Me too.. Lost major account
Posted By: medtype10 on 2007-02-12
In Reply to: Lost two accounts so far. Both very high volume. Another division due to go in summer. - Dizzi
to EMR.. basically put me out of business. I could have "stayed-on" in house doing limited transcription and scanning for 1/2 the money. System was not very friendly to transcription, had to constantly switch screens, etc. would have really lost $$$ if I was paid by the line. Either way hourly/cpl, less money for me. I decided to just stay home and go with national. Hopefully I can hold out for the next 5 or so years, or else I guess I'm off to Walmart!
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me too... lost major $$$.. sm
I lost my derm practice to EMR, $1500+ per week. That was my only account. Very humbling experience. I know a lot of you are in the same boat. Now it is taking me about a month to make what I made in a week. Have a couple PT accounts and am working for my FP doc that has EMR. He dictates part of the note and I put the typing where he wants it. It is slow as I have satellite but at least it is some income. I think EMR is the wave of the future. Hopefully it doesn't become a law soon.
I lost major $$ when they discontinued that. nm
X
At least 200; FT account is a major
trauma center, PT is a major surgical center. Both are teaching hospitals, so I have all the residents thrown in too.
No, I lost an account to EMR
and of hospitals around here that have gone to EMR, no Transcriptionist is needed.
With VR and EMR, the VR automatically puts their dictation into the patient's record. They could care less how it looks, their idea is to save money.
Lost my account
 I am so upset. I have worked on the same account for 2 years now, ever since I started medical transcription. My computer has been giving me issues now on and off for about a month. This week I have not been able to work because of computer issues. I have spent $800 since December on computers having them upgraded and antivirus and more memory. It is constantly acting up for the last week and they had to reassign my work this week. They just called me and informed me they took my account and gave it to a MT who doesn't have computer issues. Like I chose for my computer to go on the fritz. So now I am a backup MT. I am so hurt that I had the bad luck to have computer issues for the last week and they take my work. How can I help that? I can't. Oh well. I think it is time to get another job.
We had an account that went overseas that when we lost it
one of hte people said they'd be back. Hasn't happened yet and it's been over a year. I always wished they would.
This is true......I lost an account to EMR like this
and I'm almost positive the same thing is happening to my account that I do now. It is definitely spreading as more of the younger generation of doctors comes into the field. To me, this is more of a threat than work going overseas (I definitely don't like that either but I found that most clients that do that at least come back; EMR physicians do not).
I stood up for myself and probably lost an account - oh well
This is only the second month that I have had this account but they thought that their bill was a little "high" as the doctor does not feel that he should pay for any lines that I have in a template or if the physical is mainly normal and so I have a normal template, etc. I told them to try to find somone else that was cheaper that gave them the service that I did, with the TAT and quality. This is a doctor that loves to rib off insurance companies and morally I have been debating about doing this account but felt someone had to do it. But I told the NP/OM that with the time I spend in delivery and pick-up, paper, etc. I need to make this much per hour and that is about what I make. This is the first time in a long time I have really stuck up for myself. She said that their last Transcriptionist had been charging $5 a page and I said fine I would compare that with my lines but it would be with 1" margins all the way around and a 12 courier font to define "a page" and low and behold it came out about the same as with my line count. Anyway I am sure that they will begin to look elsewhere and that is fine, I wasn't looking for an account when this one came my way and so somewhere else there is something else. But it made me feel good to stand up for myself and believe in my skills.
Update - lost the account
Well they said today that they were going to investigate other avenues, appreciated my work but did not appreciate that I corrected her when she did not correctly spell Crohn's disease. She is a PA and knows how to spell so then why did she specifically spell it incorrectly -- anyway am glad as their were a little shady. She saw the patients, dictated as the doctor, and charged out MD prices instead of PA so am glad I am out of it. But God gave it to me over Christmas, I was able to pay off one credit card and so it worked out. Will enjoy the 6 to 8 free hours per week now. Just thought I would let you all know how it came out.
Patti
I lost a clinic account
to EMR. I had lunch with an old friend who is an ER nurse in Colorado and the ER changed over to EMR recently. So far that is the only department in her hospital, but she expects the entire hospital will eventually.
This is the touch screen type of thing. She says there is a computer at every station or bed. When they chart, it also generates the billing so more revenue is captured.
I would be worried if I was younger, but should be okay until retirement hopefully??
