copies of previously transcribed reports
Posted By: ew on 2005-07-27
In Reply to: has this happened to you? - not fast enough
What I always found helped, make copies of reports from the medical record charts. Make a few copies of each doctor and keep them in your desk that way you can refer back to the report when doing the doctor. You will get the hang of it. No hospital wants to go through the money and time hiring someone just to let them go right away. Usually you get about a three to six month probation period.
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It is 10 reports transcribed for free.
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.
The reports that are transcribed get scanned into
the EMR record. They do the same thing with the lab slips, x-ray reports, etc. The transcription is still performed in the usual way it has always been done.
Keep copies of your reports and do a line count yourself
Then you will know won't you? Get MPCount (think that's the name)(free), or abacus, or any other number of line counting programs. This website (MTStars) has one you can get for free too. Try it and then you will have your answer.
You may find that actual copies of the reports are also useful. sm
I did strictly OPs for two years. There were some doctors that I had to check 4 or 5 different reports for every time, just to find the subtle variations he used. I might have 4 copies of appendectomies for him, and need them all to complete a difficult one. Complete copies really are almost necessary, I think.
Document everything! Save copies of your reports
Then, when you get an email contradicting the email that she sent you earlier, you have proof. You can print it, or copy & paste that info. into an email to your supervisor. And hers. Same with the reports. If you're getting incorrect corrections, go back and check your copy of the report. Double check with the company's policies, and with the BOS if necessary. Then, if you're right they they're wrong, you have written proof to back you up when you complain about it to whoever is responsible for that QA person's work.
Meds are not given based on transcribed reports
Meds in hospitals are not given based on what is in transcribed reports. There are so many errors with transcribed material that everyone expects there to be errors in meds, either because it was dictated incorrectly or transcribed incorrectly.
Physicians write orders for drugs, treatments, tests, and procedures. They're in a different part of the record entirely. They're either handwritten or they are in electronic form.
That's not saying there are no medication administration errors, but just saying the likelihood of an error stemming from a transcribed report are almost nil.
Let the docs use their reports transcribed in India as a defense! LOL
The doc can sit there while the personal injury lawyer shows the jury a grieving family and the messed up report.
US MTs should not accept sweat shop wages or conditions. We are providing a service to them! We are their first defense!:) :) :)
If US MTs stoped working for low wages, the physicians who value patient safety and their livelihood would pay a descent wage. The other ones can try to explain the report being done in India to the personal injury lawyer tearing him apart.
They don't remove eyes based on transcribed medical reports. SM
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.
Does this seem fair? To charge .16 per line - includes printed reports, copies on disk for one year
and delivery. I do travel twice a week to this office. Plus, at times I will fax or email the reports free of charge. I live in Southern California in an upscale area.
Thanks again! 
the one I used previously was
www.onesuite.com (cost was 2.5 to 2.9 cpm). That was close to $250/month for a 35-hour week.
I later switched over the AT&T CallVantage, which allows me to call long distance through my DSL line. The cost is $35.00 per month.
I posted previously on this...
Unfortunately, probably for every good QA person, there are maybe twice as many who are sadistic against other women. Also, sometimes, in my opinion, they try way too hard to impress their bosses, or whoever they are trying to impress, than to really to help and educate MTs. If that were not the case, you would not have all the major inconsistency, where one day they want it 'this way' and the next QA on the next day wants it 'that way' haha. Ever had that happen? Then when you question, you are treated worse than any man would treat you...
If a company hires an MT who is so terribly bad and lacking in skills, that is quite sadistic to then turn around and whine and complain of how bad they all are. Perhaps QA should be involved in the hiring process as well.
Sounds like martyr syndrome a little bit, too, like 'we all just have it so bad from you horrible, awful MTs, we have to fix all your nasty work.'
Right, it is all about the QA and the supervisors, right? Not at all about the MT who is expected to produce twice as much, for 1/2 the pay, is listening to the dictator form scratch, not reading along like QA does, where, yeah, it is easy to catch a word or meaning when most of the hard work is already done from an MT who was probably struggling to even get that much intelligible information from someone chewing or sneezing, coughing, or when a child is screaming in the background.
If anyone really wanted to 'fix' the problem, there would be a job created to help educate MTs having consistent problems (not just, gee, today we do not like the way you punctuated, so you are a terrible MT). Hiring also should be better controlled.
One wonders, are you that critical to the overseas MTs? Hardly...their work is probably 50% worse than any of our worst MTs, yet look how they are thirving...and your bosses are even wooing them.
