Only 7 or 8 cpl for clinic and acute unless they've changed recently. nm

• NEMT, Inc. - SL
  • Only 7 or 8 cpl for clinic and acute unless they've changed recently. nm - wanderer

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu

Our clinic went to this in October.  The doctors started using it for their clinic notes in November.  Right now my dictation has been cut down to less than half of what it was and they still don't have all the appropriate templates set up yet, so I am expecting in the next 3-6 months there will be no more dictation at all.  Right now I am having to find other things to do because the dictation is so sporadic.  I don't have any experience doing anything other than medical transcription my entire adult working life (30+ years), so needless to say this is very difficult for me to adapt to. 

I cut my teeth on acute care - real baptism by fire - and by comparison clinic would have been an easier start for me working from home, but I'm glad for the experience.  Acute is so much more technical that, if you're willing to do it on production, you should be prepared for the income hit that can come with the learning curve.  If you can go in-house to get the experience, I'd suggest that.  However, if you want to continue from home, keep knocking - with your years of clinic experience, I'm sure someone will give you an opportunity.

A walk-in clinic would still be considered clinic work.  When applying at a company that classifies experience as acute care and/or clinic work, acute care is the term used to designate hospital dictation. 

The reason I called it acute care clinic, is to convey that it was not a specialty clinic.  Our patients were there for acute care, and it was a clinic.

But you are right, I am knew to the transcription world outside of what my doctor expected.  I have read at least 5 text books on MT, but all emphasize asking your employer which format is preferrable. 

I was also wondering, on these online tests,  do they want verbatim, even if it is incomplete or run on sentences, or am I to make them complete by using "and" etc.

Has anyone gone from doing clinic notes for different specialities to acute care in a hospital?  I have been a Transcriptionist for four years and lost most of my work to India.  I went back to medical billing for about 5 months and have been offered a position to work at home for a hospital.  I never did hospital work.  This will exclude lab and X-ray reports.  I am a little scared.  Any good sites to brush up on for documents or any words of wisdom?

Thanks!!

I just have to vent and get some opinions on this.  I have started a job at a hospital.  I have done clinic notes for about 4years about 3 different specialities. I type normally 175 lines -200 at the most on a good day.  Since I started the hospital one week ago, I cannot get past 550-600 in a 7 hour day.  They told me until I get my line count up to 1000, I cannot go home to work, which is what I am suppose to be doing.  There are so many specialities, operative reports and procedures that I have never done and so many things to learn, I am losing so much of my speed looking stuff up. Does this take a long time learn?  Was I crazy to think I could do acute care vs clinic these past 4 years.  I am starting to doubt my intelligence here and thinking I am way out of my ballpark taking this on.  Has anyone else gone from clinic to acute care? Help!!

Being new to MT full time and coming from a hospital setting (specialty clinics) for most of my career.....How does acute care transcription differ from "speciality"clinics (i.e. ortho, GI, oncology, etc.) when applying for jobs?   Acute care is the same as emergency medicine right?

Aside from the differing terms, doesn't the basics of format apply to all H&Ps, clinic notes, etc. when transcribing notes regardless of specialty?  Therefore, even if you have mostly specialty 'experience' wouldn't you still be qualified to do acute care?  Just wondering....

If you were offered a job by two different companies, the benefits were the same, line rate was the same, everything was the same except one was exclusively acute care and the other was clinic, which would you choose and why?  I have two offers and everything is even except for the type of work.  I would think clinic work you could get more lines, but then it is not as marketable later if I have to switch companies as staying acute care would be.  Any input? 

Being new to MT full time and coming from a hospital setting (specialty clinics) for most of my career.....How does acute care transcription differ from "speciality"clinics (i.e. ortho, GI, oncology, etc.) when applying for jobs?   Acute care is the same as emergency medicine right?

Aside from the differing terms, doesn't the basics of format apply to all H&Ps, clinic notes, etc. when transcribing notes regardless of specialty?  Therefore, even if you have mostly specialty 'experience' wouldn't you still be qualified to do acute care?  Just wondering....

"work pools were changed recently" was what I was told and now finding myself with the accents....luckily since I work on 85% during my full time job during the day the accents on this part time account are a piece of cake.  I did have a funny experience last night on my last report...

I pulled in an echo that someone apparently abandoned because they couldn't do it.  It was an ESL but not a difficult ESL.....

The doctor dictated....."Normal mitral valve........NO MORE MITRAL VALVE was transcribed....then pericardial effusion.....THE PATIENT WANTS DIVERSION was typed.....  !

including politicians and police.  These terrible things that we've seen on TV are actual everyday occurrances in NO on a NORMAL day, not just springing up since the hurricane and tragedy.

