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Serving Over 20,000 US Medical Transcriptionists

Who in the heck spends time chitter chattering w/ office staff?

Posted By: In & out .. sm on 2006-06-07
In Reply to: Me too! - Kikki

I deliver and it's not daily but every other day and I definitely do NOT disrupt workflow and I do not chitter chatter with the office staff. In fact, most times I go in at night when the staff is gone because I have a key. It's clear that your perception and reality are two completely different things.

Lifelong friendship -- that's a good one! Where in the world did you come up with the idea that MTs would want to be lifelong friends with the office staff?!? I work at home to avoid all that office politics crap and gossip. Why would I want to pop in daily to listen to that junk? LOL

Seriously -- I hope people don't actually take all your advice because you don't even address the important issues. You only want to try to make everyone feel smaller and less important than you feel you are.





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office staff at MQ
that's exactly what I've seen. I had one of the guys at 1888# tell me when I said that MQs priority is with the clients 150% and the MT's concerns are at the bottom of the list and his response was well, they do pay our salaries -- those techs don't have a clue what we do
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office staff at MQ
LOL, you reminded me at one time, about 9 years ago that we had THE tech support guy in our office pinch hitting also as the CSR. on the overnight and weekend shift, just when you would need someone with a brain...forget calling when you had question on how an account wanted a format, etc
They expect so much from MTs but the other office staff
is paid well and make mistakes (x-ray techs, scheduling, etc), be paid full benefits.

What is UP with that?
Suggest she and the other office staff take a pay cut, too.
p
Re office staff to print
No, the office staff are not allowed access to the 2 PCs and they still work with a handwritten appointment book as well as only fax facilities and no internet at work... this is the reason I have to cut & paste WP doc into Word and e-mail to doc's home e-mail so wife can e-mail the report. This is really a mess I have myself in... and Im starting to throw tantrums now! I corrected him yesterday morning on a mistake he corrected me and now its spite on his side to pay me back because how dare I take a printout from physician website with the correct spelling and show him his mistake - my reports gets marked like a school teacher grading it big circles with messages "I spelt this for you a few months ago, you should know it by now!!!" etc
We went with the accounts and Warminster is still there with the office staff.
:
Yes, I do. The office staff are always very kind to me when I call, and I just
x
If the office staff are rude then all that just isnt worth it!
x
It is because, stamps, cost of checks, envelops, staff time
.
You know, I have a heck of a time understanding sm
music lyrics to rock songs or anything that has loud instrumentals playing with the vocals. Go figure.
That was with full benefits, which are the same benefits as an in-office employee for the QA staff..
However, I hear that their current QA staff are being asked to reach numbers that are out of sight and goals are basically impossible.
I disagree, first off, I have a heck of a hard time hiring qualified US MTs
client ready work.  Then, when I do hire MTs I constantly run into the problem of how they only want to work part time or can only work 2 hrs on this day, an hour here, or an hour there, or the next problem is consistency.  Out of the blue, oops, can't work today, or I lost connection to the Internet yet they're too stupid to go offline instant messenger.  One MT owes me money because I was nice enough to help her out (yeah I know my fault) and she screwed me over.  Such drama.  It's a CONSTANT battle to find good US MTs.
Doc trying to go digital and having a heck of a time/can't open files. Please see message.
I am working with a doctor's office who has an Olympus recorder (I think it's the W-10).  She has been trying to send me a sound file.  She sent a sound file that was left in the recorder from about a year ago to see if it would work and it opened up just fine for me with my transcription player (Philips Executive SpeechMike kit). 

 

Since that time, she has tried to send many more test dictations that she just recorded herself to try and I am unable to open up any of them.  She says that when she downloads the sound file from the recorder to her computer it is a WAV file, but as soon as she tries to email it to me, it changes to a VAL file extension. 

 

This is quite frustrating for both of us and I am trying to find any reason at all that this is not working (since it did work on the first dictation that someone else had recorded previously but won't work since on anything else).  This makes me think it might be something she is doing while recording?  Is anyone able to tell me anything she might be doing wrong that might be causing this problem?  Or any suggestions on anything else we can do? 

 

I did download the voice software that came with her recorder.  I am able to play the files there, but not on my Philips transcription player, which I need to do to transcribe the files.  As I said before, the first file she sent did play on my transcription player, but none of the files she sent since then will work.  I would greatly appreciate any help or suggestions you might have at all.   Thank you. 

full-time in office/ part-time at home
I currently work full-time in a physician's office and have started part-time online. My hope is to eventually go full-time online; however that will be done the road for a single mom with a son in college. My suggestion would be try to type part-time for a MTSO and see how that goes i.e work and money with a decision down the road for ultimately being home all the time. A guaranteed paycheck is always a necessity for me. Hope this helps.
A company spends.....

