Hospital account since 1994
Posted By: tia on 2006-06-06
In Reply to: Who has the longest-running account? - HoosierBoy
nn
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Hospital account since 1991. nm
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Hospital account (National company). nm
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275-310 lph - one account-large teaching hospital
xx
Hmm. My account (huge teaching hospital) has it, and
I still think the healthcare game is in for a huge shakeup in the not-too-distant future. Quality and confidentiality of medical records will be part of the picture when it finally all gets examined under the new government's microscope. And I don't think they're going to like what they see one bit. If the general population finds out how shoddy their records (and affected health care) are, you better believe some U-no-wat is gonna hit the fan.
the service that works on our hospital account definitely pads
Many of us inhouse have tried to point it out to the supervisors, i.e. tons of spaces after a header, three or four spaces after a period, using spaces instead of tab button, for god sakes, spelling out milligrams and computerized axial tomography and every single abbreviated term that you can imagine and stuff like that. they even make their blanks verrrrryyyyy long!
Thank goodness the contract with them is going to be coming to an end by March. It just burns us that we get monitored for it, and the outside service does not. They also do not get penalized for mistakes either.
work for hospital account - use lots of expanders - nm
x
Average 1950-2200 a day, one hospital account, 90% op reports. nm
nm
Lost account of 28 years to Dictaphone because hospital believes it will eliminate all transcription
Curious if any of you are working for Dictaphone or Infomatics and doing an account out of Miami with mainly ESL dictators? I was convinced I would not lose the account after a few days with VR. However Dictaphone is not using VR right away and will transcribe reports the regular way until they have a database. I am certain this hospital will never be done by VR. I posted a job on here about a year ago offering 18 cents per line to help with this account and not one person accepted after hearing the ESL doctors we have. They are that bad. Anyone else have this happen to them? Losing to Dictaphone And we have had to do most of the work for over a month since they supposedly took over because their system is not working.
Since about 1994 off and on and about 15 minutes
I've been a transcriptionist off and on for years, probably 5-6 years FTE. I've always thought about getting the certification, but it used to be somewhat involved to do the testing. Of course, it's always been expensive with limited payoff.
I was applying for jobs about a month ago, and all the potential employers asked if I had my CMT. That tells me they think it is worth something even if we, the workerbees, don't.
I didn't really study for it. I opened my notebook and looked at Latin/Greek pluralizaiton rules, and then put the book down. I figured if I didn't know it yet from my day to day work and from college, I wasn't going to be able to learn it in time. Really, I don't know how a person could study for it. The questions came from such a broad area. I really think AAMT has come up with a good test.
I'm glad I took it, and I will do the CEs to keep the designation and to make me better at what I do.
1994 Jaguar -- love it.
Oldie but goodie.
Hey FC girl--I graduated in 1994 at FCHS
/
Depends on what kind of hospital? Large urban hospital or small community hospital? SM
Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.
I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis. But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl.
Camaros..three 1994, 1998, and 1999 and a truck,
Chevy truck 2005
in 1994 I typed IME reports and was paid $5.00 per page, wish I had that now!
nm
I have not had a raise since 1994, should I blame Clinton or Bush? At any rate, see inside...
Musky Income Myths
by Alan Reynolds
Alan Reynolds is a senior fellow with the Cato Institute and a nationally syndicated columnist.
Democratic presidential candidates advocating really humungous tax increases -- Howard Dean and Wesley Clark (until he withdrew on Feb. 11) -- appear to have lost ground to two favoring merely enormous tax increases, John Kerry and John Edwards. It would seem to follow the latter two should rethink their plans before challenging the only candidate who thinks tax rates are plenty high enough, George W. Bush. Amazingly, however, the Democrats are pulling out the old "income inequality" card. It worked so well for George McGovern and Walter Mondale.
Business Week says Mr. Kerry and Mr. Edwards "believe a Democrat can repeal top-tier Bush tax cuts with impunity because income inequality has widened under Bush." Taking a less partisan and more statistically defensible line, the Socialist Equality Party says, "Until the Bush administration, the Clinton years saw the greatest growth in social inequality in American history."
Such claims suggest the top 20 percent, or 5 percent of families, have been collecting a rising share of "our" personal income -- hence "income inequality has widened under Bush." Any candidate who says that has to be lying. The latest available data on income shares is for 2001, and they show no increase in inequality.
The recession was no picnic for top earners: There were 690,000 fewer managerial jobs in 2002 than in 2000. If these cash income figures included capital losses, they would reveal ample pain among "the rich" in 2001-2002. The poverty rate did rise from 9.2 percent to 9.6 percent in 2002, but that was still lower than the poverty rate in any year from 1980 to 1998.
