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Noone can send you sample dictations, definitely

Posted By: rt on 2008-04-09
In Reply to: sample dictation - Donna

a breach of confidentiality. You should have learned this in your course.


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Where to find some Sample Dictations?

Anyone know where I can find a few sample dictations, like WAV files, on the internet, along with the completed typed reports.  Need to test job applicants.  Happy Holidays!


Supposedly these are sample dictations.
http://www.mtbot.com/links/index.php?PHPSESSID=87548e85937eae92e899386c81c6c8e1&PID=10
Missing dictations
I also get a patient list from the doctors office. I check off which ones I got voice files for, i.e. which ones I typed. I don't keep track of which names or not checked off. How do I know if that patient just didn't show up for the appointment, walked out without being seen, or if the doctor put off dictating. That's administrative work that the doctors' secretaries do at my client's office. If they can't find something they think he dictated and ask me to look for something or check on something I'll do it because it only takes a few minutes but I don't do all the stuff you're doing.

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.
missed dictations anyone?
Does anyone have any real experiences to share with the missed dictations? I would like to buy them but I don't want to if my accuracy might decrease with them due to missed dication. although, I think any of my background noise would be louder than any dictator. But I guess on the other end is where the problem lies.
STAT dictations

Re:  Stat dictations.  Does anyone out there charge extra for STAT dictations that come in during the day so that we have to put aside what we are working on and type a STAT letter/document and send in?  This sort of thing can keep one behind in Turn Around Time if it happens on a regular basis.  If anyone charges extra for STAT dictations coming in, what would be a good fee to charge for these besides the line count?


 


Ginny


Downloading dictations (sm)

If you key in alt-ctrl-Z while the first one is loading, it will prevent the other two from downloading from the queue.  When you are ready to submit and do another file, you will need to key in that sequence again to allow the next one to come in.


Assigning the dictations............sm
SO RIGHT:
' The Leads (MTs who assign the work) have to get their lines in, too, and no doubt they're not keeping the ESLs for themselves......'

When I got a lot of crappy dictations in my queue, I complained about this and asked WHO assigns the work, who gets the crap and who gets the good ones.
I was told that it is NOT assigned at ALL, the oldest is picked first out of the pool and so on, and that it is all random and nobody is favored.
Now I read in this post that the Leads (team leads ?) distribute the reports. Who are they? The owners, the supervisors or the QAs?
I had once an argument with a QA about grammar and I was right and she was wrong, and from that moment on I got the crappiest crap of the crap into my queue.


but where do all the CRAPPY VR dictations
come from, then?
I guess, crappy dictators are EVERYWHERE !
Thirty minute dictations -...
that are actually about 5 minutes, once you get past the ummms, and ahhhs, and talking to the nurse behind you, and listening to other people's conversation, and changing your mind 5 times before the completion of a sentence.  Other then that, I can't think of a thing....ahhh, ummm, go back and change....no....under ROS put....
LOL If VR could transcribe his dictations it would be a miracle!
:-)
You left out blank dictations
The ones with no dictations - I have a feeling doctors probably pay the MTSO by dictated minutes - but how about MTSO paying the Transcriptionist who has to waste their time listening to them, signing them off and sending them to QA multiple times a day?
Right on, JMO. Also, when I have the ability to choose dictations SM
from a list (which I don't have at my current work, darn), I like to gather up all the dictations I can find for bad dictators and do them together to learn that dictator right up front, instead of struggling over months. I'll also use them to put together a template, which if dictation's really horrible will include a whole pack of phrases he/she has been known to use, a grab bag of possibilities to scan over. May sound like a bother to some, but it's a real serenity-saver.
Things that dry you looney during dictations, for example.

I thought after seeing on television so much could get away from this but just had a dictator say, "drowsy and unable to, you know, respond to questions appropriately."


I thought the you know, you know, you know would not come through on here.


