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Call the MR department at the hospital and ask sm

Posted By: got the job on 2006-07-19
In Reply to: How do I find out if a local hospital's transcription is done in-house or not? - Hospital Transcription

simply "who does your transcription". May not work every time, but they gave me the name of the service, and the phone number. I called the service and asked if they were hiring. She said, "we are always hiring", and I was working for them 3 days later.


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Started in-house at a hospital, medical records department, on a typewriter in
1983, earning $6.00/hour, eventually moving up after 7 years to $10.00/hour. All hospital work was then outsourced to a national service in 1986 (beginning of our downfall), went to work for the service and made $2.10/page. Service was bought out by another service, rate changed to $1.90/page. Rates changed again to $0.08/cpl. After many years of experience in all services, found my first account in 1992, charged $.09/cpl/gross lines but blank lines not counted. Business has grown steadily through the years through word of mouth. Now charging $.16/cpl or $25.00/hour or $6.00/page, and having to turn down work at this point. If you have the experience and are detail-oriented, you can find your own accounts eventually like I did. But you have to pay your dues first and be able to transcribe all ESLs accurately. If you learn how to transcribe ESLs well, those doctors are the ones to target for work. I do work an ungodly number of hours, only because I am trying to save at a faster pace for retirement because of all the uncertainty in this line of work.
Why don't you call the hospital?
If it is a VA hospital, I would think they would be concerned if subcontractor was playing games with the money.
at my local hospital, they always call the

I think that is pretty standard. Calling by the first name only would be rather confusing. Especially if it is a busy hospital with a waiting room that is always full, like our local hospital.


I have a "questionable behavior" story for you! I went to the walk-in clinic held at our local hospital b/c I was having pain in my pinky finger. The waiting room was packed, as always. I go in, see the doc, and he tells me to go back to the waiting room until they call my name again. After a few mins in the waiting room, he calls my name & I get up thinking he was going to bring me into a room to privately give me my diagnosis. NOPE! The dope says it to me, loudly - not at all in a whispering tone, in the middle of the waiting room for everyone to hear!! He said "I think it is some kind of fungal infection" His actions were not only humiliating, but wrong! It was not an infection, rather a blood clot that developed on my nerve that needed to be removed surgically! Now, that, I think qualifies for a HIPAA violation!!  (Yes I did file a complaint with the Patient Care Rep)


don't worry, you may end up getting a call from the hospital to come back - sm
it has been happening a lot lately. Hospitals are getting rid of certain services and taking the work back inhouse and local.
On-call transcription in a small hospital

I work for a very small rural hospital with only two full-time transcriptionists and one part-time transcriptionist.  We have recently been told that the administration of our hospital is entertaining the idea of on-call Transcriptionist for uncovered hours.  We already work alternating Saturdays (day shift only).  I wanted to know if any other hospitals out there do on-call transcription (Not from home and not outsourced).  They want us to physically drive in and be in the office to do this transcription.  Any information at all would be greatly appreciated.  Thanks. 


I had to call my supervisor to get the hospital to program those settings.
nm
Most in-house hospital jobs allow only 30 minutes for lunch! So I wouldn't call an hour lunch
"rigid."  If you are an employee, there are rules, set schedules, etc. that you have to expect. 
Depends on what kind of hospital? Large urban hospital or small community hospital? SM

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.


I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 


How big is the rad department?
I wonder if that makes a difference. My rad account is going to beta test VR and I am wondering if I should get out now.
You could try the Department
of Labor. There are many of us on this board who at one time or another have gotten the shaft by being an IC. Just wait.. you will get many suggestions. My case- there are at least nine of us owed close to $25,000.
Can you go over both of their heads to the department
supervisor? Tell her that you're getting conflicting reports on your job performance. Do you have emails saying that you're doing great? Keep them, print them. Explain to the department head that you simply can't afford to pay for gas or daycare to work in-house. (Yeah, I've told my supervisors this before and their reply was that my daycare and gas expenses weren't their problem. I told them it was their problem and quit.) What is your production level? Eleven minutes or 130 lines per hour are about the average for direct hospital work. It's usually less than that in-house with all the interruptions and other tasks.

