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Serving Over 20,000 US Medical Transcriptionists

what's the difference if they answer your questions or not

Posted By: definitely on 2005-12-07
In Reply to: Venting on job interviews - sm - Disgusted

they're gonna be a bunch of lies anyway! 


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Answer to your questions
I am sorry I don't have time to answer your questions in detail, but the most reliable source and largest supporter of farmed animals is farmusa.org.  Go to their site and click on links.  There you will find all the answers to all your questions.  Thanks so much for wanting to be informed, that is all that is neccessary in some cases to allow you to switch to a compasionate way of eating by eliminating meat from your diet.  Wish you the very best and spread the word once you see for yourself. 
Could you please answer some questions? (sm)
Did you have a learning curve with this keyboard?  I was reading about it yesterday.  I understand the home, page up, page down, etc. keys are on the left-hand side of the keyboard.  That would make for some serious re-learning on my part!  How have you coped?  Thanks to both of you in advance
In answer to some of your questions...sm

How did you get your accounts and what line rate did you start with? Also do you pick up and drop off? Who do you speak with (Doctor or office manager) when you have a question about dictation?  What is your normal TAT?


--------------------------------


Pounded the pavement 12 years ago, introduced myself in medical buildings/offices that I chose to walk into, handing them my business card, spending a few minutes with them, giving a resume if requested, showed a little of my personality, asked for their business cards, followed up with them with a phone call.  I did this once a week, a different medical building in my area(s).  I started charging at 12 CPL.....never upped them until this year.  They so appreciated that.  I pick up and deliver and also supply plain white paper if they request the work be printed on that versus their letterhead.  I also never charge for just one word on a line, no matter how long that one word might be, and I give them free 5-line headers as it's only 2 Keystrokes for me.  (Most docs like to see something for *free*).  I spoke originally directly with the doctors and some of them I still do talk with them, but many times I just deal with the office staff.  I rarely have to call though.


Hope that helps and good luck to you. 


Let me see if I can answer some of your questions.

Let me first tell you about my background.  I've been an MT for 15 years and QA for 7 years.  I have also worked as a supervisor of a MT department in a large inner city hospital.  I went to a business college and enrolled in their newly established MT program and it was awful.  I paid nearly $5000 for my "education" in 1992.  Fortunately, I lucked out and was able to get a p.r.n. MT position with a local hospital and one of the instructors at my school worked at the hospital.  She became my mentor at school and on the job.  I learned more on the job than I did from the school.  I started out making $7.86 an hour!  It seems like peanuts now, but I took it and ran with it.  Best thing I ever did.  I am a firm believer that every newly graduated MT simply MUST work in an office for at least the first year.  You learn so much from other, more experienced MTs.  You develop a trained ear by having someone else with experience listen and tell you what you should be hearing. 


I owe my career to Martha, Jane, Sherri, and Helen.  They are all retired now, but they were MTs back when they used typewriters and recording belts!  They were my mentors in the beginning and everything they taught me is still with me today!


what type of school is nec.? Personally, I feel that you can take a medical terminology course, anatomy and physiology I and II, and English at your local community college and that is a good start.  I don't feel like any of the online schools out there really prepare anyone for the real world of transcription and their tuition is outrageous!  You can go to a community college for half of what you pay some of those "business" or "career" colleges.


is school required? Those courses I listed should be required.

what is an apprenticeship? can i work as an apprentice and get paid? I think an apprenticeship is an excellent idea.  After you completed the necessary course work, on-the-job experience is the next step in the learning process and an essential step.  As far as being paid, there are companies out there that pay a minimal line rate (usually 5 or 6 cpl) to newbie MTs who are still learning.  Even if you don't get paid, it's still excellent training and education.


can i work at home straight out of school or do i have to work at an office or hospital first?  Unfortunately, you can work from home right out of school, but I don't recommend it.  Like I said above, there is a gigantic learning curve the first year or two out of school.  And even after 15 years on the job, there is still a little bit of a learning curve.  For at least the first year, you need to be in an office with other experienced MTs.


 


There's no one answer to any of your questions. sm
Some companies might want you to have experience in QA; others might not. Either way, they'll want to know that your experience in transcribing covers the range of whatever kind of work you'd be checking, and that the quality of your own work is high.

Some companies might expect you to transcribe and do QA if the volume of work you'd be checking isn't enough to justify having you do nothing but QA.

If you're thinking of advancement within your own company, check with your supervisor about these things. If you're thinking of applying for a job with another company, hopefully the job description will indicate what the requirements are and whether it's full-time QA or would also involve transcribing. If not, you can ask during your interview.

