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

Does everybody get audited like clockwork - each month??

Posted: Jan 06, 2012

maybe its my luck to have an extremely anal auditor, but find it hard to swallow I am getting dinged for a's and the's, therefore in a very long report (234 lines), I do not make the ridiculous 99%, like 98.75.

Every month I get audited, and I have complete confidence in my abilities and attention to detail, but not when I am micromanaged and held to a percentage that is unfair.

can I just ask how the percentage is unfair - if its company wide

[ In Reply To ..]
I am not trying to be rude, but the percentage is for every employee, not just you.

Are you new here?

It is company wide unfair, do not think it is just for me - I think 99% and getting dinged for ...SM

[ In Reply To ..]
extremely insignificant things which are questionable, i.e., could go either way..THAT is unfair. Good for you if you get audited every month like clock work and always score above 99%, more power to you. I do not..and it is NEVER sloppy medical errors..it is always a very long report with As, The's, Then's.

And the luck of the draw on who is your auditor. My last auditor never dinged me for that crap. This one unfortunately does.

You dont have to be rude - I was asking a question

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I dont like the 99% rule either. I think docs should be held to 99% correct dictations, but it is what it is.

I get dinged A LOT as well for the piddly things. I dont know why they do that.

I never said I passed every audit either. I just wanted to know why you felt it was unfair, if it was just the 99% or the way they scored, or who was scoring, or if you were new and not familiar...

How am I being rude? I said good for you.. - jeez...everybody is so uber sensitive here

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I said good for you..more power to you. I did not question your ability or suggest you were not being truthful.

Everybody here is so quick to come back with.."what'd you mean by that?" Calm down.

I don't get audited every month (as far as I know anyway) - :)

[ In Reply To ..]
I also don't give a rat's butt if I pass or fail. I do what I can, and it has to be good enough. If it's not good enough, then they can fire me and give my cushy MT position to someone else who is more deserving of it.

An innocent bystander - SM

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Sorry, but it sounded rude to me as well.

Innocent bystander 2 - Crazy Aces

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It didn't sound rude to me. Sounded like she was frustrated, but not rude to the other poster. Just my opinion.

It is unfair because it is arbitrary - Who else is 99% accurate?

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Tomorrow they can say we need to be 100% accurate and reduce our pay if we are not. Who in this world besides us is required to be 99% accurate? Doctors make mistakes; nurses make mistakes with far more serious results. We're human, it happens. Even NASA is not 100% accurate. MQ does this as an excuse to pay us less, not because it is reasonable.

But we arent 100%. Your company, you set the %, their - company, they set it. Nobody has to stay. nm

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x

I still say it is arbitrary and - unrealistic

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They never have had and never will have 99% accuracy. When they tried this many years ago they said 98% and couldn't get it and then went to 95% and still couldn't get it. And in those days the dictation was far better than it is now with fewer ESLs. They say 99% accuracy to use it as a marketing tool and to lower pay for MTs or an excuse to let them go if they want to.

Imagine an owner of a baseball team saying the team had to win 99% of their games or their salary would be lowered; then all the owners did the same thing and the ball players had no union. Would that be fair?

Your post makes no sense. Used to be 95%, but now they get 98%. - So what is your point. And SM

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A job has solid expectations and if you cant supply those expectations, someone else can. Even in ball, they dont keep the players that cant produce. Their contracts arent renewed and someone else steps in to take their place.

Btw, who ever told you work (or life for that matter) is fair. It is not. Business is a money making proposition, not a social function where eveyone takes turns and all is fair.

Okay, I will try one more time - to explain

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They used to set their expectations at 98% accuracy and could not get it. If they fired all those who did not achieve 98% accuracy, they would have almost no one left. They then went to 95% accuracy and could not get that either so after a while they dropped it and just QA'd as much as they could.

Setting the bar at 99% is not achievable for the vast majority of MTs. I say this after being in an office for 30 years and seeing what routinely came through. Punishing someone monetarily for something they cannot possibly achieve is reprehensible.

I do know, after more than 70 years of living that life is not fair but I still believe that the companies that manage to treat their employees fairly, and sometimes even well, are the most successful in the long run.

Punishing monetarily is the way business is successful. Would - you continue to pay the same for inferior work? S

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Again, you are making no sense. I am sorry your skills are less than stellar but you should certainly not get paid the same as one who can make 99%, which is entirely possible if you have the skill set. Cant remember the last time I got under 99%.

How do you know her skills are - less than stellar?

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I bet if you had her QC and were being audited weekly and your work nitpicked to the nth degree, you would be on here crying like a baby. Geez you people are mean.

