Much depends on the account/accounts that you are on (sm)
Posted By: Mushroom on 2009-05-05
In Reply to: JLG - Anonymous
Like everywhere else, I suppose... I've been with JLG for almost 12 years and have had the same main acct the whole time. It's a large hospital system, and yes, lots of ESL, but only a few that I would consider dreadful. Have been on some other accts with virtually no ESL. Have also been on work types where I could rack up lines like crazy, and other times (like now, for instance) struggling to get 1200-1300 per day. Have had times where I felt extremely micro-managed, other times don't hear anything from anyone for literally weeks. Paycheck has always gone out on time, but unfortunately no longer do direct deposit. I guess you could say they've been a little erratic since I've been with them, but overall I am pretty happy. I believe they have several different platforms - I'm on "EHR" (for the past year or so) and while it's a little slow going from the patient information screen to the document screen and back again, it works with your own Stedman's spellchecker and with Shorthand, so better than some others that I've been on. I will say that the support personnel have not always been the best, but, again, I've seen a lot of people come and go! Hope you find a position that's perfect for you - or at least nearly so!
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Depends on the position. Some accounts are 3, some are 5. sm
I think that radiology is 3 now and acute care 5. I might have it backwards though.
RE: Depends on the account
No it does not!!!!!!
depends on which account
It really depends on which account you are going to be working on as to how much of a response you will get. There is one account manager who manages several who is NEVER around, doesn't answer emails or the phone and it's been whispered she may even work another job. There is a huge group of clinic accounts without a manager, they got rid of her, probably to save money since there have been lots of money saving cuts going on. Currently that one is being overseen by the HR lady with no transcription experience (the second in command, watch out for her, really thinks anybody can do the MT or Editor job without having any experience). There was another account with a really good manager but a bad platform, but she finally left, so hard to tell who is there now. The actual owner is a very nice lady but unfortunately isn't much involved and only knows what her second in command tells her, and she makes it look like she has all under control, and in reality she is the second top reason most people leave this company. A new manager has been hired for the new account we have, but yet again she will be limited by what Ms. G. will allow her to do, which won't be much. This used to be a really good company but steadily has been on the decline. Tell me what editor will put up with bad platforms, 100% listens and low work for 3-3.5 cpl? What MTs will stay on with bad platforms and being ignored when there is no work?
Yes, it depends on the account (sm)
I do think it would be strange to have a PE section. The physical exam section is the "O" section, for Objective. It would be redundant to have PE within O. You may want to ask for samples.
Depends what account you are on. I have been
there just over a year. DocuScribe is easy to learn, not bad at all. I don't have that many ESLs, mostly they are residents, but still I don't know about other accounts.
I think it depends on what the account wants, and
In fact, one account I type wants it both ways: They want all abbreviations expanded in letters, and usually no expansions except in certain circumstances on all other dictations by that account. The 'twice a day' vs. 'b.i.d.' thing is trickier. If my account has no specific rules about it, then for the sake of continuity, if the first couple meds in a list are written one way (such as b.i.d.), then even if they say twice a day on the next med, I still type it b.i.d. That way there's a little more uniformity, and I think also the list is easier to read. Of course, it all boils down to the preferences of those you work for.
it is according to your account and office. first thing is you need to be on DQS. then accounts ca
switched to ASR but I understand this is an expensive switch and the client/hospital needs to be in agreement. ASR is editing, less of a line count for me and I would rather transcribe.
depends on your speed, knowledge & accounts.
x
Depends on account, but discontinued
would be correct (sometimes it means discharged)
It depends on what your clients or account wants. sm
BOS sometimes does not matter. The only thing that matters is what the people who sign your paycheck want on their reports.
It depends. If you have a very difficult account
an hourly rate would be great, but being paid by the line I make $20+/hour and I don't think companies would be willing to pay that hourly, so I guess I would have to say I'd rather be paid by the line, unless it is editing and that is a whole different story. I also think being paid hourly would make me maybe not work so hard to get lines and perhaps slack off occasionally. Depending on what shift I'm working I'm up and down every hour or so, putting a load in the washer, feeding animals, loading the dishwasher, etc. If I was getting paid hourly I should not be doing that stuff. I am not very disciplined and find it hard to sit still for more than 2 hours, so I would have to have a change in my routine. I enjoy the flexibility of being able to get up, even go outside and sit on the deck and watch the sunrise, etc. Another pro for the hourly wage though is at least you'd know what your paychecks were doing to be every payday and could maybe budget better.