In dictations, I always hear "as well as" when "and" would do. sm
"At this point in time." What does that mean? One says "At this particular point in time." Raises the line count but it is annoying.
Saving dictations on flash drive??
Hi again,  I figured out the settings, and how to recover the files marked done.  Question though on saving the actual dictation.  My files come through email, I was saving in My Wav files and an Archive File; however, the doc tends to send me a lot of duplicates which the Archive obviously does not like. But, also, since I have had a computer crash on me and lost some things, I am thinking of saving my actual dictations on a flash drive and eliminating the Archive file. How long would you suggest I keep them for?  Once typed they go in the Recover folder, how long should I keep those? I found in the help information that we can order foot pedals through Express Scribe and they will be sure that they work with their program, so I ordered one today - figure can't work without a pedal so best have a spare on hand.  Anything I might be missing? Tips or ideas in using the program. 
hosp acute care dictations..please sm
Are hospital dictations difficult to type? I have always typed various specialities for clinics. The company I just started working for lost the account I was hired for. They did offer me a position to type for the hospital dictations. Do you think it will be a rough transition for me? Any advice please! Thanks.
I had one who like to do his dictations with a Donald Duck voice. nm
xxx
Why is it that when I work evening here/there, all reports are 15-min. ESL dictations that no one fe

,,


Legal dictations usually are multiple speakers
But, legal dictations usually have a longer TAT. 
I think doctors in general just don't care about their dictations... sm

I know there are some who are really great and are careful or even just considerate.  But I think for the most part they just think it's a pain to do and want to rush through it and get it done... let the lowly MT deal with whatever garbage comes out the other end.  Maybe I'm a bit bitter, but at this point that's how it feels.


 


Disclaimer: No need to critique spelling, grammar, or punctuation within my posting... this isn't work, it's a message board.


One of my accts is in Baton Rouge and just today getting a few dictations trickling in. nm

:I


wanted to add it was nice of you to positively reinforce MT efforts on difficult dictations...(nm)
`
I learned to put my phones in front of my ears inbetween dictations so I don't get blasted.
s
Does anyone have a sample
x
Here's a sample

Here's what part of one of my Autotext entries looks like.  It has fields in it that I can just jump to by pressing F11.


OBJECTIVE: Height: {x} feet {x} inches.  Weight: {x}. Temperature: {x}.  Blood pressure: {x}.  Pulse: {x}.


On your menu bar in Word, just go to Insert-->Field-->then choose which you want.  Personally, I just choose the one labeled Comments but then I change the "formula" part (will show up in gray, this particular one says "COMMENTS   * MERGEFORMAT" in it) to just an X so that Word doesn't automatically insert something I don't need. It's like a placeholder for me.


I'm sure you can customize it even more but this is sufficient enough for me right now.


 


Sample reports............sm

YES....  www.mtbot.com


Just type surgical reports (or whatever you're looking for) in the search engine.  There are tons of reports in there. 


sample reports
THANKS SOOOOOOOOO MUCH! That's exactly what I needed!


Need a sample contract

I have searched, but not really found one I am totally happy with.  If anyone has a good IC contract, please email me or let me know a link.


TIA!!!


Sunny


Sample contract

Can someone please post a link of where I can find a sample contract. Looking to strike out on my own - need a contract to present to docs.


Thanks


I need a sample hip replacement...thanks nm
x
found a sample for you

SPECIMEN:



  1. Left breast biopsy
  2. Apical axillary tissue
  3. Contents of left radical mastectomy

GROSS DESCRIPTION:


Part #1 is labeled "left breast biopsy" and is received fresh after frozen section preparation. It consists of a single very firm nodularity measuring 3 cm in circular diameter and 1.5 cm in thickness, surrounded by adherent fibrofatty tissue. On section a pale gray, slightly mottled appearance is revealed. Numerous sections are submitted for permanent processing.


Part #2 is labeled "apical left axillary tissue" and is received fresh. It consists of two amorphous fibrofatty tissue masses without grossly discernible lymph nodes therein. Both pieces are rendered into numerous sections and submitted in their entirety for histology.


