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OK, I'll post specifics, even if they see it. I don't care any more.

Posted By: disillusioned MT on 2005-11-09
In Reply to: what are you finding specifically wrong with this company - nosey1

Low work volume so shuffled from account to account with different specs in a short period of time. I used to complain about one former job putting me on three accounts in less than three weeks. Try three accounts in one week. Time-consuming setup of patient demographic information. Zero QA feedback, nothing, nada, zilcho. I don't know if I'm doing anything right or not. Ranting emails sent to everyone about "we're going to lose the account" unless you do this or that.


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Why was my post deleted when I gave specifics and mentioned no names?
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Well, I don't care and I'll take him anyway. sm
Really, I don't think he's gay... I don't get that feeling at all. And I don't really think he's probably all that old. But either way, I'll take him. He seems like a genuinely nice guy -- and believe me, that's hard to find. I've been through some really doozies and my latest guy really put me through the ringer. So RadGuy -- I'm yours.
Don't care at all since the Cards lost, but I'll root for the White Sox.
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My last post!!! To all of you MTs who are so against day care. SM

You can bash day care all you want, but I have to say that unless you are with your kids at home not having to work, but giving them one-on-one attention, you are not being fair to your child either.  I think day care is a lesser of the two evils.  You are allowing your child a learning experience.  My kids are not being "raised" by the people at day care.  But they are picking up valuable experience and learning essential social skills.  I think this is better than watching their mommy work all day and being left by themselves to play.  You cannot honestly say that you do not neglect your children while you are at all working all day FT.


PT is a different story.  I guess it is possible to work around their schedule and I believe an hour or two a day of keeping them occupied on their own is fine. 


My kids have made such great friends at day care and they think of day care as a horrible place.  They think of it as a place where they can play with their friends while their mommy gets her work done.  Of course, my kids are only in day care for the time it takes me to finish my work and I wake up very early to get half of it done, so I can spend more time with them.


But I am more comfortable knowing that they are at a place where they are interacting with other people and having fun, rather than home with me working, not able to give them the attention that they need.


I also have to say this.  I was never in day care.  My mom didnt have to work.  I was very shy and never was I forced to come out of my shell.  I had to repeat Kindergarten because I was not ready for it.  I struggled through school because I was shy and I hated the interaction.  I hated being called on for a question.  I hated having to do oral reports.  Even to this day, I hate having to work in an office with all the office politics, which is probably why I was so interested in working from home.


I can see that my oldest daughter is shy and I could imagine that we would struggle the same way through school as I did.  But now that she is in daycare, although it took some time, she is very friendly and interacts with everyone great.  She starts Kindergarten this September and I am not even worried because I know she is going to do so incredibly well.  She is definitely ready.  As I said her day care is more of a school setting.  They learn a lot there!!!!  If she didnt have this experience I dont think she would have even been accepted into kindergarten this year.


That is what I said if you'll read my below post.
/
Great ... I hope you'll post and let us know how you like it! :-) nm

Its so amazing to me to read your huge post defending day care!
All the positives you post are "family", "family", "family". Its just like family, everyone is so close its just like family, etc. EXACTLY - its your kids real family, cause that's who they are with for the most part, that's who they are BONDING with. The day care is THEIR FAMILY, and you could be the family.  The only family, cause you apparently work at home! You just don't get it! So, you put them in day care, and feel so relieved because its a "good" day care, cause its JUST LIKE FAMILY!!  Its so ironic that you can't see the travesty of your own words.  Well, at least their DAY CARE family wants them:  1. the adults sure do, cause you're paying them $$ to be "family", and 2. the peer group (other kids) sure want them, cause their "real" family has stuck them in day care, too!!  I just so wish that some of you would realize the logic of NOT sticking your kids in day care when you COULD have them home with you. Its so sad.
Post ads on MT Chat. Also, you can send a request to M-TEC & they'll
get word out to all their grads that you're looking for help.
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
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ask her specifics; she needs to tell you
if she asked you when you were getting DSL, it indicates she wants you to produce more lines, sounds like. Many of us employees of transcription companies pay our own DSL. Check with inhouse MTs. Maybe they are producing more.
Specifics
Sorry - I forgot to mention I have the PostureFit Aeron chair by Herman Miller.  I checked out E-bay and took a couple of months to bid on a few until I could get one for the lowest price possible - which at the time was about $500.  I know it's pricey, and at first I was disappointed because I thought I paid too much (I have to admit I'm cheap), but now I believe it was worth it.  I'm just glad I didn't get rid of it right away without using it for a while!  Hope you find one that works for you!
Any specifics on how to do that?
Any way to re-learn to listen ahead? It all comes so automatic (the way I do it now). Also, it seems like I would have to slow the recording down too.
Specifics, please....
Do you use a lot of self-made normals? I've been lucky this week and have gotten a lot of ops. I managed to post 221 LPH my last shift worked, but I also got the you-know-what scared out of me awhile back (vicariously) when my CCM called a conference call to explain that using cut-and-paste Expanders from specific dictators previously dictated reports was not allowed, so I've never done that. In fact, the thought hadn't occurred to me to try that until the conference call, LOL! (Amazing what ideas you get from somebody ELSE getting in trouble....)

