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


Webmedexers, what are your "account rules" - perplexed


Posted: Mar 07, 2011

My hospital employs Webmedx for overflow work.  We have an unusual amount of work so Wmx has been assigning new MTs to us.  Not sure if they are just new to our account or new to the company.  I realize many companies ask MTs to type verbatim, but it seems the MTs are not using common sense... stuff like typing "okay and next problem" instead of typing the next number in the list and just not paying attention to where commas and periods should go in the sentence, leaving 30 blanks and claiming in the QA comments section that the physician is slurring or there is static, and there isn't.  Our dictators are mostly very good and little ESL.  The work is released rather than their QA cleaning it up and I'm wondering what is going on, how things look from your end.

account rules - sm

[ In Reply To ..]
Perhaps you should address this to management rather than this board. You are simply going to get a heated discussion here. Perhaps management can do something definitive about the problem. I am NOT management, but I am a WMX employee and if there are people doing things wrong and giving our company a bad name I am sure management would want to hear it directly rather than from the rumor mill here.

ITA, I am a webbie, too. It is best to go through channels to get - concerns addressed quickly (and WMX is good at tha

[ In Reply To ..]
nm

Perplexed, I work on several older, well-established accounts, - none of them overflow, and

[ In Reply To ..]
don't see what you're describing. We're also most of us a well-established crew assigned to them, of course.

Also, none of my accounts are verbatim, and my group at least is supposed to tidy up SR so it reads comparable to straight transcription.

In any case, when QA reviews come around, anyone with a single critical error or below 98% overall is targeted for special attention. You may just be going through a rough patch before you get a good crew settled in? Hope so.

Why wouldn't you go through the proper channel for this? - sm

[ In Reply To ..]
I am suspicious of this post. If I were with a hospital and saw what I considered to be poor work, I'd take it up with the contact at the transcription company. Coming anonymously to a bulletin board and posting with the thought of getting a reply from someone who knows anything about the inner workings of Webmedx? It wouldn't be in my top choices of how to solve any issues.

What you're asking would also be proprietary information that you must be aware isn't acceptable for us employees to discuss on a public board.

And what YOU hear on your end isn't necessarily what a service hears on their end. If they say there's static, they're probably hearing static. Webmedx QA is top notch, so again, if it's going through QA and reaching you with multiple blanks, there's an issue with the quality of the dictation. Whether that issue is at the source or somehow happens as it's transferred is something you'll need to work out with the transcription service.

Possible that OP doesn't work for WMX - but for hosp and has

[ In Reply To ..]
no access to them but can see their work. In similar situation here with an MTSO and my hospital.

Then the proper channel is to go to her boss, not ask - sm

[ In Reply To ..]
anonymously here for proprietary information. Either way, she's not going about this the right way.
Maybe OP is more interested in information than - demonstrating propriety. No harm in asking. NM
[ In Reply To ..]
x
Actually, there is sm - MT
[ In Reply To ..]
As stated, she's asking us employees for proprietary information, which we're not allowed to share.

I'm skeptical of the OP anyway. As someone else stated, that kind of post is more likely to stir up some angry responses than get her any information. She's basically trashed the company and the employees and asked us for things she should be asking her supervisor for if her goal isn't just to stir up trouble.

account rules - webmt

[ In Reply To ..]
I do work for several accounts that do overflow. Our rules that are posted that have been discussed and approved by the hospital manager.

I agree with the others who have responded, if there are some deficiencies, have your manager speak to the account manager at WMX. They most certainly do NOT want this type of work going out, and if there are mistakes reported, my account manager will send e-mails to all on the account concerning the problem, to ensure that it is corrected. In some cases, additions will be made to our account specifics to ensure quality.

Hospitals using MTSOs - ...

[ In Reply To ..]
Short answer is you should educate those in the executive leadership of your hospital why they should not be utilizing Webmedx or any other MTSO.

MTSO MTs are not paid living wages and poor benefits, if any. Do you expect quality work out of persons who do not make a living wage? If so, is that reasonable? What if it were you who was not making the living wage?

Food for your thought...

EXCUSE ME - I make a living wage and good benefits sm - Super Web

[ In Reply To ..]
Please don't make blanket statements about "all MTSOs" and MTSO MTs not making a living wage. I make more working for Webmedx than I ever did hourly, on site at my local hospital. My benefits are comparable except for retirement pay.

what a ridiculous reply - MT2

[ In Reply To ..]
Because YOU have made poor choices don't paint ALL MTs with that brush.

