I am working today but i don't get extra pay. just behind on clinic notes and trying to catch up
Posted By: txmwmt on 2005-11-24
In Reply to: Anyone else working today? Am I the only lowly sole with nothing to do until dinner time? - Turkey Day
between cooking.
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
clinic is not walk-in or ER notes; it is clinic
could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
I think clinic/ ER notes sm
would be a good place to start, either working as an IC/employee for a national or getting your own accounts.
Good luck!
Do you get more LPH with clinic notes or Ops? nm
x
only clinic notes can have
an actual name in a report. hospital reports should never have an actual name but instead just have * the patient *. hipaa rules.
Yes, it is clinic notes...sm
I also have an extensive list of Expanders that I wouldn't doubt was well over 20,000. I've been building it for the last 11 years working at home. I don't even type out the word with (wi).
I appreciate your response and the boost.
Clinic notes
Mostly clinic notes from my experience:
S - subjective
O - objective
A - assessment
P - plan
Clinic notes
I have always done acute care. If you get a good line rate, could you make good money doing cardiology clinic notes. I was not sure since you have letters too.
I do clinic notes...sm
Clinic notes are a lot easier to do. The letters are very easy. If you have good rate of pay then you should make as much money. I do general surgery clinic notes and letters. The only problem I have with clinic notes is you will run out of work. It is according to if it just that one clinic or not you work on. But they can only see so many patients in a day. And if they do surgeries to then they aren't always in the office to see patients all day. So I don't always have enough work. But to remedy that I have another job too. So if I run out on one I work on the other. But if you have plenty of work there is no reason to me you couldn't make good money. My problem is just having enough work.
I do clinic notes also
I love them. They are very easy and I have a lot of normals that I use. I don't have any problems keeping busy with work. The doctor's I work for sometimes see 50 patients a day total. And I don't worry about having no work because I'm an employee and if there's no work I still get paid.
I think clinic notes are boring, you have the same
number of doctors usually and for the most part there isn't a lot of medical terminology and they have lots of normals, which is good because they you can have lots of macros/expanders to help, but I like learning from my dictation. With clinic notes I did know when viruses/illnesses were going around and what the standard treatment was, so I could try some of the same treatments if we got sick without a doctor visit, just after a while they were just boring. I much prefer acute care. I have lots of dictators so I don't get sick of hearing one doctor all day, although occasionally I do get a slew of the same dictator, the terminology is constantly changing, new drugs, new equipment, new procedures, etc.
Some have said clinic, some op notes, some ER, depends on what you
s
Clinic notes questions
I see lots of jobs looking for clinic notes. I have only done acute care. What exactly are clinic notes? Are they office visits by specialty? Also is the pay for clinics typically higher, lower, the same for acute care?
Thanks.
Depends on clinic notes, sm
I really think it depends on the type of clinic notes you transribed. I went from transcribing very detailed and lengthy multispecialtiy outpatient clinic notes for a major teaching hospital to transcribing acute care, mainly op notes, for another hospital, and it seemed to make the transition, although I felt very confident after about 3 months. But if you were transcribing clinic notes for just a regular outpatient clinic or clinics (well child checkups, lots of cold and flu, etc) you may have a longer transition period. It really just depends on whether it's a teaching hospital, the number of dictators, etc? You CAN do it though--it is all a matter of mindset. If it IS a teaching hospital or they have an ophthalmology department, I would definitely recommend getting the Stedman's Ophthalmology book. That made my transition SO much easier, that book, and the Stedman's Equipment Words. Good luck. Just give yourself 3-6 months to get acclimated to the op notes, number of doctors/residents, etc., don't pressure yourself to get it right away, and make copies of each report for every dictator--it will save you in the long run because they usually say the same things. Good Luck!!
I do much better $ wise with clinic notes
I have local office accounts and also work part-time for a national. The repetitive nature of doing the same dictator day in and day out increases my production at least 30-50%; more expanders, more normals, familiar terminology, etc.
