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oops, link didn't copy so here it is [2008-11-18]
http://www.irs.gov/individuals/article/0,,id=106778,00.html

I guess I'm not allowed to post the link. [2008-11-17]
sigh.

Pay per report/cpl/gross line [2008-11-14]
Feel free to email me with any questions on this subject. I have been a radiology Transcriptionist exclusively for 15 years. But I did medical records for the 15 years prior to that. radioloy is where the money is. Tina

Wow, talk about scam artist giving MTs a bad name! [2008-11-14]


oops, my link did not post [2008-11-12]
trying again here

why on 1 computer for the same report would the word count be different in Word? (inside) [2008-11-12]
Like on 1 computer with word the document was 27000 character counts w/spaces and the other computer (the one i type this account on says 13,000. How can there be such a difference with Word being the same? I am baffled.

Thanks! I did finally see the link from the [2008-11-05]
previous post...wasn't looking down far enough. Looks really interesting, although seems like it would take some time to get used to it? Time I probably don't have. Can you tell me how long it took you to get back up to your previous speed? I also wonder if it helps with carpal tunnel or would it just eventually cause new repetitive problems? Thanks for the info!!!

Link inside sm [2008-11-04]
It is an Adesso PCK-308UB. There is also one that uses a PS/2 plug, but I want this one so I can use it with my laptop if I need it. From what I have read, it is basically like a touchpad on a laptop so you don't need a mouse. I probably would not use it for regular web surfing or anything, mainly just for mousing while transcribing. http://www.thenerds.net/ADESSO.Adesso_PCK_308UB_Tru_Form_Pro_Contoured_Ergonomic_Keyboard.PCK308UB.html

I think you forgot the link? I don't see a link [2008-11-04]
to check this out....sounds interesting.....

Per Report [2008-10-30]
Be careful about charging per report. I think several rad MTs have found more and more places are doing detailed diagnostic studies with minimal to no use of normals, so a 15 minute report can indeed be 15 minutes of straight typing. At $1.15 or so per report and an 8-hour shift full of diagnostics, you could end up really suffering financially. I'd go per line or per page, just to make sure you're covered. Good luck!!!

I have a paper flipper. A 20 minute report and I [2008-10-29]
get 60 lines. I just turn up the speed of the dictation. Sometimes I'll pay my bills or open the mail while I'm waiting. You might have to turn speed back down to be able to hear clearly enough.

Softext MT CD of Operative Report Samples [2008-10-27]
Has anyone heard anything about this CD? I found it on ebay. It has over 1000 multispecialty operative sample reports. It's called: Softext Medical Transcription CD of Report Samples. eBay Listing: 180302333955. Sounds like it could be a really good reference. Just wondering. MT

Also, this is a public forum not an actual report I am sending to a client... [2008-10-19]
so give me a break...shows nothing about how qualified I am...You wouldn't know what qualified is since you are not qualified yourself...

lab test link [2008-10-17]
www.labtestsonline.com is where I go at least once every day. It's actually a good site for a patient to look up tests they had or will have. Lots of info on what's normal, why it's done, etc.

MediNotes/Eclipsys - link inside [2008-10-17]
MediNotes is an EMR platform.

Link inside. nm [2008-10-16]
http://www.med.yale.edu/labmed/clinical/labman/labidx.html#A

He*l to the NO on all of your questions. AAMT is a scam. SM [2008-10-13]
What a ripoff.

If AHDI (or another scam company like them) - s/m [2008-10-13]
had preyed upon some OTHER profession, such as gardeners, or x-ray technicians, or nannies, or dental assistants, etc., how far do you think they would have gotten in their scheme before someone blew the whistle and they were outed, investigated, and put out of business? But these profiteers did their homework, and picked an EASY target: MTs, who for the most part work at home... an entirely INVISIBLE workforce. And they raked in the profits, too, expanding their scam to India when jobs started moving offshore (which of course, they have been PROMOTING, not fighting). After all, by expanding their 'CMT' scam to prey on Indian workers, they're out of reach of US law; additionally, if US law were to catch up with them today (and how I wish it would!), then could simply drop the US and continue on in India, where there's far less regulation. 'It's the squeaking wheel that gets the grease', and I think the time is right for MTs all across America to start 'squeaking' like crazy.

follow the direct link [2008-10-08]
http://states.mtstars.com/

First exercise link inside! [2008-10-08]
Sorry, I had the cleaned up versions before on another post, but it got wiped out when the kindly mod moved my post! Hopefully this will work!

Second link [2008-10-08]
Below!

