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depends on what type of clinic you were transcribing

Posted By: see msg on 2007-04-10
In Reply to: hosp acute care dictations..please sm - anon

if they were basic SOAP notes, then i would guess the basic 4 hospital reports will be quite a bit harder. 


if you had an intense multispecialty clinic, then you could probably do H&Ps and consults.


but I would suggest you give it a try. being able to do hospital acute care can only help your resume, and possibly up your income after a learning curve.


JMO




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Some have said clinic, some op notes, some ER, depends on what you
s
Depends on clinic notes, sm
I really think it depends on the type of clinic notes you transribed.  I went from transcribing very detailed and lengthy multispecialtiy outpatient clinic notes for a major teaching hospital to transcribing acute care, mainly op notes, for another hospital, and it seemed to make the transition, although I felt very confident after about 3 months.  But if you were transcribing clinic notes for just a regular outpatient clinic or clinics (well child checkups, lots of cold and flu, etc) you may have a longer transition period.  It really just depends on whether it's a teaching hospital, the number of dictators, etc?  You CAN do it though--it is all a matter of mindset.  If it IS a teaching hospital or they have an ophthalmology department, I would definitely recommend getting the Stedman's Ophthalmology book.  That made my transition SO much easier, that book, and the Stedman's Equipment Words.  Good luck.  Just give yourself 3-6 months to get acclimated to the op notes, number of doctors/residents, etc., don't pressure yourself to get it right away, and make copies of each report for every dictator--it will save you in the long run because they usually say the same things.  Good Luck!!
Depends. Is it strictly transcribing? Is all patient info provided so you don't waste time? Any d

Clinic tends to type much faster...
so with your word Expander you could easily get up to 175 to 200 lines per hour, probably, a few months after starting work.  You may be able to get 2500 lines done in 15 hours or so.  Typically if you're working with a clinic you're going to have fewer docs to become familiar with and you're going to be able to create pretty decent templates for each one in your expander to save you lots of time.  Hard to say, though, exactly.  Good luck!
depends; clinic/acute, IC/employee, pool/own accounts....
nm
I type radiology, but have done some clinic work
I briefly tried acute care, but felt that was a little too hard to do working from home. I have done some clinic work, which worked out fine. The hardest part of that was learning lab values, specific tests, etc. I feel your pain, as it is very difficult to transition. I've done cardiology, internal medicine, and nephrology clinic notes and have done well with them. Things like wound care can get a little tricky because of all of the terminology with bandages, sutures, etc. My advice would be to get some reference books and maybe try to find a part time job, where your livelihood would not depend on the account, and give it a try! With this job, you won't know if you can do it until you try! I know it's hard with the national companies. They don't like to take time to help you learn. I learned my clinic stuff from local doctor's offices, where they gave me sample reports and I could take as much time as I needed to look stuff up. I wish you luck!
Lazy is what they are. I just turned down a request to type for one at the clinic.
dd
3-1/2 years experience, type cardio only on clinic account, and make 9 cpl nm
nm
depends on what type of reports.....
130-160 per 8 hours, if typing combinations of everything; i.e. MRI, CT, nuclear medicine, fluoro, x-rays, angiograms, etc.
depends on type of reports sm
do not sign on to do MRIs, CTs paid by the report, you'll lose money big time.
depends on type of work
Recent experience shows that working for a service with radiology accounts pays anywhere from $1.25 to $2.25 or so for a page or report (depends on how computer program / system counts a page) with diagnostic x-ray being short and quick and longer MRI/CT reports paying more. I've heard of psych reports - IMEs which are longer with very dense line count per page - being paid higher page rates but many years since I have done this work, no idea of average $ amount now.
That depends on the type of work

I'd think 8 hours; depends how fast you type - sm
and how good the quality is of the dictation. If you have to break down multiple people talking I expect it will take you longer than 8 hours.
It depends what type of surgery, I guess. sm
Some are very easy and fast money, others are very detailed and long, nothing "normal" about them.

It all depends....Personally, they are my favorite and I specialize in doing only op reports, all specialties.

I think it probably depends on the dictators and type of reports.

Personally, I think it depends on the dictator, how familiar you are with the specialty, and if there are expansions/normals that can be used. 


