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Serving Over 20,000 US Medical Transcriptionists

Agree that E&O rests on the physician -

Posted By: Indy-MT on 2008-10-01
In Reply to: Duh - blackswan

not the transcriptionist. Looked into this many, many years ago, as I thought it was something that I needed. Found out that the liability indeed rests on the shoulders of the physician - who proofs and approves his reports before signing them. Although I feel responsible for the accuracy of every report I transcribe,the bottom line is that it is the physicians responsibility - legally - to ensure that it is !!


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Your physician
rocks and, unfortunately, is probably a minority in a huge amount of immigrants who come to the US anymore and do not truly become Americans. It was always with immigrants before, like my great grandpa who came from Germany at 35 and recently passed, that they wanted to be Americans and to assimilate into American culture. There is an interesting article this morning in the LA Times that Nashville has a huge immigrant population and that it is somewhat of a problem because people are not assimilating and are not learning English. They are working on passing a law declaring English the official language. I know where I live in Northern CA that I have seen this happen myself. I was at McDonalds one day waiting in line to order and a customer went up to the counter and started ordering in Spanish. The poor girl behind the counter was Indian and told him in English she does not speak Spanish. Where I live, we have a huge population inclusive of Asian, Indian, and Middle Eastern people along with Hispanics. It is ridiculous and unnecessary to cater to 1 segment of the population. America's language has always been English and no one ever seemed to have a problem with that before.
Years ago I had this one physician who
in a rage, demanding that we type things exactly like he said it. Ok, Dr. Do What I Say---- he would mess up on his 1, 2, 3 and 4 and so like he said, when he said 1, 4, 3, 2, 9 and so on, that is EXACTLY what I gave him.
Story for you, went to the physician
a a workin on a Saturday, never do that, waited and when he asked why I was there, said well I have a couple of issues and he told me to tell him which more important, he did not have time for the 2. I chose the ribs which were really hurting (costochondritis) and what I did not get to talk with him about was had a breaking out of shingles. Anyone knows that can be really bad if it goes to nerve endings, horrific pain. I no longer see him by my choice.
Can anyone tell me about Physician Transcription Services, LLC?
x
Can anyone tell me how to change the dictating physician SM

in the gray field on the Spheris TWS screen. For example, if I need to change a dictating physician from a PA to the attending, the field is gray and I can't change those fields. 


Thanks  for the help.


Preferred Physician's Transcription, Inc.
Does anyone reading this post work for, or have you worked for, Preferred Physician's Transcription, Inc., out of Denver, CO, and if so, can you share your thoughts on the company regarding pay, benefits, etc.?
Physician's Choice Transcription

Can anyone provide me with some information on this company? Rate of pay, dictators, what they do and don't pay for, if you run out of work, etc.


Physician's Choice Transcription
Does anyone know anything about their training program?
Actually the physician that asked me to type for

and rearing my children.  I had a phone interview with a company that I found here on stars and when I couldn't make the first attempt due to a problem with the kids, she clearly understood and yes, I did get hired. 


Not all companies and physicians are children haters like you.  Sorry to bust your bubble. 


Not all MTs think their you know what doesn't stink and are very down to earth as well as the people who hire them.   


P/S:  This profession is not looked upon as such a bad thing ya' know.  Who told you that?  Where did you read that?  Furthermore, if this was the case, I don't think there would so many MTSOs out here working from their home offices.  And believe me these MTSOs are a dime a dozen.  Most of them do have children and work from home.  It is not uncommon and they are very professional.


When I worked for a physician transcribing
his letters, I was required to same them for 6 months. Would do me and him no good if I deleted the identifying info.
Account versus Physician sm
I think it is more the account itself than the physicians that want the verbatim, Though of course, there are those physicians that actually speak English and want it done thier way, but I think the ones that don't, especially the ESLs, expect us to clean up after them.  Either way, it too, goes against my grain to leave it incorrect and I have a very hard time with it. 
The physician makes the final

We are transcriptionists, not physicians.  We don't make any calls.  We transcribe what we hear, and they read the report and sign off.  It's that simple.  It always has been that simple.


No one here deserves the salary of anything more than what they get or make production wise.


Do you really think these MTSOs are charging a million dollars or what?  They make money by bidding accounts and then sub the work out whether that be by hiring employees or by contracting with an IC. 


