Psychiatric work or long reports
Posted By: Katherine on 2008-08-08
In Reply to:
Does anyone work for/know of any companies that are hiring for psych work or any other long reports like memory disorders, or compensations? I have three years working with these and acute care. I would like to find long reports to do all the time.
Please write to my e-mail address
Thanks!
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
I love psychiatric reports, really fascinating, always different. nm
x
I work whatever hours I want, as long as I have the reports back in TAT...
I have assigned doctors...
Looking for psychiatric work
I have not come across any companies recently looking for an MT with psychiatric experience. I have found this is my niche after 15 years of transcribing and would love to get back to it. If anyone knows of a company that is hiring, I would appreciate the name or any info. I am exhausted working on 3 different accounts with 3 different programs and would like to just do one type of work again. I am interested in part-time or full-time - doesn't matter, as I am looking at job satisfaction versus line count and pay. Thanks to anyone who can assist me. I have checked the jobseekers board and have found nothing.
Resources in learning psychiatric work
I work for a large national and am changing accounts to a psychiatric clinic. I've done a bit of behavioral medicine in the past, but don't have a lot of experience with psychiatric work and would like to brush up on my knowledge before I start with the new account.
Is anyone aware of any resources (books, websites, training classes) out there to help me grasp the psych. basics and terminology? I appreciate any and all suggestions.
Thanks! 
Best if you are doing long reports...sm
where you are not messing around a lot on the patient demographic screens. If you can just get into the body of the report and do some work, it's o.k. Also if you don't have a lot of formatting changes, i.e. bold, italic, etc. And it doesn't have a word Expander so you have to use Shorthand for sure. The nice thing about our Meditech account is the line count does count gross lines and blank lines - but I don't know if that is just the way our hospital is set up or not. Meditech is picked for its billing and accounting capabilities. By the time any one asks the transcriptionists about it, it is already a done deal.
long reports
I do independent medical exams, which are usually quite long, for insurance companies and legal firms. they are dictated by MDs for litigation cases. The shortest ones are 4-5 pages, and I have had some up to 70-80 pages, so don't just look to medical facilities but try attorneys and insurance companies also. the company usually contracts with only one or two providers to do their exams so you are doing the same dictator(s) constantly so you get to really know their terminology and style. Mine use standards PEs, standing conclusions, etc., so I get to use a lot of macros. Because they are long you usually have a longer timeframe to complete them, too. it's a good way to go.
Long reports that drone on and on....
it's terrible...I mean, don't get me wrong, I love the line counts, but it's only 9:40 in the morning and I already want to take a nap LOL.
I know this has been discussed before but how long does it take to relisten to reports that you have
typed. I know some people do that and some dont. So far I have done okay on QA but if I dont I was just wondering how much extra time per day you figure you need to relisten to reports. I usually do about 30 to 35 medium length reports acute care or 1800 to 2000 lines. What errors do you find mostly when you relisten or is it not worth the extra time it takes. Just curious.
How long should you store reports on your computer?
As a subcontractor, what is the appropriate amount of time to store transcribed reports on your computer before deleting them?
Those are long reports! I like 'em at 2-3 mins. so they
s
Long reports, dead air time
Does anyone have any good tricks for dealing with the long reports with huge segments of "nothing"? On top of that, the people I am dealing with are ESLs so that's slowing me down enough already.
At this point, all I do is speed up and fast forward but am wondering if there are other ways to compensate for this issue.
Seems like someone would teach them how to pause when they stop dictating! 
IC Question: How long do you keep your reports for your docs?
ICs, I was curious to see how long do you keep your reports on your computer for the doctors? Is there a usual time limit?
Thank you!
I love those long reports. I think of them as free money.
It's just straight transcribing with no stopping to verify patient or physician information to start a new note. I'll trade you for 1 minute long dictations by a little Russian guy?
I do understand the frustration at the duplication of information. Then again, the copy/paste feature works great at giving more lines for free with no typing. LOL I always thought that if I could find a way to simplify the medical record while still utilizing MTs, I'd be rich.
Lucky. I love long reports. I thought I got a good one, but it was a 1.5 minute
report with 12 minutes of dead air. Sit here and do nothing. For free.
LOVE teaching hospitals and long-winded reports. Less ADT time which I'm not paid for.
