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Serving Over 20,000 US Medical Transcriptionists

Unless you are the primary record-keeper sm

Posted By: Rad MT on 2007-06-19
In Reply to: Keeping files - sammypot

You should dispose of all of them. My rule of thumb for files that I keep on my computer is two weeks. I send them in daily to the clinic, but I do keep mine for two weeks as backup in case for some reason theirs get lost.


You need to dispose of them so that the information can no longer be extracted. I remember a long time ago we had a magnet we would run tapes and/or disks through which would wipe the data. I don't know if those still exist, or how well they actually work.


You might get in touch with the MTSO or clinic or whoever the information originally belonged to and find out how they dispose of their sensitive material.




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Not a site, but Stedman's Ophthalmology Words is a keeper! :) nm
s
Thanks. Primary use will be for gas, though we don't
trade with Shell.  
I don't need it for my primary
account either, just my backup. I did not think about using a phone card. Maybe that would work better for me. I am already paying almost $50 a month for regular phone service. That is why I was thinking the $50 a month through Time Warner might be better. I definitely need more than 2 phones, between my C-phone and a phone for both upstairs and downstairs.

Thanks for the info!
primary..secondary
I agree 100%. I was on a great hospital with MQ but they kept calling me to work in my secondary which is one of the worst hospitals I have ever transcribed, IMHO, over 36 years.  I frankly got tired of the every day call to work in my secondary so I focused on my secondary, mastered the hard doctors and now my secondary is my primary, a hospital which most dont want to transcribe..so usually there is lots of work and bonuses too..guess **I won**, hun?
primary and secondary
If you want to have a primary and a secondary, Cornerstone has it. I am the QA supervisor and we are looking for ESL typists for a primary with one secondary. Check out the ad posted in the job section either today or yesterday.
My primary account allows
2 blanks to go right to the client. I rarely send to QA; in fact, just looked up on my email and I've sent 4 reports to QA in July.

I do about 50 jobs a day.
sounds like my primary...when they first did this,
I emailed my supe and suggested we just type the whole thing in the demo so they did not have to pay us at all...
Did I say primary? Oops. nm.

About 5-6 hours on my primary, but
secondaries slow me down to longer than 8 hours.
Primary question is SM
why didn't the internships work out?  What was your quality score (you should have been reviewed at regular intervals)?
My primary account is in New Orleans
They aren't dictating.  They don't need transcription help.  I need work, but I'm not whining.  At least I have a dry home!!!
My primary is oncology and hematology
and I have tons of Expanders and macros.  I also have to go off of a handwritten schedule that is faxed and cross them off as I go and obtain DOB, MRN and doctor names to place in the document.
Actually being on the same account for four months I would take as consistent primary! nm
:)
Familiar with primary/secondary insurance?sm

My son is currently covered under my husband's (his stepfather) policy.  His father and I have talked about changing him to his insurance come open enrollment time later this year because his coverage is now much better than ours.  I am considering actually leaving him on my husband's insurance too though, in the hopes that primary/secondary coverage will leave less out of pocket expenses...because it costs us no more or less with him on our policy anyway (same family rate regardless of the number of children covered). 


My question is this.....if our policy has a huge deductible then pays at 80/20...and if he was also covered by his father's policy that utilizes office copays...how would that pay?  Would his father's policy still not kick in and pay anything until we met the deductible on the primary policy?  If so that's pointless...but I don't see the secondary insurance company wanting to pick up all the expenses that the primary won't.  Anyone familiar with this situation that has any suggestions?  Would be greatly appreciated...very confused.  LOL  Thanks!


