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

beyond discouraged RE QA audits - NMT

Posted: Apr 29, 2012

I don't usually post here - guess I've reached my discouragement limit for the night! I work on a very difficult account as I'm sure many of you do as well, and I spend a great deal of time listening and re-listening to these difficult dictators to make sure I am hearing correctly. I just checked my audits again and see that I have received another 1 point deduction on a post audit for something they heard differently that I apparently did. It frustrates me no end that there is no way that I can re-listen to the dictation myself but just have to take their word that what they heard is correct. This has happened before recently and it is beyond discouraging -- I really do work hard at being accurate. Sorry, just very discouraged these days; ust needed to share, I guess, no one else to share this stuff with. I've been doing this for a very long time (I know, that doesn't necessarily make me a good transcriptionist) and I feel like I've worked hard to do a very good job. Thanks for "listening." :)

you CAN check the report and relisten thru escription - sm

[ In Reply To ..]
using the job number listed on the correction. Go to the escription website, log in using your log in info and search for dictation. The info for you to do this is located on the info you were given when hired that contains all your passwords. Check that to get the exact website info, as I cannot think of it at the moment as I am not logged in/working at the moment.

beyond discouraged - NMT

[ In Reply To ..]
I don't work on the escription platform and have been told that they cannot pull the jobs back in for me to listen to on my platform.

Okay, in all situations such as this I think we should - refuse to accept the error. Formally. SM

[ In Reply To ..]
We're typically far more experienced on the dictators involved, and we all know from experience how far from perfect QA reviews can be. It's one thing to shrug at some QA claim when it doesn't cost you anything, another to lose several hundred to potentially thousands of dollars of earned income.

If we can't verify the error, we should not accept it.

FIESA - lm

[ In Reply To ..]
I am new and just looked at my first FIESA report and don't understand some of the corrections. Why on a lot of them it shows ERROR: your dictation and then underneath CORRECT: they have the exact same thing typed with no difference. There was nothing taken off but it didn't make any sense

FIESA clarification - mtgal1963

[ In Reply To ..]
In FIESA, the "post audit" reports count towards your bonus. The "pended audits" are information and do not count towards/against bonus. Hope this helps.

Fiesa question - mamabear

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I am a little confused, but I thought my supervisor sent an email a while back saying that our FIESA scores do NOT affect our incentive pay ... only the quarterly random review. She said the FIESA scores are only to "help" us.

Has anyone else heard this? Or did I miss understand? (Of course, I can't find the email now to see exactly what she said.)

That sounds familiar. When I get a chance, I'll see if I can find that. (nm) - anon

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xx

. - .

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x

Given that we EARN incentive pay like the rest of - our income, yes, but hardly disguised. NM

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x

I feel the same way..... - Tired.....

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I am also going to miss out on the incentive because of one big mistake. Three reports checked - 100% on two of them and one very, very long report came in at 94.7% because of one big error (a drug sound-alike) and a bunch of little ones (the 0.25) ones that make absolutely no difference in the report. I accept the drug mistake, but it was almost as if QA looked until they found enough little ones to bring the average down below what is required for the incentive. I have estimated that in 3 months, I will loose nearly $1000.00 in incentive because of it. I came in with Webmedx and in the 4 years that I worked for Webmedx, I never had a QA evaluation below 99% and most were 100%. I am so tired of this. I don't mind ISR - on Enterprise - I actually can do fairly well on it if I stick with it, but I have to make up my mind now that I will not try to get the incentive because for the next 3 months, does it even matter what my QA score is? I'm screwed anyway.
Is there anybody with this huge company that would actually take time to listen? I would be willing to make a phone call or send an e-mail but who is it?

To Tired - Goner

[ In Reply To ..]
Same boat here....99% accurate for 6 years at Webmedx, now 97 due to omission of ONE word. Thus, my supervisor is waking to my notice tomorrow. When one figures it out, for me, it is 3200.00 loss for one word. Like you, the other 2 reports were 100%. I am not working one more minute for a company like this. All they will be left with his newbies, which is fine for them less money to pay out.

same here also.... - nuancemt

[ In Reply To ..]
I am so over this company. I'm moving within the year. I'm not giving a notice either - just email with "I quit"

They want to screw me over with this so-called incentive pay and the low wages - why should I give notice?

