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Serving Over 20,000 US Medical Transcriptionists

I have a doc who dictates the entire address, but not the zip code. SM

Posted By: mj on 2007-03-11
In Reply to: Just a slight vent this a.m..... - 2 teens

or the referring physician (throughout a three state area), and says, "Dr. Smith" and then gives the address. I still have to go online to find the doctors first name. Very annoying.


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I actually have 1 MD (pvt) who dictates...sm
and I hear him going #1 and flushing the toilet!!!  I hate that and I hate them dictating in their offices with the music on!!!  This same MD will dictate an op report (3-4 pages long) performed in the office, but dictated while he is walking to his vehicle, driving HOME!  I hear all the traffic.....that's got to be THE WORST (along with the music in the offices).
HELP Dr dictates.....
"This patient with a history of AIDS status post Pneumocystis carinii pneumonia,"  Please help with punctuation before and after status post.  My mind is blank.
Client dictates which way, but I have
NEVER in 20 years seen it with the first letter of each word capped, so Low back pain would be correct, unless otherwise dictated by client/BOS. 
If a doc dictates CHF, do you type s/m

CHF or expand into congestive heart failure; and for any other shortened word, do you expand.  The guidelines for my company state type what is dictated and only expand things in the diagnosis section.  Well, someone I know who works for the company said that they just always expand regardless.  That doesn't seem right to me.  I was just curious as to what anyone else does.


Thanks!


can't think of one female who dictates well, IMHO.

Resident dictates at end of report...

"Note to transcriptionist...thank you for your time, thank you for your service, and have a great day."


 


WOW, that doesn't happen often, and when it does, it sure feels nice to know we are considered colleagues and not just a typewriter on the other end of the telephone line!


Or making $36 ph on acct that only dictates 1/2
fsa
Yup, same as Diana ... if the work dictates (sm)
I work until it's done even if it's weekends. Technically I don't "have" to since my contracts state M-F but I don't mind the weekends if I don't have huge plans and there's a lot of work to be done.
My DD is a social worker and says that she dictates directly into VR
and the report is on her desk when she gets back to the office. She said everyone in her department loves it!
Question: doc dictates "pt is generally p***ed off."

I'm half tempted to type it just that way....Would you?


RE: Question: doc dictates "pt is generally p***ed off."
Yes, if physician said it, transcribe it exactly as dictated. What is the question concerning "pissed off", if I get the *** correct?
ESL doing rectal exam dictates "I did a rectalization"

You are supposed to transcribe exactly as the doctor dictates. sm
However, every "verbatim" account I have done, we are allowed to correct the doctor's spelling mistakes, especially with something like a drug. However, you must be sure of your drug. If there are two that are close, it is safer to use the doctor's spelling and use quotes or whatever the account allows.

Many of them will also allow you to correct a glaring grammar mistake, such as using "is" for "are," etc. If you're not sure, ask the account manager.
Female Elmer Fudd dictates! (sm)

"She has a known history of uterine leio, leiomy, ly, leio, leiom, la...ugh...uterine, um, fibroids."



If the doctor dictates it, you transcribe it, in quotes, as this
is what the patient said.
My company dictates 2/10 to 3/10. Note no dash.nm
x
for GU exam on a female, if doc dictates Normal BUS what does this stand for?


