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Serving Over 20,000 US Medical Transcriptionists

Yeah, but medical personnel who actually work directly with

Posted By: too funny on 2005-12-03
In Reply to: I have a hospital funny for ya (sm) - Oh my

patients are a bit "different" like that. They think nothing of taking a look or having a touch here and there. And the morbid senses of humor many of them have. My friends from high school are both RNs now, but they're like that.


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Health information personnel, medical records, clerical..sigh...nm
s
Speaking of offshoring MT work, who does not directly send work offshore?
Just curious.  Has anyone got a list of companies who do not send work offshore?  Precyse?  MQ?  Spheris? 
I work directly for a hospital in the NE,
the list is provided to me by the hospital.
I work for doctors directly, no QA, so I always proof.
.
to clarify, I work directly for the hospital
n/m
Nah, I work directly for a a hospital in Missouri.
x
That is okay. Yes I do work for a service. The doctor uploads directly to me and he is pretty reg
Thanks for your input.
Yeah, yeah, that should be "your work..."

It can also mean that the QA personnel
has more resources available, i.e., old reports and the like, that the MT does not. Not every company makes old reports on a patient available or old dictations by the dictator available to the MT.
Yeah.. I work TOO much. I know I could work less if I could just sit there and focus..

I know how you mean in NH.. and we'll leave it at that.. You mean you actually take vacation when your on vacation LOL..I also am going on vacation in July (Disneyland..yippee) but will be taking along the computer to work while I am on vacation..pretty sad.. but I cant afford just to not work. For me, I just need to refocus. When I do focus, I average $30 an hour, I just find it's hard to sit there 8 hours, but it's worse when I realized I could be done in 8 for what I drag out to 12..It's my goal...to work my 8 hours and stop for the day.


This is a plan to cut QA personnel and cut pay for MTs
Even if you tried, you cannot learn ESLs when they come from different specialities and different languages in a big hospital.  I am a production typist paid 8 cpl and to take the time to "learn" ESL designates a CUT IN PAY for me.   So you may THINK you are making more money but if you factor in listening and listening and listening over and over, making sure you have commas where there should be commas, agonizing over sentence structure, what to type vs whether to cut a run on sentence, that is nothing but a plot to make us THINK we are getting a raise but we are taking a cut on hourly wage.
Non-essential personnel.
You're right about QA. I've been saying this for years. I worked at one of the top hospitals in the country and there was almost no QA or editing after training. You leave a blank and the dictator fills it in and makes other corrections as necessary before signing it. You look it up on the system the next day to find out what it was.

"More suits" are typically found at the national "corporations." So is the high overhead of maintaining a corporate headquarters with lots of padded chairs and air conditioners. I prefer an MTSO working out of their basement but the corporate profiteers devoured most of them or drove them out.

If you are making more and working fewer hours I'd say you are clearly the rare exception to the rule these days. I'm currently making about half what I did a year ago with a smaller company and it's not a bad line rate compared to what most others are advertising.

Between the miserable QA personnel and

physicians who misspell medications, I'm fed up.  Not only are we supposed to check the spelling of a medication, even if the physician spells it, but also, if he or she dicates a letter to a patient, we are supposed to confirmt the patient's address; street as well as zip code.  This is an absolute waste of my time, as the patient's addresses are not listed in any part of the demographics, but on the patient's CHART, from which the physician is looking at while dictating!   I get even more inflamed when I receive an email from QA that ALWAYS include an explanation mark (!) in the opening sentence.  I mean, who in the heck do these people think they are?   I find them rude, demeaning, not to mention totally unprofessional when they care corresponding.  Talk about forgetting one's roots, and how it was for them when they started.  The tone of their emails speaks volumes that they are miserable doing their job, but get their jollies off by writing to you like you were a little kid.  So if you love pulling rank and demeaning people all day, join the QA Department and be miserable like the rest ofl them.    


I am slamming the attitude of QA personnel who obviously
hate their job as it is and obviously have verylittle respect for the people they do need to deal with. Your attitude alone is enough to make me not like you and I don't have to deal with you. Thank Gawd!
That's Civilian Personnel Office (CPO)...Sorry.. NM
x
Yeah! Who do you work for!?!?! :)
x
The surgery center personnel are just as guilty, IMO. sm
Doctors are not untouchable. Any nurse or tech or secretary who has direct knowledge of a doctor using illegal substances and going into surgery is contributing to the problem.
it all started with the VR software marketing personnel. SM
This craze started about 10 years ago and kicked into full force within the past five years or less. Someone selling the software convinced the physician practices, hospital personnel that they could save a fortune on their transcription costs. Little did they know it takes a Transcriptionist to pretty much retype the report produced by VR, and then sometimes QA/editor to check it. Now that's what I call a savings people. Now the VR systems are being utilized by our ILPs, who try to correct the errors in VR when they do not have a firm grasp on the English language...We're talking double disaster here. Let the doctors and hospital administrators think they are saving bundles on their transcription costs. How very sad and ignorant on their part.
Does anyone work as medical coder who
can answer a few questions?  1) Has anyone transitioned from MT to coder and, if so, how does it compare salary-wise? 2)  Can it be done at home as MT can?  3) How long to train and ease of securing job as newbie?  There seems to be a big demand these days in comparison with MT jobs.  After 15+ years as an MT, I'm wondering if that would be a better way to go??   Would appreciate any info!
Yeah, and if you work for a hospital and say
x
Yeah, I'd prefer US work for sure, just not sure if its possible. NM

