I think it's terribly irresponsible of the doctors, but ultimately it's THEM who is responsibl
Posted By: vb89 on 2007-04-28
In Reply to: Been doing this for years - Patti
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Thats irresponsible too
Someone who allows a medical center to get that far behind in payment without doing something about it is not a very good business person in my estimation. You have to be firm and persistent with these accounts you cant just let your workers suffer along with you. If someone cant keep this under some control you can bet they are going to lose their business soon anyway so its better to find a more stable job than to hang around hoping they are going to develop better business sense.
My opinion on this subject is if you are going to step into being an MTSO to begin with you should know that this is a small business and you are going to need to set aside a reserve of money to pay your workers from even if your accounts are late in paying. Other than that you should just have very good credit. Why cant the MTSO borrow from their own credit to pay the workers, then just immediately pay that credit back with the check from the account who owed it. I dont understand people anymore. Some people try to run some awfully poor businesses these days and there is no excuse for it. Almost every Junior College has courses on small business that one can take for little or nothing.
Irresponsible?
I hope you're not referring to me. As I clearly stated, I've only had my OWN clients in the past, clients who have sought me out and I set my own hours, TAT, etc. This is for a company is an independent contractor who is telling me they expect me to work between certain hours yet require a minimum line count. My question was what do companies typically require you meet the line count in as many hours as it takes you OR that you just work solidly between those hours. Nothing irresponsible about asking what the typical norm is for companies.
Irresponsible pet owners
This is similar to thread on the spotted board about irresponsible owners. The posters there had sympathy for people who were careless with their pets.
Most teenagers are irresponsible
and some are just LUCKY. And they're all having sex. So there.
I would!!! I get so irritated at irresponsible dog owners (sm)
I hope you file a complaint. As someone else said, at least it will be on file.
I second the pepper spray!!! We have dogs in our neighborhood whose owners let them use others yards at their litter boxes, so to speak. I don't have dogs but have a yard full of dog doo. With kids who like to play outside, or even when MOWING! that is nasty!!!
Even if your kid did something terribly wrong?
Let's just say that your kid dropped an M80 or cherry bomb in the toilet at the school and blew up the plumbing. What if he got spanked for it? Would you go in there punching people and suing the school district over it? My Dad did that when he was a kid. And the Catholic nuns spanked his butt good. Then Grandma let him have it when he got home. He was a straight A student, and lettered in basketball and football. I don't know why he did it. Probably thought it would just make a mess of water on the floor. The point is that he did wrong, he knew he did wrong, and Grandma didn't protect him from the nuns for fear that his tender psyche would be damaged.
Agree, it is terribly sad. nm
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what a joke...someone calls you on your irresponsible comment, and all you can do is
comment on their grammer. At least come up with an argument in favor of your original post........or can you?
Don't know, but would think the sound would be terribly distorted even if you could. nm
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Betrayed, but not terribly surprised (sm)
That Cyndy Lauper song "Money Changes Everything" is going through my head.
too terribly true. I'm working with a few of those. (NM)
Something is terribly wrong with this picture.
The person/doctor dictating does not fill in or even dictate the required demographic fields. However, I am expected to do MR# searches, patient name searches, doctor searches, prior report searches, whatever it takes, to find out this information before I can even start transcribing the reports. It might not be so bad but I work for two very large accounts and the number of doctors I transcribe for are too numerous to count. It's no wonder I never make my quota. Oh, yeah, did I mention I have more mumblers than clear speaking doctors, also to add to the problem.
This is a joke. I'm an IC and make a whopping $0.07 line. Yippee. Think I'l go work at Walmart.
Maybe so, but ultimately it is the client
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Don't know who is ultimately correct on this...
as I've had to do it both ways, depending on account request. Right now, I'm having to use 2, account before that used 1, and there was one point where I was having to do it both ways, because I had accounts that wanted it 1 and 2; if that wasn't a trip!!. I know, when I took a Microsoft Office class some years back, that the instructor said to use 1 space now because of proportional font business, etc.
