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You can't transcribe what hasn't been dictated. I don't see

Posted By: this as your problem. nm on 2007-03-30
In Reply to: Does anyone know the exact ruling on...Please help - tibapa

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I transcribe just what is dictated.
x
transcribe as dictated...(sm)
Transcribe as dictated: "Patent shotty veins." This is perfectly acceptable as is and does not require rewording.
As stated below, transcribe what is dictated - sm
no matter how much you don't like it. The doctor/dictator told you what to do, and you chose to ignore him which was wrong. I have dictated a few reports of this nature to, and I just kept on going, type what they tell, put in quotes if they want it that way, etc. Don't dwell on it and just do your job.
Hasn't happened yet.

Has your pay already been cut by MQ?  I am an IC for MQ and this has not happened to me yet.  Is it a proven fact that this is going to happen or just speculation?


My son is only 7, so he hasn't caught on yet
that I'm not talking to him. He still says "what" all the time...lol. So, I'll look at him and say, "do you know what flagginationalization means?" Cracks him up every time.
Very little hasn't changed...sm

since the beginning of time. It's not just the 'religious fanatics' who have changed. The human race has evolved in their beliefs since Adam and Eve. Christians don't follow the rules of the Old Testament per se, because Jesus fulfilled the laws. There aren't too many religions who still make animal sacrifices. A woman who is having her period is no longer considered unclean. Pork is not considered taboo in the Christian faith, and Catholics aren't limited to eating only fish on Fridays. There were religions who believed in human sacrifice, but I doubt that goes on very much any more.


People have evolved in that we no longer believe the world is flat. We don't believe you are going to get AIDS by touching someone who has it. We no longer believe that a woman who is having her period can't go swimming.


Who believes the same things they believed when they were six? How different are your beliefs than your parents? Not just about religion, but about anything.


I see it as a career BUT so far it hasn't ...sm
paid like a career. I hope that will change the more exp I get.
How do you know the physician hasn't
reported it. No, I do not believe it is our place to do so.
Your sister hasn't been looking in the right places. (sm)
There are companies that hire coders to work at home. Tell her to try www.aviacode.com, www.lexicode.com, www.amphionmedical.com, www.btcworldwide.com, and www.peakhs.com. Tell her to subscribe to the AHIMA jobs board. They have plenty of jobs (some are in-house and some are work at home). Hope this helps.
Central FL hasn't increased at all yet. nm
c
Dixie also hasn't worked as an MT (sm)
for years and years. Weird stories about that woman!
MQ has no work. Hasn't had for many days. What are you being

There are requirements for insurance if you are FT


There are requirements for certain equipment if SE


I can't seem to get anything in writing from them, the rules are fluid.


What are you all being told?


She hasn't filed for a divorce yet -

Because the state she lives in does not recognize legal separation, she had an agreement drawn up by her corporate atty.  This agreement handed the house (quick claim deed) and business over to her, while her "future ex" draws his pension and moved to warmer weather (California).  This all happened when things were friendly. Now she wants a divorce so she can get on with her life (with her new beau she is buying the house with).  BAD idea since she has not filed for a divorce.  Anyway, thanks everyone.  I think I'll be visiting her in jail.    


he hasn't actually said, "i killed her." He has only stated, "i was with her when she d
i think he is totally obsessed with the case. whether he did it or not, i am not sure. he can't give details?? the puzzle i am not fitting is the 118,000 ransom note that patsy new about. he has admitted it was a hostage gone wrong. i am wondering if maybe somehow he and patsy worked together on this one and now the reasoning it is coming out since patsy is no longer here. he lived in Georgia where they did but jonbenet was a baby at that time. it states that were vaginal abrasions but no semen? maybe that was a cover up to make it look like an intruder but they kinda left out an item called semen to make it real. makes me wonder if her hymen was intact. he is saying he drugged and raped her but yet autopsy says no drugs in her system.
He hasn't EARNED our respect. (nm)
m
Too bad it hasn't dawned on her that paying you
Major 'duh' for her.
It hasn't crashed your computer?
or let any bad 'gremlins' in to get your information? That's mostly what I'm afraid of.

And thanks for your response.
No it hasn't. It's still owned by Ahmed

One who hasn't forgotten that subordinates are
*
Apparently hasn't been fired enough times

Why hasn't Mayo clinic signed on with a large
Like Spheris or Medquist??? What is so special about them?
Why hasn't anybody invented a mouse that is operated with our feet?

It hasn't been allowed since HIPAA. MT companies who outsource...
get away with it because they don't tell their clients, and internet wav file capabilities enable them to do so without anyone knowing. Some policy and investigation needs to be enforced to stop this. I say start slapping companies who outsource with huge fines and see how long we have to deal with outsourcing problems. What gets me most is "I can't even get a copy of my own medical record from my doc unless he has a release of medical records form signed by myself on file in my chart, but a doctor can dictate John Smith's medical history, send it to a company who in turns sends it out of the country and back here! Ridiculous.
This site is not working correctly and hasn't all day long. Someone needs to fix it!
I don't know who, but the administrator should know.
It hasn't been called AAMT in a long time. nm
 
