A community of 30,000 US Transcriptionist serving Medical Transcription Industry
Why MTSOs who use VR should be fined/arrested - Wendi970
Posted: Oct 17, 2011
What I am trying to decipher in a patient file: "...story on this encounter as a ball the patient...states this started a f ew I've prior presentation him...had no complaining of asked to see the patient...cardiac details of the patient t hat border interaction somewhat he was sent to a marked emergency...comes back a little Neely when the room...and a dose talked with him...this was blade weakness...but certainly MOST NONRESPONSIVE STATES HE> Loss is non-regards...up to this presentationical flaccid paralysis." This was in a medical record used for legal purposes. Please start a huge revolt against this one day being typical of what YOU will find in your record.
dont get it - sm
[ In Reply To ..]Isnt it our job to fix it? So, if it is fixed, why will this be typical of what is in a report?
Will not be fixed!! - Wendi970
[ In Reply To ..]In the medical record as is - will never be modified. The final record. No edit.
Why MTSOs who use VR should be fined/arrested - BJ
[ In Reply To ..]Not sure what a MTSO and if you are a medical transcriptionist, editor or other but as a ME/MT I would not send this report anywhere. It is ultimately up to the physician to fix this problem or risk being sued.
Right - exactly. Risk being sued - Wendi970
[ In Reply To ..]It was a final hospital record. I have to review for other purposes not related to MT work.
That's why we're paid to fix it. - if it was perfect, we would be fired. nm
[ In Reply To ..]nm
Paid what? - shortcake
[ In Reply To ..]..
Yeah, 3.5 cpl is not what I would call "pay"! - "Insult" would be a better term. nm
[ In Reply To ..]X
You weren't paid to fix it - Wendi970
[ In Reply To ..]That is why I placed the portion of the note in the first post. This was in the medical record, will never be edited and this is the way I found it while reviewing the medical record for my job. I was not viewing the record as an MT. Again - permanent - no corrections to be made. Done regularly at the hospital whose records I was reviewing. I have viewed repeated errors, rendering some of the records unusable, from the VR the hospital uses. No MT edits.
I understand. I just thought you were an ME - editing MQ ASR work. nm
[ In Reply To ..]nm
why MTSOs who use VR - kittykat
[ In Reply To ..]I think this poster is referring to docs doing their own reports. I lost a part-time job to docs who were doing their own and they do not go through an editing process. I can assure these docs were not the best dictators and I wonder what their reports look like.
Let me guess -- you probably aren't one of the - ones making
[ In Reply To ..]mega-bucks? My ASR is about the same. It is so tedious, every day I want to scream. It affects my health, my relationship with my family. My job is to transcribe doctor's dictation, not gibberish. The doctor's were bad enough.
be afraid, be very afraid.... - Former MT
[ In Reply To ..]Just think, someday a living, breathing person will be rushed to an ER somewhere, and THIS gibberish is what the doctor will have to make life and death decisions with! All because some greedy CEO somewhere cut out the transcriptionist. I truly hope it's one of them or one of their loved ones!! While that doesn't sound very nice, these greedy morons who have no idea what a medical report even is are cheapening the MT profession, and forcing many MTs out of the field or onto the street! But hey, they saved a few bucks by getting rid of MTs, right? I had thought once of sticking it out, knowing that when the lawsuits begin there may one day be a demand for folks with our skills ( in some way, shape, or form.) However, unfortunately I have some very bad habits to support, I like having a roof over my head, running water, food, electricity, heat, etc.... I could not longer afford those things at the rate the Q was cutting my pay, and sending my accounts overseas!
I am afraid! - Wendi970
[ In Reply To ..]I've been trying to decipher trash like this for awhile now, but what I posted above is by far the worst - I could not use the information at all, and NO ONE CARES! The text I posted was from a note done over a year ago. I think it's terrifying, and you're correct: it's all so some greedy corporate monsters can make more and more money - and apparently the hospitals are no less greedy.
System used - Wendi970
[ In Reply To ..]I'm not sure whether I'm at liberty to name the company that sold the software to the hospital, but it was 'the other' major MTSO (at the end of each note, there is a sentence that says the note was electronically transcribed by the software).
Even scarrier...reports that look and read correct - but are not
[ In Reply To ..]I think I would rather get a gibberish report that is obviously incorrect, then a report that looks to be without error, but has meds, allergies, or other orders interpreted incorrectly by VR, but not obvious unless the dictation is actually listened to.
The thing about it is.... - digiti minimi
[ In Reply To ..]They don't care if we have to edit or transcribe. For a report like that you would have to transcribe most of it, but get paid the VR rate (because they put them all on VR whether they should be or not). That makes money for "them." They are laughing all the way to the bank. We need to have a contract with them that we will have enough work for a 40-hour week. That is what they do to the hospitals.
I've seen similar in VR done at the clinic I work for that we never touch - permanent also and not available, sm
[ In Reply To ..]for the transcriptionist to touch and edit. I totally understand what you are saying.
Wait until the insurance companies get hold of these unedited VR reports! - That may change things
[ In Reply To ..]I worked in-house not too long ago in a very large clinic. We had one doctor who hated to dictate. He was so behind on reports, there was no money coming in from his patient visits so they started charging him $40 per report that was over-due by so much time.
He had to get busy and do literally 100 or more reports that he had not dictated on. They went something like this.
The patient returns. No new complaints. He is taking blah blah blah.
He will return ot see me in 6 months.
DONE.
When the insurance company got hold of these reports, they did a major review on all of his case submitted to them. The ones that were dictated as above were denied payment to the practice until they received a more comprehensive exam.
I am sure the same thing would happen if they received dictation as the OP described above. However, what is really sad, is that it would not have to be that much better to "get by." This has become about moving money, and not about patient care really.
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