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Serving Over 20,000 US Medical Transcriptionists

I was getting $3 a page 12 years ago. But $2 might not be bad for VERY short clinic notes.

Posted By: mm on 2007-05-03
In Reply to: this is what she said - m




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Whew! I just left clinic notes after 4 years..sm.
and got back into acute care. My momentum is back and I feel like I'm part of the medical process again. I guess I just like acute care better. I can never go back to clinic notes. I can't deal with those 20-second charts. Took me longer to get in the chart than to type it. The company I WAS with had such a screwed up demo screen if you made 1 mistake you got put on probation. Just toooooo much for me.

IMO, that is.
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...
I think clinic/ ER notes sm

would be a good place to start, either working as an IC/employee for a national or getting your own accounts.


 


Good luck!


Do you get more LPH with clinic notes or Ops? nm
x
only clinic notes can have
an actual name in a report.  hospital reports should never have an actual name but instead just have * the patient *.  hipaa rules.
Yes, it is clinic notes...sm
I also have an extensive list of Expanders that I wouldn't doubt was well over 20,000. I've been building it for the last 11 years working at home. I don't even type out the word with (wi).

I appreciate your response and the boost.
Clinic notes

Mostly clinic notes from my experience:


S - subjective


O - objective


A - assessment


P - plan


 


Clinic notes
I have always done acute care.  If you get a good line rate, could you make good money doing cardiology clinic notes.  I was not sure since you have letters too. 
I do clinic notes...sm
Clinic notes are a lot easier to do. The letters are very easy. If you have good rate of pay then you should make as much money. I do general surgery clinic notes and letters. The only problem I have with clinic notes is you will run out of work. It is according to if it just that one clinic or not you work on. But they can only see so many patients in a day. And if they do surgeries to then they aren't always in the office to see patients all day. So I don't always have enough work. But to remedy that I have another job too. So if I run out on one I work on the other. But if you have plenty of work there is no reason to me you couldn't make good money. My problem is just having enough work.
I do clinic notes also
I love them. They are very easy and I have a lot of normals that I use. I don't have any problems keeping busy with work. The doctor's I work for sometimes see 50 patients a day total. And I don't worry about having no work because I'm an employee and if there's no work I still get paid.
I think clinic notes are boring, you have the same

number of doctors usually and for the most part there isn't a lot of medical terminology and they have lots of normals, which is good because they you can have lots of macros/expanders to help, but I like learning from my dictation.  With clinic notes I did know when viruses/illnesses were going around and what the standard treatment was, so I could try some of the same treatments if we got sick without a doctor visit, just after a while they were just boring.  I much prefer acute care. I have lots of dictators so I don't get sick of hearing one doctor all day, although occasionally I do get a slew of the same dictator, the terminology is constantly changing, new drugs, new equipment, new procedures, etc.


 


Some have said clinic, some op notes, some ER, depends on what you
s
Clinic notes questions
I see lots of jobs looking for clinic notes. I have only done acute care. What exactly are clinic notes? Are they office visits by specialty? Also is the pay for clinics typically higher, lower, the same for acute care?

Thanks.
Depends on clinic notes, sm
I really think it depends on the type of clinic notes you transribed.  I went from transcribing very detailed and lengthy multispecialtiy outpatient clinic notes for a major teaching hospital to transcribing acute care, mainly op notes, for another hospital, and it seemed to make the transition, although I felt very confident after about 3 months.  But if you were transcribing clinic notes for just a regular outpatient clinic or clinics (well child checkups, lots of cold and flu, etc) you may have a longer transition period.  It really just depends on whether it's a teaching hospital, the number of dictators, etc?  You CAN do it though--it is all a matter of mindset.  If it IS a teaching hospital or they have an ophthalmology department, I would definitely recommend getting the Stedman's Ophthalmology book.  That made my transition SO much easier, that book, and the Stedman's Equipment Words.  Good luck.  Just give yourself 3-6 months to get acclimated to the op notes, number of doctors/residents, etc., don't pressure yourself to get it right away, and make copies of each report for every dictator--it will save you in the long run because they usually say the same things.  Good Luck!!
I do much better $ wise with clinic notes
I have local office accounts and also work part-time for a national. The repetitive nature of doing the same dictator day in and day out increases my production at least 30-50%; more expanders, more normals, familiar terminology, etc.

