If you transcribe for a private physician and he wants
Posted By: x on 2008-04-05
In Reply to: The doc I work for always says cc - trose
cc then use that. However, most MTSOs and facilities go with Joint Commission recommedations or BOS. You only need to find out what is required by your employer. If your employer wants you to use cc it is fine. You do what they want. mL is the correct abbreviation for milliliter. I have been doing this for almost 30 years and you would not believe some of the changes AAMT/BOS have made, but we just have to go with the flow.
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Per my physician....
"All the antibiotics in the world will not clear up your sinus problems because you need to dry your sinus passages out." Get those little red Sudafed tablets and take the maximum dosage for several days. Also, try avoiding dairy products to see if that's a trigger. I can't even eat Ranch, mayonnaise or gooey cheese anymore because it triggers postnasal drip with that irritated ticklish throat and cough.
This is a physician saying this
The patient was tooken to the operating room. OMG, please keep me from screaming!! Where did you go to school, or did you finish?
Get another physician
NM
Not OUR job, it is the physician's and/or
x
EMR physician
I need quick advise. I worked for 4 physicians, one used EMR (partially) the others still use tapes. The EMR physician does not like to read his dictation and the three mouse clicks to sign his documents is too much. The physician has a high school graduate opening up the notes, reading them, editing them at her discretion and then SIGNING them. I informed them that to the best of my knowledge this was 100% illegal but they are still doing it. I have been doing this for some time, but did not think the rules had changed.
see what I mean? LOL ... physical not physician...
x
Your own physician tells you that you know too much. nm
//
I saw an xray the physician had
that showed a Gator-Aid bottle up this guy's rectum. The wife wanted to know if he had accidentally sat down on it. He had to have it surgically removed. And then again, there is the one I typed on where the person was an alcoholic, had drank dog shampoo and when arriving at the ER was blowing all kinds of bubbles.
Physician Websites
Here are a couple good ones:
www.healthgrades.com
www.doctorpricing.com
The physician put his comment in
quotes and it should have been transcribed. I would get more offended about incorrect dosing of meds you hear in reports if I had the option to pick my battles, but the fact is, you are a Transcriptionist who is being paid to transcribe what the physician says. You really have to leave your personal stuff out of it. And, if you are the patient, and you are crass enough to be so rude and foul then you deserve to see it in black and white.
This sounds like an ad placed by a physician's
I cold called thinking they may consider an at-home MT, which yes they would be fine with, but they thought event $1.00 per page was pricey since the in-house MT could easily type 20 reports an hour, so they were doing the math. They figured by my charging per line that I would make way too much. Of course, I told that person very politely that I would work for no less than $3.00 per page if that's how they were looking at it and that I charge for production. So maybe this office expected the same thing your hospital does. However, if you type 3 MRI reports, then you're done for with the expectation of 20-25 reports per hour. All I can say is the hospital advertising this way must have a lot of normals and only perform plain x-rays and not any kind of special procedures or MRI/CT.
A physician shared this one
with me...
The patient was in a cute dress... (medical Transcriptionist error....)
Physician Letter
Opinions on this please: Most of my physicians dictate where they would like new paragraphs to start in their letters to other docs. However, I'm just starting with a new person and she didn't specify. She told where she would like periods, quotations, etc. but she never even once dictated that there should be a new paragraph.
I'm tempted to just put the breaks where they seem correct, but I'm not sure if that's the right thing to do.
Any suggestions?
Physician Finder - a useful one
you can search using different criterias, might be helpful for u ppl
use the link below
http://doctor.webmd.com/
Try the AMA Physician Finder
You can do a "sounds like" search by state, and by specialty. Somewhat tedious, but you can generally find them when all else fails.
Here's the link:
http://webapps.ama-assn.org/doctorfinder/html/patient.html
Exactly why I quit using my last physician.
I would wait close to an hour in the waiting room only to feel ignored once I got into the exam room. My doctor spent more time on the computer than he did with my exam. I finally got tired of this and changed doctors.
