If you MUST have QA on staff, they should all have guidelines, be it BOS
Posted By: Becky on 2005-08-09
In Reply to: They should ALL go by the same guidelines. - sm
or AMA, whatever you choose. I've been seeing ads for QA personnel and they don't have to have been MTs. I don't get that.
As I've said before here, I work for an MTSO who believes if you have to have QA personnel, you've hired the wrong MTs. I tend to agree with her.
We get up in the morning, do our work and send it in. If there's something we don't understand, we put a note on the log for the doctor or the hospital - because we're all experienced enough that we either know what we're hearing or know how to find it.
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They should ALL go by the same guidelines.
Different accounts have different specifications as well so that could account. But all in all, the editors should all be going by the same rules, etc.
GUIDELINES
What did we ever do before style guidelines? How did we ever type? I guess we have been doing it wrong for all these years. Now we are being graded. What is that about. Am I in grade school. I have been there and done that. Went to college and being treated like an idiot.
I would to see these supervisors and corporate try to sit and type all day.
Guidelines
You are correct that the possessive form of eponyms is now not possessive. And it is not just AAMT who did that, but also the AMA. It is in the new Book of Style and in the Manual of Style that the AMA produces. You can find it in both places to show to your docs if you are looking for that.
Guidelines
That should entirely be up to the client.
Thanks for the guidelines..it's too bad that...
My manager didn't give an "official" explanation as to why this shouldn't be done.
Her reasoning is that the doctor can't read it as well when milligrams is typed out.
My daughters have certain guidelines in the way they want (sm)
the children to act, be treated, etc. We have an understanding that I won't let them play in the street, swim unattended, smart mouth an adult, cus, or do anything that is generally dangerous for them. They love to help cook, garden and just sit on my lap and be read to. Yes, I may take them shopping a little too often, but they usually have helped in the garden or helped with housework prior, so they are actually earning the money they spend for toys at WalMart.
I would never undermine their parents (even though the father of the two youngest is a true bum) to them. I try to always touch upon good things they should be proud of such as "Your mommy sure knows how to fix you hair so nice, I wish I could do it as well."
These grandchildren are the most precious thing in the world to me and the last thing I would do is act in a way that would keep their parents from allowing them to visit. Maybe you should explain to those grandparents your reasons/concerns. Surely they would be glad (after an initial sulk maybe) to change their ways in exchange for more hug and kiss time from their grandbabies.
MQ is going by the AAMT Guidelines
with rules regarding transcription. So I would think that as MTs we should be typing by AAMT Guidelines. If you think we are not paid for spaces, then why do one more than necessary.
Anyone know a site for IRS guidelines for IC nm
x
Docs don't have those guidelines because... sm
they realize how stupid they sound and look. They learn the language of medicine and stick with it. They don't bow to some silly-*ssed organization's whims.
AAMT guidelines about not using q.d., q.i.d. q.h.s. etc.
what is the current recommendations for these? I have been an MT for 7 years and I still type them this way. Was I off school that day? Thanks!!!!
is it acceptable in our guidelines, if so I will
do it too.
You should always follow guidelines
set up by your MTSO/client. If expanding when not allowed to, that could be considered line padding and a quick way to lose your job.
Did you follow BOS guidelines??? That could
x
You will! Just as you all said I was "crazy" when I posted about the new QA guidelines, only t
you obviously all get them within a few months top, now you can stop kicking the covers off over QA bonuses, and lack thereof, as that will be coming your way, too!
Anyone know the origin of the AMTA guidelines?
I was told that the 2 women in Amherst came up with this book just to make money and that they really don't (excuse me, do not) know their "elbow from their kneecap". I know it took me some getting used to: 1 space after a period and colon, using numerals instead of writing out numbers, not using contractions, etc., etc. I see the book on sale with the guidelines, but does anyone know who wrote it? Frankly, I think it makes medical reports look a little less professional than they used to. I have been a MT for 20 years and even though I am using the new guidelines, I am not crazy about them.
HIPAA faxing guidelines
Fax only when necessary, always verify fax number and ALWAYS use cover sheet. Do not fax hypersensitive PHI. 
Thanks for sharing this. If federal guidelines were followed,
the minimum wage earner could not even shop at Walmart---that's really sad! This is just another point that shows that the government has obviously gotten too big for its people, $5.15 is a JOKE. I'm glad some states actually have some sort of caring politicians.
