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Serving Over 20,000 US Medical Transcriptionists

Joint Commision and AAMT. Who made them gods? Do they

Posted By: make laws? No one asked me to vote for them. nm on 2008-04-05
In Reply to: RE: cc or mL - klownmom

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isn't the forbidden words from joint commision of hospitals, not BOS? nm
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They (AAMT) made the rules for years until the internet
and those of us who had been isolated in the past got to know each other on line.  We started to discuss this and other issues, and figured out that AAMT is a bunch of bottom feeding scheisters ripping us off while enjoying themselves in Hawaii at their "convention" most likely being paid for at least in part by the dues, fees, and other drummed up charges for useless crap they've gotten out of us before we figured out what a huge money-grubbing hoax their "organization" is.
because they are of the Gods and thus smarter than you, and
have no clue they are hit and run liabilities...

There should be a required medical/legal, in's and out's class on dictation....something more than 'push this button and talk.'

My dream is to have them transcribe each other, but only if I can watch.

She is telling the Gods truth! You all sm
have thrown stones at me for telling you the same thing or worded differently. It is the School of Hard Knocks! I don't understand why you don't believe this. Obviously your way isnt working.

There are many of us who have been doing this for 30 years or more who are in the same boat and not worrying.

That being said, I do feel for the ones who have been in school and worked for companies like MQ right out of school and don't have any more experience. The only way to do it is start over and go into a facility somewhere and work. I know there are not many facilities out there doing inhouse and with the overabundance of so-called MTs now it won't be easy, BUT it is the gospel truth what she is saying.

Besides, think about it, your way isn't working either!
joint/join
Ummmm - that was join, not joint.
Joint tenderness is another possibility.
dd
I sent an email to Joint Commission
I don't know why they don't crack down on these docs-- especially these horrible foreigners. I am an MT, not an interpreter for the UN. If I wanted that job, I would move to New York. What it is going to take is some horrendous lawsuit and I hope it happens soon. If these people can't speak English clearly enough to be understood, then they need to have someone dictate for them who can-- plain and simple.
Joint Commission is the entity that provides
accrediation to hospitals. Without them they do not get Medicare payments, Medicaid payments, etc.
Actually, the BOS follows the Joint Commission not vice versa. The BOS...
adopted the Joint Commissions recommendations for dangerous abbreviations.  As for the rest of the BOS, I've worked for a number of hospitals in the office over the years and not one manager that I have encountered don't give a hoot about the BOS.
Does NE1 have severe joint pain while working?

I have been working as an MT for only 4 years, and I am only 23 years old, but lately I have had severe finger, wrist, elbow, shoulder, and neck joint pains, especially when working.  I am just wondering if this is normal. 


Thanks for the help. 


Joint Pain in Arms/Hands/Shoulders
I am just going to relate this story for what it is worth to someone else.

In 2001 I began having problems with my left hand, arm and shoulder. Orthopedist thought it may be the beginnings of carpal tunnel but EMG was neg. It was bad enuf that at times I couldn't pick stuff up and it hurt to type. It waned and waxed. A few years later I began having problems with my hands and the joints in my fingers hurting, along with left shoulder pain. My hands were so bad I could not open a jar at times. Eventually I went to a rheumatologist who told me that I had no visible signs of severe arthritis. All MDs, incl. orthopedist and rheumatologist recommended trying Celebrex, aspirin, etc. The regular stuff. I was resigned to early arthritis like my mother.

Well, one day in late 2004/early 2005 I decide to see a chiropractor for my shoulder because I'd had electro therapy for an injury years ago and thought maybe this would help. I had some adjustments and electro therapy on my shoulder.

I want to tell you -- ALL and EVERY pain in my fingers left and never came back. ALL and EVERY pain running from shoulder to hand stopped. It had to have been some sort of pinched nerve.

Not a single MD had even suggested seeing a chiropractor. And had it not been for my shoulder and my past experience, I never would have thought of it and would still be suffering, possibly with even further damage to the nerve by now.
Yes it is, and we do file a joint return BUT you can offset your income - sm
on the schedule C with your expenses (mine are ~$2K) and lower the amount you pay taxes on. This is in addition to your Sch. A/B or the standard deduction.
That is interesting. The hospital I work goes by the joint commission
and not so much the AAMT BOS but the commission that gives the governs the hospital.  The doctors are not allowed to write q. as an abbreviation when writing orders and must write out word "every" or they are called on it.  The transcriptionists have to follow that rule also.  This is a major teaching hospital.  I think the AAMT follows the joint commission also when they makes their rules.  But I also understand that you do what the client wants first and if they do not answer to the Joint Commission rules then the other form would be the correct way to go.
The Joint Commission's Dangerous Abbreviation List... SM

applies to written entries on a patient's chart, i.e. nurses' notes, doctor's orders, etc.  For some insane reason, someone somewhere decided to apply it to transcription as well which is just silly.  I work for a facility that has decided not to force transcription to strictly adhere to the dangerous abbreviation list and Joint Commission has not counted it against them in the last three audits.