According to this Microsoft link [2008-10-07]
Information about using 2007 Office suites and programs on a computer that is running another version of Office

Report such posts, please. (nm) [2008-10-06]


the facilities are supposed to "self report" violations - [2008-09-28]
when I worked inhouse it was explained to us that we were supposed to self report to the powers when we did something wrong and would then be fined for it. Who in the heck is going to do that?

Very interesting link...thank you! nm [2008-09-26]
nm


Google

Just venting about TAT.... [2008-12-04]
If these hospitals are so picky about turnaround time...These docs come in on Saturday night and dictate 50 charts from the last 6 months that they haven't done, every report is 15-20 minutes long, and by cracky, they had better be typed and on the chart within 48 hours, or the transcription company gets a fine. OK. I feel better now.

I think you should have charged them [2008-12-03]
the first time. Tell them if you have to spend time to listen, then that's at a rate of $20.00 an hour in addition to the transcribed lines minus the reports they think are already transcribed. This way, you are paid to listen. How much more of this are you going to take Lisa? My dear, you are letting them walk on you. Are you being paid for the meeting in the morning? I can thank C-Bay for losing my job, too. Look, you are going to need to draft a contract to bring along in the morning. Otherwise, you will be working for free, and this practice will drive you insane. You need to figure out what works best for you and set the ground rules. You simply explain to the office manager that this is how you will be doing the work and what you will charge, etc. At some point, you will have to hold this office accountable for the work they give you and stop working for free. If you are picking up flash drives, then they should not expect you to report back on patients, etc., which is time consuming unless they would agree to a flat hourly rate for listening and sorting out dictations and then a lower line rate. I know, I have a big mouth, but please, don't let them take advantage of you. As I said in your last posting, they will continue to abuse you if you allow it. There are plenty of companies online hiring right now. www.mtjobs.com - have you checked there?

Importer [2008-12-03]
Hello, IT V Pro is compatible with theMedrite program. The Importer is a feature within Instant Text that can convert your SH, AutoCorrect, and other abbreviationfiles into IT glossaries. As it is a tool within the IT program, the platform you are using has no affect on how the Importer operates. For more information regarding the Importer, please see the link below. Textware Solutions

Answer to your first question [2008-12-03]
You wrote: 1. When you made the switch and imported the ShortHand did you need to learn new commands or do anything different to expand your former Shorthand entries? (I just type an abbreviation and hit spacebar and get my expansion). You can alsouse the spacebar to expand in Instant Text. You would type your expansion, hit the spacebar key and you would get your expansion just as you would in SH. For more information, please see the link below. Textware Solutions

SPLENDA IS NOT ASPARTAME [2008-12-03]
Aspartame has many aliases, but it is not the same as Splenda. For more information on the dangers of aspartame, here is a link to a website: http://www.dorway.com

Useful!!! [2008-12-02]
Was searching for a psych word and got it on this site. The psych section is handy and so is the rest of the site. Here's the link.

eScription [2008-12-02]
I am currently using the eScription platform and don't seem to mind it at all. A lot of the docs aren't recognized yet, so it's stilly typing as usual. The ones that are you simply correct the typed report and it can be kind of fun, especially some of the things the computer comes up with! There are a lot of new Keystrokes you can use to become mouse free as they hope, but I find I still use my mouse a lot! Hope this helped...

Agree [2008-11-29]
It's really important to take care of yourself, your physical and emotional health. Do proofread and do your best, but don't pull your hair out over it. This is not meant as a copout, but I would wonder if the QA dings were more the result of an over-zealous QA/QC Editor than actual declines in your own ability. For instance, I've been in situations where I had the punctuation correct, but the QA/QC person did not understand it that way and marked it as incorrect. One glaring example is that of military time. Where I had transcribed 1435 hours, she changed it to 14:35 hours. And where I had transcribed 4:00 p.m., she changed it to 4:00 o'clock p.m. As for the simple words, a, the, and, etc., it was a toss up as to include them or not. One day it was okay, the next day it was not okay to include these in the report. Sometimes, she wanted the patient, other times it was just patient, regardless of what the dictator actually said. She ruled at that company and whatever she said was right was right, and was not to be challenged. I simply could not stand it any longer, and left that job after less than 2 weeks.

