It's called BEING FAIR TO PATIENTS
Posted By: 2 cents on 2009-05-04
In Reply to: Ummm.... let me see if I have this right - - S/M
. Why should patient care suffer?! The patients haven't done anything wrong, even if management sucks. I thought that's what MTs were ultimately hired to benefit, the patients.
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
Fair is fair -- relative or not, 1 house or 100.
She's earning income and the only fair, right, just, ethical and LEGAL behavior is to report it wholly.
The so-called "reality show" is the lowest form of so-called entertainment in recent years
I hate them. They've ruined TV.
we should just once, as patients (sm)
go to the dr's office and waste THEIR time!!! Let them know how it feels for a change. But then again, the doc wouldn't wait two seconds on a patient, now would they? Wow, whatta double standard! 
Patients
On a really bad day, I feel like a vampire for making money off of other people's misfortunes.
Maybe sometimes we have too much time to think! I don't know.
Just because 2 patients have the
same dx does not mean they are treated the same and symtoms are the same in many dxs. Do you have your degree?
Well, too bad that they have 30 patients - sm
to see so they don't want to spell things out. Do they cut corners on patient care, as well, when they have 30 patients to see - or is that reserved for us peon MTs? So they're "frustrated" with 30 patients - well, cut your patient load! We're not paid to "guess" or have to look up everything they don't feel like spelling, especially other doc's names. Just won't do it.
By the way, I wonder if they know how many documents we have to type a day (30 maybe?) to even eke out simple minimal wage - but that's OK, I suppose, compared to their 5 or 6-figure salaries.
Just give everybody the bum's rush because you have 30 patients. Suppose we did the same?
A party for our patients...
Every year, the staff in our clinic takes it on ourselves to throw a party for our patients. We all cook finger food, make snack trays, cookies, baked good, cheezes, bread, meat trays, the works. We have breakfast foods and lunch foods. We decorate tables in our lobby to spread this out on. We usually do this one day a week for the four weeks before Christmas so many patients will get to enjoy it. We have coffee, hot chocolate, orange juice, cokes and punch. We have fruits and dips....something for everyone, even diabetics. The patients are touched that we go to the trouble and we are touched by how much they love it! These patients have gone through enough suffering with their diseases and some are elderly and don't have family members. Some tell us this is their only Christmas! We have been doing this several years now and the patients are beginning to tell us to be sure we appoint them to return on the days we are having our "Christmas spread." I just thought I'd share the Christmas party that means the most to me... and this is definitely it! Just the look on their faces as they are enjoying it is Christmas to me.
It is not our job to judges the patients sm
or why or where they seek treatment. It is our job to transcribe the dictated reports. If you don't like the healthcare system, then go out and change it.
Just how many lives do YOUR patients have?
Apparently mine have more than one because I have one dictator who likes to use the following phrase: Patient was told that he might have death and loss of current life. 
Now we have to insist patients
being treated are actually examined before treatment is rendered?
Wasn't it bad enough medicine when ER docs would proclaim a diagnosis before exam, only to have to backpedal after taking a look?? I guess if they are going to do things in that order, doing physical exams is going to result in their looking stuupid, so their solution is not to do that part.
Big grrrr.
If the patients were aware of that, they could
nm
Do any of you ever feel sad for the patients?
Maybe it is because I am on my period and am more emotional than usual, but today typing all these terminal cancer reports is making me want to cry. I feel so sad for the patient and their families. I just cannot imagine being told that I only have a few months left of my life. And the doctors sound so cold about it. I know they are very used to it....I just know that I could never be a doctor. I could never get used to telling someone they are going to die.
A question regarding patients' rights
I was just wondering this. My mother was recently sent to a "liver specialist" who is local gastrointestinal doctor because of concern over persistently elevated liver function tests. He drew a LOT of blood work on her and only told her that it looks like she might have a fatty liver. He set her up to come back in six weeks to "get the results of her lab tests." SIX WEEKS! With her being very concerned, of course, we immediately searched the net and found out that fatty liver occurs in patients 1). who drink alcohol (she never has), 2). Patients who are overweight (she is not) or 3). Patients with diabetes (she hasn't got that, either). It says that a liver biopsy is how they find this out. He never mentioned doing one of those. My question is.. would a physician want to wait 6 weeks to find out lab results? You know it doesn't take 6 weeks to get the results back, they probably had them back within a day or two. In the meantime, she is stressing big time about what could be wrong. 
