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i would definitely start out with clinic notes first to get a good base.

Posted By: ty on 2005-12-05
In Reply to: my experience.. - aa

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.


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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. 


 


are clinic notes productive... 2 and 3 line reports?
Can you turn them around pretty fast or do they slow you down?
you could start saving these IM notes -
use them or not - protect yourself.
Was told recently that they do 70% clinic notes and 30% acute care, very few Ops. Don't know
m
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!
Good to know. Didn't know there was a base raise
//
Base rates with National incluidng shift differential. Smaller - base rate 11 cpl. nm
x
Any good companies for op notes? nm
nm
not good... 7.5 for clinic work, no negotiating :(
and this is on an account with TONS of dictators, so you rarely get the same dictator. Hard to make your lines.
not good... 7.5 for clinic work, no negotiating :(
and this is on an account with TONS of dictators, so you rarely get the same dictator. Hard to make your lines.
Dean Clinic - Not a good place to work. sm
The department supervisor treats employees like dirt, unless you jump the minute she screams or threatens you. They are making things extremely difficult for the long-time people so they quit, and don't have to pay benefits.  Quite a few already have since the first of the year. Anyone thinking about going in there had better turn and run fast, no matter what you may be promised. It's not a good place to work.

Your line rate is good for clinic work.
nm
Keystrokes clinic MTs, do you make good money?

IME it's hard to make good money doing clinic when paid by the line; some of the notes are only two sentences long.  Just wondering if it's any better at Keystrokes, i.e., good combination of short and long notes.


Good companies hiring for clinic work

Know any good companies hiring for clinic work? I'd rather get lower pay for clinic and have a higher line count than stress out over acute care at this point.


Good company, lots of clinic work, pay on time.
nm
They are a good place to start. Yes there are a lot
of ESLs, but everyone needs to learn to do them.  They have a mentoring program.  You can also have a more experienced MT available to you for questions.  It is hard to get a job with no experience, so I would definitely at least give it a try.
It is a good company, how many others start - sm
you higher than 0.08 a line anymore? Very few and far between. They don't make a fortune off of you, they are not getting .20 a line and you .08, nothing like that. I have been working there for a year now, and yes some days I only make $50, others $80-$100, just depends on how much I chose to work. Have plenty of work, too much actually right now, all my accts have gone crazy lately it seems. But if any one sees this and has questions just let me know.
been with spheris 4.5 years, easy platform, good clinic account
nm
Anyone ever start a job and no long afterwards realize it was not a good
fit and feel stupid quitting right away within a month or  two.
How are the MW accts that use the ExText? Good sound? Lots of work? Acute care or clinic? Thx. nm
s
Thanks for the advice. The idea of clinic work sounds good, but I do feel comfortable with acute ...
care. I have a lot of experience with operative notes, DS, consults, radiology etc.. but I am not that thrilled with ESLs. It is just harder to make money on them. I think I will look into clinic work. It was only the lack of work that was bothering me about these companies and mismanaging the accounts they did have, broken promises, and just getting the runaround.. over everything from benefits to work.
Good place to start if you have no experience but you wouldn't want to stay there.

Unique experience working with and for the Indians and that's all I can say about that. Just realize that when you say NO.. because of the language barrier to them it means that yes, I will do it. LOL..I was new to the online biz too and they were my first job. In hindsight, YIKES.. but I stayed 7 months and then moved on.


Does your company start with a T... If so, I feel your pain and it does no good to complain. No one
cares. Tell me how you go from over 200 jobs in a queue to nothing in a few hours. Hmmmm. I smell offsourcing. Not happy. I just got a second job and thank goodness. It will save me when there is no work which is too often for my liking.
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.
TransHealth has some that start the next month after you start work. nm
xx
SE...0.095 cpl base...
I can earn up to 2 cpl extra if I type at least 16,000 lines in a payperiod.

I have to type a minimum of 6000 lines in a payperiod.

I am happy with this.
Base is very low
But they talk about incentives! Ah yes, incentives. Only now an incentive is being FORCED to work off hours, weekends, late nights, etc., to make decent money. Apparently MTing has now turned to settling. Do you want benefits, then low pay. Decent hours, then low pay. BUT be an IC and we'll throw you a whole penny more cause you get nothing else of course!
5 yrs ago I got 9 base from them.

I don't think 9.5 cpl is a low base rate.
I like DQS so far. I'm doing pretty good. Of course, I'm still learning my docs and putting in expansions but I'm doing about 240 to 260 lines an hour. I think that is pretty good for just getting started with them.

I don't care what other people make on their base rate, or how many lines they type. I have to pay for my living expenses and not theirs.
Once again you are way off base. I can only speak for myself
and about 20 other people who left OSi a little while back and we are all doing great, couldn't be happier, all working for a great company with awesome people. To be quite honest with you....you are our entertainment!

If things were so good at OSi you wouldn't be on here trying to draw MTs in for them. OSi is over, face it punkin!
What is their base pay, Diskriter?
Anyone work for them now know their base rate of pay?  12 cpl sounds reasonable to me.  
That is the BASE ... you get EXTRA for
shift differential, weekend differential, QA percentage differential, and line differential - FOUR on top of the base rate. If you don't work for TT you have no business chirping in. You get paid for holidays whether you are scheduled or not. You rotate Thanksgiving and Christmas, never both in one year. I have been around the MTSO block. Transtech is the BEST. Period.
A whole 2 cpl above base?? You must be rolling in
x
I would not base my decision on
what this board has to say. These boards are used as a place to vent. It doesn'the matter where you work, some people will be unhappy. I have worked for Transend for over 2 years and the only complaint I have is that the insurance is not what I would like to see. It is quite high and the deductibles are quite high.

Use your own judgement. If you would rather do E-Bay, by all means that is what you should do. Personally I do not like the packaging, mailing, posting, leaving feedback and everything that goes with each transaction. Too much to keep track of.
You are way off base lady
I have worked with Holocaust survivors, have you? Ive worked cleaning their rooms taking people for walks, holding hands, listening to stories of horror and hope, shared art therapy moments, given hugs and support. Dont you dare judge me. You are way out of line, whoever you are. If you get nothing else from what I've written here, get this: No one wants to be labeled a victim. You have absolutely no right.

Peace.

HOWEVER, that is base rate

Transtech pays more for evening, more for nights, more for weekends, plus they have a tiered plan.  The more lines you type the more you make.  You can start out making 10 cpl if you are good and are not lazy.  You also get extra for not sending a bunch of stuff to QA.


No need to add  when you don't state all the facts.



BASE at TT might be 4 cpl but if that's ALL you make
What with all the built-in incentives and bonuses, etc., and you're only making BASE pay, that's the MTs problem, not TT's problem. They certainly provide ample monetary incentive to do above and beyond the minimum.


8.75 cpl base plus up to 2 cpl incentive, acute, MQ. nm
.
Huh? When did 9.5 cents base per line become...
nm
base rate.... my thoughts
I find it hard to believe you were STARTED at 9.5 cpl. I have been there 8 years, just asked for a raise, and they told me no because I was at 9 cpl already! (like that's something great!) So if in fact you were started at 9.5 cpl, what's up with that? Something sure doesn't seem right here, but I'm waiting to see what this new pay plan is about, and if it doesn't set well with me, bye, bye MQ!
It's obvious I don't base my choices
by this board; however, the negative things that have been stated have been true. Guess I should have taken the hint the first 3 times in regards to getting the hiring process completed. Since they could not follow through with that, don't know what made me think they could follow through with anything else!