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OMG, QA audits gone horribly bad - What the?

Posted: May 28, 2010

I got CRITICAL errors on audit for things like: I typed "I used a translator telephone..." (that is what I heard) and the person auditing changed "a translator telephone" to "the translator telephone" (I suppose she heard "the" instead of "a"). In the physical exam portion of one report, the dictator used "was" throughout except for one time he said "is" and so I changed it to "was" to make it consistent and got a critical error for that. Please tell me how these are critical errors that impact patient care? Am I missing something? This is just a sample from this audit, but the same stupid stuff on all reports audited (one report had really bad audio with static and one was not even from my normal accounts) and for the first time I have failed an audit (10 years with MQ). This is so wrong! I am crushed and my confidence is shot. Low line count for me tonight for sure as I really do not feel like working.

I suppose I could wait until they fire me for making below minimum wage and then fight for the unemployment as they have changed the rules mid game and made it impossible to make above minimum wage being on 100% QA and lowering my pay.

I am looking for another company to work for but, dang, this is just not right. Thanx for letting me vent.

I am an auditor and that is just wrong! - nm - evolved

[ In Reply To ..]
:)

I am seriously considering giving a - What the?

[ In Reply To ..]
2-week notice tomorrow, I don't deserve to be treated like this. I don't know what I am going to do about finances, but hope I can find something else in 2 weeks. I figure the amount of decrease in pay during the 100% auditing process (mostly ASR)is almost like working for nothing anyway.

Thank you for agreeing this audit is ridiculous, thought I was losing my mind and in denial I could be that bad.

They have to pay at least - minimum wage NM

[ In Reply To ..]
x

To seriously considering - Nick

[ In Reply To ..]
Do it! I never felt so good as the day I gave my notice to MQ. No one, no one, deserves the kind of treatment these clowns dish out. And no, you are not losing your mind. You have been victimized by the pros, that's all.

I can see is/was as a problem... but... - Marie

[ In Reply To ..]
Technically I can see how was/is can be a problem. Was - means it was a problem... is means it is still occurring. There is a difference.

But... I don't think it's critical enough to hammer you for. A simple feedback or a warning would have sufficed. The translator phone thing is crap though, speaking as a QA. That's just someone being a ball buster.

Tense - anon

[ In Reply To ..]
I was told a long time ago (at MQ) to make sure that tenses were the same -- if doc said the abdomen was tense, then the extremities should say were free of edema, not "are" free of edema. All needed to be is/was, are/were etc. and not to switch tenses in the report even if verbatim. Just another instruction to bite the dust.

tenses tension - planetspinz

[ In Reply To ..]
From Benchmark BOS grammar - usage - tense - as usual it is very clear NOT
In transcription, maintain uniformity of tense, but keep in mind that tense may vary within a single report or even within a single paragraph, depending on the time being referenced. A provider may dictate the history of present illness and past medical history in the past tense, then may dictate the review of systems and physical exam in the present tense, and later dictate the plan or recommendations in the future tense. This is usually a representative chronology of the diagnostic process, and the transcriptionist should capture that chronology just as it is dictated. Varying tenses may also be used within the same paragraph, even in the same sentence. As long as there is no ambiguity, the transcriptionist should record this as dictated. It is not uncommon to hear the provider say, "Her vitals signs have returned to baseline, and she will be discharged tomorrow." This is a consistent representation of chronology and should be captured as such.

Itâ��s also important to note that some providers are attempting to dictate material from a previously documented encounter (such as dictating certain information into the discharge summary that is extracted from the admitting H&P). What may have appropriately been dictated in the present tense on an admitting H&P may be inappropriate to retain in the present tense for a discharge summary, where the historical information on a discharge summary is clearly in the past tense. Defer to facility policy for modifying the tense in those instances.

Hang in there! - MeeMaw

[ In Reply To ..]
According to BOS, PE should be in present tense, even if dictated otherwise. But this is far from a critical error. Just nitpicking. But don't lose heart.

"a" vs "the" barely constitutes an "error" at all, - much less a "CRITICAL" error!

[ In Reply To ..]
Sounds like QA people don't have enough to do and are starting to make stuff up.

I got a critical error for... - MT39

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-excessive blanks and I had one blank in the report.

is/was, the/a, come on! - Adios

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Definitely these are not critical errors and could be argued either way as far as leaving or changing. But we are in a position to have to challenge everything that goes on or just leave. Very, very sad. I say while you are still here don't lay down, complain that it is an unfair audit.

I too was told, many years ago, in the good old days, that you should always be consistent w/ tense as far as it doesn't change the meaning. Those days, I'm afraid, are far behind us. I seriously doubt the client would have a problem with this report, so you have to ask yourself, are these just unexperienced auditors or is there something sinister going on here.

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