private practice
Posted By: zoemonkey on 2007-09-28
In Reply to: Need my fellow MTs opinions...sm - mimi
Cardiology in PA, $17.00/hr, 6 weeks vacation, employer funded pension plan 10% of salary yearly, been here 15 years.... longing to be home and a full time MT.. good luck coming back to the jungle.
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probably train MDs in private practice to use VR
(only kidding)
I think a lot of the private practice docs like smaller ones.
They like the personal attention they get.
Not to mention, most tape accounts are private practice
Lots of normals and Expander entries so you can just pound out the lines in no time. I have a tape account where I can easily hit 400 lph due to the normals and expander entries I have created. I can finish a whole day's worth of dictation in no time and who cares if I spend 15 minutes running to pick up? I make enough in two hours to make up for that!
I am trying to get them to go digital and when they do, that will only save me 15 minutes a day so it's not like I'm going to make out like a bandit over it, but I'll take that extra 15 minutes and spend that time on myself! :)
I think most of these people don't realize that those of us who do still pick up/deliver, do so locally and therefore the offices are usually within a 5-10-mile radius at most. I say let them pound away at their acute care with different docs every few minutes! ;) I did my time with all that and I'm happy to work the gravy train now, even if that means I have to take a little drive now and again. In fact, I'll be done, deliveries and all, in about an hour (12:30 p.m. here) and have the rest of the day to spend doing something fun with my kids or gardening. Can't beat that! :)
Maybe if you practice what to say
before talking to her and then try to keep your cool. It is much better to be friends with your neighbors. Having a difficult neighbor can truly make your life miserable.
How is she going to practice? Does she have
s
practice, practice, practice
Apparently not being distracted by internet surfing and concentrating while using Expanders is the key. I haven't done more than 300 lph myself, but I don't have a lot of expanders.
Partners in Practice
Partners in Practice does outsource.
Practice dictation
Does anyone out there know of a website where I could get some practice dictation? Have been away from transcription for a few years and want to get my "ear" back and some speed before trying to get back into it. Thanks for your help.
Family Practice
I was wondering if anyone has any ideas on what you should charge per line for a Family Practice of 4 physicians? I am interested in working for this practice that currently has been doing their own transcription (oh heaven help! lol), but did not know what would a fair rate to charge per line...thanks for any input! 
practice tapes sm
As usual, your answers are so much appreciated. I love this site, helping others is so important, I do it whenever I can as well. I believe in karma. Thanks again!
Practice dictation sm
This is a crazy question but I've had to take time off and feel really out of the loop. Never worked from home before. Is there any company who would forward some sample dication to let you kind of play with for awhile before you formally test for them? At this point, I don't think I'd pass the test although I've had plenty of acute care and specialty experience. I know it sounds really unprofessional but I thought I would at least ask. Hate to fail, spent too many years being a perfectionist, I guess. Are there any sites you could recommend for someone returning to the profession after a few years taking care of family business?
It's good practice.
I know it hurts at the moment, but it will help you in the long run to have a bigger variety of dictators and specialties. When I was doing radiology there were only about 15, and all but 2 were quite good. Now doing acute care again I may not have a repeat all day. It does make a big difference in production.
Practice tapes from?
I have heard practice tapes some give out that are almost perfect dictation- definitely not what you run into when you transcribe. Are you doing the "goodie" tapes or are they the real McCoy? The practice ones I have heard put in their periods, paragraph. Ha, very seldom hear that in real. What kind of work will you do, speciality or the 4s? I have my equipment as fast as it can possibly go and my salary has gone down in the past 4 years 20,000$ from the constant outsourcing the companies are doing. My speed is between 130-140 wpm and I make good only because I have my nose to the grindstone most of the day. By the way, independent as well but my company asked me for certain hours and which days. I have seen numerous posts on here saying you do not have to do it -but I wanted to work for this particular place and I accept it.
practice tapes from...