Anyway, I'm pretty fast at ops, and consider them my favorite work-type, but even on a complete night of them on a primary account, 221 LPH was the result.

Suggestions?
specifics have not been announced yet.
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You need to give more specifics for any really
helpful answers. Are you an IC? Is it a private client and some unknown person is changing your reports? Do you work inhouse and have some other processing of your reports? Do you work for a national, and think QA is altering your reports? I know lots of MTs accuse QA of removing sentences, etc., when, in reality, the MTs never heard what they thought they heard to start with! One error in mid sentence and then 3 sentences incorrect! QA often has to go in and retype sections, while the MT accuses QA of being lazy or some other such charge. Can't really think of why someone would want to change your reports - are you thinking you are being set up or something? Please provide more details if you need more help!
Don't know specifics about account.
The setup and all that is exactly what I am clueless about. I know nothing about what type of service physician would want yet, but he mentioned to my husband that he might be interested in getting me to do work for him or may try to get me on at hospital he primarily works in. He asked my husband what I charged and my husband told him he wasn't sure. The physician automatically said "15 to 20 cents a line". That is more than I am making now and is very tempting.
How come you provide no specifics?
Too busy to spend a few minutes typing information that would benefit other people, when obviously you benefit from this bulletin board by reading it and even responding? This website is criticized by people for being overly negative and when people make such harsh comments without having anything to base it on, it makes the poster look suspicious. If you have any facts (or even impressions) to support your claim, please give them. If you don't, why make such strong statements?

Our account specifics say
We have recently been told to type the patient's name if doctor dictates it in the report. I also thought that was against HIPPA.
Want specifics from posters
Let me clarify: I wanted to hear specifics from the experiences of those MTSOs that participate posting on this site.
I would do what you think looks the best if you're not given any specifics.
They will certainly tell you to make a change if they don't like it. In this case, no news is good news.
link to AMT specifics
http://dontmesswithtaxes.typepad.com/dont_mess_with_taxes/2007/12/tax-season-on-s.html
Are there no "account specifics" in QA?-
First let me say this is not my being "sensitive" to having mistakes pointed out, if I make a mistake I want to know so I do not make it again. BUT, it is absolutely so frustrating when the QA people are not consistent with each other and make corrections on their personal preferences. For example, one tells you you made a mistake by formating this way, you change it, someone else QAs it and they say its wrong and to do it another way! You question this and are told to follow the account specifics, which is what you did to start with! I am truly curious to know if the QA people are brought together and given the same account specifics the MTs are. Honestly, from what I am seeing it is a "to each his/her own" and they are free to make whatever corrections they deem necessary and are given the freedom to change things we were told not to, then we get ganked for it! It also varies greatly between the day shift QAs and the night shift QAs. I have come across a few wonderful QAs in my time who were great and from who you could learn a lot. Unfortunately, there have only been a few.
If you are not given specifics for your test...sm
just type it as you learned it in school!

HISTORY OF PRESENT ILLNESS:

is right as you typed it, it is usually capitalized and always followed by a colon :

And it is

p.r.n.

The newest form is to type 'at bedtime', as h.s. is a dangerous abbreviation.

True. Specifics, especially "different" ones
I have an account whose specifics break just about every style rule known to MT. Had they waited to break all this to me in hard copy after transcribing it the "right" way, I would be seriously confused.
I could see if she posted account specifics, etc., BUT
I definitely don't see the big deal about saying what hospital you will type on. Some people are way too sensitive and look for something to complain about, but that's just my personal opinion.
thanks for the tip, but as stated, our specifics say double. nm
;
When account specifics does not cover

I usually refer to BOS and it states to add the year if not stated -  if you are sure of the year.  Also - interestingly enough - it says if you are doing long dictation and doc says labs done on April 4, 2006 are.........and then says additonal labs 4/5.... okay to used slashed date - this is on page 121 of BOS edition 2 if you are interested.   That being said don't think you would be WRONG to leave off the year if it is verbatim account :))


do you follow an Account Specifics?
nm
I would read the specifics on that account and do it that way. sm
Sometimes QA gets things backwards, doesn't understand the rules, etc. Make sure you're doing it the way the account wants and ignore incorrect feedback.

If your account specifics don't address it, get a definitive answer from the account manager.

