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This won't keep records in the US. It only requires "written notice" - sm

Posted By: TechSupport on 2009-03-17
In Reply to: Petition to keep records in USA - Pass it on! - Tli

I support this law, but only because it's the only game in town on this issue. It does not prevent private information from going offshore.

The "written notice" will be buried in the legal gibberish of patient privacy notification forms that they're required to sign - in Section 18, subsection 49, paragraph M, subparagraph 27. And, it will be expressed in terms that sound a lot better than sending your information to Bangladesh.

Ditto, credit cards. This notice will come in one of those gosh-awful "notice of changes to your account" things that we get from time to time and that no one can comprehend.

As a matter of fact, this law might actually cause more records to go offshore because it presumably provides "cover" for any company that complies with this extremely weak requirement ("notice"). All they gotta do is sling some of legalese past you, buried in pages and pages of other legalese, and they're home free.


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okay, york hospital said they had delivery records, but no prenatal records. sm
they had no idea who she practiced with or anything like that and of course SIL doesn't know any name other than Freundel. i am also a midwife besides being an MT and in order for me to take her given her bicornuate uterus, i have to have her records. i guess delivery records is better than nothing, LOL, but i have to have her prenatal records. i wonder if there is a clinic there or something that med students rotate through. i couldn't even find ms. freundel on AMA, but she may not be through with her training yet either and that is probably why.
patient records and prisoner records
Does anybody know if our USA prison system is keeping prisoner records in the good old USA, or are those records offshore outsourced too? I am just curious because it seems to me that law enforcement in general does not offshore records, and I was wondering about prisoner records? If anybody knows, please post. Thanks in advance.
It was for a job, which requires me to ....sm
download ExpressScribe. I am trying to get this on there and it won't let me. To take the test, I have to have this ExpressScibe. So that is why I was trying to do it.
If it requires that much knowledge
above the normal they might consider paying a wage for it - starting .07 cpl doesn't exactly scream you're valued for your knowledge.
Editing requires a somewhat different set of SM
talents and skills, Carole. Some make more, some less, depending on that. Also, very important, depending on how the lines edited are being counted compared to the amount of work required--this can vary widely, even within a company depending on which account being worked on.
Excuse me, but VR requires the same
skill as a QA also. It would be exactly like reviewing a report sent to QA as it has to often times be corrected for grammar, punctuation, spelling, words, etc.; just as if an MT had sent it in for a question.
That doesn't even matter if the DOJ only requires your
SSN and address.  The criminal background checks aren't coming from the DOJ.  The MTSO or national is requiring a criminal background check.  That's their prerogative.  You either submit to the criminal background check, or you look for work elsewhere.  It's that simple.  There is NO law requiring background checks.  It's not a violation of privacy because you agree to it before it's done.  As the other poster said, what's wrong with it if you've got nothing to hide?  Many times, you're getting a computer and access to people's private health records.  I don't want a criminal having access to my medical records.
Co. requires outdated version...

Trying to get started with Focus and they require Microsoft Office Professional 2003.  I cannot get this from a reputable company.  They tell me that 2007 is not compatible with their system, but the people from microsoft doesn't see how it couldn't be.  Does anyone know a legal and reputable way to get this?


I have 1 year of experience.  Does anyone know of another good company that willh hire PT with this experience.  Thanks. 


But QAing requires much more knowledge
and experience than VR editing. They can hire newbies to do VR editing, but not QA.
If the law requires that a patient's record be
protected by HIPAA, and HIPAA laws have no effect overseas, wouldn't it logically be a violation to send the record overseas?
Only if your city requires it. I work as an IC
and my city does not require a business license for this.
My question is why do you want that kind of pressure in a job that requires you to
work 80 hours a week? If working 80 hours is part of the job at any given time, why would you want it?
Becoming a nurse requires education and certification.

