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Depends. Did you just study or have you actually transcribed lots of tapes as sm

Posted By: Lil on 2006-01-10
In Reply to: Employment after home study - k8990

part of your training?  If you can't put down on your resume that your home study included multiple tapes in many specialties, etc. you are going to be hard pressed to find a good job. 


On the other hand, you might be able to type some orthopedics or pt notes (and then at least have some experience to put on your resume.)  Orthopedic doctors have TONS of dictation.  Besides their clinic notes, etc, most of them do IME (independent medical evaluations) which are fairly easy to do.  You'll need some good ortho books to get you started, but most will let you start without the experience if you can demonstrate you know the terminology.  Good luck.  Get some experience and the doors will start opening REALLY fast for you.  Sometimes, taking a low paying job is okay in the beginning just to get the experience.  If you can possibly get in a PCP's office to help out with clinic notes (even offering to to backlog/vacation stuff, you will get good experience and your resume will look great for the future stuff that comes up.  Good Luck to You.  Hang in there and learn everything you can.




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LOTS and LOTS of video tapes and DVDs.
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Yoga is excellent. Lots of good tapes.
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depends on lots of things elsie. are you doing the best you can and still can't give them a goo
what is holding you back? how old are your children? who would you be giving up your children to? i would love to help you if i had more facts.
BBQ, slaw, cornbread, ham, casseroles, lots of veggies, chicken pastry, lots of desserts!! BIG fami
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Lots of inexpensive decorations at Big Lots. Had a party last year.
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If you have not transcribed using BOS
guidelines that is probably the problem. See which version they are using and get a copy.
and this is how our records are transcribed =(
x
I have not strictly transcribed in about 10 yrs.sm
I work full-time doing medical transcription but I also have other duties that do not involve transcribing so I don't keep up with lines or anything like that; I get paid by the hour.  I have worked 3-4 hours in the evenings for one of the national companies for a little over a month but I can't seem to get my line count up.  I've only been able to do around 100 lph.  I know it will take longer than it would if I worked 8 hours just transcribing.  I would like to quit the other job and just work from home transcribing but I'm afraid if I can't get my line count up I won't be able to maintain my current income.  I'm not a blazing fast typist, I probably type 75-80 wpm without any kind of expanders.  Any helpful advice or encouragement on whether you guys think at my typing speed it is within reason to think I can make it to 150-200 lph?  I've done straight transcription in the past but I never had to keep up with lines.  I have 30+ years of experience.  I just need to decide whether to keep things the way they are now or take the chance on income by production only. BYW, I transcribe acute care for the national.
Your transcribed report would be your testimony, if anybody, for whatever SM
bizarre reason decided your input would be needed. Why the heck do you think you'd get called to court?
I got charged $75 for a copy of my old MRs, even though I transcribed it!!! n/m
:p
QA Help: Earlier I transcribed a report where
the doctor used a really offensive curse phrase.  He was actually quoting what the patient said (ER report).  He said place this in quotes.  It was a really ugly thing to say (mother F word).  Even though it's in quotes as what the patient apparently said, I felt uncomfortable actually transcribing it.  And believe me I'm no prude.  I've heard it all (and said some of it).  However, it just seemed really unprofessional and not appropriate in a medical document. It's not like it was a psych report.  In fact, it really had no relevance whatsoever, in my opinion, but I could be wrong I guess.  So,  I left a blank.  But now I'm thinking, was that really not my call?  Should I have just transcribed it?  What would any of you out there have done?  QA?  What do you advise in cases like this?  It's happened before but never as filthy as this.
Contact the clients you transcribed for
n/m
VA accts transcribed offshore
My first editing job was for a company located in Virginia that has since closed and one of their largest accounts was for a network of VA Hospitals. I always wondered if they (the VA) had any clue that the actual transcription was being done in India.
It is 10 reports transcribed for free.

The OP states the account goes through transcriptionists.  I wonder why?  The OP states later on in the thread they go through transcriptionists. 


I'm trying to protect Lisa from getting abused from the get-go.  All she has to say is "my charge is" and go from there. 


Too bad if they were already transcribed.  Does that mean Lisa should take the loss?  NO.  Absolutely not. 


Again, read above where the OP states "they can't seem to keep a transcriptionist." 


To the OP:  Charge them!  You won't regret it.  If you are an IC, you have every right to charge them. 


