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Serving Over 20,000 US Medical Transcriptionists

I've worked for svl places that said to change it back to 100% before sending, so it must affect

Posted By: thing, somehow, in some way, sometime! :) nm on 2007-03-04
In Reply to: Increasing the zoom view does not increase the font size. - nm

s


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Don't change. I had to change back to cable. SuddenLink DSL stinks! nm

nm


I think I will be sending it back.

I noticed that the CD seems to "skip" over some questions or items that it used to ask. Since I do a lot of searching on the 'net, I guess I will call this one a "not needed" item anymore.  I just thought it would be a bit easier instead of going to the 'net to do a search...you know "information at your finger tips" type of deal.


Thanks for the input. I'm a little dissapointed in this version to say the least. I have no idea why they took a great product and ruined it.


 


I have worked for a couple places sm
one company (national - they took out taxes, so i was considered an employee) paid between $1.10 to $1.35 a report, depending on the difficulty of the account/doctors.  i currently work for a company (considered statutory employee) and they pay is $1.25 a report.  hope that helps.  i think i like being paid by the line, because you have your nit pickers out there that will skip the long jobs and do the short ones if you get paid per report.  if you get paid by line, to me it doesn't matter. 
Not fired but at 2 places I worked
First place worked on something called units. I would usually go over 50 a day and was told 1 day if anyone got over 50 then would stop and do paper work. Told the boss that would be discrimination against me as I was the only 1 doing over 50. So much for that. The second place was 2 transcriptions only for a fairly good sized hospital. No work sent out, no need for extra people. I was told 1 day by human resources- well look how much you make at 60 thous plus and I said, yes but take the place of 2-3 people. Your pay can and has played into my work in the past. People used to offer incentive, but don’t make too much. Could be the same now with making $$$$.
sending back work
I have made it a point to learn the *hard* doctors, cause they are sent to me quite a bit, cause MQ knows I can do the *hard* doctors..Its crummy having to learn them and knowing you are losing money in the process but once you learn the *hard* doctors, you know the ones who are ESL or English as third or fourth language (smile), you can do them and then it is no big deal.  Yesterday, I got a half transcribed report with at least seven blanks for Q/A..I was able to do the report with no blanks cause I have learned this doctor, who has what I think is a Middle Eastern French accent..He is quite hard but I can do him as I have learned him over the years (since 2000).  Practice makes perfect and the way transcription is going with voice recognition, I think the only transcriptionists who will be left in the end are the ones who can do the ESL, mumblers, speed talkers or speech impediment doctors, the ones who voice recognition cannot do.
No, at this co. QA is good about sending back

that's the usual process so that we can listen to our errors. How do you ever learn if you don't see your errors?


My refund was for 2 cents. I am sending it back along with a letter to the CEO
and ask them why per contract I did not get the raise promised me in 90 days. I no longer work for them, but hey, I am not going to let this opportunity slip by.

It makes no sense to spend more money than the check was to get it to you and for a company to be that wasteful, you wonder what is in the back of their mind. For both you and me, good thing we did not go run and try to spend it in one place!

Something stinks there!
You might be sending finished work back to an FTP site
s
I've been there 2+ years and NEVER penalized for sending to QA. nm

PS.. It apparently worked..I heard back and already submitted the paperwork back.

I'm not sure how many people they are hiring but you shouldn't stress too hard over it. Do the best you can.


Here's a very short list I've gathered of places

I don't know how current this list is or even if the PCs are still being provided.  Make contact at your own risk:  Diskriter.  Precyse.  Opti-Script (Penn. - they'll give you the loaded tower and you can use own monitor if you want.). CIT (Charts in Time - also will just send the tower and not the monitor if you want.)  WebMedX (with a fee?? - maybe before, don't know about now.)  Trans-Tech (with a fee? - not sure), and possibly Spheris and Amphion.  Sorry this may be old info.. Hope others can add to it and update the list. ....NM in NY


Leuden affect / luden affect

Hi.  I am doing the H&P portion of a dictation and it states that the "Leuden affect is appropriate".  Has anyone ever heard of this? Leuden or Luden.  Thanks for the help!!


cathy


Most accounts I have worked that are verbatim stipulate what you can/cannot change.(nm)
x
NOW IT WENT HUGER!!! CHANGE BACK?
oh no. Any idea how to change it back? Everything is gimungus, even my home page font. What a cruel joke. Is that what I get for complaining?
You're right, it's not going to change back to what it was, but

we can still be competitive. Why would medical professionals take the chance of offshoring their patient's medical records if it can be done right here in the US?  Competition. That's what our goal needs to be.


What shocks and amazes me is how so many American workers are so willing to just lay down and get screwed instead of adapt by being competitive.  Adapting doesn't mean you have to accept offshoring at all. 


For those of you who see my point, kudos to you.  For those of you who don't, grow a brain.