Right now I am averaging $25.00+ an hour on my local notes, and less than $12.00 with my national acute care. I do have more taxes and such with my locals as it is 1099 income but I still come out much better on clinic notes.
good luck!
LOVE clinic notes
I do clinic work and I LOVE it. I transcribe for 3 docs. There are 4 girls on the acct. And we ALWAYS have work. When I am bored on Saturdays or Sundays, I sit down and type for a few hours. Rarely is the server empty by Monday morning. I have never been at a loss for work. It is so repetitive and easy. Each doctor has his own way of talking and I have tons of shortcuts for each doc in my autocorrect in Word. So easy, so fast, so fun!
Clinic notes are less detailed normally
than acute care/hospital reports. They are limited to that 1 speciality with only sparse mentioned normally of other medical conditions not pertaining to the clinic visit. However, in acute care, you have to be aware of drugs, generic versus brand, correct dosages, all types of medical conditions, problems, side effects, lab values (a working knowledge of correct and invalid values dictated in case the doctor is in error), and "all" specialities. That is just a few of the things required for acute care transcription.
Many MTSOs looking for acute care MTs will not consider someone who has only been in a "clinic" per se because the MT has only been possibly working in 1 speciality. You need a broad overall knowledge to work in acute care as you never know from 1 report to the other what is going to be thrown at you. In the clinic setting, the MT can be isolated from anything new that has cropped up, especially if in a clinic for a number of years.
clinic notes to acute care
Has anyone gone from doing clinic notes for different specialities to acute care in a hospital? I have been a Transcriptionist for four years and lost most of my work to India. I went back to medical billing for about 5 months and have been offered a position to work at home for a hospital. I never did hospital work. This will exclude lab and X-ray reports. I am a little scared. Any good sites to brush up on for documents or any words of wisdom?
Thanks!!
I was getting $3 a page 12 years ago. But $2 might not be bad for VERY short clinic notes.
Whew! I just left clinic notes after 4 years..sm.
and got back into acute care. My momentum is back and I feel like I'm part of the medical process again. I guess I just like acute care better. I can never go back to clinic notes. I can't deal with those 20-second charts. Took me longer to get in the chart than to type it. The company I WAS with had such a screwed up demo screen if you made 1 mistake you got put on probation. Just toooooo much for me.
IMO, that is.
Wow, 600 lines from 30 minutes of clinic/chart notes - sm
The most I would squeeze out of that would be 350 probably. You must have one fast talking doctor. You are also very fast if you can do 600 lines in one hour, or else you have it macroed/expanded to death and there is very little actual typing so that is why you can do so much in such a small amount of time.
It is clinic ortho notes , same doctor, very easy dictator
I am supposed to be p/t and he dictates between 30-50 min a day, many times 50-70 min even. It takes me many hours since I am a newbie. The paychecks just don't seem worth it for the amount of time that I am putting in.
I get close to 9 cpl as an IC doing clinic notes. No chance of raise unless I find my own accounts
x
How would you handle clinic notes coming up missing after you've delivered them to the facility?
I type the clinic notes at home, print them, verify the all notes printed, place them in a manila envelope clearly marked with the clinic name and dictator doctor's name and date of clinic. I then deliver the notes to the lead Transcriptionist at the hospital which manages the clinics. She in turn distributes them to the clinics.
The last two weeks, I have gotten several calls from the lead MT that I give the work too that clinics are calling saying they are missing certain notes from certain days which is impossible because I type all notes for a specific day in one large document and print them out together. There is no way that some are printing and some are not. Plus I ALWAYS verify that each note printed. Today, she called and said there were missing notes from two different days.
Then there is the issue of my work being typed by someone in the hospital. When I deliver work I get a print out of what's on the system as far as clinic notes. It is a worktype specific list that only I am supposed type. There are a couple of doctors who dictate all their notes in one looooong job. There were two very long jobs on my list, but were never pooled to me. When I enter the specific job number, it says they have been transcribed. In one instance, the dictator dictated half on one job and half on another. I typed one job and the other just magically got transcribed. When I've called to ask who's typing these reports, no one seems to know.
