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What kind of legal recourses do I have? - Posted By: Furious....

I am an IC and hired a subcontractor to work with me for extra help.  She did not work out and was not reliable nor completed the work in a timely manner and I was always having to rush to get it to my clients on time.  I stopped sending work to her in April and she sent me an invoice for the amount due.  My client pays me monthly, so the invoice I submit to them is really like for last month.  She got all ticked off because I haven't sent her measly 100.00 that she did for me yet.  Partly because I just got that invoice paid for and second, why should I get in a hurry to send her money when she couldn't return my work when needed?  She states she called the client I do the work for and states they are very unhappy with me.  I'm not sure why, because I am an IC for them and how I handle my financial business is none of their concern, only the work I provide to them.  If she did contact my client what kind of legal recourses can I use on her?  Thanks

Is this menopause or what? - Posted By: mt at 51

I got married last December and moved from the south to California with husband, stayed for 5 months and moved to Oklahoma where he will be pastoring a church.  All my family is back south.  My doctor told me I was menopausal back in January of this year, but still having periods off and on and now spotting.  I am so super sensitive, mood swings, crying spells, feeling neglected, easily offended, missing the closeness of my family back home, my kids and grandkids.  I love my husband and he is good to me, although does get on my nerves a lot lately and we have had some major clashes, and I'm feeling like the "honey" is gone out of the moonr.  I have been contemplating just leaving him and going back to my home in the south.  But for fear of humiliation, shame and embarrassment of what the hometown folks and church folks will say, not to mention "I don't believe in divorce."  One part of me is saying "this will pass as it is just the menopause I am going throug, but other side is saying "I'd be better off by myself.'  Anyone have gone through natural menopause and went through changes such as mine, or is this a natural occurrence for someone going through such life-changing events within the past 9 months, marriage, moved 2 different times to differing parts of the US, plus married to a minister, plus going through menopause.   



OT: Changing face of veterinary medicine (sm) - Posted By: catlover

Is it only me or has veterinary medicine changed quite a bit over the years to resemble care of humans?  I have cats and absolutely love them but I'm becoming torn between necessary care, preventive care, and just down-right UN-necessary care.  I remember back when animals went to the vet for shots and only when they got sick.  If they were sick, diagnosis and prognosis dictated the next level of care.  And in most cases back then there were no options other than to let nature take its course if something serious/chronic was found. 


I'm now noticing that every time I take one of the cats to the vet's, the doc wants to do "baseline" blood work at least once a year and now wants to see my ten-year-old cat on a twice-yearly basis.  My kitty is healthy as a horse and has had no health problems for ten years.  Why all of a sudden does he need expensive BASELINE lab work and xrays as well as needing to be seen twice a year and have his teeth cleaned twice a year (not cheap)?  It sounds like I'm complaining about the money end versus taking care of my kitty, and I suppose in a sense I am, because this adds up to a whole lot over the course of time.  The doc mentioned the reasons for the lab work (diabetes, thyroid problems, anemia, cancer, etc.)  I'm torn between having the work done and what I would do if anything chronic showed up on the tests.  I love my kitty but don't know if spending lots of money on chronic meds/therapy would be an option when I would have to weigh other expenses against them. 



ENTER NOW! $50.00 American Express Gift Certificate! - Posted By: See full details inside

MTSTARS MT WEEK GIFT GIVEAWAY!


ENTER NOW TO WIN!
(Pulling numbers 71)
Click on the Reply by Email blue link or email to freebie@mtstars.com to enter
One entry per person, only one email address allowed.
Please give your name, city, and state for when we post congratulations.
You must enter each giveaway to be eligible to win.
All entries are put in a hopper and the number shown above will be pulled.


$50.00 American Express Gift Certificate!!
 
GIVEN COURTESY OF:


METROSCRIPT
www.metroscript.com


GOOD LUCK!!!



New computer and fax/printer...questions - Posted By: Taxtime!

