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maybe she should try local doctors and clinics and hospitals - sm

Posted By: idea on 2005-09-29
In Reply to: MT friend looking for a company...sm - msd

it's just a suggestion. But some docs have one tape a week that they need done. It might be ideal for her situation.


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Yep, 24 hrs for national, IC for 2 local clinics, also teach kickboxing and sales rep for a clothing
nm
Hospitals! and Clinics! I said are who will bring it back

individual practitioners.


 


I disagree. Some hospitals, clinics, etc. will pay for quality and personal service
and just like small banks, they will be happier with someone like you. It may look that way to you now, but over time, the quality that the larger companies produces is going to the dogs and so are the clients. I would not be surprised if you got calls from some of these people who left asking, begging you to take them back.
Do you work for local doctors?
If you do, how many do you work for to make that kind of money?  Do you charge $.15/line?  Thanks.
You can add Australia to that list.......local doctors
xx
Our two local hospitals do just that.

Management is at the hospital.  MTs have a choice to work at their medical records departments or work remotely from home.  Benefits are excellent.  Health insurance rates are very reasonable.  Pay is hourly - guess what, always on time.  They are always offering CPR classes free, movie tickets and group travel plans at discounts.  ACTUALLY GIVE RAISES. 


I would love to see all hospitals go back to this.  More personal employment, keep it local, smaller group of docs that we actually might know, not as much BS as working for an MTSO.  I think this gives the MT back their feeling of being a professional and  the hospitals treat us fairly, like an employee and no BS about OT and line rates.  Enough already with the greedy MTSOs who can't seem to get their act together with their overhiring, then low work, no work, then begging for help if you stay and most everyone else leaves. 


Except that the doctors & hospitals - sm
are being swallowed up one by one by the big mega-institutions: Tenet, Sutter Health, Catholic Healthcare, etc. The docs & hospitals have less and less say over who does their transcription (if they even have a clue who does), just like they have less and less control over what procedures they can recommend, and what drugs they can prescribe.

It's all come down to the fat-cats in the 3-piece suits sitting in their high-rise corner offices, dictating what healthcare will be meted out to those of use who need it, and how much the hospitals should pay for 'ancillary' costs such as transcription.

If ever there was a group of people the goverment should be investigating and putting a short leash on, it's the HMOs and the Health Management Corporations, which have ruined almost every corner of the American healthcare industry.
Pretty much all the local hospitals around here have outsourced.
Apparently it got to be too much for them to handle or they just wanted to save money.
Anyone know a company that works with small pool of doctors? Tired of so many doctors nm
nm
The coverage is perfect for me as all my doctors and my kids doctors are sm
in network. With WebMedx none of them were. The coverage is much better for me. My husband's company wanted to charge us $1470 per month for family coverage. There are three of us, so that would be $490 per month per person, which is insane.
It is not the hospitals on a short TAT it is what MQ wants to make the hospitals very happy with

them. I would assume the accounts are on 12, 24 or 48 TAT but wouldnt they love having their work back no sooner than it is dictated.


Clinics
I was hired for clinics. They really were nice giving me a shift which works well for me. I'm moving from working in acute care to clinics, hope I can make a nice line count on clinics. Anyone have any experience with their clinics
clinics
Hi, Hayseed - I just made the switch too, although with another company, I'm sure. I definitely want to slow the pace a while with a very large clinic account that hopefully will never run out of work. Getting too old to be all bubbly, eager to tackle the cesspool every morning. So far, so good!
think again, many clinics have many specialites
nm
Did you say clinics? Then gotta be
bb
Clinics like Oschner in N. Orleans
Good mentoring, here is more information.

OSI IS SEEKING FULL-TIME AND PART-TIME CLINIC, RADIOLOGY, AND/OR ACUTE CARE MEDICAL TRANSCRIPTIONISTS. EMPLOYEE OR STATUTORY.

!!! COMPUTER PROVIDED !!!

OSI Offers:
- Direct Deposit.
- Competitive line rate including yearly raises.
- Competitive benefits.
Health Insurance.
Dental Insurance.
Vision Insurance.
Life Insurance.
401K.