How do you know the physician hasn't
reported it. No, I do not believe it is our place to do so.
are you sure the physician HASNT sm
reported it? I don't think (I am quite sure) that our scope of duties does NOT involve any of that. Would be real tempting to report though wouldn't it?
Private ins
You can get private insurance lots cheaper than MOST COBRA plans but it is up to you. Also a lot of times they only cover for so long and if I remember correctly dental and vision might only be for one year and some plans do not COBRA that over. And if your husband is self employed, then it could be a business expense to provide the insurance and with six figures could easily do it and pay less taxes. I know COBRA is easier to just kind of roll over into, but again, it only lasts for 18 to 24 months and so you will be looking eventually. However, just ask why suddenly you are not covered.
Actually, throw out the BOS and use the physician's preference.
I learned that disc is eyes, disk is computer disk, and disc/disk for back is up to the account preferences. The doctors do not care what some stupid AAMT BOS book says because it's THEIR notes and they aren't regulated by the AAMT.
Work hourly for physician. Need help..
I wonder if someone could tell me how they created an invoice when being paid hourly doing transcription. I tried using MP Count but it only calculates using line counts. Thanks for any help.
I worked at a 25 physician multispecialty
clinic as an audit clerk to the transcriptionists (counted lines by hand back when we used typewriters). I picked up some terminology by reading clinic notes as I was counting. I took a terminology and anatomy class and my boss let me take tapes home to practice on. When there was an opening, I tested and got in! I also worked for an ENT doc (who was desperate for a transcriptionist) part-time in the evenings while I was learning to transcribe.
Then the dictating physician needs to spell it out instead
of expecting us to be psychic. I used to waste so much time at my old job trying to find the proper addresses for these yahoo CC physicians. In the meantime, the dictating physician mispronounced, didn't spell, and didn't even give a clue where the other doctor worked. I had to check the company physician list, the hospital physician directory, Anywho.com, then Google. And that was even if I could spell it properly! One physician in particular couldn't pronounce properly. He would put extra Ns and Rs throughout the name. How was I supposed to find it? And I got chewed out by QA for not being psychic enough to figure it out.
I worked in a physician's office as well.
Normally they get paid only a percentage of that. If your mother has insurance she can pretty much disregard that initial bill. The hospital my parents used also chopped off a large amount due to their fixed income. The worst part about this system is that people with no insurance and who do not qualify for the indigent write-off have to cough up the whole thing.
Are you seeing a sleep physician or just thinking
If you're having a rough time with sleep, make sure you see a sleep medicine doctor (if you already have, please excuse the following). Family docs are great but a sleep doc will know much, much more about it. There are a lot of things you can do to improve your sleep routine and they can do a sleep study or have you fill out a questionnaire that will tell them more about your sleep habits. Provigil should only be tried as last resort with a diagnoses of narcolepsy or when all else has failed. Plus, there are a lot of different wakefulness-promoting meds, such as Ritalin mentioned above, and Provigil may not even be the right one for you.
If you already are seeing a sleep doc, you can ask to try something else if you are leery of Provigil. Sorry for being presumptious, but I just want to be sure you are not jumping to medicine first because it's wise to try other methods before resoring to an Rx.
Seek another physician as fast as you can sm
the one you have obviously does not have your best interests at heart, nor does he care. Any good physician with an ounce of brains knows exactly how addicting OcyContin is and should not keep any patient on it for the long term. You should also seek a rehabilitation clinic for addiction problems. You can't do this by yourself. I think they have outpatient clinics, but you need help and you need to get it soon. Good luck.
be sure to give this feedback to the physician.
Need physician locator website!
I've been using the NCIH website when I have to search a specific state for a provider name, but that website is now gone and apparently is not going to be back. Argghh.
If anyone has any good websites to do physician or provider search by name by STATE (not city, too often don't have that information), I would be grateful if you could share it! TIA. 
You should make it clear to the physician that
there will be an editing charge for any changes or additions once a report has been completed and submitted. I charge an hourly rate for such.
