275-310 lph - one account-large teaching hospital
Posted By: doing mostly OPs on 2006-07-28
In Reply to: how many lph on ave is everyone doing in acute care? sm - roadrunner
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Philadelphia - $25 per hour at a large teaching hospital. nm
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Depends upon size of hospital. If it's a large teaching
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No joke. I made 12 cpl as an employee at a large teaching hospital. I should mention the ended up
work to an outside service and that is why I'm not with them today, but good paying, employee status jobs are out there, though they are few and far between. You just have to be patient and be good at what you do.
Hmm. My account (huge teaching hospital) has it, and
I still think the healthcare game is in for a huge shakeup in the not-too-distant future. Quality and confidentiality of medical records will be part of the picture when it finally all gets examined under the new government's microscope. And I don't think they're going to like what they see one bit. If the general population finds out how shoddy their records (and affected health care) are, you better believe some U-no-wat is gonna hit the fan.
Depends on what kind of hospital? Large urban hospital or small community hospital? SM
Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.
I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis. But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl.
RE: Teaching Hospital
I am the transcription supervisor at a teaching hospital and the residents are so long, especially family practice docs. They can go on and on and they are foreign, all of them. This makes it especially hard, but that is all we get. The Americans are going into specialty services such as Surgery, GYN, etc..
Teaching hospital
I'm on a teaching hospital account it is THE most interesting, challenging work I have ever had. Maybe ask if you can be on a different account?
I have one now where we CAP, bold and underline them (teaching hospital) -
and on one I used to only capa and bold. Everyone is different.
I worked in a teaching/major trauma hospital
when I was doing radiology and we had scads of standards.
Need help with calculating expenses for bid on large account. At the moment I do not know *sm*
how many lines they dictate per day/week. I am going to call the person who sent me the bid forms and ask. I do not have my own call-in system and would be using a TASP. Can someone tell me that currently uses a TASP how to go about figuring my costs in so that I do not under bid. I know that each dictator and the type of report is going to vary but on an average what would you say? Bottom line is I need to know how many cents per line I need to charge to cover the call-in system and my other expenses. Another thing they listed in the bid is that the vendor is to provide all other supplies including plain paper to complete each assignment. The hospital will provide any special letterhead, envelopes, etc. How do you provide the paper and probably the toner if you are doing this remotely? Would there be any other expenses that would fall under other supplies that you can think of other than toner and paper? How much toner and paper do I provide or should I ask the hospital what they use on a weekly basis? I would assume I have the right to ask questions as to how much paper, toner, how many lines they do each day or week on average. I want this account very much but I do not want to have to pay a cheap line rate and I need to make this worth my while. Thank you very much for you help.
I'm there with ya! I worked for a hospital that outsourced overflow to a very large, VERY SM
well-known service. The quality of the work was shockingly bad. There's no way to describe it except to say it was painfully obvious that the MTs on our account had no business being MTs. They didn't even have the very basic skills for the job, let alone the medical terminology.
I had the opportunity to read through the contract, and there was a paragraph in the contract that clearly stated that not only did the service promise to adhere to a specific TAT, but also promised high quality, proofread reports. Basically saying that they employed a highly qualified QA staff that insured nearly error free reports. That's the OUT clause as far as I'm concerned. I started a file of every report with errors from the service, every ridiculous error.
A new supervisor for our department was hired and her first order of business was to cut the flab out of department. She told us that the service doing our overflow was being paid something like $60,000 a MONTH! The hospital was paying the service 45 cpl. Now do the math! The service gets 45 cpl and pays you and me 7 to 8 cpl to transcribe for them or even worse pays 2 cpl for an India-based MT and 3 cpl for an American QA person to edit and correct it, so that's only 5 cpl they end up paying. That's quite a profit. I vowed the day I found all this out to NEVER work for a national service again and especially not THAT service.
The new supervisor was against outsourcing which was good news. She set out to renegotiate the contract or drop the service all together. I threatened her with breach of contract and that's where my little file came in handy. Needless to say, the service backed off and we not outsource overflow to a service local to our area and a much more reasonable rate.
My advice to you is start your file and keep track of everything. Tell your boss to reread the contract, especially those paragraphs that speak to what the service promises to provide for the inflated line rate!
Good Luck!
And it's rough work dangit. First job, large hospital,
drives me nuts sometimes. Sorry, just felt like throwing that out there! ;)
I feel your pain. If at teaching hospital, great pain. SM
Some doctors do give standard discharge summaries, so you could just make copy and then pull it up. It is not easy, especially when they give 20 lines of lab results.
Hospital account since 1994
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Hospital account since 1991. nm
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Hospital account (National company). nm
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the service that works on our hospital account definitely pads
Many of us inhouse have tried to point it out to the supervisors, i.e. tons of spaces after a header, three or four spaces after a period, using spaces instead of tab button, for god sakes, spelling out milligrams and computerized axial tomography and every single abbreviated term that you can imagine and stuff like that. they even make their blanks verrrrryyyyy long!
