Only a problem if your MTSO/facility decide
Posted By: see mes. on 2008-04-22
In Reply to: BOS 3rd edition changes sm - astheeer
to use it. From what I have heard, not everyone is going to it.
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I am an MT at the facility where the
report came in. This dictator is not our best, but he's not our worst, either. I also transcribe his dictation. MQ does our overflow and has for YEARS! This is not an ESL dictator, and this physician has been at our hospital for years. I know nobody is perfect. All I'm saying is, I would never send a report through with that many blanks without someone checking first. I also know that yesterday one came through from MQ with more than 14 blanks, and it was from one of our easiest dictators! It doesn't matter whether you are management or an MT in the trenches (as am I). You should take pride in your work and care what the finished product looks like. If you have done your absolute best, then okay. If not, then there's a problem. With multiple reports coming through like this every day, it makes us wonder if all whoever types these cares about is getting the lines and doesn't care about the work they do.
Maybe work like this is why things aren't going so well at MQ, at least according to what I read on these boards. And for the record, I worked for MQ for a short period of time as an IC about 6 years ago but chose to go to work in-house for this facility for benefits.
I have been transcribing for 19 years, and I have had my share of difficult dictators, ESL, bathroom talkers, dictating in cars, airplanes, screaming children, fighting spouses, gum chewing, burping, and hearing other bodily functions, along with transcribing while parties, code blues, superbowl games, etc. are going on in the background. I know about crappy dictation and good dictation. I struggle through the bad and rejoice in the good.
The patients deserve the best. Our best! Yes, the ultimate responsibility should be the physicians, but isn't it our job to create the best possible report with what we have to work with? Medical Transcription is not a perfect world. There are no perfect dictators, but I do know a couple that come awfully close! In a perfect world there would be no sickness and we wouldn't be needed!
It's time for us to quit complaining about the dictation and do our absolute best with what we have. We owe the patient that much.
It is up to the facility not the MT (eom)
m
Whatever the facility wants is what you should do.
x
No facility should be given permission (sm)
for any kind of physical discipline. Its not a spare the rod spoil the child issue. When having to discipline someone elses child, the results could be far less or far more than what the parents would have inflicted. The result in some cases, especially in Texas, is the accidental deaths of children. I spank my children, on the behind but as a LAST result. THerefore, I would not allow my children to go to a school or facility, camp, counseling, etc, that would attempt to discipline my child physically. Call me and I will come and take care of it, but don't put yourself in the parents position.
incompetent facility
Your story sounds like something from a small town (or small office). That many radiology reports withheld from being distributed, you know some of them had remarkable findings such as a chest x-ray that needed a follow-up MRI, CT scan, etc. I hope this girl gets terminated soon enough and out of there. Otherwise, the radiologists themselves will be paying the price and hence it would be followed through to the administrative office/CEO office of the medical center/hospital.
This is how we let facility know they need to check
sef
No, I know not every facility/provider is
compliant, but two wrongs don't make a right. I want to keep my nose clean if the facility/provider is ever charged and investigated for a HIPAA violation - if the gov't has done so thus far. You think the gov't will buy 'oh, I was non-compliant because my client signed my checks'?...nope!
It is still up to the facility to make that
determination, not the individual MT. We only do what we are told to do.
Wow, this must be directly for a facility. Sm msg
Very hard to imagine an MTSO paying that type of money, although it is well worth every penny! Good luck! Grab it quick!
Yes, it is for a facility, remotely. sm
My concern is the salaried position and not hourly. The hours are supposed to be 9 to 5 Mon-Fri; however, if the workload is heavy, no overtime is paid, no shift differentials, etc. because it is a salaried position.
I could end up working a 60 hour week for the same amount of money as a 40 hour week.
That is what is holding me back right now.
I guess I could always try it and if for some reason it doesn't work out and they demand more than 8 hours a day without any type of incentive or bonus pay, then decide to leave or not ~ good idea?
Contact the facility...
That's the best thing to do. I don't think they want people posting that type of information here.
Been there-done that, but you can not complain to the facility
If you are working for a service, it is their responsibility. I would not put a report note or anything of that nature with the report to the client as it could cause YOU a lot of trouble. I have had so many bad dictators like that - one even fell asleep while dictating!! I know you have to take the good with the bad but like I have said before, an account has to be profitable to me or I do not want it. Bottom line, I am here for the paycheck just like they are. When I worked in house years ago, the doctors were actually offended and insulted if you brought up discrepancies in their dictation. Then the MT company did not care much when I complained. They just said to make sure you typed accurately exactly what was dictated. Again, accurate garbage is still accurate garbage. It is the provider's responsibility to dictate a professional medical document before you can transcribe one. If he/she cannot do that, there is not really much you can do to help them.
Where I work, the facility wants L used.
x
Usually Dr. dont hire MT, it is thru facility and
x
The facility is a "suit" who has no idea of MT. He
x
If your hospital/facility could take MT back
from the outsourced services, would it be interested in doing so? If you think it's Take Back Time at your hospital, facility, doctor's office, I am ready to offer them a proven solution to take control back into their own hands and create a win/win situation for hospital, MDs and MTs. It's Take Back Time!