I'm paid more than a living wage, have benefits, a great MTSO and take pride in the quality work I give in return.

It's MTs like you that keep dragging things down.

Ridiculous was the word that came to my mind too. - Doing pretty darn well at WMX. NM

[ In Reply To ..]
x

Why don't you contact your WMX rep and discuss it? - No one on this board can answer or help you.

[ In Reply To ..]
nm

WebMedX - Grandma

[ In Reply To ..]
I was terminated last week without notice and without pay as a result of QA changes to my reports. I have been a medical transcriptionist current acute care experience for over 42 years and they would change the transcription from what the doctor said to what they thought he said. It was ridiculous and in a way I am glad I no longer had to compromise my talent and sending in incorrect reports to the hospital. In transcription we are to transcribe verbatim - no room for errors despite what QA wants it to say. You must remember, you get what you pay for.

You were the MT that was still in training weren't you? - see message

[ In Reply To ..]
If so, your termination would not have been as a result of "QA changes to your report" but rather your inability or unwillingness to follow the account specifics. QA would have to change your reports if they did not meet account specifics, and if you could not meet or exceed the minimum required quality standard.

I remember your posts because you mentioned your "42 years of experience."

It doesn't sound as if you've learned from your experience, - anon

[ In Reply To ..]
Grandma. You weren't invited to move on because your superior performance was beyond their ability to appreciate. That 42 years of experience should be a great asset to you and to an employer, but somehow you screwed up and managed to lose a good job.

Personal experience is very seldom the best way to learn, and it's beyond worthless when the student is unable to understand the lesson. Try pretending you're a teacher explaining to yourself how you could have made this work well for both parties. You may loose some insights that way. Wishing you a better outcome next time.

I disagree that we should type verbatim.... - anon3

[ In Reply To ..]
It's our job as transcriptionists to 'CLEAN UP' the dictation without changing the gist of the report. This is what we are TRAINED to do... why we have to know terminology in every specialty including pharmacology, anatomy, biology, chemistry, and have a working knowledge of English grammar and sentence syntax. It's our JOB to keep the dictator from coming across as a moron. We have to be able to hear English spoken in Russian, German, French, Spanish, Tagalog, Farsi, etc, etc accents.

Otherwise, we're no more than typists.

And the MTSOs who respect their MT's skills... - anon3

[ In Reply To ..]
don't ask them to type verbatim.

Has anyone read a report that was transcribed from dictation verbatim? It can be ridiculous!!


Similar Messages:


Hypen Rules
Oct 31, 2010

Is not-too-distant future hyphenated?  Thanks ...


Rules Regarding Copies
Oct 03, 2011

I had always thought that the dictator received an automatic copy but in checking the MQ rules/standards, I don't see this.   Does anyone know for sure?  Should we copy the dictator if requested?  ...


MT Rules Changes Constantly
Aug 14, 2012

Does anybody else get emails of updated account specs or just in general about how this is now changing in the MT world and things such as hyphens are being phased out, among other changes to make the document "more readable".  I wonder...all these changes to how we are supposed to do our jobs, yet the only changes to what we are paid to do our job is a negative with pays dropping instead of going up.  I say it here and I can say it so many times, if somebody can sit in an office and c ...


HIPAA Rules
Oct 08, 2013

When a consultant's office calls the referred patient, is that office allowed to say the name of their office?  Ex:  Got a call from a GI office for my husband.  The woman gave her first name and said she needed his medical hx before she could schedule an appointment.  I asked what office she was from, and she said she couldn't say because of HIPAA but that it was a referral from his PCP.  Is it true that because of HIPAA we can't even know who's ...


New Change In Rules, Again
Dec 23, 2013

used to be when we ran out of work we could chose to make up time or take PTO, this was even at Thanksgiving.  Now we get the email that after waiting 6 mins some of you are taking PTO, but now we can't do this.  Now we are supposed to flex.  So just because the "lead" lets toooooo many people off I'm supposed to just keep checking and checking, that's great, i'll just do that after cooking our dinner and watching the kids open gifts and if I get work it'l ...


Number Rules
Mar 06, 2014

I don't know what the AAMT book of style does with regards to typing out numbers such as in this sentence:  I provided this patient and her 2 daughters with education regarding her diagnosis and treatment options.  Would you use numerals for "2" daughters in this case or would you type out "two"??? ...


