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Serving Over 20,000 US Medical Transcriptionists

follow the rules

Posted By: Do As I'm Told on 2005-07-25
In Reply to: crepitus - Pat

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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Follow all the same rules basically - sm
Don't let others use your computer, don't discuss any work in specifics (i.e. names, etc.) with anybody), keep work secure whether on your computer, printed out, etc., use secure or encrypted email/FTP if you email your work product, do not let others look over your shoulder while you work and read the report, etc. Just basic common sense stuff in order to keep the information private. Where I used to work had these conference call meetings and we would all log in via the internet and phone and have our HIPAA training every 6-12 months, was a pain in the butt, especially when they decided to stop paying us for the time we spent "attending" the mandatory meetings. HIPAA is not a big deal, as I said, it is mainly common sense.
My job doesn't follow BOS rules
But I do have a copy of it for reference which I've only looked at a few times.
agree, my accounts won't follow their rules. NM
.
Some rules I follow..for #6, I think the first time an abbreviation is used, you expand and paren th
but no abbreviations in diagnosis at all.
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
that would be same rules not some.
nm
different rules
for different settings. Cinics are allowed to use abbreviations pretty freely as to where hospitals are not for a lot of things due to possible misinterpretation. It all boils down to the fact that they are paying you and what they say goes!
BOS rules
I am an 18 year MT and I just recently heard of this Book of Style. What exactly is it? Doesn't the style depend on the program the account has. I've used several plateforms, and just about each one is styled differently, so what is the point of BOS? Old school MT!
BOS rules
I have been reading these comments. I have gone round and round with my employer over why the BOS rules are BS. But, I think the reason they keep changing things is because the doctors are getting cheaper and cheaper and don't want to pay anything for quality. That's just my little opinion.
BOS RULES
Well, if the BOS states "disk is the correct spelling, but I have a Rad who went to Med school and was taught disc and discectomy and discitis, who am I to tell him he now has to change it because the AAMT has a "book" that says otherwise. I still spell out my numbers up to 9 just like I was taught in typing class way back in 1982. So far, I've been lucky. My Rads like it their way and they pay me.

They do seem to have a lot of rules.
I saw on the other board, they'd like their own board.....  Yeah, okay! 
Name rules
I believe you can use relative names - first names - but just not the patient's.  Can your QA give you any guidance on this?  I know the company I work for has very specific rules about what can and cannot go in a report, etc. 
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.


MQ Rules, literally! Go MQ!
nm
New Rules For The Office

New Rules For The Office - Effective Immediately!


SICK DAYS: We will no longer accept a doctor statement as proof of sickness. If you are able to go to the doctor, you are able to come to work.


SURGERY: Operations are now banned. As long as you are an employee here, you need all your organs. You should not consider removing anything. We hired you intact. To have something removed constitutes a breach ofemployment.


DRESS CODE: It is advised that you come to work dressed according to your salary,if we see you wearing $350 Prada sneakers & carrying a $600 Gucci bag, we assume you are doing well financially and therefore you do not need a raise.


PERSONAL DAYS: Each employee will receive 104 personal days a year. They are called Saturday & Sunday.


VACATION DAYS: All employees will take their vacation at the same time every year. The vacation days are as follows: Jan. 1, July 4 & Dec. 25


BEREAVEMENT LEAVE: This is no excuse for missing work. There is nothing you can do for dead friends, relatives or coworkers. Every effort should be made to have non-employees attend to the arrangements. In rare cases where employee involvement is necessary, the funeral should be scheduled in the late afternoon. We will be glad to allow you to work through your lunch hour and subsequently leave one hourearly, provided your share of the work is done enough.


OUT FROM YOUR OWN DEATH: This will be accepted as an excuse. However, we require at least two weeks motice as it is your duty to train your own replacement.


RESTROOM USE: Entirely too much time is being spent in the restroom. In the future, we will follow the practice of going in alphabetical order. For instance, all employees whose names begin with 'A will go from8 to 8:20, employees whose names begin with 'B' will go from 8:20to 8:40 and so on. If you're unable to go at your allotted time, it will be necessary to wait until the next day when your turn comes again. In extreme emergencies employees may swap their timewith a coworker. Both employees' supervisors in writing must approve this exchange.


LUNCH BREAK: Skinny people get an hour for lunch as they need to eat more so that they can look healthy, normal size people get 30 minutes for lunch to get a balance meal to maintain their average figure. Fat people get 5 minutes for lunch because that's all the time needed to drink a Slim Fast & take a diet pill.


Thank you for your loyalty to our company. We are here to provide a positive employment experience.


