Re: Stage 3 or Stage III of Bruce protocol??

[Guest guest]

Vera's (the newest, 8th edition) says Roman numerals. If you use something from

a valid source like Vera's, can you keep from getting dinged?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Webmedx employee

Career Step graduate, 10/02/01

Experience: 9 months

My Home Page: http://www.renesue.com

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Re: Stage 3 or Stage III of Bruce protocol??

I love your theory Unfortunately, the ultimate decision is in the hands of

my quality auditors.. If I make the wrong decision about how to transcribe

something I lose points, and that means I make less incentive per line, which is

why I'm trying to be such a perfectionist. Big brother is watching Last

month I managed to get a perfect quality score, and I'd really like to keep it.

Obviously the logical thing would be to ask the auditors themselves.

Unfortunately, I've tried that and they tend to blow me off.. I guess they

prefer you to find out by trial and error, which sure plays havoc with my

quality score, as you can imagine. I have also asked my supervisor from time to

time, but unfortunately she has been wrong in the past and caused my quality

score to drop. It's soooo frustrating! Thanks for the link... I'll be sure to

check it out

[Guest guest]

Vera's (the newest, 8th edition) says Roman numerals. If you use something from

a valid source like Vera's, can you keep from getting dinged?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Webmedx employee

Career Step graduate, 10/02/01

Experience: 9 months

My Home Page: http://www.renesue.com

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Re: Stage 3 or Stage III of Bruce protocol??

I love your theory Unfortunately, the ultimate decision is in the hands of

my quality auditors.. If I make the wrong decision about how to transcribe

something I lose points, and that means I make less incentive per line, which is

why I'm trying to be such a perfectionist. Big brother is watching Last

month I managed to get a perfect quality score, and I'd really like to keep it.

Obviously the logical thing would be to ask the auditors themselves.

Unfortunately, I've tried that and they tend to blow me off.. I guess they

prefer you to find out by trial and error, which sure plays havoc with my

quality score, as you can imagine. I have also asked my supervisor from time to

time, but unfortunately she has been wrong in the past and caused my quality

score to drop. It's soooo frustrating! Thanks for the link... I'll be sure to

check it out

[Guest guest]

*nod nod* Edix deducts $ for errors. I don't think that is a good idea. I

mean, even if you are good, like Jan is, I don't think it's a good idea. If a

person has unacceptable quality that doesn't improve with warnings, notice,

etc., then just let them go. I just think the idea is stinky. Negative

reinforcement sometimes is necessary, but overall it's counterproductive IMHO.

And, yes, I do think quality is vitally important.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Webmedx employee

Career Step graduate, 10/02/01

Experience: 9 months

My Home Page: http://www.renesue.com

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Re: Stage 3 or Stage III of Bruce protocol??

Jan, that link shows the stages as Roman numerals (or roman numerals), and

it looks authoritative. The BOS says that most stages are keyed in Roman

(roman) numerals (p. 281), although there are exceptions. Personally, I

think you would be " safe " using Roman (roman) numerals and citing those two

references.

What is this about " quality auditors " ? Is that a new term for " quality

assurance, " or is it something new? And what's with the punishment for

making mistakes? Having been in the education racket for more than 35

years, I can guarantee you that punishment for errors is destined to yield

frustration, immobility, and distress, NOT accurate work or competent

workers.

[Guest guest]

*nod nod* Edix deducts $ for errors. I don't think that is a good idea. I

mean, even if you are good, like Jan is, I don't think it's a good idea. If a

person has unacceptable quality that doesn't improve with warnings, notice,

etc., then just let them go. I just think the idea is stinky. Negative

reinforcement sometimes is necessary, but overall it's counterproductive IMHO.

And, yes, I do think quality is vitally important.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Webmedx employee

Career Step graduate, 10/02/01

Experience: 9 months

My Home Page: http://www.renesue.com

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Re: Stage 3 or Stage III of Bruce protocol??

