Wow! VERY well written and said! My husband works for a local hospital and
Posted By: (sm) on 2005-08-25
In Reply to: Illegals - Oh, yeah they do-- all the time!
there is one patient who is an illegal that has been in the hospital there for 2 weeks and has racked up a bill that is now over $200,000. One of the other nurses on staff there called the police department and explained the situation and they are in the process of deporting the patient back to Mexico and admitted to a Mexican hospital. We can't cover the cost of every single person in the world. The US is just so big and sorry, but my family, all American citizens comes first. Does that make me a cold hearted person? I don't think so.
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local hospital
I work for a local hospital that have all transcriptionists at home except for radiology. I have been working from home with them for about 8 years now. We are hourly employees and clock in and out on computer. We also have an incentive program (which used to be good, but they changed transcription platforms and it's not that good anymore), but it's better than having to drive into the hospital every day. I love it!
local hospital
I worked for local hospital for 11 years, then they decided to go to ASR and the Q took over their account! Seems like most hospitals are finding it more cost-effective to send it to large company with ASR!
I had a local hospital do the same s/m
even after explaining to them what E&O really meant. Their previous transcription company had E&O, but that was because they had to have it for their copying services as well and the transcription just fell under it. I found that Farmers carries it, but it was around $1,500 for a year. They did have payment plans though too.
Best of luck!
So did I!!! I left a local hospital
because I thought I could make more money working for the nationals. Ugh, I threw away a good thing. I tried to go back, but they said I'd have to start all over at the bottom working night shift again. Not gonna happen. Well, chin up, things will get better.
I work for a local hospital,
not a company. I know to stay away from Transcend.
local hospital work
i moved from a large city to a small town and i'm thinking about doing what you did. try to go to work for the local hospital. would have to probably work a set schedule, but the town is small so it's not like i'd be driving a long distance and i could go home for lunch. i don't have benefits right now and that's scary, so i'm leaning that way.
at my local hospital, they always call the
I think that is pretty standard. Calling by the first name only would be rather confusing. Especially if it is a busy hospital with a waiting room that is always full, like our local hospital.
I have a "questionable behavior" story for you! I went to the walk-in clinic held at our local hospital b/c I was having pain in my pinky finger. The waiting room was packed, as always. I go in, see the doc, and he tells me to go back to the waiting room until they call my name again. After a few mins in the waiting room, he calls my name & I get up thinking he was going to bring me into a room to privately give me my diagnosis. NOPE! The dope says it to me, loudly - not at all in a whispering tone, in the middle of the waiting room for everyone to hear!! He said "I think it is some kind of fungal infection" His actions were not only humiliating, but wrong! It was not an infection, rather a blood clot that developed on my nerve that needed to be removed surgically! Now, that, I think qualifies for a HIPAA violation!!  (Yes I did file a complaint with the Patient Care Rep)
I also work for a local hospital which is
growing in volume of work minute by minute. We have 52 remote transcriptions and still we need to send out work to two venders.
Local Hospital Accounts
I actually work for a Hospital Transcription Dept. My advice is to ask for the supervisor of transcription or Director as they usually have one or the other.
I actually had a person(who I know was from an outsourcing company from overseas) called and aske me if we were doing any outsourcing. We told her we were not interested, but I actually do send some out to an outsourcing company already. Just wasn't going to do that.
Alot of hospitals around where I live usually are small and have in house transcriptionists. The only reason we have our outsourcing is for people on vacation and when some emergency comes up and we fall short.
Carla
local hospital accounts
do any of you IC people have any tips on what is the best approach on how to find out info on who does transcription for local hospitals? Thanks!
I worked at a local hospital
It had its good points and bad points. The good being it paid better and had better benefits than most outsourcing companies. We had a 4 tier incentive program. The lowest pay being 0.087 and the highest being 0.10 cpl. You had a choice of working in-house or at home and we were all paid the same either way. Also, if there was little work or no work you had the choice of using PTO or working in medical records at an hourly rate which gave us a little break from MT and a feel for something else.
The bad, if you were at home they would pull you in at any time just because. Also, at home we had a lot of problems with their computer locking up, getting kicked off the VPN, slow moving from one screen to the next etc. The tech support always blamed it on our ISP. Also, they always made sure you never moved up to the next pay tier. Only their favorite ones could do that. They made excuses of why you cannot move up even though the numbers were there. The one they used on me was that I took off a day during the last 6 weeks. They told another girl she walked around in the halls and talked too much to bump to the next level. However, if you did not get your line count they were all over moving you down. 
Look at your local hospital's websites
jobs open. The reason you don't see them advertised is a lot of hospitals outsource all their dictation. But some still have in-house (or at home) MTs.
When I worked at a local hospital
this happened. I just transcribed it like any other report. I would not even mention it to the family member. When you work for a small local hospital it is bound to happen.