There have to be guidelines and standards in place
for every profession, including MT. While I don't like the AAMT or agree with some of its new ways, there has to be something in place for all MTs to go by so they are all on the same page. The only way to bring real professionalism back to the field is by mandatory certification or a license to practice MT. There are way too many inexperiences terrible MTs out there ruining all of our reputations! And I for one am tired of it.
You need to brush up on HIPAA guidelines...
The computer should be password protected for individual users so files cannot be accessed, but, other than that, HIPAA requires "reasonable care" be taken to safguard patient information. It does not require any computer used for MT to be used exclusively for that.
Some believe the computer must be in a locked room. That is absolutely not a requirement either. Reasonable care means just that.
Thank you so much for replying - that gives me some guidelines to follow
nm
AAMT number guidelines
Does anyone know the newest guidelines for numbers with AAMT?
You follow the account guidelines - sm
Expanding out abbreviations when the account specifics say not to is an easy QA ding also.
It depends on the account guidelines.
For the majority of the accounts I work on abbreviations are only expanded in the critical sections, such as diagnosis, impression, etc. This is to the client's preference, and it is considered an error to expand an abbreviation when it is not necessary.
As far as dosages, I always transcribe what the dictator says unless it is a prohibited abbreviation or an error. Prohibited abbreviations are changed, per client preference, to the acceptable term. If it may be an error, it is flagged for review. If the doc dictates "twice a day," they get "twice a day." If they dictate "b.i.d." that is what I transcribe. It is also considered a error, at least at my company, to alter what is dictated.
Urgent question regarding BOS guidelines!! PLEASE sm
I'm testing for several jobs right now that will offer the full-time status I desperately need to support my family.
The last job I had didn't follow BOS guidelines and I as advised by a few MTs to follow these guidelines when formating the body of the test reports. I do not own this book nor do I know anyone that has it. Are there any online resources that I can refer to for some of the more common guidelines?
I need all the help I can get and want to thank those willing to take a moment to help a fellow MT out!!
God Bless!
We got an updated set of account guidelines constantly
put somewhere different than it was last week, they'd tell us to change something and when we changed it they sent it back and told us not to change it anymore. They blamed things on us that weren't even anything we do, like if someone was on vacation and a report didn't get sent to the right place. People started to get threatened with termination (not me but I know people who were) for even the most miniscule reason like forgetting to sign off a doc as a DO instead of an MD. They were just unreasonable bullies and the more they complained and fussed the more Diskriter management bowed to their every wish and created a monster. Good luck if you end up there. It could have been a nice account if this nonsense had been nipped in the bud.
According to the Medquist Style Guidelines that I received,
it states that the one space rule applies following a period, in numeric lists, and following a colon. I received these guidelines in March from MQ. This is what I would go by. I was told that if I spaced twice I would receive a penalty on my QA reviews. Obviously, you are the uninformed one, so see ya later wench.
Guidelines are one thing, but if your client wants it transcribed a certain way, just do it.
p
Glo and staff at MTS. (sm)
Just wanted to thank you for your ultra-quick response to my plight of not being able to get to your job bank this morning!! Found it w/your help, was ready when the phone call came in and got an offer!! Yahoo!! Thanks again - you are the best!
Most companies draw from the AAMT's standards and guidelines.
nm
If you meet guideline, you are IC. Taxman has guidelines for what is IC in your state.
'
office staff at MQ
that's exactly what I've seen. I had one of the guys at 1888# tell me when I said that MQs priority is with the clients 150% and the MT's concerns are at the bottom of the list and his response was well, they do pay our salaries -- those techs don't have a clue what we do
11
office staff at MQ
LOL, you reminded me at one time, about 9 years ago that we had THE tech support guy in our office pinch hitting also as the CSR. on the overnight and weekend shift, just when you would need someone with a brain...forget calling when you had question on how an account wanted a format, etc
That's why all QA staff should cc their feedback to the
entire QA staff! QA needs to be on the same page. By cc'ing the QA staff (blindly of course), QA can get on the correct page. That way, if one QA has a question, bat it back and forth to determine the answer. QA people have a good rapport with each other for the most part and are very accepting of the correct way a company does things. If someone challenges something, then we just find the correct answer and that is that! Also, the QA staff I most recently worked with had an updated frequently most common errors and the correct answers that they passed out to the MT staff and it included the reasons for the correct response. It does work.
