one more ques nana: digital signature. ?how do you get it on there (sm)
Posted By: chrissy on 2008-02-23
In Reply to: See message - Nana
On that first way you are describing --- are your docs able to SIGN OFF on the note digitally?
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Can I ask a ques? When are you ever w/your kids?
your life will level off.
Right now, from my reading of what you are saying is, YOU ARE SCATTERED.
You run from place to place to place and in between you are doing clothes, wiping noses, and trying to be all things to all people. It will catch up with you.
You need to circle the wagons and get your living expenses down to a manageable roar. Aren't you getting any child support? Maybe that will help. I never got it - I had such a deadbeat for the kid's father. And we made it but we didn't have extras. But we had each other. My son now has just finished his PhD. You have to save some of "you" for the kids, you really do.
C-phone ques .. help !
Hi everyone! I'm using a Dictaphone C-phone for the first time in 5 years and can't remember how to SLOW down and SPEED up dictation! Does anyone know ?
Thanks !!!!!
Go Nana!
I am not very old, but have been doing this a long, long time. I worked on a typewriter with carbon paper. Strolling down memory lane! What a joy! I'm sure you found out like I did that the world of computers has made life easier to a degree; however, like you I am from the old school where I still pull out my Stedman's even though Google is just a keystroke or two away from me. I guess I just feel better seeing it in black and white on paper. I have had to learn to dwell amongst this wonderful cyber world! I love this board, and I liked your post. Well put! We need you Nana! Keep up the good work! The new MTs coming into this field are the wave to our future, and I feel they deserve a chance. We were all new once. A lot of us were fortunate enough to work on-site for a long time before diving into the shark tank from home! LOL - This helped me so much! I am still learning each and every day even after this long time and I am loving every minute of it. MT or BUST!  
Nana - thanks. (sm)
Can I get more advice from you on that first way you do it - when I talk to my boss Monday?
How long have you been doing this? Is it working to everybody's satisfaction?
Please write to me if you have anything more you can share about it. I'm working for a walk-in clinic with about 5 centers and they are going a little crazy at the moment trying to figure out how to do all this.
keywestsweetie@gmail.com
Thanks
Chrissy
Nana....
if you had a website that was hijacked...do you really believe that you have to just let it go and go start another site? She is telling a HUGE LIE. Her story makes no sense whatsoever. She has no control over this site anymore BECAUSE IT IS NOT HERS!!!! IT WAS NEVER HERS!!!! She was just the money handler! She is a big, fat, greasy LIAR!
I loved it too Nana, old MT here also,
boy do I remember the carbon. I started in radiology where there were 5 carbons, and if I made a typo I had to fix every single one, what a pain that was. Let me say also, I was with MQ 16 years and if I left a blank for QA, they never gave me feedback, never told me about Google (not a computer lover), when I researched, I used books, of which I have many. I was lucky enough as far as the doctor names that my two accounts were local and I had the good old phonebook. I did like your post, made remember the good old days, and sometimes I wish I had one of those typewriters. Have a nice day everyone, I am off today, going to visit my expectant daughter.
Nana needs a hobby
Wow, you sure waste a lot of time getting your anger out at someone who is within her rights to comment on the quality or lack of quality of MTs. Maybe you Nana are a decent MT and they certainly are out there. Can a QA person vent or do you have such a problem with that that you have to write an editorial about it. Get working and get over yourself.
Nana, U are a perfect example...
of all that was wrong with this site B4 - negative, repetitive bashing for no reason other than boredom, I guess. It's interesting how this site has become a whole lot more informative and fun to come to now that all of us horrible "banned" people have come back - in fact, I wear my banning by what's her name as a badge of honor! So please do enjoy her new site - and we'll enjoy ours, mmmkay? 
E-signature help. sm
Is this service available for IC MTs? I would like to get it, but have no knowledge of how to get it. Any suggestions would be helpful. Thanks!
I do tapes and digital. And I was told if I'm not logged into the digital system, they assume I&
BUT she wants me logged into the system by 9:30 a.m. So I'm confused too. I've decided that I may come back to her and just say I'm not going to do the tapes anymore. I hate the tapes anyway. The voice quality is horrible, it fades in and out. It takes me twice as long to transcribe their tapes than the digital.
Nana referred to me as QADRAGONLady below and... SM
I wanted to move this discussion back to the top so I started a new thread. She asked if I share any websites or information with the MTs I QA and my answer is, I do.
For instance, when looking up a doctor's name, did any of the MTs here know that most states have a state department for professional licensing where you can look up MDs, DOs, physical therapists, nurses (both LPNs and RNs), etc? So in addition to using the AMA, website which is great because you can do a sound alike search, you can also go to each state's licensing website. I should add that no one ever told me this when I was an MT. I just discovered it on my own because I cared enough about the work I put out to make sure I exhausted every resource possible.
