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Thanks for the explanation --- more questions please.

Posted By: MT Professional on 2008-04-18
In Reply to: It is based on a 65-character line. sm - ES Specialist

If the dictator dictates extraneous information that the transcriptionist/editor has to delete or remove from the report, is there any credit given to the Editor for actually editing, as this will result in a lower line count if you are actually taking words out.

Do you know if the platform accepts special characters, such as the em dash or the degree symbol for temperature?

If the report is sent to QA, and the QA person makes some changes, and those changes result in a lower line count, will the transcriptionist's/editor's line count be adjusted to reflect those changes, and how would the transcriptionist/editor know if they were not able to review the final copy of that particular report?

Thanks for your patience in helping me understand EditScript.


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well i have no other explanation
They may use AntiVirus but I am telling you that I have downloaded other test audio files with no problem at all in the last 2 weeks. After doing their files and the freezing I found a bunch of stuff on my computer. I do not care what the files attached to the email were, I did not attempt to open them - there were 3. There was no reason for anything to be attached to this email given its content.
Oh, okay, thanks for the explanation, but...
I don't think I have ever done what Jacy did. Yuck, that's against my nature. I welcome all your advice and would like to thank "Brenda" especially for the e-mail. Nice, very nice. Much appreciated, as is all your support and advice. *Jodi*
Another explanation could be....
In my experience as a manager of a national company, very often the hospitals don't send a lot of work during the week (seemingly because their staff is there and doing most of the work) and then by the end of the week, they realize that they can't keep up with the volume, so they dump it beginning on Thursday or usually Friday, just in time for the weekend.
This is one of the reasons why so many services encourage their MTs to work at least one weekend day. Hospitals do the weekly "dump" of work on Friday. It's very typical and unfortunately, a real problem for both the national company as well as the MTs who work for them.
Explanation
FTP, or File Transfer Protocol, is a means of transferring files via the Internet. Each method of communication on the Internet is called a "protocol." When you send e-mail, you sent it using the SMTP (Simple Mail Transfer Protocol) protocol. You probably receive e-mail using the Post Office Protocol (POP). Web sites use the HyperText Transfer Protocol (HTTP).

These protocols tell computers what kind of information is being transferred and how to handle it.

FTP has been around since the early days of the Internet. Very simply put, it allows you to send a copy of file to a FTP "server" or computer that knows how to receive and manage FTP protocol files. Your computer is considered the "client" computer; that is, you can send and receive files from an FTP server, as long as you have client software that can communicate in the FTP protocol.

SFTP is "Secure File Transfer Protocol," meaning that all files transferred between a client and server are encrypted to prevent others from seeing or "sniffing" the contents of the file. Now, this doesn't mean the files are encrypted on the FTP server. If a hacker can access the server, or others at the FTP server firm has access to the server, the files are as readable as they are on your computer. But, with SFTP, as the file is in transit through the Internet, reading the file is next to impossible.

Many MT's use FTP or SFTP to transfer digital voice files and documents between themselves and their providers. Great caution should be used when using and FTP service, as there are so many ways such a set-up would not be HIPAA compliant.

We have a PDF primer you can download that explains all the different transfer methods, as well as encryption, protocols, etc:

http://www.novuscript.com/nsc_documents/NovuScript_Digital_Guide.pdf

Hopefully this can help clarify some of the "geek-speak."
Thanks for the explanation.....sm

In 1996, the city I live in was not really a city....it was nonincorporated....off a huge city, didn't need an occupational license back then to work on a computer. 


In 1997, late in the year, it became a city unto itself, and then the developers came in *imagine*.......imagine what happened then!!!!  What was a little dying beach town, became an EXCLUSIVE city, people dying to get here, people moving here in droves from late 90s to right now (still ongoing).  In 1997, got our own police dept., zoning dept., post office, fire-rescue, etc. and I suppose that's when they started thinking about licensing the little folks working at home. 


I'm not really complaining about it, I never asked for something for nothing, but it was stated to me (have lived in this area 25+ years) that if you worked on a computer, had no traffic, you didn't need a license, I specifically asked about it in 1996, pre opening up my little sole proprietorship (not incorporated). 


