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i work in-house for a hospital and they

Posted By: me too on 2005-08-16
In Reply to: Etransplus Does - Romey

did. the bonus was the first to go, then outsource our work so that the 'chosen few' would be the only one to qualify for what little bonus was left. doubled the lines to qualify for bonus but also cut the pay per line of the bonus.  they cant keep emps now except the ones that are too close to retirement.


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In-house In-hospital
Ive been in medical records when someone tried to force us to release records to them (not the patient.) I am saying people are sneaky when they want information.
in-house hospital pay?
After working at home for approximately 7 years, I decided to apply for an in-house (but work at home) hospital job.  No more companies.  To my surprise, the starting wage was 10.31.  They offered me 12.00 an hour with a very small incentive, maybe 100 dollars every 2 weeks or slightly more.  Okay, does that seem extremely low to anyone else?  I make 10-11 cents doing IC work (yes, there are plenty of downfalls to IC work that can be made up by getting employee benefits)  The insurance is decent and cheap at this hospital for a family and the benefits are excellent, but still, 12 dollars an hour?  Is this the going rate?  Are they trying to give me the next-to-lowest wage after the 10.31?  Help!
Hospital pay was 7.5 cpl when I was in-house sm
and with shift differential, you could make a maximum of 8.375 cpl. When I went to MQ, I was started at 8.75 cpl and now at new company can make up to 10 cpl with shift differential and other incentives. It totally depends on the MTSO/hospital as far as pay. In-house work only would not necessarily make pay better across the board.
in-house hospital is the best learning experience. sm
and is accepted with anyone. at least a year or more. there nothing like having someone right there at hand first time out.

good luck, you'll do fine.
How do I find out if a local hospital's transcription is done in-house or not?
Can someone please give me some advice?  I am trying to find out if one of our local hospitals has in-house transcription or what company they use for their transcription.  I called the MR Dept. and the lady acted like she did not want to tell me anything.  She said some was done in-house but most of it was done electronically and would not elaborate as to what company they used.  How can I go about finding out who does their transcription for them.  I never see any actual job opening in the MR Dept. or for transcription for them, so I am assuming they outsource most to a transcription company.
Before I started my own business, worked in a hospital in-house with taxes taken out & then went hom
was getting with shift differential 23.80 when I left. Your pay seems extremely low, you could make more as an IC seriously.
Started in-house at a hospital, medical records department, on a typewriter in
1983, earning $6.00/hour, eventually moving up after 7 years to $10.00/hour. All hospital work was then outsourced to a national service in 1986 (beginning of our downfall), went to work for the service and made $2.10/page. Service was bought out by another service, rate changed to $1.90/page. Rates changed again to $0.08/cpl. After many years of experience in all services, found my first account in 1992, charged $.09/cpl/gross lines but blank lines not counted. Business has grown steadily through the years through word of mouth. Now charging $.16/cpl or $25.00/hour or $6.00/page, and having to turn down work at this point. If you have the experience and are detail-oriented, you can find your own accounts eventually like I did. But you have to pay your dues first and be able to transcribe all ESLs accurately. If you learn how to transcribe ESLs well, those doctors are the ones to target for work. I do work an ungodly number of hours, only because I am trying to save at a faster pace for retirement because of all the uncertainty in this line of work.
Have a hospital I work for and they consistently change work types and do line counts. (sm)
Management just doesn't understand in order to crank out the work you need to be proficient by typing the same accounts. Go figure, they just don't get it ??
the hospital I work for already has started to implement this and lessen our work
I see it every single day... they are going to EMR... meaning the doctors simply use a template already in the computer and check boxes or something... The doctor's office i GO TO actually does this too. This is why it creates tech jobs to create those templates and takes AWAY MT jobs because the doctor is no longer dictating, they are just pushing little buttons or checking boxes straight into the computer.

Personally I still think that is more time than the doc wants to take but whatever, i dont see how generic charts are good, what happened to detailed information...

But this is definitely how i see it going along. Maybe not everywhere, but plenty of places are going to go to this, it's all about saving money now isn't it???


Most in-house hospital jobs allow only 30 minutes for lunch! So I wouldn't call an hour lunch
"rigid."  If you are an employee, there are rules, set schedules, etc. that you have to expect. 
If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
Work in-house
Too much drama.  I miss working at home. 
work in-house
I work in a bricks and mortar.  I am 61 and got this job 8 months ago.  I work Friday through Tuesday, every single weekend, every single holiday.  I have been to church once in the last 4 monhts - I called in sick.  I have 8 years of experience as a trans and 5 years as a nurse.  The manager said, with a sneer, "we only hired you because you said you would work weekends."  when I asked her for 2 Sundays off a month.  I have not seen my family 42 miles away in monhts.  If you go, you will be at the bottom of the list.  You will get the worst schedule.  You will get the worst reports.  I will say this was the ONLY in-house transcriptioniost job for hundreds of miles (I live in teh midwest).  I am trying to figure out how to get an at-home job - I flunked Medwebx test because I could not figure out how to listen to the test adn type so I had to hand-write....never mind.  I'm very discouraged about all of it.  But I can't retire. 
Depends on what kind of hospital? Large urban hospital or small community hospital? SM

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.