That's another one -- ALWAYS saying 'go back and change that'
I wish I got paid by what I typed rather than what I send in; one doctor would be paying triple because he always goes back and rephrases what he has said, sometimes while he is saying it and a lot of times at the end of the letter, and I am supposed to figure out exactly which parts to take out and what to change and leave in.
Just ranting - - not expecting miracles; I know I can't change the way they dictate, but I can come here and rant about it!
LOL! I was just coming back to change that to 1024. Thanks!
x
but don't worry - next year BOS will more than likely change it back! nm
.
Someone please tell me what I need to change in NAV to get the left sided links back for the forums

I found over the w/e if I disable my Norton Internet Security and go to Tools, Internet Options, Delete Files and click on Delete All Off Line Content, and choose ok, I can get the links back on the left (in the blue area) but they won't stay. I assume I  need to change something in Norton's Internet Security, but what?? Does anyone know? I have tried lots of things and can't seem to find what it is that will make this a permanent change as it won't stay this way.


Please help. TIA.


I've been thinking about a job change recently

I've only been in this biz for about 13 years, but now that my last one is off to school, I'm also thinking about a career change.  I live in a very rural area as well, so I understand completely what you mean about people thinking $8 an hour is a good wage. 


One thing I'd like to suggest is looking into a state job.  We have 2 state prisons in my area (about a 20-minute commute) and both hire medical transcriptionists as well as medical records personnel.  These jobs generally start out at about $12 to $15 an hour plus state benefits, which in my state are the best bennies anywhere.  The jobs that require coding certification pay even more.  I would highly recommend that you look on the internet for state civil service jobs in your state.  You'd be surprised at the opportunities in the medical field. 


I'm considering this option myself but want to wait until next fall, after I have the summer to spend with my kids (and so I don't start out "in the hole" because of babysitting expenses) and to have time to look into getting my coding cert.  I graduated from a business school with an Associate's in medical secretarial and did a lot of coding prior to working from home.  I used to do billing for a very large rehab facility, so I don't think it will be too hard to brush up on my skills.


Anyway, good luck and let me know if this (a state job) pans out for you.  Most people have no idea these kinds of jobs are even out there (I didn't).


Just open glo file in Word, highlight all, then change case and save back
to glo file. Use the Alt key trick to highlight just the column of words, then Shift + F3 to toggle through the change case commands. First save your glossary under a different name so you also keep the original.
Do it! Make the change! I've mentored a few AHP newbies &
s
I worked for them before and went back
to them recently and there wasn't enough work for me to even get my minimum done for training so I left.  I don't want to have 2-3 or 4 backups just to get my minimum in so I left again. 
Back in the days when we all worked in an office

we got this new manager who I disliked immediately.  She couldn't spell every day words, she had absolutely no background in MT and figured she was doing somebody to get the position.  We had been promised an MT as our next manager.  She said she could type 85 wpm and she believed she could handle the job - HA.  We had an MT come in to interview and test and she had to ask me how to turn on the computer and how to print the report.   They company lost the account and it closed down that office and the manager couldn't get another job and had to move back home with mom and dad.  


I had a man looking for his wife to be able to do something where they could work and travel and he said his wife had a business degree and he felt she could do the job too.   I also had an associate whose husband got fired AGAIN and she called me wanting to know how she could do what I do, like she could start tomorrow.  


I've decided I'm going to tell people I'm a medical langauge specialist from now on and when they ask me what that is I'm going to say I'm a translator.  


I worked for Southern Transcription a while back.
nm
I taped my back in the days, which worked.
nm
I worked at Home Depot awhile back
for 3 years in the paint department. I have done them all and also taught the classes on Sundays. You might want to call your local Home Depot and ask when they have their paint classes. Lots of information, and they should let you try out the techniques as well.
I've worked for both

I think there are two big differences.  (1) Benefits should be much better than the national, and (2) in working for the hospital, you will only be working on one account (which makes a BIG difference in my opinion).  I averaged about 225 lines per hour working for national on a main account plus a couple backups.  I am averaging 300+ with the hospital.


The only advantage with going with the national might be better job security.  If you lost the account, at least they could move you to another one.  But personally, I would take the hospital job in a second.   Good Luck! 


