A community of 30,000 US Transcriptionist serving Medical Transcription Industry
what about a doctor's responsibility? - Fedup
Posted: Oct 20, 2009
I got in trouble today because I put a wrong patient. The doctor dictated a billing number, name, and MRN. The MRN was had a different patient, but the billing number and the patient name matched the ADT screen. Not to mention the fact that he kept using "she" in the dictation and the MRN number matched a "he". So logically one would just think he had the wrong MRN and I didn't want another QA submission so I sent it through with the correct billing number, name, and sex of the person he was talking about. Today I was told I was in HIPAA violation because I put the wrong patient. I should have sent it to QA so that was stupid on my part. BUT I am so sick the people who make more money then us blaming little mistakes on US and taking no blame what so ever!!!! Can't they put them in some kind of 30 minute work shop and just teach them a little dictation courtesy? Like for instance: Don't eat while you dictate! Make sure you have all your information on hand so you don't sit there for a minute going "uhhhh"! Get the patient and everything about the patient right! Dictate under headings if you want specific things in certain headings because if not we will put them where they make the most sense! Can they not take at least 30 minutes to do that? It should not be all on us if information on a document is wrong! We are not mind readers! We get paid as little as it is with a paycheck getting smaller by the day. Where is the respect? There is none!!! It seems like the only people that respect this job is the ones that want to know more about it and get into it!!! FED UP! 
QA marker percentage - Scooby-Doo
[ In Reply To ..]I completely understand your angst. You are only human, which of course MQ does not realize, but insists that we be thinking, intelligent creatures that work like robots.
I had the opportunity to ask my CCM about the QA markers we must leave according to the client profile. Many of my documents contain those markers, through no fault of my own and I asked my CCM if those specific documents count against my percentage. She said, unfortunately, they do. She sounded a bit sheepish in her e-mail, but added that that is why MQ "allows" us to have 20% of our reports with those markers. Sooooo, does this mean that they would only allow us 0% markers otherwise? Why can't they just add up the percentage of markers that are due to the dictator burping, an ESL, using the speakerphone, tripping on his tongue, mispronouncing a medication, or the myriad of other reasons that are not our fault?
Responsibility - oops
[ In Reply To ..]I hear ya sister! In a perfect world the docs would take the dictation as seriously as they take prescribing meds. But they seem to see dictation as a necessary evil that they must squeeze into their shift. But let's hear it for those few who thank us at the end of the dictation and take the time to excuse themselves when they have to make a correction. They are out there. Shake it off and learn from the correction.
TO FED UP - mt30+
[ In Reply To ..]Might as well quit complaining. This is the profession! No amount of schooling, teaching, preaching, screaming, yelling etc is going to get these docs to dictate correctly like we would want. This IS part of our job. Unfortunately it is not about what we get paid (I don't like the pay scale either). The pay has changed, but the profession has not. Gotta just get used to it.
True, but - My 2 cents
[ In Reply To ..]thank goodness for this website where we can let it all out and still get support.
The only way this would work/be fair........... - Kiki
[ In Reply To ..]is if we are not penalized for QA submissions that are not our fault. Then everyone wouldn't (rightly so) be so worried about their submission rate. I'm only talking about the reports we have to send through no fault of our own (like what you described, if you had sent it.
It would be SO SIMPLE when calculating everyone's QA percentage to pick out the ones that were legit or not, and then recalculate a FAIR percentage.
That would not only improve morale and quality but would improve patient safety as well.
But MQ isn't a company that does things that MAKE SENSE are they?
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