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Can only spell it out if okay with client if

Posted By: not dictated that way. (NM) on 2009-05-08
In Reply to: I don't use either anymore - "every 6 hours..." - vn

Subject: Can only spell it out if okay with client if

x


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It would be STEMI in hpi and spell it out in diagnoses (unless client profile states otherwise)
Subject: It would be STEMI in hpi and spell it out in diagnoses (unless client profile states otherwise)


That's right! Client's way is the right way, sm
Subject: That's right! Client's way is the right way, sm

as they're paying for it. However, when I give answers here, I go by BOS as we all work for different clients. You're right, though, the client's preference prevails, right or wrong, or in-between.

Not as far as MY client wants it..
Subject: Not as far as MY client wants it..

nm
Up to client
Subject: Up to client

I have been doing hem/onc for 7-1/2 years, and it seems as though every account I have worked on uses their own style, i.e., currently I work on M. D. Anderson Cancer Center and they want stage IA, IIB, IIIC, etc., written as stage I-A, II-B, III-C, etc., plus a few other things that are done differently than normal. The client is always right, so you have to be sure to follow their guidelines.
Nothing to do with the client. If
Subject: Nothing to do with the client. If

x
That would be per the client, but most
Subject: That would be per the client, but most

hospitals I have worked for want it under Labs.
That would entirely be per the client.
Subject: That would entirely be per the client.

We type 2 p.m. unless they say "O'clock" and for 08 per BOS I believe 2008 would be correct.
Per your client, but not normally unless in an
Subject: Per your client, but not normally unless in an

x
It is however your client wants. However,
Subject: It is however your client wants. However,

how do you know if you expand to Psychiatry or Psychology, Psychiatrist or Psychologist???
Not unless your client wants it. Where I
Subject: Not unless your client wants it. Where I

x
You do what your client wants.
Subject: You do what your client wants.

x
It is all according to the client. Some want
Subject: It is all according to the client. Some want

numbered lists, some don't. Need to check with them.
It is all according to the client. Some want
Subject: It is all according to the client. Some want

numbered lists, some don't. Need to check with them.
It is all according to how your client
Subject: It is all according to how your client

wants things done. Some want headings for everything, some want verbatim. Need to check with your supervisor and/or client.
if your company or client is using BOS
Subject: if your company or client is using BOS

as a guideline, per page 283 of 2nd ed, you DO use an apostrophe to form the pleural of single-digit numerals. In fact, they use that same example, "4 x 4's."
might depend on client
Subject: might depend on client

I have been using weightbear and weightbearing for the past two years and neither the QA or the client have every complained or requested otherwise. matter of opinion, I guess.
it's really client preference.......nm
Subject: it's really client preference.......nm

.
Definitely client preference, if they have one, but -- sm
Subject: Definitely client preference, if they have one, but -- sm

barring that, the AAMT has come out saying that "disk" is preferred over "disc" (for whatever that's worth), though both are still acceptable.

I've had some clients with a preference for "disc" with respect to the eyes, and "disk" when referring to the spine, but the vast majority (in my recent experience) have shown a preference for disk in all cases.
Best to ask your QA how the client prefers this to be done. nm
Subject: Best to ask your QA how the client prefers this to be done. nm

x
Do it per client specifics.
Subject: Do it per client specifics.


Client preference here. nm :)
Subject: Client preference here. nm :)

nm
The client will most likely let you know how they want it or your employer. sm
Subject: The client will most likely let you know how they want it or your employer. sm

Apparently BOS states both ways.  Ex.  X-rays, 2 views, blah, blah, blah.. or X-rays, two views, blah, blah, blah....  Same would apply with 1st and first.  I've had experiences where the client dictates which way they'd like it, and both are correct depending on which BOS you go by.  Hope this helps. 


Our client prefers
Subject: Our client prefers

DO NOT RESUSCITATE
and
DO NOT INTUBATE

Strangely enough, they do not want allergies capped.

it's really client preference.........
Subject: it's really client preference.........


