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Serving Over 20,000 US Medical Transcriptionists

BOS is a crock, but commas are still important!

Posted By: Fingers on 2009-05-04
In Reply to: BOS is a crock! - Sue Connor

Especially as demonstrated in the post above.  I think we all know (or should know) when a comma will change the meaning of a sentence.  I agree that is very important.  I believe in the AHDI BOS, Third Edition, it states that comma punctuation points are not deducted on audits because most of them are open to interpretation anyway.  Some sentences could take them or leave them, doesn't matter.


Somebody please tell me why these stupid hyphens are so important!!!!  How can they change the meaning of a sentence?  And another thing, who has the right to change the title punctuation in M.D. to MD.  We tried that on our account, HA, HA, HA.  Heard from those doctors right away and they did not like it one bit.  These things are why I say BOS is designed to cut an MT's pay, make more money for the MTSOs, and to give QA something to do! 




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What a crock. I've solved it by starting to put in commas
more Keystrokes for me, and hey - QA just LOVES their commas! The more the better, in their eyes.
commas
You really need to think about this comma situation. Grammar and punctuation are there to make a document readable. A medical document is a patient care and legal document.

I know the transcription companies and hospitals do not pay fairly and I really don't blame you for trying to do something to increase your line count, however, this is simply not an appropriate way to do it.

I think if you approach your supervisor with some contrition and try to make a conscious effort to not do this you will probably see some positive results.

Again, I don't mean this to criticize you, but doctors are really down on transcriptionists a lot because this sort of thing drives them crazy and I can see how it could.

Good luck to you and I hope your situation turns around soon.
Commas (sm)
I am from the old school where commas were essential for clarity in reports. I find in today's world there are far too many errors being made, both in and out of the medical field, because people have not been properly trained in the English language. I have requested copies of my medical reports for a serious medical problem only to find multiple transcription or dictation errors which are inexcusable. The hospital I requested these reports from is a large metropolitan research facility where people come from all over the world for treatment. Obviously they are sending their work out to the lowest bidder. They do not have a transcription department. Not only was my name repeatedly in the body of the report, but it was spelled incorrectly and not in harmony with the correct spelling of my name in the header. Commas were not used in the proper places and the report was horrendous. I have not brought this to the attention of my physicians because they could "care less" in my opinion as long as they were reimbursed. What a darned shame! I don't know where they got their QA people, if they have any, but there is no "quality" in any of those reports. Don't feel bad. Whether we are talking commas, periods, common sense, etc., it is all "out the window" and the cheapest price gets the job! Just venting (and pretty upset). This is MY body and MY serious illness. I am so sick and tired of those pompous "asses" who proclaim 98% accuracy. I once received a reply to an E-mail from one of those companies who told me I "scored high" on their testing and stated I would "here" from them soon regarding potential employment. It's all pretty disgusting to me.
maybe you should try using commas...
in all those compound sentences in your post if you are so big on grammar.
commas
Thanks for the help!!!
BOS and commas
The day that a doctor can actually transcribe a complete sentence/thought with the correct noun/pronoun/subject/verb/adjective, I will then use appropriate commas. Run on sentences is what they do. Most transcription is verbatim. As long as the WORDS are exactly what the doctor says, the punctuation (other than a period) is not even important, has nothing to do with the body of the report. I don't profess to be an English major and whoever thought it needed to be applied to transcription needs their head examined. In this industry, nothing is forever. A few years from now they will scrap the nonsense and move on to some other idiotic idea some moron comes up with in the BOS.

I applaud accounts that refuse to use BOS. I wish they would all do it and put an end to the insanity.
commas and which
which and that are often used interchangeably. You must decide what the dictator intends.

That always begins a restrictive clause.

Which always begins a nonrestrictive clause.

Test: Do you need what is said after which to tell tell what is meant? If the answer is yes, no comma. If the answer is no, add a comma.

Restrictive: Essential to what precedes it - no comma.
The arm which was fracture was splinted.

Nonrestrictive: Place a comma before which.
The right arm, which was fracture, was splinted.

That begins an essential clause or phrase. That is always specific to what comes before it. Do not place a comma before that.

I hope this helps.


too many commas? Nope -
perfect punctuation - way to go!
...and someone who does not use commas. ROFL! nm.
nm.
typing letter. Do my commas look oky?
She is a 66year-old white female who recently transferred to our practice with diabetes mellitus, hypothyroidism, hypertension and hyperlipidemia, who I refer to you at this time for further evaluation of anemia
Grrrrrrrrr Wrong COMMAS!!!

OK this doctor dictates things like this all the time...."He wanted to cry (comma) and appeared unhappy."


 


There is no comma there, right?  What should I do?  Pretty sure you need a subject on both sides of the comma.......that's what I thought.