I will say most MTs where I work do not use qhs, qac or qd.  We expand those out because WE (the transcription department) decided that we should for clarification purposes. 


Hunter Hayes and Hank Williams, Jr. rocked the joint!
Love music....every form....I've sung just about all of them including Mozart!  Music is an international language. It's always been such a great release from life's daily stressors.    Cat 
Joint commission is the accrediting body for hospitals to receive reimbursement. They want it to be
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If Joint Commission audits and finds "patient care" errors it can result in very...
...serious fines and repercussions. 
i made $15/hr before and didn't stay long because i made so much more on production. sm
that was with full benes too. i wouldn't do it for less than $20, but i think even with $20, i'd want benes. are you in-house?
Oh, someone benefits from AAMT - AAMT DOES!
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I don't know how it made such a small diff in your invoice... made a $100 diff in mine! (sm)

If it were only adding up to three bucks, I wouldn't sweat it. $100? Yeah, that's baseball registration for my son for this year. I am not giving tabs, returns, etc. away free when it adds up to that much difference!  Why should I charge less for a Return than I would for a"K"?


 


 


AAMT BOS
Well hey, spelling a lot as one word is commonplace too; does that make it okay?? Do they really think MDs keep up with all the illogical changes they come up with? Do they realize that MDs actually take the time to edit stuff they don't recognize to be correct? What good is it if it actually causes MDs to stop and edit??

AAMT
It's just too bad that AAMT has not taken an assertive stand for the American MT and keeping confidential patient records in this country. For such a long time medical record administrators have fought the concerns of medical transcriptionists since the 60's. There was always a divisive agenda from medical record librarians (as they were called then) toward the transcriptionist. They didn't want to see the Transcriptionist come to the forefront of the medical records industry, nor did they like the income transcriptionists made(then) -WHAT? a transcriptionist make more money than a medical records librarian? I still see it now - you see AHIMA's hand down the back zipper of AAMT puppeting what direction they want AAMT to go - minimize the importance of the professional medical transcriptionist and rushing to automate the medical record with ASR and EMR. Ask youself this question - how many of you believe that many of the "QA" people at the nationals are discarded or displaced medical record technicians or the like? Many of the medical record administrators lost their jobs about 10 years ago during hefty layoffs when hospitals began a surge of outsourcing and many of these people had to seek jobs in the transcription industry for national companies as sales people, administrators, and QA people. I can't begin to tell you how many RHIT people haven't a clue about medical transcription. I've worked with so many who got a lot of things wrong legally but hey, because they were above the transcription department, they were right. Don't question them.
AAMT
Have to afford those trips to Hawaii somehow.
AAMT
I know.  It is so strange.  I was just on the AAMT forum.  I know if I start making "waves" I'll be considered a troublemaker.   It is really said what is happening in that organization when it could provide such a boost.
AAMT
That is how I have been feeling.  A friend of mine says I need to run, but I'm afraid of how it would be handled. -
AAMT
Thanks so much.  You are right.  I will contact this gentleman.
well, according to the AAMT BOS...sm
"Always place periods inside quotation marks."  <<< see, like I did!
Ah, yes. The AAMT.
Medware offshores. They don't pay well, either. I see by your other post that you won't work for acusisindia, what's the difference? Offshoring is offshoring.

AAMT = Against American Medical Transcriptionists
AAMT
I don't think you read my message clearly.  There are many options to AAMT, not just one.  AAMT is pushing for licensure as it is.  That will do just as much harm as anything else in the end.
AAMT
AAMT is nothing but a poor parody of a high school sorority. It touts itself as being a professional organization. It is neither professional nor organized and needs to go the way ot the dinosaur and die.
AAMT
What I blame AAMT for is for touting themselves as a "professional organization" when they are neither professional nor organized.
AAMT/BOS??
I hear the rules are always changing in the AAMT/BOS.

