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sounds like you need to obtain a clinic acct or two. nm

Posted By: clinic on 2005-07-23
In Reply to: How do you decide which is better? - pros and cons

nm


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Sounds like an acct I just left, LOL! sm
I think if you are ultimately seeing major errors in medical content, I would file a complaint to the medical board in their state to open their eyes and evaluate but again only being the MT you may not have a leg to stand out but at least it may put a bug in their ear and definitely keep track of the documentation if you do in case they ever get in trouble and you are called in. Either that are go to whomever is over you or office manager.
sounds like my clinic visits ... sm
When sick for a visit, have done very interesting things with bodily fluids (including regurgitating on the doc). When rattled, have screwed up HPI and ROS. Have had conversations with other patients/office employees during my visits. Used to take at least 1 small child for every visit (one doc even let her play games on the computer while doing my exam, a tech let her help place EKG leads, and a radiologist let her help "read" a mammogram). Now that the small child isn't so small, have answered her calls during doc visits. They do put up with that and more. Seriously, I'd rather type about a pelvic exam than do one, especially if yeasty. Your post actually made me appreciate the doc more and be more tolerant of the way they dictate.
I want to obtain my own account
but looking for advice on how to set up a contract.  Its just my own way of doing things I guess.  I feel more secure starting out with a contract.  I rather have my butt covered now then worry later.  thanks for the luck though!  who knows.
Is it possible to obtain someone elses IP address
and use it? I don't know much about how this works so was just wondering if someone could get my IP address and use it.
Where's best place to obtain credit score?
I know I see Free Credit Report all the time on the internet, but they are not really free, right? Don't you have to sign some sort of protection coverage and pay a monthly fee? Is the best place straight through the Equifax, TransUnion and that other place? (Can't think of the name of it right now). I'm in the market for a new house and want to make sure everything is okay. Any advise?  Thanks in Advance.
News stories do have to obtain permission to
My DS has much experience in this field.


Gross line counts are easier to obtain IF you have sm
a fixe font; however, 6 cents is not enough. I would not accept under 7.5 cents a gross line and only on a FIXED fot with the margins spelled out. For instance, if they say a 65-space gross line, that means 1-inch margins on each side. Of course, anything on a line is counted as a line and that means if there is only 1 character, that is counted as a line, but always get it spelled out the type of font that will be used because if you have true type fonts, you could be doing as much as 125 characters on a line.

As good as gross lines sound, today's world is not really based on that and it is much easier to calculate a 65-character line in the perspective of today's world.

I don't know how much experience you have, but even if you have just a few years, that still is not good pay and again, if it is a TT font, you would only be making something like 3-1/2 cents to 4 cents per 65-character line.

It is true...and the sales reps will tell you anything to obtain your business, but then they...sm
get you once you start using the ULD.  I know, I have been told the same thing that you say you have been told but then I received the dreaded "cut off" notice.  I wish you the best, but it is just a matter of time until they get to your area.  It's not allowed! 
Any suggestions where I can obtain free invoicing software, or reasonably priced. nm
/
There is really no way to compare number of reports to a line count. The more experience you obtain
faster it will go and the lines will increase so don't give up. All of oldies have been there. Most companies require 1000 to 1200 a day, so you are not far off from that. Just keep plugging along, you will get there. Use Expanders for your most common phrases, words you find you have to look up constantly, etc. for starters to help build your speed.
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...
MOre than one acct

The above is a good recommendation.  I have a binder with the account specifics and when I first started with them I would bring it out, review what their specifics were and so on to refresh my memory.  Now after years of managing five accounts it is an automatic switch of font, margins, set-ups, etc.   After a time you will be doing the same but until then, just make a binder, cards or folder and prior to starting the account bring it out and refresh your memory and keep it handy to refer to when needed.   Good luck.  


