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If not verbatim and you're sure of meaning, expand it and get paid for the characters. nm

Posted By: wanderer on 2007-01-18
In Reply to: HTN dictated under past history... - NewbieMT

Subject: If not verbatim and you're sure of meaning, expand it and get paid for the characters. nm

s


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If verbatim then that is correct. If you have to expand (as in my account) it is maximum temperature
Subject: If verbatim then that is correct. If you have to expand (as in my account) it is maximum temperature. (nm)

x
Do you guys expand AIDS/HIV in admit or discharge diagnoses? Normally I expand COPD, CAD, etc.. sm
Subject: Do you guys expand AIDS/HIV in admit or discharge diagnoses? Normally I expand COPD, CAD, etc.. sm

not sure in this case.  Account goes by BOS, not super nitpicky, but I'm wondering what y'all do. 
But if you're doing verbatim, you don't have that choice. Give the docs what
Subject: But if you're doing verbatim, you don't have that choice. Give the docs what

s
If you're typing verbatim, put the comma after suspect.
Subject: If you're typing verbatim, put the comma after suspect.


yeah, if you're a verbatim account do nitro paste, otherwise
Subject: yeah, if you're a verbatim account do nitro paste, otherwise

spell out to nitroglycerin paste. Doc slang. Don't cha love it!
You will undoubtedly get paid more
Subject: You will undoubtedly get paid more

by the hour. The flexibility is the key for working from home.
I make 3-4 times more being paid by the line. sm
Subject: I make 3-4 times more being paid by the line. sm

I think it depends on your speed, accuracy, and hospital dictators. If you have always been an employee paid by the hour, you might want to stick with that. The transition to production pay is not easy; however, I have a problem making transitions to employee per hour pay. So, everyone is different.

Just think really long and hard about it.

Monitor your line count daily for a few weeks and calculate that by say 8 or 9 cpl on a 65 character line and see which his more, by the hour or by the line.

Remember, companies base your health care insurance on your production. So, if you need health insurance and have a slow few weeks with no work, you may lose your health insurance temporarily.

You have a good thing, you might want to stick with it.

IC production pay works for me. I do not need health insurance, my hubby takes care of that, and I commit to production per day not hours per day. I need the flexibility.

Good luck in whatever you decide.
I don't know what funny characters are, but
Subject: I don't know what funny characters are, but

MIU/mL is the correct way unless your account refers to AAMT list of banned abbreviations, then it should be typed out
I couldn't figure that out either...characters and????...nm
,
Safest to write it out, but ask your QA as places try to get by with as few characters as possible
Subject: Safest to write it out, but ask your QA as places try to get by with as few characters as possible

s
Looking for abbreviation for microinternational units per ml without using any funny characters.
Subject: Looking for abbreviation for microinternational units per ml without using any funny characters.


BOS II likes 7th and 8th, but if account lets you, writing out gives more characters. nm
Subject: BOS II likes 7th and 8th, but if account lets you, writing out gives more characters. nm

s
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".


Probably meaning subcentimeter, meaning smaller sm
Subject: Probably meaning subcentimeter, meaning smaller sm

than a centimeter.
verbatim is VERBATIM....bad advice he gave you.....
Subject: verbatim is VERBATIM....bad advice he gave you.....


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


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
If that's what was said, yes. You'd expand the second one to 42,800 IF your QA allows it. If n
Subject: If that's what was said, yes. You'd expand the second one to 42,800 IF your QA allows it. If not,

s
if CP says to expand, I certainly do expand
Subject: if CP says to expand, I certainly do expand


Expand IV????
Subject: Expand IV????

How would I expand IV?  "Plan is to discontinue his IV."  When I look it up I get intravenous.  That does not sound right...... 


 


THANKS!!!


Expand LVH
Subject: Expand LVH

Not sure whether to expand LVH in assessment.  It does not appear expanded elsewhere in report.  Left ventricular hypertrophy or left ventricular hyperplasia??  Leave as is?
Unless you need to know it to expand it in
Subject: Unless you need to know it to expand it in

the report, I wouldn't waste time over it. If you need to know, ask your supervisor to find out for you.
how do you expand L5-S1 in a DS?
Subject: how do you expand L5-S1 in a DS?

How would you expand this sentence in the Diagnosis section of a Discharge Summary. 


Do I replace L5-S1 with lumbosacral joint? 


My account gives examples that we should expand "Fracture, L2" out to "Fracture, second lumbar" ....  so that is why I'm thinking I need to expand the L5-S1...


DIAGNOSES:


1.  Right-sided L5-S1 herniated nucleus pulposus.


 


I never expand
Subject: I never expand

Because abbreviations can mean so many things, I never expand abbreviations even in a diagnosis. Our hospital determined it is the dictators job to edit before signing if they want it expanded.
expand HPI?
Subject: expand HPI?

