A community of 30,000 US Transcriptionist serving Medical Transcription Industry

TRANSCRIPTIONISTS CAREERS ENDING? - ANOM

Posted: May 02, 2011

HAS ANYONE HEARD THAT TRANSCRIPTIONISTS WILL NO LONGER BE NEEDED IN THE YEAR 2013 AS PHYSICIANS WILL BE GIVEN INCENTIVES TO CARRY LAPTOPS AND ENTER ALL INFO IN?

Doctor as Data Entry Clerk? - Bettie_Bgood

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Just picture it. They go to med school, but end up being their own medical secretary and transcriptionist to boot. Sounds like a great job.

MY MD DOES IT AND HATES IT - OOO

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At my HMO they haven't dictated in about 8 years unless they want to negotiate it into their contracts and pay for it out of their salary. So they all input their own notes. I see one nephrologists who hunts and pecks and hates the whole thing. He keeps saying "I didn't go to med school for this!".....

I recently read an article by an ER physician - saying they were seeing a 12%

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decrease in number of patients seen because they were doing more of their own record entry, not all of it, just more. 12% decrease in people whose time is extremely valuable. That also amounts to a large decrease in billable services.

There's lots of stuff of interest to MTs to read on the web.

Penny-wise, and pound-foolish! - n/m

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Disaster - Transcriptionists Unite

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I've worked with enough doctors to know that they will not read and proof all of these reports before they go out. Very bad for us, but worst of all, for the patients.

Specifics? - ViableMT

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We have all seen the trend ... Is this just a rumor you heard? Or are there hard facts to support it?

I can see it now - - LK

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The doctor with the patient opened up on the OR table, a scalpel in one hand and the other hand on his computer keyboard. There are some places where this just WON'T happen. I'm glad I do op notes!

What is your source? - HappyMT

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From what source did you hear this? Was it a professional publication? A professional blog even? Can you link this source or direct us to it?

There is no need to scream. I can hear you.

hitech act - anon

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I took a course on the HITECH act, which was deemed by my instructor as HIPAA on steroids!

We are not supposed to give specific links, but google HITECH act, EMR physician incentives. Part of the HITECH act included monetary awards to physicians using EHR or EMR. I believe it is in 5 years when this will stop, and at that point a physician who has NOT switched over will NOT be reimbursed by Medicare. So as my instructor put it, the carrot and the stick, the carrot being money being provided that partially offsets the cost, the stick being that if you do not comply, you will not be paid with government money for patients (Medicare). I am repeating most of this from memory, but anyone can google it and get the exact info who is interested.

HITECH - Alice

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A local physician told me that because of this requirement, he will stop accepting any new Medicare patients immediately and all of his current Medicare patients have been told to to find another doctor by the end of this year.

EHR/EMR - MTs need to be educated - mt

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Just because a physician has incentive to switch to EHR/EMR this does NOT in any way, shape, or form mean there will not or could not be an MT involved in the process.

EHR/EMR means the data can be ACCESSED electronically. It still needs to be input. Yes, a lot of practices will go the no need for an MT route, but there will be many who still use MTs to get their data INTO the EMR.

MANY DOCS ARE DOING THEIR OWN EMR - I dun seen it myself!

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I sat in my doctor's office while he used this absolutely incredible program to type my note. Told him I was having chest pain, he had a little person on his screen, clicked on that part of the anatomy and it gave him a list. He picked chest pain. It gave him another list. So forth and so on. Took him about 5 minutes while he was talking to me, and he had a 2-page H&P which he signed off on and it went directly into the EMR. All EMR means is an electronic medical record. If the doctor has a program that he can fill in himself with minimal effort, he is essentially doing his own EMR. IN FACT, (and this is the really cool part), he entered that I was allergic to a "sound-alike" of my real allergy, and the EMR prompted him immediately when he tried to sign off. In order to actually enter it into the EMR, he had to confirm that it was the correct allergy. Crazy stuff....

My docs have been using this type of program for 3 years now - Lilly

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It takes him a clicks on the symptoms, Meds, PE, etc., and a 2-page H and P was done within minutes. It stinks.

Absollutely correct! - MT

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You're absolutely right. I know some MTs now who are doing a course on the EHR. They're preparing themselves to take on those future roles and make it work. I really believe if we do that, we won't be so threatened by this stuff.

HITECH act - pumpernickel

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Under the HITECH act (an expansion of HIPAA)there are financial incentives that clinics and hospitals can get from the government to implement an electronic medical record system, which start to decrease in 2013 and end in 2015. Starting in 2015 if a provider does not have an EMR system they will start getting Medicare reimbursement penalties (starts at 1%, increases annually for a few years after that). There is no rule on whether the records are done all digital point-and-click through laptops or traditional transcription that is stored electronically. The record just has to be digital, not paper.

EMR does not mean it is typed by the doctor - Ms Penguin

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I work for a doctor dictates and I enter the reports into his EMR system. Just because it is an EMR does not mean it is typed by the doctor. I cant imagine using the highest paid person in the office to hunt and peck on the computer to type their own reports. Time is $$$ and that is just a waste of their time.

But my doctor's office does...sm - me

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use the highest paid person in the office. My doctor now has to enter ALL that info himself. He has seen a drastic drop in amount of patient's he can see, as well as a drop in his paycheck. He just hates it, and it's a real waste of talent since he could be treating patients instead of doing clerical work. Really sad!

HITECH Act - Kathy Nicholls

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The HITECH Act requires a little more than just a record being digital. Meeting the meaningful use criteria is what allows providers to get the government incentive. If you search for that, you can find a list and all of those things say "as structured data." That's not our transcribed reports. The information must be tagged so the information can be mined. If a doc just goes with an EMR but it doesn't have structured data, they aren't eligible for incentives. There are some things being done around medical transcriptionists and meaningful use that might make a difference. I think that will likely depend on how much we as a profession are willing to think outside the box with things.

Noticed recently - Just Me

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When my partner went for his preop the nurse input the information into the computer as she went on and checked him. Another took notes and said she was typing it herself. I recall, years ago when I worked in a psychiatrist's office, (1980's) we tried a program where you just fill in the individual info and it makes the report .. kind of like when we create macros. The reason for the electronic incentive is to get everyone into a system so health care providers can have access to the whole of a person's health history .. thus, saving money on tests, etc., that have already been done. Patient's can't always give a good history.

That is NOT the reason - Historian

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ObamaCare will be used to WIPE OUT the "useless eaters" (their term, not mine!) of the population. That's why those DEATH PANELS are in there..

First to go will be the seniors, who have a lot of health problems and are drawing on ("draining") the system.

The reason for the EMR is so the FEDERAL GOVERNMENT will have access to EVERYONE'S info -- allergies, diagnoses, etc. -- so will know EXACTLY how to kill each individual.

EMR - mnmt

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Whoa, must be pretty frightening to see conspiracy everywhere you look. Death panels? Really? Wonder how they'll decide to kill me----hahahahaha

noticed recently - jane

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you could be right, they will have access to the information. scary stuff, it is etting very close to "1984." gov has no business in certain things and this is one of them.

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