Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

AAMT has wonderful resources on their site. QA Primer and scoring guidelines (and explanations)

Posted By: QA Mgr on 2006-01-25
In Reply to: To MTSOs or QA Managers - me

nm


Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

MQ is going by the AAMT Guidelines
with rules regarding transcription. So I would think that as MTs we should be typing by AAMT Guidelines. If you think we are not paid for spaces, then why do one more than necessary.
AAMT guidelines about not using q.d., q.i.d. q.h.s. etc.

what is the current recommendations for these?  I have been an MT for 7 years and I still type them this way.  Was I off school that day?  Thanks!!!!


AAMT number guidelines
Does anyone know the newest guidelines for numbers with AAMT?

Most companies draw from the AAMT's standards and guidelines.
nm
Anyone know a site for IRS guidelines for IC nm
x
There really is a wonderful site on the
web that gives you nothing but help in many areas, including expanders, word, word perfect, and multiple other programs, and I am risking my life putting the name of it on here, but it a very non-controversial board designed only to help everyone, and it is free.

It is harrie's productivity site and this is the web address for it:
http://www.productivitytalk.com/forums/index.php

All the gurus are there to answer and help you with what you need, and they go to a lot of work to do this, so you really need to thank them.

Sorry, administrator and moderator, but I really do not think that board is in competition with you and hope you will let this stay because it is so helpful for everyone.

The list is on the AAMT site sm
I would not advise copying from their own web page and posting it here. Go there and look.
I found some at the AAMT site. Thanks anyway! nm
x
Anything related to AAMT is not discussed on this site.
t
AAMT site is under contruction. Maybe the latest issue will
Haha
Call human resources. I called human resources about it. Sooner or later they will get tired of the
calls and do something about it. Safety in numbers. I have called twice. I forgot to mention the assinine QA point plan though. Mostly I bitched about the no work thing. Told them the new pay plan based on incentive is another joke with no work. Cant make incentive with no work.
QA scoring...sm

While each company uses their personal standards for QA based on client preferences, etc., that is immensely low.  Do you know how each error is weighted, did you have a lot of client complaints or critical errors that dragged you down (drugs, allergies, doc names)?  To score that low on any calculation....you would have to be missing something HUGE.....spellcheck, not looking up anything on any report typed, breaking client preferences over and over, etc....it would take a lot of weighed errors. 


IF you know how the QA is scored, refigure, maybe they calculated wrong.  If you do not...you SHOULD KNOW!!  Find out!


A "don't know what to say" is NOT any kind of helpful feedback if you enjoy you job and you do have the right to ask for help and an explanation of errors marked you do not understand!!!!


exam scoring
Remind yourself there are no absolutes.  Yes, Medquist uses points, but few do.  And you don't want to work for that company in any event!
Cookie making for scoring new accounts
I think what Patti does is a creative, impressionable way to get the account that she is seeking out by winning over the doctors and nurses...and it works well for her and my guess is that either she makes really wonderful cookies or she is just a really great person who is friendly, ambitious and knows how to get work. (Probably a combination of all! :)

Whoever thought food giving is an unprofessional gesture????? Have you ever seen the "feast" that drug reps bring into the office for a quick meeting with a doctor??? They certainly know how to win over a doctor too.

The doctors certainly are not complaining and neither is Patti for breaking the sweat to bake the cookies...It's all worth the effort for her and I appreciate her sharing her effective method with us!


I believe the original poster is the one doing the scoring, and she is SHOCKED at how low the score
is for the MT, and she doesn't even know what to say to the MT under comments. I can certainly relate - lately, its abysmal in my company.  How, oh how, do these MTs get hired?  To me, that is the BIGGEST mystery. 
They should ALL go by the same guidelines.
Different accounts have different specifications as well so that could account. But all in all, the editors should all be going by the same rules, etc.
GUIDELINES

What did we ever do before style guidelines? How did we ever type? I guess we have been doing it wrong for all these years. Now we are being graded. What is that about. Am I in grade school. I have been there and done that. Went to college and being treated like an idiot.


I would to see these supervisors and corporate try to sit and type all day.


Guidelines
You are correct that the possessive form of eponyms is now not possessive. And it is not just AAMT who did that, but also the AMA. It is in the new Book of Style  and in the Manual of Style that the AMA produces. You can find it in both places to show to your docs if you are looking for that.
Guidelines
That should entirely be up to the client.

Thanks for the guidelines..it's too bad that...
My manager didn't give an "official" explanation as to why this shouldn't be done.

