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

It doesn't seem like anyone is learning - anything by failing their audits

Posted: Mar 25, 2014

This is a two-sided message. It is painfully obvious that no one is learning anything from having failed audits. This being said, I think there are a few sides to this. First, the error weights are harsh for a lot of small errors. Second, the error weighs are not harsh enough for other errors. Third, and most importantly, no one seems to be taking the time to learn anything from the audits/feedback in order to improve themselves and their work, which leads me to what I would do if I were M*Modal. My error program would be as follows: First error, no matter what it is, would have no weight. If you fail to review your feedback and learn/improve and you continually have the same error, then your error weights start to go up, even for the tiny errors. That way maybe the errors will be taken more seriously. If you continually get zero error weight for an error, then why bother learning from it or correcting yourself, just keep making it over and over and over again. That's not good for anybody. On the other hand, if you see that you made an error such as he/she and you get no weight, you may make it again, but if you then start to get higher and higher weights for continued he/she errors, you will probably be more likely to be careful. That being said, I don't see anything changing about scoring in the future, so the only other option is to change ourselves and the way we work.

Oh, please - You are assuming

[ In Reply To ..]
that we are all just blowing off the feedback. None of us wants to make errors. But when you can make 1 error and be docked 3 cpl, it's not about quality, it's about corporate greed.

learning anything? are you serious? - after 13 years there is really nothing to learn

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these errors are MISTAKES. we are paid pennies and have to fly through them just to be able to eat every day. If they paid a decent wage we might have time to proof more carefully.

I was one of the ones below who failed an audit. Guess how? he/she was/were and failing to put an s. multiple reports. So don't tell me I need to learn. tell them they need to worry about what really matters, like critical errors such as medication misuse, etc.

why aren't people challenging these errors then? - in your best interest

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I am the original poster. I have no problem with maintaining quality or making a very nice wage with transcription.

If you have a problem with the errors, you should challenge them. Also, do you realize that a lot of marked errors do not have points assigned to them and if they do and should not, you definitely need to challenge them.

Also, he/she is a valid error. If you are transcribing a female patient record and either the dictator says "he" or you transcribe "he," it throws question onto the validity of the entire dictation not only for quality, but also insurance reimbursement to the client.

errors - we all make them, but.

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I cannot wrap my head around people that will argue to the ends of the earth that it's not fair that they get marked off for errors.

Your job is to complete error-free reports. You are paid to provide accurate transcription with few if any errors. People come up with excuse after excuse about how it's not fair or not their fault. You know what, it IS your fault. If you are failing audits repeatedly it's time to look at yourself and what YOU are doing wrong instead of playing the blame game.

If you worked at McDonald's and sent every order out missing something you would be fired. If you were a cashier and forgot to bag an item from every order you would be fired. If you were an accountant and made a $1 error on every tax return you did you would be fired. Heck in any almost any job if you made errors over and over and over again you would eventually be fired.

Why are so many MTs so entitled that they think it's acceptable to make mistakes constantly? No one is perfect, hence why we do get a small amount of leeway. There are many of us out there who have never failed an audit. We don't have magic powers. We just do a good job and care enough about our jobs to not make careless errors over and over again.

Don't even get me started on the people who equate being an MT for 10, 15, 20+ years as meaning that they are above making mistakes. The amount of time you have been an MT is irrelevant if you have a craptastic attitude and are careless when you work.

Bottom line, if you are repeatedly failing audits it's YOUR fault. It's not the doctors, auditors, MModal, Fluency, other MTs, it's YOU.

Whoa ... spoken like a true QC - NM

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NM

it doesn't matter, everyone has rules - that must be followed

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It doesn't matter what position you are in. With any job comes rules that must be followed. If you refuse to follow them or learn from mistakes, that is YOUR problem. Plenty of people working here have no problem following the rules.

what a high horse you have! - please come down here and join us

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peasants or ride off into the sunset. but please don't stand here and gawk. your life must be really miserable for you to come here and post that so you can feel better about yourself. I feel sorry for you.

not posting to feel better about myself - sm

[ In Reply To ..]
I'm not QC....

For what it's worth I'm not miserable and am not posting here to feel better about myself, so no need to feel sorry for me. (Funny though, isn't that what the "poor me, I make careless mistakes and fail my audits, feel sorry for me and tell me it's not my fault" people are doing??)

