I think it should be changed to the basic 5, and include ERs (sm)
Posted By: me on 2008-02-09
In Reply to: Consults. - Ms. Bumpkin
A lot of hospitals have their med rec dept MTs (or MTSO) do ERs, as well. Those reports are usually sort of a combination H&P, OP (minor procedures) and/or DS--more detailed than clinic SOAPs.
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
A basic recommendation for a basic expander use plan SM
If you use your Expander mainly to store text for specific doctors and their specific reports you will 1) Find it extremely difficult and expensive to change jobs (critically so, to the point of eventually feeling you can't or even leaving the field when your employer lets you go) and 2) as someone said, find yourself spending a whole lot of time editing your expansions to the current report.
I strongly recommend instead contacting Linda for her system, then day by day developing your expander vocabulary of INDIVIDUAL words and phrases, untied to any specific report. I can take my abbreviation for "denies any fevers, chills, or sweats" (dyfcos) to any of dozens of companies and use it for dictations of thousands of doctors. No having to change it, because I also have one for "denies fever, chills, or sweats," one for "denies having fevers, chills, or sweats," and so on and so on. As Linda says, with a system the individual abbreviations don't have to be memorized. As you can see, these terms are merely the first letters of the words in the phrase(with Y standing in for "any" instead of A because that's my abbreviation for the word "any" itself).
BTW, regarding that last, editing gets very fast when all you have to type to drop in the word "the" here and there as you cruise through is a T, "his" a G, a "that" a V, et cetera. No special reason for those letters for those words, I was just looking for a one-letter abbreviation I could cut them down to to speed up.
Hope this makes sense. Linda will understand what I mean about the extreme importance of developing an independent dictionary of expansions that will work with any dictator.
If they don't include spaces, don't do it.
You'll be making less money for more headache than you are now. I'd stick with what you've got and work on building your skills. Is there any way you could try both for a while to see which one you like better?
This thread does not include the other 90% of us
who struggle with bad dictators to make $300 a week.
Forgot to include this
There is nifty piece of portable equipment called the Lynx Portable Back Stretcher. It is sold by the same company that makes/sells Teeter Hang Ups (an inversion table). The Lynx is amazing. It helps to open up disk spaces.
It never hurts to include her even if she
doesn't come. It is about not having regrets. If you know that you always made an effort ...then in the end you will have peace about it.
Meant to include this one too
From: Add to Address Book
Date: 2006/03/14 Tue PM 04:04:51 EST
To:
Subject: IT trouble
I have been having a problem with IT whereby when I enter a short such as "Fln" and then choose "Flonase", the expansion produced in the document comes out
"Flnase", although it is not misspelled in the glossary. This also happens
with phrase entries, though in neither case does it happen every time (i.e.
sometimes when I enter "Fln" and choose "Flonase", that is what is produced in
the document). Usually it seems that it loses a letter that I skip in entering
a short, as above, but an example of one that happened today a little
differently was when I entered "Aqa" and then chose "Answers questions
appropriately", the expansion produced came out "Aswers questions
appropriately", which I believe is the first time I have had it just drop the
letter and not have what I had typed as the next letter in place (i.e. would
have come out something like "Aqswers questions appropriately", since I had
actually typed the letter q).
Kristen suggested that I e-mail the custom glossary that I am currently using,
which is attached to this e-mail and titled "XXXX2", and I mentioned to her
also that I have created several glossaries for the various doctors for whom I
transcribe, and that the problem will happen when using any of them. I am
using Word 2000 and Windows XP. My telephone number is (XXX) XXX-XXXX, and I
appreciate any help you can offer.
Thank you,
Kim Xxxxxx
I would include....see inside
Specialties, Methods of receiving/returning the finished product. Think about why you are in the field, and focus on those qualities, for example, if you really take pride in your work, then say so. Think about your resume and focus on your experience. I hope this is helpful! Wish ya' luck!!! 
what does waiver include?
Just yesterday I asked at my doctor's office if when we sign the waiver giving "third parties" access to our medical records as needed to provide for our health care, would that also involve the transcription company of their choice. No one had an answer for me, as they do their notes by hand. BUT, they said they'd like to know and that that aspect of it had never occured to them. They suggested I contact their main office and inform them of the dangers of offshoring if they decide to do it. I intend to. No way I'm signing my own records over to offshore when I'm trying to hold them here in the US!!! Maybe they'd care; maybe not. But at least I will have made an effort to inform them.
