Basic 4 isn't one report, it's 4 different types. sm
Posted By: . on 2008-02-08
In Reply to: Basic 4 report - Wanda
H&P's, discharge summaries, op reports, and ....i'm blanking on the 4th, sorry.
Complete Discussion Below:  marks the location of current message within thread
- Basic 4 report - Wanda
- Basic 4 isn't one report, it's 4 different types. sm - .
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
Basic 4 report
Where could I see an example of a basic 4 report? I've only typed SOAP notes.
Report types.
Easiest-family practice. Hardest-OB/GYN.
Do you get choice of which report types are sent to you?
>>
A basic recommendation for a basic expander use plan SM
If you use your Expander mainly to store text for specific doctors and their specific reports you will 1) Find it extremely difficult and expensive to change jobs (critically so, to the point of eventually feeling you can't or even leaving the field when your employer lets you go) and 2) as someone said, find yourself spending a whole lot of time editing your expansions to the current report.
I strongly recommend instead contacting Linda for her system, then day by day developing your expander vocabulary of INDIVIDUAL words and phrases, untied to any specific report. I can take my abbreviation for "denies any fevers, chills, or sweats" (dyfcos) to any of dozens of companies and use it for dictations of thousands of doctors. No having to change it, because I also have one for "denies fever, chills, or sweats," one for "denies having fevers, chills, or sweats," and so on and so on. As Linda says, with a system the individual abbreviations don't have to be memorized. As you can see, these terms are merely the first letters of the words in the phrase(with Y standing in for "any" instead of A because that's my abbreviation for the word "any" itself).
BTW, regarding that last, editing gets very fast when all you have to type to drop in the word "the" here and there as you cruise through is a T, "his" a G, a "that" a V, et cetera. No special reason for those letters for those words, I was just looking for a one-letter abbreviation I could cut them down to to speed up.
Hope this makes sense. Linda will understand what I mean about the extreme importance of developing an independent dictionary of expansions that will work with any dictator.
You do not need the 1099. You just need to report the income. Report the company/person ...sm
to the IRS for not sending out the 1099.
I charge the same amount for a "normal" report as for any other report.
You still have to listen to the dictation and change anything that's different. I had one woman try to pull this on me. She'd dictate, "Just pull up my normal, but change this, change that, switch that around, move that, add this, delete that, and change the other." Then she'd only want to pay me what equated to $.03 per line. She wanted 1:1 on her dictation to transcription ratios. I told her to take her cheap account down the road because I'm worth more than that.
Oh, a report just came in. A report actually just slid in, can you believe it. Hip Hip Hooray. I
had better get that sucker typed before it gets out of ONE MINUTE TAT.
Basic 4
 Can anyone tell me what Basic 4 MTs is?
THanks
basic 4
Where I have worked, op reports have always been a part of the basic 4...DS/OPS/H&P/CONS. Letters were just a part of the overall package. ER was in a class all its own and not considered as difficult at the basic 4 (on par with clinic work).
I know it's very basic, but have you...
tried Yahoo Geocities? I have an 'information only' site I made myself, and I think it's about $10 per month.
The basic 4s are so much different
than your clinic work. When starting in MTing I thought it would be a breeze. It took me a full year to get up to the expected number of lines per day. The lines they are asking for in order for you to go home, in fact, is probably less than most require in this field. I always transcribed over 2000 lines per day and now with voice recognition and straight it is over 3000. That is the world of transcription. I think their count is lenient myself. Transcription work is not easy as you are learning.
What is the basic
equipment and software that one should have before working as an IC? I currently work full time (supposedly) for a hospital and would like to supplement my income but am afraid of not having the right equipment to start. Also, can anyone suggest a good company? Thanks!!!
Basic 4
The 'Basic 4' work 'types' we speak of are: History and Physical Examinations, Consultations, Operative Reports (including Procedure Notes) and Discharge Summaries (including Psychiatric reports).
Basic 4
What is meant by Basic 4 - NM
Basic four?
Well, imagine the dive my confience took as a new MT looking for work, when I started hearing the term "basic four" and had no clue what that meant. *sigh*
Enlighten me, please?
The basic 4s were around in the 70s
Heard it then, has nothing to do with the MTSOs because I never knew of companies existing before the early 2000s as I was only working inhouse at hospitals. If a person does not know what they are, then how do you suppose a person might be able to do, just wing it? This is a newbie asking the question, not a dumb question but just one that maybe she should know because if not, might hinder her in the ability to do a job.
If you are careful with putting the correct report in the correct report shell and patient, you will
not have any problems. I only take away this option when someone is careless. There can be NO room for error on this. One mistake can be very serious. Many do it well though, so just double check and you will be fine.
Basic 4 question
I am a bit confused... I thought that the basic 4 included (Op, DS, H&P, and ER) But I've read that it entails (Op, DS, H&P and Consults). Is this correct? If so, how do I go about finding ER work as an IC? Thanks!