Oh, please gag me with a spoon!  It doesn't cost $3 to 5k to hire an MT to do work.  Even a hospital, where you have to go physical exam and employee orientation, does not invest that much money - probably closer to $500 for the cost of the employees who do the exam, the HR paperwork and the orientation session. 


Nowadays almost all MT positions outside of hopsitals are IC, so there is almost no cost at all the places that hire them.


 


Did Patti say she spends 3K/mo in gas? How did you
I'm sure you are just speculating, because you'd have to know what gas mileage she gets, how far she drives each day, etc. to know what she spends in gas.

Regardless, any smart business person would charge a delivery fee based on what they spend on gas. Again, no one wants to address the important aspects of this. There's nothing wrong with taking on a client that wants deliveries as long as you CHARGE for it appropriately, and best if that's not just included in your line rate since the price of gas goes up and down. Another option is hiring a courier service and you charge the client the fee for that. Yet another option is to tell the client they must deliver to you, which is their cheapest option since they can just have an employee that's already being paid by the hour deliver.

The added expense or hassle may be enough to get them to switch to digital but believe me, I have some hardnosed clients that still won't budge from their beloved tapes even to save the extra money. For those clients, I charge my line rate for tapes plus the delivery fee, which pays for my gas and then some.

HTH for those of you who actually want to know about using tapes. Again, many private practice docs still don't and won't use anything but for now, so since others turn them down if they won't go digital, you can profit from that. Pushing them into new technology might backfire anyway when they decide to take the technology a step further and start using EMR.

It already HAS - the doc spends the whole appointment
I could come in decapitated and carrying my head, and they'd probably never notice until I told them what the problem was.........
So I'd like to know what AHDI spends the proceeds - sm
from all their CMT credentialling tests and renewals on. They must make a pretty good haul on all that, if all the MTs in India have fallen for the con game.

Also, I sure have to take offense at what the above AHDI response says about MTs: 'We simply don't see this attitude often here in the US. MTs here only seem interested in certification if it is going to directly impact their wallets.'

Oh, REALLY? And they're NOT? Yeh, it does all come down to money for everyone involved, but in our attempts at getting enough of it to make an actual living at being an MT, at least we're not doing it by crushing others, like the hospitals, doctors, MTSO's and AHDI are doing.

Cracks me up that she says one of AHDI's 'vital roles' is raising awareness of the importance of MT's. Oh, REALLY? The importance of INDIAN MT's (aka - cheap sweatshop labor that can be exploited without the labor protections U.S. workers are SUPPOSED to have, but we dont) maybe, but their sole purpose seems to have been to abandon the American worker entirely.
A company spends 3-5000 to hire....
...and train an employee. Doesn't matter if you're part-time or full-time. Is it responsible to make them incur that cost when you know you're going to bail?

Mmmmm, don't think so.
They did test first time at doctor's office.
x
LPN.glorified CNA..I'd not want to work in a podiatrist office if I went through the time to get

I started part-time in a doc's office while still in high school. sm
That was in 1984. My career just bloomed from there......
It's cold here this morning!!! I had to turn on my office heater for the first time this year.
Winter's coming and it's supposed to be incredibly cold the next couple days.  YUCK  And, with the gas prices the way they are I guess I'll have to suffer with it a little colder this year.
Have most people had good luck with their MQ office closing and moving to the regional office. Have
things gotten better or worse for you.
Yes, I lost mine. I upgraded the Office 2000 package to Office 2003. sm
I have over 2000 autocorrect entries and lost them all as well as my supplemental dictionary for my Stedman's spellcheck. Lots of grief!

Maybe you will be lucky and not lose anything. Good luck to you.
Might be able to rent one from an office supply or office machine repair shop
s
I gave a tin of toffee for each office and a Lia Sophia necklace to each office manager. ~nm~
x
I gave a tin of toffee for each office and a Lia Sophia necklace to each office manager. ~nm~
x
Office politics. That is why I enjoy working at home. In the office,
people are in other people business. Just mind your own business.
Glo and staff at MTS. (sm)
Just wanted to thank you for your ultra-quick response to my plight of not being able to get to your job bank this morning!!  Found it w/your help, was ready when the phone call came in and got an offer!!  Yahoo!!  Thanks again - you are the best!
If you MUST have QA on staff, they should all have guidelines, be it BOS

or AMA, whatever you choose. I've been seeing ads for QA personnel and they don't have to have been MTs. I don't get that.


As I've said before here, I work for an MTSO who believes if you have to have QA personnel, you've hired the wrong MTs. I tend to agree with her.


We get up in the morning, do our work and send it in. If there's something we don't understand, we put a note on the log for the doctor or the hospital - because we're all experienced enough that we either know what we're hearing or know how to find it.