    


I've worked with one of their
products. It was an excellent transcription product; they basically bought another company and added the product to their line. I've read some about the owner of the company. He seems like a very above-board kind of guy. He values the special knowledge that MTs have, and we used the product without VR, BUT ... he won't be happy until his VR product is worked in to the transcription process. (I think they might focus on radiology only). He is just SURE it can improve turnaround time, but he admits that VR on its own is not very impressive and reports will always need to be tweaked by a knowledgeable MT. What he doesn't realize is that the transcription process is much more active and able to catch errors when the MT is immersed in transcribing the report. I don't believe 95% of MTs could in a time-efficient way get the complete gist of each report and catch as many dictator errors, history errors, as she could when her mind was completely involved in the transcription of every word. Doing radiology, how many times is there just the briefest pause from the dictator and the MT's mind is already filling in the next word or phrase, and then the dictator says something else, and you think - wha?? and then the radiologist realizes his blunder and corrects himself at some point. Or if he doesn't, the MT's mind is reasoning out what is right or wrong and can bring any problem up with that report. Because of noticing, that report will get corrected before it goes out to the referrer and causes a phone call from an angry referrer.

Radiology needs to go out at 100% accurate, and IMO, insisting on the use of VR will lower accuracy rates and won't improve turnaround time much at all. When I was doing radiology, the better radiologists could dictate a note in a quick and efficient manner and the MT would get on and do it within about 3 minutes. Every 20 minutes the good radiolgists would sign a batch and the reports would go out. So it was about a 30-minute turnaround time for those reports that didn't need a different radiologist to read them. Turnaround time had everything to do with which radiologist was reading and how many specialty reports there were and how efficiently the off-site radiolologists were getting on to dictate. It seems like the VR guys think the MT is the slow one, but IT'S NOT THE MT - SPEED IS UP TO THE RADIOLOGISTS.


I've worked for MQ for years and
have NEVER been given the opportunity for bonuses.  Those who have gotten them have been lucky.
I've worked for MQ over 4 years now and
I have never been told how many spaces to put or not put after a sentence; I have never been paid for spaces, by my count at least. I occasionally check my reports. I do not get spaces.

I'm not sure why, or actually by the anonymous stature of posters on this board, IF anyone has really been told to limit spaces to one after a sentence.

If MQ really isn't paying for spaces, it wouldn't make any difference monetarily so I cannot see that they would make a stipulation like that.
all the ones I've worked with (6) were gay. Go figure.

The only male MT I've worked with is now ...
one of the MDs I transcribe for now. He worked as an MT for the same small service I did while he was going to school.
I should add, I don't know how they are to work for as I've never worked for them, just saw th
post.
I've worked for several companies using this VR
I make on average $20-$26 an hour with the editing at 4cpl/straight typing 9-10 cpl 65 char with headers and footers and templates. I've been using it for several years though. There are several job ads for this software.
I've worked the same one account...sm
for over 10 years. They know I'm reliable and I know what those docs are going to say before they say it ;0) Seriously, though, I've tried other short term assignments or on-call situations through the years but always come back to my bread and butter. Like anyone, I could of course be let go tomorrow, but in the meantime I'm making good money and doing work that comes second nature by now. Less stress too!
No, not gullible. I've worked in
years and not just in MT.  You need to unwrap your mind from around the state of MT of 25 years ago.  Those days are long gone.  Another unfortunate issue that we're faced with today - new MT graduates.  The quality just is not there as it was back in the day.  Well, enough said - we obviously will need to agree to disagree.  I see it every day the negotiations with major hospitals and offshore.  They know what their pennies are getting them and they don't care as long as it's cheap.   
What is the best platform you've ever worked on

and why?  What do you like about it?  Also, what is the worst?


I really like EditScript 8 & although it isn't perfect, I like the fact that I can access other reports on the same patient/same dictator if I need to verify something (although I never trust it 100% lol)  One thing I don't like is that I can't use my Expanders (or maybe I can, but don't know how to go about it?)


I don't like ChartScript, as I don't think its very user friendly and those old DOS-based antiquated systems were for the birds!


I've worked and traveled with (sm)
A Verizon Broadband USB device on a 5GB/month plan for $60/month. Anywhere that I can get a Verizon phone signal, I can work. Working on the DQS platform, I could work 24/7 and never approach the 5 GB limit per month, but I'm not sure how other platforms work in that regard.

Europe in general is more sophisticated in their cell phone plans than the US (the majority in Europe use prepaid as opposed to 2-year contract plans). I would think that you could get a USB device over there that is compatible with the cell phone frequencies they use over there.