So many people on here refuse to take responsibility for their own problems whether it being failing audits, not being able to get jobs, not being able to produce minimums, etc. They refuse to see that they themselves are the problem. They refuse to learn from their mistakes, which means they will continue to make them.

I do not totally disagree with what you are saying, - whodat

[ In Reply To ..]
but things have changed so much. For you to say it's not M*Modal's fault, well..... They are repeatedly raising the quality standards and line requirements making it almost impossible to get a perfect score, or for that matter, a passing score.

Gone are the days when we had PRIMARY ACCOUNTS. Now, most of us are typing at the minimum of 10 different accounts. It is impossible to be PERFECT on these accounts that we are not familiar with. Don't get me wrong, I try to be perfect in every report that I do and when I do make a mistake, I beat myself up so bad over it and feel like such a failure.

but many people DO get perfect or passing - sm

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scores...if no one could achieve passing scores and everyone was failing audits then people who are complaining might have a point, but that isn't the case. It is possible to pass your audits, lots of us do it.

If you are always failing audits, yet others are always passing them, doesn't that tell you that maybe you are doing something wrong?

See a post below: - anon

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One MT mentions having 5-7 primary accounts. Another had 25. BIG difference.

I pass my audits too. I'm just saying that this - whodat

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company is making things harder and harder and I think some of the things that we are dinged for is ridiculous. I could see getting the gender mixed up or left/right confusion, but leaving out "and" or "the" when you think the physician is just grunting or yawning and getting counted off for that is a little crazy! Also extra spacing??

You are confusing human error with - "not following the rules"

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If the dictator makes an error, "they're only human", yet WE are responsible for perfection. If they don't follow format, get medications wrong, mention the patient name when client specifics say not to, WE have to fix all these errors perfectly yet make none of our own. If the VR makes an error, "it's not perfect", yet WE have to be. On top of being responsible for all these errors out of our control, we ourselves cannot make any. Yet, we are supposed to do all this in a stressful 99.7% accuracy requirement environment while striving to get our minimum line count in (and juggling 25+ primary accounts with different specs), all at 4 cpl pay. On top of that, the over-editing has created a VR accuracy rate that is one of the worst I've ever worked on.

We make mistakes, we are human, and to have every nitpicky mistake (even those that the dictator would think were ridiculous) pointed out just causes stress and kills morale, and in the end the anxiety causes the MT to sometimes make more mistakes.

You are also forgetting that we may have toiled through a long and difficult document with a multitude of VR corrections, only to be scolded for missing an "s". To equate that with the MT "refusing to learn" or "not following orders" just shows the lack of empathy the OP has. Sad.

HIT THE NAIL ON THE HEAD - gltrgrami

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This statement below that was so stated here by another has absolutely hit the nail on the head.

"We make mistakes, we are human, and to have every nitpicky mistake (even those that the dictator would think were ridiculous) pointed out just causes stress and kills morale, and in the end the anxiety causes the MT to sometimes make more mistakes."

I too have failed every single audit, for the first time in my life. I have been doing this for 30 years and have never failed an audit. Frankly, I have never been flip-flopped around so much from account to account, program to program, supervisor to supervisor on ANY job. No wonder I fail; they never keep me anywhere long enough to "master" the accounts. This is the most disorganized, screwed up company EVER! And, just for the record, NO I am not saying this just because I have failed audits. Everybody knows MM's reputation. It's a crappy one!! Most companies leave you on the same accounts to familiarize yourself with the same dictators, protocols for the accounts, etc.; which in turn leaves much less room for error. Not MM. Their auditing system is ridiculous, as has been stated many times on this site. I am not saying that some of my errors weren't valid, but there is a fine line between a comma and he/she mistake. The more emails they send me regarding audits, the more stressed it get, the more I don't want to even try and improve, and the more mistakes I am probably going to make. I am human. I am a mother. I am a grandmother. I have a mortgage. I am not a robot. I have a life outside of this God forsaken place. Let's not even talk about the pay. It's pathetic, to say the least. I am already on Social Security because I wasn't making enough to survive. I have gone part-time just to keep my sanity; but unfortunately it's not enough. I am praying that they will fire me. If they don't, I will eventually quit. They are not worth my health.

couldn't agree more - absolutely correct!

