Client dictates which way, but I have
Posted By: me on 2008-02-07
In Reply to: Question regarding SOAP note... - Help...
NEVER in 20 years seen it with the first letter of each word capped, so Low back pain would be correct, unless otherwise dictated by client/BOS.
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I actually have 1 MD (pvt) who dictates...sm
and I hear him going #1 and flushing the toilet!!! I hate that and I hate them dictating in their offices with the music on!!! This same MD will dictate an op report (3-4 pages long) performed in the office, but dictated while he is walking to his vehicle, driving HOME! I hear all the traffic.....that's got to be THE WORST (along with the music in the offices).
HELP Dr dictates.....
"This patient with a history of AIDS status post Pneumocystis carinii pneumonia," Please help with punctuation before and after status post. My mind is blank.
If a doc dictates CHF, do you type s/m
CHF or expand into congestive heart failure; and for any other shortened word, do you expand. The guidelines for my company state type what is dictated and only expand things in the diagnosis section. Well, someone I know who works for the company said that they just always expand regardless. That doesn't seem right to me. I was just curious as to what anyone else does.
Thanks!
can't think of one female who dictates well, IMHO.
Resident dictates at end of report...
"Note to transcriptionist...thank you for your time, thank you for your service, and have a great day."
WOW, that doesn't happen often, and when it does, it sure feels nice to know we are considered colleagues and not just a typewriter on the other end of the telephone line!
Or making $36 ph on acct that only dictates 1/2
fsa
Yup, same as Diana ... if the work dictates (sm)
I work until it's done even if it's weekends. Technically I don't "have" to since my contracts state M-F but I don't mind the weekends if I don't have huge plans and there's a lot of work to be done.
My DD is a social worker and says that she dictates directly into VR
and the report is on her desk when she gets back to the office. She said everyone in her department loves it!
Question: doc dictates "pt is generally p***ed off."
I'm half tempted to type it just that way....Would you?
RE: Question: doc dictates "pt is generally p***ed off."
Yes, if physician said it, transcribe it exactly as dictated. What is the question concerning "pissed off", if I get the *** correct?
ESL doing rectal exam dictates "I did a rectalization"
I have a doc who dictates the entire address, but not the zip code. SM
or the referring physician (throughout a three state area), and says, "Dr. Smith" and then gives the address. I still have to go online to find the doctors first name. Very annoying.
You are supposed to transcribe exactly as the doctor dictates. sm
However, every "verbatim" account I have done, we are allowed to correct the doctor's spelling mistakes, especially with something like a drug. However, you must be sure of your drug. If there are two that are close, it is safer to use the doctor's spelling and use quotes or whatever the account allows.
Many of them will also allow you to correct a glaring grammar mistake, such as using "is" for "are," etc. If you're not sure, ask the account manager.
Female Elmer Fudd dictates! (sm)
"She has a known history of uterine leio, leiomy, ly, leio, leiom, la...ugh...uterine, um, fibroids."
If the doctor dictates it, you transcribe it, in quotes, as this
is what the patient said.
My company dictates 2/10 to 3/10. Note no dash.nm
x
for GU exam on a female, if doc dictates Normal BUS what does this stand for?
PA dictates patient drinks "a gallon" of liquor a day.
I hear people drinking a pint or 1/5 a day, but a GALLON. The guy is only 45.
Wouldn't it depend how fast/slow dr dictates,
x
The ones that I hate are where the doctor dictates a full line or paragraph,
and says, "No, wait, go back, change that." Then you have to delete everything you already typed and retype the new dictation. Some of these newer doctors do that to nearly every sentence. By the time you finish the report, you've typed and erased half the report. Do we get paid for that? NO. I don't get it. We still have to pay for doctor visits if they misdiagnose us, then we have to pay for the subsequent visit to fix what they didn't diagnose the first time. We should get paid by them for typing what they said, erasing it and retyping what they meant to say. They're getting our wallets coming and going.
..or when the doc dictates "prior report LOST by XXX Transcription Service...AGAIN." sm
I work for a national MT company, we do hospitals all over the country, I work from home. I have NO control over where the chart goes once I send it in, I'd bet the original chart was never dictated and hence never 'lost' by us....but in the case that it may have been, THEY HAVE THE PHONE NUMBER of the company to call them, they have specific contacts at the company for issues such as this...I CAN'T HELP YOU WITH THIS, especially when all they're doing is bitching at me on a voice file. Funny, it's always the same couple of docs complaining of lost dictations. Curious that it's JUST THEM. ;-)
Formatting of the document dictates the line count, not a different computer.
xx
My favorite speciality is the office who dictates it and pays the highest line rate.
It's the money, honey, that matters to me.
I currently type for a doctor who dictates with a digital handheld and sends the files via e-mail fo
and wanted to be able to call me with his dictations. What would be the best and cheapest way for me to go so that he can do his dictations without the handheld unit?? I don't want to invest in a lot because he does not forget very often. This is the first time in three months. Thanks for any suggestions you may have.
common sense dictates you read the writing on the wall. technology has made you obsolete.
and the government has seen to it that american workers are no longer necessary and allows business to outsource many middle income jobs.
