Your transcribed report would be your testimony, if anybody, for whatever SM

• Court? - doxielady
  • legal proceedings sm - niteowl
  • Your transcribed report would be your testimony, if anybody, for whatever SM - Blu
  • why would YOU get called into court? - sm
    • I was deposed regarding a liability case - diddles
    • I did - sgh

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The OP states the account goes through transcriptionists.  I wonder why?  The OP states later on in the thread they go through transcriptionists. 

I'm trying to protect Lisa from getting abused from the get-go.  All she has to say is "my charge is" and go from there. 

Too bad if they were already transcribed.  Does that mean Lisa should take the loss?  NO.  Absolutely not. 

Again, read above where the OP states "they can't seem to keep a transcriptionist." 

To the OP:  Charge them!  You won't regret it.  If you are an IC, you have every right to charge them. 

Plus, look at rockinMT's post.  She bent over backwards for an account and what happened?  It turns out she was spending more time than it was worth. 

These are all my opinions, and I am trying to give my opinion on what the OP should do in regards to reports that she transcribed and should, yes, be paid for since she was not aware ahead of time and especially because it is a new account. 

What do I know?  Ya know?  I mean really?  Just looking out for the best interest of the OP, but hey, that's just me. 

what the doctor dictates.  We can't be expected to have to catch their mistakes - they're supposed to catch their own.  That's why they're being paid the big bucks and we're note.  Years back, we weren't expected to know all this stuff -- the meaning of every word we transcribed, the normal/abnormal lab values, what a particular drug is used for, and I could go on and on, and we were paid better, appreciated more & respected more.

I do agree that we must know how to spell medical words and words of English usage.  That's what they get for their 7-8-8.5 cents per line.  I do NOT believe that we should have to look up doctor's names, on our time, when the dictator has it right in front of him/her and would take him/her only 2-3 seconds to spell it, thus also avoiding any confusion.  But I guess that would be too easy.

I didn't always feel this way.  Years back, when I was treated as a professional and compensated accordingly, I performed as such.  If I want to flag a doc's mistake, I do it for the PATIENT'S sake (but for the grace of God it could be me or a loved one lying in that hospital bed) - and as a courtesy to the doctor.  But they really expect too much for too little.

I work on the same account every day, same dictators, lots of templated reports I did myself and put them into auto correct.  I get up early, start at 7 am and today I was done by 10 am.  Cleaning the house now.  Also, the line pay is slightly higher than most, so 1500 lines is fine for me today. 

On harder days when the account is really behind,  I get up and vacuum the house after 3 hours of transcribing then come back for 1 hour.  If things are caught up, I stop for the day.  If not, I will go back in the evening. 

I can't sit for 6-8 hours straight.  Making $160 bucks in 3 hours is good for me and enough.   Tomorrow is another day!

Use templates and short cuts - that will help!  I have whole reports in my auto correct, but you have to listen through and change and correct things as each patient is a different case. 

I do have to tell you, I do not get this many lines every day in such short a time.  It just happened that today was a good day.

Hope this helps.

p

had better get that sucker typed before it gets out of ONE MINUTE TAT.

correct."   This is where the problem is.  Do you know that some of the most stubborn, difficult, argumentative, inflexible MTs I have ever met in the course of my career are the ones who parrot that particular sentence?

What was done or has been done for 30 years is not necessarily the correct way now.  Language has changed.  With the advent of VR, the way we transcribe is now more of a verbatim way than ever.

These 30-year MTs are still adding 's on to Down syndrome, still typing out the word "centimeter" even though it is no longer accepted as anything but line-padding....get my drift?

part of your training?  If you can't put down on your resume that your home study included multiple tapes in many specialties, etc. you are going to be hard pressed to find a good job. 

