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I don't understand this. There is one doctor - whodat

Posted: Feb 19, 2014

that I type that in the abdominal exam says "no masses or megaly." "Megaly" by itself is not a word. This is not a verbatim account. I did about 5 of her reports last night and changed every one to organomegaly - as that goes with abdominal exam. Now, I'm told by my QC coach that if Audit pulls that job, it could be an error. This is so stupid to me! I was thinking as I was typing her reports ~ if I put just "megaly" that would be considered an error if audited as that is not a word by itself, it is a suffix or a combining form. I just feel like we can't win!

Just type it - You are safer!

[ In Reply To ..]
You are correct that it is not a whole word, it's just a word part, but just type it the way she says it. Never add beginnings to those. It's an assumption, so that's why you'd get seriously knocked off on an audit.

If you feel better, type -megaly. I used to just type megaly. I'd be hard-pressed if someone knocked points off for that.

Damned if you do damned if you dont - sm

[ In Reply To ..]
I used to "clean up" reports then get gigged for adding and or the..NOW they get what they say, nothing more, nothing less. You cannot win with this company

There is no winning or consistency - Sarah

[ In Reply To ..]
I've been told by auditors that I have to make the dictation make sense with respect to the foreign doctors. There is absolutely no consistency. They are simply trying to drive us insane or make us quit, whichever comes first.

You nailed it - sm

[ In Reply To ..]
They ARE trying to make us quit, saves them money in the long run and saves face for them. Just think then they can say ALL the Americans think this job is not good enough for them, sooo we sent it to India. And if we quit, they don't have to pay unemployment. I would quit tomorrow, but I refuse to be run off, let them fire me or they can put up with me, I don't care. I'm not going to have heart failure or a mental breakdown in the process.

I agree. Type "megaly" - could be organomegaly or - sm

[ In Reply To ..]
hepatosplenomegaly or splenomegaly. Don't guess ever.

there are many kinds of megaly in an AB exam, this is guessing for sure to put organomegaly - mtr

[ In Reply To ..]
nm

I used to clean up reports too. - New game now

[ In Reply To ..]
I have one doctor who will say status epilepticus once. Then he just says status. Does it take a genius to figure out in Impression or Diagnosis that he is talking about status epilepticus? It was never a problem with my previous company or with the doctor. They appreciated the effort you made to make the reports more professional. Now, not so much.

I know what they mean a lot of times - but

[ In Reply To ..]
Right down to it being the year 2014...Just not worth the risk to fix it, not that it is a risk in the real world, but it is in MMODAL land.. I leave it with a marker to check the date.. They are deliberately dumbing us down. That being said, I think I will check the want ads, its time to find something, anything, else.

I feel like such an idiot - With the new DOS rules

[ In Reply To ..]
The new "rules" are the dictator has to say the words "date of service" or I have to leave a blank. The people who have to fix it must think I'm an idiot (80% of the stuff I have to blank), but now that it's a critical error to have common sense, blanks away. I have been doing this more than 10 years and no one ever complained about the DOS before. Why is it a critical error all of a sudden?

Each account is different - Sarah

[ In Reply To ..]
I have some accounts that you type "Date of service not dictated" and others that they don't want you to type anything in the QA box because it holds up delivery. Perfectly normal request you say -- the kicker is its not written anywhere so you have to guess which accounts want what, and once again damned if you do and damned if you don't.

There is more than one megaly - see message

[ In Reply To ..]
There is hepatomegaly, splenomegaly, organomegaly---I would not assume organomegaly. You're likely correct, as when they do an abdominal palpation they generally check all the organs, but we don't know if the dictator was just focusing on one particular organ or all the organs.

Just type megaly or -megaly. We aren't supposed to assume anything. If they ding you for megaly, it surely won't be as big a ding as adding your organ assumption---the way you're typing it is assuming the doctor checked all the abdominal organs. So, if you get dinged for megaly, use what I just said as your rationale.

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