How different are internal medicine notes from family practice? nm
Posted By: ??? on 2005-11-16
In Reply to:
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
internal medicine
Experience is not much of an issue these days. Most companies require the basic 4, H&P, discharge, OPs, Consults even if you do get some office work in between and they want experience with AAMT book of style and/or CMT status.
Internal Medicine job
I completely agree. I, too, asked about ESL, if she is with a company, etc., but still no response. Oh well, will wait and see what happens.
Internal Medicine work
Are there any MTSO companies hiring IC for internal medicine??
RE: Internal Medicine work
Try Transcend which has a current posting on the Job Seekers Board.
Internal Medicine Transcription - Pam Shields
Did anyone apply for this job? I saw it posted yesterday, applied, immediately got a response from this person giving the pay, how the work is posted, when the work is posted and due back and was told that if I was interested that she would send me some sample files to try. I emailed her back saying that I was definitely interested and to send the sample files but there has been no response since. I was just curious if anyone else had applied and had received the sample files. I imagine that she has been bombarded by resumes and it is just taking a bit of time to get back in touch .... I hope. 
its for Family Practice account
/
family practice companies
Does anyone out there know of any companies with good family practice accounts?
its not on their PUBLIC web site, it was an internal explaination for the email they sent around.
x
MDI-MD information pleasuclear medicine...nm
nm
Sleep Medicine with 48 hour turnaround?
Does anyone know of any companies that specialize in Sleep Medicine with a 48 hour turnaround window?
Thanks,
Angie
"twisting The Knob" - if each of us told just 1 person in medicine about how this is done
We don't have to bad mouth.
We don't have to lie.
Just educate 1 institution - each of us - tell a clinic, tell a doctor group, tell a hospital. Tell them about how the billing has the capability of being manipulated underhandedly. We already know we feel like we are typing in quicksand. How can I be only typing the same number of lines that I did 20 years ago and yet now I have word expanders, computers, dictionaries that "ride" and drug books that "ride" and I don't have to lean over the look up drugs or words - and here I am making the same line count. It doesn't make any sense. "Twisting The Knob." That makes sense.
 Educate, that's how we will bring back our jobs to a reputable place.
RE: "twisting The Knob" - if each of us told just 1 person in medicine about how this is done
As you describe in your post, I would venture to say, you are in a very small minority. Otherwise, why would there be any need for documentation in a medical record?
The ad says they treat MTs like family ... what a family that must be! LOL nm
Practice what you preach. Your a** has been on here all day!
;-)
Common practice?
Is it common practice now days to type 4 different accounts - 7 different work types in one 8 hour shift? I'm experiencing this as a FT employee for a well known company - Other than this, the company is wonderful ....this has given me great experience, but my pay has decreased.....Do I need to suck it up and keep pounding away or look elsewhere? Any advice appreciated!!!
RE: Common practice?
Suck it up. You really do not have a problem.
Why not practice being French
here to see how you like it? Try being snotty and rude. Sneer and pretend you don't understand what people are saying. Maintain a disdainful countenance, while dissing the USA. Set fire to a couple of cars. Demand 8 weeks paid vacation and then refuse to work anyhow.
Not exactly defending the practice
First, I'm not a big fan of mandatory overtime anyway. I understand sometimes they need it, but after 40, there are some weeks where I don't even have another minute in me to give them.
I've also had the same thing with overtime...being happy because they're requesting it for an account that's semi-easy and I'm good at, and then logging on to find out it's the account from hail. I can't be the only one from that hail-storm to be working, and I can only assume they're not too backed up because they're not the ones looking for OT, so why oh why oh why must I type any of the Chennai Boomhauer in my spare time.
It must have something to do with different turnaround because I don't think my place assigns them. At least in theory, although I've not seen the spread sheets to prove it, it's first in/first out to me. I did ask them about this one other time I signed on for overtime at the slightly better place and got stuck with Hail Community Hospital. I was still eligible for the OT, but I'd have gotten probably double if I'd have been typing the actual account that needed the OT.
Free Practice Test
This will give you some sound files and practice tests - http://www.meditec.com/meditec-skills-test.html
Unfortunately, many practice this unethical behavior. sm
I worked for a company that sold out to MQ. A certain person took all of the names of the MTs with her when she went to another company, went after the accounts this company had, and tried to recruit the MTs for that account for the new company.
