QUALIFICATIONS Below is a list of minimum qualifications. Minimum Qualification Mandatory Yes/No Yes Highest level of confidentiality. X Skilled and experienced Certified Medical Transcriptionist (CMT). X Yes Knowledge of all disciplines of medical transcription (inpatient and outpatient). X Yes 98% percent transcription accuracy. X Yes Adhere to US Medical Transcription standards and practices regarding spelling, grammar, abbreviations, and conventions. X Yes Understand medical terminology, anatomy and physiology, diagnostic procedures pharmacology, and treatment assessments. X Yes Strong typing and proofreading X Yes Comments Emdat and its partners maintain the highest levels of confidentiality. All transcriptions and voice files are encrypted when sent over the internet. MTs cannot save voice files or transcriptions on their PC. Emdat has BAA with all Emdat Partners (MTSOs). Emdat Partners have BAAs with all contractor MTs. Emdat Partners provide HIPAA training to all their MTs. Emdat provides HIPAA training to all employees. Emdat Partners use highly skilled Medical Transcriptionists. MTs who type on Emdat client accounts average over 6 years of typing experience. The minimum typing experience required is two years for inpatient type notes. MTs with less experience are employed for certain clinic notes but generally have a higher percentage of reports being audited by QA. The Emdat Partners bring experienced MTs to the relationship. Not every MTSO has MTs with experience in every discipline. But every discipline is covered. Emdat requires each Emdat Partner to maintain a 98% accuracy rating. Each MT within the MTSO is also required to maintain a 98% accuracy rating. MTs at Emdat Partners adhere to AHDI documentation standards. MTs at Emdat Parters have general medical terminology experience plus more detailed experience on the terminology in one or more specialties. Emdat Partner MTs have strong typing skills. They maintain an accuracy rating of over 98%. Emdat Partners provide ongoing QA assessment of all MTs. Minimum Qualification Mandatory Yes/No Provide encryption or secure connection for data transfers to and from vendor. X Yes Keep copies of all transcribed documents for a minimum of 6 months. X Yes Ability to provide monthly quality reports. X Yes Comments skills. Encryption is included in all the Emdat products. InQuiry – uses 128-bit SSL encryption. InSync – uses 128-bit Twofish encryption with a private key. ShadowLink – uses 128-bit Twofish encryption with a private key. The following items are kept in our online data base and are accessed via InQuiry by users who have been provided appropriate security access. Copies of the final transcription will be kept as long as your facility is a client. Copies of previous transcription versions will be kept for 9 months. The digital audio file (dictation) will be kept for 9 months. Emdat’s InQuiry application includes InVision, the reporting mechanism. InVision generates a QA Summary report that calculates the quality score as well as a QA Detail report that includes the error details for each transcription. Using InVision, reports can be run manually, or scheduled to run at a specified time or frequency. Reports can be printed, downloaded in one of four formats. Describe your data interchange standards to ensure proper encryption of data. InScribe is the application used by MTs to type on the Emdat Platform. When a dictation is requested by the InScribe user, the digital audio file is encrypted using a 128-bit twofish encryption algorithm with a private key. The audio file is only stored on the PC while the MT is signed into the InScribe application which includes using a unique ID and password to authenticate to the Emdat servers. When the MT listens to the audio file, it is decrypted. The finished transcription is encrypted and moved up to the Server. The audio file is immediately removed from the PC by InScribe. The transcription is stored on the PC for 24 hours in an encrypted file. The MT does not have access to this encrypted transcription. It can be retrieved by the Help Desk using a remote session and imported in to the Emdat system should the MT experience an Internet issue. InScribe automatically deletes encrypted transcriptions after 24 hours. InSync is the application used to encrypt and upload dictations from supported digital hand-held recorders. It uses a twofish encryption algorithm with a 128-bit private key. 10. InSync moves the digital recording from the hand-held, encrypts them, and stores them on the PC. It then removes the recording from the hand-held. InSync moves the encrypted audio files to the Emdat servers. When InSync receives a Receipt Confirmation, it displays a Receipt report (can be turned off in configuration) on the screen which can be printed on a local printer. InSync is configured to save encrypted files for a specific period of time. Each time InSync processes dictations, it deletes all stored encrypted dictations that exceed this storage parameter. (This option can be configured for never, a specific number of days, or keep forever.) Describe your process how you follow HIPAA security and privacy guidelines to safeguard medical records. Technical capabilities include: Audio files and transcriptions are encrypted when moved across the Internet; whether its for an MT, an end user, or MTSO management. Audio files and unencryped transcriptions cannot be saved on the MTs workstation. MTs are informed of HIPAA privacy guidelines. All have a minimum of two years of medical transcription experience and are knowlegable of their responsibilities in following the HIPAA requirements. MTs also receive annual review and updates concerning HIPAA guidelines. 11. Describe the confidentiality agreement you have with your transcriptionists and the required length of time the agreement will remain in effect. Please provide a written copy of this agreement. Emdat has Business Associates Agreement in place with all Emdat Partners who type work for Emdat clients. The Emdat BAA requires that each MTSO have a similar BAA with the MTs. The actual BAA with the MT is the responsibility of the Emdat Partner. Emdat supplies a sample BAA to Emdat Partners that is suitable for use with Independent Contractor who type for the Partner.