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Advice on contacting a doctor regarding doing their transcription -sm

Posted By: Anon on 2009-02-02
In Reply to:

I used to work for a small MTSO that did his transcription.  I no longer work there because of not being paid for the work that I have done.  I am still owed over $400.  I never signed any contract with her so there is no noncompete clause.  I would like to do his work as I have done it in the past and I would like him to call me before he goes with another company.  Any advice on how I should handle this would be appreciated.  I have never been here before.  Thanks. 


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How to get a transcription job in a doctor's office. ??

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Anyone just sit down with the phone book and start calling?  


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Need some advice please on best way to learn new types of transcription
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Need advice please re: formatting transcription test

It's been a long time since I had to do this.  I've been given a couple of report types to do.  The first appears to be a discharge summary.  Should I just type in the headings the way I "think" they should be based on how I was taught in the past?? 


Also, is it best to transcribe verbatim or try to make the test report look as professional as possible (like we would be expected to when on the job)?  As far as listed items are concerned, i.e. medications.....The old MT in me wants to number them.  Is that acceptable?   I'm really concerned with trying to format the report based on how I "think" they would want me to. 


I would appreciate any helpful advice anyone is willing to share!!


Contacting
I am lucky that I have been doing this for many years and so have a lot of "contacts" out there.  If there is a transcription group, like local AAMT or a medical assistant group/association even in your town, join.  It helps to get to know people in our field and what is available out there.   But without that, all I did -- is has been 3-4 years since I have done this -- is a mailing out of about 100 to 200 brochures/flyers to local clinics/groups.  Sure 98% get thrown away but if they are in the need of any help it will be seen.   I have a large data base that I use.  But again, I know my local docs, clinics, hospitals and I know who does what pretty much.  But if I were doing this new again, that is what I would do.  Also I would do 2-3 mailings pretty close so my name/logo becomes familiar.  Those that show an interest -- though I have been flamed in the past -- I do follow up after I have seen them with a thank you and cookies or a treat for the entire office.  I have been the receptionist and you need to get past her sometimes.  It is like selling a house, many open house and flyers go out to find that one "buyer" well you have to find a "buyer" for your services.   But look for those clinics/specialists that aren't too large to start off with.  Also oral surgeons, psychologists need help.   The first account may not be what you want and you may have to drive farther than you want or work for someone you would not chose as your doctor, but you gotta start somewhere.   Call some local MTSO's and see if they need overflow help.  Perhaps if enough of us charged the offices with offers of service at a reasonable rate -- not 15 ot 18 cpl, we could bring some of this work back to the US.   Just my thinking,  Gotta get to work.   
contacting doc
You might be careful though, it could be (and I don't know) that the reason you didn't get paid was because the doctor didn't pay. You could be stepping out the frying pan into the fire with that one. Just a thought.
Did you trying contacting Dictaphone
and asking for a replacement? I've done this before, I don't remember is there is a cost.
contacting the docs re. this sm
What she did does seem cruel to you and perhaps she is cruel, but those accounts are absolutely hers to deal with and I think it is wrong for the subcontractor to contact the contractor's clients, totally wrong. I do feel for you. As an IC and MTSO, I have been "kicked to the curb" for cheaper price undercuts by "so-called" friends, etc. You must let it go and move on, perhaps contact your local church if you need help with food, utilities, etc. I do feel very badly for you, but I think to contact her clients would be "tacky" and make you look bad. Perhaps one day you will own your own accounts and see what I'm saying is true. Good luck to you, I am sure you are very hurt, I have been there as well. Not much you can do but log it into your "experience" book. Stay well, things will get better. Sometimes change forces progress, I hope so for your sake. With all my best wishes to you.
I am contacting AAMT
I want to get this straightened out!  I have emailed to AAMT for an explanation of how the heck the book I bought has an error, when other copies of the book don't!  I will post their response, if any, when I receive it.  If anybody thinks I'm nuts I will gladly fax them a copy of the page in my book.
Contacting KathyZ

Kathy, thank your for e-mailing me.  I am unable to respond to you through the e-mail though.   Could you please contact me again with your e-mail address? 


email address for anyone interested in contacting me. sm
I really have a passion for teaching. I love MT, but I love teaching more. I was an MT instructor for approximately 3 years at our local community college, so I do have the experience.
And they can by either posting on the Religion forums or contacting the Administrator.
/
Tech support is contacting me this morning so we'll see what they say. THANKS everyone!
nm
Internet based transcription - need advice on how to go internet
Can anyone offer any help/advice on how go about becoming internet based from a call in system, or how to keep the call in system for the docs and put transcriptionists on the internet?  Not sure where to start to get information on how to go about doing this. Any help will be appreciated.  Thanks.
Call your doctor - this is not a doctor forum! nm
x
You know the difference between God and a doctor? God doesn't think he's a doctor. nm
X
Advice to YOU..1st learn to spell before insulting poster and trying to give advice...sm

