What does elective procedure got ....

Posted By: to do with it...surgery is surgery. on 2007-02-24
In Reply to: I have no idea about his being caught but - Rita

nm

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Illegal??? - Shalyn840
- That is so illegal. My hubby is sm - MQ-MTr 30 years
  - Welcome to this century. - Most docs do not want to dictate.
- Does your hospital have a Risk Management team or office? Contact them. (nm) - Jurassic MT
- Illegal records - Pat
- Actually, there are MTs who have started dictation services sm - JLH
  - Couldn't agree with you more. - Exactly.
  - True, they can do this as long as it is - with doctor's approval beforehand......nm
    - Disagree! Preapproval not necessary...sm - JLH
      - Well, if they run that kind of show, they will not get - accreditation from Joint Commission
        My husband, healthcare CEO said preapproval - is necessary...sm
- Sounds fraudulent but the doctor who signs it is responsible. - (NM)
- You are probably better off to stay out of it. - You would have to know all the facts.
- illegal - clk
- You have got to be kidding me! - She is crazy and unscrupulous!
- how to handle -- be sure and dot your I's and cross your t's - hope this helps
- Absolutely illegal....my hubby is in administration... - of a major healthcare company....sm
  - Doesn't apply. According to original post, there was no dictation involved. NM - JLH
    - Absolutely does apply - anon
    - Doesn't have to be dictated...but he does - have to approve this beforehand..nm
      - Approve what? The information used is already part of the medical record and, therefore,...sm - JLH
- I would contact your highest in command. A medical - I would say it is illegal
  - Why? It sounds like you're assuming the generated reports contain...sm - JLH
- don't know anything about it but - x
  - Maybe she uses "normals" lol - sm
  - Let me tell you about falsifying a medical record - Rita
    - Yes, but this situation involved falsifying information. The above did not. NM - JLH
      - ?? - Rita
        Well Rita, what happened in your case is not the same as...sm - JLH
        Big deal is legal, medical record which should be the - Rita
        I just think that the word "make-up" - is being used in two different ways here.
    - No offense, but your post didn't make any sense whatsoever. - Question
      - Sorry, others read and knew exactly what I was saying - Rita
        I didn't get your post either Rita. - ?
        Haha...I read it once and understood exactly - TM
        To your answer, no face lift but he dictated like - Rita
        Pay attention: Facelift was not done but he dictated an operative report for it. - (NM)
        AND CHARGED ME AND KEPT MY MONEY - Rita
        cant you report him to an ethics board? - at the very least? -no msg
        She's right....he does at least need to be reported - to the ethics board...to leave a mark
    - Professionalism and morals - Brandy
      - I have no idea about his being caught but - Rita
        What does elective procedure got .... - to do with it...surgery is surgery.
        And I don't understand why you are not reading this post correctly, it says - Rita
        I have a hard time understanding if this was so - Not a Believer
        It wasn't right in that I paid money up front - Rita
        Why did you accept the IOU? - Doesn't sound like you have let it go.
        Don't be so sure because - Rita
      - This would be a legitimate lawsuit.... - on many levels, fraud and theft...sm
        I consulted several lawyers, all told me the same - Rita
        It's not neccesarily that you don't have a good case.......but - the new caps put on lawsuits .......sm
        All the lawyers I called said - Rita
        Still, I say find a good attorney way outside your - area...they will help you.
        I went to mediation but - Rita
        Sue him in small claims court for breach of contract - if all you really want is your money returned.
        Don't get it......what does French sounding name - have to do with it?
        Are you dense? It is an "unforgettable name". - (NM)
        No sweetie, not dense...just trying to understand - what she meant......nm
        I so appreciate your standing up for me - Rita
        Have had three major surgeries and mistakes were made... - SM
        You have to go outside the community.... - ethical physicians are out there
        I remarried after the other husband died - Rita
        In my first post stated I had facelift years - Rita
        The French sounding name in other words - Rita

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There is a wait for elective
surgeries in those countries. My sister in England is in charge of an operating theater there and can attest to the high level of medicl care there.

The doctors are paid for keeping their patients healthy. What a concept!

There are millions in this counrtry who can't afford health care and go without, until they're so sick and present to an emergency room, costing the hospital and eventually the taxpayer many dollars.

As you said, we have THE BEST care in this country. Not in the world! In this country people die from lack of health care. What is BEST about that?

You need to understand that the insurance companies are in business to make money, not save lives. That is why so many people WITH INSURANCE are denied procedure and surgeries, many bankrupting themselves to pay for it.

The system as it stands is obscene. One day if you are unlucky to face the situation of a denied claim, then you might have a different opinion about the state of health care in this country.

