I do much better $ wise with clinic notes
Posted By: see message on 2008-05-08
In Reply to: Clinic notes - ng
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!
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- Clinic notes - ng
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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!!
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.
I am working today but i don't get extra pay. just behind on clinic notes and trying to catch up
between cooking.
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
This is a wise, wise woman! nm
From a thankful gay guy who needed a word of encouragement tonight. God bless!
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
You are wise do be so thorough in your
research before committing time and money to training. By the way, you've made a very good choice for your education. Andrews is the gold standard for MT education. For a different perspective on life on the job as an MT, visit www.mtchat.com, click on the "message center" tab, and start reading. Read all the sticky topics (especially at the top of the New MTs section), read the archives, read the Andrews forum on that site, read the messages posted on the MT Business board; in short, read everything. I think you will get a different perspective on the profession from the very professional and articulate folks who frequent that site. Good luck with your training and in your career.
Very wise, but even better. sm
Lovely elderly couple came into my old office. Married for 68 years. Holding hands to boot. I asked them what made their marriage work so long. The elderly gentleman winked at me and said, "Well, it's simple. I always get the last words . . . .'yes dear.' "
Wise MT
I will certainly be praying for you. I will pray that you can hang in there! It has to be so hard.
SE and IC mostly same tax-wise except...sm
As an IC, you must pay the self-employment tax, which is your FICA, but you get to deduct half of it. Schedule C stays the same. I've been both IC and SE before. DISCLAIMER: I am not a CPA or tax professional. For qualified tax advise, please contact a tax professional.
A WORD FROM THE WISE!!
THANK YOU SO MUCH FOR YOUR POSTING. SOMETIMES IT IS NICE TO KNOW YOUR NOT ALONE! I THINK I PROBABLY WILL HAVE HAVE TO FILE FOR DISABILTY BUT IT JUST KILLS ME, NOT TO FEEL LIKE A FUNCTIONAL MEMBER OF SOCIETY, YOU KNOW WHAT I MEAN? I STILL HOPE DEEP DOWN TO FIND THE RIGHT ONE TO GIVE ME A CHANCE IN A NEW CAREER. THANK YOU SO MUCH FOR POSTING.
ANGELA LEE
Actually the "three wise men"
that's how they knew to look for the star of Bethlehem and recognized the amazing event foretold by the stars.
Grow up? How about you wise up?
So, you mean to tell me that having 1 or 2 glasses of wine or beers is enough to call someone drunk? Come on and WISE UP!
Again, I didn't ask WHO GETS DRUNK AND TRANSCRIBES, I asked who has a few drinks while transcribing.
Being in the vicinity of MY OWN HOME having a drink or TWO and transcribing is no big deal to me. Some of you people are SO UPTIGHT and I think NEED TO DRINK!
HICCUP, pardon me!
Yes, that is a wise decision. (nm)
dd
Wise move.
I've been an IC with many companies and an employee with a few others. I've found that many if not most of the supervisors and managers at these places are dead weight authoritarians who get high and justify their existence by puking on people who work for a living. I left at least one place precisely because they tried to hold me responsible for mistakes made by the dictator. Happens all the time.
I wouldn't wish a future in MT on anyone.
My Mom, who was a very wise woman, would tell you...
to love her anyway just the way she is and realize that "everyone is doing the best they can with what they have to work with." Plus, life's 2 short and life is fragile.
I don't think that optometrically wise buying off the
c
well darn. I thought I was being wise
in getting rid of credit cards - just down to 1 bank card and 1 store card that I only use when having a sale and we need new clothes and that I have 90 days to pay off without interest.
It's wise to dedicate one pc solely
for work purposes, in addition to having a back-up pc available. If you do not have a medica/pharma spellchecker download on your pc, it's a good idea to purchase it. Depending on who you will be transcribing for you may need an unlimited long distance calling plan if you do not have it already. A high speed connection is recommended and necessary by most companies. Up-dated virus protection is a must. A printer may be required. You are a step ahead of the game by already having purchased a desk and a comfortable chair, which are a must. If you need to purchase a foot pedal, I would recommend buying a new one. So, depending on what you already have, start-up costs can run anywhere from $100.00 to approximately 1,000.00, and while it may seem like a huge expense, you should recoup these expenses within 3 months of working. Good luck to you and enjoy!
I don't think it would be wise to quit over half a mil
that's not gonna last you a lifetime! I think you should be reasonable. What about health insurance? Are you married? Do you have a lot of debt? There are a lot of factors inolved.
Oops..why not wise.. long day. NM
Very wise post. Didnt look at it this way before.
x
Already did. They are outrageous cost-wise
I have to pay $60 a month for LOCAL service only.They don't have DSL where I live. They keep saying they are going to get it here, but it's been 4 years since that statement was made..
Thanks for the suggestion, though. It seems that these companies think everybody lives in a progressive area and make a lot of money. I live in a rural area and the phone company has no interest in being #1 where I live. I have a choice of Comcast or Direct TV and that's it.
Another wise woman with good taste! SM
I think BBT is the bee's knees. You have very good taste.
BTW, what R some good companies 4 radiology pay-wise? nm
Regarding AAMT, is it wise to join? Opinions please...
have been an MT for almost four years but have not joined as of yet. Would like to hear pros and cons. TIA.
you're welcome. You made a wise choice--sm
but also realize that our words are not just for us, they are for everyone reading this, who may be in the same situation and who do not have the courage to make a change in their lives. What we say to each other may just give someone else the courage to live a good decent life, without the need for drugs or alcohol, or someone in our lives who uses them. I am happy for you. I am happy for me. We are free. Good luck to you.
Word to the wise.....never send any money until ...
you are absolutely positive the school is reputable. I had a friend who lost $350.
P.S. - I'm alot stronger cardio-wise also
NM
You are wise to hold off on a major purchase until sm
you see how the system is going to pay. Eight years ago our hospital outsourced their department and I went with the account to a large national. I went from making $24-26 an hour to making $8-10 an hour. It has taken me 8 years to get back up to $16-18 an hour. One of the girls that I worked with had just built a new house. I'm not positive, but I believe she lost it.
This change may not affect you much, so I wouldn't worry about it. Just wait until you see how it turns out. It may not make much difference at all to your salary. But you can always look for a house when you're sure of your financial situation. Good luck.
Penny wise and pound foolish
Cheap ones don't save in voice files. They're hard to use so most likely your doc will not bother to pause or rewind for dictation. You may save some money now but you will end up wasting more time to decipher the recording. The best one is Olympus DS5000... every word can be heard clearly with that.
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