That's why all QA staff should cc their feedback to the
entire QA staff! QA needs to be on the same page. By cc'ing the QA staff (blindly of course), QA can get on the correct page. That way, if one QA has a question, bat it back and forth to determine the answer. QA people have a good rapport with each other for the most part and are very accepting of the correct way a company does things. If someone challenges something, then we just find the correct answer and that is that! Also, the QA staff I most recently worked with had an updated frequently most common errors and the correct answers that they passed out to the MT staff and it included the reasons for the correct response. It does work.
Poll for QA staff

1.  Are you paid by line, report or hour or salaried?


2.  What are your production requirements?


3.  Do you get incentives or bonuses beyond your base pay?


4.  How do you provide feedback?  (Directly to MTs, to a supervisor, etc.)


My answers:


1.   Hourly ($19)


2.  12 reports/hour


3.  No.


4.  Directly to MTs.


 


monitoring staff
We need this done for a lady in our department. She works at home, goofs off, and starts late. She gets to stop working, and I get called in on my day off without on-call pay. From now on I'm not answering the phone!!!!
Can anyone suggest an office in MQ that is not run like this Amherst office. They are absolutely
pathetic. I wonder how many other MTs are in that office in the same situation.
Just DQS from my office was transferred and the rest are getting on DQS before the office closes.
:
Pay kids work around office, renovate office.
x
The rod should be a guide, a staff, not a weapon.

Please reaad the following if you think spanking is okay.


Spanking can cause a sensitive child grave psychological damage.  You probably won't even see it, and the child may never tell anyone or even recognize what it is.  Please, please, if you insist on spanking your child, at least give that child an outlet for the anger that follows.  When I child is forced to feel anger/shame directed at the person(s) they depend on above all others, and then to suppress that anger, it can cause significant, lifelong problems in his/her ability to have healthy relationships.


Another reason to reconsider spanking is the prevalence in today's society of spanking being related to sex - it's all over the place, and unless your kids watch no TV, no movies, read no magazines, and have no access to computers, they are eventually going to come across this.  It can be very confusing, very upsetting.


From:  http://www.stophitting.com/religion/faithMaterial.php


All of the biblical quotations advocating corporal punishment of children are taken from the book of Proverbs in the King James Version of the Bible. They were written by King Solomon, and presumably reflected his parenting beliefs with respect to his own son.


Proverbs 13:24
"He that spareth his rod hateth his son; but he that loveth him chasteneth him betimes (diligently)."


Proverbs 19:18
"Chasten thy son while there is hope, and let not thy soul spare for his crying."


Proverbs 22:15
"Foolishness is bound in the heart of a child; but the rod of correction shall drive it far from him."


Proverbs 23:13
"Withhold no correction from the child: for if thou beatest him with the rod, he shall not die."


Proverbs 23:14
"Thou shalt beat him with the rod, and shalt deliver his soul from hell (Shoel)."


Proverbs 29:15
"The rod and reproof give wisdom: but a child left to himself bringeth his mother to shame."


The Bible itself records the negative effect of Solomon's parenting style on his son, Rehoboam. He became a widely hated ruler after his father's death and had to leave to avoid assassination by his own people.


What would Jesus do?


If you take the Bible seriously, you have to notice Jesus' attitude toward children. It was wise, loving, and filled with compassion. Even when anxious adults wanted to shoo the children away, Jesus rebuked the adults. "Of such," he said, "is the kingdom of heaven." Given this attitude, it's hard to conceive of Jesus hitting a child on any occasion or for any reason. It's simply not consistent with what he taught. If Jesus wouldn't hit a child, why would we? SpankOut Day is dedicated to exploring alternate means of discipline. We believe that Jesus would approve. A simple slogan for Christians to consider might be this: the next time you are tempted to hit a child, ask yourself "What would Jesus do?" Then go and do likewise.
Reverend Dr. Thomas E. Sagendorf, Senior Pastor
Bexley United Methodist Church, Bexley, Ohio


Wisdom from the Talmud


Many people who strike their children do so not because they are evil or mean, but because they believe they are doing God's will. They often cite the phrase in Proverbs: "He who spares the rod hates his son." The problem is that pulling one line out of the Bible ignores the rest of the text. Much of the Book of Proverbs is filled with good counsel on how to be a better person. In Chapter 22 we are taught, "Train a child in the way he should behave, and even when he is old, he will not depart from it." Isn't it possible that the rod Proverbs refers to is to be used to point to lessons on the wall? When we fail to properly educate our children, we not only spoil them, we show them the opposite of love. We must use the rod to point out right from wrong, not to beat our children into submission the way slaves have been beaten throughout history. Even the Talmud says, "If you must strike a child, do so only with a shoelace." When taken in its entirety, Judaism can hardly sanction the use of violence against children. Even the famous sentence in Deuteronomy to stone to death the stubborn and rebellious son, was, according to the Talmud, never carried out. Instead, while discipline was and still is crucial for raising healthy children, striking a child need never occur. The mix of discipline and love is the recipe for a good future for our sons and daughters. The Talmud suggests: "A child should be pushed aside with the left hand, and drawn closer with the right hand."
Rabbi Larry Kaplan
Temple Israel, Wilkes-Barre, Pennsylvania


The Law or the Spirit?