To defend President Clinton from socialist egalitarians, prolonged increases in real output per worker (like 1996-2000) translate into increases in real income per worker. Since there are typically two workers in top income groups and less than one full-time worker in the bottom income group, it is mathematically unavoidable that the gap between two-earner families and no-earner families must grow wider whenever the economy is doing well. Real median income among families with two full-time workers was 43.6 percent higher in 2001 than it had been in 1991 -- an annual increase of nearly 4.4 percent a year. Families with no full-time workers did not do that well.
Most important, it is simply a statistical hoax to make long-term comparisons between the average (mean) income in any top income group with averages in lower groups. That is partly because the upper threshold on the group just below the top rises over time whenever real incomes in general are rising. As a result, increases in general prosperity mean incomes that once would have been large enough to make it into the top 5 percent no longer qualify.
Census figures say the top 5 percent collected 21 percent of all personal income in 2001, up from 20.3 percent in 1993. Measured in constant 2001 dollars, however, a family needed more than $164,104 to be counted among the top 5 percent in 2001, while anything above $136,539 would have qualified in 1993.
So long as that threshold kept rising, the share at the top was almost certain to rise, too. After all, an average of all income above $164,104 is almost certain to be larger than an average of all income above $136,539 simply because all incomes between those two figures were included in the top average in 1993 but excluded in 2001.
For the same reason, it makes no sense to compare long-term growth of average income in any top income group with growth below. Only the top group has no income ceiling, and the lower threshold defining membership in that top group rises whenever incomes in general are rising.
Because only the top group has no ceiling, increases in a small number of very high incomes (e.g., trial lawyers) can make the mean average in the top group rise much more than the incomes of typical members of that group. This is why it is considered misleading to refer to mean rather than median income as "average" in every other case, and why it is particularly misleading in this case.
Rising real income also raised the definition of the "middle class." The lower and upper limits defining the middle three-fifths were $20,262 to $64,241 in 1975 (in 2001 dollars) and $24,000 to $94,150 in 2001. Periodic fables about the "vanishing middle class" miss the obvious: Those who "vanished" moved up.
The main reasons some families earn more than others are not as shocking as politicians would have you believe. Consider these horribly shocking Census Bureau facts about inequality:
Families with two people have incomes at least 3 times larger than families in which nobody works. Median family income in 2001 was $51,407. But that figure combines median income of $21,958 among families with no workers and $66,151 among families with two earners. Among married couples where both work full-time, median income was even higher -- $76,150.
Mature, experienced employees earn at least 3 times as much as they did when they were young apprentices and trainees. Average family income was $16,014 among families in which the household head was younger than 24, but $45,978 when the household head was 45 to 54.
College grads earn at least 3 times as much as middle-school dropouts. For family heads with a bachelor's degree, median income was $78,518; for those with less than a ninth-grade education, median income was $25,077.
If all this rampant inequality strikes you as grossly unfair, you should indeed consider electing politicians promising to do something about it. But they can't really do much unless they promise to take money from two-earner families and give it to no-earner families, to take money from those who go to college and give it to those who didn't bother attending a free high school, and to take money from those who are at an age where they're trying to put the kids through college and give it to those in their early 20s.
The taking half of that policy is a reasonably precise description of who indeed would have their pockets picked under the tax plans of Messrs. Kerry, Edwards (and Clark). In whose pockets the expected booty would actually end up, however, is apt to prove as mysterious as figuring out what Mr. Dean did with all those millions he collected with Internet spam
What is the difference between an acute care account and a multispecialty account??..nm
nm
I've never had a problem switching from account to account.
The problem I had was being switched too soon. If I don't get one account spec solidly in my memory with QA feedback on mistakes before starting another, I get confused. The other problem I had with former jobs was inconsistent QA. One person tells you one thing, another person tells you another.
Lately, I don't have a problem with it. Right now, my binder has 8 account specs (some I've never had to use) and I'm picking up a new weekend job for a while. The terminology and report formats stay basically the same. It's just all those little preferences. LOL
what is your account and specialty on the account?
no one is watching. tell us all about osi.
Hospital. I wish I'd never left my hospital job.
They'll only take me back if I start off working nights and weekends again at the bottom of the totem pole.
If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
Look, if I were on an account that
kept me sending more blanks to QA than was allowed to qualify for an incentive program, I would ask for another account or get with a different company.
I've bid off accounts before; I've also changed employers because of this problem.
I've been there. It's not what I wanted so I fished until I got the catch I wanted.
As well, if your dictators are dictating on cell phones, that can be a real source of contention with HIPAA guidelines and they should be reported. I report that when I run across it; I also tell my supervisor I won't do that physician again if he is dictating on a cell phone. I've never been given a problem with that.
