Medicare is offering free installation of EMR to physicians and hospitals.
Posted By: On Medscape web site. (sm) on 2005-08-23
In Reply to:
http://www.medscape.com/px/instantpollservlet/result?PollID=1502
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Many physicians in my area don't want to take Medicare, Medicaid, Tricare
or other insurances because the insurance companies require a huge buydown of charges and then disallow quite a bit for being "above the reasonable amount."
For example, I had double insurance of Blue Cross/Blue Shield and Tricare when I had surgery. The bills totaled $15,000. Blue Cross knocked $5,000 off the physician's $7,800 bill, paid him $600 and left Tricare and me to deal with the $1,200 balance. Tricare wouldn't pay because they disallowed the amount as unreasonable, the physician's office forced me to make payments on it, and I had to fight just so I didn't owe them another $1,200. It was ridiculous that I had double insurance coverage and wound up owing anything. Meanwhile, the doctor didn't even get paid that much, and he did my presurgery appointments, the actual surgery, two postsurgery appointments to remove hardware, plus coordinating everything between cardiology, radiology, anesthesia, laboratory, surgery, and having special equipment trucked in from out of state.
If I had not had insurance at all, I would have had to pay the entire amount. I think it's crazy that noninsureds have to pay the full amount but insurance companies can disallow or buy down the amounts due. Anyway, you hit a big rant of mine. Shortly after I lost my Blue Cross coverage, my son needed to be seen but we couldn't find a provider to even take Tricare at all. So much for my husband serving his country and being away from his family in the line of duty. The doctors get rich and refuse to treat military personnel who fight for their freedom. Talk about a total lack of appreciation.
Bayscribe installation problem
Hi,
I'm not sure of the best place to post this.
I am having trouble installing Bayscribe. I can't get the productivity tools to install. I have had it installed previously and am not sure if that is the problem or not. I have uninstalled, restarted, installed, and restarted, and they are not there. I have turned off all pop-ups, virus scanning, and firewalls for the time being.
I was just wondering if anyone else has had this happen and/or has any ideas on attacking the problem.
Thanks for any help!
Paula
...on installation? Run the upgrade on it from your Start menu. nm
s
Yeah, but hospitals are already largely using VR in hospitals. (nm)
(nm)
SE Medicare and SS are taken out, not fed tax.
I looked on the IRS website. You do get a SE W2 and then you can deduct business expenses to lower your fed tax, but you still are responsibile for fed tax yourself. I double checked at the IRS website.
Question about Medicare.
I hope I'm posting on the right board, but here it goes. My elderly mother was in the hospital back in January and on Friday received a bill from a nephrologist who saw her briefly once and billed Medicare $375 for his in-hospital consultation. Medicare paid them $15.68, they "wrote down" $240.40 and the supplementary paid $3.92, and now they are billing her $115. This is the first time she has ever received a bill from anyone as her insurance has always paid. I keep thinking that they have used a wrong CPT code for their billing as it is beyond me that Medicare would only pay $15.68 for an in-hospital consultation. I will have to wrangle with these people tomorrow, but wanted to know if anyone had any opinions about this and feels like I do. I don't think this is her deductible amount as she had seen many physicians before him seeing her in the hospital. I know I will also have to call Medicare to see if in fact they are the ones that got their bill in first and this is in fact her yearly deductible, but as they say, knowledge is your best tool before someone tries to pull the "wool over your eyes."
yes..they are taking out for SS and Medicare...
a friend of mine said when she wasn't making that much money she had them withold an extra 10.00 for federal so i may have to do that...
Cuts in medicare and medicaid are about to take place
I have mentioned this but it was always deleted as I think the monitor thought I was talking politics.
There will be a marked decline in coverage for services to medicare and medicaid patients and I believe to offset this, medical facilities are finding ways to cut costs.
The cuts will be significant. You could do a Google search for Deficit Reduction Act. Radiology will be most severely hit, especially stand alone facilities.
Forgot to say this was for Medicare Supplemental Insurance (NM))
nm
If you picked the correct Word version at installation, if you pull up a blank Word page & do an inc
s
Your national is liable for SS and Medicare tax not you. They thinkyou are self employed. nm
:
I've actually found Medicare very easy to deal with...
wouldn't dread the call. It will probably go better with Medicare than with the nephrologist.
Will I not get paid if the hospital isn't reimbursed with Medicare/Medicaid?
I was told by a coworker that California is in so much debt that I may not get a paycheck if CA goes bankrupt because the hospital I work for will not be getting subsidized any longer....
could this be true?