Forgive my newbiness (that WILL become a word someday, I'm sure of it!) that will clearly be seen in this question!

When the doctor dictates "as stated in the HPI" , should I expand that to History of Present Illness - with those caps in place or only capitalizing the H?

Thanks!
should expand
Subject: should expand

I'm told to expand all those that are not common. (How gloriously vague!) Seems to me that "HPI" is pretty common. But I think I'll go ahead and expand.

So should I capitalize all of it?
I would expand
Subject: I would expand

ANY abbreviations the client wants expanded. Everyone has a preference.
If you expand it (and you should if your account allows), sm
Subject: If you expand it (and you should if your account allows), sm

it should be "cardiac catheterization," not "cardiac catheter." 
only expand it out to metastasis if.....sm
Subject: only expand it out to metastasis if.....sm

Client profile dictates whether or not to give this dictator mets or metastasis.....his saying *met* was wrong.  I would've given him *mets* unless the client profile allows expanding of words, and in that case I would've given them *metastasis*
I would expand all as you stated...
Subject: I would expand all as you stated...

I am not on a verbatim account and I do expand those types of abbreviations, but I would be interested in hearing others' opinions as well.

By the way, why are you "dubious"? Just curious!
I wouldn't expand it.
Subject: I wouldn't expand it.

Considering the context in which IV is used, it is its own entity.  I would leave it as is.
I think I would just expand this nonsense to have it be
Subject: I think I would just expand this nonsense to have it be

s
I always expand it to saturating. (nm)
Subject: I always expand it to saturating. (nm)

xx
How to expand UBJ obstruction
Subject: How to expand UBJ obstruction

Hi!  Need to type UBJ obstruction in an op note. Can't find anywhere in acronyms.  Anyone know?  Thanks in advance.
Unless you are to expand abbreviations
Subject: Unless you are to expand abbreviations

you transcribe it as dictated.
I always expand everything if CP says so, even lab tests..
Subject: I always expand everything if CP says so, even lab tests..

xx
Unless you have to expand all abbreviations
Subject: Unless you have to expand all abbreviations

don't waste your time worrying about it, just type it.
Expand BMI in op title? sm
Subject: Expand BMI in op title? sm

I couldn't resist putting Guess, since that's what I've had plenty of today.  Guess who dictated this report and put in ? maybe the wrong ID?  Or is it Dr. ??, or his/her (seriously, I can't tell) PA, or assistant... 


Okay, I had to gripe.  This is all I get lately.  I have actually broken my own record for finding someone who stutters more than someone I used to work for.  That's a terrible comparison, as everyone loved thiss doc and doc's dictation.


Thanks..


How do you expand DDAVP?
Subject: How do you expand DDAVP?

DDAVP is dictated in the assessment, in which no abbreviations are allowed. What is the expansion for DDAVP?
Guess I just won't expand it, still unsure....
Subject: Guess I just won't expand it, still unsure....

because too many times when he uses the term PFC there is no other indication of a joint replacement system having been done or anticipated, so I still have my doubts that that is really what he means by these initials.  Thanks for your help.
I won't type slang, never have, never will -- expand
Subject: I won't type slang, never have, never will -- expand


Should we expand things like MRI and CT in diagnosis? SM
Subject: Should we expand things like MRI and CT in diagnosis? SM

After getting some things back from QA, I am a little unsure on this. Thanks.


I expand it, as no abbv in Diagnosis
Subject: I expand it, as no abbv in Diagnosis

nm
Maybe "SK," but I'm not sure we have enough info to expand that. (sm)
Subject: Maybe "SK," but I'm not sure we have enough info to expand that. (sm)

I'm thinking they could be abbreviating a skin condition as "SK," but that could stand for a number of things (seborrheic keratosis [or keratoses], for one). Can't say....
I just expand to external fixator. I wonder if I'm wrong. nm
Subject: I just expand to external fixator. I wonder if I'm wrong. nm

x
I would expand it to saturating or saturations if allowed. nm
Subject: I would expand it to saturating or saturations if allowed. nm

s
I always expand stuff like that 'cause I'm a tool.
Subject: I always expand stuff like that 'cause I'm a tool.

Plus I like to get paid fer it...but mostly 'cause I'm an AAMT BOS tool ;-)       


    


Says this patient has previous CVT/CBT..have to expand and not sure what it could be for a PMH term,
Subject: Says this patient has previous CVT/CBT..have to expand and not sure what it could be for a PMH term,

any ideas? 


Thanks


Unless specifically told to expand, leave as GI.
Subject: Unless specifically told to expand, leave as GI.

x
CBC with diff 4 *metas* -need to expand THANKSnm
Subject: CBC with diff 4 *metas* -need to expand THANKSnm

x