S/l,,,Scottie dog and en face approach?? on lumbar epidural pain shot

I'm having some trouble with this dictation...I think it must have been late in the day for this dr...this one was didn't make sense in many places where she'd use the wrong words, not finish a thought, dictate different med doses, etc. I've narrowed it down to 2 that I absolutely cannot get & I don't know if they are mistakes or not. The patient is being worked up for lumber pain, DDD, muscle weakness, and a positive ANA. "The patient was having muscle ...

Can 99358 and 99359 still be reported in addition to e/m services and procedures or should we use another code? ...

Which is the correct way to transcribe this -- lumbar disc or lumbar disk -- I have been transcribing 4-ever and typed it disc but was recently told it is disk?? ...

office manager who constantly emails regarding what time I clocked in and why, when I am IC? I have a schedule, set days, set hours, and word 3rd shift, but I flex the hours and clock in anywhere from 9 p.m. to 12 p.m. I do work my full shift. I don't want to stir the pot, but want to approach her diplomatically and get her off my back. Thanks in advance for any advice. ...

Anybody out there who is focused on the billing aspect more than the coding aspect? I am considering getting my feet wet by starting with billing experience instead of going full-force into coding. Apparently, there is a big fifference. From what I am reading, billing really leans more towards filling the insurance paperwork, etc. There are schools everywhere and so many touting "start your own business in medical billing." I am wary and tired and confused and everything in b ...

is planning on a lumbar epidural steroid injection. I am not sure of the level he is planning on. If it is at 4 5 or 5 6, I think he has a good chance of relief of arm pain ...

Doc states, "The epidural space was easily identified. No [s/l seesep], paresthesias, or heme was noted. Following negative aspiration...." ...

Lumbar epidural, sounds like "herbal ottman" technique. cannot find anything when I search for it. it always goes with using a glass syringe. ...

It is some sort of solution sounds like omipeg? 1 mL. ...

This is an epidural injection report. Doc says, "A total of 8 mg of Decadron diluted with 3 ml of s/l "preserved rophenol." I can't find anything. Anyone???? ...

I'm doing a report for an epidural steroid injection for a doctor who speaks extremely fast. I've done reports for him in the past but can't seem to find my sample reports for him - they seem to have disappeared into thin air! I really don't want to have to send it to QA. I'm hoping someone can help. He says: "A timeout was performed. _____ monitoring _____ blood pressure and pulse oximetry were placed." Any ideas?&nb ...

I'm going completely blank on this one. The patient entered the hospital for chest pain. The doc states: (blank sounds like gel, or jail) He denies any current discomfort but states when it is present it is usually a mild to moderate degree of pressure about the chest. He denies any radiation to the _____, arms, or back. ...

Has anyone gotten the swine flu shot, as in those working in hospitals or in home. They say it is on the rise again and I am debating on whether to get it. I work at home, so no risk from hospitals, but I do have kids in school to bring it home to me. They say the 30-somethings (me) get a VERY bad case of it and the kids are usually fine? So much info and so many decisions, makes you want to wear a mask on a day to day basis. ...

Went to the doctor's office this morning to get my tetanus shot updated because I fell the other day and cut myself and Dr. said my last tetanus shot was 10 years ago. When I told them I did not have any insurance that it would cost me $170.00 because they were required to charge an "administrative fee" (hospital-owned practice). I just about swallowed my tongue! Fortunately the lady checking me in suggested I go to the Health Department and I could get it m ...

Does anyone know anything about this? I see a very familiar name listed among the transcriptionists on a certain account that now belongs to Nuance through the acquisition a couple of years ago. ...

Just had a 2109s report, guess what, 1.5 minutes of dictation. Nothing like having to sit here through all the rest of that time not getting paid. Idiot! ...

Does anyone know of a stable company and/or open position where a long-time, acute care/experienced MT could be an employee with benefits and make more than $12-13/hr? Prefer straight transcription over editing. I can wait several months as I am currently employed. I ...

He is referring to premenstrual pain?? ...

Transcribing rheumatology - s/l closterpedic pain, posturopedic pain. Any ideas? Patient recently had shingles, if that helps. ...

for intracranial chemotherapy - s/l she is saying amaylia shot shunt - I saw other listings for ommaya shunt but sounds more like amaylia shot shunt?? Thanks ...

OK, here's the scoop. I am working on an older company-provided Dell running XP that's basically on the very last of its legs (got the blue screen of death this morning but was able to finally get to Windows and into my program). I talked with our IT guy today, and he said to get a new hard drive and have the old info transferred (at my expense, because of new company rules). I work on ChartScript.net and asked if that ran on Vista because I could then use my laptop, our only other com ...

As the old adage goes. The harder I work the behinder I get.... Can't win. I was working with a good pay period and then same ol same ol, NJA. And to top it off, I cannot ever get into QCare, it stays on a proverbial lock at the loading screen. So just shoot me..... At this point, I don't care anymore.... ...

Too time consuming when searching for a doctor you don't know. Give me a break, Alt S for every attempt rather than just a march down the alphabet. I'm only willing to do it a couple times, whereas I would have probably found it with the old method. ...

Any companies that will let you give you work your own hours as long as you complete a set number of lines per given day? I'd love to be an IC again with my own hours, since I have kids that need to be driven around all day.Either that or a night job. I could use some company suggestions. I've worked for several and not happy right now. Thank you! ...

So many corrections and so much missing punctuation that I an excruciatingly sore already! I was barely able to move my hands last night because they hurt from so many corrections. Grrrrr ...

S/l,,,Scottie dog and en face approach?? on lumbar epidural pain shot - tired

Scottie dog and end space approach ?? - NM

not familiar with scottie dog - nm

I LOVE Scotty dog and MISS this term! - OldTimer

I always loved the mental images I used to get when - the radiologist dictated "joint mice"! nm

Scottie dog and en face approach, yes. - NM

Scotty - who knew

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