But QAing requires much more knowledge
Posted By: difference on 2009-02-24
In Reply to: I totally disagree....sm - QA : VR editing
and experience than VR editing. They can hire newbies to do VR editing, but not QA.
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If it requires that much knowledge
above the normal they might consider paying a wage for it - starting .07 cpl doesn't exactly scream you're valued for your knowledge.
QAing
Yes it is pretty much a thankless job but then so is every other job. Im fortunate to work with a great bunch of MTs. I send feedback, if they want it and want to learn thats great. If they don't want it and could care less, thats fine also, its their choice. I don't hear too many thank you's but when I see improvement in their work or things they have learned that they didn't know previously thats enough thanks for me. When you see the group as a whole score 98% or better on QA, then you know you've done your job. Thats what its all about, whatever makes you happy, not what makes other people happy or basing job satisfaction on thank you's. There are limits to my typing abilities these days due to doing so much of it for so long, at times working 2 jobs, so this has been a great alternative.
QAing
You know what?
If the dictations were not so crappy, maybe the whole OAing would be obsolete. This would save a lot of money and the MTs would be paid better.
Ooops!
QAing...
'Oh, sorry, grammar police,....but you did call people stupid.'
In 1 sentence THREE punctuation errors, what do you call this?
Unqualified.
so, if your employer is QAing
production and quality are high, why wouldn't they be able to judge your ability without being certified by AAMT who has sold their soul to large transcription companies like Medquist who offshore?
I have been QAing for about 18 months (sm)
and I average about 500 lines per hour - BUT - it's mostly clinic work, easy docs, same MTs, and super, SUPER slick software. I also use a foot pedal and move through document with a mouse. I sometimes read from the bottom up and group my docs and do all one doctor at one time if possible. I also do my more difficult doctors in the morning and the easy ones in the late afternoon or evening - if I have this option. I keep notes on common errors certain MTs make. I also don't struggle with blanks - I figure the MT has given it her best effort so I listen 2-3 more times and then just leave it if I cannot figure it out. It took me almost a year to get to this point but it was well worth it. Best of luck to you!
Should be spelled and embarrassed. Where are you QAing?
nm
QAing isn't just about medical terminology. QAs have
years of experience in the MT industry & have to know the BOS inside and out, years of experience with all different accents, etc. This is no different than when nurses assume just because they know medical terminology that they can do our jobs. There's a lot more to it than that.
Just point out the errors and duck. No win situation QAing anyone. MTs hate correction.
Sad, but true, and sooooooooooooooooooooo depressing for those of us who QA. There is no nice way to point out errors - believe me, I've tried it all. Smiley faces - trying to be kind, humorous, self deprecating - nothing works if they are one of "those" MTs who just do not take correction at all. MTs either own their mistakes, or they freak.
It was for a job, which requires me to ....sm
download ExpressScribe. I am trying to get this on there and it won't let me. To take the test, I have to have this ExpressScibe. So that is why I was trying to do it.
Editing requires a somewhat different set of SM
talents and skills, Carole. Some make more, some less, depending on that. Also, very important, depending on how the lines edited are being counted compared to the amount of work required--this can vary widely, even within a company depending on which account being worked on.
Excuse me, but VR requires the same
skill as a QA also. It would be exactly like reviewing a report sent to QA as it has to often times be corrected for grammar, punctuation, spelling, words, etc.; just as if an MT had sent it in for a question.
That doesn't even matter if the DOJ only requires your
SSN and address. The criminal background checks aren't coming from the DOJ. The MTSO or national is requiring a criminal background check. That's their prerogative. You either submit to the criminal background check, or you look for work elsewhere. It's that simple. There is NO law requiring background checks. It's not a violation of privacy because you agree to it before it's done. As the other poster said, what's wrong with it if you've got nothing to hide? Many times, you're getting a computer and access to people's private health records. I don't want a criminal having access to my medical records.
Co. requires outdated version...
Trying to get started with Focus and they require Microsoft Office Professional 2003. I cannot get this from a reputable company. They tell me that 2007 is not compatible with their system, but the people from microsoft doesn't see how it couldn't be. Does anyone know a legal and reputable way to get this?
I have 1 year of experience. Does anyone know of another good company that willh hire PT with this experience. Thanks.
If the law requires that a patient's record be
protected by HIPAA, and HIPAA laws have no effect overseas, wouldn't it logically be a violation to send the record overseas?
Only if your city requires it. I work as an IC
and my city does not require a business license for this.
to anyone considering going out on their own, or has knowledge of such
What is the most difficult part of the process, whether it be finding a physician, figuring out a program for the pc, getting a legal binding contract. How much is the start up fee.
I have been considering this for awhile but to be honest i'm just too lazy. BUT, the thought of making around 11-12 cpl, having only one or two docs that I know like the back of my hand where I can make tons of macros, tons of money and work less, is so appealing, that might jump start me. Am I seeing the big picture here or just dreamin?
