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Aruba is not as well equipped to handle this situation (sm)

Posted By: come on on 2005-07-06
In Reply to: Simple as this! - Don't you know?

as the U.S. is...so therefore, if they are in over their heads, THEY should ask for the U.S. to help, period! That is a resort country, equipped basically to show tourists a good time, and not to handle a missing American case! See my point?




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    Here's how I'd handle the situation...

    First off I'd tell my mom that he's a pig and what he has done. 


    Secondly I'd never be around him without a recording device turned on in my pocket so that way you can record his comments, and if he touches you or flirts then get a recording of your asking him to not touch or look at you that way and his response.  Then play the recording for your mom and other relatives.


    While it may be true your mother may go into denial you need to stand up for yourself.   My mom was a fool and protected my father when she was told about his untoward advances towards women for years.... and then something happened that made her realize that she had been a fool for years and that he was the one with the problem. 


    How would you handle this situation?

    I picked up some extra IC work back in May, and since that time have covered for the owner by editing for her while she was on vacation for a week, and then taken extra work as the MT with whom I share dictation from this doc was on vacation for a week, then sick for a week just after return, the next Friday had a family emergency, etc.  This was supposed to be part-time work, and has turned out to be more than I would expect for part-time . . . to the point where when this doc was going on vacation, I was trying to hold out and not say anything about it being too much, thinking that I'd be caught up and fine to take on the work when he returned, but wound up "breaking" with one day left to go, and told the woman it was too much, and she asked if I could just hang in there with her as she was testing another MT, and would reduce the amount she gave me if this girl worked out. 


    Well, the doc returned from vacation and I did not get any of his work for about a week, and then the next week (this past week), I was given slightly more work than in the weeks prior to his vacation, although I had already told her it was too much, and it was still the same girl working the account with me.  At the end of the week it seemed that she had hired another girl, but did not reduce my work, just switched from girl 1 to girl 2. 


    Sorry so long, but here's the BIGGER problem . . . in the early part of the week, the owner e-mailed with an attached voice file, requesting that I download the voice file and listen to a blank she was trying to fill-in.  I listened (over and over) could not find her sentence, so responded with what I was hearing in and around that area.  She then gave me another location and said that she had two counters on her program and did not know which one my program used, could I listen at xxxx location, so I did, gave her the fill-in, but was a little bewildered as to why she would request my assistance in that way as SHE IS NOT PAYING ME FOR THIS KIND OF HELP. 


    Here we go again, yesterday she sends an e-mail with some voice files attached and some sentences with blanks, and she is requesting the same thing, that I listen and fill-in the blanks.  I am just not sure what to do here.  Early on, a couple of weeks after she returned from her vacation, she asked me if I could "proofread" the other girls files for that day as an appointment she had was "screwing her up".  I e-mailed back that, due to my heavy workload, I would not be able to EDIT work for her.  (The girl's work requires editing, not proofreading, which I quickly found out while covering the owner's vacation.)  I thought that I had let her know then that I do not work for free, in a nice way.


    I would like to keep the work, but only what I am being paid for, so . . . How would you handle this situation? 


    if you get a handle on the situation - let us know, k? NM
    x
    Aruba
    Yes, she is an American, but she is an American missing in a foreign country. Just as we have to abide by the rules of another country's government, when in that country, the same holds true here.
    There is an excellent team of volunteers from Texas in Aruba, the FBI also is on the island. I've heard on CNN that there have been cases of young,female tourist being kidnapped in Aruba, then shipped not to far to Venezuela, to be held to work as a prostitute.
    In that case, then we'd have to tell yet another government, that we followed the trail to your country and now our agents will be moving in
    We are the greatest nation on earth, but we do not have the right to just force our way into another country and demand they do things our way
    FBI in Aruba
    Do you have any clue as to how many born and bred American citizens, under the age of 21, many under 15, our precious children, who have been taken by their parent, who is of another nationality, kidnapped from their custodial parent and wisked away to a foreign country by the other parent?
    This usually occurs when the idiotic courts give visitation to said parent, knowing full well they are a flight risk, yet duh...."trust they won't do anything stupid"

    As of 6 months ago, there were 2138 children born in the US, American citizens, that have unwillingly been taken to a foreign country, leaving their custodial parent caught in this catch 22 of trying to get their child back

    The Hague Convention specifically prohibits this action, has rules to force the other country to return these children, yet the custodial parent is often left to hire Soldiers of Fortune to go in, stake out the country, living area, school where these children are, then they attempt to do what our country, the country that SHOULD be bringing these children home, fail to do! This should automatically be done, yet we have to try to argue "diplomatically" all the while these kids are kept from their parent the courts gave custody to. It's not cheap to hire a hit squad to get your kids back, it cost's thousands of dollars to do so.

