Do you listen to every report twice, to review it,
Posted By: or just once to transcribe? NM on 2008-06-12
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Why? Why should we review every single report and in its entirety? SM
The QA bar has been set at 98% by both of my employers. I BEAT, not just make but BEAT, that QA rate every single time.
I've good a great balance between speed and quality.
If you want to take your time to do that with every report, that's great for you! Your choice.
I guarantee you that even if you score 100% on your QA'd reports, because you are not being QA'd on every single report, you're still making mistakes somewhere. So, the line has been drawn in the form of the level of QA expected.
Are you talking about full QA where you send every report for review?
If you are not a newbie and are full time, then it does not seem fishy at all. If you can't figure out the platform and account specs in 3 days' time...
If you are new and will require mentoring, then that may be different depending on the quality of education you received.
I agree. Eyes are always scanning, but never review enitre report.
zz
The report comes up and you listen and hope the cursor down SM
the page to each point where a correction is required. Some platforms have macros that allow you to jump cursor position to where the voice dictation and vice versa (nice), and some require you to arrow and hop around manually (not so good).
You make word-expander-type macros for the usual corrections so you just drop them in with a couple Keystrokes while you and the dictation are already moving ahead on down the page.
While the computer is learning a dictator, there are many corrections to make. Later on, it's mostly listening, and you speed the dictation up faster and faster, until you're listening to many dictators as fast as you can make their helium-ish little voices out.
Production is much higher than transcription, so the pay per line is less. I think the companies are still figuring out what reasonable production and pay are for their new systems.
Plus, there're new-generation smart-systems being developed out there that are crazy good at understanding the dictators and providing copy requiring very little correction.
I'm one of those who prefers editing, which allows me to cruise thru many more reports and work at a hgiher skill level without the typing. Where it's all heading I don't know, but I'm mostly enjoying the ride, willy-nilly.
Whenever one of my coworkers asks me to listen to a report and fill in the blanks or make SM
corrections, I always put my initials on the report right after hers and I expect anyone who goes into any of my reports to make a correction to do the same and that includes QA people. Where I work, the transcription clerk will put her initials in a report even if she just had to go into the report and delete a blank line to make the report upload correctly. She puts an asterisk by her initials to let us know that she didn't make any changes to the text, just made adjustments for uploading purposes.
I've been told at other jobs by the QA bunch that whatever software we use automatically keeps a virtual record of each person who accesses a report, but I just like knowing who else has messed with my report. I can't tell you how many times when I worked in the office, an irate doctor has come in saying "who's LN" or "who's RB". So if QA went into the report and changed something, I want the doctor to see their initials too.
You do not need the 1099. You just need to report the income. Report the company/person ...sm
to the IRS for not sending out the 1099.
REVIEW
I think it should depend upon your experience and possibly the difficulty of the dictation. I have been working at the same place for a VERY long time, so I rarely have to listen to dictation twice. However, I have found that if I am doing a difficult doctor or cannot understand something, I will mark the spot, so that at the end of the report, I can go back and maybe after finishing the rest of the report, I may hear that portion now! Miraculously, sometimes if I go back, I have familiarized myself with that doctor's dictation and TA-DA, I get it!
If you were a newbie, and were maybe in training, etc., I think it could be a great idea. It just seems sometimes that between trying to obtain a reasonable production, it is just impossible to listen to every single report twice! Hope I helped!
here's a review
-- i don't have the actual
experience.
http://reviews.cnet.com/headphones/sony-mdr-nc7-headphones/4505-7877_7-33352178.html
what is their points review
doesn't sound like its in our favor, is it part of the new mt/me rewards plan??
Hospital is probably up for review by....sm
JCAHO. If the charts are incomplete, then they could face penalties. Or, perhaps they already have gone through an audit and were found lacking.
to "me", you should further review
because there are MANY negatives posts still on this Main Board. Just look at posts where "Kikki" had anything to add to the mix. LOL. The OP is correct in his/her assessment.
Go for it! Good for you! I am in the review
stage of my CMT exam and plan to take it ASAP as well. No discounts here, either, but I really want to earn this! I think its a great thing to strive for, and so do lots of companies, despite the naysayers!!
Review guide...sm
It was my experience that the dictation portion was exceedingly easy, not nearly like the "snippets" on the CD that comes with the book. Pay more attention to the rest of the book.
