Been there-done that, but you can not complain to the facility
Posted By: Fingers on 2009-04-21
In Reply to: If you found an account objectionable - Curious
If you are working for a service, it is their responsibility. I would not put a report note or anything of that nature with the report to the client as it could cause YOU a lot of trouble. I have had so many bad dictators like that - one even fell asleep while dictating!! I know you have to take the good with the bad but like I have said before, an account has to be profitable to me or I do not want it. Bottom line, I am here for the paycheck just like they are. When I worked in house years ago, the doctors were actually offended and insulted if you brought up discrepancies in their dictation. Then the MT company did not care much when I complained. They just said to make sure you typed accurately exactly what was dictated. Again, accurate garbage is still accurate garbage. It is the provider's responsibility to dictate a professional medical document before you can transcribe one. If he/she cannot do that, there is not really much you can do to help them.
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
I am an MT at the facility where the
report came in. This dictator is not our best, but he's not our worst, either. I also transcribe his dictation. MQ does our overflow and has for YEARS! This is not an ESL dictator, and this physician has been at our hospital for years. I know nobody is perfect. All I'm saying is, I would never send a report through with that many blanks without someone checking first. I also know that yesterday one came through from MQ with more than 14 blanks, and it was from one of our easiest dictators! It doesn't matter whether you are management or an MT in the trenches (as am I). You should take pride in your work and care what the finished product looks like. If you have done your absolute best, then okay. If not, then there's a problem. With multiple reports coming through like this every day, it makes us wonder if all whoever types these cares about is getting the lines and doesn't care about the work they do.
Maybe work like this is why things aren't going so well at MQ, at least according to what I read on these boards. And for the record, I worked for MQ for a short period of time as an IC about 6 years ago but chose to go to work in-house for this facility for benefits.
I have been transcribing for 19 years, and I have had my share of difficult dictators, ESL, bathroom talkers, dictating in cars, airplanes, screaming children, fighting spouses, gum chewing, burping, and hearing other bodily functions, along with transcribing while parties, code blues, superbowl games, etc. are going on in the background. I know about crappy dictation and good dictation. I struggle through the bad and rejoice in the good.
The patients deserve the best. Our best! Yes, the ultimate responsibility should be the physicians, but isn't it our job to create the best possible report with what we have to work with? Medical Transcription is not a perfect world. There are no perfect dictators, but I do know a couple that come awfully close! In a perfect world there would be no sickness and we wouldn't be needed!
It's time for us to quit complaining about the dictation and do our absolute best with what we have. We owe the patient that much.
It is up to the facility not the MT (eom)
m
Whatever the facility wants is what you should do.
x
No facility should be given permission (sm)
for any kind of physical discipline. Its not a spare the rod spoil the child issue. When having to discipline someone elses child, the results could be far less or far more than what the parents would have inflicted. The result in some cases, especially in Texas, is the accidental deaths of children. I spank my children, on the behind but as a LAST result. THerefore, I would not allow my children to go to a school or facility, camp, counseling, etc, that would attempt to discipline my child physically. Call me and I will come and take care of it, but don't put yourself in the parents position.
incompetent facility
Your story sounds like something from a small town (or small office). That many radiology reports withheld from being distributed, you know some of them had remarkable findings such as a chest x-ray that needed a follow-up MRI, CT scan, etc. I hope this girl gets terminated soon enough and out of there. Otherwise, the radiologists themselves will be paying the price and hence it would be followed through to the administrative office/CEO office of the medical center/hospital.
This is how we let facility know they need to check
sef
No, I know not every facility/provider is
compliant, but two wrongs don't make a right. I want to keep my nose clean if the facility/provider is ever charged and investigated for a HIPAA violation - if the gov't has done so thus far. You think the gov't will buy 'oh, I was non-compliant because my client signed my checks'?...nope!
It is still up to the facility to make that
determination, not the individual MT. We only do what we are told to do.