For argument sake, lets compare $1.15 per minute to 9 cents a line, if it takes someone 1 hour to transcribe 10 minutes of dictation. 


If you have a slow dictator who reads the chart, changes their mind every other sentence, or uses terms/equipment that you have to constantly research, and at the end of the hour, you only have 100 lines typed, then you are ahead of the game.  You earned $11.50 that hour.   


10 minutes x $1.15 (typed in 1 hour) = $11.50 per hour.


100 lines x 9 cents per line (typed in 1 hour) = $9.00 per hour. 


BUT, if you have a great dictator who knows what they want to say, are organized,  normals or a great set of expansions are used, you never have to stop to look anything up, and in the end, you have typed 200 lines, that is a whole different story.  You could have made $18.00 an hour. 


10 minutes x $1.15 (typed in 1 hour) = $11.50 per hour.


200 lines x 9 cents per line (typed in 1 hour) = $18.00 per hour.


So in my opinion, unless you can talk to other MTs with the company doing the same work, there is no way to know in advance if you will be making more or less by being paid by the minute as opposed to by the line. 


Please update us after you have worked for awhile and let us know how things are going.  GOOD LUCK. 


 


Depends on type of prepaid card sm

I have a Visa debit card through ADP. They are the payroll processing company used by Medquist (which is where I got the card initially) and many other companies, not just MTSOs. The only fee involved is $1.50 per month to have the card and fees for using it at an ATM, which is the same as if it were through a traditional banking account. I can also transfer the funds to my saving account if I want or set it up to have a certain percentage put on the card and the rest in the bank. I have had this card for about 3 years now and love it. However, if the card they are wanting you to use is like the ones you can get at grocery stores, Wal-Mart, etc, stay clear. They require fees for almost everything from getting your money loaded onto it to using it for each and every purchase.


As far as not wanting to give out routing information for direct deposit, why is there such a worry? So long as the information is given only to your employer, there shouldn't be a problem. Unless this is only a short-term job, I don't see the big deal.


too vague; depends on type of dictation and the dictator
n/m
Generally 200 lph, but depends on work type, I can do more with OP notes, has to do with motivation
I hate HP, consults, and DS, but that is the majority of what I do. I always, always do better with OP notes.
lines produced also depends on type of account, doctors, specifics, platforms.
nm
nm would you mind if I asked where you work and what type of work hosp, clinic ?
x
clinic is not walk-in or ER notes; it is clinic
could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
don't type double spaces. Type single. Then no one will be cheated.
x
I can type with wine, can't type with coffee, though...too jittery.
x
That is, type the code above before and after what you want bolded in the text-to-type box. nm
nm
For me it isn't an account type but a dictator type ...
and that would be oriental. An oriental dictator (hahaha, that kind of sounds funny...hahaha) is the most challenging for me.
No, you don't type directly into ES. You type in Word -
or whatever their platform is, just like you did with your tapes.

Then you do your line count in Word or the platform.
You should type them. I usually type them in parentheses following the diagnosis.
x
remind me, type what they say, type what they say, type....
"He indicated that at the beginning of the year he complained of health problems recently but has gotten better."  C'mon doc, which one is it?????
new at transcribing
im new at this, worked for a local cardiology office for 1 year as a medical secretary.then got  this at home transcription job, lowest pay with a 1200 line a day minimum, it has been very hard, if i made more money i wouldnt mind it.   when you guys were new, where did you get your foot in the door?
Sometimes when I am transcribing

I will type a word out of nowhere, it's like my fingers are typing without any thought behind it. 



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Is anyone out there transcribing for Cardiology?
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if you are only transcribing 2 hours a day - sm
don't turn it away. What's a measly 2 hours a day!!! They cannot tax you on it and by the end of the year, you will have more writeoffs to offeset anything you may have to pay in for taxes.
Don't know about transcribing for the Military, but...sm

your transcription skills will most certainly qualify you for an Administrative Assistant/secretary position for the Military. I started as a GS-4 in Aug 04. Got promoted to a GS-5 in Aug 05 and now am lead secretary in an office of 50 people. I get an automatic promotion to a GS-6 in Aug 06. On top of the all the benefits, they are going to pay for my degree too. I know a lot of people complain about Federal jobs, but mine has been a blessing all the way around.


