EMR - Just found out today that one of my biggest accounts has gone to EMR. SM
Posted By: MTSO on 2006-12-05
In Reply to:
They have started using an EMR system this week and are phasing out of my service. This is a big chunk of my work. Guess this is a sign of what is coming. Wonder if it is just a matter of time before the rest of the accounts follow suit!!!
Too bad!!
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I just found this one today:
http://www.fpnotebook.com/index.htm -- has already been useful in finding OB phrases I'm not familiar with on my new job.
Also use the word board at thegreatdictator.com a LOT - it is GREAT.
Rxlist.com for drugs, but actually prefer this one: http://formulary.prescribingreference.com/
Google, of course
mt911.com - for doctor searches and lots of other stuff
http://mtresourcez.tripod.com/id21.html -- sample procedure notes
http://www.innerbody.com/htm/body.html -- anatomy
http://www.acronymfinder.com/
usacitylink.com -- for finding names of towns.
HTH!
I have found that when you switch over to other accounts that have a full staff then you have no
work anyway because the main people have the account and if they have had it for awhile it seems the clients like that. Sometimes best to hit a new account when they get it to start from scratch. Many times if an account is full of MTs they wont move you on it.
Update..bought computer today and Dell and found out it couldnt get here as fast as I needed it so I
Got the same computer for like $400 less and they'll ship it out tomorrow. Should be here in 4 days..Same everything including warranty. Try Ebay.!!!
How about zillions of accounts. MQ has these accounts so overloaded even the new hires dont have any
work. I would love to read some of these reports and then they expect perfect QA and no blanks. Did they lose their minds completely.
The biggest thing I like is---
They are FLEXIBLE. They don't call you up if you are in the bathroom to see why you aren't working. As long as you do your work, they don't bother you or restrict you to a strict schedule. That was a big turn-off for me when I talked with Spheris.
My biggest issue too. (sm)
Not only that, but I finish the part I wanted bolded, return, return, and use a shortcut for the next heading, and it changes that one to bolded. Grrrrr!
biggest complaint
would anyone else say that the biggest complaint as a Transcriptionist would be leg cramps and back pain? and what suggestions would you give to help?
Does anyone know what the 3 biggest MT companies are? nm
nm
Biggest Com;pany
Spheris may be #1 because they have a huge Indian work force now.
Biggest pitfall of being an IC
is no guarantee you will get paid. See post below about MTSO not paying.
One of my biggest pet peeves, since most of
HELP with Shorthand. Suddenly today when I tried to start work today.sm
my ShortHand would type only the first letter of an expansion and then take all the letters away! I checked and the Type It button is grayed out! I have restarted the computer and looked on the Shorthand Help menu but can find nothing that applies. Can anyone please help me ASAP? I am lost without it! TIA
Perhaps you are right. This one is dated today. The original article was on Yahoo today also with
But this article states it would only affect new customers right now. So I am upset over nothing. I went through heck with BellSouth when they charged me a surcharge of an extra 50 a month and then would write a letter saying I had to switch to a long distance service and pay by the minute because of my "excessive" use. They told me the unlimited charge was for an average of an hour a day not somebody who worked out of their home and I needed to switch a business plan at over 200 a month charge. I switched over to cable because of that and then to read that cable was going to charging on a per use fee and not a flat monthly fee it upset me. It is the nature of our work, VR, only paying for VBC, having headers and footers taken away, now being charged for being on line, etc. It just seems that everything is done to keep to insure less money.
The biggest pro for me is the TOTAL flexibility...
As long as I get the work done, I can do it when I want to without being chained to my computer.
Plus, I don't know why you think ICs net 50% less than if they work on an employee basis. I've worked as both an IC and employee and, although I don't have benefits, I make much more as an IC.
Thanks. That is encouraging. My biggest concern is
visiting family at holidays and other times. Do you bring some of your own food or just pick and choose from what is offered? Or do you go "off the lifestyle" and then make up for the damage later?
I never understood why NASCAR is the biggest
to watch cars go round and round and round and round for hours, days, weeks, months, years.......I get the gambling side of NASCAR but I don't get that it truly is (and IT TRULY IS!!!) the biggest spectator sport out there.
