On my account the residents and students are better than
Posted By: the docs. But the RNs & PAs are the pits! (N/M) on 2009-05-27
In Reply to: I am patting my foot as I read your post - SS
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For students, not much.
I'd estimate from my own teaching experience that it will take them 6 minutes of transcribing time for every one minute of dictation time. If you give them a 30 minute tape per week, that's approximately three hours of transcription homework per week.
For a real job at eight hours per day, 1,200+ lines per day is usually the minimum rquired. (Which is why they don't hire newbies.) People who do 200-350 lines per hour are very experienced, have the same accounts every day, and use a word expander. It's not representative of the expectations from a student or newbie.
Do the MT schools lie to their students?
On another unrelated board someone asked about medical transcription. I mentioned that pay goes down instead of up because of offshoring reports and isn't the most secure job. She came back and said she asked her teacher about offshoring and she said: "They used to do that but they are sending it back to us now because what the clinics would have to do, is hire someone to edit them and then redo them so it wasn't working out. They talk about it at every advisory board meeting apparently." Hmmmm, okay. 
Just wondering.
Regarding new residents...sm
This post peaked my interested, how would you obtain a new residents list? I am a five year MT working at home. Thank you for any information. Dobin
Residents
Just have to scream for a minute...Arrrrrrrrrrg...Ok a little better. Have been working on a simple H&H being dictated by an American resident, 2 year, that is almost at 800+ simply because she cannot dictate, does not know how to pronounce meds, has trouble with medical terms, ad nauseum......I've worked in med schools and around residents nearly all my working life, but this crop we have now are at least to me the dumbest I've ever run across. We have a good split of ELS and Americans. Don't know which is worse. Oh well, more fun to come when a new group comes in around the first of July. Can't wait. Just had to get that off my chest. Would love to hear others comments.
Hmmm. If the students are children,
maybe pretending they're naked isn't such a good idea. Telling anyone that you pretend they're naked is a really bad idea.
question - medical students
Is an MS 4 considered an MD? TIA
Students get a hefty discount
If you're in continuing education, could you still call yourself a student? I don't know, but when I bought it, I just had to tell them I was a student and I got a discount.
Need help from Cleveland residents
I'm planning an overnight trip to the Cleveland Zoo with my 6-year-old daughter. We'll go to the zoo on Tuesday because I'm told Monday is way too crowded, but what can we do Monday and where should we stay? Someone from the zoo suggested the Lake Erie Science Center, the Natural history museum, the Science Center (different from the Lake Erie Science Center???), or the Botanical Gardens. A fun hotel would be nice too. Thanks a bunch.
Change of residents
They always change in July, so you get a "new batch". They start off being long-winded because they want to look like they are doing a good job and covering everything. However, as the year progresses, they get tired of doing it, so their reports get shorter and shorter. I just wish they were English-speaking but unfortunately the majority of them are Indians, Arabs, etc., who "no habla Ingles". I think our job title needs to be changed to "medical translator". 
Same thing goes for residents of
Florida, Mississippi, Alabama, Carolinas, etc., who get hurricanes. They should get nothing because they chose to live where they are.
Everyone enjoying their new residents?
I LOVE mine - they are sooo polite and articulate. One even said "Transcriptionist I am so sorry to impose on you but I need to make a correction." Boy will that change once they get over being "new" and then they will join the rest of the foul mumblers and slurrers, but at the moment I'm LOVIN' it!   
Have you ever noticed that residents/NP etc.
do not know the definition of the word "briefly." Some of the longest reports I do start the first paragraph with "Briefly, the patient is ..........." and then they ramble on for 10 or so minutes.
I do a lot of psych and I have residents that
go on and on. Many different headings, nonrepetitive, very hard to make lines. I have one ESL doc who does long dictations, but 90% of it is spent flipping pages, so very few lines for the dictation. I use an Expander and based on 65 characters and I'd be hard pressed to do 1500 lines a day.
i would say a good experienced average is about 200 lph so students maybe 100 to 150 lph. nm
;
I'd make fellow VLC students aware, to
nm
I have medical students spelling every third word, such as N-O-S-E, sometimes twice.
This is how they dictate. The patient's eyes, that is E-Y-E-S, eyes are round, R-O-U-N-D, reactive, and equal, -E-Q-A-U-, I mean E-Q-U-A-L to light. Nose, that is -N-O-S-E, nose, is patent, etc. Funny that these are the ones that usually misspell their names.