So, the rules are made for everyone, am a firm believer in that.  I was just shocked that someone would call on probably more than a dozen people and do that. However, the person who did that also lives in the complex and also works here in the complex.....a much older person who probably was discontented that they never got to work for themselves at home.  I don't know...just think it was a nasty thing to do to anyone.  Person also, prior to this, used to be someone I considered a friend. 


They do not really you owe you an explanation
Tell me though if it were the other way around, you mean to tell me that you wouldn't accept work because you wouldn't want to starve a fellow MT?  There was probably someone there before you unless this facility just opened for business.  This happens over and over, and unfortunately, there is nothing you can do about it and no, you are not entitled to be aware of their business decisions as you are a contractor, not an employee or a shareholder for that matter.  Sorry to put it so blunt.
Explanation (SM)
If you have any nontext items in your subject line or name field when you post, it will give this error. If you will click right on through, it will post it regardless.


Goldbird

explanation
This is not something to explain to those who bring you n, this is for you to handle.
More explanation
My reports are set up to be in 100% view. I have a larger screen, and change the "VIEW" to 200% for each report. When I am done with the report, I have to change it back to 100% view before I send to the facility. I want a way to switch back and forth between 100% and 200% without using the mouse. Hope that explains it better.
Simple explanation
The industry is in tremendous flux, and with so many unstable companies job hopping by transcriptionists is normal. Nobody is nearly organized enough to keep a blacklist. More simple explanation is that every ad generates 1000s of resumes. I once got a reply two months after the fact. Not rude, nor anything to be paranoid about, though certainly not a pleasant experience.
Great explanation and well said...

Your experience is great motivation.  I can relate to your family experience too.  (Though my kids are younger and I still have my husband - for now!)  I guess it's just a matter of prioritizing.  Something tells me that got a lot easier when you got rid of the husband. Mine thinks whatever he wants at the time is the most important thing on my plate. 


Thanks for sharing. 


 


Thank you for that detailed explanation!! - nm
.
No prob. Thanks for the explanation! sm
I work really hard to make my work accurate, spending probably too much time researching. I read medical books for fun and learning on my own time, and I am very particular. However, I see stuff all the time that indicates that a lot of MTs don't care too much about quality or don't know how to achieve it. I wonder about legal liability and the safeguards in place in hospitals and nursing homes to make sure meds are correct, etc. I personally do not think MTs have ultimate responsibility for patient safety and if we do accept this onus, we are going to start getting sued for malpractice and having to buy insurance, which I don't think we should have to do. Just some of the things I wonder about and wanted to get opinions, especially from people with hands-on patient care experience. Thanks again for writing back and explaining.
People! It is EXCLAMATION, not explanation. Are you folks
p
Meditech questions and Cerner questions. Any input is appreciated. SM

I just recently went back to work in the office at a local hospital. We type in both Meditech and Cerner, depending on what you are typing, i.e. Medical Records reports versus Radiology.  We are currently typing blindly in Meditech, meaning we do not have access to our line counts and must depend on management to give us our totals.  In Cerner, we are able to run a line count report and print out a hard copy of our line counts at the end of the day.

We are finding that 800 lines in Cerner equals about 500 lines in Meditech.  We are not paid per line nor do we have an incentive plan, but we have a new HIM Director who would like to institute an incentive plan and the administrator over our department has laid down the law and decreed that all transcriptionists not making minimum in the department will be written up.  Problem is according to Meditech line totals that we have been given, that would be about half the department.

The transcription supervisor has taken our concerns to the new director who told the MT Supervisor to hold off on writing people and has taken home all the line counts from the last month and she is going over them with a fine tooth comb this weekend.

I am not a very trusting soul by nature, so I am doing a little research on my own.  I've been in this business for about 15 years.  I started out in a hospital and have worked for a few services at home and am now back in the hospital setting.  So I know a few things about line count and I consider myself to be pretty well informed on trends and technology in the industry.   I would like to walk into our next department meeting armed with as much knowledge as possible.  So I have come up with some questions that I would like some fellow MTs to answer, give opinions, and maybe even direct me to websites or individuals who could give me a better understanding of Meditech and Cerner.  Here are my questions:

 


  1. Is it possible for an MT to have access to her line count in Meditech or is strictly a management function?  Any MTs that work in Meditech on this board, do you currently have access to your line counts and if so, how do you check them?  Is it an option on the main menu after you log into Meditech?

