Which verbatim is it? Your's, mine or their's?

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 ...

Just got mine in the mail. ...

It's longer than the constitution for Pete's sake! I end up with so many entries because I get a job, one that usually takes 2 minutes to type, send it off, then NJA, wait a minute, here comes another job, type it, takes 2 minutes, and on and on. Craziness! ...

Just got a call from my dr's medical records wanting to know the name of the dr she wants my records sent to (she and I looked it up on the computer during my visit and I saw her write the dr's name down) and my dr's address, which I'm sure was on her request, her name and address. One of the last times I saw her, they put someone else's vital signs on my records (height, weight, BP and BMI). Sheesh. ...

This discussion actually began on October 3, 2014. To search for it, use the little blue search function and type in You missed something and the date 2014-10-04. I think it bears repeating again for all who might insist that people griping" here about Nuance are just conspiracy theorists. I prefer to think of them as canaries in the mine, warning folks away from Nuance. It is NOT just Nuance, as someone pointed out, but they are the most insidious it seems, about monitoring this board and disco ...

I always thought that companies paid for PTO based on an average of your last 3-6 months production. I just found out that my company pays by the hour! This means my PTO for a week will be half of what a I normally make? Have you ever heard of this? Is this the norm? ...

region when I had had my fill of NJA on the last region I was assigned to. Where I am now is certainly not perfect, has some NJA, some nasty dictation, but I do have something to type the majority of the time. If you could come up with the name of one of these supervisors with the critical backlog, fire off a request to be moved. Worked for me (about 10 months ago). ...

I'm so jealous of the team who gets to have this particular TSM. Wow! She's prompt in returning emails, investigates a problem thoroughly, and is overall very pleasant on the phone. It's a breath of fresh air! So if you're in the North and SM runs your show, I want to be on your team! ...

to fix it and put my schedule in there again. Not sure how that could affect PTO, if you are working supposedly with no schedule. But anyway, just a heads up. Especially if when you go to turn time clock on, if there is no blue indicator on the today's activity plan field. It that is empty and you are scheduled to be working, make sure the timecard is showing your scheduled hours. ...

Was wondering why my check so little, even though I did have 8 hours of work availability. Apparently they only paid me for two 15 minute shifts instead of my benefit rate times four hours each shift. If you are in a state that pays you for half of your shift for work availability,make sure to carefully check your pay for this pay period. ...

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 ...

A lady I have talked with wants to train in this kind of work and is planning on going to Andrews. Would she be making at least $30.00 an hour when she gets a job? Thanks. ...

and suggestions.....my budget is around 700.00. Does anyone use a laptop? Will that withstand an 8 hour day of typing? I have an Emachine now and it is horrible. If I go with a desktop I would only need the tower. I think I would like a laptop but know nothing about them. I have a shift today so I have to do this ASAP!! Thanks for any suggestions. ...

I was typing my usual docs, hands flying across the keyboard when I typed "bilateral toe and knee replacements". I stopped and thought to myself...hmmm, they do toe replacements? wow! Then my brain kicked in and realized I should have typed....you guessed it, "bilateral total knee replacements" ARRGGHHHH, got a good laugh at my own expense out of that one! ...

I told her to give it not a second thought, it was a waste of money and time for the schooling required, and, even as an IC, she'd be LUCKY to make $.09 a line and have zero benefits. I told her she'd be MUCH better off working for McDonald's. Who is going to enter this profession of low pay and no benefits in the future? Who will stay when, even the transcriptionists who are fortunate enough to be doing straight transcription now, are gone after the switch to VR and ...

The following is from a Facebook post from a physician friend of mine. This is a letter he sent to his congressman. I got permission from him to post it here. Long read, but I feel galvanized by this: I have been dealing with 2 electronic health record (EHR) systems and it is clear that the technology is not ready for implementation. I feel they will increse cost, decrese access, and decrease quality of care in their current state. I encourage anyone reading thi ...

I have noticed my Fiesa audits have picked up significantly. Several reports a day usually. Maybe a day or 2 in a week where there is no audits. Wondering if they are zoning in on me or if this is norm across the board. ...

I am technically on probation so critical errors are like swallowing the whole mine I guess? Seriously, with the amount of errors on lists, I feel like I am just waiting to step on a land mine. They made me sign a contract that I would go 3 weeks without a critical error. I missed a dosage on a medication yesterday, KAPOW, there's my critical. And, see that, they even have me thinking I made the mistake. I didnt make the mistake I MISSED the mistake. No, I'm sorry, it's not t ...

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 ...

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? ...

It got my shifts wrong for different days, putting 5 instead of 6 hours. It evened out mostly to be correct but put an extra hour of PTO on my schedule. Which, my CCM, pointed out, I got paid for but my concern is if it keeps messing up on this stuff, how could I be being adversely affected. Nothing here works as they want. ...

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! ...

Which verbatim is it? Your's, mine or their's? - Flummoxed

That's what I was told! - Old part-timer

well, the ESL ones. - n/m

Depends on the MT and the MME - You have to use your judgment

I agree with you. I do a verbatim account. Not paid enough to play word games - nm

"Strictly verbatim" and not your primary - Flummoxed

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