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Serving Over 20,000 US Medical Transcriptionists

First you have to find a place that even does Op notes off premises. Very very rare anymore. :( nm

Posted By: Also love my Ops on 2006-01-20
In Reply to: What is considered - wundering

s


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Companies are hardly offer FT employees any decent benefits so I think is going to be rare to find
them for PT employees. I would love that too, unfortunately, I work too much just to get below average benefits. Best of luck in your search. Honestly, I think the only place you'll find benefits for part-timers is going in-house at a hospital.
first we have to find a place who has
work, then the flexibility will most likely come.  Most of these places just want to know that you will work when you say you will.  Most important is to find some paying job!!!  LOL.  That's seems to be the million dollar question...who has work?  and to expound, where is the work going?!  Used to be we had so much work that it was a relief to be low once in a long while, like a vacation, now it's been so that I can't sleep at night wondering how I will pay bills.  VERY SCARY!
All I know is, when you find a great place, let me know,
I WANNA LEAVE THE Q ALSO, JUST TOO AFRAID.   I think they made me crazy....
Whenever you find a place to work in MT'ing that (sm)
doesn't have slow times, let us all know.
One of your premises is flat out wrong
Even as a receptionist, a person with experience will indeed be started at a wage much greater than a person with no experience. Had you done any research before making that assertion, you would have noted that almost every job posting states that salary is DOE (perhaps you aren't familiar that acronym- Depending On Experience) or other ads that will state salary commensurate on experience.

When I started in the field many years ago, I started (and trained) in-hospital. Even that, based on a prior Career Step that had given me a bit of a leg up. However, I still had to start at the bottom. It would be several years before I caught up wage-wise with people who had no edge on me other than a couple of years seniority.

So, frankly, I do not believe that a fresh MT should be making what I make with over 20 years, even if merely for the fact that I will not require the company resources in the form of QA that a newbie will, and because the years have enabled me to type across the board instead of needing to be spoon fed from the same bowl of chowder every day.
You * I * are a rare one....

I sure hope you are being compensated well for all the effort you obviously are putting into your profession.  Keep up the good work.  You will be one of the ones who will soon be posting that they are making over 50K, if that is what you want.


Good job. 


Maybe you are a rare one but
I have been QA and manager. Yes, QA gets credit for an entire report, but trust me when I say that usually one blank does not warrant QA unless the client wants no blanks. If you have a good MT and they can't figure it out, usually a rare good QA person might, but QA gives it their best shot.

Now, when you say easy. I wish I could tell you what I would have done if we had all good MTs! My last QA gig was with an all Mexican border account. I could do it without a problem, but the MTs left megablanks. We earned every bit of our keep. It is that way and has been with many companies. There are more MTs who do not know what the dictator is saying and will throw in something and it is QA's job to listen if we see anything suspicious. It takes time to take out text and add text.

Overall, it takes more time to QA a report than it does to just transcribe it yourself.

You sound like one of those good MTs.

Now, on what you said about making as much as MT and why settle for it? The most I made in QA was $20 an hour with bennies (good money), but the most I ever made in MT was over $50 an hour (I was really fast). I have over 30 years in the industry. You settle for it because you have to, but on my last gig when they asked me to go down $2/hr after I had been working there for 2 years at $17.50, I quit on the spot and then I got out of the biz (I can do other things and make that and have).

The poor QA who get paid by the line I feel for because that is chicken scratch for the most part and I won't do it. I didn't settle. I got out. Many have known no other biz so I know it is difficult to make a change.

I hate this industry, totally hate it. I am so glad to be out of it and nothing will make me go back. The disrespect I see is totally uncalled for and these companies are as about as professional as a big toe. When you have worked for really professional organizations outside MT, you would know what I mean and all industries have problems, but there is a definitive difference.