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Glad there is someone else out there who thinks the same thing I do. If you don't like the rules of the game, quit playing!

Oh quit kissing butt, you're embarrassing yourself - anon2

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And it's not going to get you to 97.7% on your next audit anyway so just stop it.

no butt kiss required - i use actual skills to make 97.7%

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never had a problem maintaining my quality

I use actual skills to make 97.7%, too - guess you meant 99.7%

[ In Reply To ..]
oops...

yeah, i did.. - wish it was 97.7%, though

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X

Oh the irony - anon

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That you would make such a GLARING error in your post about maintaining your "quality" just cost you one full point off your post.

AUDIT FAILED.

I admitted I made a mistake, can you? - FOR ALL TO HEAR, I MADE A MISTAKE

[ In Reply To ..]
I MADE A HARD DATA ERROR. I AM SO SORRY. IT IS MY FAULT. I TAKE FULL RESPONSIBILITY. I WILL LEARN MY LESSON FOR THE FUTURE AND DO A BETTER JOB!

See, nobody said we arent admitting - to making a mistake.

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All we are saying is that an error just like yours would have failed us. We all try to do better, but sometimes things happen, just like it happened to you. We aren't whining about the error; just the weight of the error. God, get over yourselves.

no, the person above was whining about the error - and throwing it in my face

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x

Admit it all you want - it would still have failed you

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x

and now I will LEARN not do that again - .......

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x

You'll LEARN not to have an accidental typo? We're human. We can't always - sm

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be 99.7% perfect, but we are a thousand times more accurate than their ASR...

you can avoid accidental typos - by proofreading

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x

aint nobody got time for that - sweet brown

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I am not reading each report again. I have to make money.

I think management is jerking us around today. - Best to ignore them, like we do at work! ;D

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Not always. - nm

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Nm

Pride cometh before a fall, they say - hahahahahahaha

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see you ARE human, after all.

LOL Have not failed an audit? Just wait - April 1st is right around the corner

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Let's see if you're 'tootin your own horn then. Good luck!

lol thats what i was thinking - bye bye bye

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x

i have been through 10 "april 1st"...... - never a problem

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x

Well said!! - nm

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nm

So you could produce 100% accuracy editing 40 hours a week plus greater than 150 x lph? - always striving for perfection

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My accuracy is a lot better with straight typing, and I don't have attention lapses from "editing hypnosis" (resembles white line hypnosis). It really hits my line when I catch myself having lapses or blinking at the wrong time, and I have to relisten.

LOL - I can top that! I often fall fast asleep at - the computer while editing!

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X

MGT MANTRA... BEGONE SKULKER! - Diane King

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Typically what all of us here.... they have to say this! A MOLE HAS INFILTRATED!

errors - oldie but goodie

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Have challenged "errors" basically told "tough".

The endless audits - and "high quality standards"

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are about one thing pure and simple: Lowering your pay. Anyone with half a brain understand that when working for very low production pay long hours with minimal breaks it is nearly impossible to maintain close to 100% accuracy. The very rationale that this job became production paid is that no one ever expected an MT to double and triple proofread to catch every minor error. If they wanted that kind of attention to detail, they would pay $20 an hour and lower production quotas. MM knows they can't lower the pay any more, so they just keep raising the "quality."

I DO make 20$/hour, no quality problems either - Now what?

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Average 20$/hour with no quality problems or LPH problems and, yes, I do have crappy ESL dictators

Oh come on ... cut it out - anon2

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$20/hr with MModal?! Come on, cut it out. You're killing me.

I'm one of the top producers in the entire western region and have never failed an Audit so I speak from experience, "averaging"(by definition, average means you're close to, or above it, all day every day) $20/hr isn't going to happen.

Sorry, your tale is so long you should weave a scarf with it. *rolling eyes*

sure. You dont even put your $ in the right postion - what a troll

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x

Tell us what your workflow is, lots of normals, etc? NM - Cathy

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x

no normals, cp states no word expanders - over 75 characters long

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I really don't care if anyone believes me or not, but I do average 20$/hour IN THE WEST REGION!

Cathy, this post doesn't entirely pertain to your post, just easier to include it all in one.

I believe you, but curious... - how many primary accounts?