Wanna tell that to the local hospital MTs whose....sm
...staff was just decreased because EHR came to town? They were told only a few would be staying now because even in the hospital most reports could be handled by EHR. I think you need to reserve your opinion till we really find out what O has in mind for this field.
My husband works as a
production supervisor for a fortune 500 steel company. He has always made at least twice what I make, sometimes 3x's what I make. Right now I am working almost 60 hours/wk, 35 in house and 25 at home, and he still easily makes 2x's what I make.
I worked at home for the local hospital here.
It was fine. They paid hourly and provided equipment. We had plenty of work and had to stick to a set schedule. They do use a service or two for overflow, but it is strictly overflow. The hospital still has employees working at home. They don't ALL outsource. (And ironically, some hospitals are taking back their transcription and hiring in-house and at-home MTs!)
I worked for a local hospital that used the same formula for our incentive pay.
x
I tested at a local hospital on the East Coast...
The pay was $14.82 per hour to start. They were paying medical unit secretaries $14.60. Also the job was per diem, needless to say I didn't take it.
The easy answer is to go to a local hospital and get experience.
The other answer is to ask anyone and everyone out there to give you a test, prove yourself, put your best foot forward.
Be very careful tough, because in your post you even used a wrong word "there" for "their" and I just wanted to bring this to your attention not to give you a kick but to caution you that you really need to "know your stuff" to get into this business. What you put out there tells about you, so make sure it's your best.
Just got an offer from a local hospital and wanted to run it passed you all before I say yes...
Employee status w/benefits
$13.50/hr with 0.05 cpl incentive fo anything above 1200 lpd and $2.00 shift differential (for 2nd shift which I will be working)
1000 lpd minimum productivity requirement
Work in the office first month for training and then home with hospital provided computer.
Dictaphone EXText Word Client transcription platform
Is this a decent offer? I've worked at the same place in the office forever and haven't actually been out there looking in several years. I tried working for a national part time at one time because I wanted to be working from home, but couldn't see how someone could make a living on 0.08 cpl without working yourself into an early grave, so I gave up the part time job and kept the full time in office job. Now I have a new boss who doesn't know her butt from a hole in the ground and I started looking around and came across this current job and before I jump ship, I want to make sure I'm getting a good deal.
The $13.50 seemed kind of low to me given my years of experience (13 years), but because I was at my other job for so long I maxed out pay wise.
How do I find out if a local hospital's transcription is done in-house or not?
Can someone please give me some advice? I am trying to find out if one of our local hospitals has in-house transcription or what company they use for their transcription. I called the MR Dept. and the lady acted like she did not want to tell me anything. She said some was done in-house but most of it was done electronically and would not elaborate as to what company they used. How can I go about finding out who does their transcription for them. I never see any actual job opening in the MR Dept. or for transcription for them, so I am assuming they outsource most to a transcription company.
Try calling your hospital or local medical providers.
I've been uninsured and in pain for about two years now requiring surgery. I've tried finding a job with insurance. I've tried working extra to save up the money to pay for the surgery. I just found out that the local hospital has a program in place for people who can't afford surgery or medical bills. Their income limit isn't really low either. If I had known this, I would have had the surgery two years ago instead of living with a ticking time bomb inside me and daily pain.
Try working inhouse at a local clinic or hospital.
That's what many MTs end up having to do to get their foot in the door & gain experience. IMO, that's the best way to start anyway since you have experienced people nearby to ask for help because those first few months can be very difficult. Good luck!
P.S. Agree with the other posters below that you need to specify you have your certificate in MT, not referring to yourself as a Certified MT which is a completely different thing and can only be obtained after a few years of experience & testing with AHDI. However, that brings up another topic... many MTs choose not to become certified now that AHDI has sold us out & encourages offshoring of our work. I've been doing this nearly 20 years and only once have ever been asked if I had my CMT, so it's pretty much irrelevant anyway. As long as you have experience & test well, that's what they care about.
Mammograms are going to PenRad in the local hospital's Radiology dept.
dd
Local hospital and state sponsored class. (see message)
This was way back in 1980-81 (age 19) in a pretty small town. Our local hospital in cooperation with state funding had 3 different programs: Medical Secretary (note--not transcriptionist) which was an 8-month program, as well as Respiratory Therapist and LPN, which were both 2 years if I recall correctly.
The cost was about $300 (my parents paid) and included ALL materials (books, paper and pencils) for classes 8 hours per day, M-F, from Sept thru May. The classes consisted of anatomy/physiology, medical terminology, typing and transcribing, English, accounting, and general office practices, all, in 1 room with about 10-12 students in the entire program.
