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Serving Over 20,000 US Medical Transcriptionists

A question for the QA folks

Posted By: Curious MT on 2007-10-23
In Reply to:

I realize that every company/employer is different and some want verbatim transcribed.  At my company, it's never been specified, and so sometimes I trust my judgement to change things as I see fit, and other times, I flag a questionable item and explain my thought process to QA.  Oftentimes, when I do the latter, QA just leaves the questionable item as dictated, and does not respond directly to me regarding my question, which makes me feel ignored.  This leaves me feeling frustrated and feeling like the report may have returned to the doctor not 100% accurate.


Here's an example of what I'm talking about, but it's not necessarily the best example from a cesarean section note:


Rectus muscles were then separated in the midline and the peritoneum identified, tented up and entered sharply with Metzenbaum scissors.  The perineal incision was then extended superiorly and inferiorly, with good visualization of the bladder.


The bolded word is obviously incorrect and should be peritoneal.  Do you think QA and everyone else concerned would appreciate if I just used my brain and fixed this without taking anyone else's time, or is there a chance that using my judgement and changing it would come back to haunt me if this report were pulled for a QA review and someone saw that I didn't transcribe what was dictated?


I'm not a newbie.  I'm been in the MT field for almost 8 years.




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You might want to try these folks
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So now we know, folks, why so many MTs - sm
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Hey there all you Indepedent contractor folks.  Just want to take a quick poll and see if you are happy being independent.  I am thinking of the making the jump over from employee to IC.  Just want to see and get a quick glance and see if you are happy or not so happy with being IC. 


 


 


Welcome! I like seeing new folks here
it's great to get some fresh perspectives or see how MTs in the business are doing.
You are so right. Our pay goes down from same folks who are charging us more when we

Right now McDonald's in our town starts employees at $8/hour and pays benefits and some school benefits.


I have worked 30 years in transcription and make less now than I did in 1985.  That's 20 years ago.  I know more and earn less.  In fact I am a fraction above poverty level.


If you don't think MQ is getting ready to take us all below poverty level right down there with Mexico City, just hide and watch.  Or rather, sit here and think you are with a "good" company.  I didn't, because they are making millions in profit off your hard work and not sharing a penny of it with you. 


In the old days an employer spread the wealth of the company with the employees who made it happen.  This group has never heard of the concept.


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I can really relate to your situation and wanted to tell you this story. 


I live at the base of a mountain.  There is an RV place out here and every winter the hunters camp and .....leave aggrevation everywhere (garbage).


Yesterday i drove the 15 miles to town to the post office where they know everyone by name.  I was packaging my book to mail and was listening to this conversation:  A gentleman handed a change of address form to the Postmaster. He says," You just moved in that new house on the hill last fall.  Is everything okay"? 


Naturally everyone looks that direction.  The gentleman says " We don't like that housing developement on the hill.  There is way too much snow".


Continuing with his story:  My wife had the kids were in the SUV and the road was covered with snow and ice. (duh, it is all winter long).  She had to stop because of the herd of Elk standing on the hill in the middle of the road.  She slid back down the hill and wouldn't drive up again until I came home from work".


So i have asked my husband for a snow maker!!!!!! Maybe they will all move back to the city.  At the base of this hill, a herd of Elk always graze in the field.  There have been many occassions i drive the grandkids that direction to watch.  The 3-year-old asks to me take him to see the funny cows.


So if anyone has a spare Snowmaker please send it to me.....I would love to drive the rest of the city folk out of there!!  


The world needs more folks like you 2...
You both just added a big ole jewel to your crowns in Heaven...you're awesome!!! Congratulations...the best of luck and much, much happiness in your marriage...
That's more than my folks did, or my husbands.

I think that you thinking you "put yourself through college" when your parents were paying your tuition and rent kind of says this is the pot calling the kettle black. 