Jan, that link shows the stages as Roman numerals (or roman numerals), and

it looks authoritative. The BOS says that most stages are keyed in Roman

(roman) numerals (p. 281), although there are exceptions. Personally, I

think you would be " safe " using Roman (roman) numerals and citing those two

references.

What is this about " quality auditors " ? Is that a new term for " quality

assurance, " or is it something new? And what's with the punishment for

making mistakes? Having been in the education racket for more than 35

years, I can guarantee you that punishment for errors is destined to yield

frustration, immobility, and distress, NOT accurate work or competent

workers.

[Guest guest]

Well, if the BOS is wishy-washy, then you get to decide for yourself! My

personal logic would say use this hierarchy:

1. If the physician has a preference, see the motto below.

2. If your reference book for tests or a Web search turn up an authority,

go with the authority.

http://stjameshealthcare.org/healthinfo/articles/a1206.aspx

3. If you're using certain typefaces, I can look like a 1--favor Arabic

over Roman numerals for clarity.

4. Roman numeral III is 3 keystrokes; 3 is one keystroke.

Valeria

At 10:01 AM 7/30/2002 -0400, Jantranscribes wrote:

>Clear Day

>Hi all With all these changes with the new AAMT BOS, would it be stage

>3 or III or even three of the Bruce protocol (cardiology, stress test). I

>read what it said in the new BOS, but I'm still a bit confused. Even more

>confusing is the way the sentence reads, as follows:

>

>

>

>Stress echocardiogram negative for angina or ischemia at 94% predicted

>heart rate, stage 3/III/three, 9 minutes of Bruce protocol. Ok, I give

>up.. which is it? Thanks in advance.

>

>jantranscribes@...

> " Typing is my life. "

> " Whoever signs the paycheck makes the rules. "

[Guest guest]

Well, if the BOS is wishy-washy, then you get to decide for yourself! My

personal logic would say use this hierarchy:

1. If the physician has a preference, see the motto below.

2. If your reference book for tests or a Web search turn up an authority,

go with the authority.

http://stjameshealthcare.org/healthinfo/articles/a1206.aspx

3. If you're using certain typefaces, I can look like a 1--favor Arabic

over Roman numerals for clarity.

4. Roman numeral III is 3 keystrokes; 3 is one keystroke.

Valeria

At 10:01 AM 7/30/2002 -0400, Jantranscribes wrote:

>Clear Day

>Hi all With all these changes with the new AAMT BOS, would it be stage

>3 or III or even three of the Bruce protocol (cardiology, stress test). I

>read what it said in the new BOS, but I'm still a bit confused. Even more

>confusing is the way the sentence reads, as follows:

>

>

>

>Stress echocardiogram negative for angina or ischemia at 94% predicted

>heart rate, stage 3/III/three, 9 minutes of Bruce protocol. Ok, I give

>up.. which is it? Thanks in advance.

>

>jantranscribes@...

> " Typing is my life. "

> " Whoever signs the paycheck makes the rules. "

[Guest guest]

I love your theory Unfortunately, the ultimate decision is in the hands of

my quality auditors.. If I make the wrong decision about how to transcribe

something I lose points, and that means I make less incentive per line, which is

why I'm trying to be such a perfectionist. Big brother is watching Last

month I managed to get a perfect quality score, and I'd really like to keep it.

Obviously the logical thing would be to ask the auditors themselves.

Unfortunately, I've tried that and they tend to blow me off.. I guess they

prefer you to find out by trial and error, which sure plays havoc with my

quality score, as you can imagine. I have also asked my supervisor from time to

time, but unfortunately she has been wrong in the past and caused my quality

score to drop. It's soooo frustrating! Thanks for the link... I'll be sure to

check it out

jantranscribes@...

" Typing is my life. "

" Whoever signs the paycheck makes the rules. "

Re: Stage 3 or Stage III of Bruce protocol??

Well, if the BOS is wishy-washy, then you get to decide for yourself! My

personal logic would say use this hierarchy:

1. If the physician has a preference, see the motto below.

2. If your reference book for tests or a Web search turn up an authority, go

with the authority. http://stjameshealthcare.org/healthinfo/articles/a1206.aspx

3. If you're using certain typefaces, I can look like a 1--favor Arabic over

Roman numerals for clarity.

