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Serving Over 20,000 US Medical Transcriptionists

and the scariest thing is - doctors seldom if ever look at their dictations -

Posted By: been there on 2007-03-29
In Reply to: I think it's a combination of both. Plus, the work gets done lickety-split and they -- sm - MSMT

assume it is okay - it had been in the past.  They are not aware of any changes. It's not only a cost issue - it is pure ignorance.


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last year was the scariest...continued
but this is not the first time the hospital tried to let us go.
Anyone know a company that works with small pool of doctors? Tired of so many doctors nm
nm
My accounts are okay. I seldom run out. sm
If I do, I ask for another account and usually get it. I have one big account and 2 other smaller ones but I usually stay on my primary.  Enough to keep me busy. Of course sometimes, as with all other companies, it is feast or famine, the nature of the beast.
I have work, too. Very seldom out. nm
nm
happens seldom, chill out...nm
nm
The coverage is perfect for me as all my doctors and my kids doctors are sm
in network. With WebMedx none of them were. The coverage is much better for me. My husband's company wanted to charge us $1470 per month for family coverage. There are three of us, so that would be $490 per month per person, which is insane.
I've been there 1 1/2 years and had no problems. I'm an IC, very seldom run out of work, usua
more than enough to go around except the times when transcription is slow across the board.  Pay is direct deposit and my personal experience with management is that they are easy to get along with and flexible.  
May be she's getting 100% ESL dictations
You sound like someone receiving the remaining 25% of the non-ESL dictations on the 75% ESL accounts.

There is a possibility that on the 75% ESL accounts, she is getting all the 75% of the ESL dictations (courtesy of the special-assigning of jobs department), which makes her ESL percentage 100%. Ever thought of that?

Poor dictations
Many companies seem to be going to voice recognition. The only reports they have to send to us, then, are the poor dictators, the ESL's, etc. Time for a new career.
DECENT DICTATIONS...sm
It's known as electronic cherry-picking by the Leads .. as the company claims not to outsource work.  There have been 1 or 2 who are very adept at this.  After 3 years with the company, I know generally the makeup, percentage-wise, of good, mediocre, ESL and dictators who just plain s**ck.  So when I get almost a whole shift of crap that takes me 3 times longer to produce, well, figure it out.  There is 1 lead in particular who likes to pick out the good dictators right out of my queue and replace them with garbage.  I have actually called her attention to this on more than 1 occasion.  I'm no tattletale, but this is my living, and my next e-mail will be cc'd to mgmt and all the Suits I can think of.  The Leads are literally taking food out of our childrens' mouths.  
I need sample dictations with their final notes.
Hi,

Can someone suggest me a place to find a few sample dictations with their final notes, so that I could evaluate myself?

thanks

philips


Not my experience. I've gotten real dictations sm
from real dictators.
Conference dictations are generally extremely sm
tedious as the voice quality is awful. Consider that when I was in college back in 1970 I made $1.50 a page straight typing from text. You'll be transcribing, not straight typing, a conference or interview.
It they are 20-minute dictations with lots of blanks,
nm
Test dictations are often bogus and not true voice files from the company. Need to ask. nm
s
There were post on another board about test dictations violating HIPAA regs. sm
Some people seemed to think they were using actual dictations, with actual patient info, in their test dictations.  I would leave them alone, way alone.
doctors are way more $$ than MTs and
get a grip
Many of the doctors do this.
It wouldn't be a problem if it was just one doc. Sorry I didn't make that clear in my first post. There are several docs who dictate 'my normal' and it takes lots of time to do this on each report.
That took my doctors. I say KEEP IT IN THE US
PLEASE!
ESL doctors
It might be because most of the doctors that work in the hospitals in MI are ESL.
You get 400+ new doctors and you

can't possibly start producing high lines right away, especially when the account is at least 40% ESL if not higher.  


It doesn't matter what company you go to you're going to have a period of adjustment, no matter how simple the platform may be. 


Where are the doctors? (sm)

So I've been a Transcriptionist for many, many years, working as an employee and as an IC for my own account.  I've been recruited lately by several places who want to pay 7-8 cpl for ICs.  Now I'm an educated adult, I know darn well that no MTSO in the world would charge a client 7-8 cpl so there have to be doctors willing to pay more than that wouldn't you think?  Why are they so hard to find?


Can someone tell me where I can find a nice doctor that is willing to pay 12-14 cpl and give me the same no benefits I'm being recruited for? 


