They are physicians, not grammarians. I transcribe it so it is grammatically correct, but my accoun
Posted By: -nm on 2008-02-16
In Reply to: Grrrrrrrrr Wrong COMMAS!!! - MIchelle
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- Grrrrrrrrr Wrong COMMAS!!! - MIchelle
- They are physicians, not grammarians. I transcribe it so it is grammatically correct, but my accoun - -nm
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I absolutely agree with you. You've made it grammatically correct
hope this all comes through.
Your change is much better than the one suggested below which totally changes the sentence and would not be correct in my opinion.
It they can't type a grammatically correct sentence, it doesn't matter how many degrees they h
:+
Correct way to transcribe
Can someone please tell me the correct way to transcribe 10 to the fifth E. coli.
Thank you very much for your help.
no ASR is not wonderful. it is harder to correct than straight transcribe ESPECIALLY
if you use expanders and shortcuts. Sure they pump it as wonderful. That's cause the next step is taking a pay cut for this wonderful technology that actually cuts your line count, IF you are using expanders, templates and normals. Having been on ASR for 6-7 months, it is not getting better as promised as we trained the ASR.
You are so right. Its up to the physicians and
also your local competition. Its all about offering the physicians something better than the competition - better rates, better TAT, and if your competitors are certified, you can bet that's part of their "sell"...But you could never predict the certified issue until you check the waters. Good luck to you! Its not that hard to pick up a local account or two. Enjoy!
Do you think ER physicians actually do as thorough
a physical exam as they dictate or do you think they fabricate a lot of the details of the physical exam?
Not all physicians are like that .....sm
I work for very generous, kind and caring orthopedic surgeons who see patients, with little to no income, and charge them nothing. They ask for no payment and nothing in return. These docs would give you the shirt off their back.
Not every physician cares only about money.
It is bad enough for the ESL physicians but
today I had an ESL PA dictating and when she dictates hypertension she says hypertensions, as in the patient has hypertensions and heart disease is diseases and lukemia is well you catch how it goes EXCEPT if you have the patient's wife, then she says the patient wife or the patient daughter. I am TICKED
Is it just me, or are physicians getting worse
with dictation. I transcribe several that use speaker phones to dictate. I think ER docs are the worst. Not only do they use the speaker phone, but that talk at a rate of about 150 miles per hour. Do they not realize (or maybe they just don't care) how difficult they are to transcribe. I really don't understand why the companies we work for allow this. 
I ask the physicians! Haven't had one yet
who didn't tell me what they were already being charged. You should be able to call the MT department at your hospital and ask around there too.
About incompetent physicians...
Yes, they are definitely out there and getting scarrier day by day. Actually, the great majority of them are quite pathetic.
local physicians
I was wondering if any one knows if local physicians would rather hire certified MT to do their work from home. I am thinking about supplementing my income with a national and wondering if this would be a good way to go. Any insight into this would be greatly appreciated !!
Prospecting physicians??
I currenlty have one account of my own and am an IC through a very small local transcription company. However, I want more of my own accounts. I have sent letters and am willing to do more. Does anyone have any idea on what it takes to "land" an account? Thanks so much for any ideas/help/suggestions!!
Physicians by State
www.healthcarehiring.com. Scroll down to the bottom and you'll find all of the states. This is a great site to search by state, and you can search by specialty even within that state. It is in alphabetical order, which is very, very helpful. I love this site myself and use it every day. 
Yep, been there,done that. Many physicians today
have gone to EMR. I talked with one not long ago who said I needed to find another line of work since EMR is replacing the MT. Even my own personal physician uses EMR.
We are either being replaced with technology (EMR or VR)or work is going offshore. Somehow for me, editing is really not something I am interested in, as I would rather transcribe.
Hopefully, others here will be able to direct you and encourage you, perhaps giving you ideas of how you can obtain clients. Much success in whatever path you choose.
We have many Muslim physicians in the US.
Would you be so quick to condemn someone who had a problem with "We took a moment to praise to Allah"? Would you be as tolerant as you claim to be in that situation?
The physicians used to have to be bribed
to come in and dictate charts, have seen for myself. I would love to know how it went from not wanting to dictate to suddenly everyone getting out their EMRs and typing away.