The last month was spent doing 1 week of practicum for 4 weeks. We could pick just about any situation we wanted and as long as there was approval by those "offices," it was all right. I did 1 week in that hospital's pathology dept (transcribing, charting, answering phones--almost got to see an autopsy but was a burn victim, so couldn't); 1 week in another town's hospital MR dept (spending a day or so in each subsection--MT, coding, filing, etc); 1 week our local area's cancer treatment center (again, in each MR subsection), and the final week at our area's tumor registry. I felt sorry for the 2 girls in the latter; they had ARTs (don't even know if that still exists as a 2-year associate's degree for "accredited records technician"), and all they did was file cards all day long.
After that, we graduated with a "Certified Medical Secretary" certificate and pin. I've been an MT ever since, working inhouse (both hospitals and service office for 10 years) and now at home for the past 17 years.
Keep applying at jobs is my opinion. Find out where your local hospital transcription is done
dd
I'm a hospital employee, working local at home, so I get a raise every year.
x
Any chance of taking a tiny ad out on local hospital websites, if not too expensive? Perhaps Drs wo
xxx
If you want to work at a local hospital or doctor's office, go to community college. Otherwise
if you want to work from home, for a national company, you need to take the course from either Andrews School or M-TEC. It does you no good to save money by taking the Penn Foster course, because most companies will NOT hire grads from that school, it is a poor course and does NOT prepare you sufficiently for MT work.
the service that works on our hospital account definitely pads
Many of us inhouse have tried to point it out to the supervisors, i.e. tons of spaces after a header, three or four spaces after a period, using spaces instead of tab button, for god sakes, spelling out milligrams and computerized axial tomography and every single abbreviated term that you can imagine and stuff like that. they even make their blanks verrrrryyyyy long!
Thank goodness the contract with them is going to be coming to an end by March. It just burns us that we get monitored for it, and the outside service does not. They also do not get penalized for mistakes either.
i am an inhouse hospital transcriptionist who works at home
I am an in house hospital transcription who works at home. I get 19.00 an hour plus incentive pay which is 7 cents a line after 1,000 lines. and 7.5 cents after 1,500 lines.
Depends on what kind of hospital? Large urban hospital or small community hospital? SM
Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.
I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis. But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl.
Buy local. The local stores pay taxes to support your city and state. (SM)
Using online and catalogues does nothing to promote the local economy. We complain about outsourcing and about the big companies gobbling up all the work so the jobs at local hospitals are gone, yet we do the same thing when we buy on ebay, catalog, and these web sites that may be located any place in the world as their primary business location.
DH is dear husband or any number of colorful adjectives preceding husband. (no message)
;)
I went local. Great local tech support, they know what I do and were able to set it up just for me
:)
I totally understand but if your husband is like my husband... sm
When it comes to something like that, that I usually take care of but for whatever reason I can't, I will tell my husband exactly what to do, but when he comes back - to use your case as a "for instance" - I will ask him, "Did the doctor look at his foot?"
Him: "No."
Me: "Did you ask the doctor to look at his foot?"
Him: "No."
Me: "I told you to have the doctor look at his foot!"
Him: (shrug)
etc., etc., etc.
Your husband may not be like that - I sure hope he isn't. And yes, they should have checked his vitals and checked his foot without being asked. But sometimes you have to be assertive with people. And while my husband attained the rank of major in the Air Force and had no trouble ordering people around, there are times when he should be assertive but isn't. And he is not intimidated by doctors - he started his AF career as an x-ray tech (that's how we met). I dunno....(Rad MT wanders off, mumbling....)
Full Word is in the Works "Suite," not plain Works.
Works saves files in a different format, but you can open them in Word if you have the correct filter installed.
RIGHT!!! Someone who works 16 hours and someone who works 60 will have a HUGE difference. NM
.
If it's written
everyday, it's probably written by you. It's really amazing how some people on this board are so __________. I put a blank because I really don't know what to call it. Why is a reply a 'comeback'? So childish. If you want to argue with someone, get off the computer and go find your husband. I don't lead that type of lifestyle. I hope you have a good evening.
here are some I had written down
When state = Wednesday
Doctor was talking to a group in the background and said, in a thick Alabama accent, "y'all are leaning on me hard." This translated into "innominate Howard."
Able to answer simple questions = Able to staff with pulpitis instance.
Lungs clear without wheezes or rales -
Lungs clear without wheezes or Ralph. Don't know who Ralph is, but don't want him in my lungs..lol
I believe it is written 1:160, 1:80 to 1:320
nm
OMG!! I could have written this!
I've even returned to school and am taking Psych too!
I left the MT profession awhile back and am working among people again, and I'm with you. People in general are rude, insensitive and just plain mean. If they sense that you're not the type of person to pick on people, to fight back with them when they give you a hassle just for the sake of being a jerk, or if you're just plain old not interested in the high schoolesque gossiping, backstabbing and meanness, they see you as weak and come at you even more.
