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Serving Over 20,000 US Medical Transcriptionists

are clinic notes productive... 2 and 3 line reports?

Posted By: wondering on 2007-08-31
In Reply to:

Can you turn them around pretty fast or do they slow you down?


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9 cpl as an IC doing clinic notes vs. 8 cpl is
still quite a bit of difference, especially 8 cpl as an IC at Softscript...
9 cents for clinic notes
nm
Clinic notes 6.65 then 7 when off proofing within 90 days
It was supposed to be 7.5 cents if off proofing within 30 days, but they never did a QA assessment, so got 7 cents after calling and asking for an assessment.
Yes clinic notes go to Cameo India
..
I have very few applicants who can even do easy clinic notes,
Hiring is can be a total nightmare.
Also the Clinic work SOAP notes
*
Clinic notes. SOAP is the format,

subjective


objective


assessment


plan


Clinic notes or physical therapy?

Hello,


Does anyone have suggestions for companies that hire for physical therapy or just general transcription/clinic work?  I've tested at several companies and did not score high enough apparently to do acute care, even though I did not leave so many blanks, I thought.  My problem was with the actual transcription; passed the other part of tests.  Really discouraged right now.  TIA--


 


ExCUUSSE me... she said 7.5cpl for clinic notes,
NOT op-notes. Most places consider clinic notes easier and pay less for them. So if that is the case, the op-notes SHOULD pay more at that job.
Clinic notes very rarely delve into
specifics like acute care does. There is a difference.
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. 


 


i would definitely start out with clinic notes first to get a good base.
You need to try to get as much learning as you can in an unrushed way. When you do acute care notes, you are having all medical specialties pushed on you all at once.
Was told recently that they do 70% clinic notes and 30% acute care, very few Ops. Don't know
m
I love it. Expander is built into it, as are site notes, sample reports,splchk. nm
x
When their line rate is cut in half because they are so productive, then what. They have said that
x
Yes to old reports! Their ExText has all the regular functions except line counts are done on line
s
Do you recommend starting with clinic notes or acute care when just starting in the MT field?
!I realize this question may be better suited for the new MT board, but this board is my favorite)

I am considering accepting an acute care position, even though I am just out of MT school. However, I don't want the learning curve to be so steep that I fail before I even begin. I would also like to have a smaller pool of dictators to transcribe from as opposed to many.

Also, are there more ESLs in acute care versus clinic/dr office work?

What has your experience been? Would you do it differently?

Thanks for any insight!
I don't do chart notes and I make more than 7 cents a line
they don't think you can handle a more intricate account and you should try working on your MT skills.

Giggle at that, hon.
Do you need a second line or Cphone to work for QT? Do they have clinic? nm
x
No, you don't need C-phone or a second line, and yes, I believe we do have clinic work. nm
x
CAn you explain why my reports had a Ŕ" (that is zero) line count?
CAn you explain why my reports had a "0" (that is zero) line count?

It is because they take off for templates. If you dont use the templates are you are required to delete them, but you also delete your line count because they still took off for the template.

I had several reports that had a 0 line count. I notified them several times and they said there was nothing that could be done about it.

They did reimberse me when I told them about it, but how many other MTs that typed on that same account got shafted? I was told that I was the only one that had that problem, but it was not so. I checked. It was just that I was the only one that thought to check on it.


6 cents a line for surgical reports

I just saw that ad for 6 cents a line for heavily, fast-speaking ESL doc.  I love to do surgery, and I have done this for 30 years, but there is no way I would tackle that, no less than 10 cents a line and really more than 10 cents a line.  Would the person seeking an MT for that position do it!!!  I think not.  Our pay is going backwards instead of forward. 


Your line rate is good for clinic work.
nm
Yes we do get bonuses. It varies. Line and a half or so much $$ for so many reports.
NM
ExText line count for individual reports? Is there a way? nm
 x
Not by the line but 1400-1500 radiology reports. 2-1/2 years. nm
nm
6 cents a line for surgical reports for an ESL dictator? Are you NUTS??

I'm just absolutely appalled and disgusted...


I agree. The line counter is a pain, but I've checked lots of reports against MS Word
nm
where they 35 comparable reports - or 35 short and 35 long reports? nm
x
Two are hospitals, one is a clinic. The biggest one is a clinic that only does sm
oncology. We cannot post account names here and do not give out that information until confidentiality forms are signed.

I can tell you that a very, very large oncology hospital will be starting on March 1st that will need 30+ transcriptionists to run smooth.
Typing ER reports and radiologogy reports
are completely different with regards to pay. For typing regular reports, that is a very fine line rate. For typing radiology reports, it would be horrid.
I know what you are saying. I can tell how productive
my day is going to be after the first few reports. It is so upsetting to wake up and see the same garbage work when you know there are better authors dictating. They can't always be on vacation or whatever excuse you are given when you ask where the good work is.
not productive
Funny you ask?  I'm have a feel sorry for me moment, or shall I say several months!  I left Spheris after 8 years, where I was minimum 1800/lines day in 8-hour shift, usually at 2000 lines/day without OT.  Now, I have been through 6, YES, 6 MTSOs to find their software is the worst ever, downloads slow, or the worst docs breathing on my time and all that is left to trancribe are ESLs cuz the decent docs are VR.  I was so excited to start a new MTSO Monday with Chartnet (which I have used and is extremely fast), only to find their version has inexcusable delays, needless hoops to jump through, unnecessary clicking and ADT that should pull auto to have to fill; and I can't make 1000/lines a day.  Argh...why are these MTSOs using outdated software or stuff that just plain don't work?  Where are the IT guys who know how to set them up correctly? I'm really thinking about a new career altogether, but in this economy what could possibly be next for an MT with 13 years devoted and an Expander to die for!
I'm right there with you, not productive
Before my current position, I was working with acute care, ESLs, etc., but still having no problem reaching the minimum LPH of 150. Then, when I was downsized and moved to this new position, I was started on discharge summaries at one particular hospital. Again, no problem in reaching the minimum, and even exceeding it, on a good day with no OT. However, just recently our team was moved to a new hospital account, put on consults, and I feel like I have a different ESL doc for every report. I have a nearly impossible time reaching 1000 lines per day (if I even make it), and working OT is no longer an option, it is a necessity to have a decent paycheck. What is up with this? I feel like it is just me, and I should be able to do this after 15 years experience, but I am struggling daily and beginning to hate my job. Is looking for another place to work the answer? I just am glad to hear there are others who are struggling too, even though it's not fun for any of us.
Tell me about BayScribe -- is it productive? sm