I could have written it. I do a very good job, look up every address - and name spelling, am fast AND conscientious, but

[ In Reply To ..]
QA came along and, like you, and true or not, it seemed as if reports were mined for little nothing stuff, apparently unable to assign me even a tacky paper star for the overall excellence. I haven't lost my incentive yet, but it's obviously a matter of time and bad luck before I have to try to fight for what I've earned. Money. I don't look for or need stroking from people I'll never meet, but if there's a time for weighing in good performance, during audit would be it.

Oh, I'm sure I made a lot of the mistakes listed. I was embarrassed, but I was even more surprised than I should have been because that sure was not my everyday performance. Maybe it was a bad day; I do have them occasionally.

In any case, though, this markdown system can result in penalties that are totally inappropriate to my overall performance. I am routinely conscientious, on every report doing what I am expected to do to produce proper reports. None of the don't-care sloppiness often seen. No not bothering to insert a heading because none was dictated, running the PE into labs as a block, and dozens of other ways to spit on quality. I'm one of those who pull the average up out of the trough.

Like always doing what I can to make sure the data are correct.
Verifying questionable statements in reports on file (this account has a lot of reports on line to check through).
Filling in all the blanks I can even though I'm always way below the % to QA allowed and don't have to worry about that (I know my job).
Knowing and respecting clients' specs.
Bending over backwards on punctuation to make sure the meaning is exactly what the dictator intends.
And still managing not to over edit and to rack up good line counts.

I do a VERY good job on a difficult account others don't want to work because the sound quality is poor and it requires a lot of editing, and the only feedback I get is risking losing a large part of my income over the accumulation of stuff like missing a missing period in a medication list, dropping a quick comma before instead of after the word intended, being marked off for an auto-numbering format error (not mine) that's not even visible on the screen, or, especially, being informed I'm wrong about a word the dictator himself couldn't make out--except that I know it's what he says, where he says it, and means what he means it to say.

Most other companies score QA differently - anon

[ In Reply To ..]
I have worked in QA in several other companies and am an MT at Nuance. One huge unfair thing is if you send a really difficult repot with lots of blanks to QA, they actualy score that report. I have been destroyed on my QA score with those reports.

I have NEVER worked for another company that did that. If you sent a report to QA to be reviewed due to difficult dictator and lots of blanks it was NEVER counted towards your QA score.

Most other companies score QA differently - Not fair

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Wow...thanks for this information, anon. Just when it seems it cannot get any worse, it does.

Most other companies score QA differently - anon - justmedlc

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I, too, am an MT at Nuance since they bought out the small company I was working for and what you're saying isn't true. They do not score the reports sent to QA (no matter how many blanks it has). As long as you have marked ALL the things you can't figure out with a blank, they do not count against your score. I have had to send in quite a few jobs with multiple blanks and never had any report scored that went to QA unless I missed a mistake and didn't have it blanked! It does, however, run up the total percentage you have sent to QA.

QA score/Spellcheck - me_MT

[ In Reply To ..]
anon said, I have NEVER worked for another company that did that. If you sent a report to QA to be reviewed due to difficult dictator and lots of blanks it was NEVER counted towards your QA score.

And it still doesn't count towards your QA score. Sorry...also, anon, maybe you should proofread your posts or try a little thing called Spellcheck! ;D

discouragement - Diana

[ In Reply To ..]
hang in there girl - my latest email just read I am frustrated to tears - I think I will use the word discouraged from now on and stop before the tears.

How Often is Incentive Pay Given? - nuancemt

[ In Reply To ..]
How often do they give out the incentive pay? I just checked Fiesa and I don't have any post-audit reports, just pending. Is it given every pay period?

Yes, every pay period. sm - anon

[ In Reply To ..]
Look at the bottom of your time card when you approve it. It will have your QA score and how much bonus will be.

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