I find it really depends on the account.
I really lucked out that I am on an account that has been doing VR for a while and the docs all speak pretty clearly. The reports come to me pretty clean. I only have to verify demographics and make minor changes to the report and I can get pretty good line counts.
On the other hand, I know MTs who aren't so lucky and end up having to transcribe many of their reports because they are so bad and end up making less money.
I love my VR account. I decided to do VR to save my wrists. I have had problems with carpal tunnel, but not since switching to VR.
It also depends on your account specifics too...
if it is verbatim, you type what they say...
Depends on your account, I would guess.
Some accounts want a strict SOAP format, so you would disregard the other headings.
I personally work on verbatim accounts so we put in any headings they dictate.
It depends on the account guidelines.
For the majority of the accounts I work on abbreviations are only expanded in the critical sections, such as diagnosis, impression, etc. This is to the client's preference, and it is considered an error to expand an abbreviation when it is not necessary.
As far as dosages, I always transcribe what the dictator says unless it is a prohibited abbreviation or an error. Prohibited abbreviations are changed, per client preference, to the acceptable term. If it may be an error, it is flagged for review. If the doc dictates "twice a day," they get "twice a day." If they dictate "b.i.d." that is what I transcribe. It is also considered a error, at least at my company, to alter what is dictated.
I have been paid both ways. Depends on the account. nm
n
I guess that depends if it is a verbatim account...
I think even so I would type feces....
I agree, it depends on who you work for BUT also the account
and how long it has been on VR. If it has been on VR for a few years, piece of cake. If it is just starting out on VR - tedious work, low pay as it takes longer to edit than to just transcribe it.
I have been doing VR editing for 4 years now with an account that has been on it that long also...can make up to $50 an hour, and some times as low as $30 an hour when we add new dictators.
Hope this helps.
Same for me, I made more 10 years ago. It depends so much on account, SM
work type(for me), and expanders. I find it hard to stay motivated when report after report is ESL and a work type I can't make money on. The above poster likes radiology, I like OPs. It is easier to stay motivated when you have that.
Depends - one account I make 40 an hour, other - s/m
I grunt it out to make 10 bucks an hour. If I worked just the ER account, I would definitely make full time money for part time hours.
Durn second account. :}
depends; clinic/acute, IC/employee, pool/own accounts....
nm
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.
I consider myself a pretty fast Mt, and I am lucky to hit 100 reports a day...depends upon account.
lines produced also depends on type of account, doctors, specifics, platforms.
nm
Depends on the pay and account. My lowest average is $15.52 an hour (roughly 182.6 lines an hour) w
;'
Start>Control Panel>User Accounts>Turn User Account Control OFF
x
How about zillions of accounts. MQ has these accounts so overloaded even the new hires dont have any
work. I would love to read some of these reports and then they expect perfect QA and no blanks. Did they lose their minds completely.
What is the difference between an acute care account and a multispecialty account??..nm
nm
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
The accounts are old and she keeps her accounts TRUSTING she hired the right MTs
who if in doubt will ask questions regarding reports. No one can find all mistakes in all reports and that is human to have a report with perhaps a typo. You think anyone reads through all the reports of a national company before they get to the hospital? Not a chance. Some random QA is supposed to correct all mistakes? Not hardly. Doctors/dictators make mistakes too. We all do. So do QA people. So the thing is this person hires good people who are trustworthy, the hospital likes the way she does their account and life goes on quite nicely w/o hovering editors/QA people. BTW, who QAs the QA people on your accounts. Ever wonder?
Not all accounts are good accounts. One
That should not be the case. Sounds like you need new accountant with strong knowledge of IC deduction. We save a several thousand on what we pay in taxes based on what I can deduct as at home IC, $2000 off the top for what I pay my child to help with office chores, as an example. The measly 7.xx% I pay that an employer would pay is well worth my independence in being my own boss.
what is your account and specialty on the account?
no one is watching. tell us all about osi.
How many accounts?
My national employer has 19 accounts in my queue, though I rarely work in all of them in a week or a month. Still its too many. I'll often work 5 or 6 accounts in a single shift, despite the promise of a limit of 2 or 3.
This is a terrible business practice. If you are a dedicated MT, it requires extensive time to review account-specific instructions, not to mention being unfamiliar with place and people names associated with the different regions. It is unfair to "quality patient care" to bounce MTs into unfamiliar territory. After all, how quickly and accurately can one transcribe a record when you are overwhelmed with studying your fifth or sixth different set of instructions in less than 4 hours? I believe the substantial amount of MT shuffling is to slow us down--they have overstaffed and its to their benefit to force familiarity with odd accounts so they can do it again next time. They do phase people out of primaries and secondaries and even tertiary accounts once they become proficient. We hear the work is low due to summer slow down, yet they keep sending their "please welcome our newest recruits" memos.
