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Serving Over 20,000 US Medical Transcriptionists

Keystrokes makes you count out for normals.

Posted By: sonicfingers on 2009-04-21
In Reply to: Disagree with this. Every company I've worked for paid for normals. - nm

nm


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Keystrokes line count - see msg
I have read on this board that there are people who work at Keystrokes that are getting 2000 to 3000 lines per day.  How is that possible?  I am relatively new to Keystrokes and I struggle just to hit 1000 lines in 8 hours.  I am not a slow typist and I use an expander.  When I did transcription locally I did on average 350 lines an hour, going as high as 500 lines an hour with one of the doctors.  Do you just not get the ESL docs?  What I am doing wrong? 
Keystrokes accounts all count the expanders as characters printed with spaces, not the abbreviation.
I have checked it, but we use Shorthand. What are you using?
Normals
I have a lot of normals for my primary account but not as many for my secondary as it is a large teaching hospital with more dictators rotating in and out.
Normals
All accounts are verbatim.  What I mean is I have many, many macros set up for PEs, operative reports, etc where the dictators basically say the same thing every time and then I will edit as needed.  Both of my accounts do have a few normals set up in BayScribe by administration for some doctors.  Those are usually operative reports.
There are normals? Never saw one. nm)

can you still use normals?
thanks for your honest feedback.  i appreciate it.  More positions open on your side according to email this morning.  Guess you guys have a lot more work - I have gotten NSA 5 times already this morning! 
Normals/templates
I let my IC's use them especially in my psych accounts.  However there was a time that one of the gals forgot to change the name on the header and I was gone and it went to the doctor directly with the incorrect name on the Header and big, big HIPAA violation and the doctor almost pulled the account since he did not catch it either.  So I understand where your MTSO is coming from but again, I would not keep the help that made these mistakes rather than make the other MT's pay for the incompetent ones and be unable to use their autorcorrect, ShortHand or whatever normals/expanders that they use.  The account stayed with me but we do watch the names closely now.   Why make all suffer for the mistakes of a few.
are they paying you for the normals?
 
Expanders/Normals sm
As the poster below states, the way this is possible is by working an account that uses many normals and that you can utilize your Expanders with.

Chances are whatever national MTSO you work for will begin to use VR technology sooner rather than later.

After all, if you can use your normals/expanders to make astronomical line counts due to the repetitous nature of the accounts, it will be much easier for those accounts to go to VR.

I wish Normals had what I needed.
Most the time, what I am looking for can't be found in Normals, Alt G, or even Echart. I have enough experience on my primary that I know the usual sayings, it is just that I struggle with the not normal sayings that a dictator rambles off so fast, while chewing, yawning, etc. These things can't be found in normals (trust me I look every time before I submit a blank) and so far consist of way more than just 7% of my monthly dictations.

Whatever. I should just quit complaining. I do really like it there other than this part. I know you are trying to help, but I just wanted to point out that I use ALL the resources I can and still send over 7% to QA.
One job I worked for did not pay for normals at all.
They had loads and loads of normals and the docs used them consistently. When I would check my line count it was not where I thought it should be. When I asked I was told they did not pay for normals. That was something they did not tell me before I was hired. It was a company in Florida.
We DO get paid for expanders & normals
nm
I bet they billed the client for normals
You can make alot of reports nothing but normals if the patient has a normal exam.  I bet that company bills for those normals too.  That is like asking a waitress to work for low wages, and she can't keep the tip!!!!!  What will they think of next?
Yes, their normals, not yours. Not all places are like this apparently. nm
xxx
Do you get enough repetition so that one could create/utilize normals? Nm
nm
All accounts are VERBATIM, so there couldn't be any normals.
x
My MTSO sends us normals for those few doctors

that you them.  They are usually a fill in the blank type thing with the doctors only giving the blanks, so there isn't much to mess up.   We do have a few normals that need to be modified and there are only a few MTs that get these dictators, because of the same issue your MTSO, that changes are not made, etc.   I am allowed to create my own normals and do.   If I have a doctor that needs to have the same normal, but occasionally does change things, I only have my normal including what is ALWAYS the same and then I have macros for statements that are frequently dictated that I can use to piece together the rest of the document.


I can't imagine my company forbiding us to use normals.  My company wants the MTs to be productive, because if they are producing they are making money and if they are making good money they are happy and the MTSO will have good retention of MTs, which they have had.  It also benefits the MTSO to have high producing MTs, so that they can have fewer MTs and less costs/hassle.


 


 


 


I used to be a supervisor and we allowed all MTs to make their own normals, BUT...

it was the responsibility of the MT to listen to the dictation and make sure that the normal reflected exactly what the physician dictated.  And any QA issues specifically attributed to an MT's personal normal resulted in a three-phase disciplinary action, i.e. written up for the first offense, written up and forced to come in-house to work for a determined period of time for the second, and finally termination for the third.  Also any incentive money the MT may have earned for the day of the infraction was forfeited.  It seems extreme, but we had such a problem with QA issues and many complaints from physicians especially with radiology normals that we really had no choice.  We needed to make it clear how vital quality was over quantity.


