Can anyone tell me how to change the dictating physician SM
Posted By: question for Spheris TWS 3.8 on 2006-03-30
In Reply to:
in the gray field on the Spheris TWS screen. For example, if I need to change a dictating physician from a PA to the attending, the field is gray and I can't change those fields.
Thanks for the help.
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If it's that big, don't they keep dictating? Why would you be out of work?
I might be going on the same account with them. It is new for them. They are doing about 20% of the work right now, going up to 100% as they phase out the old company is what I was told. This is to happen over the next three weeks. I decided to go for it. It cannot be worse than no work at all and if it works out well for me, then I am ahead. Good luck to everyone. We need it in this business now. Who would have thought that we would be in this situation after they hyped it up that we were in such high demand. I blame the AAMT or whoever they are now.
You can tell on some dictating systems how sm
many minutes are on the system, how many are backlogged, how old they are, and how many MTs are online working.
...or when a nurse is dictating for doctor...
and he doesn't know how to pause dictation. Last week I listened to four 30 minute dictations with only about 100 lines to show for it! Finally the office taught him how to use the system! Rookies ARGHHH!
Yeah, not too many ESL's dictating, but plenty of ESL's transcribing!
.
Scenario: No work. Docs not dictating. You are an employee. What does that do to your
If you are doing no work, well, any formula to extrapolate your "down" rate of pay is still going to equal zip.
And if you go on vacation? what does that do to your "down" rate of pay? If you have no sick leave and you can't type, what does that do to you "down" rate of pay?
If you have no PTO yet and you are down for weather, computer problems, etc. if you are an employee, are you kicked to SE? What happens to your insurance?
These are all questions you need to get hard answers to and get answers that are palatable. And get them in writing.
Your physician
rocks and, unfortunately, is probably a minority in a huge amount of immigrants who come to the US anymore and do not truly become Americans. It was always with immigrants before, like my great grandpa who came from Germany at 35 and recently passed, that they wanted to be Americans and to assimilate into American culture. There is an interesting article this morning in the LA Times that Nashville has a huge immigrant population and that it is somewhat of a problem because people are not assimilating and are not learning English. They are working on passing a law declaring English the official language. I know where I live in Northern CA that I have seen this happen myself. I was at McDonalds one day waiting in line to order and a customer went up to the counter and started ordering in Spanish. The poor girl behind the counter was Indian and told him in English she does not speak Spanish. Where I live, we have a huge population inclusive of Asian, Indian, and Middle Eastern people along with Hispanics. It is ridiculous and unnecessary to cater to 1 segment of the population. America's language has always been English and no one ever seemed to have a problem with that before.
Years ago I had this one physician who
in a rage, demanding that we type things exactly like he said it. Ok, Dr. Do What I Say---- he would mess up on his 1, 2, 3 and 4 and so like he said, when he said 1, 4, 3, 2, 9 and so on, that is EXACTLY what I gave him.
Story for you, went to the physician
a a workin on a Saturday, never do that, waited and when he asked why I was there, said well I have a couple of issues and he told me to tell him which more important, he did not have time for the 2. I chose the ribs which were really hurting (costochondritis) and what I did not get to talk with him about was had a breaking out of shingles. Anyone knows that can be really bad if it goes to nerve endings, horrific pain. I no longer see him by my choice.
Can anyone tell me about Physician Transcription Services, LLC?
x
Preferred Physician's Transcription, Inc.
Does anyone reading this post work for, or have you worked for, Preferred Physician's Transcription, Inc., out of Denver, CO, and if so, can you share your thoughts on the company regarding pay, benefits, etc.?
Physician's Choice Transcription
Can anyone provide me with some information on this company? Rate of pay, dictators, what they do and don't pay for, if you run out of work, etc.
Physician's Choice Transcription
Does anyone know anything about their training program?
Actually the physician that asked me to type for
and rearing my children. I had a phone interview with a company that I found here on stars and when I couldn't make the first attempt due to a problem with the kids, she clearly understood and yes, I did get hired.
Not all companies and physicians are children haters like you. Sorry to bust your bubble.
Not all MTs think their you know what doesn't stink and are very down to earth as well as the people who hire them. 
