Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

Because it's such common knowledge.

Posted By: Me on 2007-04-11
In Reply to: How come you provide no specifics? - Wonder

But by all means, give them your money and prove it again if you like! I was just trying to help you.


Complete Discussion Below: marks the location of current message within thread

    The messages you are viewing are archived/old.
    To view latest messages and participate in discussions, select the boards given in left menu


    Other related messages found in our database

    Common phrases. LOTS of common phrases, just like ops. SM

    pser = the patient was seen in the emergency room


    wwd= the wound was dressed


    Just two tiny examples. People need to learn to use their Expander programs. I'd be making like $10 per hour without mine. I also work in a job where I do the work type I do best. That's very important. I would imagine (don't know for sure) that H&Ps and DSs have the most lines (I work on a gross line count) but you have to think more, look up more, and type more to get those lines.


    I have everything magicked in there. That's the way I like it, that's the only way I will work.


     


    to anyone considering going out on their own, or has knowledge of such

    What is the most difficult part of the process, whether it be finding a physician, figuring out a program for the pc, getting a legal binding contract.  How much is the start up fee.


    I have been considering this for awhile but to be honest i'm just too lazy.  BUT, the thought of making around 11-12 cpl, having only one or two docs that I know like the back of my hand where I can make tons of macros, tons of money and work less, is so appealing, that might jump start me.  Am I seeing the big picture here or just dreamin?


    Not to my knowledge.....

    Dianna -


    I use Lanier VoiceWrite EX daily and unfortunately, the Lanier "undertones" are such that you cannot use anything else besides the VW Ex, as the main station or server "reads" the remote unit and you have to connect digitally before it will even let you into the system.  Some companies have interphase software that will do this (not familiar with it myself) but I have not found anything personally compatible with Lanier except Lanier.  I used to use a C-phone and loved that I could check work remotely or even re-record but with Lanier, I have not found anything else to work except the actual Lanier equipment.  Maybe someone else has found a solution, but I have not heard of one. 


    Best of luck to you !


    I am an A.R.T. Cant take away the knowledge.
    nm
    To my knowledge
    xx
    To my knowledge..
    A hospital sitter must be a licensed nurse, usually private duty.
    You're right .. and here's 1st-hand knowledge -- sm

    I start med school (been an MT for 24 years) August 2006. 


    One of my classes last semester was Intro to Medical Practices.  I especially inquired about pro bono work by all the physicians and dentists who spoke to the class as guests each week.  All gave significant amounts of their practice to pro bono work.


    One physician in particular impressed me.  He is a cardiovascular surgeon.  His main area of expertise is doing cardiac bypasses.  To make a long story short, because of insurance changes (MCare) over the past few years, he only makes about $650 per bypass for his own pocket and that is gross.  Of the $1850 MCare and insurance companies pay him for this procedure, it costs him $1200 in overhead for that procedure.  Until last year, he would often do the procedure for free for patients who could not afford it and had no insurance.  However, for 2 years he had to BORROW MONEY to pay his OVERHEAD because he did so much pro bono work.  He finally decided he just could not go bankrupt doing that.  So now, he STILL does HIS PART for free but the patient has to pay his overhead.  He tells them to call their family, friends, churches and if they have the $1200 for his overhead, he will donate HIS skills/time/energy for free.


    The physician (maxillofacial surgeon) who directed this class said his annual pro bono work runs around $250,000 a year. 


    As well, while dentists recoup 95% to 100% of the fees charged for their services (they are ALWAYS getting their money up front), physicians (with the exception of cosmetic plastic surgery) only recoup an average of 31% of their fees.  For every $1000 they spend on a patient, they will only get back approximately $310 and must write off the rest. 


    Now that is INSIDE information - direct from the physicians and dentists we had in class.  I was shocked.  Not deterred, but shocked. 


    Regarding that lovely cardiologist who gives so much away, take into consideration that the $650 for HIS skills/time/energy for ONE cardiac bypass -- he invests a total of 12 to 15 hours for that one procedure (that is WITHOUT complications happening) including his consult/operative time/followup visits, hospital rounds, etc.  That comes out to about $54 an hour -- and plumbers and electricians around here make more than that.  My Ford dealership in town gets $76 an hour. 


    And now, since we are starting to do bypasses endovascularly through the femoral artery, he has to really put the money down for more education to train to do this or he will be out of business shortly. 


