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carbon copies - Nina

Posted: Nov 13, 2009

Company giving written warnings and termination for error in carbon copies. What's going on at other companies for carbon copy requests errors?

HIPAA/Privacy violation if wrong CC recipient- nm - BillieG

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xx

yes, but - Snow Bunny

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Who violated the HIPAA law if the dictator gave the wrong information to the MT. Example: They said to send a copy of the letter to Dr. David Jones in Mudville, Arkanasas, but the letter should have been sent to Dr. Davis Jones in Mudville, Arkasas. (If you didn't catch it, I just changed the last letter of the first name).

1. Is the doctor to blame because he said the wrong name?
2. Is the hospital wrong because they cc'd the letter without double checking things?
3. Is the MT wrong because they didn't double check through the Internet, and then flag the report?

If the dictator gives the wrong name completely, sm - BillieG

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it would be on the dictator/facility. If the MT is only given a last name or if the name is not spelled out, etc., it should be flagged by the MT in whatever fashion the client profile calls for. That way, if the when the JCAHO audits the facility, the MT is not responsible.

This topic right here just burns me up! - Fingers

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I do think it should be a violation to send a cc to the wrong doctor, absolutely!! What burns me up is that the responsibility for this falls back on who ???? Not the doctor dictating. Not QA. Not management who could ask the docs to dictate the physician's first name - but the MT certainly. Everything is the MTs fault. Truth be told, some of the docs have no clue who they are writing to and do not care. We have been told to research the last name, city, and IF you have the specialty. This is very very dangerous. IMHO - I think if Dr. Smith is dictated, that is what should go on the report - PERIOD. If they want the first name on there, they should be required to dictate it, PERIOD. They bring this problem on themselves and the responsibility needs to rest with the person doing the dictation. I have even been told to send cc to docs that do not even exist!!!

Indeed, we should stay out of the crystal ball business - SM

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Have you ever looked up Dr. Smith, Jones, Jackson, Thompson, etc. in any major city? Even in the same specialty? Many with the same first names too. Companies need to back up their MTs on this one.

I don't know if this link will help - Snow Bunny

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http://www.medgen.cjb.net/npi/search.asp

Go to the link and type in a partial last name and state. You'll get a fairly long list.

Where I work if we are not 100% sure who the - ht

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cc goes to we are to leave a blank for the cc or, as you said, send to Dr. Smith, Dr. Brown, etc. This is the facility's request. We have been told THEY will do the research if the doctor is not clear, which is the way it should be.

Same here, and I work for the eeeeeeevil Transcend. - So there.

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xx

Ditto - Happy MT Robin

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Granted, I have very easy going QA, but if the cc is dictated as simply Dr. Jones, and I have four Dr. Jones in the data base, I put a QA marker and the note "cc to Dr. Jones."

I think I would continue to do that even if I were going to be dinged for it by my QA. I say that now, anyway. If the dictating physician isn't going to give us at least a first name to go by, then someone other than me who has more info on the file can do the research to figure out who that doctor is.

Say what you will about Transcend... - CrankyOldBroadOnTheBeach

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(and I haven't found any the bad stuff I've read on this board to be true, but that's beside the point...)

This is one company that recognizes that mind-reading is waaaaaay above our pay grade, and guessing is STRICTLY forbidden.

That's guessing about ANYTHING, not just cc doctor names.

Same here. Crystal ball forbidden. Easy, sensible, safe. NM - MissIndigo

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x

then perhaps you should ... - Snow Bunny

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Make absolutely certain that before you sign a contract with anyone, you have a clause added on this subject. If the service refuses, then don't work for them.

Another option might be to type what is said but flag EACH AND EVERY ONE of the names in the cc: section. "Please check accuracy of information" before sending cc to individual.

It may be coming into the Xmas season, but I don't think you want to have your chestnuts roasting on an open fire.

cc Medical Records Responsiblity - Beth

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I was just terminated from my QA position for a cc error, Mark Jones versus Mark Johns, no spelling provided, sounded like Mark Jones without question. Wrong. Medical Records Dept should have this responsibility based on signed releases from the patient. Not an MT responsibility.

what company were you terminated from? - n/m

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n/m

terminated - Beth

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well, I'm still trying to get my position back, so I don't want to say at this time... it is one of the larger MT firms. I am just beside myself about this.. MT for 18 years and now 1 cc error on a new account and I'm out. 99.7% efficiency, so nothing wrong with the rest of my work.

cc/whose responsibility - hannah

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This post is 100% correct. Common sense!

Should not be MT responsibility! - Fran

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It is ridiculous that MT or QA should be held responsible for this. Absolutely correct post.

Yes indeed - Elizabeth

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Type it verbatim, "Dr. Smith," or give them a blank.

Doctors seem to think we are clairvoyant, have ESP with an ability to read minds.

If your company wants to assume it - let them assume the liability, it's not your job to guess.

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