I hate "qualified verbatim" so much. - How do you guys handle it?

If whatever the doctor said is a little wonky, doesn't make sense or is a bad sentence, you can and will get dinged for typing what the doctor says. Told to leave a blank so you won't get dinged. ...

the doctor is dead wrong about his anatomy? The patient has a problem with his foot and leg, but he dictates ulna. I wouldn't give it a second thought to leaving it blank, but I already got notice about documents with blanks (usually 1-2 blanks if any, and anymore than 3, to QA). Hmm... go with what is right or what is the least path of resistance (i.e. least likely punishment) BTW - The document I sent yesterday with 4 blanks to QA, they couldn't fill them in either. Shesh, the ...

The reason I ask is because this morning I'm doing an acute care progress note where the dictator says "The patient has end-stage chronic obstructive pulmonary disease and she is still sounding pretty crappy and congested." I absolutely refuse to use the word "crappy" in a medical document if it is not within the context of a direct quote from the patient, i.e. "I feel pretty crappy..." So I decided to omit crappy and just say "she is still sounding pretty congested." QA w ...

Aside from furthering our education and becoming coders or something to that effect, is there ANYTHING with a livable wage that we are qualified to do after years of transcription experience? Every ad I see for administrative positions requires payroll/bookkeeping experience. I'm the queen of medical terminology and can type like a demon but is it good for ANYTHING??? My job is going to VR in the next month or so. I've been a transcriptionist over 10 years and one girl in our office ha ...

The following is on page 13 of Medquist's 1st quarter filing to the SEC. Apparently by "qualified" they mean willing to work for peanuts and take all the abuse they dish out. Usually when there is a shortage of workers in a particular industry, it drives wages up. Funny how it doesn't work that way in MT. Significant developments in the clinical documentation industry include: A shortage of qualified domestic medical transcriptionists (MTs) and medical editors (ME ...

Since Audits are affecting us so deeply at this point and possibly costing us our livelihood, I began to wonder WHO is doing the auditing? We have lost most of the decent QA people (or will as of tomorrow when nothing will be routed to QA anymore). I know that several of the CTLs, CCMs or whatever the acronym of the hour is currently called, have been morons and sent out E-mails filled with grammatical and punctuation errors, and some have not even been MTs before. Shouldn ...

Does anybody work for a company that pays less for something called "qualified text" or in other words pays less for templates, like 10 cpl for transcription but only 5 cpl for the template lines? Were you with them when they paid full rate for those lines? I am trying to find out how much impact (perhaps percentage) this has on the bottom line - a paycheck. The company I work for is going to start doing this and I am wondering how much it is going to hurt. Obviously it w ...

How much are we paid for qualified text, and where do you see that? Is it in webclock or on our pay stubs? ...

Unbelievable! I actually qualified for first quarter bonus at 100%. If I had not seen it with my own eyes I would not believe that anybody ever qualified for it. I am in total shock. Unbelievable but happy. It is possible. I didn't think it was. Did anybody else get it this week? I thought I had read here about a month ago that some people had gotten their bonus, so I thought I had missed the boat. ...

When I contacted my representative about Amnerican transcription jobs being outsourced, my rep said there was a shortage of qualified transcriptionists in the United States. Do you suppose he got his information from the money mongers who justify their greed by filling our repesentatives' heads full of this bull. There are plenty of qualified transcriptionists in the US; the MTSOs just do not want to pay for quality. It is about money Mr. misinformed senator!!! ...

the amount of your paycheck very much? I wasn't sure if I should even apply to a MTSO that uses this. ...

I am under the impression that QT is canned text that we bring into the report and add text at certain spots when the dictator specifies? I used to do a lot of ophthalmology reports. Surgeon would say: Please insert my normal phacoemulsification with IOL implant. Then they would dictate which eye, how many diopters, model and size of lens, etc. Does QT also sometimes just show up on the report that comes up and then we just add what is dictated? How long does it take to bring in the QT? Than ...

for job interview. The internet says there are scams out there for this type of thing. Anyone hear of this company? The job is posted on another board. ...

I was originally with one of the ambulatory groups that came through the back door of Nuance. Our old ways of doing things have slowly been phased out since Nuance acquired us. Currently I get 8.5 cpl for standard lines and 1 cpl for qualified (template) lines. I haven't gotten the email about the video yet, but I've been reading on here about the new 7 cpl rate. What about template lines? Does Nuance pay for template lines? Thanks... ...