Plus, look at rockinMT's post.  She bent over backwards for an account and what happened?  It turns out she was spending more time than it was worth. 


These are all my opinions, and I am trying to give my opinion on what the OP should do in regards to reports that she transcribed and should, yes, be paid for since she was not aware ahead of time and especially because it is a new account. 


What do I know?  Ya know?  I mean really?  Just looking out for the best interest of the OP, but hey, that's just me. 


The reports that are transcribed get scanned into
the EMR record. They do the same thing with the lab slips, x-ray reports, etc. The transcription is still performed in the usual way it has always been done.
I have transcribed from handwritten notes
and it was a nightmare.  Sometimes the info was missing and my neck hurt like heck looking down and up, down and up.  I charged per page.  This dr went from dictating to these 5 page forms that he would fill out when he saw the patient.  He scribbled and it was horrible.  It wrecked my neck, so I gave it up.  I was better off straight transcribing at lower pay than when I had to keep looking up and down from a page and no a stand for the forms didn't help because my eyes kept leaving the monitor, so it was hard to get back in gear only to have to take my eyes back to the handwritten form. 
MTs by definition are hired to transcribed - sm

what the doctor dictates.  We can't be expected to have to catch their mistakes - they're supposed to catch their own.  That's why they're being paid the big bucks and we're note.  Years back, we weren't expected to know all this stuff -- the meaning of every word we transcribed, the normal/abnormal lab values, what a particular drug is used for, and I could go on and on, and we were paid better, appreciated more & respected more.


I do agree that we must know how to spell medical words and words of English usage.  That's what they get for their 7-8-8.5 cents per line.  I do NOT believe that we should have to look up doctor's names, on our time, when the dictator has it right in front of him/her and would take him/her only 2-3 seconds to spell it, thus also avoiding any confusion.  But I guess that would be too easy.


I didn't always feel this way.  Years back, when I was treated as a professional and compensated accordingly, I performed as such.  If I want to flag a doc's mistake, I do it for the PATIENT'S sake (but for the grace of God it could be me or a loved one lying in that hospital bed) - and as a courtesy to the doctor.  But they really expect too much for too little.


New study on MS and
Vitamin D, you can Google it.  Are you in the great lakes area?  Very common in that area.  I don't have it but many of my relatives do including my 20-year-old neice - she's doing very well with treatment.  Good luck
I swear, I just transcribed Bill Cosby! sm
you know that voice that Bill Cosby does, kinda sounds like he's drunk?  Well, this doc I just transcribed sounded like that!!! and it's workers' comp, no less. Just had to vent a little!  It's still too early for all this!
Not an MQ employee but have always transcribed via turnaround pool.
The office manager I worked for set it up so they could bill faster, i.e., ERs in 24 hours or less, op notes, discharge summaries, etc. She said it made for a better cash flow for the hospital. That's probably what MQ is trying to accomplish, maybe per client request.
Well, I just transcribed 1500 lines in 3 hours. sm

I work on the same account every day, same dictators, lots of templated reports I did myself and put them into auto correct.  I get up early, start at 7 am and today I was done by 10 am.  Cleaning the house now.  Also, the line pay is slightly higher than most, so 1500 lines is fine for me today. 


On harder days when the account is really behind,  I get up and vacuum the house after 3 hours of transcribing then come back for 1 hour.  If things are caught up, I stop for the day.  If not, I will go back in the evening. 


I can't sit for 6-8 hours straight.  Making $160 bucks in 3 hours is good for me and enough.   Tomorrow is another day!


Use templates and short cuts - that will help!  I have whole reports in my auto correct, but you have to listen through and change and correct things as each patient is a different case. 


I do have to tell you, I do not get this many lines every day in such short a time.  It just happened that today was a good day.