But, in our case, 'credentialling' hasn't made ONE IOTA
In fact, just the opposite has happened. It's just a pocket-lining scheme, and nothing more. We had plenty of respect and a decent income back in the day when we had no 'CMT' scam going on. It isn't being credentialled I have a problem with - it's the group claiming that it's 'necessary', who is trying to get it mandated, and who would ultimately PROFIT IMMENSELY if that were to come about. But would WE profit? Nuh-uh. It hasn't made being an MT (credentialled or not) a better or more rewarding career, and if fact, just the opposite. So I SERIOUSLY DOUBT that if they were to succeed in making it mandatory that only CMTs could work, that those MTs would derive any viable benefit from obtaining the title. Most likely things would just get worse.
West Coast Hasn't see the show yet. Please keep this in mind next time. NM
d
Can we PLEASE desist using "NOT!" in this manner? It hasn't been funny since ྔ. nm
v
Word hasn't capped after a colon since the 2000 version.
You have to manually cap with shift key or run a macro at the end of the report. You can also hit shift+f3 to change the case to upper.
and think, the Dr. may have dictated that
At least you ARE concerned about it. Many wouldn't be. Hang in there!
Has she ever actually dictated a sm
report in the format that she is required to do.  I do forms for a cardiologist in this manner, but when I first started working for him, he actually dictated the letters.  I think all physicians need to include certain things for a new patient, and then can do follow-up letters without including past medical history, allergies, etc.  I wonder if she has any colleagues that would be willing to share samples of their reports, but that specialize in the same field.
ROFL at what this MD just dictated...sm
NEUROLOGIC:  He does have diminished memory.  I did start him on Aricept for this last year, but he has forgotten to take it. 
They pay per minute dictated. Sux.
Especially when they assign the work. It's not fun when all your work is less than 1 minute, two line reports, ESL docs, etc.
dictated, not read
I'd take it as a compliment.
If the docs dictated like that, they would never get anything done, lol
nn
H&Ps dictated by a very thorough dictator. nm

Doesn't have to be dictated...but he does
xx
Exams Dictated But Not Done
I transcribe for a local multispecialty clinic and have seen many of my own reports. It just gripes my butt when the doctor dictates a standard physical exam and I know for a fact that he/she hasn't even touched me. Did not check my heart, lungs, abdomen, neuro, extremities, etc. The only things that are legit are the vital signs. It's like if I come in for a sore throat he looks at my throat but nothing else. My fibromyalgia clinic NP only talks to me - no exam at all - yet she dictates an exam, review of systems (that we didn't even talk about). She will say conjunctivae and lids are clear; PERLA, etc., and she hasn't even gotten within 6 feet of my eyes. This just doesn't seem right. And when you have labs or other tests, they NEVER call you back with the results. My PCP never suggests any preventive testing - I have to ask for it myself. I know they're not all like that but my eyes are opened much wider than they used to be. It's all about getting it done in under 15 minutes and on to the patient in the next room. 
I always leave these as dictated.

Let's say you're Asian and have a doc who seems to possibily have a bit of an ''attitude'' about your ethnicity.  In perusing your own medical records, you see that this doc uses the term Oriental instead of Asian.  There's some confirmation that your suspicions were correct, allowing you to make a more informed decision about your medical care and who you want providing it.  Especially true with the word Negro, IMO, which I haven't heard in quite some time but have actually had dictated and left as is, even if I had the leeway to change it.


IOW, I think it's a patient's right to know if a doc is using words like that, so I don't change them.


Doctor who dictated during the PE sm
I had a doc I used to do who treated a lot of brain injuries and strokes. He always dictated during the interview and PE. He would say, in front of the patient...the pt is completely obtunded...the pt is befuddled...the pt is extremely obese, just enormous...the pt's mom is once again out of touch with the pt's needs...and so it went.

The noise was sometimes out of hand, he was a grumbling gravely dictator and that IS all part of the job. It is the thought of being his patient and having him be so brutally honest, well it smacked of unprofessional behavior.

I had a podiatrist who was "too busy" to dictate the day of service, so he would dictate on Sundays. One weekend, he dictated 8 reports...from the bathroom...in the span of about 20 minutes. I got to hear the toilet flush no fewer than 6 times in 5 dictated reports. He kept pausing to concentrate and it wasn't on the report he was dictating!

If the noise is too bad, it gets a blank. I don't care what they say and I don't care where they are when the dictate, but please don't make me know that you have the crap$ while you are on the phone with me. Plainly, I don't want to know.
I would type it as dictated. nm
nm
type as dictated

The word lesbian, unless used in a derrogatory manner, is simply stating the patient's sexual orientation, which could be quite relevant in a psych report.  It's the same as describing a patient as a heterosexual female.  Not intended to "label" someone, simply stating a fact.  I see no problem with typing it as dictated. 


I do think, if the doctor dictated this
you should put it in the report.
dictated / typed
Doctor says "jiddo, jiddo, jiddo" - what does this mean"  Why.... 0-0-0 - OMG. The things we put up with for no money.
Dictated Minute
There is/was a transcription service called Alert and Oriented that pays by the dictated/recorded minute.  You might try doing a search on that company to see if any MTs posted their experiences being paid by time using this method.
$2 per dictated minute would be around
$40 per hour. Very nice....
But they are not dictated when the IC has to work.
They are alerting the potential contractor to when the work is available. If the contractor does not wish to work when the contractee requires the work done, the the contractor should not seek that position.

Now if the contractor accepted the position and signed a contract committing to working those hours, and the company attempted to force a change in the agreed upon hours to make the contractor work a different schedule, that would be a violation.
My dictated funny for the day
Dictated: He lives with his third wife. First wife was a widow, second wife divorced.
He just dictated she has lots of poop in the
GI tract.  Would you type that or change to feces????
Yes, that's why it's funny. If we only typed exactly what they dictated....
-
One more question - why then are they dictated as MS4 and not MD? Enlighten me please sm
Maybe I have been misinformed all of these years by physicians themselves.