Instructions for physician dictation
1. At the beginning of the dictation, take the deepest breath you possibly can and then try to dictate the entire report before you have to inhale again.
2. When dictating a particularly difficult word or phrase, please turn your head and speak directly into your armpit.
3. If you have to sneeze or cough suddenly, please remove your head from your armpit and sneeze or cough directly into the microphone.
4. If you must eat while you dictate, please stay away from foods such as marshmallows, bananas, and pudding; apples, pretzels, and celery are much better choices.
5. Please do not stop dictating when you yawn; it throws off our rhythm.
6. Do not stop dictating in the event of a minor background noise such as an office party, the janitor’s vacuum cleaner, a screaming infant, etc.; again, it throws off our rhythm.
7. Talk as fast as you possibly can. Fair is fair, after all, and we type as fast as we can!
8. Dates of admission and discharge are not important for old H&Ps or discharge summaries.
9. Abbreviate whenever possible. Everyone loves a mystery and we are trying to learn new skills, such as mind-reading.
10. Finally, be sure to wait until the end to tell us what kind of report you are dictating, or to "scratch" this dictation since it was already dictated.
Find Physician Link
Hi All--Wanted to share
Just as above, the physician said the patient fell
and ordered CT scan and the doctor absolutely checking for confusion. The doctor repeated and I listened back to it, intensely. That was said, VR picked it up and how would a newbie know (brain, confusion, could be in some cases, right) it was contusion they were looking for? I did, changed and finally the physician said the correct word, contusion. I also have the VR putting in Dr. Pannicus and the like. Yep, you need to know what things mean, not just typing in words.
Working for a physician's office.
I am currently working for a small company as an IC. I need some extra work and I'm thinking of trying to get hired on with a local physician's office (if I can find any that are hiring and are willing to hire someone who is a recent graduate) and was wondering how do you charge them for your work? Is it per report, by the hour, so much per line, etc? Is there anyone out there who could give me some pointers as to how I can go about doing this? Thanks.
E
Obtaining "medicines" and seeing a physician are
Of course medicines are cheaper there because the govt doesn't allow private sector (pharmaceutical companies) to price their own drugs.... the govt prices it for them!!
On the downside, physicians are fewer and fewer and yes, patients wait MUCH longer to see a doctor. Canada has a terrible shortage of physicians due to govt control of the healthcare.... fewer physicians, longer wait time for patients not to mention less and less procedures, even those that may be necessary, because govt has decided who they will ration the healthcare out to....
Obama is shoving this garbage down our throats as fast and furious as he knows how....without answering ANY questions as to how to fund this because he know he can't fund it. There will therefore be rationing of treatment. Govt will decide FOR YOU what you can and cannot have for treatment. If you though private insurers are bad enough, just wait for the "too stoopid to get out of the rain" govt to ration it out to ya....
I use my private e-mail sm
and receive all my messages from my TC through my private e-mail. In fact, I never receive anything throught my I-mail, don't even hardly check it anymore. Call your TC and ask her/him what to do. This may not be the same across the board, as so much is not the same from office to office! 
LOL in private, not seclusion :-) sm
like a different room in the house. 
I would see about a private school.....
Your son sounds like a very bright young man... No offense to you, but can you honestly challenge him and teach him things you may not be proficient at yourself. Foreign languages, advanced math, etc. Even high school teachers only specialize in one subject. Something to consider.
Private accounts
How do you go about getting private accounts? Any MTs out there that have done this and are still doing it. If so, how much can you charge per line for a private account that you obtained yourself. I currently make 8 cents per line with an MTSO. However, I have been hearing that if you have a private account with a doctors office you can actually charge a lot more, about 12 to 13 cents per line.
Any tips on doing this. I am currently an Independent Contractor and would like to expand my horizons. Thanks for any advice.
It's how I got my private accounts....sm
I had business cards made up and every week, one day only, I went and solicited another medical building filled with offices usually next to a hospital. I brought only a couple of resumes (nobody asked me for one either) and within a month or 6 weeks, I scored 5 private mds. It's really all about self-confidence and belief in yourself and your own abilities.
