Ask your QA what the account considers procedures sm

• operative report vs procedure - confused
  • An operation involves cutting, procedures do not. - x
  • operate is to perform surgery - - sm
    • op vs proc - confused
      • Ask your QA what the account considers procedures sm - nm

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capable and helpful MT.  I think you need to be honest with her and explain that she is asking more of you than you signed on for and you would like to renegotiate your responsibilities/pay.  Personally, if I had to edit someone else's work, I would want payment for a full line count, if not more, for the entire amount I edited.  I realize that probably won't happen, but I wouldn't do it otherwise as I could be making a full line count transcribing in the time I was spending editing.  The original transcriber would be taking a cut in pay and yours would increase.  I have done that in the past and  lost money on the account, but it was only temporary until the new MT got the hang of things.  I would bet she definitely wants to keep you and is not going to quit sending you work.  I think it is her responsibility to put in the extra time and effort editing unless she wants to compensate someone else to do it.  From what I have read on the boards, editing does not pay as well as transcribing so.....  I have been in her situation and spent many a late night to wee hours of the morning editing my IC's work.  I would NEVER have pushed a good MT to the point of quitting by overworking her.  You are likely the best she has, apparently better than her, and she is going to want to keep you.  

accredited by the Joint Commission on Accreditation of HEALTHCARE Organizations, they have to comply.

cardiac caths because most docs will say the same thing over and over, same for bypass grafting, just different grafts and locations.  All in all the procedures stay basically the same.  This also works for cardioverting, just change the joules where appropriate.  When I do a cath or other procedure for the first time. I will make a normal for it then make changes as they come along.  These procedures can be good for the line count!.  Also, in your short keys, make short cuts for left and right anterior descending, ejection fraction, end diastolic pressure, etc., you get the picture.  They will use these a lot. 

I have found that most of the time the more difficult dictators are the ones that will basically go word for word in dictating their reports.  Good luck! 

http://www.or-live.com/

Fascinating stuff! 

you use numerals for all numbers (and the old way is to spell out numbers UNDER 10).  The BOS says to use numerals for ordinals; 10th, 2nd, etc.  BUT, many accounts have their own preferences, so why don't you check to see what yours wants?

My own accounts been doing them for over 4 years, it is just one office person that says anything.  I think that she was having a bad day last week and we about went on a minor screaming match with each other not only over this but some other things.   So will let things calm down, check and double check to see if I can figure things out but without showing me, I am in the dark like I explained to her.  When nothing comes back you think all is great.  

separate folder on Word and I just click on the appropriate folder. I do 4 hospitals in one state and two more, plus a local.

I never have gotten anything mixed up that I know of.

You should never work for only 1 company.  I learned this the hard way.  It's always good to have a backup.

I took a small account a few months ago. 3 docs, I do 2 and 1 has his own MT. She is an employee but we cover for each other for vacations. It is lucky they have that other person and they are flexible when I go away (rarely). Some accounts might expect you to find your own coverage. I have had problems with them not paying on time. It's not their fault, they have a large institutional accounting office over them. But MT is my only income so it has been a problem. Make sure you have a cushion in your checking account or whatever that you can live off of if you don't get paid for a while.

Another option might be an IC position if you can find the right one. I also have an outside contractor position with a local hospital that has employees, but I charge them like a service and they make no demands on my time.

Something to consider is how much time you will spend doing administrative things like billing, recordkeeping, marketing, answering emails, picking up tapes if applicable, traveling for interviews or training if you will be working on their system. I find that stuff eats up a lot of my time.

You might want to consider a 30-day trial period in case you dont like them. My account turned out to have a crappy dial-in system, they expected me to fax every report 1-4 times, and they eat up my time with emails and phone calls - each doc has his own secretary and they have another MT and they all tend to call me for things they don't need to bother me with like I'm an employee. Instead of telling them to find one person to deal with me we agreed I would charge by the hour instead.  I have no problem telling a secretary who calls me at 7p I will take down the info and call her back during business hours unless it is an emergency. It is hard to anticipate those things hence the trial period.

I don't think my account now is any better or any worse than any others.  I have been doing this for over 15 years and basically 2000 lines a day has been my average for the last 9 years and during that time, I have worked in house for 1 hospital and for 4 different agencies. 

I just make good use of a lot of word Expanders and sit down and work and not answer the phones and talk to people and watch TV, etc.

 Boy this sounds just like an account I used to have.  I would go pick up the tapes- “Oh the Dr did not dictate”  or “ Oh the Dr took the tape home”.  They never gave me a list with names.  I was always searching my database for the last names, etc. They did stress tests and never marked the names down so when the machine was running and the Dr would say the name, I would get the first or last name, once again, I would have to search my database.  I did this for about two years and asked about 5X please list everyone that comes in, etc on the list. They would do it for a day and quit, so I just left the name blank and did not care any longer. Obviously, they did not care to get me the information.  Oh yeah, I ever called the Dr 2x and asked her to please help me out and talk to them. It lasted 2 days.  For the tapes, I go so sick of driving and wasting gas, I called 15 minutes before they would leave to make sure there was a tape. I did this for 3 years and decided enough is enough.  I gave my all to the job and did not give 1%. It was not worth it. Some offices have no consideration of the transcriptionist.  They think this is not a "Job"-guess again-It is a job where we barely make money and then they are taking what profit we do make- I would try talking to the Dr and calling before hand.