NPDA Opposes Mandating Overtime for In-Home Companion Caregivers

Congresswoman Linda Sanchez (D-CA) introduced the Direct Care Workforce Empowerment Act last week. According to the National Private Duty Association’s (NPDA) blog, the association’s executive director, Kim Stoneking, issued a statement sharing the Act’s pros and cons with its member-base:

“NPDA supports some of the goals of the Direct Care Workforce Empowerment Act…NPDA member companies are committed to hiring and fielding a trained professional workforce of in-home companion care workers. NPDA also supports payment of at least minimum wage to in-home companion caregivers.”

However, “NPDA opposes mandating overtime for in-home companion caregivers” for the following reasons:

In some cases, caregivers spend the night in the homes of their clients. Making those overnight hours subject to overtime pay, many clients would not be able to pay for such a service. In addition, many seniors/people with disabilities usually prefer to have the same caregiver attend to their needs. “Restricting a caregiver’s work hours to no more than 8 hours/day or 40 hours/week could upset these essentially personal relationships, causing the senior/person with disability to have to settle for less care than they need, or to deal with more caregivers than they prefer.”

Click here to read more of NPDA’s thoughts on working with Rep. Sanchez and the Direct Care Workforce Empowerment Act.

Calling MTIA Members – Host Congressional Visits

According to MTIA’s blog, the medical transcription organization is “encouraging its members’ companies to continue efforts initiated during the Advocacy Summit in strengthening and building relationships with members of Congress in local and regional locations over the summer. These meetings, or constituent coffees, provide a rare opportunity to interact directly with elected officials about the industry as well as discuss the important role MTs and MTSOs play in the healthcare community. Meetings can be held in company offices or in client locations to share the work we do in contributing to patient care delivery.

The Dewey Square Group has created Guidelines for Hosting a Regional Congressional Meeting to assist you with scheduling a local visit with your members of Congress.

If you have any further questions or would like assistance in getting started, please contact Andrew Wolf at awolf@ahdionline.org or Miranda Youkhaneh at myoukhaneh@ahdionline.org.”

Healthcare Reform – 1099 Nightmare for Small Businesses

Last week, BusinessWeek published an article entitled: Health-Care Bill Surprise: 1099 Nightmare, and we thought the small business owners who read The Factoring Blog should be aware of its contents.

In essence, the article says: Small business owners should be aware of page 737 of the recently-approved healthcare reform bill, as it contains a three-paragraph provision, inserted by Democrats on the Senate Finance Committee to help offset the cost of the bill. In a nutshell, this insertion requires companies to report to the IRS payments of more than $600 a year to any vendor. The intent is noble: to capture $2 billion or more a year in taxes on income that currently goes unreported by contractors and small businesses.

Business advocates fear that the new rule will create a massive paperwork headache for small businesses because come 2012, the new rule will expand 1099-MISC reporting to include payments to companies, and for goods as well as services.

Read more here: Health-Care Bill Surprise: 1099 Nightmare.

2010 National Nurses Week Starts Today

National Nurses Week begins every year on May 6, the birthday of Florence Nightingale, who was the founder of modern nursing.

The American Nursing Association encourages agencies, employers and the general public to show nurses your appreciation this week.

Not sure how to say thanks?

Check out the National Nurses Week Media Kit for great ideas to create positive events that will show nurse appreciation while show-casing your organization!

NY Staffing Association To Hold Health Care Reform Seminar

In this week’s edition of Inside ASA, The American Staffing Association announced that the New York Staffing Association will have a featured luncheon speaker on Super Seminar Day (May 18).

General Counsel, Ed Lenz, intends to speak about how the new health care reform law will affect staffing agencies.

Attendees will also receive a comprehensive written outline of the new health care reform law that will include the following topics:

Major new tax provisions
Requirements for individuals to buy health insurance
Small business tax credits
Employer penalties if employees receive government assistance
Employer notice requirements
Medicare tax withholding obligations
Auto enrollment requirements for certain large employers

For more information, visit the New York Staffing Association web site.

More Docs Adopting Health Information Technology

For years, physicians have been resisting advanced technologies, but according to an article in For The Record magazine, times are a changing.

In the past, physicians have been reluctant to adopt new technologies is because it would mean doctors would have to devote more time towards patient documentation. Other reasons why physicians were not interested in adapting is because of the costs involved with adding infrastructure, training and learning new technologies and realigning the workflow process.

However, the onset of user-friendly mHealth (mobile health) applications coupled with recent medical school graduates entering the profession with mounds of technology experience from the classroom is changing the scene.

In addition, as speech recognition technology continues to improve, more physicians are sure to adopt it into their everyday lifestyle. Moreover, there is a movement toward more mobile offerings designed for physician interface and documentation are the trend among SRT vendors. In short, the iPhone is a popular gadget for doctors, so SRT vendors are trying to make their technology incorporate smoothly with the iPhone technology.