Yeah, work for $5/ hr and keep your mouth
?
Yeah, but does your company allow you to come in and work whenever you want?
I would love to work for a company that offers employee status, offers benefits, and will allow me to work whenever I please, just coming and going whenever suits me. The only companies I know that hire employees require a set schedule and require you to be at your desk working during your shift. This is why I am still an IC without benefits. I cannot commit to the same schedule every day.
Medical Malpractice lawyer work

I've read here before about some MTs who work for RNs transcribing their notes for medical malpractice lawyers, particularly in So Cal.  If anyone out there can give me more info such as need, what to charge, how to find, etc, I would be so grateful---I'm an MT/editor/quality auditor with 10 years' experience needing to make more money out of my skills.


Thanks!


Does Shorthand work with Medical Spellcheckers?

Just getting to know the Expander program "Shorthand", and saw that it says to shut off all spell-checkers.  Does that mean that I cannot run Spellex or another Medical Spell Check program with it?  Has anyone any suggestions as to what they use?   Or any "work-arounds" 


I am just getting started and trying to decide if I like "As-U-Type" or "Shorthand" better as my word expander.  It seems that "Shorthand" does not act like a spell-checker like "As-u-Type" does, so need to add one.....preferrably a medical one.


 


If it is a medical office, they should have one as we all sign one when we work there -- nm
...
Sounds like a wartime military POW personnel training manual..nm

yeah, I keep firing myself but I keep showing up for work the next day.
:P
I currently work for Accustat LLC but got an offer from Cort Medical
Does anyone know or have any information about Cort Medical?
ALL of the clinics I work on use SS #s as medical record numbers, and many of them cc to the
patient at their home address, which is conveniently typed at the bottom of the report.  Seems pretty straight-forward to us, then why can't the govt figure this out and put a stop to it?
Yeah a 30 minute test---work for free, he gets enough to test, his work is done - nm
x
I seriously doubt that type of work is as complex as medical reports.
nm
Yes, it's Independent Medical which are normally work comp related and Looooooong...
but very interesting.
Yeah, could you imagine if we made a work at home commercial
that was truthful?  Instead of the serenely peaceful scene with the children playing quietly at your feet while you made $50,000 a year, there would be toys flying everywhere, kids jumping on the furniture, the dog yacking on the carpet, neighbors banging on the door, the phone ringing off the hook, laundy piled up to the ceiling, and a husband whining about something or another. 
I would buy new a Dorland's Medical Dictionary, Stedmans Medical and Surgical Equipment...SM

and Tessier's The Surgical Word Book, 3rd edition.  Books you could buy used I would say would be Stedman's Pathology and Lab Medicine and Cardiology/Pulmonary word book.  These are all the books I use the most during my day.  You could buy other speciality word books as you need them and could probably go used with those.


I wouldn't bother with buying a drug book, new editions come out every year and I just stick to the FDA website and RXList as my drug references.


Also FYI, not a book, but I use my Stedman's Electronic Medical Dictationary a lot.  It's easier to open the program than it is to pick up a huge 30-pound dictionary.


Yes DIRECTLY FROM THE ......nm

What I would tell you directly sm
I know you want a better job and for whatever reason, it just has not happened...YET.

Anything worth having is worth waiting for. Up to a point, the longer you wait the better it will be. Though, after a while it seems useless, it really isn't.

I had a wonderful job up until summer of 2007. Like a fool, I had $$ in my eyes and I took a job at 10 cpl. It was hard work and the line counts weren't great, but then they started to regularly run out of work. That was year ago this month. I started actively looking for work and I had offers, but I didn't take them because the grass is usually greener over the septic tank, rather than on the other side of the fence. I have been burned and didn't want to be so again. I sent out one last resume just before Christmas, but didn't think anything would come of it. I was wrong. My gift for Christmas turned out to be my dream job, so I quit the one I had.

In June, the one I quit in December begged me to come back and I accepted, because as a PT job, it would be perfect, and it has been. The boss I disliked is gone and a great gal is in her place. There is also a great deal of work.

I have the same time in you do, 15 years. I have waited much of that time for a full time job and a part time job to come together in a way that meshes as perfectly as these two do. All good and wonderful things come to those who wait.

