However your client wants it handled.
Posted By: SM on 2009-03-12
In Reply to: Addendums to reports - mj
This should be addressed somewhere in their instructions. Check with your supervisor.
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This is how I handled it.
I also worked for a physician for over 10 years. It was an awful choice I had to make and I couldnt stand the thought of having to tell him right to his face. I knew I would get choked up, or stammer, mumble around or something. It was much eiasier for me to do an "official" resignation on paper at first. That way I knew I could say everything I needed to say and he could read it and have time to process it before we talked. I feel like when you just walk up to them and "drop the bomb" they just do not have the time to process it so they may react out of disappointment by even just a look on their face and you'll never finish what you wanted to say or what you wanted them to know as far as why your making this choice. I just expressed how I had loved my job with him but I felt it was time for me to give more time to my family etc.. I mean, really, what could someone say to the fact that you have made a choice to put your life and your family before a job. Good luck on however you approach it. We all do what is best for ourselves. Letters work for me and also because I am not a confrontal type of person. 
She handled it graciously (sm)
It would have been just as awkward if not more so if she had not acknowledged it, especially after it being talked about on the show yesterday. I would imagine Star would probably think that nothing would have been said and she would just have been obviously absent. As Joy said, nothing stays the same and this is a perfect example. I guess it will almost be like a whole new show in the fall with Meredith and Star gone and Rosie and ???? replacing them. Wonder if they have people in mind yet? I've heard Gail (Oprah's best friend) as a possibility. Wouldn't it be cool if they late people at home vote on the person? That would be interesting. Then again, if they had done that with Rosie, I don't suspect she would have made the cut.
Sorry - but I think you could have handled it differently
I am assuming you are an IC - which means who you work WITH is your biz and no one else's - and no one's business if you took on a second contract. An IC works for who she wants when she wants and within reason sets her own deadlines. A company understands this and does not give you a 2 hour TAT unless you request it or can handle it and you have an understanding with them
Sounds like your company handled it wrong there.
Was the company threatening the MTs? It sounds like the account was threatening the company to leave.
If your company did nothing to let the MTs know they were not in danger, the company failed.
There is nothing wrong with MTs knowing that an account is in danger of quitting but the company needs to let the MTs understand whether or not that will effect their employer relationship. Two tee-totally different topics.
Regarding the Advance article, here's how I would have handled the examples
I'm curious how other MTs would have handled them?
1. Hemoglobin 9, hematocrit 39. (I would have flagged this with a blank for the hemoglobin and sent to QA).
2. The nose and mouth were suctioned on the perineum (during a C-section dictation). (I would have changed "perineum" to "abdomen" and sent it on).
3. SKIN: Without lesions, rashes or scars (Patient has HIV and kaposi sacroma). (I'm not the doctor. I did not examine the patient. Therefore, I would have transcribed as dictated and sent it as usual).
4. Left atrium is normal, measuring 4.6 cm. (I don't get paid enough to second guess the doctor on whether the LA is "normal" or not. You get what you pay for.)
5. VITAL SIGNS: Heart rate 70, respirations 18, BP 120/70 (in an 18-year-old with a comminuted ankle fracture). (Again, the patient may have gotten pain medication by the time the doctor saw him, so perhaps he/she didn't have pain at the time of examination and so the vitals were normalized. I wasn't there, I don't know. Type verbatim and send it on!)
I think you handled it well. You wouldn't feel so good about those clothes if you cut off your
nm
"Very wise post" meant for "company handled
x
FTP Client
I still don't know what an FTP client is that was asked in the original question?
the client always wants a little something...sm
The client always wants a little something for nothing.....so I give them a free line if there is only one word on the line...I give them a 68-72 character line (spaces I do count). I have never upped them in 9 years, but on my 10th anniversary I am upping them to 13 CPL. I also give them their 5 line headings for nothing as it's only 2 Keystrokes for me. They are good to me so I bake for the offices a couple of times a year and give the offices a gift during the winter holidays.
I do for one client
One of my clients requested that I charge this way. We do 10 words = 1 line, so basically a penny per word. From what I have figured, I'm doing okay when compared to the character count way of charging on this account. I think they requested charges calculated this way because of being ripped off by their last MT. Once I send their files, they can check the word count and keep a running tab to compare with my statement. They're satisfied and I'm satisfied, so it works well.