Another nifty, self-taught, trick of the trade... I have the website for every facility for every account I work on in my favorites. A lot of times a facility will have a doctor finder on their website. In addition, they may say the name of a ward or department that you might be able to reference on the website. Not to mention, it helps to know where the facility is located for future reference such as when a dictator mentions a place of employment in a patient's social history. If you know where your facility is located, then you can look at the yellow pages online for that area.
I always share any great terminology or drug websites I come across. There's a great website that will list most every hospital in any particular state and a link to that hospital's website. All I had to do to find that website was do a Google search for "hospitals in Arizona or California or Texas" (whatever state you need) and I found theagapecenter.com website.
No one person ever sat me down as an MT and gave me a step by step on how to use my reference books or the internet. I taught myself because I CARED. That's the problem with a lot of the MTs I QA. They don't care. The say the MTSOs only care about the bottom line, well the MTs only care about the bottom line too and the end result is poor quality and subsequently loss of American jobs.
But so what?!?! I'm just a dragon lady and most QA people are just big meanies anyway. MTs can keep blaming everybody else for their low wages and offshoring, but it's time to step up and take some responsibility.
Nana referred to me as QADRAGONALady below and..
Through those many years we had the luxury of time for research and education. These MTs today must concentrate on getting as many lines as possible within as short a time as possible. There is just not the luxury of time for research we enjoyed. Its a whole different ball game now. These young robots need every bit of patience, encouragement, and help we can give them in their struggle to maintain a living in our chosen field. They memorize quickly and do not forget the things they must learn on the fly.
Wasn't bashing you Nana!
I just thought my post might come off like that LOL. Guess I was sort of agreeing with you! Didn't want it to sound wrong since I attached it to yours!
she is nana - the one who is 'spreading the word' over here
that over there is up and running.
She does not get it yet.
check signature
It's going to be very tough to fight. The drivers licence would have to have been shown, so did you let somebody use it? Have your signature verified as well.
Most likely you will have to pay it and it can be expensive depending on where you are. My daughter-in-law got a ticket in Oregon for 500.00 for lack of proof of insurance. She had to pay the 500.00, plus another 400.00 to the state, PLUS she has to carry insurance in Oregon, even though she doesn't live there, for three years.
Electronic Signature/sm
I just add this phrase to the doctor signature line in the reports "(Electronic signature has been affixed)." I do not have any special program. Is there one out there?
Electronic signature
Where can I get information on electronic signatures and HIPAA compliance regarding this? Thanks!
You do not get any credit for the signature
line, patient demographics, carbon copy lines, etc. Some of this info may not take a lot of effort on your part, but it still will take a bit of input for which you will not be paid. These saves lines add up at the end of the day, thus saving the hospital tons of money. It makes you wonder what will be cut next to save a buck?
I agree with you, Nana. It's an uphill battle. SM
I do my part by being very lenient with the MTs when reviewing work -- i.e., I don't count off for using cc versus mL or for typing Alzheimer's instead of Alzheimer, etc. The dangerous abbreviations list is for written notes and orders on the patient's chart.
The flip side of me being lenient is when another QA person counts off for things I've been lenient on, then the MT throws a fit and says "well one QA says one thing and another QA says another."
So, there is a need for a standardized set of rules across the board that all companies should adhere to. I'm just not sure AAMT or whatever they are called now are the people for the job. It should be a committee made up of MTs and dictators.
JMO
electronic signature software
I own a small home based medical transcription business and have been asked by prospective new clients about electronic signature capabilities. Can anyone recommend a company or any advice regarding my document management needs. I currently have physician offices set up digitally without any electronic signature capability at all.
Thanks
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
I think the on-line signature service
was something like 90 for me last year, can't remember exact amount, and he really helped me a lot. The first couple of years, I went to an actual office too and got charged an arm and a leg and thought what's the deal, charged for every page and form they did and thought I can just plug the numbers that I gave her into those screens as well as she can. They were charging more than my ex got charged at an accounting firm when we were married, and his business was WAY more complicated. That's when I started doing my taxes myself using some system on-line.
HA! Ignore the signature above - I forgot to change it !!!!
A signature is authorization that the info is correct.
Anyone who has signed a income tax return knows this. A doctor who does not read his report before signing is incompetent. If a report is signed, it is sending a message that it is correct.
Preferences? Setting up NP with Doc signature block
Need to set up nurse practitioner dictator with Doc signature block, think I know how it should be set up but it's been awhile. Any current examples or preferences of how anyone likes to do this? Thanks.
Might need to mail her a letter from a lawyer that requires a signature and take some action. nm
,
Do you put "License xxxxx" on a SOAP note for signature title?
