Re: Any coders here? I'm an MT who's jumping ship!

Well, it's mostly different because of the respect associated with it and
the anal retentiveness most department heads and hospital administrators
have about who is making sure the most money comes in. They don't want to
join Martha on any extended vacation and when you're talking millions of
dollars and complying with Joint Commission and documentations standards of
1995 and 1997 (and they haven't yet published the 2000 standards), it gets
messy and ARs don't like mess.. They don't give this respect to the MT
aspect of the industry.

I honestly do NOT see either of the associations handing out certifications
to offshore coders like Pez the way AAMT does, either. Geez, AHIMA is
pretty strict enough just getting certified in the states (they want you on
site before you get certified...where's the horse and buggy on that one?)
Both associations want letters of recommendations just to admit you to their
association so you can take their courses before you take their tests, and
if you don't have want it takes they will turn you away or allow
apprenticeship certifications only. My feeling is that both orgs feel more
ties to America than AAMT.

I've often asked myself this same question because it is the MT producinng
reports that brings $$ to the MTSO (or IC or whomever).

Moon

"Bam" <dearcounselor@xxxxxxxxxxx> wrote in message
news:42g7jbF1j2hvtU1@xxxxxxxxxxxxxxxxx
> How is that different than HIPAA and MT?
> "Moon" <nextmoondance@xxxxxxxxxxxxx> wrote in message
> news:Lgjwf.9996$__4.8964@xxxxxxxxxxxxxxxxxxxxxxxxx
>> Part of the puzzle missing here is that HIPAA stopped short of saying
> every
>> coder must be certified (only 2 in the US) but highly encouraged it
>> inserting the clause "you're guilty the mostest or the leastest but
>> you're
>> still guilty if you screw up and then you go to jail, even if you provide
>> proof you are the leastest guilty." How are you going to bring someone
> from
>> India to a federal prison to serve time? These are things the hospital
>> lawyers and HIMs are concerned about.
>>
>> There also has be self monitoring of what coding is being done and the
>> overall industry hires independent contractors so as to avoid the
> appearance
>> of covering up anything. These independent consultants have no
>> investment
>> in the outcome of the audits other than to give an independent evaluation
> of
>> what is being documented/coded. The government publishes in the Federal
>> Register each year what medical practices they are going to be
> investigating
>> in the coming year, so those practices better have things in place before
>> the sand hits the fan. John Hopkins set the record for why it is every
>> teaching hospital makes statements in each and every operative report
> about
>> the attending surgeon's involvement (wasn't it $10 m? penalty?).
>>
>> When I was doing my auditing, I took my laptop with its neat little
> program
>> that alerted me to coding errors and alerts to optimize reimbursement,
>> but
>> the bottom line was this: I had to give unbiased feedback to the
>> physicians, the posters, the coding editors, the billers, etc., and grade
>> each department separately because in case the Office of Inspector
>> General
>> came knocking on that door, it would be my *ss in a sling in the pen.
>>
>> Moon
>> "mountain" <mountain.218lmf@xxxxxxxxxx> wrote in message
>> news:mountain.218lmf@xxxxxxxxxxxxx
>> >
>> > DJGordon Wrote:
>> >> My best friend does billing and coding and two days a week she does it
>> >> from
>> >> here instead of her office. I don't really know enough about it (I do
>> >> document coding not diagnosis coding) but she seems to have no
>> >> problem.
>> >> They
>> >> have a server that she accesses through a Citrix setup and that's
>> >> about
>> >> all
>> >> I can tell you. All the software is downloaded on my laptop for
>> >> Tuesdays and
>> >> Thursdays but I've never even looked at it when she's here or not. All
>> >> I
>> >> know is she brings a huge stack of charts with her and sits and enters
>> >> things into this web site.
>> >>
>> >> Dani
>> >> <transcription@xxxxxxxxxxxxx><hebben99@xxxxxxxxx></hebben99@xxxxxxxxx>
>> >
>> > A teaching hospital in California has a paperless medical records
>> > system and a full-blown EMR.
>> >
>> > This was my best account until they decided to outsource the MT
>> > department. However, they retained their coders, but all of them now
>> > work at home while still employed by this hospital.
>> >
>> > The coders log in to the hospital system and do their coding entirely
>> > online through a virtual private network for security. Coding and
>> > billing are done digitally since there are no more paper charts
>> > involved.
>> >
>> > Anything that can be transferred through the wires, can be outsourced
>> > and offshored. And like medical transcription, coding and billing are
>> > slowly but surely being outsourced and offshored to cut costs.
>> >
>> >
>> > </transcription@xxxxxxxxxxxxx>
>> >
>> >
>> > --
>> > mountain
>>
>>
>
>


.

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