Hate filling in ADT screens w/ searches just to do a one minute report.
Easy to work with. You can look up old reports. Your own word expander will work
s
IC sets their own hours. As long as the work is done by the deadline, you decide when to work.
psychiatric transcription
I have been doing ortho work for the past 10 years until job was sent to India. I have always wanted to do psyc evaluations. Is there any place to get experience since most job ads require experience. Thanks
psychiatric transcriptionists
Please help! We are a group of psychiatric transcriptions working for a hospital who have been bought out by another hospital. We had no line count or QA. Now the new hospital has QA and wants us to type minimum 1500 lines a day. We type assessments, h/p, progress notes, consults, neuro and psychologicals. We have many foreign docs who ramble on. We also work on Dolby transcription and dictation system. Their medical people are required 1000 lines per day and x-rays 2000 lines. We don't feel like any of us can reach this. Are they asking too much?
Psychiatric transcription
Up until 18 months ago, I worked for a very large hospital system in MI earning 11 cents a line and making about 1500-1700 lpd for everything from SOAP notes to neurosurgical procedures. The system brought in a she-wolf who hired her longtime not-very-bright sidekick and I saw the light and outsourced myself to a national service. Now my former coworkers are making I think 8 cents a line for transcription and 3-4 cents a line for editing on Escription. I'd like to say that if you show the powers that be that you're trying in good faith to make their expected line count, perhaps they'll be willing to negotiate when they see what they're doing to the talent. I wish I could, but that wasn't my experience. I can, however, pray for you--but then, I pray every night for all MTs in the US and Canada.
I had several counselors dictated at a psychiatric
xx
Why is it that when I work evening here/there, all reports are 15-min. ESL dictations that no one fe
,,
Previous reports, meaning another MTs work?
xx
Psychiatric transcription - average # of lines/page
I had an interview with a local MT firm that specializes in psychiatric transcription. The pay rate is .05/line for the initial training period (no timeframe given - training ends when owner feels employee is ready to work independently at home - could be 3 months) & .06/line after that. The owner mentioned that reports sometimes average 10-15 pages, but didn't mention how many lines the average page includes.
I'm trying to figure out what my pay would be. During the training period, the owner wants employees to train out of her house (20 miles from where I live/one way). With the price of gas, I'm trying to figure out if this is a good move financially. The psychiatric transcription definitely interests me, but I'm trying to figure out what my pay would be like. I'm guessing that while I'm in training, I won't receive large reports. The employer is supposed to make her decision within the week, so it's not like I've been offered the job. I just want to educate myself as to:
How many lines the average page of psychiatric transcription might have.
Does 10-15 pages sound right for the average psych report?
Does .05/line during training & .06/line after training sound fair. The owner doesn't give out pay raises or paid time off (I would be an employee, not an IC).
Does it sound reasonable to be in training for 3 months & then be able to work from home after that?
Can anyone help me or direct me to where I might be able to figure this out. I'm currently going thru MT training, so I don't currently have MT work experience. I do have 11 years administrative work experience & 7 years technical writing work experience, so I'm pretty proficient on the keyboard.
Thanks for your assistance.
Be honest! If you did not think there were random checks on your reports by QA, would you work
I always strive for excellence in my reports partly due to patient care and then there is my own obsessive-compulsive need to be the best, but having said that, are there those MTs who might not try as hard if they didn't have QA breathing down their necks. Be honest now.
well, it IS work related. I edit those reports all the time.
nm
I have to agree that cherrypickers will be out of work when VR takes over, since the harder reports
Even when I worked inhouse and had the opportunity to cherrypick, I didn't. Even now, I am finding out that ESLs are probably easier than than some of the American doctors in the long run, because they get down to business and dictate their report. Most times, they say the same thing over and over. Learn the doc, know his quirks and bang, you are done.
I seriously doubt that type of work is as complex as medical reports.
nm
If you work from a pool, it's when others are leaving you the crappy reports by skipping over the
s
I don't understand; how does "speaking reports" work? Isn't that called dictating?
x
...that's as long as you do this work. nm
s
How long do you need to work as an MT...
to be considered "seasoned"...my Editor called me seasoned and I have been at it since October of 2006. I cracked up!!!
