A community of 30,000 US Transcriptionist serving Medical Transcription Industry
patient name in report - laf
Posted: Apr 22, 2015
Where can I find the HIPAA rule/violation of when a doctor dictates the patient name in a report.
Its not really a HIPAA violation. it is a matter of confidentiality. sm - no name
[ In Reply To ..]some hospitals allow the name in the reports where others do not. Only if someone got their hands on the report itself would there be a HIPAA violation. Just having their name in the report would not constitute a violation. Also if you feel uncomfortable with putting the name in, just substitute it for "the patient". That is the common practice.
Why would it be a violation - xx
[ In Reply To ..]to actually use the patient's name in the report about the patient whose name is used in the report? What purpose beneficial to the patient could possibly be served by not connecting the patient to the information about him/her?
You may have worked at a facility where it was their policy not to put the patient's name in the body of the report, but that was just policy. It had nothing to do with HIPAA.
patient name in report - sm
[ In Reply To ..]Every major medical center I've worked for in the last 30 years have wanted the patient's name in the report if dictated. It would be a big no-no to substitute "the patient."
It is not a HIPAA violation - sm
[ In Reply To ..]HIPAA violations involve *disclosure* of PHI/PII to inappropriate parties. Unless something has been disclosed, no violation can have occurred.
Physicians can include names, numbers, and anything else in a report. There are limitations placed on that.
Thinking that omitting the patient's name is somehow going to save the facility from HIPAA violations is silly, because it won't. That is because identity can still be determined by combinations of other information.
FYI, typing cc's to Joe Schmoe is not in itself a violation. You just typed what was dictated. You cannot be responsible for knowing which Joe Schmoe was intended. The fault lies with the facility which is stupid enough to still be faxing copies all over the place.
Similar Messages:
Patient Name In The Report
May 27, 2014
What do you think of a company that tells you, as a rule, to put the patient's name in the report when stated because the hospital requested it despite HIPAA? I haven't been doing it, and they haven't called me on it yet. They probably didn't notice. ...
Patient's Report Moved Me To Tears
Apr 14, 2015
Have you ever had a patient's report bring you to absolute tears? I've been doing this for nearly 9 years and this if the first time this has happended...wondering if this job is really starting to get the best of me? ...
NEW COMMANDMENT: Doctors Shall Not Say Name Of Patient In Report
Jun 11, 2015
Thou shalt only say, "the Patient" throughout the report. ...
How Is One To Make Line Count When You Get Report After Report Sm
Mar 05, 2014
that is less than 30 lines; dictator who repeats every sentence with 1 subtle change; DEAD AIR, etc. It is stressful enough that I'm losing money today but to be stressed out about line count and being perfect...I CAN'T TAKE IT ANYMORE!!!!!! ...
Patient Scheduled For Shoulder Surgery - Patient Has Pacemaker
Sep 12, 2011
We will have the patient seen by anesthesia preop to make sure the pacemaker is properly cared for during the surgical procedure, which requires general anesthesia, and the use of the s/l **bovig** during the surgery. Thanks!! ...
The Patient Is On S/l Peer-uh-lone And Digoxin (cardiac Patient)
Feb 09, 2015
thank you ...
Patient First Transcription - Ever Applied To Patient First
Aug 20, 2012
Has anyone ever applied to Patient First and, if so, how is this company to work for? TIA ...
Cancer Patient With MPNST, Mucositis, Patient Takes "radio Mix???"
May 31, 2011
pulling her hair out ...
Patient Is Clearly A Man, Dr Says "The Patient Complains Of A Labial Outbreak Of Herpes."
Jan 27, 2011
thinking I should flag? unless I'm missing something... tia ...
The Patient Is To Followup With "FNG", Patient Had Back Surgery
Dec 05, 2009
???????? Never heard this?????? ...
Patient States Or Patient Said?
Aug 20, 2010
What is the correct, AAMT guideline way to transcribe when dictator states "Patient says" or "Patient said" or "Patient states" ...
VR Pay Per Report
Nov 26, 2009
I interview with a company and they pay per report for VR. I haven't heard anyone talking that. They pay 60 to 70 cents per report. Is this good? Feedback is appreciated. Thanks guys!! ...
OR Report
Dec 10, 2009
Left injection with a (s/l arististan) and lidocaine. ...
I Am In SA5. Who Does My CCM Report To? Nm
Dec 15, 2009
...
