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Novels for Account Specifics - ladyfingers

Posted: Dec 13, 2011

Does anyone other than myself think that this business of medical transcription, which I have been involved in for over 30 years, has just become so complicated? There is one particular account my company has and the account specs for this account is 101 pages long. 101 PAGES LONG PEOPLE!!! Why on earth is medical transcription not regulated by Joint Commission as everything else is? I mean they require certain things to be included on reports and they require the reports to be dictated and transcribed in a timely manner, yet they don't give a hang about whether one hospital wants p.o. written out as orally or even go by the AAMT BOS. Seems like the AAMT BOS would be the MT Constitution. Back in the day the doctor dictated the report, we transcribed it according to what the doctor said, we had the reports signed off on and then we charted them. (I also had 5 colors of Liquid Paper) Seems like there are way too many steps involved in this mess anymore. I thought the age of computers was supposed to make things a whole lot more streamlined. This is just ridiculous. Do it this way, not that way. Follow the AAMT BOS if you have THIS but not if you have THAT. I think things should be a lot more streamlined than they are. Any other have the same ideas here? I know one problem that has a ripple effect with the medical records being computerized now, the physicians are required to do more "clerical" work on their end, such as inputing the correct MR# or whatever and we all know that is not going to happen consistently, but really, something needs to change. With over 7 accounts I work on and every one of them having an overabundance of account specs, heck, I'm worn out before I even get started.

LOL - you and I must work at the same company! - (sm) - Meerkat

[ In Reply To ..]
They want more and more minutiae added to their 103-page-long account specifics every day, and woe be unto us if we forget even the tiniest style detail (a detail that has ZERO to do with the medical report or patient care), and yet they want to pay us less each year for more and more work.

I was recently told I "should be able to do twice the amount of work on VR that I did on straight transcription. Yeah, RIGHT. Maybe IF the VR worked worth a damm, but instead that gets worse every day, as well.

And here's what I don't get about VR: How can it SOMETIMES actually understand part of what a mumbling, thick-accented ESL doctor says, yet it can't understand ONE WORD of what a clear dictator says? I end up having to erase the VR garbage and completely retype the VR reports, all for a whopping 3.5 cents per line.

Lies, lies everywhere. They lie to the hospital, telling them their probably way-too-expensive VR system is "working just fine", (yeah, thanks to US redoing like 98% of what it types!), and they lie to US, telling us we'll "do more work and thus make more money". B.S.

Be grateful you dont work at the Q - gotta see this

[ In Reply To ..]
I work, on average, for 15 accounts per day, one job here, one job there. Each account has their own specifics, as well as each physician has "their own wants" that have to be followed.

Our order of references is
Client profile
MQ DocQScribe guidelines
AAMT BOS 2
MQ Transcription guidelines

But remember, if the account is not a "retrofit" account, then all BOS rules go to the wayside for JCAHO rules, and they all contradict the MQ Transcription guidelines, which all contradict the client profile, and NONE OF IT MATTERS ANYWAY... because the clients dont give a rats behind or their work would not be allowed to be done in INDIA!

I love your post!! - nm

[ In Reply To ..]
.

It IS ridiculous and unnecessary. SM - Headache

[ In Reply To ..]
Wow, you are my kindred spirit! I have been lodging the same ocmplaint for years.

These days JCAHO can barely monitor the clincal aspects of the hospitals, and they never gave a hoot about the transcription process anyway.

The problem here is NOT the hospital or the doctors/dictators but the MTSOs. Their sales people go into buttkissing mode, telling the clients that they will do it "anyway you want." That in turn is relayed to the dictators, resulting in the ridiculous situation you describe with pages and pages of minutiae that will have NO IMPACT on patient care whatsoever.

Well said, Headache. -nm - JustPassingThrough

[ In Reply To ..]
nm

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