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Why? Why should we review every single report and in its entirety? SM

Posted By: Busy MT'ing on 2005-07-17
In Reply to: But perhaps you should! Eye are not perfect! (as above) - MT

The QA bar has been set at 98% by both of my employers. I BEAT, not just make but BEAT, that QA rate every single time.

I've good a great balance between speed and quality.

If you want to take your time to do that with every report, that's great for you! Your choice.

I guarantee you that even if you score 100% on your QA'd reports, because you are not being QA'd on every single report, you're still making mistakes somewhere. So, the line has been drawn in the form of the level of QA expected.



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    Do you listen to every report twice, to review it,
    x
    Are you talking about full QA where you send every report for review?
    If you are not a newbie and are full time, then it does not seem fishy at all. If you can't figure out the platform and account specs in 3 days' time...

    If you are new and will require mentoring, then that may be different depending on the quality of education you received.
    I agree. Eyes are always scanning, but never review enitre report.
    zz
    You do not need the 1099. You just need to report the income. Report the company/person ...sm
    to the IRS for not sending out the 1099. 
    REVIEW

    I think it should depend upon your experience and possibly the difficulty of the dictation.  I have been working at the same place for a VERY long time, so I rarely have to listen to dictation twice.  However, I have found that if I am doing a difficult doctor or cannot understand something, I will mark the spot, so that at the end of the report, I can go back and maybe after finishing the rest of the report, I may hear that portion now!  Miraculously, sometimes if I go back, I have familiarized myself with that doctor's dictation and TA-DA, I get it!


    If you were a newbie, and were maybe in training, etc., I think it could be a great idea.  It just seems sometimes that between trying to obtain a reasonable production, it is just impossible to listen to every single report twice!  Hope I helped!


     


     


     


    here's a review
    -- i don't have the actual
    experience.

    http://reviews.cnet.com/headphones/sony-mdr-nc7-headphones/4505-7877_7-33352178.html
    what is their points review
    doesn't sound like its in our favor, is it part of the new mt/me rewards plan??
    Hospital is probably up for review by....sm
    JCAHO. If the charts are incomplete, then they could face penalties. Or, perhaps they already have gone through an audit and were found lacking.
    to "me", you should further review
    because there are MANY negatives posts still on this Main Board. Just look at posts where "Kikki" had anything to add to the mix. LOL. The OP is correct in his/her assessment.
    Go for it! Good for you! I am in the review
    stage of my CMT exam and plan to take it ASAP as well. No discounts here, either, but I really want to earn this! I think its a great thing to strive for, and so do lots of companies, despite the naysayers!!
    Review guide...sm
    It was my experience that the dictation portion was exceedingly easy, not nearly like the "snippets" on the CD that comes with the book.  Pay more attention to the rest of the book. 
    Does anyone know? I am using the CMT Review Guide...
    to study for the CMT exam.  There are practice tests on the CD.  What is considered a passing grade for the CMT?  I can't find this info anywhere online, or in the guide.  Thanks!
    performance review
    How do you find the performance review going.  Are yout satisfied with the way the QA people are checking your reports?  I will get a correction from one and another QA will let it stay the way I typed it.  One MT said that most of her reports were OP notes and the doctors say mostly the same thing over and over, so she made templates and she just has to punch in a few strokes and the OP note is done.  How can you do this when the QA people are checking it word for word.  I cannot set up any templates because a few words may be changed.   Just curious.  . 
    I charge the same amount for a "normal" report as for any other report.
    You still have to listen to the dictation and change anything that's different.  I had one woman try to pull this on me.  She'd dictate, "Just pull up my normal, but change this, change that, switch that around, move that, add this, delete that, and change the other."  Then she'd only want to pay me what equated to $.03 per line.  She wanted 1:1 on her dictation to transcription ratios.  I told her to take her cheap account down the road because I'm worth more than that.
    What are some good review books?

    Hi everyone,


    I have a question that I hope you can help me with. In short, I graduated in 1997 from college with a certificate in medical transcription. (I took a 1 year program) Even though I never worked in transcription, I have recently been offered a chance to work and do transcription from home. I was required to take a test and actually made 88% on it with no review at all. I needed to make a 90% though and am wanting to find a way to review and boost my score. I was wondering if any of you could give me the name of a good book or program that might help me out. I have seen one book called "The Do's and Don't's of Medical Transcription" but would like to have some opinions on it and other books out there. I would appreciate any and all help on this as I'm really looking forward to getting into the medical transcription field for the first time.