I asked how they go my name and number as I had never applied to this new company before - and I was told so and so worked at such company and we have this account now and you used to work on for such and such company....etc. I was shocked to say the least!
So, yes it does happen, and NO I never took the job and asked them to please not contact me again that I was not interested.
Nothing is sacred anymore - not even our privacy let alone the hospitals and patients!
is there any type of practice test
you can take to help prepare for it or at least give you an idea of what's covered?
Yes, hiring practice was right 'fit' for me
Imagine hiring someone just based on their resume and a phone interview. Aha, the catch? You have to pass a very rigorous 10-day QA process, can transcribe only 5 reports a day during that time. It is challenging, but well worth it at the end of that time. You decide if it's the right job, and they decide if you are the right employee.
Like I said, old school.
Does that include the overhiring practice of Transcend's
so none of us can make a decent living, or the miserable platform transcend brought with it?
Oh, I understand. I wasn't condoning the practice
of not paying for no work situations at all. Just commenting that MQ was not the only one to fail to do so.
Although I have never been out of work with either MQ or Spheris, should that situation have occurred I would have been all the more reliant on the other position's income.
I once had a group practice client, which included ...sm
6 physicians. The most irritating one was the doc from India who had been in the U.S. for at least 15 years (I know this because I went to school with his children), and refused to even work on losing at least a small part of his accent. He was so ridiculous, and each time I typed his work, I said to myself I swear this guy purposely works at keeping his thick accent just to irritate me! Interestingly, 2 of his partners in the practice were ESL (had only been in the U.S. for 1-2 years), and their accent was much less severe. These were younger docs, who in my opinion, made an effort to get with the program if they want to practice medicine here! I do believe that people can actually make themselves hold onto their accents. I have a friend who is from the south (She has lived near me in the SE part of the country for 20 years) and she continues to have a strong southern accent. She has not lived in the south since she was a small child. I tease her about it.
That is totally unacceptable business practice.
I had no MT training, either. Started at an Ortho practice, then to a nat'l. MT school is NOT a n
x
And yet YOU fuel the fires. Good grief, practice....
nm
Is it common practice for companies to disable the cont.I function?
Does that necessarily mean anything?
With practice and expansion usage, you'll get there! Stop dwelling on the
s
Any place to get free practice voice files or does anyone offer testing that could be accessed w/o
x
Curious. Scrolling down yesterday and noted comment about unfair labor practice
suit possibly brought by an MT against a certain company. I know this company only hires ICs - not employees. Is this possible? TIA.
Agreed. I also got a nice Christmas bonus working for a tiny private practice. sm
In a smaller office you're seen as an actual person.
She didn't say she didn't have a family. A family isn't just kids. sm
She also said she didn't have kids. Why do you think you're so much better BECAUSE you have kids? I am so sick of that attitude. I don't have kids, never wanted them, but have been discriminated against in jobs because of it. Everyone figured since I had no kids I could work all the time. I said NO! Just because I don't have kids doesn't mean I don't have a life or that my life is not important. 
BTW I work part time too.
Lots of promises, no follow through. Lots and lots of internal sm
problems. She is recruiting heavy right now as she has a CHANCE at getting a big account back. Even if they get it back, they'll blow it again from poor management.
Why do you think there are so many notes SM
on this board pertaining to how long it takes to get a decent line count?
They will tell you it is a 65 character line. It is not. As stated, more like 75-80. There are ways to work with it, make tons of macros, etc. But it is tough.
I only wish I had ER or OP notes, mostly
consults, discharge summaries, H&Ps and the occasional progress notes. I've been at this for almost 20 years though.
op notes
I do acute care which includes a pretty good many op notes but there are other work types too. I dont know if you are looking strictly for only op notes. I work for Alphamed solutions who is currently hiring. I have DSL. I believe it is required. There is usually plenty of work on my account. I hardly ever get on and no work. Rare. I work on the Dictaphone Extext with Transnet. But they also have other platforms. I hope I was of help.
ERS/OP NOTES
Does anyone remember seeing the job posting for someone to do ERs and op notes? What company was it? I cannot find it.
Can't you do everything but op notes?