Does anyone know? I am using the CMT Review Guide...
to study for the CMT exam. There are practice tests on the CD. What is considered a passing grade for the CMT? I can't find this info anywhere online, or in the guide. Thanks!
performance review
How do you find the performance review going. Are yout satisfied with the way the QA people are checking your reports? I will get a correction from one and another QA will let it stay the way I typed it. One MT said that most of her reports were OP notes and the doctors say mostly the same thing over and over, so she made templates and she just has to punch in a few strokes and the OP note is done. How can you do this when the QA people are checking it word for word. I cannot set up any templates because a few words may be changed. Just curious. .
I charge the same amount for a "normal" report as for any other report.
You still have to listen to the dictation and change anything that's different. I had one woman try to pull this on me. She'd dictate, "Just pull up my normal, but change this, change that, switch that around, move that, add this, delete that, and change the other." Then she'd only want to pay me what equated to $.03 per line. She wanted 1:1 on her dictation to transcription ratios. I told her to take her cheap account down the road because I'm worth more than that.
What are some good review books?
Hi everyone,
I have a question that I hope you can help me with. In short, I graduated in 1997 from college with a certificate in medical transcription. (I took a 1 year program) Even though I never worked in transcription, I have recently been offered a chance to work and do transcription from home. I was required to take a test and actually made 88% on it with no review at all. I needed to make a 90% though and am wanting to find a way to review and boost my score. I was wondering if any of you could give me the name of a good book or program that might help me out. I have seen one book called "The Do's and Don't's of Medical Transcription" but would like to have some opinions on it and other books out there. I would appreciate any and all help on this as I'm really looking forward to getting into the medical transcription field for the first time.
Many thanks,
RT
You can purchase the CMT Review Guide-sm
from Stedman's. The title is "The CMT Reveiw Guide." This book was just released last year (2005) and was developed for the current version of the CMT exam. You might also want to consider a CMT Study Group. Contact the nearest chapter of AAMT as they do have CMT Study Groups. I know that the Online Chapter of AAMT is about to start a study group that will complete in time to take the CMT in the end of July/begining of August. Oak Horizons also offers and online CMT Prep Course which I have heard is really good. You can get more info on the Oak Horizons class on www.aamt.org and do a search for CMT prep course. For more info on the OCAAMT Study Group contact certconnector@aamtonline.org.
think you need to contact the medical review
try the insurance company's medical review board for a reassessment of your bill(s). Good luck! 
A "peer review"! Sure never heard of THAT, before! (nm)
.
My last QA review was a BIG surprise. Here I thought I SM
always topped 98% and routinely cut into my potential earnings to maintain my own standard. Wrong! The QA person's explanations for my mistakes were confusing and seemed in some cases to contradict the guidelines and in others just plain wrong, but I figured my job was to pass the review and get back to work, so I tried again. Failed so completely I was going to be put on probation, allowed to do something like 10 or 15 reports a day until my performance came back up. So I contacted my account manager, who told me she'd take care of it, and that was the end of it. Something I heard later suggested that QA person was still there causing trouble months later. Maybe you should talk to your supervisor. I'd also start gathering documentation of prior reviews for the Labor Board if that raise doesn't come through. There are plenty of companies out there looking for skilled MTs.
Funny, I just got my 3rd 100% review and asked for a raise
I was told SEs are paid on a sliding scale and there are no raises at all EVER.
The CMT Review Guide is great and geared
toward the current CMT test. Published by Lippincott Williams & Wilkins, publisher of Stedman's. I believe you can buy it from them, or from AAMT. Good luck!
SmarType users please give review...sm
I'm thinking about investing in SmarType. I have heard good things about it. Can some of you how use it give a review? Does it take long to get used to?
TIA
CMT review guide. I'm glad I read it.
Good luck!
Review in great detail with the company first....
xx
I'm sorry, but the physicians are supposed to review the medical records for
accuracy, then sign off on them. THEY are the people who went to medical school, did their internship, and actually saw the patients. THEY know what they were trying, often badly, to say. THEY are the ones making the big bucks. NOT US. We go to maybe a year-long correspondence school, make crappy money, and watch our butts spread wider every day while we TYPE, yes, I said TYPE, medical records for them. Anyone who thinks it's more than that is kidding themselves. And save your speeches on patient care and work ethics. I know all about that stuff. The harsh reality is that this job does not require a college education to get into, and your income is tied to your production level. The doctors don't care enough about the medical records to speak slowly, enunciate, and double check everything before signing off. How are we supposed to read their minds? Anyone in this field who knows more than grammar and medical terminology ought to be working as an RN or MD, because you'd be better at it than half the medical providers we type for.
