Hospital is probably up for review by....sm
Posted By: TXMT on 2006-03-27
In Reply to: Can anyone please explain to me why... - gmg
JCAHO. If the charts are incomplete, then they could face penalties. Or, perhaps they already have gone through an audit and were found lacking.
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Hospital where I worked cut raises from 12% possibility to 6% with excellent review. Which means
dd
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.
REVIEW
I think it should depend upon your experience and possibly the difficulty of the dictation. I have been working at the same place for a VERY long time, so I rarely have to listen to dictation twice. However, I have found that if I am doing a difficult doctor or cannot understand something, I will mark the spot, so that at the end of the report, I can go back and maybe after finishing the rest of the report, I may hear that portion now! Miraculously, sometimes if I go back, I have familiarized myself with that doctor's dictation and TA-DA, I get it!
If you were a newbie, and were maybe in training, etc., I think it could be a great idea. It just seems sometimes that between trying to obtain a reasonable production, it is just impossible to listen to every single report twice! Hope I helped!
here's a review
-- i don't have the actual
experience.
http://reviews.cnet.com/headphones/sony-mdr-nc7-headphones/4505-7877_7-33352178.html
what is their points review
doesn't sound like its in our favor, is it part of the new mt/me rewards plan??
to "me", you should further review
because there are MANY negatives posts still on this Main Board. Just look at posts where "Kikki" had anything to add to the mix. LOL. The OP is correct in his/her assessment.
Go for it! Good for you! I am in the review
stage of my CMT exam and plan to take it ASAP as well. No discounts here, either, but I really want to earn this! I think its a great thing to strive for, and so do lots of companies, despite the naysayers!!
Review guide...sm
It was my experience that the dictation portion was exceedingly easy, not nearly like the "snippets" on the CD that comes with the book. Pay more attention to the rest of the book.
Does anyone know? I am using the CMT Review Guide...
to study for the CMT exam. There are practice tests on the CD. What is considered a passing grade for the CMT? I can't find this info anywhere online, or in the guide. Thanks!
performance review
How do you find the performance review going. Are yout satisfied with the way the QA people are checking your reports? I will get a correction from one and another QA will let it stay the way I typed it. One MT said that most of her reports were OP notes and the doctors say mostly the same thing over and over, so she made templates and she just has to punch in a few strokes and the OP note is done. How can you do this when the QA people are checking it word for word. I cannot set up any templates because a few words may be changed. Just curious. .
What are some good review books?
Hi everyone,
I have a question that I hope you can help me with. In short, I graduated in 1997 from college with a certificate in medical transcription. (I took a 1 year program) Even though I never worked in transcription, I have recently been offered a chance to work and do transcription from home. I was required to take a test and actually made 88% on it with no review at all. I needed to make a 90% though and am wanting to find a way to review and boost my score. I was wondering if any of you could give me the name of a good book or program that might help me out. I have seen one book called "The Do's and Don't's of Medical Transcription" but would like to have some opinions on it and other books out there. I would appreciate any and all help on this as I'm really looking forward to getting into the medical transcription field for the first time.
Many thanks,
RT
You can purchase the CMT Review Guide-sm
from Stedman's. The title is "The CMT Reveiw Guide." This book was just released last year (2005) and was developed for the current version of the CMT exam. You might also want to consider a CMT Study Group. Contact the nearest chapter of AAMT as they do have CMT Study Groups. I know that the Online Chapter of AAMT is about to start a study group that will complete in time to take the CMT in the end of July/begining of August. Oak Horizons also offers and online CMT Prep Course which I have heard is really good. You can get more info on the Oak Horizons class on www.aamt.org and do a search for CMT prep course. For more info on the OCAAMT Study Group contact certconnector@aamtonline.org.
think you need to contact the medical review
try the insurance company's medical review board for a reassessment of your bill(s). Good luck! 
A "peer review"! Sure never heard of THAT, before! (nm)
.
My last QA review was a BIG surprise. Here I thought I SM
always topped 98% and routinely cut into my potential earnings to maintain my own standard. Wrong! The QA person's explanations for my mistakes were confusing and seemed in some cases to contradict the guidelines and in others just plain wrong, but I figured my job was to pass the review and get back to work, so I tried again. Failed so completely I was going to be put on probation, allowed to do something like 10 or 15 reports a day until my performance came back up. So I contacted my account manager, who told me she'd take care of it, and that was the end of it. Something I heard later suggested that QA person was still there causing trouble months later. Maybe you should talk to your supervisor. I'd also start gathering documentation of prior reviews for the Labor Board if that raise doesn't come through. There are plenty of companies out there looking for skilled MTs.
Do you listen to every report twice, to review it,
x
Why? Why should we review every single report and in its entirety? SM
The QA bar has been set at 98% by both of my employers. I BEAT, not just make but BEAT, that QA rate every single time.
I've good a great balance between speed and quality.
If you want to take your time to do that with every report, that's great for you! Your choice.
I guarantee you that even if you score 100% on your QA'd reports, because you are not being QA'd on every single report, you're still making mistakes somewhere. So, the line has been drawn in the form of the level of QA expected.