Thank goodness the contract with them is going to be coming to an end by March. It just burns us that we get monitored for it, and the outside service does not. They also do not get penalized for mistakes either.
work for hospital account - use lots of expanders - nm
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Average 1950-2200 a day, one hospital account, 90% op reports. nm
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Lost account of 28 years to Dictaphone because hospital believes it will eliminate all transcription
Curious if any of you are working for Dictaphone or Infomatics and doing an account out of Miami with mainly ESL dictators? I was convinced I would not lose the account after a few days with VR. However Dictaphone is not using VR right away and will transcribe reports the regular way until they have a database. I am certain this hospital will never be done by VR. I posted a job on here about a year ago offering 18 cents per line to help with this account and not one person accepted after hearing the ESL doctors we have. They are that bad. Anyone else have this happen to them? Losing to Dictaphone And we have had to do most of the work for over a month since they supposedly took over because their system is not working.
What is the difference between an acute care account and a multispecialty account??..nm
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Thats why im getting into the teaching GIG
I FEEL YOUR PAIN.......
I am not currently teaching.
Perhaps I will teach again someday, but as I stated, I am now at home with my children and would like to do something at home. The grass is always greener on the other side. Teaching can be great, but it can also be horribly exhausting and emotionally draining. Also, the schedule is inflexible to the extreme, and I am just not ready to jump back into that right now.
I appreciate any advice about how to get back into transcription, as that is what I have decided to do.
I've never had a problem switching from account to account.
The problem I had was being switched too soon. If I don't get one account spec solidly in my memory with QA feedback on mistakes before starting another, I get confused. The other problem I had with former jobs was inconsistent QA. One person tells you one thing, another person tells you another.
Lately, I don't have a problem with it. Right now, my binder has 8 account specs (some I've never had to use) and I'm picking up a new weekend job for a while. The terminology and report formats stay basically the same. It's just all those little preferences. LOL
I'd say stick with teaching.
This is not an industry I'd recommend anyone to enter anew for so many reasons:
1. Inconsistent pay and work available.
2. No respect from employers who lie to us and treat us like second class citizens. Slavery went out in the Lincoln administration, people.
3. No respect from people whom I tell what I do for a living.
4. No future in this job. Voice recognition and outsourcing are putting it in the same category of obsolete occupations as the blacksmith.
Be glad you have a career to fall back on in case the MT one doesn't pan out, but I sure wouldn't put any money into learning how to do something that's going to cease to exist in the next decade.
Former MTs Teaching English
I heard that too. its in the newpaper last week, they will be looking for teacher. Man, this board is really updated.
Is it possible that teaching can be outsourced?
the date is 2014, It a nice day. You drop off your kids to public school to for them to watch a huge plasma screen that has a teacher in it. And guess what... Its via Satellite, from India. Im getting goosebumps.... Arg. Its also outsourced. Oh im having a nightmare. I hope its its just a nightmare.
Just 1 in 12 yrs. 1 other was teaching hosp, I was
one department's Transcriptionist for 2 years.
Going into QA, getting a supervisor job or MT teaching job... SM
is easier said than done. A lot of times, transcription supervisors at a hospital are required to be an RHIT, in the old days it was an ART. Took me forever to break into QA. A lot of companies hire you as an MT and tell you they promote from within. And teaching jobs are even tougher to find, they are few and far between.
You best bet, if you choose to stay in the MT business, is to strike out on your own. Start your own online school and charge MTs $1200 or more a pop. Or start your own MT business, but it's hard to do that with the monster services out there buying up every little guy they can sink their claws into.
I've decided coding is the best avenue for me and that's what I've been studying on my own, but it's taking forever because their so much to absorb, not to mention up to date books are MUST in coding and the books are $100 (ICD-9-CM and CPT) and that doesn't include HCPCS book. And if you don't buy the new books every year, you can't pass the test. So I'm trying to do it on my own without paying another school for another education that might end up outsourced overseas anyway.
You said have experience in teaching
transcription and medical terms but have you actually done the transcription yourself, not just the teaching part?
IMO, BOS made as teaching aid for when they
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Why work for a co who is teaching sm
people in Barbados how to do MT so they can compete with us too? No thanks.
Whatever they're teaching them
So far as I know the term "basic four" didn't come along until the advent of MTSOs. I think it is far more important that students learn how to actually DO history/physicals, ops, discharge summaries and consults than to know that they are sometimes called "basic four" or they might be labeled as "acute care" which is the same thing. I have personally never been asked if I could do "basic four" or "acute care" in an interview. They have always asked me what experience I have. My standard answer, "send it to me and I can do it," whereupon I expound as appropriate regarding my experience and answer questions as asked. Again, I have never been asked anything about "basic four."
Teaching hospitals & residents...
I work for a very large university hospital account and hate how long-winded some of these residents can be! Argh! Especially 1st year - just a plain chest xray turns into a thesis! And the attendings aren't much better - they love to "teach" on my time! What is your preference - teaching hospitals (which admittedly are great teaching grounds for MT's) or regular, plain old boring regular hospitals? These residents make me want to........