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I had almost 30 primary accounts with different specs, from New Hampshire to California, and just couldn't see how I would average even $15 an hour on VR Fluency. It's one of the reasons I left.

primary are 5-7 - secondary about 10

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x

Thanks! - That is very helpful

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That's a reasonable number. My 25+ wasn't, especially having to learn doctors, facilities, and city names for 21 different states. Ugh.

It does explain why some make minimum wage and some make more than that in this company. Not fair, and I'm glad to be gone, but makes sense. Thanks again.

MEGA ACCTS - Diane King

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DISORIENTING, switching dozens of accts at a time to disorient and when we are disoriented, we make more mistakes, but are expected to perform as if we've been doing an account ALL ALONG!!!! 5-7? I wish!!!

$20/hour equals 500 or 400 lph - how do you do that?

[ In Reply To ..]
500 lph if you are paid 4 cents/line or 400 lph if you are paid 5 cents/line. 500 lph usually requires 50 minutes/hour of dictation and 40 minutes/hour for 400 lph. So, either you are getting jobs with a lot of standard text or you are typing the jobs rather than edit. Personally, I have not found that I can speed up the audio without missing the small inconsequential errors such as "a" and "the" which risks dings even though it has no effect on patient care.

i'm MME - pay mix

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I have 3 different pay grades. One for typing, one for ASR, and one for QA. QA can net you a lot of lines if you only have to fill in the blanks and not do the whole report, but most of my lines are from ASR.

Ahh, MME - that makes a difference

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x

Ya gotta kiss a lotta butt to be an MME. - SayItGirl

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I don't know about butt kissing... - CT

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There was a time when any MT, having been with the company more than 90 days, could test for the MME exam, without notice to their manager. If they passed it, well then the manager had someone to be moved to the MME role. That's how I did it. No, ma'am may I? I just did it. Surprise!

Thanks for that info. - now I understand nm

[ In Reply To ..]
Nm

I'm an MME. I never get QA reports anymore, all ASR. Avg $9/hr. - It is awful. NM

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x

MME here too. Rarely get any QA, all ASR, $9 hr, - under 99.7% on last audit.

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So MME's don't get any special treatment, at least I haven't been privy to any.

Same boat! Wanna share a paddle? - CT

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xx

Yep, and since we're MMEs, we get the worst of the worst dictations. - I do anyway. No way to make any money NM

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x

Talk about horrible - boomerang report. - CT

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I had a 25-minute ASR nightmare I couldn't understand, left a QA note apology, and routed to QA only to get it right back. Ugh! MME not only deals with the same ASR nonsense, but when we do have a question that another set of ears maybe, just maybe can help, it boomerangs right back to us.

Seriously, how about the secrets to your success - eyeswideopen

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If I hit 250, I am having a great day. On bad days I can barely hit 200 with making sure all the little a's and the's are taken out and the other added words that are not dictated. If I could straight transcribe would have no problem, but ASR is killing me. Really, any tips would be appreciated.

here's what I do - sm

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I definitely make more with ASR than typing. With just ASR I'm usually around 300 lph.

Do you go on double speed? I used to but then changed to going at normal speed and proofing as I went. Sped me up a lot and kept my quality scores high.

It seems weird to slow it down because you feel like you need to go fast, but it makes the dictation so much clearer that you can go quickly.

and anyone with half a brain - sm

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understands that if you keep making errors over and over again there will be repercussions...

There are lots of MTs out there who don't keep failing audits, so saying it's nearly impossible is a stretch. I most certainly do not double and triple proofread everything.

I actually don't speed up the dictation at all for ASR (I slow it down slightly for straight typing), and I proof as I go. I maintain a reasonably high line count (about 275-300 lph on ASR) and pass my audits.

I wonder how many of those that keep failing audits have the speed set at double and are just trying to zoom through. You really do miss a lot when you speed it way up. If you are getting dinged for a lot of errors, try slowing it down, you will probably notice a huge difference.

But can they lower pay? - chillywinter

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Anyone know if they can lower your pay if you fail audits? I guess they can do whatever they want, but is there some new policy where if you "fail" so many audits, they will automatically start to decrease your pay? I think this may be the method to their madness...

