do you follow an Account Specifics?
Posted By: nm on 2008-02-06
In Reply to: yeah, I know - jlo
nm
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do you have Accounts Specifics written instructions to follow?
nm
Don't know specifics about account.
The setup and all that is exactly what I am clueless about. I know nothing about what type of service physician would want yet, but he mentioned to my husband that he might be interested in getting me to do work for him or may try to get me on at hospital he primarily works in. He asked my husband what I charged and my husband told him he wasn't sure. The physician automatically said "15 to 20 cents a line". That is more than I am making now and is very tempting.
Our account specifics say
We have recently been told to type the patient's name if doctor dictates it in the report. I also thought that was against HIPPA.
I could see if she posted account specifics, etc., BUT
I definitely don't see the big deal about saying what hospital you will type on. Some people are way too sensitive and look for something to complain about, but that's just my personal opinion.
When account specifics does not cover
I usually refer to BOS and it states to add the year if not stated - if you are sure of the year. Also - interestingly enough - it says if you are doing long dictation and doc says labs done on April 4, 2006 are.........and then says additonal labs 4/5.... okay to used slashed date - this is on page 121 of BOS edition 2 if you are interested. That being said don't think you would be WRONG to leave off the year if it is verbatim account :))
I would read the specifics on that account and do it that way. sm
Sometimes QA gets things backwards, doesn't understand the rules, etc. Make sure you're doing it the way the account wants and ignore incorrect feedback.
If your account specifics don't address it, get a definitive answer from the account manager.
Once you get that definitive answer, it might be wise to have the account manager inform QA of the correct format.
It also depends on your account specifics too...
if it is verbatim, you type what they say...
I think that would just be preferential or maybe account specifics for the doc. sm
I think you are asking whether the "before" or "after" makes a difference. Not that I know of at all, I think it is all preferential in the way they are dictating unless his clinic/hospital requests it that way. The code is the code and is used for billing, makes no difference where in the diagnoses it is other than in order like primary diagnosis, secondary diagnosis, etc. Makes is so much easier on the coders when they give codes rather than second guessing them as some can be very confusing.
whatever the account specifics are, is how you to have type it...
regardless of whether or not you agree with it...just how some companies/accounts are...
and it is our responsibility to know the account specifics...
nm
Your account specifics or the client should tell you which they prefer....
otherwise, I would use 2 spaces as that is the way it is normally done. I believe the AAMT recently has stated that only 1 space should be used, but I don't put a lot of stock in their rules. I go by what my client wants and account specifics.
My account specifics require it typed out, so I can't really comment
I have been on accounts that did not require it. Unfortunately, you have to follow account specifics. I had all abbreviations in my Expander to type the full word or phrase because the account I worked on previously did not allow ANY abbreviations anywhere in the report. Needless to say, anytime you switch accounts, you likely have to adjust your expanders.
My account specifics state 2 spaces after a period, but when I get ASR..
it spits the report out with only 1 space after each period. I understand they are paying me less by making that minor adjustment, but is it worth my time to go put the extra space in. I would get paid for the spaces then. This will take extra time, obviously, but wondering if I would get thru the report quicker and make more money in the long run? Any suggestions?
But my account specifics wants 2 spaces which takes precedence over BOS doesn't it? sm
So when I type on that account I put 2 spaces, and when I do ASR there is only 1. Maybe I am too detailed oriented, and I have to let the small things go. Been doing this 30 years, so I am stuck in my ways, I guess.
AccuSTAT in Wisconsin is hiring for an ER account. See the Job Bank for specifics. IC position. NM
xx
lines produced also depends on type of account, doctors, specifics, platforms.
nm
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...
You follow the account guidelines - sm
Expanding out abbreviations when the account specifics say not to is an easy QA ding also.
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
ask her specifics; she needs to tell you
if she asked you when you were getting DSL, it indicates she wants you to produce more lines, sounds like. Many of us employees of transcription companies pay our own DSL. Check with inhouse MTs. Maybe they are producing more.
Specifics
Sorry - I forgot to mention I have the PostureFit Aeron chair by Herman Miller. I checked out E-bay and took a couple of months to bid on a few until I could get one for the lowest price possible - which at the time was about $500. I know it's pricey, and at first I was disappointed because I thought I paid too much (I have to admit I'm cheap), but now I believe it was worth it. I'm just glad I didn't get rid of it right away without using it for a while! Hope you find one that works for you!
Any specifics on how to do that?
Any way to re-learn to listen ahead? It all comes so automatic (the way I do it now). Also, it seems like I would have to slow the recording down too.
