For anyone who reviews records, how do you charge?
Posted By: CalMT on 2009-04-30
In Reply to:
Many moons ago when I worked for a medical group and the transcription work ran low, I asked if I could take a stab at summarizing records for medical-legal patients. It was a nice change of pace, and the doctors loved getting out of this chore. As an employee, I was paid my usual hourly wage. If anyone does this as an IC, how do you charge for it?
I'm thinking by the hour would be the only way to go unless it were really straight-foward, i.e., reviewing reports in the order received, date of report, name of provider, basically copy typing test results, diagnosis, and conclusions.
Some doctors might ask that the HPI, PMH, etc. be read through, looking for discrepancies in the history or pre-existing similar conditions and commenting on that, which can take a good deal of time to do to come up with a short line indicating no discrepancies, making cpl not the way to go.
I know different areas of the country would charge different rates, so I'm not looking for specific charges but a general rule of thumb, if there is such a thing. If you charge by the hour (or by the line), how does that compare to what you make per hour (or per line) doing straight transcription?
Thanks for any input!
Complete Discussion Below:  marks the location of current message within thread
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
okay, york hospital said they had delivery records, but no prenatal records. sm
they had no idea who she practiced with or anything like that and of course SIL doesn't know any name other than Freundel. i am also a midwife besides being an MT and in order for me to take her given her bicornuate uterus, i have to have her records. i guess delivery records is better than nothing, LOL, but i have to have her prenatal records. i wonder if there is a clinic there or something that med students rotate through. i couldn't even find ms. freundel on AMA, but she may not be through with her training yet either and that is probably why.
patient records and prisoner records
Does anybody know if our USA prison system is keeping prisoner records in the good old USA, or are those records offshore outsourced too? I am just curious because it seems to me that law enforcement in general does not offshore records, and I was wondering about prisoner records? If anybody knows, please post. Thanks in advance.
Charge what the credit card companies charge when they don't get paid on time!!!!
Audio hour charge - what is fair rate to charge company?
REVIEWS FOR FAILURE
The things being taken off on for the review is pathetic too. "During this hospitalization" being marked wrong because the reviewer states the dictation said "during this hospital stay", etc. and so on. These so called reviews are jokes. We are educationed professionals and don't appreciate slave driver tactics.
Mixed reviews
I can't speak for all of them, but my experience was that while they help in terms of lowering interest, you are still going to be stuck for years and years because that is the name of the game with credit card sharks...
The politicians have made it even easier for the cc companies to "enslave"
people by making is really really hard to declare bankruptcy - and there are many legitimate reasons for filing bankrupt. NOtice how minimum payments went up right after that law passed? It's no accident.
You can usually tell which companies are professional and which aren't... but pay close attention to the fees you are paying them to cut your interest... They get a kickback from the credit card companies on top of that fee - make sure it's not out of bounds. Good luck (free advise: cut up all cards except for one!).
WEBMEDX - reviews?
Not enough work at my current job - need a company that offers ER-only work. Anyone work for them that could share an opinion? Would love also to hear how much they pay. Thanks so much!
Thanks. It seems to get such good reviews..
It is slowing me down so much, but now I have to start all over again. 8( oh well....
Check reviews.
Horrible with both suppliers. Law suits, etc.
PEER Reviews
Has anyone ever been through a PEER Review? I have a PEER review on Friday and am not sure what questions will be asked. The position is for a part time data entry clerk in a Diagnostic Imaging Center. Any info would be appreciated. Thank you.
Doubt you can charge 15 cpl for VR work to the docs - you can't even charge them 12 for straight
x
Also try www.makeupalley.com for reviews on beauty products;
Well, I've heard rave reviews about (sm)
The Surgery Word Book too. I'm thinking of make it the next book on my wish list. I recently purchased the Stedman's Medical and Surgical Equipment Words, but from what I understand now I should have gone with the Surgical Word Book instead. Oh well, never can have enough books can we? 
I have found great reviews on Kapersky. Do you know if...
they offer a free trial? I just downloaded Webroot Internet Security and it's "supposed" to be pretty good. I've got it free for 14 days. Thanks!
Hourly wage for Med Rec Reviews in Cali
It's been many years since I've charged for med record reviews and have no clue what the going rate may be. They are for QME reports. Anyone have any idea on what would be fair to both parties? Thank yew!!!
I think the amount of work sent to QA is is very bad idea to limit that. I can understand QA reviews
but to limit the amount of work to QA to get a bonus which is my understanding will cause people to not send things to QA when the dicator makes an obvious error and you dont want to chance correcting it. There are extremely bad dictators and depending on where they are dictating the noise can be horrendous on the phone lines or cells or whatever they are doing. My goodness, you have an attitude.
you don't have to charge $60/HR - all you have to do is charge a good rate and then..
work smart, not hard. If you have a great dictator, charge him 14 cpl on a 65 char gross line, then set up your templates and word expanders, you can make $80/hr. But you need all three to work together, otherwise you might only be making $60/hr. Some people are just really good at what they do - shouldn't they make more if they are more productive?