P/S: This profession is not looked upon as such a bad thing ya' know. Who told you that? Where did you read that? Furthermore, if this was the case, I don't think there would so many MTSOs out here working from their home offices. And believe me these MTSOs are a dime a dozen. Most of them do have children and work from home. It is not uncommon and they are very professional.
Agree that E&O rests on the physician -
not the transcriptionist. Looked into this many, many years ago, as I thought it was something that I needed. Found out that the liability indeed rests on the shoulders of the physician - who proofs and approves his reports before signing them. Although I feel responsible for the accuracy of every report I transcribe,the bottom line is that it is the physicians responsibility - legally - to ensure that it is !!
When I worked for a physician transcribing
his letters, I was required to same them for 6 months. Would do me and him no good if I deleted the identifying info.
Account versus Physician sm
I think it is more the account itself than the physicians that want the verbatim, Though of course, there are those physicians that actually speak English and want it done thier way, but I think the ones that don't, especially the ESLs, expect us to clean up after them. Either way, it too, goes against my grain to leave it incorrect and I have a very hard time with it.
The physician makes the final
We are transcriptionists, not physicians. We don't make any calls. We transcribe what we hear, and they read the report and sign off. It's that simple. It always has been that simple.
No one here deserves the salary of anything more than what they get or make production wise.
Do you really think these MTSOs are charging a million dollars or what? They make money by bidding accounts and then sub the work out whether that be by hiring employees or by contracting with an IC.
I don't know where people come up with this idea that we are the bread and butter of these companies. We are the worker bees. Do a good job and you'll make some money. I make twice as much now working from home than I did hourly with benefits and the benefits were crap.
I can set my own tone. I transcribe to the best of my ability but by darn it if I can't understand what the dictator says, I leave a blank, and they fill it in. That's what transcription is about. 
If your physician jumped off a bridge...
would you jump right behind him? The bottom line is that the only person you can control is yourself. If a physician is not performing his job correctly, guess what? He will eventually lose his license. Why do you continue to try and justify punishing patients simply because people do not want to do their jobs correctly? However you spin it, it's still wrong.
Diane's Physician Support Services
I was wondering if anyone has heard of this company. It sounds like a nice harmless one, but I have been burned before. I just really would like a heads up before jumping into something new.
Thanks so much!
Any info on Physician and Professional Services -
Beth Joyner is the owner. Has anybody ever worked for them, or heard any good or bad comments about them? Thanks in advance.
I think your physician gave you good advice
These MT schools are still cranking out the MTs as fast as they can (and taking their money). I am sure they know that there already isn't enough work to go around and no work = no money. Plus the fact that the MT trainee who could ever hit the ground running and make money right out of the gate is far and few between.
As for the coding, it is pretty obvious that is a huge candidate to be done by EMR and I'm sure it will happen in the not so distant future. There will probably be someone an R.N.? LPN? EMT? who will do chart reviews to ensure that every possible diagnosis that could get another dime in reimbursement is put in the record. That would be a few jobs depending on the size of the hospital. I seriously doubt that these jobs will be offered to former MTs.
Another job opportunity might be that of what used to be called ART (acredited record technician), those people might be allowed to do chart reviews as they have always done it anyway, I even did it myself way back there. The JCAH (forget what they're called now) used to offer a study at home course but you had to be affiliated with or work for a hospital in order to have access to the records that were necessary to complete the course. In some smaller hospitals ARTs (or whatever they are called now) were even heads of the medical record department. I believe it is also offered as a 2 year course at some community colleges.
Sadly I think that those who have put themselves out for the expense and bother of getting and maintaining CMT credentials are just going to be SOL because I think those credentials and a buck might buy them a cup of coffee.
This is the way I feel and I could be wrong but I don't think so.
