Our account is an acute care account
Posted By: I have on 2009-04-17
In Reply to: Workloads - Fed up MT
We are low on work too and have been for almost 2 months. We know what is happening to our work though as our supervisor admitted that the work is going overseas. Even though we have 24-hour TAT and we are transcribing reports as they are dictated, they still insist that the work dictated after 7 p.m. has to be sent to the offshore service. It makes no sense to me as we have coverage starting from 6 a.m. and throughout the day. I think it all comes down to bottom line and it doesn't matter if we have work or not because it's cheaper to send it overseas.
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I have both an ER account and acute care
On the ER account, I am able to do anywhere from 2500-3000 lines a shift. On my acute care, basic 4 account (which I work on it my ER account is ever low on work), I usually do about 1600-1700 lines a shift. There are no bonuses, but it is an excellent company, and I find that I don't need to a bonus where I am able to type so many lines on my accounts.
I would think a multispeciality acute care account would
be everything, but if it were a clinic account most likely it would not involve near as many specialities. If you like ortho, I have seen postings for companies asking for help just for ortho. If you want to expand beyond that most of the larger companies ask about your experience in various specialties so they can put you where you would best fit. Obviously the more you know the better, but I can understand how you feel.
You can post your resume on the job board and other MT boards. They usually have boxes for you to fill in about your experience in various specialities, and/or space for you to type in information.
Is it fairly commonplace to have an acute care account that is 95%
or greater ESL dictators? This is the first place I've worked out of school and I would estimate the ratio of ESL to English dictators to be 95% to 5%. I understand you cannot get away from ESLs, especially in acute care, but is this ratio commonplace?
Since I'm new, I have nothing to compare it to. Thanks for your input.
If your current company has an acute care account ask them
if you could try it, at least do a few files a day to see how you do. If you do H&Ps and DS they won't be as technical as Ops or consults. You should already be familiar with lots of meds and probably a lot of the diagnoses and labs, so there wouldn't be lots of looking stuff on. If the hospital is a teaching hospital forget all the above because then you will have lots more terminology than you have in clinic, lots of new labs/tests, etc.
A moderately difficult acute care account
d
That account in Texas was not a MQ account. They did not use DQS on that account until KS started.
They are moving 3 other accounts to DQS between now and January 1st. I asked. The MQ accounts they have gotten in the past did not go to DQS. I followed my old account, which is how I know, and it was Meditech. The account is still run by KS and is a big account too.
Repeatedly told another new account would come soon, but it never did. In fact, our slow account is.
everyone else's backup account. What a disorganized mess.
Then when we MT's are **thrown on** an account because of lack of work on our account
What is so hard to understand about that?
Then we have that account info filed away in a folder in our Outlook Express by name of account and can look at past emails sent out regarding that account. Not fun to be tossed on an account that you have never seen NOR ever received an email on. Sounds like business to me.
You are wrong about the account. KS dumped the account for several reasons. sm
It happened quickly and was unexpected but it was really for the best. Keystrokes does not string people along or lie to you. After being with MQ for too long, I am happy there, although it is not for everyone.
I really would give them a call as the other poster suggested. That whole situation was a nightmare for everyone including management but the account pulled a fast one on them.
I have the facts on this because I have a good friend at the hospital and what she told me matched what my manager did.
I know that they are trying to give more when so many companies are giving less and taking away more.
My account has lots of work..ask for another account/nm
**
The account I am on only requires 1200 lpd. Maybe it is that particular account. Ask them if they
have a lower one. Doesn't hurt to ask. I do anywhere between 1200 and 1800 lpd. Sometimes it feels impossible to do 1200, sometimes the 1800 is quick. Depends on the doctors and the day for me. I do average 15,000 per pay period though, which is 1500 a day. Not impossible by any means, and I never go over 40 hours a week. Most weeks, I am closer to 35 hours with lunch breaks and life.
I think it depends on the account. I have one account that pays sm
$2.25 for specials and one that pays $3.50. I was on one previously that did not pay them different at all, but they were all short and mostly PICC line placements.
I worked for a hospital that went to KS and they were not charging extra for the specials. I know what they charged per report, and there was no way they were getting rich on the difference after taxes and all that. I was suprised. I was in on the bid review and the average to charge was between $1.75 and $2.75 per report or 0.13 and 0.15 per line. There were 15 companies that bid on the account, and all were within those ranges.
