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Serving Over 20,000 US Medical Transcriptionists

And even tricker is verbatim accounts...

Posted By: How do you handle it? on 2009-01-23
In Reply to: Yes worked at PS and SS - Ricdicolas

I'm always torn between my nearly overwhelming desire to clean up every single misspoken word they dictate, but when it's a verbatim account, I usually leave the decision to Q.A. (my MTSO has a great QA squad), because a lot of times the word/s they're using make no sense at all. It goes against my grain after 20+ years of MT work to NOT clean things up.


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I HATE verbatim accounts
for every reason you mentioned and then some . . . like the fact that the company I work for says that it is a verbatim account, but they want certain things corrected, which I might could handle if it weren't for one QA dinging me for something that another QA will ding for when I do it the first QAs way.

Can't win for losin', but at least QA dinging me does not affect my pay :).
All accounts are VERBATIM, so there couldn't be any normals.
x
Verbatim means VERBATIM
where I work. Nothing is to be changed that the doctor utters. When I look at my flagged reports later I see that QA left all the discrepancies in there as well. What does that tell you?
verbatim
I totally agree 100%! Verbatim is verbatim. I work for a verbatim account now and that is the exact reason I have been looking for work elsewhere. In my situation it is verbatim BUT not verbatim according to what Editor is QA'ing the work. Makes me nuts. It either is or it is not. There should not be a gray area when it comes to this. I have actually been scored down on QA because I dropped a when the doc said patient had a pneumonia. To make matters worse, there is not 1 person doing the QA, it is 1 of 5 editors who rotate doing the assessments, so what one will let go by another probably will not. It is frustrating to say the least and I spend more time checking and rechecking things just to satisfy.  
verbatim
I hate verbatim accounts. I too want to clean up their reports. Some are so insistent that it be absolutely verbatim, that I say, okay, make a fool of yourself if you want to. I thought part of our job was to make them sound like intelligent members of society. I wonder what would happen if we took them at their word when they say: I seen the patient, and rather then come back next week.... This is a verbatim sentence from a real doctor.
I ignore verbatim
and use common sense. If it is obviously a woman, ADT screen if you are on DocQScribe will tell you that. The doctors have these degrees but they are not perfect. Nobody is. I have a doctor who does not even know how to count, 1, 2 4, 8, 7, ??? Now I do not type this.

We are smarter than the docs sometime and just forget about verbatim in those situations.

They do not even know how to spell many meds either but you can't go verbatim here either.

You will give good patient care by typing what is right and ignoring the doc.
I just type them verbatim
Ehhhhhhh, this is Dr. Shinegagophoria dictating a discharge summary for Eggster Jonnnes. Ehhhhhhhh, ummmmmmmmm, discharge diagnosis: Sufanothupa, left knee. Ehhhhhh (19 seconds of silence) Ehhhhhhhhhhhhhhhhhhh. This is a 68-year-old, nooo, ehhhhhhh, go back, ehhhhhhhhh. This is a 67-year-old ummmmmmmm female, no, sorry, male who prezented to the E Rrr complaining of ehhhhhhhh, uhhhhhhh pain to his uhhhhhhhh (11 seconds of silence) left knee, no, no ehhhhhhhhhh, ummmmmmm, right knee. Errrr he suga DE rima ehhhhh kinlin aga foad she pte. He now prezents dieg shile feid ona. Make sense?
should be reports will not be verbatim...
couple of minor errors, but I am not on the clock, and I am furiously writing so I can get the point across.
Verbatim nonsense!
Thuh patient ah, um, ah presented ah came in ah today with a complaint of ah um left-sided headache, a headaches of a daily basis, um.........(shuffle through some papers or something).....um -  Comment:   So when they say verbatim don't we have to use common sense?  He had a hysterectomy, and that 5-year-old quit smoking last year.  Duh.......Verbatim accounts simply wear me out!!  Do they want it verbatim because they think they are saving money or what?  Ending sentences in prepositions, mixed tenses, no conjunctions or prepositions, etc.  A punctuation nightmare!!  Also their insisting on using acronyms, which have multiple meanings.  Am I alone out here?  I am so tempted to type something just once exactly, I mean exactly, as dictated.
Does verbatim equal garbage?
Do they say they want verbatim so they can blame the "dumb typer" when the patient record is incorrect?  The doctor says over and over that the patient is a male, yet "he" has had a hysterectomy, C-sections, etc.  Now, this is in a report where I also heard nothing about transgender. That is a minor example, but you get the point, right?  We are told to type what we hear.  When we hear garbage, we have to type garbage.  Apparently the hospital thinks the docs are flawless.  I want to give good patient care and provide accurate reports, but I can only do so much.
Glad you can ignore verbatim -
We were told very specifically to type word for word. We can send things to QA if we question them. Also have one doctor who specifies all his numbers be left out of order because he has some nutty system in his charts that he likes to use. What you do cannot be applied across the board, much as we all might like to do it!

verbatim should NOT mean putting in errors: SM
As a QA, this is how I pass on the guidelines (and verbatim is usually requested by the client, NOT QA!):

Verbatim means: Transcribe what the physician says but correct obvious punctuation, spelling, and grammar errors - like "there is 3 moles."