But it is ultimately the company
Not the IC you've contracted to transcribe 500 lines per day. What needs to be in place is another IC to pick up the slack when your contractor is in need of some help. That is not fair to just say that a contractor has no say in whether or not he or she chooses to do the work day in and day out. Cut me a break here. By the way, clueless is hardly what I am. I am very successful and the reason is because I am accountable for my own work. I have my own clients that I service and I do not rely on contractors to do MY WORK. If I did contract work out, I would make sure I could do it if they couldn't. Now if I have employees, then they'd be made to comply or they wouldn't have a job.
If you have as much as you say you need to ultimately lose,
have you considered gastric bypass or Lap-Band?
My point is that it would be extremely irresponsible for her to have more kids in that situation. nm
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It does make one wonder how long this is going to go on or is this just the norm now? Terribly sad
I lost my QA job 3 weeks ago because a US company bought the offshore company my original company was using and now brought in their own QA people. Apparently they hope to get these MTs off QA here real soon.... I just gotta laugh... I've been QAing the work for over 2 years and it is the same mistakes day in and day out... they just don't get it and don't care to 'get it'... they get paid no matter what so what is the incentive to learn? These MTs actually argued with me about contractions, etc., like I had no idea what I was doing.... I know you are venting and I hear you and totally understand... it's a sad place MT has gotten to over the last 5-7 years or so in my mind
what may ultimately be the greatest hurdle
Is finding the job that gives you everything you want:
1. Good line rate.
2. Benefits (all types, if you want/need them).
3. Freedom to work the hours you want.
In the final analysis, you might have to relinquish one to get the other two. Sort of like the old days of dealing with clients:
Quality - Turn Around - Price
Pick Two!!!
But ultimately the doc is the boss...so you do it their way if they insist they want it a certain wa
d
ultimately it's the hospital's responsibility but do you want to keep your job?
If you do, you'll make sure the hospital is happy. Not a lot you can do here unless you want to cut a deal with the hospital where you will have a sub work your account for you when you are off. That may or may not fly at the hospital. Another thing you can ask is that they hire a third person to work the account. Of course, that means you risk losing work if she wants more...
Don't give anyone your MACROS... You ultimately will be replaced... sad... (sm)
but that's how docs work, at least some of them.
You can do stretches, but ultimately it may take an oral prednisone burst or
c
I look at the jobs posted and tons of MTs are applying. I am employed but not terribly pleased with
prefer OPs and have done MT work for about 16 years. I have worked for MQ for 11 years for the Univ. of Pa. which they lost and now I am working for a small company in Michigan with just tons and tons of crap work. I would like an IC job with OPs if possible.
Only 30 doctors?
Your line count sound great anyway! Maybe some day I will get there. I will keep working on the expander thing. But only 30 doctors? I am sure we work for the same national. I have only two accounts, but have 97 doctors! I have been meaning to ask my friend who works for the same company if she has as many. She has 4 or 5 accounts, but I don't know how many doctors. Sometimes, when I see the 'no jobs' screen, I am tempted to call and ask for another account, but I never do since I am afraid of what I will get. One of my accounts is my 'dream account' because there are few doctors, and they are WONDERFUL. The other account has about 90 doctors and I never know what I am going to get!
Doctors
I used to type for a doc who said sh*t at least once in every sentence. He always told "the typist" to delete that but it was a laugh just listening to him!
You may be right that most doctors
do not read their reports, but a lot of other people do, including coders, nurses, insurance companies, attorneys, and possibly even the patients themselves.
CERTAIN DOCTORS.
I work for a small MTSO, and I have been asked to work on a certain doctor. It happened to me because I was getting his work done on time and how he wanted it done. So, yes there are good reasons for this to happen.
Thanks!
So....how do you think these doctors who
And some of them KNOW about offshoring (lots of them do), feel about people going overseas for their medical care? How does it feel? Not so much fun, huh?
One of my doctors...
is wonderful about saying A-B-duction or A-D-duction instead of assuming I will know. He's got a slight accent, too, so I really appreciate it
Doctors as MTs
I can't help but wonder why someone would go to med school, then decide to become an MT. Even in India, I would think an MD does better financially than an MT -- which is why I bet while they may be good MTs, they must have been inferior MDs. JMHO.
Do you ever wonder how much doctors would
keep patients if they talk to them the same way they dictate? I have transcribed some doctors that I wouldn't go to (no matter how "good" they are) simply because of their dictation. If they talk as fast, slurred, etc. to patients as they do when dictating, no wonder people are sick. 