I am wishing YOU all good things and soon. There is a company out there wishing for a hard worker, looking for their needle in a haystack and that needle is YOU. Best wishes and good luck!
Medical Transcription In The Era Of Electronic Medical Records
EMR has revolutionized the healthcare industry in recent times. Many experts felt that EMR & Voice Recognition would totally replace Medical Transcription - however; the industry soon realized that transcription has certain advantages over point & click charting and many physicians preferred to dictate notes rather than document the data at the point of care themselves.
I was not meaning you directly at all
guess I was just trying to get across the point that in other parts of the states southerns are protrayed as such. I am white, my husband is black and my mixed daughter was an English major in college here in the south and an accountant now, She, along with me, shutter when we hear ebonics. Like where you live and where I live outsiders would probably not believe with all the diversity, huh?
Jan -- I type directly into the EMR
Your doctor can still dictate but you will type directly into the EMR but you need to do it in house unless they allow you access from home -- which they might.  But it is hard to charge per line as there will be some "normals" that they put in.  So I do it hourly at the clinic.  Have done this twice now for clinics.  The first one, only one doc did the dictation, then another started and pretty soon all five were doing it and I had to quit as they needed someone full-time and I have my other own accounts.  I did it just to help them out at first and get out of the house.  But they did not like the hours they spent after seeing the patient doing the charting.  So one never knows.   Good luck but don't burn your bridges.   Charge them reasonably but not out of anger.  
Please see the post directly above yours.
While you are right that SSDI is different than SS, you forget that there are hundreds of children out there who have lost one or both parents and receive SS until age 18. They are certainly not retired so you're argument that it is SUPPOSED to be an account that helps people after they retired is inaccurate. It is, as originally stated, a program that was meant to help people who fell on hard times (not retirement).

As far as judging someone else, I'm just stating facts.

Like many other hardworking people on this board, I am not especially fond of watching my tax money be spent in a wasteful manner (I am not calling SS wasteful), and I certainly do not appreciate the people out there who are looking for ways around the system.

I could go on in this vein for a while but I've got to get back to my work. :)
Wow, this must be directly for a facility. Sm msg

Very hard to imagine an MTSO paying that type of money, although it is well worth every penny!  Good luck!  Grab it quick!


Even though IC directly for the hospital,
it sounds like you do not handle all of their transcription needs (in other words, providing the staffing, with the hospital being your account). For MTSOs who do have hospital accounts, I have seen the rates varying between about 18 cpl and 25 cpl (I imagine this is dependent on several factors, such as how the lines are counted, volume of dictation, and geographical location, among other things). For clinic accounts it also varies, but usually at a lower rate, about 12 cpl to 18 cpl, again depending on several factors.
i purchased it directly at stedmans.com (nm)
//
working directly for rad office

If you took a position working from home directly for a small doctors' office (5 docs) with no ESL and you supplied your own computer and internet, what is the lowest line rate you would accept?   There is a good chance they may provide benefits too, including medical insurance.  This would be for radiology only with mammos, x-rays, CTs, diagnostics, ultrasounds and no MRIs. 


Thanks in advance for comments. 


 


Hi, Paul. Appreciate hearing from you/him directly.) SM
Anon, I also love this product; Paul and Ben did a great thing producing it and I'm grateful. I can't say why I like the platform so much except that it pretty much doesn't make me think about it. The work's in the reports, not fussing with the system. With one big exception as far as I'm concerned--it really needs a wild card or at least a better search feature for practitioner's names. That's often a major time waster.

I also like it so much because I find I'm faster on VR. It turns out I have a knack for editing, while I'm just a mediocre typist; others are obviously discovering the opposite. I certainly don't feel the disconnect from the dictator's meaning described by another editor. I confess, although many "hearing-it-wrong" mistakes are made by eScription (enough to make me needed), I've come to have a very healthy respect for its ear and listen very very carefully before overriding its reading.

That said, I'm unfortunately soon moving on to another, untried platform. My old account was offshored, like other eScription accounts with my employer before. I've heard the profit margin with eScription is just too low to compete with local editors. Sad reality???
I have my headphones plugged directly into
xxxx
I plug my headset directly...

...into the computer in the jack that you plug speakers into.


You might need to bypass the USB hub and plug directly in. sm
I have had this problem with other USB devices.  I just switch around until I find one that will work in hub.  I don't use EMDAT so don't know if that's the problem.  Maybe someone else can shed some light on this. 
Is the post you replied to directly above this one?
If not, the one you replied to may have been deleted. They can't control that. They delete one part and everything in response to it automatically goes with it. They can't leave responses hanging there when the one it was tacked onto was deleted.
That cpl is for contractors working directly with doc.
I made 14 cpl (65 char including spaces) when I had my own account.