Have your client do it. SM
Call the office of your client and have them fax/e-mail to you samples of their prior surgeries. There's certainly nothing wrong with asking for this.
the client does not have to have it-- sm
The client can unzip using WinZip or whatever program they have installed, but MP Tools is so easy, some clients may want to use it. I have a couple who are interested in purchasing it just for the printing function, which works really well.
I had a client ask me to look
They provided a patient list for the date of service, but if the patient was not on there, then I had to view on-line the past week of patient lists to look for the name. Yeah right - that took 15 or 20 minutes sometimes uploading and viewing. So now, they get an inaccurate spelling of the patient name with a comment when I send there report, pt. not on list. Hello? Like the low wage isn't bad enough, and then add in that kind of junk. It is pathetic. 
What the client says is law, if that is what they want, then
that is what they expect and they have the right to tell an MTSO who can and cannot work on their accounts.
Even with this, the client is always
BOS is a style guide, which I do not own. However, I aim to please the client. So, if the doctor wants to spell something his own way, then so be it. He went to medical school, not me! A book of style means absolutely nothing to a client who wants things a certain way. End of story. 
It is just according to what the client
wants. Most do I would think, but some want them in a paragraph form and not captialized. Need to check with your supervisor or client.
Oh my! Do you have your own client? sm
I don't know of any MTSOs who pay 13 cpl. If you found one please share.
I'm not sure, but if the client does not
get a cut for using ASR, they why would they care whether their physicians use it or not????
We would be a lot more valued if they all thought ASR was as good as originally touted and had no editors to fix the darn reports it spits out.
First off..there is no way the client is getting a
And ASR is NO WAY 3 times faster...that will never happen. Most transcriptionists type the speed of the dictator to begin with. ASR could be a great tool for those of us needing a break from transcription, but it does not warrant ripping off our cpl's..ESPECIALLY when the client is charged the same...the have NO WAY of knowing whether the report is goes to ASR or not. Lastly, an ASR Editor needs YEARS of transcription experience, becuase to insure a correct report
It would be according to what the client
wants. We just type the numbers if they are dictated that way.
Unless specified by the client, I only
expand in diagnoses, procedures, impression, etc. I always type what they say when it comes to drugs, you don't change things like two a day to b.i.d. unless directed to do so by the client specifically. Also, on my client we are not allowed to use slang, so if they say "sat" we expand to saturation, bili is changed to bilirubin etc. A good MT never takes it upon herself to change something that is dictated UNLESS they are specified to in certain instances by the client or it something is wrong--then if it is changed you flag it for your QA.
I think relistening to a certain client until you
are very used to them is a good idea. Just put it on high speed and go over it. That won't take near as much time. I am QA and I can most certainly tell the difference between those who relisten or at least reread and those who do not.
never a client from a national, but...sm
A client approached me AFTER both HE and I had quit working for this one particular MTSO...I worked for him, she found out and tried to sue ME for $20K.
I sent her back a play $20K bill and told her that was about as much as her "lawsuit" was worth. Never heard another word from her.
Own client question
Those of you with your own clients. What do you do when you want to go away for the weekend, or get sick? I can see this as being about the only reason to stay with a company. The ability to get someone else to pick up your accounts for a few days is appealing.
Depends on the client.....sm
At any rate you have too many commas, imho.
"I told him to clean the area with hydrogen peroxide and after that he can apply the Neosporin ointment." Works just as well.
It just depends on what the client wants.
I have some that still use tapes and some that I do through a TASP. So for the TASP, I have a wav pedal for the computer, Express Scribe, and that's it. For the tapes, I have the usual trancriber setup.
Maybe the client requested the
x
Pleeeez help. What is an FTP client?
I was asked that when applying for a job. I know it means file transfer protocol, but how the heck am I supposed to know how my audio files get transferred?
And I thought I was pretty gosh durn smart. 
Client rate
It depends on the rate in your area, but I would charge no less than .12 per 65 char line. I think this rate is not too high and not too low. You have be careful about charging too much as someone will undercut you. Practicount is a line count program that will allow you to charge for headers, footers, bolded areas, underlines, and so on. This way if you have to drop your price in order to get the client you can charge for other things that will make up the difference.