Practice tapes are real; slurring run-on sentences, gurgling muffled words, you name it. But, she gave me the printed reports to go with them, so if I really get stuck, i can look at them and find the answer. If you don't mind my asking, how long have you been in this, and what's your cpl? You work for an agency? Yes, my speed is concerning me. Thanks for your reply.
If you are an employee at this practice sm
then it is not your decision who they hire. It is probably in your job description to train new employees. You may want to ask for a copy of that before heading into Dr. Whozewhatsee's office to complain. The other thing is even though you have a background on this girl that does not mean she is terrible (innocent until proven guilty). In my opinion, when I read your post, I am hearing "this job is mine, mine, mine, and mine". "I am to make all of the decisions because this job is mine, mine, mine." Sort of like a 2-year-old. In saying that I'm sure it will really make you mad. I am hearing from your post that you really do not want help but you want to be off to have surgery, etc. The practice cannot just back-up their work but unless you are a supervisor (25+ years does not make you that), it is the decision of the office manager on who to hire. You may be better off with this young girl as opposed to an outside service. The outside service may very well take your job by underbidding and letting the practice know that they can get the job done and do not take off for back surgeries, etc. You may want to keep the waters smooth until you get back. I would do my best to keep this girl going on a steady pace. JMO. Good luck. 
What a rip-off! That practice keeps their profits UP
$
Practice dictations
I am at a hiatus in my transcription career, but I do not want to lose what I know, or lose my speed. Is there somewhere you can purchase practice dictation tapes, or digital downloads? I would prefer digital downloads of voice files if there is such a thing. Just wondering.
MT and practice are both at fault sm
Have had this done to me more than once. The PT office should have said, no way, if she approached them. She should have said, no way, if they approached her. You have been hurt, and it's not only common courtesy but a stab in the back. Keep them as a client until you get really busy with others and then drop them. I would not keep her, not for one moment. I had to let go of both a friendship,, a client and an employee twice because I do not tolerate this type of sinister behavior. You should not either. Fool me once, shame on me; foll me twice, shame on me. You should be flaming mad, you have every right, you were scammed by both.
Outsourcing may not be a bad practice,
but in my case that is why I have no benefits. Hospitals/clinics outsource so they do not have to provide facilities for us to work in and full-time benefits to employess to do the MT work. If they are paying the MTSO less that what they were paying the former employees, who eats the difference? We do.
depends on practice
For the most part, my platform fills in the ADT for me BUT...there are some practices that do not provide electronic ADT, therefore I have to enter it manually, which I hate because it's time consuming. There are even a few of my practices where I have to enter it on one screen then enter it again in the report, but I only get paid for entering it the report.
this is common practice ....
in hospitals. What our hospital HR told me was that they save all the applications until they have an opening, they then will advertise that opening in-house and if none of their employees apply they will take out the applications. So, it's quite a long process and really the luck of the draw. Since hospitals cannot be without the necessary staff even for short time, they stock pile applications ahead of the need. So often they will advertise and in reality there is not an opening. Hope this helps. btw, I'm 64 and just got hired by a wonderful and company working at home.
Speed comes with practice
It may take several months to reach 150 lph. I agree with the other poster that an Expander is not necessary. Fooling around with the expander to load in abbreviations takes a lot of time. In spite of what expander-sellers say, you can easily reach 2000 lines a day without an expander if you are efficient. MTs did it for years on typewriters.
When you have done enough dictation to begin recognizing that all doctors say the same things over and over, and when you can recognize those things in spite of individual doctor differences, you'll begin to fly. It's a matter of learning what they ought to be saying so that you can understand them.
It's also a matter of focus. If you are trying to load up an expander, eat, do laundry, do daycare, fool with pets, you will never make progress. If you keep checking IM, email, and answering the phone, you'll never make progress.
Hot keys and practice.
How long have you been on this account? My average is typically between 550-600 lines an hour but I have bad days too, today is only 394 but that is with the kids home and lots of distraction. At night is when I get my good lines in. I use the shortcut keys, keep it mouse free, try to keep the audio speed increased whenever I can and do my proofing as I do my spellcheck and throughout the report. I also still use my autocorrect a lot during editing for common mistakes that must be typed in (usually the same VR mistakes every time).
