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


Post-Audit scores are the only ones that matter - Millie


Posted: Mar 23, 2013

The only scores that matter for your QA are the ones marked "Post-Audit."  I don't sign or even look at the others.

Yeah, we're still supposed to "Review/xx" the QC ones too - if under whatever percent it is.

[ In Reply To ..]
I so love when I get critical/major error notices on reports I've submitted to QC that include blanks/errors due to audibility problems, etc. I just try to hold my nose when I go into Fiesa and mark those "Reviewed" and simply move on. To me, it's not worth me getting on my TSM's "noncompliant/uncooperative" list, if she happens to have one, by ignoring them. Brownie points can be worth their weight in gold when you're playing a rigged game. But I do admire those of you courageous enough to say eff it all.

Review of FIESA - anon

[ In Reply To ..]
I stopped looking at FIESA because of major errors that have to do with a/an and other BOGUS grading that has NOTHING to do with patient care.

Why have a comment section if they will not let us comment. I had a major error for followup/follow up and the QA was wrong, so i had a snide comment and was told not to do that. If they can comment so can I.

I refuse to look at or acknowledge QA scores.

Makes life much nicer.

Besides I don't like playing "rigged games." I dont like playing games. I just want to work and do my job as well as possible. Keep your silly games Nuance, they are for people you can intimidate.

Same thing here.... - mt2

[ In Reply To ..]
I made a snotty remark once. I haven't looked at FIESA for a year. I just log in, work, log out. No more, no less.

Not everyone is having post audits.... - melady

[ In Reply To ..]
I found out that they're only focusing these post audits on large accounts and those on the small accounts aren't getting them. I wonder how they're going to justify to the board of directors and higher powers continuing the bonuses if they don't do audits on everyone or how they can justify taking away the bonus money if they don't audit you? It's about to get interesting folks!

One post-audit in 2 months? - CrankyMT

[ In Reply To ..]
I used to get the "average" amount of post-audit reviews. In this quarter, I think I had about 5... 1 in the last month.

With those low numbers, it wouldn't take much to throw you out of bonus!

CrankyMT: Are you saying that the less you - are audited the SM

[ In Reply To ..]
the more likely you will not get bonus? Why is this? I still don't understand the scoring. It seems so unfair if I understand correctly. Basically, a short report being audited is worse than a long report. One small report with a so-called major error can prevent a bonus for 3 months? How can they justify this?
Because it's an average of scores - Sm
[ In Reply To ..]
If you have only 1 audit at 92%, boom, there goes your bonus. If you have 20 audits, 1 at 92% and the rest 100%, well, you get the idea.
Luckily, that's not true (though it is some places, but not at Nuance). - sm
[ In Reply To ..]

[Reposting my old post]:


Speaking of errors and shorter reports, though, the length of the report is actually really moot, since the overall QA score is based on deductions from *total lines* for the quarter, I was informed by my TSM. Example: You have 4000 lines audited and 20 error points in the quarter, dividing the 3980 result by the 4000 total equals a 99.5% QA score.  [I have double-checked this against my own scores, and it's true.]

So this having to mark "Reviewed" on any report under a certain percentage is basically bogus since the actual overall QA score is not based on an average of percentages. I am least thankful to find out that they use total quarterly lines, if nothing else. 

Fiesa - me
[ In Reply To ..]
Before Fiesa, feedback had to be done via email and extremely time consuming, and to do QC scores required getting the old voice and bringing up old reports, again time consuming. Fiesa is meant to provide immediate feedback and as a learning tool. If you know your grammar, follow the account specifics and BOS 3, and most importantly spell check, you aren't going to have a problem. The grading is done according to strict guidelines and QA is double checked as well. If you disagree with a score, you can email your manager to discuss it or the person who gave you the score. The comment section is for QA to give you information on why they graded you a certain way or just information in general, even if an error has been counted. For example, BOS3 says to not use periods for Dr, etc, so if an MT does use them, the comments section is to remind them to refer back to BOS3. We have to know these changes and so do you. An online subscription to BOS3 is available to quickly look up something. We are not here to make anybody's life difficult, we're here to help.
We "aren't going to have a problem" is baloney. - sm
[ In Reply To ..]