MT does NOT.  A flying monkey could become an MT with a little training.  Some people make it sound as if we're doing brain surgery here.  Honestly, we are glorified typists.  Anyone who thinks it's more than that is just trying to feel better about being a medical typist.  I get slammed all the time for this opinion, but the harsh reality of it is that this is NOT a difficult field to get into IF you have the proper skills.  Don't slam someone for being a nurse and wanting to transition to MT.  She has more education and certification in the medical field than we do.  As long as she has good grammar, spelling, research, and typing skills, SHE WILL DO GREAT!!!!  Why do people have to be so egotistical and negative on these boards?  We ought to encourage newbies getting into the field instead of telling them it's too difficult or they aren't qualified.  Hey, let's just alienate all the newbies and send the work overseas to people who don't have EFL skills.


You need Microsoft's Word. It is a program that requires
installation. The account sounds good at 13/cent a line. Better invest in Word (costs a bit) unless you have a kind friend who will share theirs with you.
Thanks for all the info. I will check and see what my State requires(nm)
xx
PA requires you to charge sales tax on your work...
if you send your completed work to a MT company or doctor within PA.  However, I send my work out of state, so I don't have to charge sales tax and I don't need a license.  I had asked someone at one of the companies I IC for and she said that she had heard of that before from one of the other girls.  When I lived in WA state, I had a business license from the state and had to file every year.  The sales tax thing was a real shock to hear at first!  
This is a very serious situation that requires medical attention
Believe me, it will be worth it. You need a slow steady six month wean off that powerful medication or your body could possibly seize up with an abrupt withdrawal - and that needs to be monitored by people who can help you.

I took Klonopin rx'ed for a year to help me sleep. When stress factor was removed, I tried to stop it and nearly went crazy literally. It sends you into a state that is highly agitated and your thought process is also going to be useless (you need to be with people whom you are safe with, people who know you). Tinnitus is one symptom that I experienced which was at a high decibel. Had I the ability to get away from work, I'd have gone into detox but instead, i cut pills up over six month period and weaned - even with the wean, you see, it is nearly unbearable. Oxycontin is being considered to be pulled off the shelf because of its highly addictive nature. When prescribed for over a two week period, providers should tell a patient what to expect when they want to stop the med; had I known, I would never have taken it. In the end, I appeared to be a drug-seeking individual when I was only in a state of anxiety due to the state my body and mind was in and could not tolerate it - leading me to beg for just one more prscription to get me off that monster of a drug.

Please, find another physician, possibly a psychiatrist as they are familiar with this, and get a regimen that will cause the least symptoms if you cannot go into a 30 day detox program.


I need help in MS Word. I have a new doc that requires almost every page to have different margins.

I used to have an account that we could type Control and L and that would make a page break with the margins for a letter.  I don't know how to create this.  I looked into macros in Word and am totally confused and have no idea what to do.


Can anyone help me figuer out a way I can assign Control and L for the letter margins and control P for progress note margins.  I'd really appreciate any help


The plural minutes requires "were". If he had said....sm
A period of 45 minutes (the singular period would be the subject thus requiring was). Also, it would be the possessive Dr. Smith's
Where I work requires average of 1200
lines per day for a 2-week period.
I won't work for a company that requires me to pay long distance
After getting reamed over by one MTSO who verbally promised to pay my unlimited long distance bill and didn't. I have no use for long distance because I use an inexpensive calling card or the Internet.
Company requires a C-phone. Will a Lanier Lx-219 work as well? sm

What is the difference in a Dictaphone, C-phone, Lanier LX-219 and Lanier Expresswriter or Voicewriter?


Thanks!


Vonages requires high speed internet...

so you would need either DSL/cable or broadband.  I have broadband and hooked up to Vonage for 2 months for C-phone use.  The audio quality was frequently poor and I would have to reboot.  Some days I would just hook up to my home phone line to avoid the hassle.  The kicker was when I went to disconnect this month, they charged me $97 TO CANCEL!  Its all in the fine print, apparently.


My audio problems may well have had to do with broadband/satellite service more than anything.  If you have cable/DSL it may be worth a shot, but know that if you cancel after their 30-day trial you are going to pay! 


