A community of 30,000 US Transcriptionist serving Medical Transcription Industry
Patient name - anon
Posted: Jun 03, 2010
If the client profile makes no mention of patient name (yes or no) being left in the report, account does not specify verbatim, is the ADHI/JCAHO directive to type the patient's name or replace with "the patient?" Just checkin'. Am paranoid about everything with the audits these days.
Patient - nan
[ In Reply To ..]Personally, I would put the name in if the CP does not state not to. I can't find anything regarding this in the AAMT. I would say the best thing to do would be to check with your QA supervisor to be sure what they want. I would think if they don't want you to they would list it in the CP, but it would be best to check with your QA supervisor.
Patient name - 2 cents
[ In Reply To ..]MQ guidelines show no names in text, transcribe, "the patient"
I also would check with CCM to verify. It never hurts to ask and you are also showing initiative to produce a quality report.
Patient - nan
[ In Reply To ..]Thank you for clearing that up. We have so many things we have to follow and I missed that. That will help me in the future also. Thanks again.
The univeral rule is not to use patient names in reports - sm
[ In Reply To ..]unless the client specifically requests otherwise. This is EVERYWHERE I have ever worked for the past 30 years.
The rule, per MQ guidelines, is no - Just Sayin
[ In Reply To ..]patient name in reports, so if the CP does not state either way, I would definitely not use the name and put "the patient" instead.
Thanks - that is what I thought, just being paranoid. - anon
[ In Reply To ..]So much talk of firing going on.
Similar Messages:
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" ...
Doc Says About Patient-
Sep 01, 2010
Man, I wish he was my doctor. He seems to really care for his patients. ...
Patient Age
Jul 31, 2012
what is correct format when transcribing pt name: 16 1/2 years, 16.5 years, or sixteen and one-half years? Thanks. ...
Patient Is A What?
Aug 05, 2012
I swear to all that is holy, this is what this less-than-stellar PA just dictated: "The patient IS a high-risk gestational trophoblastic disease..." I went back and listened thinking I must have heard wrong and she said patient HAS ... Nope. She said IS. This is the same PA who dictated a creatinine of 92 for someone. That sound you hear is me hitting my head on the desk. ...
MS Patient
Sep 24, 2012
The sentence is: Relapsing-remitting MS with accumulated disability involving left hemiparesis, clincally stable on Tysabri and S/L JCE negative. I hear the negative part, not sure if he is saying JCE? Thanks for any help! ...
Patient's Age
Sep 26, 2012
When given a young patient's age, one of my doctors will say "the patient is 9+11 years old." I have never heard a patient's age dictated this way before and I'm just wondering if anyone else has. ...
Patient First Pay
Feb 02, 2014
Has anyone worked for Patient First company? They have several urgent care clinics in eastern US. If so, may I ask your starting pay? Are they a good company to work for? Do they keep a FT position in plenty of work? Thanks ...
Patient First FYI
Jun 11, 2014
Just FYI....I applied to PF about 3-4 months ago. Took the transcription test, thought I did great, never heard a word. Today out of the blue, got a call that I had done great on testing and they would like to offer me a position. I said thanks but no thanks since I'm no longer looking for a job. She told me that they are currently looking for lots of MTs due to opening several new facilities. Just thought I would pass this along to anyone who is interested in jumping on and taking ...
What's Going On At Patient First?
Feb 19, 2015
There are indeed a lot of jobs posted for support positions. ...
Med Help. S/l Ma-tab-u-tol (patient With Migraines)
Oct 15, 2009
TIA:-) ...
Med, S/l Propaxadine. 81 Yo Patient. Thanks.
Feb 05, 2010
nm ...
Do You Cap Or Not Cap? Patient In Room 8, Bed 2?
Feb 17, 2010
...
Patient With Hypokalemia
Apr 16, 2010
Under the diagnosis, the doc says: 1. Hypokalemia likely due to medication use. Rule out primary s/l hyperolestrionism. Yeah, I know that's wrong. Any electrolyte experts out there? This is total mumbling. I'm really not sure it even begins with "hyper"--could be "hypo" as well. ...
Patient Is In The Midst Of Doing An..
Sep 03, 2010
s/l *octuro-tight" scan. That's all the information that's given. Can't determine is the word begin with "O" or "A"?? Not much to go on I know! Doc does say the patient did part yesterday and is doing the rest today...if that helps. ...
Patient With Sciatica
Sep 20, 2010
under past medical history - s/l "failed??? back syndrome," bilateral ulnar neuritis... ...
Burn Patient
Feb 14, 2011
Is there such a thing as trolley room? "The patient was seen in the trolley room." Can't find a reference. ...
Patient With Angina
Mar 06, 2011
Can anyone help please, I am working my way through a difficult quiz and am stuck on a phrase, it sounds like "he would transcrige and usually control with nitroglycerin". The patient has angina. Any help would be greatly appreciated! Thanks. ...
Patient Called 9-1-1 Or 911?
Mar 25, 2011
...
Patient Was Pitted.
May 11, 2011
Doc said patient was pitted. Left it blank, editor put in "pitted." Is this an acceptable term? Know doc meant she was given Pitocin, but pitted? If we're going that route, wouldn't "Pit"d be better? ...
See Patient In The New Year
Oct 19, 2011
How would it be written? "...see patient in the new year." OR "...see patient in the New Year." TIA ...
S/l Rosanaflex For MS Patient? 4 Mg
Dec 19, 2011
Patient is on Rosanaflex 4 mg. I am unable to find. thanks ...
Wrong Patient Name
Mar 09, 2012
A few days ago I got back a warning message from my company stating that the doc had keyed in the wrong medical record number, but did say that patient's correct name. It's a major error, so my first and last warning. I feel so terrible and am thinking of quitting. I have a hard time with this, as I am very, very careful with names and am thinking of asking to hear the voice recording again. Do you think it's rude for me to ask? Do companies let you do that? I really think t ...
Oh Boy, Help! Patient Is Allergic To S/l Map Tek???
Mar 14, 2012
.. ...
Patient Names
Mar 15, 2012
So, this being the most friendly and up-to-date board around regarding MT practices, can I get some opinions about the HIPAA 'privacy rule' and your doctors using patient names in their notes, clinic or otherwise. I am not sure how an HIM department can say to a physician how using a patient name in a transcribed report is not going against the Privacy rule in HIPAA. This kind of stuff just irks me!!!Any comments?? Thanks in advance.... ...