    Interesting huh?!  When people make comments to me about my future as a physician as a way to "get rich", I tell them not necessarily so!!  LOL  I'm not doing it for money!  You couldn't pay me enough to go through all this at this time in my life!!  LOL  


    And would it not help if you could spell knowledge???? nm
    :)
    knowledge of med term a plus
    knowledge of medical terminology is such a plus in the medical field. try applying to a hospital as a unit clerk or a receptionist in a doc office. it is good for the mind to get out there and see people again. maybe you will realize how much you have missed.
    Gain knowledge sm
    I think I addressed this before, you cannot get enough knowledge to put in your bank. If they are willing to pay you, soak it in like a sponge. It's hard, I wanted to quit so many times but I went from "duh" to "diva" by blood, sweat and tears. It's worth it, hang in!! Knowledge is power.
    more knowledge needed sometimes sm
    You have to be aware of all body parts (anatomy) as well physiology, etc. in all specialties because you may have 50 discharge summaries from many specialties, not only a few, in one day You also have to have the ability to pick up on abnormal lab values (or you should), etc., as you don't want a totally erroneous value to go through without questioning. After you get through the chief complaint, history of present illness, review of systems,  physical exam, etc., then you get to the lab and x-ray findings. When you get to the summary, you will be working in terms of what is wrong with that particular patient, know the drugs and dosages, etc. With acute care, you may get H&P's, discharge summares, operations (difficult at first) and consults (many different specialties) all in one day's work. Others may not agree with what I just said, but in a nutshell, you have to be fairly well rounded in your knowledge of anything that may come your way in the basic 4's each day as well as psych reports if the facility has a psych ward,, etc., Also., if the facility has a rehab department or other speciality floors, you will have to learn them as well.  If you are a dedicated learner, you can do it, you just have to be willing to  work hard. I would say it took me several years to be really good at it and it is well worth it. In todays world though, I am not sure, it seems like there are a lot of unhappy people on these boards. Just be positive and if you love it, you may enjoy it. Acute care covers many specialties and is just that, "acute." requiring hospitalization. Hope I didn't discourage you, it's challenging. If you work for an MTSO, they may be willing to give you one speciality at a time (although I doubt it). Radiology is usually in it's own department with it's own staff and dictation. Hope I didn't confuse you even more, just trying to help here.
    If it requires that much knowledge
    above the normal they might consider paying a wage for it - starting .07 cpl doesn't exactly scream you're valued for your knowledge.
    It seems there's always someone on this board, with no knowledge of their own , who - sm
    insist upon arguing with anyone offering tech support or advice. It happened earlier in the AV thread where one of the participants obviously didn't have a clue what they were talking about yet insisted that everyone else didn't know what they were talking about.

    It seems to be rather common in the MT community to be able to speak much and listen little. Very sad, actually.
    If there's any question on my knowledge in these matters,

    I am a college educated and certified computer technician who has been in the technology field for 20 years now.  FWIW, Atomic Clock Sync has rave reviews from PC Magazine, but merely synchronizing your computer clock doesn't fix the underlying problem.  If the battery on your computer's motherboard goes completely dead, your CMOS settings will go byebye, which is a royal PITA to fix.


    http://www.decosystech.com/Techsupport/Batteries.htm


    I know several MTs who are being paid high $$ for their knowledge... Sure is (sm)
    something to think about!! With IC you lose your flexibility and punch the 9-5 clock. Maybe if your kids are in school. Mine are still little yet. But I definitely am keeping that option open, taking a few courses along the legal line.
    New clients with no computer knowledge
    I just landed a new awesome client because they were desperate. They didnt even have internet! I talked them into go with a DSL line, I bought them a digital recorder (with USB connector)..I had my computer guy write a script. all they have to do is plug the recorder into the USB connector, press a button on the desk top (that has script written by my computer geek) and it automatically sends it to me...the files are sent back, they press another scripted icon on their desk and VOILA they have the work back. They have no idea what they are doing either....but they are learning slowly and I have a great new account (all mammograms and ultrasounds 2 days a week)

    I LOVE IT!
    be armed with knowledge and documentation
    Along with sending all employees W2s, a copy of every employee's W2 is transmitted along with a W3 with the totals of FICA/MED and Fed taxes.

    The problem probably arises from what was sent in to IRS and Social Security that raised a flag. I really don't think that the SE part set off the flag. MQ might have tried to do a switch-a-roo and sent in a 1099 with the transmission. After you go in for the examination, this will probably clear it up. When I was with MQ, they sent me a W2 and a 1099, and was always leery of this but never had a problem. I left them in 2000 because of lack of work but always wondered about the dual reporting.
    I speak from first hand knowledge...
    and I never said she didn't love the boy, but rather not in the traditional sense. You know the kind where you actually take care of your kids. I won't blast all that on the internet. I'm just saying though that I only speak from what was actually done, not by assuming something heard through the media.
    Physicians are willing to share their knowledge with (sm)

    anyone who will listen.  They love young bright eyed students. I expected the MT world to be just like medicine.  


