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Serving Over 20,000 US Medical Transcriptionists

Update - lost the account

Posted By: Patti on 2008-01-04
In Reply to:

Well they said today that they were going to investigate other avenues, appreciated my work but did not appreciate that I corrected her when she did not correctly spell Crohn's disease.  She is a PA and knows how to spell so then why did she specifically spell it incorrectly -- anyway am glad as their were a little shady.  She saw the patients, dictated as the doctor, and charged out MD prices instead of PA so am glad I am out of it.  But God gave it to me over Christmas, I was able to pay off one credit card and so it worked out.  Will enjoy the 6 to 8 free hours per week now.  Just thought I would let you all know how it came out.  


Patti




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No, I lost an account to EMR

and of hospitals around here that have gone to EMR, no Transcriptionist is needed.


With VR and EMR, the VR automatically puts their dictation into the patient's record.  They could care less how it looks, their idea is to save money.


Lost my account

I am so upset. I have worked on the same account for 2 years now, ever since I started medical transcription. My computer has been giving me issues now on and off for about a month. This week I have not been able to work because of computer issues. I have spent $800 since December on computers having them upgraded and antivirus and more memory. It is constantly acting up for the last week and they had to reassign my work this week. They just called me and informed me they took my account and gave it to a MT who doesn't have computer issues. Like I chose for my computer to go on the fritz. So now I am a backup MT. I am so hurt that I had the bad luck to have computer issues for the last week and they take my work. How can I help that? I can't. Oh well. I think it is time to get another job.


 


I agree it is a scam to get your info. I too got one that said they needed to update my account -sm
info.  Since I have never ordered or sold on ebay I knew it had to be a scam.  I also forwarded it to Ebay at spoof.com.  I believe I got another one with a few days and I emailed them back and told them to leave me alone as I knew they were a scam because I don't deal with Ebay.  So far I have not received anything else from anyone posing as Ebay.  Good Luck.  Too bad people can't making a living the old fashioned way - earn it honestly!!!


We had an account that went overseas that when we lost it
one of hte people said they'd be back. Hasn't happened yet and it's been over a year. I always wished they would.
This is true......I lost an account to EMR like this
and I'm almost positive the same thing is happening to my account that I do now. It is definitely spreading as more of the younger generation of doctors comes into the field. To me, this is more of a threat than work going overseas (I definitely don't like that either but I found that most clients that do that at least come back; EMR physicians do not).
Me too.. Lost major account
to EMR.. basically put me out of business. I could have "stayed-on" in house doing limited transcription and scanning for 1/2 the money. System was not very friendly to transcription, had to constantly switch screens, etc. would have really lost $$$ if I was paid by the line. Either way hourly/cpl, less money for me. I decided to just stay home and go with national. Hopefully I can hold out for the next 5 or so years, or else I guess I'm off to Walmart!
I stood up for myself and probably lost an account - oh well

This is only the second month that I have had this account but they thought that their bill was a little "high" as the doctor does not feel that he should pay for any lines that I have in a template or if the physical is mainly normal and so I have a normal template, etc.  I told them to try to find somone else that was cheaper that gave them the service that I did, with the TAT and quality.  This is a doctor that loves to rib off insurance companies and morally I have been debating about doing this account but felt someone had to do it.  But I told the NP/OM that with the time I spend in delivery and pick-up, paper, etc. I need to make this much per hour and that is about what I make.  This is the first time in a long time I have really stuck up for myself.  She said that their last Transcriptionist had been charging $5 a page and  I said fine I would compare that with my lines but it would be with 1" margins all the way around and a 12 courier font to define "a page" and low and behold it came out about the same as with my line count.   Anyway I am sure that they will begin to look elsewhere and that is fine, I wasn't looking for an account when this one came my way and so somewhere else there is something else.  But it made me feel good to stand up for myself and believe in my skills.  