Part #3 is labeled "contents of left radical mastectomy" and is received fresh. It consists of a large ellipse of skin overlying breast tissue, the ellipse measuring 20 cm in length and 14 cm in height. A freshly sutured incision extends 3 cm directly lateral from the areola, corresponding to the closure for removal of part #1. Abundant amounts of fibrofatty connective tissue surround the entire breast, and the deep aspect includes an 8 cm length of pectoralis minor and a generous mass of overlying pectoralis major muscle. Incision from the deepest aspect of the specimen beneath the tumor mass reveals tumor extension grossly to within 0.5 cm of muscle. Sections are submitted according to the following code: DE - deep surgical resection margins; SU, LA, INF, ME - full thickness radial respectively; NI - nipple and subjacent tissue. Lymph nodes dissected free from axillary fibrofatty tissue from levels I, II, and III will be labeled accordingly.


MICROSCOPIC:


Sections of part #1 confirm frozen section diagnosis of infiltrating duct carcinoma. It is to be noted that the tumor cells show considerable pleomorphism, and mitotic figures are frequent (as many as 4 per high power field). Many foci of calcification are present within the tumor.


Part #2 consists of fibrofatty tissue and a single tiny lymph node free of disease.


Part #3 includes 18 lymph nodes, three from Level III, two from Level II and thirteen from Level I. All lymph nodes are free of disease with the exception of one Level I lymph node which contains several masses of metastatic carcinoma.


All sections taken radially from the superficial center of the resection site fail to include tumor, indicating the tumor to have originated deep within the breast parenchyma. Similarly, there is no malignancy in the nipple region, or in the lactiferous sinuses.


Sections of deep surgical margin demonstrate diffuse tumor infiltration of deep fatty tissues, however, there is no invasion of muscle. Total size of primary tumor is estimated to be 4 cm in greatest dimension.


DIAGNOSIS:



1. Infiltrating duct carcinoma, left breast.
2. Metastatic carcinoma, left axillary lymph node (1), Level I.
3. Lymph nodes, no pathologic diagnosis, left axilla, Level I (12), Level II (2), Level III (3).


Sample Contracts

I found this the below link quite helpful, particularly sample contract 2.


HTH


Best wishes.


I show them a sample
for example, when doing a proposal, I show them the industry standard, 65 char line.  I then take a pretty full page of transcription at Courier with 1 inch margins, and show them, for example, it is 80 lines at 11 cents per line, $8.80. Then I reformat the same exact report into their format, say Franklin bold condensed, and then it comes out to 46 lines. But the report is "worth" $8.80 and so the MT should make $8.80. And in order for her to be paid correctly, then $8.80 divided by 46 = 19 cpl for THEIR lines. So it's not 19 cents per line, it's 19 cents per THEIR line. When I bill, I bill it at 3560 lines at 19 cents per line and then underneath I put in Italics (Your line rate is 11 cents per line, it converts to 19 cents per line for condensed lines) or something to that effect...otherwise they forget their line rate is 11 cents per line.
here's a sample count
I created a large file with a batch of different op reports. The total # of pages was 2150.

I used Abacus to count the file. Here are the figures:

Total Lines (with spaces): 60,195

Tota Lines (without spaces): 50,760

Let's do the math at 9 cpl:
60,195 x 0.09 = $5,417.55
50,760 x 0.09 = $4,568.40
Difference: $849.15

You would need to bill $0.1067 cpl without spaces to make the same amount you would earn without spaces.

I feel that the only exception would be if you're a statutory employee. If that is the situation then you're only paying 50% of the SS tax, as opposed ot an independent contractor who pays 100% of it. If that is the case, then 9 cpl without spaces ain't all that bad.
There are some sample contracts on
www.medword.com.  Google "Transcription contracts".  You can cut and paste into a word document.  You are probably better off charging per line.  Going rate is anywhere from 13-17 cpl depending on where you are located.    
Sample contract

Sample Contract
From Jennifer Martin, MT Monthly


This contract is made and entered into on _______(date) by _________(client) whose address is ____________ and _____________(your company name) whose address is ______________. In consideration of the mutual promises in this contract, the parties agree to abide by all the terms of this contact.


Contractor agrees to do the following: Medical transcription in accordance with client's documentation guidelines and forms. Services shall include: _______________________. Turnaround for transcription services shall be forty-eight (48) hours.