Not sure when doctors graduate their patients but
I have boys and we stopped when my oldest was 11 because they always made them strip down to their undies for checkups and checked their privates and I didn't feel that was necessary and my boys hated it.
No thanks. Anorexic geriatrics patients don't do it for me.
x
Very true, but a list of patients?
An invoice by the patient? Some clients need to do their own book keeping. It is bad enough you have to worry about the content of the reports. To have to retype a patient name into an invoice with the line count is utterly ridiculous especially as an IC. IC's get taken advantage of. As an IC, yes you should be charging for "everything". If you're an employee, they can put it under "other duties as needed". Business is business. If it takes more time, that takes more money. End of story. Don't do nothing for nothing. Your clients sure do not. They go all this time with this Transcriptionist with her invoicing and then all of a sudden decide they want each patient name and line count? Cut me a break. You don't think there should be a charge for that? You can work for free, but I certainly WILL NOT! To make statements like be paid to walk to the computer is really being a bit of a smarty pants in my opinion. Keep it to yourself if you want to work for free, most people don't! Have a great day making nothing to do A LOT!
I read it... does it mean US patients would have to travel - nm
.
A lot of physicians refer to their patients
as heterosexual or having same sex partners, it is very relevant in some aspects, as in exposure to AIDS/HIV, etc.
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!
How does outsourcing dictation allow doctors to see more patients?
In an article in the MT News section, it states this. Do they really need to see more patients? Most of them herd them in and out like cows.
And that is because the GYN forgets to tell his patients that when changing pills you have to use an
alternate method of birth control for a month until the new level of hormones in the pills kick in, whether higher or lower. That is how come so many get pregnant on the "pill." The facts...my cousin is GYN and he tells all of his patients that.
Just wondering, for you MTSOs, about how many patients/reports per day...
For, say, an orthopedic surgeon, or a family practice doctor. Or, maybe, how many minutes of transcription on average per day.
THANKS.
these are the docs that I don't think care about their patients. my opinion. nm
ss
The clock does play into how much time is spent with patients
The way the CPT codes bill insurance have guidelines for the physicians built into them that give amounts of time spent with the patient (in addition to certain information covered in the ROS/PE), especially in consultations (whether inpatient or out), hospital discharge codes and critical care time (inpatient or out).
Yes, that computer is in fact billing the insurance company because it not only saves not having to pay an MT, it bypasses a billing clerk (eliminating that salary), and if the doctor's office space is paid for by a hospital, that file is sent to the hospital's database where a *scrubber* compares what the MD submits versus coding guidelines. If it is an independent office, the MD can upload all that day's billing before he walks out the door and leave it unattended to update patient accounts and reconcile the days money intake.
In a nut shell, your doctor is no longer just practicing medicine. Your MD is doing the documentation and billing and saving money on two warm bodies.
I understand your concern as I see it more and more in today's medical care, but yes, this is the way things are going. I am fortunate that my MD has been very computer literate for a long time, so the amount of time he spends with his laptop is minimal. Once he enters the info, he kicks his shoes back and we chat and get into a deeper discussion both professionally and personally (we've known each other a long time). Give your MD a chance to play catch up to what he or she is doing with that computer and you should see a more relaxed physician soon.
Good luck.
We need actual examples of patients harmed by outsourcing
to take to the media. Then we could probably get enough interest for someone to do an expose on it.
I do reports all the time where patients have asthma, COPD, emphysema, and
even cancer and continue to smoke. In our local paper they are following a woman in her battle with cancer. She continues to smoke, as does her husband. They were broke before the cancer diagnosis, having to borrow daughter's babysitting money to pay bills. Just think how much money they've blown on cigarettes.
I've even known one man with a trach who smoked through his trach.
I wasn't clear. I guess patients' names is what irks me the most. SM
and you know how famous they are for dictating "Krenazcyssky, Jane, that's J-A-N-E.
neat web site 'chemo angels'. Help cancer patients
http://www.chemoangels.com/
Doctors patrolling themselves? What a joke! They barely have time to see ALL their patients....
