I would type verbatim within the guidelines
Posted By: s/m on 2008-06-10
In Reply to: clarification of verbatim!! - SS
Subject: I would type verbatim within the guidelines
of the BOS. In other words, I would not type contractions, slang, or prohibited abbreviations. If the account wants you to ignore the BOS once you get the job, that's fine, but I think it would be better to show your knowledge of the BOS and get it wrong than to disregard the BOS altogether.
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Once again, just me, but if it is not verbatim I would type out hematocrit, if verbatim "give it
Subject: Once again, just me, but if it is not verbatim I would type out hematocrit, if verbatim "give it to them".
no,not verbatim. if it were, i would type it verbatim. nm
Subject: no,not verbatim. if it were, i would type it verbatim. nm
zz
If it is verbatim, then type it verbatim.
Subject: If it is verbatim, then type it verbatim.
x
I would type it verbatim.
Subject: I would type it verbatim.
If all else fails, I usually type verbatim just as you have it
Subject: If all else fails, I usually type verbatim just as you have it
If verbatim I would type desats, if you are
Subject: If verbatim I would type desats, if you are
not supposed to use slang then spell it out.
if it is strictly verbatim, I type gotten..nm
Subject: if it is strictly verbatim, I type gotten..nm
nm
If you are on a verbatim account, type exactly what is dictated.
Subject: If you are on a verbatim account, type exactly what is dictated.
If you sense a discrepancy, you can flag it for your QA department.
If not verbatim, may also type 2-year-8-month-old...nm
Subject: If not verbatim, may also type 2-year-8-month-old...nm
x
I am on a verbatim account so I have to type it either way it is dictated L4-L5 or L4-5. As far OB/G
Subject: I am on a verbatim account so I have to type it either way it is dictated L4-L5 or L4-5. As far OB/GYN, G2, P3 or gravida 2, para 3 means with the 3-0-0-2: 3 live births, 0 preterm births, 0 miscarriages, 2 living children
You would be guessing here, so I would type verbatim and flag
Subject: You would be guessing here, so I would type verbatim and flag
Type it exactly as the doctor dictates, verbatim....nm
Subject: Type it exactly as the doctor dictates, verbatim....nm
nm
That's the way I type it when the account is verbatim. Otherwise, you could correct to incised an
Subject: That's the way I type it when the account is verbatim. Otherwise, you could correct to incised and
Got it. Thanks again. There are no account specifics, so I like to type verbatim just to be safe.
Subject: Got it. Thanks again. There are no account specifics, so I like to type verbatim just to be safe.
type "the year" if it is a verbatim account.
Subject: type "the year" if it is a verbatim account.
Good semantics question, but in my opinion I would type it verbatim.
Subject: Good semantics question, but in my opinion I would type it verbatim.
J&C7 guidelines?
Subject: J&C7 guidelines?
J&C7 guidelines.  This is in reference to hypertension. I cannot find this in my Stedman's cardiology or on google. Any help would be appreciated. Thanks in advance.
Thanks! Where do I find their guidelines then?
Subject: Thanks! Where do I find their guidelines then?
That's why the field is in the state it is...no guidelines followed....
Subject: That's why the field is in the state it is...no guidelines followed....
everyone going by their own rules. There is no consistency. And thanks to that we're now pretty much considered non professionals IMO. I say bring on the mandatory licensing/certification to bring the professionalism back to the field!
pt taking Accutane following the guidelines set about by roe-sh nm
Subject: pt taking Accutane following the guidelines set about by roe-sh nm
d
My company guidelines have always stated...
Subject: My company guidelines have always stated...
"it is okay to leave abbreviations for diagnostic/lab tests and medication administration as abbreviations under diagnosis, name of operation, assessment/impression"
Guess you would have to go by your company rules.
verbatim is VERBATIM....bad advice he gave you.....
Subject: verbatim is VERBATIM....bad advice he gave you.....
The guidelines that I was instructed by are "dig could be digoxin or Digitalis; leave as dig".
Subject: The guidelines that I was instructed by are "dig could be digoxin or Digitalis; leave as dig"...
possibly E&M? =(HCFA) documentation guidelines for Evaluation and Management (E and M) Services
Subject: possibly E&M? =(HCFA) documentation guidelines for Evaluation and Management (E and M) Services
Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100
Subject: Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100
Verbatim
Subject: Verbatim
My primary acct is a verbatim but am allowed to make grammatical corrections as long as it does not change the meaning. One of my docs dictated *monna releaser*. After getting my laugh for the day, I typed *I am going to release her*....this one was not an ESL. Gotta getta good laugh once in a while to keep sanity....
