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HEENT vs HENT - still blanking these

Posted: Jan 18, 2015

I think my problem with this issue is that once you are "caught" by QA/QC and given a 1.0 deduction (by which I mean I had the universally accepted HEENT and they heard HENT, thus I was docked 1.0 for that), I now must either listen carefully to determine if they are saying HENT or HEENT, then put one or the other, then still have a chance that my reviewer will give me the error because they hear something different.

If there is obviously ears and eyes that one is easy, but oftentimes it DOES sound like HENT, I just fundamentally reject the idea that's what they're saying because why would they?

So now when I come across anything that is even slightly ambivalent I am forced to waste a blank on this garbage, which is in actuality a disservice to the client and looks horrendous.

If doctors really wanted HENT rather than HEENT they would certainly make that clear, I would think. So idiotic that this is now an issue when it never should have been at all.

Just wondering if anyone else has a different solution to this, or maybe it is just my account and my QA people that have made it so, in which case, don't you have anything better to do than make up fake errors?

That's absolutely ridiculous. sm - unbelievable

[ In Reply To ..]
I don't care what they think they heard, HEENT is the standard, accepted term. What reference did they give? It's not in MY Stedman's Abbreviations book. Why didn't you fight that one?

I did fight it - it was not reversed

[ In Reply To ..]
The only reason they gave for this "major error" was: "Dictated as HENT" - that's it, and you know how fast they say that, impossible to hear if it is 2 E's, also why would they say HENT instead of HEENT, right?

I did fight it, but the reviewer okayed it (and there are others who have had the same happen) and said I was wrong and she was right, so hence now I am blanking every single one unless extremely clear or it contains both eyes and ears.

Ridiculous, right?

HEENT/HENT crap - SM

[ In Reply To ..]
I protested too. Denied. If they do not list anything for nose we don't do HET or HEET. Same if head is not dictated. How in the world did they pick this out to be a bone of contention? Guess too many were getting too much $ and they have to find more ways to gig us.

HEENT/HENT - anonie

[ In Reply To ..]
One ESL dictated HINT. Of course, he meant HEENT, but do you suppose your QA would have docked you if you had not put in HINT?

This is absolute nonsense. I doubt that any of the companies really want 99.5% accuracy or they would not be picking at this silly stuff. They insult our intelligence. I do not work for them, but I do often fight with QA about what I heard, etc.

I am presently having real problems with tenses such as

There have to be regulations in anything versus there has to be regulations in anything.

Grammar and English seems to have changed twice now since I learned it in school.

I think people are sloppy today.

Oh well, just my opinion.

HINT. Good one. That would be a blank-a-roonie - for me. nm

[ In Reply To ..]
Feel really bad for those of you with zero- or 1-blank accts. I had to blank a bunch of HENT subheadings today. Subheadings get expanded on this acct. Multiple doctors said HENT but examined eyes and ears. So, how do I expand HENT? smh. Working on getting out of this ridiculous place.

This is getting old Nuance. How long will you pull this one? - SM

[ In Reply To ..]
They have been doing this for at least 4 years. This was a big deal back then, as well. They just pull this old trick out to get out of paying bonuses. They have apparently run out of new tricks.

I don't work there anymore, but when I did I remember it was for the account starting with O. Maybe you don't even have that account anymore. I don't think it matters. It's just another one of those ploys to keep the MT down and build up the monetary base. It is beyond ridiculous. Come on, Nuance, you can do better than this!

I have experienced the same... - po

[ In Reply To ..]
Although not yet with the HEENT/HENT, but have had the nitpicking done on similar things, which prior to this new compensation plan, never happened. I am in the same boat, often leaving blanks where in the past I would have not needed to, and risking going over that 10% QC score. It's so frustrating. I find the lower my QC percentage is for any given week, and the higher my lines per hour are, the more nitpicky the auditing gets, just coincidence? I'm not so sure....

That does NOT impact patient safety which is what their - new plan is all about

[ In Reply To ..]
right? This is absolutely ridiculous. I've been doing this for years and doctor's have been dictating HEENT for years and maybe only dictating about the eyes. Now you would think if this is such a horrible error and impacting patient safety that the HOSPITAL would be all over it. Nope, never in my 25+ year career has this EVER been corrected or marked as an error.

No, this is all about cutting pay and finding ANYTHING and EVERYTHING to keep us down the grid. That's all it's about.

Shameful.

So if the doctor only dictates EOMI then the heading would be "E"? - No

[ In Reply To ..]
because that's not right. So, then do we change the heading to "eyes"? No, that would probably get dinged as well.

