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

Over zealous auditing - Timmy-Mike

Posted: Nov 27, 2013

Does anyone else feel the assignment of error scores are excessive? Do you get major errors for things that should be minor? So disheartening.

RE: OVEZEALOUS AUDITING - Jasmine

[ In Reply To ..]
Hi,
I also feel that they absolutely lambaste you for things that shouldn't be. I take great care with my reports, when i check them in QA Feedback they look almost perfect, except for blanks.

When I get an Audit back, it is RARELY that I get over about 98-99.0%. I have been written up for this a lot, and the funny thing is, up until about 8 months ago, NO ONE EVER KNOCKED MY WORK! I was always told it was about perfect, no problems!

Now with these new standards, if you have every one word off, you get slammed for it!

I got a Critical Error mark for typing:

AK-7692 for an EEG Number instead of
NK-7692 or something.

Is that so terrible??

Some of the things they claim I typed, it almost looked like they planted it and falsified my work.

Like it or not, that one is a major error. - NM

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nm

She said it was marked as a - critical error

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This is NOT a critical error!

No it is not a major error - It is a typo

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That is what they have done, "upgraded" the level of every error so they can deduct more from your score, not to mention nitpicking. How else to explain when I was at Nuance my scores were below 99% and now at my new job they are 99.8%? Simple, Nuance has the system rigged to screw you... and as far as plants, I think so too.

MTs are not allowed typos in a report. Your typo could be - a pts downfall. If you think you SM

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should be allowed typos, you need to go to the secretarial pool. (Do they still have those?)

Oh sorry... - for not being perfect

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Do you really understand the value of what we do? Have you worked in a hospital? You might be surprised.

No, your typo is NOT going to be a - patients downfall

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Sorry, but your typos are not that crucial. You are NOT the last line of defense against certain death. This is especially true with electronic records.

The reports you type are not the only sources of information in the patient's record. They are primarily summary reports that duplicate information found elsewhere. That is why there are big pauses in the dictation--the doctors are reading the original information in the record.

They are useful for speed and convenience, but policies generally prevent acting on anything in them. Drugs? See pharm and orders. Surgery? See the surgery documents.

The general quality of transcribed documents is terrible. As a former MT, I am shocked by what I see coming from "99+%" MTSOs. Maybe your work is great, but the rest of it is rot. You have no idea.

Further, you cannot know if the dictator is dictating something wrong. Maybe you catch right or left and male vs female, but those are utterly inconsequential.. You can't tell if he mixed two people up.

This whole life and death thing was cooked up by AHDI in an attempt to professionalize the job and raise the status and pay. The only people who bought it were MTs.

There IS a role for quality assurance with regards to medical records, but it does not involve focusing on typos. That is a job you could retrain for.

Hallelujah - the truth revealed

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Yes, we should try to always do the very best job we can and aim for 100% every single day, every single job but always keeping in mind that what we do is more important to the hospital billing office and the coders than to actual patient care. We do a job, but we are not all that!

Exactly what I have been trying to say - Old School

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I've tried to express idea this several times on this board but you have really hit it.

Thank you - Anon

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This is pretty much what I told my super when I was being raked over the coals for not being able to find a dosage for a med or frequency of dosage. We are told we're supposed to either know it or find it. We are told if we can't understand it to blank it, then berated for blanks. The reports most of us do are NOT the first report most docs grab. There are many other specific reports concerning any patient. Thank you for being able to articulate what we knew.

That was a very childish thing to say. - nm

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In this instance, it is a critical error, not a - simple typo. Sorry.

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it's a typo, minor error, unless you go by Nuance's reality - nm

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Since N cuts the checks, theirs is the reality all must - adhere to. nm

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z

Petition - Mystic

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http://www.change.org/petitions/joint-commission-petition-the-joint-commission-to-develop-medical-transcription-and-documentation-standards

There are already standards - sm

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JC already has standards that cover what is important to patient care.

Their scope does not cover labor disputes. They already declined to pursue this angle. You are wasting your efforts and their time.

Please stop making MTs look foolish because they do not know this.

OP did not call it a typo - sm

[ In Reply To ..]
I did, trying to defuse some of the hysteria about errors being "critical"... MAJOR ERROR ALERT... and so forth, the exaggeration of errors to make us fearful and of course, to keep us from making bonuses.

over zealous auditing - 7thchild

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Once again, these mistakes do not originate with us, but we are the ones who are supposed to catch them! IF that is so, and our job is THAT important, THEN PAY US WHAT WE ARE WORTH! Yesterday, I had a report that say that labs were done on the 14th and the BUN was....blah blah. It printed out BUN 14, completely ignoring the rest of the sentence! If I let that go through? ARE JOBS ARE SOOOOO IMPORTANT....PEOPLE'S LIVES DEPEND ON THEM....(How many times have you heard that?) THEN PAY US WHAT WE ARE WORTH! Treat us with respect, not like we are expendable, and THEN we will give you our BEST.

This mistake DID originate with the MT, She admitted making - error, but called it a typo. nm

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