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I know personally I have already lost 1 big account because of the new system and please sm

Posted By: Barbara on 2009-03-26
In Reply to: There has been extensive... - MT

talked to my own physician yesterday about it. He said they have to be on-line within the next 2 years. I love my work from home MT job but I'm thinking of going back to school for nursing. Just checking if it has affected anyone else yet and if so, what are your long term plans?



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lost files. I worship the god of system restore.
That said, once a week i copy everything I value onto CD and make 2 copies. One goes to my parents house and one I keep on hand. My parents live 30 miles away and I consider that a small price to pay for peace of mind. I had a major computer malfunction once and I was down for almost 3 weeks. It was a nightmare. I have since learned...back up, back up, back up. Good luck with retrieving or finding your lost informaiton.
No, I lost an account to EMR

and of hospitals around here that have gone to EMR, no Transcriptionist is needed.


With VR and EMR, the VR automatically puts their dictation into the patient's record.  They could care less how it looks, their idea is to save money.


Lost my account

I am so upset. I have worked on the same account for 2 years now, ever since I started medical transcription. My computer has been giving me issues now on and off for about a month. This week I have not been able to work because of computer issues. I have spent $800 since December on computers having them upgraded and antivirus and more memory. It is constantly acting up for the last week and they had to reassign my work this week. They just called me and informed me they took my account and gave it to a MT who doesn't have computer issues. Like I chose for my computer to go on the fritz. So now I am a backup MT. I am so hurt that I had the bad luck to have computer issues for the last week and they take my work. How can I help that? I can't. Oh well. I think it is time to get another job.


 


We had an account that went overseas that when we lost it
one of hte people said they'd be back. Hasn't happened yet and it's been over a year. I always wished they would.
This is true......I lost an account to EMR like this
and I'm almost positive the same thing is happening to my account that I do now. It is definitely spreading as more of the younger generation of doctors comes into the field. To me, this is more of a threat than work going overseas (I definitely don't like that either but I found that most clients that do that at least come back; EMR physicians do not).
Me too.. Lost major account
to EMR.. basically put me out of business. I could have "stayed-on" in house doing limited transcription and scanning for 1/2 the money. System was not very friendly to transcription, had to constantly switch screens, etc. would have really lost $$$ if I was paid by the line. Either way hourly/cpl, less money for me. I decided to just stay home and go with national. Hopefully I can hold out for the next 5 or so years, or else I guess I'm off to Walmart!
I stood up for myself and probably lost an account - oh well

This is only the second month that I have had this account but they thought that their bill was a little "high" as the doctor does not feel that he should pay for any lines that I have in a template or if the physical is mainly normal and so I have a normal template, etc.  I told them to try to find somone else that was cheaper that gave them the service that I did, with the TAT and quality.  This is a doctor that loves to rib off insurance companies and morally I have been debating about doing this account but felt someone had to do it.  But I told the NP/OM that with the time I spend in delivery and pick-up, paper, etc. I need to make this much per hour and that is about what I make.  This is the first time in a long time I have really stuck up for myself.  She said that their last Transcriptionist had been charging $5 a page and  I said fine I would compare that with my lines but it would be with 1" margins all the way around and a 12 courier font to define "a page" and low and behold it came out about the same as with my line count.   Anyway I am sure that they will begin to look elsewhere and that is fine, I wasn't looking for an account when this one came my way and so somewhere else there is something else.  But it made me feel good to stand up for myself and believe in my skills.  


Update - lost the account

Well they said today that they were going to investigate other avenues, appreciated my work but did not appreciate that I corrected her when she did not correctly spell Crohn's disease.  She is a PA and knows how to spell so then why did she specifically spell it incorrectly -- anyway am glad as their were a little shady.  She saw the patients, dictated as the doctor, and charged out MD prices instead of PA so am glad I am out of it.  But God gave it to me over Christmas, I was able to pay off one credit card and so it worked out.  Will enjoy the 6 to 8 free hours per week now.  Just thought I would let you all know how it came out.  