About $65 a month, but the biggest expense is
You have to purchase the equipment and pay for installation. The dish weighs about 75 lbs so if you don't want that weight on your roof, you can have it put on a pole in your yard and that's extra. Plus they charge to bury the line from the pole to your house ($3.25 a foot - I buried it myself). All total for me, including first month's service over $700. But, hey, when that's your only option, what do you do? There may be a company or something where you live that 'rents' the equipment for a small extra monthly fee - that's how we do our satellite TV so we don't pay for repairs. Satellite internet is not as fast as DSL or cable, but is still much faster than dialup. Plus, if you're an IC, it's all a tax writeoff. Hughes Net customer service stinks big-time and if you don't like them taking the monthly charge directly out of your checking account, they charge an extra $5 a month to mail you a bill. They know you have no other high-speed options and they have you over a barrel - so they stick it to you every way they can. 
But these are hospital reports from one of the biggest
ones here in Atlanta. At 1 time it was no name and change to the patient and now, all 4s, when the dictator dictates their name, you put the name. I know darn good and well they supposedly go along with the HIPPA or whatever the initials are because when it first came out they were given out and we had to read. These are definitely not clinic notes.
That's one of my biggest fears -- my heart goes out to you. sm
I volunteer for a local food back through United Methodist Open Door. They do not provide money for rent or anything, but they will give you some food and a referral to other agencies that provide assistance. They do ask for proof of income, but if you are experiencing a short-term situation, they will help you. They never turn anyone away hungry. I am sure there are such things in your area as well.
I hope you find some help. I am sure it is very scary right now. I will keep yo in my prayers. Good luck to you. Hope you heal quickly.
Your biggest problem will be with OP Notes.
I would buy the newest editions of Stedman's Surgical Word Book, Stedman's Medical Equipment Word Book, and Tessier's Surgical Word Book. Those three books will be your best friends in hospital transcription.
I would also invest in Stedman's Lab and Pathology Word Book too because you'll run across a lot of lab tests you've never heard of and would probably never hear about in the clinic setting.
How does one distinguish biggest issue
I've been at this a couple of years now and still too slow. Aside from my own issuse of looking things up, getting my Expanders accumulated, etc., I am wondering how to sort out some of the technical issues.
I hear a lot of talk about platforms, but I think the one I am using is ok (what excactly should I be looking for to determine that?). Also, I noticed the computer seems fairly slow in general. I use the Internet for searches, but it seems it takes longer than it should if I put a word into the dictionary search or acronym search, and so on. (I have some books but just as slow with them and need different glasses right now so have trouble reading them.)
I am certain we need more RAM, but it also seems our connection has slowed down as well. Connecting to the server takes longer than it used to and the e-mail opens up more slowly.
On top of all that, the data screen slows me down. There is always something that causes trouble, like, if they don't say a certain thing, then delete something else and check a box ... Or, they will enter a doc's name, but it needs to go in a different field, so we have to move it.
Any thoughts on these things and tips on how to work around it the best I can? Thanks a bunch!! 
My biggest problem is the babysitting requests...
This is my biggest problem.. Every mother within a 20-mile radius thinks I am their emergency backup babysitter. I lost a friend over this. She asked me to babysit, I said no, she showed up at my door anyway and begged me to take her kid, and I refused. She hasn't spoken to me since. Several other mothers have expected the same thing, some that I don't even really know, and I have had to be very firm and stand my ground.
The biggest mistake parents are making...
is the use of Pull-Ups. Ever since they came out with absorbent (and now humungous sized) disposable diapers and Pull-Ups, kids are training later and later. What discomfort do they have to endure wearing these wonderful dry feeling comfortable garments? No more Pull-Ups and no more diapers. Tell him that the law is that they won't sell diapers to people who don't have children under the age of 3. That takes care of the visual of diapers in the store.
Just go cold turkey. Put him in underwear (and not thick absorbent training pants either) and get ready to do a lot of laundry for a while. Take him out for some really cute underwear with the character of his choice on them, and just be positive. If he has an accident just say "uh oh, you forgot to go to the bathroom" and just hand him clean dry clothing to change into. He'll get REAL TIRED of all the changing after about 2 days. There is no way on earth that a child of 3-1/2 has no physical control over their toileting, unless there's something wrong with them physically. So it's just a matter of him taking the initiative. Good luck.
Dictating on a speakerphone: One of my biggest pet peeves!!
It simply should not be allowed. It is hard enough to understand a lot of these people, and then they sound like they're speaking from the bottom of a pit with the annoying mechanical, buzzing sound quality as they "push to talk". Not to mention all the extraneous noises on top of that -- drives me nuts!!
one of my biggest fears...will pray for you sister!
