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Bottom line, if it ends up in court, it is on the

Posted By: doctor who has final sign-off on it. nm on 2008-01-05
In Reply to: Modified Ver. - Ancient MT

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The bottom line is doesnt matter what they pay if there is no work you make no money. Bottom line.
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Bottom line is the $.
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The bottom line is
You always type it the way the client or your boss, company tells you to. And you are right, ibuprofen should not be capatalized unless at the beginning of the sentence because it is the generic name of a drug. As far as the BOS is concerned...there are many people that believe that book is the Bible as far as transcription is concerned. Again, it all boils down to the way your client or company wants the information transcribed. The BOS is not always followed to the letter.
bottom line
nobody likes to see the officials produce the outcome of the game.... Of course they have to call things that are obvious, but in a championship game you cannot call the "iffy" calls and potentialy change the outcome of the game. Just let the players PLAY!!
Bottom line -
It can make a WORLD of difference how you feel about this profession depending on the accounts you have. I used to have nice accounts and made tons of money because I also got paid a huge line amount. I now have really tough accounts and do not get paid as much as I previously did. I work on four different accounts with all different specifics, tons of backround noise, grunting ESLs, you name it. I also have nearly no contact with the company itself, unless they need something from me. They then have no problem with calling me up.
Bottom line.......sm
You need to decide if this account is worth the aggravation. If it pays well and you make a decent wage monthly, then you need to put up with the aggravation.

If this account is not worth your time, then let it go.

If you are an IC, you can not get involved in the politics of the office or any other "petty" nonsense.

From the business owner perspective, only you can decide if the account is prosperous for you or not.

All this stuff about missing notes is aggravation and time consuming. Time is money. Is this account worth the headaches that come along with it.

Believe me, not all accounts are like this and some accounts are worse than this.

Again, the question becomes.."does this account make you enough money a month that you are happy with?"

Only you can answer that...Going back and forth with the office staff about missing notes is not the answer.

Ask yourself....Is it worth the effort to negotiate your contract under new terms, and if so, will you be happy with the new terms, and will these new terms eliminate your problem of missing notes?

As an observer.....the answer is probably "NO". But good money to me and good money to you may be different.

Good luck!
Bottom line is don't sub it out if

I would like to know bottom line here
I have been working in this field for 35 years and hope to continue. I work mostly VR, some straight. My pay is low, 4 VR and 8 straight. I only work part-time now because am at a point where that is sufficient. Can anyone tell me what their final pay is for a week's worth of work? If I worked full time it would be at least as much as I made in the 80s working inhouse. I know the pay is less than we made years ago but I figured out how much I needed to type to make X amount of dollars and that is what I do each day.
A lot of places have court records available on-line.
Maybe people who have successfully sued doctors, clinics, or MTSOs for payment can post a link to the on-line court record, if available.  This should do away with the liability issue since it is considered a matter of public record.
Yep, for Wedmedx. Bottom line, if you are an MT
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Bottom line, in the loop. nm
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bottom line it's what client wants...sm
and all of her corrections, most of them were right on....sorry to say that to you.....but it's p.o. b.i.d. and 82-year-old and all that good stuff.  If they want you to EXPAND GERD that's in your favor.....you get more characters which equates to more line counts.  But bottom line, it is what the client wants and all the clients are different with different things they want......hence why you think there is no consistency.  Best of luck!!! 
always remember -- the bottom line is it's about
Errors in transcribed reports can and do lead to adverse outcomes for patients. Are we as MTs pushed to be perfect ?? Heck yes - the documentation we help produce will impact a patient's care not only in the current admission or office visit but in the future when other docs are asking for copies of records. Medication errors, diagnosis errors can haunt a patient for years to come. No one can be 100% perfect all the time, but the goal is to strive to that - take the feedback as constructive criticism - learn from your mistakes and always consider the patient's needs above your own need for validation. It's not about you, it's about the patient.
Bottom line for EVERYTHING is the almighty
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Well, bottom line is money

If the administration at the hospital are feeling financial strain, rather than cutting back on their own 6 figure salary, they seem to think hmmmm....how many people can we get rid of and get the job done at a cheaper rate."  At least that is what happened at a hospital I worked it.  They were 16 million in debt and there had to be some lay offs and others that were left took the slack.  They don't sacrifice, they expect everyone else to work harder and get paid less. 