Doctors
Does anyone know where doctors post that they need a transcriptionist? I have looked through many websites but only find companies and not doctors.
doctors-ha
I am frustrated beyond belief at doctors who do not keep up with dictation then the office blames the Transcriptionist for being behind. Dictating a week's worth on Sunday afternoon does not mean they will get all the dictation returned on Monday! And of course they are asking for "stat" reports on one particular patient, then claim they have "missing" dictation. Well I don't get paid for my time going through and finding one in particular. I've been an MT for 15 years, but never have I been so frustrated as this afternoon when this whole situation came up for the upteenth time in the month of May. Sheesh.........why don't they talk to the doctor about keeping up?! gggrrrrrrrrrrrrrrrrr  Sorry, just had to vent..... but I was wondering if anyone has a spare tazer I could borrow.
doctors
Isn't it sickening?! Funny how they think they know everything and are always right, then can't even dictate all of one day on that day or can't remember what patients they've dictated on and blame us for losing them! It's actually the doc who has the problem, but they can't/won't see that. If I didn't need the money so bad, I would certainly quit this guy. He's a major royal pain in the buttocks!
Maybe it's just normal "rigors of transcription", but this has been a consistent problem for months and months and especially for the last couple of weeks. Maybe his allergies are frying his brain! Whatever it is, the staff has the same problem!
They are now quoting me what my contract says and claiming I'm not fulfilling that contract!
gggggrrrrrrrrrrrrr
Getting new doctors
I was wondering if any of you can give me some idea on how to get new docs. The last two accounts that I had I just fell into them. My friend was working for an office when they needed a transcriber. And the second were my ob that I had been seeing when I was pregnant with my twins. Unfortunately, I lost the first account to a lady who was going digital and she was was to come in and cover for me while I was out on maternity leave. And now the ob docs changed over the a new system. They are actually using a piece of paper that they check off everything and if there is something abnormal they make a note of it directly on the paper. I had been transcribing for six docs, but now I am only doing 1 and he is probably going to be retiring soon. I don't know what kind of information I would put on a flyer, or should I send out a letter to doctor's offices. Any help would be greatly appreciated. I have never done hospital dictation, so I am strictly looking for office work.
Thank you in advance,
Cheryl
Doctors
Thanks. I did work for a doctor who stated that doctors are always looking for transcriptionists, but I could never find where they advertise. The doctor I got was from word of mouth, but he recently moved out of state so I am looking to do work for another doctor.
doctors lie
 What do ya'll think about doctors who lie in their dictation. I have come across this twice within the year - so I am sure it happens quite often. Once was my own personal MR - doctor came in and told me I had a coronary spasm but when I got my records there was no mention of a coronary spasm or anything else having to do with coronary - he basically said he didn't know what the problem was - other than my blood pressure was 220/114 - which I had to take my own medicine in the bathroom to get it to come down -
then - a friend of mine had a bariatric procedure and developed a stricture - he then had an egd under conscious sedation (he is 21 years old) and he became combative on the table. The doctor came into the RR and told us all about how he had been up and down on the table and how he was not able to do a dilation because of this - then when we got his records - the report said that he had used 3 different balloons and dilated the stricture successfully. However, my friend was not able to keep anything down - so the doctor went in and did the egd again under general - and could not even find the anastamosis site - he was sent to a specialist who did an egd using dye and fluoroscopy. Another stricture is forming and the specialist is going to place a stent which is not approved for bariatric patients - it is something they place in people who have esophageal cancer which allows them to eat until they die since the cure rate for esophageal cancer is so low. I wouldn't let them touch me again - but this is a young kid and he doesn't know any better. I might also add that the anesthesiologist and the nurse that was in the room on the first EGD came to the RR and told us how bad the situation had gotten before the doctor gave up.
long story long - do ya'll think this is common? can we no longer trust doctors with our lives? I realize they are scared of malpractice suits - but, as with my friend, we know that the doctor messed up his tissues - and the specialist told us how bad the tissue looked - like it had been "stabbed through with a knife, inflamed and beginning to scar up". But do you think that they lie in all of their reports where something goes wrong - or that they color the situation so that they come out smelling like a rose?
doctors
I like www.healthcarehiring.com/
Can look up doctors, clinics, and other things by state.