I'm going to buy a new home desktop computer.  I'd get a laptop and love to get one but I want my almost-4-year-old to be able to use it and I'm afraid she'd destroy the laptop.  Anyway, the cheaper the better but I really want a Vista. Any recommendations on where to go for a good deal, any computer recommendations?  I'm awful with this stuff!!  I wouldn't really use it for work because work provides a PC, just for play :)


Oh... also want to get an all in one scanner/fax/printer so recommendations there would be helpful too! 



spellcheckers - which is... - Posted By: sps

better? Stedmans or Spellex?

Bad ESLs - Posted By: What did he say?

Wouldn't it make sense for companies with bad ESLs, to hire US MTs who speak the dictator's mother language to do the transcription? 



any opinion on working for VA hospitals....dont know a thing about them. - Posted By: bd

are they pretty much compared to any reg hosp? or is there something i should know?

philips 9750 vs philips 9850 transcribing equipment - Posted By: glenn

Has anyone had any experience with either the Philips 9750 or Philips 9850? My existing system is proving un-reliable; it has been down all day. Considering the Philips systems.

Footpedal Question - Posted By: Loves to Type

I am working for 2 companies with 2 different foot pedals; one is a Dictaphone and the other just a regular one. I am wondering if it is possible to keep both foot pedals connected to the computer and switch between them? The problem is that I currently need to log out of each transcription program and then plug in the correct foot pedal to switch between programs. I would like to be able to just switch them on the computer when work is low at one job. Any suggestions would be much appreciated!

Voicewave - Posted By: B-girl

Does anyone know how to copy Voicewave program from one computer to another? 

Check out "Transcription For Dummies" - Posted By: MT-LOL

Just saw this site today -- yet another scam. If you didn't know any better wouldn't that be a great way to work! Too sad.

http://transcriptionfordummies.com


instant text abcz - Posted By: stepping it up

I am wondering---I am new to Instant Text (although OLD to transcription) and am still teaching myself to utilize instant text....I need to have someone sitting by me showing me, that's how I learn, but really, who cares.  Anyway, is ABCZ a part of Instant Text or is that a separate program?  I truly believe per Miss Indigo in a post below that really it is about working smarter and faster and that is the secret to making the bucks.  Anyway, any info appreciated.  thanks!

How was everyone's Christmas? Good, I hope. - Posted By: Merry Christmas!

We wound up missing the big Christmas Day family feast because one of our kids woke up from a nap with a 102.4 degree temperature.  It hit 104.9 in the middle of the night last night.  Of course, the clinic is closed today so I'll have to take him to the ER if things don't get better soon.  Poor little sprite.

Seen any good movies lately? - Posted By: survey says

I liked The Pacifier and National Treasure.  We are planning on having an outdoor movie night using a white sheet nailed to the side of the house and a projector to the DVD player on the computer, but I can't think of anything good to rent.

is execuscribe and amphion the same? - Posted By: aa

just wondering because their website for appliing look very similar to one another

I was let go... - Posted By: Feeling unsure...

Being new to transcription, I was so happy when this company gave me a chance. I was moving right along and getting good feedback, so I thought I was doing well. I was on one doctor and becoming comfortable with her when the company put me on other doctor to transcribe and it was terrible. I just couldn't get it. After my first time transcribing this doctor I was let go and basically told to go back to school. I just don't know. One minute I am doing well, according to feedback and now this.  I just don't know. I really was working hard and thought I was doing well. Maybe this isn't for me. I don't plan on nor can I afford to, go back to school.  Any words of encouragement, I need it bad.



OF INTEREST TO ALL TIME WARNER CUSTOMERS...THEY ARE GOING TO START CHARGING FOR USAGE AND NOT A FLAT - Posted By: Charlene

This really sucks as the article said it would impact heavy users only.  My cable bill is already high but to be charged for actual using will skyrocket my bill.  I think I could spit nails right now.  I can post the article if anyone is interested.  They said it will be a trial period.  Anyone else use Time Warner?