    Many thanks,


    RT


    You can purchase the CMT Review Guide-sm

    from Stedman's. The title is "The CMT Reveiw Guide."  This book was just released last year (2005) and was developed for the current version of the CMT exam.  You might also want to consider a CMT Study Group.  Contact the nearest chapter of AAMT as they do have CMT Study Groups.  I know that the Online Chapter of AAMT is about to start a study group that will complete in time to take the CMT in the end of July/begining of August.   Oak Horizons also offers and online CMT Prep Course which I have heard is really good.  You can get more info on the Oak Horizons class on www.aamt.org and do a search for CMT prep course.  For more info on the OCAAMT Study Group contact certconnector@aamtonline.org.


    think you need to contact the medical review
    try the insurance company's medical review board for a reassessment of your bill(s).  Good luck! 
    A "peer review"! Sure never heard of THAT, before! (nm)
    .
    My last QA review was a BIG surprise. Here I thought I SM
    always topped 98% and routinely cut into my potential earnings to maintain my own standard. Wrong! The QA person's explanations for my mistakes were confusing and seemed in some cases to contradict the guidelines and in others just plain wrong, but I figured my job was to pass the review and get back to work, so I tried again. Failed so completely I was going to be put on probation, allowed to do something like 10 or 15 reports a day until my performance came back up. So I contacted my account manager, who told me she'd take care of it, and that was the end of it. Something I heard later suggested that QA person was still there causing trouble months later. Maybe you should talk to your supervisor. I'd also start gathering documentation of prior reviews for the Labor Board if that raise doesn't come through. There are plenty of companies out there looking for skilled MTs.
    Funny, I just got my 3rd 100% review and asked for a raise
    I was told SEs are paid on a sliding scale and there are no raises at all EVER.
    The CMT Review Guide is great and geared
    toward the current CMT test. Published by Lippincott Williams & Wilkins, publisher of Stedman's. I believe you can buy it from them, or from AAMT. Good luck!
    SmarType users please give review...sm

    I'm thinking about investing in SmarType.  I have heard good things about it.  Can some of you how use it give a review?  Does it take long to get used to? 


    TIA


    CMT review guide. I'm glad I read it.
    Good luck!
    Review in great detail with the company first....
    xx
    I'm sorry, but the physicians are supposed to review the medical records for
    accuracy, then sign off on them.  THEY are the people who went to medical school, did their internship, and actually saw the patients.  THEY know what they were trying, often badly, to say.  THEY are the ones making the big bucks.  NOT US.  We go to maybe a year-long correspondence school, make crappy money, and watch our butts spread wider every day while we TYPE, yes, I said TYPE, medical records for them.  Anyone who thinks it's more than that is kidding themselves.  And save your speeches on patient care and work ethics.  I know all about that stuff.  The harsh reality is that this job does not require a college education to get into, and your income is tied to your production level.  The doctors don't care enough about the medical records to speak slowly, enunciate, and double check everything before signing off.  How are we supposed to read their minds?  Anyone in this field who knows more than grammar and medical terminology ought to be working as an RN or MD, because you'd be better at it than half the medical providers we type for.
    Same theme, but CBS on Wed. is to review the top 100 inspirational movies. Should be good! nm
    m
    Oh, a report just came in. A report actually just slid in, can you believe it. Hip Hip Hooray. I

    had better get that sucker typed before it gets out of ONE MINUTE TAT.


    Are you kidding? After reading the health department's annual review, I NEVER eat out.
    Especially at a fast food place. They always have long lists of violations, plus, after a look at the fingernails and hair on some of those people, I wouldn't feed my dog there.

    They do list restaurants that maintain high standards of cleanliness with no violations, so if I'm in the mood for a long drive, I'll go to one of those.

    I do miss eating out.


    I think she is talking about full QA review not occasional blanks with a new dictator.
    As a newbie I was off full QA at the halfway through day 2 working on acute care. However, I had an excellent trainer/mentor available to answer any questions, and I could send unlimited blanks to QA.

    Now when I work on a new account, even with a new platform, I am off full QA within a day. If the platform instructions and account specs are clear, it should really not be a problem.
    Hospital where I worked cut raises from 12% possibility to 6% with excellent review. Which means
    dd
    If you are careful with putting the correct report in the correct report shell and patient, you will
    not have any problems. I only take away this option when someone is careless. There can be NO room for error on this. One mistake can be very serious. Many do it well though, so just double check and you will be fine.

    I am a single mom

    of 2 beautiful girls, 10 and 8.  I support myself.  I do not make my ex pay child support and he sees his children whenever he wants.  It is possible to be a single mother in this world and not be bitter and angry.  I have it better than most divorced single parents, but I have worked hard to get it this way.  I guess my point is that whatever the situation, it can be changed to achieve the desired outcome.  Everything takes time, love, and a lot of hard work, and being 30 years old and having gotten where I am today, I am quite proud to be a single mom.


