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Clinic notes 6.65 then 7 when off proofing within 90 days

Posted By: WA on 2005-09-09
In Reply to: Medquist pay - scout

It was supposed to be 7.5 cents if off proofing within 30 days, but they never did a QA assessment, so got 7 cents after calling and asking for an assessment.


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9 cpl as an IC doing clinic notes vs. 8 cpl is
still quite a bit of difference, especially 8 cpl as an IC at Softscript...
9 cents for clinic notes
nm
Yes clinic notes go to Cameo India
..
I have very few applicants who can even do easy clinic notes,
Hiring is can be a total nightmare.
Also the Clinic work SOAP notes
*
Clinic notes. SOAP is the format,

subjective


objective


assessment


plan


Clinic notes or physical therapy?

Hello,


Does anyone have suggestions for companies that hire for physical therapy or just general transcription/clinic work?  I've tested at several companies and did not score high enough apparently to do acute care, even though I did not leave so many blanks, I thought.  My problem was with the actual transcription; passed the other part of tests.  Really discouraged right now.  TIA--


 


ExCUUSSE me... she said 7.5cpl for clinic notes,
NOT op-notes. Most places consider clinic notes easier and pay less for them. So if that is the case, the op-notes SHOULD pay more at that job.
Clinic notes very rarely delve into
specifics like acute care does. There is a difference.
Acute care is very different than clinic notes

I have been an MT for 20 years.  I have hired and trained MTs for a service.  There is a HUGE difference between clinic notes and acute care.  The poster who says she made the switch and didn't have problems is lucky and is probably a very good MT, who had a good base of knowledge to start with.  It can be done, but not in every case. 


Some MTs who work on clinic notes work for the same set of dictators every day typing about colds and aches and pains.  Dictators tend to say the same things over and over.  Most clinic notes are only a 2 or 3 paragraphs.  They work for the same set of dictators for years and even have their stuff canned, just pull it in and make the changes.


You put that same MT on an acute care account for a large teaching hospital and they may have a nervous breakdown, I've seen the meltdown, it's not pretty.  On an acute care account like that you may have all the specialities and subspecialties, probably 30-40 or maybe more, adults and peds, with all the dictators, anywhere from 5 to ??  And residents, let's not forget them.  And all the work types.  They are dictating DS, H&Ps, consults, ORs, clinic visits, progress notes, etc.  They are dictating about new procedures and medications that may not even be in reference books yet or that are experimental.  Some of those reports are 20-30 minutes long, 7 or 8 pages.


I'm not knocking the clinic MTs, but don't just assume because one does clinic notes, they can jump into acute care.  That would be very misleading and a total injustice to a newbie who read that and got into an acute care position, possibly setting themselves up for failure. 


 


i would definitely start out with clinic notes first to get a good base.
You need to try to get as much learning as you can in an unrushed way. When you do acute care notes, you are having all medical specialties pushed on you all at once.
are clinic notes productive... 2 and 3 line reports?
Can you turn them around pretty fast or do they slow you down?
Was told recently that they do 70% clinic notes and 30% acute care, very few Ops. Don't know
m
Don't they give you 30-60 days to get up to speed? Can you ask for clinic? nm
x
Do you recommend starting with clinic notes or acute care when just starting in the MT field?
!I realize this question may be better suited for the new MT board, but this board is my favorite)

I am considering accepting an acute care position, even though I am just out of MT school. However, I don't want the learning curve to be so steep that I fail before I even begin. I would also like to have a smaller pool of dictators to transcribe from as opposed to many.

Also, are there more ESLs in acute care versus clinic/dr office work?

What has your experience been? Would you do it differently?

Thanks for any insight!
That is what I just said. !0 days PTO, period. That includes vacation, sick days and personal days
They should have paid holidays so that you are paid if you take off. Also should inculde extra hours for sick days and personal days.

That annual raise of .002 is kind of a joke especially when at the same time they upped the minimum line requirement from 10,000 lines to 12,000 lines.

OSi just does not have the qualified people in management positions that I wish to work for.

I am glad that you are happy at OSi and all is working out for you. Their dishonesty and the way they treat people just does not work for me.

Of course they can get by cheaply by hiring unqualified people so that is very good for the owners.
No never above 2200 w/ proofing
But I have seen people post on here that they do 3000 and I figured the company had a lot to do with it.
I think spell check, proofing and the sm

other things you mentioned are a given for the job. When I say proofread, I mean type a report, then go back and proof, not proof as you go. I am sure we all do that.


Everyone, regardless of what they are paid, should spell check, know their accounts, know grammar and punctuation usage, etc.


I am sure many would lose money if paid hourly, sounds like you are doing well, good for you! If I had the attention span I am sure I could make what you make. I should make that my goal this year. However, how many times on these boards have you read that I am only making $3 an hour. I have read that more than I have read that people are making what you make.