Beth Joyner Physician and Professinal Services
I had a horrible experience with this company. I applied in for part time IC work in February but it was not until April that I rec'd my first very unprofessional email, but I had read nothing bad about the Co, so I came on board. The first weekend I typed non stop too much work not enough typists. She was so happy with me that she moved me from .07 cpl to .08 cpl, but nonetheless, the account ended up dropping us for the most part, meaning there was no work. For nearly 2 weeks there was little or no work. I had to take another company. All of the sudden she had tons of work and demanded I do full time. I responded I could not as I had to take another company, she told me I had to commit to part time hours for her, which I did, but there was no work during this time. In the middle of all this was my 1 paycheck per month which is supposed to be mailed on the 10th from TX, I did not receive it until the 19th with a postmark of may 13th! I rec’d countless phone calls and emails most of the email were junk emails and not concerning work. In June she said that the 20 hours I worked for her that had no work was not enough I had to type 5000 lines a month, shouldn’t be a problem, but there was not work when I could type. As I do have another account. In June she sent out an email stating that she was changing pay from .08cpl to a sliding scale, the scale starting at 3000 lines. I emailed her stated that I did not agree with it, but she was the boss :’) and I would make it work. I asked her what if I type below 3000 lines, as when I am scheduled to type for her there is NO WORK. She sent me a nasty email about her being the boss and making the decisions and it didn’t matter if I agreed… anyone typing under 3000 lines in a month was not worth her time. I emailed her again, now I was upset stating I was joking, hence the :’) and that she still did not answer my question about typing under 3000 lines. She sent me an email stating that she has tried to help me answer the question and she is done talking about this. I did not respond. The next day on my lunch break from my other account I logged on to Beth’s knowing I had to work extra hours to try to get my 3000 lines, when I logged off of her to go back to my other job she sent me yet another nasty email saying: There is work, example you just logged off there is work. I responded Example? I am on my lunch from my other job and typing for you to try to make my 3000 lines. She responded and said she has had it with my attitude, as of July 1st you will be no longer needed. I responded are you kidding me you are firing me because I was typing for you on my break?
On July 5th I emailed her and said I will uninstall the program and what else is needed. She asked why? I said you fired me. She asked for the email firing me, I sent it to her. She responded back to me that she wanted me to continue working. Against, my better judgment, I continued with her. July 14th I rec’d my check, it was 27 +/- off. I sent an email stating My check today was short 27 dollars, please remit payment immediately. She sent me an email stating that I am not to demand money from her that is not how it works and I need some employee/employer skills. I responded that I was not her employee, I run a business as an IC and that the statement “please remit payment immediately” is per NYS statute, payment has to be requested immediately and that I meant no disrespect by it; however, I did not appreciate her telling me my attitude would determine if I was paid or not. She responded back that again I was fired. Only this time she said that TX law says she can fire an employee after 3 counsels of work or attitude and she felt this was my 3rd. She went on again to say how my QA was awful for the headings and dates and she was continually it. I requested she be more specific and asked why didn’t she send me QA reports so I could correct it, she said that she “didn’t have the time” I responded again she was confused as I was NOT her employee, she did not need a reason to fire me.
All in all even if we consider Beth as being right that my “heading skills and dates” are awful, what kind of a company keeps a typist working for them if the typist is horrible. What does that say about the company AND what kind of a company doesn’t QA their employees or ICs and let them know in order to make them better MTs. This company is very disorganized extremely disrespectful of its employees, IC. I have emailed others who have had terrible experiences as well.
I would suggest run the other way, otherwise DO NOT have any personal emails with her in asking questions, be prepared for many phone calls, tons of junk mail and no feedback.
Info regarding Diane's physician suport service--sm
Any info on them would be greatly appreciated. The good, bad and the ugly. If you prefer to email that would fine. Thanks.
Nothing will change unless we make it change..SM
As long as we accept the exploitation that this MT profession has reduced us to, it will keep going on. The top of this is the outsourcing.... well, get your legislators involved....better yet, the MEDIA. How many patients know their private medical information is being outsourced to halfway around the world? The squeeky wheel gets the grease. Do the patients know that their info won't be sold by some unscrupulous MT (halfway around the globe) to insurance companies, etc., making all this Medical records privacy a joke. It's not just our T-shirts being made in other countries; it's our most personal, private medical information, of which the public is not being made aware of. Not to speak of undercutting out profession to the bare bone. Granted, most US MTs are willing to work below market wage just to have a job, especially in economically-deprived areas, where outside jobs are scarce, and kids need to be fed and mortgages need to be paid. MTSOs know this. I'll bet they'll be the first to lobby against any action against outsourcing. (Wouldn't you be...if you got people to work for pennies while you're raking in the big $$$'s ? Still, notwithstanding the outsourcing problem, we're still going along with all the BS...working for pennies, whatever the client wants, he gets... ever notice how all of the MTSO flak seems to be re. unpaid work...mostly, demographic issues we're not even paid for... bec. It has to be done.. Part of the job... The client put the wrong info but we have to correct it...all unpaid work. Just give me a job with nothing but straight transcription, w/o the unpaid/demo. flak..I'll take it even at the present, absurd pennies-per-line state of the profession.