RE: Teaching hospitals & residents...
Teaching hospitals.
How funny; I'm going from transcription to teaching soon!
I already have my teaching certificate, just need to get out there and teach. Been doing MT for about 10 years now, so I can stay home with my kids. It's been nice, but I really need the retirement and other bennies that teaching will provide.
Teaching MT at an unethical school....sm
It was a private school that once students enrolled for any programs they would basically lie to them and never would fail anyone. If a student failed a test the instructors were told to give them the same test again, after reviewing the test questions and answers prior to giving them the 2nd test. Honest to goodness 1st graders have it harder than that! The icing on the cake was when I told my students the reality of what to expect for pay scales after graduation. The school had enrolled everyone with the "you'll be making $60-80k after graduation" crap. I lasted exactly 2 weeks there before I quit over their unethical behavior.
Depends on which grade you will be teaching, but
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Another thing about teaching hospitals
is that you will see things there that you might not see at your 90-bed facilities.
These hospitals do everything and if I were you, I would just wait and see. I think you will find that the experience alone will be invaluable to you.
I know MTs who have been MTs forever that have never had the experience of a teaching hospital and are limited in the surgeries that they have transcribed.
Congratulations on your new job.
This has jumped from "mentoring" to teaching....sm
Starting a school would be the last thing I would want to do. I have thought about simple "mentoring," not all the other hassels. I think the original poster means that also but maybe as an employee. I would want to do it on my own just for a few people at a time. As I said before....not big bucks.....
I think teaching pre-teens how to do laundry
I think 10-12 year olds can help do some laundry - it helps them develop a work ethic and shows them that if they go out on their own, what they will have to do....well, the ones who don't continually bring their laundry back to their mothers. *LOL* AND they love eaning $$$ - it's a great way, instead of *tossing* allowances at them.....chores/laundry/etc. = few dollars in their little pockets *S*
It's all about deals and contracts w/kids I think....and I'm a pro...on the subject, as I have some....*lol*
Your exactly correct, schools are teaching (sm)
My 8th grader has to do 1 space after periods in all typed reports for school, that is what they teach for formatting typed documents now.
Also, I am in nursing school and we follow APA format, which also specifies 1 space after a period.
2 is definitely not the way things will be soon, so hold onto it if you can for now.
I still do 2 spaces for work because I get paid for spaces and those spaces do add up to $$.
I would advise you to continue teaching! nm
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teaching dictators to dictate better
Exactly! But where is the motivation for them to do so? Yes, if you point out to them that they could be spending less time dictating and more efficiently whereby freeing them up to do patient care, maybe they'd listen. Certainly, if it hit them in the pocket there would be motivation to improve. For instance, if really, really, notoriously bad dictators were charged higher rates there would be big incentive to get/teach the providers how to use the equipment and how to dictate better. Money is a strong motivator!
I think about how there is going to be greater and greater emphasis on reducing costs of providing medical care. There's a huge opportunity for clinics/doctors/hospitals to improve and become much more efficient with transcribing. And who better to train them than us!!
tsk, tsk, tsk..teaching your children to lie and cheat..nice..NOT
I guess teaching took away your sense of humor
That WAS advice. The MT industry STINKS right now.
I wonder if CS is ALSO teaching Coding to India & other countries?
I know they teach MT to India and other countries, the latest one being Jamaica.
Yet they still take money from US students, even though they are training overseas to help them take more jobs away.
The MTSO should be compensating you if you're teaching people!
And if they won't, then I'd politely refer their questions to the MTSO. And the email request is perfectly reasonable, IMO.
It's been my experience as a lead MT and trainer over the years that some people just would rather have somebody give them fish rather than learn to do it themselves. When I got that "vibe" from somebody I promptly handed them their fishing pole and bait and refused to give them any more fish, if you know what I mean!
I was teaching, and Katrina hit, and I decided I needed a job that could move with me if need be.
I have a friend who was an MT (actually, she and 2 of her sisters are MTs). When I asked her what she did, it was like a light going off in my mind--it sounded really interesting, since I loved typing and grammar and had good ears (I thought). When Katrina hit, I took time during our enforced semester off to take an online course, loved it, and began working as an MT. I discovered quickly that having good musical ears is not the same thing as having good MT ears!
What I love about MT work is that it is so interesting. I get to learn every day without having to actually be there to see/smell/hear. I am fascinated by the human machine and enjoy learning about it in detail.
Eventually, I'd like to move into a mentoring/teaching position with young or new MTs, but I need more years of experience before that happens. I totally admire those of you who have been doing this for a long time-- you guys have amazing ears and I'm always impressed by the knowledge you have picked up by working! That's what I aspire to, as well.
They are teaching you to always put the period inside quotes now. I just took a college English
It still looks wrong to me that way, but that's how they're doing it.
Ditto :). Teaching hospitals are great experience if you can be patient. nm
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