work on the account at that point without checking. Those ASR reports do "turn over" at some point and go automatically to whoever's on, but they have to just sit there for awhile first, waiting for an ASR MT to come and do them. Isn't that just GREAT for patient care, too?
Post QUICK reply
i am sure you are aware that there are still hospitals out there
that have not yet adopted these rules. I type for one major hospital that still wants the patient's name typed in the report. Another still wants cc instead of mL. Had this person tested and changed it to the "correct" form, who is to say that she wouldn't have gotten marked off for changed verbatim. Nervous MT2, hang in there, and if you test again make sure you ask up front whether they want you to follow BOS or type it verbatim that way you know ahead of time.
Be aware that your benefits will SM
likely be less than what you are getting now and more importantly, THEY WILL BE TIED TO WHETHER YOU MAKE PRODUCTION QUOTAS OR NOT. Spheris has a rule where if you are not making your production quota for whatever reason you are placed on PART-TIME status and are not eligible for full-time benefits for something like 3 months.
Yes, I am aware they are messy
My cockatiels were very messy with food, etc thrown everywhere. I'm sure a bigger bird will make a bigger mess. Are there problems with feather "dust" with Greys too? Cockatiels give off this white dust constantly. We kept them sprayed with water and that helped. How often do Greys molt?
its called being aware of where we are
Its just another point at which we are compromising our personal confidential information and opening ourselves up for identity theft, etc. I don't care if the government is spying on me - i'm sure that they would be bored to tears and giggle at my net worth if they care to see my tax return or other financial info. It is the HUGE possibility of hackers bleeding me dry that worries me - ya think theres no such thing as hackers or identity theft? Just the same, talk about lemmings running off a cliff-- saying everything George does is okay he has out nation's best interest at heart - we'll go where ever he leads without question and with utter blind willingness and trust. Sounds kinda like misplaced trust to me
I'm sure she's aware of that mistake! nm
.
People are already aware of this and
people are starting to realize that it's not such a great idea to send certain kinds of work overseas. I just saw an article about this recently, here's a link:
http://www.aamt.org/smf/index.php?topic=3342.0
You apparently are not aware of
in this business for 25 years. Used to be able to charge higher rates, but partly because of offshoring, that is no longer possible. Raise your rates, and the work will be sent offshore instead. I see a lot of MTs on this board proclaiming what how much they should get and how much the MTSO should charge, but reality is different. My accounts are all 14 and 15 cpl. I pay my MTs 10, 11 and 12 cpl depending on the account.
Even a hospital MT supervisor told me that their MT department was getting 18 cpl for their MTs to do clinic work for the doctors at the hospital and the doctors decided they didn't want to pay that much and went with a cheaper company rather than paying 18 cpl.
What you say sounds good; but it's not reality.
Be aware that this work is also
being sent to other countries, believe it or not.
Just like MT, the quality isn't as high, but it is cheaper. That's not to say there aren't still jobs available, but they pay could have gone down quite a bit. We know how that goes!
You probably have more than you're aware of.
You are permitted to take a percentage of your utilities if you work from a home office. The percentage is determined by dividing the square footage of your home by the square footage of your office. If you don't have an office, make one, even if it is just a closet.
Education costs associated with your business, advertising, and travel are just a few more areas where you'll find deductions. You should talk with a tax professional for a better overall picture of your situation, both pros and cons.
I always assumed they were aware
They know they're a PITA and I'd bet if cherrypicking is possible on their account, their reports get typed last because nobody wants to do them. So by making their reports stat they shove themselves to the front of the line to ensure their reports get typed within a certain time frame. That's the feeling I always got about it, they get tired of waiting around for their reports to get typed so they can sign them off and go home, so this is their way of ensuring they get typed. I have several that make anything they do stat, and have complained to no avail. It stinks because they ruin the TAT for everyone else and you're forced to type their crap first while the good jobs sit and wait for hours.
I'm well aware we edit..but someone on here stated
Thank you, but I'm quite aware what HIPAA stands for.
That's why it bothers me is because so many people have it wrong. Obviously, the MTSO doesn't care about quality if she can't even get it right. What's the skin off your nose if it bothers me? Why does it bother you that it bothers me? I don't need to get over it. I'm quite happy being bothered by it. Bother, bother, bother.
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