Actually being on the same acct for four years would be considered a consistent primary.
nm
There are only five states voting in primary elections today--sm
Wisconsin, where I am at, is one of them. check the internet to see if your state is included. this is a *primary* election, meaning we are voting to NOMINATE candidates for senate, congress, govenor, etc. We are not voting these people into office, just nominating them for election.
If insurance is your primary concern, then Trans Tech may not be an option for you.
The family insurance is horrid, over $1200 a month I believe, and the single coverage would have cost me $300 a month. I had to pass on the job due to this. I would be working just for the insurance.
For the record,
the solo-practices and smaller offices are outsourcing to the hospitals...


can anyone set the record for

My record is around 45.  Right now i'm on a report that is up to about 23.  Talk about toxic!


re-record
If re-recording to digital, pretty easy. Play either in handheld or transcriber, and use either computer or digital handheld to capture. Just need the connecting cord between two units - can get at Radio Shack.
if it was in my medical record?

It would depend upon whether or not it could have a negative impact upon my medical care. If the doctor dictated something like, "The patient has diabetes" (when I don't), yeah, I would ask them to correct the record. But for something like what was stated originally ... heck no. Let it stay.

But that's me ... I don't have OCD and I'm not anal retentive about this business like others. Never have been and never will be.

I still think you need to lighten up. There's a lot more to worry about in life than something like that.


expunging record
Just a thought -- a friend had a felony from years ago expunged from her record -- but background checks from then on noted the expungement on her record -- which raised red flags in itself.
another broken record...
me too. It absolutely befuddles me that anyone would be trying to get INTO this field, especially with all the ominous signs that are right out there for anyone to see. I think new moms with babes are just blinded by the idea of "working at home" and can't see the competition they are facing.  Me, I am in nursing school... not an easy job by any means...but I'll be good at it and will find my niche quickly and will always have a job! My biggest account is making noise about getting a VR system. If I wasn't in nursing school, I would be having a panic attack instead!
How did he get his record cleared?
You mentioned that he has a "clean record." I still have this thing on from 11 years ago. Did he have to do something in particular to clean his record or did it just drop off?
We all make dumb mistakes at some time in our lives, eh? LOL
Med Record Retention
That's a very broad question. It's my understanding that the answer depends on the State and the age of the patient at the time of service. Liability required juvenile records be kept forever since it used to be a base could be brought when the injury was first noticed, and that could be well into the adult years.
You have to record to the computer
Get a program like GoldWave (I think goldwave.com). You can buy a plug that goes one end in the transcriber and the other in the computer. One end goes in the transcriber earpiece plug and the other goes in the computer microphone plug.

Then play the transcriber while using Goldwave (or whatever) to record from the microphone input. It creates a WAV file or whatever you specify.
LOL. Did you tell your doctor so he could record it? - NM
NM
That particular patient's record
is still confidential information, thus protected. Who knows, there may be contributing factors about that other patient and that is why the name was mentioned. Either way, if it was dictated to be transcribed and fits with the account specs, it is to be transcribed. I've worked for companies that did and did not allow patient and other names in their records, sometimes it just depends on what the client wants.
Public record
http://www.fbodaily.com/archive/2009/05-May/30-May-2009/FBO-01829906.htm

http://www.fbodaily.com/archive/2009/05-May/30-May-2009/FBO-01829905.htm

These 2 companies were just awarded all of VISN 7. Not sure exactly where the split is. Look on VA website for hospitals make up VISN 7.
Why don't you set the record straight Ms. AAMT?
Why are you sooooooo defensive?
Setting the record straight

You purchased an IN-155 foot pedal for compatiblility with DVI VoiceWav.  (We have sold nearly 1,000 of these with zero returns.)


When you called our toll free 800 number for support we told you that the problem was not the pedal and was either the software you were using or your computer.  Reluctantly, we agreed to do an exchange for you.  (FYI, when your first pedal came back to us it worked absolutely perfectly and still does.  In fact it is plugged into the same computer I am typing on at this moment.  It has been tested daily since it came back with no problems).


Now, you voice incorrect information on MTStars.  Your problem is in your computer.   


Please feel free to call us yet again if this is not clear to you.