I am typing up a SOAP note template for a new PT. He gave me his credentials, plus his "number," which is his license number for his signature title. He did not say to put License in front of the number, but I think it looks funny without it. Has anyone ever done this before? Is it appropriate to put the word "License" before the number? He is away from the office, otherwise I would ask him myself.
Thank you!
Digital
I am brain dead also, since I've been away from the "job" due to husband's illness. I do not see any replies on here. Please forward any good info to my E-mail. Appreciate it. Turn your back around here and technology changes, zap!
Going digital
Hi,
I read your post and was wondering if I could get in this thread? I don't have my own accts yet, I work for a small national and a large national. However, I am seriously thinking about getting my own accts. Before I go looking, I thought it would be good idea to have a digital system in mind and ready to set up.
One idea that I have seen that I found really interesting was in the Transcription Gear Catalog. There is a 2 page spread about their idigital system. This is a toll free dictation ASP, very similar to what the nationals have, I would think. With this system, you pay for the minutes that you will use during the month. Has anyone else used this type of system? Any thoughts about it?
digital
I have two different setups for digital. I have an internet based call in system, which allows me to set up Transcriptionist to receive the work directly to their systems using Express scribe and I also have a doctor who uses a handheld digital recorder that he uploads in the evenings and sends the work to me through Magic Vortex......There are several great companies for you to check out. RTKING, JAY VANCE, START STOP TRANSCRIPTION are a few good places to start with. There are also other options for sending and receiving work, such as FTP sites, Hypersend, Magic Vortex and many more.
Going Digital
I switched to my 5 accounts to digital using Jay Vance with Vance Digital in March. I absolutely LOVE it! Wish I would have done this 5 years ago! e-mail me with any questions.
digital sm
How on earth do you print to the docs? Do you both have to have the same WP program and do you supply them with a printer? The offices I worked with were too lazy to even take the tape out of the tape recorder, "not their job" so I gave up on asking them to do "anything at all" as they were so lazy. By the way, thanks for sharing, not too many are willing to do this; would rather play their hand close to their chest. You are a wonder! Thank you!
digital
I'm doing digital for my client and it's wonderful--no more traffic jams. They use Olympus handheld dictation devices. We use hushmail to upload the dictation and transcribed reports so they are encrypted and HIPPA compliant. It's fairly inexpensive -- I believe $30 a year. One nice thing about that you can be anyway to pick up your files as long as you have internet access. I've often taken my laptop with me on vacation to cover emergency work. Not that I want to work on vacation, but it makes the client feel better knowing you can access the work.
If you want to go digital this is what I did
Purchased DocShuttle Admin ($300) and DocShuttle Client for myself ($99), had doctor purchase DocShuttle Dictator ($99) and an Olympus recorder ($129). Rented FTP site (about $45/yr). Set up DocShuttle so once dictator docks the recorder, it takes file from recorder and erases recorder, imports into DocShuttle, goes to ftp site, posts new dictation, pulls off old. You may want to go to Bytescribe's site though and see if the program they have for doing it by email would work for you. If you are the only MT and they are the only client, then do it by email. Email me if you need any further clarifications.
digital
i went with transcriptiongear.com and have been very happy. you can email me with questions.
for those new to digital...
FTP stands for file transfer protocol. An FTP program transfers files (uploads and downloads) from a virtual warehouse on the Internet, called an FTP site. FTP sites are rented by size. FTP programs are free or cost a fee. You can post ANYTHING to an FTP site. You can put your's kid's first grade picture there. You can put your resume there. You can put your back up data from your Quicken there. You can put a love letter there. You can put a .wav file there. You can put a MSWord document there. You can create folders there. You can password protect your ftp site and some software allows encryption, different levels of user permissions, etc. Once it is there, anyone who has the password to your FTP site can then go and pull it off. i.e. TRANSFER the FILE. So if your doctor dictates on a digital recorder, downloads the voice file into his PC, then uploads the .wav file to the FTP site, you can go to the FTP site, download the .wav file, transcribe it, post a .doc back to the FTP site wherein your doc can then go to the FTP site, pull the .doc off. Voila!
Going Digital
Hello
My doctors use Olympus recorders. One doctor does well with the DS-10. The other uses the DS-330 (No longer in production). The DS-330 has the advantage of overwriting. For instance, if the doctor makes a mistake, he can back up and record over what he has already taped; however, this was a disadvantage for my other doctor, who taped over his entire morning of dictation by accident by hitting a wrong button. It depends on the doctor. With the DS-10, you cannot tape over anything. If you are sending the audio files over e-mail, you should consider first encrypting the file for confidentiality reasons before sending. I use e-mail, because it is free, and it was easiest to train the office staff to use. There is a free software program, ZipGenius that will encrypt your files. Yes it is free. When getting a handheld, you want to consider the types of files also. A .dss file is much smaller than a .wav file or a mp3 file. That is also why I went to Olympus recorders, because they record in .dss format, which makes for much faster upload and download times. If you have other questions, please e-mail me. Also as one poster has already said, the express scribe software is great and free as well. I bought the recorders. They have already paid for themselves in gas and time.