Not to my knowledge.....
Dianna -
I use Lanier VoiceWrite EX daily and unfortunately, the Lanier "undertones" are such that you cannot use anything else besides the VW Ex, as the main station or server "reads" the remote unit and you have to connect digitally before it will even let you into the system. Some companies have interphase software that will do this (not familiar with it myself) but I have not found anything personally compatible with Lanier except Lanier. I used to use a C-phone and loved that I could check work remotely or even re-record but with Lanier, I have not found anything else to work except the actual Lanier equipment. Maybe someone else has found a solution, but I have not heard of one.
Best of luck to you !
I am an A.R.T. Cant take away the knowledge.
nm
To my knowledge
xx
To my knowledge..
A hospital sitter must be a licensed nurse, usually private duty.
My question is why do you want that kind of pressure in a job that requires you to
work 80 hours a week? If working 80 hours is part of the job at any given time, why would you want it?
Becoming a nurse requires education and certification.
MT does NOT. A flying monkey could become an MT with a little training. Some people make it sound as if we're doing brain surgery here. Honestly, we are glorified typists. Anyone who thinks it's more than that is just trying to feel better about being a medical typist. I get slammed all the time for this opinion, but the harsh reality of it is that this is NOT a difficult field to get into IF you have the proper skills. Don't slam someone for being a nurse and wanting to transition to MT. She has more education and certification in the medical field than we do. As long as she has good grammar, spelling, research, and typing skills, SHE WILL DO GREAT!!!! Why do people have to be so egotistical and negative on these boards? We ought to encourage newbies getting into the field instead of telling them it's too difficult or they aren't qualified. Hey, let's just alienate all the newbies and send the work overseas to people who don't have EFL skills.
You need Microsoft's Word. It is a program that requires
installation. The account sounds good at 13/cent a line. Better invest in Word (costs a bit) unless you have a kind friend who will share theirs with you.
Thanks for all the info. I will check and see what my State requires(nm)
xx
PA requires you to charge sales tax on your work...
if you send your completed work to a MT company or doctor within PA. However, I send my work out of state, so I don't have to charge sales tax and I don't need a license. I had asked someone at one of the companies I IC for and she said that she had heard of that before from one of the other girls. When I lived in WA state, I had a business license from the state and had to file every year. The sales tax thing was a real shock to hear at first!
This is a very serious situation that requires medical attention
Believe me, it will be worth it. You need a slow steady six month wean off that powerful medication or your body could possibly seize up with an abrupt withdrawal - and that needs to be monitored by people who can help you.
I took Klonopin rx'ed for a year to help me sleep. When stress factor was removed, I tried to stop it and nearly went crazy literally. It sends you into a state that is highly agitated and your thought process is also going to be useless (you need to be with people whom you are safe with, people who know you). Tinnitus is one symptom that I experienced which was at a high decibel. Had I the ability to get away from work, I'd have gone into detox but instead, i cut pills up over six month period and weaned - even with the wean, you see, it is nearly unbearable. Oxycontin is being considered to be pulled off the shelf because of its highly addictive nature. When prescribed for over a two week period, providers should tell a patient what to expect when they want to stop the med; had I known, I would never have taken it. In the end, I appeared to be a drug-seeking individual when I was only in a state of anxiety due to the state my body and mind was in and could not tolerate it - leading me to beg for just one more prscription to get me off that monster of a drug.
Please, find another physician, possibly a psychiatrist as they are familiar with this, and get a regimen that will cause the least symptoms if you cannot go into a 30 day detox program.
I need help in MS Word. I have a new doc that requires almost every page to have different margins.
I used to have an account that we could type Control and L and that would make a page break with the margins for a letter. I don't know how to create this. I looked into macros in Word and am totally confused and have no idea what to do.
Can anyone help me figuer out a way I can assign Control and L for the letter margins and control P for progress note margins. I'd really appreciate any help
The plural minutes requires "were". If he had said....sm
A period of 45 minutes (the singular period would be the subject thus requiring was). Also, it would be the possessive Dr. Smith's
This won't keep records in the US. It only requires "written notice" - sm
I support this law, but only because it's the only game in town on this issue. It does not prevent private information from going offshore.
The "written notice" will be buried in the legal gibberish of patient privacy notification forms that they're required to sign - in Section 18, subsection 49, paragraph M, subparagraph 27. And, it will be expressed in terms that sound a lot better than sending your information to Bangladesh.
Ditto, credit cards. This notice will come in one of those gosh-awful "notice of changes to your account" things that we get from time to time and that no one can comprehend.
As a matter of fact, this law might actually cause more records to go offshore because it presumably provides "cover" for any company that complies with this extremely weak requirement ("notice"). All they gotta do is sling some of legalese past you, buried in pages and pages of other legalese, and they're home free.
