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Serving Over 20,000 US Medical Transcriptionists

Any body know of a family practice hiring PT..

Posted By: LM on 2006-01-18
In Reply to:

I am currently working full time doing hospital work but things are slow all around for everybody.  I was hoping to find a small acct to supplement on a perm. basis.  Any help would be appreciated. I am new to this board so I hope it was okay to ask here.


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Family Practice

I was wondering if anyone has any ideas on what you should charge per line for a Family Practice of 4 physicians?  I am interested in working for this practice that currently has been doing their own transcription (oh heaven help! lol), but did not know what would a fair rate to charge per line...thanks for any input!


 


Family Practice, Internal Med

I like them because of the variety.  With family practice you have everything from Pediatrics to Geriatrics.


 


My family practice doc just starting using it. sm
The doc had me meet with the Allscipts trainer to see the different options for transcription from home. The first option was accessing their system via internet and cutting and pasting what I typed in Word into each patient note (I suggest not typing directly into their EMR as you won't be able to use your spellcheck, abbreviation expander, or count the lines). Once you log on, it would be about 5 steps to get to the appropriate patient, then I would have to cut and paste, either each SOAP headings into appropriate heading or just as one note at bottom. Of course, I didn't want to do any of this, too many steps and didn't want to cut and paste (didn't tell him this but trainer had already figured it out and I think he did too as he said that was a lot of steps). However, after he heard he would have to buy an additional license or two (about $5000-10,000) for me to do this, he nixed that idea, which was fine by me. We then decided I would transcribe the SOAP notes as usual and send back via FTP site and HIS office staff would cut and paste, especially when I told him another doc did it this way!! Perfect! And to top it off, his PC guy set up a FTP site on THEIR server!! So far, this has been working great. However, the problem now is decreased work. His PA-C is still dictating but his ARNP has pretty much been using the EMR only and he has decreased his dictation load as well. So, that's it in a nutshell. None of the EMRs are very transcription friendly. Good luck.
Family Practice trains you with a little of everything

Family practice transcription question

I have done transcription for 4 years, have done OB/GYN, oncology, urology and plastic surgery.  I am currently seeking employment but haven't been applying for any family practice positions because I don't have that experience. 


My question is, given the types of transcription I have done and the length of time I have been doing transcription, should I apply for family practice positions, or stick to only what I have the experience in?


Would appreciate any opinions/feedback at all.  Thanks so much.


you must have worked for a simple family practice
I work for a large multispecialty clinic, first will get some general surgery, will transcribe a rotator cuff surgery or hernia surgery or breast reconstruction, then I'll get urologist and transcribe about urinary system, then I'll get orthopedic talking about joints and bones and muscles, then I'll get ENT talking about ears, nose or throat issues, then I'll get cardiologist talking about veins and arteries and valves, then dermatologist talking about skin problems, then an audiologist will do an exam, then neurologist will talk about nerves. Hmmm, I should be making more.
Getting IC work with family practice experience

I have 15 years of experience at home transcribing for family practice and currently work part-time at home as an IC.  I would like to keep the account I have but perhaps add another to bump up my hours a bit.  Almost every job I see posted requires acute care experience.  Does anyone have input as to whether it is possible to obtain work without the acute care experience?  I love the work I have done.  Yes, it is probably easier than ESL or acute care but it does require attention to detail and accuracy just like everything else. 


Please advise what someone in my position should do.  I am sure these jobs do not appreciate people posting without the experience listed so I have not done so. 


My current work is local and is on tapes but I am willing to learn a new system or possibly obtain different equipment.  Any input will be appreciated!  Thanks in advance.


I do! I usually get mine at The Body Shop and Bath and Body Works. Thanks for posting that link. Do
xx
It is her body, but now there is ANOTHER body inside of her. sm
Right now I counsel pregnant teens as I had 2 myself and regret that decision every single day of my life. I've learned over the years that God has forgiven me and that my 2 babies are waiting for me, but the guilt and shame that this decision ultimately brings isn't worth it. Besides, that baby sooo deserves a chance at life, love, and laughter. Don't you agree?