These ladies in this particular transcription department are not a friendly bunch. I have felt that they sort of resent the fact that I am doing work from home while they have to come in and type. I think they are wondering why they aren't allowed to work from home. The work I do is very easy clinic work and would be pretty easy lines for one of them to do just to pad their line counts.
I have a meeting tomorrow with the HIM director who contracted with me about TAT and I know they want a shorter TAT than the agreed upon 24 to 48 hours and I know she is going to want me to make more deliveries than the three I do a week now. I have asked that they set up a remote printer for me so I can print from home that way delivery isn't an issue anymore, but they act like this can't be done which I know it can be done.
I'm about to cut this account loose, but it's such easy work. It's just that I'm running into brick walls at this place.
Thanks for listening to me whine! 
My mistake, I am not thinking tonight, I actually make 11.5 cpl, clinic notes. I earn my money thou
nm
the holidays and working extra
... it happens every year, people want extra money for the holidays and so everyone is working a little bit extra and in the end, we run out of work. AND THEN we sit around during our own shifts waiting for work to file in.
I definitely get punished for not working extra.
They cut my workload for the rest of the week if I don't take on extra when they need it. I'm not in this to cover their backsides when they overcommit or understaff. I've got kids, another job, a husband and a life that need to be attended to on a daily basis. I can't just put all that other stuff on hold and work extra with no overtime/incentive pay. I know this business is rarely steady. It's feast or famine, but WHY, WHY, why do they always push me to do more than our original contract stipulated?
After working 2 years, I average 220-250 lph for clinic work.
nm
Try working inhouse at a local clinic or hospital.
That's what many MTs end up having to do to get their foot in the door & gain experience. IMO, that's the best way to start anyway since you have experienced people nearby to ask for help because those first few months can be very difficult. Good luck!
P.S. Agree with the other posters below that you need to specify you have your certificate in MT, not referring to yourself as a Certified MT which is a completely different thing and can only be obtained after a few years of experience & testing with AHDI. However, that brings up another topic... many MTs choose not to become certified now that AHDI has sold us out & encourages offshoring of our work. I've been doing this nearly 20 years and only once have ever been asked if I had my CMT, so it's pretty much irrelevant anyway. As long as you have experience & test well, that's what they care about.
working today
Yes, us I.C.'s don't much in the way of overtime, do we? I have been working some today, but was not asked to. Actually I don't this company has ever asked me to work a holiday; i just get bored and do it!
I'm working today
With my oldest two kids in college, I have no choice! I can't believe the cost of an education these days.
working today
Happy New Year! Is anybody other than me working today?
working today
Unfortunately I did have to work pretty much today. I have 2 piles of work on my desk all the time. We just came back from vacation and the work just sits there until I return. They are 2 private accounts, very nice people to work for, but there is always a lot of work. One of them gave me a bonus and told me, when you get back you are going to work hard, right? I said, i have been workjing very hard the week before, but they understand and work with me, Thank God for the work, with so many people out of work. I thank God for all my blessings that God has given to me.
Yes, I could be working today...
if I could find a job. I don't know how many applications I've sent out in the past three months. Two companies told me I was hired and would be sending out packets or contacting me for setup. Nope, nothing. How many times do I have to follow up? How disorganized can a business owner possibly be? When you tell someone you'll call them, do it! I guess I'll go fill out my foodstamps application since WalMart isn't hiring either.
working today
Have you tried Transcend? I think they are hiring. Hard to make very much, but better than nothing. Oh yes, they do pay and on time every time for past 3 1/2 years.
Yes, I could be working today
You really should stick with 1 company right now that pays well until the economy heals. If you have good skills, it is a sure bet that you can withstand any crisis. After things get looking better, then I would think would be the time to improve on what you have but a good steady income is the bet one can hope for until this thing is fixed. I am just glad I can stay at home and still make money - that is the beauty of being an MT in my book. Being laid off just would mean taking classes and improving my skills so I will get an even better position - using the time wisely. I think you can even get government assistance to take MT courses (advanced) on line and go on and get the CMT while you have the time. It is something that is well worth the time and looks great on a resume. This beats watching Oprah and eating bons bons.