Doctors --sm
are so used to dictating certain ways that he may not even know he said the word comma. I have a doc that uses "comma" for every punctuation, including period at the end of a sentence. My transcription training drilled it into my head to use as few commas as possible and we were graded on that, dinged if we had too many. I transcribe what I feel to be right, not what the doctor dictates as far as punctuation goes. JMO
I take this seriously; however I know doctors
My mother's surgeon is one of them. Sometime during one of his visits, mother's medical records were brought up and somewhere in the conversation transcription. Well, he said all the x-rays were transcribed by a facility in Australia and he thought it was wonderful because they were ready the next day since their day is our night, etc. He just had a big 'old smile on his face. When I asked him didn't he realized HIPAA rules could not be enforced, he just shrugged as if it were no big deal. This is a guy that has been around a long time and he doesn't even care about patient records, and this would go for ALL the other doctors in his group practice as well. The x-rays are sent by a local hospital, so if the doctors don't care, and I know the hospital knows where the records are, I find it hard to believe most don't know what's going on with our records.
The bottom line......MONEY.........and not the patient.
I take this seriously; however I know doctors
My mother's surgeon is one of them. Sometime during one of his visits, mother's medical records were brought up and somewhere in the conversation transcription. Well, he said all the x-rays were transcribed by a facility in Australia and he thought it was wonderful because they were ready the next day since their day is our night, etc. He just had a big 'old smile on his face. When I asked him didn't he realized HIPAA rules could not be enforced, he just shrugged as if it were no big deal. This is a guy that has been around a long time and he doesn't even care about patient records, and this would go for ALL the other doctors in his group practice as well. The x-rays are sent by a local hospital, so if the doctors don't care, and I know the hospital knows where the records are, I find it hard to believe most don't know what's going on with our records.
The bottom line......MONEY.........and not the patient.
my doctors!
or the nurses or whoever else, but as i just said this IS being implemented April 1st!
dont think it will happen super quick for everyone, this is an eventual process, how can you deny that?
Doctors will not like to have to
put all that data into a computer. They are doctors not data managers. That work will pile up on them and because of their busy schedules and become a real pain.
They will always in the end have to dictate/narrate some sort of personal profile on the patient that does not include vital signs,lab values and imaging results.
No, because the doctors will not want
to listen through an entire dictation of sometimes meaningless stuff to find out what they need.
if the doctors in the USA really REALLY sm
knew why their work is of such bad quality, they would bring their transcription back into the US and hire EXPERIENCED US MTs to do it. I see it happening already, albeit very slowly!
Doctors
are the worst at spelling. I have one doc that consistently spells words wrong. I spell them correctly and leave a note letting him know. He continues to spell them wrong (the same meds). I think he just cannot admit that he is wrong(-:
Where have all the doctors gone?
Gone for AMA meeting every one...ohh when will they ever learn? When will THEY ever learn?
Okay, joking aside. The AMA is meeting in Chicago. Obama is addressing this convention to push his new health plan, something the AMA doesn't support. They are afraid, as are we all, that this will "save" money by cutting compensation to doctors and hospitals. They seem to have record numbers in attendance to show their numbers and power.
So, this might be why work is low all around right now. Bully for them! If they can stop Obama on this, I'll be low on work for a bit and I don't mind in the least. I don't believe that nationalized health is the answer for this country.
GO AMA
Doctors have bad days too!
Guess SHE was having a bad day. Once during the dictation, she screamed it ou because she could not find the medication list! This foreigner had no trouble learning that word, obviously! 
Cheap doctors
I remember one specialist many years back who complained when the hospital I worked for put in a new dictation system which required pushing the buttons on the phone to put in patient ID, etc. He came to the department in person, ranting and raving because "now he would have to pay to have a push button phone installed" in his office. This same doc came in the department on a Sunday afternoon and was using the hospital department copy machine to copy EACH AND EVERY PAGE his JAMA because he had DROPPED IT IN HIS POOL at home. Can you say, "cheep, cheep, cheep"????
They sound just like my doctors! (sm)
Something more fulfilling, most definitely. At least I won't feel like a doormat. I am starting to think I am really being stupid to make sacrifices like this.
After all, this is just a job. We all need to have a life, not be irritated all the time.
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