Wow, this must be directly for a facility. Sm msg
Very hard to imagine an MTSO paying that type of money, although it is well worth every penny! Good luck! Grab it quick!
Yes, it is for a facility, remotely. sm
My concern is the salaried position and not hourly. The hours are supposed to be 9 to 5 Mon-Fri; however, if the workload is heavy, no overtime is paid, no shift differentials, etc. because it is a salaried position.
I could end up working a 60 hour week for the same amount of money as a 40 hour week.
That is what is holding me back right now.
I guess I could always try it and if for some reason it doesn't work out and they demand more than 8 hours a day without any type of incentive or bonus pay, then decide to leave or not ~ good idea?
Contact the facility...
That's the best thing to do. I don't think they want people posting that type of information here.
Where I work, the facility wants L used.
x
Usually Dr. dont hire MT, it is thru facility and
x
The facility is a "suit" who has no idea of MT. He
x
If your hospital/facility could take MT back
from the outsourced services, would it be interested in doing so? If you think it's Take Back Time at your hospital, facility, doctor's office, I am ready to offer them a proven solution to take control back into their own hands and create a win/win situation for hospital, MDs and MTs. It's Take Back Time!
How about you? If you could work for a hospital or facility without having a service between you and them, would you be interested? Do you have the proven quality and experience to offer a hospital? (Excluded: new grads, MT wanna be's, and trainees - this question is only meant for those with solid and strong acute care experience)
If the above scenarios appeal to you, contact me and let's talk.
Usually not Dr. who pays, but facility/hosp that
x
Doesnt matter what we think. Facility way is
x
MT works for the company, not the facility
It has been my experience that approaching an issue like this comes across as bullying and I have not had very good results with this method. Its like ha-ha you got one more chance kind of a deal. Rather than putting it off on the facility I would have sent a directive to the MT and asked that it not happen again, stating that the facility expects top notch work from us and anything less would not be acceptable to them. If that fatal second blow were to occur, then let the company deal with any disciplinary action it normally takes and/or perhaps move the MT over to another account. I have worked both sides of the fence, so I know this technique never works, almost always results in more and more errors.
Maybe facility doesnt know how deal with IC,
x
You do have only one crowd to please. The facility. All this other baloney is
x
Which way do you want it. You complain that he did nothing and you complain when he does something.
x
We can all sit here and complain.....sm
"OR" we can do something about it. I voiced my opinion to the editor of Advance. Web Address below. They really need a wake-up call, and I think together, we have the power to do it.
http://health-information.advanceweb.com//common/survey/surveyform.aspx?sid=561
$40,000+ any you complain? About what
If some of you want to complain
Why the hell don't you get out of the MT field? All of the new people are trying to get help and encouragement here. I am sure all they need to hear is all of this nonsense. Others like me come to head about MT news, MT companies, and stay up with the times, and maybe get some advise here and there, and then I have to skim through this crap. If you don't want to be put down, then stop putting the MT field down...okay? Pfft, and you think I am going to stay away just because you said too..HA! Get over yourself.
Complain
You need to voice your concerns and complaints to both the clinic and the Insurance company. The clinic where I transcribed into EMR found that it was still easier to dictate than fill out all the information and some insurance companies did not like the "standardization" of reports. But voice your opinion, it might not help but will make you feel better. I basically told the doctor once, please look at me as you are not treating the computer screen nor is that paying the bill. Once patients do this and they have to do the charts after seeing the patient, it could change things around. Also write to your state boards or anyone that listens.
Why we complain!
Let me explain why I and some others have complained in the past:
1. I've been doing this for 25+ years and I am making much less now than I did before AAMT and I am still producing the same amount of lines!
2. I've spent more time (learning in an ever changing field) and more money purchasing new hardware, software, books and the "ever changing" BOS from our friends at the AAMT for which I will never be recompensed adequately.