Wow!! Did that include postage? nm
xx
Does the class action include the DEP
platform? Somewhere, don't remember where now, I thought I read the class action was about the old platform MedRite and was for a certain range of years. Is there info out there that the class action pertains to DEP also?
No kidding. That would seem to include some pretty
nm
You will want to include information regarding the platform you are on, etc.
dd
It depends on what you include in that figure.
where you live, how many in your family and what you get for your money.
Rehab medicine will include PT, OT, sm
speech therapy, etc.
DocShuttle is 99, but that does not include waveplayer. sm
I just purchased DocShuttle and then had to purchase the Docshuttle waveplayer because it does not include the waveplayer, that is a separate purchase.
Yes, definitely include your templates in your counts. nm
xx
I would and I have. Include verification of the error. sm
I would suggest being very matter-of-fact about it, keep all emotion out of it, even you're really annoyed inside.
I forgot to include that in my post here.
I have already written my letter & in the beginning of it there is a brief outline & I included that & then I go on to talk about stuff in detail & I mention that in it as well. I hope you guys join me in doing this & can get some letters to me. I feel we can make a bigger impact if we all stick together & by sending a packet of a bunch of letters maybe our voices will be heard & something be done.
meant to include ebonics is used and accepted
in this town. The schools are 95% segregated in the town. Very old southern roots. They do not care for change. Teaching children to speak properly is considered taking away from their "heritage". Why we moved here? Not really sure. People are very nice though. You are in the minority if you can speak, write, or read properly. Also, it is 100 miles or so SW of Columbus, GA, 30 miles or so NE of Albany
I SO agree and some of the reasons this has happened include:
May I commend the poster for a very well-thought-out and thorough outline of the current state of affairs. You did an excellent job. Do not apologize for the length. It was necessary to be complete in your thoughts. You speak for all of the MTs in this regard.
It got me wondering about the following points:
1) Medical transcription company owners permitted the hospitals and doctors to dictate to them what they would be paid, instead of honoring the fee schedule of the MT owners and professionals. Are physicians told what they can charge per hour? No. They charge what they require. So do plumbers, housekeepers, etc. Years and years ago, the trend began where the transcription companies decided to accept what the hospitals would pay.
2) Hospitals and others have disrespected the medical transcription field. Someone allowed this to happen. Who would that be?
3) I do not see this sad state of affairs of this profession to be the fault of the working MTs at all.
4) Hospitals and clinics should be prohibited from sending work out of the country.
5) Medical transcription companies need to unite and charge an appropriate fee for their services, and likewise pass that increase on to the professional MTs performing the services.
I really think there needs to be a radical revolution of change.
What do you think?
I forgot to include my hint of sarcasm phrase! nm
x
which is the most common that you use when flagging? do you include the time track?
I would include the why you're leaving part. They'll probably ask
s
It was very unprofessional for the dictating physician to include that statement.
I have never come across such a thing myself, but I wouldn't hesitate to type it.
I wasn't, honey. I'm not the OP. My point is she didn't include context
to tell which catheter out of 17 pages it might be, and most medical books don't cross-reference to other medical books.
MQ part-time benefits do NOT include medical/dental. Nm
nm
i agree -- lines counts are correct and include expanders per my checks.
x
Basic 4
 Can anyone tell me what Basic 4 MTs is?
THanks
basic 4
Where I have worked, op reports have always been a part of the basic 4...DS/OPS/H&P/CONS. Letters were just a part of the overall package. ER was in a class all its own and not considered as difficult at the basic 4 (on par with clinic work).
I know it's very basic, but have you...
tried Yahoo Geocities? I have an 'information only' site I made myself, and I think it's about $10 per month.
The basic 4s are so much different
than your clinic work. When starting in MTing I thought it would be a breeze. It took me a full year to get up to the expected number of lines per day. The lines they are asking for in order for you to go home, in fact, is probably less than most require in this field. I always transcribed over 2000 lines per day and now with voice recognition and straight it is over 3000. That is the world of transcription. I think their count is lenient myself. Transcription work is not easy as you are learning.
What is the basic
equipment and software that one should have before working as an IC? I currently work full time (supposedly) for a hospital and would like to supplement my income but am afraid of not having the right equipment to start. Also, can anyone suggest a good company? Thanks!!!
Basic 4
The 'Basic 4' work 'types' we speak of are: History and Physical Examinations, Consultations, Operative Reports (including Procedure Notes) and Discharge Summaries (including Psychiatric reports).
