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When account specifics does not cover

Posted By: nm on 2007-02-11
In Reply to: Date question - I should know this...

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 :))




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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.
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.
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.
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.
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.
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?
No extra pay here either- IC gotta cover my client's account.
x
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.
AccuSTAT in Wisconsin is hiring for an ER account. See the Job Bank for specifics. IC position. NM
xx
lines produced also depends on type of account, doctors, specifics, platforms.
nm
All Chris did was cover the band Live's cover of the song. He
didn't do anything special.
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?
It is about more cover up
There isn't one thing liberal about it.  It is about, as noted, covering it, glossing right by it .. better than the rest of us .. rules don't count .. do what you want .. you run the show attitude that these idiots have adopted in their bid to right wing the world and do what they want.  Does Dick Cheney really need to be out shooting birds???  My God, he actually makes George look like the smart one now!!  Scares me too death to know these fools are in the woods playing with guns.
Just have to cover yourself

I have an account that asks that I  not use subcontractors but for vacation it is okay and I know if I had a two week illness or something they would be okay with it but for everday use, they don't want anyone but me.  But again, I only work with verbal contracts and I know that means I could be let go at any time but so could they.  I have asked my accounts every year for the past seven to ten years if they want a contract and they say no need for it.  So we just keep on plugging along with each other. 


Most likely will not cover
Unless they are considered a "dependent" and living with your or their main residence is with you when not attending college, they will not cover.  Once they reach the age of 18, they must be attending college/school full-time and you have t have a form filled out by the school.  Sorry. 
specifics have not been announced yet.
x
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!
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?

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.

What is the difference between an acute care account and a multispecialty account??..nm
nm
ps CTA meaning to cover their a**.
x
Is this the same as Sheer Cover?
and wondered if it was any good; it's less expensive than Bare Minerals, I think. It seemed that in the infomercials, they applied a lot of concealer beforehand, so I was wondering what the difference was from using liquid makeup and then powder to set. ?
I use Sheer Cover . .
They let me order only two times a year. They also break the payments into two payments. I was going to cancel, and they said I could get the kit without the face wash and moisturizer, so it's a pretty good deal. I like it very much.
You can cover dependents (but I think it's SM
pretty pricey) and office copays are $20. 
WC does not cover CPS any longer. They sm
have determined that it is not caused by typing. Can you believe that?????
Take the cover off the litterbox.
/
Cover letter
I am a professional resume writer, as well as an MT for some years now. It is advisable to send a cover letter with the resume as it shows you have an interest in the company and it is a means of introducing yourself. If I can be of further help, please e-mail me.
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.
thanks for the tip, but as stated, our specifics say double. nm
;
So, if I hire someone to cover a specific
eight-hour period and she decides she wants to stop after six hours and spend the last two hours of her shift making dinner, how is the work that comes in during those two hours supposed to get done? Or does that not matter in your world? I have contractual TAT to meet, and I determine schedules on that basis, not on someone's dinner plans. If an employee of mine agrees to cover a specific period of time but fails to do so for something other than a legitimate emergency (and the OP was clearly already making plans not to work the full eight hours of her shift), then that employee is fired. I can do that. I have done that. I don't care how much work gets done in the first six hours. If someone has a specific eight-hour shift, it's because there is work to be done during all eight hours. Leaving the last two hours of work undone on a whim could put me out of business. I will not allow some little princess to do that to me.
A good of thumb is 30%, that should cover everything.
x
Well, I read in the cover story of the TV...sm

I read in the TV book a story about this season of the Sopranos and they did say Tony does get knocked off....but Uncle Jr is the only one in the house, completely flipped out, and Carmela is out and about but about to get in her new car and drive home.  I'm thinking that Tony dies and she has got that new car and perhaps the police will think she had motive to kill him........ohno....


Uncle Jr is totally *out to lunch* at the moment in my opinion. 


Thanks for the optimism though!!! 


be sure your insurance will cover surgery AFTER sm
he's going to lose so much weight the skin will be hanging and a lot of insurance companies will not pay for "cosmetic" procedures like tummy tucks, etc. to get rid of the excess skin. Just be aware. Good luck!!
question about cover letters
If the job ad says send your resume, do you send a cover letter also?
I've never had a problem switching from account to account.
The problem I had was being switched too soon. If I don't get one account spec solidly in my memory with QA feedback on mistakes before starting another, I get confused. The other problem I had with former jobs was inconsistent QA. One person tells you one thing, another person tells you another.

Lately, I don't have a problem with it. Right now, my binder has 8 account specs (some I've never had to use) and I'm picking up a new weekend job for a while. The terminology and report formats stay basically the same. It's just all those little preferences. LOL
OK, I'll post specifics, even if they see it. I don't care any more.
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.
The disney tickets cover 4 parks so you are not set in where you go- sm
They cover Disney, Epcot, Animal Kingdom and MGM-Studios. With a park hopper pass you can bounce between all 4 Disney parks in 1 day and it only counts as 1 day/ticket. Without the hopper option you can only go to 1 park that day, of course these are a little cheaper. Check out the Disney web site, it will explain all the ticket options so you know what to ask for when you do get your tickets. Universal is separate, is 2 parks in one basically, one side is more kid oriented than the other. Sea World is separate too, they have a few rides there now too.
homeowners ins doesn't cover this? *curious*

I have an HMO for Small Business Owners.  I also have homeowner's insurance and I have my computers fully stealthed (per HIPAA laws) so no crackers/hackers can gain access.  Actually I have many programs protecting all this medical record stuff.  But I thought homeowner's covered the professional liability insurance when we own our homes and work from home (?)


Oh well, I am sure that Florida will be one of the last states to change over for MTs.  *lol* - perhaps by then, I'll be out of the business/retired/permanent vacation...isn't THAT wishful thinking now?!...HAHAHAHA