Patti


RAD ACCT
I get 9 cpl on two accts using ADAC/MARS, 2.00 report for mammos and 1.50 report using Meditech
acct
I got my own account by actually being a patient there. They actually gave me a rate they were looking to pay and worked from there. Also, I do not print or pick up/drop off. I speak with the office manager if there are any problems. They also have a few other Transcriptionist so we try to send the files to each other if we get stuck but if not it just gets left blank for the doc to fill it in. I have a TAT of 2-4 days.
Need Help to set up an acct.

my aunt just asked me if i'd be interested in doing some work for the doc she works for.  i currently work for somebody else, so all of that legwork is done for me.  i simply download from her system, type and return. 


how do i go about setting up something so a doc can dictate digitally and get it to me.  i don't know the first thing about it or where to start!  he currently does not do digital, but is considering looking into it, so i can't really turn to them for help on this one!


suggestions greatly appreciated!


No I do better job. On acct 1 yr. nn
X
How much do you want this acct?
You could stand up for yourself and say you want XX more per line or you arent interesting in doing acct. It would be a headache for MTSO to find another MT to do this acct as well as you, but it wouldnt be impossible. Also MTSO would have time tied up in training new MT. MTSO MIGHT decide giving you a raise is worth it to her or she might decide to invest in someone else. You may have some insight as to which route she would go, but beware, you could lose acct.  Again, how much do you want this acct?  If you dont want to take a chance on losing it, you can hardly gripe about what MTSO is making on it.
I used to have an acct like that...
I could do 1000-1200 lines in three to four hours. I mostly did one doctor who said the exact same thing over and over, so I had a template for his entire transcription and just had to plug in specifics. Sadly that job went to India :(
If acct is on ASR, what is left for MTs
is the worst of the dictators that have always and will always be a problem. The best speakers are put on ASR to the machine can under stand it. They've got you. It is no faster that using expansions. There is no production increase, so there should be no decrease in MT/ME pay. THAT WAS THE DEAL! I will go back to cut and paste an old post that says what happens.
Get a local acct (sm)
The middle man is making money on your work. Cut out the middle man and you'll make more than $15 an hour.
hospital acct
A little more info would be helful. Medical Records? Acute care? Full time? Benefits? Large hospital? Days/evenings? Where are you (what state)?
i am on verb acct,
and there are very very few reports that actually go out word-for-word verbatim. I do keep it as close as possible within reason and common sense.
I was removed off an acct. after one day -sm
as the client requested I be removed. I don't remember being given any samples (several years ago). It was an ESL, a new acct. etc. So I did have blanks here and there, the MTSO had told me not to worry, they'd QA all the work. For some reason or other they did not, hence the work went through as I had left it. Needless to say the client was not happy, so I was removed from the account. I did not lose my job though, but I was peeved for sure about the whole thing. We eventually parted ways and I have not had that problem since.
Tell MTSO you want off this acct. ;

MTSOs are always complaining about the shortage of good MTs.  Your MTSO, I am sure, would rather have you working for her on all your other accrts than risk losing you because of one bad dictator.  A good MT is worth more than the sum of lines of one bad dictator. She knows he is bad and to this point, she knows you will muddle through with him.  Put a stop to it. She will not quit giving you work over one doctor. I have been in similar positions and have always been taken of acct/dictator that I requested because I could not make money. MTSO is it this for money, she shouldnt expect any different from you.


Unless this is your only acct, worth more for
x
If IC, you CAN choose to do or not do an acct.
x
losing acct

Hello Patty,


I lost an acct about two yrs ago and it hurt, but I wasn't backing down.  The OM of one clinic knew the OM of another clinic I typed for and they mentioned to each other how much they were paying me per line.  The OM from the higher paying clinic called me and asked why I was charging her clinic more.  I told her first of all it wasn't really any of her business, but the other acct I had had for 10 yrs and I billed them 50,000 lines/mth, plus I picked up tapes every day.  Her particular clinic I only had about 6 mth., billed about 3000 - 5000 lines/mth, and didn't get tapes every day.  Needless to say, I never picked up another tape from that clinic, but that's the way it goes sometimes. 


No. You said verbatim acct. Maybe that is why
x
Start looking for another acct and when has
x
On my acct are 2 drs. that all know are horrible.
to just do our best and email acct manager the job number so she can alert the facility.  Facility knows the work of those 2 are going to have more than the allowed amount of blanks and we just have to let them know when those jobs are coming through. 
Do acct coordinators have the power to....
knock you off the server so you lose whatever work is downloaded to you and, if so, is this pretty standard practice when they want the work to go to their favorites instead???
Maybe they haven't set you up with an e-mail acct

yet.  My company assigns us an e-mail but in 5 years I've never used it and don't even remember what it is.  Some MTs choose to use it.  