Funny, I just got my 3rd 100% review and asked for a raise
I was told SEs are paid on a sliding scale and there are no raises at all EVER.
The CMT Review Guide is great and geared
toward the current CMT test. Published by Lippincott Williams & Wilkins, publisher of Stedman's. I believe you can buy it from them, or from AAMT. Good luck!
SmarType users please give review...sm
I'm thinking about investing in SmarType. I have heard good things about it. Can some of you how use it give a review? Does it take long to get used to?
TIA
CMT review guide. I'm glad I read it.
Good luck!
Review in great detail with the company first....
xx
I'm sorry, but the physicians are supposed to review the medical records for
accuracy, then sign off on them. THEY are the people who went to medical school, did their internship, and actually saw the patients. THEY know what they were trying, often badly, to say. THEY are the ones making the big bucks. NOT US. We go to maybe a year-long correspondence school, make crappy money, and watch our butts spread wider every day while we TYPE, yes, I said TYPE, medical records for them. Anyone who thinks it's more than that is kidding themselves. And save your speeches on patient care and work ethics. I know all about that stuff. The harsh reality is that this job does not require a college education to get into, and your income is tied to your production level. The doctors don't care enough about the medical records to speak slowly, enunciate, and double check everything before signing off. How are we supposed to read their minds? Anyone in this field who knows more than grammar and medical terminology ought to be working as an RN or MD, because you'd be better at it than half the medical providers we type for.
Same theme, but CBS on Wed. is to review the top 100 inspirational movies. Should be good! nm
m
Are you talking about full QA where you send every report for review?
If you are not a newbie and are full time, then it does not seem fishy at all. If you can't figure out the platform and account specs in 3 days' time...
If you are new and will require mentoring, then that may be different depending on the quality of education you received.
I agree. Eyes are always scanning, but never review enitre report.
zz
Are you kidding? After reading the health department's annual review, I NEVER eat out.
Especially at a fast food place. They always have long lists of violations, plus, after a look at the fingernails and hair on some of those people, I wouldn't feed my dog there.
They do list restaurants that maintain high standards of cleanliness with no violations, so if I'm in the mood for a long drive, I'll go to one of those.
I do miss eating out.
I think she is talking about full QA review not occasional blanks with a new dictator.
As a newbie I was off full QA at the halfway through day 2 working on acute care. However, I had an excellent trainer/mentor available to answer any questions, and I could send unlimited blanks to QA.
Now when I work on a new account, even with a new platform, I am off full QA within a day. If the platform instructions and account specs are clear, it should really not be a problem.
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.
hospital MT
Call the hospital. You can offer a better deal to them. Most MTSOs charge the hospitals a lot more than what they pay out for the actual work done. I work for a hospital. I asked for a raise after 10 years, they baulked, started looking at outsourcing. They changed their mind really quick when they found out how much they would charge them. (four times what they paid me).
Hey, if you don't want that hospital job can I
have it? Just kidding (only because it's probably not where I live in central Florida). Started working at home for the kids over 10 years ago, but they are all grown now and I realize I don't know anyone because I hardly ever leave the house!!
hospital job
My situation too. Son out of the house now. Still know all the people at the hospital as I worked there for 10+ years and still do side typing for one of the units there that were not taken over when they outsourced! So seriously considering it....Sorry, its in PA!
I think they did that to us at the hospital
but no O/T. But you could get on there and do BONUS MINUTES at 6/cents a line all you wanted.
I always felt like that should have been illegal. If I'm working, then I'm working. If I'm an hourly employee - then anytime I'm working!!!!! I should be an employee and thus paid HOURLY WAGES. But they got away with it. Sort of a hybrid deal.
They screw us any way they can.
 (good little screws all in a row)
 (Medical Records Supervisor yucking it up drinking coffee, practicing snapping her whip)
 (Me at the end of the day saying WHY AM I HERE?????)
Hospital pay
I make about $15 per hour at my hospital job in Washington state and have recently quit that to work out of my home. However, I have not yet found any home job that even comes close to that when being paid based on lines.
hospital pay
i make 21/h. living in the hawaiians islands, thats actually pretty good
hospital pay
my main job is at the hospital and i would never leave it especially with all the benefits and good pay. ic has its benefits when it comes to tax time, but as far as job security and being a single mom, i choose to stay at a guaranteed $20/h. too many people are unhappy with the problems of security in this line of work and i dont want that to happen to me.
Hospital pay
Out here in Oregon, all hospitals pay from 14 to 19 plus benefits. Am considering going with Kaiser after the first of the year and having my I/C's run my business. Have one doctor retiring after the first and deciding whether to do all my own accounts and make $40K doing 30 hours per week without benefitis enjoying life and not saving much or going with Kaiser at 18.50 per hour with benefits and having the I/C's doing 80% of my work and I will type parttime on the weekends. Have only 10 more years to work. Have been offered work at Kaiser, Providence and Good Samaritan Hospitals so the work is out there.