I know that when starting a new account and still checking on specs and such it does take time to get that number up. There are also days like today myself that typing just seems to be faster. It happens. I also noticed when I did a short sting on a clinical acount on Escript that it had horrible lines. I much prefer Acute Care with VR.
Private ins
You can get private insurance lots cheaper than MOST COBRA plans but it is up to you. Also a lot of times they only cover for so long and if I remember correctly dental and vision might only be for one year and some plans do not COBRA that over. And if your husband is self employed, then it could be a business expense to provide the insurance and with six figures could easily do it and pay less taxes. I know COBRA is easier to just kind of roll over into, but again, it only lasts for 18 to 24 months and so you will be looking eventually. However, just ask why suddenly you are not covered.
Practice what you preach, Grandma ...
Make sure you do charitable work both as a nurse and as an MT ... just "do your part" to spread charity here at home in the good ol' US of A.
You start...we'll follow. lol
Family Practice, Internal Med
I like them because of the variety. With family practice you have everything from Pediatrics to Geriatrics.
I would never have given up the doctors' practice I was typing...
when my husband had his kidney transplant. The money was great! I had 2 people who worked for me! But I was not sure how long his recovery would be (turned out to be only 2 months) and if I could continue to deliver reports anywhere close to on time. Ah well....
Look for tapes on ebay for practice nm
nm
It's not your practice, you are an hourly employee, yes?
You ask the administrator how you should handle this mentoring thing and mention that you will do your job as best you can while training her but you will have to let the doctor know that the work is going to get backed up. Simple as that. No? :)
I am on 3 jobs right now. Gets easier with practice. Just get
p
Thank you. I am looking for dication that free to practice with..n/m
k
Practice makes perfect.
Let me tell you that QA will not tolerate this kind of 2 and @ and not beginning a sentence with a capital letter. So, if you want to make it in the MT word, you'd better brush up on your typing. You wanted tips, right? Well that's my tip! Are you serious?
Oh, and in answer to your question about companies reading this board? Yes, they certainly do. Look at the poster on company board defending her job ad post! I'd say that is an employer reading this board. 
My family practice doc just starting using it. sm
The doc had me meet with the Allscipts trainer to see the different options for transcription from home. The first option was accessing their system via internet and cutting and pasting what I typed in Word into each patient note (I suggest not typing directly into their EMR as you won't be able to use your spellcheck, abbreviation expander, or count the lines). Once you log on, it would be about 5 steps to get to the appropriate patient, then I would have to cut and paste, either each SOAP headings into appropriate heading or just as one note at bottom. Of course, I didn't want to do any of this, too many steps and didn't want to cut and paste (didn't tell him this but trainer had already figured it out and I think he did too as he said that was a lot of steps). However, after he heard he would have to buy an additional license or two (about $5000-10,000) for me to do this, he nixed that idea, which was fine by me. We then decided I would transcribe the SOAP notes as usual and send back via FTP site and HIS office staff would cut and paste, especially when I told him another doc did it this way!! Perfect! And to top it off, his PC guy set up a FTP site on THEIR server!! So far, this has been working great. However, the problem now is decreased work. His PA-C is still dictating but his ARNP has pretty much been using the EMR only and he has decreased his dictation load as well. So, that's it in a nutshell. None of the EMRs are very transcription friendly. Good luck.
I agree that what you need is plenty of practice
You need to concentrate on learning medical transcription before you try anything like Dragon NaturallySpeaking. BTW, DNS cannot type directly from an audio file unless the program has been trained for that particular dictator's voice. You would have to repeat what they are saying and then recognize if DNS makes a mistake, something you wouldn't know unless you are an experienced MT. Not a good idea at this point.
Family Practice trains you with a little of everything
continuing....Practice what you preach.
x
Need acute care practice
How can I obtain acute care, op note, experience? Im interested in a "crash course" in acute care. I have multiple years experience in multispecialty clinic. Have interest from an emplyer for acute care, I just dont have the experience, and dont want to lead them on that I do!! Seems like there is much more out there for those that have experience in acute care! Practice is a big part of it I know, but schools want you to spend $ on the whole course, which I dont need, and will I really be getting the "experience" I will need to succeed! Any advice!!!
