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Serving Over 20,000 US Medical Transcriptionists

I have never worked where the MT dept was anywhere near the charts, for that reason.

Posted By: RHIA on 2009-03-15
In Reply to: Excuse me... - Spooner

It's been my experience in different hospitals that MT dept is NOT the MR dept. Different wings, different supervisors, different workers. As a hospital MT I never had access to the charts. But since you said you went upstairs to do this, it sounds like your facility is the same.



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I guess you never worked in a medical records dept? LOL
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That's exactly the reason I worked at home for 15 years.
Very annoying and petty.
Ohmy yes...and the one in the background is never that clear when I'm doing his charts! nm
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C Phone not dialing--D-Light from CHARTS-- Please help

Hey y'all.   I have a little black box of a C-Phone, from C.H.A.R.T.S. and it is called  D-Light.  


Yesterday it would not dial.  Everything else works apparently, the green light is on and it changes from green to red when I hit the buttons to dial or hit the foot pedal.


But, the DIAL TONE is lower volume than normal and it will not dial.  The buttons do nothing.  I do get the phone company prompt "If you are trying to make a call, please hang up..." if I stay on the line long enough.


It is acting like it is not getting power, this is how it acts when the power cord is not plugged in.  But, it is plugged in.  I think the machine could work, I just don't know what is going wrong. 


Please help if you know what is going wrong.  TX so much-- I gotta work!! 


 


It took me 8-10 hours for 100 charts 1000 lines sm
This was with ExText, 20- to 45-second (give or take) reports. I did have distractions. I was completely bored with soooooo many short-short reports. Also took some time in the document info screen because company I was in did not have their act together. Had to search and recheck that I had the correct visit and location.

Hope this helps somewhat.
You shouldn't be going off on your own to pull patient charts for your own curiosity!!! nm
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I do ER charts for East Jefferson, but of course those stopped yesterday, been worried about them nm
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DIFFICULT? - transfer word reports into digital charts? (sm)

I have heard it is difficult to get our transcribed microsoft word reports into any type of EMR (electronic medical record) type of setup.


 


Is this true?


 


If we just change the program we type on before we send it to the office for the office to put into an electronic chart (which they say will be mandated by about 2010 or so) -- would that make it possible?


 


Many docs are not happy to have to do their own corrections etc.


 


Also a few years ago there was already a program where the docs signed off electronically for their reports.  NOW IT'S LIKE SOME BIG HAIRY DEAL for them to do it.


 


Seems like we are going backwa5rds


 


HELP.


 


would love to hear from anybody who has already met this problem and figured it out -- either send an email or ans here - would be so appreciated.  Thanks.


Scarry!!! Docs and nurses entering drugs and dosages into online charts. (sm)

Most of my docs cannot spell medical terms.  They can't pronounce or spell drugs.  The nurses are for the most part useless - no ARNP I ever asked could help me with a medical term.


I just spoke to my HMO.  They are now offering personal Online-charts showing


visits, tests, immunizations, etc. of what you personally had done.


I asked EXACTLY HOW DOES THIS INFO GET INTO THE SYSTEM, at what point?


The woman said:  It is input by the doc and the nurses.


I shuttered!


There goes the end of quality health care as we used to know it!


 


When you have a good QA dept, this isn't a
I've been an MT for 28 years. The first 20 years, we didn't have such a thing as QA per se. The office manager might have read a report or 2 a year at best. The last 8 years have had a great QA crew, and I have learned and relearned a lot. I am always very thankful to get the feedback. Perhaps these MTs you are referring to aren't quite as lucky as I.
You can also go to the Dept. of Labor. (n/m)
x
your QA dept is incorrect....

from whonamedit dot com and when it's a proper name and you have to put *non* in front of it - you hyphenate..non-Hodgkin's lymphoma
































Thomas Hodgkin (1798-1866)
English physcian and pathologist, born August 17, 1798, in Pentonville, St. James Parish, Middlesex; died April 5, 1866, Jaffa, Palestine [now Tel Aviv-Yafo, Israel].
Hodgkin-Paltauf-Sternberg syndrome (Hodgkin's disease)
Hodgkin-Paltauf-Sternberg disease (Hodgkin's disease)
Sternberg’s disease (Hodgkin's disease)
Pel-Ebstein fever (Hodgkin's disease)
Paltauf-Sternberg disease (Hodgkin's disease)
Hodgkin’s syndrome (Hodgkin's disease)
Hodgkin’s paragranuloma (Hodgkin's disease)
Hodgkin’s granuloma (Hodgkin's disease)
Bonfils' syndrome (Hodgkin's disease)
Bonfils' disease (Hodgkin's disease)
Hodgkin's disease
A neoplastic disease of unknown aetiology, considered to be a form of malignant lymphoma, producing enlargement of lymphoid tissue, spleen, and liver with invasion of other tissues.