Same theme, but CBS on Wed. is to review the top 100 inspirational movies. Should be good! nm
m
Oh, a report just came in. A report actually just slid in, can you believe it. Hip Hip Hooray. I
had better get that sucker typed before it gets out of ONE MINUTE TAT.
Are you kidding? After reading the health department's annual review, I NEVER eat out.
Especially at a fast food place. They always have long lists of violations, plus, after a look at the fingernails and hair on some of those people, I wouldn't feed my dog there.
They do list restaurants that maintain high standards of cleanliness with no violations, so if I'm in the mood for a long drive, I'll go to one of those.
I do miss eating out.
I think she is talking about full QA review not occasional blanks with a new dictator.
As a newbie I was off full QA at the halfway through day 2 working on acute care. However, I had an excellent trainer/mentor available to answer any questions, and I could send unlimited blanks to QA.
Now when I work on a new account, even with a new platform, I am off full QA within a day. If the platform instructions and account specs are clear, it should really not be a problem.
Hospital where I worked cut raises from 12% possibility to 6% with excellent review. Which means
dd
If you are careful with putting the correct report in the correct report shell and patient, you will
not have any problems. I only take away this option when someone is careless. There can be NO room for error on this. One mistake can be very serious. Many do it well though, so just double check and you will be fine.
they pay you to listen to what they are saying and fix it.
I actually feel kind of sorry for the residents who have such a hard schedule, overworked, underpaid and not enough sleep. I would hate to dictate and don't think I would be very good at it. Well maybe if it was the only thing I did but not under the circumstances most of them work under. Think about it. What if on top of transcribing you had to do all the other things the doctors have to do while being sleep deprived.
Willing to listen.
If you have information, please share it. I just stumbled across this website a week or so ago. I have been totally in the dark about everything. So, please, feel free to fill me in. Don't have time to do a search since I am trying to get my line quota so I don't lose my benefits :-(
Listen to your gut sm
Listen to your instincts. You have gotten a lot of advice from this board and everyone means well, however, no one but you knows you situation completely.
As far as your boyfriend, I have been in that situation. I was "in love" with the person he "could become" but not at all happy with the person he currenlty was. I was fooling myself into thinking he would become a better person. One thing to remember is that it is impossible to change another person. If he is not what you want or need, you will have to make the decision that is right for you and your children.
Debt is a life drainer. It comes to a point that you are miserable because of debt. I've been there too. Again, do what you think is right but try not to strap yourself financially.
Best of luck to you and your family.
listen again, he is probably saying sm
pole of the right kidney. Also, are you sure 2.1 isodense lesion is not hypodense lesion also? Don't know about your "kamachium" will have to think about that one!
who do I like to listen to?
Do I get to make a last wish before the firing squad? 
Sammy Davis, Jr. (greatest entertainer of all time) - Barry Manilow (I like his newer stuff) - Maureen McGovern - Bobby Darin - Cher - some Janet Jackson - Mariah Carey - Backstreet Boys (some of their stuff) - Peabo Bryson - Luther Vandross - Anita Baker - almost anything Disco - CCR - Petula Clark - 3 Dog Night - Blood Sweat & Tears - a lot of George Michael, Jim Croce - Guess Who - Fifth Dimension - Four Seasons - David Clayton Thomas (from BS&T) - a little bit of Eric Clapton, Steve Lawrence & Edie Gorme (and the list goes on). I also have individual songs I like such as Elusive Butterfly, Green-Eyed Lady ... some stuff from the 60s (my age is showing). Not really into the 50s (but the movie Grease was fun). It all depends upon my mood from day to day.
Who I would never listen to: Janet Joplin, Rod Stewart, Jimi Hendrix, Rolling Stones (the worst!!!), most of Elvis Presley, a whole ton of 60s, rock singers, and most of today's singers.
Despise rap and don't like country ... but I do enjoy the song "The Devil Came Down To Georgia." I'll pass on opera as well.
As the line goes from the movie: I "had two 50s and moved right on into the 70s."
Okay folks ... load up the guns. 
NO. Don't listen to the OP below. Go to
You do NOT have to do that.
However, you really should build breaks into your workday so that you are only typing (not taking breaks) during your worktime.
Hours are the times you work during and they can make whatever coverage hour requirements they want.
Lines are what you are producing and paid by. So you want to be as productive as possible while you are working during your coverage times.