QA can be incredibly subjective and not as objective as you make it out to be.  Perhaps you can tell me why something as inconsequential as "as best I can tell" vs. "as best as I can tell" would need to receive an Omission/Addition Minor 0.25 deduction versus simply a Comment NonError?  After all, the definition of a Comment NonError is "Educational. Used to grade anything that is really inconsequential; not impacting the integrity of the document as well as grammar. Anything that reads just fine."


So how, pray tell, does the loss of the second "as" in the above impact "the integrity of the document"?  Not only does the first one read just fine, it's actually the preferred way to say it, with about 3 times the number of hits on Google.  And these kinds of meaningless/useless corrections are constant.  Also, some of us have intractable TSMs who won't pass on all of our disputes, making the decision themselves as to whether or not it is "justified" before ever allowing it to proceed on to QA for a decision.


This is my main beef. These kinds of little errors that have absolutely no effect on patient care are given these seemingly minor deductions, but those add up.  Everywhere else I've worked, such as the above example would definitely have been marked as a non-error/FYI, so it is often very subjective what Nuance QA are doing to us when you choose to mark something very minor with a point deduction that could simply have been given an "educational" NonError.  


The resulting loss of my bonus for 3 quarters (though I managed to maintain it for over 2 years prior) and all the nonpaid time I've spent disputing and dealing with my TSM over my correction disputes has made my life very difficult indeed.  THINK some more about what you're doing when you give a deduction to what really qualifies as a NonError. Once again: "Educational.  Used to grade anything that is really inconsequential; not impacting the integrity of the document as well as grammar. Anything that reads just fine."  Which includes "the," "a," and "an" issues. 


Example is:  


follow up with her primary care physician, Dr. Smith in future


follow up with her primary care physician, Dr. Smith in the future 


["sic" as regards the missing second comma behind Dr. Smith from my older copy of the Accountwise Error Categories, maybe corrected by now]

there should be a remedy for this - sm
[ In Reply To ..]
You are kind to call this subjective. I prefer to call it just plain stupid.

The fact that these arbitrary deductions have cost you your bonus is so wrong, I would like to apply the word "illegal".

Is there recourse you can pursue, or are you essentially just stuck with an arbitrary ruling?

They are docking your pay illegally - per their own rule book - and thus engaging in the very real crime of wage theft. Perhaps you can take it to the Dept of Labor?
I'd say essentially stuck. It's very arbitrary indeed. - sm
[ In Reply To ..]
And the arbitrary effects are potentiated by having a TSM who won't submit some disputes. I don't even understand the point of that ... just let QA decide whether it's a legitimate dispute or not. I never had a gatekeeper in that regard until my most recent TSM, first one I've ever felt to not have my back at all (in other regards too).
I would contact the labor dept - sm
[ In Reply To ..]
This has got to be the best racket in the world. They can dock your pay without providing documentation, and without providing a mechanism for recourse. I can think of no other industry that is allowed to operate this way.


Similar Messages:


Post Audit Scores In FIESA
Feb 14, 2015

when should I expect the postaudit score to be posted in FIESA for the week prior (in this case 1/31 to 2/7)? ...


Do QC Reports Count For Our Post Audit Scores?
Jan 27, 2015

Last week, I had a great QA score.  I only had a couple of reports sent to QC - none of which were problematic. However, today, I had a horrible ESL report with multiple blanks.  I had to send it to QC.  They not only filled in the blanks, but graded me on it -- a whopping 96.2.  UGH!  Is that going to be counted among my post audit score for my pay rate?? ...


For Years I Always Had High Audit Scores
Dec 17, 2012

like most of us, a buyout. Loved the company I worked for. Then Nuance took over-changes being made-my scores started going down. Worked hard to get them back up-now I am getting marked for major errors that I KNOW I did not make-I feel 100% confident after all these years I would not be making these kinds of mistakes. Yet, in the last couple of months I have had more errors and some major errors that even a rookie MT would not be making, let a lone an experienced one. No, I am not perfect and n ...