I lost a clinic account
to EMR. I had lunch with an old friend who is an ER nurse in Colorado and the ER changed over to EMR recently. So far that is the only department in her hospital, but she expects the entire hospital will eventually.

This is the touch screen type of thing. She says there is a computer at every station or bed. When they chart, it also generates the billing so more revenue is captured.

I would be worried if I was younger, but should be okay until retirement hopefully??
I know personally I have already lost 1 big account because of the new system and please sm
talked to my own physician yesterday about it. He said they have to be on-line within the next 2 years. I love my work from home MT job but I'm thinking of going back to school for nursing. Just checking if it has affected anyone else yet and if so, what are your long term plans?

depends on location, I know someone who lost a local account - sm
in Woodbridge, VA, was charging .12 a line (60 character line), got underbid and lost it after having had it for years.  Now in order to get more but look less, she bids at .10 a line but a 50 char. line....comes out to .13 if a 65 cpl.   You can't get much over .10 around here on your own which really stinks, or do some fancy accounting which in this case works.
Yeap, lost huge account to EMR, most CA doctors are now using it
After I lost my accounts, I went to doctors' offices all over Orange County, and most are now using EMR or going EMR. I lost a huge account with several clinics. They loaded up all of my templates, and off they went. Good luck.
I've lost a local account today that I have had for five years......

I cannot believe that this happened to me today.  I went into one of my doctor's offices this afternoon to pick up his tape for today.   I was given a tape and told that his wife, who is the office manager, wanted to see me in her office.  I thought nothing of it because she sometimes has extra things that she wants me to type up for her and we talk quite often also.  


She tells me that she just has not gotten around to talking with me yet, but  "tomorrow we will start dictating through a company over the internet".  I was blown away!  She said she wanted to give me a break and that if it does not work out she will let me know.   The whole time she was tell me this she was writing me a check as I had just turned in an invoice.   


My first inclination was to throw that #@%$ tape at her and say "do it yourself", but I knew that wasn't the "professional thing" to do.  I was thinking how could she do this to me, not even a 24 hour notice.  She handed the check to me, I snatched it and walked out. 


I have had this account for five years exactly (began August 1, 2000).   I have never took a day off, never raised my rates, never asked anything of them, and my work has always been the best possible quality.  I have been the most dependable person they have could had.   I have passed up other accounts because of them, and I always put them first.   Thank goodness I have other accounts to fall back on.   In our town, there is only one other transcriptionist besides myself, and we both have more work than we can handle most of the time.


Just thought I'd remind all those other MTs out there that no matter how good we are and no matter how much we try to please everyone we are still not appreciated.  I will never be fooled again.  No one will ever receive the attention from me that I gave them.  


Lost account of 28 years to Dictaphone because hospital believes it will eliminate all transcription
Curious if any of you are working for Dictaphone or Infomatics and doing an account out of Miami with mainly ESL dictators?  I was convinced I would not lose the account after a few days with VR. However Dictaphone is not using VR right away and will transcribe reports the regular way until they have a database. I am certain this hospital will never be done by VR. I posted a job on here about a year ago offering 18 cents per line to help with this account and not one person  accepted after hearing the ESL doctors we have. They are that bad.  Anyone else have this happen to them? Losing to Dictaphone  And we have had to do most of the work for over a month since they supposedly took over because their system is not working.          
I was hit by all 3 that summer, I lost power, I lost work, I lost savings...but..sm
NEVER did my employer in any way imply or threaten or dare even mention that my job was in jeopardy because I could not work immediately following a trifecta of natural disasters! My jaw agape is not at your concern about working, but at your concern that you would lose your job because of it. Companies have to have a heart in some situations. You're one MT, your company won't go under without you working for a week or 2 or 3.
You need to Ctrl + A, then hit F9 to update all fields. To update header,
you need to switch to print preview and back or print the document.
I recently lost 20 pounds. That means I lost 80 sticks of butter.

