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It is still up to the facility to make that

Posted By: OK on 2007-08-22
In Reply to: The HIPAA Privacy Rule...(sm) - Brian

determination, not the individual MT. We only do what we are told to do.


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I am an MT at the facility where the

report came in.  This dictator is not our best, but he's not our worst, either.  I also transcribe his dictation.  MQ does our overflow and has for YEARS!  This is not an ESL dictator, and this physician has been at our hospital for years.  I know nobody is perfect.  All I'm saying is, I would never send a report through with that many blanks without someone checking first. I also know that yesterday one came through from MQ with more than 14 blanks, and it was from one of our easiest dictators!  It doesn't matter whether you are management or an MT in the trenches (as am I).  You should take pride in your work and care what the finished product looks like.  If you have done your absolute best, then okay.  If not, then there's a problem.  With multiple reports coming through like this every day, it makes us wonder if all whoever types these cares about is getting the lines and doesn't care about the work they do.


Maybe work like this is why things aren't going so well at MQ, at least according to what I read on these boards.  And for the record, I worked for MQ for a short period of time as an IC about 6 years ago but chose to go to work in-house for this facility for benefits. 


I have been transcribing for 19 years, and I have had my share of difficult dictators, ESL, bathroom talkers, dictating in cars, airplanes, screaming children, fighting spouses, gum chewing, burping, and hearing other bodily functions, along with transcribing while parties, code blues, superbowl games, etc. are going on in the background.  I know about crappy dictation and good dictation.  I struggle through the bad and rejoice in the good. 


The patients deserve the best.  Our best! Yes, the ultimate responsibility should be the physicians, but isn't it our job to create the best possible report with what we have to work with?  Medical Transcription is not a perfect world.  There are no perfect dictators, but I do know a couple that come awfully close!  In a perfect world there would be no sickness and we wouldn't be needed!


It's time for us to quit complaining about the dictation and do our absolute best with what we have.  We owe the patient that much. 


It is up to the facility not the MT (eom)
m
Whatever the facility wants is what you should do.
x
No facility should be given permission (sm)
for any kind of physical discipline.  Its not a spare the rod spoil the child issue.    When having to discipline someone elses child, the results could be far less or far more than what the parents would have inflicted.   The result in some cases, especially in Texas, is the accidental deaths of children.     I spank my children, on the behind but as a LAST result.   THerefore, I would not allow my children to go to a school or facility, camp, counseling, etc, that would attempt to discipline my child physically.   Call me and I will come and take care of it, but don't put yourself in the parents position.  
incompetent facility
Your story sounds like something from a small town (or small office). That many radiology reports withheld from being distributed, you know some of them had remarkable findings such as a chest x-ray that needed a follow-up MRI, CT scan, etc. I hope this girl gets terminated soon enough and out of there. Otherwise, the radiologists themselves will be paying the price and hence it would be followed through to the administrative office/CEO office of the medical center/hospital.
This is how we let facility know they need to check
sef
No, I know not every facility/provider is
compliant, but two wrongs don't make a right.  I want to keep my nose clean if the facility/provider is ever charged and investigated for a HIPAA violation - if the gov't has done so thus far.  You think the gov't will buy 'oh, I was non-compliant because my client signed my checks'?...nope!
Wow, this must be directly for a facility. Sm msg

Very hard to imagine an MTSO paying that type of money, although it is well worth every penny!  Good luck!  Grab it quick!


Yes, it is for a facility, remotely. sm
My concern is the salaried position and not hourly. The hours are supposed to be 9 to 5 Mon-Fri; however, if the workload is heavy, no overtime is paid, no shift differentials, etc. because it is a salaried position.

I could end up working a 60 hour week for the same amount of money as a 40 hour week.

That is what is holding me back right now.

I guess I could always try it and if for some reason it doesn't work out and they demand more than 8 hours a day without any type of incentive or bonus pay, then decide to leave or not ~ good idea?

Contact the facility...

That's the best thing to do.  I don't think they want people posting that type of information here.


Been there-done that, but you can not complain to the facility
If you are working for a service, it is their responsibility.  I would not put a report note or anything of that nature with the report to the client as it could cause YOU a lot of trouble.  I have had so many bad dictators like that - one even fell asleep while dictating!!  I know you have to take the good with the bad but like I have said before, an account has to be profitable to me or I do not want it.  Bottom line, I am here for the paycheck just like they are.  When I worked in house years ago, the doctors were actually offended and insulted if you brought up discrepancies in their dictation.  Then the MT company did not care much when I complained.  They just said to make sure you typed accurately exactly what was dictated.  Again, accurate garbage is still accurate garbage.  It is the provider's responsibility to dictate a professional medical document before you can transcribe one.  If he/she cannot do that, there is not really much you can do to help them.
Where I work, the facility wants L used.
x
Usually Dr. dont hire MT, it is thru facility and
x
The facility is a "suit" who has no idea of MT. He
x
If your hospital/facility could take MT back

from the outsourced services, would it be interested in doing so? If you think it's Take Back Time at your hospital, facility, doctor's office, I am ready to offer them a proven solution to take control back into their own hands and create a win/win situation for hospital, MDs and MTs. It's Take Back Time!


