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Serving Over 20,000 US Medical Transcriptionists

It depends if clinic or acute care, years of experience, can you do

Posted By: me on 2007-08-11
In Reply to: What does Transtech pay on average? - Curious

ESLs.   They pay about the same as most companies. 


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3 years acute care experience sm
They do have ESLs and you need to be familiar with a wide range of specialties as they are hospital accounts.  But lots of good dictators too.  Good luck!
Over 13 years of experience in acute care and various platforms
Dictaphone is one of my personal favorites.
I have 20 years' experience in acute care, can do any speciality, can
do ESLs and I've been offered several positions in that range, though they were employee positions.  
Over 13 years of experience, 5 in acute care and I did the same as you. I confess..
I just thought I was a smarty pants and knew it all so I did not use any reference material but now I wish I had.  Honestly, that was the hardest test I had ever taken for a company. Just when you think you know it all.... then, that makes you feel STUPID!! So do not feel bad, but I think she should re-vamp their testing process. That would scare anyone off.
I've got over 10 years acute care experience and
the recruiter (same one for the last 100 years) called me and talked to me like I was an idiot.  I pretty much told her to take her attitude and stick it where the sun don't shine.  I also told her I can see why they are ALWAYS looking for MTs.  She was a B-I-O-T-C-H !!
I was turned down with 13 years of experience with 4 in acute care. Go figure, but thanks anyway.
I was totally floored as I have experience with the basic 4 as well as multiple specialties. I am not quite sure what they are looking for. The ironic part was a year ago I received the same response from Spheris, yet they advertise that you have to only one years' experience. What is funny about that is the hospital I worked for had just signed a contract with them and they were hired to do work that I was doing on a daily basis at the hospital, yet I did not qualify. Very odd.
Experience needs to be defined better. Ten years of acute care is worth
nm
100+ clinic and 50+ acute - really depends on
x
pay depends on if you are acute or clinic...
I was told acute care starts at 8, but clinic is less than 8 cents, but that is normal just about everywhere.
Was that for acute care or clinic? nm
nm
Are they looking for Acute Care or Clinic?

There are a few posts already about Axolotl if you want to do a search.  A lot of negative lately.  Clinic work is not bad but the pay is average.  Acute Care is terrible.  90% ESL on some accounts and every account has conflicting Account Specifics so you really have to pay attention to which account you are on. (for example, if the dictator says 50 cc - you type on one account 50 cc, but on another 50 mL), and QA will nail you on that if you do it wrong.   Work comes in by TAT, so you may switch every other job between 2 or 3 accounts all day or get a string of the same horrible ESL dictator in a row.  No flexibility.  They are a small company with only enough MTs to cover incoming jobs.  You tell them what hours you are going to work and you have to be there at that specific time.  Really depends on what you are looking for in a new job.  Ask lots of questions.  Let us know how it goes. 


Clinic should pay 8 cpl and acute care 9 cpl
Clinic notes can be just as difficult as acute care.  You can run up against difficult dictators and varying templates.  Acute care reports can be longer, but not anymore difficult especially if you know the specialty.  I say 7 cpl for clinic is way too low.  Acute care should pay more in that you will most likely have a variety of dictators and specialties whereas with clinic you tend to get the same dictators and shorter reports, but not always.    JMO. 
Acute care or clinic? - nm
NM
Clinic and some acute care
I work on clinic, but I also work in acute care too.  The work is not an over abundance, but it's enough to keep me going.  I hate to hear you are having such problems.  At my last job I had a humdinger of an account and just could not make my lines.  It's so frustrating, but hang in there.  Maybe things will change soon. 
both acute care and clinic
-- not sure about ER. No benefits, not quite an IC, actually SE (statutory) status/no benefits. They have a couple systems in place, my work is done over the I/N; some positions require unlimited LD.
They have acute care, ER and multispecialty clinic,
nm
225+ acute care 300+ clinic - I avg'd almost 400/hr this week - sm
It is easier to get more on clinics because your expansions can be much more specific than on acute care. I have over 40,000 entries now, so most things I don't have to type straight. If you have specific questions, feel free to email
acute care versus clinic
You are so right. Same here. Started in acute care about 15 years ago back when they had tapes. arrrgh! I started out weekends in radiology which was for 5 docs and then when I graduated college went to HIM to do acute care. Started with maybe 30 doctors and doing all kinds of reports and hospital grew to 250 doctors minimum before I left there a couple of years ago. Now I am so thankful for the experience because I am very flexible with what I can do and that makes a better candidate on an interview. Best of luck to you and do stick with it if you can. Actually, I think its great if you are only missing it by less than 100 lines a day. Some advice, though, make you your own 'normals' and maybe save them in folders in Word or something if you can. Even if the dictation isn't the same every time, you can read through while the person is dictating and change what needs to be changed. Op notes are notoriously repetitive for surgeons, barring complications, so that is why it is important to proof as they dictate. Hope this helps bump up that production.
Does MDI-MD have clinic accounts or only acute care? nm
nm
is that clinic work or acute care if I may ask?
I prefer acute care and am really not interested in clinic but was told I have to do it
Acute care is quite a bit harder than clinic.
Definitely. Never a good idea to lie. You won't find anyone at most big companies to ask beginner questions to, on ops or otherwise.
Acute care is very different than clinic notes