Specifics, please....
Do you use a lot of self-made normals? I've been lucky this week and have gotten a lot of ops. I managed to post 221 LPH my last shift worked, but I also got the you-know-what scared out of me awhile back (vicariously) when my CCM called a conference call to explain that using cut-and-paste Expanders from specific dictators previously dictated reports was not allowed, so I've never done that. In fact, the thought hadn't occurred to me to try that until the conference call, LOL! (Amazing what ideas you get from somebody ELSE getting in trouble....)
Anyway, I'm pretty fast at ops, and consider them my favorite work-type, but even on a complete night of them on a primary account, 221 LPH was the result.
Suggestions?
specifics have not been announced yet.
x
You need to give more specifics for any really
helpful answers. Are you an IC? Is it a private client and some unknown person is changing your reports? Do you work inhouse and have some other processing of your reports? Do you work for a national, and think QA is altering your reports? I know lots of MTs accuse QA of removing sentences, etc., when, in reality, the MTs never heard what they thought they heard to start with! One error in mid sentence and then 3 sentences incorrect! QA often has to go in and retype sections, while the MT accuses QA of being lazy or some other such charge. Can't really think of why someone would want to change your reports - are you thinking you are being set up or something? Please provide more details if you need more help! 
How come you provide no specifics?
Too busy to spend a few minutes typing information that would benefit other people, when obviously you benefit from this bulletin board by reading it and even responding? This website is criticized by people for being overly negative and when people make such harsh comments without having anything to base it on, it makes the poster look suspicious. If you have any facts (or even impressions) to support your claim, please give them. If you don't, why make such strong statements?
Want specifics from posters
Let me clarify: I wanted to hear specifics from the experiences of those MTSOs that participate posting on this site.
I would do what you think looks the best if you're not given any specifics.
They will certainly tell you to make a change if they don't like it. In this case, no news is good news.
link to AMT specifics
http://dontmesswithtaxes.typepad.com/dont_mess_with_taxes/2007/12/tax-season-on-s.html
Are there no "account specifics" in QA?-
First let me say this is not my being "sensitive" to having mistakes pointed out, if I make a mistake I want to know so I do not make it again. BUT, it is absolutely so frustrating when the QA people are not consistent with each other and make corrections on their personal preferences. For example, one tells you you made a mistake by formating this way, you change it, someone else QAs it and they say its wrong and to do it another way! You question this and are told to follow the account specifics, which is what you did to start with! I am truly curious to know if the QA people are brought together and given the same account specifics the MTs are. Honestly, from what I am seeing it is a "to each his/her own" and they are free to make whatever corrections they deem necessary and are given the freedom to change things we were told not to, then we get ganked for it! It also varies greatly between the day shift QAs and the night shift QAs. I have come across a few wonderful QAs in my time who were great and from who you could learn a lot. Unfortunately, there have only been a few.
If you are not given specifics for your test...sm
just type it as you learned it in school!
HISTORY OF PRESENT ILLNESS:
is right as you typed it, it is usually capitalized and always followed by a colon :
And it is
p.r.n.
The newest form is to type 'at bedtime', as h.s. is a dangerous abbreviation.
What is the difference between an acute care account and a multispecialty account??..nm
nm
True. Specifics, especially "different" ones
I have an account whose specifics break just about every style rule known to MT. Had they waited to break all this to me in hard copy after transcribing it the "right" way, I would be seriously confused.
thanks for the tip, but as stated, our specifics say double. nm
;
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
OK, I'll post specifics, even if they see it. I don't care any more.
Low work volume so shuffled from account to account with different specs in a short period of time. I used to complain about one former job putting me on three accounts in less than three weeks. Try three accounts in one week. Time-consuming setup of patient demographic information. Zero QA feedback, nothing, nada, zilcho. I don't know if I'm doing anything right or not. Ranting emails sent to everyone about "we're going to lose the account" unless you do this or that.
crock pot. seach for recipe on google for specifics.
i'm not even thining about dinner.
Get some index card to write acct specifics on,
/
Why was my post deleted when I gave specifics and mentioned no names?
x
My ASR accounts do 1 space after the periods, though the acct specifics want 2 spaces. sm
So does the company set up the VR specifics to include 1 space after the periods so they can pay just a little less? Does anyone take the time to put the extra spaces in, or do you just try to whip through the report just to keep going! Do the spaces after punctuation really amount to big difference in my pay? Just curious as to how all of you handle this situation. Let me know!
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.
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