No crying here. I would be studing those audits to learn - what I needed to brush up on. nm

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x

stud away then! - (nm)

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xx

Actually my skills are just fine - OP

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and I have not been audited since August and I always have plenty of work. I am also getting the maximum rate because, believe it or not, I really do know what I am doing. I was not referring to myself in particular but to the company's policies in general. If they told you they wanted to hire you at 1 cent per line there would be no takers but they hire MTs at 4 cents per line and then, if they can't achieve 99% accuracy, which I still say is unrealistic for many reasons, they go on 100% QA and are getting 1 cent per line. Certainly they can quit and probably do but in the meantime, the company has gotten their work at 1 cent per line. I am not suggesting for a minute that MTs with lesser skills should get the same rate that I do. I am saying it is reprehensible to dock MTs for not being able to achieve an arbitrary and unrealistic goal. Hey, there are companies out there that could make a great profit by employing children to work 14 hours a day but thankfully we have labor laws in this country as well as the generally accepted belief that one deserves decent pay for decent work.

Would you rather they just fire them and then MT has nothing? - That is only the alternative I see. nm

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x

To OP: You are the most reasonable voice in this entire thread. n/m - Kiki

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x

Thanks - old and burned out

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At least someone thinks so.

Perhaps - sm

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you don't have a QA person who marks you down on audits for a comma or putting "the patient" instead of "patient." Sometimes a doctor jumbles something up so bad and the person does the best they can with making it correct and the QA person thinks it should be a different way and they knock you down. It doesn't take too many of those stupid things to take you below 99%. Maybe you should not judge everyone else unless you can stand in their shoes. I bet I could go through your reports, as you could go through mine, and pick them apart and find enought to drop you 1% if I wanted to, or you drop me 1% if you wanted to. Seriously, the only one I hear is perfect is Jesus Christ himself.

that argument might hold water if ..... - Julie

[ In Reply To ..]
the company paid a higher rate to the one that did maintain that 99% correction rate

In a way, they do. They pay the higher contracted rate. It is up - to MT is they keep or lose that. nm

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x

Oops. It is up to MT to keep or lose that higher - contracted rate. nm

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x

If 99% is required, I think most MT would hone their skills - to achieve that. It is certainly possible to achie

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x

You are SO RIGHT! EVERYONE please read this the following post: - Kiki

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It IS an excuse to cut our pay, plain and simple. Otherwise, the fair and right way to do it would be something like getting put on QA WITHOUT a pay cut. Then, if after, say 3, failing audits (however unfair they are), the MT should just be let go. If they don't like the work, let the MT go. They don't want to do that because then there would be no MTs on full QA whose pay they could dock and still get the work done for less. This is PROOF they really don't care about quality, just the ability to pay us less.

They dont need excuse to cut your pay. Their right to say, we are - lowering pay 1 cpl across the board, then SM

[ In Reply To ..]
you stay or go. They dont need excuses to cut pay, they can just do it. Why would they waste time with all thses games when they can JUST DO IT, with no games. Business is not a social function. It is a money making proposition and if one cant contribute to that, why should MTSO be expected to keep that person?

But they pay QA 4 cpl to 100% QA that work - sm

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Not that I agree with the punishment for having stuff go to QA. I'm not sure what the penalty is for sending to QA, but unless the paycut is more than 4 cpl, they aren't making any money from keeping people on 100% review.

Trainer told us MME, that kind of thing over-editing and - not to do it. nm

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x

Knock Wood, No, - Not every month

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So far it's like every 3 months. Crazy stuff! Last one was 99.1% and I got a written warning that I was "close to being under 99% - watch it." Okaaaaaaaaaaay...

me either - flying under the radar

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I know our QC person (or whatever the alphabet soup title) audits specific work types on specific accounts in our
BOB, but we, as of right now, do not get audited monthly. The only time I got officially audited is when I tried to tier up. Just doing my best to keep my head down, make my paycheck and stay out of trouble.

I don't - n/m - shhhhh

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nm

I do. I am so paranoid now I re-listen to every - report just to be sure it is

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absolutely perfect. Just another reason I made no money now. I get audited every week, at least 3 reports.

well..answers my question..it is cherry picking auditing - whomever they want to target

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and I guess I am in their bullseye.

BTW so sick of the responders "dont like 99%? then leave!" cuz there are so many options out there. We lose our jobs if we fall below 99% with the ridiculous ascertion we GREATLY impact patient safety. BullCRAP!! If my typo and failing to CC a doctor constitutes a threat to a patient then I wonder what the nurse does who mistakenly gives 10 times the dose of heparin or a Lantus to a non-diabetic patient.

