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Serving Over 20,000 US Medical Transcriptionists

EMR distracts from doctor's attention

Posted By: mtme on 2009-07-27
In Reply to: Really? Imagine a critical situation where some of - these values might come in handy...SM

Went to the doctor for GI problem. He spent most of the time dinking around with his laptop. He ordered tests and didn't prescribe anything for interim relief. I paid the bill. A week later, got another bill for his time spent with me in the exam room dinking around with his laptop!


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The doctor's lack of attention to what he was doing
When I get a dictation like that, unless they're only a few lines into the report, I send it, and the doctor has to pay my company for it. You have to draw the line somewhere, and there's simply no excuse for dictating an entire report and then saying 'never mind'.

I personally think there should be a way to count all the words, sentences and paragraphs we type where they back up and correct themselves, too. 90% of the time, they just change it to say the same darned thing, only in a different way. They should have to pay for that, too. Every lapse in their memory comes out of our time, and our paychecks. It shouldn't be free. They can afford it.
A message delievered in THAT form distracts from the real issue
and makes one doubt her qualifications.
Ok, thanks, also how do I look up a doctor
while already in a report on Meditech??

I know, I'm just starting today and am CLUELESS!

Sorry!
Is it possible to have the same doctor
20 times or more in a row?  I feel like I am purposely assigned reports and continue to get the same doctor.  This morning, I have typed 20 reports one after another on the same doctor. This cannot be an accident, right?  The company software is a nightmare and I only hope people on this board will not go to this company.  I will not mention the name, but the software starts with a D and it is very problematic, always break down, and flickers on your screen.   Thank goodness I had the good sense to accept two positions.  I will hold on until next week and bolt so fast, they will not even remember who I am.
Also doctor lists
They can be a nightmare
You are so right about going to the doctor direct!

You can do that and make great money, the only problem is, what to do when you need time off.  I've actually been the one to cover all these years (17 years experience) than be the one to ask for coverage.  Also, you must make yourself, I think, a little more available for phone calls, STAT requests, doctor getting a bug in his you know what!  Sometimes, it is easier to let a company do that for you.  No contact, means less headaches!  Like I said, I have done all of it, and I'm still providing for my children.  I would at home full-time now with a nice mix as an IC.  My husband is full-time, and the kids think it is great to have Mom at home.  Pros and cons with everything I guess.  It may be the region you live in as well.  There is a posting regarding gas prices, which is varying in all of the states, it seems.  Have a great day!


Maybe WL should see a doctor and have her records
s
I think it is nice to have your own doctor

That would work as an IC.  No set hours.  Pretty much know what you are dealing with.


That's the doctor's rules
They do the account the way the doctors want them done; I guess that's why they don't have a turn over of accounts so that we are constantly losing accounts and having to start over. They follow BOS unless it is stated in the instructions otherwise at the doctor's request.
depends on the doctor sm
Most are good, but you still have the inconsiderate ones who refuse to use the pause button. 4:30 report for 13 lines is a waste of your time. Can you have someone speak to the doctor? Or can you? If not, find another job. (I know, easier said than done.)
It might be that the hospital or the doctor who
buys the VR system does not pay the whole amount in 1 payment, but makes installments, namely by giving a percentage of the line rate, until they VR system is paid off.

Does this make sense?
LOL-I saw one of those at the eye doctor earlier
this week. The gal taking my information just turn 62 on the 12th. She said she still uses the electric and the docs would probably retire it with her. She said it was a great conversation piece. My MIL has an old carriage return. It has 2 keys that rise above the others. Haven't seen that in forever.
I work in a doctor's office. SM
I got a $600.00 bonus. 
The doctor was a participating provider - sm
per the website given to us by TH. I would never choose an out of network physician if I could help it.
Obviously they were trying to unload a difficult doctor...
on you, and they got mad when you wouldn't take him/her. They were probably hiring mainly to find someone to do this lousy dictator.
...or when a nurse is dictating for doctor...

and he doesn't know how to pause dictation.  Last week I listened to four 30 minute dictations with only about 100 lines to show for it!  Finally the office taught him how to use the system!  Rookies ARGHHH!



I truly think that if every doctor or dictator had to spend
was forced to listen to themselves for a period of time...say an hour or two, I would almost bet the farm that a lot of mumblemouths, yawners, eaters, and people who dictate in the bathroom while they are flushing would change their habits radically. Or sending their dictation EXACTLY the way they say it...um...uh...uh...ummmm........hmmmm.........dead air....You know the ones.