    In my opinion, the USA/FBI/CIA/ SECRET SERVICE all should be concentrating on THESE innocent victims a bit more than a young 18 yr old that made a bad judgement.
    Where is the face time for the mothers or fathers of these children...the media won't give it to these kids, unless it is deemed worthwhile, and IMHP, each and every one of these children is worthwhile. It's just such an overwhelming thing to go through...I know, my nephew is somewhere in Saudi Arabia, growing up now for 3 yrs thinking his mother is dead or did not want him
    ARUBA CASE
    The parents had to known she was going to drink in Aruba. Why would these 17 and 18 years want to go of course to drink or they could have went to Florida instead. Even though this girl made bad judgement if she drank to much and went off with these guys this did not have to happen. We need to blame who ever did this. If my 18 year old wanted to go to Aruba I would probably say yes but lecture her a head of time. I know my 18 year probably drinks in college but I told her I don't want to know this. What I do not see I don't have to worry about it. I have no control of her when she is in college but she is not allowed to drink in our house or anyone elses until she is 21. I have a feeling that her body has been thrown in the ocean. The whole situation is so so sad.
    perhaps you should go to Aruba and help with the investigation (nm)

    Speaking of Aruba....
    You are EXACTLY right. Good post. We're both going to be crucified for this.
    Any thoughts on the case in Aruba?

    Little by little they are losing ground.  Commentator was saying that even if the last person to see her alive was Joran, the 17-year-old still in jail, they can't prove anything.  Maybe they fell asleep on the beach and when he woke she was gone.  Commentator said that if after all this time they could not break a 17-year-old and get a confession, with his two friends and father in jail, there is a possibility that he did not do it. 


    PS:  I think her mother should go home instead of second-guessing the government over there.  She is convinced the three are guilty with the father as an accomplice.  How do you come to that conclusion with sureness?  That's kind of like some foreigner over here coming over and if something were to happen to them and they disappeared after a night of drinking and last being seen with a stranger, his parents come over and criticize our legal system because we can't PROVE foul-play.  Just a bit over-the-top for a mother who should be grieving the loss of her daughter instead of criticizing the authorities.  Hey and another thing, how about criticizing the chaperones who lost contact with the daughter and did not discover she was missing till she failed to show up at the airport!!


     


    Missing girl in Aruba
    Here in the midwest, we recently had a "found college girl", seven years after she disappeared from Texas, and was presumed dead. Turns out, she and her parents had a huge blow-up over a boy, she took off, never to be heard of again....UNTIL, somehow, someone saw her picture in the very same Wal-Mart she had been working in for 5 yrs! She still did not want to talk to her folks, but they since have made small inroads into reuniting
    I was just in Aruba -very nice island

    Aruba is just like any other tourist destination where as long as you stay in the tourist areas, do not wonder off into the downtown areas at night and practice basic street-smarts, then there is no need for alarm and it is just as safe as any other place. I went to Aruba last month and we had a nice stay but I also went there years ago when I was about 16 w/my friend and her family. Of course we drank our little hearts out but we stayed in the hotel area and never wandered off. I will admit that we were harrassed by locals a bit (and I think it was because we were so young) but we ignored them and ALWAYS stayed together- we used our street smarts!!


    It sounds as tho this young girl did not have as much street smarts as you or I.  I would never  leave with guys I just met by myself even if I were at a bar in my hometown area, nevermind in another country! It is common sense but unfortunately this young girl didn't know any better, or for whatever reason maybe she thought that she was safe with these boys and she probably thought they were just regular kids just like her & her friends. It is very sad that she possibly had to pay the ultimate price for what she thought was just an innocent mistake.


    We as parents try to protect our children from so much, but at the same time, I think sometimes we are so focused on keeping the evil of the world out, that we possibly make our children more vulnerable.


