No. You said verbatim acct. Maybe that is why
Posted By: QA put it back to original? nm on 2008-01-05
In Reply to: You got to be kidding right? - Ancient MT
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Verbatim is verbatim, but I defintely to the little things to make the doc look better such as..sm
an eye problem instead of a eye problem. I definitely wouldn't change too much. Stick with what they say and only make changes when you absolutely think it is necessary. I took a test last night and have an interview today and this is what I did. FYI, I do clinic work.
Verbatim = verbatim......flag it...NM
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MOre than one acct
The above is a good recommendation. I have a binder with the account specifics and when I first started with them I would bring it out, review what their specifics were and so on to refresh my memory. Now after years of managing five accounts it is an automatic switch of font, margins, set-ups, etc. After a time you will be doing the same but until then, just make a binder, cards or folder and prior to starting the account bring it out and refresh your memory and keep it handy to refer to when needed. Good luck.
Patti
RAD ACCT
I get 9 cpl on two accts using ADAC/MARS, 2.00 report for mammos and 1.50 report using Meditech
acct
I got my own account by actually being a patient there. They actually gave me a rate they were looking to pay and worked from there. Also, I do not print or pick up/drop off. I speak with the office manager if there are any problems. They also have a few other Transcriptionist so we try to send the files to each other if we get stuck but if not it just gets left blank for the doc to fill it in. I have a TAT of 2-4 days.
Need Help to set up an acct.
my aunt just asked me if i'd be interested in doing some work for the doc she works for. i currently work for somebody else, so all of that legwork is done for me. i simply download from her system, type and return.
how do i go about setting up something so a doc can dictate digitally and get it to me. i don't know the first thing about it or where to start! he currently does not do digital, but is considering looking into it, so i can't really turn to them for help on this one!
suggestions greatly appreciated!
No I do better job. On acct 1 yr. nn
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How much do you want this acct?
You could stand up for yourself and say you want XX more per line or you arent interesting in doing acct. It would be a headache for MTSO to find another MT to do this acct as well as you, but it wouldnt be impossible. Also MTSO would have time tied up in training new MT. MTSO MIGHT decide giving you a raise is worth it to her or she might decide to invest in someone else. You may have some insight as to which route she would go, but beware, you could lose acct. Again, how much do you want this acct? If you dont want to take a chance on losing it, you can hardly gripe about what MTSO is making on it.
I used to have an acct like that...
I could do 1000-1200 lines in three to four hours. I mostly did one doctor who said the exact same thing over and over, so I had a template for his entire transcription and just had to plug in specifics. Sadly that job went to India :(
If acct is on ASR, what is left for MTs
is the worst of the dictators that have always and will always be a problem. The best speakers are put on ASR to the machine can under stand it. They've got you. It is no faster that using expansions. There is no production increase, so there should be no decrease in MT/ME pay. THAT WAS THE DEAL! I will go back to cut and paste an old post that says what happens.
Get a local acct (sm)
The middle man is making money on your work. Cut out the middle man and you'll make more than $15 an hour.
hospital acct
A little more info would be helful. Medical Records? Acute care? Full time? Benefits? Large hospital? Days/evenings? Where are you (what state)?
i am on verb acct,
and there are very very few reports that actually go out word-for-word verbatim. I do keep it as close as possible within reason and common sense.
I was removed off an acct. after one day -sm
as the client requested I be removed. I don't remember being given any samples (several years ago). It was an ESL, a new acct. etc. So I did have blanks here and there, the MTSO had told me not to worry, they'd QA all the work. For some reason or other they did not, hence the work went through as I had left it. Needless to say the client was not happy, so I was removed from the account. I did not lose my job though, but I was peeved for sure about the whole thing. We eventually parted ways and I have not had that problem since.
Tell MTSO you want off this acct. ;
MTSOs are always complaining about the shortage of good MTs. Your MTSO, I am sure, would rather have you working for her on all your other accrts than risk losing you because of one bad dictator. A good MT is worth more than the sum of lines of one bad dictator. She knows he is bad and to this point, she knows you will muddle through with him. Put a stop to it. She will not quit giving you work over one doctor. I have been in similar positions and have always been taken of acct/dictator that I requested because I could not make money. MTSO is it this for money, she shouldnt expect any different from you.