I don't know where people come up with this idea that we are the bread and butter of these companies.  We are the worker bees.  Do a good job and you'll make some money.  I make twice as much now working from home than I did hourly with benefits and the benefits were crap.


I can set my own tone.  I transcribe to the best of my ability but by darn it if I can't understand what the dictator says, I leave a blank, and they fill it in.  That's what transcription is about. 


If your physician jumped off a bridge...
would you jump right behind him? The bottom line is that the only person you can control is yourself. If a physician is not performing his job correctly, guess what? He will eventually lose his license. Why do you continue to try and justify punishing patients simply because people do not want to do their jobs correctly? However you spin it, it's still wrong.
Diane's Physician Support Services

I was wondering if anyone has heard of this company.  It sounds like a nice harmless one, but I have been burned before.  I just really would like a heads up before jumping into something new.


Thanks so much!


Any info on Physician and Professional Services -

Beth Joyner is the owner.  Has anybody ever worked for them, or heard any good or bad comments about them?  Thanks in advance.


I think your physician gave you good advice

These MT schools are still cranking out the MTs as fast as they can (and taking their money).  I am sure they know that there already isn't enough work to go around and no work = no money.  Plus the fact that the MT trainee who could ever hit the ground running and make money right out of the gate is far and few between.


As for the coding, it is pretty obvious that is a huge candidate to be done by EMR and I'm sure it will happen in the not so distant future.  There will probably be someone an R.N.? LPN? EMT? who will do chart reviews to ensure that every possible diagnosis that could get another dime in reimbursement is put in the record.  That would be a few jobs depending on the size of the hospital.  I seriously doubt that these jobs will be offered to former MTs.


Another job opportunity might be that of what used to be called ART (acredited record technician), those people might be allowed to do chart reviews as they have always done it anyway, I even did it myself way back there.  The JCAH (forget what they're called  now) used to offer a study at home course but you had to be affiliated with or work for a hospital in order to have access to the records that were necessary to complete the course.  In some smaller hospitals ARTs (or whatever they are called now) were even heads of the medical record department.  I believe it is also offered as a 2 year course at some community colleges.


Sadly I think that those who have put themselves out for the expense and bother of getting and maintaining CMT credentials are just going to be SOL because I think those credentials and a buck might buy them a cup of coffee.


This is the way I feel and I could be wrong but I don't think so.


Beth Joyner Physician and Professinal Services

I had a horrible experience with this company.  I applied in for part time IC work in February but it was not until April that I rec'd my first very unprofessional email, but I had read nothing bad about the Co, so I came on board.  The first weekend I typed non stop too much work not enough typists.  She was so happy with me that she moved me from .07 cpl to .08 cpl, but nonetheless, the account ended up dropping us for the most part, meaning there was no work.  For nearly 2 weeks there was little or no work.  I had to take another company.  All of the sudden she had tons of work and demanded I do full time.  I responded I could not as I had to take another company, she told me I had to commit to part time hours for her, which I did, but there was no work during this time.  In the middle of all this was my 1 paycheck per month which is supposed to be mailed on the 10th from TX, I did not receive it until the 19th with a postmark of may 13th!  I rec’d countless phone calls and emails most of the email were junk emails and not concerning work.  In June she said that the 20 hours I worked for her that had no work was not enough I had to type 5000 lines a month, shouldn’t be a problem, but there was not work when I could type.  As I do have another account.  In June she sent out an email stating that she was changing pay from .08cpl to a sliding scale, the scale starting at 3000 lines.  I emailed her stated that I did not agree with it, but she was the boss :’) and I would make it work.  I asked her what if I type below 3000 lines, as when I am scheduled to type for her there is NO WORK.  She sent me a nasty email about her being the boss and making the decisions and it didn’t matter if I agreed… anyone typing under 3000 lines in a month was not worth her time.  I emailed her again, now I was upset stating I was joking, hence the :’) and that she still did not answer my question about typing under 3000 lines.  She sent me an email stating that she has tried to help me answer the question and she is done talking about this.  I did not respond.  The next day on my lunch break from my other account I logged on to Beth’s knowing I had to work extra hours to try to get my 3000 lines, when I logged off of her to go back to my other job she sent me yet another nasty email saying:  There is work, example you just logged off there is work.  I responded Example?  I am on my lunch from my other job and typing for you to try to make my 3000 lines.  She responded and said she has had it with my attitude, as of July 1st you will be no longer needed.  I responded are you kidding me you are firing me because I was typing for you on my break?