A macro shortcut requires that you strike 2 or more keys. nm
nm
Might need to mail her a letter from a lawyer that requires a signature and take some action. nm
,
It's a one-trick pony that requires us to sit on our butts on auto-pilot all day
Yeah, we do need to know terminology and how to use a computer to locate information, but every job has specifics that are required. How extensive is the knowledge we need if you think about it? We do the same thing every day, every month, every year like a hamster running in a wheel to nowhere.
What state requires a breast exam for a driver's license?!?!
nm
Agree! Board is like chatting. Work requires more brain cells.
x
PT position requires Lanier dictaphone but I have VDI 3006 Digital SuperStation

Can I use a VDI 3006 Digital SuperStation when the job calls for Lanier dictaphone?  I read a post that said Super Station could be used in place of Lanier but not the other way around.


And, if not...Do you think I should purchase a Lanier Dictaphone in order to get a PT job which sounds promising?  It would be a fast return on my investment and I could use it in the future.


 


Yes, you can get the records. sm
First of all, let me say congratulations on getting out of a bad situation. I've been there and done that, and I know that it's not easy. Everyone seems to think that it's just an automatic response to leave, and no one seems to understand why a spouse would stay after something like that, but unless they've been there themselves, they just don't understand how hard it is. So {{big hugs}} to you and stay strong.

Now, as far as the records... yes, they are public and you can request them. You need to know the names of the towns/cities where he's lived and where he may have been charged before, and then simply call the court clerk there to request any and all documents.

As far as him having scratched himself to try to show you were the aggressor, I wouldn't even worry about it. That's a common tactic that abusers use to try to shift the blame. It won't work. He's not as slick as he thinks he is.... anyone who's dealt with abusers before knows that this is a pretty common trick that they use.

Please, stay strong and keep yourself safe. I've been there, and I know it's not easy. You were with this person because you loved them, and that doesn't just magically disappear once they hit you. It would be much easier if it did. Try to prepare yourself for the inevitable crying, apologizing, swearing he'll get help, etc. It can all be very believable and convincing, but trust yourself and your instincts, and if you need to talk, I'm here.
Can top that... in my mom's records
the pt is a 52 yo woman of "advanced age"... it put about 10 years on her when she read it... I don't think she would have been near as upset with the doctor if he had performed the wrong surgery as she was about that one....LOL
Even if ALL records are on EMR, there will
still be a need for MTs. For facilities not on VR the reports still have to be typed and the ones doing VR need editors. An EMR does not mean there is no need for MTs, just means that the records will be computerized for easier access.
I have also gotten my records for sm
hospitalizations for a chronic illness (all 64 admissions) and the records are a mess. But its not with BOS errors, it is with gross medical errors!!!!!

I think the so-called standardization should be that these places hire MTs that know what the heck they are doing. The hospitals and clients can figure out their own account specifics. I have hired plenty of MTs in my career and no way would I turn a good MT away who knows their "medical stuff" but doesn't know the specifics of the BOS! Thats like cutting off your nose to spite your face which is what htese companies are doing. I think they are more worried about the BOS because the people doing the hiring now dont' even know how to do MT themselves. I guess the only thing they can relate to and know anything about is that doggone BOS!
VOIP - If I am not mistaken VOIP requires a high speed connection.
:(
Doctor's records
When a physician retires or otherwise closes his practice, he must offer his patients the opportunity to pick up a copy of their records, which he may or may not charge for photocopying.  The original records must be kept by the physician for a period of 7 years after the practice closes.
Digital Records - SM
Most come with software and a docking station and software.  He would need to dock the recorder and transfer the files to you, either via e-mail or send them to a secure FTP site. If you order it through Transcription Gear, it comes with really cool software, including a player for you.
It's not so much as my records personally....
it's the idea of a large group of United States records being sent because if they can find a way to use it against our country, they will.
What do you mean, prisoner records? (sm)
Most medical records are handwritten. All records having to do with crime, time served, etc., are computerized. Many states have web sites that allow you to access the records and see if people are still in or released. What would there be to offshore?

Records for working as an IC?

I have been fortunate enough to work at only one place now for 7 years and be happy, BUT things have not been the greatest lately.  I am considering taking a position with another company part time, but it would be an IC position.