And, yes, I will definitely be searching for a new company very soon.
I have 8 accounts and seriously,
they do run out of work, but I change my work hours. I know if I get on at 6:30 a.m., I will get a decent amount of lines done in about 2 hours time with the normal interruptions of kids. I usually do get back on in the afternoon to try to finish up and there usually is work for me at that time too. I was transferred to Amherst when our office closed. I have been with MQ for 4 years. It just stresses me out that people complain so much about Medquist and it is always the same people. Why not get another job????? Why do they continue to come here and complain about the same thing over and over and over again????? It is the most annoying thing I have ever seen. I agree that we all need to vent, I do too. But why remain at MQ if you are all so unhappy? Maybe finding another job with a different company will make you happy, although it seems like people from every other company are complaining, as well.
15 accounts......
Yes, but it is important that we post this information. I believe, or at least I hope, that the people at the top need to hear this.
The people at the top management levels read this board regularly. They are concerned about the bottom line. Three things affect the bottom line: production, TAT, and quality.
If you have 2-3 accounts, you will have much higher production, much better quality and TAT will be better controlled. You will make more money because you are not wasting time jumping from account to account.
I believe the problem is in middle management. They are the ones putting us on 15 accounts at a time. (I actually had a supervisor who told me she had asked the manager while she was throwing me at every problem account and her answer was...."Tough S---" Unbelievable.
These are only for MT's/accounts that are on DQS
If your account has never been switched to DQS, I don't believe you would receive a check. This somehow pertains to DQS. It appears that the longer your account has been on DQS, the larger your check would be. But this is all a mystery to us MT's. It may also pertain to certain accounts/clients that MQ had misbilled, per the law suits against them. At this point, MQ upper mgmt is keeping very quiet about this check, so can't help but think that it pertains to the overbilling that they had done to some MQ clients -- possibly we were the MT's who were worked on those accounts. BUT YOUR GUESS IS AS GOOD AS MINE about the purpose of the check, other than they had to pay back some monies FOR ONE REASON OR ANOTHER. Will we MT's ever know ????
TOO TOO MANY ON ACCOUNTS
Don't forget to call Human Resources and follow up with a written Employee Complaint with ALL these complaints. They think the complaining is only from an isolated few and won't even take things seriously until the written complaints start to mount up.
Try for your own accounts - How did
xx
Those of you that have your own accounts, what's the
best way of getting your own accounts? I have one small local account that I got from a newspaper services ad eight years ago. If I had two or three more like this one, I'd be a happy camper. I've mailed postcards and made cold calls with no luck whatsoever. I've even done intro letters with business cards to new providers on the city business license list and in response to help wanted ads. No nibbles there either.
It doesn't even necessarily have to be a local account. It could even be Internet based or via mail/UPS. One guy used to priority mail tapes to me from New York back when I had my virtual assistant/secretarial business.
Any positive suggestions are welcome. Thank you.
New accounts
It is like selling a house or anything, it takes a large volume of people to get one buyer. Even if I am not looking hard, I send out flyers every year or so to keep my name out there -- have a lot of people that are willing to subcontract for me. I also hit the smaller ones sometimes and do the rounds in the medical office buildings by the hospitals. Send flyers out to smaller cities/towns if you are set up for digital as those are the ones that are sometimes looking. Do networking with other MTSO's in your area. I know many in mine and we all network together. A lot of it is being at the right place at the right time as they often just throw our flyers out and that is why you have to keep sending them out. Offer something unique -- I cut apart chart notes and that helped with a couple of accounts. Stupid but they love it. Also accounts that use transcription services -- take them a flyer personally with some cookies -- it does work to get it to the manager's/doctor's desk it really does. I have also offered my own accounts a "finder's fee" if I get an account. Anything works. I have gotten a few through the yellow pages. But it takes time and persistence. One mailing does not usually do it as there are a lot that start up and stop so if they see it once or twice, they remember it. Good luck. Keep your prices fair and offer a good service. Patti
Do 7 different accounts in my
job, 2 programs, and another job with another program. different hospital. Once you get used to an account and work on it regularly, I have found it does not slow me uip to switch from account to account, keeps me in work. Also, no problem with doing way over 1000 lines in 8 hours. But that is just me. I have been at this 21 years. I hear others do have problems and sympathize with them.