Her reasoning is that the doctor can't read it as well when milligrams is typed out.
resources i'm sure
not that hard to figure out, all of us make mistakes, esp when under a little stress. Ppl on this board are way too critical, should'nt we be supporting other MTs and now downgrading each other

There are so many resources out there
Do a search for "homeschooling support in _____ (wherever you live)". You will be AMAZED at the homeschooling resources and support groups out there - they can help tremendously with where you can begin. Personally, I would get your son out of the zoo and salvage what is left of his education, and sanity. He desperately needs your attention.
Resources for new job

I've accepted a job as a inhouse transcriptionist/front office person for a smallish physical medicine and rehabilitation practice (one doctor and five other office staff). I've been looking for good fit for my skills, experience and personality for over a year.  It's been especially hard as I've had personal, family and finanacial problems as well during this time.  In other words, this is almost too perfect to believe--I'd given up hoping that anything good would happen for me, so I do want desperately to make this work.  The doctor is a D.O. and, from the interview, she treats fibromyalgia, musculoskeletal diseases, traumatic brain injury, as well as provides comprehensive rehabilitation.  I have had six years of physical therapy dictation and probably 1-1/2 years of family medicine-type dictation all told in three other jobs. 


My questions are:  what are some references to have?  I've been told I can load any software that would help me, after it's checked out by the office manager.  Also, any hints, do's and don't's about working inhouse?  The clerical part will be answering phones and scheduling as needed and filing.  Many thanks for your suggestions!


 


None- you have no resources on this....now be
.
resources
I am a newbie looking for good resource sites. Where do you go for all of your questions? What can you just not do without? Thanks. I'm trying to get set.
If you MUST have QA on staff, they should all have guidelines, be it BOS

or AMA, whatever you choose. I've been seeing ads for QA personnel and they don't have to have been MTs. I don't get that.


As I've said before here, I work for an MTSO who believes if you have to have QA personnel, you've hired the wrong MTs. I tend to agree with her.


We get up in the morning, do our work and send it in. If there's something we don't understand, we put a note on the log for the doctor or the hospital - because we're all experienced enough that we either know what we're hearing or know how to find it.


My daughters have certain guidelines in the way they want (sm)

the children to act, be treated, etc.  We have an understanding that I won't let them play in the street, swim unattended, smart mouth an adult, cus, or do anything that is generally dangerous for them.  They love to help cook, garden and just sit on my lap and be read to.  Yes, I may take them shopping a little too often, but they usually have helped in the garden or helped with housework prior, so they are actually earning the money they spend for toys at WalMart. 


 


I would never undermine their parents (even though the father of the two youngest is a true bum) to them.  I try to always touch upon good things they should be proud of such as "Your mommy sure knows how to fix you hair so nice, I wish I could do it as well."


 


These grandchildren are the most precious thing in the world to me and the last thing I would do is act in a way that would keep their parents from allowing them to visit.   Maybe you should explain to those grandparents your reasons/concerns.  Surely they would be glad (after an initial sulk maybe) to change their ways in exchange for more hug and kiss time from their grandbabies.


Docs don't have those guidelines because... sm
they realize how stupid they sound and look.  They learn the language of medicine and stick with it.  They don't bow to some silly-*ssed organization's whims. 
is it acceptable in our guidelines, if so I will

do it too.


You should always follow guidelines
set up by your MTSO/client. If expanding when not allowed to, that could be considered line padding and a quick way to lose your job.
Did you follow BOS guidelines??? That could
x
I have address resources available, but

the dictating physician will often forget to say the doctor's first name, and there will be 20 Dr. So-and-sos listed.  Or they spell the easy names like Smith, but not the difficult ones that they mangle the pronunciation on.  Then they carbon copy six different physicians.  I've got the hospital directory, online hospital website, online physician address lookup, Google, and other resources, but it's still very time consuming.


I'm thinking I like Meditech better.  LOL  At least everything was in there.  F7, F10, arrow down, save, you're done.


Psych Resources

Here are the links from my favorite places. I also have a word list if you need it. Let me know.


http://www.appi.org/dsm.cfx


http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11428699&dopt=Abstract


http://teachhealthk-12.uthscsa.edu/pa/pa03/pa03pdf/0306C-SWS.pdf


http://gainscenter.samhsa.gov/curriculum/juvenile/glossary.htm


http://psychclerk.bsd.uchicago.edu/mse.pdf


http://www1.umn.edu/mmpi/Reprints/The%20comparability%20of%20MMPI%20and%20MMPI-2%20scales%20and%20profiles.html


http://www.psychiatry.msu.edu/Clerkship/MentalStatusExam.pdf


http://www.unl.edu/buros/bimm/html/index12.html


http://www.pearsonassessments.com/tests/mmpi_2.htm


http://www.falseallegations.com/mmpi-bw.htm


http://www.brainsource.com/nptests.htm


http://neuro.psyc.memphis.edu/NeuroPsyc/np-dx-demen.htm


http://www.lib.uchicago.edu/e/su/tests/newfy99.html


http://www.wright.edu/~robert.rando/Interviewing/Class2-05.htm


http://www.utah.edu/umed/courses/year3/psychiatry/psychaid.html


http://angelsghosts.com/state_of_fear.html


http://www.psychpage.com/learning/library/assess/mse.htm


http://www.psychpage.com/objective/mmpi2_overview.htm


Psych resources

I have done psych work for over 5 years and it's not just every day words.  I use several web sources (as listed by Amy) and also a psych book.  My psychiatrists also have to report the patient's medical history, so you have to know that as well.  Not to mention, a lot of people have psychiatric problems because of medical conditions. 