PTO
Celebratory Day Differentials.
Holiday Differentials.

- Sunday-Thursday & Tuesday-Saturday
ALL SHIFTS AVAILABLE.

- Work from home via internet. (High speed internet access is required.)
- Computers available to qualified candidates.
- CMT sign on bonus.
- CMT study group.
- Mentoring Program.
- Job Advancement Opportunities.

OSI is a company who understands your needs. The Operations Management Team is composed of medical transcriptionists. What we ask you to do -- we can do also. We are very proud to be MTs and want you as part of the team. Our transcriptionists are the reason we continue to grow. Our MTs provide our clients with the highest quality transcription in the industry.

If you are a dedicated, quality-oriented Transcriptionist who wants to find a home - look no further!! Apply on line at http://www.ositranscription.com/recruiting/application.html



Wound care clinics

Looking for feedback on wound care accounts.  How does this compare to acute care?


They migth, but clinics and OR should be busy, historically. nm
s
CardioScribes. They just do cardiology clinics, which is great for me sm

since I was the lead MT for 8-1/2 years for group of cardiologists here locally so I am quite familiar with it all.  And it is a nice break from acute care.  Of course, just because it is the perfect fit for me does not make it right for everyone.  As they always say, one man's Heaven is another man's Hell.


 


Why don't you start applying at clinics and such? Helps to have some in-house experience where s
you can have others there to mentor you or even ask the doc what in the dickens he is saying!  I would never try to come straight out of MT classes and try to transcribe on my own.  That's how I started out, and, well, I was doing better before but not in the poorhouse yet!
hosp/clinics send work to U.S. company - outsource
nm
No, it isn't nice. Most people do acute care, rad, or clinics. Work
xxxxxxxxxxxxxxxxx
Go Local
I would not consider editing unless the pay reflected my experience as an MT. Editors spend a lot of time cleaning up the garbage.

I think you have to go local for that.
I don't know of any that pay hourly for MT work. Many do for QA work, but not for MT.

I know around here many of the local hospitals do that, but it's usually MTs that have been with their hospital for a certain period of time. They don't hire from outside to work at home.

Also look at local
While most local comapanies have an onsite group they will sometimes hire people who have worked out of their homes for years. If you are moving from Transcend submit your resume to local recruiters and find out if there is a temp agency in your area that does transcription based companies. A local physician group still uses me per diem and while they have onsite if I need to they also support offsite - it saves them some money because they don't have to support your equipment!

Just be aware, VR is the wave of the future. My guess is that in 10-20 years everything will be run through VR and nothing will be transcribed from scratch...of course if we all stand together and demand more money than they are currently offering the market will eventually succumb :)
I know...it's sad..I used to love it at MQ when we had a local

office but everything has changed so and I just HAVE to make more money!  Good luck to all MQers looking elsewhere!



Local hospital - sm
I loved Medware until they started sending so much of their work to Medware India. I spent my days editing the offshore work.  Its incredibly frustrating.  It doesn't matter how much feedback you give, the same errors are made. A person cannot go day after day after day doing that without getting down. I made the decision to leave and have been so much happier.  I only have to worry about my own quality now. 
local offices

what is the best way in getting starting for working for local doctors?  Get business cards made up, show them a resume?  I have often thought about this and afraid to take the leap.  is this reliable work?  I'm sure they can let you go whenever they want but I guess that's the case anywhere.    please, any info would help.


I agree - go local. (nm)
.
Local Hosptials in GA

Greetings


I reside in ATL and wondering if by chance if anyone knew who handles the transcription for Atlanta Medical Center, Grady Hospital, St. Josephs Hospital and any other local hospital here. I seem to can't get anywhere by calling. I am a newbie and is not having the best of luck with MTSOs right now. Any help would be very much so appreciated. Thank you.


I had a local MTSO try to do that to me...
...I was ready to sign the contracts after meeting with them in person, until I heard I'd have to pay a one-time nonrefundable charge due lump sum for $600.00 for the FTP software. To add further insult to injury, they also advised me they didn't pay for spaces and required me to transcribe a minimum of 1200 lpd.