    So you are educated in the laws of Aruba? Wow.
    I sound like I have lack of knowledge about this case, as does Mrs. Twitty.  So, I guess me and Mrs. Twitty should look to you for explanations and answers as to where her daughter is and what happened to her?  Do you have some inside info the rest of the world is not privy to?  I'm just wondering because if not, you are blowing a lot of hot air around and basically just about as uneducated about the laws and the evidence surrounding this case as the rest of us.
    Aruba is a foreign country. Their laws
    are different than U.S.  Father said "no body, no crime" because he knows in their system if they have no body, they have no crime. Therefore, they have to find a body...or they can't prosecute for murder.... Their laws, not ours.  That is what it is when you travel outside the country, you are under the foreign country's laws.. Really too bad but that is how it is.
    I don't know how you can take off for weeks at a time with all your close relatives and go to Aruba
    and not be wealthy.  Could you?  Indefinitely?  You and your husband?  And her husband said they may buy a house there if necessary because the mother is not going home w/o Natalee.  So assuming that resort island property is not cheap, they can afford to buy a house in Aruba?   Can you?
    Chandra Levy's parents said the same thing. It's not about Aruba.
    It's about the parents.  Be mad as hell if you want to.  Blame Aruba.  But do it quietly.  Because if the parents knew ANYTHING, they would catch the perpetrator.  They know nothing but just spout accusing everyone of illegal activity just as you do.  I do know Aruba and not everyone is related to everyone and there is a blend of nationalities just as Joran is Dutch and the two boys with him were obviously a different nationality.  To oversimplify the situation by calling everyone crooked and criminal in Aruba is insane.  Perhaps Natalee did some drunk swimming and everyone else in Aruba who has lived life nicely on this pleasant island and never killed anyone before are being falsely accused.  Consider that.
    Speaking of Aruba and Natalle Holloway from post below
    It looks like the Arubans are forming a protest of their own who are offended at Mrs. Twitty and the media reporting they are not conducting a proper investigation and their system is bad while America's system of law and order allowed the sex offenders kill children in Florida and Idaho.  The Aruban people have a point you know.  One news person interviewed protestors and a very literate gentleman suggested Mrs. Twitty was under Aruban law and she should respect that or go home.  In a short statement Mrs. Twitty seems to be backtracking after the protests after Mrs. Twitty stated the legal system allowed criminals (the two brothers) to go free and walk among its citizens and tourists.  It's about time these people speak out when Americans come over and criticize their government without a clue how it works or if it is working.
    Again, there are professional American search teams in Aruba.
    Nobody knows the terrain of the island better than the native Arubans.  Together with advice from the FBI, the search team from Texas and the hundreds of Arubans who do know the island they are doing what they can do.  They do not need the hysterical rants and accusations from Mrs. Twitty
    How do you handle
    Your first year as an IC regarding taxes? Should I go ahead and set up some type of payment plan like that?
    What? That's what you can't do - handle someone else having a
    Take your own advice, please.

    here's how i handle it N/A
    when enrolling my son in high school they wanted all sorts of information like that about family history...i left all blank with N/A....

    They also wanted his social security number....N/A There is no reason in the world they should need his social security number and I asked about this.. They said it was for when he signed up for college loans etc. I told them he's not in college yet and I would not be furnishing that information to anyone.

    In a post below someone said something about ppl being over paranoid these days....I had my identity stolen a few years back. It nearly destroyed my credit, wiped out my bank accounts, and took me literally years to clean up. In this day and age you can never be too careful with privacy. You just cannot be sure what anyone is doing with your private information. Better safe than sorry.

    How do you handle if you are an IC??

    You need to know how to handle these people. sm

    They will try to get you to work like a dog, your fingers to the bone.  You just tell him no.  I will work x number of hours a day and that is it.  That is what I did and it worked out fine.   They will try to push you to work 24 x 7 if they can.  That is the way they are (men from India).  Just hold firm and they will accept it.   You need to be "thick-skinned" I think to be able to work with them. 


     


    My DBF can't even handle the 2 hours
    that he watches them every evening. They drive him nuts. He doesn't help with the cleaning, cooking, laundry, and like I said-those 2 hours from 8pm to 10pm, I don't really get much done cause they are in the next room screaming-him included. It's not fun. He does his best with them....when he takes them places in the evening, but of course, this can't happen every night. (I'm ready to bail in the relationship anyway) Just be so thankful to those of you who have "adult" spouses, he's like a big kid, leaves clothes all over, etc, doesn't know where the garbage can is. He is still in the dark ages I'm afraid when it comes to "women in the house, barefoot and pregnant" attitude. He's only 39. Blames it on the way he was raised. K. It's 2005, get with the program. It's a lost cause.
    easy to handle

    Merely sent an email. In the subject line put MTSTARS (company name) so when you get a response you have the details.