Is that performance management? - anon

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If you cannot maintain 99.6 or 99.7 whatever it is now, they cut your pay by 3 cpl and do more frequent audits until your score comes up?

OR YOU ARE TERMINATED - Diane King

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Put in performance mgt, only the audits that the QAM does count. The ones on the audit group... even if they are great and more representative of your work... those don't count. I was on 100% QA for 2 weeks, then proceeded to the next step until the 8 audits were performed then I was terminated.

PARIS IN THE THE SPRING - chillywinter

[ In Reply To ..]
Anyone remember the famous "Paris in the
the spring" where people were told to read the sentence and 90% of them didn't read the second "the?" That's what doing ASR for 8 hours a day does. It is spring, but I am definitely not in Paris!

Are you serious? - failure

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I have found I cannot win with the "grammar" errors. Conquering those "errors" seems like a moving target. I am very tired of being dinged for "adding" or "leaving out" words or the "wrong" words which consist of "a" and "the". I find the scoring can be manipulated by how the auditor chooses to classify some of the errors. I am surprised to hear of he/she being marked as a no weight error as the auditors in my group mark that as a 1 point error. I have also been marked as a critical error a lab value that the auditor disagrees with what I heard. ASR has gotten a LOT worse with numbers which can cause confusion between what you see and hear. So, I am leaving a lot more blanks in the labs to protect myself. I have also had a difficult time adjusting to the difference between how I was dinged in the group I was transfered from and the group I am in now.

Interestingly, since the implementation of the higher score requirement, I have noticed a lot more errors in the jobs when I look at previous jobs for a patient or dictator.

he/she should be 1 point - i said it should not be

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sorry for the confusion. he/she errors are supposed to be 1 point, but i disagree since it could be argued it is a typo, which should only be 0.25 points.

the grammar errors are quite subjective. really you are only suppose to get points marked off if it results in a grammatically incorrect sentence and everything else is supposed to be marked, but with no value

hence, always challenge things you don't agree with. even if you are wrong, you will at least learn why.

This is ludicrous on so many levels! - LEARN?!

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According to the OP, apparently we don't know the difference between male and female, since, if we make that mistake (and mind you, the mistake is only made because ASR puts it through that way), we need to "LEARN" there is a difference between male and female. Also apparently we are to learn where any given auditor wants a comma or perhaps hears an extra, completely insignificant word in a sentence.

The ONLY things that should count on an audit are things that clearly impact on patient care. These errors, when I make them, I take very seriously. But commas, he/she obviously make no difference to anyone other than the nitpickers. You cannot honestly tell me a care provider sees a "she" on a report for a male patient and doesn't brush it off as a meaningless oversight.

he/she - other consequences

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When issuing reimbursement to hospitals and looking at a claim, insurance companies can, will, and do deny payment for discrepancies such as female name, but the report referred to a male. It's not just M*Modal trying to save a buck, it's the hospitals trying to get their full payment as quickly as possible without having to file appeals because the HDS missed on ASR or typed he/she when it should have been the other.

How would someone know whether "he" was a typo when the ADT says Marcia, maybe Marcia in the ADT is a mistake and the "he" in the report is correct but the information is being dictated on the wrong patient.

Oh sure..... - LEARN?!

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I suppose the hospitals are never reimbursed for females named Michael or males named Sandy. The hospitals must really take a hit there! What a pity.

For that matter.... - LEARN?!

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I suppose you want us to believe that the insurance companies are presented with the entire chart which they go through page by page, to decide on payment?! How quickly we have forgotten our coding people!

He/she - MountainWoman

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I beg to differ. My daughter's GYN bill was not paid because it stated she was a male. I kid you not. I had to get in touch with the GYN office to have them correct the error and resubmit the bill.

I believe you, but.... - LEARN?!

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That was because whatever form submitted to the insurance company had the mistake, not because some random op or discharge summary had a he/she mistake.

Culling the Group - Diane King

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BEARS REPEATING: If they are 'gunning for you', no error is too small, and any that contribute to the lower than 99.7% level will place you in QUALITY IMPROVEMENT program, which is the euphemism which means 8 total audits of less than consistent scores AND THEY HAVE CAUSE TO TERMINATE... likely also cause so they don't have to pay unemp benefits!

