Could you be in the wrong profession? Nutz is a pretty bad price to pay.

• When you have a QA person that is picky and another QA person that is very lenient where does that - MTPA
  • That just irks me to death. - buy local
  • They should ALL go by the same guidelines. - sm
    • If you MUST have QA on staff, they should all have guidelines, be it BOS - Becky
      • Becky you work in a great place. With no one hovering, I bet you get a lot more work done w/o agoniz - MQMT
    • Do you honestly think they do. I dont. I dont think some of them can even understand some of the - MTPA
      • When I have sent questions to QA they come back blank. QA couldn't understand either. - MQMT
        • Yes, these random QA reports now being done by MQ are being done by QA people that dont even QA the - MQMT2
      • Maybe some, but I do. However, I have MTs that don't and GUESS at stuff. - Drives me nutz!
        • Could you be in the wrong profession? Nutz is a pretty bad price to pay. - Is the pay worth it?
          • The pay is really good, but the stress so-so! - sm
            • Is QA supervisory? What were your qualifications to get into QA that leads to supervision? - QA Questions.
              • The position i have is supervisory..i am QA/account management. - sm

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I know there was a post about this yesterday, but I did not want to taker hers over.  I am just wondering if I can really do this.  I have been doing this 3 years and have been at the same company.  I just got back 5 reports this morning that just have me almost in tears.  Granted, some of my mistakes were stupid and should not have been made.  But, others that were sent back to me I really have issues with.  Some of the "mistakes" were not typing "Jane Doe" in the report instead of typing "the patient," which directly goes against my account instructions.  Also, was told not to expand an abbreviation in the diagnosis section because my account is verbatim.  I just do not agree with this!!!!  Plus, had different instructions on the same thing.  The QA is totally inconsistent, and let the QA manager know what I thought of some of their changes. 

I do think that I am a good MT.  I have a new position starting with a great company soon, and I just want to know that I really can do this!!!  Any advice??

What the bleep do you expect US citizens to do?  Overthrow the government?  It's the friggin LAW the politicians made. 

Regarding identity theft - ANYBODY can steal your identity.  It doesn't have to be someone overseas.  Welcome to the real world.

So I should get a hobby so I won't care, like you?  A hobby isn't going to pay the bills.  I can't afford a hobby because in addition to working for a living, I also have to study in a different career field in my spare for fear that eventually transcription will be strictly an offshore operation!

unless you continue to allow the "price" to be extracted from you.  There are companies out there who value what you have to offer.  Sounds like it is time for a heart-to-heart with your current company regarding at least being adequately compensated for doing all the crap dictation (believe me, they KNOW you are doing it) and if that fails...MOVE ON.

I feel for you and I hope this helps but if you continue to allow yourself to be used/abused to the point it is ruining your life...sorry but don't look to me for sympathy, you DO have options and working at Mickey D's is not the only option.

I know my prices sound low but it is gross line and a letter is counted from the date to the signature line and blank lines count.  That is the way that the company did  prior to me taking the account over, very upfront about it and I continue to do the same and everyone knows about it.  So that is why my rate to them in .115 per line but it adds up as they are surgeons.  They prefer looking at the lower rate per line.  I know it is the "old way" of counting lines -- use word and take the total amount of lines and that is my line count.  Now you know why I don't want to give up this account.  

To me it seems a little low, depends on if you get a lot of consults or if it is just patient notes.  Psych consults can have a lot of tests that take a while to set up in a template but once set up, as long as the dictators dictate them the same way, you can use them.   My psych account I do for 11 cpl gross line and we have just converted over to digital.  Used to pick up and E-mail back.  But I do not have 24 TAT, I pick up on Th/Fri and have to have back by Weds night.  Also depends on how may dictators you have and if you can do normals, templates, etc.  Also each doc could want the same test set up differently.   But you have it now, see how it goes and go from there.  If you find it is too low, tell them and up it.  Again, depends on if it is chart notes or consults.   Sounds like you will be having your hands full to say the least.  Congrats and best of luck.   I do two psych, one for ADD children/adults and one that does a lot of consults for traumatic brain problems/cognitive and voc rehab.   

Patti

somewhere around 11 would have been fair.  Of course they say, you only press a button and it pops up. I had a doc tell me about how he dictates the same paragraph with his normals and wanted a discount because of that. I told him he could just add in that part when he got the report back, since it was so easy.

In your presentations, keep talking quality when your clients are talking cheap. Show them how nice the finished product is and tell them you would be happy to work with the docs to help them make templates for redundant work so that --here's the kicker-- they don't have to dictate the same thing over and over again.  Sell that the technology is for their benefit to make their lives easier. And again, when they say the little "but you only have to" just smile and say, how about if your staff just adds that when it comes back then...

Don't feel bad about underbidding. Do a really, really good job - spend some time in the office developing a relationship so they know you are a real person. I like to take my kids with sometimes when I drop by so they know when they sign the check, it's not going to a corp but to a family.  Go high end on the service, get it set up so it works real good, then raise your rates. You asked about a fair rate and this rate is not fair to you.

Email me with any other questions. We can talk over some of your options and do some trouble shooting.

This is old, but has anyone read this??  I must research further what the final outcome was.  While I totally agree with what they are doing and why, I totally DISAGREE with their final recommendation for standardizing line counts. VBC is not the way to do it.  

About three weeks ago I began a position with a local health care company (transcribing for local acute care hospitals but part of a national chain).

We are not really transcribing, at least not by my definition (21 years of experience).  Rather, we are recording medical ShortHand (abbreviations [even in DIAGNOSES section], shortened medication names, slang, contractions, etc.).  On the one hand, they claim they want you to type it verbatim (no expansions, additions, etc.), yet OTOH they say to delete redundancies, repetitions, etc., which is hardly verbatim. We are not allowed to expand, add to, or correct ANYTHING except number and tense dictated by ESL docs, who comprise about 60% of the dictators.  In addition, certain dictated terms are to be abbreviated (e.g., "emergency room" transcribed as "ER").

The supervisor had the gall to look me right in the eye and deliver a harangue about how these are "legal documents, and we have to transcribe EXACTLY what they say."  (Conveniently disregarding the bit about deleting redundancies and the other "allowed" changes.)  So ALL of my previous employers, AAMT, etc. did it wrong, and THEIR crackerjack legal department is smarter than everyone else?!     Don't think so.  Cutting costs is the game they're playing; everyone can see that.

Excerpt from a typical report looks like this:  Wrote scrip for vanco 100, patient also to take aspirin 81 and will return next week. I don't think .... [blah blah blah]

AAMT taught me to create a complete, coherent, grammatically correct document that doesn't look like alphabet soup.  Needless to say, I don't feel good about what I am creating and HATE THIS JOB!!

I'm just curious if this is happening elsewhere.  With all of the emphasis on "cutting costs,"  I have to think that it is.

Thanks for listening to my splenic venting.

We may be going to a per page in paying our at home typists.  However, it has been a long time since I did this.  What is the current rate per page (the employer) to pay for imaging transcription??

 I may have to outsource some work to ICs  what is the going rate for a company to pay for radiology reports, I was told 1.75 to 2.00 does that sound right.  I hate doing line counts.  Any thing will help. 

Thanks