Have a nice week.


read what rules??
OK I'm a guy but I don't know if I have been counted. 40/7 that's nothing. I have 3 sisters.
HIPAA rules
A lot of the national transcription services have many accounts where the hospitals/docs still want the name of the patient in the body of the report and do not want "the patient" in the body of the report. So the facilities still respect what the doctors want.
RULES ON POSTING

Unless the moderator makes remarks what we post I am going to post what I want to.  If we were in an office we probably would have a discussion about American Idol, family, relationships.   I feel this board has been helpful when you feel isolated all by yourself all day transcribing.  I have learned alot of information that was not related to transciption over the past years.  


Definitely need to set some rules and stick to them -
I also had contractors working in my house a few years ago, so I can totally relate. The phone was also ringing off the hook. I had people knocking on the door (contractors) at all hours because they knew I was here. I finally just about had a nervous breakdown and told my husband if he did not take some of these calls or come home to meet some of these people I was quitting my job. Low and behold, he took the wheel and I got to actually sit and work. He said he did not realize how stressed I was over all this. Maybe this will work for you? Good luck. :-)
They don't have set rules for saving
I've never had to set rules to get them to save money. My kids generally save most of what they receive without me telling them to, and they just aren't into shopping and spending money.

I assume they've learned from my example because I'm pretty good with money myself and don't spend extravagantly.
JLG RULES to those who have a clue

I am amazed and not surprised at how many children we have out here who apparently have not cut it with JLG and now have to bad mouth one of the finest companies there is and I know it! I have had many of my former MT's come to work here -they are making wonderful pay....but perhaps that is because they work?! They aren't sitting on the message boards crying the blues because they didn't listen, couldn't follow simple rules, and probably lied about the length of experience as an MT so they were FIRED!! JLG is one of the finest companies there is. The work flow staff and owners are the finest I have every had the pleasure to work for and I have been in this industry as a CMT and now QA for 22 years.   They pay ridiculously HIGH and you have to have knowledge to make it with them. Stop saying things that aren't true THEY DO NOT run CREDIT CHECKS> FOOL THAT YOU ARE... if you cant cut it as an MT why understand this...JLG asks for a social security# simply to make sure that you belong to that SS# and that you are not an illegal alien working with someone else's SS#, also to ensure that you do not have any delinquent tax liens with IRS because by law they can not employ you as an IC and not pay uncle Sam because if you have not paid taxes before , well that says it all right there. So don't run your toilet when you don't know what you are talking about. What would they care about your light bill, phone bill or any bills on your credit report. That makes no sense but neither does anything negative I have read about JLG. So do yourself a favor, stop trying to work for a top notch company until you build your resume. Perhaps go to an accredited school and learn to be an MT and stop taking mail order courses that get you know where but broke and without a job to pay the student loan back. Anyone wanting to be an MT at JLG should be honored to get hired and also we have more work and more accounts and more new accounts that we can not staff fast enough to keep up. Perhaps you didn't have enough work because you are one lousy MT because that's usually why you don't get work. I wish everyone working here now could here this nonsense but we are too busy to do what you do all day which is make up fairy tales. Apply with JLG. Do yourself the favor don't listen to people that are just disgruntled because they couldn't make the grade. And contrary to MS Opinion....QA knows about everything at JLG. We have to baby sit and grade all the work that MT's do incase they fib about the experience and we have to make sure it is all spell checked and dot their Is and Cross their T's. So QA knows everything from how much work is waiting to be typed, how much has come in and how much will be there the next week. Get off it and get real. Perhaps McDonald's is hiring. Because I make so much money I am buying myself a new 40 thousand dollar vehicle in 3 weeks and let me say this I made just that in the past 6 months. Sorry it didn't work out Now get over it and if you don't like other peoples opinions STAY OFF THE BOARD Back to  my life. Sorry you couldn't have one too.  By the way I wont be back I do have work to do! I just had to come see for myself at the clown like stuff written about our wonderful company.


 


New rules? Hmmm....sm
Since you seem to be a theological expert on all religions maybe you could enlighten us with facts instead of sarcasm and assumptions.

I'm seriously not trying to sound snarky, but after just coming off another forum I go to, there was a similar post. Everyone preaches tolerance should be given to all groups except for Christians.

Actually, we do let our daughter Trick or Treat, but I challenge anyone to look up the origins of All Hallows Eve. There are evil roots and I actually feel like a hypocrit partaking of it because of my own personal convictions (and would never judge anyone else for it) and belief based on what I've studied from the Bible, whose rules by the way go back over 6,000 years. Not what I'd call new and not made by man. Maybe you should study Christianity so that you have the facts before making assumptions.