Sound advice from a fellow MT if you want advice or support (sm)

I have been an MT for over 10 years.  I also am getting burnt out, tired of my job, day in day.  However, I do love transcription and make excellent money at it, have grossed over $50,000 per year the last 5 years.  I decided to go back to nursing school and am very happy with my choice.  However, over these 10 years of transcription I have had my ups and downs.  My biggest issue with being at home working is lack of socialization, being home day in and day out with just the kids and the animals really gets to a person, sure hubby is home at night and thinks working from home is the easy life, thus the return to school and boy has my overall enjoyment of life changed once I realized I was the problem, not everyone else and I needed to find myself again.


Anyway, my biggest advice to you three-fold:


1.  Get into counseling for yourself, find out who you are and what your needs are, whether or not you think you need to, I sense you are feeling overwhelmed and need someone other than your family to talk to that can be nonjudgmental to your feelings and needs.


2.  If you're only making $100 after you pay preschool you can either keep doing it and be miserable, or quit because you are lucky enough to have a husband who can support the family without your income. (See how fast his mind changes just by losing the income you do have as to whether your job means anything.)  Or look for a different company or office that you like more and are more productive if you really want to do transcription (lots of fish in the sea as far as companies).


3.  Find a local "mom's" group where you can get out and socialize.  MOPS (mother's of preschoolers) is an excellent one that is nationwide, they have a website.  Also Mom2Mom is in a lot of areas.  They provide a once a week time for moms with kids the same age to get together, socialize, (some offer spirtual guidance some don't) and each week a different mom takes a turn watching everyone else's children at the facility that hosts it so the other moms can talk about things they have in common.  Every stay-at-home and work-from-home mom needs to socialize with adults, without their kids, or they will have a nervous breakdown eventually no matter how much they love their kids.


Sorry so long but it does get better but you have to take the first step at making yourself happy.


Agree, verbatim transcription equals poor quality transcription.
x
Know AIM transcription system, never heard of Hull transcription. Are you sure
you are not thinking about DHull who is a recruiter for MDI-FL?  They use the AIM system. 
Maybe the doctor
usually sees people with superpowers.
What about the ED ones that say to see your doctor if you have, sm
an erection for over 4 hours. Now I quickly switch the channel if my child or my parents are in the room when those commercials come on.
doctor
I only have 1 doctor and 2 nurse practitioners who speak english - so I don't have to learn any foreign accents.
It isn't the doctor. They have to pay big $$ for
malpractice insurance, which is the main reason the visits are so high.   They also have huge college loans to pay off.  
Please, please go to the doctor
nm
I actually had a doctor who
farted and then let out a huge sigh... Talk about gross.
Definitely tell your doctor...
Not to scare you, but just to be on the safe side. I am praying for you too!
This doctor
likes to go DUBADUBADUBADUBADUBADUBADO while he is thinking of what to say next.  It was funny at first, but 5 minutes in it is becoming very annoying!
Did you ever think to ask your doctor or

dumbo


I think you need to get a doctor.
:P
Thanks....I know I need a doctor, which I am
in the process of doing. I've just moved.

I am wondering if anyone has any ideas what this might be caused from and if there are things I should look for today. Can I wait and see if anything changes? Etc....
doctor know why
nm
I also had a doctor who did not know
his numbers. I always straightened them out for him, always until the day he said I WANT THESE REPORTS EXACTLY AS I DO THEM. Ok, then… he had 1, 4, 2, 10, 3, 9, 6 and the like. Talk about a snot. He asked for it and that is what he got.
Hee hee- we had a doctor
whose middle initial was P and somebody didn't catch that their Expander had kicked in so his name on the signature line came out John Potassium Smith. Even funnier, he sent it back signed John Potassium Smith. Thank goodness he had a sense of humor!
If you don't need to go to the doctor

for the pre-existing conditions I would just get the meds, though is you are going to get Cobra that should cover you until you get insurance.  Cobra is expensive though so you need to look at the financial burden it may place on the family.


Can you work second job part-time until you are eligible for benefits and then go full-time and drop the other job.  Seventy more days is a long time to work 2 FT jobs, plus with the chaos of the holidays on top of that is just too much.


Have you looked into getting a private policy?  I think they have to take you even with a pre-existing condition as long as you have been continuously insured.  That way you wouldn't be tied to a job for insurance reasons. 


A really thorough doctor

One of the doctors that I work for gives a lot of details about his patient but this one really seemed a bit much. 


The patient is seeing him due to snoring. 


The patient states that she snores very loudly.  Her husband complains of her snoring.  She also has a dog that sleeps in her bedroom and the dog snores as well. 


Very important info LOL!


