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Serving Over 20,000 US Medical Transcriptionists

I work for eTransPlus, hospital accounts, and QA is great - nm

Posted By: Amanda on 2008-10-17
In Reply to: Superwoman - catzameow

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great post - we have people that work at home in our hospital - sm
but getting them to work is like asking them to do a big favor. They constantly have the excuse "oh my kids are here, I have to play with them." "I can't work because my kids have a cold." "I can't work because my kids want to go outside and play."

I could go on and on and on. Those of us that work inhouse and have kids don't seem to have "the problems"
I get 14 cpl with my hospital accounts and

I pay my subcontractor 11 cents a line.  So no, I don't make a huge profit from the work she does, and maybe I don't make any at all with all things considered, but then I've always figured that my income comes from what I transcribe myself.  I know you can't run a big business like that, but as a small business with just a contractor or two, it works for me.


I also work for a small national to fill in when my own accounts are slow and I get 10.5 cpl there.


V.A. hospital accounts
DO require a background check. At least the ones I have worked on.
Local Hospital Accounts

I actually work for a Hospital Transcription Dept. My advice is to ask for the supervisor of transcription or Director as they usually have one or the other.


I actually had a person(who I know was from an outsourcing company from overseas) called and aske me if we were doing any outsourcing. We told her we were not interested, but I actually do send some out to an outsourcing company already. Just wasn't going to do that.


Alot of hospitals around where I live usually are small and have in house transcriptionists. The only reason we have our outsourcing is for people on vacation and when some emergency comes up and we fall short.


Carla


local hospital accounts
do any of you IC people have any tips on what is the best approach on how to find out info on who does transcription for local hospitals?  Thanks! 
My company forced us to do all accounts for one hospital. SM
They are a group of five hospitals. Those of us who said we did not want to do all five, suddenly had our primary out of work, because the other MT's were doing OUR account. That is how things are now. It seems to be the name of the game.
Question about working on Hospital accounts
I have over 5 years of experience unfortunately it is all clinic experience. Are there any companies that will hire a Transcriptionist with this much experience but not in the Acute Care field? I really would like to start doing those types of transcription. Any advice would be appreciated.

Thank you.
Great post. I swear by both Advantage and Frontline Plus-- both work great! - sm
I don't know about "natural" approaches for the house. I have always used flea bombs in the past before the miracle of Advantage and Frontline changed my life. Have not had a flea problem at all since I began using those products about 10 years ago, dose all the dogs religiously once a month with the Frontline Plus except in Dec.-Feb. to save a few bucks and because the ground is generally frozen by then and no fleas are scurring about. -- Hope you get flea free soon.
Have a hospital I work for and they consistently change work types and do line counts. (sm)
Management just doesn't understand in order to crank out the work you need to be proficient by typing the same accounts. Go figure, they just don't get it ??
the hospital I work for already has started to implement this and lessen our work
I see it every single day... they are going to EMR... meaning the doctors simply use a template already in the computer and check boxes or something... The doctor's office i GO TO actually does this too. This is why it creates tech jobs to create those templates and takes AWAY MT jobs because the doctor is no longer dictating, they are just pushing little buttons or checking boxes straight into the computer.

Personally I still think that is more time than the doc wants to take but whatever, i dont see how generic charts are good, what happened to detailed information...

But this is definitely how i see it going along. Maybe not everywhere, but plenty of places are going to go to this, it's all about saving money now isn't it???


You should feel great as a transcriptionist if they think your work is that great!!!
It is not your fault they approached you. I think it would be a different storey if you were the one searching for the job to take away from a company. They obviously want to get rid of the company and if you didn't take the job they would probably ask someone else. You should enjoy the better position and not feel guilty!!
58, AHP/self-taught, trained at hospital 5 years, now with 2 of my own accounts for 10 years, employ
Also worn out 2 keyboards in 4 years. I will never retire. DH will come home some day from work and I'll be slumped over my keyboard. I put in 14 hours a day 7 days a week.
If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
Depends on what kind of hospital? Large urban hospital or small community hospital? SM

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.


I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 


Several accounts that I work on...

have specifically requested that a colon be used with military time.  Although this is incorrect, it is what the client wants.  


Regarding QA, I do e-mail them directly.  I occasionally will send a "Thank You" along with a question, and I always receive a "You're Welcome" in return.  I guess it all depends on the company you work for.  I really do believe, though, that QA really appreciates knowing that the MTs appreciate their help.


Becky you work in a great place. With no one hovering, I bet you get a lot more work done w/o agoniz
wants what. The only people qualified to do QA on my reports are the dictating doctors and the rest is just pure waste of money and time. If I have a question fine. But this random QA bites and hurts everyone. BTW, I don't have random QA for those who seem to think I may have an ax to grind. No dog in this fight. Just common sense.
5 accounts and running out of work

What's wrong is not on your end.


