I get copies of the schedule from the offices. sm
Posted By: For each doctor but remember... on 2007-12-18
In Reply to: Doctor vacation - Patti
you are an IC, so you can call the shots. You can let them know that if you don't receive the work by a certain time, you will assume there is none, something of that sort. If you need a day off, give them advance notice and don't "ask" them for it, because you are an IC so you set your own schedule per IRS rules. You do not need their permission, per se. Obviously, we accommodate the docs as much as possible to keep the accounts, but only to a certain extent. We shouldn't be on call for them 24/7, either. They wouldn't wait all day for a patient that may or may not show (and sometimes even charge if the patient is a no-show!!) If you wait and wait for work, play their game and put it in writing that you will charge for your time -- and then DO it. A few extra charges on the old invoice will likely bring about a change. ;)
Even with the schedules provided, the docs can and do change them at the last minute, so there's no way you can ever know for sure, but at least you can have SOME idea what's going on if they provide them. The way I see it, if he tells you he will be out, then that's what you go by. Even if the staff can't verify it (strange, since most docs are highly reachable by staff), you've heard it straight from the horse's mouth so if you want to take that opportunity to have a day off, let the staff know you'll be off that day, period.
If the doc changes his mind and comes in that day, well, I'd still take the day off if I made plans. Keep that saying in mind that poor planning on their part does not constitute an emergency on your part. If they don't like it, then maybe they'll make better future efforts to keep you in the loop.
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copies of what?? nm
nm
Keep copies
I made copies of all my OPs at first. You will find that even with changing dictators, much of the content is the same.
How much do you charge for copies? sm
One of the doctors I transcribe for wants me to print the notes and the cc's to other docs, but I don't know how much to charge for this. I have never had a doc ask me to do this before, as my other docs just copy everything themselves. TIA
Charging for copies.
My charges for copies depend on who it is and how many copies. I had one guy who wanted to use me and my little inkjet printer as a personal photocopy shop. I was charging $.10 per copy to cover paper and ink, but he'd want 20 copies of each page I typed. Finally, I told him to go to Staples to make copies because I wasn't going to do it any more. I was driving there every few days for more ink and paper anyway, and he was just someone I didn't want to do business with.
I don't charge my other client for carbon copies because he usually only wants one or two copies. Besides, he pays me really well and I've been typing for him for 8 years. When he wants full color copies of digital pictures printed out, however, it's at least $1 per page because it chews up the color ink cartridges so much.
HELP! How much to charge for copies? sm
Just got a new account; however, the doctor wanted me to take half a cent off my rate AND not charge him for his templates (even though it's my ink he's using) AND he wants me to do the cc's and envelopes at no extra charge.....I do not want to do this as I really think that's a lot of extra work with no extra pay....could anyone help me with this? What do yall do?
How much for evelopes??
How much for copies?? Thanks to everyone who replies!!! I realy need help on this one as none of my other accounts have asked for a bunch for nothing.
Suckered in the South
So how much for copies and envelopes? sm
I am about to go crazy trying to figure out how to do his invoice.
ABE books has many copies
www.abebooks.com
Well worth getting. Also research online for Expanders -- there are lots of lists out there to give you an idea how to make your own. Some are free downloads. But you do definitely have to have your own system and just use these to give you an idea how to set up one. No two brains work the same. I refuse to work without my list!!
I keep copies of all my work even what I - sm
copy and paste into the hospital's software, which does the line counting for me, but in their case it is always slightly more than what I get when I figure it myself, we only get the body of the report, but don't have to enter any patient info (or check it luckily). On my FTP work or direct email accounts I report my line counts on a daily basis, which I do and they take my word on it, and are free to check me as I do not cheat on my counts. I just take the told character count and divide by 65 to get my lines, though I have it set up in Excel so I actually don't have to do the math for every report, that would take way too much time which I don't get paid for. But keep your work and verify. Sounds like you may not be getting paid for spaces, or expanded words (only paid for keystrokes, and also no spaces), sit down, do some math and figure it out, good luck.
Aren't macros copies of what others have said?
Aren't macros carbon copies of what someone else is dictating to you? You have it in your pc to make you're life easier, but it is not "your words" coming from your mouth. These words belong to the dictator... Am I missing something here? That is why at the end of the report, the dictators initials come first and they are in CAPS, and your initials come second and are in lower case. 
And most often headers, footers, & copies are not
s
Keep copies of your original report
& if you are being blamed for other's mistakes, get your "ammunition" out & go straight to the owner/manager and ask how this can be corrected and that you will not be taking responsibility for someone else's error. If your owner/manager is a decent person, he/she will have a resonable doubt from now on when someone like QA complains about "your" work. Always CYA and don't be afraid to speak up.
I have signed it and sent copies to my congressman and
senators. I also call the White House, my congressman and senator every single week and email them. The one guy who answers the phone at my congressman's office said to me to keep squeaking.