So how about this Nuance? Provide a list of what is acceptable and what is not for every single thing that will get dinged so we can avoid the ding and keep our pay.

Oh wait, that would be impossible because every.single.QA does something different. Did you know some QAs don't ding HEENT? Someone better tell them because that particular QA is not doing their job of keeping us down the grid!!

HEENT is and always has been the acceptable heading even if the doctor only dictates about the eyes!!!

Nuance is making up their own rules now.

You must rule in the patient either had no eyes or ears - Hapless

[ In Reply To ..]
This is the best example of nitpicking I've heard. Mine was that the patient "had a history of multiple suicides" and I got dinged for putting a question mark challenging the sacred cow dictator (no he wasn't ESL, but a sacred cow nonetheless).

also this new HEENT/HENT issue surely is confusing the - precious VR speech engine

[ In Reply To ..]
which we have been told over and over not to do!

I calls it like I hears it - Froggy

[ In Reply To ..]
No one ever told me not to do that

I would bring this up to your TSM and let he/she - make a ruling on what the

[ In Reply To ..]
standard for the acct should be if they (QA/QC) really feel they are hearing HENT. HEENT the majority of the time sounds like HENT (one E) but that's not what they are saying. Since it is an issue with auditing, the TSM should make a decision on this as a standard across the board type of situation.

They already have and we got emails about it. - Can be an error. nm

[ In Reply To ..]
xx

I have never had this addressed - never got an email

[ In Reply To ..]
When you say Can be an error - do you mean HENT or HEENT? Or either or both?

Did they explain what to do, like it's always one or the other, or did they say it is important to listen carefully?

There's where I think it's just plain silly, because you know they are not MEANING to say HENT no matter how closely you listen, because HENT is not a thing, HEENT is.

then it hasn't happened to you or anyone on your team yet - it has to me, TSM does think its idiotic, JP says

[ In Reply To ..]
either way HEENT or HENT - both could be an error if you can or cannot hear how many Es are being said so blank I will unless it sends me to IQA or I will HENT it if ears not mentioned, though it does not feel right - IT IS NOT RIGHT!! Wonder how AHDI feels or if it is addressed in BOS.

It has happened to me - I am the OP

[ In Reply To ..]
But I mean they haven't tried to justify the "error" by explanatory email or inform us MTs in any way that I know of on my accounts - the better to catch us no matter what we put?

I agree, it is just NOT RIGHT! Sometimes they just say HEENT: Benign or Normal. So how do you determine about the Es then?

So it sounds like they actually told you to blank it? I am imagining I am at the other end of the work, receiving it at the hospital - if it were me I would ring up Nuance smartly and tell them to cut the crap.

It is simply cheating.

Sorry, thought that comment was from someone - who just saw the insanity of this

[ In Reply To ..]
but yep, when I got my HEENT error, apparently a lot on my team did because within days the TSM sent an email out how her & other TSMs fought JP on this but JP (the QA's QA reviewer) would not renege, and advised us all to be sure we hear 1 or 2 E's. I never communicated with her myself (avoid that at all costs), just chalked it up to more nuance nonsense out of my control.

Now I slow it down to 50 to hear those darn patient-harming E's and blank it if not sure.

oops forgot to add on post audit, QA filled in blank - HEENT and got no error! nm

[ In Reply To ..]
xxoo

She actually seemed to agree that - it was idiotic

[ In Reply To ..]
Not in so many words, of course, but she already knew the situation since it had come up before and warned me the other time the reviewer had ruled in favor of the QA and voila, same QA person and same reviewer pulled off their little swindle again.

No, I don't think she had any power in the situation. It seemed to me like she was only the liaison.

I'm pretty sure she might have voiced her disagreement to them to no avail. I did not push it since it seems TSMs are also dropping like flies, and I really don't want to lose her, but I did definitely detect a certain degree of disgust over the ruling from her as well.

My feeling is once the client gets a load of all the blanks there should be some pointed directions to the TSM/COM, such as why the heck is this nonsense going on? And please stop it?

The client might even have a drop of sympathy for us MTs when they realize nasty Nuance is taking money off us for minor non-infringements such as this, and how do you think they like having blanks where obviously HEENT should go?

I don't think anyone can fault me for putting the blanks in though, after what happened. I refuse to put in HENT unless I have too many blanks and that blank would push it over the limit, then I feel if I guess HENT they will just say it is HEENT anyway. Nice little grift, isn't it?

HENT is just wrong. What a way to capitalize on the foibles of the dictator.

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