  2. How is a line defined in Meditech?  (i.e. 65 cpl, with spaces, without spaces)

  3. How is a line defined in Cerner?

  4. What abbreviation Expanders work with both Meditech and Cerner?

  5. Examples of incentive plans (if anyone would like to share that with me that would be great, if not I completely understand).

  6. Measuring productivity by minutes of dictation versus typed lines.


    1. What would be the minimum minutes required for an 8-hour day?

    2. How would one structure an incentive program based on minutes?

I was thinking of presenting the idea that we keep track of productivity using minutes instead of lines since there is such a discrepancy in Meditech.  I also worry that if an incentive plan is put into place and we are still typing blind into Meditech, what's to keep management from shaving off a few lines here and there?


Feel free to email me or post here any responses.  Either is fine.  I really appreciate any input, comments, or just plain old supportive posts would be nice too! 




re questions
yes i drink green tea, but prefer black tea. No, i've never had any such symptoms from it though and have no idea why it would happen, unless there are other things in that brand of tea that might irritate the colon?
questions

i am very interested in taking courses on mt and would like some help in guiding me in the right direction....can someone help me on that


 


Questions about VR
I am getting ready to train on VR and I am wondering if this is part of the latest, newest technology in our industry that I have been hearing about.  Are just some companies going to use this or is this something that is going to be required in the future from us throughout the industry? 
Questions....

If a person takes a job and finds out they aren't happy and then looks for another job, what happens if the recruiter overpromised?  Do they find another job?  And if they find another job and that one is running out of work all the time, do they start the search again? 


Final question....if they do all this, why do so many people on the boards call people who complain about companies good-for-nothing job hoppers who are never happy?


Looking for a new job. What are some questions...sm
I should ask besides pay, benefits, and hours to make sure I don't miss anything and then find out I've been screwed later?  Should I get pay in writing to make sure they pay me what they tell me. I never worked for a National, so I am unsure how a lot of things work with them.  Thanks.
IC Questions
Hi. I just accepted my first job as an IC and I am nervous!  Did I do a stupid thing by going IC instead of employee?  They are paying 8.5 for 65-char line including spaces and returns.  Does this sound reasonable?  How do I pay my taxes?  What about social sec? HELP!
Any questions to MQ

you can be an employee and ask, what will be my new


pay under the new plan.......NOBODY KNOWS.


you can ask what do you pay to be an Editor of voice recognition....


NOBODY KNOWS


But at the same time they want people to work for them.


Now you are saying there's a new mystery something?  This is


hilarious.


No legit company every does business this way.


two questions
I am also single and 50K is what I am thinking as well. I have very minimal bills. My only "dependents" are my 3 kitties and bird. To be honest, I got into medical transcription after my first year in college. I wanted to be a veterinarian. As much as I love animals, I really love what I do and honestly cannot say what else I would want to do.
Ok, I do have some questions...
Is it possible to speak to you via private messages or something? This board is a bit awkward to use and I have a few questions for you.

Thank you both... I have a few more questions...

Is this something that will happen on a regular basis?  How often do bipolar people get like this?  Is this the worst of it?  We both watch each other's kids a lot, and my kids absolutely love her.  But I'm a little worried now that it might not be safe. 


I'm also concerned for her as she just started a new job and is working on her master's degree.  I'm afraid that she may fail at both if she doesn't get this under control.  Is there anything I can do to help her? 


ok, so you have 2 questions?
1. i'd think that is great money.

2. i gross about $1200 weekly in 40 hours as an employee.

More questions

Do you find their work flow to be consistent - you don't run out or anything? It is really hard for me to decide to make a move - am not happy where I am at and want to come back home, but have really good insurance for family - I know there is no perfect place to work, but I would just like to enjoy getting up and working again without all the office politics. Thank you for being so open in talking - I find this board much easier to talk on than the previous one I was on - more open answers. Also, what kind of platform is used. Do you have to type in demographics and if so, do you get paid for them? Do you have a good word Expander and macros? It is so hard to make changes and want to know as many specifics as I can before I apply.