I hear echoes - Posted By: CeeCee

What would you do if a former employer would not return emails or calls about paying your last 2 invoices.  I got fired a couple of days ago because this megalomaniac, micromanaging owner obviously had her feathers ruffled when I pointed out that I am an IC, not an employee.  She lashed out in obviously the worst possible way by firing me and telling me that I was uninformed, that she has worked in this business blah, blah, blah and I haven't appreciated her expertise and tutelage (even though I have 14 years experience and ANYWHERE I've worked, I am off QA almost immediately and always complimented on my work!).  I say this latter and, please, I know, I should have left a long time ago, because I thought, any time now, I'll be off QA - the job paid 11 cents with spaces, 55 character lines - I was on QA for at least 3 months, which was ridiculous because on several instances I had to correct them when they'd send me corrections!  Sorry for venting - still steaming!  Back to the question at top if you could, thanks. 



[sigh..] I know I'll get flamed for this, but - sm - Posted By: 'Shroom

 - here goes, anyway!   ----  "How funny would THIS be?"  


I know it would be impossible to ever get MTs to stick together on anything, let alone a work-stoppage kind of strike.  But can you imagine the hilarity (at least on OUR end, anyway), if for just one week.  Heck - one DAY, even -- we all decided to transcribe everything verbatim?  And I mean, VERBATIM, not the 'fixed-up' kind of verbatim most of us are expected to do.  I mean verbatim, as in if they don't punctuate anywhere in a 3-page letter, they get a 3-page unpunctuated letter.  They screw up the 'copy-to' addresses, then instead of spending OUR time looking up the correct address or spelling of the recipient, let it go as-is.  If they say "left" and MEANT "right", they get "left".  When they bounce back and forth between calling the patient a "he" and a "she", and don't clarify it, then that will be come a report on the world's first simultaneously dual-gender individual.  All the little checks and balances, and save-their-@ss type of transcription we do automatically, doesn't get done for one day.  Unfortunately, it would probably cause every Editor in the country to simultaneously call in sick with killer migraines.  But that's okay, at least it would be FUNNY.  And lord knows, this profession could sure use a laugh now and then, couldn't it? 


 



Does anyone suppose that with all the advances in technology that - Posted By: satellite MT

there might be some more companies willing to take those MT's who only have satellite in the future?  There are so few now.  Really limits a person's options.  Wadyathink? MTSO's - any response??

Hospital Disabling Internet Access for MT's - Posted By: SS

I have a question and hope someone might be able to help me. I work at home as an MT. The company I currently work for does overflow work for a hospital; however, while on the hospital's platform to transcribe their reports, your email and internet are disabled and you cannot access either one - is this legal? I feel like this is an infringement of MY rights, &c. It is my equipment, I pay the bills, yet I'm limited - and everyone knows the quickest and easiest way to find something is to look it up on the internet. I can understand the hospital is worried about patient confidentiality, &c., but for them to dictate how and when I can use my own computer is ridiculous - like telling me I can drive my car, but can't use the A/C in the middle of a hot and muggy Florida summer! This really burns me up, esp when we don't have QA and are supposed to send blanks directly to the doctors - who just love to b**ch when you're wrong while we are constantly correcting their mistakes and helping further inflate their over-sized "*I* am GOD!!!" egos!!! Any help would be greatly appreciated. Thanks!!!

How many MTs made more per line 10 years - Posted By: ago than they do now? - just curious. nm

nm

Don't want to work on a "platform" (sm) - Posted By: just Word...

In search of a company where I can get the voice files in a batch and then transcribe them in Word and send them all back as a batch. Maybe just wishful thinking?

Happy Chanukah to those celebrating...*S* - Posted By: evening of Dec 15-Dec 22nd!!! .....n/m

           

need some feedback on article I'm writing - Posted By: mary anne

I read an article in the Baltimore Business Journal about offshoring, and without getting into too much detail about the article I would like to send a follow up article back to the Baltimore Journal. 