I'd still charge by line, just charge a lower
rate, like maybe 8 cpl. Do you have to pickup and deliver work? You could also setup a one-month contract until you see how it goes and then you can figure out the best way to charge and go from there. You could also charge a flat rate per page and keep it fairly low.
One office I charge .12, another I charge $2.25 page--nm
//
Yes, you can get the records. sm
First of all, let me say congratulations on getting out of a bad situation. I've been there and done that, and I know that it's not easy. Everyone seems to think that it's just an automatic response to leave, and no one seems to understand why a spouse would stay after something like that, but unless they've been there themselves, they just don't understand how hard it is. So {{big hugs}} to you and stay strong.
Now, as far as the records... yes, they are public and you can request them. You need to know the names of the towns/cities where he's lived and where he may have been charged before, and then simply call the court clerk there to request any and all documents.
As far as him having scratched himself to try to show you were the aggressor, I wouldn't even worry about it. That's a common tactic that abusers use to try to shift the blame. It won't work. He's not as slick as he thinks he is.... anyone who's dealt with abusers before knows that this is a pretty common trick that they use.
Please, stay strong and keep yourself safe. I've been there, and I know it's not easy. You were with this person because you loved them, and that doesn't just magically disappear once they hit you. It would be much easier if it did. Try to prepare yourself for the inevitable crying, apologizing, swearing he'll get help, etc. It can all be very believable and convincing, but trust yourself and your instincts, and if you need to talk, I'm here.
Can top that... in my mom's records
the pt is a 52 yo woman of "advanced age"... it put about 10 years on her when she read it... I don't think she would have been near as upset with the doctor if he had performed the wrong surgery as she was about that one....LOL
Even if ALL records are on EMR, there will
still be a need for MTs. For facilities not on VR the reports still have to be typed and the ones doing VR need editors. An EMR does not mean there is no need for MTs, just means that the records will be computerized for easier access.
I have also gotten my records for sm
hospitalizations for a chronic illness (all 64 admissions) and the records are a mess. But its not with BOS errors, it is with gross medical errors!!!!!
I think the so-called standardization should be that these places hire MTs that know what the heck they are doing. The hospitals and clients can figure out their own account specifics. I have hired plenty of MTs in my career and no way would I turn a good MT away who knows their "medical stuff" but doesn't know the specifics of the BOS! Thats like cutting off your nose to spite your face which is what htese companies are doing. I think they are more worried about the BOS because the people doing the hiring now dont' even know how to do MT themselves. I guess the only thing they can relate to and know anything about is that doggone BOS!
Doctor's records
When a physician retires or otherwise closes his practice, he must offer his patients the opportunity to pick up a copy of their records, which he may or may not charge for photocopying. The original records must be kept by the physician for a period of 7 years after the practice closes.
Digital Records - SM
Most come with software and a docking station and software. He would need to dock the recorder and transfer the files to you, either via e-mail or send them to a secure FTP site. If you order it through Transcription Gear, it comes with really cool software, including a player for you.
It's not so much as my records personally....
it's the idea of a large group of United States records being sent because if they can find a way to use it against our country, they will.
What do you mean, prisoner records? (sm)
Most medical records are handwritten. All records having to do with crime, time served, etc., are computerized. Many states have web sites that allow you to access the records and see if people are still in or released. What would there be to offshore?
Records for working as an IC?
I have been fortunate enough to work at only one place now for 7 years and be happy, BUT things have not been the greatest lately. I am considering taking a position with another company part time, but it would be an IC position.
My question is, are there any special records I have to keep for tax purposes and so forth working as an IC? I know I am responsible for my own taxes, right?
Any advice or info is appreciated. I have never worked as an IC before, so I feel a little green on this topic.
and this is how our records are transcribed =(
x
Illegal records
I worked for a hospital years ago and sometimes the dictation did not come through our system correctly even though the doc knew he dictated it. We had several docs who absolutely REFUSED to re-dictate, stating they dictated once and that was it. Several times, I personally had charts out of the hospital (which would scare me now to do this) at my boss' request and made up or gleaned from the chart the discharge summary. This was an orthopedic doc that I also worked for, by the way, so I practically knew what he was going to say before he said it. Several of us did quite a few charts like this as some of the docs WOULD NOT, absolutely WOULD NOT re-dictate and we needed the discharge summary and/or op report in the report. Scary or not, we did it. Don't know as I would do it now, though.
School records
My husband works at a school, and I can verify that school records are legally confidential, just like medical records. Only authorized personnel have access. I do not ever remember giving family history information, but schools now are required to have a nurse on staff who handles any medications the child is on, etc. I do know schools are required to provide physical therapy and speech therapy if a student needs it, as my child has cerebral palsy and had to have PT. The school was required to either provide it there or provide transportation to a facility where she could receive it. I thought this was a bit ridiculous because I thought that was my responsibility, but I guess the state feels like some chldren would not receive the help they need otherwise.
Old patient records
Does anyone know when you no longer have an account what do you do with the old records. Can they be deleted because they are no longer your account or do you have to save them in case the account ever needs them? All their notes over the years have either been printed and delivered or emailed to them and I don't keep them past a year.
Old patient records
When I closed up my accounts, I always gave the reports I saved on CDs back to the clinics. After all, I didn't need them any longer.