How about you? If you could work for a hospital or facility without having a service between you and them, would you be interested? Do you have the proven quality and experience to offer a hospital? (Excluded: new grads, MT wanna be's, and trainees - this question is only meant for those with solid and strong acute care experience)


If the above scenarios appeal to you, contact me and let's talk.  


Usually not Dr. who pays, but facility/hosp that
x
Doesnt matter what we think. Facility way is
x
MT works for the company, not the facility
It has been my experience that approaching an issue like this comes across as bullying and I have not had very good results with this method. Its like ha-ha you got one more chance kind of a deal. Rather than putting it off on the facility I would have sent a directive to the MT and asked that it not happen again, stating that the facility expects top notch work from us and anything less would not be acceptable to them. If that fatal second blow were to occur, then let the company deal with any disciplinary action it normally takes and/or perhaps move the MT over to another account. I have worked both sides of the fence, so I know this technique never works, almost always results in more and more errors.
Maybe facility doesnt know how deal with IC,
x
You do have only one crowd to please. The facility. All this other baloney is
x
I used to type for a pediatric psych facility.
At first I used to laugh, thinking maybe I'm not so dysfunctional after all.  Some of the cases were just out of control kids and this was the only option, but there were 7-YO or younger who had attempted suicide.   I don't do them now and don't know how someone can do them for very long.  
I was searching for a Kaiser facility and the article came up (sm)

I don't know if I would call it better, but different sites come up.


It doesn't mention what they plan to do about identity theft and their 3 years is now up.  Anybody work for this Kaiser facility?


Yes I have found some facility websites that have pics of all the MDs
and I have to say they may be the most unattractive group of people I've ever seen! I guess if you have nothing else going for you, it's a good idea to become an MD! Sort of ruins that sexy voice visual, huh? LOL
Others are working without spell check, facility
x
Sounds like facility is trying to save money by
I have a job where MTs were to put in billing and coding number.  Use # X for emergency admits, except if it is Tuesday and sunny, then use # XX.  That sort of thing. I had no idea what I was doing but figured if Dr was going to sign off on this mess, it was all on him. 
Only a problem if your MTSO/facility decide
to use it. From what I have heard, not everyone is going to it.
I inquired about that as my MD provides care at a nursing facility & assisted living, he said
that he just hand writes notes it is cheaper, and if patient has to be admitted he dictates a full note at the hospital. But basically he said it was up to the individual facility, so you might want to check into it.
I think is called preferred vendor? Facility gets certain monetary breaks to only use one

:+


Unless a facility name accompanies the phrases you hear/type, you should not capitalize.
xxxx
I would start with hospital websites in the surrounding areas to whatever facility you type for. SM

Hospital websites usually have a pretty good physician directory you can search through by name or by speciality, which is nice.


I also use the AMA website which has a sound alike search feature which is helpful.  Here is URL for the AMA doctor finder.


http://webapps.ama-assn.org/doctorfinder/home.html


Also, some states have websites for the medical board licensing or professional licensing where you can look up doctors with licenses in that state.  You might do a Google search for whatever state your facility is in.


Another good one that I use is the WebMD physician finder.  Here's the URL for that one:


http://doctor.webmd.com/physician_finder/home.aspx?sponsor=core


Hope this helps you.


Hmm..patient information, name of facility, etc. on top of page is a header. Stuff on bottom like ph
,
How would you handle clinic notes coming up missing after you've delivered them to the facility?

I type the clinic notes at home, print them, verify the all notes printed, place them in a manila envelope clearly marked with the clinic name and dictator doctor's name and date of clinic.  I then deliver the notes to the lead Transcriptionist at the hospital which manages the clinics.  She in turn distributes them to the clinics. 


The last two weeks, I have gotten several calls from the lead MT that I give the work too that clinics are calling saying they are missing certain notes from certain days which is impossible because I type all notes for a specific day in one large document and print them out together.  There is no way that some are printing and some are not.  Plus I ALWAYS verify that each note printed.  Today, she called and said there were missing notes from two different days.


Then there is the issue of my work being typed by someone in the hospital.  When I deliver work I get a print out of what's on the system as far as clinic notes.  It is a worktype specific list that only I am supposed type.  There are a couple of doctors who dictate all their notes in one looooong job.  There were two very long jobs on my list, but were never pooled to me.  When I enter the specific job number, it says they have been transcribed.  In one instance, the dictator dictated half on one job and half on another.  I typed one job and the other just magically got transcribed.  When I've called to ask who's typing these reports, no one seems to know.


These ladies in this particular transcription department are not a friendly bunch.  I have felt that they sort of resent the fact that I am doing work from home while they have to come in and type.  I think they are wondering why they aren't allowed to work from home.  The work I do is very easy clinic work and would be pretty easy lines for one of them to do just to pad their line counts.


I have a meeting tomorrow with the HIM director who contracted with me about TAT and I know they want a shorter TAT than the agreed upon 24 to 48 hours and I know she is going to want me to make more deliveries than the three I do a week now.  I have asked that they set up a remote printer for me so I can print from home that way delivery isn't an issue anymore, but they act like this can't be done which I know it can be done.