Second account........sm
Does your company base full-time status on line count or on hours? If line count, it doesn't matter if you do the work in less than 8 hours. You're still holding up your side of the bargain and you have every right to refuse to work on a crappy second account. Just tell them you've decided that your one account is enough and keep your second job. Same goes for the post below stating co-worker is avoiding taking on second account. Unfair? I give her credit. She's a survivor. We're not the ones who started the game. But many of us are quickly learning how to play.
If your account uses the BOS ...>>>
you use numerals for all numbers (and the old way is to spell out numbers UNDER 10). The BOS says to use numerals for ordinals; 10th, 2nd, etc. BUT, many accounts have their own preferences, so why don't you check to see what yours wants?
My own account
My own accounts been doing them for over 4 years, it is just one office person that says anything. I think that she was having a bad day last week and we about went on a minor screaming match with each other not only over this but some other things. So will let things calm down, check and double check to see if I can figure things out but without showing me, I am in the dark like I explained to her. When nothing comes back you think all is great.
I don't do any of that. I have each account in a SM
separate folder on Word and I just click on the appropriate folder. I do 4 hospitals in one state and two more, plus a local.
I never have gotten anything mixed up that I know of.
Take the account and run!
You really need to ask?
I don't know anything about the account
I am considering an IC position and want to know what is an average rate. I have 9 years experience as an MT and have only wored in a hospital.
Keep that account @ .12 cpl
Keep that account (tell them you will meet or beat the competition). Don't say another word, just keep sending out advertising brochures, etc., until another higher rate really needs you, then tell these cheapskates that your accountant has informed you that not only are you losing money but it isn't fair to those others who do not question your charges nor would they ask you to "cut your rate." I've been in this situation and it has made me very depressed but that's the way these others work, they will undercut you for 1/4 cent, done to me by "friends". Just go along to get along and then you have every right to be the "dumper" instead of the "dumpee." Treat them like a bad boyfriend, until a better one comes along. Had this done to me many times and my only regret is that I let it affect me financially, I used to take the "moral high road" and now I take the "me" high road. If they are thinking only of their wallet, then you should as well if you need the money. Hope this makes sense. Most likely it isn't the docs, just someone in the office trying to say, "See, I saved you some money, so how about a raise?" Don't let them spoil your business accounts receivable, just hang in there and smile a lot.
You must be the OM at this PIA account. (nt)
I am getting .08 on one account and ..sm
.085 for the other acount I work on.
One account, can get only...
250-300 because they are obnoxious. The other account, can get sometimes over 500 lph.
Usually, each account has a
prescribed method of formatting and if you work for a service you should get all of the specifications for formatting in a document when you start working a new account. Inhouse, asking the manager will get you the information you need. It is purely a subjective matter with each and every account; however, AAMT and ASTM are working on best practices in dictation and these of course would include a standardized formatting for all medical records .. making it eaiser for all of us to do our jobs and then ultimately find information in a chart.
I have been on my account
with 15 doctors for the past two years, but I am sure someone else had it before I did. We are about to get a new one in August, as well. I am sure you have just about everyone else beat though.
Pay Pal Account
I have a dumb question regarding my pay pal account. My new employer pays through Pay Pal. I do have an account that I've used only for ebay transactions. She's asking for my account number. I can't find any information in my account as to what my account number is? Does anyone know what that would be? Does she want my bank account number associated with my Pay Pal account? Sorry, I told you this was a dumb question. TIA.
I have a second account sm
You should never work for only 1 company. I learned this the hard way. It's always good to have a backup.
Come take my account
First I get "Mrs. Ed" who talks just like Mister Ed and now I've got a dictator that sounds just like Granny from Looney Tunes. Gives me a little laugh now and then, guess you gotta look at the little things in life, or you'll become a looney tune! :) I pray next week is better for you.
If you want an account,
go out and honestly bid for it.....don't "steal" it from your MTSO!!!!! That is just wrong. Bidding on accounts that you don't know the MTSO is a different story. When you take an account from the MTSO you are an IC for, that is "stealing" and you'll get yours when you get to the pearly gates...if you get there!
Nothing really if you want to keep your account. sm
sometimes as an IC and in business, you must compromise. Looks like they are dictating the way they pay. Hey, it would be worse, you could invoice and not be paid for 60 days or longer. So, you will just have to adjust.
own account
I took a small account a few months ago. 3 docs, I do 2 and 1 has his own MT. She is an employee but we cover for each other for vacations. It is lucky they have that other person and they are flexible when I go away (rarely). Some accounts might expect you to find your own coverage. I have had problems with them not paying on time. It's not their fault, they have a large institutional accounting office over them. But MT is my only income so it has been a problem. Make sure you have a cushion in your checking account or whatever that you can live off of if you don't get paid for a while.
Another option might be an IC position if you can find the right one. I also have an outside contractor position with a local hospital that has employees, but I charge them like a service and they make no demands on my time.