Mmodal Inevitable Termination For Low Audit Scores....
Jul 14, 2014

Hi!  I was hoping for a little input.  I have been with Mmodal/Medquist/Spheris since 2005.  They have the new quality standards which seem to be out of reach for me. They want us to be at an unreasonable 99.7.  Even today, received last week's audit scores and one was 100% the other at 98.75.  I am on my 3rd corrective action for this and know I am at close to the end of my rope.  I actually would like to go back to school.  Has anyone been unintentionall ...


Post Audit And Now A Post Audit M Report!!
Jan 19, 2015

Has anybody gotten the above email stating now there are 2 post audit reports that we have to pull?  The regular one and now a post audit m report???  What is this for???  This gets crazier every day ...


Is There Any Place On Mmodal Global Website Where I Can Print Out The Minimum Audit Scores?
Mar 22, 2013

I want to print out just in case I need proof. Anyone have a website or anywhere on the internet where it states that what their audit scores are for employment? ...


V Post Audit???
Dec 13, 2014

Does anyone know the difference between Post Audit and V Post audit?  First time I have ever been "dinged" in a report in the V Post Audit, so have no idea.  Does it effect my post audit score?  Sure would be nice if they told us what things mean.   ...


Post Audit M
Apr 07, 2015

Has anyone received any communication regarding "Post Audit M"? ...


For Post Below About Failing Audit
Aug 29, 2012

(not using my spellcheck - please forgive)  Recently I have found some interesting information on the internet - about how insurance companies are now conferring with employers on a 3- or 6-month basis to determine which employees are using excessive health insurance, as in if someone has cancer or is costing them money.  They in turn are letting those employees go in various ways.  Since insurance companies can no longer terminate policies or refuse care for people with preexist ...


0 Post Audit For A Week
Dec 10, 2014

A couple of things.  I wonder what happens when you have 0 post audits for the week?  I have not had any this week yet. Also, seems a bit unfair they are using VR and straight trans on the same cpl.  It takes twice as long to do straight trans:( ...


How Much Do They Post Audit And How Chosen
Dec 23, 2014

I thought it was supposed to be like a 2% representation of your total line count.  How do they figure this, is it computer determined or random by QA staff? Do they have some program that generates and spits out which ones to be picked?  Do the QA staff have the option of picking whatever they want to?  I know there has to be some QA/QC people on here who might know.    ...


Wow - Here's A Positive, On Post Audit I Got
Jan 08, 2015

and she filled in the blank with HEENT!!!!  ...


Two Post Audit Reports, One Is 98.46% And
Feb 03, 2015

is my total QA score still only 98.72?  Got the 98.46% one first, and then got a 100% report....am I thinking wrong here?  I mean, the average of a 98% and 100% report should be 99%, correct?  Am I wrong?  So, my 98.46% and 100% report should be over 99% by a touch, right?  ???? ...


4 Post Audit Last Week
Mar 09, 2015

How do I get to be such a crummy transcriptionist  - last week 3 or 4 post audits - 98.69% 1 audit done Sat for this week -- 3-pt CPSE error and 1-pt  + 98.03% so far for this week. I really don't feel like even working tonight -- what other mistakes could I make tonight to bring my post-audit score down any lower!!!!! ...


Post Audit Reviews For 3/21-3/27??
Mar 28, 2015

Anyone know what the cut-off date is for QA? I know we have until 04/03 for reversals.     ...


Listening To Post Audit Jobs
Dec 12, 2013

Is anyone else having trouble listening to their post audit jobs?  I have tried everything and can't seem to make it work. It's hard to fight an error when you cannot listen to the job again.    I am am also finding that I am getting a lot or errors that I know are not true thus killing my quality score.  ...


How Many Post-audit Reports Are You Having Per Day/week?
Dec 25, 2014

I'm new to FIESA.  The company I was with that Nuance bought out just started using FIESA this month.  I'm having post-audits daily, as many as 5 a day.  Is that pretty much what the rest of you average?  Just curious since I've been reading the board and watching what others are saying about the new and exciting "pay" plan.  ...