Poll for QA staff
1. Are you paid by line, report or hour or salaried?
2. What are your production requirements?
3. Do you get incentives or bonuses beyond your base pay?
4. How do you provide feedback? (Directly to MTs, to a supervisor, etc.)
My answers:
1. Hourly ($19)
2. 12 reports/hour
3. No.
4. Directly to MTs.
monitoring staff
We need this done for a lady in our department. She works at home, goofs off, and starts late. She gets to stop working, and I get called in on my day off without on-call pay. From now on I'm not answering the phone!!!!
The rod should be a guide, a staff, not a weapon.
Please reaad the following if you think spanking is okay.
Spanking can cause a sensitive child grave psychological damage. You probably won't even see it, and the child may never tell anyone or even recognize what it is. Please, please, if you insist on spanking your child, at least give that child an outlet for the anger that follows. When I child is forced to feel anger/shame directed at the person(s) they depend on above all others, and then to suppress that anger, it can cause significant, lifelong problems in his/her ability to have healthy relationships.
Another reason to reconsider spanking is the prevalence in today's society of spanking being related to sex - it's all over the place, and unless your kids watch no TV, no movies, read no magazines, and have no access to computers, they are eventually going to come across this. It can be very confusing, very upsetting.
From: http://www.stophitting.com/religion/faithMaterial.php
All of the biblical quotations advocating corporal punishment of children are taken from the book of Proverbs in the King James Version of the Bible. They were written by King Solomon, and presumably reflected his parenting beliefs with respect to his own son.
Proverbs 13:24
"He that spareth his rod hateth his son; but he that loveth him chasteneth him betimes (diligently)."
Proverbs 19:18
"Chasten thy son while there is hope, and let not thy soul spare for his crying."
Proverbs 22:15
"Foolishness is bound in the heart of a child; but the rod of correction shall drive it far from him."
Proverbs 23:13
"Withhold no correction from the child: for if thou beatest him with the rod, he shall not die."
Proverbs 23:14
"Thou shalt beat him with the rod, and shalt deliver his soul from hell (Shoel)."
Proverbs 29:15
"The rod and reproof give wisdom: but a child left to himself bringeth his mother to shame."
The Bible itself records the negative effect of Solomon's parenting style on his son, Rehoboam. He became a widely hated ruler after his father's death and had to leave to avoid assassination by his own people.
What would Jesus do?
If you take the Bible seriously, you have to notice Jesus' attitude toward children. It was wise, loving, and filled with compassion. Even when anxious adults wanted to shoo the children away, Jesus rebuked the adults. "Of such," he said, "is the kingdom of heaven." Given this attitude, it's hard to conceive of Jesus hitting a child on any occasion or for any reason. It's simply not consistent with what he taught. If Jesus wouldn't hit a child, why would we? SpankOut Day is dedicated to exploring alternate means of discipline. We believe that Jesus would approve. A simple slogan for Christians to consider might be this: the next time you are tempted to hit a child, ask yourself "What would Jesus do?" Then go and do likewise.
Reverend Dr. Thomas E. Sagendorf, Senior Pastor
Bexley United Methodist Church, Bexley, Ohio
Wisdom from the Talmud
Many people who strike their children do so not because they are evil or mean, but because they believe they are doing God's will. They often cite the phrase in Proverbs: "He who spares the rod hates his son." The problem is that pulling one line out of the Bible ignores the rest of the text. Much of the Book of Proverbs is filled with good counsel on how to be a better person. In Chapter 22 we are taught, "Train a child in the way he should behave, and even when he is old, he will not depart from it." Isn't it possible that the rod Proverbs refers to is to be used to point to lessons on the wall? When we fail to properly educate our children, we not only spoil them, we show them the opposite of love. We must use the rod to point out right from wrong, not to beat our children into submission the way slaves have been beaten throughout history. Even the Talmud says, "If you must strike a child, do so only with a shoelace." When taken in its entirety, Judaism can hardly sanction the use of violence against children. Even the famous sentence in Deuteronomy to stone to death the stubborn and rebellious son, was, according to the Talmud, never carried out. Instead, while discipline was and still is crucial for raising healthy children, striking a child need never occur. The mix of discipline and love is the recipe for a good future for our sons and daughters. The Talmud suggests: "A child should be pushed aside with the left hand, and drawn closer with the right hand."
