Back when I was running an office of ten psychologists and therapists, there was no HIPAA. There were no online medical records. We did our filing the old fashioned way, in a filing cabinet. We had one DOS program we used for billing that was made in Canada somewhere. Tech support took days to reach, and even longer to resolve an issue, and it was all there was.
I made reminder calls daily for some of the doctors. The therapists would make their own reminder calls. Since they were merely renting office space, I wasn’t on their payroll and couldn’t do extra tasks for them. How awful that was for them, they would make a simple call to remind a person of their appointment the next day, and the person would engage them with their issues. It was all the therapists could do to end their calls quickly. I could overhear it all from my front desk. Sometimes I would chuckle. Too bad they didn’t have someone else making their calls.
Once a day I would make my calls. I hated making those calls probably as much as the therapists hated making their own calls. The people on the other end would range from angry and annoyed to positively gleeful—they were seeing psychologists after all, perhaps for their telephone mood swings, I sometimes thought. It took about an hour for me to confirm ten appointments.
When HIPAA passed we were left scratching our heads and rushing around, checking the locks on filing cabinets and moving the locked cabinets to a locked closet. I still had to make my reminder calls though, and HIPAA made it more difficult for me. What I wouldn’t have done for an automated and HIPAA compliant service back then. We already had to be discreet with our calling because of the nature of the business, and now because of HIPAA, my life was chaos.
The issues of reminder calls were not the only thing I struggled with when HIPAA came on the scene. We removed our “sign in” sheet from the front desk, I only did filing when I was certain no one was in, or going to be in the office, lest they glance a name on a sheet of paper from afar. I never left papers on my desk, and I always locked my computer, even if I just was running to the restroom. Additionally, I couldn’t make calls to insurance companies to follow up on invoices, unless I was certain someone wasn’t listening in. I didn’t want to let anyone around hear a patient’s name or private information.
Eventually, we just moved the computer desk, phone and computer into that locked closet and I would spend hours hidden away doing all my work in there. I suppose I was lucky that the closet was actually converted from a bathroom and had a small window, as the offices were in an historic house that had been renovated. Incidentally, I think this prepared me for my next job, which happened to be in a basement and offered about the same amount of sunlight as my little closet.
I imagine that the creators of HIPAA didn’t mean for people like me to begin working in tiny spaces, or closets devoid of outside light, but maybe they did. I don’t know. What I do know is that I would have spent fewer hours in that closet if I could have used InphoniteVoice to make my reminder calls.
All of my experiences in that office and closet gave me the strong foundation and background for working at Inphonite. It’s interesting to me the path HIPAA has taken me on personally, and I am eager to see where we’re going next.