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


Creative comments when accepting - your FIESA fate anyone?


Posted: Mar 25, 2015

Like, I wonder if instead of just my initials and that I reviewed my error, I should try something like:

"Yes I made a mistake, no I DON'T think my pay should go down by $100, how would you like it?"

"How would you like it if you had to be perfect OR you got your pay docked?"

"Yes, I willlfully accept my error, but I do NOT accept your wage theft."

Of course, I am accepting their wage theft in reality by signing that and staying employed by the devil. Sigh.

I doubt anyone cares what you write anyway, but just to maybe make a few people (QA, QC, COM, whoever else looks at this garbage) think what it would be like if THEIR paycheck would shrink tremendously with one error.

That is by far the most humiliating part of this sham of Nuance QA, the fact you have to go in there and humbly accept an error and with it their docking of your pay.

The thing is, do they really think we can help doing these mistakes? I look at my error and I say, yeah, that's a really dumb error, how could I have missed that? I try to keep my eyes on the text, I try to get all the obvious potential errors such as age, he/she, etc., but sometimes one slips by (invariably the ISR spat out something which had I been typing it I never would have) and you just cringe when you see it.

But is there anyone who gets 100% all the time and what is their line count I wonder? It's a bizarre and extremely cruel system and I really really hate having to go into FIESA for the express purpose of signing off on an error and with it my chance of a decent paycheck. That's how they get you mentally, and it is really nasty.

If the error is ridiculous.... - 34

[ In Reply To ..]
....I write little comments. I don't believe anyone reads them.

I write things like: "Difficult dictator, which is why I sent it to QC. Now go ahead and dock my pay for questioning someone who can't speak English."

I got a frown face on one of mine sent to QC because of a BP error. The report was full of blanks. It was a very difficult ESL and the QC only filled in 2 blanks.

Yes, I made a mistake on the BP because I could not understand half of what this MD was attempting to say.

But really....a frown face and less pay?

Yes, a little perspective by the persecutors - would be nice

[ In Reply To ..]
Yes, we made a mistake and for that we get our pay docked, do you really have to rub it in?

If you are trying to "help" maybe a NICE comment rather than a frowny face? Honestly.

I still stay they (QA/QC) must be convinced they are that superior to us since they seem to feel perfectly justified in having this power to dock our pay, and no matter they say they are "just MTs too" I do believe they think they are on a higher level, which I do not agree with. They are getting hourly pay, though, so I guess Nuance thinks they are worth more than us.

I doubt there are many MTs who make as much as QA/QC anymore, though it used to be competitive and QA used to be there not for being MT pay dockers but to actually control quality, so you didn't mind if they got hourly and more.

I don't understand the pay system as it applies to QA/QC. I know they have to make sure they themselves don't get picked off for errors they failed to catch, but do they then get THEIR pay docked? If they did they might not be so flippant.

I am QC in Ambulatory - sm

[ In Reply To ..]
We are paid production, same as when we type. We get paid for only 50% of lines we QC/edit. We get paid for 1/8 of QT lines that we type, but not that we QC/edit. We are not paid hourly. We are paid via that same lovely grid as everyone else.

If we seem "nitpicky" it's because yes, we get dinged on the exact same things as everyone else does, and I personally am trying NOT to lose pay by the ESL post-audit team who I also feel have holier-than-thou attitudes.

I love this job and how it pays exactly as everyone else posting on this board. My work, both typing and QC, is picked over same as everyone else. Sometimes I think even more so as on the boards here I see people saying they have 4 or 6 reports postaudited per pay week.... while I log in to FIESA each morning and have that many audited DAILY. It does become discouraging, that's for sure.

Us QCs, at least in Ambulatory, have it the same exact way as the MTs who don't do QC work, so believe me, I feel and know your pain.
Thanks for the insight into ambulatory QC - sounds pretty bad
[ In Reply To ..]
When you say QT lines that you type, what is QT lines? And why only 1/8th?

Gosh, I would definitely not be able to hack that. Every time I have attempted QA (at smaller companies who had a need) I found it took me almost as long to check the work as it did to type it! So that definitely would not pay for me.

I think that would actually even be worse - you could NOT avoid FIESA like I try to do, I only go in there when I absolutely have to.

The thing about FIESA being a learning/teaching tool is a complete crock, however. It is just a shaming tool and a pay reducing tool. I have been an MT for 20+ years and yes I make stupid mistakes. Finding out that you caught me doesn't mean I won't make stupid mistakes anymore, it just means you caught me.

I still bet I make a lot less stupid mistakes than newbies and for that I wish they would not put us all on the same starting level every 2 weeks or so.
QT lines - QC poster above
[ In Reply To ..]
The QT lines are the lines that are brought into the template via them being prepopulated on the document template or lines brought in via the physician's dictation templates. They are highlighted in yellow, and we used to be paid 1cpl for them in typing, nothing for QC files. Now we are paid (laughable) at our regular rate for them, ever how we fall in the grid that week, but for only 1/8 of the lines... and still paid nothing for them on QC'd files... Lovely, no? :p
FIESA - MT
[ In Reply To ..]
To be truthful, a few times I did write something that later I wished I hadn't, but at the time I was very upset. I think FIESA should be eliminated. If someone is actually that bad then they should be warned and then get fired, and quit constantly criticizing every single thing I do, especially when it totally has no result on patient care. Some of it is totally ridiculous. I have been doing this over 20 years. Other places I have worked have done spot quality checks every few months, and then of course the hospital can return a report if the doctor complains, and then that MT can be told that her work will be watched very closely for a while. This constant picking on is very demeaning and very discouraging.
Have you noticed the adding of layers of different types of new audits - Jazzed
[ In Reply To ..]
I still maintain we make the money doing the reports, then they hire layers and layers of departments to tear apart our work, when just pay us in the first place and we won't be so demoralized when most errors happen in the law of averages. How many 10s do you see in the Olympics?

Too bad in the - comment section

[ In Reply To ..]

We couldn't put a middle finger in there.  I know I would.  This is what I think of your snarky remarks.  I really want to put just plain nonsense remarks in the comment section like "potato, potato, ching chong tomato."  Fight nonsense with nonsense.  The other day I was in Fiasco and clicked on audit type and there I saw "Super QA."  Seriously?  Do they wear a cape too?  Undecided

My error was actually a true error but - I might try that

[ In Reply To ..]
Next time I get a stupid one.

Thank you for bringing a much needed smile to my face and a LOL.

Next time I get a ridiculous one I think I will try "potato, potato, ching chong tomato," because it is funny. Maybe the QA will laugh?

Super QA, really? Never saw that one yet. I am picturing that nasty lady from Hogwart's in the pink suit - Dolores Umbridge? (sorry good QA people reading this, but I think we all have to admit that QA as regards FIESA is an abomination).
You're Welcome! - Sometimes we need to laugh
[ In Reply To ..]
or we will cry. I have a ton of them to use. Like difficult math equations, "I can count to potato," use Google translator and put in some off the wall saying in a different language. The list goes on. Keep your head up and definitely keep laughing. It keeps us sane.

I sometimes write ridiculous things, whatever - comes to mind. Feels good.

[ In Reply To ..]
xxx

I wish my initials were.... FU. NM - They say to initial it right?

[ In Reply To ..]
.

"It must be nice to be so perfect." - nm

[ In Reply To ..]
nm


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