Tom Wilkes


President


Executive Communication Systems


(800) 644-9525, ext. 101


It is about CLARITY in the medical record.
It makes the medical record easier to read, which means more accurate patient care
Try expunging the felony record. sm
My friend's daughter did this after being turned down for a job at Target. She was an adult. You will need some legal assistance to do it.
electronic medical record nm
/
A.S. in Medical Record Technology
This included a course in Medical Transcription.  Went to work in a physician's office.  My job title was medical records, but the main component of the job was transcription.  This led to later full-time transcription job. 
It's probably an electronic health record.
They probably got an electronic health record where it is basically a point and click system that creates a progress note, does the coding, etc. I think this is going to hurt transcription greatly.
In Microsoft Word, there should be a record
of changes made and who accessed the report and made it. SOmeone with more technical expertise should be able to tell you what you do.
IT users?? Need ideas on how to record (sm)

the rad report MR#s, DVI#s, Accession #s in IT so to save me time.  This is radiology and at times, recording the exam numbers takes longer than typing the report, so hopefully, you understand. 


My idea is to open a daily list on the blank page of the IT screen and then save it at the end of the day.  Does this sound plausible to you?


Thanks for your feedback! 


Rad MT


After 5 years, you can have your record expunged. sm
If you apply for some high-level security position, such as law enforcement, FBI, etc., it will still show up, but otherwise, you can trully answer "no" if asked if you have any convictions, etc. You do have to go through an attorney, and I do not know how much it costs.

Hope this helps.
Let me tell you about falsifying a medical record
I know first hand it has been done and it was done about me. I had plastic surgery (3 part type) with face lift, tummy tuck and lipo in 2002. The doctor "forgot" to do the face lift. Had paid up front and I asked for the portion of the face lift only returned. He gave me an IOU on his office station but then later would not pay me and get this --- 8 months after the surgery he dictated my report, put in the face lift like he had done it along with the other. Now most people would say well, maybe he got you and someone else confused. Not so- this same physician who was head over the plastic at the hospital called me personally at my home, not through his office, but him personally twice in a threatening like voice when I tried to take thru mediation. I worked inhouse at the time and rather than risk my job, I left it up to Karma. This actually happened to me. I went to the lady over medical records, I worked in the same department, and told her exactly what had happened and she said I could write a note to put in the front of the chart disputing it had been done. Unbelievable, huh?
Re-record and C-phone question...sm

Hi all!


If I have an account that requires a C-phone, would I have to re-record it? 


Isn't re-recording very time consuming?


It's been a while since I worked with a C-phone, but I don't remember having to re-record, and I just remember hearing folks on these boards talk about how time consuming this can be and how the sound quality can be different.


TIA for any expertise!


I use / and record a macro which I assign
to an F key. Then I put / wherever in the template I need to input.

So moving around is as simple as pushing the F2 key as many times as needed...

I also use the macro record and assign to an F key functions like block and copy. Then if you have to move a whole section of words to another page, it's one key to block and copy and one click of the mouse to paste and you're done.
You need two macros. Just record the steps
to change to higher level, and the second one to change it back. Be sure to assign shortcut keys to each.
Protective of the US medical record???
She employed offshore MTs...how protective could she have been?  Are you kidding me? 
Telephone Record Adaptor
You might want to look into getting a telephone record adaptor that plugs into your laptop sound card.  Also would require audio capture software but then the files would be recorded onto your computer and from there you could transcribe them.
How to re-record off phone line?
Does anyone know how to re-record transcription off a phone line?  TIA
The actual medical record contains
those things you mention. The dictated report sometimes does, not that is not often. Some facilities, however, do have the physician dictate everything imaginable and even if it is 1 out of every 10, that is still too much info to let out.
He did not start the electronic record, really
Why beat a dead horse? I have been on electronic records for years now, before him. I think you are a hater and any and everything you can find to say about him you will. This is NOT NEW with electronic records. Find something else to gripe about, ok?
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?
I think that is very unprofessional for a medical record. nm
x
How can I record patient data as fast as possible

Radiology patients, so reports are short most often.  We have to log two several digit numbers, the types of exams (chest/abdomen) dates.  We have sheets to do this on but am thinking I should keep Wordpad open and type in there.


Any ideas on how I can do this and not lose momentum or time?  I do about 100 exams a day.


Thanks!