I apologize if I offended you. It was not my intention. It's just hard seeing your faith ridiculed, disrespected, and slammed on every secular board you go to.
BOS rules for dates-help!
My mind has blanked--what is the current rule for doing dates in dictation?  Isn't it to write out the dates as October 21, 2006, rather than 10/21/2006??  Thanks!
Company QA Rules
Ditto to what ok said. I do also believe that QA people need to confer with one another and get the rules straight. I do love feedback because that is how I learn and continue to grow. But it is annoying and impossible for an MT to do a good job with constant conflicting feedback. I have seen proofed reports with mistakes that QA missed. For instance I saw a report which said "2-mouth-old male" Mouth -- should be month. I have seen such a statement as "please see his noted" Noted? Should read note. Even QA is not perfect. I do respect those in QA who respect me. I value opinions to make myself a better MT. However, smart comments are not needed and do nothing for the good of the company.
counting rules
I have Sylycount.  Go into the software under counting rules and there you can tell it what you need it to count.
Anyone here ignore the BOS rules?
I find local docs and clinics here in NE do not care about the BOS rules and actually consider some of them "mistakes." They like things done the way they always were. It drives me crazy trying to stick to the "new rules" when even the samples they give me are set up the same way they have been doing things for years. I find they still make sense and cannot get my brain to wrap around doing things differently for each account. I am ready to give up.I was told by an ivy league institution health clinic to do it "their way" which has been in place since the dark ages. Am I alone in this predicament?
mean? the rules here at MTstars is you cannot

My advice is this: Get the IRS rules for ICs and
print them out and give them to her. Tell her you want to protect yourself and her from the IRS ever getting involved. If you feel like an employee then you probably are. I'm shocked at the number of companies with unbelievable expectations of their ICs, their demands, etc. They do treat them like employees while offering no insurance, no bennies, etc. It is up to you to be the IC - you will fare far worse should you ever get audited by the IRS. I have known companies who treated their ICs like employees and then the IC got 'let go' and they went to the labor board and the labor board determined from the demands the 'employer' made there was reason for the person to feel they were an employee - no one wants that. Show them the list of 21 (??) guidelines laid out by the IRS - tell her you are meeting your contract and try to smooth it out - 12 cpl is a good rate - be sad to see you have to give that up!
It's not needed, but before the rules
of general English punctuation changed back in the late 70s or 80s, we would have put a comma there I think.
The rules changed?

I would have used a comma in that situation.  But, I had no idea that the rules of English grammar had formally changed.  This is a revelation; most of my grammar education happened before 1972. 


 


I just came across rules on this today
Here is a link to some style rules for MT that you might find handy.

http://www.mtdaily.com/style.html
followup - 3 rules
#1. Follow up (verb): I will follow up with the patient next week.
#2. Followup (noun): The patient will come in for followup next week.
#3. Follow-up (adjective): The patient will have a follow-up appointment next week. I disagree mildly with the post about BOS2 on this.
Grammar good info in BOS/AAMT. Also any good grammar textbook from a bookstore would be good to review/read/study. I tried out Whitesmoke grammar program and hated it. Hope this helps!
It would be against the confidentialty rules (sm)
Send the job back into the cue with an explanation of why; there usually is a dropdown box. And don't let your curiosity get the best of you and transcribe it...DON'T. If caught, you could be penalized up to 10,000 and/or imprisoned. Read you handbook entirely. I know this subject matter is in there.
Apply the BOS rules
Expand abbreviations in diagnosis, impression, and assessment. Otherwise leave abbreviated. If you have the BOS, you can check under "abbreviations." A lot of companies say in their ads and/or on their websites whether they adhere to the BOS or not, and/or if that is a reference they require. I do not think you can go wrong if you generally apply the BOS rules whereas you have to watch out because some are using the 3rd edition now.
If they are changing the rules...then all
you can do is keep your emails to prove that you are just doing what they previously told you to do. If you keep deleting, then you don't have a leg to stand on

As far as the ridiculous corrections like a instead of an, that may be ridiculous, but one way is correct and one isn't. I am a QA and my reports get reviewed by the client. If I let one of the ridiculous corrections go through, then you better believe that they point it out. I mean I agree that they aren't the really important errors, but if the client cares, I care. If the client is going to jump on me for it, then I have to correct the MT. So, don't look at as the QA nit picking you...she is just doing what the client wants.

On the other front, save your emails or you don't have a leg to stand on.
I am unhappy about it, but those are the rules
No young lady here is happy about it. I'm tired of being called a lier. This was in place for years. My 40-year-old friend had to get one as she never had a license until now. I'm not crazy. I do not need help and I'm sick of being called a lier here. No, this was not in place when I was 16 and getting a perment to drive. As for my daughter being sexually active, she is focused on school and works from home typing phone notes for doctors along side me-- her choice. She will be starting a new job in the summer. She doesn't date and rarely goes out. So no, she has better things to do than screw around wth the opposite sex at this point in her life. Not all teenagers are bed jumpers. I'm not blind. I know some girls are, but she is not. I know her friends, they spend a lot of time together. Sex isn't an issue right now.
Now H&R block did specify in their tax rules that....sm
The animal had to be a dog and be over 50 pounds in order for it to count. I am taking advantage of everything that is legal as they have screwed us over long enough.
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.