Doctors today are totally incompetent for the most part. YOU cannot worry about it when it comes to transcribing their gawd awful reports. THAT is between the patient and the doc. Just knock the report out as fast as you can and make sure it's accurate and then after that, forget about it.
The docs make the big bucks - you don't! Let THEM worry about things that will eventually catch up with them, one of which is called the Karma bug, and that little bug ALWAYS bites those who don't deal fairly right in the butt! And big time, too! 
My nurse said most patients make calls with their cell, no problem
x
It's time we all called NJ. I called
They can't provide anything in writing.
Nobody knows anything - keep telling you to call your supervisor.
I smell something worse than New Orleans coming from NJ.
I don't know but I try to be fair, but I can tell you
that I have had some management jobs that required 25 years of experience plus QA experience and MTs with less than 15 have applied and I had to tell them that it was not enough experience. That was hard, but they did not know what all was involved. I have had people get bent out of shape about it, but to be honest, I had my orders specifically from a company and nothing less would suffice, plus it was posted clear as day.
Also, there have been situations where people did not have resumes--yes, can you believe that? They said they had less experience yet they did not have it in a resume.
I think many do not understand what a recruiter has to look at and what we deal with.
still not fair
I understand how you feel, I too am in the same position. Its like you want to do a good job with quality work and once you prove that to whatever company you might be working for instead of appreciating your high skills they treat you like a door mat and start sending you all the work that none of the others want to do. We lose time doing bad reports/dictators just like any other MT and just because we can get through it with no blanks or it having to go to QA is no reason to give us all of the bad dictators/reports because its not fair and it doesn't make me feel appreciated what it makes me feel is used. I get no extra for doing these type of reports back to back to back even though we are supposedly working from a pool and the MTs who don't want to do these bad reports/dictators just keep zipping along. ITS LIKE THE BETTER YOU ARE THE WORST DEAL YOU GET AND ITS NOT THAT I MIND DOING IT (because I do want to keep my job) BUT WE HAVE TO DO IT JUST BECAUSE ITS TOO DIFFICULT FOR SOMEONE ELSE WHO MAKES THE SAME cpl BUT THEN END UP MAKING A HIGHER LINE COUNT BECAUSE THEY DIDN'T HAVE TO DO THE BAD REPORTS/DICTATORS.
There should be some kind of way to be compensated when you are put in that kind of position but right now there isn't and you just do it because its your job. I have been in a situation lately where 95% of my work is from the list of bad dictators to be aware of and I am so frustrated. If there was some kind of compensation for say a multi-specialist Transcriptionist or ESL transcriptionist then it would make the situation so much better and there would be less resentment all the way around, I think that is something most companies should think about.
Of note I am not complaining, not whining, and not venting but just saying.
That is not really fair -
It is not as easy for some of us. I have gained 30 pounds in the past year from just sitting and emotional eating. Once you get down on yourself about it - well that makes it worse. A terrible cycle. Has anyone tried hypnotism?
Fair enough. I see what you mean.
I didn't mean to imply going straight for .12--lol! And I see what you mean by "demanding." I didn't mean that either, but I should have been clearer about what I DID mean. I do mean that the OP has SOME control over the situation--maybe not total control, but some control. As ICs we need to remember that we are in business for ourselves. We ARE a business, and we need to act accordingly. I'd be looking for another client as well. No need to put up with that!
I can't say I do, very fair here.....
No sideburns, no moustache, a few hairs under arms and not much leg hair either. I'm a freak! LOL!
3 cpl isn't fair for ANYTHING!
k
Seems more than fair, to me! nm
.
fair
I think that your employer is being harsh, but I do believe that by the end of a year 1200 lines a day should be possible, especially with your background. Of course, if you are working with extremely difficult doctors that may be different. I have what I consider to be a very good account with few ESL and most doctors are very clear, and was able to produce up to 1600 lines a day with relative ease if I actually typed 8 full hours at about 6-8 months. I had no medical experience, but I did have writing and editing experience, along with two college degrees. In part, I think it's the ability to use Expanders as tools efficiently that makes that possible. Are you able to use online resources well? Do you have a good drug reference on your computer with a flexible search tool? Do you have an Expander that you are using to advantage? In order to be productive at the rates people expect these days, I think all of the above are a necessity. I also think that even with experience as a medical secretary some training is needed in order to get up to speed as an MT. In fairness, it sounds like you just jumped right into the job, and that must be difficult. Good luck!