Unless this is your only acct, worth more for
x
If IC, you CAN choose to do or not do an acct.
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losing acct
Hello Patty,
I lost an acct about two yrs ago and it hurt, but I wasn't backing down. The OM of one clinic knew the OM of another clinic I typed for and they mentioned to each other how much they were paying me per line. The OM from the higher paying clinic called me and asked why I was charging her clinic more. I told her first of all it wasn't really any of her business, but the other acct I had had for 10 yrs and I billed them 50,000 lines/mth, plus I picked up tapes every day. Her particular clinic I only had about 6 mth., billed about 3000 - 5000 lines/mth, and didn't get tapes every day. Needless to say, I never picked up another tape from that clinic, but that's the way it goes sometimes.
Start looking for another acct and when has
x
On my acct are 2 drs. that all know are horrible.
to just do our best and email acct manager the job number so she can alert the facility. Facility knows the work of those 2 are going to have more than the allowed amount of blanks and we just have to let them know when those jobs are coming through.
Verbatim for ESL too?
Geez, if that were the case on my account (not MQ), you wouldn't believe the crap I'd be putting out - "59 years old pt, denies of chest pain, comes to ER for short of breath," and I could go on and on.
Verbatim
I still don't understand, for example I have a doc who does about 20 lengthy bypass operations a week. I have a 4-page "standard", that I just immediately pull up. He never dictates it the same way twice, I just simply pull up my standard, put ears on, follow along and delete, insert, change and so on as he dictates, and that is as good as verbatim.
Since I am on verbatim also, I use whatever s/he says..
Jim for James etc....however, if the doc is clearly off track, he starts calling Mary by the name of Frank for instance (it has happened) then I flag it.
verbatim
The docs at a big teaching hospital I formerly worked for did not put punctuation marks after the word HOWEVER. That's the way they wanted it and we were marked down if we added the comma.
verbatim, really?
Of course verbatim means typing EVERY SINGLE word they say, even when it's a side conversation, a snide comment, etc. One thing I do that may not help them at all but makes me feel that I've at least let them know that I know - I enclose such words in quote marks to set them off from the real words.
Verbatim
As a private IC there was a prominent heart surgeon from Iran whose dictation I "cleaned up" constantly or he would have been the laughing stock of the community. Sometimes you have to "save face" for the client. If I worked for a national and they QA'd me from saving someone from a drastic error, I would immediately "quit." Another ESL went to hospital admin to tell them I was "his friend," I did not change the meaning but there were several instances when I had to make sense of things for him to cover the hospital's reputation. I was taught never to "change the meaning" and to put certain language "in quotes" although as an IC, I would always call the client first and they usually thanked me. When you work for another service, you can't do this, so it makes it very difficult.I guess you have to go with who pays you, but I would never, never type a senseless sentence.Good luck to those who have "bad QA assessments." They should know better.
verbatim
it's stupid and dangerous to type verbatim. Some hospitals stupidly insist on it cuz they believe we can't think for ourselves. They say "We've always done it that way." Well God forbid you should TRY TO IMPROVE. they say "well, you don't KNOW what he meant." My answer to that is "well, YOU may not know, but I do!" They just don't want to be bothered with having to actually think about it. Any decent trx with many years' experience and worth her salt GENERALLY knows what the doc really means but can't spit out, for one reason or another. I'm married to a doc - I know. But he DOES want us to leave blanks if we DON'T KNOW - better that than making something up, which he does see all the time from Spheris trxs. That's what happens when you hire people with one year of experience and don't monitor them closely, of which Spheris is guilty. And leaving a message for them on ESA doesn't work, cuz the doc won't see it till he goes to sign if off, and by that time, he has no earthly idea what he said. Nor does he care!
IF they got verbatim EXACTLY what they said,
they'd probably be in total shock at how ridiculous they actually sound when they dictate. Don't you just want to give them what they give you sometimes?