I couldn't run out of there fast enough.

What would I do with their FTP software if I quit? It would be useless to me, and I'd have paid for it.

I steer clear of companies asking me to pay for use of their software, I'd suggest you do the same.
Call your local DOL

You are entitled to minimum wage if you are an employee.  So make sure you are punching a time clock or otherwise keeping track of your hours and your pay.


You can also file for partial unemployment.


 


That s/b local OR 800#. no text
 
gourdie - do you have a local - sm
news station that exposes these type of injustices? they love the david vs goliath type of stories...
Our local hospital...
has closed the entire top floor, and the nursing students from the local college are lucky to get 1 patient for their clinicals. They are asking the older seniority nurses and other personnel to retire early. Another hospital has the healthcare workers down to 32 hours per week. I am in OH, and my area is really bad economy-wise.
doctors are way more $$ than MTs and
get a grip
Many of the doctors do this.
It wouldn't be a problem if it was just one doc. Sorry I didn't make that clear in my first post. There are several docs who dictate 'my normal' and it takes lots of time to do this on each report.
That took my doctors. I say KEEP IT IN THE US
PLEASE!
ESL doctors
It might be because most of the doctors that work in the hospitals in MI are ESL.
You get 400+ new doctors and you

can't possibly start producing high lines right away, especially when the account is at least 40% ESL if not higher.  


It doesn't matter what company you go to you're going to have a period of adjustment, no matter how simple the platform may be. 


Where are the doctors? (sm)

So I've been a Transcriptionist for many, many years, working as an employee and as an IC for my own account.  I've been recruited lately by several places who want to pay 7-8 cpl for ICs.  Now I'm an educated adult, I know darn well that no MTSO in the world would charge a client 7-8 cpl so there have to be doctors willing to pay more than that wouldn't you think?  Why are they so hard to find?


Can someone tell me where I can find a nice doctor that is willing to pay 12-14 cpl and give me the same no benefits I'm being recruited for? 


Am I in an alternate universe?  I just don't see how MTSOs can command and get 14-20 cpl but the rest of us who offer just as much can't seem to get our feet in the door.


doctors may think they don't need us but
I have a client who does work comp evaluations and when he does a record review, there are at least 2 or 3 records that are unreadable because they are handwritten. Sometimes 20 or so pages. So he just says unreadable. That does not help him in his evaluation and it won't help the patient either.
ESL Doctors
I read and SAW on television just a couple of weeks ago a report that said the U.S. now has 55% ESL doctors. Doesn't surprise me one bit. So no, transcription companies do not take accounts with a bunch of ESL doctors, that is just about all there is anymore.
My GYN and GP doctors were using
this technology LONG before Obama even was nominated to run for office -- cant blame him for everything
Yep, that;'s what our doctors are doing - NM
NM
About those doctors

You were certainly more tolerant of this so-called doctor than I would have been.  I would never tolerate a doctor telling me I'm the doctor, I'll make the diagnosis.  HE would have been in for a tongue lashing he would not soon have forgotten.  So long as you are paying his fee, IMO you have every right to question his diagnosis and/or treatment.  I've been told by several doctors that they are amazed at how many times a patient who is an MT makes an accurate diagnosis. 