What's wrong is each of those 5 accounts having 17 people on each of them who have to switch back forth and maintain productivity.


 


Production and TAT improve if the MT is on one acount long enough to get a rhythm going.


 


There is also the problem of recognizing doctor's names. If 4 different doctors are mentioned in your report and you are on 5 different hospitals....well, you know where I'm going with this one.....


Why not work for yourself with private accounts?
Then you don't have to follow the beat of the MQ (or any other company) drum?

Or try for a supervisor position? You know how you want to be treated; then you'd be in the perfect position to handle other MTs the way you believe they should be. You'll be highly motivational for them and your company will probably have kudos for you for having a winning team.

Just two options of many.
Do you have your own accounts or do you work for a company?
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I only work on EditScript accounts...
and they lost theirs.
That is absolutely ridiculous for anyone to have to have 9 accounts to have work.
:
Maybe that is where all my work goes. They sure overloaded my accounts in Amherst.
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I work for co who levels accounts, only thing is MTs within those
aa
Good accounts and plenty of work. sm
PT line count is 6000 per pay period; FT is 12000. 
I work two accounts. One is by the report and one is by the line.
Keystrokes has both, and it depends on the type of account. Some have a lot of normal exams and plain xray, the one by the line has mostly MRIs and CTs. I think it is fair and I make great money.
Are you with a certain company or is this in general? Own accounts? Ask your QA if you work
s
It was simply the work from your assigned accounts.
More of our work is transcription based rather than ASR. However, we are in a training initiative so all employees will be prepared for handling ASR.

I work for a hospital and can do in less (sm)
than 8 hours (65-char line).  Are you sure you mean per week?
Actually, I do work for a hospital now
and there are 8 of us who work from home. BUT, they have begun to do things the way the "services" do (NAMELY MQ). They stopped counting our spaces, and so forth, because it is "the trend".

Even the hospital MTs are not as safe as they used to be. We are the only hospital left in my area that has not outsourced yet, and anytime we complain about our pay being reduced (which has been several times in the past five years), we are threatened with outsourcing.

So, it probably is a good idea to start thinking of a change.
I do work for a hospital
that is the position that will be going fulltime. It is 28 hours a week now. I work at home for this very large Level 1 trauma hospital right now doing radiology. I have insurance, I have short term disability through them. I have one national as a sideline, and another local clinic as a sideline.
Well then don't come work for my hospital because...
if you type something for one of your co-workers, you have violated the confidentiality agreement signed when you were hired.  I've typed celebrity reports too when I worked for a national, that's different.  If it were the other way around would you like a casual acquaintance to know all your business?  I wouldn't.  I have the same respect that I would want.  There's 23 other MTs in my hospital.  I don't NEED to type a medical report on my children's elementary school principal (happened a few months ago).  So, get off your attitude.
I work in a hospital and sometimes we have had - (s/m)
"blanket" messages on our blackboard - or in memos - meant for one or two, even those of us who work our tails off have to read it and feel chastised. It's very demoralizing. Next time I get one of those nasty memos or emails, I intend to tell the boss that if he thinks I'm so lazy, then he can just pry his fat arse out of his genuine leather easy-chair, turn off the computer games he plays all day long, and type the #*%<)!@% work himself.
I work in a hospital
in a city with a population of like 4000 people, it is only a 23-bed hospital and I started working here a year and 1/2 ago. I make a little over $12/hr. For this area, this is great pay for any kind of job if you don't have a bachelor's degree. My mom is an LPN/office manager in a clinic owned by the hopstial and she is only making like $4/hr more than I am.
The hospital I work for will
Well some people can get away with it, others get dropped.  Why I am looking elsewhere. 
I did work for a hospital that used one of those.

They called it a 'CryptoCard' and it was about the size of a credit card.  You needed it to log onto their system--whatever number was displayed was the log-in number you were to use at that time.  It always changed....security precautions.  I never paid for it, but had to return it when the company lost that account....dumb bastids...was a great account.