Now that I work as an IC MT, I create and use my own normals, but I listen to every single dictation and if there is even one tiny, seemingly insignificant change such as the physician says the instead of a, I change it in the report.


I think a company forbidding their MTs from using personal normals will end up costing themselves money in the end.  The solution is to institute very strict policies regarding the use of personal normals and enforce them.  Let the client know that these policies are now being enforced and if they see any mistakes whatsoever, to please let the MTSO know.  It's hard being an MTSO, I'm sure.  Assuring the client that their concerns are your concerns and making the MT's feel respected and appreciated for their hard work is like walking a tightrope sometimes.  The sad fact is that you can't make everyone happy all of the time and in the business world, you have to schmooze the one who writes your paycheck - that goes for MTSO's and MT's alike.


Why do MTs who are paid by the hour cherrypick the normals off accounts.

Line counts shouldn't be that important to them. 


Employee. 0.09 cpl, 100s of normals, and downtime paid.
x
Co I work for, large national, allows normals. Of course, you must listen
zz
I have normals, lots and a huge expander glossary sm

I also have 20 years in this business, which helps.  I am not a fast typist really and I can't type at all without the expander, not anymore.  I have a photographic memory for terms and how they are spelled...see it once, know it forever. 


There are exceptional MTs and there are very good MTs, there are good ones and ones who can just about pass muster.  Don't beat yourself up trying to be exceptional.  I think exceptional MTs are born, but very good ones can be built from scratch.  There are MANY MANY facets to success as an MT.  You have to have quite an ear for voices and even the very best of us can't do every accent.  You have to either be a great typist and/or Expander user, and you have to know it well (I have used my same one most of my career).  You have to know your terminology inside and out.  You need to know how to properly organize your normals so that they are consistent and easy to use.  You have to have an excellent platform to work on, preferrably a Word client.  You also have to have a company who stands behind you and makes sure you have enough work with QA people who can and will take the time to teach you what you don't know.  My favorite QA gal is a font of knowledge, a BOS2 expert and she even corrects my emails for grammar.  I have learned a lot from her.  It helps to have someone on an IM who can answer questions on the fly for you.  I have had those in the past and now I am one of those who does the answering. 


Most importantly, do your very best at whatever mode of work you are doing.  Show up every day, give it your all.  Don't worry about what the rest of us are doing, be the best you, you can be.  Things fall into place when you do that, I know because this is how I had to approach the early stages of my career.  Persistance pays off.


I get paid per gross line. I utilize normals and macros
as much as possible, though I could do more than I do.   I also type 100+ wpm.  I don' t have demographics to fill in, just patient's name and I type in straight WP5.1, so no cumbersome formats.  I download via FTP and I batch my work insteading of having save each individual report.   I make 8 cpl per gross line.  
Sorry to hear that because that was a good account with great normals. Hope
you find a new home where you will be appreciated and with good line counts!
Disagree with this. Every company I've worked for paid for normals.
x
In my Extext experience count was about 10% less than the Word count. nm
X
It means to double check what THEY say your count it. Count
uj
Are you aware of how they count your time?.. or don't count it i should say
nm
WMX - line count. Was working along and noted line count accumulation (sm)

signed off the report I was typing.  Those lines didn't add immediately, but sometimes they do that.  What concerns me is that when I signed that job off and the next one came up, not only were the other lines not added in but they were LESS than they were before I signed off previous job.


I thought I noticed this happening the other day, but figured I just wasn't paying attention.  Today I definitely noticed it.  For some reason it changed it's mind and took 8 lines off my line count.  What the heck? 


Am not really ecstatic with the way things are going anyway  and then this confuses me. 


Please, someone have a realistic explanation so I don't feel paranoid and cheated here. 


Then company should set line count per day with incentives for above that. If get line count done
:[
Did Keystrokes sell to Transcend? I thought Keystrokes was buying up companies sm
but I heard from another service owner that they sold out to Transcend. Anyone know if that happened?
keystrokes ad..can someone tell keystrokes their banner ad needs a hyphen...quality-minded
nm
Did Keystrokes sell to Transcend? I thought Keystrokes was buying sm

small companies but another service owner told me that she heard that Keystrokes sold to Transcend.  Is this true? 


I posted this down below but meant to post it as a new thread.  Before I apply with them, I would like to know as I left Transcend a few months ago and do NOT want to get back into that mess.