 


Hope this helps.


copies of previously transcribed reports
What I always found helped, make copies of reports from the medical record charts.  Make a few copies of each doctor and keep them in your desk that way you can refer back to the report when doing the doctor.  You will get the hang of it.  No hospital wants to go through the money and time hiring someone just to let them go right away.  Usually you get about a three to six month probation period. 
Guidelines are one thing, but if your client wants it transcribed a certain way, just do it.

p


My grandmother transcribed part time into her mid 70s.
,
I am filling out a job app and they want transcribed words per minute.
Thanks.
I have transcribed for doctors in the past who have dictated...sm
that the patient is heterosexual. I'm not much on what is politically correct or not, I just transcribe what the doctor dictates.
Pull up the whole period for which transcribed...see more inside
Say July 1 was the first day and July 14 was the last day - are you able to do a date-specific count? If so, get that on the screen, hit the "Print Screen" button (above SysRq next to Scroll Lock). Then open a Word document or go to Accessories and get either Word Pad or Notebook. Do a control C, which is the Word command for copy. This will copy the whole screen shot into that new document. Go to "file" on the task bar, do a "Save as" and name it what you want, say 07012008to07142008 or something so you will be able to recognize it. This will now give you a document that you can email to their payroll period with a nice little message something to the tune of "WHAT GIVES" or other equally professional question - just kidding, but now you have proof of what your total lines were and a bargaining tool. If you can only do it 1 day at a time, you can still use the screen shot method, but you will have a lot of documents to email if it comes to that.

Be sure to question them verbally by phone first as that might clear up any confusion. If not, then you can tell them YOUR line count and ask why your figures are so different. Just a thought. Good luck!


Meds are not given based on transcribed reports
Meds in hospitals are not given based on what is in transcribed reports. There are so many errors with transcribed material that everyone expects there to be errors in meds, either because it was dictated incorrectly or transcribed incorrectly.

Physicians write orders for drugs, treatments, tests, and procedures. They're in a different part of the record entirely. They're either handwritten or they are in electronic form.

That's not saying there are no medication administration errors, but just saying the likelihood of an error stemming from a transcribed report are almost nil.


swallow study - sm
swallow study to check for safety in swallowing, to check for aspiration, swallowing problems, and what type of diet to give pte, puree, nectar thick, etc.
What is recommended to study for CMT?
xx
Sleep Study
Get this: I had an appointment with the doctor this coming Wednesday to discuss a sleep study. Last Wednesday 2/1/06, his office calls me wanting to know if I was coming in because I was late for my appointment, and I reminded her that it was not that Wednesday but this coming Wednesday and she remembers and admits she got it wrong. This morning same girl calls to remind me of my Tuesday appointment!!!! Went through the same thing again and then she says, "Oh, yes. It is Wednesday. Can you come in Thursday? He's going to get called to the emergency department!!!" Uhhhhh did I miss something or is she clairvoyant on emergencies? This is why I do not go to the doctor unless it is absolutely necessary. I guess he has a golf game lined up.
That study used very old data.
EHR has come a long way since 2004.
CMT study workshops or

I am looking for some reputable websites for info regarding the CMT exam that also include study material. Any info would be greatly appreciated :)


Honestly, probably the best way to study for it
is to work, work, work.

Good luck!
Get a Sleep Study
It could be sleep apnea or narcolepsy. Yes, you can be healthy as a horse and still have sleep apnea or narcolepsy!
"For 30 years, I've transcribed things by what is..SM

correct."   This is where the problem is.  Do you know that some of the most stubborn, difficult, argumentative, inflexible MTs I have ever met in the course of my career are the ones who parrot that particular sentence?


What was done or has been done for 30 years is not necessarily the correct way now.  Language has changed.  With the advent of VR, the way we transcribe is now more of a verbatim way than ever.


These 30-year MTs are still adding 's on to Down syndrome, still typing out the word "centimeter" even though it is no longer accepted as anything but line-padding....get my drift?


We're paying 9 cpl and everything transcribed plus spaces is paid for.
/
Let the docs use their reports transcribed in India as a defense! LOL
The doc can sit there while the personal injury lawyer shows the jury a grieving family and the messed up report.
US MTs should not accept sweat shop wages or conditions. We are providing a service to them! We are their first defense!:) :) :)
If US MTs stoped working for low wages, the physicians who value patient safety and their livelihood would pay a descent wage. The other ones can try to explain the report being done in India to the personal injury lawyer tearing him apart.


IMO, you violated a patient's confidentiality by even posting about this - that you transcribed t
I know you didn't give any personal info, but even mentioning this in a public forum on the "world wide web"  - I don't know, I would consider that a violation of medical record confidentiality.  I know some may post a sentence or a blooper or something, but this is probably something I would have kept to myself... I am sure you thought what an interesting coincidence when you show the show, but my opinion is you should have kept it to yourself, and if I was the transcription supervisor at your hospital and I found out you had posted on this.... well I would think that would be reason for discipline.  No offense meant, just my opinion. 
Here is my understanding of conversions of time dictated to transcribed

I was told once that the ratio of dictated to transcribed minutes was approximately 1:4 for an average MT for average dictation.  So, if you've been given 300 minutes of dictation it might take you 1200 minutes to finish it, divided by 60 minutes equals about 20 hours.  Obviously this is just an estimate and could very depending on a lot of factors, but this might give you some idea.