I agree with Ronald Reagan: I am Pro Choice - if the baby has a choice, then I am pro choice.
family is family wheter 3 or 8 sm
i live in MA and $1200-$1400 a month is what good health insurance costs, ie $20-$40 copays.  it was just passed into law that if you live in MA you have to have medical insurance so without being self-employed, you can go right to BCBS etc and get a plan directly from the major health insurace companies, but for a family plan and a decent income bracket, forget it.  the prices are outragous.  right now my husband pays $120 a week for family plan and this is after his employer pays 30% of the total cost.  we have $20 copays, but we have a $2000 individual deductable per year with a $4000 family deductible cap.  so when my daughther needed her tonsils out, $2000 and when my son broke his arm, $2000.  someone on this board has to be able to tell you what they pay for insurance through their company as an employee.  good luck.
You and me both. I want my old body
aa
You and me both. I want my old body
aa
I don't know why any body would
...or financial advice and listing the amounts of their debts and other very personal issues. Each time I read such posts, I am amazed and shocked that people would do this.
body art
saw it in Philly; awesome!
No body issue
Yep, it has been done, next state over, young girl named Carrie Culbertson, missing now for close to 6 yrs?
They successfully prosecuted her ex-boyfriend and he got life..this w/o a body!
but she is 19 and it IS her body/life....nm
x
all they want is a warm body?
NM
There are still body stresses.
Physically, the stresses are still the same, the sitting, and while you do not have all the heavy keyboarding, you still have neck, arm, leg swelling, back hurting, and all the little things that just go naturally with sitting at a computer all day. Your tendinitis should improve, however!
put nm (no message) in the body
nm
Maybe if you practice what to say
before talking to her and then try to keep your cool.  It is much better to be friends with your neighbors.  Having a difficult neighbor can truly make your life miserable.
How is she going to practice? Does she have
s
practice, practice, practice
Apparently not being distracted by internet surfing and concentrating while using Expanders is the key.  I haven't done more than 300 lph myself, but I don't have a lot of expanders. 
all preached out already ms, busy body MT?
NOT!
executive body scan???
Could this be correct?  Outcoming being discovery of gallstones.
Even the ones with the body for it should show a little modesty.
x
Stop and think MTBusy-body
A professional company, well organized, will have the specs on the accounts UP FRONT, on file, before you start the account. Did you not stop to think about that? If you are going to come down on the girl, come down on the company, where the problem begins. A well organized company has the specs on file, gives the preferences of the particular client and does not waste time sending preferences piecemeal. Geesh, did you not think of that?
start with the inside of your body
and drink a lot of water. The rule of thumb is 6 oz per pound of body weight.
Exactly- my brother is an ex body builder
and certainly very masculine, but he gets a pedicure every month - his wife is all for it (you know how those hooves can get, guys! LOL), whitens his teeth, highlights his hair, and shaves his entire body (left over behavior from body building days, no doubt).
Is anyone out there that is heavy truly comfortable with their body? sm

I have had a struggle with weight my entire life. As we speak now I am on Weight Watchers.  I don't want to be model thin because I know that is never happening and some people aren't made to be that way.  I am tall, an inch from being 6'.  Before when I look at pictures I am thinking "Hey, I was not so bad.  I DID carry my weight well."  But during those times I thought I was horrible.  Now, just topped the scale to 300 and I am scared to death!  In the past year, since working from home and being depressed, I have put on an easily 50 lbs.  I weigh more than I weighed with being 9 months pregnant with my son. 


Anyway, I know for my health I need to get my weight down.  But the question is - if you are heavy, how do you feel good about yourself and your body, enough to let that stress go so you can focus on other things in life?  This consumes my every thought.  Sometimes I think I need to see a psychiatrist to get this matter resolved. 


I pray daily and ask God to help.  I feel if I can learn to have a better self image of myself that I CAN conquer this goal and lose the weight.


Tips please....I don't look at other heavy women as ugly and fat.  A lot of people I couldn't imagine being thin, yet they look great!  I just wish I could picture myself that way. 