I, too, love commas! I was told by an English
teacher years ago to use a comma anywhere in a sentence where you want to pause, emphasize, or separate.  I worked for this one national where QA used to dock me all the time for my comma use.  However, I got out my college grammar/English book and scanned in pages to prove I was right.  Didn't matter.  It was, "Listen to your QA person."  She wouldn't even use a comma to separate two independent clauses with a FANBOY.  I couldn't unlearn 25 years of grammatical habits, so I quit.
I can see your point about grammar, but using commas to pad line counts??!!
Please, tell me you're not serious, okay?

Did I use my commas correctly? Because I gave it a lot of thought, too much so to use it as a way to pad my line count.
No flame--commas & periods go inside quotation marks--ALWAYS.
"right", they get "left".   Hate to see a good MT not do this correctly.
I also separate with semicolons--allows use of commas where needed within dose instructions. SM
I see the value of stopping each med with a period; but the voice rec programs I've worked with so far have been using commas (or nothing), and breaking the strings up with period+spaces+caps, etc. is much too time consuming. Plus, account instructions typically ask for either numbered lists or comma/semicolons anyway.
crock
I had a crock years ago, that was a 'crock'. So, I've never replaced it. I know lots of people who love theirs, and am starting to think about getting one. I need a small one (I'm single and have a roomie, and we're neither one very big eaters). If anyone has any ideas, feel free to forward them (I don't need a shrink - they've already thrown me back, but other suggestions are welcome hehe)
crock pot
I have used them twice, what a blessing!
It is definitely a crock and a rip off....
xx
Not just them either........BOS - what a crock!!!
xx
What a crock!.....nm
nm
BOS is a crock!

The only reason the AAMT (or whatever they call themselves now) changes the BOS is to make money-- plain and simple!  They think by changing commas, abbreviations, etc., they can call the previous BOS "outdated", so of course you have to spend money on buying a new one.  The AAMT was ALWAYS about making money for themselves in any way possible instead of sticking up for the MTs that are supposed to keep up with all these changes while our paychecks get smaller every year.  They want to certify foreigner MTs just so they can keep the money coming in.  I dropped my CMT a long time ago because they kept changing the requirements for the CEs and I got tired of paying their ridiculous dues when they had done absolutely nothing for me in the 20 years I was certified.  Who says the BOS is the "bible" of transcription anyway?  Who died and left the power-hungry women of AAMT in charge anyway?  


The whole thing is a crock!
nm
crock pot stuff, one more
This is something I made when my kids were growing up. SO EASY! A blade pot roast is what I always used. Put IN crockpot...sprinkle on a package of taco seasoning mix, NO LIQUIDS. Cook eight to 10 hours. Shred meat and serve on tortillas, put out chopped onions, chopped green chili peppers, avacado, chopped tomato, actually anything the kids like...let them make their own soft tacos. Enjoy.
cooking in crock pot right now
Either beef stew meat OR a chuck, whatever.  One can cream of celery, one can cream of mushroom and one can french onion.  Don't have do do a thing.  Delicious
This is a crock - here are the facts about IQ

Okay, here are the facts for those who care (like me).


There are many standardized IQ  tests.  Some only go to 140.  Some tests can go up to 180.  So basically it depends on what IQ test was given just how relatively smart these people are.  I seriously doubt any of these folks actually published something as personal as an IQ score and even if they did, I would question the validity.   You cannot make a blanket statement when comparing IQs.  One more time (for those who didn't read my last post) -- think about high IQs like this -- it is simply processing speed, just like your computer.  Many IQ tests are auditory memory and/or processing skills -- i.e. you have $1.75 and three of the coins are dimes -- what are the other coins and how many of each. ..that type of thing.  I stress that while IQ is important -- what is more important are other qualities such as character, learning from experience, attitude, resiliency, etc.    I would also add that unfortunately research shows neurocognitive diseases such AD, etc. are very unkind to the extremely intelligent.


I have been a member of American Mensa for years....and find it to be a very valuable wealth of information -- ESPECIALLY  in regard to the testing and studies they have done on gifted children.  Very interesting research and publishing in their magazines of information on smart kiddos (like yours I am sure.) 


: I left Houston and moved to Chicago increasing the average IQ of both places :)


AND if you are going to dis MENSA -- there is another organization called Intertel of which I am also a member whose IQ requirement is 99.9.   What we actually do is covert -- but I am at last relieved that they can no longer harvest my eggs :)


 


Other crock pot food -
I have done a lasagna that turned out pretty good, I sometimes throw in some boneless skinless chicken breasts with some homemade BBQ sauce, have done chicken and dumplings which was good, spaghetti sauce. I would actually love some new recipes. The crock pot is so handy - I like to just throw stuff in and forget about it. My husband also works late a lot so he just lets me know when he is on the way and I can just throw on some veggies to go with whatever is in the crock pot.
What a crock! They don't really care what MTs
Their goal is to change the organization so it is open to IT professionals, vendors and others in order to gain larger membership numbers.  The staff and leaders have realized the organization has such a lowsy reputation with MTs that we're not going to join and they've given up on us.  They are not a professional organization for professionals.  They consider themselves a professional organization for the finished product of the profession (the healthcare record), not for the workers they were incorporated to support.  Any list will be totally useless to them.  They've simply assigned you busy work that they don't really care about.
This whole organization is a crock
Someone has to pay for all their travel, first class all the way.