Where I work requires average of 1200
lines per day for a 2-week period.
You're right .. and here's 1st-hand knowledge -- sm
I start med school (been an MT for 24 years) August 2006.
One of my classes last semester was Intro to Medical Practices. I especially inquired about pro bono work by all the physicians and dentists who spoke to the class as guests each week. All gave significant amounts of their practice to pro bono work.
One physician in particular impressed me. He is a cardiovascular surgeon. His main area of expertise is doing cardiac bypasses. To make a long story short, because of insurance changes (MCare) over the past few years, he only makes about $650 per bypass for his own pocket and that is gross. Of the $1850 MCare and insurance companies pay him for this procedure, it costs him $1200 in overhead for that procedure. Until last year, he would often do the procedure for free for patients who could not afford it and had no insurance. However, for 2 years he had to BORROW MONEY to pay his OVERHEAD because he did so much pro bono work. He finally decided he just could not go bankrupt doing that. So now, he STILL does HIS PART for free but the patient has to pay his overhead. He tells them to call their family, friends, churches and if they have the $1200 for his overhead, he will donate HIS skills/time/energy for free.
The physician (maxillofacial surgeon) who directed this class said his annual pro bono work runs around $250,000 a year.
As well, while dentists recoup 95% to 100% of the fees charged for their services (they are ALWAYS getting their money up front), physicians (with the exception of cosmetic plastic surgery) only recoup an average of 31% of their fees. For every $1000 they spend on a patient, they will only get back approximately $310 and must write off the rest.
Now that is INSIDE information - direct from the physicians and dentists we had in class. I was shocked. Not deterred, but shocked.
Regarding that lovely cardiologist who gives so much away, take into consideration that the $650 for HIS skills/time/energy for ONE cardiac bypass -- he invests a total of 12 to 15 hours for that one procedure (that is WITHOUT complications happening) including his consult/operative time/followup visits, hospital rounds, etc. That comes out to about $54 an hour -- and plumbers and electricians around here make more than that. My Ford dealership in town gets $76 an hour.
And now, since we are starting to do bypasses endovascularly through the femoral artery, he has to really put the money down for more education to train to do this or he will be out of business shortly.
Interesting huh?! When people make comments to me about my future as a physician as a way to "get rich", I tell them not necessarily so!! LOL I'm not doing it for money! You couldn't pay me enough to go through all this at this time in my life!! LOL
And would it not help if you could spell knowledge???? nm
:)
Because it's such common knowledge.
But by all means, give them your money and prove it again if you like! I was just trying to help you.
knowledge of med term a plus
knowledge of medical terminology is such a plus in the medical field. try applying to a hospital as a unit clerk or a receptionist in a doc office. it is good for the mind to get out there and see people again. maybe you will realize how much you have missed.
Gain knowledge sm
I think I addressed this before, you cannot get enough knowledge to put in your bank. If they are willing to pay you, soak it in like a sponge. It's hard, I wanted to quit so many times but I went from "duh" to "diva" by blood, sweat and tears. It's worth it, hang in!! Knowledge is power.
more knowledge needed sometimes sm
You have to be aware of all body parts (anatomy) as well physiology, etc. in all specialties because you may have 50 discharge summaries from many specialties, not only a few, in one day You also have to have the ability to pick up on abnormal lab values (or you should), etc., as you don't want a totally erroneous value to go through without questioning. After you get through the chief complaint, history of present illness, review of systems, physical exam, etc., then you get to the lab and x-ray findings. When you get to the summary, you will be working in terms of what is wrong with that particular patient, know the drugs and dosages, etc. With acute care, you may get H&P's, discharge summares, operations (difficult at first) and consults (many different specialties) all in one day's work. Others may not agree with what I just said, but in a nutshell, you have to be fairly well rounded in your knowledge of anything that may come your way in the basic 4's each day as well as psych reports if the facility has a psych ward,, etc., Also., if the facility has a rehab department or other speciality floors, you will have to learn them as well. If you are a dedicated learner, you can do it, you just have to be willing to work hard. I would say it took me several years to be really good at it and it is well worth it. In todays world though, I am not sure, it seems like there are a lot of unhappy people on these boards. Just be positive and if you love it, you may enjoy it. Acute care covers many specialties and is just that, "acute." requiring hospitalization. Hope I didn't discourage you, it's challenging. If you work for an MTSO, they may be willing to give you one speciality at a time (although I doubt it). Radiology is usually in it's own department with it's own staff and dictation. Hope I didn't confuse you even more, just trying to help here.
It seems there's always someone on this board, with no knowledge of their own , who - sm
insist upon arguing with anyone offering tech support or advice. It happened earlier in the AV thread where one of the participants obviously didn't have a clue what they were talking about yet insisted that everyone else didn't know what they were talking about.