BTW - in the almost 6 years my husband and I have been married, he has NEVER seen my naked, even when I wasn't so heavy.  It is always "give me the covers, turn out the lights" and never intimate without clothes on.  I want real intimacy.  I want to feel good about myself. How do I achieve this while in the process of losing weight?


Selling body parts in the US sm
There was a brief mention of a recent arrest (I believe it was in New York) of a phony business set-up involving funeral homes, etc., selling bone grafts, etc. from dead bodies (one was supposedly Allistair Cook's body of the PBS fame) and replacing these parts with PVC piping in some cases. These people made "millions" and the patients/families had to be notified. One man was practically crying because he had been told he has to be tested every 6 mos. for HIV, hepatitis, etc., since he had a recent surgery on his neck. They said it may not present itself for years in some cases. They showed some gentlemen being led away in handcuffs but the story was cut short. Anyone else know about this travesty and why so little else has been said about it or is there any web site, etc., that explains it in more detail? Would like to know morel I am very concerned for the recipients as well as the unbeknownst-to-them "donor" families.
Couldnt they just run a magnet up his body
x
Partners in Practice
Partners in Practice does outsource.
Practice dictation
Does anyone out there know of a website where I could get some practice dictation?  Have been away from transcription for a few years and want to get my "ear" back and some speed before trying to get back into it.  Thanks for your help.
practice tapes sm
As usual, your answers are so much appreciated. I love this site, helping others is so important, I do it whenever I can as well. I believe in karma. Thanks again!
Practice dictation sm
This is a crazy question but I've had to take time off and feel really out of the loop. Never worked from home before. Is there any company who would forward some sample dication to let you kind of play with for awhile before you formally test for them? At this point, I don't think I'd pass the test although I've had plenty of acute care and specialty experience. I know it sounds really unprofessional but I thought I would at least ask. Hate to fail, spent too many years being a perfectionist, I guess. Are there any sites you could recommend for someone returning to the profession after a few years taking care of family business?
It's good practice.
I know it hurts at the moment, but it will help you in the long run to have a bigger variety of dictators and specialties. When I was doing radiology there were only about 15, and all but 2 were quite good. Now doing acute care again I may not have a repeat all day. It does make a big difference in production.
Practice tapes from?
I have heard practice tapes some give out that are almost perfect dictation- definitely not what you run into when you transcribe. Are you doing the "goodie" tapes or are they the real McCoy? The practice ones I have heard put in their periods, paragraph. Ha, very seldom hear that in real. What kind of work will you do, speciality or the 4s? I have my equipment as fast as it can possibly go and my salary has gone down in the past 4 years 20,000$ from the constant outsourcing the companies are doing. My speed is between 130-140 wpm and I make good only because I have my nose to the grindstone most of the day. By the way, independent as well but my company asked me for certain hours and which days. I have seen numerous posts on here saying you do not have to do it -but I wanted to work for this particular place and I accept it.
practice tapes from...
Practice tapes are real; slurring run-on sentences, gurgling muffled words, you name it.  But, she gave me the printed reports to go with them, so if I really get stuck, i can look at them and find the answer.  If you don't mind my asking, how long have you been in this, and what's your cpl?  You work for an agency?  Yes, my speed is concerning me.  Thanks for your reply.
If you are an employee at this practice sm
then it is not your decision who they hire.  It is probably in your job description to train new employees.  You may want to ask for a copy of that before heading into Dr. Whozewhatsee's office to complain.  The other thing is even though you have a background on this girl that does not mean she is terrible (innocent until proven guilty).  In my opinion, when I read your post, I am hearing "this job is mine, mine, mine, and mine".  "I am to make all of the decisions because this job is mine, mine, mine."  Sort of like a 2-year-old.  In saying that I'm sure it will really make you mad.  I am hearing from your post that you really do not want help but you want to be off to have surgery, etc.  The practice cannot just back-up their work but unless you are a supervisor (25+ years does not make you that), it is the decision of the office manager on who to hire.  You may be better off with this young girl as opposed to an outside service.  The outside service may very well take your job by underbidding and letting the practice know that they can get the job done and do not take off for back surgeries, etc.  You may want to keep the waters smooth until you get back.  I would do my best to keep this girl going on a steady pace.  JMO.    Good luck.   
What a rip-off! That practice keeps their profits UP
$
Practice dictations
I am at a hiatus in my transcription career, but I do not want to lose what I know, or lose my speed.  Is there somewhere you can purchase practice dictation tapes, or digital downloads?  I would prefer digital downloads of voice files if there is such a thing.  Just wondering.
private practice
Cardiology in PA, $17.00/hr, 6 weeks vacation, employer funded pension plan 10% of salary yearly, been here 15 years.... longing to be home and a full time MT.. good luck coming back to the jungle.
MT and practice are both at fault sm
Have had this done to me more than once. The PT office should have said, no way, if she approached them. She should have said, no way, if they approached her. You have been hurt, and it's not only common courtesy but a stab in the back. Keep them as a client until you get really busy with others and then drop them. I would not keep her, not for one moment. I had to let go of both a friendship,, a client and an employee twice because I do not tolerate this type of sinister behavior. You should not either. Fool me once, shame on me; foll me twice, shame on me. You should be flaming mad, you have every right, you were scammed by both.
Outsourcing may not be a bad practice,
but in my case that is why I have no benefits. Hospitals/clinics outsource so they do not have to provide facilities for us to work in and full-time benefits to employess to do the MT work. If they are paying the MTSO less that what they were paying the former employees, who eats the difference? We do.
depends on practice
For the most part, my platform fills in the ADT for me BUT...there are some practices that do not provide electronic ADT, therefore I have to enter it manually, which I hate because it's time consuming. There are even a few of my practices where I have to enter it on one screen then enter it again in the report, but I only get paid for entering it the report.
this is common practice ....
in hospitals.  What our hospital HR told me was that they save all the applications until they have an opening, they then will advertise that opening in-house and if none of their employees apply they will take out the applications.  So, it's quite a long process and really the luck of the draw.  Since hospitals cannot be without the necessary staff even for short time, they stock pile applications ahead of the need.  So often they will advertise and in reality there is not an opening.  Hope this helps.  btw, I'm 64 and just got hired by a wonderful and company working at home.
Speed comes with practice
It may take several months to reach 150 lph. I agree with the other poster that an Expander is not necessary. Fooling around with the expander to load in abbreviations takes a lot of time. In spite of what expander-sellers say, you can easily reach 2000 lines a day without an expander if you are efficient. MTs did it for years on typewriters.