With that being said, I can't help but add what a shame I think it is that we are suppose to be as technically knowledgeable as a physician, most of whom have many more years of education than we do, yet we (or now-a-days you who are still working MTs) are reduced pay-wise to little more, if even as much, as ordinary clerk/typists.  I know that all of you spend years perfecting your skills. Even though I worked in the field for nearly half a century I was still  learning the day I quit.  So....it pains me greatly to see what has become of an occupation that used to command great respect to the point where we (you) are disrespected in so many ways.  It seems that many MTSOs are he!! bent on reducing your pride and self-confidence to a pile of rubble so you will be happy to accept the mere pittance they are willing to pay while expecting that you be even more knowlegeable.  Some have people doing Q.A. who it seems their only purpose is to cut MTs down to groveling pieces of humanity begging for a crumb of work.   Empathy is why I continue to hang out here.   I may be only a party of one but I vow to do all I can to bring the deplorable state of the MT industry to the attention of as many people as I can.  I have talked to several physicians and they are horrified at the situation. Several have told me that they don't know how you girls do it and proceed to tell about some ESL that they can't even understand.  Many of them have also said that they are going to go directly to the hospital administration and address these issues with them and see that their dictation will never be sent off-shore.  Each and every one I have talked to has been absolutely horrified to think their medical records might be going out of this country.  Physicians DO care about their patient records and if enough of them are educated about what is going on, they will confront the bean counters and things WILL change.  So while it is a fact that hospitals will not even take up the matter of their poor dictating habits with physicians lest they offend them, you can also bet that if enough of them demand a change in how their records are handled, they are going to pay attention to them on that too.  It's really up to all of you who are still working.  Do you want to DO something to make changes to your lot in life or do you just want to cry and complain???  VR is not necessarily a BAD thing, perhaps even a good thing as long as there are people qualified to edit and fix things like patient with a fx of the hip due to tripping over a garden horse.


Kudos to cj and friends for taking action.  When MTSOs were mom and pop operations they served a purpose and they appreciated their MTs.  The giants have crushed most of them.  I don't want to work any more but if I did I would not work for these mega-MTSOs at their puny 6-7-8 cpl but I would work to help a small MTSO get off the ground even if it meant (by my volunteering) to work for 5 cpl to help them get up and running.  I hope those of you who are applying to cj et AL will consider giving them a hand up.  Working for a lesser cpl with better things on the horizon and plenty of work would make sense rather than getting 10-11-12 cpl and spending 24/7 staring at a blank screen with no work available.


I am making a lot of noise about this issue because well...there is just something about the situation of people being hired to do work when no work exists that just p**ses me off!!


Doctors don't appreciate us....
They just appreciate not having to do the work and having someone else type it!   Duh! 
ESL doctors
If I had my way and I ran a hospital or was the person in charge of hiring doctors at a hospital, every foreign dictator would have to pass an English-speaking test to be hired.  If they did not measure up I would not hire them.  What good is a foreign doctor who the patients, nurses, and other doctors cannot understand?  In my opinion this is a lawsuit in the making.  My mom had some foreign doctor once and she called me on the phone, I never understood a word she said.  I just kept saying I would be in later.  So misunderstanding foreign doctors, would be foremost on my mind if I was hiring a doctor.  Misunderstandings leads to malpractice lawsuits, something the doctors are always complaining about. 
One more thing to consider: Local taxes

Don't know about you, but I have a local tax I think it's 1.5%, where I live.  They don't deduct that from my pay like my state and federal taxes are deducted. I asked them to but they refused.  So I'm going to have to come up with that money next year to pay my local tax.  I can't afford to save it now.  Those of you who have a local tax whrere you live better check your pay stubs and make arrangements. 


 


Look through the yellow pages of your local

phone book and call agents that offer health insurance.  Make several calls.  I did this when we needed private insurance and each call I made I got a lower premium, although every company had the very same insurance.  Celtic is what we found to be the lowest.  We no longer have this insurance as we have insurance through DH job, but we had no existing conditions, no regular meds, nonsmokers, so I'm not sure if these were covered.   I'd keep calling about COBRA.  The company has to offer it.   If you go 45 days without insurance and have a pre-existing condition you are in trouble, unless things have changed since we got insurance.  There is a temporary insurance through Fortis that is very cheap, but the deductible is very high and it doesn't cover pre-existing conditions.


I'd stay away from the association for the self-employed or whatever it is called.  When I called them their rates were double what I could get a private policy for and it was the same insurance.  


 


A local cc (NC) costs about $1200. The
local state supported 4-year university now offers an on-line MT program too and I think it is about $1800.00.  The cc arranges internships and helps with job placement, don't know about the 4-year school as it is a relatively new program and I am not familiar with it.