Yes, you're cranky. The docs may be instructed to do so to appease Medicare or other such entity.
x
If government is involved, it will be as screwed up as the Medicare medication program.
Heaven save us from all these wanna be kings that sit on top of the hill.
they will be offering some pto time for se
doesn't say much more than that but they are mentioned
That's my question too. There you are, offering to help, SM
and here I am offering to help, and what happens? We're called liars. I always just get so stirred up by this that it makes me want to holler.
What possible good feeling could a person get from making another person feel bad? NONE!
What possible good feeling could you get for helping somebody increase her earnings? A BUNCH!
But nobody wants the help, nobody wants to know how you produce, they just want to whine.
one would think offering expertise and guidance
You'd be not only happy, but FLATTERED to be asked questions. Newbies should be admired for asking questions and encouraged to do so, rather than putting whatever they want. There are times when you search, and search and search, not finding, but having two sets ears especially one with more experience is always better than one set. Stop being grumpy already. geez.
No, it means you will have the option of offering it
to the next highest bidder if the original high bidder does not pay. Usually you will just leave it there until item is paid for and shipped. It's really just in case the first deal doesn't go through.
About offering direct deposit.
Klaar is getting ready to offer direct deposit (again). Oh boy, gotta wonder if they formerly offered it, then canceled it, and are ready to offer it again (soon).
Look at all the jobs out there NOT offering 10 or even 9 cpl. For the majority of us, it
s
I know, I was just offering an opinion on the other side...
Besides work, I have some other things going on in my life that cause it to pile up sometimes, although I swear I'm not lazy, just overwhelmed lately. I'm a stickler about the floors though.
And I'll take 4 over 5 any day!
Offering E-Signature to a Client
Hi,
Does anyone know about offernig E-Signature to a client? Is there a way to do it easily, on your own -- I mean, instead of signing up with a big company like Vianeta or Bayscribe to handle all of the reports you type and want to send to a client.
Or... If that's the only way to go - through a big company - are there any big companies that are economical if you just have 1-2 doctor clients? I know some of those companies charge like $5,000 as a set up fee. Thank you.
Dave
I mean, I'm sure you can do it
If offering that as bonus, you can bet it is pain
x
Depends on who is offering that. I'm pretty sure I know who.
Does it start with a T? If so, I'd have to say turn it out unless you want to get stuck with the crappiest accounts. Why do you think they pay better than most for Escription? If you do have work that hasn't gone to India, it will be nothing but the rotten ESL accounts. Think hard about this one
No worse than the ads offering $500-1000...sm
a week at home, no experience, stuffing envelopes, addressing mail, etc, etc, at home, and once you anwer them they want you to send in money up front. 
Cuba is offering 1500 doctors to help us...
This was posted with a picture in the hurricane slideshow.
Hundreds of Cuban doctors listen to a speech by Cuban President Fidel Castro in Havana, September 4, 2005. The U.S. gave longtime foe Cuba the cold shoulder on Tuesday over its offer to send more than 1,500 doctors to help victims of Hurricane Katrina, which created a humanitarian disaster after pummeling the U.S.Golf Coast. Picture taken September 4, 2005. REUTERS/Claudia Daut
What a disgrace. During times like these, people should be able to set aside their grudges and problems and come together.
MY QUESTION TOO...I don't even see that they are offering SE positions in this new plan.
I just got the memo dated Sept 2
I have read it 3 times
I do not see the words STATUTORY EMPLOYEE anywhere
I am assuming they are doing away with that position???????
Anybody know?
and if so why am I scurring around trying to buy a computer to
accommodate their new platform as an SE when they are only hiring
EMPLOYEES.........who they provide computers to
Hospial offering me 14.50 hour and benefits.
?
tvps.com is offering same day shipping if ordered by 3p. nm
s
Central FL, yes, and the theme parks are all offering jobs. nm
x
That means you didn't win the auction, but the seller is offering
the item to you anyway. Either the winning bidder backed out, the seller had a duplicate item, or they lowered their reserve price.
suggest offering a line count lower than....nm
Dell offering support based in N. America
By Peter Whoriskey
Washington Post Staff Writer
Thursday, December 11, 2008; Page D01
If you prefer a customer service agent who speaks "American," then computer maker Dell has a deal for you.
Catering to consumers put off by the accents of Bangalore, Manila and other call-center hubs around the globe, Dell will guarantee -- for a price -- that the person who picks up the phone on a support call will be, as company ads mention in bold text, "based in North America."
The Your Tech Team service, with agents in the United States, costs $12.95 a month for customers with a Dell account, or $99 a year for people who buy a new computer. It also promises that wait times will average two minutes or less. Without the upgrade, a customer is likely to get technical help from someone in India, the Philippines or the other places where Dell has operators.
