Dq S Question

1.Youare working as an independent contractor doing medical transcription.As an outsourcing company providing transcription services, you are notconsidered a “covered entity”. Therefore, are you exempt from the HIPAAprivacy rule? Why or why not? Engage in discussion with two other postsof interest.

Visit this website for information on HIPAA and the medical transcriptionist. 
www.mtworld.com/tools_resources/understanding_hipaa.html

2.Discussion 3: HIPAA – Business Associate 

Youare a MT for a physician’s office (covered entity) , therefore, you areconsidered a business associate. Answer the following questions:

3. As a MT are you required to save digitally recorded voice files oranalog tapes or is it okay to delete the files or erase the tapes?
2. Is the covered entity required to monitor the actions of the business associate?
3. Is the covered entity liable for the actions of the business associate?
4. If the covered entity finds out about a HIPAA violation by the business associate what action must be taken?

Visit the following websites for information on HIPAA and the Business Associate
http://www.hhs.gov/ocr/privacy/hipaa/faq/right_to_access_medical_records/369.html
http://www.hhs.gov/ocr/privacy/hipaa/faq/business_associates/236.html

4. : HIPAA – Medical Transcription Errors

Medicaltranscription is a very important process when it comes to the businessof saving lives. Those are the seemingly indecipherable notes on yourpatient sheet that your doctor will look over to help decide whichmedicines and treatments you will need to become a functioning humanbeing again. Unfortunately, a lot of these notes are written in hasteand words can be misspelled, forgotten, or switched around.

You might be shocked to hear that doctors goof up on those notes,especially when receiving wrong doses or entirely wrong medicines can domuch more harm than good. While medical transcription errors are bestavoided, not all of them spell doom for a patient. Visit the websitebelow for some transcription errors and answer the following questionsand respond to two other posts of interest.

1. Do you think these types of errors, critical, major or minor? Why? Give examples. 
2. How do you think these errors could have been avoided?
3. Do you think these errors could have been attributed to the use of text expanders or macros?
4.Do you think it is the responsibility of the transcriptionist, qualityassurance or the physician to catch these types of errors?

http://www.medical-transcription1.com/NewsArticleDetail16.htm

5. You are a medical transcriptionist for a psychiatric office. You havejust enrolled your 2-year-old child in an at-home daycare. You arefiling transcribed reports when you run across the name of your newchild caregiver. You are immediately concerned that you have left yourchild with a person who may have a serious mental illness. You think itis okay to look at the file for your own information, as long as you donot disclose the information to anybody else, as you do have access toall of the charts. Is this correct? Why or why not?

6  Millions of people work with computers every day. There is no single“correct” posture or arrangement of components that will fit everyone.However, there are basic design goals. Go to the following website

At work while your doctor is dictating a patient’s chart note heincludes insulting information about a nurse of his (someone you know,of course). He tells about her inappropriate care of his patient and thedisciplinary actions to be taken. What to do? Transcribe as dictated inthe patient’s chart note? Not transcribe it? Transcribe it in aseparate document? Take the information to your supervisor?

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At work while your doctor is dictating a patient’s chart note heincludes insulting information about a nurse of his (someone you know,of course). He tells about her inappropriate care of his patient and thedisciplinary actions to be taken. What to do? Transcribe as dictated inthe patient’s chart note? Not transcribe it? Transcribe it in aseparate document? Take the information to your supervisor?

Give a brief paragraph of what you would do in this situation and why.
8. You had an appointment with your family physician. This physician justhappens to dictate reports to the medical transcription company you workfor, and you are one of the MTs who work on that site. You go into thesystem at work and open up the report to see who transcribed your reportand to read the report. You know that, as a patient, you have the rightto have access to your medical records. Is this a violation of HIPAA?Why or why not.

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As a “seasoned” transcriptionist, I too, have had instances where Iwas unable to understand the physician or to successfully research aterm the physician was using. During my years of transcription I haveoften heard the quote: “When in doubt, leave it out.”

This quote obviously is not referring to leaving a blank and flaggingthe document to be viewed by quality assurance or the physicianhim/herself, but rather to make the sentence complete by disregardingthe information that could not be obtained as long as the information isnot critical to the care of the patient. What are your thoughtsregarding this quote?

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