On July 5th I emailed her and said I will uninstall the program and what else is needed.  She asked why?  I said you fired me.  She asked for the email firing me, I sent it to her.  She responded back to me that she wanted me to continue working.  Against, my better judgment, I continued with her.  July 14th I rec’d my check, it was 27 +/- off.  I sent an email stating My check today was short 27 dollars, please remit payment immediately.  She sent me an email stating that I am not to demand money from her that is not how it works and I need some employee/employer skills.  I responded that I was not her employee, I run a business as an IC and that the statement “please remit payment immediately” is per NYS statute, payment has to be requested immediately and that I meant no disrespect by it; however, I did not appreciate her telling me my attitude would determine if I was paid or not.  She responded back that again I was fired.  Only this time she said that TX law says she can fire an employee after 3 counsels of work or attitude and she felt this was my 3rd.  She went on again to say how my QA was awful for the headings and dates and she was continually it.  I requested she be more specific and asked why didn’t she send me QA reports so I could correct it, she said that she “didn’t have the time”  I responded again she was confused as I was NOT her employee, she did not need a reason to fire me.


All in all even if we consider Beth as being right that my “heading skills and dates” are awful, what kind of a company keeps a typist working for them if the typist is horrible.  What does that say about the company AND what kind of a company doesn’t QA their employees or ICs and let them know in order to make them better MTs.  This company is very disorganized extremely disrespectful of its employees, IC.  I have emailed others who have had terrible experiences as well.


 


I would suggest run the other way, otherwise DO NOT have any personal emails with her in asking questions, be prepared for many phone calls, tons of junk mail and no feedback.


Info regarding Diane's physician suport service--sm

Any info on them would be greatly appreciated.  The good, bad and the ugly.  If you prefer to email that would fine.  Thanks.


I agree, absolutely agree
and I might say, this is keeping updated in ALLLL specialities and subspecialities, drugs, instruments, and on and on. It is not a good profession for sure and sadly it is the MTs who are being very definitely HAD
Agree 100%
STAY away!
Nobody is going to agree anyway. LOL
And nobody has worked for every company in the U.S. to be able to offer an informed opinion.
Agree

I agree also.  I do think that each company has its MTs that have not one thing good to say about the company and on the flip side, there are many that love it.  I have worked at a few different companies in my time and find through experience on this forum to be true.  I absolutely love Transcend.  There are a few things that aren't perfect in my book, but the good far outweighs the bad.  The thing that I hate, though, is if you have anything good at all to say about your company, you are either management, lying, or a cheerleader.  I think that people love to believe the worst. 


I also have found out through my travels that things can vary greatly from one employee to another even though they may work at the same company.  There may be a rule for you that does not apply to another, example - below one says Spheris would not allow someone to work at MQ also but there is an MT who is doing it with permission.  An MT can get on here and argue all day long that this or that doesn't happen at their company but it may very well happen for another MT.  It is so humerous to me to see that we believe that being employed at a company, in our remote homes, that we think we know everything about that company and how it operates with the other remote MTs - MTs that more than likely we don't even know. 


 


I agree 100%.
I agree 100%
I don't agree entirely.

When offshore outsourcing first began many clients began jumping on that bandwagon thinking they were going to be able to save money.  That resulted in a great number of clinics and hospitals eliminating their in-house transcription departments because of 1) reduction in overhead expense by outsourcing a whole department and 2) realizing an even greater reduction in expenses by using foreign labor at less cost than domestic transcription wages.  The trend is beginning to come full circle now and because of quality issues and the higher cost of risk management more clients are demanding that their medical records information stay in the United States.  A lot of MTSOs now advertising are stating right in their ads NO OFFSHORE MTs NEED APPLY.  Clients are beginning to see that it wasn't as cost effective as they thought it would be because it actually ends up costing more in the long run either in quality or risk management. Some hospitals and clinics are actually bringing work back in house again and only using domestic vendors for overflow work.  I think sooner or later unless the quality of VR improves it will have the same result. 


i agree
I also had a similar experience last year and did not like it at all. It was a total mistake.
Yes, I agree

Thank you for posting this!  I am also very happy with Amphion.  It is nice to hear a positive experience for a change.  I hope your post will help other MTs searching for work realize that there really are some good companies out there!