And you have to admit, it doesn't really matter what the AAMT/BOS says, it's what the doctor prefers, right or wrong.
According to AAMT BOS, you do put
an apostrophe to form the plural of single letters and symbols. The values will vary from patient to patient.
AAMT
AAMT is totally useless; everyone knows that. They're a bunch of aging prima donnas. You would do better to invest your money in a good basic grammar book than anything AAMT has to offer.
Jim
Where is AAMT
They're too busy deciding who is white enough and straight enough to belong to give attention to relevant issues. I abandoned them in the 90s when I saw first-hand what their agenda was. It isn't to help the average Joe or Jane Transcriptionist, believe me.
AAMT
AAMT is a dinosaur.
AAMT BOS
Yes, and dangerous abbreviations list instructs cc should be replaced with mL as well. I agree a lot of it is silly, but there is some useful information. Some doctors appreciate it, other doctors want verbatim always and don't care for it.
AAMT
I will conveniently stay anonymous, but I completely agree with you. I cannot afford the membership dues. My former employer is sponsoring a discounted membership with AAMT for MTs who want to join. I think this board is invaluable and agree it probably does have a lot better information. I know of other MTs who used to be AAMT members who could no longer afford the membership and dropped it. Besides, I think you can visit their website and obtain info that way. I bet the book you purchased is a good resource as well.
AAMT
AAMT does not only support offshoring, I believe they are responsible for it. Apparently, you don't know that they offer their CMT test and credentials to MTs in India? Nothing very "American" about that.

Also, you will find that most AAMT officers are from MTSOs that offshore work. If you dig deeper, you will find that these MTSOs were pioneers in offshoring work. I belonged years ago, but then I decided they were just a bunch of egomaniacs out for their own glorification.

I can't see that they have done anything positive for the MT business. I think it's gone downhill since AAMT came into the picture.
Like she said, AAMT...
Yes, the AAMT website has a great instruction guide for setting up and maintaining a QA department.  It is the QA Primer 2004.  I used it to establish a QA department for one of the medium transcription companies and they love it. 
Can one sit for the AAMT's CMT
x
AAMT

If the AAMT gets their way and gets an apprenticeship program apprvoved, MTs are sunk.  Students will come out of the top 3 schools ready to work, but will have to work for lower line rates as apprentices.  So who do you think the MTSOs will hire? 


 


The AAMT has applied to the Department of Labor to get this scheme going.  We are sunk unless we oppose it and state that the AAMT does not represent the majority of MTs.  The group that wants to represent us is sending us right down the tubes.  We have to stop them before they go any further with this scheme. 


Did the AAMT ever ask MTs
whether THEY wanted this apprenticeship program? The AAMT wants to pretend it represents MTs. If you want to represent someone, you take the time to do the groundwork to find out what the people in the industry want. You don't sit down and come up with a deal and send it to the Dept. of Labor, letting the Dept. of Labor think that this is what the majority of MTs want, and THEN try to sell it to those who make up the working body.

That is NOT the way to attract support. This is why the AAMT is accused of being elitist. The AAMT does not use the boards to poll working MTs. It tells MTs what they SHOULD want, SHOULD do, SHOULD think.

Ask first, then act. Don't try to sell us some scheme after it's all put together, and don't try to fob it off as something the majority wants. That is dishonest.
That turns the majority of MTs against the AAMT.

When we are making the same wages as the MTS who live in other countries, maybe the AAMT will wake up and feel a little bit of guilt about their part in taking us down.




Thank AAMT for this. nm
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AAMT now just AMT?

This is in reference to their now teaching overseas to outsource our work:


 


I myself do NOT feel comfortable having my information sent overseas, including my name, DOB, and often SSN listed in the demographics screen of each note. I have heard stories of prosecution (or lack there of) by identity theft from people in other countries. Maybe Americans should start boycotting or protesting the healthcare industries that outsource overseas!!!!!!!!!!!!


 



Re: AAMT BOS, etc.
Thanks for your honest, non-rosy answer about switching from in-house to at-home. We have actually been gradually switching over to a more rigid adherenct to the BOS, but it's been a hard sell for lots of the older docs, who want it their way or no way at all. And some of us older MTs aren't too thrilled with lots of the idiotic, picky-picky stuff the BOS throws at us. So far we've reached a compromise, where we MOSTLY adhere to it, but other things we do the doctors' way to keep them happy. I would have a hard time with with verbatim, because one of our ways IS to do SLIGHT changes in grammar for some of the ESL docs. But they can be only very minor, and the rule of thumb is when in doubt, don't do it. For the most part I sort of like the ESL guys better, because at least they try harder to be understood than many of our English-speakers.

I found your answer very forthright and valuable, and will definitely add it to my "cons" list! :)
AAMT
Throwing good money after bad, and sending our work to India.
AAMT
What a waste. You can get all of that free off the internet. Those CEC's you are talking about are worthless and not transferrable.
AAMT

Is it still the rule with AAMT to spell out WHOLE numbers zero through nine, use numerals for 10 and above or did they change this with the 2nd ed.


Also what is the standard font and size used nationally.


Thanks - Sandra


According to AAMT BOS 2 sm

"With proper nounds, capitalized words, numbers, and abbreviations use a hyphen to join a prefix to a proper name, capitalized word, number or abbreviation, i.e.:


non-CMTs


non-Hodgkin-type lymphoma


 


AAMT
What is the AAMT guidelines for position of the discharge diagnosis. I have docs who dictate at the beginning of the script and some who dictate it at the end.