As far as QA and their accounts, sm
this company has the best I have worked with. I have no idea what the QA rate is, but they do have the best QA IMHO, so I am assuming they are paid well.
Accounts
Ihave 4 clinics -- one with two Internal Medicine, one with two surgical oncologist, one with a plastic surgeon and hand surgeon and then my psych. Total in all accounts is about 25 hours per week and gives me about $3000 per month. I work 12 to 20 hours additional at a clinic as an employee doing EMR work and that pays me per hour with benefits. Going digital I hope within the next 2-3 months. No health problems yet. Have had accounts from 5 to 18 years.
If you have your own accounts and
do you feel obligated to share whatever work there is with them, even if it's really only enough for you? In my case they have other work that can do but they make more from my work, so they are anxious for any work I have available. It's overflow, so sometimes there is work and sometimes there's not. The amount of work available right now I could easily do myself.
Usually I share whatever I have with them, but right now I have so many bills and really need to do the work/keep the money myself. But I feel bad about doing that. Should I feel bad? My husband says no. He thinks of it strictly in a business sense.
I believe it with your own accounts.
most MTs do not have their own accounts and have to deal with the company's line counting system as well as being paid a very low rate.
Then again, I could never work 60 hours a week (my body just wouldn't allow it) even with my own accounts so this income is definitely not the norm, but having your own account I feel can really put you in control of your income potential. You go girl or guy, don't know.:)
Own accounts
Do a search on this as we extensively discussed this about a week ago. You have to be ready to do all types of accounts using all types of equipment. The more money sounds good but there is a lot of work to it, no relief for time off, a lot of non billable time. You have to realize that if it is just you will be be seeking out either a one to two doctor clinic as that is about all you could handle at first. Most of these smaller clinics use tapes, you print, pick up and deliver. But if you are going to limit yourself to digital only then you need to expore setting up your own FTP site, know how to transfer back and forth and it is usually a larger clinic which would be hard for one person to handle. I think you need to do a little more investigation and there is no "book" to buy it is through a lot of hard work, sweat, tears and perservence that you keep doing your own accounts. Like I said you are sick, no one to do your work and often times the office understands the first time but when you are new, a second time and they look elsewhere. They have a hard time understanding sick children, relatives, power outages, disc failures, etc. until you have built a reputation and rapport with them. Has taken me 20 years to so do. Good luck, use your own common sense and brains and do a flyer, brochure, letter introducing yourself and send them out. It can be done but it take a while to get started and keep going.
Own accounts
Well how did this office contact you? I would get this one under your belt and use them as a stepping stone and a reference and go from there. It works the same in this field as in any other field you want business, you go out and advertise, do flyers, make phone calls, etc. Most will not come to you unless you have been established for years or have an ad in the yellow pages, etc. So start with this one since they have contacted you and go from there.
I am an IC with my own accounts -
I get 17 cpl for transcription and 12 cpl for editing VR, all acute care.
Getting Own Accounts
Hi, I would like some info on where to start in getting my own accounts as in what kind of equipment required, where to begin, etc. Also, what do you charge, etc.
I have 17+ years of transcription experience working for others, want to try something different.
Own accounts
Have had several contacts to me regarding own accounts. I don't mind sharing general information, etc.but please do not ask me for samples of my brochures, flyers, business cards, etc. and ask for a step by step procedure to go through for obtaining your own accounts. I am not a consultant you pay for those fees. If you have been in the business even working for someone else for many years, then you should have a basic idea what is needed with regards to equipment, etc. No one can know you have a service unless you go out and advertise it. Get your name out there and let them know you are available. I am not being mean but I had to do a lot of learning along the as well as time spent in research and development and if you want to do this there is no easy way. Guess I could write a book and sell it. As for rates, if you are working for a small MTSO in your area add on 25 to 35% of what your rate is currently. To me, I would rather start out low and raise in a year or so to get the account, the experience of doing my own clients, etc. Patti
Getting new accounts
Talk to your hospital medical staff coordinator and ask if you can sponsor doughnuts for the doctors lounge on a certain day. You get an estimate of how many dozens you need, pick them up, deliver them to the lounge and then the hospital puts up a board saying the doughnuts are compliments of "XYZ Transcription Service." You leave a stack of brochures and business cards on the table so they get into the hands of the doctors and not the office managers. You'll get business quicker by impressing a doctor than you ever will by impressing an office manager.
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