Am I in an alternate universe?  I just don't see how MTSOs can command and get 14-20 cpl but the rest of us who offer just as much can't seem to get our feet in the door.


doctors may think they don't need us but
I have a client who does work comp evaluations and when he does a record review, there are at least 2 or 3 records that are unreadable because they are handwritten. Sometimes 20 or so pages. So he just says unreadable. That does not help him in his evaluation and it won't help the patient either.
ESL Doctors
I read and SAW on television just a couple of weeks ago a report that said the U.S. now has 55% ESL doctors. Doesn't surprise me one bit. So no, transcription companies do not take accounts with a bunch of ESL doctors, that is just about all there is anymore.
My GYN and GP doctors were using
this technology LONG before Obama even was nominated to run for office -- cant blame him for everything
Yep, that;'s what our doctors are doing - NM
NM
About those doctors

You were certainly more tolerant of this so-called doctor than I would have been.  I would never tolerate a doctor telling me I'm the doctor, I'll make the diagnosis.  HE would have been in for a tongue lashing he would not soon have forgotten.  So long as you are paying his fee, IMO you have every right to question his diagnosis and/or treatment.  I've been told by several doctors that they are amazed at how many times a patient who is an MT makes an accurate diagnosis. 


With that being said, I can't help but add what a shame I think it is that we are suppose to be as technically knowledgeable as a physician, most of whom have many more years of education than we do, yet we (or now-a-days you who are still working MTs) are reduced pay-wise to little more, if even as much, as ordinary clerk/typists.  I know that all of you spend years perfecting your skills. Even though I worked in the field for nearly half a century I was still  learning the day I quit.  So....it pains me greatly to see what has become of an occupation that used to command great respect to the point where we (you) are disrespected in so many ways.  It seems that many MTSOs are he!! bent on reducing your pride and self-confidence to a pile of rubble so you will be happy to accept the mere pittance they are willing to pay while expecting that you be even more knowlegeable.  Some have people doing Q.A. who it seems their only purpose is to cut MTs down to groveling pieces of humanity begging for a crumb of work.   Empathy is why I continue to hang out here.   I may be only a party of one but I vow to do all I can to bring the deplorable state of the MT industry to the attention of as many people as I can.  I have talked to several physicians and they are horrified at the situation. Several have told me that they don't know how you girls do it and proceed to tell about some ESL that they can't even understand.  Many of them have also said that they are going to go directly to the hospital administration and address these issues with them and see that their dictation will never be sent off-shore.  Each and every one I have talked to has been absolutely horrified to think their medical records might be going out of this country.  Physicians DO care about their patient records and if enough of them are educated about what is going on, they will confront the bean counters and things WILL change.  So while it is a fact that hospitals will not even take up the matter of their poor dictating habits with physicians lest they offend them, you can also bet that if enough of them demand a change in how their records are handled, they are going to pay attention to them on that too.  It's really up to all of you who are still working.  Do you want to DO something to make changes to your lot in life or do you just want to cry and complain???  VR is not necessarily a BAD thing, perhaps even a good thing as long as there are people qualified to edit and fix things like patient with a fx of the hip due to tripping over a garden horse.


Kudos to cj and friends for taking action.  When MTSOs were mom and pop operations they served a purpose and they appreciated their MTs.  The giants have crushed most of them.  I don't want to work any more but if I did I would not work for these mega-MTSOs at their puny 6-7-8 cpl but I would work to help a small MTSO get off the ground even if it meant (by my volunteering) to work for 5 cpl to help them get up and running.  I hope those of you who are applying to cj et AL will consider giving them a hand up.  Working for a lesser cpl with better things on the horizon and plenty of work would make sense rather than getting 10-11-12 cpl and spending 24/7 staring at a blank screen with no work available.


I am making a lot of noise about this issue because well...there is just something about the situation of people being hired to do work when no work exists that just p**ses me off!!


Doctors don't appreciate us....
They just appreciate not having to do the work and having someone else type it!   Duh! 
ESL doctors
If I had my way and I ran a hospital or was the person in charge of hiring doctors at a hospital, every foreign dictator would have to pass an English-speaking test to be hired.  If they did not measure up I would not hire them.  What good is a foreign doctor who the patients, nurses, and other doctors cannot understand?  In my opinion this is a lawsuit in the making.  My mom had some foreign doctor once and she called me on the phone, I never understood a word she said.  I just kept saying I would be in later.  So misunderstanding foreign doctors, would be foremost on my mind if I was hiring a doctor.  Misunderstandings leads to malpractice lawsuits, something the doctors are always complaining about. 
I do some NPs who dictate for doctors
Just seem to have a little trouble pronouncing some words..It's kinda funny, but I always know what they are trying to say.
Transcription Doctors, Inc.
Has anyone heard of Transcription Doctors, Inc. nm
Transcription Doctors
They have an ad on MT Stars, but I cannot find their website and I was just wondering if anyone knew if they are a good company to work for and if they pay on time. nm
Doctors who say next paragraph...
after each and every sentence!
assigned doctors
nm
Can you talk to your doctors and let them know the
sf
Doctors helper?