I doubt your brother has won more than he's lost. To win that much he's probably lost 3 times
So he probably has more bills than money. Otherwise the casinos would go broke.
What is the difference between an acute care account and a multispecialty account??..nm
nm
I've never had a problem switching from account to account.
The problem I had was being switched too soon. If I don't get one account spec solidly in my memory with QA feedback on mistakes before starting another, I get confused. The other problem I had with former jobs was inconsistent QA. One person tells you one thing, another person tells you another.

Lately, I don't have a problem with it. Right now, my binder has 8 account specs (some I've never had to use) and I'm picking up a new weekend job for a while. The terminology and report formats stay basically the same. It's just all those little preferences. LOL
what is your account and specialty on the account?
no one is watching. tell us all about osi.
Update to above

I found the link to above.  Here it is: 


https://volunteer.ccrf.hhs.gov/


 


Thanks for the update! NM
NM
Thanks and update
Hi Pat and everyone who posted a reply..
I really appreciate your imput on this and am becoming wary of the whole thing. I emailed the person who is giving me this test and she said that the only format she has the files is .wav. She recommended Express Scribe but it doesn't seem to help me much quality wise. One thing I thought about doing was converting the .wav files to MP3's. That might make it clearer. I have a converter here on the computer and when I previewed the files as MP3's they were much clearer with less "noise" in the background". (less static sound) Of course I don't know if I want to convert files every day just for clarity sake. I'd sure like to hear from anyone else who has ideas on how to deal with sound files. Thank you to all who wrote me about this!
Best,
RT
Update

This morning I was very upset.  I had just had an argument with my daughter's father.  I was crying.  I tried to call several people to talk to them and no one was answering.  My main concern was my daughter was there and I didn't want her to see me this way.  My breathing turned very rapid/hyperventilating.  This has only happened once before, right after an earthquake about 15 years ago.  I didn't really have any other symptoms and I slowly caught my breath and started breathing normally after about 10 minutes. 


Someone came and took my daughter who was worried about me, but not crying.  I reassured her that I loved her and I'd be okay.


Afterwards, I contemplated about going to doctor, but felt fine afterwards, just a little lightheaded.  I called a counseling center, told them what happened and got an appointment to go in and talk with them.  It helped somewhat and I came home.


Now, I feel lightheaded still and my throat is dry, but otherwise I am okay.  I did just start working out, but I am pretty sure this was only panic/stress related and not anything else.  If I still feel bad tomorrow, I will go.  But considering no insurance, I'd rather not.


I'm trying to make a few changes to my life, as with working at home, I feel pretty alone and I think the fact that I couldn't get a hold of anyone made it worse.  A lot of people depend on me and yet sometimes I feel like I get forgotten when it comes to depending on people.  This weekend, I have made the effort to do more things out of the house and I really enjoyed myself.  Partly may be holiday blues too as I'm single.  And also I have this aggression towards my ex.  He only keeps my daughter 8 hours a week and one of the tensions we were arguing about. 


I'm not one to ask for help, but because of the panic attack today and that it happened in front of my daughter, I was more than willing to ask for help.  Online help or advice is also appreciated. 


Update
The surgeon was very pleased with the surgery.  He feels that he got about 95% of the tumor (which was difficult to get as this type tends to branch out).  She is able to move all of her extremities.  We'll know more once the final path is back.  If all goes well, she may get to come home early next week and will be starting chemo soon.  Once again, I want to thank you all for your prayers and support. 
thanks for update!
I was worried I missed a lot--I think I got most of it then.  Can't wait until next week!
Update.
He came home and apologized and said he will stop playing so much. He hasn't got on this evening either. I am glad he is willing to work it out now. I guess I will see. I am not going to be too hard on him. I don't mind if he plays the game, just as long as he cuts down. I guess I will find out with time. Thanks to the people who gave me advice. I didn't appreciate the name calling and some comments some people made about me, but I guess you have to expect the trolls to start coming out as night time approaches, lol.
Update??
So, were you pregnant or not?
UPDATE

I started my period.


