HIPAA seems to be the topic of the week,
judging from my inbox. Some perspectives on that issue
are in the Letters that follow.
If you're a new subscriber to FootZine, I hope you've had a
chance to visit the FootZine web site. You'll find the newest
issue of FootZine, as well as the Archives of the previous
issues. Other pages linked to FootZine.com include
"Gems", where the current issue's Gem, and a link to Gem
Archives, reside; "Feeture Article", which is currently
about HIPAA; Calendar, with dates, locations and other information
about programs for podiatric medical assistants;
"Networking", with notices of jobs available, jobs wanted,
and other items of interest; a useful "Links" page; and
just for fun, some "Pictures". Drop on by some
time.....
~ Gayle
*_* Letters
*_*
From: Sue Rupp re: Sign-in Sheets
Gayle,
Shandy Graphics sells sign-in sheet labels and a binder that you
peel off each label as the patient signs in and paste the label in
the binder...this binder is kept in a desk drawer and labeled for
each day...this was how we solved the sign-in sheet at my past job
in a physical therapy office!!! Sorry, I don't have the # for Shandy
Graphics on me right now, but I could get it if people are
interested...
Sue Rupp, (former and hopefully to be again soon) PMAC
*_* *_* *_*
Gayle, the website is http://www.shandygraphics.com/
and the email address is shandyg@mindspring.com
and all the phone/fax #'s are on the web page....that should help
everyone!!!! Sue
*_* Editor's Note *_*
The Shandy Graphics site also has links to published articles about
HIPAA, including one from the Atlanta Business Chronicle,
which explained some basics about HIPAA for the public. Some
examples given include sign-in sheets and release of medical
information to others. ~ Gayle
*_* *_* *_*
From: Jill Klein re: HIPAA
A patient of ours is an internist. She is new in practice and spends
alot of unnecessary money on seminars regarding Medicare, etc. She
was told by the Medicare rep here in South Florida, that the HIPAA
rules as we know them have been vetoed by George Bush. The
announcement will be in February 2003. The only part that we all
have to worry about is our electronic transmissions. The rest of the
stuff, sign in sheets, cabinets, private contracts with our
contractors who have access to the charts, etc is no longer an
issue. (to be announced) Have you noticed how the HIPAA stuff is all
discounted now? We don't have to buy any of it.
Jill Klein
*_* *_* *_*
From: Barry Block, DPM, JD re: HIPAA (Jill Klein)
In the law we refer to such statements as "hearsay"
evidence. Hearsay evidence is not admissible because of its inherent
lack of credibility. What's the name and telephone number of the
Medicare rep? Somebody needs to call her and get the name and
telephone number of the person who supplied her with this
"information."
As editor of PM News, I am constantly receiving such notes. I find
that when I begin to fact check, it doesn't take long to discover
that somewhere in the line of "telephone" (that game we
played as kids) someone miscommunicated the original message. For
example, the real story may be that Bush "is considering",
etc.
So I urge anyone who hears a story "too good to be true"
to do your fact-checking before creating a potential large-scale
rumor on the Internet.
Barry H. Block, DPM, JD
*_* *_* *_*
From: Raymond Posa, MBA re: HIPAA (Jill Klein)
Hi Gayle,
Jill's source is seriously mistaken. What the Bush administration
has said is that they will not send auditors out and vigorously
enforce the law at first. They are going to have enforcement be
complaint-driven. Also, they will work with practices that have made
some effort to comply. I think what Jill and practices like hers
need to worry about is come April 14, 2003. Because so many
practices have not complied and think that HIPAA is not real, I
think you will see some real high-profile prosecutions just to put
"the fear of God" into people and show them that this law
is real and has teeth. There has already been less than 30% response
to the EDI requirements in October, so the government is poised to
shake thing up a bit.
As for the dropping prices in HIPAA stuff, there are several thing
causing that. First, slow sales. Practices still don't
think this is real and see no need to purchase HIPAA products. The
cut in price is an attempt to encourage purchases and to find a
sweet spot in the market. This is so new everyone is trying to fine
the right price point. Second, there are a lot more companies
getting into the HIPAA market and they cut prices to gain market
share. Actually, now is the time to buy HIPAA products because the prices
are low. Once enforcement starts in April, the market demand
will heat up and prices will escalate.
Raymond F. Posa, MBA
You can review Mr. Posa's HIPAA articles at http://www.footzine.com/FZ_5.htm
*_* Gems
of Practice Management *_*
Build Bridges, Not Walls and Detours by Hal Ornstein DPM, FACFAS and Lynn Homisak, PRT
On a typical day within our offices we are
challenged with several situations which are quite trying. As
hard as we try, there is that patient or two on our schedule who
seems to cast a dark cloud over the once-sunny day. Sometimes
it feels like there is just not enough oxygen in your office to take
that colloquial “deep breath” when they enter the office.
Nevertheless, why do we allow them to have such control over our
psychological destiny?
We play a game in our office with these “callous” patients who
each seem to wake up waiting to make others in their world
miserable. The rules are quite simple: make this patient smile
first and you win. It is quite entertaining and we are always
amazed how nice these patients become when you do not swing back at
them. They are just looking to pick a fight, which helps them
to feel that they are superior and in control. Give them
something to chew into and by all means it may be a piece of you.
Our goal is to gain a win-win situation for the patient, staff,
doctor and all the other patients observing.
Our moms, who always were able to bring sunshine to rainy days,
taught us that to best survive in our often-tumultuous world we
should remember that “we should not step on the toes connected to
the buttocks that we may one day need to kiss”. Harry Truman
summed it up well when stating, “When given lemons make
lemonade”. Take control by letting go of it!
Previous "Gems" can be found on their own pages of the
FootZine.com web site, at http://www.footzine.com/FZ_90.htm
*_* *_*
*_*
Our group of subscribers grows a little every
week, and I wonder if those who recently joined us ever feel as
though they have walked into a room in the middle of a conversation,
not knowing what was said previously. Sometimes it seems that
conversations are left unfinished. So I thought I'd recap some
of the previous subject matter here, and see if you'd like to add
your thoughts about any of these things, or maybe share something
else that is on your mind. If you want to review all the
previous comments, the FootZine Archives are located at http://www.footzine.com/FZ_7.htm
Letters to FootZine since late September have included
questions or comments about the following:
Restrictions/limitations/scope of duties for podiatric assistants; HIPAA; Regulations about and precautions to take regarding fungal nail
dust; "Classifieds" in FootZine (See Networking mentioned
above); Email viruses and virus protection; Sharing information/Study groups; HIPAA; ASPMA Certification (for the first time; Re-Certification - resources, rules, credits; ASPMA Comprehensive Review Course and Exam; SAS Shoes; Diabetic shoes; Roll-A-Bout (DME); HIPAA; Salaries/compensation
So what do you think about these - or other -
things that affect our podiatric lives? Mull it over a little, and then go ahead and write!
~ Gayle
*_* *_* *_*
DISCLAIMER: Acceptance and publication of any letter, article, news item
or advertisement does not necessarily constitute or imply approval or
endorsement by myself of the product, idea, or content therein. I reserve
the right to edit or to not publish any material received. Any health- or
legal-related information is for educational purposes only and should not
be construed as medical or legal advice or a substitute for the advice of a health
care professional or attorney. Information pertaining to legal matters should not perceived as legal advice, nor should discussion about such issues as
Medicare and billing be considered as definitive. All content is presented
as being only the opinions of the contributors and is for educational
purposes only.
To Subscribe or Unsubscribe, simply send an email request to me at:
gaylejohnson@footzine.com
Gayle S. Johnson, PMAC
|