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Hello all, I thought I would pop on here and let you know what I am enjoying about learning to code. First off, I am a medical transcriptionist attemtping to transition into a new area. I started taking the Andrews School program and am enjoying it. It's difficult, but I am confident I am learning something. I admit I do struggle with working as an MT because my mind wanders terribly, so badly I often have to go back and re-read the entire report to make certai ...

Oct 08, 2013

Anyone else get an email today requiring them to do a mandatory learning module? At least they're paying. ...

Jul 09, 2014

Do any of the transcription companies offer unpaid internships that help you move on to new types of transcription? I've typed radiology for 20+ years. I also have typed neurobehavioral psychology and pain management psychology. But acute care I've not done (except radiology inside a hospital for 8 years). Any info would be gratefully accepted. ...

Oct 02, 2014

I am currently studying to add coding to my skills. I kind of get it, but a bit confused on something. I understand CPC is through AAPC and CCS is through AHIMA. Here is what I'm not understanding and wonder if someone could please explain. I'm studying to take the CCS exam. Do physicians offices use something different for coding, or are these two credentials interchangeable with hospital and physician office coding. I read that Carol Buck's study guides are reall ...

May 12, 2015

I need to learn how to use the ribbon at the top on the Microsoft Office products (Word, Excel, Powerpoint). Does anyone know of a site that teaches this. I have used MS Office probably since it was first created. I tested in the 90s in each of them awhile back, but have been using 2003. I can do everything in that version, but the version with the ribbon I feel like I've never used the products before. Anyway...does anyone know of a site to learn the functions of the ri ...

Oct 17, 2009

I have never used this for doing MT. ...

May 16, 2010

isnt that a really negative thing to say to someone? Correct me if Im wrong. It is my impression that a coder will need to know BOTH. Right or wrong? Some people seem to think they should just wait until 2013 and only learn ICD-10 I guess. ...

Feb 19, 2011

Recently, I haven't been seeing errors like a temperature of 98 VII for 98.7, but just this morning, I've had two reports with an "I examination" rather than eye examination! I mean, c'mon. Where is it learning this stuff? ...

Apr 12, 2011

Can anyone tell me how difficult or easy the transition was between Bayscribe and BeyondText (on the same account) and whether the volume of work suffered as a result? Thanks! ...

May 21, 2012

Hi everyone. I hope you are all having a good start to this week. I was informed today that I will be required to train to do voice recognition editing. I am very, very apprehensive. My company is willing to pay per hour while I am learning this but is editing a hard thing to learn ?? I appreciate any feedback you can give me. Thank you and if this post is in the wrong place, I am sorry. Thanks again. ...

Oct 07, 2012

homepage. To get to instructions to ensure emails get answered homepage - learning and developement - MT/ME - training - escalating requests. ...

Feb 02, 2013

Hi, I work for another company that uses M*M's DQS platform. We're on version I think 2.0.2.0 or something, but some 2.x version for sure anyway. They're going to upgrade us to 7.x (I assume 7.2) soon, and our boss says we'll have 1 day to get our line counts back up to normal, because all of the old key combinations work the same and nothing will really change except the onscreen appearance. Is that realistic? We get penalized severely if our lines ...

May 29, 2013

I got switched to another acct (not my idea) and it has 24 pages of rules and I don't get paid training pay to learn this new acct. So I went from making 450 lines per hour to 160 lines per hour so in essence, making around $6.00 an hour and the QA's gripe when you don't spend your time looking up something through the 24 pages of new acct rules. Hey MM if you want us to spend hours looking up something before we learn the acct well then PAY US TO DO IT! CHEAP, CHEAP, C ...

Feb 04, 2015

Information gets thrown at you through training, and it doesn't all absorb right away, and you don't know what you're doing for a while. i hate that feeling of not being confident working with the software. I've had jobs where all you had to do was look at a list, match it to the patient, and type. (or jobs where very little learning of sofware was involved.). I wish I had a job like that again. Added to the annoyance are the IM programs, punching webclocks, special e-mail p ...

Jan 09, 2010

I know nothing about VLC except for the posts I've seen here recently. When I was on another site this morning about homeworkers, I saw this link about VLC closing as of 12/31 due to the death the owner from lung cancer. Here is a link. I have no idea how reliable any of this info is, but I thought it might help some VLC students. http://www.homeworkers.org/about.html ...