Oh, and same with regard to pay. Some companies pay QA people an hourly wage, some pay "production" rates. Again, you just have to ask when you're applying for the job if the job posting doesn't tell you this.
An update and to answer some of these questions...
The account is psychiatry. The doctor speaks clearly, no big words. I scored her second one at negative 42%. She had no blanks and guessed at everything. Did not read over to see if anything made sense at all, so many sentences were completely OUT OF WACK. I am not able to speak to the MT directly, my boss does that. I have not sent the scores in/back yet. I would like to first speak with my boss on this, as I have no idea what to do about it. There were 8 reports, she did 4 of them, so obviously, I am typing the other 4 (THANK GOD). I come across A LOT of newbies and they do great and have a lot of potential, but this MT, to me, just seems lazy and unwilling to try. I see no potential here whatsoever. She is getting English words as well as medical words wrong and spelled incorrectly. I am at a loss!
no easy answer to some of your questions
I was lucky enough to get my first account in response to a letter I sent - one of 100+ letters sent out. I've never been successful with advertising since then. The rest of my accounts I got through word of mouth - one office likes my work, the OM is asked who she uses as far as transcription by another OM, etc. So make sure you do your very best no matter how "small" the account is - you never know. As for what to charge, that depends on your area of the country, what will that market bear? That's a hard one - need to do some snooping as far as what the "average" is. Don't want to undercut but don't want to price yourself out of the marketplace either (personal experience - I've done both while learning). As far as questions re dictations, I try to dope it out myself - I purchase a reference book for that particular specialty if I don't already have one, ask on message boards, research the reputable web sites, stand on my head and howl at the moon - anything before I resort to asking either the doctor or the OM. As a last resort, I will leave a blank and flag it with a note that I couldn't understand what was said, or whatever the problem was. I used to pick up and deliver, but ALL of my work now is via digital dictation, so I don't pick up or deliver anything - everything transferred via secure ftp. Hope that helps some.
Put your condescension away and answer the questions
I understand it might be difficult to answer the question because there isn't a difference, but try.


THE ABOVE IS THE CORRECT ANSWER TO ALL THOSE BOS QUESTIONS
Amen, Amen, AAAAmen! We could work together! Thank goodness for like minds on this topic! Now I can feel good the whole rest of the day!
can any answer a couple if Winscribe questions?(sm)

I'm a fairly new MT and have done all my MT-ing so far with C-phones.  I am being switched to a Winscribe system.  My question is this:  Will the MTSO be able to monitor how fast or slow I'm transcribing?  I'm not trying to get away with anything.  It's just that I've read horror stories from some MTs on certain platforms where the MTSO can see (and calls) whenever they're "off the system" (bathroom breaks, looking up a word, legitimate coffee-breaks) etc.  I work as an IC and have a window in which to get my work done rather than a set number of hours.  What I'm wondering is if the MTSO, with this new system, will now be able to "see" if I'm not typing every single minute.  TIA


I agree with you. If a recruiter cannot answer your questions and you sm
are not satisfied, then you should move on to the next interview. I try diligently to have all the answers before I advertise for a position because I know what it is like being an MT and looking for work.

One thing I must say though is this, sometimes we try and still it is hard to pinpoint all the issues (and I know I try) . I know in my case there are different departments and while I do ask all the necessary questions, there are conflicts in the answers. I do my best to pull the answers from the managers prior to advertising for a job opening and believe me, if I can't do it, no one can. I understand what you are saying, but all of us are not alike. Some of us work very hard to think of anything you could possibly ask.

Now, if you have a recruiter that has never been an MT, they might not approach things like those of us who have been MTs and QA people in our career.

Just keep your chin up and stay firm in what you want and don't back off on it.
The links inside may help answer some of your questions:
You might wan to check out the CMT Candidate Guide: http://www.aamt.org/scriptcontent/Downloads/CMTCandidateGuide.pdf

To paraphrase from the CMT guide regarding retakes of the exam: If a candidate fails and wishes to retake the CMT exam, they must wait until 6 months have passed to re-apply to AAMT. There is no limit to the number of times a candidate may
retake the exam (it just cannot be taken more than twice per year). The registration fee is charged each time the exam is taken.