    Why is cost the only issue? It is unprofessional to only think about money. What about pride in the profession and wanting to share knowledge? Isn't that how professions advance and grow? 


    I am surprised.


     


     


     


    Approach homeschooling with knowledge. sm
    I have family in California that homeschool their children, and it is wonderful. The mother has an education, sets up great courses, and the support network there is absolutely fantastic. Sports, music, field trips, clubs, they are all available. They couldn't get a better education anywhere, and the socialization is absolutely great.

    However, I had to homeschool my son last year for health reasons, and there can be real problems. He is an only child and was left out of all the school social activities. Unfortunately, there is no homeschooling network in my area, the nearest one is 150 miles away, so there were no field trips, sports activities, etc. We live in a small town, and not much is available outside school. It took him 2-3 months to get back into the social swing in high school. Fortunately he is very well adjusted, and turned out fine. Be sure the pieces are in place before you homeschool. Otherwise, you will be the only support your child has, and it can be almost a full-time job, especially if you have to start your own organization. I highly recommend homeschooling if you are in an area to do so. It can be a great experience and children can learn so much faster than in the public school. Good luck.
    Good knowledge you passed along. nm
    t
    knowledge increases productivity
    My productivity is up and down. I have found that with doctors and report-types that I am use to typing my productivity is higher, with new docs and new/rarely typed report a lot lower. I think only knowledge can increase your productivity, when you can anticipate what the doc will say next because you have a true knowledge of what you are typing. (please excuse typos.. I am on a quick break)
    For the amount of knowledge this job takes...
    The constant demands to do more and more, increased accuracy requirements, I think #4. #2 would be a good entry level wage, but in reality I think most of us are stuck there.
    What is your experience and knowledge worth? sm
    Only you can decide what a good line rate is for you. Everyone has different opinions, expenses, time management, and issues. No two people are the same.

    Now, if you take the IC part out of it and ask if 7 or 8 cpl is a good line rate - basically the answer would be no, not really. Then again, it seems to be what companies are offering these days.

    Remember, most companies base any health benefits, etc on your production. So, if you have a bad month of production, your benefits might go bye-bye!

    Just think, as an independent contractor, 8 cpl, nice easy account, canned reports, lots of templated work - Yeah you can make decent money.

    Now, no canned reports, difficult account, you might have to work 10 to 12 hours a day to make decent money.

    See the difference - Go with your gut and decide what you are worth.

    Good luck!
    more knowledge of Offshoring is good.
    nm
    But QAing requires much more knowledge
    and experience than VR editing. They can hire newbies to do VR editing, but not QA.
    To my knowledge, you can't print the physicians'....sm
    list and I doubt they are in there by specialty, too. You can print the contents of your ESP file if you save it to your desktop and then print it. Hope this helps.
    QA's lack of knowledge really irks me.
    Most of the time, they say the exact opposite the next day, anyway.
    I've used it. There are a ton of knowledge base forums out there
    where you can research your results.
    It's a knowledge-intensive field which doesn't pay anywhere near enough..

    depends on your speed, knowledge & accounts.
    x
    So dont you think the knowledge & experience it takes

    B.S. in HIM, no MT school, OTJ training for that skill, but the HIM classes for the knowledge. nm
    x
    Exactly! We have a broader knowledge base. My sister has been an RN for 30+ years and I have the u

    I could never do what they do.  I am an anxiety-ridden person and the thought of someone's health and well being, not to mention physical comfort or discomfort being completely my responsibility and then to be able to function in a calm, methodical manner in a high-stress, life or death situation...  Well, let's just say I know I could not handle it.  I would have a nervous breakdown. 


    It's a pity that some nurses can't return to the favor and respect us for what we do.  My sister respects me.  She actually comes to me with medical questions because she realizes she doesn't know it all and I basically get a medical education on a daily basis what with new terms, drugs, procedures, equipment, etc.  And let's face it, MTs are the masters of research and medical references, searching the internet, etc.


    But all people see when they see an MT is that we sit at a desk all day and type and to them it looks easy.  It's just a shame.


    Addendum: As well as your fund of medical terminology knowledge.


    I had head if you were connected to a VPN your computer could be searched without your knowledge ??
    nm
    Well, John Maxwell will tell you that attitude not knowledge is what keeps most people afloat. From
    check out of her hand without thanking her for paying your bills for the lasft 5 years, then you could probably guess that she won't be calling you back even if it doesn't work out.