3. The industry has been stolen from IC's by large corporations who pay their CEO's etc. and squeeze the Transcriptionist for pennies (in order to pay those large salaries).
4. I could go on and on, however, the last reason people complain here is not because we're "half-empty" types but because we do work at home and have no where else to speak with our peers and just "let our hair down". This website is not only to be cheerleaders, it is to serve the needs of all transcriptionists, even when we need to complain.
I consider myself a "half-full" person. I am grateful that I could work at home when my son was young. I am grateful that I don't spend a lot on commuting, work clothes, etc. However, I have had to pay for my own health insurance for years and I've taken quite a hit in the pocketbook. If you were to work twenty-five years in a profession, have a great reputation, yet see your salary go down instead of up, you'd complain too!
Lastly, not only rah-rah boosters are allowed to comment here. Us "old-timers" KNOW how much we've lost due to our friends at AAMT and the corporate "Johns" that have taken over the industry. So, yeah, we're allowed to b----! If not here, where?
why I complain
I think it's an apples and oranges thing. Liking your job for whatever reason and being paid a fair wage for said job are two different things. Ideally, you want both.
I complain because I feel we as MTs are being taken advantage of and are being toyed with by some companies who emphasize the perks of being able to work from home so we won't see the dirt under the rug of not being compensated equitably for said work.
I complain because in all the other professions I can think of, those who invest time and/or money for higher education to do the job (be it in school or on the job) are rewarded for that effort monetarily and we are not, at least to a degree where we can make a living commensurate with the effort put forth to do the job well and on a par with others in similar circumstances--starting at the bottom and growing in the profession. If it "takes years to learn to become proficient" then let's see that reflected in our paychecks. Some of you have that but it doesn't seem to be the norm nor are there hopes for it to be for the rest of us as we move up the ranks.
I complain because the companies emphasize how very important the medical record is and then treat us as mere typists, comodities who aren't worth the effort of trying to retain in their employ and by such an attitude pretty much giving the impression they don't need us anymore. Then they get into a fit when they get out of TAT and push us to work extra for mere pittance and either through intimidation or meaningless flattery try to get more blood from us.
I complain because I see all the hoop-la (sp?) about the newest technology that will supposedly enhance patient care (such as the EMR which some physicians don't review for a month or more and faster TAT with offshoring to those for whom American English is not their primary language) at the expense of job loss of experienced MTs within their own field of medicine and at the cost of actual endangerment to patient care when it all comes down to money and TAT and meeting line requirements and quality comes last. It's a weird feeling to be proud to be an MT and uncomfortable to be one at the same time.
I complain because I am frustrated and angry at the current state of affairs and I don't know what I can do about it. I would venture to say perhaps that is why there is so much "negativity" on this board and I think it is normal. We're not idiots.
Why we complain!
Thank Dinosaur. You put this very eloquently and right on the money; or should I say lack of money?
You have nothing to complain about?!
Wow...for someone with nothing to complain about, you sure are doing a lot of it.
But then you don’t complain if you cannot pay this or that
my gosh, want your cake and eat it too?? I have extra taken out on me intentionally BUT I do not worry about getting it back a day later, my world does not depend on a large return. I have my house payment paid up several months in advance, no problems in buying groceries nor in paying my bills. For someone to fret about losing their home or dah, dah, dah, dah, dah, then they have the problem, not the IRS.
how could you complain?
Take it from a former inhouse MT who used to get paid big bucks plus overtime, you ARE VERY FORTUNATE to have the job you do! You could be like me now that our hospital decided to outsource, and be working for what comes out to less than minimum wage! Don't complain and just keep cashing those paychecks!
I don't know what everybody has to complain about. sm
Look around you. Is anybody really getting paid what they are worth anymore. My husband went to school and makes around 30/hr. THat used to be a good wage but now people around here can make that doing road construction with no education. So it is not just us. Everybody should just start working and stop complaining.
