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figuring out QA score - madperson

Posted: Jan 02, 2015

Did you get the hoops we have to jump through now to figure out your QA score. Can't just put in the pay date range and go by that because they are auditing reports outside the pay range, either before or after. Then you might manage to get 2 reports audited within the pay range, after you jump through hoops and figure it out yourself. So, what you think you are getting, when it shows up in webclock, it is way less than what you figured out in Fiesa. This is TOTAL BS. So, those of you who figured you might have made higher, .9, .10, .11, don't count on it. It will have figured out to the measly .7 or .8. This plan is just another way to screw us.

I thought it was bad enough before just - getting the FIESA nastygrams

[ In Reply To ..]
This is just ridiculous. What geniuses had this brainstorm?

Hey, let's humiliate the MTs by setting their former partners the QA/QC against them, picking apart whatever they can and keep looking until they find something to get points off.

THEN, we can make the MTs spend hours figuring out the percentages and idiotic rules, try (fruitlessly) to reverse bogus grievous errors, and add insult to injury by playing where's the audit.

You do have to wonder if they really do want us to quit, right? I used to think this was paranoid, but now I have to admit I am leaning towards that.

I'm still not bothering with FIESA until I absolutely have to, since the most ridiculous of errors never gets overturned anyway.

I got a full 1.0 off for typing HEENT when supposedly it was HENT. There was nothing of pertinence under the heading, it sounded like HEENT to me, and one would think that being the usual form and it was not clearly enunciated as HENT, (it was blurred like everything else the guy dictated), it would not be an error.

But no, 1.0, and the supervisor backed it up and said it should have been HENT.

Come on now, Nuance, is it worth challenging anything with this kind of garbage going on? I think not.

HENT - CINDY

[ In Reply To ..]
What do you think he left off the eyes or the ears. I have never in my 30 years seen it type HENT. How ridiculous. The problem is these companies are bending over backwards to please these hospitals, and it should be just the opposite they should be so happy to have someone doing their work instead of nitpicking a letter that was supposedly normally always there.

Just sickening. I also got a error for typing a different tense of the word which does not even make sense the way they had it.

I dont think its the facilities when it comes to things like - HEENT, SM

[ In Reply To ..]
I think that's just QA being ridiculous. Any healthcare provider who looks at that report and sees "HENT" will thinks "WTH?"

I mean honestly, that's common sense and one of those things that goes without saying.

They said "per scoring guidelines" - it is a major error

[ In Reply To ..]
The "approver" did not say why, if you could barely hear what he was saying, they decided it was HENT instead of HEENT.

I said if this dictator prefers HENT it should be in the specs. Approver kind of agreed, but as you say I believe the dictator could give a flying whatever if it were HENT or HEENT, if he did he would have enunciated it better, and HENT rather than HEENT is just stupid.

Even though the "approver" agreed with the specs request, want to make a bet it never gets asked and never turns up in the specs? How would the poor QA person keep getting their kill thataways?

Ugh, disgusting and a waste of time. Nuance is the worst of the worst.

Extremities will be next - ss

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If person only has one leg and they state "patient's right leg amputated above knee" but doesn't mention other leg I guess it is an error if you don't change heading to: EXTREMITY. The HEENT/HENT issue is simply another way go pick, pick, pick at us.

Did he not talk about the eyes or the ears? How did they - justify it?

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With this account we are - supposed to expand HEENT

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Although it is verbatim. This is what I got from them:

Medical/English Word Misuse Major 1.0

Error Text: HEAD, EYES, EARS, NOSE, AND THROAT: Head is normocephalic. Sclerae nonicteric.

Correction Text: HEAD, EYES, NOSE, AND THROAT: Head is normocephalic. Sclerae nonicteric.

This is just bizarre, really, since the heading was not expanded in dictation, dictated as HEENT to my listening, even if possibly HENT, really, 1.0 points?

I am thinking now they don't have to justify anything, we are the ones running around like idiots trying to reverse this nonsense, and after all that time and research and coming up with what you think is a cogent argument, pretty much they just say nah, nah, nah, nah, nah (figuratively speaking).

I think I am going to be putting the maximum amount of blanks in any report and listening closely for any little thing you wouldn't even think would be an error to put a blank in.

These QA people are mining deep for anything they can get away with, and once they hit gold like this one they will keep doing it every time with this dictator to any unsuspecting MT so they can collect their 1.0 off them.

