meaning of the following?

What are the four basic work types? What is the difference transcribing acute care from multispecialty clinics? 

• meaning of the following? - sammy
  • Basic 4 - Lisa
    • No they aren't - me
      • yeah, ok - Lisa

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Could someone tell me what MTSO stands for?  May be a dumb question, but I wont know if I don't ask. 

Thanks