Try to talk to someone within MR Dept.
That kind of info wouldn't be easily found out unless you actually know someone in MR Dept, HR, Personnel, someone with knowledge of what happens around there. Our local xray techs actually know what one of our hospitals do with their transcription.
If you have a good QA dept
they shouldn't mind helping you fill in those blanks. Make copies of all the reports you get back if their from a particularly difficult dictator and used them for future reference. Most QA I know love to help people so I wouldn't hesitate to ask for their assistance.
check with the dept of labor...sm
they might be able to handle it for free
Dept of Consumer Advocacy........nm

When I got into this field 17+ yrs ago, not one MT in our dept had gone to school. s/m
You could hear the 6 of us clanking on our IBM Selectric clear down the hall. I was one of the youngest going to college where I earned an A+ in Eng. 101 and 102. I had a little bit of doctor's office experience (6 months). Luck didn't have a thing to do with me becoming an MT at 18. God blessed me with ambition, the desire and ability to learn, a love for the job, and a touch of intelligence didn't hurt either. I learned hands on, which sometimes is the best way. In a year, I was receiving commendables on my evaluation. I'm not trying to sound arrogant. I just want people to know that they can learn if they have drive and the passion to do it. Heck anything can be conquered with those two elements. Trust me... I was ranked nowhere near the top 10 of my class.
I'll check with Dept of SS on that and

let you know if it's illegal. My guess is that those restrictions on your income after you retire aren't just put in there to fill blank spaces.  They're there for a reason, and if you thought they were so legal, why are you asking discreetly on this board for suggestions to get around your situation.  If you only wanted info on becoming an IC, you would have just asked for it instead of supplying us with the dirty details. 


I apologize if I seem a little offended at your morals.  I certainly wouldn't suggest that you leave your grandchildren in the street, but I would think there are legal ways to solve this situation, and perhaps some of the people on this board wouldn't have gotten so upset had you just asked for suggestions on your situation rather than how to work the system.


Check out the nearest HIM dept
longer a huge secret - they are demanding rates that US companies cannot give them and they have no qualms about going offshore.  If the US companies can't accomodate them, they go straight to the outsource.  You can live with your head in the sand all you want, but it's happening every day at hospitals around the country.  Look at the state of our healthcare system.  Hospitals are closing down.  Surely you don't think transcription costs are at the top of their priority do you?  They're just looking for cheap and with the economy the way it is, it's not looking any better for MTs any day soon. 
Hey---Nowadays we NEED a Dept of Pubic Health!!
ROFL
As a former supervisor of Mayo's Transcription Dept.
I can say that, yes, they continually run ads whether they are hiring or not.  HR keeps resumes on file and refers to them as they need to fill a slot.  Mayo is not the easiest place to work.  Incoming MTs have to go through pretty rigorous training and you have to have 3 passing QAs before you can work out of the home.  Many of the dictators are horrible due to their very thick accents or racing dictation methods.  It's been a while since I've worked there, but when I did, I know that their word processing system was rather cumbersome and required a lot of mouse work and their Expander wasn't very good either.
Applied to Medical Records Dept ...
... second shift position.
From NY Dept of Labor, exam is required sm

Link included but excerpt here ---


OBTAINING EMPLOYMENT CERTIFICATES AND PERMITS


Minors can obtain employment certificates or permits from the school they attend or from the superintendent of schools in that area. The paperwork required include:



Written permission from a parent to work. (There are exceptions for minors considered to be emancipated by school authorities)


Proof of age, either a birth certificate or some other document at least two years old that satisfies the officer issuing the certificate;


A certificate of physical fitness to assure that the young person is in sound health and that the work will not impair his/her physical condition.


School medical doctors or physicians designated by the Department of Health give physical examinations. Otherwise minors may obtain a certificate of physical fitness from their own doctor. Minors from neighboring states who seek work in New York can use a certificate issued by a physician in their home state. Physicians who find that a youth age l4 to l8 is not physically fit for some occupations but may engage safely in other types of work, can issue a certificate of limited physical fitness.