I HATE that I am tied to my office just waiting for work to come in on two different companies. I HATE that I just quit a third company because of LACK OF COMMUNICATION (gave my notice to Keystrokes, no response from ANYONE). What is wrong with these people? They demand certain things of us but we have no rights? I HATE HATE HATE it and as soon as I possibly can find another job, I will LEAVE MT WORLD FOREVER. I HATE THAT I HAVE NO LIFE WITH THIS PROFESSION. H ...

of the medical field in general. What happened to all the American doctors? Has it become so blasted easy for foreigners to come over and get a job as a doctor or are Americans so damn-ass lazy that they don't want to get the education? Or is to so blasted expensive that no one can afford to become a doctor unless you are a foreign student? So freaking sick and tired of all these foreign dictators who speak so fast and sloppy. What the heck is going to become of our health care when we can& ...

This is EXACTLY how it was dictated: I cleansed the skin with alcohol from her prior visit (LONG PAUSE) I do remember patient having a very low pain tolerance. That's pretty unsanitary to use alcohol from the prior visit, don't ya think? LOL ...

This is almost/sort of a poll. I need to know what verbatim means to you in VR. Do you change any wording? My understanding of verbatim is word-for-word (Merriam-Webster dictionary) unless a sentence does not have proper structure; if the doctor rambles on and puts the word 'and' between words where there should be a period, etc. (Not included in this is changing mg to mcg in a wrong dosage, changing the medication itself if wrong, or other major medical erros&nbs ...

Just worked on an ESL report (with unfortunately for me very, very, very little English). This is a VERBATIM account. Sent it to QA and it was "transformed" into English with little regard for that pesky word VERBATIM. Does verbatim mean different things to different people? ...

If not specified, is it better when taking an employment test to type verbatim or to follow transcription rules? Not asking for a specific test or company, I have just noticed that often times no instructions are given, and I don't know whether they are looking for following transcription/AHDI rules or just running the test next to a template in the system. ...

lisinopril/HCTZ 20/125. I'm sure she meant 12.5 but she clearly says 125. I don't want to leave a blank as I get penalized. I'm thinking to just do as I know and put 12.5.... ...

Hi everyone I may be getting a job which is a verbatim account. I have not done that much verbatim work and I was wondering, are there any tips I need to know about doing such an account ? I realize that verbatim means exactly the same words but if any of you have any tips typing verbatim I would really appreciate it. Thank you in advance and I hope everyone has a great week. ...

significant for hypOtension and a few diagnoses down from that hypeRtension. I would leave it a blank if it did not cost me money but not sure she meant the hypOtension. She repeats herself alot but she clearly says hypOtension. It's a guessing game! ...

AHDI has stated "that obvious headings that are not dictated may be inserted but this is not required." Does anyone know if this applicable in verbatim accounts? Has AHDI issued any new or different rules in regards to verbatim account? ...

Is it me or what - I was always told to follow account spec and make sure I didn't use the forbidden JCAHO abbreviations. Lately if I look at an old report to get a slurred/muffled word that I can't make heads or tails out of, I've noticed that others on my same account don't follow the specs at all! They do everything verbatim. It totally upsets me. I noticed it a while back and put it down to a new employee not yet knowing all the specs, but it wasn't as ba ...

would you just put pip-tazobactam?? I'm also thinking she made a mistake saying pip which I know is piperacillin. Thanks so much! ...

How are you liking it so far? ...

I have all verbatim-verbatim accounts and only just now learned that we have to change what the dictator says and change it to an "approved heading." I was once told this only pertained to non-verbatim accounts, but was just corrected. I was told that ALL OF THE CHECKED headings in the headings pane must be included in the document. If the doctor says procedure, you must put in an approved heading into the standard changing what he says if in the approved headings list it says ...

clearly dictates a sentence that makes absolutely no sense. Just sort of an open-ended sentence, not even a fragment? I'm trying so hard to keep the blanks down, which my % is really okay, but I'm finding more and more that these docs are just not making any sense and the mistakes are getting ridiculous!!! Maybe they are texting when they are dictating........Anyhow, do you just type what they say and send it off or do you mark it for QA? ...

I started with a company recently, (within the last 2 weeks), that was all straight typing (yea!), but verbatim and I do mean verbatim. Most of the reports had the headers built in, and I did them in the order dictated. However, there were certain things in the operative reports, where they wanted things put in a certain place. I got that part, after receiving emails from the QA team and put the headers, where I believed they wanted them to be. The headers that were ...

I hate "qualified verbatim" so much. - How do you guys handle it?

Headings - Nana

Thanks Nana. - That is my preference too.

QV Ambiguity, Ugh! - CT

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