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transcribing for Doc's office

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Slow down while transcribing (sm)
and proof then? If you're making so many errors that proofing is time-consuming, then you need to change your work method. Are you using an Expander so you don't have to think about spelling/capitalizing drug names, for example? Are you saving copies of each report and creating normals from them so you don't have to retype the doctor's standard phrases? After 4 years, you must be doing something very wrong to be stuck at 900 lines/day.
You should not be transcribing what you don't understand.
Do you know the diff between peroneal and perineal? If you don't, you are making a fool of yourself and the field. If you don't understand it, you aren't doing it right. That holds true for ANY field of work.
Is doing QA easier than transcribing? nm
nm
Transcribing vs Dreaming

You know how they say sometimes your dreams are your brain's way of finding solutions to problems?  I find that when I am transcribing my brain does the best thinking.  Yes, I am focused on what I am typing but I find that all sorts of ideas/solutions just pop in my head while I am transcribing--things that have absolutely nothing about what I am typing.  Can't tell you how many times I think about what to plan for dinner, etc.  I wonder if it is because I slow down enough and am still in one spot that my brain is finally able to focus.  Or maybe it is because I am so focused on my typing that my brain has room to think of other things too. Does anyone else do that? 


dreaming or transcribing

Whenever I am working I think of cooking and cleaning. Then when dinner time rolls around I have already cooked and done all my housework (in my mind only) and am ready for bed.  I call this mind-cooking, or mind-cleaning.  Sometimes it is only place where I can find peace.  Isthat how you feel?


Transcribing since 2000, now 31....
x
Drinking and Transcribing sm

Someone's life is placed in my hands when I sit down to transcribe. One letter out of the way such as an "a" could change the meaning of someone's medical diagnosis. One slip of a wrong medication or dosage and the patient could die. We all know when docs get used to us getting things right, they don't even read what they sign. One pass-over of a word that we don't want to take the time to look up could kill a patient. Don't tell me to lighten up, please. That's your excuse! I have had an anaphylactic reaction to a medication. If someone decided to skip over this or whatever  - I could die, yes, DIE! I would no more drink and transcribe than play Russian roulette with an infant. Sorry, it's probably what you don't want to hear, but I would not want you NEAR my medical history. I once had a student skip over an allergic reaction and instead of looking up the name of it she just typed "the dye". When I caught her on it, she shrugged her shoulders as if it didn't mean a thing. She just wanted to get her line count in, looking things up took away from her $$$.


Please take me seriously, it's worse than drinking and driving. It's a serious, serious thing to do. Alcohol definitely affects judgement and makes you sloppy. Slop and medical transcription do not go together. I don't want to kill anyone tonight, do you? If you want to drink, that's your business, but don't drink and type someone's medical record! Don't bother responding for me to "lighten up" because anyone with half a brain knows I'm right! If you drink constantly, then you're still "drunk" when you get up in the morning, coffee does NOT sober you up. That's BS.


 Put the plug in the jug!


Transcribing is not typing. sm
It includes typing, but so much more.  It absolutely includes tools of the trade, especially word expansion programs, and normals, and sample of difficult doctors.  Typing wpm actually has nothing to to with transcribing lph.  If you think of it as typing, you will always be slow at transcribing.
tired of transcribing
Yes. I feel that same way . I have been transcribing for about 28 years, and you are absolutely correct that the pay is just not going up, and you work all day and make peanuts. I would like to be the middle man and make the money they do. If you are interested by any chance in partnering in a company venture, let me know. I need to get out of this field too.
transcribing expletives sm
I have heard different approaches to this. In this case, the expletive has to do with the employment of someone and harrassment. I think in this case it is okay to spell it out, as it is his part of the complaint. I usually use quotation marks. Anyone else had this problem? Help wanted on this subject.
@ 380 lpm transcribing, 800 editing
Rather slow typist, working for national (Transcend), semi-anal good-quality work, use ShortHand and templates, acute care accounts I'm familiar with. That's actual work time only, not coffee-break time, and I can do better when I try.