Pickup and delivery of the materials needed to complete this service will be made by the contractor, or his/her appointed courier, at the client's place of business at such a time agreed to by both parties. Contractor promises that the final product will be completed to the client's satisfaction.


For performing the work described above, client agrees to pay contractor the amount of ______ per line. It is agreed that sixty-five (65) characters constitutes a line.


Either party may terminate this agreement on not less than thirty (30) days' notice.


Confidentiality: As a contractor, it is my responsibility not to violate any confidence of the patient or their family through indiscriminate discussion pertaining to patients, their treatment, diagnosis, or progress. Erroneous and nonpublic information released by me shall result in legal liability. I understand and agree that all patient records and patient information are strictly confidential and will not make any disclosures.


Errors and Omissions Insurance: It is my policy that computer-authenticated or other artificial signatures generated by means other than the actual dictating physician's signature are not endorsed by me. Therefore, the doctors should proofread their transcription for document content, accuracy and quality control.


No changes shall be made in this agreement unless those changes are agreed to in writing by both contractor and client.


Here's another sample contract...

Transcriptionist (Contractor) - Subcontractor (other Transcriptionist or company) Contract


[Name of Contractor's Company]
[Contractor's Address]
[Contractor's Phone Number]


This completed document forms a contractual agreement between: ___________________________, referred herein as the Subcontractor, doing business at ______________________________________________, and the Contractor above so named.


The parties named herein desire a contractual business arrangement regarding the transcription of medical dictation and hereby agree:


1) Supplies provided to the Subcontractor by the Contractor that are a necessary requirement for the completion of work must be ordered by the Subcontractor from the Contractor or Contractor's client in a timely fashion such that the Subcontractor will not be without said necessities.


2) The Subcontractor is responsible for any supplies and equipment necessary to perform the contracted work. Furthermore, the Subcontractor is responsible for the upkeep of any machines or other equipment required to complete work and shall not let machines or equipment fall into disrepair, thereby affecting the Subcontractor's ability to perform work in the agreed manner and time.


3) The Subcontractor may only communicate with the Contractor's client in matters regarding the actual work of transcribing dictation for said client and may not communicate with said client regarding any matters concerning billing, pricing, or any other matter not pertaining to said work. In all communication with the Contractor's client, the Subcontractor shall identify themselves as agents of the Contractor and may not identify themselves as independent agents having their own business.


4) The Subcontractor agrees that patient and client confidentiality are of utmost importance. No work performed by the Subcontractor for the Contractor may be disposed of without first shredding said documents. The Subcontractor will set-up files and directories on computer(s) in such a way as to prevent unauthorized viewing, deleting, or copying. Said computer(s) will also be configured to prevent unauthorized use and will also employ security devices to prevent theft of said computer(s). No work shall be sent from the computer without it first being encrypted using a minimum of 128 bit encryption. No patient or client names will be stored by the Subcontractor in any form of database for use after termination of this contract. Regular back-ups of Contractor's Clients' work will be made in order not to forever lose the transcribed work.


5) Payment to the Subcontractor by the Contractor will be for completed work only. Payment will be made on a per-line basis at a rate of 0.__ per line with said line being 65 characters per line. Rush order payments will be the per-line rate plus 15% of the per-line rate. Any monetary penalties for late work imposed by the Contractor's client will be passed-on to the Subcontractor responsible for completion of that client's work, if the Subcontractor is responsible for said late work. The Subcontractor will have special labels on-hand at all times, of the type specified by the Contractor, should labels be required as part of completing work. The Subcontractor shall purchase these labels.


6) Invoices for payment for completed work must be submitted to the Contractor on the 14th (fourteenth) and 28th (twenty-eighth) day of each month. The Subcontractor must provide a separate invoice for each of the Contractor's clients with proof of work performed. The Contractor will pay the Subcontractor within 7 (seven) days of the Contractor being paid by the Contractor's client, except for weekends, holidays, and Acts of God.


7) Upon dissolution of this agreement, for whatever reason, machines, supplies, or equipment loaned to the Subcontractor by the Contractor, or the Contractor's client, must be returned to the Contractor or the replacement cost of said machines, supplies, or equipment will be deducted from outstanding monies owed by the Contractor to the Subcontractor. Should outstanding monies be insufficient to replace said unreturned machines, equipment, or supplies, the Contractor may still seek satisfaction under local laws and statutes of the Contractor's business domicile, or Subcontractor's business domicile, at the discretion of the Contractor.