Patti


I lost a clinic account
to EMR. I had lunch with an old friend who is an ER nurse in Colorado and the ER changed over to EMR recently. So far that is the only department in her hospital, but she expects the entire hospital will eventually.

This is the touch screen type of thing. She says there is a computer at every station or bed. When they chart, it also generates the billing so more revenue is captured.

I would be worried if I was younger, but should be okay until retirement hopefully??
depends on location, I know someone who lost a local account - sm
in Woodbridge, VA, was charging .12 a line (60 character line), got underbid and lost it after having had it for years.  Now in order to get more but look less, she bids at .10 a line but a 50 char. line....comes out to .13 if a 65 cpl.   You can't get much over .10 around here on your own which really stinks, or do some fancy accounting which in this case works.
Yeap, lost huge account to EMR, most CA doctors are now using it
After I lost my accounts, I went to doctors' offices all over Orange County, and most are now using EMR or going EMR. I lost a huge account with several clinics. They loaded up all of my templates, and off they went. Good luck.
I've lost a local account today that I have had for five years......

I cannot believe that this happened to me today.  I went into one of my doctor's offices this afternoon to pick up his tape for today.   I was given a tape and told that his wife, who is the office manager, wanted to see me in her office.  I thought nothing of it because she sometimes has extra things that she wants me to type up for her and we talk quite often also.  


She tells me that she just has not gotten around to talking with me yet, but  "tomorrow we will start dictating through a company over the internet".  I was blown away!  She said she wanted to give me a break and that if it does not work out she will let me know.   The whole time she was tell me this she was writing me a check as I had just turned in an invoice.   


My first inclination was to throw that #@%$ tape at her and say "do it yourself", but I knew that wasn't the "professional thing" to do.  I was thinking how could she do this to me, not even a 24 hour notice.  She handed the check to me, I snatched it and walked out. 


I have had this account for five years exactly (began August 1, 2000).   I have never took a day off, never raised my rates, never asked anything of them, and my work has always been the best possible quality.  I have been the most dependable person they have could had.   I have passed up other accounts because of them, and I always put them first.   Thank goodness I have other accounts to fall back on.   In our town, there is only one other transcriptionist besides myself, and we both have more work than we can handle most of the time.


Just thought I'd remind all those other MTs out there that no matter how good we are and no matter how much we try to please everyone we are still not appreciated.  I will never be fooled again.  No one will ever receive the attention from me that I gave them.  


..you up to do this. ExText needs a system or an account to access before you log in
s
Lost account of 28 years to Dictaphone because hospital believes it will eliminate all transcription
Curious if any of you are working for Dictaphone or Infomatics and doing an account out of Miami with mainly ESL dictators?  I was convinced I would not lose the account after a few days with VR. However Dictaphone is not using VR right away and will transcribe reports the regular way until they have a database. I am certain this hospital will never be done by VR. I posted a job on here about a year ago offering 18 cents per line to help with this account and not one person  accepted after hearing the ESL doctors we have. They are that bad.  Anyone else have this happen to them? Losing to Dictaphone  And we have had to do most of the work for over a month since they supposedly took over because their system is not working.          
I was hit by all 3 that summer, I lost power, I lost work, I lost savings...but..sm
NEVER did my employer in any way imply or threaten or dare even mention that my job was in jeopardy because I could not work immediately following a trifecta of natural disasters! My jaw agape is not at your concern about working, but at your concern that you would lose your job because of it. Companies have to have a heart in some situations. You're one MT, your company won't go under without you working for a week or 2 or 3.
I recently lost 20 pounds. That means I lost 80 sticks of butter.

I doubt your brother has won more than he's lost. To win that much he's probably lost 3 times
So he probably has more bills than money. Otherwise the casinos would go broke.
Meditech is an operating system and Fusion is voice for a dictation system
nm
What is the difference between an acute care account and a multispecialty account??..nm
nm
I've never had a problem switching from account to account.
The problem I had was being switched too soon. If I don't get one account spec solidly in my memory with QA feedback on mistakes before starting another, I get confused. The other problem I had with former jobs was inconsistent QA. One person tells you one thing, another person tells you another.