So Many Rules, So Little Time
Aug 31, 2014

When I think about all the things we have to do, we really are more like administrative assistants than transcriptionists.  We have so much to do.  Make sure you put DOS, if given.  Make sure you list, or don't like as per client specs, unless dictator requests ??  Go by client profile or DSQ standard.  Which one is it this day?  Okay,  NOW okay to use q.h.s., so if put q.h.s. QA marks over it and still puts bedtime.  Okay to use cc  instead of m ...


Question About HIPAA Rules
Jan 13, 2010

Couldn't we just leave a note on any report with a cc to "please verify physician name for copy" which would then take the burden off of our shoulders? Not a QA marker, but by doing Ctrl + Shift + Q. I plan on leaving a note for anything that is questionable at all, ie., only last name given, unclear, cannot verify, whatever... I am not going down with them.  Fire me for it, then I will file for unemployment and win because they cannot fire you for a doctors mistake and then I might ...


Need Clarification On Rules For Sending Cc's.. Sm
May 11, 2010

Okay, I got a ding today from my extremely sweet and helpful QATL.  It seems I did not send as a cc a requesting physician dictated.  I looked at the report and I did enter the requesting physician in the ADT and the body of the report.  I thought if they did not specifically request a cc be sent, then you did not.   Am I wrong?   Old dog needs help.  Also, I thought if the Req Physician was in the ADT it automatically received a carbon copy..  Hmmm.. ...


Klein, Cline Rules For Dvt?
May 08, 2011

D-dimer is negative, making a pulmonary embolus unlikely by _______rules?   s/l Kline, Klein, Cline rules?? ...


Sometimes Certain Rules Just Don't Make Sense
Oct 24, 2011

There are some things that don't make sense to me in regard to certain rules for companies.  At my company, when you send something to QA, you have to put a blank and the number where it is, but if we think something "sounds" like something we cannot put that in because the QA person could hear what we are hearing and not really hear what is being said.  Now, what in the heck is VR then?  Sometimes when you see text presented on screen it may sound like what you are seeing.&n ...


Questions About HIPAA Rules
Jun 15, 2012

I was wondering if anyone had any knowledge in regard to HIPAA violations and whether certain rules apply only in certain circumstances.  I had a workers comp claim and had my IME closing exam in March.  There were problems - the doctor assumed that he knew it all, didn't take any history from me and then rushed me through the exam and closed my claim.  I wasn't happy with the way the exam was conducted, and then on reading my exam report I found a number of mistakes, so ...


Mandatory OT/pay-per-line OT Rules
Jul 24, 2013

Our department was recently "onboarded" by a transcription service where we are now paid by the line.  We have had several days where we had "mandatory OT" where the boss would email and tell everyone they needed to do 1.5 hours of OT that day.  In my state, VT, the law says if you are required to work over 8 hours in a day you have to be paid OT pay.  Does anyone know how this works for pay-by-line work?  I know many of the practices of this company are questionable and ...


Current Number Rules?
Oct 11, 2013

Number rules.  I've been doing this a long time...but I just want to ask the group.  If there are no account-specific rules, is this sentence correct? "He has had 5 episodes since 08/10/2001." I think I'm correct, at least this is how I've been doing it.  What does the new BOS say?  I quit MQ/MM and don't have the current edition. Thanks ...


Abbreviations In Impression Rules
Sep 10, 2014

I know that according to AAMT we are not supposed to put abbreviations in the Impression/Diagnoses sections, but does that include ALL abbreviations?  Or just ones pertaining to diseases?  For instance, are we supposed to spell out MRI in the impression?  Or just diseases, like PUD or COPD?   I'm a bit confused because I put "MRI" in the impression and QA left that as is, but I also put "PT" and they expanded it out to "physical therapy." Does anyone know? Thanks in a ...


Don't See Anyone Here Talking About The New Rules That Have Not Even Been Instituted Yet. Sm
Dec 20, 2014

The hopeful folks....did you forget we have not even started with the new guidelines by which our work will be audited at a yet unspecified date?  You may be feeling all warm and comfy right now with your 99.9% to 100% reviews.  I would not be counting on that. I've had plenty of those, too, and regularly achieved the quarterly bonus up until recently. So, I work 25 hours, and they audited 1 report only with 1 error and I am at a tad over 98%. Meanwhile, I pended 4 jobs and that ...


I'm Having A Meltdown Because Of Nuance Rules
Feb 20, 2015

Is there anyone available to us for non-emergency questions? If we have a BOS question or a verbatim issue, is there anyone there for us? (Yes, I received that email earlier in the week to not bother anyone. But really??) ...