It is not just us.  H works for a car dealership.  People are leaving and are not getting replaced.  The owner expects the workers that are still there to pick up the slack with no raises either.  When the finance manager left, the new car manager filled in.  He went and asked the owner for a raise because he is having to work 2 jobs now.   The owner told him no, he is just filling in.  The man said, no filling in is 2 or 3 weeks, this has been a year.  The owner said, well, we don't really need a manager, we need you just to sell cars.  In other words, the guy got demoted.  After being there 10 years, he left.  H's boss is going in after the first of the year to try to get them all a raise.  I have to put it to him, he is brave to do that after what happened to the other guy.   


I guess the bottom line is
can I make a decent living doing mostly VR at 4 cpl?
Can I actually just buy sliced bread and line the bottom?...
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It is all about the bottom line. One of the largest transcription sm
companies is Cbay and they are pricing everyone else out.

I have spoken to several doctors and many other people about this issue and no one, and I mean no one, gives a hoot who types the report up.

This is about dollars and cents and it is not going away.
Bottom line is they need the worked turned around

quickly.   Most companies overhire and one of those reasons is because there are lots of MTs  who don't work their usual schedule, take a day off w/o notice, etc., so they have to have extra to cover for that.   My company does their best not to overhire, but at times that means we have to work like dogs because there is so much work.   I think some companies also offer incentives/benefits based on production and if you can't reach them they don't have to compensate you for them.   There are times that work is just slow and a company can't give you work they don't have, but not being able to make any lines is a consistent issue then there is a problem.  I would call your supervisor and ask for a backup account and/or look for another position. 


 


Hosp not right but bottom line was with CIGNA.
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Bottom line, if your time is adequately
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It is not MT versus MTSO we have a bottom line too, & right now it is -
NM
The bottom line is if the work runs dry, then

It's not rocket science.


With state and Federal, you 40% of your earnings GO, bottom line.
I don't know what's up for debate, it's fact.

Housing prices have gone up 40% in the past year alone in California.
Bottom line, just worry about your own butt instead of kissing theirs ; ) LOL
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I guess the bottom line is any one of us would go back to in-house... SM

given the chance.  I re-read my previous post to you and I sounded like a b*tch and I wanted to apologize.  You sound like a very positive person who takes criticism and not so pleasant advice very diplomatically.


If your problems with your boss are more of a personal nature, rather than the quality or quantity of your work, I would maybe go over her head.  You already have an adversarial relationship with her anyway, so why not get it on record that you feel she is treating you unfairly?  Or maybe confront her yourself?  I would probably do the latter.  I'm not someone that can bite my tongue which probably explains why I work by myself at a computer all day rather than in customer service! 


Just an FYI, I actually am starting an in-house MT job at a hospital tomorrow!  I've decided that if they try to lay me off in favor of outsourcing, I'm just going to refuse.  I'm going say "nope, I'm sorry, I refuse to be laid off.  I'm going to get back to work now."  I wonder what they would do? 


Spoken like true "suit". All about the bottom line,
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Lets bottom line this, say she leaves and goes to another company
What do you think would be her chances of them going to VR? Do you think it will go poof and disappear? Do you think refusing to take lower wages makes the companies take notice and reverse to go back to the golden days when we had really good salaries? Be willing to bet that next paycheck most would go along with their companies going to VR rather than changing, going to a new job only to find out the same thing happens there.
And all this time I thought the bottom line was patient care. nm
nm
Webmedx has shortened all the hours too, for which they pay a differential. Bottom line, always.
w
We don't care what kind of education you have or how many websites you know about, bottom line

is your lacking of personality, and your [ pointing the finger ] attitude that you have.  You go back to transcribing all the YUK that we now get after VR skims off the cream and see how well you do sitting listening to that for an entire shift, and you may take off that crown on top of your BIG HEAD !! How did you find one big enough to fit?


QUEEN  Made just for QALady


Bottom line? Religion, of any kind, IS a problem. The world
So there.
So, bottom line is it is a fraudulent web site and viewing it may have exposed us to a virus?
dddd
Has anyone had court reporter training or looked into court reporting?
I am thinking about taking a distance learning course in court reporting and I was just wondering if anyone has tried it, done it, looked into it and what they have found out.  If you have gone to school for it or are going to school for it or know anything about court reporting could you share what you know with me?  I have been in the transcription field for 15 years and I thought that might be something that I could bridge over to pretty easily, but not sure.  Any comments on this idea?  Thanks everyone for your help!
last time I was in court -- no court reporter
I have taken my ex back to court a few times in the past couple of years and there was no court reporter in the room... In fact it was mentioned that they make a recording of the proceedings and then it is transcribed... I just asked a simple question if anybody knew if this job could be done at home and based on my experience it would make sense that it could be. No need to get nasty.
All's well that ends well

I probably wouldn't change anything. I was an MT for 15 years and it was a good ride. The last 5 years or so my salary began sliding until I couldn't make ends meet anymore. About a year ago I left the field to become a dialysis technician and just got accepted into nursing school. I wouldn't change the timing. Everything unfolded the way it was supposed to I guess.