I used to make .10 cpl but have been bumped down to 9 cpl and with new platform just implemented, I have totalled it to be a 40% reduction in pay. I'm bummed...
Any advice? 
Basic equipment
I know I am of the "old school" but I think that you do need to have some basic equipment on hand when you are advertising to do transcription. You don't have to have everything but a basic microcassette is not that much money. Any account that I have gotten -- though it was years ago -- asked me what equipment I had and if I did not have what they needed --they searched elsewhere. That is why I invested in my transcribers starting with the micro, then standard and then mini. All accounts had me start within a week of talking with them. Last year when I was thinking of expanding and had a couple of inquiries when they found out that I was not immediately set up to do digital -- though I told them I would buy the equipment and get set up -- did not hear back from them. So I think you need the basics so that you are ready to go when they ask. Since she has been working for a national already, she has her foot pedal and can do digital, just get a transcriber for the tapes --most of the smaller offices still go with the tapes. But again, I am of the old school and have not looked for new clients for a while. But I sure would not advertise or attempt to get accounts without the equipment and being ready to go at a minute's notice since they might use me for overflow and I could get my foot in the door. A client does not like to hear, I will be set up in a week for you or ten days. Though they can say it, when they want your service and you are solicting for the business you had better be ready to do it. Just me.
I would just keep it basic, without details. - sm
When I left my ex-employer, I had all kinds of grievances. But the bottom line is, they already knew each and every one of them, because I had already told management about them (in addition to the other MTs telling them the same things!) As an inhouse job, they also dud exit interviews. I skipped that, too. If there was something they didn't know about why I or anyone else that worked there was leaving, they could just figure it out for themselves.
While ER isn't one of the basic 4, I'd gladly
take ER reports any day over acute care. They're very repetitive & good lines.
acute care basic 4
Could someone please explain the major differences between acute care basic 4 and multispecialty clinic transcription?  It seems that the job ads usually specify which one and how much experience is needed with each of these categories, but I am curious to know the differences and why someone with several years of multispecialty clinic experience may not do well with acute care hospital transcription.
TIA for any info provided! 
Of course, that's basic living *grin* ...... nm
xx
Have you ever known anyone in mgmt. with ANY basic intelligence? (nm)
?
Are there companies that mentor you on Basic 4? sm
I worked in a hospital, but it has been 8 years. I need to get up to speed and want to work part-time for someone doing the basic 4s where I could be mentored until I'm up to speed. Are there any companies out there like this?
acute care basic 4
what exactly does acute care basic 4 mean? I mostly do ortho and PT and am looking for more work, willing to branch out but Ive only done it for 1 1/2 yrs and not exactly sure what that is. thanks
clinic work vs basic 4.
Both are very different. One thing that I have found extremely helpful is a good word Expander program. When I used to train MTs when I worked outside my home, one rule of thumb was it the doctor says it twice, it goes into your word expander. I use Instant Text which is a little pricy, but it pays for itself in the long run. If I have to look up and medication or a specific work, it does into my word expander; I never have to type it again. Whatever expander you choose or buy, it is money well spent. Acute care is higher difficulty, but it can be done and a Word Expander can help you.
it is basic English grammar, without that, you can't do the job.
x
Just the basic preferred edition could never
x
basic PC/phone line
Windstream (Houston area) charges about $16 a month for just a basic, no-frills line. That's why I hoped to hear if anyone else had any luck with MagicJack. I got one, but something just isn't working right. May be an OE (operator error), tho!
I think it should be changed to the basic 5, and include ERs (sm)
A lot of hospitals have their med rec dept MTs (or MTSO) do ERs, as well. Those reports are usually sort of a combination H&P, OP (minor procedures) and/or DS--more detailed than clinic SOAPs.
Acute care basic 4
Please refresh me on what the acute care basic four are. Thanks to anyone who can jog my memory.
I'm 45 and have done all types (sm)
of transcription. I did formal training for MT in 1998, after my training I was doing pretty well. Now that I am getting nothing but leftover, terrible dictators doing medical transcription, I make more money doing general transcription.
NOT planning on taking on anymore medical dictation since the offshoring got going. It has been a nightmare to find decent accounts, companies and decent dictators in the last year or so.
How come whenever someone types a lot of
lines in a day it is considered cherrypicking? I just finished my shift for the day and had 3897 lines. Did I cherrypick? No! I can't see what work I'm getting until it shows up on my screen. I worked a total of 11 hours with my 3 breaks figured in. Yes, I did work 2 hours OT but they asked for OT so I sat and worked. I can work steadily for 3-4 hours and then get up and stretch. I had no normals except the ones that I put in myself for the doctors. I've been doing the same accounts for about 8 years and have tons of "normals" for a lot of the doctors. Once in a while they will change their wording to throw you off course. The only doctors that slow me down nowadays are the new residents who must talk for no less than 30 minutes for each patient. Out of the 132 charts I transcribed, I had about 65% ESLs. Just because some people type a lot of lines in a day does not mean that they are a cherrypicker.