When you have done enough dictation to begin recognizing that all doctors say the same things over and over, and when you can recognize those things in spite of individual doctor differences, you'll begin to fly. It's a matter of learning what they ought to be saying so that you can understand them.

It's also a matter of focus. If you are trying to load up an expander, eat, do laundry, do daycare, fool with pets, you will never make progress. If you keep checking IM, email, and answering the phone, you'll never make progress.


Hot keys and practice.

How long have you been on this account?  My average is typically between 550-600 lines an hour but I have bad days too, today is only 394 but that is with the kids home and lots of distraction.  At night is when I get my good lines in.  I use the shortcut keys, keep it mouse free, try to keep the audio speed increased whenever I can and do my proofing as I do my spellcheck and throughout the report.  I also still use my autocorrect a lot during editing for common mistakes that must be typed in (usually the same VR mistakes every time). 


I know that when starting a new account and still checking on specs and such it does take time to get that number up.  There are also days like today myself that typing just seems to be faster.  It happens.  I also noticed when I did a short sting on a clinical acount on Escript that it had horrible lines.  I much prefer Acute Care with VR. 


No busy-body MT, just somebody who has your and dano's number.
And kill one of your screen names. You have been outed.
Don't be so quick to judge others by yourself busy-body MT!
No joke.

PS: Where do you get the TIME IN your busy schedule to prepare essays and lectures to MTs what with your "busy" MTing and getting degrees etc? How's dano? She seemed to back you up with essays also. Same hahaha. Worn out?
jokes on you busy-body MT. hahaha.
really can we get someone to look into busy MT's background before she receives one more report to transcribe regarding her unfortunate habit of psychopathic lying and associated protesting too much on MT boards? Who knows what lurks IN this deviant mind?