Thank you so much.


more questions

Do you charge more for printing?  How did you know the price range to charge? I live in a rural area and I have no idea what people are paying for this and I would feel stupid asking them what they are paying.  Did you go to the office in person and sell yourself or did you do mailings?  I don't know anyone in my area that is doing this so I am kinda walking bling here. I am sure I can do the work, it is just sollicting the accounts that I fear.  THanks to all that responded


Have all the same questions
you do. Also does anyone have a used c phone for sale?
your questions--sm
There are no connection problems with this voice player, as you are not on the internet while you use it. You type into Word and then connect to the internet to return the files. As far as the quality of the voice file goes, the digital player has nothing to do with that either. It depends on how the file was recorded from the company you are receiving it from. my files come from a call-in service on my employers server. If the docs use the telephone connection, like they are supposed to, the quality is great. If they use a speaker phone, cell phone, or head set, it can have more *interference* on it. I have one doc who dictates onto a tape recorder, then calls in on the *system* and plays the whole 30 minute tape. He uses the tape over and over again, so it degrades with time, but I have learned to understand him anyway. I have another doc who also uses a tape recorder, but likes to do it while he is waiting for a train at a depot and while on the train. I mostly hear the background noise, which is awful, but I can still make out what he says...most of the time. so, the file is only as good as the person recording the dictation. you have good ones and bad ones, just like any other dictationists. anything else, just let me know. relax, it will be fine.
questions
good day to everyone.  i have just finished my medical transcription course.  however, i have questions regarding how to put negative points on errors on my transcription. how would you rate the gravity of an error in punctuation marks as against an error in the MEDICATIONS SECTION of the report.  for example, my punctuation error was given a negative point of .5.  in the same manner that the dictated KCl (potassium chloride) was transcribed as KCL.  would you also give the latter a negative point of .5?  if not, how many negative point would you give? thanks a lot and i hope you could help me.
More Questions

To those of you who so kindly gave me advice on working from home:


What kind of equipment should I invest in?  Do most companies us the internet. One company I talked with still has clients that us Lanier equipment.


#1 I would think would be a wav pedal and headset but what about an LX-219?


What do you use?


Thanks


Your IC Questions
You are responsible for your taxes. I recommend w/each paycheck, you put 20% in a savings account so when you file taxes, you don't have to scrounge up the money to pay IRS - or you could do like others and file taxes quarterly. You will have a 1099 instead of W2/W4. You don't establish yourself...as an MT you are either an employee with insurance benefits, 401K and taxes withheld or not.
Questions about DQS
Good morning, I am about to start with a company that uses DocQScribe and I understand that MQ uses it also. Since there is a specific MQ board here I thought I might get some answers here. I really like Stedman's Spellchecker, and want to know if it is compatible with DQS? Also use ShortHand for Windows, wondering about that. I have used built-in spellcheckers in other platforms, and just don't care for them, they just don't seem to be as good as Stedman's. And in general, your opinions about the DocQscribe platform itself. Thank you.
VR Questions

I have an office going to EMR with voice recognition software.  The OM tells me I will still have this account because there is no way the VR will work for their Indian doctor and another doctor that mumbles horribly.  Is there anyone that has experienced this?  Also, will editing of the VR be needed?  The OM mentioned that if it does work, she will need me to edit reports.  How much does one make per line for editing VR?


I know I have lots of questions, but this is my largest account and with a disabled hubby and three kids, I'm a panicked breadwinner right now.


Thanks!


More questions
Does he hold out your taxes?  Do you have benefts?  Do you get paid the same amount no matter how much or how little you transcribe or if you take time off?   Have you figured out how much you get paid per cpl or hour?  I would figure out how much I am making per cpl or hour and go from there.  Be sure to figure in the time you are not working and getting paid.  That is a little unusual to be an IC and paid monthly and not on production. 
Questions
Are you using an Expander along with the keyboard? (I sometimes mess up by assigning F keys to things that I shouldn't).  I've linked an article from Computer Hope that might help.  If it were me, I'd just go out and buy a new keyboard.  Nothing more frustrating than a semi-functioning keyboard (except perhaps a semi-functioning toilet).
asking questions

I get the feeling that many MTSO do not liked to be asked questions.  If I am looking to make a switch I am just looking out for myself.  Mind you, I send in the resume and THEY call me. While I may get some that offer 3 insights to the job right off the bat, if I ask if there is a chance to make more of a base pay I either don't hear from them or they think I should look into something else.  I have run across 1 company that was very very informative without me asking too much, but they didn't have direct deposit, and they were on the other side of the country from where I am and was just not too keen on the thought of a check by mail. I guess I'm just kind of feeling not to happy right now with all of this.  Thanks for listening. 


