I typed both Rad and Clinic, just asked to be put on when a Rad account came open.
Posted By: nm on 2005-07-24
In Reply to: Can a transcriptionist be hired to type both Rad and acute care for Medquist? - Thanks! nm
nm
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Here is the best way...open any document you have typed for anything and count the lines both ways.
I have pretty much always been paid by the gross line...occasionally I will take a job with a company that pays by characters and I never make as money. Remember...with gross lines, a line is a line is a line....that means anything on the lines be it one character or 65 is a line. For instance....today I type a normal file for a client I have worked on for years...if I counted the lines at 65-cpl I got 398 lines, but counting gross lines I got 641 lines. This is a 38% difference in pay between the two, so you would be making approximately 5 cents a line less on the character count. Hope this helps :)
My account specifics require it typed out, so I can't really comment
I have been on accounts that did not require it. Unfortunately, you have to follow account specifics. I had all abbreviations in my Expander to type the full word or phrase because the account I worked on previously did not allow ANY abbreviations anywhere in the report. Needless to say, anytime you switch accounts, you likely have to adjust your expanders.
Has anyone asked to be transferred out to an office that MIGHT be open for awhile. Is there anyone
in Amherst that is willing to get this situation taken care of or is that a lost cause.
My boss asked me to think about taking on a pain clinic. Can anyone tell me sm
if they have done it in the past? Is it easy? Interesting? Are the reports normally long or short?
TIA
I did a clinic account once and this one doctor was
majorly ADD (we diagnosed him - LOL). He would lay the phone down and look through the filing cabinet or his desk drawers, dictating the whole time. There were almost as many blanks in his report as words.
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??
Is 13 cpl a good rate for clinic account?...nm
ss
For this account, I charge 0.12 cpl. It is very easy clinic stuff with good dictators, but ...
I also do tapes which are horrible so I'm considering upping my line rate especially if all this aggravation keeps up. When I first took the work, I thought I was being fair because the work was so easy, but then they asked me to do tapes and then work specific hours, print and deliver work three times a week. I wish I would have addressed more than TAT and line rate in the original contract. I do charge them a $5 per delivery fee because of gas prices, but still I think I'm getting the shaft.
Oh well, live and learn. I am negotiating for a local doctor's office here in my hometown, small one doctor office, and I'm here to tell you I will be negotiated every little detail right down to paper and toner charges!
3-1/2 years experience, type cardio only on clinic account, and make 9 cpl nm
nm
nm would you mind if I asked where you work and what type of work hosp, clinic ?
x
You can't just open the attachment. You need to save it to a file and then open SM
your wave player and load it.
clinic is not walk-in or ER notes; it is clinic
could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
How do I get it ST to open when escription is open?
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
every question asked on here could be documented in some book. So? cant a question be asked?
x
Just typed in an HP
Under the ROS the heading "Special Senses: Unremarkable"
I once typed for a doc who had
now that was funny!
Maybe that ad was typed by VR... or by an
It irks me no end that our country has shipped off a job to India/Pakistan, etc., that used to be considered important to the medical field, and which fed and housed many of our country's middle-class citizens. So now these foreigners are living the comfy middle-class life, and here I am, trying to rent an apartment and finding that my MT monthly gross pay doesn't qualify me for ANYthing that even distantly resembles a decent middle-class apartment. The only ones I can afford all have "Se habla espanol" in the ads, and of course you know who lives THERE! It's all the non-English-speaking illegals that we've pretty much given carte blanche to come ruin our country, after having done a real number on their own. I hope Uncle Sam enjoys paying for food stamps, welfare, and subsidized housing, 'cause that's where I'm headed unless this profession turns around.
Never typed an ESL??...sm
Now that is strange. As many ESLs as there are. And using the q.d. and h.s. they must have worked somewhere that they didn't use BOS.
--I think she has already typed them.
x
I have always typed mg/dl and I've been
transcribing early 20 years and have never heard anything about KCl. I currently work for a service that has a very rigid account and we have had to change several things to avoid confusion, though they have never mentioned this one. I would think it would be a personal preference. We use BOS as a rule of thumb, but on Tuesdays and the holiday following the third Saturday of the monh between 8 and 10 we do it this way, and then doctor X wants it done this way, which is totally different from standards, not a coherent dictation but he wants it his way.
Only typed verbatim twice
once for a Russian infectious disease MD. After one week of strict verbatim reports, evidently she got a talking to by the senior partner and her style became acceptable.
The hospital is one of the larget and most respected hospitals in the US. All residents much pass a week-long course dedicated strictly to how to chart, how to document, how to dictate. Each resident must personally sign his/her own name daily on a log in sheet and anyone who misses a day does not get to start with the rest of peers. One day is devoted SOLEY to HOW TO DICTATE and accepting full legal responsibility for the dictation. They have to sign an agreement that the hospital will not provide legal support if their documentation falls short of their standards and the resident has to provide his/her own funding against any lawsuit. If they dictate a reversal of pulse rate/respiratory rate, I could switch them, but I had to send it to QA who attached a note to the dictator covering the MTSO from any repercution.
Best dictators I EVER had!