8) At no time within 2 (two) years of termination of this contract may the Subcontractor approach or perform work for the Contractor's client in any form or manner, unless dealing with the Contractor as an agent. The Subcontractor may not accept any offer of work made by a Contractor's client, nor offer to provide services to a Contractor's client, either directly or by any other method or means, intended or unintended, that would disguise the client's identity, the Subcontractor's identity or would somehow obfuscate the relationship. No such relationship, including the Subcontractor working through or with another subcontractor, shall be allowed.


9) The contractor's name, logo, trade-mark or trade-marks, letterhead, and any other intellectual property of the Contractor shall remain exclusively as the Contractor's. The Subcontractor may only make use of these properties when acting as an agent of the Contractor. The Subcontractor may not act in such a way as to have others perceive them as actually being the Contractor and may not employ any device that would allow the Subcontractor to benefit from the Contractor's reputation.


10) The Contractor and Subcontractor must give written notice of at least 14 (fourteen) days of their desire to dissolve this contract. All outstanding work, finished work, loaned equipment, machines, or supplies, must be returned by the Subcontractor on the last day or prior to the last day of this notice. Within the life of the notice period, the Subcontractor is still bound to perform in accordance with this contract. Any substandard performance or inability to complete Contractor's clients' work by the Subcontractor in a timely fashion may result in the Contractor waving the notice period to save the Contractor's good business name. Any costs associated with premature dissolution of this contract in this regard may be deducted from the Subcontractor's final payment.


11) Breach of any part of this contract could result in the termination of this contract by the Contractor without notice to the Subcontractor. All normal clauses pertaining to dissolution of this agreement would then come into effect.


12) The Contractor reserves the right while under contract with the Subcontractor, and without formal notice, and without any explanation, to change or remove the Contractor's clients for whom the Subcontractor is performing work.


13) The Contractor cannot guarantee the quantity of work to be sent to the Subcontractor. The Subcontractor understands that the Subcontractor/Contractor relationship may depend in whole or in part on the relationship between the Contractor and the Contractor's client and understands fully therefore that loss of the client's work to the Contractor will be regarded by both parties as good and sufficient reason to thereby terminate the contract between the Contractor and Subcontractor.


The Subcontractor, ______________________________, agrees to honor and completely understands this contract, as confirmed with the Subcontractor's signature below.


}


____________________________________ }


Subcontractor or Authorized Person }


} Signed this ______ day of ______ in the year ______.


}


}


____________________________________ }


Contractor or Authorized Person }


}


Errors & Omissions Excepted


 


© 2000 ANSO Consulting Inc. & Medword Medical Transcription - www.medword.com


Here is a sample contract......

What I have done in the past when I wanted a raise is met the doctor halfway.  Keep in mind though that if you lower your rate, when will you ever get a raise?  :(


 


Transcriptionist-Physcian (or other Client) Contract



[Name of Transcriptionist's Company]
[Transcriptionist's Address]
[Transcriptionist's Phone Number]




This completed document forms a contractual agreement between: ___________________________, referred herein as the Transcriptionist, doing business at ___________________, and ____________________ herein referred to as the Client, doing business at _________________________.



The parties named herein desire a contractual business arrangement regarding the transcription of medical dictation and hereby agree:



1) Supplies provided to the Transcriptionist by the Client that are a necessary requirement for the completion of work must be ordered by the Transcriptionist from the Client in a timely fashion such that the Transcriptionist will not be without said necessities. If not supplied by the Client, the Transcriptionist is responsible for any supplies and equipment necessary to perform the contracted work.