Is There A Way To Re-listen To Post-audit Reports?
Dec 28, 2014

I don't see a way to do it in Fiesa like my TSM said, unless I'm missing something.  That would sure stink if this weren't possible.  For example, if you think you need a reversal on something--it would help to be able to relisten to see if you really made that mistake.  ??? ...


Post Audit For Two Week Were Terrific
Dec 31, 2014

My first 2 weeks of post audit were terrific - the third week, not so good - and this week - back to reality - I smell a setup - give us a really good post audits once in awhile to keep us working for them, but not so often that they have to pay us a decent wage all the time.   ...


This Is Strange...I Got A Post Audit Today For A
Jan 05, 2015

Jan 2, which is from last pay period.  I failed at 97 something percent.  I had 2 other reports from last pay period that were 100%.   So of course (luckily) the audit they did today won't count for that week--for one thing I already approved my pay statement and it did show that I had 100% QA.  I actually got a decent cpl, even though my production was very low as I was on my backup account.   Anyway, so what happens with that failing post audit score fr ...


What Is A V-Post Audit And Does It Count In Our QA Score? TIA. Nm
Jan 13, 2015

NM ...


Questions For QA/post Audit People
Jan 14, 2015

I have noticed that sometimes my post audits in FIESA will have a blank added in there by QA for something that they feel is "unclear."  They will take out whatever I have typed and blank it. I have not received error points for any of these things (so far).  I guess it's just something that they couldn't make out as well as I could? I have exclusives, and I know them well, but they are good dictators and not hard to understand at all. For example, one sentence (which my doc ...


Post Audit Review Date
Apr 06, 2015

Does anyone know?  I had an audit done on Saturday, which would actually be the start of this work week.  Does that count towards my QA for last week??? Of course, it was a bad one and took me down to the ground:( ...


Nearing The Quarter's End = More Post-audit Reviews!
Mar 17, 2014

I really hate to add to the conspiracy theories (as I generally just don't believe them), but I can't help but add to this one! I can definitely tell that the quarter is almost up because I've started receiving more and more post-audit reviews, and of course they are just enough to knock my out of the running for bonus, despite having a near 100% score of QC1 and post-audits earlier in the month.  Any post-audit QA's out there want to comment on this?  It's a ...


Post Audit And Quality Review FIESA
May 25, 2014

I think it is amazing how they can QA 20 reports and 17 of them are over 99% and are quality review so it means nothing towards qualifying for anything but the 3 that are post audit they have managed to find errors bringing my  score down to where I can't qualify for anything.  Very ironic if you ask me.  ...


Ending Week With 100% Post Audit Score, Sm
Feb 06, 2015

AGAIN, ending week on 100%, let's see what they get me on. ...


Reports Sent For Blank Reviewing Showing Up In Post Audit Sm
Oct 17, 2014

Why are reports I send for review to fill in blanks being reviewed and showing up in post audit?  I cannot get any info from supv as to why? ...


Is It Gray Matter Or Grey Matter Pls
Feb 11, 2015

x ...


Thankful No Post Audit "at Least Yet"
Aug 28, 2013

Boatload of crap in FIESA.  My accuracy is so low it is pathetic.  BUT no post audit ones except one which was 100% accuracy.  Ironic.  I guess I should be glad but it still bothers me that some of this stuff is stupid and I am getting marked off for pending a report because of the very thing they are marking me off for.  I didn't think you got counted against if you pended it and that was the reason you pended it!!!  They are marking me off for major error and ...


Getting Out Of MT -- No Matter WHAT!
Feb 26, 2012

My 2-1/2-decade MT career is coming to an end. When I think back on how *HAPPY* I was back in the good ole days (late 80s into late 90s) as an MT and then contrast that with the picture now, it makes me want to cry.  We made GOOD money for someone without a degree, had GOOD benefits, and were at least somewhat appreciated back then.  In retrospect (hindsight is always 20/20), working conditions began going downhill when we became isolated from the physicians (as if we w ...