can you ask for another account to work on? SM
Posted By: trying to help on 2005-07-16
In Reply to: I was thinking about this situation with companies that hire people and then there is no work. When - Disgruntled MT
that's what i did. it was too much fretting over whether there was work.
companies won't wake up and stop doing anything. you will have to do it for yourself unfortunately.
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
Same thing with nationals. You work all the time to keep the account caught up when others dont work
and then when they decide to put a whole lot of extra people on your accounts and run you out they could care less about how much you worked.
steady work...gearing up to start new account....but there was no work on Tues as it was a holiday
Be patient with your eyes open....
You might not work on the account, but YES
x
I can work all I want. I don't have to account
for my hours.
I work on an account that still has tapes and ...sm
it is a very profitable account. The line count is twice as good as several of the accounts I have that are digital. To each their own, but there are many doctors out there who do not want to go digital and you will find when they do you might just lose them to VR, as I lost a very good account to that because they figured out how to do it themselves. If the account pays on time, the doctors are easy to understand, and they pay you a good line rate then go for it, tapes or digital.
Well, I work for a national, but my account
is a big hospital, doing acute work. It was a heck of a way to learn starting off, but I know it will benefit me in the long run, just one of those days!
Closing in on my 2 years now, I thought about maybe applying at a hospital inhouse here that hires starting out at $20, but once you add all the expenses (not counting any deductions), you come out to about the same. It's just not worth it. It would probably be less stress considering I would work set hours instead of all the crazy ones I have been doing, but then you have to add in at least 2 hours of drive time to that each day. It evens all out I suppose.
The company I work for has one account
that does not want IV at all. They have programmed their VR software to expand out IV, much to the consternation of cardiologists when they dictate IV conduction time and the MT doesn't catch it.
Is it possible some of the account work is going overseas. MQ does offshore you know.
:
I agree, it depends on who you work for BUT also the account
and how long it has been on VR. If it has been on VR for a few years, piece of cake. If it is just starting out on VR - tedious work, low pay as it takes longer to edit than to just transcribe it.
I have been doing VR editing for 4 years now with an account that has been on it that long also...can make up to $50 an hour, and some times as low as $30 an hour when we add new dictators.
Hope this helps.
Or why not hire an IC to work on the account under you? You found it
and it is your reputation and bidding that sealed the account, why not ask IC's to BID on it. You might find somebody who loves derm work and wants the money. Even if you only make 1-2 cpl over your IC it adds up.
I work on an account that just came back from India sm
They had an outsourcing company that sent their stuff to India. They were so unhappy, they brought the account back to be done by AMERICAN MTS.
But the poster below me is right, the government IS doing something, they are making it easier and more financially rewarding to go overseas. One day and sooner than later, the American worker will be so poor and so economically depressed that America will no longer be able to import goods/services from overseas because we can't afford them. By that point, we'll be gardening in our window boxes and stockpiling foods that we will no longer be able to have or afford.
The tip of the slippery slope towards another Great Depression.
Sounds like an account I work on locally
can ya try to focus on ONE thing. I know I would NEVER go to this doctor. He's not sure if he did a colonoscopy or an endoscopy??? Scary.
Anyone work for Sacred Heart or PeaceHealth as an account
Any advice on these I might need to know before I start?
I work in Meditech for a radiology account and have no lag time. sm
There are a few things to try that might help. The first is to try to go through an NT connection if possible through their Citrix. Another is: Disable your virus protection, log in and re-enable the virus protection. I have found this solved my problem.