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.
MA passed law stating all residents MUST
or they will be fined $1,000 per year. Poverty level up to 4 times poverty level (for family of four) you will receive free or subsidized care. All other residents must either have health insurance through their employer or individual policy. My question is, what if you just cannot afford it???? There are many reasons some above poverty level cannot afford coverage, such as family history. This law stinks. I'm sure there was heavy insurance company lobbying on this one. Once again the little guy gets  .
40-year-olds tend to make much better students
than 20-year-olds!
In four years you will be 42 years old either way. Do you want to be 42 with or without your Batchelor's degree? :oD
Line Rates for Michigan residents
For all of you who live in Michigan what is the line rate you are paid? I want to get an average of the industry here is Michigan.
Parents of College Students..Any of your kids going on Spring Break?
Ugh! I have a son going with a group of friends to Mexico for thier first "spring break." They are all good kids, but I've seen the late-night Girls Gone Wild videos... They better be good.
It's 18 pregnant staff members, not students (see link inside)
http://www.charlotte.com/mld/charlotte/living/education/14306113.htm
TransTech does this group, too. Awful foreign residents! nm
s
Unproductive work types continually, for me, DS with ESLs and residents. nm
x
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
When I go to New MT/Students board I am taken to the Abbreviations board. NM
K
what is your account and specialty on the account?
no one is watching. tell us all about osi.
Look, if I were on an account that
kept me sending more blanks to QA than was allowed to qualify for an incentive program, I would ask for another account or get with a different company.
I've bid off accounts before; I've also changed employers because of this problem.
I've been there. It's not what I wanted so I fished until I got the catch I wanted.
As well, if your dictators are dictating on cell phones, that can be a real source of contention with HIPAA guidelines and they should be reported. I report that when I run across it; I also tell my supervisor I won't do that physician again if he is dictating on a cell phone. I've never been given a problem with that.
Second account........sm
Does your company base full-time status on line count or on hours? If line count, it doesn't matter if you do the work in less than 8 hours. You're still holding up your side of the bargain and you have every right to refuse to work on a crappy second account. Just tell them you've decided that your one account is enough and keep your second job. Same goes for the post below stating co-worker is avoiding taking on second account. Unfair? I give her credit. She's a survivor. We're not the ones who started the game. But many of us are quickly learning how to play.
If your account uses the BOS ...>>>
you use numerals for all numbers (and the old way is to spell out numbers UNDER 10). The BOS says to use numerals for ordinals; 10th, 2nd, etc. BUT, many accounts have their own preferences, so why don't you check to see what yours wants?
My own account
My own accounts been doing them for over 4 years, it is just one office person that says anything. I think that she was having a bad day last week and we about went on a minor screaming match with each other not only over this but some other things. So will let things calm down, check and double check to see if I can figure things out but without showing me, I am in the dark like I explained to her. When nothing comes back you think all is great.
I don't do any of that. I have each account in a SM
separate folder on Word and I just click on the appropriate folder. I do 4 hospitals in one state and two more, plus a local.
I never have gotten anything mixed up that I know of.
Take the account and run!
You really need to ask?
I don't know anything about the account
I am considering an IC position and want to know what is an average rate. I have 9 years experience as an MT and have only wored in a hospital.
Keep that account @ .12 cpl
Keep that account (tell them you will meet or beat the competition). Don't say another word, just keep sending out advertising brochures, etc., until another higher rate really needs you, then tell these cheapskates that your accountant has informed you that not only are you losing money but it isn't fair to those others who do not question your charges nor would they ask you to "cut your rate." I've been in this situation and it has made me very depressed but that's the way these others work, they will undercut you for 1/4 cent, done to me by "friends". Just go along to get along and then you have every right to be the "dumper" instead of the "dumpee." Treat them like a bad boyfriend, until a better one comes along. Had this done to me many times and my only regret is that I let it affect me financially, I used to take the "moral high road" and now I take the "me" high road. If they are thinking only of their wallet, then you should as well if you need the money. Hope this makes sense. Most likely it isn't the docs, just someone in the office trying to say, "See, I saved you some money, so how about a raise?" Don't let them spoil your business accounts receivable, just hang in there and smile a lot.
You must be the OM at this PIA account. (nt)
I am getting .08 on one account and ..sm
.085 for the other acount I work on.