You can also check here for more info on the exam and answers to FAQ. http://www.aamt.org/scriptcontent/chub.cfm

You might also want to check out the CMT Review Guide, available from the AAMT: http://www.aamt.org/source/Orders/index.cfm?section=Orders&task=3&CATEGORY=INV%2DPRO&PRODUCT_TYPE=SALES&SKU=STED%5FCMTREV&DESCRIPTION=&FindSpec=&CFTOKEN=65179116&continue=1&SEARCH_TYPE=find&StartRow=11&PageNum=2

Good luck! :)

They did answer the questions. Then got swore at and had people

NumbersUSA has done their homework on this issue. If you have questions, ask them. They will answer
tell you exactly how their petition is bound legally. NumbersUSA has made HUGE differences in curtailing illegal immigration.  They are really a great group of people.
Since the poster below didn't really answer your questions, I'll try...
While I agree that things are being done to try to do away with transcription eventually, I think that hope is a long way off. Here goes:

1. A lot of work is being outsourced to places like India because they can do the work much, much cheaper than a US MT. Some hospitals won't all their work to be outsources, but the thought on this board generally seems to be that most don't care or don't know.

2. In order to work at home directly after school, it is highly recommended that you only attend one of the top schools. Two of them are Andrews and M-TEC.

3. Most companies, if you are an employee (not independent contractor) will provide you with all the equipment you need. You will have to have an internet connection and pay for that yourself most likely.

4. I believe the average you can expect to start is in the 6 to 8 cents a line range. How much you make depends on many other things, though. If you studied very hard and have a knack for MT you will do much better.

Hope that helps a little. But just remember...yes, working at home is a nice benefit for some, but there is a con for every pro to doing this.
Keyboard Kelly - Many thanks for taking the time to answer all my questions.

I really do appreciate it. 


DixieKaye



Meditech questions and Cerner questions. Any input is appreciated. SM

I just recently went back to work in the office at a local hospital. We type in both Meditech and Cerner, depending on what you are typing, i.e. Medical Records reports versus Radiology.  We are currently typing blindly in Meditech, meaning we do not have access to our line counts and must depend on management to give us our totals.  In Cerner, we are able to run a line count report and print out a hard copy of our line counts at the end of the day.

We are finding that 800 lines in Cerner equals about 500 lines in Meditech.  We are not paid per line nor do we have an incentive plan, but we have a new HIM Director who would like to institute an incentive plan and the administrator over our department has laid down the law and decreed that all transcriptionists not making minimum in the department will be written up.  Problem is according to Meditech line totals that we have been given, that would be about half the department.

The transcription supervisor has taken our concerns to the new director who told the MT Supervisor to hold off on writing people and has taken home all the line counts from the last month and she is going over them with a fine tooth comb this weekend.

I am not a very trusting soul by nature, so I am doing a little research on my own.  I've been in this business for about 15 years.  I started out in a hospital and have worked for a few services at home and am now back in the hospital setting.  So I know a few things about line count and I consider myself to be pretty well informed on trends and technology in the industry.   I would like to walk into our next department meeting armed with as much knowledge as possible.  So I have come up with some questions that I would like some fellow MTs to answer, give opinions, and maybe even direct me to websites or individuals who could give me a better understanding of Meditech and Cerner.  Here are my questions:

 


  1. Is it possible for an MT to have access to her line count in Meditech or is strictly a management function?  Any MTs that work in Meditech on this board, do you currently have access to your line counts and if so, how do you check them?  Is it an option on the main menu after you log into Meditech?

  2. How is a line defined in Meditech?  (i.e. 65 cpl, with spaces, without spaces)

  3. How is a line defined in Cerner?

  4. What abbreviation Expanders work with both Meditech and Cerner?

  5. Examples of incentive plans (if anyone would like to share that with me that would be great, if not I completely understand).

  6. Measuring productivity by minutes of dictation versus typed lines.


    1. What would be the minimum minutes required for an 8-hour day?

    2. How would one structure an incentive program based on minutes?

I was thinking of presenting the idea that we keep track of productivity using minutes instead of lines since there is such a discrepancy in Meditech.  I also worry that if an incentive plan is put into place and we are still typing blind into Meditech, what's to keep management from shaving off a few lines here and there?


Feel free to email me or post here any responses.  Either is fine.  I really appreciate any input, comments, or just plain old supportive posts would be nice too! 




A simple google search will give you your answer...I'd give you the answer,
but how would that help you learn to research on your own...and I'm in a rush to get to the next post. 
You really cannot see the difference?

When people first started coming to America, it was an undeveloped country.  Aside from the Indians, there were no other people living here.  What other language was there aside from what the Indians spoke?  The new Americans and the Indians learned to communicate with each other and both sides learned the other's language.  It only stands to reason, however, that English would be the dominant language, as they became the majority of those living in America. 


Also, when our founding fathers came to America, they and the others that then followed made America what it was and is today.  THEY are the ones who made America great by the blood, sweat and tears of their families.  They had every right to come over here as they were the ones doing all the work!!!!!  They did that work to take care of the future generations of Americans. 