MQ BIG CHANGE?
I just love these posters..gonna be a big change..well, what? Dont post something like that and not explain. It only causes anxiety and speculation in an already scarey field, with outsourcing, etc. Big change, well, come on now..what is gonna be the big change and where did you get your information from?
Well, then maybe that should change.
Maybe they, too, should be paid based on what they produce, with a little bonus if the person stays a year.
Sometimes you just get in a rut and need a change. Sometimes you just
get burn-out in general and think it is the company/account. I've left a position before because I thought the grass was greener, but it wasn't. Had to learn new platform, new software program, new dictators with various new accents to figure out, new way to count lines, etc. Even if the pay was a bit better I still figured I lost money and the grass wasn't greener. No company is perfect, but there are some very good companies out there, but there can still be intermittent issues with any company. Sometimes talking with management might resolve issues, sometimes taking a break will refresh you and make you see things in a different light. List pros/cons of present account and compare that what a different company has to offer. You may realize you are better off where you are and if not you can feel comfortable that you're making a change that really will be better for you. If you do decide to leave current account just don't burn any bridges so you leave with the possibility of being able to return if new account/company doesn't work out.
No. Currently, you can use your own. That may change
nm
I think so...I am not one for change tho....but there
To change
the subject somewhat. Gastric bypass and lap banding scare me to death! I personally know of five people who underwent the procedures, and all had complications, one being death. They all had excellent surgeons, one being my surgeon. Everyone responds differently I know, and that is the problem. It is too much of a gamble for me.
change
Are we all in the same boat? I work for the largest national in the country and am hoping to hear about another position with another company tomorrow or Wednesday. Many of us have been MTs for years and make less now than then we started. We get thrown into the national cesspool and may get 20 different states in 20 different reports. Impossible to make a good line count this way. I'm slow to change and always fearful, but I'm really at the end of my rope. Anyone want to add to this conversation, please feel free. Happy New Year everyone! May 2008 bring us more MONEY and more CONTENTMENT!!
have to change dsl
well just talked to Vonage and everything was fine until they tried to transfer my line. Said I have to discontinue DSL through ATT for ATT to allow it, then vonage can transfer it...
So I will change to time warner for cable and then get the adapter from vonage. Yes it is a lot cheaper, but have to work out all the transfers.
I know... but I need a change... SM
It was a great benefit for me being an IC because I would work and get big paychecks and being a single mom, I would get the child credits and the earned income tax credits, and I would actually get money back, quite a bit.
But now that that is not going to happen anymore, I want some PTO and all those nice benefits!!! Im just ready for a change...
Which companies actually hire employees and offer PTO, etc.?
:-)
Change in pay
Contact the Wage and Hour Department of the Federal Labor Commission. This is illegal.
Looking for change
Good luck! I hope you find what you are looking for. I might also add that Landmark is a good, honest company that does not offshore.
Do you know by any change the
system you will be using? Some are apparently much better than others.
I wonder if that will change with the new sm
employee handbook? I briefly read it this morning and it seems that it boils down to **you owe us this, this and that and we don't owe you anything**.
That will all change.
I've been in the business 20 years too. I worked for Transcend for 4 years and my honeymoon period with them lasted about 7 months. Once the honeymoon was over, it was one of the worst job experiences I have ever had.
What would you like me to change it to? (nm)
I don't like change that much. I started posting here when I was a newer TT'r, so why change?
that says a lot. You would change sm
your mind if you were the sole bread winner as a big majority of MTs are. You wouldn't care about weekends at that point. You do what you have to do to support your family.