4. Roman numeral III is 3 keystrokes; 3 is one keystroke.

Valeria

At 10:01 AM 7/30/2002 -0400, Jantranscribes wrote:

Clear Day

Hi all With all these changes with the new AAMT BOS, would it be stage 3

or III or even three of the Bruce protocol (cardiology, stress test). I read

what it said in the new BOS, but I'm still a bit confused. Even more confusing

is the way the sentence reads, as follows:

Stress echocardiogram negative for angina or ischemia at 94% predicted heart

rate, stage 3/III/three, 9 minutes of Bruce protocol. Ok, I give up.. which is

it? Thanks in advance.

jantranscribes@...

" Typing is my life. "

" Whoever signs the paycheck makes the rules. "

[Guest guest]

I love your theory Unfortunately, the ultimate decision is in the hands of

my quality auditors.. If I make the wrong decision about how to transcribe

something I lose points, and that means I make less incentive per line, which is

why I'm trying to be such a perfectionist. Big brother is watching Last

month I managed to get a perfect quality score, and I'd really like to keep it.

Obviously the logical thing would be to ask the auditors themselves.

Unfortunately, I've tried that and they tend to blow me off.. I guess they

prefer you to find out by trial and error, which sure plays havoc with my

quality score, as you can imagine. I have also asked my supervisor from time to

time, but unfortunately she has been wrong in the past and caused my quality

score to drop. It's soooo frustrating! Thanks for the link... I'll be sure to

check it out

jantranscribes@...

" Typing is my life. "

" Whoever signs the paycheck makes the rules. "

Re: Stage 3 or Stage III of Bruce protocol??

Well, if the BOS is wishy-washy, then you get to decide for yourself! My

personal logic would say use this hierarchy:

1. If the physician has a preference, see the motto below.

2. If your reference book for tests or a Web search turn up an authority, go

with the authority. http://stjameshealthcare.org/healthinfo/articles/a1206.aspx

3. If you're using certain typefaces, I can look like a 1--favor Arabic over

Roman numerals for clarity.

4. Roman numeral III is 3 keystrokes; 3 is one keystroke.

Valeria

At 10:01 AM 7/30/2002 -0400, Jantranscribes wrote:

Clear Day

Hi all With all these changes with the new AAMT BOS, would it be stage 3

or III or even three of the Bruce protocol (cardiology, stress test). I read

what it said in the new BOS, but I'm still a bit confused. Even more confusing

is the way the sentence reads, as follows:

Stress echocardiogram negative for angina or ischemia at 94% predicted heart

rate, stage 3/III/three, 9 minutes of Bruce protocol. Ok, I give up.. which is

it? Thanks in advance.

jantranscribes@...

" Typing is my life. "

" Whoever signs the paycheck makes the rules. "

[Guest guest]

Jan, that link shows the stages as Roman numerals (or roman numerals), and

it looks authoritative. The BOS says that most stages are keyed in Roman

(roman) numerals (p. 281), although there are exceptions. Personally, I

think you would be " safe " using Roman (roman) numerals and citing those two

references.

What is this about " quality auditors " ? Is that a new term for " quality

assurance, " or is it something new? And what's with the punishment for

making mistakes? Having been in the education racket for more than 35

years, I can guarantee you that punishment for errors is destined to yield

frustration, immobility, and distress, NOT accurate work or competent

workers.

Valeria

P.S. Congrats on being perfect last month!

At 11:21 AM 7/30/2002 -0400, Jantranscribes wrote:

>I love your theory Unfortunately, the ultimate decision is in the

>hands of my quality auditors.. If I make the wrong decision about how to

>transcribe something I lose points, and that means I make less incentive

>per line, which is why I'm trying to be such a perfectionist. Big brother

>is watching Last month I managed to get a perfect quality score, and

>I'd really like to keep it. Obviously the logical thing would be to ask

>the auditors themselves. Unfortunately, I've tried that and they tend to

>blow me off.. I guess they prefer you to find out by trial and error,

>which sure plays havoc with my quality score, as you can imagine. I have

>also asked my supervisor from time to time, but unfortunately she has been

>wrong in the past and caused my quality score to drop. It's soooo

>frustrating! Thanks for the link... I'll be sure to check it out

>

>jantranscribes@...