Anybody else not feel like working today?
You know how you're sleep deprived, then when you catch up on your sleep, you feel even more tired than before? Ugh. I slept for 10 hours last night. I've got a killer headache. All the work coming up on my account today is lousy. I'd rather be doing anything else right now. Time to set the timer and get 'er done.
so much for working anymore today....
yeowssa!
I was working today, hit a wrong key and...
in my report came up all of the secret code fields..and I could not finish my report..Do you know what I am talking about? It has all of those funny marks, dots in between words, etc...My tech support is out today...Does ANYONE know how to get this off of there? I tried just using my Word and it is in there too..HELP!
fingers not working today
I have had my days with horrible dictors, and today I have a dream dictor, could no thave been happier to get her and my fingers do not work. I can't seem to type anything correctly. lol. Thank goodness I proof my work before sending - thank goodness for spellcheckers and grammar checkers - cause I suck today lol
Does anybody else have that kind of day - or is it just me? Now be nice lol
Anyone with Smartmed on here working today?
I hope this is okay to post here. 
I cannot send my files. I changed my sending options like I was told to a couple of days ago. Would anyone be willing to email me the sending options they have so I can see if that will work? Thanks.
Anyone doing home chores today instead of working? sm
So far we've put out 40 bags of mulch around the flower garden area as it was time to refresh it, and then I've put in a fence in the back yard for the dog (deal alert - if you have a small dog that won't jump over a fence, you can get 150 feet of kennel fencing that is 3 feet high at Lowe's with the stakes for just under $100, and it took me less than an hour to figure out how I wanted it to look and install it... and I'm not a home improvement queen!).
The dog feels like she's in doggie heaven running around without having to have her tie-up ropes and my neighbors across the road should be happy that I've spruced up the flower garden area - especially since they just put their house on the market.
Now I'm ready for a nice long Calgon soak!!!
Okay - Everybody reply with NM if you are going to quit working today!
If everyone is going to stick together (happy with your job or not), then we should all notify our employer today that we refuse to work until things change for ALL american MTs. How many of you are willing to do that right now?
excuse the typos.....been working to long today already! - nm
x
Sorry Guys - Today is the 1st day in months the site seems to not be working.
???
I'm working too, get double line count for today, but reports are
zz
Anyone else working today? Am I the only lowly sole with nothing to do until dinner time?
I feel like I am the only on working today, as the Boscov's parade is on TV, my two teens are sleeping, my husband is working OT and here I am working also. Gotta cover my account today, at least until this afternoon, when I have to cook for my little family.
Just wanted to see if anyone else is out there today!
Can they do surgery extra fast? What do they do with the extra glove in the pack?
;+
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
Extra shift or extra work
Has anyone taken on an extra job or shift with a new company for a just a few months to get out of debt or to be able to pay for something that is needed or wanted? I am thinking about taking on another job to get out of a stressful debt situation. I am just afraid I would be going into another stressful situation working more hours with the very busy family schedule I have.
Did anyone else catch the BS here other than me? how could you sm
bill on a gross line and pay on a 65-character line. that is just plain old dishonest. not good business practice in my opinion and cheating the MT who in the case happens to be your mom. how could you do that??? my suggestion would be to be honest and fair with you, your mom, and the office and do things in the normal manner. i hope that was a typo for your sake. GEEZZZZZZZ!!!! how many companies do cheat us all like that???
HELP with Shorthand. Suddenly today when I tried to start work today.sm
my ShortHand would type only the first letter of an expansion and then take all the letters away! I checked and the Type It button is grayed out! I have restarted the computer and looked on the Shorthand Help menu but can find nothing that applies. Can anyone please help me ASAP? I am lost without it! TIA
|