;)
Oh, I found it really creepy when you said you found the flowers not so skillfully arranged on your
steps, and from your own flower bed. That's what I was worried about, having gone thru some psycho kids myself with my pups. Someone's been in your yard and in your garden and at your door without your knowledge. Its just creepy to me, and I'd still be very, very careful. Especially valid sounded the other MTs warning you about potential fake molestation charges. You just NEVER know nowadays, and these people have already turned on you big time once. Luckily (though I don't believe in luck), you had it on film to save yourself and your puppy. You might not be that lucky next time, and the whole thing just sounds very unstable to me right now. I know you feel sorry for the little girl, but probably the only time I have ever made BAD decisions regarding my life is when I felt sorry for someone, particularly kids. My son even has an evil kid in his life, but one who has a million reasons for sympathy, and I was saying how we should "be bigger" than the situation and invite this kid over to play. Thankfully, I regained my sanity long enough to remember - ever time I have done something like that on a personal basis for someone just because I feel sorry for them AFTER horrible behavior, it has always been a disaster... Be kind, but you don't have to risk your family again. Be kind from a distance. Its sorry she went thru this horrible experience, but YOU didn't cause it, and its not really your problem. But it could be your problem if this kid acts out in your life. Know what I mean?
WOOOW. You are the biggest idiot i have ever heard...GET A LIFE!
x
Trusting the other side was his biggest mistake. He should have kept himself secure.
x
Great post. The biggest gripe I have heard from available
Wrapping yourself in money will not keep you warm in old age. Just because a middle-aged man is bald or has a bit of a paunch, it is up to a woman to "light that fire". Go to it ladies.
One of the BIGGEST bands of the ྖs! Nothing lately, but HUGE back then. nm
x
My biggest fear of doing my own file or someone else I knew doing it would be to hear
the dreaded words "obese female" and "looks older than stated age!" UGH!!!!
My biggest irritant is the MT that leaves 20+ blanks in a report... SM
with the majority of the blanks being unnecessary and due to just plain laziness. They don't want to pick up a reference book or they don't own any reference books and they are too lazy to Google it.
It's almost as if I've transcribed the entire report myself!
exercise is really important; they stress that on The Biggest Loser.
nm
Biggest Loser - MTSO Edition - next season? (nm)
.
That's because NE has the 2 biggest complainers on this board daily! MQNE and MQMT!
nm
The biggest overrated Idol contestant right now is Kellie Pickler.
c
It's pure luck anymore, Steveo. The biggest bucks
s
The accounts are old and she keeps her accounts TRUSTING she hired the right MTs
who if in doubt will ask questions regarding reports. No one can find all mistakes in all reports and that is human to have a report with perhaps a typo. You think anyone reads through all the reports of a national company before they get to the hospital? Not a chance. Some random QA is supposed to correct all mistakes? Not hardly. Doctors/dictators make mistakes too. We all do. So do QA people. So the thing is this person hires good people who are trustworthy, the hospital likes the way she does their account and life goes on quite nicely w/o hovering editors/QA people. BTW, who QAs the QA people on your accounts. Ever wonder?
Does Dave Navarro have the biggest head in history. So out of proportion. Smart guy though.
His piercings and tattoes are somewhat distracting but........ he's okay. Bruce? Back in the day.
I think I found it, found multiple recipes with the same
exact ingredients so I figure this must be it.
Blasted cold out today. It was 104 degrees last week, but it's 40 degrees today with rain.
However, I do like cozy days like today when I don't have to go anywhere. I'm done working, the house is clean, there's chili on the stove for dinner already, and I'm just putzing around. I think I'll go bake some jalapeno cheese bread to go with the chili.
Not all accounts are good accounts. One
That should not be the case. Sounds like you need new accountant with strong knowledge of IC deduction. We save a several thousand on what we pay in taxes based on what I can deduct as at home IC, $2000 off the top for what I pay my child to help with office chores, as an example. The measly 7.xx% I pay that an employer would pay is well worth my independence in being my own boss.
Found it, Prolastin, also found
alpha-1
How many accounts?
My national employer has 19 accounts in my queue, though I rarely work in all of them in a week or a month. Still its too many. I'll often work 5 or 6 accounts in a single shift, despite the promise of a limit of 2 or 3.
