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

Documentation Errors - Confuzzled

Posted: Sep 15, 2010

I work in a surgery center/clinic in medical transcription. I have never worked in the medical field before, so I'm not sure what is acceptable. We get massive amounts of documentation errors from the nurses in the surgery center and in the clinic. Is this usually acceptable?! Is it normal for a transcriptionist to be required to scan over the chart and correct all of their errors or should this be the responsibility of the nursing staff? It's DRIVING me up a wall! I'd say 75% of the time I put my hands on a chart I have to take it back to the nurses for corrections. They forget to mark the charge tickets correctly show what supplies were used during the procedure, medication errors, things don't match up, they aren't updating allergy lists...it goes on and on. Is this NORMAL?

Sadly yes, I think that you will find this in a lot of the clinics around (sm) - anon

[ In Reply To ..]
the country. I worked for a multispecialty clinic for over 18 years, as well as the local hospital, and had the same problems. It is frustrating and scary to see this going on and with the clinic that I worked for, sadly administration generally would not do anything to these "nurses" who were making the mistakes. These so-called "nurses" were generally MAs or a lot of the time people that they had hired off of the street and trained for the job. Our department head would raise absolute he11 about mistakes that we would find, wrong account numbers, thus wrong chart, not matching things up, medication errors, allergy errors, etc., but again, it would fall on deaf ears. However, at the same time if WE made a mistake and it was caught there was he11 to pay!!!

When transcribing from home, you can't go to the nurse or doc - shortcake

[ In Reply To ..]
with errors or descrepancies. I get so frustrated leaving blanks but when I know something to be incorrect I will not put in the dictation. Unfortunately, too high of a QA percentage works against the MT but what are we supposed to do???

Similar Messages:

Dec 08, 2012

I get dinged for leaving out words like the, and others. I am now understanding that this is not the correct policy, that others are not getting critical error, major error, off one point for this. So, am I being singled out? Because I thought this was the norm. I'd like to know so that while I am hanging on every word and will continue to do so, I thought I was not the only one with this...thanks in advance for the update. ...

Mar 20, 2010

submission line count is calculated? Number of characters in the words filled in by QA divided by total pay period line count? Number of characters in the document submitted? Knowing MQ, it's probably the latter. So... if I submit 1 report with a 90 line count doc and 1 word, I'm dinged more than five 10 line count docs with 2 lines (i.e., 130 characters) of blanks in each? There are doctors with such bad accents+mumbling in my group that they can end up w ...

Jan 21, 2010

Can anybody give me info on Documentation Services? the good the bad and the other stuff? Thanks! ...

Sep 16, 2010

Does anyone know if Proscript Documentation is the same company as Proscript? I once worked for Proscript and I just applied at Proscript Documentation and took their test and realized it was the same account I worked on with the other PS. Are they related? I know Proscript does overflow work and I am wondering if they are a subsidiary of PS Documentation. ...

Aug 22, 2014

I dont mean where to find them if you've been written up, but how PM actually works, how they decide when to put you on PM, the levels, etc.? I can't seem to find anything about it anywhere. ...

May 27, 2010

After reading archives on ProScript, it sounds like a company in transition. Any more current information. Pay rates for VR, platform (I believe ad said eScription/EditScript), happy, unhappy? Anything that would help. I really need a part-time job to pay the mortgage. Thanks ...

Apr 01, 2011

Any current info on this comopany? Thanks! ...

May 22, 2011

from years ago? I'm going through all my paperwork to find something that says we were to do a certain lines per hour, and at 98% quality. If they change the stakes, it isn't our fault that we do not meet their new standards. I'm thinking in terms of getting fired from a hostile environment and claiming constructive termination. ...

Sep 13, 2011

Can anyone tell me what this company is like to work for? I don't find anything in the archives, and they have a position posted on the job board. I'd like to know how they pay, if they have steady work, what platform they use, etc. Also, do they have straight transcription in addition to VR? TIA ...

Feb 20, 2012

Does anyone know anything about ProScript Documentation Services and if they are any good to work for? Wondering if I should apply........Thanks for any info! ...