> " Typing is my life. "

> " Whoever signs the paycheck makes the rules. "

> Re: Stage 3 or Stage III of Bruce protocol??

>

>Well, if the BOS is wishy-washy, then you get to decide for yourself! My

>personal logic would say use this hierarchy:

>

>1. If the physician has a preference, see the motto below.

>2. If your reference book for tests or a Web search turn up an authority,

>go with the authority.

>http://stjameshealthcare.org/healthinfo/articles/a1206.aspx

>3. If you're using certain typefaces, I can look like a 1--favor Arabic

>over Roman numerals for clarity.

>4. Roman numeral III is 3 keystrokes; 3 is one keystroke.

>

>Valeria

>

>At 10:01 AM 7/30/2002 -0400, Jantranscribes wrote:

>>Clear Day

>>Hi all With all these changes with the new AAMT BOS, would it be

>>stage 3 or III or even three of the Bruce protocol (cardiology, stress

>>test). I read what it said in the new BOS, but I'm still a bit

>>confused. Even more confusing is the way the sentence reads, as follows:

>>

>>

>>

>>

>>

>>Stress echocardiogram negative for angina or ischemia at 94% predicted

>>heart rate, stage 3/III/three, 9 minutes of Bruce protocol. Ok, I give

>>up.. which is it? Thanks in advance.

>>

>>jantranscribes@...

>> " Typing is my life. "

>> " Whoever signs the paycheck makes the rules. "

[Guest guest]

Jan, that link shows the stages as Roman numerals (or roman numerals), and

it looks authoritative. The BOS says that most stages are keyed in Roman

(roman) numerals (p. 281), although there are exceptions. Personally, I

think you would be " safe " using Roman (roman) numerals and citing those two

references.

What is this about " quality auditors " ? Is that a new term for " quality

assurance, " or is it something new? And what's with the punishment for

making mistakes? Having been in the education racket for more than 35

years, I can guarantee you that punishment for errors is destined to yield

frustration, immobility, and distress, NOT accurate work or competent

workers.

Valeria

P.S. Congrats on being perfect last month!

At 11:21 AM 7/30/2002 -0400, Jantranscribes wrote:

>I love your theory Unfortunately, the ultimate decision is in the

>hands of my quality auditors.. If I make the wrong decision about how to

>transcribe something I lose points, and that means I make less incentive

>per line, which is why I'm trying to be such a perfectionist. Big brother

>is watching Last month I managed to get a perfect quality score, and

>I'd really like to keep it. Obviously the logical thing would be to ask

>the auditors themselves. Unfortunately, I've tried that and they tend to

>blow me off.. I guess they prefer you to find out by trial and error,

>which sure plays havoc with my quality score, as you can imagine. I have

>also asked my supervisor from time to time, but unfortunately she has been

>wrong in the past and caused my quality score to drop. It's soooo

>frustrating! Thanks for the link... I'll be sure to check it out

>

>jantranscribes@...

> " Typing is my life. "

> " Whoever signs the paycheck makes the rules. "

> Re: Stage 3 or Stage III of Bruce protocol??

>

>Well, if the BOS is wishy-washy, then you get to decide for yourself! My

>personal logic would say use this hierarchy:

>

>1. If the physician has a preference, see the motto below.

>2. If your reference book for tests or a Web search turn up an authority,

>go with the authority.

>http://stjameshealthcare.org/healthinfo/articles/a1206.aspx

>3. If you're using certain typefaces, I can look like a 1--favor Arabic

>over Roman numerals for clarity.

>4. Roman numeral III is 3 keystrokes; 3 is one keystroke.