Basic 4
What is meant by Basic 4 - NM
Basic four?
Well, imagine the dive my confience took as a new MT looking for work, when I started hearing the term "basic four" and had no clue what that meant. *sigh*
Enlighten me, please?
The basic 4s were around in the 70s
Heard it then, has nothing to do with the MTSOs because I never knew of companies existing before the early 2000s as I was only working inhouse at hospitals. If a person does not know what they are, then how do you suppose a person might be able to do, just wing it? This is a newbie asking the question, not a dumb question but just one that maybe she should know because if not, might hinder her in the ability to do a job.
Basic 4 question
I am a bit confused... I thought that the basic 4 included (Op, DS, H&P, and ER) But I've read that it entails (Op, DS, H&P and Consults). Is this correct? If so, how do I go about finding ER work as an IC? Thanks!
I used to make .10 cpl but have been bumped down to 9 cpl and with new platform just implemented, I have totalled it to be a 40% reduction in pay. I'm bummed...
Any advice? 
Basic equipment
I know I am of the "old school" but I think that you do need to have some basic equipment on hand when you are advertising to do transcription. You don't have to have everything but a basic microcassette is not that much money. Any account that I have gotten -- though it was years ago -- asked me what equipment I had and if I did not have what they needed --they searched elsewhere. That is why I invested in my transcribers starting with the micro, then standard and then mini. All accounts had me start within a week of talking with them. Last year when I was thinking of expanding and had a couple of inquiries when they found out that I was not immediately set up to do digital -- though I told them I would buy the equipment and get set up -- did not hear back from them. So I think you need the basics so that you are ready to go when they ask. Since she has been working for a national already, she has her foot pedal and can do digital, just get a transcriber for the tapes --most of the smaller offices still go with the tapes. But again, I am of the old school and have not looked for new clients for a while. But I sure would not advertise or attempt to get accounts without the equipment and being ready to go at a minute's notice since they might use me for overflow and I could get my foot in the door. A client does not like to hear, I will be set up in a week for you or ten days. Though they can say it, when they want your service and you are solicting for the business you had better be ready to do it. Just me.
I would just keep it basic, without details. - sm
When I left my ex-employer, I had all kinds of grievances. But the bottom line is, they already knew each and every one of them, because I had already told management about them (in addition to the other MTs telling them the same things!) As an inhouse job, they also dud exit interviews. I skipped that, too. If there was something they didn't know about why I or anyone else that worked there was leaving, they could just figure it out for themselves.
Basic 4 report
Where could I see an example of a basic 4 report? I've only typed SOAP notes.
While ER isn't one of the basic 4, I'd gladly
take ER reports any day over acute care. They're very repetitive & good lines.
Nope! I only stress over things worth stressing over, which doesn't include turkey & taters!
acute care basic 4
Could someone please explain the major differences between acute care basic 4 and multispecialty clinic transcription?  It seems that the job ads usually specify which one and how much experience is needed with each of these categories, but I am curious to know the differences and why someone with several years of multispecialty clinic experience may not do well with acute care hospital transcription.
TIA for any info provided! 
Of course, that's basic living *grin* ...... nm
xx
Have you ever known anyone in mgmt. with ANY basic intelligence? (nm)
?
Are there companies that mentor you on Basic 4? sm
I worked in a hospital, but it has been 8 years. I need to get up to speed and want to work part-time for someone doing the basic 4s where I could be mentored until I'm up to speed. Are there any companies out there like this?
acute care basic 4
what exactly does acute care basic 4 mean? I mostly do ortho and PT and am looking for more work, willing to branch out but Ive only done it for 1 1/2 yrs and not exactly sure what that is. thanks
clinic work vs basic 4.
Both are very different. One thing that I have found extremely helpful is a good word Expander program. When I used to train MTs when I worked outside my home, one rule of thumb was it the doctor says it twice, it goes into your word expander. I use Instant Text which is a little pricy, but it pays for itself in the long run. If I have to look up and medication or a specific work, it does into my word expander; I never have to type it again. Whatever expander you choose or buy, it is money well spent. Acute care is higher difficulty, but it can be done and a Word Expander can help you.
it is basic English grammar, without that, you can't do the job.
x
Just the basic preferred edition could never
x
basic PC/phone line
Windstream (Houston area) charges about $16 a month for just a basic, no-frills line. That's why I hoped to hear if anyone else had any luck with MagicJack. I got one, but something just isn't working right. May be an OE (operator error), tho!
|