Not only that, but I would MUCH rather work for Keystrokes than Spheris as Keystrokes doesn't

Only Keystrokes. Worked at MQ until I came to Keystrokes. Started at sm
Keystrokes PT, liked what I saw and experienced, gave notice to MQ and went FT. Have not look back since. I had previously worked at 2 hospitals, for MDI, Transcend and MRC until bought by MQ. I plan on retiring here as long as they stay as they are.
No, Not with Keystrokes, visiting friend and using her pc, she got job with Keystrokes
I forgot to change the Name. I do not think Keystrokes is hiring anymore now. Would like some info about Diskriter though.
Ditto, Keystrokes is a wonderful company with wonderful people! I love working for Keystrokes!
I am just not making enough money.  They are a great company though, just ask for a back up account.
what makes them the best?
nm
It just makes me sad...
I love Christmas (at least what it's SUPPOSED to be like)and you're right about the commercialism ruining it. I try to avoid the mobs if I can. We've had 2 people in this area held up at gunpoint for X-box systems! Unreal! It's fun getting together and celebrating the season with family and such, but 'tis definitely the season to be greedy.
I don't think having your CMT makes you a better

MT and I've seen CMTs who did really lowsy work.  I have never considered getting my CMT.   I have always been told that I do top quality work and at companies that do pay a differential for having your CMT, I am paid the same rate.   Some people need letters after their name for whatever reason.


 


 


What makes you think KS is any
different than the company you work for? Go ahead. Check them out, but don't come back here complaining.
Can you say what makes you think this.

I don't understand why people take the time to respond to questions but they really aren't telling you anything. If you have something to say...say it.  But please only say what you know.  I'm not interested in what one 'thinks'.  If you 'know' it...let me hear it.


Thanks.


 


 


What makes me mad? sm
When new people get hired at a higher line rate and doing easy accounts.
What makes you so sure it is YOUR job? Maybe they just need more help

Makes you wonder
The intro letter they send makes them sound like top professionals - and they waste no time in telling you how many fail their test.

But it makes you wonder when see *several* typo's in the materials that come with the tape - and then they are very lax with the testing process. Something tells me not getting my results was actually a favor in disguise. :)

WHAT MAKES YOU SO SURE
they are living in this country. Most are in INDIA and calling from INDIA!!!! Gotta give these companies credit though. They know how to hire good tech folks to set up in THE U.S.A. and they most likely live here but came from India.
Makes me wonder now..
My husband worked out of state for 3 years and they only took out taxes for that state. He says that when you work in another state, the state taxes for that particular state are the ones they take out. This is also a big co., so they should know the laws too, but if that's the case with MT, I guess you would have state taxes taken out for the state in which the co. headquarters are located. But I certainly can't speak as an expert because I have no idea, just know that's what happened in my hubby's case. It's never been an issue with me because I live in the state where my co. is based.
Makes ya wonder, don't it?
x
makes you wonder

I worked for a company for around 2-1/2 years, basically 7 days a week to help out.  Never got one single incentive for it, nor did I expect it because in my eyes at the time, this was as good as it got.  I also never asked for a day off while I worked there.  I was paid lower than what I've been paid at other companies, in fact, 2-3 cents lower.  I was offered more for other places, but I let personal feelings and guilt if I left them get in the way of business. I liked the personal feel of the company, as there were only about 30 transcriptionists and you had a chance to get to know your doctors--probably about 50 of them.  My skills were good because I was always told that. 


I had to leave due to reasons that I didn't have any control over and got literally a 1 sentence reply 3 days later.  Said basically ok, no thank you, no good luck, no nothing.  I still worked my 2 weeks afterwards.  My reason wasn't a run of the mill lame excuse either.  This was my first thanks.  I felt like dirt after sending it and was sick about it for about a week before I did.  I  certainly didn't want them to say oh, please stay because I couldn't have even if I wanted to. I just expected a more grown up response from someone who could definitely write professionally. 


Things have since cleared up and I have been back in the job market for about 2 months, so I sent my resume to them and re-applied.  I figured, I liked working there, they liked me--had a great platform, why not?  Well, this was over a month ago and never received an I'm sorry Sharon, we don't need anyone at this time.  I figured, you can give an old employee that much acknowledgement, especially when it comes from a familiar e-mail and you KNOW they've read it as soon as they received e-mail notification because they, from personal experience, always got back to your e-mails within seconds. 


I don't expect anyone to kiss my butt, but a little bit of graditude from a place where you aren't just a number, where you are like family, I guess I expected a little more.  Am I wrong?


I have gotten more heartfelt e-mails from companies I have been with less time than that. 


Moral of my story:  They don't care about you, so if you don't have to, I wouldn't worry about sacrficing your family, life, and health to care about them. 


I have found a better place who won't use me for my time or under pay me or EXPECT that I be at my computer all day every day to help them. 


Thanks for listening,
Sharon


What makes you....
so in the know that you look at other people's work. I work there and there are no names on jobs...just MT numbers. I have been there for more than 3 years, was not a newbie when I started, and like it there just fine. I do not brown nose, and do not speak to anyone. It log on, work, and log off. I pass all my QA reviews have absolutely no problems with QA. It is beyond me how all you whiners and complainers know so much about everyone that works there...I would imagine you spent more time gossiping and spreading rumors while there than actually working.
Wow that makes my day - thanks!
as to sensible comments - anyone seen my prozac?