>

>Valeria

>

>At 10:01 AM 7/30/2002 -0400, Jantranscribes wrote:

>>Clear Day

>>Hi all With all these changes with the new AAMT BOS, would it be

>>stage 3 or III or even three of the Bruce protocol (cardiology, stress

>>test). I read what it said in the new BOS, but I'm still a bit

>>confused. Even more confusing is the way the sentence reads, as follows:

>>

>>

>>

>>

>>

>>Stress echocardiogram negative for angina or ischemia at 94% predicted

>>heart rate, stage 3/III/three, 9 minutes of Bruce protocol. Ok, I give

>>up.. which is it? Thanks in advance.

>>

>>jantranscribes@...

>> " Typing is my life. "

>> " Whoever signs the paycheck makes the rules. "

[Guest guest]

It is indeed quality assurance. Quality auditors are what the people are called

who do the quality assurance. Supposedly at random, each MT has roughly 5

reports pulled and proofed to sound by the quality auditors. From that is

determined the MT's quality score.. 4 stars being perfect and the highest level

of incentive paid, down to 1 star sa the lowest, where money is SUBTRACTED from

the MT's cents per line for all reports done for that month, and we are paid

every 2 weeks. Two stars means you get exactly your line rate.. no more, no

less. Needless to say, MTs want 4 or 3 stars. The customers/clients want

quality, and that is the system my employer has put into effect to achieve

quality. The MT gets incentive for quality reports and the customer/client is

happy. Or at least that's the theory. Apparently my employer feels we are

being rewarded for quality, not so much being punished for poor quality. It

used to be there were 2 levels where you lost money, but they've changed it that

there's only one level where you lose money.

I don't object to their system. What I object to is not being able to get a

straight answer from them as to exactly what they want so I can give it to them.

jantranscribes@...

" Typing is my life. "

" Whoever signs the paycheck makes the rules. "

Re: Stage 3 or Stage III of Bruce protocol??

>

>Well, if the BOS is wishy-washy, then you get to decide for yourself! My

>personal logic would say use this hierarchy:

>

>1. If the physician has a preference, see the motto below.

>2. If your reference book for tests or a Web search turn up an authority,

>go with the authority.

>http://stjameshealthcare.org/healthinfo/articles/a1206.aspx

>3. If you're using certain typefaces, I can look like a 1--favor Arabic

>over Roman numerals for clarity.

>4. Roman numeral III is 3 keystrokes; 3 is one keystroke.

>

>Valeria

>

>At 10:01 AM 7/30/2002 -0400, Jantranscribes wrote:

>>Clear Day

>>Hi all With all these changes with the new AAMT BOS, would it be

>>stage 3 or III or even three of the Bruce protocol (cardiology, stress

>>test). I read what it said in the new BOS, but I'm still a bit

>>confused. Even more confusing is the way the sentence reads, as follows:

>>

>>

>>

>>

>>

>>Stress echocardiogram negative for angina or ischemia at 94% predicted

>>heart rate, stage 3/III/three, 9 minutes of Bruce protocol. Ok, I give

>>up.. which is it? Thanks in advance.

>>

>>jantranscribes@...

>> " Typing is my life. "

>> " Whoever signs the paycheck makes the rules. "

[Guest guest]

Yes ma'am.. That's EXACTLY what I need.. a reliable source I can quote in case I

do get dinged. One can challenge any decision the audtors make, but you darn

well better have a reliable source to back yourself up if you challenge

jantranscribes@...

" Typing is my life. "

" Whoever signs the paycheck makes the rules. "

Re: Stage 3 or Stage III of Bruce protocol??

I love your theory Unfortunately, the ultimate decision is in the hands of

my quality auditors.. If I make the wrong decision about how to transcribe

something I lose points, and that means I make less incentive per line, which is

why I'm trying to be such a perfectionist. Big brother is watching Last

month I managed to get a perfect quality score, and I'd really like to keep it.

Obviously the logical thing would be to ask the auditors themselves.