As far as the online company, can you work part-time or as-needed for them for a while? Is there any way you could do both jobs until after you get the bonus? You applied Friday and got called back Monday. That tells me that they're interested and you're a decent MT. How much research have you done into this company? Are you sure it's the best company for you? Honestly, if you're good, you'll get more offers. Sometimes it's nice to have the security net of a hospital job and a regular paycheck, especially with Christmas and bonuses coming up. Your production will probably drop by starting a new account, and it's not the best time of year to be taking a pay cut.
police department right behind us
Funny thing is the police department is right behind us--they probably hear her--just kidding. Her ex-husband workes on the volunteer fire department housed in the same building as police. He has probably already told them all she is crazy!
Can your company's IT department not
I bet they have all the information necessary and even suggestions.

One of my accounts is a PT department...
they invite me to their Christmas party every year. One year they had a huge bouquet delivered to me at home on Medical Transcription week!  That was a nice surprise.
Our QA department is much too busy
to give us feedback like that. They are very complimentary of my work ... probably because I do take the time to look up other reports to make sure I fill in all the tough spots I possibly can. I've done acute care before, but got away from it for a few years. I only had one ESL at my last job. I sure got good at Korean though! With this job it's pretty typical, with many different dictators and accents, but it's just heavy on certain "Asian" (happy now?) dictators instead of Indian. At least there aren't many of the certain Spanish ones I have trouble with. What the ones I have trouble with have in common is that their language uses more percussive sounds and fewer vowel tones. It doesn't matter if the vowel tones are different; I can adapt. But when it records as whispery percussive sounds, I struggle.
Department outsourced
After going through this 2 years ago I feel your pain. Though there are some positives to working at home it is a whole different ballgame. Personally I miss my coworkers and just the general atmosphere of the hospital. I keep hoping more hospitals will realize they still need some in-house staff, at the very least to do QA on what a lot of the services are turning out. It seems to me it has become nothing more than churn and burn with the emphasize on turn-around time, not quality. When I look up old reports in our system I am appalled at some of the stuff that goes out, and I am on accounts that require American MTs. It is really sad what this "profession" has become.

Department of Labor
Were you awarded a judgment in your favor and how long it takes?
Department of health
According to my doctor, Hillary Clinton was the main one involved in the HIPPA. Don't know if it is true or not, just what he said.
Try the Department of Labor and Industry.
You can turn them into the State Attorney General's office, BBB, FTC, as well.  And small claims court.  I would send a certified letter demanding payment first with the threat that if they do not pay by XX date, you will pursue further legal action against them.
Turn them in to the BBB and the Department of Labor.
They're scamming people.  Somebody needs to stop them before they hose over any other new MTs.  Parents magazine even had an article about TranScam.
With our QA department, blanks count against us..sm
If we have more than 1 blank per report, other than for dictation that is cut off or something like that, it counts against our percentage, which isn't very high given the difficulty factor associated with a lot of the dictators. Once the percentage reaches a certain point (and again it don't take much to reach that point) we start losing bonuses that we would otherwise be entitled to and even getting deductions from our pay. So, to say the MT doesn't get blamed is not true for everyone. We shouldn't get blamed, but a lot of us do.
I wonder why when a department is outsourced/offshored sm
the physicians never have a say in it even though most of them don't like it?  They are the ones who bring in the revenue, after all, so why shouldn't they have a say in what goes on as regards patient care? 
If it were me I'd do some house cleaning in the friendship department.

Make some new friends.  It's time. 


Report them to the Department of Labor and Industry and the BBB, too.
I can't stand it when pay is not received in a timely manner. It shows a complete lack of professionalism and inability to manage a business.
Health department here said straight mayo. SM
Slathered it on, put on a shower cap and left it for hours.  Not only were the lice gone, but our hair was so soft and shiny and conditioned!
Turn them in immediately to the Department of Labor and
Industry, the BBB, the FTC, small claims court and anybody else that will listen. Contract or no contract, they CANNOT withhold pay due to giving no notice. ICs do not have to give notice. It was even on Judge Judy that you can't stiff somebody their pay for walking off the job.
Or maybe check with your state's labor department?
?
Frederick Police Department - 580-335-7503 (sm)
Tell them Kristen is at it again - they know all about her.
It took the fire department to get her out of the house! My GAWD!!!!

Department of Labor worked for me in my state
Also contact the Attorney General in your state; but the final result for some was to file a complaint with the magistrate in that company's district.  Good luck
I hear they the Education Department Needs 2M teachers by 2015
I think thats a great idea. English teacher... Hmmm.. What are the requirements?
you need to contact the police Department in Frederick, Oklahoma sm

If you call them and make a complaint against her, they will help you take care of it.  She's afraid to go to jail, if she's not there already


Our department does 1200+ reports a day. They average 11 lines. nm
This is for 2-3 line normal chests to MRIs. They look longer, but if you take 65 characters with spaces, you will be surpised. Here's an example:

CHEST:

INDICATION: Chest pain.