I feel very sad for the loss of a great career. I loved being an MT and I miss it. I just couldn't hang in there anymore. Maybe I would have worked harder on my education while I had the chance. Other than that I don't have any regrets.


Woo! The Fun Never ENDS!
My new job. Grrrhhhh.

I like the job, but I'm irritated by Barb, our trainer/mentor/whip master.

She is on me like stink on a skunk.

Wow. I will give her one thing . . . she is right persistent. When she calls me lets it ring seven times until the answering machine picks up. She never leaves a message. Instead, Barb will hang up and re-dial. This morning I answered on the 77th ring. It was all I could stand.

They probably have to do it that way, because I'm certain a few of their new hires have escaped. Long term this is going to turn out to be a good job, but Barbie has to go.

She needs to hop in her little dream car and head on out to Malibu before I push her in the Easy Bake Oven.

"Ring.... rinnnnggggg..... riiiiiiiiiinnnnggggggggggg"

Spying my ID, I see that would be her now. Swell. Speak of the devil.

I'm trying to ignore it.

Did you ever see that fly paper that comes in a little tube that you hang from the ceiling to catch flies? This pre-dated the No Pest Strip that hung in a little box that looked like a slice of Velveeta so I'm giving my age away. I really hate fly paper. Invariably, if I come close to it that stuff is attracted to my hair like a magnet. It might catch flies, but it lethal to long hair.

"Rinnggggg.. ...... riiiinggggggg...... riiiinggggggg"

Yep. You got it.

Barb again. She never gives up. I suppose she missed the class in fifth grade on telephone etiquette when they said, "if people don't answer, they are not home!"

"Rinnggggg.. ...... riiiinggggggg...... riiingggggg . . . . .. riiiiiiiiing."

"Go away Barb."

"Rinnggggg.. ...... riiiinggggggg...... riiingggggg . . . . .. riiiiiiiiing."

Oh, that does it! I've had enough.

Today, I make sticky hat for Barb.

. . . or maybe, I can get one of those bug zapper things and interface that to my telephone?

Hmmmm . . . . now there's an idea. Once I get the TeleBug-Barb-Zapper perfected, they can take this transcription job and . . . . .

LAUNDRY! Never ends...

I agree. It never ends.
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Yeppers, it never ends. (sm)

They act like they're doing you a huge favor to make $60.00 a day.  Who can get by on that????  I hear ya, I've worked for a company too where I made $3.00 an hour.  And they rant and rave about how good their company is, PULEEZE!  If they were so great they wouldn't be advertising!  If they paid well they wouldn't be advertising!  Wish they'd get the picture!  If they truly paid well and were good to work for we'd all be lined up to work for them! 


Sick and tired.


Tue thru Sat, nights, so it ends up being Tue thru Sun. nm
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We'd need to know the fax program used on both ends before we could help.
nm
Not ALL MTs have fat rear ends or sm
never get out into the real world. I came from a hospital and I KNOW what EMR is all about and how savvy the docs are with computers. Your comment was offensive.
I have one who never ends his sentence
The whole body of the report is just one long run-on sentence, and I'm supposed to stop and start the sentences for him.
They don't realize that VR often ends up costing - sm
a whole lot more. Not just the software, equipment, upgrades, etc, but also the tech support, editors, and also trainers needed to introduce new staff to the system. Also time spent while doctors *train* the system. Then, when they ultimately give up and dump it 6 months or a year down the road, and can't get reimbursed for what they wasted on it, that's expensive, too.
Make sure your "type as" ends with the last
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It counts the lines it ends up with, not what it starts with. nm
nm
That is making ends meet, not meat by the way.
NM
For home things and general odds and ends Target

For groceries Super Walmart. I get my makeup and some hair necessities on-line from specialty websites.  For incidentals, impulse buys like clothes, purses, general fun junque, etc. I like street-side vendors, specialty shops, and some of my favorite chain stores like Kohl's (which I can't live without)!


Yep, small TV on cable news, VERY low. Just in case the worlds ends,
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