Has anyone heard of this? sm [2008-11-28]
I have an account where they have a doctor who comes in and does nothing but dictate discharge reports. He's just some outside doctor whose job this is. He's obviously paid by the report, judging by how fast he talks. The medical profession is really going downhill when they're so cheap they hire someone to dictate their reports.

by doing the harder dictators you.... [2008-11-27]
get valuable experience and when it comes down to it, YOU are the one who looks good and has more potential for raises and promotions because you can do those and do them well when no one else can. Also, you are the one that they'll see can ultimately do ANY type of report/dictator without hesitation or problems. So let them cherrypick. They're only hurting themselves in the long run. (that is, if you work for a company who actually appreciates it's employees!)

I agree... [2008-11-27]
the only way I ever re-listen is if I have a word I didn't quite catch the first time and then will go back and listen to the word again after I type the whole report, but never re-listen to the whole dictation..I would be working all day and night.

Well, on the other hand, I would like to apologize. [2008-11-27]
I have been at this since 1979. The changes that have occurred over the last 25 years have been dramatic and mostly, they have been oppressive. Now, I know I will see e-mails stating that this is the greatest job in the world and who could ask for more than being able to stay at home and make a living. It is more than that. This is the only field where the wickedness comes out of coworkers to the point of disdain toward their comrades. I don't understand it. It is not like this in any other field. Mostly, the team work that is necessary for feel like there is a common goal (giving the client a perfect report in a timely fashion)and a common enemy (QA which dissect our reports, turning even the most seasoned MTs into self-doubting, defensive and trembling people who, of course, realize they are on the brink of losing their jobs). The past performance however perfect is wiped clean with one bad QA result. Supervision becomes god-like, determine how much income we will make, how well we will enjoy our work and how we feel about ourselves depending on their feedback and encouragement. There isn't much more to say about this job - it does pay well but comparatively speaking, after 25 years in the same field, you could say, we have not had a raise. Speed typing engines keep our production up to a level that gives us a decent wage. Say what you will about this job, but it is always going to have good and bad days. Over the years, our hearing will diminish, tinnitus from noise exposure, carpal tunnel from repetitive movements, the innumerable physical conditions which result from sitting still for such a long time (heart attacks at 50 have occurred to two of my comrades), isolation, depression. And it is not going to get any better. Trying to consider that I am working to help a physician perform his duties as he treats his patients is what I personally focus on. It helps to be fascinated by medicine. But, to the new MTs - I apologize for the bad and hope that the good makes up for it. I hope you realize that the patient is why we are here, so be sure that our report is accurate so that proper care is provided. The personalities in this field can be abrasive, and it may be that reason why they turn to solo work but again, that goes with it. Best advice is to keep to yourself, not gossip nor listen to gossip, type every report like it is the only one, and realize that the money, even 60 thousand a year, is far from enough to compensate us for doing a job that is so rarely appreciated by the CEOs, that our line count and bad QA score over a 30 day period can take us out of a job we have been in for 20 years.

I tend to proof my reports as I type, [2008-11-26]
during pauses in dictation I read the paragraphs above and also while spellchecking. Unless it is a difficult report, I do not relisten.

I always reread [2008-11-26]
I never send in a report without relistening to it. I first type all the dictations at once and then speed up the dictation between 200% to 250% and go over everything. I leave everything to the proofreading, checking up words, referring physicians, correcting mistakes etc., unless the doctor is really slow and then I correct my mistakes as I go along, but still proofread. Since quick typing is so essential, I don't want to stop typing in middle to check things up and I found mistakes so many times (even small things like an extra comma, a missing letter, he/she, etc.) that I don't feel I can send it without proofreading.

Need feedback on VR (am feeling so inadequate) inside.... [2008-11-26]
I have not been able to double my lines. Most of the time there is no formatting, having to add a's, an, the, change sentences, add what VR left out even though heard correctly. When I talked to the manager, she say I am not embracing the software. I feel with so much editing even if the next report is better, I lose so much time on that report and others like it that even having several reports pretty good albeit bad formatting, like not capitalized headings, all clumped together and having to separate out, I lose a lot of valuable time. Idon't know how I can embrace anymore, I do use the tricks and tips but it doesn't help with the amount of editing. Is it just me, some people aren't cut out for it. When I pointed out at 600 lines I was actually being paid for 300 lines at regular rate but half at 600 lines and she was shocked I felt that way. That with VR it is so much faster. It seems when I compare the two, I am 500 lines a day short of straight dictation from previous. I know it is supposed to take time but how do you do that when your bills are still the same?

Same as SM and MTMommyof2. Proof on the go, SM [2008-11-26]
come to the end and sign off. Unless I'm feeling fuzzy or the report's a toughie, then I relisten as long as it takes until I have as good a report as I can make of it. People who type and then reread, much less relisten, must be incredibly fast typists to be able to make a decent living. But whatever works.