No, it is not verbatim...
Subject: No, it is not verbatim...
I think I have come to that conclusion, also. There is just too much for me to try to fix it all. I'm not sure I would even know where to begin. There is just so much garbage... Thanks for verifying my thoughts, though.... :)
Verbatim - is it tib/fib or tib-fib ???
Subject: Verbatim - is it tib/fib or tib-fib ???
verbatim or not?
Subject: verbatim or not?
verbatim
Subject: verbatim
is it verbatim?
Subject: is it verbatim?
if its a verbatim acc...sm
Subject: if its a verbatim acc...sm
then you must write what you hear, if not, its up to you.
Verbatim - hep c.
Subject: Verbatim - hep c.
x
verbatim help
Subject: verbatim help
hi, i need help with a verbatim account. if they say "two PM" can i type 2 PM? or should i type 2:00 PM? and for dates, if they say "o eight," can i still type 2008?
yes, there should be, unless verbatim
Subject: yes, there should be, unless verbatim
xx
Verbatim 3/10 cc or 0.3?
Subject: Verbatim 3/10 cc or 0.3?
Would this be actual "verbatim" transcription or correct, per BOS? What would vertaim be when you have to type exactly what they say even if it is not proper? I think that is what the OP was asking. Now I am curious.
In verbatim account... HELP PLEASE
She is sating(satting) 98% on room air?
I want to change, but on verbatim, I suppose I'm not supposed to, right? I'm relatively new to this and not sure.
Verbatim account
Subject: Verbatim account
How would you type... as I have it?
ESL help..with verbatim account..
Subject: ESL help..with verbatim account..
would you type re-meet? remeet? or change to meet again... It is vebatim, but I'm not used to that yet... need seasoned advice! Thanks!
I would write it out even if it is verbatim
Subject: I would write it out even if it is verbatim
PPD is a test for tuberculosis. You aren't just writing a document to appease the doctor. You are writing a legal document that many other people may want to read, including an insurance auditor or a lawyer, neither of which may have any clue what PPD means EVEN IN THE CONTEXT OF THE SENTENCE and will have no inclination to look it up.
That's just me, someone who audits physician records and slaps them on the wrists for this like this, but you do want you want.
what is so difficult about VERBATIM....
Subject: what is so difficult about VERBATIM....
x
she said verbatim -- where's the confusion??
Subject: she said verbatim -- where's the confusion??
verbatim
adj : in precisely the same words used by a writer or speaker; "a direct quotation";
--not seeing how this leaves much room for argument.
On a verbatim account, would you
Subject: On a verbatim account, would you
actually leave this sentence as is?
She puts Neosporin on it, and she reports that in the morning it looks pussy.
TIA for any input.
verbatim acct help
Subject: verbatim acct help
General surgeon talking about frozen section pathologic exam of squamous cell carcinoma lesion. First frozen section came back with positive margins so he went back to excise a second specimen which he submitted S/L "on fos" with the new margin up. This is a verbatim account and this dictator is on 100% QA (all reports) since he is so SPECIAL. I referenced the other reports in his MD data base and found "en Fos" which would have been put there by QA before the report was signed off to the hospital. I can't find this anywhere and was wondering if anybody has a clue?
Not on verbatim--it would be PRN tylenol
Subject: Not on verbatim--it would be PRN tylenol
/
Only if the account is verbatim would I
Subject: Only if the account is verbatim would I
type 5 foot. Should be 5 feet.
mine are all verbatim *S*........nm
Subject: mine are all verbatim *S*........nm
That's unfortunately, verbatim is so unprofessional...; )
Subject: That's unfortunately, verbatim is so unprofessional...; )
x
verbatim?--gasenous?
Subject: verbatim?--gasenous?
If doc says "gasenous indigestion" and you are supposed to type verbatim, do you leave it gasenous? It's gaseous right?
Sorry, stupid question?
verbatim?--gasenous?
Subject: verbatim?--gasenous?
When typing verbatim would you commonly use a virgule like that? This verbatim thing is new to me and its got me all turned around. I cant tell if doc is saying "gasenous (meaning gaseous) indigestion" or if he is saying two symptoms the patient had, gassiness and indigestion. He says them right in a row like that.
verbatim frustration
Subject: verbatim frustration
Yes, just using Book of Style, I know the rules so that's the best I can do.
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