I am also answering your cut and paste question from your other post: It is HIPPA as the possibility of putting the wrong report on the wrong patient exists. However, I would go above or beyond your company's IS dept (they tend to be the most paranoid) and go to a production person such a Lead or Coordinator or even MTSO. If they are MTs, they tend to be more sympathetic and will often allow cut and paste when IS will not. If you are the only person experiencing this, IS is not going to be too diligent in helping. Worst case scenario? Ask for another account. Sometimes it is an account-specific, computer-specific problem, almost like putting the wrong size tape in a tape player.
work for hospital account - use lots of expanders - nm
x
Wasnt that a rip. They must have called every person on every account to work. I cant possibly
figure that mentality. PLUS we get nothing extra for weekends, nothing extra for holidays ZIP. They overload the accounts and so we have no work. Why would they pay weekends or holidays when they play this game. Somebody is pocketing something but it AINT THE MTs. I hope every MT in that office inundates Mt. Laurel with complaints until they replaced the people that did this and not to mention their STUPID STUPID PICKY MQ point plan. That is a horrendous joke. Somebody up there needs to be removed and quickly.
I work an account where ESLs are better than the American dictators ever hoped to be. sm
There is bad dictation all over - you need to learn to cope with what is out there. Don't be afraid of the ESLs - you can only do what you can do, and for even American dictators, there is just no hope for the report coming out flawless if it is a bad dictator. I have 25 years experience, and there is just the fact of the matter that if junk goes in, junk is going to come out, and experiences helps with figuring out the words, but some words are so badly mispronounced, there is no hope of figuring them out. Blanks are inevitable, but that is why we have QA - they are the next level after the MTs get the rough draft out there. It pays to have a second set or third set of ears, and it is part of the plan - it is not all on just you to get it right on the problem dictations.
I work an account that the doctor names scare you half the death, sm
all foreign names, but the voices are pure heaven - very clear and good enunciation, even the one that have a tangible accident. I feel lucky to have an ESL account like that.
I know a PA from South Carolina at a hospital I used to work at that would bring you to tears. ESL is not necessarily a bad thing.
The national I work for usually offers jobs to the in-house people when they acquire an account. nm
nm
What is the difference between an acute care account and a multispecialty account??..nm
nm
I've never had a problem switching from account to account.
The problem I had was being switched too soon. If I don't get one account spec solidly in my memory with QA feedback on mistakes before starting another, I get confused. The other problem I had with former jobs was inconsistent QA. One person tells you one thing, another person tells you another.
Lately, I don't have a problem with it. Right now, my binder has 8 account specs (some I've never had to use) and I'm picking up a new weekend job for a while. The terminology and report formats stay basically the same. It's just all those little preferences. LOL
what is your account and specialty on the account?
no one is watching. tell us all about osi.
I get my work from an FTP site that they load the work to, however I don't have pool work so to
speak, but I tell them how many minutes a day I want. The work is generally put in my box by 5 pm every day, then I have until 10 am the following day for some priority work, or 3:30 pm for the rest, so TAT is not too bad. I would like to work less at night though, but I working on that. My downside is I do not get the same dictators day to day, there are a few I do on a semi-regular basis though, some generate great lines but take longer to do that other doc's and are not "money-makers", I also do not get paid for spaces so that hurts a bit too. This is WP5.1 too.....so very antiquated but that is what the hospital uses, so not much choice there. But I understand what you mean about the C-phone. I was just doing another job with C-phone recently...they incidentally did not tell me how to get off of the system, which was very simple. I'd finish a job, then hit stop and hangup if I wanted to get off or quit working. That is what you need to do if you want to sleep, eat, etc. Don't feel guilty, do what you signed up for, believe me they watch the pools and will get others to do the work you don't finish. If they get on your case remind them that you are only PT and only want 500 lines a day, etc. It's not worth killing yourself over. Good Luck. 
Look, if I were on an account that
kept me sending more blanks to QA than was allowed to qualify for an incentive program, I would ask for another account or get with a different company.
I've bid off accounts before; I've also changed employers because of this problem.
I've been there. It's not what I wanted so I fished until I got the catch I wanted.
As well, if your dictators are dictating on cell phones, that can be a real source of contention with HIPAA guidelines and they should be reported. I report that when I run across it; I also tell my supervisor I won't do that physician again if he is dictating on a cell phone. I've never been given a problem with that.
