Incompetant manager/coworker

Read the following report that a co-worker of mine typed for a company I used to work for.   Our job was read office notes on a patient and summarize their history for the insurance company.  Our MDs would then agree or deny with the request (in this case a motorized scooter) that another MD made.   Is this hysterical or what?  I just ran across this on an old floppy disk from 2 years ago.  I eventually quit this job even though the pay was amazing because I couldn't deal with the incompentance any longer.  It drove me crazy. 

This coworker was my manager's "teacher's pet".  Of course, my manager didn't have a clue what one medical word meant.  LOL  My coworker had this job for over 5 years and didn't have a clue either.  I think if they would have outsourced to India they would have have had more accuracy. LOL

The following report was actually sent to the insurance company with the physican's recommendation.  

 The patient is a ____year old male with an inguinal hernia of the thoracic or lumbar spine.  The date of injury was noted as ______  The case manager noted a history of multiple abdominal surgeries, last being in _____ The physician noted that he had chronic intractable somatic pain and had been certified for a narcotic pump, which gave him some relief.

The ______ office note from Dr. X noted refilled of pain pump under fluoroscopy.  The physician noted that the claimant was having difficulty with different activities with family outside in his abdomen and pain in the legs.  He could not support his weight.  He had been having difficulty going beyond a 15-minute period.  The physician recommended a scooter and stated he was not able to return to work.

• Incompetant manager/coworker - Laugh for the day
  • how do you get an inguinal hernia in your spine? - uh ya
  • Nurse, get that doctor a scooter! Right away! - ROFL!! nm
  • OMG! - tia
  • That's not funny, it's pathetic - No wonder you quit! nm
    • lighten up, I think it's hysterical - Snow Bunny
      • Might be funny, but not cool! - MT
        • if it was in my medical record? - Snow Bunny
      • or how about... - sm
        • SR (not VR) already is - Snow Bunny

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I am a radiology MT and worked at the hospital who did my chest x-ray and lab work after I was given a dx of breast CA on Tuesday.  I had been given Xanax which I took and was in a sheer panic because I am afraid .

The woman MT I worked with at the radiology dept and I have kept in touch.  I told her as I was being worked up (did not tell her I had CA as she has a big mouth) to let me know if she does my chest x-ray and let me know if it is abnormal.  I then went into the surgeons office where he had been a faxed of the chest x-ray with the CLINICAL DIAGNOSIS:  Breast cancer.  on the top.  When I returned home, I had an e-mail from her that was an exact cut and paste of my chest x-ray with the exception that CLINICAL DIAGNOSIS:  Breast cancer. had been cut from the copy.  She has since stopped all contact with me and now I fear that the entire MT dept and hospital I worked in for two years with know I am suffering from this without my telling them.

I feel hurt and violated because she knew before I wanted her to (she typed the report I saw but mostly because she has stopped corresponding with me after seeing that I had breast CA.  When I was being worked up, she said my bad lifestyle was the culprit.  She herself has never had a mammogram and refused to see doctors (7th Day Adventist). 

Am I wrong for feeling this way?  Have rules been broken?  Shouldn't she have asked for my wrritten authorization before placing my chest x-ray report in an e-mail. and saying "good job" with reference to teh normal chest I guess (although the words "Breast CA" definitely negated that - it was almost as if she did not want me to know she knew. 

I am so confused right now and have no family members or even close friends so I cannot tell if what I am thinking is even accurate.  The Xanax and Prozac are not helping along with major anxiety.

Any feedback from astute MTs would be appreciated.  Thank you.

We had a different kind of weighting when I first started doing QA reviews way back in the olden days (okay, about 10 years ago). I had one MT who would score in negative numbers, then would do okay after being reviewed, then would backslide, then would do okay, ad nauseum. It was just totally bizarre. Major medical errors, would not follow account specs, would not proofread, etc. Problem was (as I've stated in other QA posts) the company I worked for would not fire ANYONE for poor quality. She's still there today, 8 years later, and I'm sure is doing a pretty sucky job. I finally gave up reviewing her as it was a waste of my time. Don't I have a horrible attitude? Such is the life of a QA manager who is not allowed to ensure quality for a company. Anyone want to know the name of  the company so they know where to go for a good time?

Nah, I'm not telling. 

two QA editors will have a different opinion what is correct, especially in terms of style. It's extremely difficult to get all editors on the same page on every issue. No, it's not difficult, it's impossible. There are simply too many variables.

When I was the QA manager I finally decided to have just one Editor who provided feedback on a group of accounts and the rest did not, just because there were too many cooks in the kitchen and I didn't like to see the MTs confused over who was right.

I would not advise going to a transcription manager if there is a QA manager available. Often the transcription managers aren't aware of specifics of QA policy, and might actually give information that counters what should be done.

Just my 0.02. Good luck with this!

NM

and she said it made my report bold!  Yikes!  This board has helped me so much though.  There are so many knowledgeable MTs who are willing to help and give advice.  I only wish I had had this when I first started many years ago!

Nice to know another ER MT who is also technically challenged! 

can make life very uncomfortable for him not just fining him for being late with dictation but suspending his privileges at the hospital until he got his dictation/charts current. Meaning he can't admit his patients, has to get someone else to do it for him. He probably is unaware idictation is being outsourced to people who couldn't care less about his problems and thought his apologies would be relayed to the MT supervisor and then to the HIM manager. Saving him money and serious nagging and threats by what could be a veritable pariah.

I had a department manager who referred to MTs as "you people", something from her past I'm sure. She used to sit in a room next to our office to see if we were talking. When the small town hospital hired me they were 3 months behind in ops. Unfortunately, she would sometimes fall asleep pretending to work on the computer in the room while she eavesdropped (to no avail we were working our butts off) and would get caught by the CEO of the hospital from time to time napping. She LOVED raking a doctor over the coals for any reason and exerting her limited power endlessly over her staff and any unsuspecting physician who found himself caught in her web.  They soon learned. Our MT supervisor was our buffer from her acid temperament and constant headhunting. A very unhappy person.

I don't work there any more (thank goodness), but I kept trying question things to get to the same point.  The transcription manager looked me in the eye and told me that she had talked to the people at Aria who told her that it was not a Word-based platform and that anything with Word was not compatible.  I knew that was crap because we would cut and paste from Word all the time.  The other part of our problem was that she had spent $5k on Stedman's without making sure it was compatible first (which in our situation it wasn't) and they were waiting for the new budget year to get another expensive piece of the puzzle.  Win-Rho or something like that.  I got so many different variations on the story I lost track of which line of garbage they were feeding at any one time.

The transcription manager was way too interested in showing her boobs and flirting with the men in the practice and clearly didn't know what the heck she was doing  regarding the software, and the IT people couldn't help her.  I ended up going back home for more $$ than I was being paid in house and happily washed my hands of both the practice and the software.

Is there any way to make a desktop (WinXP) shortcut for Windows Task Manager?  Thanks!