Code of Conduct, HIPAA? - I give up

What a joke. They come down on us so hard about this, but there is information on ADT we have no reason to see such as SS numbers. I have a couple of dictators who actually dictate the patient's SS number and say to put it on the report. Not to mention the wrong patient information and cc names given by the dictators. I now will always leave a QA note every time a cc name is given without the first and last name or any ADT names given without first and last name. With thousands of MTs working from home (and outside the country), how can there ever be true patient security? Why are we being made the scapegoats and not the true source of the wrong information in most cases?

I had a report a report where the dictator failed to mention the patient's name, but did give the billing number and the ADT was autopopulated with that billing number. I cleared the ADT and put NOT DICTATED for the patient name and left a note. I got a critical error for doing this, was told I should have left the ADT information as it was since the dictator had dictated the same billing number. According to HIPAA, I did the right thing since I had no way to verify this was the correct patient since no actual name was given. According to MQ and HIPAA, we are not suppose to assume and have to be absolutely certain of the information we transcribe when it comes to names and who is getting copies...with threat of termination and/or fines if we fail to do so. I have had reports where only a last name was given for a cc and that last name was in the database (only 1), and told to put it in if it is in the database. How many doctors have the last name of Jones, Smith, etc.? If I can find other doctors in the same area with the same last name, I am not going to put the one from the database in cc without a first name being given, I will put it in as dictated and leave a note. We have been told many times NOT to leave a QA note for copies. I am sorry, but I will leave a note stating "spelled phonetically as dictated" or "first name not given" to protect my butt since we are being held accountable with threat of termination.

Again, HIPAA is a BIG JOKE as far as I am concerned and we are being made scapegoats for a very flawed system with, it seems, no training for the dictators who are generally the source of wrong patient/cc name information and security breaches (SS numbers given out) in the first place.

That is my vent for the day.