I was ready to quit today and missed being at home by myself with no one to mess with me just for the sake of their own amusement.
Geez, isn't it awful? And yes, that is why I started working at home in the first place. In the early 1990's I worked in-house and had a boss who was a mean, arrogant, control freak bully whose reason for living was to make my life hell for no apparent reason.
You're a nice person, I can tell, but I have no clue why people see people like us as targets for their wrath.
Sick.
as written
You've been told 3 times to do it their way. If you cannot follow their wishes, then you do need to get out. I think you're lucky that they told you 3 times - most places would have given you the boot the one time you questioned what the doctor wanted.
why it is written this way
HIPAA is U.S. and we have no authority in other countries. I was reading about advice to docs who choose to offshore...they are told to do the business-associate agreement (between a covered and noncovered entity) expressing that financial responsibility will fall on the offshore agent(cy) for any violations, but this article also goes on to say that basically, there isn't much one can do to get the money or do anything about any of those violations. Pretty much, the way i read this is that the responsibility is going to fall to the US-based organization because that is who HIPAA and/or the JCAHO actually have authority over.
Wow, I could have written that. nm
xx
I could have written this
My MIL is the exact way you described in your message. She finally did end up in the hospital in the spring with a pyelonephritis, played the poor-pitiful-me routine for a while...ugh! She's diabetic, but eats sweets like crazy (though tries to deny it), will NOT exercise, and smokes like a chimney. I have no sympathy for someone like that whatsoever...We have distanced ourselves from her destructive behavior. It's not worth it when we know she's not listening to us or her doctor! 
This could have been written by me...
It sounds exactly like my experiences since transcribing at home. The best spaces for me were in closets. It's perfect.
1. Eveything is easily within reach.
2. You can close it up when you are not working.
3. No distractions and I want to get in there and get it done and get out.
4. Doesn't take up a other needed space.
I could have written this! .. SM
 It sounds like my company, and I can just about guess which one you're with. My account, also, must have literally hundreds of dictators, most are great... but these last 2 days all ESL crap. The Leads (MTs who assign the work) have to get their lines in, too, and no doubt they're not keeping the ESLs for themselves. I got p - - - d off plenty, too, the same way you did... but needed to make lines before the end of the weekend, but wasn't goint to do it pulling my hair out. I did the same, typed a few, went to bed.
I couldn't have written it better myself...
Those are exactly my thoughts. Didn't work for Spheris or Medquist, but did work for Heartland before MDI. I am so happy I came to MDI. I am sure they are not perfect, but I think they are better than a lot out there.
I could have written your post! I am the same way you are/were in that
I've been with MQ over 6 years as an IC. I have looked around other companies, interviewed, and my mind keeps telling me just to stay put and give it a try, so I will hire on at 10 hours or so a week and just "get it over with" and see how it goes for 3 months or so. Can't hurt.
Of course, I have to stay in the same office with the same accounts for me to do that. Can't really be all that bad if you consider your line rate staying the same - is yours?
I am out of one of the CA offices and just love it there!
So, I'm gonna do it and be filling my paperwork out shortly. Good luck to you.
I also am going to try for the 401 K since I've worked for so long as an IC and have absolutely no investments whatsoever.
I honestly could have written that....sm
back when I was in high school in the late 70s! The first high school I went to was just like that.... there was a large snob/bully society (the snobs were basically verbal bullies because they'd put down people that weren't in the "clique", and I had some idiot teachers. My algebra 2 teacher was so stupid that she would write a problem out on the board, stop, look at it and say "oh that's not right" and then erase it, doing this 2-3 times per problem,... then wondered why no one had a clue what to do on tests.
I was grateful when we moved to another town and the high school in the next town was much smaller. The teachers cared about the students and teaching, and the students generally cared about each other. There weren't snobs there because the area was economically depressed and no one had a lot of anything. I was able to participate in a program with a local college where during my senior year I went to high school 1/2 day and college 1/2 day, so the 10 of us that did this (out of a graduating class of 99) graduated from high school with 30 hours of college credits completed. We were also able to do this because the local college gave us discounts to participate in this program.
When I've asked on classmates.com about some of the snob/ bullies from the 1st high school not a single one of them has had a great life. One of the ones that was in the "it" girl group has been divorced 4 times now and is a heavy partier, and I've been told that she looks like crap from the years of partying. One of the guys who was the most "it" for the males died from AIDS which he ended up getting after he moved to New York to get into acting, turned to a life of male prostitution and picked it up there. The successful people are those who hung around with people like I did. Out of the group I hung around with 1 is a pediatrician, another a dentist, another is an architect, another is a software engineer and every one of us has stayed in contact throughout the years and get together occasionally.
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