As long as QA is up to par, that could work - sm
but in past experience I've had to deal with some pretty shady QA people. In one case, the *rules* changed almost daily, so you were damned if you did, and damned if you didn't: a lose-lose situation. With regard to TAT, I've been given warnings about work being out of TAT, when it was already out of TAT when it was given to me. So even though the reports were typed within minutes, I was still *warned* about being out of TAT. Finally, I've had QA people *correct* words, changing them from being spelled correctly, to being spelled incorrectly, and we had no way to appeal this. Then, when review time rolled around, we'd see the *mistake* (made by QA, not by ourselves) reflected in our reviews & our pay scale. Worst of all, we had one QA-person once that used to arbitrarily add or remove ENTIRE SENTENCES from reports that we had typed correctly, or change punctuation in such a way that it changed the meaning. We had no recourse against that, either. Since those QA problems directly affected my ability to get a bonus, or even to earn a living, needless to say, I left. So if *punishment* is going to go along with what QA finds on reports, then QA has to be almost above reproach. With the peanuts that editors & QA are being paid these days (along with the rest of us!), getting top-quality people can't be easy. Also, in order to keep QA *honest*, and not promote greed on their part (at the expense of MT wages), the QA people should probably be paid on salary or hourly, NOT on production.
how long did you work for them?
I have never had any problems with her.
As long as the work gets done, and . . .
all MTs have enough work, I don't see whay anyone, including the MTSO OR the other MTs, would care.
Acute care work is operative reports, consultations, H&Ps, emergency room, DS basically the type of
dictation found in a hospital setting as opposed to a clinic setting in which you just type office notes and minor procedures.
How long would you continue to do work for someone sm
when your check didn't come when it was supposed to? It is a week late now, saying it was mailed when supposed to be mailed to the correct address but i have not received it yet. I now already have 2 weeks worth of pay supposed to be on next check. At what point would you not do any more work until receiving payment? I have worked for this small MTSO for about 10 months now and never a problem before. Just leiry as the more I type, the more income i am wondering if i will receive. Not idea if it truly wasn't mailed or if lost somewhere in the mail.
Not long ago nothing but complaints about no work at MDI-FL.
x
They think they don't care how we get the work as long as SM
it gets done and doesn't cost them anything. That's what they think. If you can't do it, they'll get somebody who will. 
How long ago was this? I know MPWord to work quite well for me.
k
you won't be working until you die. You won't have work that long.
x
If you work for a bad company long enough, believe me
.
I agree. As long as you have the work
option to give work to another IC. I has a client that used other ICs. Just because I transcribed for one physician didn't mean I could expect to receive all of their work. Being an IC is being your own boss, not your client's boss to tell them who the can and cannot contract with. JMO.
your computer will work as long sm
as your generator is running. High speed cable would work if you have that outlet hooked up to the generator. Usually a generator is not hooked up to the whole house unless you have a "whole house" automatic generator. If the power is on and the cable is not out, you can work.
The MR reports were being filed. Referring physicians/medical care providers reports were not.
This is a hospital radiology department with in-house MTs and a clerk who is in charge of the report distribution.
I work for both ... my comparison (LONG READ):
HOURS/CLASSIFICATION:
MQ: You have a choice of FT with full benefits -- 39-40 hours producing average of 150 lines/hour minimum; FT with limited benefits -- 39-40 hours with less than 150 lines/hour average but more than 100 lines/hour; PT with limited benefits for 8-16-24 hour schedules all averaging 100 lines/hour.
Spheris: FT is 37 to 40 hours a week, with 10,200 lines required by payperiod's end. PT is 20 to 36 hours a week, production is 5100 lines/payperiod minimum.
OVERTIME:
Both companies structure overtime the same way; averaged in the same manner; requires approval, must be in addition to 40 hours WORKED (PTO, DT do not count).
SCHEDULES:
Both require a schedule with the offer of "flexibility".
TIME:
MQ: Time sheets are used; MTs fill them in manually and submit.
SPHERIS: Galaxy is used -- you clock in and the system punches your time for you. Day's end, you see how much you've worked and allocate your time accordingly (productive time, PTO, meeting with mgrs, etc.).
BENEFITS:
MQ: You see the benefits in the Harmonization booklet. The employee's cost of insurance benefits is assigned by the state you live in (as well as which/if coverages are available to you).