I have been only doing this for a year part time and I only make 6 cpl but I really have nothing to complain about because when I average out my hrs to my pay I make on average $10-12 and I have hardly any work expenses so I figure where can I go and work pt and make that much money and be at home with my kids??? Think about it.
Why would you complain
about being ACLS certified? You never know what might happen in your own family. My father had a massive heart attack years ago, when CPR was just coming into the picture. Unfortunately neither my brother nor I knew how to perform CPR at the time and we watched him die before help could get there. Do you know how many times I have said "If I had only known how"? I think everyone who has access to a class should take it.
I used to type for a pediatric psych facility.
At first I used to laugh, thinking maybe I'm not so dysfunctional after all. Some of the cases were just out of control kids and this was the only option, but there were 7-YO or younger who had attempted suicide. I don't do them now and don't know how someone can do them for very long.
I was searching for a Kaiser facility and the article came up (sm)
I don't know if I would call it better, but different sites come up.
It doesn't mention what they plan to do about identity theft and their 3 years is now up. Anybody work for this Kaiser facility?
Yes I have found some facility websites that have pics of all the MDs
and I have to say they may be the most unattractive group of people I've ever seen! I guess if you have nothing else going for you, it's a good idea to become an MD! Sort of ruins that sexy voice visual, huh? LOL
Others are working without spell check, facility
x
Sounds like facility is trying to save money by
I have a job where MTs were to put in billing and coding number. Use # X for emergency admits, except if it is Tuesday and sunny, then use # XX. That sort of thing. I had no idea what I was doing but figured if Dr was going to sign off on this mess, it was all on him.
Only a problem if your MTSO/facility decide
to use it. From what I have heard, not everyone is going to it.
I will never complain about $2.12 again! Yikes!
..
Jeez. . .don't complain about the BO, before you know it
the "stinky people" will file discrimination suits!
"I can't help it if I smell. I have a thyroid problem."
Why does everyone complain about DQS and their line..sm
count being low versus another platform? I will soon be leaving a company that uses DQS to a company that uses Word, can I expect to see an increase? Before DQS on plain old word I averaged about 200, but I don't think I can only blame DQS because when I started on DQS I was doing unfamiliar work types. TIA!
Call the 800# on the box and complain - sm
I am sure they will send you a coupon to get one for free. I did this once on some fruit roll-up type snack Pk/6 (was missing the release agent or something as they would not unroll and tasted terrible). They sent me a $5.00 coupon for them. So I was able to make good use of it by buying a bulk box of them at BJs.
Same reason you do, except I don't have anything to complain about!
Now pick up that remote and continue on with your wonderful fulfilling life!
As an employee, you have nothing to complain about.
They have the right to make this "business decision". Were you the one who asked to work from home? If so, again, you have no business complaining and should be grateful for the opportunity you were given to work from home. You complained about paying the cost for DSL, computer, etc. If you use these things for business and personal use, again, you have no business complaining that the employer didn't pay the cost of these since you're using them for more than business purposes. There are just too many employees out there who don't take the risks associated with being IC and then expect to tell their employer what they want to do. It doesn't work like that. If you don't like going to the office as your employer now wants you to, find another job and quit gripping about the one that you do have on this board. It's too full of people like you.
All you want to do is complain. You reap what
x
Complain to management?
Would you complain to management if you received a VERY snotty reprimand from a QA person who corrected your report with an absolutely incorrect "correction" or would you just ignore it? I don't want to cause trouble, but I'm very irritated - I'm wondering if management would even care that they have snotty-ass QA people?
At least now you won't have to complain when they short you next month.
nm
Wow! Now THAT is how to complain! Good post!
Well written! No vulgarity or name-calling or cussing!
Excellent points!
You should be an attorney!!!!!
Good job!
We work at home, no one to complain to.
z
Our docs will do that, too, but won't call anyone in mgt to complain. sm
It's their passive aggressive way of making themselves feel superior to us.
|