I have been an MT for 20 years.  I have hired and trained MTs for a service.  There is a HUGE difference between clinic notes and acute care.  The poster who says she made the switch and didn't have problems is lucky and is probably a very good MT, who had a good base of knowledge to start with.  It can be done, but not in every case. 


Some MTs who work on clinic notes work for the same set of dictators every day typing about colds and aches and pains.  Dictators tend to say the same things over and over.  Most clinic notes are only a 2 or 3 paragraphs.  They work for the same set of dictators for years and even have their stuff canned, just pull it in and make the changes.


You put that same MT on an acute care account for a large teaching hospital and they may have a nervous breakdown, I've seen the meltdown, it's not pretty.  On an acute care account like that you may have all the specialities and subspecialties, probably 30-40 or maybe more, adults and peds, with all the dictators, anywhere from 5 to ??  And residents, let's not forget them.  And all the work types.  They are dictating DS, H&Ps, consults, ORs, clinic visits, progress notes, etc.  They are dictating about new procedures and medications that may not even be in reference books yet or that are experimental.  Some of those reports are 20-30 minutes long, 7 or 8 pages.


I'm not knocking the clinic MTs, but don't just assume because one does clinic notes, they can jump into acute care.  That would be very misleading and a total injustice to a newbie who read that and got into an acute care position, possibly setting themselves up for failure. 


 


Also acute care here and maybe the clinic people
should have learned how to branch out to acute rather than losing jobs to EMR if that is the case.
Can you give us the name of the company and if it's clinic or acute care? Thx. nm
s
Acute care versus clinic work...sm

Which do you feel you can get a better line count on and would you take a slight pay cut to do just clinic work?  Most acute care accounts have such difficult dictators and such I was wondering if it would just be better to go to a good clinic account even if it meant less per line.  Opinions? 


Clinic work versus acute care?
Anybody have any input as to the money to be made doing clinic work versus acute care?
Multi clinic versus acute care

I was wondering if it is possible to make a good line count with a multi-speciality clinic.  I was offered a PT position; one with acute care and one with a multi-clinic.  Just wondering what you all thought.


Acute care and clinic work are two completely different
things. Anyone can switch from acute care to clinic, but if all you've done are a few clinics, then you only have experience in a few specialties & acute care requires experience in ALL specialties. Big difference.
I beg to differ. Acute Care versus Clinic
You may have the same terminology in clinic as with Acute care, but I promise you, you will have terminology in Acute Care that you will never see in clinic. The terminology in Acute care is more extensive than in clinic. I have done the both, but I specialize in Acute Care with Ops. I've been in the business 30 years. Multispeciality clinic is quicker and easier terminology, therefore the pay is less.
Both their acute care and clinic starting offers are more than that.
nm
Was told recently that they do 70% clinic notes and 30% acute care, very few Ops. Don't know
m
Are there companies out there that have clinic work? Tired of acute care..
I have both hospital and clinic experience, but I am tired of working for large hospitals where you cannot get familiar with the accounts or the dictators.  I work part-time for an orthopedic surgeon and I love doing it as I can breeze through it because I have learned his style, voice etc.. It is getting so frustrating every day doing different doctors who either cannot speak English or choose to speed talk and ramble on so fast.  Do they think we are miracle workers?? I guess you could say I want an easy account, which by now, I have figured out, does not exist OR does it?? HELP.. any ideas besides getting out of this profession
Clinic or acute care? I am looking to work 5-6 hours a day during the morning and early SM
afternoon hours.  Which type of work is more appropriate for this kind of schedule, clinic or acute care? I really do have some time constraints outside of these hours as well as on weekends, so I need to find something where I can concentrate on working during those daytime hours.  I am a newer Transcriptionist (at this point looking for IC), and I am hoping to find a place to stay for a long time.   Any advice appreciated.   Thanks
I spoke with recruiter 3-4 wks ago and was told mixed acute care & clinic, no ops exclusively. Low
s
How are the MW accts that use the ExText? Good sound? Lots of work? Acute care or clinic? Thx. nm
s
if acute care experience, TRX
/
me too.. I do not have experience transcribing acute care and

I have been trying my luck with acute care MT companies but no one would hire me because I dont have experience transcribing acute care reports.  I have experience transcribing oncology reports for three years, so if someone here who can help me find a company that hires one?  It would be greatly appreciated.


