Account specification rules, which are applied to the draft before you receive it, save you time and help to increase your efficiency. As long as the rules are appropriately set, and if the engine has understood the audio correctly, the system will present these items appropriately. Think of it this way – you wouldn’t transcribe Cranial Nerves II-XII if your account required Cranial Nerves 2-12 instead. The same is true for draft generation. The engine will attempt to produce drafts with those rules already applied.
Remember that account specification rules are not only applied at the account level, but can also be applied at the dictator, worktype, or other levels depending on your employer’s account requirements. This means that if you work on an account where specifications differ for one dictator, the drafts for that dictator could differ, too. Changes to the rules applied to one worktype will not affect all drafts, but only those for that worktype. This can help save more time and increase productivity, particularly for those accounts that have dictators or worktypes with very specific variations.
If you feel an account specification is being incorrectly applied to your drafts, please check with your supervisor or trainer. The system will learn based on some changes that you make in the draft, but will not learn to “un-do” all account specification rules set for your accounts. These items are set by your account manager or implementation team.
So how do you know if an error that you are correcting is just a simple misrecognition, or one that might be caused by a misunderstanding in the account specific rule settings? In general, the engine cannot apply the rule if it does not understand the concept. Here are some examples to help you determine if you should report the error to your supervisor or manager:
If you are consistently seeing:
- The engine gives you Cranial Nerves II–XII, and you are repeatedly changing this to 2–12. Yes, this is controlled by a setting.
- The engine gives you canned nerves two through twelve. No, this is a misrecognition. The engine didn’t understand that the doctor said “cranial nerves”, and therefore could not apply the rule.
- The engine gives you January 1, 2010 and you change it to 01/01/2010. Yes, this is controlled by a setting.
- The engine gives you January 1, 2000 10. No, the engine didn’t understand the concept of the year and therefore could not apply the rule.
- The engine gives you 5 centimeters, and you change to 5 cm. Yes, this is controlled by a setting.
- The engine gives you 5 cents. No, the engine didn’t understand the concept of the metric unit of measure, and therefore could not apply the rule.
ACCOUNT SPECIFICATIONS INCLUDE:
January 1, 2010 vs. 01/01/2010
2 o’clock vs 2:00
250000 vs 250,000
Units of Measure
mg vs milligram
ER vs emergency room
meds vs medications
98 degrees Fahrenheit vs 98F
Jane Doe vs “the patient”
Lab Measures / Diagnostic Tests
CBC vs complete blood count
daily vs q.d.
320 vs 320,000
Clostridium difficile vs C. diff
JCAHO Abbreviation Rules
Use mL instead of cc
98 percent vs. 98%
Do you have any questions? Let’s talk!