In the book Spare the Child, Philip Greven suggests that our readiness as fathers to strike our sons explains why we men grow up so ready not only to tolerate but to perpetrate violence in our culture. A boy picks up his moral cues from Dad: "Dad hits me when he doesn't like what I have done. Therefore, men resolve differences by violence. If Dad did it, it's OK. I can hit people myself, especially when I think they've done wrong and therefore deserve it." Often a boy who has been spanked won't respond later to love, but only to more spanking. The Law, that is, has supplanted the Spirit within him. God's story of Israel says clearly that a son lost in the Law can be restored to appreciate and respond to a relationship with the Father only though crucifixion. In this case, that might mean the father's dying to his pride and asking the child's forgiveness, then begging Jesus to show him whatever brokenness in himself has led him to resort to the Law and how to become hospitable again to his Spirit's rule.
Reverend Gordon Dalbey, Santa Barbara, CA
Author of Fight Like a Man and leader in the Christian men's movement
Quoted with permission from Fight Like a Man


Also see:  http://www.nospank.net/toc.htm


 


No, I am not qualified as Chief of Staff
but I do my job well and I think that is what matters. I took the time to learn what I needed to learn (on-the-job training) and I am very much qualified to work as a medical transcriptionist.
Try Piedmont - they have inhouse staff nm
x
Cranky staff is not your imagination.
The attitude you describe seems to be prevalent. It is as if we were a necessary evil rather than support staff. I think personally it is due to the amount of time needed to keep the paperwork in order. Everyone hates paperwork (even if it is electronically) and we produce a ton of it.

Also, in my view, physicians and care providers absolutely hate to make errors given their jobs are so important and the likelihood of a lawsuit keeps them paying very high premiums. We MTs tend to be one of the few who can say that an error has been made. It can irritate some doctors though I have met a few who are very thankful for it.

In the 20 plus years I have been in the medical field, there has been a change due to pressure from insurance companies also, plus the change in patient complaints as the population ages. This may add to frustration as the bottom line is not only finding relief for the patient but making sure treatment is approved by insurances. This can only get worse from where I sit as cuts are coming with Medicare and Medicaid payments.


I type things like this a lot. Staff are always
calling in chaplains, pastors, etc., to comfort the patient and/or family. I don't understand why it is even questioned. Whatever the doctor dictates is transcribed (except major cussing, but even that is if the patient is being quoted). We are not here to determine what does or does not go into a report. We just transcribe it as dictated.
How about QA staff from previous jobs?
Do you know any other transcriptionists? Those are the only two I can think of for you. I have always been IC and have had individual doctors to give, also, if that applies to you. Good luck.
Go search bar and put in the word Staff
It will bring up a post(s) regarding the EMR system posted on Jan 12.

Put the word -- staff -- in the search bar. It should come up medical records staff being replaced by EMR
I sent it to 2 staff writers for the Associated Press plus...
Forbes Magazine, 60 Minutes, USA Today, Washington Post, NY Times, and a couple of others.  The Editor who e mailed me did not know I was an MT but that's okay - you investigate one offshored industry, you investigate them all.  I asked him to check into any credible sources he had.  You may have noticed in my letter it constantly said, "See what you can find out."
HAPPY 4TH OF JULY from all the staff at MTStars!

Happy Mothers Day from the staff at MTStars! May you have the best day!
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Happy MT Week from all the staff at MTStars!
Administrator
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Good idea about telling them to let the staff
I'm going to have to use that one! LOL Since most clients aren't wanting more work put on their staff, at least not in my experience, that will certainly be a showstopper for many of mine. :D Hee hee, thanks for that tip, JoV! ;)
Staff will be reduced and equipment not replaced
Care provider will attempt to maintain their income and will attempt this by reducing staff/overhead (that includes transcription by the way).

The medicare/medicaid patient should have copays that are reasonable.

Reasonable is the key word here. But there is a sense of urgency that is taking place due to the state of Social Security and the aging baby boomers who are beginning to retire, who will due to good medical care for a lifetime, perhaps live for 20 plus years on Medicare benefits.




My vet and his staff told me nothing makes their day more than goodies!
It may be old hat, but they said getting a basket of cookies or pastries really makes them feel appreciated. I know you wanted original ideas, but this is what my large vet practice has told me in the past. Good luck. :-)