No one will ever convince me differently. LOL. IN a perfect world maybe. in the MT world??? Not!!!
It also depends on age. I'm 60. I haven't been to doctor
xx
It means he is the doctor from Hades. EIther
an ESL that is very difficult or a son of a gun American doctor who can't dictate worth a flip but will throw a hissy fit if something isn't right. 
Doctor's Medical Center
I searched this board and couldn't find any specific info on this company.  Does anyone work for them?  Know anything positive or negative about them?  Know about their pay scale?
The Transcription Doctor company

Does anyone know anything about this company?  Thanks


I am trying test 1 also and I am having the same problems as you so I think it is the doctor -sm
dictating.  The other two were easier.  Good luck to you. 
I used to do an ESL doctor that stuttered and sometimes it was really interesting -
I never considered not doing his reports, just patiently waited for him to get his words out and then would type. However, one time in particular, I laughed so hard at his dictation that I almost wet myself.

He was dictating about a man who was admitted during the night after he went to the bathroom and while in there his wife heard a loud fa-fa-fa-fa (of course, you know what I was thinking) and then he manged to get out the word FALL!!!
I have a doctor that has been saying for two years that MTs were going to be extinct and that it was
Saying that something like 2010 clinics all had to be on EMR or an electronic system of some type. But he is the only one I have heard mention it. He always says still got a job, yours is not going to be around much longer.
Closest doctor is 30 miles away
Already looked into that and the closest doctor is 30 miles away which is too far for the money and they are all going to EMR anyway. 
Pay attention please .sm
This is my final comment on this subject.  From day one I was never contacted by anyone other than your CEO.  She responded to my resume.  She offered me the job stating there was plenty of work.  She called me to tell me how wonderful Keystrokes was and how happy I would be there.  She welcomed me aboard.  She told me I would be contacted regarding the necessary paper work within the next few days.  That was the last I ever heard from KS.  She knows that many of us live from paycheck to paycheck.  I don't care how busy she is.  This is just a blatant inexcusable disregard for a fellow MT.
You need pay attention to what is sm
formulary and nonformulary with medications. Apparently some medications were nonformulary which is why they were $50.00. They cost more to purchase. If you can get another drug in name brand you pay 30.00, if generic it $10.00. Always, always read your insurance packets.
Attention J
.
Don't pay attention
to the Keystrokes bashers. The bottom line is, as I've found time and again, that Keystrokes is a great company to work for. Please don't let the nuts on here get to you. You were just telling the truth and have a right to your opinion.
Just wondering if anyone answered the private doctor ad.....
and had contact?  TIA
If a doctor "knows things" and dictates them, sm
then that's EXACTLY what MTs need to know! DUH!!
With the KS ortho accounts, each doctor is assigned to an MT. sm
I have 3 doctors that I am responsible, some only have 1 if they are high volume. Easy system to use, great docs, great lead MT. Pay starts low at 0.08 but goes up after 90 days. There are no ESL on the ortho account I am on, which has around 40 doctors. The downside is the first week. The accounts are overwhelming with instructions at first, but once you have it all down, they are great!
Not so. Can barely get 9 cents directly from the doctor!
Doctors see all these Indian companies offering 6 cpl, balk at 9 to 10 cpl, and they want it printed, free courier service, ect.
Well, I put in writing mine has to be when I see a doctor or hospital.
Yep, took my daughter to the ER last week and told them that the record MUST stay in the U.S., be transcribed by an American citizen (inhouse) or only to a company that employs only American citizens, and they better darn well note that in the chart. They do. I do this every time I go to a doctor, hospital or any medical center. I tell them if they have no such option, I'll transcribe my own records, which always gets a chuckle.

Isn't that job post from doctor recruiting work and not MTs? nm
xx
My kids' doctor's office also use laptop sm
They also use the laptops at my kids' doctor's office.  It is basically a program where they check/uncheck items on a list.  I have had the PE printed out for school sports physicals and it is pretty short (even for my son who has had a broken femur - no mention of that in the note).  I also recently lost an account with no warning to EMR.  The docs will be doing their own notes now and I am left to try to find another job so I can pay my bills and maybe buy a few Christmas presents.  Most of the MTSO's I have sent my resume to do not even bother to send an e-mail.  I know I will eventually have to look into another line of work but can't bring myself to do it until my kids are out of school.  Sad situation all around. 
When I worked at TransTech, there was a doctor on one of the accounts sm

who stuttered.  At first, I was really frustrated, but then I also saw it from his side, how frustrating it must be to know what you want to say and then face that challenge.  I do not know about the physician you are referring to, but in the case I am referring to, I do not think the patient record suffered because of the doctor's stuttering.  I just kind of grimaced when I got him.  You would think that people like that, as well as the ESLs who are so challenged they can barely form a sentence, would hire a P.A./N.C. to do their dictating for them.  Go figure.