Unfortunately, I've tried that and they tend to blow me off.. I guess they

prefer you to find out by trial and error, which sure plays havoc with my

quality score, as you can imagine. I have also asked my supervisor from time to

time, but unfortunately she has been wrong in the past and caused my quality

score to drop. It's soooo frustrating! Thanks for the link... I'll be sure to

check it out

[Guest guest]

Yes ma'am.. That's EXACTLY what I need.. a reliable source I can quote in case I

do get dinged. One can challenge any decision the audtors make, but you darn

well better have a reliable source to back yourself up if you challenge

jantranscribes@...

" Typing is my life. "

" Whoever signs the paycheck makes the rules. "

Re: Stage 3 or Stage III of Bruce protocol??

I love your theory Unfortunately, the ultimate decision is in the hands of

my quality auditors.. If I make the wrong decision about how to transcribe

something I lose points, and that means I make less incentive per line, which is

why I'm trying to be such a perfectionist. Big brother is watching Last

month I managed to get a perfect quality score, and I'd really like to keep it.

Obviously the logical thing would be to ask the auditors themselves.

Unfortunately, I've tried that and they tend to blow me off.. I guess they

prefer you to find out by trial and error, which sure plays havoc with my

quality score, as you can imagine. I have also asked my supervisor from time to

time, but unfortunately she has been wrong in the past and caused my quality

score to drop. It's soooo frustrating! Thanks for the link... I'll be sure to

check it out

[Guest guest]

I agree, and apparently so did many of my coworkers, which is why Edix changed

it from 2 levels where you lose money to only one.

jantranscribes@...

" Typing is my life. "

" Whoever signs the paycheck makes the rules. "

Re: Stage 3 or Stage III of Bruce protocol??

Jan, that link shows the stages as Roman numerals (or roman numerals), and

it looks authoritative. The BOS says that most stages are keyed in Roman

(roman) numerals (p. 281), although there are exceptions. Personally, I

think you would be " safe " using Roman (roman) numerals and citing those two

references.

What is this about " quality auditors " ? Is that a new term for " quality

assurance, " or is it something new? And what's with the punishment for

making mistakes? Having been in the education racket for more than 35

years, I can guarantee you that punishment for errors is destined to yield

frustration, immobility, and distress, NOT accurate work or competent

workers.

[Guest guest]

I agree, and apparently so did many of my coworkers, which is why Edix changed

it from 2 levels where you lose money to only one.

jantranscribes@...

" Typing is my life. "

" Whoever signs the paycheck makes the rules. "

Re: Stage 3 or Stage III of Bruce protocol??

Jan, that link shows the stages as Roman numerals (or roman numerals), and

it looks authoritative. The BOS says that most stages are keyed in Roman

(roman) numerals (p. 281), although there are exceptions. Personally, I

think you would be " safe " using Roman (roman) numerals and citing those two

references.

What is this about " quality auditors " ? Is that a new term for " quality

assurance, " or is it something new? And what's with the punishment for

making mistakes? Having been in the education racket for more than 35

years, I can guarantee you that punishment for errors is destined to yield

frustration, immobility, and distress, NOT accurate work or competent

workers.

[Guest guest]

And what about when it's a style issue that can go either way and they don't

state a preference? I don't think the folks who run Edix were ever MTs, were

they?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Webmedx employee

Career Step graduate, 10/02/01

Experience: 9 months

My Home Page: http://www.renesue.com

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Re: Stage 3 or Stage III of Bruce protocol??

<snip>

Now I've started to wonder--how often do the auditors challenge you when you

are right (and can document it) and they are wrong?

Valeria

[Guest guest]

And what about when it's a style issue that can go either way and they don't

state a preference? I don't think the folks who run Edix were ever MTs, were

they?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Webmedx employee

Career Step graduate, 10/02/01

Experience: 9 months

My Home Page: http://www.renesue.com

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Re: Stage 3 or Stage III of Bruce protocol??

<snip>

Now I've started to wonder--how often do the auditors challenge you when you

are right (and can document it) and they are wrong?

