You follow the account guidelines - sm
Posted By: Myopinion on 2008-07-22
In Reply to: If a doc dictates CHF, do you type s/m - Questioning
Expanding out abbreviations when the account specifics say not to is an easy QA ding also.
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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
Thank you so much for replying - that gives me some guidelines to follow
nm
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.
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.
Always follow the protocols for the account
or client you are working for - it's a simple as that. Some clients want mg, some milligrams.
We all like shortcuts, but expanding terms is often NOT acceptable to some clients particularly because they DON't want to pay for the extra lines this causes...
do you follow an Account Specifics?
nm
Followup (or follow-up) for noun/adj. Follow up for verb. nm
nm
Bravo! 1 cm no 1-cm. Follow-up no follow up. 1 mg no 1mg. 1 space after period, no 2. S
dd
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 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.
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.
'
I've never had a problem switching from account to account.
The problem I had was being switched too soon. If I don't get one account spec solidly in my memory with QA feedback on mistakes before starting another, I get confused. The other problem I had with former jobs was inconsistent QA. One person tells you one thing, another person tells you another.
Lately, I don't have a problem with it. Right now, my binder has 8 account specs (some I've never had to use) and I'm picking up a new weekend job for a while. The terminology and report formats stay basically the same. It's just all those little preferences. LOL
AAMT has wonderful resources on their site. QA Primer and scoring guidelines (and explanations)
nm
just to follow up
To get 250 per hour...you really have to have your short cuts in place and be using them frequently, this is what I have to do anyway, and since switching jobs it has been hard to keep up due to the "newness" of the dictators, so my butt better be in that chair typing to make these kinds of results.
what? huh? can't follow...sm
talk about an inane message...
FOLLOW UP
When she came home from school , bussing it I would not allow her to go to her room and nap. She was exhausted from the night before. I told her you are not going to stay on the phone until 1:30 and then sleep and then do the same thing over again. I took the cell phone away for a while and told her she can use the house phone and the phone better not ring after 9 p.m and she is off at 10 p.m. Kids are tricky though. I am going to take the portable phone to my bed room at night. In the middle of the night my other daughter use to take the phone in her room. Her boyfriend has no rules or curfews and this is part of the problem. He told her that his mom feels bad that they are divorced so she gives into him. Until now she respected our wishes. She is a great , smart and talented kid. This is the first time I really has disrespect from her.
Thanks again
follow up
In my class we did learn on the 250's also. The class included 2 class sessions and 2 range riding sessions. Good luck...
I don't follow, what exactly is sad?
/
Follow-up....
I thought I would let you all know I received the keyboard and so far I really like it. There are so many things it and the mouse can do, that I'll be busy for a long time figuring it all out. The touch is quiet (which is good with small sleeping children). It is considered ergonomic, even though is not a split keyboard. The mouse can be programmed to do all kinds of things (there are like 56 commands you can program it to do if you want). The receiver for the wireless keyboard and mouse also works as a battery charger. They send you two sets of rechargeable batteries so one is always ready to go when the others need charging. Quick and simple to install driver and set up. I ordered mine off Directron.com and got it for 34.99. I ordered it on Monday and got it Wednesday and that was with ground delivery by UPS, I was impressed. If anyone has any questions about it, just ask. I'm still figuring it out as I go along.
Follow=up
thanks for the quick response
follow up again...
My QA is just great thank you - have never had a problem with it. I just have a gift with typing, my sister is a Transcriptionist and she types just as much as I do in a day, my daughter won every keyboarding award her school ever gave for 6 years straight, my son won it for 2 of his 4 years at that same school. My mother was an exceptionally fast typist back when there were only typewriters. It is just a gift that we have...
However, I did not say that every hour would be 410 LPH. I did not say that everyone could achieve it. My point was that my production had slipped really low and that obviously a lot of it was my "extracurricular things" that did not involve transcription.
I am just like everyone else - I have to stop and look up words, I have hard dictators, I have gibberish to decipher... I am not backing myself into a corner expecting 400 lines an hour every hour. That is not reasonable - some hours I may have harder times than others. I may have to look up more, I may have a slow time on the computer, I may have horrible dictators... that is the nature of the job. People want to be a transcriptionist and then when they have to actually do it they complain about what is involved in it.
My post was only to encourage people to work to their potential - not just complain that they cannot do it and name 100s of reasons why it can't be done. I am sorry if I stepped on a nerve... Some people obviously just cannot be happy no matter what...
Follow the BOS.
I sent you an email regarding the BOS.
I follow these
Never ever click on (or open) an email which you don't recognize the sender. I read that spammers have a thing (forget what it's called) that lets them know when an email has been read and thus that it's an active account. Click the square to the left of the email to select it and then click the spam button. Then go to the spam folder and click the square at the top and hit Delete. There is a disclaimer on this website that internet spiders can harvest email addresses from this site.
Spammers can send messages to random email addresses, not even knowing if they are valid, then as soon as the email is opened, they know it's an active account, and they're off to the races.
This takes a while, but they do slowly stop coming to you as long as you're vigilant.
Let me follow this up by saying
I probably would laugh at his leaving a $5.00 card because he is such a cheapie, returns something across town if not what it should be and that would be keeping in with who he is. The only thing he does not get cheap on is a really good vehicle for me that he buys.
More follow-up...
Thanks for your responses so far.
One huge worry for me is VR totally taking over my job. In what I know and what I've read here, it seems the more you 'correct' any VR system, the more it seems to work against you (less editing). I would look for a second job but I'm afraid of biting off more than I can chew. Again, I don't know if getting paid per report is the norm. It is the way it is, I suppose. There is no per line pay option here, which is why I'm not sure if I'm making substantially less. Obviously, before our official pay cut, I was making twice what I'm making now per page and I was doing just fine financially. At that time, I had no complaints. Also, there has been a drop in the workload because the residents are editing their own work, so we have lost them. That hurt. It has also been slower than usual and we have our friendly neighborhood 'cherry picker' on top of it all. We also use Lanier intermittently, which is paid per line, so there are still times that I can make extra money doing ST. Oh the dilemma. Do I ride the wave again? I've been here before and the only difference was is that my old account didn't feel the need for keeping us on for editing. The docs edited the reports themselves. Again, if anyone has insight or their experiences, I'd love to hear them and thanks to those who already posted.
The key to doing this is you have to have a routine and follow it. (sm)
What might work for one person may not work for the next, but f you make it YOUR routine it will become a regular part of your day. For me (and I've been at this for a long, long time) my best hours are in the early morning. I get up, shower, get dressed, put the coffee on, take care of whatever needs taken care of so it won't interfere with your day (feed the cat, let the dog out, whatever you would normally do if you had to leave your house for the day and go out and work). Then sit and work for 2 hours, take a short break, work another 2 hours, break for lunch, and so on until your work day is finished. It also helps if you keep your work area clean so you can have a fresh desk to start off with. NO TV. Don't answer the phone while you're working to take personal calls. Do that on your break. These are just some ideas that work for me.
Follow up is needed.
I responded to a job this morning and at their request sent my resume and did not receive a reply until I saw another posting for the same job on this board. I just dont think this is good business.
follow the rules
I too thought crepitus was the only correct form -- until the pediatric rheumatologist "corrected" me and insisted on crepitance. (As the Red Queen says, "All ways here are MY ways.")
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