PA dictates patient drinks "a gallon" of liquor a day.
I hear people drinking a pint or 1/5 a day, but a GALLON.  The guy is only 45. 
Wouldn't it depend how fast/slow dr dictates,
x
The ones that I hate are where the doctor dictates a full line or paragraph,
and says, "No, wait, go back, change that."  Then you have to delete everything you already typed and retype the new dictation.  Some of these newer doctors do that to nearly every sentence.  By the time you finish the report, you've typed and erased half the report.  Do we get paid for that?  NO.  I don't get it.  We still have to pay for doctor visits if they misdiagnose us, then we have to pay for the subsequent visit to fix what they didn't diagnose the first time.  We should get paid by them for typing what they said, erasing it and retyping what they meant to say.  They're getting our wallets coming and going.
..or when the doc dictates "prior report LOST by XXX Transcription Service...AGAIN." sm
I work for a national MT company, we do hospitals all over the country, I work from home. I have NO control over where the chart goes once I send it in, I'd bet the original chart was never dictated and hence never 'lost' by us....but in the case that it may have been, THEY HAVE THE PHONE NUMBER of the company to call them, they have specific contacts at the company for issues such as this...I CAN'T HELP YOU WITH THIS, especially when all they're doing is bitching at me on a voice file. Funny, it's always the same couple of docs complaining of lost dictations. Curious that it's JUST THEM. ;-)
Formatting of the document dictates the line count, not a different computer.
xx
My favorite speciality is the office who dictates it and pays the highest line rate.
It's the money, honey, that matters to me.
I currently type for a doctor who dictates with a digital handheld and sends the files via e-mail fo
and wanted to be able to call me with his dictations.  What would be the best and cheapest way for me to go so that he can do his dictations without the handheld unit??  I don't want to invest in a lot because he does not forget very often.  This is the first time in three months.  Thanks for any suggestions you may have. 
common sense dictates you read the writing on the wall. technology has made you obsolete.
and the government has seen to it that american workers are no longer necessary and allows business to outsource many middle income jobs. 
Tag code?
Not sure what you mean by tag code.
Tax code
In Ohio, since there is no actual code that reflects transcription, we use 99999. Worked for me with no problems.
Used to code

Coding is a game where the rules constantly change and they won't tell you what they are - but will gladly penalize you and your employer because you "should have known" all the rules they won't tell you.  They actually have codes that are "blacked out" - in other words, they know what the right code is that will cause them to pay for a procedure, but its a secret beknownst only to them.  "They" being the federal government - they say "ignorance of the rules is no excuse" but won't tell the rules.  You fly by the seat of your pants.  You can attend seminars all year long but still not know if you're doing it right.  You live in constant fear of a Medicare audit where they will find the wrong code and accuse you and your employer of fraud, fine/jail the both of you, and pull the doctor's license. In transcription - the blame for errors ultimately goes to the doctor.  In coding - the blame gets spread around.  If that sounds like fun, go ahead.


Where do you put the code?
nt
code key
The code key that goes with the software is probably triggered to tell it that it's already been installed once.  It's an anit-piracy device.  What you may need to do is call the software support line for the software and explain the situation.  They may be able to give you a new code key for the installation.
Code of Conduct
This thing is REALLY for the ones that got all the lawsuits started, now WE have to suffer. At least we get paid for probably the most boring hour on earth!!
Also, see what diagnosis code
they used to bill.  Might have been billed as a screening and that's sometimes a no-no as far as getting things paid.  Obviously, you can't lie, but see if she had any symptoms at all that might justify the test.  
Code Runner

Anyone know what this is? 


JUMP code
I need to insert a "code" so I can jump from one place to another in document. using WORD 2002 XP. I had a macro set up for this and lost it and have tried to make another one, but when I try to do any macro Microsoft Visual Basics pops up. It will not allow me to assign anything to the keyboard...ANYONE? TIA
RU typing in code??? nm
huh????
MT or Code question
I am an experienced MT/now quality auditor---I've taken coding courses and am considering going for certification but for now it's on the back burner.  The experience I have as an MT is invaluable as a coder---if you don't know medical terminology, you will learn it in a legitimate coding course but it sure was a benefit to me in the coding course I took to have the MT background.  Coding is harder to get into than transcribing (my experience anyway) because you need to apprentice (in order to get your certification) and then usually start at a entry level even not as a coder at a low rate of pay when you are first working as a coder.  I know the earning potential is enormous as a coder though.  This is not to say all coding jobs start out this way, just what I've found.  I have a couple of friends from my class who are coding, but it is really hard and takes a lot of knowlege but I imagine would be rewarding once you get established.
You would use the code *11 for the headset
nm
I used to code in house
I wasn't cut out to be a coder, but I did fine at the coding itself.  I coded and billed radiology.  I had a problem dealing with the people end of the business - dealing with patients who called screaming that their insurance didn't pay because I didn't do "my job" right; dealing with ordering physicians who gave routinely unpayable reasons for tests and thought "radiologists make enough as it is because they don't have to see the patient's personally".  I couldn't handle being caught in the middle, and the stress wasn't worth it.  I find transcribing much less stressful because I no longer hear screaming patients or have to beg for a payable ordering diagnosis.
ESL is not code for bigotry. It is used in my SM
community of SoFla. There are ESOL classes in school and English classes for ESL adults. These are listed as ESL! There are references to ESL all over and there is nothing bigotted about it. It is not a "code" for bigotry, at least in SoFla. I don't know about the rest of the US.