Basically the AAMT representative stated in the article that "younger workers are not lining up to enter the profession."  And that the median age for a transcriptionist is 48-50 years of age.  I find this to be quite untrue as I do think there are younger and younger people entering this field, and I hope to be able to get information to back that up.  There are, of course, other things mentioned in the article that I will be doing the demographics on, but for now ... I would like to know what school program/course you attended, where you attended, and your age, and anything else you may want to add to help me with a "rebuttle" on the perks of offshoring.    I have left my email address.
Thank you



Wanting to buy EX125 Voice system - Posted By: Dorothy Edwards

I am looking to buy a EX125 Voice Turnkey System, with at least a 6.5 build - prefer 7.0.  Anyone have one they want to sell?     Just found this site and thrilled to see it -- please let me know if anyone has such a beast available. 

Update on blending dogs into our home... - Posted By: Georgia gal

A few weeks ago I wrote about  my dog not getting along with my husband's dogs a few weeks after we were married.  We finally hired a trainer from BarkBusters to come out and since then she has been a completely different dog with her behavior.  She's still learning that we adults are the pack leaders but the techniques we were taught have worked wonders with her. 

Christian chat room - Posted By: Eileen

Is there any christian chat rooms for medical transcriptionists?  I thought I saw one about a month ago and now I cannot remember the name of it.

Gag order on employees-Is This Legal? - Posted By: Message From The Company Board

From the company board...  Is this legal? To have a gag order on employees?


Here is the link:  http://forum.mtstars.com/company/v/1/4575.html


Call a recruiter. No new employee can tell you this and let me tell you why...


There is a very specific, fairly new paragraph in the information that new hires are sent: If you talk about your salary, you can be terminated.

Salary is dependent on your test scores, your interview, the account you'll be on, and your experience. It differs for everyone, and it is competitve with other MTSOs. Your best bet is to call, or email, a recruiter. Their information can be found on
MT Jobs, MT Stars, and MT Desk in their weekly ads.

Best of luck in your job search!


 



More helpful Websites - Posted By: mgm

I ran across this website and hope that it might some out there.


http://burrowsmedicaltranscription.com/cms/index.php?option=com_weblinks&catid=13&Itemid=23



I just put my cat of 12 years to sleep today...sm - Posted By: Georgia gal

I know it was the best thing to do but it sure is hard to do things like this, isn't it?

Word and Drugs boards (SM) - Posted By: Moderator

Please use the appropriate boards for these questions.  This forum has been set up so that these questions can be more easily navigated.


Moderator



Hear people talk about VR issues - Posted By: Grrrrrrrrrr

There is no way, none that a person's record could be any more compromised than with the dictators we have to put up with now days. They are unable to speak English to where you can make sense out of it. I get livid anytime I have to put up with this crap every weekend. We even have some PAs now who are non-English speaking. Where does this stop?



Interesting article about EMR - Posted By: SM


August 9, 2006 - EMR has revolutionized the healthcare industry in recent times. Many experts felt that EMR & Voice Recognition would totally replace Medical Transcription - however; the industry soon realized that transcription has certain advantages over point & click charting and many physicians preferred to dictate notes rather than document the data at the point of care themselves.

The most critical part of any Electronic Medical Record (EMR) is the method of data entry. EMR is about aggregation of patient encounter data at the point of care in order to provide a complete, accurate, and timely view of patient information. An electronic medical record is not just a typed record of the patient encounter, but an extremely useful decision support tool. The data can be entered into the EMR via any of the two general mechanisms: direct entry by the physician using point and click templates or transcription of dictated notes. Point and click template indicates that each data element, which is to be inserted, requires selection, navigation, point and click process for capturing patient information.

Transcriptions have been around for years for documenting patient encounters. A medical provider dictates the medical note into a phone or a recording device. The Transcriptionist receives the dictation and transcribes it. It may be reviewed by the supervisor for checking errors. The final computerized file is then either emailed directly to the healthcare provider or the file is transferred to a web site and is later downloaded by the provider.