2) The Transcriptionist agrees that patient and client confidentiality are of utmost importance. No work performed by the Transcriptionist for the Client will be disposed of without first shredding said documents. The Transcriptionist will set-up files and directories on computer(s) in such a way as to prevent unauthorized viewing, deleting, or copying. Said computer(s) will also be configured to prevent unauthorized use and will also employ security devices to prevent theft of said computer(s). No work shall be sent from the computer without it first being encrypted using a minimum of 128 bit encryption. No patient or client names will be stored by the Transcriptionist in any form of database for use after termination of this contract. Regular back-ups of Client work will be made in order not to forever lose the transcribed work.



3) Payment to the Transcriptionist by the Client will be for completed work only. Payment will be made on a per-line basis at a rate of 0.__ per line with said line being 65 characters per line. Rush order payments will be the per-line rate plus 15% of the per-line rate.



4) Invoices for payment for completed work will be submitted to the Client on the 14th (fourteenth) and 28th (twenty-eighth) day of each month with the Client providing payment within 5 (five) days of submission of said invoice.



5) Upon dissolution of this agreement, for whatever reason, machines, supplies, or equipment loaned to the Transcriptionist by the Client will be returned to the Client or the replacement cost of said machines, supplies, or equipment will be deducted from outstanding monies owed by the Client to the Transcriptionist. Should outstanding monies be insufficient to replace said unreturned machines, equipment, or supplies, the Client may still seek satisfaction by legal means.



6) The Client's name, logo, trade-mark or trade-marks, letterhead, and any other intellectual property of the Client shall remain exclusively as the Client's. The Transcriptionist may only make use of these properties when performing work for the Client.



7) The Client and Transcriptionist must give written notice of at least 14 (fourteen) days of their desire to dissolve this contract. All outstanding work, finished work, loaned equipment, machines, or supplies, will be returned by the Transcriptionist on the last day or prior to the last day of notice. Within the life of the notice period, the Transcriptionist will perform in accordance with this contract. Any substandard performance or inability to complete the Client's work by the Transcriptionist in a timely fashion may result in the Client waving the notice period. Any costs associated with premature dissolution of this contract in this regard, such as hiring another transcriptionist on short notice or at a higher rate, may be deducted from the Transcriptionist's final payment.



8) Breach of any part of this contract by either party could result in the termination of this contract by the offended party. All normal clauses pertaining to dissolution of this agreement would then come into effect.



The Client, ______________________________, agrees to honor and completely understands this contract, as confirmed with the Client's signature below.



}


____________________________________ }


Client or Authorized Person }


} Signed this ______ day of ______ in the year ______.


}


}


____________________________________ }


Transcriptionist or Authorized Person }


}



Errors & Omissions Excepted


Sample Reports
Does anyone know a good site to go to for report samples?  I need a Neer procedure.  Any help would be appreciated!  Thanks in advance
sample dictation
I recently completed my course which used tapes.  I have my Bytescribe foot pedal, but I don't have any dictations to test it with.  Does anyone have a sample they can email me so I can test my pedal.
Sample Op Reports

This is a great site for sample op reports.


http://www.stedmans.com/AtWork/section.cfm/27



 


Anyone have any sample EKG reports

I will be starting a new Cardiology acct. I would appreciate any sample reports out there. I have googled and googled to no avail. I have done Cardiology, although it has been many years, but never procedure reports.


Thank you in advance.


Sample reports
Does anyone have any or know where I can get any samples of simulation notes, tandem and ovoid procedures, IMRT, IGRT, Sonarray (Rad Onc)?  I have looked on mtsamples.com and they do not have any samples of these.  Thanks.
And once you have a "good" sample,
SAVE A COPY for yourself in your own samples file.
Sample OR reports

Hello everyone!


Can anyone help with a site for sample OR reports particularly diskectomy?


 


Thank you!



More sample reports

Here are some more sites with op sample reports.


http://www.mtscribes.com/samples.html


http://medicaltranscriptionwordhelp.synthasite.com


 


Sample of MTSO Contract

I have one office/account of three OB-GYN's that I provide MT service for and am in need of a sample contract for them, between myself and their office. Is there any place I can locate one or does anyone have one that they may be willing to share???


Thanks so very much.


Looking for sample mastectomy report NM TIA
x
Does anyone know of a site with sample rad reports

Sample oncology reports??

Looking for a good web site to help with oncology; chemo meds and such.


TIA!!  -have a good weekend