I think she is talking about full QA review not occasional blanks with a new dictator.
Posted By: -Libby on 2008-02-22
In Reply to: Never typed an ESL??...sm - blondie
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.
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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.
Agree - my reports are full of blanks SM
this morning. I refuse to guess on vital signs, lab values, and this ESL's mumbling. And lucky me, since I'm the first one on this morning, I'll probably get about 10 of his H&Ps.
Agree it's the dictator's report and the dictator's call. NM
nm
I can see an occasional day but
I know his grades are awful. I don't see any way possible he can pass his grade this way. How long can a school put up with this on a 16/17 year old? I sure would hate for him to drop out because then I'd have to listen to his ruckus 24/7.
I've done it on an occasional hour here and there
When I was working for one MTSO that had a lot of normal templates, I looked forward to the oupatient surgery days because I could get 800-900 lph for up to 3 hours at a time, but could not mantain that consistently. I was able to do about 500-600 lph consistently if I worked the evening or graveyard shift where I could hit a groove. I've been MT'ing for over 15 years and have been using my Expander 10 years. This was an acute care setting and covered 3 hospitals.
I love my vet, the only blood work she does is an occasional - sm
heartworm test, about every 2 years. Only take the dogs (and cat) in for shots, no extra or unnecessary stuff. She is cheap (and good) too, compared to where we used to live. I'd say if there is a hint of a problem, then yeah it should get monitored. But if there is nothing wrong, then why? Once every few years should be adequate I would think for blood work. As for teeth cleaning, I have only done it once with 1 of dogs because she was going to be out anyways getting some teeth pulled, a tumor removed too, so we had her teeth cleaned. As for my other dogs, forget it, that is what Milk Bones and Dentabones are for. I already spend enough on shots for 3 dogs, Frontine, heartworm pills, special dog food for the 1 dog, etc. Some vets do whatever to get more $, others though don't get greedy (country vets) and think of the animal, not on pumping up their bottom line. If you aren't happy with your vet then either tell them you only want the 1 x a year visit, shots only, none of the extra crap, you can say NO, it's your pet. Or find another vet. Though we are in the boonies, we have 2 vets within 2 miles of each other, who are both very reasonable, go into town though and you pay a lot more.
Question about 7-year-old son - occasional vomiting
Please help! :)
My 7-year-old son has had very occasional vomiting that is associated with no other symptoms. This started 5 weeks ago and he has gotten sick a total of 3 times. He vomits one time and he is fine. No fevers, no diarreha and nothing food - specific that I can link this to. This does not occur quickly after eating. Generally, it is an hour or two after eating. He eats and digests his food properly at all other times, so this is confusing me! He saw his doctor 2 weeks ago and was started on a trial of Zantac. I give this to him in the mornings before breakfast. Today, he got sick again (just one time) and he is perfectly normal now. I did contact the doctor and we did go to the hospital for an abdominal x-ray. I am waiting on those results right now and I guess that I am a little confused about this situation! He has never gotten sick like this before. He never even spit-up as an infant. I have never noted any food allergies or intolerances but now I am starting to wonder. Has anyone else had any similar situations like this? Thanks in advance! :)
I have occasional migraine headaches. I can miss a day of work and SM
make it up, no problem. I am glad I work at home during those times.
Love Dictaphone's ExText here, even with its occasional glitches. nm
s
Explaining my occasional bitter-/crankiness
I confess, I am one of those that will occasionally toss a snide comment in. I don't think I have ever gotten to the point of being brutally mean, but I have been snippy. And it may be petty and it may be unnecessary, but, in my case anyway, it stems from a frustration when obvious newbs post a question that at least in my mind seems simplistic (based on the s/l they are able to provide) and should either be a common knowledge type thing or else easily findable. After a day of plodding through ESLs, rapid-fire dictators, or reports that have more chromosome testing than I have chromosomes, I do get a little cranky when someone who probably only makes $50 less a week than I do posts on here asking what 'conjecture hard fail your' might be and respond in a somewhat less than mature way.
Don't feel too bad ... one of my dogs reacts similarly to the occasional STRANGE man!
