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do I have a leg to stand on if I argue this - sm

Posted: Jul 27, 2011

as of 07/24 we all started on our "new" pay scales. I started work this morning, first thing I checked was my stats and I have THREE critical errors and the dreaded e-mailing that I failed audit...

my first ding is on a verbatim report: X-Fix corrected to ex-fix. Now, I know that there is the Biomet X-fix device and that ex-fix is short for external fixator, but since at the beginning the doc refers to Biomet, I chose X-fix. This should not be incorrect or critical error!

Second, on a verbatim report following client profile doc dictates cc, I get dinged and it gets corrected to ml. I read and re-read the client profile. Again, I am not wrong.

Again, on a verbatim report with client profile in bold at the top saying "TRANSCRIBE HEADINGS AS DICTATED FROM PREFERRED HEADINGS" I selected ASSISTANT SURGEON, which was dinged and changed to ASSISTANT. I attended the workshop on this facility and we were TOLD to select the "most appropriate heading" from the preferred headings, to get it as close to what the dictator says as possible! How in the world could I then be wrong???

I am now down to working for pennies and am feeling desperate since this pay period is the one I use to pay rent... I want to argue these!!! Has anyone successfully argued their way off of 100% QA after an audit? I am NOT wrong here! I've spent most of the morning reading, re-reading client profiles, listening and re-listening to my reports and if I had it to do over again, I know I'd do the same!

One QA's - opinion

[ In Reply To ..]
I would use X-fix only when Biomet is specifically referred to and ex-fix the other times. Still not a critical error. I would definitely argue the other two errors. CC is not on the prohibited abbreviation list, and unless it is specified in the client profile to change it to ml, it should be transcribed as dictated. You used the preferred headings list correctly. Because of the person who changed it, both assistant and assistant surgeon headings will now show up on the report on the client's end.

You are correct - one thing about cc/ml though

[ In Reply To ..]
I was told that a lot of CPs don't say whether to change it or not anymore and that we have to look on whether the CP says to use the BOS2, JCAHO, and/or MQ guidelines. One of those says not to use cc, but the others do not. I really don't understand why they all can't be the same. Is it really that hard?

you'd think a health care professional could decifer cc versus ml..should not be critical error - tickedoffmt

[ In Reply To ..]
nm

But, the ex-fix was capitalized by QA. There is no Ex-Fix - OP

[ In Reply To ..]
If it's Biomet's product it is X-Fix, an external fixator is abbreviated as ex-fix, not Ex-Fix, like QA "corrected it". Sorry, should have mentioned that.

I went ahead and called them on these. I'm waiting for a call back. Told my CCM I was going to flat out quit if I had to work for peanuts. She said she'd contact QA and "lets see what can be done here"... :/

there is a QA out there who is a total ding dong - musta been her

[ In Reply To ..]
x

QA - opinion

[ In Reply To ..]
Unfortunately, there are a lot of ding dong QA out there that give the rest of us a bad name. When you get feedback that is incorrect and you can back it up, ALWAYS challenge it. QA has to follow guidelines just like everyone else, and if they are doing things their way just because they think they have a little power they need to be knocked down a peg or two!

I agree - QA/MME

[ In Reply To ..]
I'm an MME and even I don't send things to QA anymore just because some are wacko or are operating from a different era where the BOS and JCAHO rules were different.

When I QA, I mark and feedback the mistakes that I know will get them dinged on an audit. If I do make a correction, I find the source, whether it be BOS2, JCAHO, or DQS Standards and Guidelines and copy and paste that rule into the feedback. If I can't find anything to back myself up for the change, I don't make the change.

When I do leave feedback, I'm not trying to be mean, I just don't want them to fail the audit when they get a wacko auditing it.

Waco auditing it??? - CyberlandMT

[ In Reply To ..]
Who exactly would that wacko be? I'm just trying to understand here. If you are an MME, how many MMEs does it take to go through an audit? Are we talking US (or domestics if you prefer), or Indian?

An MME doesn't only QA - sm

[ In Reply To ..]
We type and edit probably more than we QA. If we have a blank we can't get, we have the option of sending to QA like everybody else and our work is 100% QAd if the client is on 100% review. If we are the only MME typing, we'll get our own reports back. You'd think that they would write a redirect code so that doesn't happen, but its MQ.

We also go through audits like the other MTs/MEs. I'm not even sure who does the audits, whether its a special group or they have a few QAs that specifically do them. What an MME/QA leaves is just feedback on errors and unless the report was truly audited by whoever does the audits, it doesn't count against you.

"New" pay scale? - Tink

[ In Reply To ..]
What new scale are they using now? I hadn't heard anything about it other than our PTO benefit rate was supposed to change starting after 7/23 (have yet to get an e-mail stating what my new rate is anyway). Any info you have is much appreciated.

BTW, I totally agree with you on the whole feedback issue....

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