Lately, I don't have a problem with it. Right now, my binder has 8 account specs (some I've never had to use) and I'm picking up a new weekend job for a while. The terminology and report formats stay basically the same. It's just all those little preferences. LOL
what is your account and specialty on the account?
no one is watching. tell us all about osi.
Personally, I would not do it.
It's bad enough changing to nights when you are a "day person" but to have to keep switching back and forth, week by week?  (if that is what you meant).  I bet they will not continue this, though, because a day person is not productive at night, and a person who is used to working nights is usually not productive in the day.  I think they will find that they could hire someone who WANTS to work nights, rather than all the switching around.  JMO, of course.
Personally I think since 9/11/01
EVERYONE in the USA is making less money.  It's all relative.
I know for me, personally,
When I am feeling like you just described, I am usually feeling very guilty that my house is a mess, I'm not accomplishing anything and so on. It is the voice of your consciousness that is beating you up. You need to be kinder to yourself and things will start working a lot easier. You are being hard on yourself. Start making lists of things that you have accomplished today. It is a great feeling when you realize you are actually accomplishing a lot of stuff. Those good feelings then give way to the energy that you need to get more done. The way you are feeling is taking your energy too, so you have to force yourself to do everything that you do get done probably. Try accepting that the house didn't get cleaned but you did get a lot of other things done today. Then tomorrow you will have more energy to possibly get more things done. I'm serious, I am real hard on myself and trying to learn to talk nicer to myself, accept that I'm not able to do everything and it will be there when I do get time for it. You'll be amazed how much better you feel after making lists of what you've done and talking nicer to yourself! I hope this helps.
Personally I know that
mttest.com to do their testing there are instructions on the mttest site on how to use your own foot pedal and ExpressScribe. I know because I have done it. Also, if the company has a link to the dictation, you can right click on it and choose "save file as" then save the file somewhere...I usually would just put it in My Doucuments. Then open ExpressScribe and load the document from there. The instructions on the mttest website say basically the same thing. :-)
I get it now!! Well, I know personally I have
never been able to move expansions from DQS anywhere. To my knowledge, they are coded and unmovable save to another DQS computer. If the DQS is from a certain company that starts with M, I know there was another company, a competitor, who actually tried to lure M employees by saying their tech people would help them copy their DQS expansions. I have tried to copy DQS to Word, and was not successful. I do know how to do it from computer with DQS to computer with DQS, so I'm not totally illiterate. Personally, I have never known anyone to succeed, but maybe someone else out here can help you!! But I have always been told DQS Expander is not compatible with any other platforms, which would make sense, as its a copyrighted product, etc. But good luck! I always just spent a day or 2 making a new expander on Word on my own, and have been very happy. Maybe change your subject line and repost!
Did you know her personally? sm
I'm curious and wonder if some of these folks have others working for them, or have a spouse who knows MT filling in at times.
not personally, but...sm

My sister won tickets to the tour this year and I'm trying to win some! Should be a good show, I think...


 VOTE FOR TAYLOR


I personally believe, yes, I am.
And I have been. I truly believe we should 'honor our Mother and our Father.' My parents gave and sacrificed all their lives to give me everything I needed and often, what I wanted. It's because of them that I have the values and traits that I do. My parents are treasures. Unfortunately, both of them have passed away. I'm only in the my mid 30s and I've already dealt with this question. For me, it was never a question of if I should. It was a natural role for me and my siblings and even my husband to step into. My mother died suddenly but my father passed away more recently and it was a slow death from an illness. We cared for him in his home, both with a wonderful person we hired to be with him some days since we all work. I took a computer and my work to his house so I could be there more and still have an income. I was there when he passed away and I consider it a privilege that he even wanted me to care for him. I would do it again. I miss them terribly and some of the most precious memories are of when I stayed nights caring for him. Even in the quiet of the night when I would listen and hold my breath praying for him to take his next breath. I think we need to do whatever we can to care for them. It put us in a real financial bind more than once to care for my Dad, but I don't regret a bit of it. Money was beside the point. FYI, even when he was well we lived with and cared for him as he was alone, and before he fell ill and we moved into our own home, we were trying to figure out how to add-on to accommodate him coming to live with us. I didn't read all the posts but this is my personal belief and experience. Disclaimer: I didn't proofread, LOL!
I personally would not,...

