It depends on the account guidelines.
Posted By: sjk on 2009-01-05
In Reply to: to expand or not to expand? - LynnL
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.
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You follow the account guidelines - sm
Expanding out abbreviations when the account specifics say not to is an easy QA ding also.
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.
RE: Depends on the account
No it does not!!!!!!
depends on which account
It really depends on which account you are going to be working on as to how much of a response you will get. There is one account manager who manages several who is NEVER around, doesn't answer emails or the phone and it's been whispered she may even work another job. There is a huge group of clinic accounts without a manager, they got rid of her, probably to save money since there have been lots of money saving cuts going on. Currently that one is being overseen by the HR lady with no transcription experience (the second in command, watch out for her, really thinks anybody can do the MT or Editor job without having any experience). There was another account with a really good manager but a bad platform, but she finally left, so hard to tell who is there now. The actual owner is a very nice lady but unfortunately isn't much involved and only knows what her second in command tells her, and she makes it look like she has all under control, and in reality she is the second top reason most people leave this company. A new manager has been hired for the new account we have, but yet again she will be limited by what Ms. G. will allow her to do, which won't be much. This used to be a really good company but steadily has been on the decline. Tell me what editor will put up with bad platforms, 100% listens and low work for 3-3.5 cpl? What MTs will stay on with bad platforms and being ignored when there is no work?
Yes, it depends on the account (sm)
I do think it would be strange to have a PE section. The physical exam section is the "O" section, for Objective. It would be redundant to have PE within O. You may want to ask for samples.
Depends what account you are on. I have been
there just over a year. DocuScribe is easy to learn, not bad at all. I don't have that many ESLs, mostly they are residents, but still I don't know about other accounts.
I think it depends on what the account wants, and
In fact, one account I type wants it both ways: They want all abbreviations expanded in letters, and usually no expansions except in certain circumstances on all other dictations by that account. The 'twice a day' vs. 'b.i.d.' thing is trickier. If my account has no specific rules about it, then for the sake of continuity, if the first couple meds in a list are written one way (such as b.i.d.), then even if they say twice a day on the next med, I still type it b.i.d. That way there's a little more uniformity, and I think also the list is easier to read. Of course, it all boils down to the preferences of those you work for.
Depends on account, but discontinued
would be correct (sometimes it means discharged)
It depends on what your clients or account wants. sm
BOS sometimes does not matter. The only thing that matters is what the people who sign your paycheck want on their reports.
It depends. If you have a very difficult account
an hourly rate would be great, but being paid by the line I make $20+/hour and I don't think companies would be willing to pay that hourly, so I guess I would have to say I'd rather be paid by the line, unless it is editing and that is a whole different story. I also think being paid hourly would make me maybe not work so hard to get lines and perhaps slack off occasionally. Depending on what shift I'm working I'm up and down every hour or so, putting a load in the washer, feeding animals, loading the dishwasher, etc. If I was getting paid hourly I should not be doing that stuff. I am not very disciplined and find it hard to sit still for more than 2 hours, so I would have to have a change in my routine. I enjoy the flexibility of being able to get up, even go outside and sit on the deck and watch the sunrise, etc. Another pro for the hourly wage though is at least you'd know what your paychecks were doing to be every payday and could maybe budget better.
I find it really depends on the account.
I really lucked out that I am on an account that has been doing VR for a while and the docs all speak pretty clearly. The reports come to me pretty clean. I only have to verify demographics and make minor changes to the report and I can get pretty good line counts.
On the other hand, I know MTs who aren't so lucky and end up having to transcribe many of their reports because they are so bad and end up making less money.
I love my VR account. I decided to do VR to save my wrists. I have had problems with carpal tunnel, but not since switching to VR.
It also depends on your account specifics too...
if it is verbatim, you type what they say...
Depends on your account, I would guess.
Some accounts want a strict SOAP format, so you would disregard the other headings.
I personally work on verbatim accounts so we put in any headings they dictate.
Much depends on the account/accounts that you are on (sm)
Like everywhere else, I suppose... I've been with JLG for almost 12 years and have had the same main acct the whole time. It's a large hospital system, and yes, lots of ESL, but only a few that I would consider dreadful. Have been on some other accts with virtually no ESL. Have also been on work types where I could rack up lines like crazy, and other times (like now, for instance) struggling to get 1200-1300 per day. Have had times where I felt extremely micro-managed, other times don't hear anything from anyone for literally weeks. Paycheck has always gone out on time, but unfortunately no longer do direct deposit. I guess you could say they've been a little erratic since I've been with them, but overall I am pretty happy. I believe they have several different platforms - I'm on "EHR" (for the past year or so) and while it's a little slow going from the patient information screen to the document screen and back again, it works with your own Stedman's spellchecker and with Shorthand, so better than some others that I've been on. I will say that the support personnel have not always been the best, but, again, I've seen a lot of people come and go! Hope you find a position that's perfect for you - or at least nearly so!
I have been paid both ways. Depends on the account. nm
n
I guess that depends if it is a verbatim account...
I think even so I would type feces....
I agree, it depends on who you work for BUT also the account
and how long it has been on VR. If it has been on VR for a few years, piece of cake. If it is just starting out on VR - tedious work, low pay as it takes longer to edit than to just transcribe it.
I have been doing VR editing for 4 years now with an account that has been on it that long also...can make up to $50 an hour, and some times as low as $30 an hour when we add new dictators.
Hope this helps.
Same for me, I made more 10 years ago. It depends so much on account, SM
work type(for me), and expanders. I find it hard to stay motivated when report after report is ESL and a work type I can't make money on. The above poster likes radiology, I like OPs. It is easier to stay motivated when you have that.
Depends - one account I make 40 an hour, other - s/m
I grunt it out to make 10 bucks an hour. If I worked just the ER account, I would definitely make full time money for part time hours.
Durn second account. :}
depends on location, I know someone who lost a local account - sm
in Woodbridge, VA, was charging .12 a line (60 character line), got underbid and lost it after having had it for years. Now in order to get more but look less, she bids at .10 a line but a 50 char. line....comes out to .13 if a 65 cpl. You can't get much over .10 around here on your own which really stinks, or do some fancy accounting which in this case works.
I consider myself a pretty fast Mt, and I am lucky to hit 100 reports a day...depends upon account.
lines produced also depends on type of account, doctors, specifics, platforms.
nm
Depends on the pay and account. My lowest average is $15.52 an hour (roughly 182.6 lines an hour) w
;'
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.
If you MUST have QA on staff, they should all have guidelines, be it BOS
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.
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?
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!
What is the difference between an acute care account and a multispecialty account??..nm
nm
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
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.
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