A community of 30,000 US Transcriptionist serving Medical Transcription Industry

is there no standard of quality in QA? - new to Fluency

Posted: Sep 17, 2013

i am on 100% QA and am constantly confused. I am corrected for things, ask my coach. She tells me QA is correct. Then when I change it how she says to I get it changed back to the way I was doing it before~! I love Fluency, i am amazingly fast at it but i think QA will ultimately do me in...for doing what i'm told to do...GRRRRR

Re: No standard of quality in QA? - Alas

[ In Reply To ..]
With QA, you're damned if you do and damned if you don't. I would love for the QA people to QA each other! They seem to have entirely different ideas of what's correct, yet it's their marks that determine whether we stay or go! That must be quite a power trip for them.

QAs marks mean nothing but feedback - It is the auditors that matter

[ In Reply To ..]
There are some QA (MMEs) out there who don't keep up with all the silly changes and don't read the BOS2 or the Transcription Style Guide, or the Fluency Handbook. I'm an MME and, yes, we do QA each other. Whenever I leave feedback, I copy and paste the rule right out of the reference material where I found it so there would be no question. Unless a comma or lack thereof completely changes the sentence (very rare), I'll leave it be. Hyphens aren't a big deal. If they use it incorrectly, I may let them know just for knowledge sake, but for heaven's sake, I don't mark each and every instance where it is wrong. In fact, commas and hyphens are to be ignored according to MME training. (As said, some MMEs are old school and aren't with the times, unfortunately). Every once in awhile I QA a report of an MME who already QA'd the report for an MT (usually happens when clients don't allow any blanks and the MT is also on 100%, one MME to fill the blank, another to 100% the MT. Makes perfect sense!) In that case, if the previous MME went above and beyond and went through the whole report, there are times where I remove a lot of silly feedback where the MT was correct in the first place.

All-in-all, its a zoo. You have some wonderful MMEs who just want to help the MT learn so that when they are audited they know what the auditors look for (not commas, not hyphens), and then others who are bitter and get some thrill for marking up reports (like a building inspector who needs to find at least 1 thing wrong with a new house, no matter how insignificant). Just as there are horrible and excellent MTs, there are horrible and excellent MMEs.

My best advice is to know the guides or at least look up the feedback to make sure who is correct. If you are correct, report to the QC with the reference. If the MME is correct, learn from it and call out any MME that tells you otherwise.

Personally, periodically, I ask my QC and TSM if there have been any complaints about my QA work. That is the only way I'll learn if I'm doing something wrong that I only think is correct.

Can we clone you? You are an awesome MME. - nm

[ In Reply To ..]
x

Agree, I am never 100% correct - sm

[ In Reply To ..]
I love QA feedback, when it is constructive. If I get an MME that off the bat starts hitting on every comma, I automatically mark it read and move on. Stick with the important stuff please, it is so much easier to follow that way.

QA in Fluency - ari

[ In Reply To ..]
I was just laid off from MModal and cannot believe the stories on here. I had one Fluency account and one Powerscribe 360. The difference is amazing. When we had work I could easily get 30 jobs done in Powerscribe. I stayed away from the Fluency account - it is crap with about 20 more steps than Powerscribe, but I never got any QA comments on either account. We didn't even has a QC person to ask questions to. I had no training in Fluency - just figured it out on my own. It is unbelievable how inconsistent this company is. I know one thing as far as I knew everything was fine and then I get a phone call saying its not your fault, but your fired as of now. So I guess for all those left, enjoy your job while you have one? I wouldn't go buying a new care or anything. Heard it through the grapevine if you don't get fired right after Christmas there will be another pay cut.

How'd you get so lucky! - wishiwereu

[ In Reply To ..]
I came back from being the hospital for several days and all of a sudden my quality is not up to par, after 12 years!!! I WISH they would let me go or fire me. I wish I could hurry up and find another job fast too. Good Luck!

which grapevine was that? - starting rumors

[ In Reply To ..]
Please don't start rumors. You don't know this. We had someone come on here early last year saying we'd all get our walking papers in April, and we're still here.