I have already stated, I don't mind ESL doctors. As someone else pointed out, they know they have an accent and tend to speak very clearly.
rewind code
Pulled out my old papers: Code 1349
Enter the recall code and enter a digit for 0-6 to set.
Lanier LX-230

security code
How do you enter a security code if you don't know it?
security code for what??
x
security code
Try 7534.
Security code....
Mine is 7000. Don't know if they are all different or not.
Stop code
Thanks for the help
Each system has a different code
Each call-in system has a different code. My VDI is 36 to speed up and 34 to slow down, and 39 is louder. They can go into the system under keypad commands and tell you. Hope that helps.
what code do you put in each field so sm
you have something to jump to? I haven't ever set these up before.
here's the entire MQ article
Press Release Source: Medquist Inc.


MedQuist Announces Preliminary, Partial and Unaudited Financial Results
Friday August 19, 5:14 pm ET


MT. LAUREL, N.J., Aug. 19 /PRNewswire-FirstCall/ -- MedQuist Inc. (Pink Sheets: MEDQ - News) announced today certain preliminary, partial and unaudited financial results. Once the Company completes the financial assessment and review of its billing practices disclosed in the Company's previous filings with the SEC, the Company expects that an independent registered public accounting firm will review and/or audit the Company's financial statements, as appropriate. While, at this time, the Company cannot estimate the total costs of (i) the billing review, (ii) defense of the class action matters, (iii) the SEC investigation, and (iv) compliance with the Department of Justice investigation, all of which have been previously disclosed in either the Company's filings with the SEC or the Company's press releases, the costs incurred to date by the Company in connection with the foregoing have been included in the results set forth below. Because the completion of the billing review and resolution of the litigation and governmental investigatory matters are pending, the Company is not certain whether any changes to the accounting treatment of any component of its consolidated financial statements will be required and, if any changes are necessary, whether any such changes would have a material impact on its consolidated financial statements. Accordingly, the financial information set forth below is preliminary, unaudited, and subject to change based on the completion of the financial assessment and review of the Company's billing practices and the completion of the review and/or audit of its financial statements, as appropriate.
ADVERTISEMENT


The information set forth below is derived from the Company's internal books and records. The Company cautions investors not to place undue reliance on the information presented below. As a result of the developments described above and in the Company's previous SEC filings, the Company's financial statements have not been audited or reviewed by an independent registered accounting firm. The information contained in this press release also has not been audited or reviewed by an independent registered accounting firm. Such information is not a substitute for the information required to be reported in the Company's Forms 10-K and Forms 10-Q that have not yet been filed. There can be no assurance that the results of the billing review, and resolution of the litigation and governmental investigatory matters will not have a material adverse effect on the Company's revenue, results of operations and financial condition.



MedQuist Inc. - Preliminary and Unaudited Financial Information (in
millions)

Years Ended
12/31/2002 12/31/2003 12/31/2004

Revenue (1) $486 $490 $456

Operating income (1) 71 61 23

Cash (3) 103 162 196

Debt (3) <0.1 <0.1 <0.1



Quarters Ended
12/31/03 3/31/04 6/30/04 9/30/04 12/31/04 3/31/05 6/30/05

Revenue (2) $121 $118 $114 $113 $112 $108 $106

Operating
income (2) 13 13 7 6 (3) (2) (6)