Another conversion I've heard is that one 65-character line equals 6 seconds of audio and so 1 minute of audio equals 10 lines.  So, if you are charging by 65-character line, you may be looking at 3000 lines or so, which when using the above formula would have you typing at about 150 lines per hour for 20 hours, giving you about 3000 lines.


Sounds like this is very doable, typing for 7-8 hours per day if you have until the end of Wednesday.  If it has to be back by Wednesday morning, you will have to work 10+ hours per day on it today and tomorrow.


;)


Christine


Thank you for response. :( I figured it was nearly impossible for transcribed lines.
I think my co. wants me to quit...
S/L Perfifth study per neurology?

I can't seem to find anything.  Any suggestions?


 


Thanks!


vellum - in swallow study???
is this correct
Sorry, you guys need to study up. "Affect" would never, ever go here. SM

Just FYI, to say "affect" would mean that the bleeding would change the procedure -- which makes not a lick of sense.


"Effect" would be the right thing, meaning that if this woman were to continue bleeding, she'd have to have a hysterectomy.


I didn't really like the wording of it anyway, but I thought I'd throw my two cents in because there seem to be people here still confused on the issue.


Employment after home study
Does anyone know who will hire a Transcriptionist who has studied at home? Also, will they hire you if you have not been employed as a transcriptionist outside your home? (I have a little hospital experience but years ago).
Sleep study transcription...

I have been approached by a sleep study doc to do the transcription for them.  I have not done these before and I'm not sure what to charge.  Does anyone have any advice for what to charge them or any sample reports?


 


Thanks so much


I found the study guide (sm)

was good with examples on the test and covered all areas.  However, the dictation CD probably has caused many a heart attack.  None of the dictations were as bad as that thing!


I don't really know how you can study too much for the beast besides brushing up on the ol' BOS.  The first part was a stinker, though.


Thanks, by the way!


Study your options though before committing...
I fill in when needed, vacation, sickness, etc, for friend at a local small town phys's office. Typist has been in hosp. and out off and on over the last 2 months. cpl confused Drs. wife so I said $10/hour, thought it was only temporary. I'm usually only there 2-4 hours, usually if it is 2 days of stuff. They work weird hours, 9 sometimes 11p.m. I work 10-6 so I tried to get in when I could in morning or go in evenings. Too aggravating, they are constantly interrupting me. I hooked their system up for C-phone access. Half time they forget to plug it up! But, anyway I have continued to do it by the hour. I will be changing to 10 cpl if this continues. Working at home by the hour I am cheating myself. I type it faster because I am more comfortable so end up shorting myself $10-15 each time. Some would say, drag it out but I can't do that I feel like I'm stealing, yet they are stealing my time.

Here is a sleep study website
http://www.sleepnet.com/definition.html
I ran into this system when I had a sleep study
Last winter outside of Orlando Florida. I waited to be set up for the initial sleep consultation, and the technician who takes vitals went into the template and asked me questions and filled it in. I told her what I did for a living. She smiled and said so does she, now... except it took under 3 minutes to do my whole history and physical etc. with better accuracy because she had drop down menus for just about every possible suggestion I had etc. She gets paid hourly as a tech and did not get a raise when this system came in. But she does it for the job security. I asked the doc and he said it is not only cost effective, but safer not to send work outside of the office or even out of the exam room because of HIPPA reasons. I can understand this. Knowing all of this, for some reason, I did not feel in the least intimidated or put out. I say the serenity prayer. If and when these systems are the norm rather than an oddity, another door will open for we transcriptionists which is better than what we have now. We have to believe as things evolve better for the medical record-keeping, indeed so will the jobs evolve better for us, even into a new career. To not believe that would be fatalistic. Somewhere in fate, IMHO we have to be willing to accept the times moving with or without us, and what our part will be in a positive way, rather than think it will be a negative thing.
You could join a study group through sm
AHDI, but there is no radiology-specific CMT credential.  In fact, I took the test within the past year and there are hardly any rad-specific questions on it.