I use my private e-mail sm
and receive all my messages from my TC through my private e-mail. In fact, I never receive anything throught my I-mail, don't even hardly check it anymore. Call your TC and ask her/him what to do. This may not be the same across the board, as so much is not the same from office to office! 
LOL in private, not seclusion :-) sm
like a different room in the house. 
I would see about a private school.....
Your son sounds like a very bright young man... No offense to you, but can you honestly challenge him and teach him things you may not be proficient at yourself. Foreign languages, advanced math, etc. Even high school teachers only specialize in one subject. Something to consider.
Private accounts
How do you go about getting private accounts? Any MTs out there that have done this and are still doing it. If so, how much can you charge per line for a private account that you obtained yourself. I currently make 8 cents per line with an MTSO. However, I have been hearing that if you have a private account with a doctors office you can actually charge a lot more, about 12 to 13 cents per line.
Any tips on doing this. I am currently an Independent Contractor and would like to expand my horizons. Thanks for any advice.
It's how I got my private accounts....sm
I had business cards made up and every week, one day only, I went and solicited another medical building filled with offices usually next to a hospital. I brought only a couple of resumes (nobody asked me for one either) and within a month or 6 weeks, I scored 5 private mds. It's really all about self-confidence and belief in yourself and your own abilities.
I'm still working for 4 private MDs all these years, one of the 5 went into *receivership*, a form of bankruptcy.
Best of luck, believe in yourself, go solicit yourself and your abilities and don't be afraid. If it worked for me, it can work for you!!
I do agree - I have many private mds...nm
THANK YOU JAM for your private email....
very kind of you. Please know that I do appreciate your help and the time you took to respond.
private accounts
anyone out there doing private accounts for docs who don't have to do operatives? just trying to get some info as to what type of reports some may do when typing for own accounts. I was thinking along the lines of internal medicine. Thank you!
If you have private coverage on yourself, you would not--sm
need workers' compensation on yourself. your private insurance would cover anything happening to you. If you have employees, they may need it, but only if you offered them employee insurance benefits. JMO.
most private doctors...
I speak to say that they went to the bigger companies because they were assured TAT - however it is explained to them that the same people working for the Nationals are the same ones that would do it as an IC, I find that my clients came around. Sometimes common sense is not the easiest thing for a busy mind. They also like the idea of not paying the rates a national charges, knowing we do not make it - so drop the rate a penny and they get a break too. They wont pay us what they pay nationals because they do not feel we are the same thing - if we cut out the middle man for us, they want it cut out for them too.
Private accounts
I am curious to know how to go about getting private accounts? I am challenged when it comes to how the work is transported back and forth. What would be a reaonable expectation in terms of costs on my end? All I have now is the computer, foot pedal and copier/scanner/fax. What else might I need? I live and Houston. Our medical center is top-notch and there are many, many hospitals, medical organizations and clinics to choose from. Any advice?
private clients
It is refreshing to see normal expected amounts given to other MT. So often I see "I would not expect less than 10.00 per page and such high line counts" I believe the misconception by many is that you can make a bundle with little effort given some of the "I won't do this" attitudes. When looking for your own private accounts, think about who they are, where they are coming form and who did them before and assess accordingly. And keep in mind you may have to negotiate and get a bit less but your first client and everyone after is your own - which is a good thing
private accounts
I haqve been working on 2 private accounts, one of them I pick up tapes twice a wk and at the second pickup I pickup a check. I have been with them for 9 years. The other one I started last year and they send me the doctors notes by mail and I overnight it and they pay me through the mail. They both pay me by the page.
I wish you the best.
I now have private insurance (sm)
Call and check into private insurance through Blue Shield. I pay $294 a month with a $750 deductible. Might save you some money meantime. I also lost benefits through a MTSO due to lack of work and could not afford the COBRA.
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