Thanks to everyone who replied to me, it did give me hope. I am going to keep on trying, even though I feel like giving up.


I better get back to work. All this worrying has given me low line counts the past few days.


Thanks!!


Had to update this one
I went to the FCC website and filed a complaint. They can be fined up to $3000 for the first phone call for not providing the information required by the TCPA act. If we all start reporting all of the violations, maybe we can just get them fined into bankruptcy. Actually, not only can the company placing the call be fined, the company they are calling on behalf of can be fined as well - up to $500 per violation each. If the American companies start getting enough fines from using the offshore companies, they may think twice about using them.
Update
Please remind Dad that this is a secretive illness and if she's really sick, she'll learn even more deceptive tricks like laxatives, holding food for long enough to appease you, then vomiting, etc. Be hypervigilent because she'll have him thinking she's all better. I'd even tell any of her very close friends (who may have encouraged this) that you're aware of her problem. She may seem to have accepted what you said, but I guarantee she's thinking up ways to get around you. Much luck to you.
UPDATE!!

Well, I took my son to the doctor this morning.  Needless to say they were dumbfounded by the so-called "treatment" my ex did to my son.


He has the equivalent of a third-degree burn on the great toe of his right foot.  They applied Silvadene cream and wrapped it in gauze.  I have to apply more cream and change the dressing three times a day.  We have to be very diligent in this as a foot infection could completely ruin the rest of his summer.


They also prescribed Keflex for him to also try to help prevent infection.  He cannot go swimming unless it's in a swimming pool.  I take him back to the doctor in one week for a recheck.  They will address the warts at a later time because his foot has to heal before they can do anything else to them.  I'm not really all that concerned about the warts at this point.  They will be taken care of in time.


My son's doctor assured me that they will cooperate with my attorney in any way necessary if further actions need to be taken.  They did not feel it was necessary on their part to contact child services or any other authorities.  But they will cooperate.


Thankfully, my son isn't in any pain at this time, but that is because the nerves have been burned.  The doctor informed me that it would not be out of the ordinary for it to start bothering him and/or causing pain once it really starts to heal.


Thank you to all of you who responded with your kind words and advice.  It meant a lot to me as I was very upset (I'm sure anyone would be). 


Update sm

I talked to my realtor this morning.  She finally talked to the seller's agent.  They said when they were out of town a toilet overflowed.  They said they have receipts to show this has been fixed.  She's trying to find some cheaper insurance for us.  She said the sellers are paying $800 a year premium.  The premium I was quoted was $1120 a year.


I told her I still don't feel comfortable doing this.  I know she wants the deal to go through so that she can get paid, but that's not my problem.  I don't think she's looking out for our best interests.


What do you think?


IP7 Update

I updated last weekend and used it for a week.  I did not like it at all.  It has a completely different look and where things are as far as tool buttons, etc., just doesn't work for me, so I unstalled it and went back to IE6.  I must say that the install and uninstall went smoothly.  If you're not comfortable with the installing just yet, take a look at the preview site.  That might give you an idea of whether you will like it or not.  http://www.microsoft.com/windows/ie/default.mspx#ie7interface


 


update
The MT really is a nice person who I think was frustrated with the industry. She did apologize to me and said she wasn't thinking that I had to look things up and/or did not realize how I would have to complete her work. She had been reading about costs of extra expenses IC people incur such as paying our own insurance but..........anyway, we are all in the same boat, wishing for more pay. I too, made more money ten years ago. Maybe I'll just go to school to become a private eye or something.
UPDATE: Don't know what I would do without you
Many, many thanks for the ones who have now helped me settle this problem I was having with the printer. I cleaned the printer doing what was asked and it is now printing again. You folks are the greatest!
Update!
The infinity pedal WILL work with Emdat. You have to go to options and then "configure foot pedal" and it will work
Update
Well, I finally got an explanation and will see if it pans out.  He said that I will be paid June 1 for April's work, July 1 for May's work, etc.  He said that he had explained it to me, and I must have misunderstood, and that my emails were going into his Spam box, and that is why he was not responding to me.  (he just found my emails supposedly this morning and emailed me to let me know that).  I did call my school (who was contacted by this company for new grads), and was told that they have not heard anything negative about them.  So, I will continue working and see what happens!  (**Crossing fingers**)
Update...
Okay, she has not repsonded to my last email sent yesterday, yet she continues to send me "group" emails for the team, so I KNOW she's checked her email.