My take on how these physicians dictate
I question and I mean question about every day whether the person coming in as physician is really that. I have 1 that basically cannot string a sentence together, changes sentences 3, 4 or 5 times each sentence. I have physicians who pull the same stuff, going several paragraphs down and then asking you to add or delete something. I get really ticked when I hear all this and don’t hold my cool. The person in the room with me usually hears my ranting and raving. It is hard enough to get through the ESLs, mumbling, crunching, snorting, eating, sucking, sniffing, sorting papers and the list goes on without putting up with this. One change that was made at the hospital I work for was to tell dictators they could NOT use a cell phone to dictate. It worked. I only wish I were in charge so I could tell them more about how to dictate!
I've found that most physicians who
dictate at such a ridiculous pace are trying to make up for other deficiencies....you know like "male menopause" where the older guy goes out and buys an expensive sports car, etc., etc. Seems most of the speeders on my account are DOs, NOT MDs.....guess they feel inferior in some way. 
Physicians are willing to share their knowledge with (sm)
anyone who will listen. They love young bright eyed students. I expected the MT world to be just like medicine.
Why is cost the only issue? It is unprofessional to only think about money. What about pride in the profession and wanting to share knowledge? Isn't that how professions advance and grow?
I am surprised.
State Licensure for physicians
I use the State licensing agency for whatever state the physician is in. I just Google State License or Health State licenses and it brings that particular website up and then I do a search. Great Tool!
When do physicians give feedback to MTs?
x
I have heard American physicians say that. What is the
big deal? You know what they mean.
A lot of physicians refer to their patients
as heterosexual or having same sex partners, it is very relevant in some aspects, as in exposure to AIDS/HIV, etc.
physicians pinching pennies
while making over $100K a year (after insurance premiums), for a service that is tax deductable.... they really dont have a clue...
To my knowledge, you can't print the physicians'....sm
list and I doubt they are in there by specialty, too. You can print the contents of your ESP file if you save it to your desktop and then print it. Hope this helps.
There are no dictators, physicians, nurses, PAs or the like
who don’t dictate on the VR I use, wish I did not have the crap dictators as you call them but they are not left out on my end. I really, really hate it now when I do get a straight report to type I am so happy with the VR I do. I think before long most big places will go that route, little ones not so much as I think VR costs quite a bit.
Do it correct always. It will learn. Everyone has to do it correct all the time. nm
x
A great site for referring physicians
that includes credentials and you can search by state is:
http://www.healthcarehiring.com/physician_pennsylvania.php
Down at the bottom you can change the state. I have used this site quite a bit.
Good gried!!! Plenty of physicians
mispronounce terminology, medications, etc. that they are not familiar with in their specialities. Get a life and find something worthwhile to gripe about. Did you understand what they meant? Apparently so, so just do the work.
Physicians and caring or lack thereof
recently I have experienced both sides of this aspect. In January I was hospitalized for asthma by my then family physician. I had been to him 3 times in the month before that with problems but he made no effort to adjust meds, etc. About a month later, he walks into his office and tells his staff today is your last day. I'm closing the office.
I got strep throat and went to a different doctor. She was absolutely the best. She looked at ME while she was in the room, not at the chart or her PDA in her hand (like the first doctor used to do). She talked to ME. Asked ME questions and answered any I had. asked about allergies (which I have many). The first doctor tried to give me medicine I was allergic to (and he had been told multiple times). Two weeks ago I was hospitalized through the emergency room with another asthma attack (brought on by the flu). My new doctor sat down beside me in the room. Talked to me. Got a very detailed history. Explained what tests she was going to do. Explained the results of what tests had already been done. Told me she was going to refer me to a pulmonologist to evaluate if my meds need tweaking. Even asked me which one I preferred based on how my insurance would pay. I have only seen her in the office twice and then while hospitalized and I already feel more at ease and reassured that 2 years of using the other doctor.
Also, at work this past week a patient was admitted after lunch. Because the patient had missed the noon meal, the PHYSICIAN went to the cafeteria and bought lunch for the patient and took it to him. Now THAT is a physician that cares about the welbeing of their patient!
I wish all doctors could be like these two - both of them female! Maybe it has something to do with our nurturing instincts! 
I have to agree. I would be uneasy having some ESLs as my physicians - sm
at times, too, for that same reason -- I've seen too many errors creep into the medical record because of the language barrier (though I would place equal, or greater, blame upon the MTs and/or QA who allowed it to happen through the "god help us, we can't have a blank so fill that blank with SOME kind of word, quickly!" mindset).
I once had an ESL psychiatrist who had a terribly thick accent. After doing hundreds of his reports I would still have a difficult time understanding him at times, yet when he was interviewing his patients and they didn't follow the conversation well he would often enter that into the record by saying that "the patient had a difficult time understanding this examiner and following the conversation" ... well, h--l, anyone would, doc.