     


    Merely say, I have a couple of question prior to sending in a resume or testing taking.  This saves time on both sides. 


     


    May I ask, what is the lowest to the highest rate of pay. What pay rate formula is used, for example, by the line, by the minute, by the word, by the gross word.  Are spaces paid, ALL spaces.


    some in their ads say "we pay for ALL spaces"  so I guess some companies pay a percentage. 


    For instance Medquist does not pay for the demographic screen, the CC notation or the headings. and prob more that is not known. .


    You need to know how to convert this to an hourly rate so you know how much you actually are making.


    Below is a quote from a company in Texas TSI and I sat down with the calculator and figured some of the hourly rates.  For the most part, way too many lines for most MTs


    Below is the quote in email from TSI.  The calculated figures are mine.

    .____________________________________________________

    Less than 1000 lines per day average = 6 cents (these we consider to be part-time positions and we really prefer to work with full-time employees.)

     

    1000-1100 average lines per day = 7 cents

     

    (this is $70 for 8 hours ($8.75 hr)

     

    1200-1399 average lines per day = 7.5 cents

     

    This is $90. for 8 hours $11.25 hr and 150 lines an hour about almost 4.5 pages/hr.  This is a lot of pages/hr.

     

    1400-1599 average lines per day = 8 cents

     

    This is 1400 X 8 = $112 per 8 hr.

    8 divide into  $112=$14/hr

    1400 lines divide 8= 175 lines/hr

    Figure 34 lines/page+ 5.41 pages an hour.

     

    No way I could do this. I would not work for 6,7,8,9- no less than 10 and this is not really great.  You cannot predict what you will end up with. You could be on target and lose it all, wham. .

     

    1600-1799 average lines per day = 8.5 cents

     

    1800 or greater average lines per day = 9 cents  So then this would be:

     

    225 lines per hour, about 6.61 pages

     

    112 lines 30 minutes, 3 1/2 pages

     

    56.2 lines 15 minutes 1.65 pages

     

    greater than 14,625 Keystrokes per hour

     

    nearly 4 lines per minute

     

    Well over one million keystrokes/8hr

     .

    Here is an even nicer way to handle it!
    I totally agree with having her over in YOUR space and being nice to her. Tell her you can hear everything through the walls and celings (blaming them was a good idea) Tell her other things BESIDES her that you can hear. Tell her what you do for a living and what times you work, and how those "other" noises are so distracting. You don't have to tell her she is too loud; she will surely get the picture if she has any sense at all. If that doesn't fix the problem, then I would go to the manager and ask if there have ever been other complaints about her first. He/She may already know this is a problem. You never know how people will react if you tell them you would appreciate it if they would be quiet, no matter how nice you say it. I would have her over for snacks and a "chat" real soon though or you will go insane!
    And another one who can't handle reality.

    /


    The reference I handle THE MOST - sm
    is my Medical Phrase Index - I happen to use the 4th edition and I mean I use it often. It really comes in handy for mush-mouthed docs and ESL docs.
    How do you handle no work?

    I have not had work for most of July.  I am an IC and have been doing this for years.  This is the slowest I have ever been and I'm stressed out.  Luckily, hubby pays the majority of the bills so I am not starving!  I have applied several other places with no luck.  Is this just a summer slow period or what?  How can I keep from going a bit crazy?  I am getting rather depressed.  TIA


    How do you handle burnout as MT? Any
    suggestions would be greatly appreciated. I've only been doing this for 7-1/2 years and I've about had it with all the junk.
    How do you/your company handle this--sm

    Once a report is typed and checked in by you and someone else accesses the report be it QA or another Transcriptionist adding a line or making a change per the dictator, is that second/third person required to indicate in some way that your report has been altered?  Thanks


    Need advice on how to handle this --sm
    I am an IC and have several accts -- One of my accts has not pd for services since early Nov 2006.  I have given notice that will no longer be providing services as of 02/09/07 -- Should I continue to provide services, knowing that I may not be paid -- or can I just give notice saying that since I have not been pd -- i can no longer continue.  I have no written contract with physician.. pls advise Want to do right thing as this is small area but also want to be pd for work performed. ...
    Question ... How would you handle this?

