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LOVE teaching hospitals and long-winded reports. Less ADT time which I'm not paid for.

Posted By: MQMT on 2005-08-10
In Reply to: Teaching hospitals & residents... - kyradmt

Hate filling in ADT screens w/ searches just to do a one minute report.


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I love those long reports. I think of them as free money.

It's just straight transcribing with no stopping to verify patient or physician information to start a new note.  I'll trade you for 1 minute long dictations by a little Russian guy?


I do understand the frustration at the duplication of information.  Then again, the copy/paste feature works great at giving more lines for free with no typing.  LOL  I always thought that if I could find a way to simplify the medical record while still utilizing MTs, I'd be rich. 


Long reports, dead air time

Does anyone have any good tricks for dealing with the long reports with huge segments of "nothing"?  On top of that, the people I am dealing with are ESLs so that's slowing me down enough already.


At this point, all I do is speed up and fast forward but am wondering if there are other ways to compensate for this issue.


Seems like someone would teach them how to pause when they stop dictating! 


Lucky. I love long reports. I thought I got a good one, but it was a 1.5 minute
report with 12 minutes of dead air. Sit here and do nothing. For free.
Teaching hospitals & residents...
I work for a very large university hospital account and hate how long-winded some of these residents can be! Argh! Especially 1st year - just a plain chest xray turns into a thesis! And the attendings aren't much better - they love to "teach" on my time! What is your preference - teaching hospitals (which admittedly are great teaching grounds for MT's) or regular, plain old boring regular hospitals? These residents make me want to........
RE: Teaching hospitals & residents...
Teaching hospitals.
Another thing about teaching hospitals
is that you will see things there that you might not see at your 90-bed facilities.

These hospitals do everything and if I were you, I would just wait and see. I think you will find that the experience alone will be invaluable to you.

I know MTs who have been MTs forever that have never had the experience of a teaching hospital and are limited in the surgeries that they have transcribed.

Congratulations on your new job.
Ditto :). Teaching hospitals are great experience if you can be patient. nm
nm
If you submit your reports on time and correctly, you get paid correctly. Pay has been on sm
time for 2 years now. 1st and 15th for employees, 2nd and 16th for ICs. If it falls on a weekend or holiday, it posts the next business day.

By the way, there is no Sophie on radiology at Keystrokes. Must be a troll.
add to that ASR, getting paid 1/2 for basically re-typing reports! nm
xx
hospitals will allow you benefits if you work part time sm
They will cost you a little but still a HUGE savings on paying all on your own.
Best if you are doing long reports...sm
where you are not messing around a lot on the patient demographic screens. If you can just get into the body of the report and do some work, it's o.k. Also if you don't have a lot of formatting changes, i.e. bold, italic, etc. And it doesn't have a word Expander so you have to use Shorthand for sure. The nice thing about our Meditech account is the line count does count gross lines and blank lines - but I don't know if that is just the way our hospital is set up or not. Meditech is picked for its billing and accounting capabilities. By the time any one asks the transcriptionists about it, it is already a done deal.
long reports
I do independent medical exams, which are usually quite long, for insurance companies and legal firms. they are dictated by MDs for litigation cases. The shortest ones are 4-5 pages, and I have had some up to 70-80 pages, so don't just look to medical facilities but try attorneys and insurance companies also. the company usually contracts with only one or two providers to do their exams so you are doing the same dictator(s) constantly so you get to really know their terminology and style. Mine use standards PEs, standing conclusions, etc., so I get to use a lot of macros. Because they are long you usually have a longer timeframe to complete them, too. it's a good way to go.
We get paid $1.10 for radiology reports and my supervisor transcribes also sm
she pick all the easy doctors. How I know this is because if she doesn't finish them all she says "I have work that I couldn't finish I need someone to finish up." They are all the same doc no more than 3 lines or normals.
VR reports get paid VR rate whether I straight type or not.
I have just gotten to the point where on certain docs I know their VR sucks, so I straight type because it ends up being faster. It sucks, but that is the way the business is now a days, so I don't have much of a choice. I need a job, and I like where I am at, so don't like to speak up too much because the are really pushing the VR.
in 1994 I typed IME reports and was paid $5.00 per page, wish I had that now!
nm
Long reports that drone on and on....
it's terrible...I mean, don't get me wrong, I love the line counts, but it's only 9:40 in the morning and I already want to take a nap LOL.
It's been a long, long time since I've used a C-phone, sm
but I do think jobs can be paused.
could be short reports and getting paid for headers/footers in a 10-hour day.
nm
I know this has been discussed before but how long does it take to relisten to reports that you have
typed. I know some people do that and some dont. So far I have done okay on QA but if I dont I was just wondering how much extra time per day you figure you need to relisten to reports. I usually do about 30 to 35 medium length reports acute care or 1800 to 2000 lines. What errors do you find mostly when you relisten or is it not worth the extra time it takes. Just curious.
How long should you store reports on your computer?
As a subcontractor, what is the appropriate amount of time to store transcribed reports on your computer before deleting them?
Those are long reports! I like 'em at 2-3 mins. so they
s
Psychiatric work or long reports
Does anyone work for/know of any companies that are hiring for psych work or any other long reports like memory disorders, or compensations? I have three years working with these and acute care. I would like to find long reports to do all the time.
Please write to my e-mail address
Thanks!
IC Question: How long do you keep your reports for your docs?