I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 


I work a split. I get up before everyone else in the house
and work for two hours until it's time to take the kids to school.  I take off an hour to run kids and shower, then I'm back to work for three hours.  I take a half-hour lunch, and I'm right back at it for another two or three hours until I have to pick up the kids again.  I love it.  I'm done working by the time they're out of school, and the computer is turned off for the night.  No more late nights or working until 6:00 p.m.  I'm way more productive in short spurts.
I am looking for in house rad work in Indiana. sm
where are you located? I love radnet!
I sure would not leave the house to work - not for anybody. SM

Especially to mentor somebody. That's going to be your problem, paying people enough to make them leave home.


Sometimes I'd love to get out in the world again with a job, but I just can't afford it. I made around $22/hr years ago at my hospital job, and I thought I was doing great, but I can't work for that now.


Or if you work in-house, you unplug
and turn up the volume and look around the office at other employees with your hands asking ... "Why?"

When I worked in house one of the 3 MDs did this. I only played it for the OM, who said she'd handle it. Ah, finally I found a use for her, LOL.


Can you work at a friend's house or your son's
place for a week?  
There were in-house parties, donuts, 40 work week.
dd
I work in-house for doctor's office now and Love My Job!
Good Luck.  I accepted an in-house position at a doctor's office after being laid off from a very large hospital. It is wonderful to be able to go and ask the doctor questions and get feedback directly from them.  It really is the way to go now instead of working for the really big transcription companies.  I feel like I am appreciated.
If you cant get a job inhouse, go to a local company and work in their house.
A lot of people who I went to school (college) with ended up working for a local company to Jackson, MS, MidSouth Transcription. They worked with you and got you ....further trained shall we say. We had school, real college courses, so we were very well-trained (had to take an anatomy and physiology class that was the same as the premed students) - we knew a LOT but Ms. Torri got us employable. Try a local transcription company for a while. It will help, I promise.
Best advice - work in-house a couple of years
You really do need hands-on experience in order to be able to do this at home. You will run into terms that you will have no idea how to look up - like "booj aw boo" would you know to look under bougie au boule? Or "terry onal craniotomy" would you know it is "pterional" or would you spends loads of time looking for "T" words? If you work face to face with experienced MTs, they can help you when you run into similar situations. I'm not being snooty, I am only pointing out real situations that you will be faced with and the reasons MTSOs insist that before an MT can work independently at home they have at least 2 years experience. I believe that most of us have worked in-house in the beginning to get to the point where we can do this efficiently at home. Once you do get that experience, though, stand back, the MTSOs will be beating down your door with job offers. Good luck and hang in there! Remember we all had to start somewhere. Best of luck to you!
I work for a hospital and can do in less (sm)
than 8 hours (65-char line).  Are you sure you mean per week?
Actually, I do work for a hospital now
and there are 8 of us who work from home. BUT, they have begun to do things the way the "services" do (NAMELY MQ). They stopped counting our spaces, and so forth, because it is "the trend".

Even the hospital MTs are not as safe as they used to be. We are the only hospital left in my area that has not outsourced yet, and anytime we complain about our pay being reduced (which has been several times in the past five years), we are threatened with outsourcing.

So, it probably is a good idea to start thinking of a change.
I do work for a hospital
that is the position that will be going fulltime. It is 28 hours a week now. I work at home for this very large Level 1 trauma hospital right now doing radiology. I have insurance, I have short term disability through them. I have one national as a sideline, and another local clinic as a sideline.
Well then don't come work for my hospital because...
if you type something for one of your co-workers, you have violated the confidentiality agreement signed when you were hired.  I've typed celebrity reports too when I worked for a national, that's different.  If it were the other way around would you like a casual acquaintance to know all your business?  I wouldn't.  I have the same respect that I would want.  There's 23 other MTs in my hospital.  I don't NEED to type a medical report on my children's elementary school principal (happened a few months ago).  So, get off your attitude.
I work in a hospital and sometimes we have had - (s/m)
"blanket" messages on our blackboard - or in memos - meant for one or two, even those of us who work our tails off have to read it and feel chastised. It's very demoralizing. Next time I get one of those nasty memos or emails, I intend to tell the boss that if he thinks I'm so lazy, then he can just pry his fat arse out of his genuine leather easy-chair, turn off the computer games he plays all day long, and type the #*%<)!@% work himself.
I work in a hospital
in a city with a population of like 4000 people, it is only a 23-bed hospital and I started working here a year and 1/2 ago. I make a little over $12/hr. For this area, this is great pay for any kind of job if you don't have a bachelor's degree. My mom is an LPN/office manager in a clinic owned by the hopstial and she is only making like $4/hr more than I am.
The hospital I work for will
Well some people can get away with it, others get dropped.  Why I am looking elsewhere. 
I did work for a hospital that used one of those.