Rabbi Larry Kaplan
Temple Israel, Wilkes-Barre, Pennsylvania
The Law or the Spirit?
In the book Spare the Child, Philip Greven suggests that our readiness as fathers to strike our sons explains why we men grow up so ready not only to tolerate but to perpetrate violence in our culture. A boy picks up his moral cues from Dad: "Dad hits me when he doesn't like what I have done. Therefore, men resolve differences by violence. If Dad did it, it's OK. I can hit people myself, especially when I think they've done wrong and therefore deserve it." Often a boy who has been spanked won't respond later to love, but only to more spanking. The Law, that is, has supplanted the Spirit within him. God's story of Israel says clearly that a son lost in the Law can be restored to appreciate and respond to a relationship with the Father only though crucifixion. In this case, that might mean the father's dying to his pride and asking the child's forgiveness, then begging Jesus to show him whatever brokenness in himself has led him to resort to the Law and how to become hospitable again to his Spirit's rule.
Reverend Gordon Dalbey, Santa Barbara, CA
Author of Fight Like a Man and leader in the Christian men's movement
Quoted with permission from Fight Like a Man
Also see: http://www.nospank.net/toc.htm
No, I am not qualified as Chief of Staff
but I do my job well and I think that is what matters. I took the time to learn what I needed to learn (on-the-job training) and I am very much qualified to work as a medical transcriptionist.
Try Piedmont - they have inhouse staff nm
x
They expect so much from MTs but the other office staff
is paid well and make mistakes (x-ray techs, scheduling, etc), be paid full benefits.
What is UP with that?
Cranky staff is not your imagination.
The attitude you describe seems to be prevalent. It is as if we were a necessary evil rather than support staff. I think personally it is due to the amount of time needed to keep the paperwork in order. Everyone hates paperwork (even if it is electronically) and we produce a ton of it.
Also, in my view, physicians and care providers absolutely hate to make errors given their jobs are so important and the likelihood of a lawsuit keeps them paying very high premiums. We MTs tend to be one of the few who can say that an error has been made. It can irritate some doctors though I have met a few who are very thankful for it.
In the 20 plus years I have been in the medical field, there has been a change due to pressure from insurance companies also, plus the change in patient complaints as the population ages. This may add to frustration as the bottom line is not only finding relief for the patient but making sure treatment is approved by insurances. This can only get worse from where I sit as cuts are coming with Medicare and Medicaid payments.
Suggest she and the other office staff take a pay cut, too.
p
Re office staff to print
No, the office staff are not allowed access to the 2 PCs and they still work with a handwritten appointment book as well as only fax facilities and no internet at work... this is the reason I have to cut & paste WP doc into Word and e-mail to doc's home e-mail so wife can e-mail the report. This is really a mess I have myself in... and Im starting to throw tantrums now! I corrected him yesterday morning on a mistake he corrected me and now its spite on his side to pay me back because how dare I take a printout from physician website with the correct spelling and show him his mistake - my reports gets marked like a school teacher grading it big circles with messages "I spelt this for you a few months ago, you should know it by now!!!" etc
I type things like this a lot. Staff are always
calling in chaplains, pastors, etc., to comfort the patient and/or family. I don't understand why it is even questioned. Whatever the doctor dictates is transcribed (except major cussing, but even that is if the patient is being quoted). We are not here to determine what does or does not go into a report. We just transcribe it as dictated.
How about QA staff from previous jobs?
Do you know any other transcriptionists? Those are the only two I can think of for you. I have always been IC and have had individual doctors to give, also, if that applies to you. Good luck.
Go search bar and put in the word Staff
It will bring up a post(s) regarding the EMR system posted on Jan 12.
Put the word -- staff -- in the search bar. It should come up medical records staff being replaced by EMR
I sent it to 2 staff writers for the Associated Press plus...
Forbes Magazine, 60 Minutes, USA Today, Washington Post, NY Times, and a couple of others. The Editor who e mailed me did not know I was an MT but that's okay - you investigate one offshored industry, you investigate them all. I asked him to check into any credible sources he had. You may have noticed in my letter it constantly said, "See what you can find out."
HAPPY 4TH OF JULY from all the staff at MTStars!
We went with the accounts and Warminster is still there with the office staff.
:
Yes, I do. The office staff are always very kind to me when I call, and I just
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