    I have 44 clients for my business.  I charge 18 cpl.  I pay 7 and 8 cpl for my MTs (ICs).  With the 10-11 cpl left over, I have to pay all my overhead.  Sometimes, I have no money left over to even pay myself, and have even put in my personal savings to make sure the MTs get paid.  Now, I have a company that has offered me to do work for 5 cpl but it is offshore.  I have to say, tho, that the extra 3 cpl would allow me to sometimes even pay myself something.  My contractors are complaining about wanting more money but I will go under and close down if I do that.  Also, this company will do the work overnight and return it in the mornings when I have to constantly juggle with my current contractors because they only want to work days.  I don't want to cut my contractors but I don't see any other way around it.  What should I do? 


    See the dilemma?  It's not as easy as you think.


     


    how to handle -- be sure and dot your I's and cross your t's
    First you need to be able to substantiate what you are saying.
    you need to know who is signing off the report? Is she??? or is the physician???? or is she signing the report off by another physician???? If she is how is she doing it.

    You need to get all your ducks in a row so that you dont go to administration and look like a troublemaker making things up.

    Personally I would gather all my proof and turn a copy of it in to adminstration anonymously (make sure that cannot trace it back to you because when the fire starts you dont want to get burned in the aftermath).

    If doesnt take care of it take that same info, write a letter explaining what you have witnessed and that you reported to administration but it continues and anonymously submit all of this info to JCAHO.
    Complaint Hotline
    800-994-6610 complaint@jointcommission.org
    How do you handle your mistakes?

    I am an IC and for the past 5 years have worked for the same doc.  He still uses tapes so I deliver on a daily basis.  I already load the work on his PC and make sure the pages line up etc. and do not get paid extra.  I also convert some reports from WP to Word and e-mail to him at no extra charge.  Now he starts calling me after I leave the clinic and expect me to either turn-around and come fix the mistakes/changes (15 minutes later) or I must wait in his office until he is finished with a patient consult, can go through the work to check for mistakes/changes for me.  The mistakes range from doctor's names misspelled (workmen's comp with lots of different doc names, impossible to search and find as no clue where the doc is located) or template changes etc. and sometimes silly mistakes which is totally my mistake.  Am I fair in stating that I do not mind doing the corrections when I return the next day but that I cannot wait around in his office for him as he does not pay me for that and I will also not turn around after I have left the office to go back when they call me? How do all of you handle this type of situation? 


     


    How to companies handle?
    I understand that completely, (this is not the case, but something I just thought about), BUT let's say that a relative or your friend decided to bring about a malpractice case.....how would it look that you typed your own note, your family's note or your friend's note.  I know when I worked for a hospital, we were not allowed to do that and I am just trying to set a standard for my independent contractors.  I was just wondering how other companies handle it.
    I do op reports and I have more than I can really handle.
    My work has increased at least 25% in the last two months.
    How can you handle so many hours?
    I can barely stand having an 8-hour shift and have thought of trying to add a day and cut down on hours.

    Don't you get exhausted?

    I have been at this a couple years and find it very mentally draining (so many things to learn, keep track of, and difficult dictators). If you have any good tips on how to not let it exhaust me, I would be so grateful!
    What is there to handle? You provided
    It's not your problem if they discovered afterwards they handed you already completed work.  I can't believe you'd even ask the question.
    How to handle evaluation

    I'm working as an inhouse hospital transcriptionist, been there nearly 6 months. I've done this work full- and part-time for about 10 years, but this recent job has really been a challenge -- both the work and the people. I went home to work for a few weeks, but with slow-down problems and disconnects from the hospital system, decided it would be easier to work inhouse again, even though the work environment is very stressful -- close quarters, talkers and gossipers, interruptions, etc.  I just don't "click" with these women.  I was very happy in my previous job in another town, but moved here because I wanted to come back to my hometown. 