Now I supposed I have to follow my contract with regards to termination so as not to forfiet any $$$ due me? Contract states "a 90-day written notice by certified mail of intent to terminate shall be required if the defaulting party fails to correct the breach within 10 days of written notice." Can an email count as my 10 day notice? Do I have to continue working for her during those 90 days?

Update

These were a series of psych interviews.  The patient is a very slow speaker and they could be easily typed.  The interviews took most of the transcribers two hours to complete since the patient speak so very slowly.  That's why it was 4 hours and that equaled to $20 per hour of work.


It has been covered and those that did the files mentioned that they would happily take more of them because they were so easy to do.


Update

My first email was vague, I'm sorry...This is about offshoring our jobs,,The plan is below..If you want to save your jobs please email me and send me your state also. This may take time,,I am complining a list of people so that I can mass email and maybe we can save our profession...


I am thinking about trying to get maybe one or two MTs from each state to write a letter to their respective legislators with a copy to the President...And see if we can some how get it circulated and signed by the respective transcriptionists in that state...I read on that other site that Obama has instituted something called I think it was MER or MRE forgot but they were saying it would put us out of work in 5 yrs...I'm still playing on that site but I think it has something to do with medical record errors that follow a patient throughout their lifetime. I'm trying to find out more about that now..There wouldn't be near as many errors if the transcription stayed in the country,,,Now the President needs to know how many jobs he will be cutting as well...Still researching..


I have AVG but the new update on Jan. 1 -sm
messed with my computer and basically shut down my email. I turned off all the mail stuff and it still would not work. So I just ripped it off. I also have Trend Micro-PCillin so not w/o, but used both so one would catch what the other one didn't. Loved AVG before they screwed with it, one of my docs is having the same issue.
update

It wasn't just me, or some, it was all editors.  And some were even more affected than I was.


I wonder who is next.


The times are changing and while we all hate to think it will happen to us, it will.  Of that, I am sure.



Please update...sm

I was just wondering if you got ahold of anybody at your local news station and how you went about doing it.  If this worked for you then I am definitely going to be contacting our local news station and newspaper as well and giving them the information needed to run a story on this subject.  THANKS!!!


Puppy update from below - sm

Thanks everyone for your advice and support.


I was a little surprise this morning when the neighbor guy knocked on my door.  I was expecting to be read the riot act or something but got just the opposite.


Turns out that the guy is the girls father but the woman who I assumed was her mother is actually the aunt (father's sister).  His wife died in a car accident 3 months before they moved here.  The girl was in the car with her mother and younger brother.  Dad was out of town on business and it took them almost two full days to find him because the girl was in shock and refused to speak for almost a month after.  Both her mother and her baby brother (3 years old) died in the accident.  The aunt is living there to help him with the daughter he said the girl has had severe psychological problems since the accident. 


He was very apologetic for going off the deep end yesterday and that he normally is a rational man.  I really felt bad for the guy.


He also told me that he appreciated us letting his daughter come over and play before but would understand if she was not welcome back.  Said that his daughter completely withdrew from her friends at her old school and she is still in grief counseling twice a week.  Playing with my kids was the first time since the accident that she had made any effort at socializing. 


I never would have suspected that she had been traumatized this way.  She was quiet and didn't say much about her family but gave no indication that this had happened. 