On the other hand, you might be able to type some orthopedics or pt notes (and then at least have some experience to put on your resume.)  Orthopedic doctors have TONS of dictation.  Besides their clinic notes, etc, most of them do IME (independent medical evaluations) which are fairly easy to do.  You'll need some good ortho books to get you started, but most will let you start without the experience if you can demonstrate you know the terminology.  Good luck.  Get some experience and the doors will start opening REALLY fast for you.  Sometimes, taking a low paying job is okay in the beginning just to get the experience.  If you can possibly get in a PCP's office to help out with clinic notes (even offering to to backlog/vacation stuff, you will get good experience and your resume will look great for the future stuff that comes up.  Good Luck to You.  Hang in there and learn everything you can.

I was told once that the ratio of dictated to transcribed minutes was approximately 1:4 for an average MT for average dictation.  So, if you've been given 300 minutes of dictation it might take you 1200 minutes to finish it, divided by 60 minutes equals about 20 hours.  Obviously this is just an estimate and could very depending on a lot of factors, but this might give you some idea.

Another conversion I've heard is that one 65-character line equals 6 seconds of audio and so 1 minute of audio equals 10 lines.  So, if you are charging by 65-character line, you may be looking at 3000 lines or so, which when using the above formula would have you typing at about 150 lines per hour for 20 hours, giving you about 3000 lines.

Sounds like this is very doable, typing for 7-8 hours per day if you have until the end of Wednesday.  If it has to be back by Wednesday morning, you will have to work 10+ hours per day on it today and tomorrow.

;)

Christine

Hate to burst your bubble - we're important, but not that important.

I take great pride in doing great work and doing a bunch of it.

a live alligator swimming around the flood waters there in one area. The newscaster kept saying it was live and nobody would come out and was avoiding that area until it disappeared. It's probably waiting somewhere quietly for its next dinner to walk by.

Two of my accounts are in New Orleans and I have typed hundreds of patients with abscesses that tested positive for MRSA over the last few months. The way the city is now cannot be helping this at all. A few of the docs I do are automatically  treating for MRSA now w/o getting the culture report just because they've seen so many cases.

That would be real news there.

No, the woman bought a LOUIS VUITTON with the money she got

(debit card).

Hi, all:  I've been getting my own small clients here and there, and I've had a request for a proposal to radiology reports for a small radiology group.  Their current vendor is charging them by report, not line.  Anyone have any idea what to charge by report?  I've done some calculating with regard to average lines per report, and I'm thinking of offering to do it for $3 per report.  Any idea if this is too high or too low???  Any input is appreciated........

Working as an IC you should be charging $2 per report, that is what I charge my clients.  Good Luck!!!

I work at home for a service, but not as an IC.  I found work changed by having a temporary copy on file - then the QA changes/corrections - and then relistened and found changes made that affected the whole report, different medications, different procedures and PMH, etc.  Information that will probably one day go on to another physician that is incorrect and that I did not transcribe, but with my initials on the report.  Of course, I realize that once the physician signs it that the liability is on him, but it's just inconceivable that someone would do this.  I saw this happen one other time when I worked in house and one Transcriptionist didn't like another one and this was done in order to try and get the disliked employee fired.  However, it did not involve my work then.  I keep thinking that MTs all think ethically and with a legal obligation to the patient, but I know in reality that to some it is just a job.  I am tetering on talking to the company and/or the account manager, especially since I have everything in black and white - the first report - the QA corrections - the changes to the report after it came back to me, etc.  I'm just looking for some guidance on how to handle the situation. 

I had one MD last week that had this dinging sound throughout his report......I hit no key accidentally or held a key down.  This was on the dictator's side, this dinging noise.....

24 QA markers.  The darn thing looked liked Swiss cheese.  And it wasn't even an ESL.  He was an American who could speak perfectly good English if he chose to.  Instead, he slurrs entire sentences, sometimes 2 or 3 together in the same breath.  I cringe every time this guy comes up on my screen and even having old reports to look at in my feedback screen doesn't help. 

Okay, I'm done.  Have a good evening.  I'm changing into my flannel jammies and watching a movie.