Or making $36 ph on acct that only dictates 1/2
Posted By: hour of work a day??? nm on 2008-04-17
In Reply to: Pay - LK
fsa
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sure i was. i'm making fun of the people who are making a case for background checks, etc
to do medical transcription at home as if they may do something AWFUL with the info they receive. So if you want an invasion of privacy let's REALLY invade it and make sure fat chicks don't transcribe because they are so busy eating they can't get the work done, they mess up the keyboard with food and if they are provided health insurance they will raise the rates for the company sky high because their health risks are higher than others. Then there are the psychological issues overweight people bring to the table. After we eliminate fat people, we can go on to eliminate diabetic people who may have low blood sugar while typing and go into a spell and type the wrong thing. I could go on and on through the process of elimination. How about prescribed medications that may cloud your thinking? So you take Ambien to sleep but you have an Ambien groggy hangover when you are transcribing? Should they transcribe. How about your teens are on your last nerves and you take a Xanax? Should you be allowed to transcribe?
I actually have 1 MD (pvt) who dictates...sm
and I hear him going #1 and flushing the toilet!!! I hate that and I hate them dictating in their offices with the music on!!! This same MD will dictate an op report (3-4 pages long) performed in the office, but dictated while he is walking to his vehicle, driving HOME! I hear all the traffic.....that's got to be THE WORST (along with the music in the offices).
HELP Dr dictates.....
"This patient with a history of AIDS status post Pneumocystis carinii pneumonia," Please help with punctuation before and after status post. My mind is blank.
Client dictates which way, but I have
NEVER in 20 years seen it with the first letter of each word capped, so Low back pain would be correct, unless otherwise dictated by client/BOS.
If a doc dictates CHF, do you type s/m
CHF or expand into congestive heart failure; and for any other shortened word, do you expand. The guidelines for my company state type what is dictated and only expand things in the diagnosis section. Well, someone I know who works for the company said that they just always expand regardless. That doesn't seem right to me. I was just curious as to what anyone else does.
Thanks!
can't think of one female who dictates well, IMHO.
Resident dictates at end of report...
"Note to transcriptionist...thank you for your time, thank you for your service, and have a great day."
WOW, that doesn't happen often, and when it does, it sure feels nice to know we are considered colleagues and not just a typewriter on the other end of the telephone line!
Yup, same as Diana ... if the work dictates (sm)
I work until it's done even if it's weekends. Technically I don't "have" to since my contracts state M-F but I don't mind the weekends if I don't have huge plans and there's a lot of work to be done.
My DD is a social worker and says that she dictates directly into VR
and the report is on her desk when she gets back to the office. She said everyone in her department loves it!
Question: doc dictates "pt is generally p***ed off."
I'm half tempted to type it just that way....Would you?
RE: Question: doc dictates "pt is generally p***ed off."
Yes, if physician said it, transcribe it exactly as dictated. What is the question concerning "pissed off", if I get the *** correct?
ESL doing rectal exam dictates "I did a rectalization"
I have a doc who dictates the entire address, but not the zip code. SM
or the referring physician (throughout a three state area), and says, "Dr. Smith" and then gives the address. I still have to go online to find the doctors first name. Very annoying.
You are supposed to transcribe exactly as the doctor dictates. sm
However, every "verbatim" account I have done, we are allowed to correct the doctor's spelling mistakes, especially with something like a drug. However, you must be sure of your drug. If there are two that are close, it is safer to use the doctor's spelling and use quotes or whatever the account allows.
Many of them will also allow you to correct a glaring grammar mistake, such as using "is" for "are," etc. If you're not sure, ask the account manager.
Female Elmer Fudd dictates! (sm)
"She has a known history of uterine leio, leiomy, ly, leio, leiom, la...ugh...uterine, um, fibroids."
If the doctor dictates it, you transcribe it, in quotes, as this
is what the patient said.
My company dictates 2/10 to 3/10. Note no dash.nm
x
for GU exam on a female, if doc dictates Normal BUS what does this stand for?
PA dictates patient drinks "a gallon" of liquor a day.
I hear people drinking a pint or 1/5 a day, but a GALLON. The guy is only 45.
Wouldn't it depend how fast/slow dr dictates,
x
The ones that I hate are where the doctor dictates a full line or paragraph,
and says, "No, wait, go back, change that." Then you have to delete everything you already typed and retype the new dictation. Some of these newer doctors do that to nearly every sentence. By the time you finish the report, you've typed and erased half the report. Do we get paid for that? NO. I don't get it. We still have to pay for doctor visits if they misdiagnose us, then we have to pay for the subsequent visit to fix what they didn't diagnose the first time. We should get paid by them for typing what they said, erasing it and retyping what they meant to say. They're getting our wallets coming and going.
..or when the doc dictates "prior report LOST by XXX Transcription Service...AGAIN." sm
I work for a national MT company, we do hospitals all over the country, I work from home. I have NO control over where the chart goes once I send it in, I'd bet the original chart was never dictated and hence never 'lost' by us....but in the case that it may have been, THEY HAVE THE PHONE NUMBER of the company to call them, they have specific contacts at the company for issues such as this...I CAN'T HELP YOU WITH THIS, especially when all they're doing is bitching at me on a voice file. Funny, it's always the same couple of docs complaining of lost dictations. Curious that it's JUST THEM. ;-)
Formatting of the document dictates the line count, not a different computer.
xx
My favorite speciality is the office who dictates it and pays the highest line rate.
It's the money, honey, that matters to me.
I currently type for a doctor who dictates with a digital handheld and sends the files via e-mail fo
and wanted to be able to call me with his dictations. What would be the best and cheapest way for me to go so that he can do his dictations without the handheld unit?? I don't want to invest in a lot because he does not forget very often. This is the first time in three months. Thanks for any suggestions you may have.
common sense dictates you read the writing on the wall. technology has made you obsolete.
and the government has seen to it that american workers are no longer necessary and allows business to outsource many middle income jobs.
You realize by doing that they're making more money & you're making less? You should reconsid
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
X
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.
x
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.
No. You said verbatim acct. Maybe that is why
x
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.
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.
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