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Serving Over 20,000 US Medical Transcriptionists

I worked in acute care and left due to lack of work.

Posted By: ex-webber on 2008-05-25
In Reply to: Webmedx - frustrated and broke

My primary was just overflow, though they didn't tell us that.  I had followed the account from another company and there should have been 3 times the work.  Every week I was asking for a new account because they kept giving me accounts that were evidently overlow or otherwise very low volume accounts and I still wasn't getting 20 hour/week. 


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I worked there for over a year...left because of lack of work...
one months lots of work, the next three months no work, so on and so forth...when there is a little extra work they do a big hire and once again the faithful MTs who stick by them have no work...I have been gone for over a year and it is still the same way...
No, Paul, you are not. Left last year due to lack of work, but not lack of respect. It's a shame
I liked 'em a lot.
I make 7.25, do acute care, and have worked at MQ sm
since 1992. From reading other posts on this board, I think I make the low end of normal.
Left 3 months ago for lack of work
and haven't looked back.  It is just the nature of the beast than when a network of accounts change to VR and MTs are doing more lpd now, there will be less work to spread around.  There were already problems with not having enough work, so I did not wait for the transition to VR  I had already moved down over the previous year from full time to part time because of lack of work.  Glad I made the move because I am also the sole breadwinner for my household and can't afford to go without work.
I just left a company due to lack of work, Monica.

I have heard other people comment on lack of work and have left for that reason. How much of an

issue can this be.  Also, is the sound on these accounts poor.  That is the other problems I have heard people comment on.  I was really looking for uptodate comments.  How bad are these issues at present.  I dont want to leave one company with no work problems and go to another one with the same problem.  I cant be available 24/7 to get work with having a family.


I have heard other people comment on lack of work and have left for that reason. How much of an

issue can this be.  Also, is the sound on these accounts poor.  That is the other problems I have heard people comment on.  I was really looking for uptodate comments.  How bad are these issues at present.  I dont want to leave one company with no work problems and go to another one with the same problem.  I cant be available 24/7 to get work with having a family.


I can do between 175-200 (acute care) when there is enough work.
nm
well, ask for acute care work , or can't you do that?
m
TT only acute care work?
I am looking for clinic work only and from posts am unable to tell if they have only hospital transcription.  I am burning out on testing with companies only to find out they have no clinic work.  Any information would be appreciated.  Many thanks! 
Has anyone recently left Futurenet Tech due to their lack of work over the past several weeks? nm
d
Acute care work pays more
nm
Acute care running out of work N/M
b
is that clinic work or acute care if I may ask?
I prefer acute care and am really not interested in clinic but was told I have to do it
Is acute care work drying up? sm
It seems most of the jobs I see posted are for clinic accounts, even at my own company.  I happen to do acute care now, but now I'm wondering how long it's going to last.  I don't want to do clinic notes.  
Just curious if the MDIs who are out of work are on acute care? nm
nm
Acute care versus clinic work...sm

Which do you feel you can get a better line count on and would you take a slight pay cut to do just clinic work?  Most acute care accounts have such difficult dictators and such I was wondering if it would just be better to go to a good clinic account even if it meant less per line.  Opinions? 


If the company handles acute care work,
you can assume the hospitals demand coverage. That's how it's always been. The hospitals are open for business, so so are services.

We aren't much different from nurses or other acute care healthcare workers. If you want guaranteed holidays off, you need to get your work from offices that close on holidays.