Cash (3) 162 180 183 192 196 199 198

Debt (3) <0.1 <0.1 <0.1 <0.1 <0.1 <0.1 -

Notes:
(1) Information presented for the twelve months ended
(2) Information presented for the three months ended
(3) Information presented as of the date

Twelve months ended December 31, 2003

Revenues:
Preliminary, unaudited results indicate that the Company's revenue increased from approximately $486 million for the twelve months ended December 31, 2002 to approximately $490 million for the comparable 2003 period. The increase was largely the result of twelve months of Lanier operations being reflected in 2003 results as compared to six months of Lanier operations being reflected in 2002 results, as the acquisition of Lanier Healthcare LLC took place on July 1, 2002, largely offset by transcription service volume declines as well as declining pricing from both new and existing transcription clients.

Operating Income:

Preliminary, unaudited results indicate that operating income declined from approximately $71 million, for the twelve months ended December 31, 2002 to approximately $61 million for the comparable 2003 period. The decline in operating income is largely the result of transcription service volume and rate declines, partially offset by the result of twelve months of Lanier operations being reflected in 2003 results as compared to six months of Lanier operations being reflected in 2002 results, as the acquisition of Lanier Healthcare LLC took place on July 1, 2002.

Balance Sheet Highlights:

At December 31, 2003 the Company had $162 million in cash and cash equivalents. At December 31, 2003, the Company had less than $100 thousand in total debt. Other than minimal exercises of stock options, there were no additional issuances of capital stock or other securities for the twelve month period ended December 31, 2003.

Twelve months ended December 31, 2004

Revenues:

Preliminary, unaudited results indicate that the Company's revenue decreased from approximately $490 million for the twelve months ended December 31, 2003 to approximately $456 million for the comparable 2004 period. The decline in revenues includes the impact of decreasing transcription service volume from existing and lost clients, partially offset by new clients, as well as the impact of pricing declines attributable to a competitive pricing environment. Additionally, the Company has recognized declines in revenue from its front-end speech recognition products as it transitioned from TalkStation to SpeechQ for Radiology.

Operating Income:

Preliminary, unaudited results indicate that operating income declined from approximately $61 million, for the twelve months ended December 31, 2003 to approximately $23 million for the comparable 2004 period. The decline in operating income includes: 1) the impact of approximately $11 million in costs incurred in 2004 related to the ongoing billing investigation and associated litigation, 2) approximately $4 million in costs associated with separation and replacement of the Company's management team, including members at the executive level and 3) approximately $3 million associated with the write-off of intangible assets associated with products no longer being offered. In addition, the base business, as described above in the Revenues section, experienced a decline in transcription service volume from existing and lost clients and a decline in transcription service rates charged to customers. The impact of the revenue decline was partially offset by several cost saving initiatives including reductions in telecommunications costs, office consolidations and associated staff reductions.

Balance Sheet Highlights:

At December 31, 2004 the Company had $196 million in cash and cash equivalents. At December 31, 2004, the Company had less than $100 thousand in total debt. Other than minimal exercises of stock options, there were no additional issuances of capital stock or other securities for the twelve month period ended December 31, 2004.

Six Months ended June 30, 2005

Revenues:

Preliminary, unaudited results indicate that the Company's revenue decreased from approximately $232 million for the six months ended June 30, 2004 to approximately $213 million for the comparable 2005 period. The decline in revenues includes the impact of the result of reductions in contracted transcription service rates from existing clients, further affected by new transcription business service volume replacing lost transcription service volume at a lower average price. Management expects these pricing pressures to continue and for revenue in the second half of 2005 to decline from first half levels.

Operating Income:

Preliminary, unaudited results indicate that operating income declined from approximately $20 million for the six months ended June 30, 2004 to an operating loss of approximately $8 million for the comparable 2005 period. Operating income includes 1) approximately $16 million in costs incurred in 2005 related to the ongoing billing investigation and associated litigation, which represents an increase of approximately $11 million over similar costs incurred for the comparable time period in 2004 and 2) approximately $3 million in costs associated with separation and replacement of the Company's management team, including members at the executive level, which represents and increase of approximately $2 million over similar costs incurred for the comparable time period in 2004. In addition, the base business, as described above in the Revenues section experienced a decline in transcription service rates charged to customers. The impact of the revenue decline was partially offset by several cost saving initiatives including reductions in telecommunications costs, office consolidations and associated staff reductions. The Company continues to strive for improved profitability through service and technology enhancement initiatives, along with other cost reductions.