That's one of the things I hate about some nationals. You should NOT be allowed to see the other line counts of your fellow workers because all these accusations happens. If you see someone with a constantly high line count, you automatically assume they are getting all the "good" doctors when it is not the case with a lot of people. It may be true in some cases but you're lumping everyone with a high line count into one group.
There are these types in QA and in MT, too.
NM
The basic 4 are discharges, op notes, H&Ps and consults. Sometimes
referred to as acute care.
Sorry, an "MT" should never make such basic mistakes,
FLAME AWAY.
You can start very slow and not even do all of the basic video
start off every other day doing the video and on opposite days, walk one mile. I also changed my diet to high protein and low fat with lots of fruits and vegies. I lost 50 lbs starting like this and after only 2 months, I was doing the full more difficult video plus doing 5 mile hikes 2 days a week and an 8 mile hike a third day a week. It only took 4 months total to get to where I wanted. At age 36 I was looking better in a 2 piece swim suit than most 20 year olds! You CAN do it! Make your goal getting into shape, not losing weight. You'll be more successful thinking about it like that!
you fail to understand basic economics
the market will pay whatever the market will bear. You say "if all IC's set their pay scale like they should have in the beginning, the MTSO's would have to pay it in order to get their work done and would have to charge their clients enough to cover the costs." What you don't understand is that MTSO's don't set their pay scale either. The physicians decide what they are willing to pay and if you can't bid into that range, you don't get the work. When India came in to the picture, the entire pay scale dropped. Therefore, MTSO's must charge less if they want the work. Therefore IC's must accept less if THEY want the work... and so on down the food chain. 
Did you look at the margins and formatting and see how your basic template is set up? Never had this
s
The basic Stedman's package is great and they you
s
The accounts we are hiring for right now are for basic 4, oncology and sm
multispecialty clinic. We do not have any radiology openings as of today but if a contract is signed today that is expected, that will change.
Although I understand the basic premise of your post ...
I can't totally agree with your viewpoint. Yes, we should all appreciate any constructive feedback that we receive from QA. It helps us to improve our work process and refine our ear. A true professional is always looking for ways to better him/herself professionally.
But I have to continue to contend that the NASTINESS that some QA people think it's their privilege to throw out is neither necessary nor professional. They're not editing our work out of the goodness of their hearts. They get PAID to do it, and we shouldn't have to bear the brunt of the frustration that they have for doing a job that they're getting paid to do.
Do you do basic 4 for a hospital or clinic work?
``
so who types it? they only way around that would be to outsource
and that seems ridiculous.
skin types
It does depend on the skin type and the type of laser machine they used. Many of them do not do darker skin. They all do tend to work better on lighter skins. I have dark hair due to a hormone imbalance my whole life since childhood. Dark hair on my arms, etc. Some laser brands of machine are better than others. Let me know if you decide you want information on the one I work for or I can give you the name of the top selling laser brand out there that I would recommend from what I know.
you can ask these types of questions
such as laborlawtalk.com
There are different types of USB pedals
There is Olympus, VEC, Infinity, many, many. Look at the bottom of your pedal to get the code. If it is an Infinity, you will see something like IN-USB1, or IN9B (for 9 pin) or IN-DVIUSB. All the Infinity foot pedals work with ExpressScribe EXCEPT the DVI because it is a higher technology than is compatable with ES. Run the foot control wizard on ExpressScribe to help it locate the foot pedal and recognize it so you can use it. You may have to try all the COM ports on the wizard before you hit the right COM port and the foot pedal is recognized. My Infinity foot pedal USB1 is recognized in ES as the _VEC_ if that helps you.
I have had to do the hand control thing and it is very frustrating and can make the test take 4 times longer than with a foot pedal.
There is a whole list of these types
of things I got through my MT training classes. To make the ' over the e in debride, you would do Alt + 233 on your number pad. Let me know if it works. good luck.
Others have other types of jobs?
 Hi everyone,
Do any of you have other types of jobs besides MT, QA, Editing, etc. like me?? I just started another type of job for evenings to help out financially, and I like doing so. I still do my main MT thing, but the other one is actually fun for me, and not just slaving away all day at a computer!!
Work types
Has anyone ever quit a position because you get work types you were assured you would not have to do? I absolutely despise discharge summaries and was told upon hire that I would not have to do them, there were plenty of other reports I could do, now I get big chunks of DS throughout the day, I never have liked them, I lose about 75-100 lines/hour doing them. Does anyone else have this problem? I am not a newbie, I just do not like discharges and get a real mental block, I think mainly because I get so tired of sitting while the dictator is trying to figure out what to say.
|