Very very petty, but regardless of what is said, there must be some pressure to come up with errors if they are using things as silly as this. Just beware.

If they don't find an error they make one - Taelus

[ In Reply To ..]
No error? Just make one up. That's just what they did to me to have my QC score over 10%. Sort of wondering where they get these scores anyways.

I get none of my QC edits in FIESA, only post audits or the dreaded and rare client feedback.

I got the HENT error too, total crap - and I told them so in the feedback

[ In Reply To ..]
ssss

This should be a warning to be aware of - The HEENT/HENT trap

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This conniving QA person has obviously found something she can get her superior to okay, despite it being utterly ridiculous, incorrect, and not in any way fair, so if you have a doctor who is a mushmouth and tends to do long, rambling reports with a fast talking PE section, BEWARE and put a blank in for HEENT if it is unclear.

No doubt they will find something else they can ding us on that is equally as obscure, so possibly anyone zinged with one of these doozy "errors which are not" and has not been able to get it reversed, you know then that they think they're onto a winner so we need to be vigilant.

What a pity it has come to this. QA people should be ashamed of themselves. I can only think there has to be some kind of incentive to get bogus points off us and it is sanctioned by the higher-ups (NOT my TSM, BTW, she could not say much but my feeling was that she agreed it was idiotic).

Thanks for sharing, and if anyone else has any of these, please let us know.

It is idiotic, my TSM said she and other TSMs fought - hard on this one but it is

[ In Reply To ..]
QA reviewer TM initials JP who insists it is correct.

Oh yes, I will definitely be blanking if I cannot clearly hear 2 E's or if eyes/ears not mentioned.

Let the games begin!

The problem is who would even think they - would come up with that?

[ In Reply To ..]
I mean, honestly, that error would never have occurred to me in a million years, especially since we are supposed to expand HEENT for this account. If you are going to vary that, it would at least seem that the dictator would have expanded it himself for them to make that distinction.

That's the thing that worries me, as unaware as I was that HEENT would even be in contention, there will be other doozies they come up with that are equally as unexpected and frankly idiotic, so the question must remain, what's their motivation?

I confirm - your initials

[ In Reply To ..]
What a piece of work, eh?

This morning it is very hard to hear - whether HENT or HEENT

[ In Reply To ..]
Honestly. Normally I would just put HEENT or HEAD, EYES, EARS, NOSE, AND THROAT expansion because that is the accepted form, but after getting dinged on the HEENT in favor of HENT I am literally almost every time putting a blank.

I am truly not being vindictive about this or trying to prove a point, but since you get dinged for putting HEENT when supposedly they are saying HENT, if you can't tell which it is every time (it has to be one of the things almost every dictator really rushes so if they say it spelling out the letters, H-E-E-N-T, very difficult to tell if they are saying 1 E or 2) then you have to leave it blank every time.

Pedantic QA people with this issue will mean unhappy clients I believe. If they hear the story why the blanks are there, I can't imagine they would side with the QA, but I'll be darned if I am taking another chance I will get 1.0 points off because of this.

Every dog has it's day. Messing with people's livelihood - is not good. Eventually they will reap what they s

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Yes and they want you to think you are getting the difference - in pay by...

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having you think you will at least be paid 7 cpl no matter what; however, that's after they deduct lines from your line count with the conversion method. They are trying to use some form of psychology by throwing that minimum of 7 cpl in there and then when the 8, 9, 10 & 11 come into play people who don't know any better REALLY think they are getting something.

QA - Disappointed

[ In Reply To ..]
I think what bugs me the most about this QA crap is that I get dinged for stupid stuff (as you all have) but I have asked REPEATEDLY to be able to listen to the voice file again so I can see for myself and have been REPEATEDLY rebuffed in this. I say unless I have a way to defend myself, they can just do whatever they like and I've got no way to prove it.

Sadly, on my platform I can listen and - I did with the HENT/HEENT

[ In Reply To ..]
It sounded very vague to me and could have been either HEENT or HENT, but my point was why would someone say HENT very quick and expect you to know what he was saying unless in specs, which it was not?

So even though I could hear it and that's what I heard, tough on me, they would not reverse. This is usually how it is with reversals in my experience.

HOWEVER, if you cannot listen at all that should have legal implications IMHO. It is a sham.

This whole FIESA Spanish Inquisition thing is just a smoke and mirrors con artist thing anyway, and it would be much more honest if they would just reduce our pay and make a bonus a true bonus, not pretend to give with one hand while taking away more with the other.

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