Second account........sm
Does your company base full-time status on line count or on hours? If line count, it doesn't matter if you do the work in less than 8 hours. You're still holding up your side of the bargain and you have every right to refuse to work on a crappy second account. Just tell them you've decided that your one account is enough and keep your second job. Same goes for the post below stating co-worker is avoiding taking on second account. Unfair? I give her credit. She's a survivor. We're not the ones who started the game. But many of us are quickly learning how to play.
If your account uses the BOS ...>>>
you use numerals for all numbers (and the old way is to spell out numbers UNDER 10). The BOS says to use numerals for ordinals; 10th, 2nd, etc. BUT, many accounts have their own preferences, so why don't you check to see what yours wants?
My own account
My own accounts been doing them for over 4 years, it is just one office person that says anything. I think that she was having a bad day last week and we about went on a minor screaming match with each other not only over this but some other things. So will let things calm down, check and double check to see if I can figure things out but without showing me, I am in the dark like I explained to her. When nothing comes back you think all is great.
I don't do any of that. I have each account in a SM
separate folder on Word and I just click on the appropriate folder. I do 4 hospitals in one state and two more, plus a local.
I never have gotten anything mixed up that I know of.
Take the account and run!
You really need to ask?
I don't know anything about the account
I am considering an IC position and want to know what is an average rate. I have 9 years experience as an MT and have only wored in a hospital.
Keep that account @ .12 cpl
Keep that account (tell them you will meet or beat the competition). Don't say another word, just keep sending out advertising brochures, etc., until another higher rate really needs you, then tell these cheapskates that your accountant has informed you that not only are you losing money but it isn't fair to those others who do not question your charges nor would they ask you to "cut your rate." I've been in this situation and it has made me very depressed but that's the way these others work, they will undercut you for 1/4 cent, done to me by "friends". Just go along to get along and then you have every right to be the "dumper" instead of the "dumpee." Treat them like a bad boyfriend, until a better one comes along. Had this done to me many times and my only regret is that I let it affect me financially, I used to take the "moral high road" and now I take the "me" high road. If they are thinking only of their wallet, then you should as well if you need the money. Hope this makes sense. Most likely it isn't the docs, just someone in the office trying to say, "See, I saved you some money, so how about a raise?" Don't let them spoil your business accounts receivable, just hang in there and smile a lot.
You must be the OM at this PIA account. (nt)
I am getting .08 on one account and ..sm
.085 for the other acount I work on.
One account, can get only...
250-300 because they are obnoxious. The other account, can get sometimes over 500 lph.
Usually, each account has a
prescribed method of formatting and if you work for a service you should get all of the specifications for formatting in a document when you start working a new account. Inhouse, asking the manager will get you the information you need. It is purely a subjective matter with each and every account; however, AAMT and ASTM are working on best practices in dictation and these of course would include a standardized formatting for all medical records .. making it eaiser for all of us to do our jobs and then ultimately find information in a chart.
I have been on my account
with 15 doctors for the past two years, but I am sure someone else had it before I did. We are about to get a new one in August, as well. I am sure you have just about everyone else beat though.
Pay Pal Account
I have a dumb question regarding my pay pal account. My new employer pays through Pay Pal. I do have an account that I've used only for ebay transactions. She's asking for my account number. I can't find any information in my account as to what my account number is? Does anyone know what that would be? Does she want my bank account number associated with my Pay Pal account? Sorry, I told you this was a dumb question. TIA.
I have a second account sm
You should never work for only 1 company. I learned this the hard way. It's always good to have a backup.
Come take my account
First I get "Mrs. Ed" who talks just like Mister Ed and now I've got a dictator that sounds just like Granny from Looney Tunes. Gives me a little laugh now and then, guess you gotta look at the little things in life, or you'll become a looney tune! :) I pray next week is better for you.
If you want an account,
go out and honestly bid for it.....don't "steal" it from your MTSO!!!!! That is just wrong. Bidding on accounts that you don't know the MTSO is a different story. When you take an account from the MTSO you are an IC for, that is "stealing" and you'll get yours when you get to the pearly gates...if you get there!