FTP Client
I still don't know what an FTP client is that was asked in the original question?
the client always wants a little something...sm
The client always wants a little something for nothing.....so I give them a free line if there is only one word on the line...I give them a 68-72 character line (spaces I do count). I have never upped them in 9 years, but on my 10th anniversary I am upping them to 13 CPL. I also give them their 5 line headings for nothing as it's only 2 Keystrokes for me. They are good to me so I bake for the offices a couple of times a year and give the offices a gift during the winter holidays.
I do for one client
One of my clients requested that I charge this way. We do 10 words = 1 line, so basically a penny per word. From what I have figured, I'm doing okay when compared to the character count way of charging on this account. I think they requested charges calculated this way because of being ripped off by their last MT. Once I send their files, they can check the word count and keep a running tab to compare with my statement. They're satisfied and I'm satisfied, so it works well.
Have your client do it. SM
Call the office of your client and have them fax/e-mail to you samples of their prior surgeries. There's certainly nothing wrong with asking for this.
the client does not have to have it-- sm
The client can unzip using WinZip or whatever program they have installed, but MP Tools is so easy, some clients may want to use it. I have a couple who are interested in purchasing it just for the printing function, which works really well.
I had a client ask me to look
They provided a patient list for the date of service, but if the patient was not on there, then I had to view on-line the past week of patient lists to look for the name. Yeah right - that took 15 or 20 minutes sometimes uploading and viewing. So now, they get an inaccurate spelling of the patient name with a comment when I send there report, pt. not on list. Hello? Like the low wage isn't bad enough, and then add in that kind of junk. It is pathetic. 
What the client says is law, if that is what they want, then
that is what they expect and they have the right to tell an MTSO who can and cannot work on their accounts.
Even with this, the client is always
BOS is a style guide, which I do not own. However, I aim to please the client. So, if the doctor wants to spell something his own way, then so be it. He went to medical school, not me! A book of style means absolutely nothing to a client who wants things a certain way. End of story. 
It is just according to what the client
wants. Most do I would think, but some want them in a paragraph form and not captialized. Need to check with your supervisor or client.
Oh my! Do you have your own client? sm
I don't know of any MTSOs who pay 13 cpl. If you found one please share.
I'm not sure, but if the client does not
get a cut for using ASR, they why would they care whether their physicians use it or not????
We would be a lot more valued if they all thought ASR was as good as originally touted and had no editors to fix the darn reports it spits out.
First off..there is no way the client is getting a
And ASR is NO WAY 3 times faster...that will never happen. Most transcriptionists type the speed of the dictator to begin with. ASR could be a great tool for those of us needing a break from transcription, but it does not warrant ripping off our cpl's..ESPECIALLY when the client is charged the same...the have NO WAY of knowing whether the report is goes to ASR or not. Lastly, an ASR Editor needs YEARS of transcription experience, becuase to insure a correct report
It would be according to what the client
wants. We just type the numbers if they are dictated that way.
Unless specified by the client, I only
expand in diagnoses, procedures, impression, etc. I always type what they say when it comes to drugs, you don't change things like two a day to b.i.d. unless directed to do so by the client specifically. Also, on my client we are not allowed to use slang, so if they say "sat" we expand to saturation, bili is changed to bilirubin etc. A good MT never takes it upon herself to change something that is dictated UNLESS they are specified to in certain instances by the client or it something is wrong--then if it is changed you flag it for your QA.
I think relistening to a certain client until you
are very used to them is a good idea. Just put it on high speed and go over it. That won't take near as much time. I am QA and I can most certainly tell the difference between those who relisten or at least reread and those who do not.
never a client from a national, but...sm
A client approached me AFTER both HE and I had quit working for this one particular MTSO...I worked for him, she found out and tried to sue ME for $20K.
I sent her back a play $20K bill and told her that was about as much as her "lawsuit" was worth. Never heard another word from her.
Own client question
Those of you with your own clients. What do you do when you want to go away for the weekend, or get sick? I can see this as being about the only reason to stay with a company. The ability to get someone else to pick up your accounts for a few days is appealing.
Depends on the client.....sm
At any rate you have too many commas, imho.
"I told him to clean the area with hydrogen peroxide and after that he can apply the Neosporin ointment." Works just as well.
It just depends on what the client wants.
I have some that still use tapes and some that I do through a TASP. So for the TASP, I have a wav pedal for the computer, Express Scribe, and that's it. For the tapes, I have the usual trancriber setup.
Maybe the client requested the
x
Pleeeez help. What is an FTP client?
I was asked that when applying for a job. I know it means file transfer protocol, but how the heck am I supposed to know how my audio files get transferred?
And I thought I was pretty gosh durn smart. 
Client rate
It depends on the rate in your area, but I would charge no less than .12 per 65 char line. I think this rate is not too high and not too low. You have be careful about charging too much as someone will undercut you. Practicount is a line count program that will allow you to charge for headers, footers, bolded areas, underlines, and so on. This way if you have to drop your price in order to get the client you can charge for other things that will make up the difference.
Good luck!!!
it's really client preference......NM
x
In general no, but your client may need you to
nm
Well, if that's how she's billing the client SM
then that's how you should be billing her (just characters and spaces). I'm sorry you're going to be losing money. I'd be unhappy too. Maybe you can work on your shortcuts/macros more so that you are typing less for the same amount. No real words of wisdom for you...sorry.
Maybe so, but ultimately it is the client
x
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