I cannot believe how I have come to hate this job that I have spent years of my life perfecting. I am smart and adept MT..as I suspect most of us are..and I am being dinged and counseled by a CCM who is NOT an MT as well as HR who would not know a bronchoscope from an endoscope..or what they do for that matter.

So yeah..Ima a little frustrated.

So do ya think nothing happens to that nurse? - nm

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x

Probably NOT! My daughter is a nurse. She'd get written up several times - Kiki

[ In Reply To ..]
and then get fired. She wouldn't get her pay cut. That's how it should work with MTs, fail a few audits (even though IMO 99% is ridiculous) and then fire the MT, NOT dock pay.

In my book, getting fired IS getting pay dock in a major way. - At least with pay dock, you CAN SM

[ In Reply To ..]
stay if you want. But if dock in pay is unacceptable to you, with your great MT skills (that cant meet the accuracy requirment) you are free to leave. And how hard it will be to get another job is a moot point. That has nothing to do with how a business is run. And since this is business, not a tea party, why would you think that would be a consideration the MTSO should take into consideration. If you were so good you could get another job, you would be good enough to not get the pay dock in the first place.

Great thing about USA. Co.owner can set policy and none - are forced to work there. Free enterprise. nm

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x

Yeah I think I am getting audited to death because - I am tier 3, making the

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maximum per line, don't send to QA, and pass. They are witch-hunting.

MQ at will employment. :They can just lock you out if they want, - they dont need a reason. nm

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x

Frankly, I do not think anything we do - impacts patient care

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Any doctor who bases patient care on the reports that we type would be nuts. What we do is mainly for insurance companies.

Then how do you explain the H&Ps I have to do stat because the - patient is going to OR and Dr needs H&P? nm

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x

Because the JCAH requires an H&P to be - on the chart

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That does not mean the doctor is basing his/her care on what you transcribe.

I just bet - sm

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that a patient's care would be totally different and possibly kill that patient because you put a comma in where QA thinks you shouldn't have on that stat H&P. Oh my!!

Content - OABO

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When, in the midst of all this nit-picking, did we forget about the content of the report in favor of the style?

The best MT can provide both. - nm

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x

look closer - a's and the's are not scored in an audit - nm

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...

obviously for HIPPA sake I cannot get too descriptive - but trust me, it is just as inane NM

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and clearly changes depending on who gets to shred your report.

Do ya think the fact you dont know how to spell HIPAA has - anything to do with less than stellar audits? nm

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x

"ya" "dont" say -- the spelling police are not allowed here - nm

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x

That post was more about idea of inadequate skills - than it was about a misspelled word. nm

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l

NOT! - haha

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It was all about a misspelled word. Give me a break.

Oh brudder! - anon

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Not the poster, but the point was that if the earlier poster did not know the correct acronym for HIPAA, then maybe their MT skills were not so great. It was a post about substance not about spelling.

Oh geez - It was about spelling

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Anybody could slip and put in the incorrect acronym for HIPAA. That doesn't mean their MT skills were not so great or "stellar." When the orignal "stellar" poster misspelled "studying" does that mean HER MT skills are less than stellar? Again, give me a break!

Bologna, mortadella and other processed pig innards - anon

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The correct acronym for HIPAA has been discussed ad nauseum on this board. To use the wrong acronym is past the point of making an innocent typo. More importantly, what was the point of the poster who corrected it? Was it to correct a spelling error or was it to make a point of substance. I think it was the latter; therefore, the poster was not correcting spelling.

i have purposefully spelled it as hippa before. it's my freaking right to spell it that way - No spelling police are allowed

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WE DON'T HAVE TO SPELL IT RIGHT IF WE DON'T WANT TO!!!!!!!!!
IT HAS NOTHING TO DO WITH MY MT SKILLS!!!!!!!!!!

Purposefully misspelled it? Yeah, right. - nm

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s

Yeah, cause it looks like hippo and theyre fun - unlike yourself

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since you cant imagine OMG somebody mispelling something on purpose *gasps*
I'm not the OP but yes I have purposefully misspelled HIPAA. And FYI, it doesn't reflect the quality of my work, because I always pass my audits with flying colors

Are you talking about AuditX audit feedback? - MT

[ In Reply To ..]
Are you talking about AuditX feedback? That is done by the Audit team and there are maintenance audits done on accounts. Or are you talking about your Quality Coach auditing you?

a, the are feedback and are not marked on an audit.

if it is MME feedback you are talking about it is not scored.

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