You can say what you want, but you have some off as self-righteous and definitely a slap in the face to all of us hard-working full-time MTs
exactly to change this???
x
What you are not getting is the change.
If you've always been used to it, fine...you have worked it out with the mortgage company, car payment, insurance, etc. You've got auto payment set up for your internet or your phone bill. So all those things have to be realigned. That will take some time to readjust both the inflow of money and the getting the autopayments changed.
And, some of you folks really don't seem to have any feeling for those that literally go paycheck to paycheck. I work two jobs. The only time I can take any length of time away from my desk is on Saturday evening and Sundays. Which works out great if I'm getting paid on Fridays. Not so good when it's falling through the week....so you're waiting extra days waiting for payday anyway and then you've got to wait longer before you can get out and do anything with it.
I'm glad your life is so stable that that waiting three extra 3 days doesn't impact you in any way. But having been there myself, and still almost there, I can certainly expend a little sympathy and try to understand how it might be problematic for someone else.
Why don't you change your hours?
I thought you were allowed to choose your own hours.
Times change. It's not about YOU, it's about
what the reality is today, not four months ago.
Congratulations on your windfall, though.
If you have doubts, email or call the person who hired you and they'll verify this.
Good or bad change?
What do you think is going to happen?
MQ big change? Hmmm maybe
Big changes a coming...
she's talking about that we will have to volunteer xxx amount of lines to the legal fund
put in for PTO 3 yrs in advance
be required to have state of the art systems (say the ones for 2 grand)
pay are own and 10 of our neighbors DSl bills (because MQ may have a stake in that company
commit to not only real chains to the chair but also go on ankle monitors, so that MQ management can tell when we stray farther than 2 ft from our puter's...say to go to the potty
have to go through our supe's, area managers, district higher up's then finally corporate to sign off for the shift or to notify them of our own deaths
not only be able to understand our loving ESL's but to also be able to transcribe in their native languages if they so desire
be ready, willing and able to put up during training all the offshores who so desire to come to the US to train...kinda like a foreign exchange transcriptionist
Last but not least, to have the common sense to duck when that sky falls
 i love those the end is near posts.....geez
Hang on it will change
I am surprised to hear that FOCUS ICs are without jobs!!! I work for another company that provides services for them and we have so many jobs from FOCUS that we are asked to work extended shifts. I know that they have some accounts that are supposed to be VR editing but everyone working on them is mostly doing MT work until the VRE kicks in. We hear it is about 30-60 days from 90% VRE.
worrying does not change anything
Two hospitals that I worked at..rumor was they were going to oursource. We were told no way, dont worry about your jobs. One hospital was reassuring us on Monday, Thursday we had a meeting and were told we were let go, pick up our purses and leave. The other hospital was reassuring us in the morning and by 11am we were called down to Human Resources and let go. Corporate is not gonna tell us what they are deciding as they dont want to scare the transcriptionists away and then they wouldnt have transcriptionists. Plus the management are only workers like us. Whatever they know, if they tell, they will lose their jobs. Corporate looks out for making a profit for their stock holders. I have heard the rumors about MQ also, some from office workers themselves. If you are a good transcriptionist, dont worry. MQ isnt gonna get rid of the transcriptionists. It is the offices they are merging. The transcriptionists will just have to call in to a different office. Also, there are many transcription companies out there. Nothing you can do about corporate decisions. If you worry so much, you will make yourself sick. Used to be when I first started working, there was loyalty between employer and employee. That isnt how the American workplace is any more. Just remember, transcriptionists are in demand. You will do fine.
subject to change..lol
I worked for a large national for an entire week, getting only one report per day, but one of them was really really bad. The patient had allergies listed and then the same medications listed in "medications." The family history had the father 2 different ages and dying of 2 different disorders, and it went on and on. I sent it to QA with a description of all of the obvious and potentially dangerous errors and was told "it is verbatim and not our problem." Scuse me...that could be somebody's grandma laying there about to be given a medication that could or could not be deadly due to an allergy!!
I wonder if there was a change in management...
...to account for your different experience. Something for potentials to consider.
As much as things change
there, yes it will change again, for better or worse, who knows, I sure don't.
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