Each method has its pros and cons.
Point and Click Templates
Most EMR systems allow providers to generate clinical documentation, by selecting variable terms from pre-structured point-and-click templates. Users simply point and click to select appropriate choices from lists of choices to record a patient encounter. The end result would be a document that closely resembles a transcribed procedure note.
 
Advantages 
Completely customizable templates. The doctor can specify the layout of the template, which helps him to adjust the template as per his practice & procedure.
§    Provide consistent, complete and accurate data. The chances of medical erros are reduced since the data is documented in customised forms.
§    Notes for similar type of exams will appear to be standard and similar
§    Store / organize data for subsequent retrieval. 
§    Each click adds data elements to the database. Point-and-click systems create data that can be used to generate clinically useful reports, such as health maintenance reminders, disease management etc.   
§    One of the major advantages of template based charting is the time needed to make the document available as a medical record. Since notes are created within the EMR, they are available immediately upon completion.

Disadvantages
§    It takes more time, and definitely more concentration for a physician to navigate through large data set and create progress notes using point and click templates. 
§    Templates must be customized as per the physician’s requirement. Customization can be inflexible and costly.
§    Well accepted by only tech-savvy doctors. 
§    The approach of direct data entry by the physician has generally failed because busy providers reject it altogether.
§    Output from these templates is too canned and identical. It loses individuality for each patient. 
§    It is difficult for a provider to capture complete patient encounter on computer in front of a patient.  

Medical Transcription
Transcription has long been the standard for documenting patient encounters. It is more convenient for a provider as compared to handwritten notes or electronic data entry.  There are many advantages of transcription in comparison to point and click charting. There are a few disadvantages as well.  
 
Advantages
 
§    Corresponds intuitively to the physician's usual method of working. Dictation remains the most intuitive and least time-consuming means of data entry.  
§    Physicians can dictate anytime, anywhere using PDA, Dictaphone or telephone at their convenience.
§    Providers need not change the way they practice just to accommodate an EMR. EMR can interact with transcription service so that transcriptions can be attached directly into the patient’s electronic medical record, if such a facility is provided by the EMR vendor.
§    It requires minimal training for physicians. 
§    Provides expressive power to describe patient’s condition and other health related events. 
 
Disadvantages
§   Details of the exam can easily be forgotten and omitted while dictating, if dictation is not captured immediately at the point of care
§   It cannot be queried for generating reports unless transcribed in pre-formatted templates
§   Transcribed reports are not immediately accessible. Physicians would normally have to wait for 12 to 24 hours for charts to be delivered, unless few vendors supporting 2-4 hours short turn around time.
§   Transcription provides for more efficient use of doctor's time.
§   Although average transcribed report costs $2 to $4, it can reduce the doctor's time spent on data entry. Considering the value of doctor’s time, transcription is not a costly proposition.
 
EMR should give the freedom to the physician to decide to use either Point & Click or Medical Transcription. For a physician, the EMR that fits into his practice workflow would be invaluable. A competent EMR must have a template driven charting feature and the ability to interact with a transcription service at the same time. Both are indispensable features of Electronic Medical Record Software, as doctors are not unanimous on point and click charting or transcription. Such an EMR will be both efficient and cost effective. 

The trends in transcription itself are changing with Medical Transcription service providers aiming to adopt new technologies. These technologies will evolve to increase efficiency & accuracy, decrease turnaround time and support data capture. While many of these technologies like such as digital dictation and electronic signature exist today, several technologies are still on the horizon.



Nice as can be when asking you to work - Posted By: disheveled

But if you have a question you get these very snippy responses and the feeling you are an inconvenience. Anyone else experience this?

any info on TransHealth - Posted By: just me

Any info on TransHealth would be appreciated.  I am considering accepting a position with them.