Three months ended June 30, 2005

Revenues:

Preliminary, unaudited results indicate that the Company's revenue decreased from approximately $114 million for the three months ended June 30, 2004 to approximately $106 million for the comparable 2005 period. The decline in revenues includes the impact of the result of reductions in contracted transcription service rates from existing clients, further affected by new transcription business service volume replacing lost transcription service volume at a lower average price. As noted above, management expects these pricing pressures to continue and for revenue in the second half of 2005 to decline from first half levels.

Operating Income:

Preliminary results indicate that operating income declined from approximately $7 million for the three months ended June 30, 2004 to an operating loss of approximately $6 million for the comparable 2005 period. Operating income includes 1) approximately $9.5 million in costs incurred in 2005 related to the ongoing billing investigation and associated litigation, which represents an increase of approximately $5.5 million over similar costs incurred for the comparable time period in 2004 and 2) $1 million in costs associated with separation and replacement of the Company's management team, including members at the executive level. In addition, the base business, as described above in the Revenues section experienced a decline in transcription service rates charged to customers. The impact of the revenue decline was partially offset by several cost saving initiatives including reductions in telecommunications costs, office consolidations and associated staff reductions. The Company continues to strive for improved profitability through service and technology enhancement initiatives, along with other cost reductions.

Balance Sheet Highlights:

At June 30, 2005, the Company had $198 million in cash and cash equivalents and no debt. There were no additional issuances of capital stock or other securities for the six month period ended June 30, 2005.

About MedQuist:

MedQuist, a member of the Philips Group of Companies, is a leading provider of electronic medical transcription, health information and document management products and services. MedQuist provides document workflow management, digital dictation, speech recognition, mobile dictation devices, Web-based transcription, electronic signature, medical coding products and outsourcing services.

Disclosure Regarding Forward-Looking Statements:

Some of the statements in this Press Release constitute "forward-looking statements" within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. These statements are not historical facts but rather are based on the Company's current expectations, estimates and projections regarding the Company's business, operations and other factors relating thereto. Words such as "may," "will," "could," "would," "should," "anticipate," "predict," "potential," "continue," "expects," "intends," "plans," "projects," "believes," "estimates" and similar expressions are used to identify these forward-looking statements. The forward-looking statements contained in this Press Release include, without limitation, statements about the Company's results of operations and financial condition. These statements are only predictions and as such are not guarantees of future performance and involve risks, uncertainties and assumptions that are difficult to predict. Forward-looking statements are based upon assumptions as to future events of the Company's future financial performance that may not prove to be accurate. Actual outcomes and results may differ materially from what is expressed or forecast in these forward-looking statements. As a result, these statements speak only as of the date they were made, and the Company undertakes no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. The Company's actual results may differ from the forward-looking statements for many reasons, including any direct or indirect impact of the matters disclosed in the Form 12b-25 filed by the Company on August 19, 2005 on the Company's operating results or financial condition; any continuation of pricing pressures and declining billing rates; difficulties relating to the implementation of management changes throughout the Company; and the outcome of pending and future legal and regulatory proceedings and investigations.




--------------------------------------------------------------------------------
Source: MedQuist Inc.
Even when they deduct your entire (sm)
report if you make one error that QA doesn't catch and the hospital does?

Seems to me like QA should get dinged, not the MT.

TRS is your typical admin-heavy, treat the MT like a number company, made more offensive by their assumption that everyone in America is "Christian" and will adore prayer requests and other off-topic crap on the company email.


I think this entire season is going to be -
while he is in the hospital and how the business continues without him.  We won't know if he makes it until the last episode.  Gotta feelin' he won't.  The show will die with him.  - 
been this way my entire life ....N/M