Right now I am averaging $25.00+ an hour on my local notes, and less than $12.00 with my national acute care. I do have more taxes and such with my locals as it is 1099 income but I still come out much better on clinic notes.

good luck!
LOVE clinic notes
I do clinic work and I LOVE it.  I transcribe for 3 docs.  There are 4 girls on the acct.  And we ALWAYS have work.  When I am bored on Saturdays or Sundays, I sit down and type for a few hours.  Rarely is the server empty by Monday morning.  I have never been at a loss for work.  It is so repetitive and easy.  Each doctor has his own way of talking and I have tons of shortcuts for each doc in my autocorrect in Word.  So easy, so fast, so fun!
Clinic notes are less detailed normally
than acute care/hospital reports. They are limited to that 1 speciality with only sparse mentioned normally of other medical conditions not pertaining to the clinic visit. However, in acute care, you have to be aware of drugs, generic versus brand, correct dosages, all types of medical conditions, problems, side effects, lab values (a working knowledge of correct and invalid values dictated in case the doctor is in error), and "all" specialities. That is just a few of the things required for acute care transcription.

Many MTSOs looking for acute care MTs will not consider someone who has only been in a "clinic" per se because the MT has only been possibly working in 1 speciality. You need a broad overall knowledge to work in acute care as you never know from 1 report to the other what is going to be thrown at you. In the clinic setting, the MT can be isolated from anything new that has cropped up, especially if in a clinic for a number of years.
clinic notes to acute care

Has anyone gone from doing clinic notes for different specialities to acute care in a hospital?  I have been a Transcriptionist for four years and lost most of my work to India.  I went back to medical billing for about 5 months and have been offered a position to work at home for a hospital.  I never did hospital work.  This will exclude lab and X-ray reports.  I am a little scared.  Any good sites to brush up on for documents or any words of wisdom?


Thanks!!



Wow, 600 lines from 30 minutes of clinic/chart notes - sm
The most I would squeeze out of that would be 350 probably. You must have one fast talking doctor. You are also very fast if you can do 600 lines in one hour, or else you have it macroed/expanded to death and there is very little actual typing so that is why you can do so much in such a small amount of time.
I am working today but i don't get extra pay. just behind on clinic notes and trying to catch up
between cooking.
It is clinic ortho notes , same doctor, very easy dictator
I am supposed to be p/t and he dictates between 30-50 min a day, many times 50-70 min even. It takes me many hours since I am a newbie. The paychecks just don't seem worth it for the amount of time that I am putting in.

Pay question $2/page--ortho clinic
This is a subcontracting position.  Is this good?  I usually get paid by the line so I am clueless.  Thanks in advance!
I get close to 9 cpl as an IC doing clinic notes. No chance of raise unless I find my own accounts
x
How would you handle clinic notes coming up missing after you've delivered them to the facility?

I type the clinic notes at home, print them, verify the all notes printed, place them in a manila envelope clearly marked with the clinic name and dictator doctor's name and date of clinic.  I then deliver the notes to the lead Transcriptionist at the hospital which manages the clinics.  She in turn distributes them to the clinics. 


The last two weeks, I have gotten several calls from the lead MT that I give the work too that clinics are calling saying they are missing certain notes from certain days which is impossible because I type all notes for a specific day in one large document and print them out together.  There is no way that some are printing and some are not.  Plus I ALWAYS verify that each note printed.  Today, she called and said there were missing notes from two different days.


Then there is the issue of my work being typed by someone in the hospital.  When I deliver work I get a print out of what's on the system as far as clinic notes.  It is a worktype specific list that only I am supposed type.  There are a couple of doctors who dictate all their notes in one looooong job.  There were two very long jobs on my list, but were never pooled to me.  When I enter the specific job number, it says they have been transcribed.  In one instance, the dictator dictated half on one job and half on another.  I typed one job and the other just magically got transcribed.  When I've called to ask who's typing these reports, no one seems to know.


These ladies in this particular transcription department are not a friendly bunch.  I have felt that they sort of resent the fact that I am doing work from home while they have to come in and type.  I think they are wondering why they aren't allowed to work from home.  The work I do is very easy clinic work and would be pretty easy lines for one of them to do just to pad their line counts.


I have a meeting tomorrow with the HIM director who contracted with me about TAT and I know they want a shorter TAT than the agreed upon 24 to 48 hours and I know she is going to want me to make more deliveries than the three I do a week now.  I have asked that they set up a remote printer for me so I can print from home that way delivery isn't an issue anymore, but they act like this can't be done which I know it can be done.


I'm about to cut this account loose, but it's such easy work.  It's just that I'm running into brick walls at this place.


 


Thanks for listening to me whine! 


My mistake, I am not thinking tonight, I actually make 11.5 cpl, clinic notes. I earn my money thou
nm
Almost 20 years with a short relapse.

If you get the urge to light up, do whatever it takes to put it off, don't think of it as not smoking, just keep putting it off.  The longer you keep putting it off, the farther apart the urges become.  You can do it.  You really can. 