If it's only for one doctor, then you might look..sm
Look for the Philips 9850. They sell it on Novuscript.com and transcriptiongear.com for under $1000. It only has capability for one phone line, so only one doc can call into it at a time. Personally, I can tell you that the digital handheld recorders will allow you to achieve the same results with much less hassle, as you have to set up user accounts, etc., on the call-in unit. Any technical glitches with the call-in unit, you'll be handling so you will need to be well versed in the unit and its parameters or sit on hold with Philips for tech support. However, it's an option for you if you only have one doc and you're more comfortable with call-in dictation. Digital handheld recorders are cheaper, too, so you might really want to look into those, as mentioned by other posters but I've been using the Philips 9850 for a few years now and it works fine as long as you only have one doctor dictating to it at a time.
Please see a doctor.
I have had all these symptoms and more. Medication for this has really helped me. Please see a doctor to get evaluated.
I had a doctor tell me the
He was totally amazed.  I don't see the difference in my speed of typing than a physician that sees 25-30 patients in one day...    It all amazes how healthcare has evolved.  In a hospital, it was definitely quality and serve the physician.  With these online MTSOs, it's cents per line and produce, produce, produce, barely learning the account.  Oh, and make it quick!   
well, certainly I am no doctor, but
it sounds like infection is back. Did he do any studies on fluid he found before? Maybe you should call him. Hope this gets better, I am sure this is miserable.
I have one doctor
who goes the other way. It seems like he uses every big, odd, unheard of word he can think of to sound intelligent. I'm not sure if he is doing it on purpose, but it's just as sickening as those who use made up and incorrect words.
I have a doctor...
That has a dog, sounds like a HUGE dog and the thing barks like the ENTIRE time she is dictating!  I have to try and distinguish what she is saying through dog barks!  Also, another dictator, she will dictate for a good 2 to 3 minutes and then get hung up, looking through medical records, and sit there saying "ummmm, ummmm, ummmm" for a good minute and then she says...."I'm sorry, let's start this over, please delete everything I have said thus far"  UGGHHH that is VERY irritating that I have typed a good page or so and have to delete it all!
new doctor
Yes, I used to do that too. They never tell you anything, even when one leaves! It is ever the same, the Transcriptionist is out of sight, out of mind.
ask doctor
Ask the doctor that from where u need to d/l the dictation. If he is having a FTP site or is he going to send it thru e-mail.
But what if the doctor says...sm
"The patient was taken to the endoscopy suite and prepped and draped for an esophagogastroduodenoscopy..."

Lord have mercy, I could never have worked without my word expander, being such a butterfingers.
I had a doctor do that once (sm)
It was a resident from back in the day. He thought he was being funny by belching while dictating. One time it was a huge long belch. Back then we worked in an office, the secretarial pool, so to speak. There were about 7 of us in the office. We were assigned doctors and they came to our desk to pick up their draft copies for changes.

When he came in to pick up his reports, I had his tape in my player and on speaker and asked him if he could help decipher what was on the tape. He stood there while I played it. Along came his belch after a few sentences. His face turned red and he apologized and I didn't hear it after that again.

A few other doctors thought it was funny until the woman who did their dictation turned them in for being lewd. One was talking about what he was doing, going into detail (using the bathroom) along with sound effects.

No, we shouldn't have to deal with this.
The doctor I used to see 2-3 years ago used something like this - sm

I couldn't stand it - I felt like he was being distracted with typing stuff into his computer and wasn't actually listening to what I was saying.  I looked over his shoulder and could see like a checklist of symptoms and he was going down the list asking me what symptoms I had and checking the appropriate box with his mouse, but it seemed like he was more concerned with filling out the form correctly than listening to my problem.  And typing in my vital signs took him FOREVER!  The last time I saw him I don't think he actually looked at my face once - just kept pecking away at that stupid computer. I would rather they give the patient their full attention and leave the transcription to the experts (us).  Hopefully others feel this way too!


 


 


My doctor did tell me that yesterday....sm

thanks for reconfirming, I wasn't sure if I believed it. He even told me not to let the girls wash their hair everyday, which I knew wasn't good for other reasons but they do anyway.


It's still one of those things that makes you want crawl in a hole and hide. I hope the looks blow over soon.


No I'm not qualified to be a doctor. I only said that it was possible
to do this job without formal training and that I was a nurse before I was an MT  and that did help me get my first job as a transcriptionist. I am not knocking an education, I was just stating a fact.
Talk to a doctor
Find out what is the downside for YOU, then make your decision from there.  Sounds simple, but I'd hate to have to make that decision.  Godspeed.
Doctor's records
When a physician retires or otherwise closes his practice, he must offer his patients the opportunity to pick up a copy of their records, which he may or may not charge for photocopying.  The original records must be kept by the physician for a period of 7 years after the practice closes.