ICs, I was curious to see how long do you keep your reports on your computer for the doctors?  Is there a usual time limit? 


Thank you!


 


I work whatever hours I want, as long as I have the reports back in TAT...
I have assigned doctors...
I had a problem with this for a long, long time sm
I have always worked days, like from 6-3. Over the last few years, it didn't matter how much sleep I got, I became real groggy between 7 and 11. Really shoots the day. Talked to my doctor and he said my blood pressure pills were the culprit but he refused to change me to another brand or dosage since I have multiple aneurysms (2 in the brain). My BP has been stable for a long time and he wants to "keep it on the low side". I tried taking them before I went to bed instead of early in the morning, but then I had headaches all day. So, I am changing to a night shift for a few months so I can sleep when those pills kick in and so far it is working pretty good. I stay mostly awake during my shift and die when I hit the bed from 6 am to 10 am, then I lay down again later in the afternoon for 2-3 hours. I still get 6-7 hours of sleep, it's just split up during the day, plus I am mostly awake now when I sit down to type. I don't have to deal with the heat in my office, either. It tends to warm up real fast in here with the south sun on the house and 2 pc's running all day, even with the air conditioner on.
Way back when, a long, long time
ago and in a galaxy far, far away, I had my own accounts also and some years cleared $75,000.  Yes it can be done, but you need to have your own accounts.  Also lots of delivery, and other duties involved.  I work for a large national now and make much less, but I got tired of accountants, having to deal with hardware problems, deadlines, driving deliveries, printing, printers, etc.  So I decided to simplify my taxes and stay home and just type.  Don't have to worry about computers either, because the company will just send me a new one. 
I've been doing this a long, long time...

I used to make $70,000 and up a year and did so for most of the late 80s and 90s (one girl used to make six figures a year working 7 days a week!)  Because we were making more money than the supervisors and Medical Records Directors in hospitals, they began to switch to transcription services which were sprouting up all over the place.  Plus AAMT came into existence and even though in the beginning it claimed it was to fight for transcriptionists (although assured us it was NOT a union), they eventually morphed into an organization that was more management friendly.  They developed the "guidelines" and the 65-char line.  That was the beginning of the end for those high-end wages.  Then all those mickey mouse transcription schools popped up, and now outsourcing overseas.  YES, we're complaining. 


Been in this biz a long, long time, 30+ years and....sm
I love/loved MTing. However, things have changed so much during these years. The job definitely gets easier; don't have to look up much, can decipher ESLs much easier, in other words, you get pretty comfortable with things and you have confidence in yourself. The more experience you have the easier the job, but....

I actually made more money 10 years ago!! We didn't have speech recognition and you actually got paid for headers/footers, demographics, carbon copies, etc., you got paid for what you did fairly; today, I am not so sure.

You will feel burned out at times, but that passes and you find you like your job again.