    Just a PS - and I'm single
    no kids, never married. You all should start with the AAMT, which from what I can see, is nothing but a huge joke.
    single mom
    I raised 2 kids, boy and girl on my own.  Something you might want to think about is sharing babysitting services.  If you only type in the evening, possibly you would keep someones children during the day (save them money) and then they could keep your children in the evenings so you could work (or vice versa).  There are ways around the childcare issue.  You just have to use your imagination.  If you are part of a church and your church has a church bulletin board, advertise through your church for "adoptive grandparents", an older woman or couple that need the interaction and would be willing to help you out and in turn you could possible cook dinner them them during the week or even clean their house, etc.  The barter system is a great tool that people forget about.
    Not OP, but every single job I have had
    I needed to be trained for multiple reasons. Are you an MT? I doubt it because all MTs know you need training for the company's software, acct specs, how they do things in general. It does not matter how much exp a person has, you will always need to be trained on a new job regardless.
    35F/single/1 13 yo son
    nm
    32/F/single..
    no kids!
    single
    i raised by daughter all by meself (she is now 22)doing medical transcription. even with an infant it works for you really well. you child will adapt and entertain themself, but you can take breaks all the time and spend time with them. i thought it was the perfect situation, but i would suggest working during the day.

    unfortunately, i went for a second marriage and that didn't work either and i was separated when she was 10 months so i'm doing all over again, but you can make this work really well for you.

    i now have my own business and call all the shots working for eight doctors and I get to spend so much time with my daughter.

    i love it.

    keep working hard
    single mom MT
    Let me say first I have been in your shoes. I am still a single mom and still an MT. IT's been a struggle. When I divorced my boys were 9 months and 5 years. I made the same decision as you are to saty at home and work. I did eventually get daycare for my younger child when my older son started 1st grade and this helped to have 6 hours uninterrupted. The daycare costs can be covered by assitance. I know you don't want to go on government support - but sometimes we have to bite the bullet. They will help you with medical insurance and food etc. It doesn't have to be forever -- just while you are learning the ropes at work as an MT and gaining speed. Theh childcare I got was in my own neighborhood - a license daycare provider. I didn't want to use a center as I like the smaller home environment. I used to run a family daycare myself when I was married. I asked for a listing from Welfare office of licensed providers and there were 3 or 4 in my smaller city -- one only 5 blocks away. My older son eventually went there after shool - she picked him up.. so I could work a full 8 hour shift. We did this until my younger son was ready to go to school. Now I just work while they are in school. They are 15 and 10. I also work in the evening after dinner if needed after homework and they are older and know it's Mom's work time. It can be done. It's a challenge still for me because my 10 yo has a mild form of autism and on days that there is no school etc it can be a challenge. Then, I try to get a grandparent or Dad to take him for a few hours. I work as an IC now to have flexible hours....
    My take on single moms

    This is not meant to start any arguing between anyone.  This is just my outlook.  I was raised by a single mom.  Through no choice of her own, my father decided to end their marriage to be with another woman.  I was 5 when we were kicked out of the only home we ever knew with nowhere to go.  We had to live with some friends of hers for 3 months while she saved up money to get us a place to live.  She was a nurse and worked her butt off 7 nights a week, working 60 to  70 hours a week to put food in my mouth and clothes on my back.  She went without, didnt ever have nice clothes, didnt have a social life, was the sole supporter and had to be a mom and a dad to me.  She was everything to me and what she sacrificed for me she did willingly and lovingly.  She gave up everything for herself so that I could have a bright future. 


    I saw what my mom went through as a single mom.  There was no support there when the pipes broke, the car wouldnt start and she couldnt get to work, if her child was ill, if she were ill.  There was no second income, nobody to lean on. 


    Through all her struggles raising me, she never was bitter and never complained about being a single mom.  But I feel that any single mother out there trying to raise children to be all they can, at the same time solely supporting the family should be regarded with a little respect.  Look how hard it is in this day to make it even as a married couple with kids. It is hard. 


    If you havent walked down that road, you will never imagine how hard it is.  I think some compassion is due to that lady and her children.  Maybe not just because she is a single mom, but because at some point in our own walk, we may need some compassion sometime ourselves. 


    single mom homeowner
    Got my home through USDA Rural Housing, no down, just needed good credit. They adjust my payments according to my income.  Eight years ago when I bought it, I was making minimum wage. 
    I identify with every single

    Very good and clear description of what will happen at this company.