Health records
Where can I locate the AHDI recommendation on length of time for MT business to retain health records?
If it's ok with you if your health records
go to some filthy disgusting third-world country, at the expense of your own job and livelihood, be my guest. FYI HIPAA laws are only for this country. they can do whatever they want with your private health records. It's not just fires. The QA sucks, communication barriers suck, economic consequences of MTs who have lost their jobs BECAUSE of greedy Indian MTs,.... List goes on. Go ahead and be a bleeding heart, but don't be surprised when your job security stops beating as well.
It's horrible, all old records mean nothing sm
Our docs' private practice uses this now. As patients we asked where our old records were as no more charts and we both had very serious illnesses. Told they are in the basement should they have to refer but were asking questions they should have known the answers to. It was as if we never existed on the face of the earth to them after 18 years. I'm disgusted, it's like your past history means nothing to them. I would like to slap them but I can't. Jeesh, what next? The pharmacy now connects electronically to them and we were told not to call for Rx anymore, just call the pharmacy. The pharmacy said it could take up to a week. We have to call and remind them to check their computer as we are waiting for a refill okay. Robotic! Electronic supermarket checkouts, Rx's, digital phones, no people. Even the casino uses paper tickets now instead of money coming out. It sure goes in as money though! And if it ever does come out in a ticket, you have to go to another "machine" to get the money. Don't gamble but once or twice a year and just a sign of the times, everywhere you go, no people - just robotic machines. Surgery included! Detachment from people!
Just because the records go overseas
does not mean the laws are being broken. Granted, they cannot be enforced, however, if the company doing the overseas transcription does not follow the guidelines, then something might be done. However, unless there are specific cases, you cannot say laws are being broken. I am sure their contracts state they have to abide by our laws.
medical records on the net
I think this drive to put medical records on the net will ultimately put us all out of work.
Are old records from AAMT available??? sm
Silly question but 18 yrs as CMT, tons of CME's (overly done) and president of local chapter for years. Was that all for nothing?? Hate to even ask!
Electronic Medical Records?? What do you think? SM
Ok, so I went to my doctor's office today and noticed that they just installed a computer station for all doctors in the clinic to start doing their own records while they are visiting you! What do you guys think?? Is this the end of our profession or is our profession going turn it to something else..like editing those reports that the doctors have to type.
Is this a real problem or will it be many years from now before it effects us? Let me know your thoughts.
Thanks....
50, A.S. in Medical Records Technology.
Of course now that course would be called HIM. Transcription was included. My first job was in a physician's office and consisted of mostly transcription. High school courses were heavy in typing. I do not know that I could contribute to a rebuttle. The company that I just left had mostly older employees. This company just closed. Now I am an IC with about the same pay. I do not believe that there are as many young people entering the profession. Part of that is because it is hard work, and no longer pays well in proportion to other jobs they can train for. Also, who wants to spend money and time training for a job that may be outsourced at any time? The only young people I know going into this profession are doing it because they want to work at home. This once was a good profession to enter, but now things really seem to be going sour.
Look up cyberterrorism in medical records.
Was the person in Pakistan who threatened to post VA medical records on the Internet unless they were paid off with thousands of dollars in cash? Give me an American with a criminal background check any day.
What happens to pt. records if an MD closes his office??
If an MD in solo practice retires or leaves town, where do those records go and how would one go about obtaining needed records? Any help is appreciated.
records for line count
How long do you keep files for review or audit if you are an independent Transcriptionist for physicians. Can they audit my lines? Anyone ever heard of this. I was concerned because of the MQ problem; however, I only have one doctor - not anything like MQ.
Who would be interested in my medical records?
I just can't image anyone being all that interested in my medical records, so I really don't worry about anyone seeing them.
Electronic Medical Records
/
I think that only he and Taylor will sell their records....sm
I can't envision ever buying anything that Katherine or Elliott recorded.
Katherine should have gone home last night.
I think Taylor will sell records
I have his second indie CD and it's fabulous. All original songs, written by him, and it's great. Grab it if you can. I really don't think Kat will do all that much after this, really. I don't think she has the draw to bring people out to a concert. Obviously, Taylor does. I think Kelly Clarkson could have taken that song that Kat butchered and at least tried to do something with it...made it something worth listening to. Kat really, really messed that one up.
Well, get over it. Medical records are one thing...
your boss saying something about you is another. In my opinion, the more the government stays out of it, the better off we are. Double edged sword, ya know.
electronic medical records
Does anyone have info regarding EMR rules for doctors. I was told by a physician today that by 2010 that all doctors were supposed to be EMR. What will this do to our transcription jobs? Any info appreciated.
electronic medical records
Here's the scoop on EMR.... right now not all facilities have everything electronic, but they are working on getting electronic on all records, however, there will still be paperbased files. What MTs need to do is to become familiar in the electronic field and not just limit their skills to transcription, because, lets face it today NO ONE stays at one job for years and years, no matter what the specialty, you need to keep educating yourself, better your skills, and move on to bigger and BETTER things!!! It will eventually change, after all, even AMTA changed their name:)
|