Good luck to you!!
I love it too. We used to also get the LifeFlight reports
x
All and any Operative Reports! Love em!. sm
Including Cardiothoracic and cardiac caths.
Love typing ER reports (sm)
x most have macros, and the funny thing is that in the summer if one fall of the monkey bars you get a bunch more, or trampoline accidents, get one get half a dozen, love it, never boring!! Hope this helps!!
I absolutely love ER/ED reports.
When I worked at a hospital, we had a rotating schedule on who did those and x-rays. Like poster below, if you don't want them I will take them.
WhenI was paid by the hour, I kept them LONG ......sm
but now that I am paid by the line, they are short!   Bucks before beauty, I guess.   
I love psychiatric reports, really fascinating, always different. nm
x
I have a doctor who will sing his reports every once in a while, love it. (nm)
x
I LOVE typing reports for podiatrists!

My first account was for a practice of 3 podiatrists and I so wish I could find another account like that.  I miss it. 


I do only Op Reports and love it. Great line count too. sm
Everyone is different, although I think you can learn them and you may even like doing them. Give it a shot and good luck!

Been specializing in op reports for 25 years now. You do need to keep up with the medical equipment terms. There is something new every day.
The last time I did reports per page...
was about 3 to 4 years ago, and I was getting $2.50 per page then.  I did about 10 pages an hour, so I was making $25 an hour.
I shouldn't have RETYPE the reports all the time because the MT
doesn't do their job. They don't read over their work. They add and leave out words. They misspell words as if they don't have any spellchecker whatsoever. They completely SKIP dictations in the middle of a 30 min tape. NO IT IS NOT MY JOB TO TYPE IT. IT IS MY JOB TO EDIT IT. I would rather spend my day EDITING because I am an editor.
Find my reports changed all the time.
In ChartScript you can view and edit previous reports.   Anyway, I have found tons of my work which I know is not the way I typed it.   I just let it go and so far have they have not said anything.  If, however, I was told about these mistakes I would say something even though I know QA would be right.  Agree, they think they know it all and some really don't know jack.
Do the majority of MTs reread or relisten to all the reports you do and how much time does this take
or I suppose rather which is more effective and takes less time. Do you do this for every report you do. Do the big nationals require this. I suppose it depends on your QA score if you need to do this.
well, it IS work related. I edit those reports all the time.
nm
Unfortunately most docs don't care; they don't even read the reports most of the time.
It's OUR job to comply with quality standards.
I love psych too, but getting paid very much for them is another story (nm)

If you like to get paid on time, don't go there.
.
not being paid on time
I absolutely agree with you.  My particular work is being done through the mail from the doctor's notes.  I have not sent them anything else since this happened and I told them that and they said that is fine.  Hopefully this afternoon this other person may come in.  My husband told me hang in, it will all work out.  They always pay, so I will keep praying like I said, prayer does work.
not being paid on time
The office manager is on her honeymoon until the 20th and the doctor cannot handle anything about the money.  It is a very large account, he says there is plenty of money, no problem.  I just keep praying about and asking for God's help.  The doctor's wife is the one filling in and writing checks and coming in with no set hours.
Not getting paid on time
I have been having a huge problem and wanted some input from others who have gone through this. I have been typing for this company who shall remain namless for the time being for over 6 months now and I actually really like it. I like the people, I like typing almost all of the doctors, which I think is rare. However, my main problem is with getting paid. I am supposed to get paid weekly, but I have gone weeks, literally weeks (3 or more) without getting paid and it is really starting to interfere with my ability to pay my bills on time. I am not working to make a little extra cash, I actually have to pay bills and buy groceries and I find it extremely frustrating that companies feel it is okay to do business this way. I am expected to work and cover my shift an should I not expect the same in return for getting paid on time? I am so angry about this and do not want to have to look for yet another position, but this is getting to be ridiculous. I would be extremely interested to hear if others have gone through this and what you did about it. I am almost getting reluctant to do any more work for fear that I will never see this money. Any advice would be appreciated!!!!!
not being paid on time
It hasn't been that long, thank God, about 2 weeks.  Then they get it straight and then again they are late.  The person who is responable just got married, she will be back on the 20th.  The other person who writes the checks is not that reliable.
not being paid on time
What would you do if you had a private account and payment is sporadic?
I am paid by time
one minute of dictation = 10.5 lines is how we figure it. It usually works out even. Sometimes they dictate fast and you get in a few more lines then you should and sometimes they talk slow and you get more lines. It works out well.