Verbatim
The problem is with the client profile. It should not ever have the word "verbatim" in it because the word by definition means "word for word" and we all know all of us from time to time and doctors especially speak garbage and have to be cleaned up. If with followed the client profile and transcribed "verbatim," screams would echo across the country. So I am all for removing that word from all the client profiles unless they truly want reports transcribed verbatim, word for word. We could do that, but it would not be much of a record.
verbatim, no BOS sm
Who are they? I would love to throw the BOS out the window, please e-mail me. Sick of all the new rules which don't amount to a hill of beans anyway at most times.
verbatim
I must be getting old. I'm finding it more and more difficult to "follow directions" as I age regarding this subject. I can't believe these younger physicians don't want us to fix the glaring errors. The real trouble is there's no one who will be the intermediary between the transriber and the doc, maybe, like back in the day. Way too many cooks stirring the broth and complicating what used to be a common-sense and less complicated situation, transcribing, that is.
i do verbatim too, but still BOS has
many points of reference that are helpful. I am one that hated the idea of a BOS, but when i finally succumbed, found there was a lot of useful info in it. Its not a bad idea to have a common reference point.
They may want verbatim, but if they are in
an acute care facility BOS overrides what they want. JCAHO can give/withhold accreditation based on the medical records and they say follow BOS. It isn't that is is an issue of style as much as it is a patient safety issue.
Verbatim
The hospital I work for now is a verbatim account, but we were told to spell out everything in DX, Impression, etc. I spelled out a lab abbrev and it looked so weird, but QA/Trainer told me to spell it out. Very contradictory so if it ever comes back as getting "dinged" for it I am going to tell QA who told me and they better not takes points off my audit.
Do acct coordinators have the power to....
knock you off the server so you lose whatever work is downloaded to you and, if so, is this pretty standard practice when they want the work to go to their favorites instead???
Maybe they haven't set you up with an e-mail acct
yet. My company assigns us an e-mail but in 5 years I've never used it and don't even remember what it is. Some MTs choose to use it.
As far as the e-mails sent only to you, maybe they are just updating you with all the info, or you could be doing something incorrectly and they have these e-mails in a file and pull them up and send as appropriate.
Maybe they have their e-mail setup so that it sends to each person on the list separately. I don't know how this is done if even it could be done. I get e-mails from my company that don't show any addresses in the To: section that go out to every MT on my account. I like it this way so my e-mail addy (my personal one) isn't being published. I don't have anything to hide, just don't like my e-mail on forwards for everyone to see and possibly harvest.
Call your supervisor or the tech department if you have concerns instead of worrying about something that really is no big deal.
Depends on the acct and how much editing (sm)
on a good account, you can do 400-600 lph, more editing takes more time.
5-10 of each a day with 2 others on acct doing 350-400 exams daily
Works out good if you are paid by exam which I hope you are.
having own acct charge question
Just curious. I have had this account for almost 4 years and have never gone up on my charge to them. Is it appropriate to go up for standard "cost of living" increases in medical transcription? I don't have to do anything except email their work to them when I'm finished with it, but used to print it out and deliver it, but recently finally got them to accepting it via email. What is the standard procedure for charging a bit of a higher rate as time goes by? Thanks very much for any advice.
Depends on what your acct. allows. Many don't follow
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Anyone ever had a local acct & had to deal
How did you deal with it? I mean the docs like your work and insist on giving you work, but the in house MT who coordinates your work is a Wicked Witch of the West and blocks the docs' attempts. I'm talking small $ here.
If acct pays for spaces, do 2. Every little bit
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Ask you acct for samples to look at. And get the Dorland's
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MIght be getting own acct. What line count
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I have requested taken off acct cause cant make
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Instead, if I had $345, I'd put it in a money-market acct. - sm
and watch it grow, rather than putting it towards a bunch of fake 'certification' letters after my name, and seeing that money fly away and earn me nothing.
Why stay with a difficulty acct? Ask to be off it.
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What was your QA score for acct?How long did
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Only thing to keep me on bad acct is +$. MTSO
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Or making $36 ph on acct that only dictates 1/2
fsa
I have acct that pays $28 hour. Too bad they
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