Sounds like facility is trying to save money by
Posted By: not using coders, but MTs to act as coders SM on 2008-02-25
In Reply to: Need your opinion please.... - Jennifer
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.
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save your money...
I've used it before. The software they include on the cd is Express Scribe which can be downloaded for free on the internet.
http://www.nch.com.au/scribe/
I was thinking about buying the All 'n One kit too, but I found that it was cheaper to buy the foot pedal and headphones separately and download the software for free.
It is so they can save money....
If they outsource, they will have 24/7 coverage, no need to pay out benefits, no need to pay vacation time, etc. This has happened to many, but all that you can really do is either work for that outsourced company or find another job. It's tough out there! Sorry to hear that you're being outsourced. You are not obsolete though, as I'm making more money anyway now than I ever have at my hourly job that I lost after 15 years to outsourcing...
Everyone is trying to save money
the short way of saying between the head and stomach? LOL Thanks for the cheering up today!
Save your money, this is free ...
http://style.mtreference.com/tiki-index.php
engagement party? save your money. nm
nm
Maybe this will finally force DH and I to NOT eat out so much, save money there. nm
x
Try buying it from Half.com to save a little money.
How familiar are you with word expanders? The book has some great tips for newbies.
Parents - do you have your kids save money? sm
Our children have savings accounts and know that 33% of any money they earn from doing extra chores, babysitting, given as gifts, has to go into their savings account. Do you have your children save money and if so, what are the rules at your house for this?
Save your money on the 2006 version - why -
I have used the CD version ever since it has been available and loved it, UNTIL the 2006 version. It is very different from the prior versions. It is far more cumbersome to use, is not designed for speed, and was such a waste of time I went back to using the 2005 version and just adding in the new drugs. My comments and questions to Stedman's about their latest version went unanswered. Like I said, I was very pleased with the prior versions and updated every year, but I will never buy this product again unless it is MT friendly, which the 2006 version is NOT.
I forgot to mention how I save money on clothes...sm
The clearance racks are my best friends - often times I can find things there cheaper than on consignment or at Good Will.
Another thing I do is that I have a friend whose daughter is 1 size smaller than my daughter is, so in return for me giving her the hand-me-downs she will occasionally buy my daughter something new or give me the amount of money that I'd get if it went to consignment, and I don't have to deal with waiting for a consignment check.
If your kids/you like named brand items for clothing eBay can be great. My sister buys my nephew's Abercrombie clothes on eBay for usually around $10 a shirt - these are shirts that normally sell for $35-45 in the stores.
Another thing I do is that I have a friend who wears the same sizes that I do and we have similar clothing tastes, so we often do "clothes swap" where we'll swap out some jeans, shirts, etc. That way it sorta seems like you're getting something new. 
that is what gets me, how do companies figure they save money overseas...
they pay you 4 cpl to edit a report, and probably the other person 4 or 5 cpl, that is already as much as they pay one American MT. I realize our MTs also use QA and editing, but on average, they must be losing money this way.
maybe the key is to refuse to edit them. what would they do with that? they could not possibly send reports out without us 'doctoring' them up.
we should just not edit them.
I do think editing the VR should be something we will all end up doing.
shouldn't we have some organization to help us make sure we make at least as much as we do now, though. you are only making 4 cpl, who comes up with that figure, and when did that become the standard? who decided that, what is their reasoning, and why do we have to accept it?
we need help here, especially with all the changes coming. what a disappointment the only organization that probably could have helped us (AAMT) has decided instead to become like any other corporation, just make money, period.
we need a VOICE, a single united VOICE...
we should be putting our heads together to try and do something to save our jobs.
I get my dogs heartworm pills there, save a ton of money - sm
I also get my Frontline there too. They save me hundreds of $$$ every year. Same exact stuff the vet sells, just cheaper, I imagine they can sell it for less because they buy it in bulk. Go for the savings, you and your dog will be very happy.
Save your money....there are websites and chat rooms
that are full of messages about scams......research, research and never, ever pay. These places want you to feel 'rushed' so that you don't have time to really think or check them out.
Good luck and please beware.
I asked an obesity MD speaking at a conference, and she said save your money.
w
Walmart is trying to save the consumer MONEY. It's not all about corporate greed.
Rubbermaid products are advertised. So the costs of doing business with Rubbermaid factor in advertising costs. Now I don't care what brand name of plastic container I buy if the quality is equal. So I buy Rubbermaid's competitor (I forget the name) cheaper because they don't advertise. I also think there are a lot of big executives at Rubbermaid who take a bigger profit each year which once again factors in the price of Rubbermaid.
With the economy as it is, gas prices soaring, interest rates up, taxes up, our pay going down (MQMT), I don't care to subsidize Rubbermaid's advertising budget or their CEOs salary. And I go to Walmart and buy the plastic container that is cheaper because they don't advertise.
Go to Stedmans.com and download the free trial and save your money on overnight shipping
xx
How about your local community college and save a heap of money & get just as good of an education?
If $13.50 an hour sounds like a lot of money to you
Unions do nothing more than overpay uneducated unskilled laborers so they can milk dues out of them, and again I wouldn't be excited about $13.50 an hour, especially if I was a guy. Hardly Fortune 500 pay.
Sounds wonderful. Money isn't everything.
22
sounds like double-speak - no money but...nm
sounds like a sneaky way to "save money" to me
I would challenge that policy and seriously look at changing jobs if they did not explain it to my satisfaction or otherwise leave it as you described it.
sounds like its the corp money grubbing middle men
If we could get rid of them (do not know if that is possible at this point), we would have happier, higher paid MTs, and better quality work for the hospitals. What they must think of us with the quality of work they are seeing. IF only they knew we are backed up against the wall with everything based on production, lowered pay rates, AND limiting reports being sent to QA. Everyone is losing here.
I did try to save the file first but it wouldn't even let me save it.
.
Money, money, money, mmonnneyyy. Singing the Apprentice song.
:+
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,
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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
Only a problem if your MTSO/facility decide
to use it. From what I have heard, not everyone is going to it.
Make money? I'm not making any money because of my decision. You read my reasoning
You can agree with me or not, but don't make false assumptions please.
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