Whew! I just left clinic notes after 4 years..sm.
Posted By: Scoobie on 2007-01-27
In Reply to: Clinical versus Acute Care - why do companies - sm
and got back into acute care. My momentum is back and I feel like I'm part of the medical process again. I guess I just like acute care better. I can never go back to clinic notes. I can't deal with those 20-second charts. Took me longer to get in the chart than to type it. The company I WAS with had such a screwed up demo screen if you made 1 mistake you got put on probation. Just toooooo much for me.
IMO, that is.
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I was getting $3 a page 12 years ago. But $2 might not be bad for VERY short clinic notes.
clinic is not walk-in or ER notes; it is clinic
could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
I think clinic/ ER notes sm
would be a good place to start, either working as an IC/employee for a national or getting your own accounts.
Good luck!
Do you get more LPH with clinic notes or Ops? nm
x
only clinic notes can have
an actual name in a report. hospital reports should never have an actual name but instead just have * the patient *. hipaa rules.
Yes, it is clinic notes...sm
I also have an extensive list of Expanders that I wouldn't doubt was well over 20,000. I've been building it for the last 11 years working at home. I don't even type out the word with (wi).
I appreciate your response and the boost.
Clinic notes
Mostly clinic notes from my experience:
S - subjective
O - objective
A - assessment
P - plan
Clinic notes
I have always done acute care. If you get a good line rate, could you make good money doing cardiology clinic notes. I was not sure since you have letters too.
I do clinic notes...sm
Clinic notes are a lot easier to do. The letters are very easy. If you have good rate of pay then you should make as much money. I do general surgery clinic notes and letters. The only problem I have with clinic notes is you will run out of work. It is according to if it just that one clinic or not you work on. But they can only see so many patients in a day. And if they do surgeries to then they aren't always in the office to see patients all day. So I don't always have enough work. But to remedy that I have another job too. So if I run out on one I work on the other. But if you have plenty of work there is no reason to me you couldn't make good money. My problem is just having enough work.
I do clinic notes also
I love them. They are very easy and I have a lot of normals that I use. I don't have any problems keeping busy with work. The doctor's I work for sometimes see 50 patients a day total. And I don't worry about having no work because I'm an employee and if there's no work I still get paid.
I think clinic notes are boring, you have the same
number of doctors usually and for the most part there isn't a lot of medical terminology and they have lots of normals, which is good because they you can have lots of macros/expanders to help, but I like learning from my dictation. With clinic notes I did know when viruses/illnesses were going around and what the standard treatment was, so I could try some of the same treatments if we got sick without a doctor visit, just after a while they were just boring. I much prefer acute care. I have lots of dictators so I don't get sick of hearing one doctor all day, although occasionally I do get a slew of the same dictator, the terminology is constantly changing, new drugs, new equipment, new procedures, etc.
Some have said clinic, some op notes, some ER, depends on what you
s
Clinic notes questions
I see lots of jobs looking for clinic notes. I have only done acute care. What exactly are clinic notes? Are they office visits by specialty? Also is the pay for clinics typically higher, lower, the same for acute care?
Thanks.
Depends on clinic notes, sm
I really think it depends on the type of clinic notes you transribed. I went from transcribing very detailed and lengthy multispecialtiy outpatient clinic notes for a major teaching hospital to transcribing acute care, mainly op notes, for another hospital, and it seemed to make the transition, although I felt very confident after about 3 months. But if you were transcribing clinic notes for just a regular outpatient clinic or clinics (well child checkups, lots of cold and flu, etc) you may have a longer transition period. It really just depends on whether it's a teaching hospital, the number of dictators, etc? You CAN do it though--it is all a matter of mindset. If it IS a teaching hospital or they have an ophthalmology department, I would definitely recommend getting the Stedman's Ophthalmology book. That made my transition SO much easier, that book, and the Stedman's Equipment Words. Good luck. Just give yourself 3-6 months to get acclimated to the op notes, number of doctors/residents, etc., don't pressure yourself to get it right away, and make copies of each report for every dictator--it will save you in the long run because they usually say the same things. Good Luck!!