The guy was here long enough to basically pour out his life history and I truly felt sorry for him and even more for his daughter. 


I'm still going to be very watchful for now but there's room for a second chance after him having made the effort to clear the air and explain things.  I think I will just sit on this for a few days and then invite the three of them over for dinner in a few days and try to start over.


I may be a sucker I know.   I would rather have a friendly relationship with my neighbors and if we can do this, well, it would be better for everyone.


 


 


 


 


Hating it...update
Already got a new job! Working part time in a lab/office. Yahoo! I feel the depression lifting already.
animal update

i am the OP on thread below re CRUELTY CLARIFICATION and just wanted to say thank you to all who responded .... have not recently come across a such a large, and largely POLITE - WOW!!!!!! -- and informative group in a long time.  this information will stay with me for a long time and i plan to share it with others.  did not know how ignorant i was.  am not by any means a bleeding heart.  it's a tough world and you have to be tough -- but the way we apparently treat these animals in the year 2005 is PATHETIC, just pathetic, and there is simply no need for it. 


to those who say 'but this is a consumer-driven industry," yep you are right, but you know what?  consumers like to be INFORMED.  we don't like to feel that someone or some entity is trying to pull a fast one on us, and i STRONGLY feel that if every child in america -- and the child's uninformed parents and grandparents -- KNEW the real deal, the pressure would be on IMMEDIATELY and things would change in the industry faster than martha stewart's gonna get out of her ankle bracelet.  Before anyone says Yeah but there goes the economy, well i don't think so because if i knew that i could get chix at the store from happy chickens versus what we are 'offered' now, as well as happy cow meat (look at how successful the California dairy industry has been on their little ad campaign, hmmmmm?) vs what we have now, i'd be willing to pay more.  not double, but more!  i think anyone except the poorest of the poor would, too.  and the same government that is subsidizing the cruel farm animal conditions could subsidize the poor for their better quality meat, instead. 


anyway, those are my thoughts.  i really really appreciate all of you smart people telling me something i didn't know, and that's no bull.  great big kudos to all of you who kept the thread polite, too.  'night.


resume update

Old Transcriptionist needs help updating her resume.  Any suggestions are welcome. thanks!  


Molly


Office Update!!
Just letting everyone know who uses MS Office. There is an update on the MS update site for Office and I downloaded mine last night. It is a Service Pak. I also want to let everyone know that it wiped out my Stedman's Spellchecker and I had to re-install it this morning when I started working. So keep a heads up.
Update of job hunting.

A few days ago I posted here in response to another MQ person nervous about leaving.  I was a little to forthcoming about my failure on a test and got mostly encouraging replies and a few holier than thou responses.


But anyway!  Good news!  A job offer late this afternoon at 8.5 a line!  I had tested on Monday - my favorite kind of test - basic grammar and terminology and then on to the dictation.  Three dictations (DS, Consult, and SOAP).  No mention on how I did on the test but guess it was good enough.  This is a big raise from what I was making at MQ - 6.5 cents!  Only problem is the time - they need eves - but feel I will take it just because the money is worth my while. 


Just wanted to let everyone know.  I felt so bad the other day, very ready to throw in the towel.  I still think that ours is a dying profession due to voice recognition and jobs outsourced but I am going to hang on for just a while longer.  Thanks for the encouraging words the other day.  I really needed it then.  And to Nervous MT 1, hope you are reading this and that you will keep us posted on how it goes with you.  There is life after MQ. 


Update - we have asked a few of our MTs if they would be sm
interested in mentoring and of those that said yes, more than half would work in the office.

We thought the hard part would be to get some of our experienced MTs to work in the office but the hard part is going to be deciding the guidelines for the newbies and how to choose who is going to be part of the program. I think it will be geographical - it has to be worthwhile to come and work in the office without being too long of a commute.

Most of our MTs will continue as usual. Not all will be mentors, only a very small percentage.

The feedback has been great. Thank you all so much!