I am still shaking my head i amazement about the one biggie in the organization who got his CMT with only 1 year of at home training doing office notes - no hospital experience, etc. This shows how truly worthless the whole certification process is. Credentialing should reflect adequate training in all areas of the profession, and it certainly degrades the title if someone was able to get certified by doing doctor office/clinic notes.




lemon crock pot chicken

21/2 # chicken, cut up, 1/4 cup flour, 2 T cooking oil, 1 6 oz frozen lemonade,


thawed. 3 T brown sugar, 3 T catsup, 1 T vinegard, 2 T cold water, 2 T cornstarch. Combine flour with 1-1/4 tsp. salt. Coat chicken and brown thoroughly in hot oil. Place in crock pot. Stir together lemonade, brown sugar, catsup and vinegar. Pour over chicken. Cover and cook on high heat 3 to 4 hours. Remove chicken. Pour liquid into saucepan. Return chicken to crock pot and cover to keep warm. Skim fat from liquid. Blend cold water into cornstarch and stir into hot liquid. Cook, stirring until thickened and bubbly. Serve chicken with gravy over hot cooked rice, noodles, or whatever you like.


 


 


"Happy MQer" What a crock!

 I totally agree with MQMT2 about how you should "spend" your check. 


40 clove chicken in the crock pot
Boy would I (and I am sure lots of us) love to have that recipe for 40 clove garlic chicken in the crock pot.  My mouth is watering.  hope it was good.
40 clove chicken in the crock pot
Big thank you....I can smell it now...tutu
Crock pot recipe with milk
Months ago there was a recipe for something and onions and milk -- It wasn't chicken but that's what I substituted and it was awesome.  I can't find the recipe.  If the original poster will reproduce it, I won't lose it again -- promise!!!
what a crock, using lies on your kids like that
you are an unscrupulous mt/mtso


anyone have a good crock pot chicken recipe?

Anyone want to share their favorite crock pot recipe?

did everyone graduate MQs "Code fo Conduct" course? -- what a crock
that's like you stealing my purse and then sending me to class on how not to steal purses....
Put it in the crockpot and forget about it. It's a pan recipe but can be done in the crock pot ju
o
Roast, potatoes, and carrots in the crock pot...yum!
/
In my most humble opinion, I think credentialing is a crock. SM

You hit the nail on the head - its a test created by a group that requires you pay $100 or so for membership (I haven't checked what their fees are for a while), $80 for their rule book, and then $300 to take their test.  And for what?  A penny more per line, maybe? 


Not to mention, the organization which is supposed to be setting the tone and the standards in the medical transcription industry continually and consistently subverts the interests of the American MTs that were the life's blood of their association at its inception back in the good 'ol days.  Without us, their little club would not have grown as it did.  Instead of focusing on the needs of the American MTs and championing causes that would improve our industry and our pay checks, they have embraced offshoring, calling it the globalization of the workforce and say it the wave of the future and its progress.  And as they ride this wave of the future, they leave the American MT in their wake betrayed and alone and poor.


I have have a deep moral objection to giving one cent of my hard earned money to the AHDI.  They can keep their credentials and their membership dues.  Seeing "CMT" behind someone's name doesn't make me respect them anymore that them not being a CMT.  Quite the contrary, I start thinking their $300 sold out another American MT.  Good Job!  You're a CMT, yay! 


crock pot. seach for recipe on google for specifics.
i'm not even thining about dinner.
just put the 20 garlic chicken in the crock pot. Smells GREAT!
q
smoked picnic in crock pot...no muss, no fuss
Add to crockpot (no water needed). Cook high 4 to 5 hours and lo 11 to 12 hours.
Thank god for crock pots. 'cept the smell drives you crazy all day.
.
Roast with potatoes and carrots in the crock pot-good warmed over later.
nm
For saurkraut lovers, put apples, onions and pork chops in crock pot.
Wonderful meal. Some fresh rye bread with butter. Yummie.
Cook in equal parts BBQ and grape jelly. Crock pot if time. Yum! nm
 
JCAHO and AAMT is a crock. Patient safety means not hiring DIMWITS
who can't read or retain what they have been taught. If you don't know what TYPED p.o. means or are confused, do not take care of patients. You are obviously too stupid. Go flip burgers somewhere where someone can instruct you every step of the way and you can do no harm. No brainer. Just a little wrist action and by all means DON'T TOUCH THE HOT GRILL. Think you can remember what that means. HEAT BAD!
Hubby making 40 clove garlic chicken in the crock pot. I'll make mashed potatoes and glazed
o
oh, sorry, yes that is important sm
the pay is average for a national.  I make $900/week. I think that's pretty darn good!
How important is it to you ...

How important is it to you that your US medical records are KEPT in the USA?


Does it matter to you?  Why or why not?