As far as the e-mails sent only to you, maybe they are just updating you with all the info, or you could be doing something incorrectly and they have these e-mails in a file and pull them up and send as appropriate.


Maybe they have their e-mail setup so that it sends to each person on the list separately.  I don't know how this is done if even it could be done.  I get e-mails from my company that don't show any addresses in the To: section that go out to every MT on my account.  I like it this way so my e-mail addy (my personal one) isn't being published.  I don't have anything to hide, just don't like my e-mail on forwards for everyone to see and possibly harvest. 


Call your supervisor or the tech department if you have concerns instead of worrying about something that really is no big deal. 


 


Depends on the acct and how much editing (sm)
on a good account, you can do 400-600 lph, more editing takes more time.
5-10 of each a day with 2 others on acct doing 350-400 exams daily
Works out good if you are paid by exam which I hope you are.
having own acct charge question

Just curious.  I have had this account for almost 4 years and have never gone up on my charge to them.  Is it appropriate to go up for standard "cost of living" increases in medical transcription?  I don't have to do anything except email their work to them when I'm finished with it, but used to print it out and deliver it, but recently finally got them to accepting it via email.  What is the standard procedure for charging a bit of a higher rate as time goes by?  Thanks very much for any advice.


Depends on what your acct. allows. Many don't follow
s
Anyone ever had a local acct & had to deal

How did you deal with it?  I mean the docs like your work and insist on giving you work, but the in house MT who coordinates your work is a Wicked Witch of the West and blocks the docs' attempts.  I'm talking small $ here.


If acct pays for spaces, do 2. Every little bit
x
Ask you acct for samples to look at. And get the Dorland's
s
MIght be getting own acct. What line count
x
I have requested taken off acct cause cant make
x
Instead, if I had $345, I'd put it in a money-market acct. - sm
and watch it grow, rather than putting it towards a bunch of fake 'certification' letters after my name, and seeing that money fly away and earn me nothing.
Why stay with a difficulty acct? Ask to be off it.
x
What was your QA score for acct?How long did
x
Only thing to keep me on bad acct is +$. MTSO
x
Or making $36 ph on acct that only dictates 1/2
fsa
I have acct that pays $28 hour. Too bad they
c
Could be the acct and/or lack of specs.

I also think it is important to start off with people who know the account, follow the specs for the VR to learn the specs correctly.  In time with everybody on the same page it should improve, but if you are using all the shortcuts and have experience in the account I can't help but wonder if it may be worth looking into another account.  My line count is actually down now from the account that made me really start like the Escription platform.  I had a mostly ER account with other basic 4 reports in it that would allow me up to almost consistently 800 lines edited lines per hour.  The work was very inconsistent and the company was not reliable so I moved on making less money but much less stress.  The accounts do make a difference but until you try another account you may not know what your potential really is. 


In answering the other question regarding hot keys, I learned just like mentioned above.  Learn them one at a time.  Start with Alt k, then Alt Shift K, Alt ., Alt ,, Alt :, etc.  Use you jump keys, which are very easy to learn and you'll use them all the time, ctrl arrows, ctrl shift arrow, ctrl backspace, etc.  All of them used together really are a time saver.  Get in the habit of using alt 2 and alt 1 too to adjust speed of playback.  For the nice easy ones go ahead and alt 2 to your content and get the report knocked out, for the tougher ones alt 1 and slow down.  I do this throughout the reports as I find it easier to listen quickly to some parts, and slower with others that need more changes.  Any bit of time saved makes a difference. 


Also, in my first report I mentioned working with kids, etc.  This is a biggy for me.  Working 3rd allows me to actually work without distractions.  Small distractions make big difference. 


my 2nd acct is still on the Cottage program...I work for

Yes, live on W Coast and my acct transferred
over to Amherst. 
I would not lower it. If you just got the acct, they had the negotiating time before sm
giving you the acct and they obviously knew their entire was a lot of macros. if they wanted it lower, they would have mentioned it then. enjoy it!!!