I feel for any QA people as well as the MTs because the money they pay nowadays is horrible. I made good money in management, but then that is another entirely different story.
That's right. It is rare to see them posted. They are out there
but usually the candidates hear about them through word of mouth and as you say, the people who get these jobs have been in the industry for many years and have many contacts. I see more and more recruiters who have been MTs and QA which is a very good idea.
Having been an MT/QA for many years, this IS a rare
happening. You might run into a company every now and then and if you do, DO NOT BE SHY about contacting them and telling them that you have to work and you expect this as soon as possible. Ask them when they will overnight it to you and ask to be notified later on that day of the tracking number for shipment of your equipment. Tell them if there is a problem to please advise you immediately so that you may pursue your job search.
That is rare that they hire PT...
I started out PT but eventually went to FT and that is how they want you to be if you start out PT.
You people are a rare breed!
Companies look far and near for op MTs.  They are a rarity these days.  No one wants to learn the medical technology anymore that it takes to do them.  Some MTs can't do anything but clinic notes.  So congrats, you are in a class all your own.
I agree - very rare occurrence - sm
But, I have seen it happen on several accounts.
Good for you. Consider yourself one of the rare lucky ones.
x
Why are posts about Spheris so rare? Aren't they
nm
...sorry. This is not a rare happening and will happen to you a few times more. nm
s
With a few rare exceptions, the companies I have worked for
don't share worker names - so how do you know these other people work for Allstate?
A position like this is a RARE one, newbies. I've been searching 11 yrs for a job like this and
.
Not me. I hope there is a special place reserved for them in a very hot place.
x
Did find a Wright Watson Sten-Tel in Austin if their site isn't old. Find 'em with Google. nm
s
Trying to find info on Encompass on this board, can't find any recent. sm
Anyone have any current info. Any employees out there? Give me the low-down if you can! Thanks a million.
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.
My notes from the meeting - s/m
Apparently Acusis started in India, not the US. It's not very old - only 6 years. The CEO seems to know alot about business & making money, but not much about MT-ing. Says he's learning. They apparently have aspirations to be THE largest MT company not only in the US, but globally. He thought he could do it from India, but found he couldn't, partly because of the fact that some US medical institutions don't want offshored work. Others will allow PART of their work offshore (like radiology, etc.), but not other work. So instead this would be what he called a Hybrid US+India company. Hmmm.

So, according to what he said, he feels the best way to grow the company FAST is to also have a US MT force, so clients have a choice. They will have to pay more for US transcription, though he assures us the Indians are also good. (Yeah, RIGHT!) Initially the two-tiered business platform made sense to me. But other comments made later in the meeting made me wonder about what the REAL truth might be. Among other things, they plan to buy many other US MT companies, as well. DRC is just the first. He seems to think bigger is better. Having worked at PAMC since it was smaller, and seeing how nasty it got when it was bigger, I certainly don't agree.

Someone asked the question about the less-skilled, or even the accurate, but slower transcribers' role there. For now he seems to want only top-notch people, but later says how having a plan for bringing less-skilled MTs up to speed would be a good thing. Some questions sounded slightly hedged or evaded, and sometimes had the words for now thrown in, like maybe we weren't going to notice them or something. This had to do mainly with questions about change as it affected us. Red flag.

When asked about all the extra management people after the merge, he said that for now there was a seat for everyone on the bus. But he also allowed as how his company has always tended to have more execs than they really needed. Well, that certainly is one of the problems at PAMC, and it seems to cause them to continually find fault with the MTs, if for no other reason than to make themselves look good. So that was another rather loud warning-bell I heard.....it's a management-heavy company.

Re: Pay/Benefits - He says so far it'll remain the same. He wants it well above average, but doesn't specifically say whether or not MTs are part of that plan. He does say that by improving the software, etc., they can make the MTs more productive, and thus enable them to make more money. I didn't particularly like that part, either.

One thing that DID sound good was that although we would have to change over to Acusis' 401K (and who knows how good it is.....), he says they'll match it with 3%. Well, to me that isn't exactly MATCHING.... but I guess if you put in $100, they put in another $3.

Their company goals were:
- Global world-class customer satisfaction (sounds kinda' generic, but whatever...)
- Service flexibility & choice of options (the Hybrid-thing).
- Create the strongest organization (so they can gobble up & digest the competition?)
- Have the best technology (boys do like their toys.....)