Sorry you have that to deal with. 


Can an office/doctor replace you for time off?
I am an independent contractor. Later this year I am having a medical procedure that will put me out of commission for 4 weeks. The doctor has decided to replace me with an in-house transcriptionist.

The office manager there never liked that the doctor asked me to transcribe for him 5 years ago and I'm sure she saw this as an opportunity to get rid of me. Usually, he does everything she says but for some reason, he sought me out way back when to do this.

I was mad at first but now am just sad. It's a portion of my income but not all....what a loss though!


Maybe a spin doctor, or a damage-control
nm
I say fight it. I worked for a doctor who fired someone
because she continuously would dispense medical advice including stopping Coumadin and other potentially life-threatening mistakes, yet she qualified for unemployment. They stated the doctor would have to prove gross misconduct. If that wasn't considered misconduct, it must really have to be bad and not meeting production would also not qualify as misconduct. Appeal it, they will have the employer do a phone interview and have to prove their point. Good luck with that. I don't see how they have a leg to stand on but just stick up for yourself. At this point, you have nothing to lose but possibility something to gain. More people should fight back and call them on this supposed misconduct. They are bluffing. Call their bluff!!!
If they cant post why, I would just not pay any attention.
I cant stand it when someone says they suck.

That in itself shows their immaturity.

I dont know about this company myself, but just the comment made makes me feel this person has some issues.
Attention poster: Instead of ...
Instead of writing in ALL CAPS here begging for help, why don't you email the admin directly at Administrator: admin@mtstars.com

Obviously, you were not paying attention...
I corrected myself before you could. BUT, you're the type that likes to rub things in another one's face. I REST MY CASE LOL HAHA
Don't pay any attention to that person SM

because he/she has totally missed the entire point of the posts....it's not a matter of discipline or whether they want to do it or not.  It's the LAW.  They want to have employees under their control and that is fine, but there are some responsibilities that go along with having employees.  One of them is collecting and paying the employee's taxes.


This is not an option for them; they have to.  There is no reason for you to have to set aside your own tax money.  If you wanted to do that, you'd be an IC and not an employee.


Attention: QT followers
You go ahead and stick your heads in the sand and I can guarantee you will be on the board crying because you have no job in 30 days. I can't give names or specific information or it will be removed. Just know that this information is straight from the client.
I don't pay attention to posts like yours

I don't know about others but I find your post highly offensive and if I were searching for employment I certainly would not base my decision on offensive statements like yours.


  When I was searching for employment awhile back I had 4 offers for employment, and decided to go with OSI.  I'm still with them and very happy with my choice.  If for some reason I decide I made the wrong choice you can bet I won't get on here and badmouth them and their present employees because they weren't right for me.


i corrected myself. PAY ATTENTION LOL
/
ATTENTION ANYONE WHO WAS LET GO FROM JLG THIS WEEK
I understand 5 people were let go from JLG this week, I would like to chat with any of you who are interested, not to turn it into a war stories episode or to badmouth management. I am just curious about some things.  We can stay anonymous if you would like.  Just post a reply if you are interested in just letting your feelings out with a follow exJLGite.  I am just very hurt and would not mind having someone to share my feelings with. We dont have to sit around and feel sorry for ourselves, maybe we can even help each other find new jobs. 
Attention Annie
.
pay attention, she says in the post sm
Pay days are the 10th and 26th.
Thank you for bringing that to my attention. DONE! sm

I am writing to request that you support the above bill. I am a medical Transcriptionist in Wyoming. I make an above-average income, which I spend in my community, but my job is at risk because so much of this work is being outsourced, particularly to India. More importantly, the health and privacy of the American public is being put at risk by this practice. First, Indian transcriptionists do their job poorly and inefficiently. The gross errors jeopardize health care. Every error has the potential to injure or poison an American citizen, including many young children for whom accurate diagnoses and medication administration can be a life and death issue. To add insult to injury, Indian transcriptionists are NOT required to honor HIPAA. Once a physician's dictation leaves this country, it is no longer private.


I am a very hard working medical transcriptionist and I am still able to earn a decent living in this industry, but it is certainly not what it used to be. I am paid 9 cents for every 65 Keystrokes I type, whereas an Indian is paid 2 to 3 cents for the same work. This undercutting has hurt this industry and every woman (95% of us are female), many of whom are trying to support families on their own, has been dragged to the poverty line because our wages have not grown with the cost of living. I make 9 cents today and I made 9 cents in 1996, the year my career began.


Please protect the healthcare and privacy of Americans, and help to protect yet another industry from moving to overseas. Support and sign S.810/H.R. 1653.