 


Questions

You have several hundred addresses typed out, but are they in a table format or free style?  If table, then keep the doc open, then go to Tools, Envelopes and Labels, select the label you are going to use under options (refer to the Avery label sheet for label number).  Then you click New Document.  Go to the doc where you have the addresses, select all and copy and paste.  You may have to copy and paste by table row, to make it work correctly.


If you are trying to integrate them into a Word Mail Merge doc/letter, I can explain but Word help does a much better job.  Look in Help, Mail Merge, data source, show data source, or something like that.


two more questions....

What companies do you use and what were the up-front costs?  I believe the monthly fee is around 50 dollars from what I've seen.  Thanks in advance.


I did ask those questions!!!!!!!!!!!
I did ask those friggin questions!!! My company did what a LOT of companies do--they tell you one thing in the interview and then when you actually work the job, they change it! There is no reason under the sun that I shouldn't be able to work a split shift. One of the women who has been there 30+ years said it's possible.

I know what I was told in the interview and it was that women with small kids are their "ideal candidates". Certainly they don't think an ideal situation would be to have toddlers running around while you are trying to type.

Give me a break.
FTP questions...

I work for a small doctor’s office and the time has come for us to have outside transcriptionists working as independent contractors.  How do I set this up for them to send me their completed work via FTP? Help!! The only thing I understand about the FTP is you can transfer files from computer to computer securely – the rest I am totally lost about.  How do I set it up? How/where do I log on to get the work? How/where do they deliver the work? 


While I am asking questions
the voice file is coming from a service out of Oregon who posted a job position on MTStars.  She did not give her company name, but I found it on the Internet.  It is BMT Office, or Bassel Medical Transcription.  Has anyone heard of it?
Two Questions

Does anyone sit on an exercise ball while working?  I am wondering if it would be too difficult to balance because of the foot movement and the typing. 


Also, about running enrichment (from previous posts) ... can anything similar be done in MedRite?  That would be awesome if I could search out the common phrases used!


Thanks for any input! 


If I can help with any questions...sm
feel fee to email me!
Why can't you ask questions for
This board is a resource for information, just as any other internet sites are resources for information.
IC tax questions
First of all, I apologize if this post comes up twice, but I don't think I did it right the first time and am trying again. I would appreciate anyone who could give me some generic answers. I know it's best to speak with a tax specialist, and I do plan to do that.
1. If you're an IC for a national company making, say, 1600.00 monthly, do you need to pay quarterly or can you pay at the end of the year if you want to?
2. Does one HAVE to pay into social security, or is it optional not to?
3. If you file jointly with your spouse, can you pay what you owe in a lump sum at the end of the year or are there different "sections" or "departments" that you have to pay to? I hope this makes sense, and I thank you for any replies you can give me. Reb
No to all 3 questions.
NM
Questions

I have a couple questions for you all...


First, I am trying to expand my little IC business and designed my own website yesterday. I'd love it if you would check it out and give me ideas or constructive criticism on it.


Second, my husband works for a large, local urology group. The manager said that they are happy with the company they have, but if they change in the future they will keep my information. He also said that he pays 9 cpl and they do $100,000 per year of business. I currently am a subcontractor for most of my work and make 8 cpl and 9 cpl. I am wondering how it would be doable for a company to charge only 9 cpl and then pay subs and expenses, unless he is doing business with a company that outsources overseas. Do the large nationals charge this low or do you think it might be some IC trying to undercut norms to get the business or overseas? I do have my prices on my website and debated with myself if I should put them on there, but thought it would be helpful. I also believe I am charging fair prices. What do you think?


http://www.consideritdonetranscription.com


QA questions

Which sentence is correct:    20 units of Pitocin WERE given - or 20 units of Pitocin WAS given????


also - I thought regarding dangerous abbreviations that in an op report  under anesthesia/meds  - correct would be   Demerol 10 mg intravenously and not Demerol 10 mg IV.


I'm either getting old or just sick of this. 


I have questions too
How expensive is the internet use from your cellphone? And what about the foot pedal in the car - isn't that awkward? I am fascinated by this subject. Thanks.