But now our "powers that be" in the government do not make decisions based on AMERICAN best interests, but for people from other countries.  To be politically correct, we have flooded our country with people that want to prosper from OUR WORK.  They do not come over here and better America in any way.  They better their own little circle of family and actually make life harder for the people who belong here in the first place. 


That is the difference between immigrants then and now.  The more we let them in now, the more jobs we lose, the higher our bills become, the more terrorism we face.  When do WE benefit???????  It has nothing to do with prejudice either.  Who cares what they look like, where they are from?  It doesnt matter.  What matters is what they expect, what handouts they want, the bending of the rules for them while we get no break.


If you are Native American, then I would think that  you would be sick and tired of having all you work for taken away from you.  I know that I am.


What is the difference from QA and QC TIA
nm
That's the difference between (sm)
preparedness and no plan at all.  Shame on LA officials for not implementing their own evacuation plan.  Did they really believe a hurricane the size of the Gulf of Mexico wasn't going to be deadly??  If LA officials had followed their own Emergency Operations Plan, most of these senseless deaths could have been avoided.
Same difference, eh?

Don't you think there is a difference between
making a human error and being an inconsiderate pig??? Since they are responsible for these people's records they should go out of their way to be understood. But then again I guess that's our fault too, seeing how the salaries between doctors and transcriptionists (and any other health professional) are so even. Pllllleeeaaassseee. Why don't you send your docs each a Christmas gift for even letting you type their records? They'll stash it right next to all the gifts they get from the medical companies kissing their butts.
no difference
The major concern of IRS is employee versus ic.

EXAMPLE - get 1099 at end of year, you set hours, no benies - IC

EXAMPLE - get W2, punch clock, etc., employee.

As IC, you can deduct all of your business related expenses - i.e., the beauty of small business. Just you, your are a sole proprietor, use Schedule C. Have people under you - several different ways - check out IRS.gov.
There's a difference...

they have a mechanism in place to allow you multiple installs. This only gives you 3.


What is the difference
Can anyone tell me what the difference is between an LX-219 and an LX-219-1.  Also what is the difference between a "Basic digital station with backlight" and a "Enhanced digital station with backlight"? Thanks!
I think the only difference with the new law is SM
now you have to complete a credit counseling class, and instead of filing every 6 years, it is 7 or 8, or something like that.
The difference is...

If you want to make more money, then become the business owner, take the risks and then you'll have the additional income. You'll never get rich working for someone else. Complaining and badmouthing management and other business owners never translates into more $$ in the check--sometimes people complain themselves right out of a job.


I know this board is an "open forum" for all topics. It's just unfortunate that so much of the talk is about how terrible management/business owners are. There are lots of good MTSOs out there!


I have never had a difference between say - sm
an OP note versus a H&P or DS, or ER note. I have seen offered diffrence in pay between clinic versus acute care work; clinic is less since it is easier. I have only ever been paid a flat rate, 2 jobs with incentive pay (.005 to .01 more a line over so many lines a day). I have 2 IC jobs now that is flat rate period, regardless of number of lines or when you work them (had a job years ago that sometimes would pay .01 more a line over the weekend but only when they got out of TAT, but that was they only time they would ever do that). Good luck finding an IC job that pays more for the more difficult reports; most likely few and far between.
Okay. That is probably the difference

We are not an MTSO, we are employees of the facility working out of our homes.  I will keep track of the e-mails though as you have suggested. 


I do believe though that it is more or less passing the buck.  That way if it was supposed to be in there and it wasn't the doc has someone else to blame.  Thanks everyone.


I don't know that there is a difference, but...sm
I wanted to keep all my things in one place so if I could send the word autocorrects to ShortHand without having to spend the time retyping them all it would be great. 
Okay, but what is the difference?
What can an Expander do for me that I am unable to do with Word? (Other than spell Mickey Mouth...heehee)

thanks for the replies!
The only difference in now and then is
way "back then" they probably had a little more upbringing where they said urinate instead of the word you used. I think they called it class?
I don't think there's a difference between the 2...
I've done both and never noticed a difference, just company calling you a subcontractor instead of IC. Maybe just a preference on their part? There's obviously a difference between these 2 and being an employee.
I don't think there is a difference

no difference
I was a sub IC at one time and it made no difference tax-wise than being a regular IC. You're just getting paid by the contractor instead of the client directly.
There is a difference
I do notice a big difference working in InScribe in upload/download time and reliability. There are copies of the dictations on both ends while I work, but I can see that only getting half a file and having dial-up bomb out would not be a good thing (and frustrating, at the very least, for me). Besides the reliability and speed, it's just one of those things....it just IS a requirement. I don't think about it, just use what I'm told to use, and write it off.
There's a difference between
If you think she takes all the easy work, then you take it all one night.  It will all come to fruition when that starts happening.  Stop being so childish, and take the work and do it.  I'm sorry, but your post sounds like a 2-year-old that is telling in the 4-year-old who took the last cookie!  Maybe I'm grumpy, but my gosh, put on your big girl panties and tell 'em like it is!  Karma is for people who are malicious in their intent.  You don't sound malicious, but you do sound like you sort of have your nose in someone else's business.  If the cherry picking is tolerated, then do some of your own cherry picking and see what happens. 
Can any one tell me the difference between...