How about you? If you could work for a hospital or facility without having a service between you and them, would you be interested? Do you have the proven quality and experience to offer a hospital? (Excluded: new grads, MT wanna be's, and trainees - this question is only meant for those with solid and strong acute care experience)
If the above scenarios appeal to you, contact me and let's talk.
Usually not Dr. who pays, but facility/hosp that
x
Doesnt matter what we think. Facility way is
x
MT works for the company, not the facility
It has been my experience that approaching an issue like this comes across as bullying and I have not had very good results with this method. Its like ha-ha you got one more chance kind of a deal. Rather than putting it off on the facility I would have sent a directive to the MT and asked that it not happen again, stating that the facility expects top notch work from us and anything less would not be acceptable to them. If that fatal second blow were to occur, then let the company deal with any disciplinary action it normally takes and/or perhaps move the MT over to another account. I have worked both sides of the fence, so I know this technique never works, almost always results in more and more errors.
Maybe facility doesnt know how deal with IC,
x
You do have only one crowd to please. The facility. All this other baloney is
x
I used to type for a pediatric psych facility.
At first I used to laugh, thinking maybe I'm not so dysfunctional after all. Some of the cases were just out of control kids and this was the only option, but there were 7-YO or younger who had attempted suicide. I don't do them now and don't know how someone can do them for very long.
I was searching for a Kaiser facility and the article came up (sm)
I don't know if I would call it better, but different sites come up.
It doesn't mention what they plan to do about identity theft and their 3 years is now up. Anybody work for this Kaiser facility?
Yes I have found some facility websites that have pics of all the MDs
and I have to say they may be the most unattractive group of people I've ever seen! I guess if you have nothing else going for you, it's a good idea to become an MD! Sort of ruins that sexy voice visual, huh? LOL
Others are working without spell check, facility
x
Sounds like facility is trying to save money by
I have a job where MTs were to put in billing and coding number. Use # X for emergency admits, except if it is Tuesday and sunny, then use # XX. That sort of thing. I had no idea what I was doing but figured if Dr was going to sign off on this mess, it was all on him.
I inquired about that as my MD provides care at a nursing facility & assisted living, he said
that he just hand writes notes it is cheaper, and if patient has to be admitted he dictates a full note at the hospital. But basically he said it was up to the individual facility, so you might want to check into it.
I think is called preferred vendor? Facility gets certain monetary breaks to only use one
:+
Unless a facility name accompanies the phrases you hear/type, you should not capitalize.
xxxx
I would start with hospital websites in the surrounding areas to whatever facility you type for. SM
Hospital websites usually have a pretty good physician directory you can search through by name or by speciality, which is nice.
I also use the AMA website which has a sound alike search feature which is helpful. Here is URL for the AMA doctor finder.
http://webapps.ama-assn.org/doctorfinder/home.html
Also, some states have websites for the medical board licensing or professional licensing where you can look up doctors with licenses in that state. You might do a Google search for whatever state your facility is in.
Another good one that I use is the WebMD physician finder. Here's the URL for that one:
http://doctor.webmd.com/physician_finder/home.aspx?sponsor=core
Hope this helps you.
Hmm..patient information, name of facility, etc. on top of page is a header. Stuff on bottom like ph
,
How do you decide which is better?
National SE/employee versus small MTSO IC
I have my opinions based on my experiences, but I'd like to hear your opinions. I wish I could have a hybrid of the two. Steady workload, but a flexible schedule as long as xx number of lines was done per day. Mostly the same dictators over and over, but still available to help out if another account needs it. Is there such a creature out there? Or am I dreaming the impossible dream? I'd make a list of all my wishes, but I fear I'd be laughed off the boards. LOL 
Still trying 2 decide...
where to spend my cent. So many choices!
But when did he decide to be gay?
DECIDE to be gay???
nm
Can anyone help me decide which job to keep?
I worked as a hospital employee, then IC for quite a few years. Everytime I asked about employee openings, there were none. I would always be out of work for 2-3 months in the beginning of the year. I finally quit and got a job with a national. The hospital couldn't keep up on the work and asked me to come back and work weekends and days I did not have anything else to do (that's a joke!).
Now I understand they are going to hire another FT MT. I want to apply mainly because of the health benefits, as I am paying $600 a month now.
I love working for the national but now my problem...I still feel loyalty to the hospital. I don't know what they are paying yet or what the hours would be and don't even know if she would hire me full time.
I know I should take into consideration the benefits, etc. and compare it with the national, but the work at the national company is so much nicer with regards to the doctors and program they use. The hospital has a lot more ESLs to contend with. The only problem with the national is that I have a hard time getting my production and a lot of days, I get really stressed out.
What is the going rate of a in house MT in PA? I have 10 years acute care experience. What could I expect to be offered? Thanks in advance for your help.
Yes, this is what I'm trying to decide
She would not hire me before because I worked 7 days a week plus holidays. This will probably be the sticking point even now. Plus there is a new CEO there that tries to tow (sic) the line on hiring.