 


Golly, some folks just have to have the last
word, 'eh? I've been following this thread and just waiting for someone to blame the dog owner for the dog nails, or even the dog!! Unreal!
A lot of folks are complaining about MT pay
and not being able to make enough money. I personally don't think the problem lies so much with how many cpl we get, but the fact that we have to transcribe dictators who obviously have no regard for the person doing the transcription. They seem to think it quite proper to eat, chew gum, have a conversation with someone in the background, lay the mic down and dictate or speaker phone, dictate on a cell phone, in a crowded room, and a host of other things that make transcription very, very difficult. When you throw in a whole slew of ESLs, there goes your money.
Question for QA folks
Quick question for QA. When an MT flags a report because of something simple like no date of consultation given, does QA generally get paid for all the lines on that report. I have a dictator who is very long, generally 100+ lines, and never gives the date of consultation, otherwise great dictator. No blanks. So unless it is dictated the same day the patient is admitted, I leave that field blank which automatically sends it to QA. QA has never once gotten back to me on this and on pulling up old reports it looks to me like they just go back in and put the general coding for the auto feed, though no date is provided. Since it is continuous with this doc it seems like a big waste of time and money not to get some instruction back on sending this directly to the client. I am wondering if this is just easy lines for QA and then if it shows up against me as far as editing. I know all companies are different, just wondering what the rule of thumb is. By the way, I have asked for feedback from QA multiple times and never get a response either way. Thanks.
Another question for QA folks
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What about this scenario, folks!

What do you think of a manager of many MTs, who shares intimate details with each of us regarding her situation as a wife as well as sharing details of other MTs with each other, some extremely complicated and highly personal, which I believe were given to her in confidence.  Then, having her turn into a professional zealot and alienate us with her emotionless response to us which is such a contradiction to prior interactions that it leaves us spinning and feeling as if we do not know her at all.


I have come upon this before early in my career.  And I would say that changing ths subject in the conversation is the answer so to not end up in this web.  What do you think though?  It is awkward and confusing. 


 She is new at supervision and maybe it can be chocked up to that but she holds a lot of power over us and some whom she confided in during long emotion-filled  conversations, word has it, she has turned against to the point they had to transfer to another department.


It is placing a shadow over the job for me


 


Folks on here exceptional!
thanks so much for that!
Where do you folks get these amounts???
I find it hard to believe that a lot of the MTs on this board are making over 20.00 an hour.  The state of MT is in BAD shape with outsourcing, EMR taking MT jobs, etc.  I'm having a hard time believing that some of you are making those high amounts.  If is is true, where do you live and where can I sign up?  My company is hiring MTs with many years experience at 10.20 an hour. 
I think you are asking the wrong folks...

...We are trying to figure out how to become independent, so we can make better than overseas pay.


LOL .. folks ask me why I don't go digital
My doctors are happy, it works great for me ..

it ain't broke, so why fix it? LOL


Wow, these ADHI folks are

really not representing the American Transcriptionist at all. I'm really just speechless. I wonder why they're making such unprofessional attacks on the US transcriptionists. 


The representative who wrote the response is either uninformed or downright deceitful in stating that the Indian transcriptionists want the CMT credentials just to have them. On the contrary, their employers are using it as a tool to get their feet in the door to get American work.


I'm just curious as to how many of Indian CMTs have been grandfathered in (not required to take any testing because of years of experience) because most of the companies who do work with them have to have US transcriptionists do a lot of heavy editing.  If this is the case, then the CMT credential is as worthless as it was 30 years ago.  Sad for our industry, really. 


I wish some retirees would start up another professional organization for US transcriptionists only <hint hint> 


And folks think I'm paranoid
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Okay folks! What do YOU daydream of while workin? - sm

Mine has been daydreaming of Leland from Dog The Bounty Hunter.  Hummina Hummina  What a hunk!   Wooooooooooooooo pour some cold water on me!