I'm sorry, but the physicians are supposed to review the medical records for
accuracy, then sign off on them. THEY are the people who went to medical school, did their internship, and actually saw the patients. THEY know what they were trying, often badly, to say. THEY are the ones making the big bucks. NOT US. We go to maybe a year-long correspondence school, make crappy money, and watch our butts spread wider every day while we TYPE, yes, I said TYPE, medical records for them. Anyone who thinks it's more than that is kidding themselves. And save your speeches on patient care and work ethics. I know all about that stuff. The harsh reality is that this job does not require a college education to get into, and your income is tied to your production level. The doctors don't care enough about the medical records to speak slowly, enunciate, and double check everything before signing off. How are we supposed to read their minds? Anyone in this field who knows more than grammar and medical terminology ought to be working as an RN or MD, because you'd be better at it than half the medical providers we type for.
switchboard.com is another good site for finding physicians
x
Many physicians in my area don't want to take Medicare, Medicaid, Tricare
or other insurances because the insurance companies require a huge buydown of charges and then disallow quite a bit for being "above the reasonable amount."
For example, I had double insurance of Blue Cross/Blue Shield and Tricare when I had surgery. The bills totaled $15,000. Blue Cross knocked $5,000 off the physician's $7,800 bill, paid him $600 and left Tricare and me to deal with the $1,200 balance. Tricare wouldn't pay because they disallowed the amount as unreasonable, the physician's office forced me to make payments on it, and I had to fight just so I didn't owe them another $1,200. It was ridiculous that I had double insurance coverage and wound up owing anything. Meanwhile, the doctor didn't even get paid that much, and he did my presurgery appointments, the actual surgery, two postsurgery appointments to remove hardware, plus coordinating everything between cardiology, radiology, anesthesia, laboratory, surgery, and having special equipment trucked in from out of state.
If I had not had insurance at all, I would have had to pay the entire amount. I think it's crazy that noninsureds have to pay the full amount but insurance companies can disallow or buy down the amounts due. Anyway, you hit a big rant of mine. Shortly after I lost my Blue Cross coverage, my son needed to be seen but we couldn't find a provider to even take Tricare at all. So much for my husband serving his country and being away from his family in the line of duty. The doctors get rich and refuse to treat military personnel who fight for their freedom. Talk about a total lack of appreciation.
Same situation here. When worked in-house or for physicians offices,
never as much as a single episode of no work available. Much to my dismay, I have found out that MTing from home for a nation is so unpredictable, in so far as what your paycheck is going to be every week or 2. They all say "there is plenty of work," which is probably factual. However, the nationals are primarily interested in pleasing the client with their promised swift turn-around-times. What they forget is that if it weren't for the MTs, there would be no turn-around-time whatsoever. It's really very discouraging and quite unfair. Most people try to adhere to their monthly budget, which is impossible when one never knows how much they are going to make from one week to the next. We ARE the providers, not peeons, and resent being treated as such.
Does anyone know where to find a listing of the V.A. Medical Center physicians?
Thanks for the help.
Medicare is offering free installation of EMR to physicians and hospitals.
http://www.medscape.com/px/instantpollservlet/result?PollID=1502
I also have two offices w/mult physicians on tapes, but going digital this month (sm)
at my encouragement. I am training them with a consulting fee by the hour. They were resistant, very old fashioned, but after multiple problems with a few docs dictating over each other's tapes, and the cost of gas, paper, and everything else... I encouraged this. In fact one service just added another physician and I told them I could not handle their transcription anymore, but they said whatever I can do to continue, so we are going digital and longer turn-around time. It will be a time saver and more cost effective for me right away. I will still be going in to the offices probably twice a month because I feel the personal touch is really important. I also work PT for a national, by my choice, as I feel it keeps me on my toes with different types of transcription. Also the national is a guaranteed paycheck via direct deposit every 2 weeks, whereas my own customers, thought good money, well sometimes they are late. 
If you are careful with putting the correct report in the correct report shell and patient, you will
not have any problems. I only take away this option when someone is careless. There can be NO room for error on this. One mistake can be very serious. Many do it well though, so just double check and you will be fine.
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.
Any tips for finding a good alphabetized list of physicians in a certain state? Not finding very
s
transcribe it
there is no reason not to. You are a "professional" which presumes the information will remain confidential no matter who it is. I happen to live in a small town where everyone knows everyone else and half the town is related. Nothing would ever get typed if that was a consideration.