Stedman's has a great book that has listings of all the psychiatric tests.  Because of reports going to the medical doctors and psych abbreviations not being common, everything has to be spelled out (at least with my docs).  A lot of the psychotropic drugs can also cause medical conditions, like lithium causing hypothyroidism, Mellaril causing heart problems, Zyprexa and Depakote causing metabolic disorders, etc. so there is a lot of medical going on.  I keep my regular Stedman's on hand, lab/path, cardio, endocrine, ortho (a lot of psych drugs cause imbalances causing falls, which in turn fractures).  I could keep going on, but I think you get the idea.


It is very interesting work, but can be a downer. Good luck!


resources for psych
http://www.fpnotebook.com/PSY.htm   Good Luck!!! I'm still trying to find a company that will let me test with only 15 months experience in family practice.  I'm happy for you.
Good Resources
Everyone's suggestions have been very helpful for me i really appreciate it. Maybe i should think electronic over the actual book?

Thanks
What I meant was use resources
Sometimes I can put in a string of words to come up with something needed as well.  I have found it to be most resourceful.  Sometimes Google can be wrong, so you have to kind of use the sites that are reliable.  That's all I meant really by that.
Favorite Resources?
What are your favorite web resources?  A few of mine are MTStars, Acronym Finder, Dictionary.com, RXList, and http://health.ucsd.edu/labref/labref.html.
Any ESL websites or resources?
I was wondering if anyone here knew of any good websites (or other resource) where I could listen to dictators/speakers who have accents?  I am not really crazy about that idea, but want to try to better learn them so that I can do my job better when I get ESLs or even striking regional accents around the US.  Any advice is appreciated.  Thank you in advance.
Anyone still around from MedRec Resources? (nm)

Allergy Resources
I have an allergy account of my own and I know what you mean. Those tests/allergens can be tricky. I purchased the Stedman's Dermatology & Immunology Word book and I use it often. It has everything you need!
I just found one of the best MT resources ever...has everything! sm
Hope this helps!

http://www.mt911.com/
You will! Just as you all said I was "crazy" when I posted about the new QA guidelines, only t
you obviously all get them within a few months top, now you can stop kicking the covers off over QA bonuses, and lack thereof, as that will be coming your way, too!
Anyone know the origin of the AMTA guidelines?
I was told that the 2 women in Amherst came up with this book just to make money and that they really don't (excuse me, do not) know their "elbow from their kneecap". I know it took me some getting used to: 1 space after a period and colon, using numerals instead of writing out numbers, not using contractions, etc., etc. I see the book on sale with the guidelines, but does anyone know who wrote it? Frankly, I think it makes medical reports look a little less professional than they used to. I have been a MT for 20 years and even though I am using the new guidelines, I am not crazy about them.
HIPAA faxing guidelines
Fax only when necessary, always verify fax number and ALWAYS use cover sheet. Do not fax hypersensitive PHI.
Thanks for sharing this. If federal guidelines were followed,
the minimum wage earner could not even shop at Walmart---that's really sad!  This is just another point that shows that the government has obviously gotten too big for its people, $5.15 is a JOKE.  I'm glad some states actually have some sort of caring politicians.
There have to be guidelines and standards in place
for every profession, including MT. While I don't like the AAMT or agree with some of its new ways, there has to be something in place for all MTs to go by so they are all on the same page. The only way to bring real professionalism back to the field is by mandatory certification or a license to practice MT. There are way too many inexperiences terrible MTs out there ruining all of our reputations! And I for one am tired of it.
You need to brush up on HIPAA guidelines...

The computer should be password protected for individual users so files cannot be accessed, but, other than that, HIPAA requires "reasonable care" be taken to safguard patient information.  It does not require any computer used for MT to be used exclusively for that. 


Some believe the computer must be in a locked room.  That is absolutely not a requirement either.  Reasonable care means just that. 


Thank you so much for replying - that gives me some guidelines to follow
nm
You follow the account guidelines - sm
Expanding out abbreviations when the account specifics say not to is an easy QA ding also.
It depends on the account guidelines.
For the majority of the accounts I work on abbreviations are only expanded in the critical sections, such as diagnosis, impression, etc. This is to the client's preference, and it is considered an error to expand an abbreviation when it is not necessary.

As far as dosages, I always transcribe what the dictator says unless it is a prohibited abbreviation or an error. Prohibited abbreviations are changed, per client preference, to the acceptable term. If it may be an error, it is flagged for review. If the doc dictates "twice a day," they get "twice a day." If they dictate "b.i.d." that is what I transcribe. It is also considered a error, at least at my company, to alter what is dictated.