Well, we can write to the Dept. of Labor's Apprenticeship people
and tell them that the AAMT's proposal is not what MTs want, and that the AAMT has only a very tiny percentage of MTs as members.  If a lot of people do this, then the Dept. of Labor might think twice about the proposal, especially if everyone gives reasons.
I think that Health Dept needs a class in black widows
/
I send one quarterly check to the Dept of Treasury which --sm
distributes to appropriate categories. I also send a separate check to NC Dept of Revenue for state taxes.
Mammograms are going to PenRad in the local hospital's Radiology dept.
dd
And there are Christmas Angels in about every mall & dept. store, but people have
always donated through MTStars Santa's House.  As well, we are doing prize giveaways with donations. We encourage everyone to give in any way that they wish.  This is an easy option for WAH folks. 
Contact their local police dept with serial numbers.
You can report this as theft of property and have warrants issued.

Or, add the current value (when you sent the equipment to them) to their earnings statement at the end of the year so they must pay taxes on it and write it off your books as payment for services.


Anyone know higher-up contact names at Dept. of Health and Human Services..sm
this is who created HIPAA. Anyone willing to email or write any of these people in regard to these offshoring issues and how the doctors should be required to inform the patient when their medical information is leaving the country in order to be transcribed. HIPAA was created with privacy and protection as its main purpose, but ironically once the work leaves the country, this means nothing. The Dept. of Health and Human Services (HIPAA) needs to step up and do the right thing here in the best interest of our country's citizens, while preserving many U.S. transcriptionists who will lose their jobs if no changes are made.
Finally steady money. whew. Applied and got job at Dept of Law Enforcement entering

They started me way above minimum because of my experience.  I was shocked and happy all at the same time. 


And of course I'm esctatic to not be wondering how much money I would be getting each pay check.  Working on production in transcription now is like playing Russian Roulette.


There's good benes where I going, retirement, sick days, no games with my health insurance.  I should have done this long ago.


Another suggestion, google a specific state's dept. of medical or professional licensing.

I've got the Missouri Division for Professional Registration --> which you can look up MDs, DOs, RNs, PACs, LPNs, etc.


Kentucky has a board of medical licensure website with a search function.  Indiana has a state professional licensing website.


In some states, like California and Texas, they separate the nurses and doctors, so there are two separate sites to search.  If you have a nurse practitioner dictating, it's good to know.


I'm not at my own PC as I'm working in the office right now so I don't have access to all my different sites, so I'm trying to remember what all I have.


Let's see.... WebMD is a good one.


If I think of anymore, I'll post 'em! 


Every company is different -- I worked FT for one as an employee but worked a split shift - sm
So I never took breaks. I would work 5 hours, break for about 4 hours then do another 3. Another company I worked for did not care what hours you worked (IC) but wanted a min. amount of work each day, 500 for PT and 1000 for FT-- BUT they paid you by how many lines an hour you put out, the higher the lph the higher up the scale you made per line in pay; they have since changed everyone to a flat rate with incentive. But bottom line, if you are an IC it does not matter what hours you work, though many ask for a schedule and ask you to stick to it, they just want you to meet line requirements daily, i.e. 1000 per day, 1200 per day, whatever it is.
I got up early, worked during naps, and worked when DH got home.

You have to be disciplined to make yourself work when baby is napping instead of maybe watching TV or doing housework, etc.   


I might also go the route of having a teen come into your home, or either trying a mother's morning out program at a local church/daycare.   I've been home since my youngest was born and he has never been in all-day daycare, but I did have him in a mother's morning out program 15 hours a week at a local church.   It didn't help a lot with my work schedule because I had an older son in school and was a room mom and tutored other kids, but that might be an option.  The only problem with the mother's morning out program is they are around other kids and tend to pick up every germ.  I finally took my DS out of the program because he stayed sick.  You were supposed to keep them off if they had green nasal discharge and I did, but no one else did.  Every time I got him well after 2 to 3 days back he would be sick again.  Other than that it was very good for him because he would not have had a chance to be around kids his age otherwise. 


Labor Stats from Dept of Labor for MT inside

This is quite interesting...it is too long to post here but I was wondering if anyone had any thoughts on the statistics.  Thanks!