I do much better $ wise with clinic notes
I have local office accounts and also work part-time for a national. The repetitive nature of doing the same dictator day in and day out increases my production at least 30-50%; more expanders, more normals, familiar terminology, etc.
Right now I am averaging $25.00+ an hour on my local notes, and less than $12.00 with my national acute care. I do have more taxes and such with my locals as it is 1099 income but I still come out much better on clinic notes.
good luck!
LOVE clinic notes
I do clinic work and I LOVE it. I transcribe for 3 docs. There are 4 girls on the acct. And we ALWAYS have work. When I am bored on Saturdays or Sundays, I sit down and type for a few hours. Rarely is the server empty by Monday morning. I have never been at a loss for work. It is so repetitive and easy. Each doctor has his own way of talking and I have tons of shortcuts for each doc in my autocorrect in Word. So easy, so fast, so fun!
Clinic notes are less detailed normally
than acute care/hospital reports. They are limited to that 1 speciality with only sparse mentioned normally of other medical conditions not pertaining to the clinic visit. However, in acute care, you have to be aware of drugs, generic versus brand, correct dosages, all types of medical conditions, problems, side effects, lab values (a working knowledge of correct and invalid values dictated in case the doctor is in error), and "all" specialities. That is just a few of the things required for acute care transcription.
Many MTSOs looking for acute care MTs will not consider someone who has only been in a "clinic" per se because the MT has only been possibly working in 1 speciality. You need a broad overall knowledge to work in acute care as you never know from 1 report to the other what is going to be thrown at you. In the clinic setting, the MT can be isolated from anything new that has cropped up, especially if in a clinic for a number of years.
clinic notes to acute care
Has anyone gone from doing clinic notes for different specialities to acute care in a hospital? I have been a Transcriptionist for four years and lost most of my work to India. I went back to medical billing for about 5 months and have been offered a position to work at home for a hospital. I never did hospital work. This will exclude lab and X-ray reports. I am a little scared. Any good sites to brush up on for documents or any words of wisdom?
Thanks!!
Wow, 600 lines from 30 minutes of clinic/chart notes - sm
The most I would squeeze out of that would be 350 probably. You must have one fast talking doctor. You are also very fast if you can do 600 lines in one hour, or else you have it macroed/expanded to death and there is very little actual typing so that is why you can do so much in such a small amount of time.
I am working today but i don't get extra pay. just behind on clinic notes and trying to catch up
between cooking.
It is clinic ortho notes , same doctor, very easy dictator
I am supposed to be p/t and he dictates between 30-50 min a day, many times 50-70 min even. It takes me many hours since I am a newbie. The paychecks just don't seem worth it for the amount of time that I am putting in.
I get close to 9 cpl as an IC doing clinic notes. No chance of raise unless I find my own accounts
x
How would you handle clinic notes coming up missing after you've delivered them to the facility?
I type the clinic notes at home, print them, verify the all notes printed, place them in a manila envelope clearly marked with the clinic name and dictator doctor's name and date of clinic. I then deliver the notes to the lead Transcriptionist at the hospital which manages the clinics. She in turn distributes them to the clinics.
The last two weeks, I have gotten several calls from the lead MT that I give the work too that clinics are calling saying they are missing certain notes from certain days which is impossible because I type all notes for a specific day in one large document and print them out together. There is no way that some are printing and some are not. Plus I ALWAYS verify that each note printed. Today, she called and said there were missing notes from two different days.
Then there is the issue of my work being typed by someone in the hospital. When I deliver work I get a print out of what's on the system as far as clinic notes. It is a worktype specific list that only I am supposed type. There are a couple of doctors who dictate all their notes in one looooong job. There were two very long jobs on my list, but were never pooled to me. When I enter the specific job number, it says they have been transcribed. In one instance, the dictator dictated half on one job and half on another. I typed one job and the other just magically got transcribed. When I've called to ask who's typing these reports, no one seems to know.