EP Report
Jan 31, 2010
Review of her s/l EP report. She did have a dual-chamber Medtronic Versa DR generator placed. Anyone know what an EP report stands for? ...
Report Look Up
Mar 11, 2010
My employee DEP number would never work. Supervisor gave me a number (?) to use. Now it says it has been "disabled" and to "contact system administrator." Another winner MQ. ...
Why Not Report Them To The FTC?
Jul 14, 2010
Here's the link below. Report their business practices: 1. Failing to provide work for current employees while advertising for MORE employees. 2. Failing to communicate. 3. Making impossible standards for you to make your requirements and keep your hours without any work and forcing you to use your PTO. 4. Management failing and outright refusing to respond to you. 5. Squeezing your pay and benefit rates down in a consistent manner. ht ...
Pay For Rad Report
Sep 09, 2010
Is $1.10 per rad report the going rate? I have no idea at all whether this is decent pay. Anyone know? ...
Op Report Help
Dec 11, 2010
The cephalic vein was identified and the ____ then developed distally to the deltoid attachment to the humerus. (s/l "center") Is that correct?? Also, Patient tolerated the procedure well and returned to _____ in satisfactory condition. (s/l "her room") Is that correct?? New at op reports so struggling a little. Thanks for the help. ...
The Use Of A Or An In A Report.
Dec 24, 2010
Can anyone state the rule for proper usage of a or an? I know you use "a" when the noun you are referring to begins with a consonant and use "an" when the noun you are referring to begins with a vowel. However, is there a rule that applies to usage of a or an when it pertains to the below? This is an 84-year-old female, who has a history of dementia - OR This is a 84-year-old female, who has a history of dementia. Thanks, bfp ...
MRI Report
Jan 25, 2011
(Patient with history of brain tumor.) There are postsurgical changes with S/L some goliosis or subgoliosus noted involving the caudal aspect of the anterior right temporal lobe extending from the right aspect of the suprasellar cistern. Thank you in advance... ...
This Report Needs An F11
Jun 11, 2011
This report badly needs to be wiped out and let me transcribe it from scratch. Out of 3 lines ASR got 3 words correct - The, and, not - and it is over 600 seconds long. Calgon, take me away, waaaay far awaaaaa! C'mon lottery ticket. Be nice to me tonight! ...
First Report Of The Day...
Aug 24, 2011
D: bile duct stent placement of 7 French 7 cm. Is this typed correctly? ...
ER Report
Oct 22, 2011
Overdose patient presents on a s/l PEER or PIER?? I think it is an abbreviation but cannot verify anywhere. Anyone have an idea? ...
Wow, Just QAd An ILP Report Where The ILP
Nov 29, 2011
Specifically: colour, odour, and fibre. I guess we'll have to get used to reading that in our own hospital records when we have to start looking for errors that these ILPs are putting in. ...
I Got A Bad QA Report.
Jan 27, 2012
The company I work for is not real strict on QA but they do check it monthly. I had usually gotten 99%, but the last time it was 97%. They sent me a letter saying I needed to watch myself or there will be penalties and that my work will be closely monitored through December. It is almost the end of January and I haven't heard anything else from them. I have been under a lot of stress at home. My husband is saying he wants a divo ...
H&P Report Help
Mar 26, 2012
Patient was given aspirin (___) vital signs on the floor were 90.4 farienheit, 101, 18, 122/69, 97% on room air. Can someone help me make sense of this sentence? Thanks. ...
Pay Per IME Report
Sep 12, 2012
Does anyone know what a fair price per an IME report would be, say if it was maybe 3 pages in length? Is it better to charge per page than by report? ...
Per Report Rad
Feb 06, 2013
Would any of the radiology transcription services out there please share what the going rate for per report charge for complicated rad reports, mainly CT and MR's would be? Converting over the current line charge these reports average $4.00 +/- a few. Out of curosity, what is the going per report charge for plain films? Although info welcomed on what experienced rad trans get, most specifically need to know what business owners charge the clients. Very strict short turnaround as well. An ...
EKG Report
Apr 01, 2013
sorry... The sentence reads as follows: "EKG from doctor's office revealed atrial flutter with a 2:1 block and nonspecific ST-T of ___ " s/l Vavasse Next sentence has same word: "EKG on arrival to the emergency room: Sinus rhythm with no acute ST-T ___". This time is s/l it begins with an "R". ugh! Thanks so much! ...