I know personally I have already lost 1 big account because of the new system and please sm
talked to my own physician yesterday about it. He said they have to be on-line within the next 2 years. I love my work from home MT job but I'm thinking of going back to school for nursing. Just checking if it has affected anyone else yet and if so, what are your long term plans?
depends on location, I know someone who lost a local account - sm
in Woodbridge, VA, was charging .12 a line (60 character line), got underbid and lost it after having had it for years. Now in order to get more but look less, she bids at .10 a line but a 50 char. line....comes out to .13 if a 65 cpl. You can't get much over .10 around here on your own which really stinks, or do some fancy accounting which in this case works.
Yeap, lost huge account to EMR, most CA doctors are now using it
After I lost my accounts, I went to doctors' offices all over Orange County, and most are now using EMR or going EMR. I lost a huge account with several clinics. They loaded up all of my templates, and off they went. Good luck.
I've lost a local account today that I have had for five years......
I cannot believe that this happened to me today. I went into one of my doctor's offices this afternoon to pick up his tape for today. I was given a tape and told that his wife, who is the office manager, wanted to see me in her office. I thought nothing of it because she sometimes has extra things that she wants me to type up for her and we talk quite often also.
She tells me that she just has not gotten around to talking with me yet, but "tomorrow we will start dictating through a company over the internet". I was blown away! She said she wanted to give me a break and that if it does not work out she will let me know. The whole time she was tell me this she was writing me a check as I had just turned in an invoice.
My first inclination was to throw that #@%$ tape at her and say "do it yourself", but I knew that wasn't the "professional thing" to do. I was thinking how could she do this to me, not even a 24 hour notice. She handed the check to me, I snatched it and walked out.
I have had this account for five years exactly (began August 1, 2000). I have never took a day off, never raised my rates, never asked anything of them, and my work has always been the best possible quality. I have been the most dependable person they have could had. I have passed up other accounts because of them, and I always put them first. Thank goodness I have other accounts to fall back on. In our town, there is only one other transcriptionist besides myself, and we both have more work than we can handle most of the time.
Just thought I'd remind all those other MTs out there that no matter how good we are and no matter how much we try to please everyone we are still not appreciated. I will never be fooled again. No one will ever receive the attention from me that I gave them. 
Lost account of 28 years to Dictaphone because hospital believes it will eliminate all transcription
Curious if any of you are working for Dictaphone or Infomatics and doing an account out of Miami with mainly ESL dictators? I was convinced I would not lose the account after a few days with VR. However Dictaphone is not using VR right away and will transcribe reports the regular way until they have a database. I am certain this hospital will never be done by VR. I posted a job on here about a year ago offering 18 cents per line to help with this account and not one person accepted after hearing the ESL doctors we have. They are that bad. Anyone else have this happen to them? Losing to Dictaphone And we have had to do most of the work for over a month since they supposedly took over because their system is not working.
I was hit by all 3 that summer, I lost power, I lost work, I lost savings...but..sm
NEVER did my employer in any way imply or threaten or dare even mention that my job was in jeopardy because I could not work immediately following a trifecta of natural disasters! My jaw agape is not at your concern about working, but at your concern that you would lose your job because of it. Companies have to have a heart in some situations. You're one MT, your company won't go under without you working for a week or 2 or 3.
I recently lost 20 pounds. That means I lost 80 sticks of butter.
    
I doubt your brother has won more than he's lost. To win that much he's probably lost 3 times
So he probably has more bills than money. Otherwise the casinos would go broke.
What is the difference between an acute care account and a multispecialty account??..nm
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I've never had a problem switching from account to account.
The problem I had was being switched too soon. If I don't get one account spec solidly in my memory with QA feedback on mistakes before starting another, I get confused. The other problem I had with former jobs was inconsistent QA. One person tells you one thing, another person tells you another.
Lately, I don't have a problem with it. Right now, my binder has 8 account specs (some I've never had to use) and I'm picking up a new weekend job for a while. The terminology and report formats stay basically the same. It's just all those little preferences. LOL
There is something major going on here
Accounts that used to be really busy have no work. Multiple accounts are asking us not to work on their account for the day. Last night an updated was posted with 100 something jobs available in one account, and then later an oops, sorry, I meant 0 jobs available. What is up with that? Don't know what's happening with this company.
French Ed. major
with English Ed minor and Music minor. No jobs around here in Northern Indiana, and extended family is here, so once started having kids, kind of just fell into this work. Love it, though, love using the Latin I had years ago.