Nothing really if you want to keep your account. sm
sometimes as an IC and in business, you must compromise. Looks like they are dictating the way they pay. Hey, it would be worse, you could invoice and not be paid for 60 days or longer. So, you will just have to adjust.
own account
I took a small account a few months ago. 3 docs, I do 2 and 1 has his own MT. She is an employee but we cover for each other for vacations. It is lucky they have that other person and they are flexible when I go away (rarely). Some accounts might expect you to find your own coverage. I have had problems with them not paying on time. It's not their fault, they have a large institutional accounting office over them. But MT is my only income so it has been a problem. Make sure you have a cushion in your checking account or whatever that you can live off of if you don't get paid for a while.
Another option might be an IC position if you can find the right one. I also have an outside contractor position with a local hospital that has employees, but I charge them like a service and they make no demands on my time.
Something to consider is how much time you will spend doing administrative things like billing, recordkeeping, marketing, answering emails, picking up tapes if applicable, traveling for interviews or training if you will be working on their system. I find that stuff eats up a lot of my time.
You might want to consider a 30-day trial period in case you dont like them. My account turned out to have a crappy dial-in system, they expected me to fax every report 1-4 times, and they eat up my time with emails and phone calls - each doc has his own secretary and they have another MT and they all tend to call me for things they don't need to bother me with like I'm an employee. Instead of telling them to find one person to deal with me we agreed I would charge by the hour instead. I have no problem telling a secretary who calls me at 7p I will take down the info and call her back during business hours unless it is an emergency. It is hard to anticipate those things hence the trial period.
New account
Hi everyone. I was wondering if anyone had any advice on how to convince a doctor's office that they need transcription done when they haven't had it done in the past. This is my first big meeting on my own and I am nervous about what to say. I have other accounts, but I never had to convince them because they were already using transcription. Any suggestions would be helpful and appreciated. Thank you in advance.
Looking for your own account?
It has come to my attention that Travelers Insurance worker comp claims in some states are off shoring their transcription.
Contact your local offices and offer your services. I also know the pay is comparable to ours - (I have been contacted by an off shore agent to handle this for them ) - imagine work off shored only to be sent back to us to handle.
I will be starting with Charlotte NC. - Who is with me?
If you have an account
where you get the same doctors who repeat the same things you can make a template and not have to type anything or just edit a little. Around 15 years ago, I had a great job with a chiropractor who would do a 5-page report and all we had to do was change right/left and some range of motion measurements. Easily made $45-$50 an hour with him as part-time employees. Some people are also really good with Expanders like Instant Text. It really depends on your account. I have a huge hospital, too many dictators, too many bad dictators.
I would do what the account wants, sm
they are the ones signing my paycheck.
Do you really think every health care provider or facility is compliant?
Using it currently on one account.....
don't know what version it is, but it does not use Word. It offers a spell check at the end of the report when you come to send it. It does not highlight misspelled words while you are typing. There is no word expander/macro program with it, but I use SpeedType with no problem.
All in all it is simple, I have no footers/headers to worry about. I navigate through the demographic screen using ENTER/TAB/arrow keys. With the help of SpeedType I have to enter the dictator's name (4-letter code), MR #, date, pick the exam from a drop-down list and then type the report. F12 brings up Spell Check only if there is an error, sends the report, and files it. After a few reports you can get the rhythm down and move right along.
I have more than one account.
By more than one account, I mean I work for more than one person or company. I learned my lesson years ago when I got a $35 check at Christmas.
my account
I don't think my account now is any better or any worse than any others. I have been doing this for over 15 years and basically 2000 lines a day has been my average for the last 9 years and during that time, I have worked in house for 1 hospital and for 4 different agencies.
I just make good use of a lot of word Expanders and sit down and work and not answer the phones and talk to people and watch TV, etc.
Already there and above......own account(s). nm
x
Can you ask to be put on another account? Do they
xx
|