One account, can get only...
250-300 because they are obnoxious. The other account, can get sometimes over 500 lph.
Usually, each account has a
prescribed method of formatting and if you work for a service you should get all of the specifications for formatting in a document when you start working a new account. Inhouse, asking the manager will get you the information you need. It is purely a subjective matter with each and every account; however, AAMT and ASTM are working on best practices in dictation and these of course would include a standardized formatting for all medical records .. making it eaiser for all of us to do our jobs and then ultimately find information in a chart.
I have been on my account
with 15 doctors for the past two years, but I am sure someone else had it before I did. We are about to get a new one in August, as well. I am sure you have just about everyone else beat though.
Pay Pal Account
I have a dumb question regarding my pay pal account. My new employer pays through Pay Pal. I do have an account that I've used only for ebay transactions. She's asking for my account number. I can't find any information in my account as to what my account number is? Does anyone know what that would be? Does she want my bank account number associated with my Pay Pal account? Sorry, I told you this was a dumb question. TIA.
I have a second account sm
You should never work for only 1 company. I learned this the hard way. It's always good to have a backup.
Come take my account
First I get "Mrs. Ed" who talks just like Mister Ed and now I've got a dictator that sounds just like Granny from Looney Tunes. Gives me a little laugh now and then, guess you gotta look at the little things in life, or you'll become a looney tune! :) I pray next week is better for you.
If you want an account,
go out and honestly bid for it.....don't "steal" it from your MTSO!!!!! That is just wrong. Bidding on accounts that you don't know the MTSO is a different story. When you take an account from the MTSO you are an IC for, that is "stealing" and you'll get yours when you get to the pearly gates...if you get there!
Nothing really if you want to keep your account. sm
sometimes as an IC and in business, you must compromise. Looks like they are dictating the way they pay. Hey, it would be worse, you could invoice and not be paid for 60 days or longer. So, you will just have to adjust.
own account
I took a small account a few months ago. 3 docs, I do 2 and 1 has his own MT. She is an employee but we cover for each other for vacations. It is lucky they have that other person and they are flexible when I go away (rarely). Some accounts might expect you to find your own coverage. I have had problems with them not paying on time. It's not their fault, they have a large institutional accounting office over them. But MT is my only income so it has been a problem. Make sure you have a cushion in your checking account or whatever that you can live off of if you don't get paid for a while.
Another option might be an IC position if you can find the right one. I also have an outside contractor position with a local hospital that has employees, but I charge them like a service and they make no demands on my time.
Something to consider is how much time you will spend doing administrative things like billing, recordkeeping, marketing, answering emails, picking up tapes if applicable, traveling for interviews or training if you will be working on their system. I find that stuff eats up a lot of my time.
You might want to consider a 30-day trial period in case you dont like them. My account turned out to have a crappy dial-in system, they expected me to fax every report 1-4 times, and they eat up my time with emails and phone calls - each doc has his own secretary and they have another MT and they all tend to call me for things they don't need to bother me with like I'm an employee. Instead of telling them to find one person to deal with me we agreed I would charge by the hour instead. I have no problem telling a secretary who calls me at 7p I will take down the info and call her back during business hours unless it is an emergency. It is hard to anticipate those things hence the trial period.
New account
Hi everyone. I was wondering if anyone had any advice on how to convince a doctor's office that they need transcription done when they haven't had it done in the past. This is my first big meeting on my own and I am nervous about what to say. I have other accounts, but I never had to convince them because they were already using transcription. Any suggestions would be helpful and appreciated. Thank you in advance.
Looking for your own account?
It has come to my attention that Travelers Insurance worker comp claims in some states are off shoring their transcription.
Contact your local offices and offer your services. I also know the pay is comparable to ours - (I have been contacted by an off shore agent to handle this for them ) - imagine work off shored only to be sent back to us to handle.
I will be starting with Charlotte NC. - Who is with me?
If you have an account
where you get the same doctors who repeat the same things you can make a template and not have to type anything or just edit a little. Around 15 years ago, I had a great job with a chiropractor who would do a 5-page report and all we had to do was change right/left and some range of motion measurements. Easily made $45-$50 an hour with him as part-time employees. Some people are also really good with Expanders like Instant Text. It really depends on your account. I have a huge hospital, too many dictators, too many bad dictators.
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