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

Have a question for MTs concerned about what is about to happen ... (sm) - anon

Posted: Mar 04, 2010

I do not work for the Q, however, I have been trying to follow what is about to happen with the First Time Right protocol because I do have friends who work there, I am a MT with over 25 years experience and of course there is always concern that even though (in my opinion) this seems like a beyond crazy idea, it could possibly affect MTs everywhere eventually.

My question is this, (it may have been discussed already on this board, if so I apologize) with the new HITECH laws does this not open the door even further for MTs to be sued in some manner?

I really wish you all the very best!

You know what it does in all honesty? - It puts the responsibility where it belongs

[ In Reply To ..]
Which is the dictator themselves. After 20 years, I have seen this come full tilt. When I started transcribing at a local hospital, we asked the person who dictated the report for clarification.

If the report constantly goes to QA which I think is overrated and they guess too and make mistakes too or delete the blank entirely to suit, the dictator is never aware there was even an issue.

If the client has to fill in their own blanks, they will start to sit up and realize.

I have accounts where I am allowed to leave a time marker for the client. This is how it should be. We are MTs not physicians. The person signing off on that report is ultimately responsible for its content, not the MT. That's why the dictators initials come first, and the MT's initials are in small case letters.

I do not work for the Q and never will ever!!!!!!!!!!!

I Agree... - obsoleteMT

[ In Reply To ..]
I do agree with you for the most part. The physicians need to take responsibility and use more care when dictating. I usually have more difficulty with American dictators who are just talking too fast and slurring everything together than I do with most foreign dictators. There are times where no one on the planet can send a report through with no blanks. I have been doing this almost 30 years, started in a hospital ER, and it was so nice to go straight to the source and ask them what they were trying to say. I had one doctor who kept pronouncing Brudzinski as "Bardinsky". I didn't like to guess then and I still don't.

Now about the QA stuff - and no stones please - I started with Q as an MT, and back when evaluations meant something, got continual raises and was making a decent line rate. Then I transitioned to QA, which I loved because it made me feel good to think I helped the MT perhaps learn something new by providing them feedback, and I always liked to think I was helping provide a more accurate patient record. I did not nit pick or guess and I like to think I was very fair. I knew what the MTs were dealing with since I had been in their shoes. We really are all working for the same goal here, and we are all human. Considering the volume of work we all try to produce, we all make mistakes. They (Q) have made it all about saving the company money, and they have forgotten that the MTs are the foundation for their billion dollar company, and yet they keep cutting and cutting our pay, and now penalizing us if we dare leave a blank. Give me a break. Who comes up with this stuff - one of their new VPs who is making six figures? They don't have a clue.

Again, and remember no stones please, last year I was "promoted" to CTL, which happened to come with much more work and stress, and guess what, much less pay. They did some "calculations" for production pay, which was much less than I made before I was a QA. Then they did away with that job title, and guess what, they calculated again and paid me even less per line. Right now I'm making about what I was making in the 1980s. I also now get feedback from other MMEs if I leave blanks, and I see why the MTs are complaining. Sometimes it makes me so mad - some of the stuff they are putting in that was in no way what the dictator said. Like I said, I don't guess and I don't like them just making up stuff for a report that has my initials on it. The QA submission thing sucks. It's not fair to us at all. Like I said, it's all just another way for them to pay us less. I do love transcription and pictured myself doing it until I was old and gray(er) and retirement age. Unfortunately, I don't think that's in the cards. As soon as I am able, I plan on making a career change. Good luck to you and all the other MTs on here.

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