Good luck!!!
it's really client preference......NM
x
In general no, but your client may need you to
nm
Well, if that's how she's billing the client SM
then that's how you should be billing her (just characters and spaces). I'm sorry you're going to be losing money. I'd be unhappy too. Maybe you can work on your shortcuts/macros more so that you are typing less for the same amount. No real words of wisdom for you...sorry.
Maybe so, but ultimately it is the client
x
The needs of the client have changed.
They can say they need the work whenever the fancy strikes them. You can either provide it or not. That is just the way this business works.
I lost a big client and a new one to EMR
My own doctor hired me after losing my account to EMR. I sat around for two months waiting for him to start only to be told on an office visit that he too has gone EMR. Good luck.
Losing a client
You have my empathy.
This happens with the big companies too. The MT is the last to know that client whose account they have worked on will not renew a contract. I worked 60 days in a row on an account to help catch it up not knowing the Co. was losing the account. I felt betrayed because during that time I could have been trained for something else. I was on a C-phone at the time, and others had already been trained on newer systems. Things really can be quite thoughtless/heartless when regarding the MTs feelings. Makes one feel like just a number. Or as they say a "Human Resource" I that that word..... it sounds like an entity that uses-up, wads-up, and then discards. What ever happened to personnel? Once again, you have my empathy.
Of course, forewarn the client.
Let him/her know that should you continue to be required to provide service over the weekend there will be an additional charge for doing it. Your work week is M-F and if you must provide service over the weekend you will have to charge a higher rate. I have had clients do this before and most of the time after talking with them they would change their mind about the ASAP timeframe. If you are getting slammed with a week's worth of dictation on one or two days then you should be allowed a longer TAT or charge a higher rate.
One client wants it, the other doesn't. :) nm
nm
ICs work for more than one client, always.
x
How do I set up a digital client??
Hi,
I just got an offer to do transcription for a doctor about 20 miles away. Only problem is this is a pick up tape deal and I do not want to have to travel especially with winter/snow coming on. I'm sure this isn't a big money maker account, but I would like to be able to have the voice files come to me encrypted and deliver the work that way too. I am not very good at things that are overly complicated, so any help as to what to suggest for a recorder and such would be greatly appreciated. I am hoping they will go along with buying digital, but if need be, I suppose I could provide it just to save driving. Help please. Thank you.
I have a PS client, and he does put pt's together when asked...sm
Lots of times he has new patient's talk with other patients. Not sure how, probably has current patient call the new one or something. You should ask. Wouldn't have plastic surgery without talking to someone who has used him, actually more than one and would want to see pictures too.
DocShuttle Client
 Does use DocShuttle Client? Can I use Express Scribe or do I have to use the Wav player by Bytescribe? I really like Express Scribe. Does not matter either way, just wondering . . . . Thanks!
DocShuttle Client
 Thanks! Good to know!
Meditech Client (sm)
How many of you are using Meditech Client and like it? Is it something you get used to?
That's up to you and the client to decide.
If you're concerned about whether or not to count the content of the header or footer, that is something that should be decided by your and the client, not the people on this board.
It's up to the client how they wish their work done.
Yes, I know it is our initials on the report. I've done work for hospitals and physicians who want pure verbatim, modified verbatim, an old version of BOS and their own modifications, updated BOS, no BOS and no verbatim, and "just type what I say that's what I pay you for." The one thing you can do to cover yourself is just save your work to a CD/floppy/Zip. If you don't feel comfortable about something, flag it for QA and let them make the last decision, but at least you have your original to go by in case something happens along the way. You have proof of what you typed and what was changed at the other end.
Yeah, I get it, but what I'm saying is my client went to using them and
g
Your client will not run out overnight
Palleeassee...... If the IC is repeatedly not making an effort to support the contract, then let it go. Geez............ You can't be beating yourself up about a bad IC. Just cut your losses. My goodness, I think you've been burnt too many times. 
This is for the client's that ask for timestamps
to be put every 30 seconds or so in the document meaning you have to type them in. It is a big pain which is why i charge a bundle for it. Usually I am not asked to :)
You always do the reports the way the client wants them, whether you
consider it right or wrong. They are the ones paying for the work. Their way is the RIGHT way, no matter what.
That's because how the client wants things is the way it
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