Thank you - anon

[ In Reply To ..]
totally agree with you that some people are NOT happy unless they are stirring the pot.

Similar Messages:

Oct 18, 2014

I ran an error report for all reports, all accounts on my platform for this quarter, 10/1 - 10/18. So far the Quality Index is 84% vs Quality Score 99.18%. Didn't they advertise this new error scoring as working out in our favor? Doesn't look like it to me. This is based on 2194 jobs and 105,358 lines audited on E5. I checked the box that says view all corrections on the correction report. ...

Oct 21, 2009

Do all of your companies that you work for use the BOS as their industry standard? ...

Mar 29, 2010

Example: The patient is a 60-year-old, middle-age/middle-aged female who comes in today for follow-up. TIA! I appreciate any and all responses. ...

Mar 29, 2011

Time and time again it is reiterated the importance for us to remain professional, as we are a reflection of MQ. For example, never say "poor dictator" because this may be insulting to the holy than thou doctor, PA or RN. What about the annoying PA that constantly insults me by saying in middle of her dictation, "note to my typist." And this is not insulting? All the training, years of experience and BS I have to put up with to be called a "typist" repeatedly. ...

May 20, 2011

I read the job description for a production MT on the CBay India website and here are a few of the interesting requirements they must meet: Transcribing the given data for the day i.e. 450 to 900 lines per day as per the specified capacity of the MT. Production at least 75-80% accuracy in terms of medical terminology, American English, grammar, spellings, punctuation and formatting. Work closely with his/her QCE and making efforts consistently to upgrade his/her skills in terms of m ...

Dec 20, 2011

This one account drives me nuts. it has a standard but most of the time is ASR and I have to move things around. I cannot remember if we can use F11 for this or not. Anyone know? I was blessed with accounts in the past without standards so cannot remember if we can F11 to transcribe due to not having to move everything all over the place. ...

May 08, 2012

I have been here a little while, about 3 months. I have been switched around between CCMs already to go where my primary account goes. I needed a few hours to go to a school function and asked for that leave. I have never been responded to by my CCM. Is this usual? I put up my shift on the swapboard, said I'd make the time up. Etc. Etc. But no response at all. Do we ever get leave when asked? Or am I to say no to my child from now on. I j ...

Aug 23, 2012

We are told not to over edit VR reports, but the reports must be verbatim. It's mutually exclusive! ...

Sep 22, 2011

Suddenly we have new QA and it's gotten crazy! We have some new PA's that dictate things so out of order as compared to the "norm" and QA wants us to give it to them instead of making reports alike as we were trained to do. I've had some dictate drug allergies in review of systems and medications in the plan and QA wants this. I don't get it. I just don't understand how a doctor can know to check the plan for what meds a patient is on. I also have a PA that ...

May 02, 2013

Good morning fellow MTs; I hope everyone is having a productive day! Lately I have been contacted by two different companies via email stating I had contacted them in the past with my resume. I am working but could always use something better right? So I proceed to see what it's about and you know you don't get answers to those questions regarding pay scales and pay frequency upfront usually even when you do ask so I followed their jungle of steps, wasting quite a bit ...

Sep 23, 2013

They are now going to require 99.6% up from 99.5%. Oh yeah. How is this going to go? Looks to me like a lot of us will be out. Is this even humanly possible? Maybe I should be a weatherman. They can be wrong 50% of the time and keep their jobs. HA. More stress for us. It makes me physically ill anymore. Too much stress. ...

Dec 28, 2013

I went from near-perfect and had 100% at one point down to 95%. Can they take away my insurance? ...

Jan 03, 2014

Okay pulled in PE and major ARGH!!! I was told that tenses need to match. However, in this particular case whoever entered it was jumping back between past and present. Another time consuming thing I get to do. Interesting how that works. REALLY???????????????????????????? ...

Sep 11, 2014

apostrophes? eg. ADLs or ADL's I gather that the move to make hard-measured units (rather than eyeballed measuired -- such as: a 5-mm screw versus a 5 mm laceration -- died years ago. Is this correct? I'm anticipating doing some testing for a new position and don't want to fail this sort of "basics" Thanks! ...