I'm still working for 4 private MDs all these years, one of the 5 went into *receivership*, a form of bankruptcy.
Best of luck, believe in yourself, go solicit yourself and your abilities and don't be afraid. If it worked for me, it can work for you!!
I do agree - I have many private mds...nm
THANK YOU JAM for your private email....
very kind of you. Please know that I do appreciate your help and the time you took to respond.
private accounts
anyone out there doing private accounts for docs who don't have to do operatives? just trying to get some info as to what type of reports some may do when typing for own accounts. I was thinking along the lines of internal medicine. Thank you!
If you have private coverage on yourself, you would not--sm
need workers' compensation on yourself. your private insurance would cover anything happening to you. If you have employees, they may need it, but only if you offered them employee insurance benefits. JMO.
most private doctors...
I speak to say that they went to the bigger companies because they were assured TAT - however it is explained to them that the same people working for the Nationals are the same ones that would do it as an IC, I find that my clients came around. Sometimes common sense is not the easiest thing for a busy mind. They also like the idea of not paying the rates a national charges, knowing we do not make it - so drop the rate a penny and they get a break too. They wont pay us what they pay nationals because they do not feel we are the same thing - if we cut out the middle man for us, they want it cut out for them too.
Private accounts
I am curious to know how to go about getting private accounts? I am challenged when it comes to how the work is transported back and forth. What would be a reaonable expectation in terms of costs on my end? All I have now is the computer, foot pedal and copier/scanner/fax. What else might I need? I live and Houston. Our medical center is top-notch and there are many, many hospitals, medical organizations and clinics to choose from. Any advice?
private clients
It is refreshing to see normal expected amounts given to other MT. So often I see "I would not expect less than 10.00 per page and such high line counts" I believe the misconception by many is that you can make a bundle with little effort given some of the "I won't do this" attitudes. When looking for your own private accounts, think about who they are, where they are coming form and who did them before and assess accordingly. And keep in mind you may have to negotiate and get a bit less but your first client and everyone after is your own - which is a good thing
private accounts
I haqve been working on 2 private accounts, one of them I pick up tapes twice a wk and at the second pickup I pickup a check. I have been with them for 9 years. The other one I started last year and they send me the doctors notes by mail and I overnight it and they pay me through the mail. They both pay me by the page.
I wish you the best.
I now have private insurance (sm)
Call and check into private insurance through Blue Shield. I pay $294 a month with a $750 deductible. Might save you some money meantime. I also lost benefits through a MTSO due to lack of work and could not afford the COBRA.
I have private insurance (sm)
My premium is almost $300 a month with a high deductible. My bills are now being rejected due to "pre-existing" and I believe it goes back 5 years, which is ridiculous. What is a person supposed to do? I'm willing to pay, but most of my pay is going for medical bills at this point. I'm owing about $1500 and still need my mammogram and a screening colonoscopy. I'm paying 20% after my insurance pays (if/when they pay) and it's adding up on top of my monthly medication costs, which is hundreds. AARP rejected me because I have diabetes and hypertension, so I'm stuck with the high-deductible major medical, which is basically for anything catastrophic. I don't want to put my house in jeopardy should I need to be hospitalized. I worked for a company as an employee with healthcare benefits, but when the work is low and you don't make production, there goes your benefits. It's like being between a rock and a hard place. Good luck with your decision to drop your healthcare. I'm paying an arm and a leg, but if I'm hospitalized at least I'll be covered.
private practice
Cardiology in PA, $17.00/hr, 6 weeks vacation, employer funded pension plan 10% of salary yearly, been here 15 years.... longing to be home and a full time MT.. good luck coming back to the jungle.
Private Psychiatrists
Does anyone know if private psychiatrists hire MTs and if so, would they use us for session notes etc...? I would like to transcribe private psychiatrists, but it doesn't seem like they really use MT's.
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