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I really wonder why some of these places have so many account specs...really. What does it matter if they dictate a consultation and the headings are in all caps or have just the first letters capped, or are bolded or not, or have a colon or a dash. Or if the doctor says "past history" but the specs say you must type "past medical history". If all the accurate medical information is transcribed as the doctor dictates, what does it matter? The information is still there for those who need to review it. It's crazy with all the rules they try to apply to every single account. Just let us type the document in a professional manner with all the information dictated, and be done with it. Stop trying to force all these different formats and specifications. If the information is there and typed in an understandable format, that should be fine. I think most of us would be able to produce a complete medical document without 2 pages of specifications. Somewhere in the higher-ups are people just looking for little nitpicky crap to try to enforce to make themselves feel good and powerful, when it really doesn't affect the medical information in the documents. And I believe that the doctors probably don't even care. As long as they get their dictation transcribed with what they dictated, they are fine with it. Just my opinion of course.