Valeria

[Guest guest]

Okay, what you're asking for is a printed source that SPECIFIES

stages! You should be covered:

Medical Transcription Do's and Don'ts specifies Roman numerals with stages

on p. 324. The BOS on p. 281 doesn't list Bruce treadmill tests as an

exception. Rennie's Vera reference is definite. And this looks pretty

authoritative, even though it's Web-based, not printed:

Table II. Bruce Protocol for Treadmill Exercise.

The Bruce protocol requires 3 minutes of treadmill exercise at each stage

Stage Mph % grade time

Stage I 1.7 10% 3 minutes

Stage II 2.5 12% 3 minutes

Stage III 3.4 14% 3 minutes

Stage IV 4.2 16% 3 minutes

Stage V 5.0 18% 3 minutes

Stage VI 5.5 20% 3 minutes

Now I've started to wonder--how often do the auditors challenge you when

you are right (and can document it) and they are wrong?

Valeria

At 11:53 AM 7/30/2002 -0400, Jantranscribes wrote:

>Yes ma'am.. That's EXACTLY what I need.. a reliable source I can quote in

>case I do get dinged. One can challenge any decision the audtors make,

>but you darn well better have a reliable source to back yourself up if you

>challenge

>jantranscribes@...

> " Typing is my life. "

> " Whoever signs the paycheck makes the rules. "

>

> Re: Stage 3 or Stage III of Bruce protocol??

>

>

> I love your theory Unfortunately, the ultimate decision is in the

> hands of my quality auditors.. If I make the wrong decision about how to

> transcribe something I lose points, and that means I make less incentive

> per line, which is why I'm trying to be such a perfectionist. Big

> brother is watching Last month I managed to get a perfect quality

> score, and I'd really like to keep it. Obviously the logical thing would

> be to ask the auditors themselves. Unfortunately, I've tried that and

> they tend to blow me off.. I guess they prefer you to find out by trial

> and error, which sure plays havoc with my quality score, as you can

> imagine. I have also asked my supervisor from time to time, but

> unfortunately she has been wrong in the past and caused my quality score

> to drop. It's soooo frustrating! Thanks for the link... I'll be sure to

> check it out

>

>

>

>

[Guest guest]

Thank you so much for the sources You'd be surprised how many times I've

been told I was wrong and it turned out I was right. Actually, the term

challenge in this case refers to what I do when I don't agree with the auditors.

What happens is this: Twice a month we get a report in Excel format that lists

the jobs they audited, what mistakes they found in which jobs if any, and

whether they were considered minor errors or patient care errors. If the MT

does not agree with the auditor, she challenges the auditors findings, at which

time the job is unarchived, the supervisor and the MT listen to the job again.

If the supervisor agrees with the MT, the auditor must back down and remove that

error, which may or may not change the quality score. (Usually if it doesn't

change the score, they won't rescind the designation of error on that report.)

If the supervisor does not hear the same thing the MT heard, it is still listed

as an error and the quality score stands. A patient care error, by the way,

would be a wrong drug or dosage, incorrect lab value, transcribing the word

irregular heartbeat when regular was said, and vice versa (I've been burned on

that one .. so I always leave a blank .. I learned my lesson). An MT is

permitted 3 blanks per report (on the account I work on.. other accounts are

different), and flags is permitted with no limit. For names of people and

places, one may use a sound alike blank. If there are more than 3 blanks, the

MT is to change the blanks to " defys " and send it to an editor. Probably more

than you wanted to know right?

I have challenged something like 4 times.. once I " won " and my score was

changed, one time I was told it didn't matter since it wouldn't have changed my

score, and one time I was told I " should have known " to change something, even

though the account is supposed to be verbatim (except for grammar errors and not

allowing slang).

jantranscribes@...

" Typing is my life. "

" Whoever signs the paycheck makes the rules. "

Re: Stage 3 or Stage III of Bruce protocol??