I typed in my sleep once...sm
it was a late shift, about midnight (which is late for me) and I got up to go downstairs, move around, stay awake, came back and found I had typed something about a TV in a box...? So it can be done!
Proofing as you go...as in looking at what you typed?
Doesn't everyone? Or do some MTs watch TV or look up in the air while typing? LOL! That is not proofreading - proofreading is double-checking a finished document.
No, it was a report I typed. Now will you tell me off
a
I typed ENT for 6 years and
charged 14-16 cpl but that was about 4 years ago when you could charge that. I printed everything and picked up, delivered. I eventually had to drop the rate down to 10-12 cpl to keep the docs and then they found someone who would do their work for 8 cpl.
I think you are in the ballpark as well. Good luck.
I have to agree -- not only have I typed ERs for sm
people with cold symptoms, flu, snotty nose, etc., and wondered "why in the heck are they in the ER?," I have also witnessed it firsthand while waiting in the ER with my mom. She had congestive heart failure and towards the end we made frequent trips to the ER when she ended up unable to breathe and no doctor's office open. They always ended up admitting her anyway. But I watched the same thing that the poster below mentioned -- nonemergent cases clogging up the works because they treat the ER like a doctor's office.
And yes, there are "special circumstances" and such, but that was not the situation you were addressing. Sorry for the attacks you received. You just put in writing the thing that many of us have been thinking for quite awhile.
I HEAR ya, but only because you typed it.
I am with you. They really are clueless, aren't they!
Oh, okay, like not something we have never TYPED in a report before then...
Gotcha!
dictated / typed
Doctor says "jiddo, jiddo, jiddo" - what does this mean" Why.... 0-0-0 - OMG. The things we put up with for no money.
If they know they've been typed.
Why can't you skip over those patients since obviously they know other girl typed them.
Do not transcribe for free! Ever wonder why the other girl left?
"Qualified MT" just typed ...
Arthrosclerotic heart disease. This is an MT claiming to have 5+ years experience and wants to be paid .10 per line.
Any test I have taken I have typed
verbatim exactly because you do not know what they actually want. Also, need to follow BOS guidelines on tests as most MTSOs use these.
Sorry, typed the above without glasses
x
I recently typed an EGD....sm.
The patient had choked on a piece of meat and had it lodged in his throat. The whole report for some reason by hands did not want to type food...always foot. I felt pretty confident that I did a good job correcting all of them and sent the report on.
Two days later the doctor sends it back and asks me to change it. No big deal, must have made a different mistake....NO I was so mad at myself that I sent this report that stated "foot was removed from the esophagus". It was embarassing then but now it is pretty funny to me.
got it, DUH. havent typed a Pap in forever.
s
Could it be Gemzar? I just typed that last night. nm
..
I typed the "F" word the other day and didn't think
That's our job to type what the dictator says. I don't like typing filthy words like that but if they say it, I type it. And she said it, so I typed it!!
Yes, that's why it's funny. If we only typed exactly what they dictated....
-
I once typed on a VA Hospital - will never forget it. There was a
 brain surgery dictated by the surgeon, a D.M.D.
Read what you just typed. If somone else
had typed it, I believe you would say:
This is for the good of the family. Your husband is being unreasonable. There are ways of dealing with the little problems. In the end, it will be well worth the sacrifice EVERYONE has made.
I typed out the same thought but erased it...
dd
I've typed such reports
Well not celebrities so to speak, but I've typed reports where they state the patient is being seen under an alias name right at the beginning of their dictation and the alias name is the one in the ADT screens. They deserve some privacy and still abide by HIPAA like the rest of us.
Just typed my 1st facelift report and I must say
I'll never have one done. It has to be the grossest report I have ever typed. When I do op notes I find it very helpful to visualize in my mind what the surgeon is doing. Well, with this report, I was ready to heave all the way through it. My face can wrinkle and sag til the cows come home cause I will never have facelift done. YUK!
I typed Dr. Cap'n Crunch eater this a.m.
I could hear him slurping to keep the milk from running down his chin.
I typed my PCP's report and she was upset with me.
I was an IC and typing in the evening and it was impossible to skip over it the way the system is set up, so I typed it. She clearly had a change of attitude the next time I saw her. It was a big mistake. I am lucky I was not fired
Sorry I typed the wrong poster name for this
--OOPS!
Two docs I typed for--- 2 hour for
one, give or take,and 4 hours for the other...the 4 hour doc put twice as much on the tape. If he had a good day I could do it faster. Some days I was dizzy and confused, he talked so fast.
I once typed up sermon notes from
handwritten notes. Never have I seen such tiny handwriting. I was only in my 20s and normally didn't mind typing from notes, but it was brutal. I couldn't believe how many pages there were of it - how could this be one sermon, I wondered.
I'd definitely want to hear how bad or good his dictation was before I took it on.
New Doctor, some patients already typed
I got a new doctor. They girl who had been working for him left him in a big mess, undone dictations, etc. The office gave me a flashdrive to do with about 30 patients on it over the holiday weekend. Today they've told me ten patients had already been typed, how did I want to handle that? It seems they don't want to pay me for these. My husband says to bite the bullet and not charge them, since this is a new account and I'd like to keep it, is possible. What do you think? I know it's a land of confusion there from what is done to what is not done. Thanks!
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