I'm about to cut this account loose, but it's such easy work.  It's just that I'm running into brick walls at this place.


 


Thanks for listening to me whine! 


I agree check with your facility. Enlarging the font size can cause problems once a report uploads

I wrote a macro that would take the font size back down to 100% once I was finished and ready to sign off.  I think I assigned to something like CNTRL+ALT+F and I got into a habit of doing that before hitting whatever function keys to spell check and sign off.  It worked great.


You spending 3K in gasoline to make 4K plus all that time on the road?That doesn't make sense Pat




How nice that the world revolves around what you make and no one else could possibly make more. sm

Marla in So. California pays 11 cpl for a 55 ccl, Oracle pays 9-1/2 cpl, MDI-MD 11 cpl, JLG 10 cpl for gross line, etc.


Of course, these are rates negotiated and paid to qualified MTs.


When I see mistakes I repeatedly make, I make a quickcorrect for it (sm)
for example if I type we plant o instead of "plan to" I have a quick corrct so that if I type plant o, it replaces it with plan to, etc. It is hard - I was with the same company for 8 years. I do not work for anyone with an accuracy requirement though.
When you make the copay, make them give you a sm
receipt for the amount you pay them.  I know they don't like to do this because it takes time, but if you are really stern and insist on a receipt they have to give you one.  Then, the next time you get billed for something you already paid, tell them to look for their copy of the receipt and let THEM do the work. 
Yes, unfortunately you do have to make a pest of yourself to make it work, but.....
as the years went by that is why I stayed away from those type of companies.  BTW, Noni is a fabulous product, I absolutely do not care for the "marketing techniques" they use.  One of the facts of this type of industry is you cannot just recruit to make it, you have to retail.  Ever since I "overhauled" my techniques and system...I never had to ask another person to some on board again.  Well, nuf for now.  Take care and have a blessed week!!
lol cut myself off. Anyway, I'll make close to what I used to make with MQ,
ddd
You can't make things worse and could make things better.
The skinny woman may be ill.  The guy might not know the dog is a nuisance.  Who knows?  Maybe it is not as forbidding as it seems and maybe they just need to be asked in a nice way. 
What do you make.........?????
Just once, I would like to see some sympathy/empathy on this board instead of arguing. Where are your feelings??????
Make sure
you get $ offer in writing with Transolutions BEFORE you start. AFTER you start they don't remember what they offered you and at that point you are stuck. Benefits are VERY good!

Otherwise, QA has gotten very difficult!. Their platform is VERY, VERY, VERY old - it stinks! And good luck getting a response to questions from anyone in the office!

You might want to keep looking.
YW :) Yup, they sure can make you want to...

...sometimes, that's for sure.


Hang in there


Make that four.
I've worked for a couple of large nationals. The folks at Amphion are RESPONSIVE and positive. They'll go out of their way to get things done for you (even on a holiday). Very down to earth and appreciative of the people who generate revenue.

And nope, I'm not management, just impressed because I've been management and know that what they're doing works.
You make no
This all began from "no whining" attacking a newbie on here for spelling a word incorrectly. I am sorry, but we all "started" this profession at one time and there is LOTS to be learned, and the English language is ONLY THE BEGINNING! That poor soul that was attacked hasn't returned! Now, you tell me, is that fair?
also,make sure they

know how the other account is counting their "lines" and make them aware that what sounds like a good deal, may, indeed, be costing them more. Good luck to you.


 


I think I can make your day

I'm presuming that their template is stationery ...


1.  Pull the template to the screen.
2.  Place a left margin where you want it. The little "L" appears on the ruler.
3.  Look at your ruler and you'll see one triangle on top of the other and a box underneath the bottom triangle.
4.  Put your cursor on the box, hold down the left mouse button, and drag it to where your margin is (you said 1.75" or 2").
5.  Release the mouse button.


You should now be able to type away and nothing will write over what's down the left side of the page.

If this doesn't work, then I think a table is in order, and I can show you how to create one that is visible on the screen but invisible when you print.


Make way more now as an IC of course. nm
x
Hmm...will it make you really

Angry if I let you know that in Canada we spell it COLOUR, GREY, NEIGHBOUR, etc... I really was not saying whether one should spell it a certain way or not. In fact, since I have lived here I do spell it the American way. My observation was simply that there are plenty of countries that spell it cheque. I cannot believe some of the comments that have been made. I don't often post here as people do seem to be rude sometimes, and I am not likely to do so again.


I want to make that much $$$
HOW?????? are you making that much money? I type 80 to 100 wpm (depends on how I'm feeling any given day), and I am only making MAYBE $32 to $34K per year. I want to make the big bucks. I am good at what I do. I have a word Expander and all kinds of shortcuts. My clients love my work. But I want to know how you all are making that kind of money. Please tell me your secrets.
The only way they will make any $$ is if they
sucker other people into signing up.  It is a multi-level marketing thing.   Unless they are good sales people and they sign up people who are good sales people it is a waste of time.