We all need to do the same. Talk to everyone, your MD, you neighbors, your friends, clergy, send emails to the Editor of every news agency you can think of.
Sometimes I feel like I am the only one doing this. I also feel like we have already lost the battle, though.
It makes me sick to think that big business is dictating everything down to our medical care and how that information is handled.
copies of previously transcribed reports
What I always found helped, make copies of reports from the medical record charts. Make a few copies of each doctor and keep them in your desk that way you can refer back to the report when doing the doctor. You will get the hang of it. No hospital wants to go through the money and time hiring someone just to let them go right away. Usually you get about a three to six month probation period.
How much do YOU charge for extra copies and envelopes? sm
Need some help here ---- have a very cheap doctor who wants everything for nothing. Need to know what to charge him for copies and envlopes as he seems to have a lot of those. THANKS!!
Keep copies of your reports and do a line count yourself
Then you will know won't you? Get MPCount (think that's the name)(free), or abacus, or any other number of line counting programs. This website (MTStars) has one you can get for free too. Try it and then you will have your answer.
Do you have Word set to make backup copies (sm)
of the documents? Check the folder your document is in for a backup file. I've also been able to recover using a .tmp file as well. You didn't delete the file so it wouldn't be in the recycle bin. You just didn't save the changes you had made, so hopefully along the way Word saved a version and you may be able to recover something.
Keep copies of all jobs and when you hit the bonus level,
p
Office Max has 25 colored copies free until 6/9. (nm)
:)
Names & addies on copies sometimes aren't
s
I use the paper copies of each of those and get new ones every year. Love
s
You may find that actual copies of the reports are also useful. sm
I did strictly OPs for two years. There were some doctors that I had to check 4 or 5 different reports for every time, just to find the subtle variations he used. I might have 4 copies of appendectomies for him, and need them all to complete a difficult one. Complete copies really are almost necessary, I think.
Document everything! Save copies of your reports
Then, when you get an email contradicting the email that she sent you earlier, you have proof. You can print it, or copy & paste that info. into an email to your supervisor. And hers. Same with the reports. If you're getting incorrect corrections, go back and check your copy of the report. Double check with the company's policies, and with the BOS if necessary. Then, if you're right they they're wrong, you have written proof to back you up when you complain about it to whoever is responsible for that QA person's work.
I tried to download it. It says do not file these copies for some reason. I'm going tomorrow to S
pick up the ONE stinkin' form I need from the federal building. Beats buying 50 at Office Depot!
As can the looking up of addresses, names for the copies, deleting stuff that's not used on the
s
Offices are different.
Your supervisor should be able to email you a rundown. My office has many different incentives, in fact, I have a hard time keeping track of them!
Why are all offices not ran the same?
x
I dunno. I sure do miss my Selectric and those onion-skin copies. nm
nm
One of the Ohio offices
I'd rather not say which. Been there years.... it's gotten worse, not better!
How do you change offices?
?
it seems to be all offices, have you signed
up for IPAY? I have not gotten a check yet either, but there is a statement there for 09/02 which obviously is not a regular paycheck
incompetent offices
Geez Mandy, you must work for the same place I did before I left LOL.
Offices need not comply .. but
we find that most do for the continuity in care issues that any practitioner faces.
Can anyone tell me how they like working for the NE Region of MQ as all offices in the NE are
going there one by one as the local offices close down. What are the people like to work for there and the QA people as far as feedback on things. Thanks
So they are consolidating offices, big deal.. it's a
c
I don't know about now, but they used to have local field offices. sm
A friend of mine had a problem, and she went in and talked face to face with a really nice person, who helped her through it. If you're close to an office, and if they still have them, that might be your best bet. Good luck.
Doctors' offices, not hospitals
Sounds like the OP is referring to doctors' offices and not hospitals. If we took the initiative and talked to local doctors in our area, perhaps they might be interested in having their work done in a more "personalized" fashion. We don't know unless we try.
I think the hospitals might be a "lost cause" in this regard because they are run by financial people and not the physicians themselves, but I think I will start making some appointments (which I need to do, anyway!) and query my physicians about who does their work. I think the office managers might brush me off, but I do not believe the physicians would.
I do agree with the OP that we all need to try to take back the medical transcription field ourselves and get it out of the hands of big business.
Small doctors' offices do!
My second job is for a small (3-physician) specialty office. I am paid by the hour at a nice hourly rate. I was also paid hourly when I worked in-house last year at a specialty practice. I got this job initially by asking the doctor personally who did their transcription when my daughter had a check-up appointment there.
Really, your best bet is to do some networking and research on local offices in your own community. A lot of small doctors' offices do not want to mess with big nationals and prefer a local dependable transcriptionist. As a poster below had suggested, offer to do a SMALL portion of their work for free on a trial basis.