Elective surgery vent

Why is it that I volunteer to work both Thanksgiving day and the day after so everyone can be off (I'm only 1 of 2 MTs on my large hospital today), and what operative notes am I transcribing? Liposuction and blepharoplasty - elective surgeries.

Now, give me the history and physical reports on little old people with respiratory distress or slip and fall hip fractures and I'll feel as though I am really contributing to the care of someone who NEEDS it.

My 3 yo was up all night Wednesday throwing up from a stomach virus, but I still worked my shift yesterday, but had to cancel my plans to have my family over. So, we moved the festivities over to today to reduce the chances of the virus spreading, and I have a higher line committment today, still have to do all the cooking and entertaining, and I am doing vanity notes!

AAARRGHH! I hope these ladies pigged out yesterday as their farewell to all the fat getting sucked out of them today!!

Thanks for the vent

there is good and bad in every procedure--sm
I suppose and everybodies experience is different. If you decide to do it, I wish you all the best. Keep an eye on those cells. My father died of cancer that began with esophageal cancer, two years ago. Both my brother and I have reflux problems, as well, so I do worry about it. Good luck to you in your decision.

Any MTs around that have had the LASIK procedure and how are you doing?

Please post a response

Very simple procedure
Download your voice files from the email to directory (folder) on your hard drive (usually should create special one just for this) you know you will always use for docking these recordings. Then open ES and click on the Load square at top of program. This will open the directories on your computer. Go find the one where you just downloaded the email recordings to, click on the one you want to bring into ES (one by one or batch). Then click the "load" key at the bottom of that screen and you should see them coming into the ES window. Takes a while for them to install if they're long. It's only complicated the first time!

not painful and very quick procedure but...sm
But......a person needs multiple sessions and that's where it gets very expensive. The plastic surgeons I work for did it and the one who does not own the practice charged me 50%. I went twice and didn't go back and yes, the chin hairs recurred. It is nonpainful and fast procedure FYI.

operative report vs procedure
I used to think I understood the difference between these two types of reports (operative versus procedure). Somehwere along that way, amidst dozens and dozens of account profile specifications, technology advances and MDs who always key in the OP code regardless of report type, I am not so sure anymore. I would like to try to elicit a consensus on how transcriptionists distinguish between these two report types and what criteria they are using to do this?

The prep is worse than the procedure, believe me. nm
x

Anyone familiar with Spark procedure ...
relating to bladder suspension? Can't find on internet.

well, i've hesitated having a procedure done
in large part due to the economy. Probably there are a lot of people that are holding off on elective surgeries along with other unessential spending....

s/l two 4 x 4�s peripad and mesh panties.......PPH procedure
s

prep worse than very easy procedure....nm

Read the policy and procedure manual, maybe something is in there.
I do not believe there is a law, but you could check with the labor department.

Sorry, you said Edit Script - think same procedure applies though.
I think the same thing applies, go find where you downloaded it and click on the setup file. All programs will not self-install. If I remember correctly you have to find the install or setup file to start it manually. Sorry for the mix up in programs. Good Luck again.

Yep - nearly always start their para's w/ capped heading of procedure to be described.
x

Do you give a discount for standard procedure notes? SM

I have an account who asked me to provide them with a form that could use for standard outpatient procedure notes. I personally feel that there are too many variations for them to use one paper form and offered for me to do it for them at a discount since almost the entire thing would be a standard that I don't have to type in its entirety. This account is a great account and I figured it isn't a big deal say to chage 25 cents instead of a $1 (example) for the form since I only have to type a couple letters to pull up the form and insert any changes.

I really don't know the easiest way to keep track of this discount or what amount to discount. Any ideas? I'd rather see me getting a small amount for doing the form then to get nothing for them using a paper form. Plus, the account is newer to me and I thought it might look like a plus for me to offer them a discount and to make their life easier by not having to dictate the entire note.

Thoughts...ideas??? TIA

it is SPARC sling bladder suspension procedure. nm
x

not sure about Neer procedure, but this is a great site for samples...
http://www.mtsamples.com/index.asp

-----I have not personally checked all the reports here but the site seems reliable...

Did you try to Google Neer procedure/impingement, etc?

Does anyone know of a good site to find sample op/procedure reports
I have found very few sites that have sample op reports. Anything would be appreciated. Thanks

That's funny, I *love* ER's. Also Ops, procedure notes. Can't stand anything LONGGGGGGGG. n
.

Could you post the entire sentence? Is "parogy material" something used in the procedure or
something encountered during the procedure?

Ridiculous. It's not a medication or a procedure she's questioning. This is a moral issue.
She is way out of line to question transcribing that. You're comparing apples to oranges.