the hospital I work for does that too.
They call it a Biometric Screening. When you enroll you have all the lab work done that you need.Glucose, lipids, TSH, triglycerides, etc. You also get a reduction in your health insurance premiums per pay period. Depending on what you participate in, you can also get up to $300 back at the end of the program.They have smoking cessation incentives, exercise incentives, etc. It runs from September to September. Pays usually in January, or midway through. You also get discounts on different classes that are offered, ie pilates, yoga, circuit, etc. For a reduction in my health insurance, I think it is well worth it. And I haven't heard of anybody being popped for drugs of abuse or anything like that.
When I used to work for the hospital, the ones of
us with equipment at home contracted with the hospital and worked our "second job" for the hospital to do the work when we were behind. You might ask them about that.
Hospital work
From someone who worked in a hospital first and then worked at home, sometimes in a hospital you end up doing other duties like correcting someone's else's reports because they are not there that day, or are working another shift, re-printing reports, sometimes the nursing floors or even physician calls with problems with the report (usually they are irate and blame any and every problem on transcription).   You have meetings which interfere with your ability to transcribe.  You have to be on alert for Department of Health visits.   I could go on and on.  Your line count sufferes.  Unless you get paid by the hour and get paid well, it is more trouble than it is worth.
hospital work
I got most of my first work experience at a hospital when i had no idea what i was doing. They never gave me any feedback or nothing and was there 2 and a half years. And I got paid for not knowing what i was doing. I had only had a few courses of medical terminology and they hired me in. It was a stepping stone to bigger and better things. Hospitals today though are more competitive, (my experience was over 25 years ago). So you might learn more stepping stones by working at the hospital. (i drove over 55 miles to that hospital job just to get experience in the field).
going to the hospital won't work sm
thought because we as MTs sign contracts etc etc when we work for these companies. If we go behind the company back and approach the hospitals/facilities, we can be in all kinds of legal troubles with the company itself. The rest I agree with but people have got to stick together.

Kind of goes back to 30 years ago and the big unions huh? People stuck together they got things done and working conditions improved. People busted the unions and you see what has happened over the years.

Coming from a HUGE union state (Michigan---that ought to get a few riled), I have seen what has happened when the unions are "busted." I also now live in a southern state and see what goes on here when there are no unions and folks don't stick together.

There has got to be a solution for this and I for one am willing to sign on to whatever it takes to get the job done.
As in hospital work,
discharge summaries, operative reports, consultations and history and physical.
I have heard of this two different ways -- Where I work now, we have no blank accounts which mean
that you must leave a QA marker for the QA department and if they can't figure it out, then in most cases they can leave a blank.  Where another friend works, her no blank account involves calling other MTs for their input, also as a last resort, can call the hospital and ask for assistance with the chart from the floor. 
I have my own accounts and I work as an employee, but we are not talking about BEING an MTSO, we are

the MTSO's offer.  If you are a well-trained, knowledgeable medical Transcriptionist with experience and you are looking for an IC job or an employee position with an MTSO, then you are worth more than 8 or 9 cpl.  If all you do is sit and transcribe all day long, you are worth more than 8 or 9 cpl. 


I really don't know what you're getting at.  Not everyone has the capabilities, time, or money to start their own service.  Not everyone is good at pounding the pavement and finding their own accounts.  I'm not a salesperson to say the least.  I lucked into my own personal accounts and if I hadn't, I'd be working for one of the MTSOs, but I'm not.  My full-time employee status job is with a hospital for the benefits only and it pays hourly with incentive.  Right now, that's the only employee status job worth taking is through an actual hospital, NOT an MTSO.  At least at the hospital, you get a decent wage and get great benefits.  Oh, there are a few good MTSOs out there, but they are very few and far between.


I work for a hospital 6 states away. SM

I have a physician list and I have a website to look for other doctors. But how can they expect me to know how to spell patients' names? They can't. I have a disclaimer at the top of my log sheet that says common or phonetic spellings will be used where patient name spellings are not provided.


That was the thing that held me up when I worked "live" from home for a hospital. All that diddling around finding out whether it was "Kathy" or "Cathy"  -- I don't do that any longer and you're right, it makes a HUGE difference.


i work in-house for a hospital and they
did. the bonus was the first to go, then outsource our work so that the 'chosen few' would be the only one to qualify for what little bonus was left. doubled the lines to qualify for bonus but also cut the pay per line of the bonus.  they cant keep emps now except the ones that are too close to retirement.
I work for a local hospital,
not a company. I know to stay away from Transcend.
local hospital work
i moved from a large city to a small town and i'm thinking about doing what you did. try to go to work for the local hospital. would have to probably work a set schedule, but the town is small so it's not like i'd be driving a long distance and i could go home for lunch. i don't have benefits right now and that's scary, so i'm leaning that way.
Not! They are why I went back to work for a hospital
to work
hospital work at home
May I ask if it was easy for you to get the at-home job working for the hospital? I have a hospital very near my home and have been contemplating going there to see if they have at-home transcription jobs available, but haven't done so just yet. I would love to be paid hourly. I'm so tired of having to type my fingers to the bone to make good money. Hourly should would be nice, even if only temporarily. Thanks for any advice.
Other than that do you like Winscribe? The hospital I work for is considering going with them for a
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I work directly for a hospital in the NE,
the list is provided to me by the hospital.