    You have to be positive about everything. You may have been a "great, dependable worker," but if your attitude "stunk" then honestly, that just doesn't matter. I'm sorry. Been there done that. Know this to be quite true.
    I miss MT50 too. She rocks with her vast pool of knowledge.
    MT50, please, please, please...come back. You are missed.
    You have a lot in common with him then
    for what's making you so angry about your own poor life choices.
    We have something in common
    I also had a hysterectomy at 28, but my ovaries were gone at 27. It was hell for the first 6 weeks but I went on the hormone therapy...then came the first warnings  about taking them, so I stopped them.  I still have night sweats once in a while, but I can live with it. Now that I'm in my late 50s, seems my body wants to do it all over again. I'm getting hot flashes and all the other goodies that come with the change. Hey! What's going on here???
    common among

    I mean, 18 YO girls having breast implants, nose jobs...come on, that's for looks and nothing more. But hey, if you can afford it, don't mind pain, and it makes you feel better about yourself, I say go for it...I'd love to have a boob lift... can they do that?


    Not only is it not common.
    x
    it is very common that many MDs.....NM
     
    Yes, very common that PAs are some of the
    most horrible dictators. I also find they routinely murder drugs and dosages, diagnoses, etc. Really cringe when I get PA dictations, and, though I am of the same gender, usually the awful ones are women, and really do come across with an attitude - at least via audio!
    Yep, it can be and is quite common!
    I did my first year of transcription on a laptop with external keyboard and mouse.
    Can be very common
    I've been struggling to find the right fit for a very long time. I try not to put all eggs in one basket because even good MTSOs can lose their accounts - on the other hand finding two or more accounts to work with concurrently is a huge pain -While payment on time is paramount for me too (I have no parents to borrow from :( but so are: a decent platform, fair and competent management, and consistent work flow. You are lucky if you get 2 out of 4. But many will post a different experience (4 out of 4) so you must take all this with a large grain of salt.

    You might want to consider supplementing a job as a teacher with a part-time opportunity as an MT - the best of both worlds. Of course, you could offer the MTSO you currently have the opportunity to remedy the paycheck problem before losing you (get your back up set up first though... :)


    common

    I applied at a hospital for a office job. The position had already been filled. They called me back and asked if I was interested in working in the kitchen washing dishes. Of course this was not my first choice as far as jobs go, but I really needed the job. I took it part time. The day after that I was offered a part time office job at an insurance company. I took that one too. The insurance company was wonderful, and I was able to work the two jobs around each other. In a few months a temp office job opened up at the hospital, because I was on the inside, I was one of the first people to know of the job opening. Hospitals usually hire from the inside first. If they do not fill the job, they advertise it to the public. I do not think that you were being insulted in any way. I guess how you look at it mostly depends on how bad you need a job. When you have to have one, any job looks good. Sometimes we are lucky enough to be in a position to be picky.


    It's more common
    The only thing I would warn about is that the part-time job especially be as hassle-free as possible. In other words, a long turn around time, supervisor leaves you alone, easy to make lines, fewer ESLs, etc. Otherwise, trust me, you'll dread it. On the bright side, if you're spending a few hours a day watching TV and would rather spend that time earning money, it's a lot less stress when you don't have to pinch every penny and tell your kids "I can't afford it".
    8 cpl common at MQ
    I've been with MQ a total of five years with a 99.7% QA consistently. I started at 8 cpl and I'm leaving at 8 cpl.
    It's very common now
    When each hospital had their own radiologist, they were read immediately. But to save money, they now contract outside services and send the films electronically and in most hospitals, none are read over the weekend at all.  What's shocking to me is most don't even have staff to do a CT or MRI on the weekend or evenings either and that floors me because we all know patients come in who need one or the other all the time.  I went in on a Friday to have a CT done and they told me it wouldn't be ready until Tuesday.  It's all money money money.
    so much in common, Andromeda
    Besides our love of animals.  I raised my 3 without ever one penny from my now dead ex.  In 1977, (the laws were very different then), he had them for a few months in the summer, and he went to court in Florida, where he lived, claimed that I abandoned them, and got legal custody (which I already had in my own state).  He refused to return them, and with God's help, and something that would have appeared like an episode of Starsky and Hutch, I "kidnapped" them  back because there was nothing I could do legally.  Thank goodness the laws have changed since.   Yes, he had the pool, the motorcycles, the money, the boat, etc.etc. and tried to turn mine against me -- but it didn't work.