Listen to your QA
Do not fight over it..but yes, those are all things that you should know having worked for 15+ years, not to mention any client preferences. Home MTs are always held to high standards over in-house, it is a fact that you have to learn to live with but a fact nonetheless. Most of the feedback you listed, I would be ashamed if I I was not consistent with my spacing, did not know the proper way to type an age, etc. If that does not bother you, keep in mind that if SHE is the one to you your next review, you know she will have a copy of the email you were sent stating that you were made aware of the guidelines.
and I ALWAYS say NOT to listen...nm
listen please
i've moved around, changed jobs a lot in my 32 yr of MTing. There have been times after even 10-15 yr in the business, that i sat down to something and it sounded like the words had been blenderized; i thought i'd never get it. Times i cried and thought i didn't have it any more. You HAVE to stick with it; that IS the key. I do strongly recommend working in-house a good while before you try doing this work in your home. You'll be okay and do well in due time, if you don't give up.
Listen to the
whole tape. Not the partial tape the media played. It is online, just Google for it and make sure that it states unedited. I explains a lot. You are correct that only one source has the right to pass judgment on him. I would also like to say that I have found a friend's father has an extremely interesting take on the use of this word. He is a black man, a professor. In part, if we forget this word exists, if we cover our eyes or ears every time we see or hear it, then we are ignoring an important part of history and an important movement by an entire race, then it could all happen again. Besides, if you ask 20 people their definition of that word you may be surprised. It does not mean the same thing to everyone and it some have more than one definition for it.
On another note, since it has been used in myriads of books, should we remove those all from libraries and burn them?
Personally, I have used this as a learning tool for my grandchild, how words mean something, words can change your life. I have explained to him how sometimes there are people in this world who will do anything to make a buck regardless of whom it hurts. I have shown him how one bad impression could change affect him adversely. I have explained that just because you hear something (a word, a rumor, etc.) it is not okay to repeat it unless you are willing to pay the price and be accountable for that action.
Listen to this one......SM
About a billion years ago I worked for MQ in Fort Lauderdale, Fl. MT I worked with made approximately $80,000 a year. We worked on a difficult ESL account. There was one doctor who only dictated discharge summaries, about a page and a half long. This MT added canned text to make each report about five pages long. She found a pretty routine physical exam, ROS, FH, SH, etc, by the same dictator and pasted it into every discharge summary report, along with whatever routine text she felt she could get away with. The doctor never complained because he could barely speak English and had the best looking reports in the hospital system. MQ was told about this repeatedly by other MTs but they did nothing about it because they were making so much money from her padded reports. Unbelievable. She's probably still there, but now up to $100,000 a year!
need someone to listen
Well, you caught my attention. Did you know that many brilliant/intelligent people suffer from depression? My advice to you is to contact your local community health program and immediately get help with your depression. They usually have fees based on your income. Maybe you suffer from ADHD also, no friends, or not many. Please get some help. "A mind is a terrible thing to waste." You could have a very productive life, making money, making friends. I have been and am from a family with alcoholism/depression/drugs and you have all of the classic signs of crying out for help, just don't know where to get it or whom to trust. You are too young to be like this. I have a son your age and I know he has ups and downs, but you really need help and I want to encourage you and tell you what a good person you are and that there are plenty of people who will help you. Just remember that ending your life is not the answer. Please get help for that brilliant mind of yours today. You have accomplished so many things and should be very proud of yourself. You may seem lost now, but just reach out and get your help and learn how you can be productive and be happy. Everyone deserves to be happy.
Listen to everything.
/
QA might have to listen to all the above but
if you ever worked inhouse you would know that 2 sets of ears are better than just 1. I would listen only to ask for help and then the next person could hear it perfectly well. This could possibly be the same for QA, another pair of ears out there for our words that we cannot make out.
Someone like that is never going to listen
They know what they know and you are not going to be able to tell them differently. It's unfortunate, because it sounds like she has a lot of hopes set on the scenario that has been laid out to her. It's too bad we can't go back and expose that school or her source somehow.
I'd just say, okay, whatever you think. Let me know how it goes. You'll never hear from her again, or if you do, you know darn well it won't be truthful.
I like MM, too. I have a bunch of CDs here that I listen to
while I'm working. I like all types of music.
I wont even listen to me
on my voicemail!! ewwww, I know I sound like a geek, or a little kid, or tired, or ...... 
Listen, I do not want to offend anybody
here. That is not the reason for my coming here. I was just warning people of what I suspected. Other people must suspect it too or they would not be responding either. We are just sick of it! This person is ruining the board. I will leave it alone. Sorry.
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