What about your benefits? Do you have retirement with matching contribution from your company? Do you have health insurance, dental, vision, etc, paid for by your company (or at least sharing the cost). Do you  have paid days off? Please, I would really like to know. If I am making $30k a year with the above benefits, essentially I am almost making what you make with my benefits, wouldn't you think? I would have to run some numbers, but I think we would come very close in salary.


Also, depending on where you live, $30k can be good money. If you live in Hawaii, which is the most expensive state to live, $30k might not get you far, however, if you live in Missouri, $30k might be great money. Let's face it, $50k is not that great if you live in downtown Manhattan.


So, we throw in something else to think about, cost of living. Since an MTSO generally hires nationwide, is the cost of living of your employee a factor in what you pay?


I would think that the way an MTSO pays is generally driven by being competitive with the next company (our prices are lower)not necessarily based on cost of living or taking into consideration the education and experience of the people they are going to hire.


What is wrong with you people and proofing the replies? Do you not have anything better to do? Pro
nm
Why should I waste time proofing posts, they don't pay the bills. nm
nm
sorry about typos..typing too fast without proofing, as this subject really irritates me.nm.
nm
Advise is in SpellCheck. So maybe you should have suggested Proofing Ms Grammar Police.
nm
To the SpellCheck Queen and Grammar Police...Sorry for the errors. I sent it before proofing.
I know it's a MT no-no.
Two are hospitals, one is a clinic. The biggest one is a clinic that only does sm
oncology. We cannot post account names here and do not give out that information until confidentiality forms are signed.

I can tell you that a very, very large oncology hospital will be starting on March 1st that will need 30+ transcriptionists to run smooth.
You bill 30 days behind, and they snail mail it so it's late - about 40 days from invoice
No way jose - they even messed up their direct deposit payments
Prez - probably prez is monitoring all proofing for costs, not individual
questions, so all email probably goes to Prez email.
Maybe she/he works 14 hour days/7 days a week? nm
x
Would that be 5 business days or 5 regular days?
So when are we going to be paid this time around since you're so knowledgable?

Sorry, but for some of us a day or 2 actually makes a difference.
Most want 20 hours over 5 days, but it could be more, or it could be spread over 4 days. nm
s
Correction - TH has 5 PTO days 1st year/10 days 2nd yr
x
Axolotl within 30 days. Transolutions in 60 days. NM
xxx
It is true. Any job has its good days and bad days.
Perhaps you'd like to just keep your old job and try this one out. Just because a poster here is crabbing about it, or even if as in the past there have been negative posts, odds are that there are very happy people who don't even post or know that this board exists. As Alice says. Everything is relative. The fact that this company is hiring and pays may be a place which is a blessing. As opposed to digging ditches on day labor for example. Or somebody might prefer digging ditches. This is just an example. Sometimes we who are employable, even though we don't make as much as we used to in this business, or as much as we would like to, we still if working at home do not pay for gas to go to work, career clothes, deal with office politics, have to look at a boss who writes us up if we are a minute late, etcetera. I don't make half as much as I used to, but I don't send my 3 children to day care which by the way saves us money. SO I remind my husband I am worth that in addition to my salary if I had a job outside. No job is perfect. I am not even sure if Focus is any good or not, I have not worked there. But if one poster says there are good days and bad, I say that is the most honest answer you are going to get anywhere, and if you need a job badly, how is it to hurt trying it out, until you know for sure for yourself? THanks for listening. But sometimes this board gets to be a bit much with the agendas of people railing on other people like the OP here who just wanted all opinions instead of just one side. Balance is always great. And, if things seem lop-sided, then it is a good thing to seek out both sides. IMHO.
I think they would. Those are good days for 10-hour days. sm
I have a set schedule but it is Tues-Sat and it works well for me. It wouldn't hurt to ask!
90 days is correct. 3 days off 1st year, 10 during 2nd.
nm
Why do you think there are so many notes SM
on this board pertaining to how long it takes to get a decent line count?