not right now, but that's just my opinion.  I just left an in-house job to come back home.  I have been transcribing for 17 years, most of them at home.  The couple of years I spent in-house were in some ways really good--steady, not as stressed sometimes, but I spent way more time away from home than just 40 hours.  There's money spent on food, clothes, and then the various functions that occur at work--holidays, showers, etc. 


I love being home!  But you have to do what's right for YOU!


Personally I would take it

Give it some time, like 6 months, and if it doesn't work out go back to MT/QA.  After all the guy that started it left his full-time job to pursue his dream, so you should too provided it makes sense financially, etc.  Obviously you have spent the time researching and really thinking about this.  You do have a career to fall back on, and I would jump at it. 


Me, personally.
If you're talking about something like, "the x-rays were interpreted by me, personally."
Personally, more with OPs but (sm)

I'm sure there are so many variables.  I wail on OP notes because I do them all the time and most are incredibly similar so I can use my Expander and crank.  I hardly ever do clinic notes, so those are a little slower going for me.


Another typist told me it's just the opposite for her, so it all depends. 


Try not to take it personally...
Don't feel bad. When I was looking for a job earlier this year, I signed on with Transcription Matchmakers. I was told I failed the test. I have been a Transcriptionist for almost 25 years and am experienced in various specialties. In fact, I managed a transcription department in my last in-office job. I, too, was told I was not good enough for them. I now work for a great company and am, in fact, a lead person on my account. I hope this makes you feel better. I just shrugged it off as their loss and went on with my life. Hang in there! All tests are different, and all transcriptionists have varied knowledge, none bad, just different.
Not unless you know someone personally and can
s
I never had one personally
but my husband did, and although he's not an MT, he had double hernia surgery, and he was out for a little over a week. His job is mostly standing though. Sorry I couldn't be more helpful.
Personally if it were me

Considering it's a macro or template and not something dictated I would have to agree with your feelings because I also take great pride in my work.  I would probably make a corrected copy of their template/macro and send it back to them as a suggestion, especially since part of it is spelling.  You may get a good response and a thank you and you may get told to leave it be, but at least you'll know you tried. 


 


Don't take QA personally sm

You remember when the parenting books used to tell us to distinguish your love for your child from what they do?  I love you, but I didn't like what you DID.


It is the same thing with QA.  You have to listen, you have to try harder, you WILL figure this out.  Just remember, it is about what you DID not who you ARE.  It took me many years to get this straight in my mind.  Oddly enough, once I did, my accuracy went up.  It is less pressurizing when you understand that we are all human and we all make mistakes, but it doesn't follow that we are somehow less worthwhile when we make them.


I think perhaps your nerves are getting the best of you.  Having worked for a lot of companies, every switch is an adjustment.  They all have different rules and ideas about how the work should be done.  It takes some time to get that all down, and it isn't necessarily all about your work.  Be patient with yourself because you deserve it.


Personally, I think
she's full of sh....... you know.
I personally think anything less than 9 cpl
for employee and 10.5-11 cpl for IC is a slap in the face. Unless they have awesome benefits, I need to make at least 9 cpl and really 10 at a minimum. I wouldn't even consider less than 9 at this point.
I personally don't know about this, but
there has been talk about doing other transcription, such as legal. You might want to check that out. Just Google and see what comes up. I am a recent grad, and finding it is not that easy. There is work out there, but the question is: What type of company will you end up at? It all depends on getting good dictators, little or no ESLs, how many hours do you spend looking things up, etc? Companies don't pay for this. It's not like you are getting paid hourly, unless you're lucky enough to work in a hospital. 7 or 8 cpl isn't much for all the researching, change this, change that, what did he say?, etc. things that we do. I wish I had gone into something else, but I am here now, and trying to make the best of it. It is nice, I have to say, being able to work from home. I can take a break when I want, I can take and pick my kids up from school, etc. I am very fortunate to have a good husband, with a good job, that lets me pretty much do what I have to, to be there for our kids and still make some money. I don't know your situation, but if you are okay with just making extra money, or chancing who you may work for, then go for it. Just from my research and looking around, it seems the quality companies to work for are less and less. Good luck with whatever you decide.
I personally do not think VR will ever be
perfected enough to be a threat to medical transcriptionists. There will always be a need to correct/verify the information that VR spits out, which is nowhere near perfect and probably never will be.