Keeping reports... [2008-11-26]
There was a thread this week about someone saying they kept reports as a sample of their ability. Everyone claimed this was against the HIPPA rules. Well here we have an ad, and I hope I don't get in trouble, for posting this, but see below: Let me know if you have experience in the field of neurosurgery and if you can, please provide work samples. If I get the information and qualifications quickly, we may have a chance to win this contract, and work for you. Thanks! Now, to me that sounds like you would need to send sample reports. Am I wrong here? I guess this proves that it is okay to save reports as long as the demographic information is deleted and it becomes basically a sample report. Just my 2 cents...

Had equipment problems with Transcend... [2008-11-25]
that they ignored with me though I complained daily. Even worked with a Dictaphone guy who apparently could not fix the problem though he tried. Long story short, I like the account assigned to me but just got tired of this stupid problem - I would have to log out and back in after single every report. I quit in disgust after 10 days because I felt they didn't take me seriously; they didn't even offer to send me one of their PC's, which would have cost me to rent anyway. They hated to see me go. Yeah, right.

Whoops. Got cut off. sm [2008-11-25]
see link! Love this lady. She knows her stuff, she is POSITIVE which we don't see much on this site. Witty, excellent, and I have learned a lot from her.

Our hospital [2008-11-24]
Only has an audit trail once the document has been e-signed. Before that, anyone can go in and do whatever without leaving a reason or seeing a history. Thankfullly, we type in a dictaphone system and it crosses an interface into meditech. The dictaphone system will show the report at all stages and show which Transcriptionist made which changes.

VR using EXText -- is it productive? SM [2008-11-23]
Getting ready to start doing VR through EXText. I watched a demonstration of the VR editing process and it looks horrible! From what I saw, it is not as simple as listening to the report, taking your foot of the pedal, and making a change. There is a process of alt+s and then highlight the word to correct, etc... It just looked very VERY tedious and unproductive. I currently transcribe using EXText and have used EXText since it was first marketed, so I'm very familiary with it. The VR portion of it is very new to me and seems like more of a burden than anything. Then I was told that iChart will make the VR process much simplier and I'm wondering if this is true? I have experience with VR using Escription and with the FutureNet program and both are so simple to use. The Dictaphone software just looks completely complicated and I can't see making any money using it. Anybody who has experience with iChart, Dictaphone VR and EXText and would like to share their opinions and give me some more info, would be greatly appreciated! Thanks!

I have had this happen too s/m [2008-11-21]
I had one doctor so mad because I was losing his reports. Well, I would type his reports daily, send him a log with all the reports typed with dates and then weeks to months later get phone calls because they couldn't find his reports and would say I must have missed them. Well, when they get a daily log, why didn't they cross reference and make sure all the reports were there? He stopped dictating for about 3 months, but did come back. There was another doctor in the same practice that would actually cross reference my log with his own appt schedule and if anything was missing, he would call to verify that I didn't get the report. He would even admit that it was probably his fault that he missed the report, but wanted to make sure before re-dictating. He only called about once a month on one patient so it amazes me how the other doctor could be missing 5 or so patients a month. He did come back though, I don't know if he tried someone else out and finally realized it was his own fault or what, but he did come back. As far as the secretary doing his dirty work, don't most people delegate what they don't want to do? Think of it that way. Just try not to take it so personally and just think, maybe it is a blessing in disguise at this moment!

I don't have any of my own clients...sm [2008-11-21]
so I have never had this problem. They said you were no longer transcribing his letters. Does that mean you are still transcribing other types of reports for him or is that the only type of report you did for him? If the secretary called you before and asked questions about How often ARE you coming to get work or something to that effect, then it leads me to believe he was not happy with you for some reason. Sounds like he found someone else to do his work. He could have found someone to do it cheaper, who knows? I hate to hear you lost this client. I know money is tight.

Suggestion [2008-11-20]
Buying a used copy would be your best deal, IMHO. If I were you, I'd post an item wanted ad here at mtstars and on other MT forums. There just might be somebody out there who has a used copy that they would like to sell. I purchased mine new for something like $189, but could have saved some money if I had found a used copy. If you prefer to purchase it new: http://www.textware.com/ Here is the link to the online Instant Text forum: http://textware.com/board/itmainforum/index.html

good resource site? [2008-11-19]
We used to have two people type radiology, but it is going to now be put in the general report pool. I have one book from stedmans, but am kind of nervous. Do you have any good websites?



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