Can you get a good line count working with this platform?  Looks simple to use - is it?  Can you check you line count against a Word?


 


Please tell me all there is to know - Thanks!


Not common, and not productive..

I also worked for a well known company until last November when they were gearing up for their GREAT changes at the beginning of this year.  I went from having my main account that I had typed on for five years, and one backup account that I was also very familiar with, to having six accounts and almost no work on my former primary account.  I was unable to produce the minimum line count, and they never gave me any time to learn the accounts, training pay for new accounts (yes, they used to do this), etc.  After the first pay period I didn't make my minimum line count, I got bumped to statutory status and my benefits were gone.  I had to find another job.


Working for another national would be my absolute last resort if anything happened to my current job situation.  If people don't know who you are, it's easier for them not to care about you. 


 


 


 


Their platform is not productive at all.
It is a struggle to make lines on Apex. The company's good, nice people, but making money is difficult compared to other companies' platforms.
A lot of people are more productive on OPS (sm)
and request them (myself included).  But I get everything.  Wouldn't be fair to others. 
Bayscribe was not productive for me, either (sm)
I hate to admit it but DocQScribe is a far better platform. I am a good producer and I gave it plenty of time and never could get what I felt was a decent line count. They told me the only thing they had was a C-phone account. Sound quality was not good. Many aspects of Bayscribe are not productive on a C-phone account. Most of the MDI-ers I spoke to making the good line counts were on the internet accounts, so possibly this makes a difference, but the majority of new hires only get offered the C-phone accounts as they are the less desirable. They do seem to be great people to work for but that doesn't pay the bills.
I am very productive on ChartMatrix
Tons of normals on my account, plenty of work.  Good structure to their incentive plan.  No complaints here.  I don't mind using ShortHand at all.  In fact, I prefer it to an integrated expander.
If you are a productive MT this place
the platform is not MT friendly in terms of racking up lines plus they take lines away for headers and footers - at least they did on the account I was on.
Indian MTs are not as productive as US MTs
It's a common fact; they send work to double QA. There was an article in Advance that I will try and find to provide a link that states this.

I doubt Transcend would lie about the work they send to India in their press releases and investor calls, they could get into a whole lot of trouble, and for what reason - just to stop the bashing on this board?




Has anyone had a position where you were just not productive
no matter what.  I'm working at this job since November and I have not made it to 1200 lines per day yet.  I have never in my 33 years of transcribing had this problem before.  My production was normally anywhere from 1500 to 1800 lines per day.  I am really beginning to think it is the company that I work for or is it menopause.  The line requirement is 1200 per day, but they have not breath a word to me yet about my lack of production.  I am thinking of calling it quits here, but just got on with the insurance, which I need, but yesterday did find out I had a 12-month waiting period for preexisting illness, on top of that 2500.00 copay for outpatient surgery.  Have post menopausal bleeding and doctor scheduled me for D&C with NovaSure but they called back and said Blue Cross would not cover.  Now doctor wants me to come in for an office endometrial biopsy because she says having to wait until December could be detrimental if cancer is found.  Oh well, let me stop my rambling.  I'm thinking, okay even if you find cancer, I can't have the surgery until Blue Cross is willing to pay which would be around December 2010.  So why do a biopsy now.
Today was better but far from productive..sm
as I too start early and pickings are slim to none in the mornings and rarely any better throughout the day. I am just stymied!
Imagine how productive...

you would be if you weren't spending your time here reading posts from all of the complainers.


RE: Anyone work on Vscript? How do you like it - productive? (nm)
\
MTs at WMX....is ChartMatrix productive platform?
Any information would be great!  Is pay okay???
What kind of platform does TransHealth use, and is it really productive? SM
I am seriously thinking of making a change but I need a good, slick program to work on. If there's anything I hate, it's a bulky platform LOL.  Also do they have good benefits all the way around, and are you treated with respect?  I guess mainly I'm worried about whether I can make close to $1000 per week, given time to get used to my accounts.  I have 27 years of experience and am fairly fast.  Thanks for any info you care to share!!  
Do you feel their platform is productive? That would be important to me. nm
x
emdat is not that productive if you're a fast
typist.  if the demo doesn't load, which most times it doesn't, you have anywhere from 5-10 fields to fill in, all of which aren't counted in your line count.  there's a stupid drop down menu for just about everything which slows you down.  the expander that comes in the program isn't very good.  you can use your own Expander [sh or speedtype work fine....they are the same program-speed type is more expensive but offers tech support, shorthand is less expensive with no tech support which you don't need anyway]  just because a program is extremely easy to use, doesn't mean that it's efficient or fast.  the line count program is sufficient but keep in mind that it's programed by the company so you don't really know how it's honestly set up.   if you're a fast typist, keep looking because you'll get frustrated with the little things that slow you down.
Ortho MTs? Can I ask which platform you work on and is it productive??
Thanks..