Lynn
You would have go go digital
If you are doing digital for a national you already have the foot pedal if not then you will need to get one that would transcribe the type of files that will be sent to you, wav or dds. I don't do digital just the tapes but from what I have read you would need to get an FTP set up going so that you can transfer the documents and then if you have your pedal, you should be set to go. So just send out flyers/brochures giving your experience and stating what you will provide and go for it. But you will be a little limited since you only are available for digital and don't pick up and deliver back printed material. You might be able to do overflow for some local large clinics. Some might require a C-phone to dial into their equipment. Good luck.
Digital
I have a couple of accounts that I go daily and pick up tapes/deliver. One of the docs wants to start sending me dictation via computer but does not know how to go about it. I must admit I have no clue. Can anybody point me in the right direction? Thanks in advance.
digital
 What about encryption when sending through an email?
Digital
Hello,
I need help from anyone that can write in and give me suggestions. I was just approached by a physician that has 4 in a group and they want to go digital and have me do their transcription. This would be a great opportunity as I have just lost 4 of my accounts to outsourcing to India, so I need all the help. They need to know how this can be set up. Do they need a FTP site and do I need one? What kind of system do they need and all the basics. I am sure the easiest and cheap way to do this over the internet the better, as you know physicians-HAHAH. Also if Patty is on any information from you would be appreciated. I have this weekend to work on this and give them a proposal on Monday with the costs. I know what to charge by line as I am an IC already; I just need help on the way to get me the files and for them to send. I presently do tapes and pick up still. 
Thanks Everyone in Advance!!
digital
Hi Luvdigital,
I just posted on board. I was approached to do a large 5 DR. account, but want the easiest and cheapest way to do this digital way. I have some questions as your way sounds easy. 1. Do you have the software on both of computers, the one Dr sends and yours? 2. Do you send just by email or to a FTP site and can you send to FTP after? 3. What is this DDS Player? 4. Do I need a foot pedal, what kind? I have to make up a proposal this weekend, so info is needed ASAP! Thanks again for your help. I would love to land this account as I have lost 4 accounts to outsourcing to India and need this badly, so the easiest and cheapest would work and I not very computer sassy, so easy is great for me.
Thanks,
Mary Lou
digital
Thanks everyone that wrote in with suggestions about going digital. I have a few questions about the brand of digital recorder. I researched the Olympus, but do you recommend the ones that have editing capabilities or not, as I am unsure what this really means. Any other types that your Docs use would be helpful.
Thanks!!
digital
I think you misread me. I am landing the account. The Drs are paying for it all. I just need to know what recorders are the best and cheapest. I also need to know what wav pedal is compatible with Olympus. They are paying for the FTP sites. They just wanted me to research everything and give them the prices. Sorry if I confused anyone.
If there is not a way for them to go digital
I would at least seriously look into a way to have a delivery service - I used one myself 10 years ago....... most areas have them - they send the tapes in a locked pouch and you sign for it when you receive it and visaversa if you have to print out work and deliver..... it can be compliant - you just need to secure the information - these companies are bonded.... time on the road is costing you money big time lady!!
Going digital
Do some research here.
Going digital, again.
http://www.transcriptiongear.com/Merchant2/merchant.mvc?Screen=CTGY&Store_Code=T&Category_Code=DIGITAL-TOP
Sorry, the link didn't post. The tricks are to get your doctor(s) to give up their old recorder(s) and learn to use the new one(s) and also having office staff able to download the recorders reliably and retrieve/print the reports/notes, etc...You will love the convenience, but if you're in-house it still won't help locate patient charts (LOL)
going digital
I also want to go digital, but don't know the first thing to do. I also have 2 doctors that I am picking up and delivering tapes for. Thank you so much.
digital...me too!
Can you please email information about how to go digital cheaply??? Thanks!
Digital...
Why don't you investigate going digital and cut down your overhead ever further? No gas, no paper, no ink...etc. Worth some thought.
Digital
The situation I had was my account brought in a "consultant". HE decided that we all needed to go digital. It got to the point with some of the doctors that they had to "hide" the old recorders/tapes so that they had no access to them. It finally worked, they are all on digital and everyone is happy. I love it. I can't believe I actually drove around with tapes and completed work - when did I ever transcribe! If you go on it, you will love it. Change is always hard, but if you want to compete in the marketplace - that's what you have to do.
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