I get close to 9 cpl as an IC doing clinic notes. No chance of raise unless I find my own accounts
Posted By: I'm afraid. nt on 2006-04-25
In Reply to: Average CPL for Acute Care - Lori
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- Average CPL for Acute Care - Lori
- I get close to 9 cpl as an IC doing clinic notes. No chance of raise unless I find my own accounts - I'm afraid. nt
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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!!
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.
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.
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
own accounts, IC, employee with benefits, acute or clinic?
nm
varies: clinic/acute, employee/IC, own accounts/pool.
nm
depends; clinic/acute, IC/employee, pool/own accounts....
nm
um, wish I could find some of those accounts
you'all are talking about that don't have much work. This ole gal would love to have some lulls in work to let my poor achy hands a rest.
They also do this to find out who your accounts are,
get their foot in the door, and underbid you, thereby stealing US MTSO's accounts, so that knife cuts both ways.
Well you gave her a fair chance, asked her to stop. It's a shame she didn't take the chance. n
x
This has not always been the case, hence it hurts more. Merit raise/cost of living raise
dd
The raise you're describing is a merit-raise, - (SM)
and I agree that a worker has to go above and beyond in order to get them. But what doesn't seem to happen in this industry is COST-OF-LIVING raises, which should automatically come to workers either in small increments yearly, or in larger increments every 2-3 years. Without wages that are at least somewhat *realistic* (and modern-day MT wages are a pathetic joke), it's no wonder quality workers are harder and harder to come by, and much harder to retain. An MT should not have to work sweatshop hours for 7 days a week just to keep their head above water financially.
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
Allegiant has clinic accounts and is busy, busy, busy
If you're an IC and are looking for plenty of work, freedom to set your own hours, low daily line requirement (500), great supervisors, and easy clinic accounts, then Allegiant may be the right company for you. You can apply by going to www.allegianttranscription.com.
Allegiant's pay scale is 7 cpl also, but would you rather get 7 cpl and easily transcribe 250 lph or get 10 cpl and struggle to do 150 lph. Give me 7 cpl any day and spare me the headache.
How about zillions of accounts. MQ has these accounts so overloaded even the new hires dont have any
work. I would love to read some of these reports and then they expect perfect QA and no blanks. Did they lose their minds completely.
The accounts are old and she keeps her accounts TRUSTING she hired the right MTs
who if in doubt will ask questions regarding reports. No one can find all mistakes in all reports and that is human to have a report with perhaps a typo. You think anyone reads through all the reports of a national company before they get to the hospital? Not a chance. Some random QA is supposed to correct all mistakes? Not hardly. Doctors/dictators make mistakes too. We all do. So do QA people. So the thing is this person hires good people who are trustworthy, the hospital likes the way she does their account and life goes on quite nicely w/o hovering editors/QA people. BTW, who QAs the QA people on your accounts. Ever wonder?
go to chat room on web site and find out. i'm working but if you find out, let me know.
creepy dude.
You are probably right. If I were looking for a job, I would not take the chance with this one. nm
x
Is your dad by any chance (sm)
a less than happy camper when he wakes up in the morning? Maybe moving a little too fast in the morning? Maybe Snoopy is avoiding dad when dad's adrenaline is pumping, but doesn't see a problem when dad is kicked back and relaxed.
Then there's the off chance that...
The person who posted wasn't "Joan Berre," but was trying to potentially cause trouble for her. I would hate to think that anyone would do that, but it's possible.
I have a chance (m)
to go to work in-house for $17/hour. The problem is it's a 2 hour drive each way for me. I have a car that gets great gas mileage. Would you do it?
By any chance was it... (sm)
Proficient Transcription? There have been numerous complaints about this so-called company. They may be under a different name by now but the owner's name was Donna. She had people give her money to buy equipment they could buy themselves and then would give them next to nothing in terms of work and then not pay for what they did. Just curious if this was the same.
IMO...not a chance. No way, no how.
I beat VR with my own standards and templates, but it's still nowhere near that. On the most excellent of days with the perfect dictators and best templates I can get 550/hour. But again..that's a lot of template/expander help.
Not a chance....
Especially if termination was through no fault of your own, and was due to their own internal structuring.
Make their loss, your gain, and don't look back.
You can do better.
By chance is this MT Daily?
.
Give MQ a chance...
Isn't it just possible that after all is said and done, and after all the changes, MQ may very well be a much better company to work for? Perhaps closing all these millions of branches (and the wildly different management styles, i.e. Columbus versus Amherst) will result in a more streamlined, consistent company where there is consistency across the board? Trimming the fat can be a good thing, U know. Personally I think Amherst is on borrowed time - a soon-to-be relic of the bad old days when nothing was done the same way from branch to branch. After all the dust settles, MQ just MIGHT be an excellent place to work again - but at least we should hear them out and give them the chance to prove it. Just my 2.5 cents...
Any chance it is something along the line of... sm
glioependymal cyst, meningeal cyst,
Are you by any chance from Alaska?
Or do you mean just because it gets dark early because of the time change. I've heard of people in Alaska with the night being so long using that light for depression, but that's really the only time I've heard of it.
That is good. I would never take a chance sm
with my pets. Cats are felines. Dogs are canines. Two different species. What works on one "could" kill the other in some instances. Just check pet poison control centers. Maybe same chemicals in some instances, but different formulas entirely. 
I had a chance to sign up.
My ex-employer was into it. There were some local people who did well with it and were in that upper group. Also, I had the opportunity to check out some of the tapes without buying. I still never found the money to get started. Now I am glad I didn't.
No. She had her chance and didn't win.
Now if she's unable to try out due to an injury, that's too bad. No one else would be given the luxury of not having to try out and still getting on the team. She already got to to go the Olympics, so give someone else a chance!
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