I'll never figure out why people are so appalled that holidays have to be covered and we have to take our turns. The nicer places I've worked have split the coverage up so those covering would only have to work a half-day though. And there should be holiday bonus offered.
Clinic work versus acute care?
Anybody have any input as to the money to be made doing clinic work versus acute care?
I agree. Acute care weekend work is different.
Acute care usually hires employees, pretty much, from what I can tell.  They'll need coverage for weekends.  If an IC or employee stipulates no weekends, and they are hired with that in mind, then why send work their way?  This is the fault of the employer or client sending the work, not at all the MT.  I kind of get tired of hearing how people get abused in this profession simply because they want a day off.  We need days off just like everyone else, and someone who particularly wants to work those days will surely cover if there is an urgent report to be typed, but THIS PAYS MUCH MORE!  STAT reports and weekend coverage should pay primo rate, in my opinion, and none of these MTSO's I have seen, so far, has come even close to the compensation I would look for to be at their beck and call.  Enough said, I guess.  
The jobs I have doing acute care work seem to be quite busy. sm

The clinic work that I do is still low, but that was discussed below ... I don't think it has anything to do with the holidays, and I do not care anymore.


Generally, probably hospital work is the way to go as far as a steady stream of work.  With clinic work, doctors can take off, shut down totally for holidays, etc., which leaves a big hole, obviously.  That's just my opinion, of course.


It would be great to have just one great job you could rely on to always give you a nice fat check each time, but I am beginning to realize if I truly want to be safe, I need to hedge my bets with several other jobs as well.  At least until I win the lottery


Acute care and clinic work are two completely different
things. Anyone can switch from acute care to clinic, but if all you've done are a few clinics, then you only have experience in a few specialties & acute care requires experience in ALL specialties. Big difference.
Are there companies out there that have clinic work? Tired of acute care..
I have both hospital and clinic experience, but I am tired of working for large hospitals where you cannot get familiar with the accounts or the dictators.  I work part-time for an orthopedic surgeon and I love doing it as I can breeze through it because I have learned his style, voice etc.. It is getting so frustrating every day doing different doctors who either cannot speak English or choose to speed talk and ramble on so fast.  Do they think we are miracle workers?? I guess you could say I want an easy account, which by now, I have figured out, does not exist OR does it?? HELP.. any ideas besides getting out of this profession
No, it isn't nice. Most people do acute care, rad, or clinics. Work
xxxxxxxxxxxxxxxxx
Clinic or acute care? I am looking to work 5-6 hours a day during the morning and early SM
afternoon hours.  Which type of work is more appropriate for this kind of schedule, clinic or acute care? I really do have some time constraints outside of these hours as well as on weekends, so I need to find something where I can concentrate on working during those daytime hours.  I am a newer Transcriptionist (at this point looking for IC), and I am hoping to find a place to stay for a long time.   Any advice appreciated.   Thanks
I work on acute care accounts, so I can't speak for the radiology side. (SM)
The work does look like it's beginning to pick up though for acute care.
I work for a major national and starting rate is no where near 9 cpl for acute care. (nm)
x
at that rate, working acute care, I would do $28 an hour - but I only work 6 hours a day...
Like she said, you just have to be able to utilize all your tools and be at it for years - it comes eventually...

I actually make $33.00 an hour though because at my production tier I make 10 cpl a line.
How are the MW accts that use the ExText? Good sound? Lots of work? Acute care or clinic? Thx. nm
s
Tired: Has worked picked up at FN. Used to work there and left for WX. sm
Would kind of like to go back. Loved the gang; I used to be a YOGer. Had to leave about 1-1/2 years ago because of no work. Still mostly IC? Thanks.
Typical year round. They overhire. I left due to lack of
work.  About 6 other MTs left when I did, that I am aware of, due to lack of work.  There are accounts with a lot of work and frequent OT, but I was told they couldn't be worked on as a secondary account.  Made no sense at all to me. 
Acute care

Acute care is (sm)
typically the basic four: history and physicals, operative reports, consults and discharge summaries. It's hospital work typically done in the medical records department of a hospital.

That's going to be your hurdle because it sounds like you don't have the acute care experience. Once you have 2-3 years of that, you've got it made. Getting your foot in is the hard part.

I'm not a recruiter. Is there a local hospital you can work at? That's sometimes the way to get the experience when you have some medical transcription but not acute care.