This is a terrible business practice. If you are a dedicated MT, it requires extensive time to review account-specific instructions, not to mention being unfamiliar with place and people names associated with the different regions. It is unfair to "quality patient care" to bounce MTs into unfamiliar territory. After all, how quickly and accurately can one transcribe a record when you are overwhelmed with studying your fifth or sixth different set of instructions in less than 4 hours? I believe the substantial amount of MT shuffling is to slow us down--they have overstaffed and its to their benefit to force familiarity with odd accounts so they can do it again next time. They do phase people out of primaries and secondaries and even tertiary accounts once they become proficient. We hear the work is low due to summer slow down, yet they keep sending their "please welcome our newest recruits" memos.
And, yes, I will definitely be searching for a new company very soon.
I have 8 accounts and seriously,
they do run out of work, but I change my work hours. I know if I get on at 6:30 a.m., I will get a decent amount of lines done in about 2 hours time with the normal interruptions of kids. I usually do get back on in the afternoon to try to finish up and there usually is work for me at that time too. I was transferred to Amherst when our office closed. I have been with MQ for 4 years. It just stresses me out that people complain so much about Medquist and it is always the same people. Why not get another job????? Why do they continue to come here and complain about the same thing over and over and over again????? It is the most annoying thing I have ever seen. I agree that we all need to vent, I do too. But why remain at MQ if you are all so unhappy? Maybe finding another job with a different company will make you happy, although it seems like people from every other company are complaining, as well.
15 accounts......
Yes, but it is important that we post this information. I believe, or at least I hope, that the people at the top need to hear this.
The people at the top management levels read this board regularly. They are concerned about the bottom line. Three things affect the bottom line: production, TAT, and quality.
If you have 2-3 accounts, you will have much higher production, much better quality and TAT will be better controlled. You will make more money because you are not wasting time jumping from account to account.
I believe the problem is in middle management. They are the ones putting us on 15 accounts at a time. (I actually had a supervisor who told me she had asked the manager while she was throwing me at every problem account and her answer was...."Tough S---" Unbelievable.
These are only for MT's/accounts that are on DQS
If your account has never been switched to DQS, I don't believe you would receive a check. This somehow pertains to DQS. It appears that the longer your account has been on DQS, the larger your check would be. But this is all a mystery to us MT's. It may also pertain to certain accounts/clients that MQ had misbilled, per the law suits against them. At this point, MQ upper mgmt is keeping very quiet about this check, so can't help but think that it pertains to the overbilling that they had done to some MQ clients -- possibly we were the MT's who were worked on those accounts. BUT YOUR GUESS IS AS GOOD AS MINE about the purpose of the check, other than they had to pay back some monies FOR ONE REASON OR ANOTHER. Will we MT's ever know ????
TOO TOO MANY ON ACCOUNTS
Don't forget to call Human Resources and follow up with a written Employee Complaint with ALL these complaints. They think the complaining is only from an isolated few and won't even take things seriously until the written complaints start to mount up.
Try for your own accounts - How did
xx
Those of you that have your own accounts, what's the
best way of getting your own accounts? I have one small local account that I got from a newspaper services ad eight years ago. If I had two or three more like this one, I'd be a happy camper. I've mailed postcards and made cold calls with no luck whatsoever. I've even done intro letters with business cards to new providers on the city business license list and in response to help wanted ads. No nibbles there either.
It doesn't even necessarily have to be a local account. It could even be Internet based or via mail/UPS. One guy used to priority mail tapes to me from New York back when I had my virtual assistant/secretarial business.
Any positive suggestions are welcome. Thank you.
New accounts
It is like selling a house or anything, it takes a large volume of people to get one buyer. Even if I am not looking hard, I send out flyers every year or so to keep my name out there -- have a lot of people that are willing to subcontract for me. I also hit the smaller ones sometimes and do the rounds in the medical office buildings by the hospitals. Send flyers out to smaller cities/towns if you are set up for digital as those are the ones that are sometimes looking. Do networking with other MTSO's in your area. I know many in mine and we all network together. A lot of it is being at the right place at the right time as they often just throw our flyers out and that is why you have to keep sending them out. Offer something unique -- I cut apart chart notes and that helped with a couple of accounts. Stupid but they love it. Also accounts that use transcription services -- take them a flyer personally with some cookies -- it does work to get it to the manager's/doctor's desk it really does. I have also offered my own accounts a "finder's fee" if I get an account. Anything works. I have gotten a few through the yellow pages. But it takes time and persistence. One mailing does not usually do it as there are a lot that start up and stop so if they see it once or twice, they remember it. Good luck. Keep your prices fair and offer a good service. Patti
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