Hope this helps!
I've worked in-house and at home ....
I find that even when you're in-house, with the nature of the job, there's no time for chit-chat.  When I worked in-house we had production minimums and there was incentive to earn if you produced, so who has time to talk?  I'm with you.  I'm happy being here in my comfy clothing without all that aggravation.  Let is snow, I don't have to drive in it!
I don't think so. It sounds like you've never worked for a national.
Nationals DO check references.  That's the job of the HR department.  They DO run credit reports when you accept a job, and they tell you so on the piece of paper you have to sign giving them permission to do so.  They DO prosecute and report to collections against people who don't return equipment.  They DO keep deposits on unreturned equipment.  They DO get the equipment super cheap anyways in bulk deals through major technology suppliers.  Equipment, losses, and shipping are all tax deductible anyway.  They DO use QA so that lazy or inexperienced MTs aren't sending garbage straight through to the clients.  Most national MTs don't have any contact whatsoever with the clients.  In addition, the majority will let you use your own equipment or charge rental fees so it's not coming out of their pocket.
That goes both ways. I can tell you out of all the MTSOs I've worked for,
only a small percentage of them worked out. It's as if they'll tell you anything to get you hired, then reality hits. You tell them when you're available. Oh, OK, no problem. Then the work doesn't show up until your shift is over, but they still expect it done by TAT. Sorry, but I don't work on-call for free 24/7. I'm not sitting around doing nothing all day long waiting for work to come in. I'm not staying up all night without sleep and blowing off my family because the MTSO is in a bind. We're expected to work more than 8 hours a day without overtime or incentive pay.
I've worked for two services that had VA contracts.
It was horrible. Lots of ESLs. High stress MTSOs. No samples or QA feedback.
I've worked on a laptop only for going on 7 years.
I do use an external keyboard the majority of the time though.   The USB WiFi does not accept a card, it is small, plugs into a USB port and acts like your card does, you don't use a card.    Go to  a website like best buy and search for Wireless USB adapters and you'll see what I'm talking about. 
I've traveled and worked many times

To try to answer your questions.. Whether your foot pedal will work in your laptop depends on the laptop that you buy. When you're looking to buy one, try to find one with the correct kind of port for your pedal.  The one I recently bought doesn't have a serial port, so I bought an adapter at Circuit City that plugs into my USB port, and then I can plug my ergo keyboard and mouse into that.  In any case, your laptop will definitely come with at least a couple USB ports, so you could always buy a USB pedal to use with it if you have to.   As far as the headphones, every laptop I've ever used has had a place to plug in a pair of headphones so that should be no problem. The thing is...if you're going to buy a laptop specifically for this, then look at the ports on the laptops and make sure it has what you need.  I would say if you don't mind buying a USB foot pedal, though, you're not going to have problems because every new laptop will have USB ports, and I'm sure a place for your headphones.


If you're staying in hotels, try to stay in places that have free high speed internet which so many of them have now.  You can plug right into that and work.  If not, I know Verizon has a wireless broadband service now for around $60 a month you could check into.


I hope this helps some.


 


They aren't that rare. I've worked with SM
bunches of them.  Unfortunately, my experience with them boils down to this:  The men who do this usually are the men who can't get along in a work environment with a lot of other men. 
I've had this problem and the only thing that worked for me....sm
was to slow down turnaround.  They called within a couple of days.  Told them I had to take on extra work to meet my own bills by paying customers which slowed down their turnaround.  I had my check the next day.  Don't know how they managed that, but they did.  Since then, there have been a couple of times that it was a week or so late, but not like they used to do.  I honestly think as long as they can get away with it, they will.  I wonder how long they would last if their paychecks were 2-3 weeks late.  Really irks me. 
I've worked with much programs that were much worse.
I don't find ExText so bad.

Because I've done radiology, I've been stuck using software that didn't come with a medical spell-checker and was not compatible with any medical spell-checker. It had an English word checker, so we had to add every single medical term manually.

I once had management actually move us BACKWARDS in technology, from Medrite (which was a fine program back then), to the one previous to it. It may have been called MTS, but I can't remember. This was done because of a company merger and the "alpha" company managers were too lazy to learn the Medrite program. Did it matter to them that they were not paid on production and we were? NO! Of course not. So we all stood around as we were trained on this program my jaw dropped to my knees because it was so inefficient. And the spell checker was worse than useless with that program. Say you misspelled Levaquin as Leviquin. Here is a list of the suggestions it offered, and I am not exaggerating:

lewder
lawless
marshmallow

As far as ExText, what I would want fixed would be the ability to speed up or slow the dictation rate with the keyboard. The multi-mouse moves required are a waste of significant time IMO because of the long pauses so many acute care dictators inconsiderately leave in dictations.
I've worked with MTs who work diligently
...to find a way to cherry pick.

The system that you and the poster above you are describing sounds like the one used where I used to work.

One MT fiddled around and wasted who knows how much company time until she figured out how to manipulate the filters component of the system, and set the filters to only route to her jobs from her 3 preferred dictators.

If only these MTs put as much time into actually transcribing as they put into getting around the system they could probably make even more money than they do with the cherry picking.


Worked in clinic for 30 yrs and have tinnitus. I am used to back ground noise, hard to work
:+
I've worked for companies that needed people
specifically to do certain reports.  I have been hired to exclusively do ERs and discharge summaries before.  It wasn't cherry picking either.  They needed someone to catch up their backlog and keep the reports within TAT permanently.  Evidently, other people were cherry picking and bypassing these report types because they're not as good of money makers as Ops or H&Ps.