H&P reports and consultations are similar whether acute care or clinic work. Discharge summaries aren't that difficult either for someone coming from clinic work. I agree that the op notes will take lots of time to learn. So why not ask if you could just do H&P reports for a while and then consultations, and then discharge summaries and maybe later on the op notes? I just received the opportunity to do discharge summaries after having only clinic work experience, and what I like the most is that this offers the opportunity to expand my knowledge because I get to transcribe reports in so many specialties. I understand that you are mad at the recruiter and somewhat unhappy because of computer issues, which means there are several things going on here. First you might want to figure out whether you want to stay with them or move on. If you like working for Precyse, then I would try to find a solution as mentioned above. If you do not like working for them, then it would be best to move on.
PO/OT notes
I agree. Not only are they boring, good grammar is lacking on many of them; they slur through the reports and don't seem to have any continuity of thought or format. I had one very good dictator the other day; I could have kissed her! Otherwise, I don't consider those medical reports, just a mess of words on a page. This is from my experience. You can also nix about 50% of the psych dictators. Just my take on this.
Vet notes
The trend has always been that vets handwrite their own reports in order to save on costs, but that may be changing now that they are hearing other vet groups are using transcription services? The company I work for only types veterinary ophthalmology reports, along with a few simple op reports. The ophthalmology terms and medications are pretty much the same as those for humans, but the reports can be a lot more interesting at times, since the animals don't always cooperate! Once you are comfortable with the terminology the doctors use on a regular basis and the company guidelines as to how the reports should be formatted, the work is a breeze!
soap notes
Does anyone know of a company that does strictly SOAP notes?
If you like doing chart notes at 7 cpl! (nm)
xx
After reading the below notes sm
After the below notes, along with things posted here in the past, I'm truly beginning to believe it has something to do with who is your supervisor/QA. I have been there for a number of years, have been very happy and still am; however, I have heard a few things about other supervisors that makes me believe I am one of the lucky ones. Sad, but I believe it is true. I believe Amphion's management reads these posts once in a while. Maybe they'll give this some thought.
Surgical Notes
This is a company based in Dallas, Texas. They do surgery centers. QA staff are just ordinary clerks--not transcriptionists. There is a lot of orthopedic, plastic surgery, ENT, and GI surgery. Any work up to 5 p.m. is due by the next day--usually by 9 or 10 a.m. This is for weekdays M-T. Friday's work up to 5 p.m. is due back Monday. After 5 and Sat and Sun due back Tue. Pay is always on time and is very good, 0.09 to 0.12 cents a line.
Why do you prefer OP notes? nm
+++
progress notes
My company, XXX, has been out of work quite a lot lately and their only explanation is you know how it is during the off-season but the off-season now has been pretty much all of this year. My question is are MTs now all paid the same way for notes as opposed to reports. I distinctly remember that MTs who did progress notes and ER notes were generally paid differently because the notes were so short it was next to impossible to get an adequate line count. I feel like I am getting shafted because I am reduced to doing progress notes on a daily basis and I am generally spending 10 hours a day just to make my 1100 lines. Keep in mind that these are still ESL doctors who either don't know or don't care about putting in demographics so that too still has to be looked up and in the end I may get 5 lines per report. I understand that things do change but if its gotten to this point then maybe I need to be the one to make the change.
No ESL docs, no op notes (as far as I know) SM
They are mainly consults, soap notes, some radiology. You use their templates and get paid for headers/footers.
I don't know if everyone makes the same, but I make 8 cpl (55 characters per line) without spaces. I compared it to the normal 65 characters per line with spaces, and it is equivalent to 8 cents per line with spaces. So, not too bad...just average I guess.
But the dictators are really clear and there are a lot of samples. I think the work is pretty easy. I think it makes a really good p.r.n. position.
Good luck with whatever you decide to do. :)
Chickadee
Op notes exclusively
Try Deventure.
Surgical Notes
Yes-- I worked for them indirectly. I subcontracted to a contracting MTSO. Their virtual private network is just horrible. It is slow and you get kicked off frequently. I know of MTs who worked an entire week and only made $10.00 because of the system. They have an FTP site system that I loved. You could just download the voice file and type in Word then return it; however, when they changed over to this new program everything went down hill very quickly. My doctors were not happy with it either. SN raised the rates, went to this system -- by the way you need to buy a 15-pin pedal and forget any tech help. When I was there it was also lacking. Anyway my doctors took their accounts and walked away. I ended up leaving for that and other reasons. I haven't worked indirectly for them since July of 2006.
|