When I first quit, I decided to crochet an afghan to have something to do with my hands.  You can look at that afghan now and still tell which end I started on.  The stitches are so tight and close together, you can tell I must have been gritting my teeth as I did it.  By the time I was done, the stitches loosened up and so did I. 


After quitting for almost 10 years, I started smoking 1 or 2 on the weekends (yes, beer was involved).  Then it was 3 or 4, then 5 or 6.  I found out I was pregnant, put them down, and haven't smoked another since.  That was almost 12 years ago.  Best of luck!!


"That's Life." It was only on a short while a few years ago, but was really good. nm
x
Just over 8 years. Orthopedics, ER, clinic. nm
 x
I took A&P/terminology course through my clinic 16 years ago
nm
IC Clinic average pay 3 years ago . . .
I started at 9 cpl 3 years ago on a clinic/psychology account (one account) for a local hospital with only 3 months experience, but I also worked full-time as an employee for that hospital during the day and the IC stuff was at night when they needed extra coverage.
16 years, 1 radiology, 7 clinic, 8 acute
.
7 years clinic experience and cannot land a job

Any suggestions??  I have 7 years clinic experience and am looking for work.  Seems like I cannot get a response back to test or interview.  I need a company that offers TAT, not set hours.  I send in resumes and cover letters daily...What else could I do??? 


Also, in the meantime does anyone have suggestions on "practice files".  I want to expand my skills/specialties.  I have not done radiology and have always wanted to get into it...Thanks for any advice!


10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
Honestly, that sounds too low. I was getting $5 per page 10 years ago
nm
Well I don't know anything with all my years experience because I only transcribe clinic work ..
Other than that, I see quite a few replies to your original message so hmmm
After working 2 years, I average 220-250 lph for clinic work.
nm
Picked up tapes for years for a clinic. Finally splurged
Drs wanted to try the phone system so I found a used one and it's much easier. Still drop off printed reports but have dictation instantly, especially nice for stat reports. Don't have to wait to pick up tapes anymore. I could see some of my older clients never moving away from tapes, but if you have one that's receptive to it, you might give it a shot. With gas prices now, it's easier to have a few scheduled dropoff days a week and you can always fax urgent documents to staff. I find that the local drs are usually quite loyal to good MTs so that is nice job security. They like the personal touch from someone they trust, not some big chain. My clients even offered to pay for phone system but I bought it so I could write it off.
Fresh out of school 13 years ago I made 8 cents gross/clinic/no ESL

x


3-1/2 years experience, type cardio only on clinic account, and make 9 cpl nm
nm
Thirteen years ago made 9 cents gross/clinic straight out of school

I used Short Keys, not Short hand for Bayscribe, it worked fine.
x
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
Ditto, short ERs or short OPs....short anything! sm
And I especially don't like long OPs, they are the most boring for me, and the doctors pause a lot cause they have to think more. I just want to be done with it! Next!!! ; )
Long short forms vs short short forms

Carla,


A long short form is usually easier to remember. So I would definitely assign the short forms as suggested by Kelli:
SmithCThead
SmithCTabdomen
etc


In most Expander programs you would opt for a short short form as you have to type the whole short form before you can expand.
In Instant Text you don't have to type the whole short form: you type the first two letters of your long short form and then you can type any of the following letters.
So in this case you would type smcth for the first one, smcta, and you may also type smhead, smabd


This is possible when you use the Instant Text marker key to expand. If you use the space bar to expand, you may be better off assigning the initials as suggested in the second response, as you would not be able to "jump ahead".


Marianne


Personal page/web page resource
Paula,

Thanks a lot for sharing these great websites!
Yep, $2.00 a page and the page has about 30-40 lines on it nm
>
NJ $3 page, though I have heard as low as $1 page.

When I worked for a national, up thru 2 years ago, I was getting $1.75 page and heard they got $4.


The short of it.....
When management sends you E-mails filled with typos, they are going to you, not to the client.  Since you aren't paying management, it doesn't matter if every word they type in their E-mails to you is spelled wrong.  See, management's paying you to transcribe error-free reports.  Understand now?
PRD short cut help

I have been using the PRD short cut program on an old DOS-based computer in WP51.  I have upgraded to Windows XP with WordPerfect X3 and wondered if there is anyway to use the PRD with this program.  I have had to use other short cut programs for Word on my XP computer but have recently had to move all my WordPerfect work to my new computer and need a short cut program for it as well.  I would sure love to be able to use the PRD.  Anyone with any helpful information would be greatly appreciated!  Thanks so much!


I do think it's too short but...
the company I work for only gives you 2 days. :(