FINDINGS: Heart size within normal limits. Lungs are clear.

IMPRESSION: Normal chest.

This is 116 characters with spaces, which is 3 lines (if you round up - actually 2.55 lines). If by the line, you would make $0.30.

Something to think about.

Do the same with an MRI of the knee. Copy and paste it into word and count it. A very long one I had was only 15 lines.
simply ask HR if it's common practice to hire for a department -
nm
got the "phone call" -- get this, MQ has hired a bunch of telemarketers to call all of us to

we received our "incentive packet."  They don't even have the wherewithall to contact us personally.   These are temp-agency hired telemarketers sitting around a boiler room making sure we're reading our mail.... told him it don't pertain to me because I've been demoted from FT to SE.... He said, "yes, the letter is vague, but it does pertain to FT as well as SE...." yeah right, we'll see.


Are you kidding? After reading the health department's annual review, I NEVER eat out.
Especially at a fast food place. They always have long lists of violations, plus, after a look at the fingernails and hair on some of those people, I wouldn't feed my dog there.

They do list restaurants that maintain high standards of cleanliness with no violations, so if I'm in the mood for a long drive, I'll go to one of those.

I do miss eating out.


Here is part of the email my husband received from his IT department at work..sm
It has been widely reported that a newly discovered Windows flaw will result in several new computer viruses over the next few days.

This new virus is launched by visiting web sites that are infected with this virus or by receiving infected e-mails. You will not be able to know if the web site is infected.

The anti-virus software vendors are working on a system update to fix this issue, but as of now, it has not been provided. Also, Microsoft is working on a patch that will fix the root cause of this problem.

Makes me very nervous also!
I live in Washington state and the health department posted it on the internet.
Here is the link to the information for this state, but every state probably has the same thing.

http://www.doh.wa.gov/ehp/sf/food/restaurant-inspections.htm
*70 will disable call waiting unless you are expecting a call and want it on (nm)
x
On-call requires on-call compensation by law
This field gets more disgustingly grotesque daily.
Hospital. I wish I'd never left my hospital job.
They'll only take me back if I start off working nights and weekends again at the bottom of the totem pole.
If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
Call me, call me anytime.
I'm waiting to hear back on a job.  Call me!
Call KS and call your bank. Why ask here?
.
If they don't call you within 15 minutes, you should call them. There
is no excuse for leaving you sitting by a phone all day. At the very least, an e-mail explaining why the delay. If this is the way they train, how do they pay. Do you really want to work for a company who thinks so little of your time?
RTA DropShip Department
Stacy will set you up.
hospital MT
Call the hospital.  You can offer a better deal to them.  Most MTSOs charge the hospitals a lot more than what they pay out for the actual work done.  I work for a hospital.  I asked for a raise after 10 years, they baulked, started looking at outsourcing.  They changed their mind really quick when they found out how much they would charge them.  (four times what they paid me).
Hey, if you don't want that hospital job can I
have it? Just kidding (only because it's probably not where I live in central Florida). Started working at home for the kids over 10 years ago, but they are all grown now and I realize I don't know anyone because I hardly ever leave the house!!
hospital job
My situation too. Son out of the house now. Still know all the people at the hospital as I worked there for 10+ years and still do side typing for one of the units there that were not taken over when they outsourced!   So seriously considering it....Sorry, its in PA!
I think they did that to us at the hospital

but no O/T.  But you could get on there and do BONUS MINUTES at 6/cents a line all you wanted.


I always felt like that should have been illegal.  If I'm working, then I'm working.  If I'm an hourly employee - then anytime I'm working!!!!! I should be an employee and thus paid HOURLY WAGES.  But they got away with it.  Sort of a hybrid deal.


They screw us any way they can.


  (good little screws all in a row)


 (Medical Records Supervisor yucking it up drinking coffee, practicing snapping her whip)


(Me at the end of the day saying WHY AM I HERE?????)


Hospital pay
I make about $15 per hour at my hospital job in Washington state and have recently quit that to work out of my home. However, I have not yet found any home job that even comes close to that when being paid based on lines.