My husband has a heart problem and we really need the insurance (he's self-employed). He is working but I don't know how long, until he drops dead, he says. I don't want to see that happen. Been with him 40 years, but we can't afford to get his heart fixed right now. (Does that give you an idea of our ages). Aw heck, he probably wouldn't do it even if he could, so who is he fooling? He's a workaholic like me. I made a lot of money through them as IC, but really need to get away from that status. We were paying through the --- to the IRS and we're tired of it. I know if I was hired, she wouldn't need the 6 per diems she has now plus the mandatory OT.
Another thing...the hospital is only 37.5 work week. I would probably say yes to any OT or extra time because that's the way I am, but I'm in a hole now $$ wise.
I really would prefer the hospital but I don't want to be suckered into working for less than I'm worth just because I have no idea what they pay. If I get my speed up with the national, and I'm sure I will soon, I should be able to make more, but I don't know the first thing about nationals either as it was my first job with one. All I know is I'm doing as well as expected.
I thank you for your input.
Well...what did you decide?
nm
When you do decide to get out - sm
be it weeks, months or years, drop me a line, that is if you don't already have someone in mind to take over your accounts, unless you are just planning to give them notice and let them fend for themselves. Obviously if you are doing tapes this would not work unless we are near each other which I doubt (I am near Richmond, VA), but digital would work just fine and that is how I work now. I am always looking to add on and looking to one day have a few people working for me. So if you have the inclination e-mail me, and I will email back with my information.   
Thank you! I have been trying to decide
if I wanted to try the Gevalia or not, and when I read this I got on the site and signed up for it. Thanks for helping me make up my mind!
Can't decide
I would choose family, being home with kids over a job. Jobs come and go, but time spent with your children can't ever be re-paid.
Here's how I decide (sm)
1. If account specifies, follow the specs.
2. If no specifics and paid for spaces, by all means, 2 spaces after the period. Helps the line count a little bit at least. (I type all my accounts this way.) It's easier to read, especially in the lab data section.
3. If no specifics and not paid for spaces, they get 1 space after sentences.
Only you can decide!
Both IC and employee have their advantages and disadvantages. Do you need insurance or not? Based on what some people are saying the health insurance offered by a company is not always the best offer out there. Do you prefer flexibility or do you want to work a set schedule?
To receive full benefits you might have to achieve certain line requirements. I just switched from employee to IC. My employer did not offer much regarding benefits and did not always offer enough work so that I could achieve the line requirements. They only offered paid vacation. Now I have the flexibility and am making the same amount per line after tax deductions as previously before tax deductions.
Not every employee position offers full benefits. Also, depending on what type of work you do, the quality of the dictators and your QA team, you could make more money as an IC.
Maybe not the question IC or employee is as important as finding the job that suits you best.
trying to decide
how difficult is this medical transcription to do? I am going to take a medical terminology class at community college and take word 2007 before I start either M-Tec or somewhere maybe in December.
only you can decide what's best!
you are the one that will be typing on it! I don't know what brands you tried or I might give you my opinion, but can only tell you what I like about mine you know? I actually bought this cheap little Belkin kind, split keyboard and when you type the keys they are loud, which is one thing that i like for some reason... Also I have to have the "insert, home, page up/page down, delete and end" button certain ways... two rows three across. You know, certain things for certain people! Good luck!!
It's up to you to decide...
if you think 26k is fair. I am assuming you mean you make 26k as an MT with 5 years' experience? I think that sounds about right. There are some MTs with 5 years' experience who make more than that, some who make less. I make far more because I have far more years of experience than you. You have an associate's degree, but it is in a different field, right? That is not going to make a difference as far as MT pay is concerned. As I said, I went to school for 4 months to become an MT (an on-site, full-time school), plus I worked in-house for a long time with a mentor before I began working from home. Like you, I also have education in a different field. At this point, I can make more money as an MT, which seems fair to me.
How would you handle clinic notes coming up missing after you've delivered them to the facility?
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! 
I can't decide if I should be job searching or not.
I like many aspects of my job, but I dislike certain aspects about it, too. The thing is that this has been my best MT job ever. That's not something you just throw away. I know there's no perfect job out there, but I wonder if I could make more money with a better platform and an unlimited workload.
I'm an SE. I decide my schedule.
That is my current contract with my employer.
I don't even have to ask to work past my schedule. I don't have ask off. All I have to do is say I'm not working my planned schedule. That's all. However, I don't do business that way.
I keep my schedule and then I am usually asked to work more so I do.
I've worked at this place for years and I have never been limited on how much work I do. That will change shortly but after several conversations with upper management, there will be opportunity for overtime.
If you are an employee, not statuatory or IC, then you are more restricted in what you do. That is very true.
It's just not what I have been working as all this time for this particular employer.
RadGuy??? What did you decide????
Okay, we helped, so now ya gotta spill it.......what did you decide to buy your sisters for Xmas???? :)
Happy Holidays, btw.
the easiest way to decide (sm)
Is to ask yourself how you would feel if the tables were turned... then you will have your answer. And also, the best piece of advice I ever got was "if you have to ask, you already know the answer".
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