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think you need to contact the medical review

Posted By: board of your insurance company....sm on 2006-06-28
In Reply to: how to file a health insurance complaint - any hints? - MDmt

try the insurance company's medical review board for a reassessment of your bill(s).  Good luck! 


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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.
I would contact your highest in command. A medical
record is a legal document and could potentially contain info that would contribute to a life/death situation.   If I were in a position of authority she would be gone yesterday. 
I would contact the bank, stop the auto debits, contact the lender...
Contact the lender, explain that you stopped the payment because of financial difficulty. Ask if they have a hardship plan. You probably have a 20-day grace period on your loan payment, (they report to credit bureaus when 30 days late) and you probably also have a grace period on your insurance. In the meantime within those 20 days of grace, FIND A WAY to make some cash. It seems, at least from my experience, that when you get behind, it is almost impossible to catch up. If you use next month's check to pay last month's bills, you never get out of the hole. I've been in that downward spiral and I understand what you're going through. I've sold things on Ebay, consigned clothing at consignment stores, and worked two jobs just to stay afloat at times. Every little bit helps. It can be done. But don't WAIT, call them today!!
You mentioned the IRS. Try calling the Taxpayer Advocate's Service toll free at 1-877-777-4778. They are independent from the IRS and their function is to help solve IRS problems that cannot be solved through normal channels.





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.  . 
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.


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.
Do you listen to every report twice, to review it,
x
Why? Why should we review every single report and in its entirety? SM
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.

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
Same theme, but CBS on Wed. is to review the top 100 inspirational movies. Should be good! nm
m
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 would buy new a Dorland's Medical Dictionary, Stedmans Medical and Surgical Equipment...SM

and Tessier's The Surgical Word Book, 3rd edition.  Books you could buy used I would say would be Stedman's Pathology and Lab Medicine and Cardiology/Pulmonary word book.  These are all the books I use the most during my day.  You could buy other speciality word books as you need them and could probably go used with those.


I wouldn't bother with buying a drug book, new editions come out every year and I just stick to the FDA website and RXList as my drug references.


Also FYI, not a book, but I use my Stedman's Electronic Medical Dictationary a lot.  It's easier to open the program than it is to pick up a huge 30-pound dictionary.


I agree. Eyes are always scanning, but never review enitre report.
zz
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
Medical Transcription In The Era Of Electronic Medical Records
EMR has revolutionized the healthcare industry in recent times. Many experts felt that EMR & Voice Recognition would totally replace Medical Transcription - however; the industry soon realized that transcription has certain advantages over point & click charting and many physicians preferred to dictate notes rather than document the data at the point of care themselves.
At ease, soldier! This isn't a medical document. I repeat, this isn't a medical document. nm
x
I've thought about coding. My DH does medical coding and I think with an MT's medical termino

background and anatomy and physiology knowledge, a transition into coding wouldn't be hard at all.  From what I can tell by looking through my husband's books, an MT would have to learn insurance regulations and legalities.  We've basically got all the medical background down or we should be if we're worth our salt as an MT.


I even contacted AHIMA and found that the qualifications for taking the CCS or CCP coding exams are completion of the a coding program, RHIT program, or RHIA or related work experience.  Transcription is part of HIM, albeit the red-headed stepchild of the HIM department, but a part nonetheless and so satisfies the qualification of having work experience.


The test is tough though.  My husband didn't pass it his first time out and I think I read something like only 20% or so pass it the first time.  So it would probably be best to take some sort of formal coding class, in my opinion.


Did anyone contact HR at MQ yet?
If anyone has yet contacted HR at MQ, please post underneath what was said to you.
Be sure to contact the doc and tell him! nm
k
How can we contact you?
There is quite a bit of due diligence required if you are planning to seel a business. The "typical" selling price of a business is 3 years revenue, but that is also based very strongly on its profitability, but I do have a group of independent MTs who may be interested.
I would contact that QA or his/her
supervisor and ask them to relisten.
I would contact...
the person that makes this program. I have had good customer service from him. It s/l something might not be set up correctly perhaps but Vann Joe would probably give you some help/tips if you asked. He has always been very helpful when I have asked questions regarding his products.

I have been using MP Count for quite some time for counting by gross line, and find it quite accurate.

HTH some.
contact me

I would like to discuss this with you, please contact me at my email address.


Thanks


Nothing that big, he was not there when I tried to contact
about it, sent instant message. it was report that always goes under STAT and I think had to let someone read over some blanks. He contacted me that night and we talked about it and I got it ok but then I had follow up wrist slapping the next workday from the higher up than him. What I was wanting to know does this go on with others, first 1 boss, then another boss- felt like tattling in grammer school with this.
I came in contact with them (sm)
And they gave me the simplest *test* which was basically not even medical dictation, and they tell you that they will *train* you and then provide you with a job, but first you have to buy *their* software. Fortunately I did not fall for their scam, but others have said that after your *training* and they test you, you never really get good enough for placement. Please believe the other posters. It is a huge scam.
Get rid of them (and if you pay well, contact me! LOL) nm
x
I would contact whoever is over you....sm
And explain to them and let them see who is right and who is wrong. Some QAers may need to be corrected.
You can also contact (sm)
AccuSTAT, Inc. in Wisconsin.  They posted an add several days ago on the Job Seeker's Board for an ER transcriptionist.  They appear to have a really good reputation.
Thanks I will contact them...
Does anyone know if it also works with Emdat Inscribe then?
You really need to contact your sm
prosecutor's fraud unit and see how they suggest you proceed.  You really need to be careful in posting her name and address because since you are an IC and she the "debtor" you may be putting your self at the very least in violating debt collection laws - penalties are not cheap.  I believe you posted this a few weeks ago, right?  Did you send that formal demand with return receipt giving her a deadline to pay?  That's the first thing they (authorities) will ask for.  $16k plus is a HUGE chunk of change.  I really think you will need to resort to legal matters to collect, and probably by judgment.  I know it's frustrating, but posting her name and address on the internet is liable to cost you much more than the $16K. 
Can someone please tell me how to contact IRS...
anonymously to report an MTSO who is dictatorial in setting schedule and pay? I'm literally SICK of this and I am going to DO something instead of complaining about it. Maybe if just one individual does something about these cheapo, demanding MTSOs, it will stop after time. Thanks for the info!
Please contact me at the below
vlegalcontact@aol.com. Send a brief write-up on your business.
medical abbreviation list and medical drug list
Hi,

Anyone there who could help me out finding the latest abbreviations list.
I even want the latest drug list because my current program does not have many drugs.

So if anyone could suggest anything which is available online for informationd quick look purposes.

any help for medical abbreviation list and medical drug list would be very helpful.

Your English teacher does not do medical reports. This is for medical reports.
.
Friendly HHS contact
I was wondering if anyone had the name and number or E-mail address of a friendly person at the Department of Health and Human Services? I have a couple quick short questions concerning the HIPAA regulations.

Thanks.