These ladies in this particular transcription department are not a friendly bunch. I have felt that they sort of resent the fact that I am doing work from home while they have to come in and type. I think they are wondering why they aren't allowed to work from home. The work I do is very easy clinic work and would be pretty easy lines for one of them to do just to pad their line counts.
I have a meeting tomorrow with the HIM director who contracted with me about TAT and I know they want a shorter TAT than the agreed upon 24 to 48 hours and I know she is going to want me to make more deliveries than the three I do a week now. I have asked that they set up a remote printer for me so I can print from home that way delivery isn't an issue anymore, but they act like this can't be done which I know it can be done.
I'm about to cut this account loose, but it's such easy work. It's just that I'm running into brick walls at this place.
Thanks for listening to me whine! 
My mistake, I am not thinking tonight, I actually make 11.5 cpl, clinic notes. I earn my money thou
nm
Local clinic sent all work to the Phillipines one sunny day. Left their MTs
It is not only India. I really cannot say there is an answer other than find politicians who feel as deeply about the "Employ America" slogan as the American worker and American business owner who is a patriot.
Just over 8 years. Orthopedics, ER, clinic. nm
x
I took A&P/terminology course through my clinic 16 years ago
nm
IC Clinic average pay 3 years ago . . .
I started at 9 cpl 3 years ago on a clinic/psychology account (one account) for a local hospital with only 3 months experience, but I also worked full-time as an employee for that hospital during the day and the IC stuff was at night when they needed extra coverage.
16 years, 1 radiology, 7 clinic, 8 acute
.
7 years clinic experience and cannot land a job
Any suggestions?? I have 7 years clinic experience and am looking for work. Seems like I cannot get a response back to test or interview. I need a company that offers TAT, not set hours. I send in resumes and cover letters daily...What else could I do???
Also, in the meantime does anyone have suggestions on "practice files". I want to expand my skills/specialties. I have not done radiology and have always wanted to get into it...Thanks for any advice!
10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
I left 16 years ago and am ecstatic still..sm
I believe we were raised (some of us) from mothers who believed women were not *complete* unless they had a man. Many of us boomers are so over that and feel totally complete without a full-time man in our lives. I have plenty of friends and have men in my life, just not in my house full time. I will never ever compromise my freedom(s) again. Been there several times, done that several times, and am never doing it again. If someone finds *Mr. Right* - well that's terrific and I wish them well. It just isn't always the answer for MANY of us.
Prior to my leaving the ex, I had done a pros and cons list and the cons FAR OUTWEIGHED any reasons to stay. So, I gave him the house and the pet and I took the child.
I also believe 'tis far better to raise children in a happy divorced family than a miserably married family.
Best of luck to all !!
Congrats! When I left the Q 2-1/2 years
ago I landed an excellent job too. There are good ones still out there.
Well I don't know anything with all my years experience because I only transcribe clinic work ..
Other than that, I see quite a few replies to your original message so hmmm
After working 2 years, I average 220-250 lph for clinic work.
nm
Same finger/left hand - many years ago
Somehow got my finger between the panels of my garage door when I was pulling it shut leaving for work. At that time, worked in Radiology Dept.- x-rays showed FX & had it splinted. Believe it or not, went onto work & over the weeks learned how to compensate & "type" without that finger. Actually, had a hard time re-training myself to use that finger after the splint was taken off. Just knew at that time I "had" to work (divorced - 3 kids, no support, etc.) Amazing what you can do when you have to!
I left MQ years ago and the world is still revolving.
That's your choice and it's your problem. No one here or anywhere can help you if you refuse to help yourself.
I worked for them 5 years (left in October).
I enjoyed working for them. I was making a more than comfortable living with them. I had good steady accounts and a wonderful management team.
I worked on the 3.5 CTS (former Total eMed) platform.
Your question, however, is not specific enough for you to receive sound information on.
Beware of anyone who makes vague gripes. Complaints that are legitimate have specifics in them.
One person's opinion of what is good or bad is not another's.
