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Your account specifics or the client should tell you which they prefer....

Posted By: sm on 2006-05-09
In Reply to: One space or two after a period. - J

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.

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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.
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?
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...
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?
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
lines produced also depends on type of account, doctors, specifics, platforms.
No extra pay here either- IC gotta cover my client's account.
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.
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.

specifics have not been announced yet.
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
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!


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

And it is


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
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
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.
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,


do you have Accounts Specifics written instructions to follow?
Why was my post deleted when I gave specifics and mentioned no names?
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!
I prefer IC . . .
simply because of the flexibility. I don't want to feel chained to my computer. To me, one of the reasons to work from home is the freedom it provides. I also find I have a lot to write off at tax time and have never had a problem tax-wise. I don't need the benefits and don't want the company control that comes with being an employee.

Neither...I prefer
my taxes to pay for defense of this nation, protection of its citizens through federal regulatory agencies, police, fire and emergency rescue programs, libraries, public schools, educational assistance for anyone who needs it, assistance for those who cannot help themselves, drug and medical research, paved streets, streetlights, utilities, assistance for new business startups, and few other oddities.
How would you prefer - sm
Wondering if you have any suggestions for a better way? What would make it easier for you?

and why.


I prefer only the ................NM

I prefer
by far short reports.  Doing long reports, well, I just feel like I'm being held hostage, KWIM?
I much prefer sm
to work for a company and let them hustle up the work, provide the system and equipment, and get paid by the line. Maybe if I were 20 and not 60, but I find that by getting your own accounts, you lose a lot of money.  I prefer transcribing fast, and being paid for just that.  No setup.  No delivery or pickup.  No office managers to deal with.  Pure profit all the way.
I prefer IT.
I just prefer it.
There is so much wrong information out there that I like to look in my books first. I also hand write in "sounds like" in there so I can find oddly spelled things. Plus it is a business expense. ;-)
Most will prefer DSL for
security reasons I believe and specifically say "no satellite". It is one of the downsides of living in a beautiful rural area.

I prefer...
Quick Look Drug Book but not actually the book, the CD version, that way you do not have to get off computer, grab book, and manually look up the med you need. You just click on to get into the information, type in name, or a version of it, and it automatically pops up with everything you need to know, including what it is used for, and doses applicable...so much quicker.
I prefer my ESL
over the English speaking mush mouth one that sounds like she drunk when she transcribes or the one who talks so low I can barely hear him with the sound on as high as it can go.
Myself, I prefer sm

Stedman's surgical equipment book.  The Surgery Word book is pretty well useless, but the equipment book is fabulous.

I have had a Tessier's and I gave it away, found it completely useless.