... especially when she was younger and she was our only dog. I'd be walking her in the park and some guy would ask to pet her, and maybe 1/10 men would cause a frenzy of love to come over her. She would throw herself at his feet, practically moaning as he scratched her belly. If I'd have been single this might have been useful, but I'm married! Very embarrassing.
Full Core means full CPR code.
NM
Wait a minute, I'm not just talking about the boards, I'm talking about the news article.
Specifically,
"JLG has a contract with Arrendale Associates/ A+Network/CBay Scribe, which the group says is in India.
A letter from JLG to Barbara Dingman, chief compliance officer and director of health information management, says all medical transcriptionists assigned to the Medical Center Hospital account live in the U.S. and all work is done in America."
But yet they do business with Arrendale/A+/CBay, what am I missing here?
Yeah, but full-time lines does not necessarily mean full-time hours, so I would do it if your produc
-
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
I'm talking about MT school, not K-12, which is where I learned most of what you are talking abou
My clients DO NOT LIKE IT when I correct their wrong crap - did you actually read what I said?
I'm not talking about ignorant as in grammar or spelling. I'm talking about sm
ignorant in general.
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. .
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.
Do you listen to every report twice, to review it,
x
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.
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
I agree. Eyes are always scanning, but never review enitre report.
zz
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.
Hospital where I worked cut raises from 12% possibility to 6% with excellent review. Which means
dd
blanks
Can anyone out there clarify how a company penalizes for sending in a report to QA and how do you know if your company does that? Thank you upfront!
blanks
Can anyone advise how long an MT should spend researching an item as opposed to letting a blank? The company I work for is very reasonable about 1 blank per document etc. I was just wondering if there is a general rule.
Thanks for the opportunities this board offers to learn, vent and feel less isolated.
How many blanks in a day?
I am wondering if I am a good MT. I am an IC that worked on the same account for 3-1/2 years and NEVER sent any blanks. The doctors were great! I lost that account and now my company has given me a new account for the past 2 days. I think I have left at least a few blanks in EVERY single report I typed that had to go to editing...is this normal? What are the average number of reports that most good MTs have to send to editing in a day?
Blanks
With a new account, you are getting used to the dictators.
Go back and listen after you have typed the whole report and 9 times out of 10, you will hear what they are saying.
more on blanks
The specifics of how to mark a blank for QA vary from account to account, service to service, etc.
When I was a QAS, I really didn't want my MTs to put sounds like phrases in, for example:
____(s/l) bazaar or bizarre____
because it would often be something completely different. I prefer to approach the blanks I'm filling in as a QA person with an open mind. I read through the body of the whole report while filling blanks in order to make certain that the word I'm hearing fits the context of the report, but I prefer not to be told in advance what the word is.
Yeah, I like crossword puzzles too.... LOL!
BLANKS
Hello, I am having a very tough time with blanks, especially with doctors who have accents. I try listening really close to how they pronounce the word, but after listening for a good few minutes, I find I still have to leave a blank; this is so fustrating. Are they any tips to cracking blanks?
Blanks
First question I ask -- are you a fairly new MT? second question, do you have access to company IM? I have worked in this busines many years and even those of use with experience have trouble with blanks at times - I did a dictation today and the docs dog was in the background -- one blank and really not bragging here but if I leave 3-4 blanks in a report it is because of horrid sound or terrible docs -- this is really where a lot of newer MTs need to be able to have contact with someone who "has an ear" 
Blanks
First question I ask -- are you a fairly new MT? second question, do you have access to company IM? I have worked in this busines many years and even those of use with experience have trouble with blanks at times - I did a dictation today and the docs dog was in the background -- one blank and really not bragging here but if I leave 3-4 blanks in a report it is because of horrid sound or terrible docs -- this is really where a lot of newer MTs need to be able to have contact with someone who "has an ear"
Blanks
First question I ask -- are you a fairly new MT? second question, do you have access to company IM? I have worked in this busines many years and even those of use with experience have trouble with blanks at times - I did a dictation today and the docs dog was in the background -- one blank and really not bragging here but if I leave 3-4 blanks in a report it is because of horrid sound or terrible docs -- this is really where a lot of newer MTs need to be able to have contact with someone who "has an ear"
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