Picked up tapes for years for a clinic. Finally splurged
Drs wanted to try the phone system so I found a used one and it's much easier. Still drop off printed reports but have dictation instantly, especially nice for stat reports. Don't have to wait to pick up tapes anymore. I could see some of my older clients never moving away from tapes, but if you have one that's receptive to it, you might give it a shot. With gas prices now, it's easier to have a few scheduled dropoff days a week and you can always fax urgent documents to staff. I find that the local drs are usually quite loyal to good MTs so that is nice job security. They like the personal touch from someone they trust, not some big chain. My clients even offered to pay for phone system but I bought it so I could write it off.
No way - MQ is the pits, left 6 years ago and never looked back.
There is greener grass, believe me.
Fresh out of school 13 years ago I made 8 cents gross/clinic/no ESL
x
3-1/2 years experience, type cardio only on clinic account, and make 9 cpl nm
nm
I tested this morning, left blanks, and I have 17 years' experience. (sm)
I have no problem leaving blanks. It is not my job to suffer over poor dictation. It is my job to transcribe what is hearable. I will not compromise my sanity anymore over these lazy-butt doctors who think their time is so important that they rush through their dictation time. I will do the best I can, but I will not fret over blanks, and neither should anyone else.
What I WILL do is relisten at the end of the report. Sometimes I pick up on their *style* and can fill in some of the blanks. A relisten is all anyone should expect from us. My time is important, too.
Thirteen years ago made 9 cents gross/clinic straight out of school
I just left after 16 years of marriage. Hardest decision I've ever made, but something that I ha
My husband doesn't want to work. Never has and probably never will and it took me 16 years to figure out that nothing was ever going to change. He has been in and out of college over the years with a number of different majors and when he is on the verge of actually finishing something, he up and quits, because I believe he doesn't want to actually go out and get a job. He loves the going to school part, the studying, etc., but the actual finishing and putting his education to work, that's too overwhelming.
For years I made excuses for him, supported him, and actually believed that as he got older he would mature and finally find his way. He's 42 now and runs off every day with one of his unemployed friends to play frisbee golf or go hiking or water skiing or fishing while I'm sitting at home at my desk typing until my nose bleeds!
I was one of those women afraid of being by myself. I recently had a major depressive snap where I cried nonstop for three weeks. I found a great doctor who became a great friend and she helped me find the right medicine to get my head clear and then she helped me realize that I don't have to be afraid of anything. I was already supporting myself and my kids without anyone elses' help. What was so frightening about leaving my husband behind?
So quietly I made my plans to leave. I let my husband know that I was going to move back home to the area where all my family still lives when school let out this summer. He didn't believe me because I had said it all before. So I just made sure he knew I was thinking about it again. Then May came along and miracously a job opened up at the hospital in the small community I wanted to move back to. This hospital never has openings because they virtually have no employee turnover whatsoever. Everyone's been there at least 5 or more years. I took it as a sign and made my move. Within two days of submitting my resume, I had an interview set up. Without even waiting to see if I had the job, I packed up my kids and our stuff and told my husband "I'm going. I love you, but if you want to be with me you need to get a job and actually be my partner not one of my kids." And I left.
I got the job, thankfully. I've been here a month and I know without a doubt that it was the best thing I've done in a long time for me and my kids. My teenage son had built up a lot of resentment towards his father and their was a lot of anger and tension between the two of them before we moved. Now, my son is happier than I've seen him in years. He's more social, made a lot of friends, and even has a girlfriend now. My daughter misses her dad, but she has always been remarkably wise for her young age and is very open about saying how calm everything is up here.
So there's my story. I would never encourage anyone to divorce or leave their husband, and I haven't actually taken the step to file for divorce yet myself. But sometimes separation is liberating and therapeutic. It has been for me. I can't remember the last time I felt so peaceful.
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
WHEW!!!
NM
Whew. Thanks! nm
nm
WHEW!
lol!
Whew!!
I always itemize because have loads of things to itemize, loads. Have not taken just standard in years so understand now. Thanks
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