We have DirecTV and have had no major
issues. I have internet through the cable company and have had lots of problems. If cable is through Time Warner they have the worst customer service. In my area the programming is about the same between cable and satellite, except DirecTV has just added satellite radio. I don't know if cable charges per each box, but DirecTV does charge $5.00/mo per box after the first one. The only complaint I have about DirecTV is that we had a big storm and after that we could not get every channel on every box (we have 3). We're not sure where the problem is, but for them to come out is an automatic $70.00 and then depending on what the issue is there could be more charges. When my internet goes out there are no service fees, although it is a pain in the rear getting anyone out to fix the problem.
With satellite you may have to put the dish in your yard on on your house where it might be an eye sore, but if the dish is on the house they only have the run the wiring down the house and not in the yard. If you have cable they have to run it from the pole to your house and they barely bury it, so that you have to have it located every time you need to do any planting/digging.
With satellite when it rains real hard we lose signal, though it doesn't usually last long. When we used to have cable we might not lose signal entirely, but it would be very fuzy. Cable really utilizes satellite. Our local cable company has huge dishes setup and the cable feeds from those.
some major issues!
If the post set off some "emotions," then keep them to yourself, or scream them out loud at home where no one can hear you. The person who posted this did not do so to set off YOUR PERSONAL "emotions." I think your major emotion just might be jealousy!!
These are not petty! These are major sm
things that any experienced MT should know. You need to take the correction as it was intended...........not to be petty but to fix things that you have been doing wrong for years! The docs don't know formatting and unfortunately most of the hospitals don't either. Be glad you FINALLY have some correction! Why you would waste your time checking everyone elses transcription is beyond me.
This kind of transcription is why I don't get too excited when I have an "experienced" MT call me to test for a job. I have tested MANY MTs with experience even more than yours and gotten the same thing! Sometimes people have been working for the same place for years and never been corrected.
This kind of stuff is why (in my opinion) that all MTs should have at least 2-5 years experience in an acute care facility before going out on their own! This "new wave" of going to MT school and then opening your "own business" is bringing this profession way down! It needs to stop.
major discrimination
My husband works for an agent with a major insurance company. He is not the agent although he does have to have agent's licensing. We were told probably 15 years ago, that a white male would not be allowed to become an agent for many, many years due to people (this happened to be two women) who declared that they were discriminated against in this company. So to compensate for discrimination this national company will not hire a "white male" for the appointed amount of time (which was a very extended time period of many, many years) unless that "white male walked on water." That was their quote too. I have heard (but have not verified this) that this same "discrimination" is going on in the medical field. Therefore, you have all the ESL's who are able to get into med school but the American Caucasian is not chosen because you cannot discriminate. My question is "Who is really being discriminated against?" In my husband's company -- It is the Caucasian white male and I have a feeling that it is the Caucasian that is discriminated against in the medical field as well.
What is a major bummer is...
A lot of the older MTs in this neck of the woods have lost their jobs not to outsourcing, but inability to keep up with technology, and it's not their fault either. All of these transcribing companies seem to have upgraded their technology so now people NEED high-speed internet/cable, and dial-up just won't do anymore. Imagine losing your job because the cable/phone company won't string up cable or DSL in your neighborhood because your're just too rural. It's a huge problem and I can see why that would make many people (including myself) jaded. What in the heck do you do for work when all you've known is transcribing? Hardly any hospital hires in-house these days either. Scary times indeed.
For me, a major consideration is, would you be
nm
MAJOR PROBLEMS!!!!
Okay first of all I updated to XP from ME, lost my Microsoft Office so had to reinstall it. I use Express Scribe to play dss files. Before my update I updated ES to version 4.16. Found out that does not play dss files so uninstalled that and reinstalled v. 4.15 and it worked. After the upgrade, I reinstalled version 4.15 and it does the same think at 4.16 did. WIll not load dss files. They appear in the file list but with a duration of 0 seconds. I have tried uninstalling and reinstalling, restarting and everything I can think of. Even with the extra dss .exe that the website said I needed. Is there a possibility that XP doesn't not run with ES or dss files or do I need to install another component to make my files play on XP?
Please help, I am getting backlogged and starting to freakout.
major errors
Only 2 major errors allowed? When learning a new account that seems a little strict. I understand they can't have major errors but give someone a chance to get things right and learn the way of doing things.
I would say those are major. Hospitals SM
often have this sort of policy and expect the services doing business with them to enforce it.
Major error?
That is not a major error. They are just two straggling headers that got left behind, an oversight at best but not major error category. What is wrong with these people? If they call that major what do they call a real major errors that could possibly affect the outcome of patient care? When you consider all the malpractice that goes on with direct patient care involving doctors and nurses, two straggling headers on a report is really very minor.