They called it a 'CryptoCard' and it was about the size of a credit card.  You needed it to log onto their system--whatever number was displayed was the log-in number you were to use at that time.  It always changed....security precautions.  I never paid for it, but had to return it when the company lost that account....dumb bastids...was a great account.



the hospital I work for does that too.
They call it a Biometric Screening. When you enroll you have all the lab work done that you need.Glucose, lipids, TSH, triglycerides, etc. You also get a reduction in your health insurance premiums per pay period. Depending on what you participate in, you can also get up to $300 back at the end of the program.They have smoking cessation incentives, exercise incentives, etc. It runs from September to September. Pays usually in January, or midway through. You also get discounts on different classes that are offered, ie pilates, yoga, circuit, etc. For a reduction in my health insurance, I think it is well worth it. And I haven't heard of anybody being popped for drugs of abuse or anything like that.
When I used to work for the hospital, the ones of
us with equipment at home contracted with the hospital and worked our "second job" for the hospital to do the work when we were behind. You might ask them about that.
Hospital work
From someone who worked in a hospital first and then worked at home, sometimes in a hospital you end up doing other duties like correcting someone's else's reports because they are not there that day, or are working another shift, re-printing reports, sometimes the nursing floors or even physician calls with problems with the report (usually they are irate and blame any and every problem on transcription).   You have meetings which interfere with your ability to transcribe.  You have to be on alert for Department of Health visits.   I could go on and on.  Your line count sufferes.  Unless you get paid by the hour and get paid well, it is more trouble than it is worth.
hospital work
I got most of my first work experience at a hospital when i had no idea what i was doing. They never gave me any feedback or nothing and was there 2 and a half years. And I got paid for not knowing what i was doing. I had only had a few courses of medical terminology and they hired me in. It was a stepping stone to bigger and better things. Hospitals today though are more competitive, (my experience was over 25 years ago). So you might learn more stepping stones by working at the hospital. (i drove over 55 miles to that hospital job just to get experience in the field).
going to the hospital won't work sm
thought because we as MTs sign contracts etc etc when we work for these companies. If we go behind the company back and approach the hospitals/facilities, we can be in all kinds of legal troubles with the company itself. The rest I agree with but people have got to stick together.

Kind of goes back to 30 years ago and the big unions huh? People stuck together they got things done and working conditions improved. People busted the unions and you see what has happened over the years.

Coming from a HUGE union state (Michigan---that ought to get a few riled), I have seen what has happened when the unions are "busted." I also now live in a southern state and see what goes on here when there are no unions and folks don't stick together.

There has got to be a solution for this and I for one am willing to sign on to whatever it takes to get the job done.
As in hospital work,
discharge summaries, operative reports, consultations and history and physical.
That's an idea -- does it matter that my cell phone won't work from the house??
It rings but then cuts you off as soon as you answer. I think we are too far from a tower.
You work full time, manage a house and cut 11 acres? No way man! Not me :)
NM
I work for a hospital 6 states away. SM

I have a physician list and I have a website to look for other doctors. But how can they expect me to know how to spell patients' names? They can't. I have a disclaimer at the top of my log sheet that says common or phonetic spellings will be used where patient name spellings are not provided.


That was the thing that held me up when I worked "live" from home for a hospital. All that diddling around finding out whether it was "Kathy" or "Cathy"  -- I don't do that any longer and you're right, it makes a HUGE difference.


I work for a local hospital,
not a company. I know to stay away from Transcend.
local hospital work
i moved from a large city to a small town and i'm thinking about doing what you did. try to go to work for the local hospital. would have to probably work a set schedule, but the town is small so it's not like i'd be driving a long distance and i could go home for lunch. i don't have benefits right now and that's scary, so i'm leaning that way.
Not! They are why I went back to work for a hospital
to work
hospital work at home
May I ask if it was easy for you to get the at-home job working for the hospital? I have a hospital very near my home and have been contemplating going there to see if they have at-home transcription jobs available, but haven't done so just yet. I would love to be paid hourly. I'm so tired of having to type my fingers to the bone to make good money. Hourly should would be nice, even if only temporarily. Thanks for any advice.
Other than that do you like Winscribe? The hospital I work for is considering going with them for a
x
I work directly for a hospital in the NE,
the list is provided to me by the hospital.
Sounds like the hospital I work for

I would think you applied there.  Anyway, we get paid by production in-house at 9 cpl.  Only time hourly pays is when we take time-off, equipment malfunction and of course meetings.  The only thing I don't like is that the hourly people (coders, clerks) dont' understand that and want to visit and get offended when we tell the we have to work. 


That's pathetic that a hospital would pay for such work.
The hospital should be ashamed of themselves for hiring an offshore company.
I also work for a local hospital which is
growing in volume of work minute by minute. We have 52 remote transcriptions and still we need to send out work to two venders.
I work for a hospital but am home. nm
nm
Yeah, and if you work for a hospital and say
x