I haven't heard of anyone getting laid off because of VR. I think they mostly quit because most companies tell them their production will increase with VR hence they lower their pay when in reality it doesn't increase enough (if at all), so their pay basically drops. JMO
Everyone is different. Personally, I
type while listening and then if dictation is too far ahead I stop until I catch up and then start listening again. I do not listen, stop, and then type. It all depends on the doctor and the rate of speed at which you are listening to the dictation. I listen at a normal speed the majority of the time. For fast dictators, I sometimes slow it down, sometimes speed it up if they are slow.

Just do it the way it is the most comfortable and easiest for you.
Do you know someone personally-SM
Do you personally know someone from one of these countries with national health care?  well I do, we have family friends who live in Holland and they and most of their friends and family HATE their healthcare system-long waits for appointments, longer waits for specialists and surgeries and the older you get the longer the wait so unless you know someone personally in these countries you don't know what you're talking about. 
You're taking this way, way too personally.
If you don't like it, ignore it.  People always criticize the mother.  Hey, at least she's not some bug-eyed  psycho broad lying to the authorities about being kidnapped by Hispanics. 
okay, but I meant, what if you use it personally?
...you know, on your own, without telling your employer.  That is what my friend meant, too.  Say I am transcribing for a company, and on my own I use the speech recognition and set it up to type my reports for me. 

That is how I thought some people were getting these huge, incredible line counts.  Not so with this poster, she already told me she is not using it, but I do know there are some who do. 

Where I used to work, they were always praising these mass producers, too, in newsletters and E-mails, letting everyone the phenomenonal line counts, and I would think, hey, I can not even get work, was always running out, doing 4, 5, 6 accounts and struggling through the specs and accents continually...

That is why I brought it up, I wondered if perhaps some MTs were going that route to get ahead...

Thanks for your post - I am GLAD to hear you think it is more troublesome than anything...(except good for lowering our pay, huh?)
Ah, so you know her personally? What I sense from you is

Take a cold shower, Billie Jean! 


That's good. Personally, I'd have to
be dying before someone cuts into my alimenary canal. Seems like a lot of borderline people are getting it nowadays.
Personally, I think it's not worth anything . . .

Sure, there a few companies that will pay slightly more for the CMT designation, but, in my experience, the majority of doctors, hospitals and employers either never heard of AAMT or don't care.  They want capable MTs, and if you can do the job they're happy.


Also, the other poster is so right about AAMT supporting offshore MTs.  That seems so wrong in so many ways, and I just don't buy the "MT shortage" garbage.


Honesty, where the AAMT gets off setting MT standards is beyond me.  I don't see that they truly represent the vast majority of MTs either.


A very small percentage of MTs are member of the AAMT.  That says something in itself, doesn't it?  I would not be at all surprised to see the organization fold in the near future.


I was not directing that at you personally.
I realize no one was called a liar. I just wanted to warn this poor lady. Seems like every time I post or try to question some elses bad experience there are 2 or 3 people that attack. I did not mean you. Please forgive me if you got that impression. I also work for them and have for the past 8 years. Again, sorry.
Personally, I would blank it. You should
the spelling and for other reasons, i.e. privacy, I think it would be a good idea. Some tests I've taken have asked me to put in three underscores __ __ __ when items bleeped for confidentiality. Even if not asked to, I think that's the way to go IMHO ...