I tried to transcribe one of those
*mask* things once (and ONLY once). What a crock! It's like trying to transcribe an auctioneer. I always wondered how the accuracy couldn't suffer with this method. (I guess I was right, considering the government is now using it.) They make less money because there isn't much skill involved in doing it that way. Legitimate court reporters go to school for quite some time and have to learn what's basically another form of shorthand. (It's been years, and I might be wrong, but I believe, for example, the letters PB=N (or something like that. LOL).
I was around when the court reporters in my area went from straight dictation to *the computer.* In fact, I did editing/scoping work for one court reporter who bought the new system, way back when the technology first became available. (She also bought my computer for me to do her work and anything else I wanted to do on it, and part of her *offer* was that after two years, I would own the computer outright!) It's a whole different world than transcribing. I didn't like it then, and I don't like it now. It's easier for the court reporter, who can pull his or her notes right up on the screen when something doesn't make sense and see where the *typo* was and figure out what it actually should have been. So in order to be an Editor for a court reporter today, you basically not only have to know how to read their notes, but knowing how to read their TYPOS is the important thing. This particular court reporter had the wisdom to know when her notes weren't that good, and rather than give me a very sloppy transcript to edit, she'd dictate it instead. She was a great person, and I miss her a lot.
Scoping/editing for a court reporter is a great field to get into if that's your cup of tea. If you're a typist, it's real difficult to get the "rhythm" that you can get when transcribing, and that's what I don't like about it. (Very same thing with VR in medical transcription today.) However, after doing this kind of work for 20 years, I might wake up tomorrow with carpal tunnel and might be forced to pursue it.
One thing about court reporters, from my own personal experience in my area: They are the most generous, easy-going, NICEST people I've ever encountered, considering the enormous amount of stress they're always exposed to. Back in the 1980s, I remember reading stats on suicide rates, and court reporters and DENTISTS were right at the top of the list!!
Do you transcribe too? How much are you
required to transcribe per day/pay period? What are your responsibilities.
Sorry for all the questions, but I think one of the biggest problems in this industry is lack of consistency. If the positions were the same, we could compare apples to apples, in terms of hiring and applying :)
How many of you transcribe while
using your telephone line as in you're 'on the phone' the whole time you work? How does that work out for you both with your phone usage but also with unlimited LD. Could you recommend any unlimited LD plans that are good? Our local one isn't that great as far as a high price, so I'm looking around. Thanks for any help!
I transcribe ...
IMEs, Consults, Re-exams, Followups, Treatment notes,etc.
I am located in Texas, but I work directly for a doctor in Florida and then I transcribe for a small MTSO out of New York also doing chiropractic.
Why don't you just transcribe it?
Get creative - and type ... the patient...peeing, peeing, peeing, more peeing... is a 38-year-old
sorry i could not resist
transcribe from CD
Is there a way to transcribe a church audio lecture from CD? It is a .cda file. I have "associated" the .cda with Start/Stop and ExpressScribe, but I still have no control with my foot pedal. any suggestions?
Thanks, Debbie
This is how I do it. I transcribe
a minimum of 2000 lines per day x5 days a week for 8 hours a day, making 9 cpl which equals out to $180 per day. That comes out to $900 per week or $46,800 per year. That is just at 2000 lines per day. This is w/o shift differential and line differential added in. We get a bonus for going over a certain number of lines per pay period and we get a shift differential for working 2nd and 3rd shifts, which then works out to over 10 cpl. Transcribing 2000 lines per day works out to 250 lines per hour. W/o using an expander, I probably type about 100 words per minute and with my Expander it is a lot more. My pay stub shows how many lines per hour I average each paycheck. This week it was over 300 lph. I use my expander to its fullest. I have macros for everything and anything you can think of. I do radiology, oncology, and ER transcription - lots of phrases said over and over. I do not cherrypick. I cannot see what report or doctor I am going to get, the chart just pops up and I type it. Some days are all good docs, lots of days they are horrible but in this profession you take the good with the bad.
Everybody's work habit is different. Focus on what you can do instead of what person A or person B can do. When I first started I set goals for myself. I wanted to be typing 1000 lines by so and so date in 8 hours. When I reached that goal I made the goal higher by 100, 250 and then 500 lines. To me, it's all in the attitude you have for work. I look forward to work each day because every day there is something new to be learned.
This sits over my desk: Do not let what you cannot do interfere with what you can do." - John Wooden
Does anyone use Transcribe+
that you can use Dragon naturally with? Starting the new platform and just wondering? TIA
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