When you work in an office, you can see when others are manipulating the system.

• Question about cherrypicking... - Not this time
  • yes they can - yes they can
  • My lanier experience - Mtgirl
  • If a job can be rejected, refused, or hung up on, it's being cherrypicked. nm - Keep a list of the awful docs to look 4 a pattern.
    • But doesn't that happen every time - But
      • Someone I work with takes an AWFUL lot of - breaks then. Like after every 1 or 2 reports. nm
        • ????? - why are you keeping up with someone else's brea
          • When you work in an office, you can see when others are manipulating the system. - Been there, seen that
          • See, that's what I'm thinking. - But
          • maybe she sits next to her in the office - Crazy much?

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while Ops offer lot of challenges -- that's a good thing, imho, REALLY ...

I keep my op stored in WORD sorted by

(1) client

(2) specialty (general surgeon, ortho, plastic, podiatrics, ENT, GYN, GI , urology, neurosurgery etc) .... and then in word folders

(3) within speciality, within client I name individual reports like this:

470 hernia vental simple

470 hernia umbilical

470 small bowel resection 

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470 would be that doctor's id number -- the file holding 470's reports would be named with doctor's last name 

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works for me, although I do usually do big time "indexing" until I've gota bunch of copied reports.

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It's really important to NOT consider these NORMALS until you are more familiar with the dictator ... however... this is worthwhile ANYWAY because the joy of OPs is that most doctors say pretty much the same thing in 80% of their reports ... sometimes more. Gastroenterology and GYN  are excellent "easy money" most of the time but you MUST pay attention and change every difference ...

All these saved reports need to be updated when you review your QA ... those phrases that doctor mumbled yesterday are probably mumbled 24/7/365 ... follow up and record this information.

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I use Emedicine for my go-to for a lot of things... while they don't have op reports they are stellar at terminology and spelling, hyphens, and capitalization as far as I can tell.

One of the fabulous things about op reports is usually NO MEDICATION LOOKUPS!!!! (although you will spend time finding out the latest heart stents, hip replacemetn component marketing  names, etc. ) Most medical device manufacturers have "pretty good" web sites -- use them, rather than relative Google popularity wrt spelling, caps, etc.

Good luck -- there is a learning curve but imho it is more than worth it -- Surgeons understand that their dictation is in essence their "BILL" when it comes to Medicare and insurance -- they have a vested interest in it being intelligible and complete ... they may talk really fast but most of the time, if you have samples, you will find they are saying variations of the "same thing" using the same words/terminology. 

Oh, and OP pay better.

Sincerely, good luck.!

and I can tell you that even though the doctors may sound cold when dictating, most of them are not that way in the office.  As for feeling sad for the patients, I cried at least once a week when I worked in that office (and I only worked 2 days a week).  I got very attached to these patients as many of them were coming every week for their treatments.  But in the end, I felt privileged to have worked there.  I made it my job to get to know these patients personally, to let them know that someone does care.  Many of them left our office smiling and that made me feel good inside.

My OB once asked me if it was depressing, and I told him that while losing a patient in our office was always sad, but the patients were no longer in pain, and that I would rather deal with that loss than trying to explain to a new mother the loss of a baby any day.  He agreed, said he never thought of it that way. 

I'm currently working on a children's hospital and it's very saddening some days.  The pediatric oncology is the worst, though.  You just never expect something like that to happen to your family.  You just kind of wake up one day and cancer has reared its ugly head.

Just curious.  Our Portland office closed recently. 

I had nothing but STAT reports for 5 hours straight this a.m. and then reports went back to last Friday's dictation.  I wish there were some way I could send some out to you.

Weird thing is that in the last couple of weeks I have logged on to find no work, but within an hour, I have plenty of work.  Uh oh.  Is it my turn?

Now the office staff who handles the dictation are griping because they don't like Cbay.  They say it is hard to get the work back and it always needs edited.  The docs are behind on editing because they get caught up doing other things.  I had the staff say they wish the doctors would not have drifted..  makes my head well, but you get what you pay for...  

is so that I CAN take the time to stop and feed my child, or put a band-aid on a scraped knee, or read a quick story...  My children are a priority to me and the distraction they cause is acceptable for me.  That doesn't make my work ethic any less than yours IMO, I work more hours probably.  I work some nights after the rest of my family is sleeping.  My work ethic is such that I get my work done and still give time to my children when they need it.

Years ago when I worked for a smaller company a bunch of us made a big  box of goodies and mailed it to the office.  They were such great people, helpful and cheerful. The company always sent us something and we didn't want to just send to the owner of the company so we felt a card in a box of goodies everyone could share.  Smaller places have more of a personal feel .

Now I work for a larger company and home made goodies may not be such a good idea. (The shipping alone would be a killer.)  I guess a card addressed to "everyone" will have to do it.  Thought about having X-mas cards made up with  my family picture on it and sending that to kind of help them also put a face to the name.  Too much?  Think I would be better off with just a standard card? 

Those of you that are doing anything for the office you work out of, what are you doing?  Would love to "borrow" a really good idea.

TIA

Hello everyone.  I wanted to sign in and thank everyone for all the info that has been posted on this board.  It was a very important web site for me during my short transcription career.

After being laid off from a company in Michigan 3 weeks ago, I have searched for and found an office manager position in a non-MT environment.  I'm going back to my routes in Admin.  I tried to make a career change a few years ago.  Maybe it was not the financial environment to make such a change or maybe it is just not for me.  What ever the case is, I'm leaving.  I have invested a large amount of time and money into this dream but sometimes you have to know when to "fold 'em."  Lucky for me hubby is on board and not making me feel bad about our investment or how this dream of mine drained our finances. 

So, again, thanks for all the help and good luck to everyone. 

Good Luck.  I accepted an in-house position at a doctor's office after being laid off from a very large hospital. It is wonderful to be able to go and ask the doctor questions and get feedback directly from them.  It really is the way to go now instead of working for the really big transcription companies.  I feel like I am appreciated.

I have been helping out an attorney for the last 5 or 6 months because medical wasn't as busy around here, I haven't done this kind of work in quite a while.

The first time it took him 3 months to pay the bill, it was only about $300.  Now this time it's almost $800 and he hasn't paid it.  It has been 2 months and counting so I cut him off until he pays it.

He started leaving last minute stuff on my machine all the time and leaving messages that it had to get done right away, yada, yada, yada....  Now I'm screwed because he hasn't paid the bill.  I finally put new ID numbers into the dictation system so he couldn't dictate on it.  There are people out there who can't afford office staff and won't pay you either !!