Something to consider is how much time you will spend doing administrative things like billing, recordkeeping, marketing, answering emails, picking up tapes if applicable, traveling for interviews or training if you will be working on their system. I find that stuff eats up a lot of my time.
You might want to consider a 30-day trial period in case you dont like them. My account turned out to have a crappy dial-in system, they expected me to fax every report 1-4 times, and they eat up my time with emails and phone calls - each doc has his own secretary and they have another MT and they all tend to call me for things they don't need to bother me with like I'm an employee. Instead of telling them to find one person to deal with me we agreed I would charge by the hour instead. I have no problem telling a secretary who calls me at 7p I will take down the info and call her back during business hours unless it is an emergency. It is hard to anticipate those things hence the trial period.
New account
Hi everyone. I was wondering if anyone had any advice on how to convince a doctor's office that they need transcription done when they haven't had it done in the past. This is my first big meeting on my own and I am nervous about what to say. I have other accounts, but I never had to convince them because they were already using transcription. Any suggestions would be helpful and appreciated. Thank you in advance.
Looking for your own account?
It has come to my attention that Travelers Insurance worker comp claims in some states are off shoring their transcription.
Contact your local offices and offer your services. I also know the pay is comparable to ours - (I have been contacted by an off shore agent to handle this for them ) - imagine work off shored only to be sent back to us to handle.
I will be starting with Charlotte NC. - Who is with me?
If you have an account
where you get the same doctors who repeat the same things you can make a template and not have to type anything or just edit a little. Around 15 years ago, I had a great job with a chiropractor who would do a 5-page report and all we had to do was change right/left and some range of motion measurements. Easily made $45-$50 an hour with him as part-time employees. Some people are also really good with Expanders like Instant Text. It really depends on your account. I have a huge hospital, too many dictators, too many bad dictators.
I would do what the account wants, sm
they are the ones signing my paycheck.
Do you really think every health care provider or facility is compliant?
Using it currently on one account.....
don't know what version it is, but it does not use Word. It offers a spell check at the end of the report when you come to send it. It does not highlight misspelled words while you are typing. There is no word expander/macro program with it, but I use SpeedType with no problem.
All in all it is simple, I have no footers/headers to worry about. I navigate through the demographic screen using ENTER/TAB/arrow keys. With the help of SpeedType I have to enter the dictator's name (4-letter code), MR #, date, pick the exam from a drop-down list and then type the report. F12 brings up Spell Check only if there is an error, sends the report, and files it. After a few reports you can get the rhythm down and move right along.
I have more than one account.
By more than one account, I mean I work for more than one person or company. I learned my lesson years ago when I got a $35 check at Christmas.
my account
I don't think my account now is any better or any worse than any others. I have been doing this for over 15 years and basically 2000 lines a day has been my average for the last 9 years and during that time, I have worked in house for 1 hospital and for 4 different agencies.
I just make good use of a lot of word Expanders and sit down and work and not answer the phones and talk to people and watch TV, etc.
Already there and above......own account(s). nm
x
Can you ask to be put on another account? Do they
xx
have account one day not the other
I would like someone else's opinion on this situation. I started with a company last June that I won't name. They sold out to another company in August. I did clinic. I had a general surgery doctor I did transcription for. But for some reason it seemed like the work I got was leftovers someone else couldn't do or something because I would get schedules for the doctor showing patient's names and he was seeing alot of patient's but I am being told no work today or something like that. Someone had to be doing the work, right? Then when they sell out to another company I get put on acute care, which I have never done. (I dont think I mentioned that I was a newbie when hired, first job) I get on there and it is this huge hospital with a lot of ESLs. Very hard. Well I dont think it was an appropriate account for a newbie. Great experience but a little too difficult to start out with. So then a couple months later they say do you want to help on the clinic account you had before? Well when they put me on acute care I was led to believe they no longer had that clinic account. Now I see they do. So obviously they lied to me. Well I start getting clinic a few days a week, which I love because that is what I am used to. Then I get it everyday. Now they send me the work and yesterday took it back and obviously gave it to someone else. If they had the work and I didn't do it someone had to. Then I tell the supervisor I would really prefer the clinic work. She says I will keep that in mind. Then today which is a day we always get clinic work no clinic work again. I can do hospital, yeah, but I get half the lines. I know I should just take what I am given but why not give me the account or don't. Not you have it one week. Not the next. I am new at this but aren't you supposed to get an account exclusively or is it just one MT do it one week another the next? It is constantly switching around. I feel like I am used when no one else is available to do the work. But they don't tell me you are just backup on this account. They lead me to believe that it is my account. But someone else is obviously doing the work and I am getting what they cant do.
Sorry - own account
I would not do it for that amount if it is your account. I would say around 12 as I do 12.5 with pick up and delivery and printing.
you probably need to ask what the account wants on that one.
and is they says it doesn't matter...then it does not matter.
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