    I believe they are taking the bottom of the barrel of hospitals out there and


    not putting any restrictions or caveats on the work - instead making the MT


    "eat" the loss and MQ is playing the odds.


    But if all you get is bad dictators - you will not survive.  Probably the reason the


    hospital had to outsource IN THE FIRST PLACE - is because of the doctors.


    What I've never understood is WHY CAN'T THE HOSPITAL DEMAND


    APPROPRIATE AND DISTINCT DICTATION.......IT IS TO THEIR LEGAL AND


    MONETARY BENEFIT.


    I mean they require appropriate credentials, and timely dictation of reports - just because we are mostly women "typing" is that the reason no consideration has been given to what has been thrown at "transcription"?  I have wondered.  I know you say "transcription" in a medical staff meeting and the eyes of administrators go DARK and they nearly throw up in your face.  The hospital just WANTS IT DONE AND DON'T WANT TO HEAR ANYTHING MORE ABOUT HOW IT GOT DONE.


    Well, it would be simple if they also spot checked physician's dictation


    as part of Quality Assurance and if they were not doing it right - in English - with


    English structure sentences - they were kicked off staff just as when they don't


    do their charts timely.


    simple 


    Yes, I'm a single person - sm

    Two people could not fit in this cottage it is so small.  The $1,100 mortgage alone I could not do without working for 2-3 companies consistently.  And pay a car payment or take a trip on top of that?  Or pay for medical insurance?  Forget it, it's not in the budget.  If I have a slow week my finances are in ruin. 


    Thank you everyone for your replies!


    Yes, being single over age 30 is sinful...

    according to David, so I'm WAY out there dangling on the cliff! The odd thing is - he just got divorced from someone 20 years older than him - isn't divorce a sin? Somehow he has neglected to mention THAT little detail about HIS life. Hmm...perhaps I shall use THAT against him, lol. Well, as my Mom would say - I'm going for the grandchildren!


    PS:  Can y'all go with me and my other sisters?


    Any single moms out there?

    Hi all.  I'm hoping there are a few single moms out there who can give me some advice.  I have two children, ages 15 and 11.


    Background:  I divorced my husband in June.  Everything was going well financially until I lost my Independent Contractor position unexpectedly in October.  I could not find any work for a month and had no savings.


    Now, I come to find out my ex will be dropping all medical coverage this spring.  He will be self-employed at that time and have no access to insurance.


    AS OF THIS SPRING, my financial status looks bleak.  I have no savings, no retirement, no medical insurance and no life insurance.  I'm totally lost here. 


    I have a few options:  I could stay self-employed and buy all of my insurance, etc.  I could work when I wanted and be home with my kids, attend their school functions, and so on.


    I could get a full-time MT job in an office with full benefits, etc.  However, my kids will be alone on vacations and in the summer.  They may need to forego some school functions and may need to stay at home alone when they are sick.


    I've been self-employed now for almost 8 years and the kids and I are very used to it.  I hate to give it up, but, I do need to do what I have to.


    Any advice?


    I have my DH claim 0 and single, but we also have
    extra $$ taken out of his check.   We have been hit with a penalty of under $60.00 the past 2 years for not having enough taken out for state though.   Hopefully this year we have taken out enough.  
    29/F single mom to a 7-year-old boy. nm

    If you are looking for single coverage, you

    S/B able to get something reasonable.  If you're looking for family coverage it is doubtful you would find anything under $350.00/mo.  You might want to look into medical savings accounts.  You have to qualify for these and I'm not sure what the criteria is, but Google it.   If you are a non-smoker and have no pre-existing medical issues, aren't grossly overweight, and not planning a baby anytime soon, you might want to look at getting mainly a major medical plan that would cover you in event of hospitalization or something catastrophic, and just pay routine care out of pocket.


    We currently have insurance through DH job, but when I was looking for independent coverage Celtic had the cheapest and then Medcost was the next cheapest.  I called several agencies and they all quoted me on Medcost, but the premiums varied as much as $200.00/mo.   BCBS has something caled Blue Advantage that you might want to look at.  I hate BCBS because they are such a pain to deal with and deny a large percentage of claims, but it might be an option. 


    Every single weekend here...NM
    XX
    Any single moms?
     I am curious, any of you gals a single mom? I am single and I also home-school my daughter and I am just curious how everyone schedules their days. I have been doing this for a while now but am always curious as to how other singles get it done.  Thanks!
    SINGLE MOMS
    Oh yes - I have five children, however, they go off to school every morning - that is really the only way to get the bulk of my work done (although have been doing for 17 years at home). When they were younger did most of my work at night while they slept. It is not easy, as we all know "a woman's job is never done"........