Ruthann Russo, PhD, JD, MPH, RHIT, a documentation specialist who was interviewed for the article said, “There is a clear need for an integrated IT platform that will do the following:

  • improve quality, safety, efficiency, and reduce health disparities;
  • engage patients and families
  • improve care coordination
  • improve population and public health; and
  • ensure adequate privacy security protections for PHRs(patient health records)”

Click here to read the entire article: Physician Documentation: Slow No More

New AHDI/MTIA Career Connection Launches

The Association for Healthcare Documentation Integrity (AHDI) and the Medical Transcription Industry Association (MTIA) recently announced the launch of the new and improved Career Connection web site: www.careerconnection.ahdionline.org.

It’s designed to connect medical transcriptionist and healthcare documentation specialist employers with the largest, most qualified audience of medical transcription industry professionals.

Specifically, the online medical transcription job board offers the following:

  1. Easy online management of job postings, including job activity reports
  2. Access to search-able resume database
  3. Competitive pricing
  4. Automatic email notification when new resumes match your criteria
  5. Resume posting for MT job seekers

Is Offshore Transcription a Good Idea?

The Volume 22, Number 5 issue of For The Record magazine had an interesting article entitled: Offshore Transcription: A Seaworthy Choice. For the benefit of our medical transcription blog readers,  the medical transcription funding specialists at PRN Funding took the liberty of summarizing the article’s key points below:

First and foremost, the offshore medical transcription industry is growing, with the Philippines and India leading the market share. One major reason for the increase in popularity is cost savings. In fact, Sharon Fremer (VP of transcription for Precyse Solutions) said that the average savings can amount to 15%-20%. In addition, the U.S. can benefit by utilizing offshore transcriptionists to make up for shortages in the profession in the states.

Still, there are some who continue to oppose sending transcription overseas. Chris Simons (RHIA, director of utilization management and HIM and the privacy officer at Spring Harbor Hospital) told the magazine that she believes the risks outweigh the benefits. Particularly, Simons doubts the security of sending files overseas, and she feels that keeping jobs in the U.S. will help raise salaries in an industry where employees are typically underpaid.

The article also included 10 Questions that providers should ask when considering an offshore medical transcription option:

  1. How can the offshore vendor ensure security, including both audio files and transcribed data?
  2. Do U.S. facilities have the ability to track and audit records in real-time?
  3. Do the foreign transcriptionists work in a secure environment? This is especially important, as the trend for American transcriptionists is to work from home.
  4. What is the disaster plan to weather-related or other type of operational disaster occurs?
  5. How often will the American facility  audit the offshore transcription service?
  6. What types of training do offshore MTs receive (including English language)?
  7. If there is a question regarding unclear dictation, how will the query be handled?
  8. What happens if an offshore medical transcription does not meet quality standards?
  9. What is the turnaround time?
  10. Does the offshore transcription service provide around-the-clock coverage?

For more information, check out the March 15th edition of For The Record.

Future Career Transitions for Medical Transcriptionists

Susan Lucci (AHDI’s President) recently appointed a National Board subcommittee to research future roles for MTs within the EHR. According to a Plexus article, entitled: MT Career Transitions, the goals of the committee were to “define roles, describe the necessary skills sets required for each role, define the educational requirements, visualize a career lattice for MTs, and publicize and market our findings.”

Here are some of the more common threads the committee has detected thus far:

  1. Becoming credentialed as a CMT is more critical than ever to demonstrate medical language knowledge.
  2. Coding knowledge is also expected to be much more critical to future roles in the EHR.
  3. MTs will need more education of SNOMED (Systematized Nomenclature for Medicine), ICD-10 and CPT (current procedural terminology) codes.
  4. Transcriptionists will need additional technical skills, including familiarity with database management, basic Health Level Seven interface language and how to maneuver within the EHR.
  5. Most new roles will require an associate’s degree, with many roles requiring a bachelor’s degree and beyond.
  6. The location of where MTs perform transcription is also expected to change, as many MTs will transition back into the hospital setting.
  7. Hospitals will need trainers to ensure quality control with medical documents, which opens up another job opportunity for MTs.
  8. Roles for credentialed CMTs will be needed to transcribe, edit and review documentation from a variety of resources utilizing front-end speech, back-end speech and traditional audio-to-text conversion.
  9. MTs could also have roles in an ambulatory setting, in which they will perform traditional audio-text narratives and may utilize speech recognition editing.

How Will Health Care Reform Affect Medical Staffing Agencies?

President Obama signed the landmark health care reform bill yesterday, which will require the majority of employers (including medical staffing agencies) to pay a penalty to the government if they do not provide health insurance to their employees.

Temporary staffing firms are invited to attend the second national American Staffing Association (ASA) staffing law conference to learn how today’s laws will affect their businesses.

In fact, from April 20-21 in Washington, DC, ASA will offer attendees a full 90-minute briefing on the final health care reform legislation, and go into detail about what medical staffing firms will have to do to comply.

Other topics on the agenda include the following:

  • Client indemnity clauses and other risks
  • Background checks and negligent hiring
  • Immigration developments
  • Restrictive covenants and trade secret protection
  • Union issues

A brochure, which includes full descriptions of all the conference sessions, is available online at http://www.americanstaffing.net/lawconference.