 


Thanks.



word help, about to scream - Posted By: romey

I am so sick of the numbers in word doing weird and crazy things, not indenting right or bolding on their own and now to top it all off they are bolding on their own and are very little, so I start with a normal 1 and then the 2 is tiny compared to the 1 and it is bolded, can someone please help me.

Instant Text and Bayscribe - Posted By: Julia

I have downloaded Instant Text onto my laptop. I have been able to link the Instant Text to Word and it works perfectly. I have linked IT to Bayscribe and while it says it is linked, it is not. Does anyone know how to fix this?

which companies still have SE status - Posted By: just checking

x

What are some good review books? - Posted By: RT

Hi everyone,


I have a question that I hope you can help me with. In short, I graduated in 1997 from college with a certificate in medical transcription. (I took a 1 year program) Even though I never worked in transcription, I have recently been offered a chance to work and do transcription from home. I was required to take a test and actually made 88% on it with no review at all. I needed to make a 90% though and am wanting to find a way to review and boost my score. I was wondering if any of you could give me the name of a good book or program that might help me out. I have seen one book called "The Do's and Don't's of Medical Transcription" but would like to have some opinions on it and other books out there. I would appreciate any and all help on this as I'm really looking forward to getting into the medical transcription field for the first time.


Many thanks,


RT



Abbreviations - Posted By: Kathy

What is proper abbreviation for A Fib?

Stedman's Speller Question - Posted By: Alice

I have two accounts in Microsoft Word and just received a new account and they use Word Perfect.  Does anyone know how to bring the Stedmans speller from Word into both Word and Word Perfect? Alice



What it is with these companies? - Posted By: louloubel

I am now on my third job since deciding to work at home August 2005.  What is it with these companies?  Don't they realize that without us (transcriptionists)  they have no business????   I have been lied to, nit-picky QA'd to death, had money taken away from me, treated like crap, and received nasty emails.  Every time get familiar enough with account to start making some real $, guess what?  Get switched to another account.  I have always worked for hospitals, clinics, etc. 20+ years and never have I encountered such treatment.  It is just amazing, actually no, it is pathetic.  This third job is it.  If this does not work out, going back to the hospital.   I have a lot of admiration for those of you who tough it out and are still working for these amazingly unprofessional companies.  Maybe that is why there is so much outsourcing.  Workers in other countries will take their CRAP. 

positive "osbitidal glycerone" OBGYN - Posted By: HELP!!!

nm

RE: How do I set outlook express so my e-mails show up chronologically? - Posted By: Kris

\

FINAL GIVEAWAY! ENTER NOW! 3 LB BOX OF GODIVA!!! - Posted By: See full details inside

MTSTARS MT WEEK GIFT GIVEAWAY!


ENTER NOW TO WIN!
(Pulling number 88)
Click on the Reply by Email blue link or email to freebie@mtstars.com to enter
One entry per person, only one email address allowed.
Please give your name, city, and state for when we post congratulations.
You must enter each giveaway to be eligible to win.
All entries are put in a hopper and the number shown above will be pulled.


3 LB. BOX OF GODIVA CHOCOLATES!!


GIVEN COURTESY OF:


ASCEND HEALTHCARE
www.ascendhealthcare.com


GOOD LUCK!!!



statutory employees - MQ - Posted By: wg

When you have to take off, do you call in sick like you would a regular job?  In the past, I have and they have been quite unreasonable if I needed to take a day off for sick or personal reasons.  What upsets me is when there is no work, Im stuck, no work, oh well, but when I need to take off, I better be there, I better work or they have been quite nasty with me..What has been others response?  What have others done when they needed to take off?  Thanks for your response!

q. re short-term disability vs state disability - Posted By: sm

my short-term disability insurance coverage option says it pays when there is no state disability plan.  How does one find out if the state she resides in has such a plan? 


Insurances seem like such a racket.  Seems they should not be allowed to take your $ if they are not required to pay-out in the event of a disability.


Thanks for any help.



What average line count do you type per pay period. what is considered above average and how long - Posted By: does it take you to do it?