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Serving Over 20,000 US Medical Transcriptionists

A patient's name is almost required in the report

Posted By: Milton's Red Stapler on 2006-01-17
In Reply to: Pt name in the report itself? - newbie

to help with filing the report into the chart.  Now whether or not it a copy of that record can be sent out with the patient's name is a different story depending on several factors.  For example, all identifying information must be removed by a hospital's tumor registrar before submitting the information to the College of Surgeons who monitor cancer trends and treatments.


Many services are steering away from the name of the patient being in the body of the report as a general safeguard, which is a good thing, but this is not mandated by any law.




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The physician cannot opt out of it. The patient cannot opt out of HIPAA, they can
sign a declaration to allow everyone to know their personal information. That isn't quite the same thing as you are stating.  But you answered a post with information that was not pertinent. Another posted stated that it was a "law" under HIPAA that patient's name could not be included in a record.  I don't understand the correlation with your post.
More info?.......what is patient diagnosed with
xx
why don't you report....
why do you not report this scammer to the Dept. of Wage and Labor, or some higher up company that busts these bogus employers, in Washington DC or your state capital? 
Pt name in the report itself?

I thought I had read somewhere that the pt name should not be in the body of the report. Can anyone tell me if that is a law/regulation/etc.. or just a style guideline? I have a new acct I am assigned to and all of the docs give the pt's name while dictating the body of the office note/procedure note.


If it is a HIPAA thing or some sort of regulation, I need to know.  If it is merely style, I will leave it.


I just want to do my job right so if anyone knows for sure, please let me know.


 


Flagging a report

What is the standard way to flag a report if you did not understand a dictated word? The AAMT BOS states to leave a blank space. If you had to flag a report for that reason what is your procedure?


Thanks


Per Line versus Per Report
In a 7-hour day I can type 2000 lines or 200 reports. Most companies expect 1200 lines during a full-time shift, so that probably would equate to 120 reports if you are going by the 1200 lpd standard. Another way to look at it...the average "decent" (not exceptional) MT should be able to type 20 minutes of diction in 60 minutes. I don't proof after typing, I proof while I am typing. Hope this helps.
When QA points out error on a report, will you call
x
Transcribing a family member's report
and finding out something no one in the family knows.
Plus there is the "monitor" board to report things, look at left - nm
s
These programs are not required...
These extra programs are not necessary. CS grads can get decent jobs without them. Some prefer to have the extra training. The STT program prepares the students to start work with Spheris at an acute care level.

I cannot compare my education to the other schools and I do agree that the other schools may be better for some. For me, I had a medical background which included transcription. I felt that I would be fine without the one-on-one interaction. If I did have problems with the something, I did pick up the phone and called CS. The staff was very friendly and helped anytime I needed it. I am now a grad and am currently trying to decide between four different job offers one week after graduation.




No, no license required.
Certification is optional.

Most will tell you to attend Andrews or MTech, as you will have a much better education and job opportunities if you attend one of these 2 schools.

Best of luck to you!
check what is required before u
take the exam. For myself, I did not take any exam at all and had been doing med transcription for more than 3 years now. I did, however, took a course as my background was engineering. If you are just new in this career, most companies will require a formal training. The fact that a lot of MTs are competing for jobs, you would be better off with a formal training (just like any other career). I hope this helps.
You might be required to have a certain version of
Word or to have a certain expander, but as far as the software needed to work the company should provide that and if they don't you should not be working for them.  Sometimes companies will provide computer/equipment and they will charge a refundable deposit, but for just software you should not have to pay.  SoftScript used to make you buy Start/Stop, not sure if they still do.  TranScam is a scam, as others stated and if you sent them money, think of it is contributing to their new boat or vacation home, because it is long gone. 
Not true, FAQ says 2 yrs required.nm

do you abbreviate english units of measure in a medical report?

How can you sit for the CMT exam without the 2 years' experience required?
.
DeVenture MIGHT offer only hours required, but not
s
PS: If you are not running the required operating system, (sm)
contact me. I can crack anything.
Why Word 2003? Are you required to tx with it specifically??-nm

Continuing education is required to do this job, you must know terms as well as the providers do.

A lot of companies required 1000 to 1200 lines a day. If you are just
starting out you can expect to do about half that unless you have an easy account.