Help MTs, stop crucifying them for errors that are not causing harm to patients, and remember we are struggling against time, as well. Only, WE are the reason YOU have jobs.
Was previously a linguist ... sm
heavy study and use of the formation of languages including latin and greek, tested and rated native speaker in 1 language, semifluent/conversational in 3 others, recognize/partially understand 7 others (not counting English and from varying language types), and was a speed typist from high school (on old manual - was so glad when memory typewriters came out because they could keep up with me.). It was kind of a piece of cake for me. Been at this for 13+ years now. It is basically another language, but that's where my background was, and probably why I don't have much trouble with ESL.
ask admin. I am sure I have seen that posted previously. nm
nm
I posted previously...don't quit old job before starting new job.
nm
...sigh...Previously means In The Past...what are you, 12?
nm
No belly. Full coverage, as previously stated.
I did not say I looked like a teeny bopper or hooker. I said I traded my stretch shorts and t-shirts for denim shorts and a tank top. Yeah, the shorts are somewhat low rider because they don't come up to my bra like the stretchy shorts do, but they've got a full rise that covers the crack and belly button.
Oh, no! I must be a wanna-be trampy teenager! Maybe next I'll go out and get some red satin thongs, a belly button ring and a butt tattoo because y'all are jumping on me like that's what I'm trying to do. If you can't understand the concept of "full coverage", stay out of the conversation.
Previously unknown worm-like creatures made of
something like silicone. Supposedly the only match to this material has been made to some nanotechnology substance that is being used to destroy bacteria on meats, and soon to be used on cut fruits. Cooking kills them, but who cooks lunch meat? They are using it on cold cuts. The company making the technology won't say what big company is buying, either.
The term Morgellons is not new, but its use for this disease is new. This disease became known in I think 2004. That's pretty darn new.
And I should stress that I have not seen any worms or movement under my skin so far. I just have small nonhealing wounds (that look the same as a stage in Morgellons), and my MD is being evasive.
Previously Unknown Prehistoric Species Discovered In Israel Cave
Researchers from the Hebrew University of Jerusalem have announced today the discovery of eight previously unknown, ancient animal species within "a new and unique underground ecosystem in a cave near Ramle, Israel.
In a press conference on the Mt. Scopus campus of the Hebrew University, the researchers said the discovery came about when a small opening was found, leading to a cave extending to a depth of 100 meters beneath the surface of a quarry in the vicinity of Ramle, between Jerusalem and Tel Aviv. The quarry is operated by cement manufacturer Nesher Industries.
The cave, which has been dubbed the Ayalon Cave, is "unique in the world", said Prof. Amos Frumkin of the Hebrew University Department of Geography. This is due mainly to its isolation from the outside world, since the cave's surface is situated under a layer of chalk that is impenetrable to water. The cave, with its branches, extends over some 2½ kilometers, making it Israel's second largest limestone cave. It is to remain closed to the public to permit further scientific research.
The invertebrate animals found in the cave – four seawater and freshwater crustaceans and four terrestial species – are related to but different from other, similar life forms known to scientists. The species have been sent to biological experts in both Israel and abroad for further analysis and dating. It is estimated that these species are millions of years old. Also found in the cave were bacteria that serve as the basic food source in the ecosystem.
The animals found there were all discovered live, except for a blind species of scorpion, although Dr. Dimentman is certain that live scorpions will be discovered in further explorations and also probably an animal or animals which feed on the scorpions.
The underground cave includes an underground lake, in which the crustaceans were found. The lake is part of the Yarkon-Taninim aquifer, one of Israel's two aquifers, yet is different in temperature and chemical composition from the main waters of the aquifer. The lake's temperature and salinity indicates that its source is deep underground.
Among the interesting features of the discoveries thus far in the cave is that two of the crustaceans are seawater species and two others are of a types found in fresh or brackish water.
This can provide insights into events occurring millions of years ago regarding the history of ancient bodies of water in the region.
Now, go to the link and see a pic of one of the little buggers!
The MR reports were being filed. Referring physicians/medical care providers reports were not.
This is a hospital radiology department with in-house MTs and a clerk who is in charge of the report distribution.
copies of what?? nm
nm
Keep copies
I made copies of all my OPs at first. You will find that even with changing dictators, much of the content is the same.
The two sentence normal reports will balance out the 3 page reports.
I am Wendy too
If you have not transcribed using BOS
guidelines that is probably the problem. See which version they are using and get a copy.