My question is, are there any special records I have to keep for tax purposes and so forth working as an IC?  I know I am responsible for my own taxes, right?


Any advice or info is appreciated.  I have never worked as an IC before, so I feel a little green on this topic.


and this is how our records are transcribed =(
x
Illegal records
I worked for a hospital years ago and sometimes the dictation did not come through our system correctly even though the doc knew he dictated it. We had several docs who absolutely REFUSED to re-dictate, stating they dictated once and that was it. Several times, I personally had charts out of the hospital (which would scare me now to do this) at my boss' request and made up or gleaned from the chart the discharge summary. This was an orthopedic doc that I also worked for, by the way, so I practically knew what he was going to say before he said it. Several of us did quite a few charts like this as some of the docs WOULD NOT, absolutely WOULD NOT re-dictate and we needed the discharge summary and/or op report in the report. Scary or not, we did it. Don't know as I would do it now, though.
School records
My husband works at a school, and I can verify that school records are legally confidential, just like medical records. Only authorized personnel have access. I do not ever remember giving family history information, but schools now are required to have a nurse on staff who handles any medications the child is on, etc. I do know schools are required to provide physical therapy and speech therapy if a student needs it, as my child has cerebral palsy and had to have PT. The school was required to either provide it there or provide transportation to a facility where she could receive it. I thought this was a bit ridiculous because I thought that was my responsibility, but I guess the state feels like some chldren would not receive the help they need otherwise.
Old patient records

Does anyone know when you no longer have an account what do you do with the old records.  Can they be deleted because they are no longer your account or do you have to save them in case the account ever needs them?  All their notes over the years have either been printed and delivered or emailed to them and I don't keep them past a year.


Old patient records
When I closed up my accounts, I always gave the reports I saved on CDs back to the clinics. After all, I didn't need them any longer.
Health records

Where can I locate the AHDI recommendation on length of time for MT business to retain health records?


 


If it's ok with you if your health records
go to some filthy disgusting third-world country, at the expense of your own job and livelihood, be my guest. FYI HIPAA laws are only for this country. they can do whatever they want with your private health records. It's not just fires. The QA sucks, communication barriers suck, economic consequences of MTs who have lost their jobs BECAUSE of greedy Indian MTs,.... List goes on. Go ahead and be a bleeding heart, but don't be surprised when your job security stops beating as well.
It's horrible, all old records mean nothing sm
Our docs' private practice uses this now. As patients we asked where our old records were as no more charts and we both had very serious illnesses. Told they are in the basement should they have to refer but were asking questions they should have known the answers to. It was as if we never existed on the face of the earth to them after 18 years. I'm disgusted, it's like your past history means nothing to them. I would like to slap them but I can't. Jeesh, what next? The pharmacy now connects electronically to them and we were told not to call for Rx anymore, just call the pharmacy. The pharmacy said it could take up to a week. We have to call and remind them to check their computer as we are waiting for a refill okay. Robotic! Electronic supermarket checkouts, Rx's, digital phones, no people. Even the casino uses paper tickets now instead of money coming out. It sure goes in as money though! And if it ever does come out in a ticket, you have to go to another "machine" to get the money. Don't gamble but once or twice a year and just a sign of the times, everywhere you go, no people - just robotic machines. Surgery included! Detachment from people!
Just because the records go overseas
does not mean the laws are being broken. Granted, they cannot be enforced, however, if the company doing the overseas transcription does not follow the guidelines, then something might be done. However, unless there are specific cases, you cannot say laws are being broken. I am sure their contracts state they have to abide by our laws.
medical records on the net
I think this drive to put medical records on the net will ultimately put us all out of work.
Are old records from AAMT available??? sm
Silly question but 18 yrs as CMT, tons of CME's (overly done) and president of local chapter for years. Was that all for nothing?? Hate to even ask!
I did not notice the OP asking you about what to do.

Mind your business if you have no answers to the question OK?


 


Bye now! 


 


PS:  I hate when people come on here with an agenda and preach when all that is required is a simple answer relevant to the original question.