Hospital pay
At least with the hospitals out here in the west, they always have posted salary ranges and you can usually always exept with decent experience to start in the middle somewhere and reach the top in 5 years. Worked in HR in a large hospital for a bit. They always post the salary ranges here with positions and with that you go in with a bit of knowledge. I never did see one start at the top though. Good luck.
Hospital job
Let us know how things go. I would fear that they see MT as just "typing" and would give you so many secretary duties that the MT part would be pushed to the back burner.
TAKE THE HOSPITAL JOB - sm
national services lose accounts all the time whether it is nonrenewal of contract or fired, or whatever, your pay is never the same from week to week with a service, you may have extra transcriptionists on your account all of a sudden, work load varies, etc.
With the hospital work, you know your doctors, you have guaranteed hours and work and even down time (some services don't offer that), overtime, benefits, etc. Some hospitals even offer reimbursement on college courses - CAN AN MTSO SERVICE OFFER THAT?? Some hospitals have family leave time for 12 weeks of maternity!! Can an MTSO service offer that?
Take the hospital job!
Take the hospital job...
Those are only real "for sure" MT jobs out there anymore. I worked for years for a service but since I took my at-home hospital job, I feel like somebody for the first time in the eyes of my employer. We are all local, so we have staff meetings and come into the department for different things, yearly reviews, parties, etc. We're all in touch via e-mail and know each other face-to-face too. I get paid by the house, have a set schedule, and can earn incentive pay too. I have paid holidays, benefits, and am a hospital employee except work at home. I love it, would never EVER go back to clawing for lines at a service who barely knows my name.
Hospital Job
One thing you have to be careful of -- are there witches in that hospital who will send you the "worst" work or not send it at all and keep it for themselves? Be sure - I know one hospital who "punishes" the work at homes because they're afraid their dept. will be outsourced completely. Be careful who you deal with. Don't like MTSO's so I started my own, but family sickness and my own illness forced me to retire (temporarily, I hope). When offered work at home from a hospital, I had to say no and glad I did, another person said yes and just sits there waiting, and waiting, while the in-house people make the bucks and if they do send, it's all stuff they don't want to do. Be careful and good luck!!
HOSPITAL JOB ALL THE WAY!!! the Way (sm)
That's good pay and bennies to boot!!! I would die for that.
I worked for a hospital as an IC for many years at home. That's the only way the hospital bigwigs would allow it, not employee status. Never ran out of work except in the first few weeks in a new year. Never had "just the junk" as some suggested. I did the same work as everyone else. I tried to get my employee status back (which I was once) but no luck. I was at home. Some rule about that, but I was happy.
I'd go back to my hospital in a flash. My buddies want me back. The boss wants me back. For some reason, they still won't give me employee status. That sucks. ('scuse my French).
Don't even THINK about what to do, DO IT. You'll never be sorry.
Hospital
I work full-time from home for a local hospital and am paid per hour. I also work an IC on a part-time basis. I would say if you need the benefits and steady paycheck and can handle working possibly rotating weekends and holidays, yes. The only good thing with working with some nationals is having the flexibility with your schedule but you will NOT make a steady income. You will constantly run of out work, loose money and find yourself clocking in and out all day long just to make 8 hours. With a hospital, you know that the work will be there everyday and if you have downtime, you will still get paid. Also, having that security in knowing that you can speak to management face to face or over the phone. Go for the hospital, because I know a lot of MTs wished they could have that opportunity. Go luck to you!!!
hospital
security, benefits,local, communication, "real people" versus "phone people"
take less money and have these advantages, the days of making a lot by working on production are over
Good Luck!
Thank you both, will look into it and ask at the hospital too.
//
hospital IC
I contract with a local hospital. I worked there for a little less than 2 years and as I had a sickly child and wanted to be closer to home, we agreed to my working at home as an IC. My hours are pretty flexible although if I do not work I do not get paid. And they do have someone as a back up for me when I am unable to work. Still, I would not want to go back to work 8-5 at the hospital. This has allowed me to be there for my children's activities and be home when they are sick.
new hospital......
The MTSO I work for does basically the same thing. Except they don't pay us by the hour, by production. Just about any place you work will do this.
As long as you work your assigned hours, it should not be a problem. Turn off the phone or let it go to voice mail (if it's family call back on break). Just work as if you were in an office, and there will be no problems. Don't try to do your laundry and cook dinner while you're working - it will kill your line count.
If you are getting an hourly wage plus incentive and hospital benefits, you are at the top of the heap - if you quit, let me know where you are and I will relocate and take the job!
My hospital wants them done like this...
If doses are given and there are more than 5 medicines listed, they want it in number format (even if 1, 2, etc., is not said). If there are less than 5, paragraph form. If there are no dosages at all, no matter how many meds are listed, paragraph form.
I'm sure you will get a lot of different answers on this though. :)
HOSPITAL PAY
Not true. Many hospitals pay more. I make 50,000 yr at my hospital. I am full-time. I get same benefits as those who walk through the doors every day. I am not penalized if I don't meet the required line count each day. We have a week to reach our line counts and then we are not penalized. They know how hard we work. We never have to worry about losing our insurance because of "meeting quotas", and they provide all equip and pay the internet bill as well.
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