The major obstacle is the ...sm..
long distance phone charges for the C-line. Check into Magic Jack. Some people have been very happy with it and have used it for long distance while using a C-phone. It makes no difference what kind of computer you're using when you use a C-phone.
Link to Magic Jack info is below.
A Major Rant
A rant letter to a couple of doctors:
What has happened to the medical profession in this country? Why is it that doctors forget their Hippocratic Oath? Why is it they forget the purpose of their career choice? I've transcribed this week on numerous elderly patients who have been with their doctors for five, ten or even fifteen years, but they have to seek care elsewhere because so many doctors are refusing to accept Medicare. How would you feel were if it were your own mother or father being refused care with their established physician just because they became classified as "elderly" and qualified for Medicare? If it weren't for your "connections," your parents would face the same dilemma that other elderly people face.
Why is it that when a patient comes into your office complaining of feeling fatigued and achy that you automatically assume they're depressed and pop out a prescription for them to pop a pill? Why not LISTEN to what the patient is saying and realize that while some MAY be depressed, others have a legitimate medical problem going on? Why not do some labs on them to check for anemia, hypothyroidism, etc.? Oh, I get it -- let them wait two hours to see you after their appointment time and then spend two minutes with them... after all, time is money. By the way, I guess that kid who came several times a couple of weeks ago complaining of abdominal pain wasn't just trying to get out of school since I saw his obituary in the paper this week. Even when his mom and dad brought him in a second and third time, you brushed them off. I hope seeing his obituary hurts your heart at least half as much as it hurt mine. I can't imagine the pain those parents are enduring right now, but I doubt you've stopped earning money long enough to let it bother you. And, no, I won't cover your butt if I get a subpoena when his parents sue you for medical negligence.
Why is it that you cringe when I tell you I need to raise my rates when I've not had a rate increase in three years or longer when in the mean time you've raised your rates at least three times a year every year? Oh - ok - your expenses have gone up? Do you think they've discounted my electric bill, gasoline, supplies and everything else?
Remember that last check before Christmas that I asked about when you were late paying me? You know, the one where you said you didn't have the money to pay me until after the 1st of January - although my contract with you explicitly explains payment arrangements? That was hard to swallow when your wife was standing there while I was waiting to talk to you and making out a check for $8200 to have your home decorated for Christmas? Yes, it ticked me off that you had the money for that in your budget but not the money to pay me my measly little $702. It also ticked me off when you took your three-week vacation to France and left me waiting for payment.
I do understand - its all about the money. Of course, that is why I work. But, if I ever get to the point that I'm so cold-hearted or money-oriented that I cannot try and give the best of my abilities in my transcription for every patient I type on, I have common sense enough to know its time to get out of my profession. Yes, to you I'm just a "typist", but how many times have you picked up the phone and called me asking, "Do you remember the names of the tests that I need to order for Lyme disease?" Or, what about when you can't dictate a proper letter and you say, "This is what I want to say - can you fix it for me?" What about those times when I've flagged a lab result and said, "This patient would be dead with a potassium of 988." Regardless, I remain just a "typist" in your mind.
In spite of all your faults, I do my best for you. I give you accurate work every day of every week because I know one typo (on the transcription work you don't review) with a drug dosage could mean the difference between life and death of your patients. But in the end, does it really matter to you?
This was a major national. You can mess with just about anything...
as long as you have a space bar.
to fellow psych major
I would like to start working in the field before I get my BA. Do you know how many credits you would need in order to do that, and is an AA degree far enough to begin work? You're a lot closer than me so I figured you might know this. It would be a big weight off my shoulders knowing I could work within three years rather than 7, which seems so long. Thanks in advance
Major patriarchy brainwashing.
Having sex does not make you a "wh0re." It usually means you are a functioning adult capable of making your own choices and not having your entire life dictated to you.
We have Publix - MAJOR stores all over....sm
Publix says tipping is not allowed. I do not agree with that. They are loading TONS of stuff into cars, why shouldn't they get a tip? I tip, their bosses are not outside watching anyway and I don't know that anyone ever lost a job with Publix (one of the largest employers in the SE) due to this
to each his/her own I suppose 
Dude, what's your major malfunction? sm
Since I've been working for the last 1-1/2 years with a company and more recently with my own accounts, I daresay that I am doing just fine with or without the RMT. I wanted to take the RMT for my own fun. I am sure there are others that either want to take the test or that are waiting to hear their results after waiting several months.