I went to KS about 6 months after the hospital outsourced to them. When we were displaced, I accepted a different job in the hospital and hated it.
That is not true. It varies from account to account. I have
several internet accounts and on some you do have to input the patient information.
I know the account. It is "hybrid" account that is a version of sm
Meditech that is a cross between Meditech Magic and Client, more like Client than Magic. I have been on it since October now do 1500 lines a day; it took me a week to get up to speed but they really helped me. I only know which one because my lead told me that they are adding 10 people to it because KS is getting the whole thing now, only doing 1/2 before this. I love working for Keystrokes :)
Account wen to speech from almost the beginning of the account --
Don't like ExSpeech at all. Very bulky and cumbersome. Much better editing programs. I prefer to straight transcribe on ExText. Pay drops horrendously. But wave of the future for MT's.
The account I am on is internet only. I think it depends on the account. nm
nm
My main account must have been an overflow account. We would
go several many days of the month where we could not pull work, so we all had to go to secondary accounts and there are very few accounts that could absorb the extra people.
but hoping from account to account
without learning the accounts I am on will not help my line count, or help me. I need consistency in my work. I was told one thing, and am getting something totally diffrent. I know most jobs will be slow, but I was told one thing and now have to do something else. There is no work on a daily basis. I am a newbie to this field. I have a chance to work somewhere else stable. Sadly, I have to take my chances else where.
Maybe it differs from account to account
It seemed to me that I was getting my lines quicker on the new system. But that is just my opinion. I am sure that it differs from account to account. 
Yes, jumped from account to account
Constantly rude office staff (especially payroll who often made mistakes). Poor technical assistance. Poor support on accounts. Very slow to reply to problems. Like to lay the blame for problems on an account with the MT instead of poor training and support by the office. 
Yes that was the account I was on and it was GREAT account...sm
So if they are going to mess several things up: 1) Pay for their employees, 2) Losing a big account like that one, 3) Hiring supervisors that just wanted to chit-chat and lose production then I would think that is NOT a company to go for. But I had to learn it the hard way - having my payday be weeks late during Christmastime. But I gave them the benefit of the doubt for 2 more paydays - they were late also....
The account I was on was ALL ESL. They were paying me 9 cpl, but the account was so bad, I
never made any money.
When you get switched from account to account
it makes it very difficult to attain their 12,000 line requirement. If you don't make your line counts, you get moved to part time and lose your benefits. If you are already part time, you get your line rate docked. In order to prevent this from happening, I used to have to work more than 40 hours a week. It seems that this is their goal...to keep everyone from having benefits...instead, they are losing their MTs. I was staying at OSi for only 1 reason and she seems to have fallen off the face of the earth. I am most definitely looking elsewhere. I'm gettin while the gettin's good!
What account or type of account are you on? nm
OT is based on account. One account may
run dry, but another is overflowing. OT is requested for that specific account probably for hte MTs covering that account as they are the ones familiar with it.
For each account is a different set of account specifics.
I left WMX due to consistent lack of work despite 3 accounts. My current company gives a primary and a secondary and there is enough work on one or the other to get my lines and then some. Still 2 different sets of account specifics, but only 2. Someone posted they had 15 accounts at WMX and were still out of work. I didn't work for MQ, but sounds like the same situation at WMX.
Thanks! Yes, the account is ExText, so we would be on the same account. sm
They are still hiring if you change your mind.
Also, I am working part-time for Encompass. The account I am on also uses ExText, and I would not hestitate to recommend Encompass to anyon either. I feel fortunate to have found 2 great companies.
If you want IC work, I am also still working on a limited basis for CardioScribes. It is just cardiology transcription and the work is easy. Their platform is Wordscript, which is a Word-based platform, VERY easy to use. However, I really prefer employee status now, plus with the above 2 jobs, I will be making about 1 cent more per line plus having benefits and my taxes taken out.
If you go somewhere else, or if you decide to stay where you are, good luck! 
Does it have to be an account your manager has or any account? nm
,
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.
acute care
I prefer acute care. You can make lots of normals for physical exams and OP notes. Acute care reports tend to be longer so I can get a rhythm going, not having to change reports and look for patient info every minute or so.
It has been my experience that I do tend to make more doing OP notes exclusively. Some MTSO will not pay the Transcriptionist for normals that come from the client, though I'm sure they are charging the client when they are used. That is one question I am sure to ask these days. Found that out the hard way.
CA, acute care, 75% ESL nt
No, acute care...nm
nm
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