I guess we'll lose the nice DRC software we're using now. He says he wants to have a new, blended software platform that will be called AcuSuite 3.0. It is supposed to have enhanced user-friendliness (hard to believe, if it's not written by someone who knows a LOT about MT!). He also mentions back-end speech-recognition.

He also mentioned that he was a leader in his church. (Oh, pul-eeeze! Not more holy-rollers trying to take over the healthcare industry!?!?) Definitely a red flag in my book.

The Future Plans are:
- To acquire more MT companies.
- To develop a repetitive model to acquire and integrate future acquisitions.

Again, all this talk about growing, merging, acquiring -- has nothing to do with the nuts & bolts of MEDICAL TRANSCRIPTION. He talked about MONEY, a LOT. But not MTs making money - but instead about his goal of having this be the world's BIGGEST and WEALTHIEST MT company. I don't think anyone can have those kind of aspirations and stay honest or have their employee's best interests at heart for very long.

One person brought up the fact that the Chief Officer of Acusis-India desires India to dominate the medical information field worldwide, and wanted to know if he intended to convert the clients from US-transcribed to Indian-transcribed. His answer was very ODD, and most certainly got me wondering: It was that it was his belief until 55 minutes ago. (Whaaaat?) He tried to clarify that by saying he used to think domination of the MT industry could be done solely through India, and that now he believes it cannot. But, either way, all this domination talk makes me uneasy.

Another question was How do US clients view the above statement by the C.O.O.? He admits it was viewed with skepticism. He also says hes been trying to take our clients for a long time, now. (What???) (I guess he tried from India, couldn't do it, and so now has come onshore.)

When asked about accrued vacation time, and would the MTs be able to keep it, the answer was YES. (Though said he doesn't yet understand DRCs system of accrual of vacation time according to Keystrokes typed, or how much can be carried.

In the first 100 days they plan to:
- Integrate talent, IT, Processes, Benefits.
- Establish performance goals, alignment.
- Retain only high customer satisfaction performers who get results. (Does this pertain to management? MTs? Everyone? What exactly does this mean? This wasn't clear).
- Continue to have quarterly conference calls. (Jeez .... even semi-annually would be more than I could stand.)

Later he says the MTs are where the rubber meets the road. (Good analogy, but will Acusis follow through on their statement that they consider the US-based MTs to be a valuable part of the company?) I wonder if he is aware of how many people are ready to walk out RIGHT NOW, just based on their strong ties with India?

Well, anyway, that was my take on everything, from all the notes I took. I don't plan to do anything rash.... and will instead just keep on typin' and see what develops. If I like it I'll stay, if I don't, then I guess I'll leave. But I won't cross that bridge 'til I come to it, as it's still too early to tell how the takeover will ultimately go. What we were told could be the truth, or it could all just be smoke and mirrors.
Lotus Notes

Notes is basically a computer program.  We type in Word, through Lotus Notes.  Notes has several functions.  It is where you sign on and receive your work, check your line counts, edited reports, etc. 


You also have your account specs there, account address books with doc names, PA names, etc.  Your E-mail is also on Notes. 


It is a great program.  Everything is right there for you.  Very user friendly!!!


Yes, it is Lotus Notes and
They supply the computer.
I only know that they use Lotus Notes. Don't
s
What are SOAP notes??

SOAP notes

SOAP stands for subjective, objective, assessment, plan. Those are the headings that usually comprise a clinic note.


 


I did not agree to OP notes at 7.5 cpl
Thanks for not reading correctly.
I was getting 9 cpl with them and they let me go stating I could not do op notes sm
Op notes are all I do for MQ and my other job.  They just didn't want to pay me 9 cpl and they dropped me to 7 cpl on er reports.  It is an awful company to work for.  I would not go there in any way, shape or form.
I truly despise doing PT/OT notes...
.
surgical notes
Surgical notes outsource to India....90% of the jobs
Surgical Notes

Any info on this company from IC's currently or recently?


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...
that count on none of us comparing notes...
what else can they say when confronted? I doubt much of middle management even realizes how easily their line counting system can be manipulated...
Love doing psych notes
nm