Headings and exams are transcribed when and as dictated, not adding in headings, not changing PHYSICAL EXAMINATION: to OBJECTIVE:, "rearranging" the report, or changing an exam dictated in paragraph to block format.

You do not add additional words to clipped sentences in clinical notes. If the doc says "A 56-year-old patient," you don't transcribe "This is a 56-year-old patient."

If the doc says right leg in one place and left leg in another, a blank is left and it goes to the clinic for resolution.

If a medication is spelled and you can't verify it, it is blanked and goes to QA. If we can't verify it, it goes to the clinic for resolution.

Verbatim should NEVER mean transcribing errors like have been described here, at least IMO.
Verbatim Transcriber Wanted
*PLEASE READ BEFORE APPLYING*

We are seeking highly qualified experienced transcribers to handle the increased workload. We are ramping up for a very busy season and with that we are structuring our staff to handle the new volume of work.

Transcribers must be highly proficient and experienced transcribers. Only transcribers with experience transcribing from digital files will be hired. Please indicate your years of transcription experience and your current WPM. Please-No beginners, no students- you will not receive a response.

We prefer transcribers who can transcribe from digital video files as well as digital audio files. (MP4, MOV, WMV, RM) using the StartStop Transcription system. If you use a different system please state which one you use.

We have a series of interviews and conferences in digital audio format that need to be transcribed verbatim. This includes every single utterance and noise in the audio. Our client will have a linguist specialist go through the audio so it is important the transcript is exact. The content is not technical, speakers sometimes will have heavy southern accents, and the audio is mostly clear.

Accuracy is the key with these transcripts.
-Ability to include every phrase, word, utterance, and background noises
-Above average grammar skills
-Speaker recognition skills (ability to correctly identify multiple speakers in the audio)

There are quite a few of these and we would like someone dependable to work on this project.

Candidates must have the ability to transcribe from home with high-speed internet, a foot pedal, and up-to-date computer software.

Please email all relevant data and resume to careers@anptranscriptions.com


Axotol testing----is it verbatim or per BOS?

I've seen others post their transcription is verbatim, does that also mean their testing is verbatim or is it per BOS?  If per BOS, is it 2nd or 3rd ed?   Any info would be greatly appreciated.  Thanks.


TGIF


Has anyone ever heard of Verbatim Medical?
I just got the strangest E-mail offering me a job.  It sounds like they are just starting out and looking for MTs to begin in about 2 weeks.  They are out of NYC.  I'm already with a company that promises to start me in 2 weeks on a new account and so far their practices are questionable.  What is up with these companies?  At this rate I can quit a company a week until I find the right match.    
I love your verbatim...that is hysterical. It also made my day....nm
x
I just recently started a verbatim account...

and I have to stop myself from making corrections and have to really concentrate on typing exactly what they are saying.  It's HARD!  But hey, they are indirectly signing my paycheck, so I gotta do what they tell me to, ya know?



That is way low! I also transcribe for a producer, verbatim, non-medical,
any typist could do it (unlike MTing) and I get $100 per 1 hour of dictation. That's ridiculous.
Here is the dummy office manager's verbatim response
The allogations you just made are unbelievable. I want to see the information you have as proof. Please call me tomorrow morning at 739-7500. Can you be at PROSC at 10am with your unaltered reports?


Do any companies allow you to edit the dictation somewhat or are you strict verbatim? First time do
,
I have 1 acct that's verbatim but they don't mind if I edit a little. I used to type insuranc
interviews where they would call people after accidents and I had to type every um, uh or cough. Kind of nervewracking!
I've always thought verbatim is not only an insult to the doctor, but also to our profession. sm
We are supposed to medical language specialists with an excellent grasp of proper grammar and command of the English language. What do I know? I've only been doing MT for 25+ years. It completely befuddles me to be asked to type verbatim because I have probably typed for 2 doctors out of 100s who can form a proper sentence! Just my take on the verbatim thing.
My previous post was verbatim from the company when I inquired at employment. Maybe (sm)
they tell everyone something different, like what they THINK they want to hear.....Guess I should have put it in quotes.
Are they losing accounts. Do most of their accounts stay for long period of time. I have
heard pros and cons about the quality of their work.  I guess it is much cheaper than other companies can offer.
Because the girls that monitor the accounts in the office were told the accounts either go on DQS or
move on. All accounts to be with MQ must be on DQS and no more different platforms. ONE ONLY DQS. They can send more work overseas then.
MDI-FL but not all accounts. Only the internet-based ones. C-phone accounts are fine.