eScription and ExText/ExSpeech.  I think Dictaphone administers both, but I think their ExText/ExSpeech platform is horrible.  ExText locked up at least twice a night (requiring a reboot) before I went to ExSpeech.  Now that I am in ExSpeech, the footpedal freezes (requiring a reboot), and the ExSpeech platform takes a week-long holiday every month or so, so if you are a VR editor, you still have to try to make Expanders and learn the traditional authors for that little bit of downtime.


Is the eScription platform any better?  My company has both, but I do not want to go through the trouble of learning a new platform and new accounts for the same crap I am already experiencing.


Sorry if I seem rude, it is just 3 weeks before Christmas, and I do not need the hassle of finally having work and the #@%$ platform does not work properly.


There is a difference between...

being realistic and pessimistic, tactful and rude.  I personally prefer to offer an optimistic viewpoint and hope that she takes the advice and builds a great business. We need more good MTSOs.


Actually the difference is this.....sm
Offshoring is sending the work overseas.
Outsourcing is when a hospital or clinic outsources their work to a transcription company. :)
What is the difference
then btw an IC and an employee? I have my own personal computer and high speed internet. Do you usually have to purchase the software? As an IC do you make your own hours compared to an employee? And as an IC is this just temporary work for the company. What is the benefit of being an IC versus an employee? THX
My in-law had it, no difference.
She says she never would have done it had she known she wasn't going to see any difference. She was 68 when she had the procedure done (so definitely lots of wrinkles). Still looks the same (even when comparing pictures not much of a noticable difference at all). Based on her results, I wouldn't do it.
Don't know what the difference would be, but
I do know that self-employment (IC) taxes are higher than employee status.
Yes, one can tell the difference, but it is NOT your
job to point this out in such an nasty way!
If she did not have a sufficient MT education, sooner or later she will realize it herself.

She might be a
fast learner and will succeed.
The only difference is
that Instant Text can create the different glossaries of words, phrases, and continuations for you. You don't have to enter each and every word or phrase manually. 
There is a big difference between being negative
and being realistic. The young woman is a single mother with a 5-week-old infant. I never said she shouldn't become an MT. In fact, in my next post, I told her that it sounded as if she had done her research quite well and had the interest and abilities to do it. I also told her how I managed when my kids were young by working sporadically. FWIW, I was a single parent during part of that time, too, and newbie income as an MT did NOT pay the bills or support the kids. And believe me, I'm no dummy. I had stars in my eyes when I started out because those ads are everywhere telling mothers that they can make $40,000 a year starting out. I wish someone had told me the harsh realities of working at home then. I didn't know we'd have to be chained to our desks for the majority of the nationals. I didn't know how difficult it would be trying to listen to ESLs while the kids were clamoring for attention, but I just had one more little report to finish up. I've seen a lot of people who wasted a lot of money on MT courses only to find out this wasn't their cup of tea. Mothers get sucked into believing that any half-trained monkey can do MT work and care for an infant at the same time. It's not true. It doesn't require a PhD in rocket science, but it's best to find out if you'd like it or not BEFORE spending all that money on training.
can anyone tell me the difference between celeron
and pentium processors besides price? i'm looking for a very inexpensive desktop for a backup/emergency basis. tia 
difference inside
the main differences between Celerons and Pentiums are in the areas of bus speed and L2 cache features. Both Pentium-II's and -III's ship with 512kB of secondary (L2) CPU instruction cache. This allows the CPU to store recently used instructions close by and is responsible for much of their high performance.

The Celerons that Intel first introduced as a low-cost CPU alternative (266 & 300MHz versions) were basically just Pentium-II's without any L2 cache at all.

What is the difference that you notice mostly.
:
It is a cultural difference
and if you are going to stay friends with a German woman then you are going to have to accept the way they address you and everyone else. I have a friend who is like this and it makes me crazy, along with whacking the dog on the head as well as her son who is 6'4" but is just too nice to clout her back. She nearly marches around the house .. ya-vol.