    My question is:  what do I say at my next evaluation when my supervisor asks "How's it going?"  I'm making satisfactory progress in learning, but it's quite a struggle -- I'm hardly leading the line count.  I've just given up trying to talk and fit in and socialize -- just concentrating on learning the dictators and work types.  The supervisor is a touchy-feely type of lady and wants everyone to be happy, happy all the time.  And she has noticed and commented on the fact I'm not exactly a social butterfly.  The last talk I had with her she asked on a scale of 1 to 10, how likely was I to stick with this job.  I said a "6" and she looked surprised and a little put out. Yikes, what do I say now??  Tell the truth or what?  I'm honestly putting in for other jobs, but chances of finding those are slim to none right now!  Thanks in advance--


    Depends on how they want to handle it.
    I work for a national, but I also still have one local client, for whom I am an IC. I am paid by the word, actually, because when I started there, I was using WordPerfect for DOS (yes, I've been there for a LONG time!) and it had only a word count, not a character count. I ran some numbers, and I COULD switch over and bill by the line... but why bother? They're used to paying for words, not lines, and it's a wash. I do pick up and deliver--but I have figured that into my rate, and I actually enjoy going down there and harassing the doctor, when I can catch him. And it's only a mile away.

    It might be difficult to find local work, though. Speaking strictly from my own experience, any local jobs that are left, that haven't gone the way of EMR or (gasp) offshore, tend to be held by old-timers (like me) who have been on the job for decades, and have dug in our heels and can't be dislodged, short of their having to carry us out feet-first.

    But it's possible, if you know the people in the community. I got my current local gig because a doc I had worked for before got in an associate to share office space, and the office manager knew me and my work, and TOLD the new guy who his Transcriptionist was going to be. So if you know any local office managers, be sure and let them know you are available and interested. I also once made up a bunch of flyers and took a walk up and down "Pill Hill" and spoke to every office manager I could find. No luck at the time; although much, much later, when I had no room to take on any more work, I did get a couple of nibbles which I had to turn down.
    Love your handle, Ma of 4 and their friends and
    I can relate. I was mom to my kids' friends, too. I swore many time to claim them as dependents on my tax returns. They practically lived at my house.
    Within a week or two, you will have more work than you can handle

    nm


    I handle it differently I guess ...
    One thing I have done is designate an amount of money I will spend on me (be it travel, clothes, makeup, cologne, entertainment, etc.). I worked that figure into my budget. It is part of what I earn on a regular basis so I don't have to worry about doing what you described.

    I used to do that. It got really old really fast. I felt I was overworked all the time (not that I don't feel really stretched sometimes now but it is a rare occasion and it always has to do with something other than work when I do). Seemed like I was never going to "have enough" to go on vacation without killing myself.
    When you can no longer handle what life gives you

    you get on your knees and pray. Just surrender every care to God and ask Him to help because you can't do any more.  Just saw something on Oprah when she had Faith Hill as a guest and she said she was depressed and fat and wanted a role in a movie and she just fell on the ground and remembered the words to a hymm, I surrender all.  Faith Hill sang it and it brought tears to my eyes.  (Oprah got the role she wanted in Deep Purple.)  Anyway, I was in the same position and literally didn't want to go on and suddenly after my prayer things started happening for the good which I really believed was an answer to my desperate prayer.


    PS:  Hope this post doesn't get dinged or offend anyone.


     


    Maybe this will help. 


     


    INMATES DO NOT HANDLE MAIL

    This does not say that inmates handle mail. Inmates may be responsible for maintaining the grounds or housekeeping. THEY DO NOT HANDLE THE MAIL!


    They do handle mail. And they do work in
    high security clearance areas and have unlimited access to many areas they should not have access to. I know they are "model prisoners", but they have still been convicted of a white collar crime or something more serious, and should be treated as such.
    Should be "They handle"! Sorry, it is time for bed.
    nm
    nice to see your new happy handle too....nm
    x
    I think I could handle it, I worked in the public
    for 25+ years and it didn't scar me. I also worked as a nurse in a nursing home. If that doesn't scar you nothing will. I enjoy working at home, I just don't enjoy the fact that a lot of the dictators are inconsiderate and rude. If they had to listen to themselves, I think it would embarass them to hear how riduculous they sound.
    Each company has their own policy for how they handle it.
    I only worked for one company that deducted and that was YOG.  There is no industry standard, at least that I am aware of.   I'm going on 6 years at my current company and have never had a deduct. 
    How to handle this re: charging account sm

    How do you handle an account with a doctor who is constantly changing things?  I'm talking about a guy who will give an entire 4-5 sentences then have you go back and delete and change it.    I'm getting really, really tired of typing it all out only to have to go back and delete and retype. 


    Do you keep track of how much you deleted and charge for that also?  It is really cutting into production.  This isn't occasional either.  He does this at least once, if not several times, in EVERY single report.  It is like the man can't string together thought.  Not to mention it is frightening how much things change sometimes.  I wonder often if he is talking about two different patient.