I have a client profile that says DO NOT add...
Subject: I have a client profile that says DO NOT add...

paragraphs and I don't add them in those notes. Otherwise, I have never heard of a rule not to. QS may have client profiles confused.
And that depends on what the client wants. sm
Subject: And that depends on what the client wants. sm

I really think these are questions you should ask your employer, assuming this is work related. Style and rules can vary from company to company. Most will provide you with a list of rules or specs and sample reports. If they haven't, you might ask for that. When in doubt, I follow BOS guidelines, though.
It's totally up to the client what they want you to do with it. Looks like
Subject: It's totally up to the client what they want you to do with it. Looks like

s
Client preference
Subject: Client preference

Amen to that, don't ever worry about learning things the right way, just learn the client way and you can't go wrong.
You transcribe it as per your client's
Subject: You transcribe it as per your client's

wishes. If it is an obvious error I do correct. However, if it is a strict verbatim account, you transcribe it as dictated. Way back when, we were told to transcribe H&Ps and Consults in the present tense and DS & Ops in the past tense. However, with all the "new" rules and changes who knows anymore.
All according to client. Where I work
Subject: All according to client. Where I work

if the dictator says "to" we type "to" not the hyphen. You should also use the "%" in the range , 65% to 90%.
Per client, ours uses CLOtest.
Subject: Per client, ours uses CLOtest.

x
Per BOS - no hypen, but my client wants
Subject: Per BOS - no hypen, but my client wants

hypen, so per client's instructions.
Unless it is in the client profile to do such, I would not (sm)
Subject: Unless it is in the client profile to do such, I would not (sm)

If it states the specific hospital or institution, i.e. General Hospital Diabetes Education Team, then capitalize it. They way you have it would be NOT capitalized. Hope that makes sense (no coffee yet).
However the client wants it for "first."
Subject: However the client wants it for "first."


Per BOS, no aprostrophe, but my client
Subject: Per BOS, no aprostrophe, but my client

wants them just like the good old days. So, per the client.
It depends on the client...
Subject: It depends on the client...

If it is dictated as medications include, I would type MEDICATIONS:  Include aspirin, Prilosec etc...  If the dictator dictates medications and then starts numbering them, I would type MEDICATIONS:


                                            1. 


                                            2. 


Are there any samples of the work for you to look at?  Sometimes when in doubt, they are helpful.  Hope that helps.  This is just what I do. 


It is however your client wants. Personally,
Subject: It is however your client wants. Personally,

our client does not use slang, so we expand.
if client profile does not specify,
Subject: if client profile does not specify,

either way is acceptable.  Personally, I would separate.
Not spelled out unless your client wants it
Subject: Not spelled out unless your client wants it

x
Depends on the client..
Subject: Depends on the client..

Some prefer it just the way you have it and others 4/4. :-)
It is however the client prefers. We use
Subject: It is however the client prefers. We use

x
It is whatever the client prefers, I use
Subject: It is whatever the client prefers, I use

Hematology/Oncology or hematology/oncology because we are not allowed to use slang, capitalize or not is whatever context it is use.
You need to check with the client as to
Subject: You need to check with the client as to

how they want it done. Each one has different rules, standards.
depends on what the client wants
Subject: depends on what the client wants

n/m
If you client wants you to follow the
Subject: If you client wants you to follow the

standard, then there is no 's when coupled with disease, syndrome, etc. When it stands alone, it is 's.

Crohn disease
Crohn's disease
I think it depends on the client, but if they are
Subject: I think it depends on the client, but if they are

okay with abbreviated forms, you could do "U-tox," if not then I would type it as urine toxicology.
depends on client profile...sm
Subject: depends on client profile...sm

Rule of thumb is verbatim........
and I agree - client preference and most a/c's are
Subject: and I agree - client preference and most a/c's are

@@


Well, CLIENT PREFERENCE rules.....sm
Subject: Well, CLIENT PREFERENCE rules.....sm

Always, always it's client preference.  I was just speaking in a BOS/AAMT ruling about numbers.  Client preference most definitely IS the bottom line. 
Client preference but usually KCl vs Kay Ciel...nm
Subject: Client preference but usually KCl vs Kay Ciel...nm


Client preference, I suppose, but I do --sm
Subject: Client preference, I suppose, but I do --sm

L5 compression fracture; C5-6 herniated nucleus puposus. I have never used fifth lumbar or lumbar five. Most docs I have had always dictate as L5 or C5-6 and also some do C-spine or L-spine. easier for them, I guess, as well as whoever reads the report.