Medical Record Errors

Dear medical coding students and medical coders: I am starting The Andrew's School of Medical Coding on April 1, 2011 and I have I am looking forward to it. I want to ask you your opinions. I was at the dog park with my pug Cruncher yesterday and I was telling my friends that I was looking forward to starting school and one my friends who is an oncologist at NIH was advising me that I should think twice about starting medical coding as a profession because the implementation of the electron ...

I'm trying to follow the path of a patient medical record. Pls correct me if I'm wrong. But here's my understanding: the doctor dictates (or inputs his data), then it goes to coding. From coding it goes to billing and from billing it goes to the designated payor (insurance company, medicare, etc). So If my scenario is correct, then if there is not an accurate record, then it can't be coded correctly and it can't be billed correctly and the medical faciility does no ...

Below is a link to another breach of medical records. We can directly blame the fact that today's medical records largely dwell on the internet. Lest some of you come back with "but without the internet, we would not have jobs", let me tell you that we got along without the internet previously and had higher pay because the offshore vultures could not get at the records and we were in higher demand. We can do it again. http://valley.newhavenindependent.org/index.php/archives/entry/ ...

My community college offers this course and I would like to take it. ...

Can someone explain to me what a medical record summarizer does and what kind of pay is it? Thanks ...

I began working for a doctor's office and we get referrals. Some of these apparently are entered by the doctor. It is the biggest mess I have ever seen. Sentences are run together. There is no punctuation. Capitalization is either nonexistent or incorrect. There are no paragraphs. The report is just literally words run together for a whole page. Other offices have canned forms, and they fill in a few blanks. The paragraphs and h ...

I have been corrected by QA twice on this one. The first time it was changed to capitals (Electronic Medical Record), so I started typing it that way. However, recently I had it changed to lower case (electronic medical record). Both times the sentence was the same... "Detailed in the electronic medical record." I had always typed this lower case until it was changed the first time. I never did understand why it should be capitalized. How do you usually transcribe this one? ...

Brushing biopsies were obtained with final pathology consistent with squamous cell carcinoma, according to the Vista web pathology medical record from the Montana VA. ...

Everywhere I turn I see nothing but EMR - No more dictation, no more transcription. At an eye appointment today when I told the technician I'm a medical transcriptionist, she responded with "DO THEY STILL HAVE THAT?" It's time to wake up and smell the coffee. Transcription and even VR will not be needed by next year. Walmart please hire me! ...

Has anyone heard of complaints with erroneous information in medical records due to EMR or point and click? My mother recently had to get medical clearance for joint surgery. Her physician went to some form of EMR. They questioned why she was taking a narcotic cough suppressant and insulin listed under her medications in the computer. She was shocked and stated she had never taken those meds. Another family member, who does not drink, got a copy of his most recent physical required yearly f ...

I wanted some opinions, please - what would you do if you viewed one of your medical reports on line and discovered it was full of errors? I fell at work several months ago and needed surgery on my ankle. As it was work related, I was requested to have a closing exam by an "independent" provider chosen by my employer's industrial insurance. The final report was available for me to review through their website and I did so today. It is full of mistakes, ranging from a ...

It seems to be some sort of electronic medical record program?? Can't document. ...

I get dinged for leaving out words like the, and others. I am now understanding that this is not the correct policy, that others are not getting critical error, major error, off one point for this. So, am I being singled out? Because I thought this was the norm. I'd like to know so that while I am hanging on every word and will continue to do so, I thought I was not the only one with this...thanks in advance for the update. ...

So, we can stay with Records One but just with no work promised except for as soon as it becomes available. Sounds promising. I wish promises paid my bills. It is a sad day for me. ...

just do along and work? I was writing job # and which hospital and work type but its time consuming and I don't see the point because I hope not to be here much longer. ...

http://www.fortherecordmag.com/archives/091012p22.shtml ...

See link below... ...

There's a very well-written article in the newest edition, called Life on the Low End of the Pay Scale, regarding pay for transcription, current and past, how WE got to where we are now, and MTSOs' role. In essence, a good way to start us back to better income is to refuse the low pay that lots of companies offer. We have to raise our bar, no one will do it for us. ...

what is the best school to go to (online) for becoming a coder? I have been an MT for 15 years and tired of the feast/famine. Is there financial aid available? I cannot afford even $250 down and $100 a month. Also, are there any companies that hire coders to work at home right out of school? Thanks for any help!! ...

I want to make it clear that this is not a rail against all MTSOs; there are MTSO's still out there who are NOTmotivated by greed, and who continue to pay their employees very well.I have worked for companies which historically have paid employees much higher CPL than other companies - Keystrokes and MTP (both based in Illinois, owned by former MTs, and as far as I know, all work still on US soil) - and several of these companies actually DO pay employees "more than fair" hou ...

but when is next pay day AND could someone tell me where on MQCentral I can find the pay schedule for 2010? Thanks so much. ...

I know that transcriptionists at Veterans' Hospitals have used the EHR for years and it works really well at VA. Now it seems that you hear about it all the time, but every single description is different from every other one. Nobody seems to know anything. When I ask how it works in other hospitals and clinics or with MTSOs, I hear that it's really no big deal. You just transribe like you always have. If each system is different, I guess what I want to know is, are any of you using it ...

My husband went to the doctor last week. The lady asked him his medical history, typing it in the computer, then spun it around and asked him to enter some of his personal information, name, address, etc., himself. Now that might be a first. ...

Thanks ILP. You have blown me away. In a 10-minute report you have managed to get approximately 50 errors... This is of course after your MT finished the report, routed it through 100% review with your QA, and then sent it to lucky me... Yippy. ...

Timely! Computer-aided coding and its impact upon the coding job market is the feature story of the just-released For The Record magazine. Some excerpts: "...From what I've heard from those hospitals for years now is that it's not that they need fewer coders." Instead, Bronnert sees coders being used more effectively and at a higher skill level. "They become even more valuable to a facility. I don't see their roles or positions diminishing at all. I see ...

I have been doing transcription for 15 years. My youngest daughter got into some trouble as a teen and has a record. She is having a hard time finding work in our rural community. I could probably train her at home to be a transcriptionist and help her, but just curious if anyone knows if any of the companies hire someone with a felony? Thanks for any input :) If you have any other ideas, it would be great. FYI, she also has bipolar type 1, so working at home ...

I've been at this midsized company for about 2 years. As many as 50 of us work this large account. I do acute care. Would like to hear from anybody who's experienced this; how long till this severely (?) affects us? Can you give me a play-by-play? I figure the boss won't be telling us much of anything along the way. ...

I am hoping someone is familiar with Medisoft program. I just obtained a position as a remote user for an office that uses Medisoft. Today is day one. There are two other remote transcriptionists. The way they are doing this is to transcribe the dictation in word and then cut and paste into the various sections in medisoft. They are able to cut and paste, no problem. I am unable to paste into the patient records from my Microsoft Word document. This ...

Medical Record Errors - Texas MT

Here is the link. - anon

That is so worth sharing. Thank you. I shared it on my FB - mykid

Can this be seen anywhere else? - Not On Facebook

I posted the link above (nm) - anon

does not work if you're not a Facebook member - out in the cold

Use link in 2nd post above, I did, not FB - NM

out in the cold, scroll down on that link - nm

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