How much do you charge for copies? sm
One of the doctors I transcribe for wants me to print the notes and the cc's to other docs, but I don't know how much to charge for this. I have never had a doc ask me to do this before, as my other docs just copy everything themselves. TIA
Charging for copies.
My charges for copies depend on who it is and how many copies. I had one guy who wanted to use me and my little inkjet printer as a personal photocopy shop. I was charging $.10 per copy to cover paper and ink, but he'd want 20 copies of each page I typed. Finally, I told him to go to Staples to make copies because I wasn't going to do it any more. I was driving there every few days for more ink and paper anyway, and he was just someone I didn't want to do business with.
I don't charge my other client for carbon copies because he usually only wants one or two copies. Besides, he pays me really well and I've been typing for him for 8 years. When he wants full color copies of digital pictures printed out, however, it's at least $1 per page because it chews up the color ink cartridges so much.
HELP! How much to charge for copies? sm
Just got a new account; however, the doctor wanted me to take half a cent off my rate AND not charge him for his templates (even though it's my ink he's using) AND he wants me to do the cc's and envelopes at no extra charge.....I do not want to do this as I really think that's a lot of extra work with no extra pay....could anyone help me with this? What do yall do?
How much for evelopes??
How much for copies?? Thanks to everyone who replies!!! I realy need help on this one as none of my other accounts have asked for a bunch for nothing.
Suckered in the South
So how much for copies and envelopes? sm
I am about to go crazy trying to figure out how to do his invoice.
ABE books has many copies
www.abebooks.com
Well worth getting. Also research online for Expanders -- there are lots of lists out there to give you an idea how to make your own. Some are free downloads. But you do definitely have to have your own system and just use these to give you an idea how to set up one. No two brains work the same. I refuse to work without my list!!
I keep copies of all my work even what I - sm
copy and paste into the hospital's software, which does the line counting for me, but in their case it is always slightly more than what I get when I figure it myself, we only get the body of the report, but don't have to enter any patient info (or check it luckily). On my FTP work or direct email accounts I report my line counts on a daily basis, which I do and they take my word on it, and are free to check me as I do not cheat on my counts. I just take the told character count and divide by 65 to get my lines, though I have it set up in Excel so I actually don't have to do the math for every report, that would take way too much time which I don't get paid for. But keep your work and verify. Sounds like you may not be getting paid for spaces, or expanded words (only paid for keystrokes, and also no spaces), sit down, do some math and figure it out, good luck.
and this is how our records are transcribed =(
x
I have not strictly transcribed in about 10 yrs.sm
I work full-time doing medical transcription but I also have other duties that do not involve transcribing so I don't keep up with lines or anything like that; I get paid by the hour. I have worked 3-4 hours in the evenings for one of the national companies for a little over a month but I can't seem to get my line count up. I've only been able to do around 100 lph. I know it will take longer than it would if I worked 8 hours just transcribing. I would like to quit the other job and just work from home transcribing but I'm afraid if I can't get my line count up I won't be able to maintain my current income. I'm not a blazing fast typist, I probably type 75-80 wpm without any kind of expanders. Any helpful advice or encouragement on whether you guys think at my typing speed it is within reason to think I can make it to 150-200 lph? I've done straight transcription in the past but I never had to keep up with lines. I have 30+ years of experience. I just need to decide whether to keep things the way they are now or take the chance on income by production only. BYW, I transcribe acute care for the national.
Aren't macros copies of what others have said?
Aren't macros carbon copies of what someone else is dictating to you? You have it in your pc to make you're life easier, but it is not "your words" coming from your mouth. These words belong to the dictator... Am I missing something here? That is why at the end of the report, the dictators initials come first and they are in CAPS, and your initials come second and are in lower case. 
And most often headers, footers, & copies are not
s
I get copies of the schedule from the offices. sm
you are an IC, so you can call the shots. You can let them know that if you don't receive the work by a certain time, you will assume there is none, something of that sort. If you need a day off, give them advance notice and don't "ask" them for it, because you are an IC so you set your own schedule per IRS rules. You do not need their permission, per se. Obviously, we accommodate the docs as much as possible to keep the accounts, but only to a certain extent. We shouldn't be on call for them 24/7, either. They wouldn't wait all day for a patient that may or may not show (and sometimes even charge if the patient is a no-show!!) If you wait and wait for work, play their game and put it in writing that you will charge for your time -- and then DO it. A few extra charges on the old invoice will likely bring about a change. ;)
Even with the schedules provided, the docs can and do change them at the last minute, so there's no way you can ever know for sure, but at least you can have SOME idea what's going on if they provide them. The way I see it, if he tells you he will be out, then that's what you go by. Even if the staff can't verify it (strange, since most docs are highly reachable by staff), you've heard it straight from the horse's mouth so if you want to take that opportunity to have a day off, let the staff know you'll be off that day, period.