Apr 18, 2014

Team? I'm trying to research them and cannot find anything on this site or online. ...

Apr 23, 2014

I think any law that forbids offshoring of American medical documentation would have to be very thorough to address a number of potential problems. In keeping with this, I have a list below of some that I've thought might come up under such a law unless they are specifically addressed. These are possible loop holes that could really mess things up. 1. It would create a sudden demand for many more MTs in this country. That's awesome, obviously, but I fear this may cause medical pr ...

Sep 17, 2014

Hello, I am currently a HDS student and have a few questions about what happens after post graduation. What is the lowest, medium, and highest pay that an HDS gets a week, month and year for Nuance? ...

Oct 05, 2014

x ...

Nov 16, 2013

Has anyone worked for InHealth Clinical Documentation Solutions If so please let me know your thoughts and feedback. I am looking to apply and want a heads up of all the good, bad, and ugly (if any) Thanks!!! ...

Apr 16, 2014

How is your production? Can you easily get lines? ...

Oct 26, 2014

I worked for them for a bit over a month. During that period of time, I was involved in a move, and they required a VPN, as did the other company that I was working for at the time. When I moved to my new location, I was on a DSL line and of course, off the internet for about 2 days or so. At that time, I was using Word 2003. During my "hiatus" from the move, and when I got on line, I received an email from them, that I needed to update. Well, the "update" did not w ...

Feb 19, 2015

Does anyone currently work at Alliance Health Documentation Services in Bangor, ME? Wondering how the company is and how management is, etc. Any info would be appreciated. Thank you. ...

Apr 01, 2015

If you feel you are being abused and want to do something about it, you probably need to be documenting the problem. Concerns that have been mentioned on this board include: Some have mentioned having no work available but being required to work outside of their scheduled hours in order to complete their required line count. Some have been a victim of an unfair pay system in which they have had their pay reduced because they have such difficult dictators/intermittent work that they are una ...

May 12, 2015

Anyone on here currently work for them? Can you give me an idea what kind of company they are, platform, pay...etc....? Thanks in advance.... ...

Jun 05, 2015

Ahima certainly gives it a different spin than MT, and an article at Study.com lists desired or common requirements as associate's or bachelor's degree, with nursing, HIM, or health information technology, and medical coding expertise. So where does Nuance get off expecting "lowly" MTs to do this stuff, with 100% flawless accuracy, on lowly MT pay having to Google everything? I mean, they do not even pay us enough to be "lowly" MTs, and yet expect us to Google and verify that do ...

Sep 30, 2014

Interested in there Microsoft Word program accounts, not the Fusion. Thanks ...

Oct 24, 2009

The company I work for provides no documentation of what they are paying me for, not even on my pay stub. There is a way to check on the system but it isn't consistent with what I get paid. Any comments? ...

May 11, 2012

Looking for info on the above company located in Georgia. If you would care to share your experience working there, pros and cons, please post. Thank you. ...

Mar 11, 2014

Anybody know what their line per character and what their rate is for straight typing? Also, do they have VR? ...

Nov 14, 2014

Anyone having trouble meeting line production? ...

Jun 23, 2015

Anybody having a hard time making their line count lately? ...

Oct 30, 2014

What do I do if QA marks me for a major error but I think they made a mistake? The really wierd part is that the feedback page says it was NOT modified. Seems so strange to me that QA wouldn't modify a report with a major error. ...

Dec 08, 2009

Does anyone here believe that sending a copy to the wrong doctor is a critical error? I am beginning to feel picked on. ...

Jun 15, 2010

Has anyone at the Q been getting hit by "critical errors" on crazy stuff that has never been an issue BEFORE? All of the sudden, after no feedback for about a month, no audits, nada, zilch, I got my audit and was given critical feedback for not capitilizing a department! (recovery room, radiology suite, cardiac cath lab...) AND, in a verbatim report, with a client profile that says specifically, DO NOT ADD A HEADING IF ONE IS NOT DICTATED, for NOT adding a heading! This makes me nuts ...