They will tell you it is a 65 character line. It is not. As stated, more like 75-80. There are ways to work with it, make tons of macros, etc. But it is tough.
I only wish I had ER or OP notes, mostly
consults, discharge summaries, H&Ps and the occasional progress notes. I've been at this for almost 20 years though.
op notes
I do acute care which includes a pretty good many op notes but there are other work types too. I dont know if you are looking strictly for only op notes. I work for Alphamed solutions who is currently hiring. I have DSL. I believe it is required. There is usually plenty of work on my account. I hardly ever get on and no work. Rare. I work on the Dictaphone Extext with Transnet. But they also have other platforms. I hope I was of help.
ERS/OP NOTES
Does anyone remember seeing the job posting for someone to do ERs and op notes?  What company was it?  I cannot find it.
Can't you do everything but op notes?
H&P reports and consultations are similar whether acute care or clinic work. Discharge summaries aren't that difficult either for someone coming from clinic work. I agree that the op notes will take lots of time to learn. So why not ask if you could just do H&P reports for a while and then consultations, and then discharge summaries and maybe later on the op notes? I just received the opportunity to do discharge summaries after having only clinic work experience, and what I like the most is that this offers the opportunity to expand my knowledge because I get to transcribe reports in so many specialties. I understand that you are mad at the recruiter and somewhat unhappy because of computer issues, which means there are several things going on here. First you might want to figure out whether you want to stay with them or move on. If you like working for Precyse, then I would try to find a solution as mentioned above. If you do not like working for them, then it would be best to move on.
PO/OT notes
I agree. Not only are they boring, good grammar is lacking on many of them; they slur through the reports and don't seem to have any continuity of thought or format. I had one very good dictator the other day; I could have kissed her! Otherwise, I don't consider those medical reports, just a mess of words on a page. This is from my experience. You can also nix about 50% of the psych dictators. Just my take on this.
Vet notes

The trend has always been that vets handwrite their own reports in order to save on costs, but that may be changing now that they are hearing other vet groups are using transcription services?  The company I work for only types veterinary ophthalmology reports, along with a few simple op reports.  The ophthalmology terms and medications are pretty much the same as those for humans, but the reports can be a lot more interesting at times, since the animals don't always cooperate!  Once you are comfortable with the terminology the doctors use on a regular basis and the company guidelines as to how the reports should be formatted, the work is a breeze!


soap notes
Does anyone know of a company that does strictly SOAP notes?
If you like doing chart notes at 7 cpl! (nm)
xx
After reading the below notes sm
After the below notes, along with things posted here in the past, I'm truly beginning to believe it has something to do with who is your supervisor/QA.  I have been there for a number of years, have been very happy and still am; however, I have heard a few things about other supervisors that makes me believe I am one of the lucky ones.  Sad, but I believe it is true.  I believe Amphion's management reads these posts once in a while.  Maybe they'll give this some thought.   
Surgical Notes
This is a company based in Dallas, Texas. They do surgery centers. QA staff are just ordinary clerks--not transcriptionists. There is a lot of orthopedic, plastic surgery, ENT, and GI surgery. Any work up to 5 p.m. is due by the next day--usually by 9 or 10 a.m. This is for weekdays M-T. Friday's work up to 5 p.m. is due back Monday. After 5 and Sat and Sun due back Tue. Pay is always on time and is very good, 0.09 to 0.12 cents a line.
Why do you prefer OP notes? nm

+++


progress notes
My company, XXX, has been out of work quite a lot lately and their only explanation is you know how it is during the off-season but the off-season now has been pretty much all of this year. My question is are MTs now all paid the same way for notes as opposed to reports. I distinctly remember that MTs who did progress notes and ER notes were generally paid differently because the notes were so short it was next to impossible to get an adequate line count. I feel like I am getting shafted because I am reduced to doing progress notes on a daily basis and I am generally spending 10 hours a day just to make my 1100 lines. Keep in mind that these are still ESL doctors who either don't know or don't care about putting in demographics so that too still has to be looked up and in the end I may get 5 lines per report. I understand that things do change but if its gotten to this point then maybe I need to be the one to make the change.
No ESL docs, no op notes (as far as I know) SM

They are mainly consults, soap notes, some radiology.  You use their templates and get paid for headers/footers.


I don't know if everyone makes the same, but I make 8 cpl (55 characters per line) without spaces.  I compared it to the normal 65 characters per line with spaces, and it is equivalent to 8 cents per line with spaces.  So, not too bad...just average I guess. 


But the dictators are really clear and there are a lot of samples.  I think the work is pretty easy.  I think it makes a really good p.r.n. position. 


Good luck with whatever you decide to do. :)


Chickadee


Op notes exclusively

Try Deventure.


 


Surgical Notes
Yes-- I worked for them indirectly. I subcontracted to a contracting MTSO. Their virtual private network is just horrible. It is slow and you get kicked off frequently. I know of MTs who worked an entire week and only made $10.00 because of the system. They have an FTP site system that I loved. You could just download the voice file and type in Word then return it; however, when they changed over to this new program everything went down hill very quickly. My doctors were not happy with it either. SN raised the rates, went to this system -- by the way you need to buy a 15-pin pedal and forget any tech help. When I was there it was also lacking. Anyway my doctors took their accounts and walked away. I ended up leaving for that and other reasons. I haven't worked indirectly for them since July of 2006.
Surgical Notes
I should also add when I was working for them indirectly, for several English was second language.