I know what you mean about being burned out, though! I hope you find what you are looking for.
I think the MDs that care in their offices or clinics sm
keep their trans in-house. My personal MD does and overseas every last little detail and she is tough! The ones who dont want to mess with it go to a service and let the service take responsibility. So neither will care....IMHO
My experiences with home offices...
I used to have my office in the living room. It was really difficult for me and my family.
I moved it into the dining room ... again, was just a bad fit and crowded/cramped everything.
Finally I moved it to my bedroom. Now at first, I had my desk sitting out in the open and it became depressing. While I enjoyed the privacy and quiet (I could actually shut my door), it was all I saw when I was in my bedroom. That blank monitor staring at me, either making me feel guilty by not working more or making me dread going to work.
Soooo, then I got creative and I've been thrilled every since.
I pulled all of my clothes out of my closet and bought a beautiful armoire with drawers and a rod in the top to hang clothes. Beautiful asset to my bedroom.
I purchased a smaller but very nice desk and fit it right inside my closet. I have a lovely little lamp on my desk, streamlined all my paperwork to a minimum and put as much as I could live without (in tangible form) on the computer. Have a small vase I keep fresh but cheap flowers in. All I have is in the closet and I can close it up out of sight when I am done. I can store my books up on the shelf above plus I have a small CD player up there to play soft music while I work.
I did not want an ugly office chair anymore. I really liked my upholstered chair in my bedroom. So I had my son put rollers on it and now it is my chair. When I'm not working, I just turn it and angle it into the corner like it has always been...when I need to work, I just sit and slide right under my desk.
I could not be happier with this set up and it has been this way just over a year now.
Whether hospitals or independent offices,
I'm speaking from experience.
MQ offices- If there is an MQ office in your city/state, is it possible to
apply for an MQ job outside of your state? I think I have been blacklisted from the MQ here in Birmingham, AL. I worked part-time for them when they first setup an office here, and they were named Transcription Limited, I believe. They only paid 6-7 cpl at that time. Well I worked for them a couple years and then opportunity came where I could work for another transcription company, and I am assuming was a competitor to them in the Birmingham market. Mind you, I left in good standing (so I thought), two-weeks notice and all, and was an exceptional employee, but years later, every time I have tried to apply through them, I get turned down. So I am wondering if I could work for another MQ office outside of Alabama, or will they refer me to the Birmingham office?
I get .135/.13/.16/.195 direct from hospitals or doctor offices.
.
How much do most people charge for doing IC work for doc offices, just
What program is good to use for line counting?
I was thinking 13/cents a line? Is that undercharging? I have to remember that I have to pay my overhead so even though 13 sounds high, I have to pay equipment, equipment, equipment.
help
go solicit medical buildings/offices...nm
So tired of dealing with incompetent offices...
they just emailed me for the upteenth time for a stat report that I already sent to them 40 minutes ago. Wouldn't you think they'd check to see if they had it first!?! Constantly emailing me questioning what they've sent me and when. Why can't she keep logs like I do!?! Doesn't take a rocket scientist! Can't remember from day to day to send me patient lists. Don't know what the heck she does with incomplete reports I've sent because doc doesn't give a name of messes up his dictation and cuts half of it off. I'll get a call a couple of weeks later saying doc insists he dictated on so and so, but they never got the report. I'm the one who has to go back and search for the nameless reports and match up the the patient they're missing with diagnoses, age etc., then tell her that's the one I sent you on that date that was incomplete. Why can't she figure that out!!! If I functioned like they do, I wouldn't last a week! Sorry, had to vent.....
I am an IC and my accounts are clinics and doctor's offices
So I have weekends off unless the docs dictate late on Friday, in which case I have the choice of working late on Friday or getting the work done over the weekend.
With clinic work, you don't have the constant flow that you have with a hospital. You can't work harder or longer hours to make more money. There is a specific amount of work, and when it's done, that's it. Your income will fluctuate. But if you're willing to put up with that - you can have your weekends off.
Start by calling your personal doc offices. Probably
s
There are so much better accounts out there. Start calling offices sm
to get new accounts, let this one go, and don't look back.
I have in this situation many years ago. Believe me, I learned along the way. There are dream clients out there and there are these type.
I have found in my 25 years experience in MT, 18 of those working as an IC, that as one door closes, another one opens.
Most doctors offices are like that because they are not open on the weekend...
and work doesn't start trickling in until late monday afternoon/evening so why bother waiting around, just take the day off!!!
Does this seem fair? To charge .16 per line - includes printed reports, copies on disk for one year
and delivery. I do travel twice a week to this office. Plus, at times I will fax or email the reports free of charge. I live in Southern California in an upscale area.
Thanks again!
They are and that is why we dont have work then. They bring in other offices and run your office out
of work because too many people are on the account then. Make sense. Nope.
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