SPHERIS: Med/Den/Vision are offered. Employees all pay the same amount for amount of coverages (EX: All employees wanting EMPLOYEE ONLY coverage pay the same; all wanting EMPLOYEE+ONE CHILD pay the same). It is available to all employees. Cost is not region-specific.
EQUIPMENT:
MQ: Use your own or they will provide. The current rental charges will no longer be effective in January; as well, the internet reimbursements will not either. I don't know if there will be a deposit for those just coming into the company after Jan 1.
SPHERIS: Must use their computers. No rental fee but there is a refundable deposit. You can pay it at once or have it taken out in 6 paychecks. Refunds to you when equipment is returned in good working order.
PTO:
MQ: You see the new PTO offered in the plan and can read online the PTO calculation formula.
SPHERIS: Same type of calculation formula; averaged quarterly and you receive a notice of what your new downtime/PTO rate is and what period it covers. Limit is $20 an hour tops for PTO. Lowest is $7.50. Amount of PTO depends on status and length of service and ranges for FT from 11 days to 21 days a year and PT 2.5 to 7.5 days a year.
HOLIDAYS:
MQ: You can read in the Harmonization booklet.
SPHERIS: Thanksgiving and Christmas are designated holidays. If you are scheduled to work on it, you can take PTO instead. If you work it you will earn double lines those days.
QUALITY:
Both require 98%.
PAY CYCLES:
MQ: Pay WEEK is Su-Sat; pay PERIOD is bimonthly 1-15th and 16th-end of month with paydates on 10th and 25th. Direct deposit available.
SPHERIS: Pay weeks are same as pay periods and are Su-Sat with every other Fridya as paydates. Direct deposit available.
BASE RATE:
MQ: With the new plan, you have your current base rate and it is the same on all work (unless you do part radiology or ASR).
SPHERIS: Your base rate depends on the level of the account you type on. If you type on a really easy account, you will get less pay; more difficult accounts, more pay. Each account level has a new-hire hourly associated with it. Levels go from level 3 to 10 with line rates 0.065 to 0.102. With Spheris, if your production earnings do not add up to at least minimum wage for the hours you worked, they will pay you minimum wage. However, you will not stay with them long if you cannot produce enough to keep you off the minimum wage payments.
INCENTIVE:
MQ: We know that incentive is achieved on a daily basis -- after you produce 1200 lines. Tiered so that you earn incentive ONLY on the lines produced AFTER 1200. It barely puts change in your pocket for mid-range producers. Only rewards high producers.
SPHERIS: Incentive is base on each week's production (Sun-Sat). So you can have a really bad week and only get your base and then next week have a great week and get incentive. Once earned, incentive applies to ALL lines typed and ranges depending on FT or PT status. FT: 5200 lines start at 0.002 and increases up to 7000+ lines getting 0.015 cpl incentive. PT: 2700 lines = 0.001 and increases up to 7000+ lines = 0.015 cpl. Whatever incentive you earn that week is applied to ALL LINES PRODUCED THAT WEEK. Spheris also has special teams that pay higher base rates.
SHIFT DIFF:
MQ: 11pm-7am = 0.01 and 3pm-11pm = 0.005
SPHERIS: 4pm-8am CST daily = 0.005.
NO WORK AVAILABLE:
MQ: This is not specifically addressed per se; however it is not listed under downtime definitions at all. I doubt MQ ever pays for no work situations.
SPHERIS: Has a policy: "MTs will not receive compensation for "No WOrk Available" situations. If an MT runs out of work, the MT should immediately notify their Supervisor or follow th eout of work situation guidelines for their team."
Hope that helps.
Oh well, as long as it gets our work out of India and back to us
I would go back to the office in a second for decent money and affordable benefits.
The two sentence normal reports will balance out the 3 page reports.
I am Wendy too
I did work three jobs for quite a long time. Then it dawned on me that
(1) I was always tired (2) I was never finished working (3) It wasn't worth it.
I quit EDiX, and I quit my hospital job, and I've never looked back. I usually have what money I need. I work about 5 hours a day plus a small weekend job recently that's no more than 10 op notes.
I'm a long-time Monrovian. Wouldn't work anywhere else. nm
nm
Will DQS work with dial-up (short-term). How long
nm
|