It is not a major deal to set up Meditech....
I went remote over 10 years ago and I set up most everything myself with installing the program for Meditech with dial up. Now I do it VPN which they installed but I probably could have done myself. More hospitals should look at contracting or hiring the MT directly. It is so much cheaper for them. After increasing my rate a couple of years ago, my hospital looked into hiring an MTSO and was surprised at how much more they would have to pay (more than 3 times what I charge) even if they did offer health insurance and taxes. As to the poster below, I rarely miss work because if I don't work I don't get paid. And when I can't, the hospital has a back up they hired themselves. There are always somebody willing to do extra work somewhere.
Major bummer dude!
This is my 2nd Saitek...the first one had silver keys and oh ya, I got the paint on them babies worn off within 6 months. I'm totally bummed to hear this one will do the same thing, because I really looked at it hard before buying and saw the letters were "etched" in and not painted on. It's no biggie for me, being a touch typist, but when family or friends want to plink around, they got totally lost...plus it looked fargin' ugly too.
I use the angry red lights when typing that ESL crap (red alert!), and the happy purple the rest of the time. The old one was just blue, so I'm kinda sick of that for right now, but it is so much fun to mess with the mood lighting. Simple pleasures for simple minds 
Currently working for a major national, they use BOS because they want
all MTs transcribing the same. What the client wants comes first, then BOS on the majority of accounts. This is SUPPOSED to make QA-ing a report easier.
Making major purchases
Dh and I were looking for a house about 3 months ago because the one we are in is too small. We put that on halt. For one, I am worried about my job. I work for a hospital. OM announced we are going to upgrade to a new system. One of our MTs got to see this new system (I don’t know how) and she said it was great. She told about those 3 doctors that say when doing one of their DS to cut and paste from their HP and then they begin with the hospital course. We get paid for all those lines. Well, now the HP is just going to feed into the DS so we won’t have to cut and paste. Plus some, not all of the docs are going to be able to do VR. They will still need us for editing they said. They already took the headers and footer pay away from us because it automatically wraps into the report.
Now assuming that if the things that already wrap into the report we don’t get paid for, those wonderful DS that we love to get with the free lines is coming to a halt. Also, assuming from what I have read on this message board and others, pay decreases with VR. None of this has been said yet by OM but I am expecting it to come. The other MTs are saying oh this is wonderful, oh this is great. I haven’t mentioned any of my concerns to them mainly because I don’t want to let on that I am worried. I just quit looking for a new house. One of the MTs did purchase a new house recently because since they took us off of hourly and put us on production, she is making great money and we are, actually better than what most the MTSOs pay. I am just afraid it is just going to come to a halt. Do I have a right to be paranoid? Has anyone else put big purchases on halt because they are worried about what is to come? I am kind of the worry wart pessimistic type.
Preparing for a major cut in pay is scary.
I am without an emergency fund :( and no one seems to be responding to my resume.
This is so cruel.
10.5 with major national, 65 chars with spaces,
nm
Every day I make a chore list. Nothing major, just...
one kid has to empty the dishwasher and take out the trash. The other has to pick up the family room and vacuum it. I make the list each day and leave it on the counter. They aren't allowed to turn the television on until it is done.
Having a major brain fart--need to document the use of --sm
or not to use a hyphen for words like schapho-lunate and lunato-triquetral. Having a major argument with QA and need documentation but can not think of where to find it. Tanks
Radiology MTs - Major cuts in outpatient
imaging by Congress - called the Deficit Reduction Act of 2005. Signed by Bush in December. Over five years will amount to 20 Billion dollars cut from outpatient imaging payments for Medicare and medicaid patients. This will have a ripple effect. Private insurers soon will follow suit. Posted the DRA but it was removed by Administrator.... This will have a detrimental effect on us all, as cuts will begin occurring in every aspect of radiology.
Here is a comprehensive article. Please do not remove this post for one day, Administrator. This will impact MTs in radiology significantly.
imagingBiz.com - The Information Service of the Imaging Center Institute
Pogo.com for me for games major addiction nm
:-)
Sorry, but major HIPPA violation to "keep a
little file...that's a HUGE industry NO-NO. Talk about lawsuits and professionalism!
Have had three major surgeries and mistakes were made...
So, I fully understand how he forgot but admitting to this would have been worse than saying the procedure was completed. However, you do have a case that can be proven simply by no incision lines that correspond to the operative report's description. Finding any physician who will testify against a high standing member of the medical community sounds like the challenge. Sorry this had to turn into a nightmare for you.
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