I agree--
They will make your life miserable with every nit picking thing they can think of to get you to quit. Again, this was my experience, no one has to agree with me.
Agree
but I thought that she was referring to simply putting it in a diagnosis, not coding.
Agree
LOL......I understood that she was just transcribing the numbers as they're dictated. And, we all know the docs don't always give the "dash" (-) or "slash" (/) word when it needs to be typed in.

I wasn't trying to help code, been a while since I did that, just trying to help make sure her question was answered. (No offense intended.) :)
I agree with QT
QT EASY platform -- a few mushmouths -- mainly PAs very few ESLs -- also FutureNet is a good company  -- direct deposit as statutory by they will express mail checks and good cpl rate -- sorry for the typos  -- just got done for the night and no fingers left
I agree..
I left after sitting for five hours and getting 2 reports, this was Transcend who bought MDI. Then, there was the sound issues.

The staff was just great though!
I agree with everything you said....
It just seems like Transcend is the company to bash this month, but I am extremely happy
I Agree.....
There are so many "cherry-pickers" on the account(s) I work on, it makes me crazy. Some of us get stuck doing the hardest jobs and the others breeze through.
I agree 100%. (sm)
Someone here had a bad experience and has made it her goal in life to run this company down. Maybe she didn't come up to par....actually you can tell that by her messages. I have only been with OSi about 6 months, but will be staying till I retire.
I agree!

Definately the meanest on this board.  Always has something to say, whether it pertains or not...


I agree
the swearing on the boards and making fun of other people, pathetic.  I thought we were all grown ups here.  I can't believe that some of these grown women sound more immature than my 11 year old. 
Agree! LOL (nm)
.
I agree
No I don't work out of the Amherst office -- have heard so much about them on this board.... I work out of the Orange CA office and last week except for 1 day -- it was like pulling teeth to get enough work to keep me busy during the day. Now, I am face today with either sitting babysitting my computer all day just waiting for work or taking the day off either unpaid or burn some PTO. Can't really afford either, but this is just stupid. If I get my butt out of bed and "at my job" by my start time.... I should get paid whether there is anything to do or not.
Agree, besides, what one co does, the others will
zz
I agree. sm
Not a very good place to work. Communication was horrible when I was there.
Agree with above
Yes, they pay for downtime.  The only time they do not is if is due to something on your end like electric failure or internet failure.  If there is no work or if their computer breaks or system is down, they pay $12/hr downtime.  In my experience, there is also the option of making up the time if only a few hours or so (which equates to more than $12/hr for me, so I have always made time up if I could).      
I agree with aa
Here are the good points: They do apparently pay for spaces now. I would confirm this if you apply.

They seem to have plenty of work - you definitely won't be sitting around for days without work.

They pay approximately 5 days after the end of the pay period, which is actually pretty fast as payroll goes.

They do seem to have some interesting accounts, although I wouldn't know how you get on them.

If you can ignore the goofy emails that get sent out on a regular basis and try to ignore the inconsistent QA, they pretty much leave you alone. If you need benefits, though, look elsewhere.
Have to agree
I quit two weeks after training.
I agree
I am dealing with the same thing right now. It is frustrating to my family life. They call me at night a lot to work.
I agree..
Get rid of the middle man, the MTSO, if you can!

I just landed a fantastic opportunity with a clinic who has done exactly this and can afford to pay me twice the highest rate of the online companies, and I still work from home with a super flexible schedule. I also didn't need 10 years to land this job. I am closing in on two.

I suggest searching the ads for clinics and hospitals who are looking to hire you directly. That, or land your own account locally. Most of these online companies are really taking us for a ride!

I will never go back to 8 cpl knowing what I know now while the MTSOs are vacationing on the other half of what should be my pay


I agree!
Who would want 2 work 4 someone like that? Is this where MT is heading??? Sheesh.
I have to agree with you.
This is getting old. There are tens of thousands of MTs, many of which have the same thoughts. You need to get a grip on reality. Enough already.

I will agree with you there.
x
I would have to agree
The Indian typists work extremely hard. They work with rare breaks. I also found the managers to be very kind people. What I don't get is it's okay to work HERE for a foreign company, like Toyota, but how DARE anybody work for a foreign transcription company! What about Sony? Hyundai?
I have to agree...
I'm also disgruntled with this steady diet of acute care. I wouldn't mind a mix of acute care IF there were some easy stuff like chart notes and ER to blend in.  I sometimes regret having listed all my experience, since I think the lesser qualified MTs could be making much more money! 
I agree
f