Rules On Abandoning Or Breaking From Jobs??
Feb 23, 2010

Does anyone know the rules on how many jobs you're allowed to abandon or break from??  Thanks. ...


Latest Rules On How To Type Numbers
Sep 14, 2010

Can someone tell me what are the latest rules on typing numbers?  Do you type 3rd or third? Thank you!! ...


Why Do Companies Change Grammar Rules?
Oct 13, 2010

For example, if the doctor says platelets 277, then that's why you type.  Later on down the road, knock points off my score for typing 277, claiming that we are supposed to type 277,000.  Why does stuff like this ALWAYS seem to happen?  Then I get points off my score because two different QAs are telling me 2 different things.  I can't take this anymore.  The last 3 jobs I have had were like this.  I'm sick of getting yelled at and points taken off ...


SUITS MAKING RULES FOR UNDERLINGS
May 20, 2011

It is obvious that those in charge have NEVER typed a word and have no idea what transcription is all about.  They need to go on Undercover Boss and spend one day at the computer and listen to what we listen to and then tell me we need to be 99% accurate.  What a joke! ...


More Pay Cuts? New QA Rules/laws/regulations?
Dec 30, 2012

Don't you just love the communication at Nuance? Just received an Email regarding new QA rules (new hoops to jump through for bonus), so disgusted I just deleted the message. Bringing the E5 *in line with the rest of NTS*? I don't want to know how much better and faster we are all supposed to be with WHATEVER technology you push out.... I just wanta say that some of you people in management had better learn to transcribe. And WTH is the learning module "Speak Hawaiian"....what ...


Changing Grammar/punctuation Rules
Aug 07, 2013

Is there a site or forum somewhere that updates on new grammar and punctuation rules since they change from time to time? ...


Reading Some Of HIPAA's Rules This Morning
Sep 02, 2013

and noticed it was talking about a breach. This is something that happened the other day and under the new law, am I supposed to report a scenerio like this? I had a physician who told me this patient's social security number. There is no place to include that on their report, nor has it ever been with this particular company so I just heard and that was it. Would I be, as a business associate soon to be, required to inform someone about this, like ratting on this physician? ...


New Editing Platform Rules Inquiry
Oct 08, 2013

Hello, We are preparing to switch to editing and are working on a fair guidelines for the MTs.  What are the industry standards of expections for things such as correcting if a dictator says something like "laboratory studies" and the draft comes through as "laboratory data" - do you correct it or leave it?  What about things like numbers that begin a sentence?  Correct or let it go?  Any advice you can give would be appreciated.  ...


I Am So Sick Of Bouncing Around From Account To Account
Nov 07, 2012

What a flippin joke. Didnt Amy say she was going to keep us in 1 account????   OMG, I have done evey account in my BOB this morning as well as some other Bob. I cant keep my head on straight anymore. It is spinning like a top. My production is down to minimum and I am at risk of being fired for not meeting production because some idiot decides to open the cesspool!   GO CCMs! GET YOUR 100% TAT... SCREW THE REST OF US. ...


AAMT Book Of Style To Be The Set Rules For Our Transcription Department?
Jan 19, 2010

I am currently looking for a new online job.  I have been doing medical transcription for nine years now but work for a small hospital.  I do not currently have, nor does my hospital require, the AAMT book of style to be the set rules for our transcription department.  We still use q.h.s. etc.  I recently had a job interview but blew it because the company requires their MTs to know the latest AAMT book of style front and back.  Is this a big deal to know this book word for word?  Wonderin ...


Don't Forget, You Will Be QA'd On Each Account, That Could Account
Jun 08, 2015

.... I read notes below to this effect. Oh, and don't forget to NOT count QC lines and scores when you calculate your QA score on FIESA.   ...or just ignore it altogether.    ...


If You Are Working For A Company In Another State, Do They Follow Their State Rules Or Your States?
May 12, 2010

x ...


HIPAA - Need A Quick Check On HIPAA Rules
Oct 29, 2009

Hi, I need a quick check on HIPAA rules.  With respect to the health care debate, I want to write to my senator, etc., about a situation with a patient I transcribed on.  The only info. I intend to give is that the patient was a:  Russian immigrant, on welfare and receiving Medicaid benefits--when he should not have.  He and his "sponsor(s)" was responsible for his care and living expenses.  Further, I transcribed a note in which the doctor said that this patient wanted to re-sched ...