fair
There is a world of difference between a good Expander and using auto correct. An expander will show the possibilities with a few keystrokes, whether you know the words or not, and often as soon as you see a new word you will know it is what the doctor is saying, even in a new specialty. They usually include a very complete medical dictionary, some give the possible words with any letters typed in order, not necessarily having to spell it correctly at the outset, like a mini wild-card search function. With auto correct you are only able to get what you put in yourself for expansions. I would say that using an expander during my training was what made it possible to become proficient quickly, above all else. If you can, try one of the commercially available products before leaving. It can make life SO much easier as you learn.
what is fair
I worked for a small rural hospital and we (3) were on call 24/7/365 and rotated carrying a pager on weekends plus working on Sundays.
That isn't being fair
Whoa there - my husband has a terminal disease and we usually end up hitting a 0 tax bracket because of medical expenses (we file long-form and itemize). We spend well over $700 per month on co-pays for drugs every month and then when he has to get certain IV drugs as out outpatient, our drug bill hits over $2000 for that month. Why should my family be penalized when I work my butt off seven days a week, 365-days a year? I pay in a huge amount of FICA and Medicare taxes each year. Until my husband became ill, we paid in a huge amount of federal income taxes every year. We also have two chldren in college and we are allowed to deduct some of their expenses we pay out of pocket. And, yes, we usually qualify for some Earned Income Credit, but not near what you mention. My family can use the extra money just as much as any other family and I don't think we should be penalized because of exorbitant medical bills that place us in a 0 tax bracket.
That's not fair --
I never said I have common sense!
Seriously, sometimes the most obvious things can be right in front of me, and I miss them completely. I might be slow to get some things (although I am highly intelligent; doesn't make sense to me), but once I do 'get' something, then that's a completely different story. Some day I'll tell y'all about all the other common sense things I shouldn't have needed help with --- but did.
{;-)
Is if fair to ask
a company what the average line counts of other MTs on same the account are? I know there are others who feel this particular account is hard to make a decent line count, so I would like to know what the average is. Otherwise, how do we know if their expectations of us are fair?
Seems fair to me. sm
As long as accounts are consistent 1200 is a very reasonable expectation.
I would think 1 would be fair, it probably would
not scare them away.
oh well. no one said life was fair
you just have to make what you can out of it. There are many, many other subjects that can be debated as well. That is what makes life what it is; a great variety of people and view points. Enjoy the day. 
I think I get a fair mixture
I get ESLs, some I can understand easily enough, others I really have to work at and it slows me down. Then I have some docs who are very easy and good moneymakers. I get a mixture. I am not a newbie and can do harder docs. I just find that my managers are great at evening out the work. IMO.
FAIR and Honest... sm
I have worked for DSC (Document Solutions Center) in Alabama for many, many years, and have become good friends with the owner of the company... she is very fair to her girls - they come first, she is very flexible, they have a tightly established management team, and the work is abundant... she pays very fair, and gives bonuses and raises as often as she can... Another GREAT company is OSi... I am currently working for them, and they are just the BEST... I get the best pay per line, the greatest accounts, never-ending work, constant bonuses, gifts, 24/7 contact with staff... I can give you contact information on either if you wish... and no, I am not looking for a finder's fee... I am honest, and just enjoy helping those out who are asking for help... Contact me by email anytime... Bobbie
uhhh...not fair! sm
I work for west coast...and I didn't get paid. When I asked TC about it, she said there was no pay for it!!! 
to uhh not fair, DQS training pay
 I'd for sure take that one up with corporate or "ask Frank". It was stated when DQS first came out that ALL training was paid @10.00 per hour, period! Should be across the board, since it's company wide. I'd have to wonder where the training pay your offices did not give you, actually went to, because they sure the heck got reimbursed from corporate. I was in a training session for 2 hours with THE head honcho in training and she clearly stated, across the board, pay is the same, period.
|