It seems to be rather common in the MT community to be able to speak much and listen little. Very sad, actually.
I won't work for a company that requires me to pay long distance
After getting reamed over by one MTSO who verbally promised to pay my unlimited long distance bill and didn't. I have no use for long distance because I use an inexpensive calling card or the Internet.
Company requires a C-phone. Will a Lanier Lx-219 work as well? sm
What is the difference in a Dictaphone, C-phone, Lanier LX-219 and Lanier Expresswriter or Voicewriter?
Thanks!
Vonages requires high speed internet...
so you would need either DSL/cable or broadband. I have broadband and hooked up to Vonage for 2 months for C-phone use. The audio quality was frequently poor and I would have to reboot. Some days I would just hook up to my home phone line to avoid the hassle. The kicker was when I went to disconnect this month, they charged me $97 TO CANCEL! Its all in the fine print, apparently.
My audio problems may well have had to do with broadband/satellite service more than anything. If you have cable/DSL it may be worth a shot, but know that if you cancel after their 30-day trial you are going to pay! 
A macro shortcut requires that you strike 2 or more keys. nm
nm
If there's any question on my knowledge in these matters,
I am a college educated and certified computer technician who has been in the technology field for 20 years now. FWIW, Atomic Clock Sync has rave reviews from PC Magazine, but merely synchronizing your computer clock doesn't fix the underlying problem. If the battery on your computer's motherboard goes completely dead, your CMOS settings will go byebye, which is a royal PITA to fix.
http://www.decosystech.com/Techsupport/Batteries.htm
I know several MTs who are being paid high $$ for their knowledge... Sure is (sm)
something to think about!! With IC you lose your flexibility and punch the 9-5 clock. Maybe if your kids are in school. Mine are still little yet. But I definitely am keeping that option open, taking a few courses along the legal line.
New clients with no computer knowledge
I just landed a new awesome client because they were desperate. They didnt even have internet! I talked them into go with a DSL line, I bought them a digital recorder (with USB connector)..I had my computer guy write a script. all they have to do is plug the recorder into the USB connector, press a button on the desk top (that has script written by my computer geek) and it automatically sends it to me...the files are sent back, they press another scripted icon on their desk and VOILA they have the work back. They have no idea what they are doing either....but they are learning slowly and I have a great new account (all mammograms and ultrasounds 2 days a week)
I LOVE IT!
be armed with knowledge and documentation
Along with sending all employees W2s, a copy of every employee's W2 is transmitted along with a W3 with the totals of FICA/MED and Fed taxes.
The problem probably arises from what was sent in to IRS and Social Security that raised a flag. I really don't think that the SE part set off the flag. MQ might have tried to do a switch-a-roo and sent in a 1099 with the transmission. After you go in for the examination, this will probably clear it up. When I was with MQ, they sent me a W2 and a 1099, and was always leery of this but never had a problem. I left them in 2000 because of lack of work but always wondered about the dual reporting.
I speak from first hand knowledge...
and I never said she didn't love the boy, but rather not in the traditional sense. You know the kind where you actually take care of your kids. I won't blast all that on the internet. I'm just saying though that I only speak from what was actually done, not by assuming something heard through the media.
Physicians are willing to share their knowledge with (sm)
anyone who will listen. They love young bright eyed students. I expected the MT world to be just like medicine.
Why is cost the only issue? It is unprofessional to only think about money. What about pride in the profession and wanting to share knowledge? Isn't that how professions advance and grow?
I am surprised.
Approach homeschooling with knowledge. sm
I have family in California that homeschool their children, and it is wonderful. The mother has an education, sets up great courses, and the support network there is absolutely fantastic. Sports, music, field trips, clubs, they are all available. They couldn't get a better education anywhere, and the socialization is absolutely great.
However, I had to homeschool my son last year for health reasons, and there can be real problems. He is an only child and was left out of all the school social activities. Unfortunately, there is no homeschooling network in my area, the nearest one is 150 miles away, so there were no field trips, sports activities, etc. We live in a small town, and not much is available outside school. It took him 2-3 months to get back into the social swing in high school. Fortunately he is very well adjusted, and turned out fine. Be sure the pieces are in place before you homeschool. Otherwise, you will be the only support your child has, and it can be almost a full-time job, especially if you have to start your own organization. I highly recommend homeschooling if you are in an area to do so. It can be a great experience and children can learn so much faster than in the public school. Good luck.
Good knowledge you passed along. nm
t
knowledge increases productivity
My productivity is up and down. I have found that with doctors and report-types that I am use to typing my productivity is higher, with new docs and new/rarely typed report a lot lower. I think only knowledge can increase your productivity, when you can anticipate what the doc will say next because you have a true knowledge of what you are typing. (please excuse typos.. I am on a quick break)
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