Remember these are also the same folks that tried in the past....sm
to change the policy to it being 1 space instead of 2 spaces after a period.... and that crap stopped only when clients complained that in certain fonts it looked like you didn't have a space at all between a period and the next word. 
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Train? you really think those folks get your feedback?
x
For you married folks, how did you meet? sm

Through friends/family?  At school?  Met each other at the grocery store when you reached for the same loaf of bread at the same time?    Through an internet dating site?  


 


 


 


Question for folks who QA/Edit
I'm an IC QA person for a company who uses Editscript. I spend precious time writing down job# and calculating the number of lines for each report. Is this system not capable of tracking the number of reports I edit or the number of lines?

Seems like the employer would prefer a software that tracks this info so they can ensure that the IC's are billing accurately. Any opinions on this?
well maybe folks will realize there are no true...sm

friends on public boards online......you're right, the Gay thing should never have been brought up in public......


some have class and some lack class and are uncouth....


nice to see some folks watched...sm
waiting to see how this progresses - hope it lasts as a reality show - seems like there is less *bickering* that with Dancing with the Stars, though I like that show too but NOT the judges there....*grin*
Guess you were one of those disappointed folks (nt)

Thanks for all the input. You folks are great. sm

You convinced me that it is better to let something else slide rather than the mortgage payment.  I wasn't sure what would be the outcome as we have never gone past 30 days. 


kind of like folks who have money sm
don't talk about it but the ones who want you to think they do talk about it all the time!  Sounds like a low self-esteem problem to me too!
and just plain out right dealing with folks!
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Joined up with the old folks group and
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are these folks paying on time?
Thanks for the tip, will take test today, looks pretty rudimentary though, is this on the up and up?
My folks spoke American as did

their folks as did their folks. My point is more and more ESL's are coming into our country and expecting us to learn their language. Would you like to die on the table because the American OR nurse misunderstood the ESL surgeon? I think not.


Furthermore, I think it's great that you are willing to help calm someone's nerves in a crisis, but just the fact that you had to only proves my point. I hope I am never in a situation where I'm being provided medical care in American hospital and feel the need to have a translator, only to find one is not available.


Folks, I have been doing this as long as dirt has been around
I get bored sometimes but I produce more now than I did say 25 years ago, I have to because if with a national the pay has dropped. I now do (VR and straight included) do at least 3000 per day whereas with straight for years and years it was about 2000 per day. When totally bored out of my skull, I usually try to redo my hours and take some time, but guess what, then I just have to make up so I work my 8 hours per day, straight through and I am not bored when I get my check.
What is your point? These folks have a perfectly good right to use
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nm
sure there would, some folks dont like to do certain worktypes and will dump all others..
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Atlanta sure enough is. Folks need places to go. A lot are staying
x
Helps to do some research before you trash folks
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No way. I would run group homes for special needs folks and
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and that folks was where our "mom and pop" biz that we were making the money on...have gone!!
The biggies saw the opportunity to make the money that we were...and decided we made too much, so that is the story...long and short!! The future does not look good for us, only them and the india counterparts.
How do you folks feel about work going to Canada?
dd
But for how long, pretty greedy folks there!!! NM
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hah -- only heard my folks use term Yowza!
and i'm over 50 y.o. :) are you from the beatnick era?
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i work with chartscript and im able to look at prior discharge reports for each doctorpatient and doing a copy/paste; this helps speed things up. i dont know if your program allows you to do the same.

its kinda hard to create normals because off different hospital courses for each patient.

if you get doctors who pretty much have a normal format, you could create normals for each and just edit as you go; like any other worktype.

sorry couldnt be more helpful. good luck.
Well, that's all folks. All gifts have been given. It's been a wild ride
/
Question for you married (current/former) folks...sm
How did you survive the anxiousness of getting to the big wedding day?   We're not nervous about anything going wrong - just having a hard time waiting for the days to pass until our wedding and anticipating the reaction of the attendees over the surprises we have in store for them (good ones that make our wedding truly unique, and no one knows what we have planned!).   
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