We're talking about 2 separate tragedies, first the hurricane THEN the breakdown of the levee system (an accident waiting ot happen IMO and the opinion of several other people).  I have a friend in LA who tells me they've had problems with this levee previoiusly, had gotten money to fix it, but somebodies deep pockets (sounds like some MT companies) got a little fuller through the process and the repairs were not done as they should be.  THE NO government KNEW there was going to be a breech in the levee system soon, I think it just happened sooner than they thought it would.  OF course, NOBODY is going to be investigating this now.....they have bigger problems to deal with and more than anyone can handle right now.

With that said, I thought the NO government did try to get people to leave.  THERE are STILL people that WON'T!  How absurd is that????!!  Death and sludge all around you and you CHOOSE to stay....even though it means you may die.  I heard several reports on the TV with the NO mayor telling people to LEAVE the CITY, they didn't want to until it was too late.  The Super Dome was supposed to be a place of refuge for elderly and sick.....not everyone.  It certainly turned out to be a BAD idea all the way around. 

All in all, I think the government there did TOO LITTLE TOO LATE and the people surely SUFFERED.  These people will have a long recovery ahead, no matter where they decide to make their homes, and I'd be real curious to know how many WILL NOT go back to NO just because of this tragedy.

I've only been in this biz for about 13 years, but now that my last one is off to school, I'm also thinking about a career change.  I live in a very rural area as well, so I understand completely what you mean about people thinking $8 an hour is a good wage. 

One thing I'd like to suggest is looking into a state job.  We have 2 state prisons in my area (about a 20-minute commute) and both hire medical transcriptionists as well as medical records personnel.  These jobs generally start out at about $12 to $15 an hour plus state benefits, which in my state are the best bennies anywhere.  The jobs that require coding certification pay even more.  I would highly recommend that you look on the internet for state civil service jobs in your state.  You'd be surprised at the opportunities in the medical field. 

I'm considering this option myself but want to wait until next fall, after I have the summer to spend with my kids (and so I don't start out "in the hole" because of babysitting expenses) and to have time to look into getting my coding cert.  I graduated from a business school with an Associate's in medical secretarial and did a lot of coding prior to working from home.  I used to do billing for a very large rehab facility, so I don't think it will be too hard to brush up on my skills.

Anyway, good luck and let me know if this (a state job) pans out for you.  Most people have no idea these kinds of jobs are even out there (I didn't).

over 19 years.  I just started with radiology late last year.  I thought it would be a good thing to learn so I could add it to my resume, but I really, really hate it.  I think you are probably right that it's tougher for an acute care MT to go to rad in terms of boredom.  The training is pretty simple, but it's just not mind-stimulating work.  About the only good thing I can say about it is that the platform is terrific.  Enter one 6-digit number, press return, and I'm in the document.  Of the 4 radiologists I transcribe, one sounds like his tongue is numb or he is drunk (of course he is the one who does the long detailed special reports), one always has muffled dictation, one takes his sweet time and pauses forever between each section, and the one really good dictator must be an early morning guy because I work 2nds and almost never get him.  I'm really not enjoying this account, but at least it's all going straight to savings since it is job #3. 

BTW Babyfirefly, welcome to MDI.  That's job #2 for me. 

I type the clinic notes at home, print them, verify the all notes printed, place them in a manila envelope clearly marked with the clinic name and dictator doctor's name and date of clinic.  I then deliver the notes to the lead Transcriptionist at the hospital which manages the clinics.  She in turn distributes them to the clinics. 

The last two weeks, I have gotten several calls from the lead MT that I give the work too that clinics are calling saying they are missing certain notes from certain days which is impossible because I type all notes for a specific day in one large document and print them out together.  There is no way that some are printing and some are not.  Plus I ALWAYS verify that each note printed.  Today, she called and said there were missing notes from two different days.

Then there is the issue of my work being typed by someone in the hospital.  When I deliver work I get a print out of what's on the system as far as clinic notes.  It is a worktype specific list that only I am supposed type.  There are a couple of doctors who dictate all their notes in one looooong job.  There were two very long jobs on my list, but were never pooled to me.  When I enter the specific job number, it says they have been transcribed.  In one instance, the dictator dictated half on one job and half on another.  I typed one job and the other just magically got transcribed.  When I've called to ask who's typing these reports, no one seems to know.

These ladies in this particular transcription department are not a friendly bunch.  I have felt that they sort of resent the fact that I am doing work from home while they have to come in and type.  I think they are wondering why they aren't allowed to work from home.  The work I do is very easy clinic work and would be pretty easy lines for one of them to do just to pad their line counts.

I have a meeting tomorrow with the HIM director who contracted with me about TAT and I know they want a shorter TAT than the agreed upon 24 to 48 hours and I know she is going to want me to make more deliveries than the three I do a week now.  I have asked that they set up a remote printer for me so I can print from home that way delivery isn't an issue anymore, but they act like this can't be done which I know it can be done.

I'm about to cut this account loose, but it's such easy work.  It's just that I'm running into brick walls at this place.

Thanks for listening to me whine!