Does anyone have any information?


I love it there. Most of the doctors
are really very good. You have the ones that like telling stories for every patient and others that uh uh through every report but other than that the doctors are really very good. We are always busy it seems. We did have one or two slow weeks back at the beginning of the year but we are busier than ever (more like out of control with work). The pay is kind of low to start but when you add in the shift differential along with the line count differential it can add up and is comparable to Medware, especially for ER work. Direct deposit every 2 weeks. Benefits through Aetna. As for the learning curve, I was up to speed within a month. Hope this helps you!
The Transcription Doctors, Inc.
The owner of TTD, Inc. is extremely nice and very easygoing.  I worked for them for a year as an IC and was very happy.  I only left because I wanted to become a W2 employee with PTO and benefits.  Feel free to email me if you have more questions
The doctors are paying 12-20 cpl, but

and never an interruption in service.  Can you as an IC promise that?  I have my own accounts, and I can't promise that.  hello?  I need a vacation once in a while.  I don't have back-up because I just don't, plus it's tapes.  Now I get 12 cpl and it's easy work, but I have to pick up and deliver or else hire someone to do that for me, hence, loss of money even though I can write it off. 


The companies are hiring at 7-8 cpl to cover their QA and also to make some money.  No company is going to pay us what they charge, but 7-8 cpl is the going rate for ICs working for MTSOs. 


Now, you can offer what you'd like for what rate you'd like, but be ready when you need a vacation or just want a break because they'll get their panties in a bunch wanting you to find coverage, and then who do you trust to work for you and not try to take your account?  Believe me, it happens. 


Doctors paying about 11-12 cpl here, no more. 20 cpl?
Maybe in bigger cities, but I don't live in the smallest town and the doctors around here pay 11-12 cents tops. Making even 12 cpl, it's hardly worth it when you factor in all the crap you have to do for them plus find time to transcribe, or pay someone else to do it for you and either QA all reports yourself or hire someone to do that, taking phone calls and meetings, etc. Now if I found one paying 20 cpl, that makes it tolerable at least. But let's face it, if an MT or MTSO has clients paying 20 cpl or anywhere close to that, they sure as heck aren't going to be letting them go anytime soon, so it'd be real hard to get your foot in that door. It's kinda like the saying, all the good ones are taken.

To that end, there are also MTSOs that pay better than 7-8 cpl, but they aren't going to be the ones always advertising for help and the MTs working there are likely going to stay put, so you might have to be patient and look a little harder for the diamonds in the rough. ;)
Except that the doctors & hospitals - sm
are being swallowed up one by one by the big mega-institutions: Tenet, Sutter Health, Catholic Healthcare, etc. The docs & hospitals have less and less say over who does their transcription (if they even have a clue who does), just like they have less and less control over what procedures they can recommend, and what drugs they can prescribe.

It's all come down to the fat-cats in the 3-piece suits sitting in their high-rise corner offices, dictating what healthcare will be meted out to those of use who need it, and how much the hospitals should pay for 'ancillary' costs such as transcription.

If ever there was a group of people the goverment should be investigating and putting a short leash on, it's the HMOs and the Health Management Corporations, which have ruined almost every corner of the American healthcare industry.
Transcription Doctors
I worked as an IC for a year w/TTD, Inc. and had a very positive experience. Small company, very nice owner. Email me if you have any specific questions. :)
The Transcription Doctors, Inc
I was just wondering if anyone has worked for The Transcription Doctors, Inc. on the escription platform and how it was.   TIA
Transcription Doctors
Didn't work on eScription but worked for TTD, Inc. as an IC a little over a year ago and had a good experience. Email me for details if you'd like.
Many doctors' offices have something else

Maybe they don't call it transcription or VR, but my doctors use a laptop on a rolling cart that they take from room to room.  It's a point and click system, though they may enter vital signs and drug names manually.  They tell me that it produces reports so that there is no need for any transcriptionists or editors.


Where I currently work, less than 3% of the reports are standard transcription; everything else is VR.


ARe TTD Inc & Transcription Doctors the same co. or 2 different..
companies? Any info on TTD? I couldn't find much in the archives. Thanks!
They are the same. The Transcription Doctors

TRANSCRIPTION DOCTORS

There platform is easy to work for and easy accounts BUT you are considered an IC and have to adhere to a STRICT schedule, doesn't sound like a IC, huh? 


QA is OK, but again, you have to have to stick to a strict schedule, or else.


TTD is The Transcription Doctors
TMInc is TransMedical Inc.
TTD INC/The Transcription Doctors, Inc

Hey All ~


Yes, same company.  I'm the owner  Not trying to pull a fast one...just quicker to type TTD INC instead of The Transcription Doctors, Inc. LOL!  Nothing to hide here! 


 


The Transcription Doctors
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