Once you get that definitive answer, it might be wise to have the account manager inform QA of the correct format.
It also depends on your account specifics too...
if it is verbatim, you type what they say...
I think that would just be preferential or maybe account specifics for the doc. sm
I think you are asking whether the "before" or "after" makes a difference. Not that I know of at all, I think it is all preferential in the way they are dictating unless his clinic/hospital requests it that way. The code is the code and is used for billing, makes no difference where in the diagnoses it is other than in order like primary diagnosis, secondary diagnosis, etc. Makes is so much easier on the coders when they give codes rather than second guessing them as some can be very confusing.
whatever the account specifics are, is how you to have type it...
regardless of whether or not you agree with it...just how some companies/accounts are...
and it is our responsibility to know the account specifics...
nm
Your account specifics or the client should tell you which they prefer....
otherwise, I would use 2 spaces as that is the way it is normally done. I believe the AAMT recently has stated that only 1 space should be used, but I don't put a lot of stock in their rules. I go by what my client wants and account specifics.
Kinship care versus foster care/adoption
Having been placed in a position where I now have custody of my 3 YO granddaughter and going through the legal system, I sought an online network of relative caregivers for children. I would encourage you, especially since you are in Georgia, that if you take any children into foster care with the idea of adopting them, there is federal law that requires the state to take certain actions in a specific time frame. When a child is removed from it's bio parent(s), the state is required to investigate any possible relatives who can take the child before foster care is considered, but even before that, reunification with the parents is the priority. Once a child enters the system and is in the system for 15 out of any 22 months, the state is required to find permanent placement for the child.

The problem with this is that there are case workers who may favor a foster family and do not seek out relative care. I have a good friend in Georgia who had to fight all the way to the state level to get custody of her grandson after the child was placed from the hospital into a foster care home with the promise that the foster parents would be allowed to adopt. She has now adopted her grandson, but it was a long, hard battle to get the state to admit their own interests were placed above those of the child and/or family.

If you get a child placed through the state, please make certain there is not a relative who wants that child before you get your hopes up. The courts are now favoring return of children to relatives even after a child has spent years with a foster family who hoped to adopt them.

States get bonus federal funds by complying with the time lines and being able to close the case, so some states place children in foster care because it is easier than trying to locate relatives.

Didn't mean to go off on a tangent, but I can't imagine my sweet bella going to someone outside her family.
crock pot. seach for recipe on google for specifics.
i'm not even thining about dinner.
Get some index card to write acct specifics on,

/


My account specifics require it typed out, so I can't really comment
I have been on accounts that did not require it. Unfortunately, you have to follow account specifics. I had all abbreviations in my Expander to type the full word or phrase because the account I worked on previously did not allow ANY abbreviations anywhere in the report. Needless to say, anytime you switch accounts, you likely have to adjust your expanders.
do you have Accounts Specifics written instructions to follow?
nm
My account specifics state 2 spaces after a period, but when I get ASR..
it spits the report out with only 1 space after each period. I understand they are paying me less by making that minor adjustment, but is it worth my time to go put the extra space in. I would get paid for the spaces then. This will take extra time, obviously, but wondering if I would get thru the report quicker and make more money in the long run? Any suggestions?
My ASR accounts do 1 space after the periods, though the acct specifics want 2 spaces. sm
So does the company set up the VR specifics to include 1 space after the periods so they can pay just a little less? Does anyone take the time to put the extra spaces in, or do you just try to whip through the report just to keep going! Do the spaces after punctuation really amount to big difference in my pay? Just curious as to how all of you handle this situation. Let me know!
But my account specifics wants 2 spaces which takes precedence over BOS doesn't it? sm
So when I type on that account I put 2 spaces, and when I do ASR there is only 1. Maybe I am too detailed oriented, and I have to let the small things go. Been doing this 30 years, so I am stuck in my ways, I guess.
If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies.  It goes on and on and it means and acute care hospital setting, not a clinic.
It'll be the most expensive magazine subscription you'll ever get! No point in joining. nm
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AccuSTAT in Wisconsin is hiring for an ER account. See the Job Bank for specifics. IC position. NM
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I'll go! I'll go!! I won't take hormones and will be ready to defend your honor :) n/m
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No. It'll be the most expensive magazine subscription you'll ever get, and it's unnecessary
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lines produced also depends on type of account, doctors, specifics, platforms.
nm
You'll get used to it. It is keeping the right leg propped up at the same time that'll be the
When I broke my ankle, I was just grateful it wasn't the hands. Without our hands we'd be totally screwed.

I broke my right ankle slipping on ice and was lucky to have gloves on because the palm of the glove was totally torn up and my hand was okay.

Good luck and be sure to do your exercises when it is time.
I always figure if they don't care about their dictation, they probably don't care about their
nm