Good luck!
Yes, acute care
I have 5 major accounts I get backlogs for and they are all empty, completely!!!! It has been this way since the beginning of December and before that so light that if you got 300-500 lines you were very lucky and had to work morning to evening for it. If you talk to the owner, she will just say she is going to hire more, the work will be there, it is slow deal with it, etc. I can't believe we are not being taken care of.
Acute care, ER
They wanted to pay 7.5 cents for 150 lines an hour, and then anything over 165 was on a tier plan.
Acute care

I started out right out of school working for a national doing acute care for a large hospital.  Let me tell you, it was very scary for me.  But, I look back on it now, and I am glad that I had that experience because I learned a lot right from the very beginning.  I have transcribed every type of report in every specialty.  Acute care can be very difficult, but what I like about it is the variety.  For me, it never gets boring.  I am still working for the same company I started out with (along with another) and I am still very happy.


Since you already have quite a bit of experience, you will have a somewhat easier time than I did, but it will still be difficult.  In the beginning you will have to spend a lot of time looking things up and doing research and your production will probably not be that great.  In the long run though, I think you will enjoy it, I know I do.  But, you may also find it is not for you.  You just won't know until you try. 


Probably the hardest thing about working for a large hospital is getting used to the large variety of dictators.  At this point in time, I have approximately 30 doctors that I transcribe for that I would consider my regular docs.  Then, there is a very large pool of approximately 200 doctors, any of whom I may get on any given day.  Rarely a day goes by that I don't get a doctor that is new to me.  But, that is also something about the job that I enjoy because that keeps it from getting old and boring for me.


I have created tons of normals and expansions and that has helped me beyond belief.  I know that is no big secret for someone who has experience such as you.  My advice would be to give it a shot and see how it goes.  It could be the best decision you ever made.  And if you find out you don't like it, at least you will know that for the future.


Best of luck to you!


They said maybe I could do some acute care if
the Rad work is low...but they're starting me out on about 3 or 4 Rad accounts so I doubt if I will do any acute care for a while....I know there are people who do acute care for them who say they don't run out of work..I'm not worried...just anxious to get trained!!! (which starts tomorrow)! 
Acute care..nm
nm
No more acute care for me
I do not particularly enjoy acute care either. I really want to get back to typing clinic, but all the jobs I see posted lately are for acute care/basic four. Where do you find clinic work these days? I stay away from companies who use Emdat too. Just hate that system.
Acute care
I work there
Sorry, acute care...nm
x
Is there any way you can get on acute care?
xx
acute care
Two other people that I know had the same problem this year, they had no work available to train on.
The Big 4 Acute Care
Please pardon my ignorance, but what are the big 4?  I do surgeries, H&P's, and ER.  Is inpatient care the 4th?  Thanks for any input!
6.5 cpl is for acute care.
While 6-8 is the average for a new MT, I think 6.5 is extremely low for acute care. This is why I left Spheris. I now make 7 cpl for clinic notes and make a lot more money and have a whole lot less stress.
I do acute care/B4 and some ER at KS
and was looking to do basic 4/acute care with MDI. Do you really have to pay a lot in back in taxes when you are an IC? I have never done this before as I have always been employee status at every other company I have worked for, so I don't even know how much ICs generally have to pay in taxes. Thanks for the advice! I will definitely keep that in mind when deciding which road to take!
Acute care

acute care
Hello,

Ya know, I started out with no experience in a hospital setting also about 15 years ago. It definitely is a learning curve. I stuck it out and it took me about a year to get up to making $9.00 an hour including ESL docs which you will get everywhere! My advice, unless you want to do clinic or one specialty, stick with it, it's a lot of learning, like a new language, but you will get it and then have a lot of opportunities open up after that.
GOOD LUCK!! Hang in there!
Acute care NM
nm
acute care
I used to work clinic, now acute care. In clinic, sometimes most of my day would be 4 line reports. I had to set up each one. Avg. was 20 lines though. In acute care, avg report is probably 50+. Not so much setup time. In the long run, you want to narrow down your # of doctors if possible. That's who I see making the most money.
Yes I think they are all acute care but sm
Usually after we get the accounts, the radiology departments and such also use our services.