If you have acute care experience, you should be fine...
but if all you have is clinic experience you may have a problem...good luck though!!!
Acute care experience is limited...

BUT I want to apply for a position in acute care.  I have experience in everything except for operative reports and I am wondering if I should lie and tell the company I have this experience just to secure the position.  I know I can do it because I am resourceful, but is it worth it?  Should I be upfront about my experience or just wing it?  Is acute care really that much harder than clinic?  I pretty much aced the acute care exam, but wondering if my lack of experience will hurt me in the end.  Hm...


Thanks for any advice you may have!


Acute care experience is limited...

BUT I want to apply for a position in acute care.  I have experience in everything except for operative reports and I am wondering if I should lie and tell the company I have this experience just to secure the position.  I know I can do it because I am resourceful, but is it worth it?  Should I be upfront about my experience or just wing it?  Is acute care really that much harder than clinic?  I pretty much aced the acute care exam, but wondering if my lack of experience will hurt me in the end.  Hm...


Thanks for any advice you may have!


Actually I have done acute care for many years but
x
I'm an MT with 23 years of acute care

they told me to call them.  I called and Heather was busy at the time and told me she'd call me RIGHT back.  She never called and I never checked back; I accepted a job with another company that DID call me back.  I was very interested in DSG but since they weren't excited enough about ME to call me back, I figured I'd go with one who was.


With all the acute care experience I have (as a hospital employee, as an MTSO myself, and as an IC for other companies), I am used to companies falling all over themselves trying to hire me, trying to convince me to work for them, etc.  I guess they didn't recognize how VALUABLE I am! 


I have 10 years + acute care, maybe that is why? nm
x
I had 17 years of acute care with ops and they
nm
What do they pay per line for acute care with tons of experience?
x
18 years acute care, heavy ESL. Thank you.
nm
Honey, I have been an acute care MT for 25 years.

For one thing, most of acute care is NOT elective.  And acute care does not consist of only surgery anyway.  Also, lots of people DO have surgery this time of year because for one they have time off, and for another if they get it in before the end of the year they can claim it on their taxes for this year, and also if they have already met their deductible they want to have anything they need to get done done before the first of the year, when they will need to meet their deductible again.


It's not the time of year.  It's that there are too many MTs.


I was an acute care MT for 12 years in house
getting my own clients.  In my opinion, three years is not very much experience and not enough to have clients of your own.  All my clients I got by word of mouth, either from the hospital MT supervisor giving them my name or from one client to another.
NO! For 25 years of acute care exp and exc education

completely.  It was their way or the highway.  It took me about 2 minutes to get a job that paid 3 cpl more with very, very flexible scheduling.  Their flexibility and pay bought them an accurate, high-production MT that is 100% reliable and accountable. 


Also, as time goes on, Spheris' benefits have eroded.  I believe they eliminated PTO for PT.   There is no question in my mind that more and more will be taken away and pretty soon their MTs will be working for crap, have high insurance premiums, PTO and holiday time cut. 


BTW, the suits are gorging themselves on huge profits while MTs, the ones that make this all happen, get the shaft.  There is no doubt in my mind that there is a suit in one of their swank offices who does nothing but figure out how to reduce/eliminate MT costs (and likely get a huge bonus for screwing MTs for the benefit of executives).


Maybe in your case. As for me, I have many years acute care and am well qualified.
x
Acute Care versus Pathology.... After 28 years as an

acute care medical transcriptionist, and working from home the past 7 years, I have decided to go back out in the workforce.   I have an interview on Monday with LabCorp as pathology transcriptionist.   After almost 30 years in the medical transcription profession, and at age 50, I am facing no retirement benefits, no health insurance, no sick time or holiday or vacation time.   I know it's a little late to wake up and smell the coffee, but I figure in the next 15 years, I may have a little retirement to look forward to.      Anyone working for LabCorp know anything about the benefits?