He may follow up on an outpatient basis for continued complaints of urinary symptoms. The patient did fill out a living will requesting TSL level 2 though he does need to notarize the documents.
Does anyone know the acroynm for TSL?? ...
In followup to this post
http://forum.mtstars.com/474958.html
This KRQE news story
http://www.krqe.com/dpp/news/business/unm-hospital-stands-by-its-outsourcing-decision
UNM Hospital needs to think about the the income tax dollars not going to the federal govt with these MTs losing their jobs (or if these MTs go with Nuance - the REDUCED income tax dollars) that their decision has caused. Also the reduced sales tax revenue. And loss of medical insurance. It has been said tha ...
Patient has pain in the right submandibular triangle. It is recommended that he have a "sialadenosubmandibular duct endoscopy." Is there such a term? Thanks. ...
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 s ...
From now on, I am blanking HEENT/HENT any time I am not 100%, absolutely, positively sure of what the doctor says. Especially if they don't say anything at all (which is the usual).
This is utter ridiculousness and I am not going to risk a QA (or QC or whatever it is!)'s subjective opinion about whether a dictator said (or meant) one E or two!
What's next? If they only dictate a finding on the right lung, do we have to label it as "RIGHT LUNG:" instead of ...
When I requested reversal over getting gigged on this I spelled my thoughts out pretty thoroughly but don't know how far up the chain of holiness that goes.
Has anyone else shot off their opinions on this? Hoping if we get enough of us to make an issue they might reverse this idiotic ruling.
...
Dictated: Eyes: Extraocular muscles intact. He has bilateral Marcus Aurelius. Tympanic membranes are okay.
Transcribed: Eyes: Extraocular muscles intact. He has bilateral arcus senilis. Tympanic membranes are okay.
first time a Roman empirer has made an appearance in my transcription! This was not even VR! ...
I've heard of palpable cords plenty of times when examining the extremities, but this time under HEENT, doc says "His mucous membranes are moist. His temples had no *s/l palpable cords* and nontender to palpation. Pupils equal, round, and reactive..."
Is this correct? ...