If the doc changes his mind and comes in that day, well, I'd still take the day off if I made plans. Keep that saying in mind that poor planning on their part does not constitute an emergency on your part. If they don't like it, then maybe they'll make better future efforts to keep you in the loop.
Keep copies of your original report
& if you are being blamed for other's mistakes, get your "ammunition" out & go straight to the owner/manager and ask how this can be corrected and that you will not be taking responsibility for someone else's error. If your owner/manager is a decent person, he/she will have a resonable doubt from now on when someone like QA complains about "your" work. Always CYA and don't be afraid to speak up.
I have signed it and sent copies to my congressman and
senators. I also call the White House, my congressman and senator every single week and email them. The one guy who answers the phone at my congressman's office said to me to keep squeaking.
We all need to do the same. Talk to everyone, your MD, you neighbors, your friends, clergy, send emails to the Editor of every news agency you can think of.
Sometimes I feel like I am the only one doing this. I also feel like we have already lost the battle, though.
It makes me sick to think that big business is dictating everything down to our medical care and how that information is handled.
Your transcribed report would be your testimony, if anybody, for whatever SM
bizarre reason decided your input would be needed. Why the heck do you think you'd get called to court?
I got charged $75 for a copy of my old MRs, even though I transcribed it!!! n/m
:p
QA Help: Earlier I transcribed a report where
the doctor used a really offensive curse phrase. He was actually quoting what the patient said (ER report). He said place this in quotes. It was a really ugly thing to say (mother F word). Even though it's in quotes as what the patient apparently said, I felt uncomfortable actually transcribing it. And believe me I'm no prude. I've heard it all (and said some of it). However, it just seemed really unprofessional and not appropriate in a medical document. It's not like it was a psych report. In fact, it really had no relevance whatsoever, in my opinion, but I could be wrong I guess. So, I left a blank. But now I'm thinking, was that really not my call? Should I have just transcribed it? What would any of you out there have done? QA? What do you advise in cases like this? It's happened before but never as filthy as this. 
Contact the clients you transcribed for
n/m
VA accts transcribed offshore
My first editing job was for a company located in Virginia that has since closed and one of their largest accounts was for a network of VA Hospitals. I always wondered if they (the VA) had any clue that the actual transcription was being done in India.
I have transcribed from handwritten notes
and it was a nightmare. Sometimes the info was missing and my neck hurt like heck looking down and up, down and up. I charged per page. This dr went from dictating to these 5 page forms that he would fill out when he saw the patient. He scribbled and it was horrible. It wrecked my neck, so I gave it up. I was better off straight transcribing at lower pay than when I had to keep looking up and down from a page and no a stand for the forms didn't help because my eyes kept leaving the monitor, so it was hard to get back in gear only to have to take my eyes back to the handwritten form.
MTs by definition are hired to transcribed - sm
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.
How much do YOU charge for extra copies and envelopes? sm
Need some help here ---- have a very cheap doctor who wants everything for nothing. Need to know what to charge him for copies and envlopes as he seems to have a lot of those. THANKS!!
Do you have Word set to make backup copies (sm)
of the documents? Check the folder your document is in for a backup file. I've also been able to recover using a .tmp file as well. You didn't delete the file so it wouldn't be in the recycle bin. You just didn't save the changes you had made, so hopefully along the way Word saved a version and you may be able to recover something.
Keep copies of all jobs and when you hit the bonus level,
p
Office Max has 25 colored copies free until 6/9. (nm)
:)
Names & addies on copies sometimes aren't
s
I use the paper copies of each of those and get new ones every year. Love
s
I swear, I just transcribed Bill Cosby! sm
you know that voice that Bill Cosby does, kinda sounds like he's drunk? Well, this doc I just transcribed sounded like that!!! and it's workers' comp, no less. Just had to vent a little! It's still too early for all this! 
Not an MQ employee but have always transcribed via turnaround pool.
The office manager I worked for set it up so they could bill faster, i.e., ERs in 24 hours or less, op notes, discharge summaries, etc. She said it made for a better cash flow for the hospital. That's probably what MQ is trying to accomplish, maybe per client request.
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