 


tp://64.233.169.104/search?q=cache:eGxrU1X5lOEJ:www.bls.gov/oco/ocos271.htm+how+much+to+become+certified+Medical+Transcription&hl=en&ct=clnk&cd=1&gl=us


I worked on that system when I worked there...
The thing that chapped my hide about that TWS was that they designed it so that all the headers of each section of the report were canned and thus you were not paid for them, even though you had to take your hand off the keyboard and mouse down a list of paragraph headers to chose the one you needed.  Just racking up more profits for themselves.  Ticks me off.
that is what is being worked out, and has been worked on for the last few years already...only
why are we just hearing this now? I know voice recog has been around, but this is entirely different. This will also make coding and billing obsolete.

Don't know why, but it just bothers me that one of our 'own' is the one pushing this...and she is also connected with AAMT. Do they support this, and if so, what is their advice I wonder to the MT?

Perhaps that is one question for their website (I do not subscribe to their mag or credentials...)

Thanks, for the input!
the reason you (and I) don't get it is sm
probably cause it is a gross exaggeration of their production.  No one could produce that much, unless they kept their fingers glued to the keyboard. I'm sorry, it's just not possible.  Don't beat yourself up because of other people.  Be proud of who you are and what you do! 
For some reason if you have a different
opinion than the people reading your post, they tend to grow fangs and sharp fingernails and tear you up. I don't understand this as we all have the right to our opinion. We need to work on a solution to resolve this issue not attack one another. We don't know what kind of situation the other posters are in and they don't know what position we are in. Just because one person has a wonderful experience with MQ and DQS does not make the person posting a bad experience with MQ and DQS a liar. It simply means that you are in different situations.
Reason
The reason for that is straightforward:  the owner of the other website is very pro-offshore MT transcription and apparently is in cahouts with the MQ execs up to her eyeballs.   Nothing wrong with, nothing illegal, all very straight up, but all very you scratch my back and i'll scratch yours.  They LIKE each other, and the other website simply will not tolerate any negative MQ comments.  And here?  Well, the truth is allowed to be aired out.  Thank you MT Stars for having the cahoonas! 
The reason is for ME's 20% pay cut
They underbid on jobs, telling the client if they use the ASR system they will pay 2 cents less per line, telling them it is such a fast system they can do this. That is not the way it worked out. We are not producing more with it. Expansions were just as good, if not better is some cases and now they have to take the money out of our pockets. (It is on the archives here if you read back through as well.)
There was a reason behind this

As was mentioned, they are not actively seeking offshore.  However, in order to keep this very large account (and it is large), they had to use some offshore labor.  You know, I don't love it either.  However, all of the MTs on this account could have just been out of work.  So, now a little of it goes offshore, and the US MTs still have their account and their work. It's not great. It's not the ideal.  But, at least we are still working.


You know the reason--
Because some idiot did it and they got sued. When I worked at a hospital years ago, it was July in Phoenix and the temperature was well over 110. We had a guy bring his daughter into the ER with burns on her legs because she went down an outside metal slide at McDonald's and got burns on her legs. His excuse was-- Well, there was no sign on the slide saying it was hot. People are just plain stupid any more.
The reason you don't see many men
in this profession is because they are unwilling to take _____ and they are also unwilling to work so hard for so little pay. I would not recommend this job to anyone just starting out, because I believe it is a dying industry. We are already seeing that now with VR, etc.
One reason why (sm)
Actually, it depends on how the company connects to the internet. At my company we cannot hire any with satellite because we use an IP Sec VPN with our platform (ExText) and there are latency (slowness) issues. If you found a company that uses SSL VPN you would be okay. Here is an article that explains it in a little more technical terms. http://forum.ecoustics.com/bbs/messages/34579/127542.html

One I like for some reason
"Don't let the screen door hit ya on the way out!"
Perhaps the reason they are
hospitalized is due to a childhood type illness that is better dealt with by a pediatrician.
Reason I'm asking is
I have a friend who uses EXText and says lines seem harder to get with EXText than with other programs.  I just interviewed with a company that uses it, and I'm wondering if anyone else has trouble getting lines with this program.
This is another reason why I'm
exploring other career options. Although I've had some bad office experiences I don't think that the constant isolation is good. I agree with the suggestions to get out of the house and away from the computer.
The reason for this...
Many insurance companies are now requiring owners to sign a statement saying they will not knowingly hire anyone who has been convicted of a felony. That's why I believe we are seeing more background checks. Just the nature of the business.
run! run far away! If there was ever a reason for VR, this is IT.
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