I love your theory Unfortunately, the ultimate decision is in the

hands of my quality auditors.. If I make the wrong decision about how to

transcribe something I lose points, and that means I make less incentive per

line, which is why I'm trying to be such a perfectionist. Big brother is

watching Last month I managed to get a perfect quality score, and I'd

really like to keep it. Obviously the logical thing would be to ask the

auditors themselves. Unfortunately, I've tried that and they tend to blow me

off.. I guess they prefer you to find out by trial and error, which sure plays

havoc with my quality score, as you can imagine. I have also asked my

supervisor from time to time, but unfortunately she has been wrong in the past

and caused my quality score to drop. It's soooo frustrating! Thanks for the

link... I'll be sure to check it out

[Guest guest]

Thank you so much for the sources You'd be surprised how many times I've

been told I was wrong and it turned out I was right. Actually, the term

challenge in this case refers to what I do when I don't agree with the auditors.

What happens is this: Twice a month we get a report in Excel format that lists

the jobs they audited, what mistakes they found in which jobs if any, and

whether they were considered minor errors or patient care errors. If the MT

does not agree with the auditor, she challenges the auditors findings, at which

time the job is unarchived, the supervisor and the MT listen to the job again.

If the supervisor agrees with the MT, the auditor must back down and remove that

error, which may or may not change the quality score. (Usually if it doesn't

change the score, they won't rescind the designation of error on that report.)

If the supervisor does not hear the same thing the MT heard, it is still listed

as an error and the quality score stands. A patient care error, by the way,

would be a wrong drug or dosage, incorrect lab value, transcribing the word

irregular heartbeat when regular was said, and vice versa (I've been burned on

that one .. so I always leave a blank .. I learned my lesson). An MT is

permitted 3 blanks per report (on the account I work on.. other accounts are

different), and flags is permitted with no limit. For names of people and

places, one may use a sound alike blank. If there are more than 3 blanks, the

MT is to change the blanks to " defys " and send it to an editor. Probably more

than you wanted to know right?

I have challenged something like 4 times.. once I " won " and my score was

changed, one time I was told it didn't matter since it wouldn't have changed my

score, and one time I was told I " should have known " to change something, even

though the account is supposed to be verbatim (except for grammar errors and not

allowing slang).

jantranscribes@...

" Typing is my life. "

" Whoever signs the paycheck makes the rules. "

Re: Stage 3 or Stage III of Bruce protocol??

I love your theory Unfortunately, the ultimate decision is in the

hands of my quality auditors.. If I make the wrong decision about how to

transcribe something I lose points, and that means I make less incentive per

line, which is why I'm trying to be such a perfectionist. Big brother is

watching Last month I managed to get a perfect quality score, and I'd

really like to keep it. Obviously the logical thing would be to ask the

auditors themselves. Unfortunately, I've tried that and they tend to blow me

off.. I guess they prefer you to find out by trial and error, which sure plays

havoc with my quality score, as you can imagine. I have also asked my

supervisor from time to time, but unfortunately she has been wrong in the past

and caused my quality score to drop. It's soooo frustrating! Thanks for the

link... I'll be sure to check it out

[Guest guest]

Actually almost all of them are/were MTs. Style issues usually aren't a

problem. My employer has always said they accept all versions of BOS EXCEPT the

particular account specifics override BOS rules... and therein lies my problem

sometimes. :/

jantranscribes@...

" Typing is my life. "

" Whoever signs the paycheck makes the rules. "

Re: Stage 3 or Stage III of Bruce protocol??

<snip>

Now I've started to wonder--how often do the auditors challenge you when you

are right (and can document it) and they are wrong?

Valeria

[Guest guest]

Actually almost all of them are/were MTs. Style issues usually aren't a

problem. My employer has always said they accept all versions of BOS EXCEPT the

particular account specifics override BOS rules... and therein lies my problem

sometimes. :/

jantranscribes@...

" Typing is my life. "

" Whoever signs the paycheck makes the rules. "

Re: Stage 3 or Stage III of Bruce protocol??

<snip>

Now I've started to wonder--how often do the auditors challenge you when you

are right (and can document it) and they are wrong?

Valeria