By charging customers extra for a North American voice, Dell's program represents a novel strategy for easing the strains of globalization while maintaining profit, industry officials said.
Occasionally, "we've heard from customers that it's hard to understand a particular accent and that they couldn't understand the instructions they were getting," said Dell spokesman Bob Kaufman. "This illustrates Dell's commitment to customer choice."
for complete article:
http://www.washingtonpost.com/wp-dyn/content/article/2008/12/10/AR2008121003574.html?hpid%3Dtopnews&sub=AR
Abacus is not free. It is $20 but worth it. You can download a trial version free which does not h
I have used this for years and have compared to Sylvan, Word, and MP Count, etc. When you have it set to count every character, bold, shift, tab, etc. It is great and always higher than the others. Now if you are wanting gross lines like in Word then no it won't be as high because Word counts blanks lines and Abacus counts a line only if there is a character on it. There is also two places to check for it to count the Headers/Footers. If you have the FREE version then it must be the trial or a very old version so you don't have all the features and functions.
Free? As in, free trial? Otherwise, I don't think you'll find a spellcheck software that's
y
Check out the free demo of MTStars FlashType. It's free for 7 days.
Then, if you like it, you can purchase it for $59.95. See link below.
On this new MQ rewards plan what exactly is it offering statutory employees and I suppose that that
is going to be the end of our quarterly bonus. My concern still is if there is no work how do you get any incentive if they lower the base rate. Sounds like employees will have a larger window to get their work done which means we all will be scrambling around for work at all hours.
It means one MTSO offering to pay you 3, 4 or 5 cents/line less for the same work you do at another!
You are so right. Its up to the physicians and
also your local competition. Its all about offering the physicians something better than the competition - better rates, better TAT, and if your competitors are certified, you can bet that's part of their "sell"...But you could never predict the certified issue until you check the waters. Good luck to you! Its not that hard to pick up a local account or two. Enjoy!
Do you think ER physicians actually do as thorough
a physical exam as they dictate or do you think they fabricate a lot of the details of the physical exam?
Not all physicians are like that .....sm
I work for very generous, kind and caring orthopedic surgeons who see patients, with little to no income, and charge them nothing. They ask for no payment and nothing in return. These docs would give you the shirt off their back.
Not every physician cares only about money.
It is bad enough for the ESL physicians but
today I had an ESL PA dictating and when she dictates hypertension she says hypertensions, as in the patient has hypertensions and heart disease is diseases and lukemia is well you catch how it goes EXCEPT if you have the patient's wife, then she says the patient wife or the patient daughter. I am TICKED
Kaiser switching to EMR and to be offering retrival of your medical records online. sm
http://www.amazon.com/gp/product/B0008DHVJ2/ref=nosim/104-6407180-5455101?n=551440
Is it just me, or are physicians getting worse
with dictation. I transcribe several that use speaker phones to dictate. I think ER docs are the worst. Not only do they use the speaker phone, but that talk at a rate of about 150 miles per hour. Do they not realize (or maybe they just don't care) how difficult they are to transcribe. I really don't understand why the companies we work for allow this. 
I ask the physicians! Haven't had one yet
who didn't tell me what they were already being charged. You should be able to call the MT department at your hospital and ask around there too.
About incompetent physicians...
Yes, they are definitely out there and getting scarrier day by day. Actually, the great majority of them are quite pathetic.
local physicians
I was wondering if any one knows if local physicians would rather hire certified MT to do their work from home. I am thinking about supplementing my income with a national and wondering if this would be a good way to go. Any insight into this would be greatly appreciated !!
Prospecting physicians??
I currenlty have one account of my own and am an IC through a very small local transcription company. However, I want more of my own accounts. I have sent letters and am willing to do more. Does anyone have any idea on what it takes to "land" an account? Thanks so much for any ideas/help/suggestions!!
Physicians by State
www.healthcarehiring.com. Scroll down to the bottom and you'll find all of the states. This is a great site to search by state, and you can search by specialty even within that state. It is in alphabetical order, which is very, very helpful. I love this site myself and use it every day. 
Yep, been there,done that. Many physicians today
have gone to EMR. I talked with one not long ago who said I needed to find another line of work since EMR is replacing the MT. Even my own personal physician uses EMR.
We are either being replaced with technology (EMR or VR)or work is going offshore. Somehow for me, editing is really not something I am interested in, as I would rather transcribe.
Hopefully, others here will be able to direct you and encourage you, perhaps giving you ideas of how you can obtain clients. Much success in whatever path you choose.
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