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neurology scoring? - db
Posted: Jan 18, 2012
s/l ranson level 3 at the time of admission, level 6 at time of discharge.
please tell us what the pt is being seen for - sm
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PLease provide context. Did pt have a stroke? An accident? An operation? We need this information to research.
head injury from football - db
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he had a craniectomy performed. he had subdural hematomas, posttraumatic amnesia, nerve paresis, and a small amount of pneumocephalus.
Rancho - sm
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see my post below for more details -- it's the one that says "here you go".
if you revise your sl/ word, it's good to add that - to the original thread...
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I went nuts looking for your your first s/l (backlin) - the addition of "ranson" to this picture would have been a real help.
I hope you all realize that the new scoring is not about a goal of 99% at all. It's not even based on a percentage, just an arbitrary "score". Since all reports, short or long, start with a "score" of 100 with errors deducted from there, it would be like going to school and one day having a quiz of 10 questions where you could get 1 wrong (90%) and still pass, but the next day, a test with 300 questions would count the same (100 points), where if you got 2 wrong (98 "points" whi ...
Okay. Just got notice that my QA score was good overall at 99.56%. MT company says you must be above 98%. However, I had 20 reports scored and 2 of the 20 reports came in under 98%. One job was 21 lines and I did miss adding "ly" to the end of a word (-1/2 pt). Another job was 18 lines and I spelled out four in four months instead of 4 months. Agree with the changes. BUT, do other companies take each job separately and grade them and then give you a combined s ...
I can't remember correctly but awhile back didn't we get notification about changes to how we are scored on Fiesa and such? What were those changes? Was it for both the weekly bonus and quarterly? I can't recall and I didn't save any emails. ...
How does one below 99% post audit lower a monthly % by 0.5 points and THREE 100% audits only raise the score by 0.1 point????
Also, got a report back with a major error.
I typed: The patient thought she had had seen...
Audited: The patient told she had seen....
This is a VERY difficult dictator and his reports are all straight type. I thought I did better on this one, but cannot win. It would be nice if such difficult dictators could go for a second listen without it being ...
Does anyone have any insight on the new quality scoring that will be showing up in FIESA? The video was a little unclear. I thought the company standard was 99% and now it is 99.3% and there is now a new score that will go along with this that we have to meet that is, I thought, already built into QA scoring anyway. There was also a comment about compensation will not be effected YET, which means it will be for those who receive bonus pay for one thing or another, be it quality or production bon ...
has anyone had no post audit reports for the week under the new comp plan? this is my first week of coming across this problem - there were 2 post audits during the week in FIESA, but they were for reports the previous week and I received no PA scores for the week - I'm assuming this puts me in the 0.08000 category for 0%-99% whereas normally getting 100% and this is making a HUGE diff in hourly rate - there needs to be something in place where we have to receive at least 1 PA sc ...
I'm an MME and we were all explicitly told not to do any sort of scoring on any reports and just leave feedback. I've seen a few come on here angry for being scored for silly things and I've always defended, saying maybe it was an accident or they were audited by the client or the QTL.
Well, as you may or may not know, we MMEs QA the ILP reports and some of them are QAd by the ILPs before they get to the USA MMEs. Today I noticed a bunch of reports with fee ...
Could anyone help me with a couple of things I'm tring to figure out in this chapter 14 Neurology H&P report ?
I am stuck on...
She has had an operation to release a tethered cord and also fusion ________ . (sounds like somekind of swan.)
She also had medicines revoked potential, which showed abnormal bilateral tibial mass reovke potential in both the normal position and in "Buddha position". (not sure if this is correct or makes sense.)
Deep tendon refelexes are equal. _____ ...
The patient had an MRI/MRA.
Sentence is: The aneurysm remains occluded by the corels/corals/quirls? It is impossible to tell what is going on in the left supraclinoid internal carotid artery because of the presence of the stent and the artifact from it. ...
She says this in two places, once in the subjective and once in the plan.
S: The patient was last seen for continued follow up due to her history of myoclonic seizures and BNS for intractable seizure activity on 05/18/10.
P: I did discuss with the patient that we should check BNS today, she did decline that at this time. We will recheck this at her next visit in three months and I advised patient if she had any concerns, to contact us sooner, and we would see her sooner ...
I'm an MT student and I'm struggling with this dictation. it sounds to me like he says
"where he underwent a craniectomy, which removed the left subdural bled." However, the MT grading my papers says that bled and bleed are "the incorrect form of the correct word". I thought those were the only 2 forms of the word?? ...
There was felt to be ______ of hemosiderin throughout the large cyst, suggesting prior hemorrhage. (s/l a profrogram/proforgim). I keep listening and cannot grasp. Cannot hear "component." Am pretty sure of the p sound at the beginning, f in the middle, and the m at the end. Only have about 20 minutes before it is due. TIA for any ideas. ...
MENTAL STATUS: The patient is awake, alert and generally very anxious, with pressured and thick speech. She is unable to sit still and is very ______ (doc spells it out twice as "akithetic").
I am sure she is trying to relate a word like "akinetic," because the admitting diagnosis was difficulty with coordination and walking, but she clearly spells this out twice as "akithetic." Has anyone else used this word before? ...
I work for a mental facility. Anyone know the correct spelling of what sounds like "choreaothesis?" The hundreds of previous reports I checked have it as "chorea thesis" but I can't find either in any med books. It apparently is a symptom. Could it be 2 specific conditions instead of 1? Thanks. ...
I am picking up a new clinic and I am hoping those of you who have been doing Neuro/Neurosurg might be able to suggest some of your favorite links for these specialties. I am very excited about the new clinic, but pretty nervous too. There is so much to learn.
Any ideas on where I can find the best references in these fields?
Thanks in advance.... ...
Neurology report. Says tenderness in the mid anian region (talking about the head/brain and spells anian). Have seen this before and thought it started with an o but now cannot find. TIA ...
Years back, the name of the service was to be capitalized if they said the patient was seen by Podiatry or the patient was seen by Neurology. But if the patient was seen by the neurology service, it was not capitalized. Why am I being counted off for not capitalizing Neurology Service? It just looks stupid with it capitalized. I feel like I'm dealing with people who don't really know what they are doing. Very frustrating. ...
I have been on this report for 2 days now. I have managed to figure most of it out but I am really lost on one paragraph. After she dictates all the information under Physical Examination she goes into another paragraph describing more of the patient's symptoms. Is there supposed to be heading before that paragraph? Also, below is a few sentences from that paragraph that I just cant make out. Any help would be great. Thanks again.
Tone is normal no clog whealing. Degenerative reflexes ar ...
I need some help with a type of seizure. It sounds like "noncommosive," but the nearest thing I can find by googling is "noncompulsive" and I don't know if that really is an actual type of seizure or just a description of a symptom. ACK! I would dearly love to have a report by this Asian neurologist with no blanks for a change! Anybody have an idea? ...