Jan 14, 2010

I have been an MT for 16 years and I am still not totally sure what "acute care" means and it is on almost every ad. Does this always include Ops notes? I also can only make educated guesses about what the Standard Four are too. I am frantically looking for a job - no work at my current one - and I need to understand these terms better so I don't waste my time. I have no Ops experience and seems everyone wants this. Discouraging. I have done only ER work ...

Aug 28, 2011

I purchased and installed this application for some classes I am taking. I thought it would save time with notes etc and it does ------ when functioning properly. I also contemplated the medical version for my transcription. It is probably just me, I am sure, but I just do not know how to fine tune. The only thing I know to do when I run into a problem is to uninstall and rei nstall. To my knowledge there is no technical support. &nb ...

Aug 12, 2012

I am full time & started training class the last week of July so this is my 1st full pay period. I know we are required to make $900 a pay period, but I can't find my offer letter and can't remember if this was after you'd worked 90 days, or that after 90 days they will check to see if you are averaging. (?) I've done straight type & made a little over 100 lph so far with getting used to the platform/dictators and inputting type shortcuts & templates. ...

Dec 11, 2013

xx ...

Dec 31, 2010

I am typing ds2 files and am using the above player which the olympus representative said was created to play ds2 files. however, I have tried taken the file from the place it was sent to me and it seemed to import into Folder A. But the file never could be seen in Folder A or the transcriptionist Tray. I did this many many many times with the same result. The Olympus rep told me to go to the message folder and copy and paste it into Folder A. I then could see it in ...

Nov 20, 2012

x ...

Apr 05, 2013

I supervise a group of transcriptionists who are offsite but work as hourly employees. They work on a Nuance editing platform, but also do Radiology. Currently they are required to do 15 min/hr and do 15 xrays/hr on an editing platform (PowerScribe) as well. The numbers are outdated and I want to up the amount of xrays they edit an hour, but am unsure what the industry standards are. Does anyone know: 1. What the industry standard is for how many x-rays you are required ...

Oct 03, 2012

...

Jan 02, 2013

Has anyone had the misfortune to file a disability claim through your employer with this company? On 11/19/12 HR at my employer sent them my paperwork and said it would take 7 days for a decision. No decision yet and HR has not followed up, so I'm hung out to dry. I have had to call Reliance constantly wanting to know what's going on and it's one excuse after another, making them and my employer look totally incompetent. If you're paying for short- or ...

Oct 06, 2011

... providing high quality care OR high-quality care. I did it one way and the dictating NP says it should be the other way. I have to do it her way but I would appreciate hearing from some fellow MT professionals. Thanks for any input. ...

May 13, 2011

I wondered if any one on this board can tell me the industry standard for lines per hour or lines per minute are? Mostly what I see on this forum is discussion over CPL or hourly rates without a line per day requirement. My employer recently stated our department was not producing enough and is suggesting 1900 lines per day which seems high as a 5-day-a-week requirement. Right now I'm doing right at 200 lines per hour/approx. 1400 lines per day with template and about 1100 without temp ...

May 22, 2013

they'd all sound like Alvin and the Chipmunks. Anybody else seeing this? ...

Feb 14, 2013

I cannot find in the AHDI Book of Style, 3rd Edition,the rules regarding Chronic Kidney Disease stages. I am aware of the stages of cancer. I used to have a GU doc complain when Roman Numerals were used for CKD stages, not Arabic numerals. Does anybody know? ...

Apr 14, 2010

That is what I dread most about changing companies. After all of the testing day after day (worse than working), then you have all this stuff to download and learn. Why can't there just be a universal platform with state physician databases that everyone uses. Why are there such complicated differences? ...

Jan 08, 2013

Which do you use - custom lines - 65 character lines with spaces or standard lines - seems like so much more for standard lines???? Cathy ...

Nov 08, 2010

It said ".75" percent marcaine (not 0.75 and marcaine was not capitalized), vicryl was not capitalized, and there was a "bridal" suture used --- I guess you can only have this procedure done on your honeymoon? YET I FAILED AN AUDIT?????????????? ...