So, yes, let me clarify before everyone gets in an uproar.. There is work IF you want to use a C-phone. IF you signed up for an account that is internet-based, you will be disappointed. Not enough work to go around. Just my personal preference.. I have no desire to do a dial-up C-phone account using my long distance.


Some do and have good accounts and fully loaded ESL accounts
Take a look at what is happening in India. For the first time, workers there have money to get themselves into debt by buying high priced items (cars for example). They now protest lower castes being allowed into universities at almost double the previous allowance. Wait until they are highly in debt, begin to feel entitled to a wage equal to that paid inthe US and then, try to form unions, get tossed out into the street and sit back with some Ben and Jerry ice cream and watch the economy collapse and all that dictation come back across the ocean. Timing is everything.
Find out which accounts they are hiring for. They have some ESL accounts that are extremely
difficult to do.  I dont know how many accounts they have altogether but as I say, a few are very difficult and I actually dont have a problem with ESLs but these accounts are almost totally ESL.  I dont do them anymore.
Well it sounds like no work happens a lot at DSG. How are the accounts as far as decent accounts
and their QA. 
Different accounts have different platforms. Most accounts require sm
high speed but I am not sure if satellite is OK.

I don't think that they're hiring right now. I spoke with my lead on Thursday, who said they are focusing on making sure everyone has enough work and moving PTers to FT, eventually moving towards FT only with only weekends as PT. Not 100% sure when that is though.
Hmm..well it goes to show how different it can be between accounts. My "high" ESL accounts s
at WMX are pretty easy in my opinion as well. I wish I had a better answer for you. Hang in there if you can. You have to do what is right for you.
Six accounts?!?! That is nuts! I am on 3 accounts. nm
nm
MQ accounts
You are assuming that MQ has not lost any accounts. Yes the accounts were transferred with the transcriptionists, buy one of my accounts left and went to another service and yes, once an account goes up on the new platform, it is free game for everyone.
I believe they have two ER accounts - one is .09 and one is .10 -

the owner is wonderful to work for, also.


PS:  Hi Connie!


 


 


How many accounts do you have?
When you get 6 accounts, can work on any of them at any given time, sometimes all in 1 day, and still get less than 2% DC percentage, come back and tell me you're better than me.  You're still wet behind the ears and probably don't even realize what a big can of worms you just opened.
Are the Rad accounts going VR?
x
VR accounts
Does anyone find that you can get more lines or make more money on VR accounts?
RE: VR accounts
Yes.
How did you get three accounts?
????????????????????????? No wonder you have plenty of work - you have three accounts. Duh!!
Their accounts are about 90% ESL sm
And I am talking heavy ESL.  Also, even though most of their MTs are ICs, they make you give them a schedule and they bug you if you don't work it.  Pay is okay.  Work is very sporadic. I have two friends who left there because the work kept running out.  QA can be very rude, as well. 
You might be better off just getting your own accounts rather than
trying to look for a service that has them. If you feel you must go through a service, then more than likely a small or very small MTSO would be the most likely to have these types of accounts.
Your own accounts (SM)
I read over the other posts today and agree that many of them were brutal, unpleasant, condescending, and unkind. Do not let these types of responses deter you from your goals, plans and visions.
I had my own accounts before I even took
a medical transcription course. I got into MT by accident. I started a home-based secretarial business doing typing and bookkeeping for people. One day, I got a call from this guy wanting to know if I could do his transcription. Sure, why not?! I had repaired transcription machines in a former career field, so what could be so tough about transcribing? I did fine. I've had his account for 8 years now. I also picked up a physical therapy account with four dictators before I finished my MT education, but that account was el cheapo on pay so I dumped them as my skills grew more in demand.

In my opinion, it's easier to have your own accounts because you're doing the same people and the same reports day after day. You can use your Expander to the max. They'll notify you of any corrections or style issues they'd like you to implement. You make more money per line while saving them money versus in-house staff or a national. Make up some business cards and an intro letter on your computer and start sending them out. Forget about all the negative people who are telling you that you can't do it. They're not the boss of you. You are in control of your own destiny. YOU can do it!
You are a pet, get best accounts.
x
There is no QA on your own accounts. YOU are QA.
QA shouldn't have to catch your versus you're anyway. QA shouldn't have to correct basic skills.
Where was that hop to? Your own accounts?
?
Accounts
Wrong.
Accounts
Sure!
Ask for more accounts, 10-12 may do
z
MDI still does on some accounts....

XXXXXXXXX


 


Edited e-mail address out.  Goldbird (Moderator)


What about their accounts...
Have they lost their accounts, too? If not, who is typing them?