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Serving Over 20,000 US Medical Transcriptionists

EHR can encompass many forms of dictation....

Posted By: No not exactly on 2009-04-19
In Reply to: again, making medical record digital does not affect us. - again, you are confused with Point & Click.

not just point and click. I know several people who have lost their jobs to "EHR," and it had nothing to do w/point and click. It WILL eventually affect us all; however, the timeframe will be on an individual institutional basis as the cost to convert to the system is quite extraordinary.


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Anything on Encompass?
I have been contacted by them and don't know a thing about them...
Encompass
Clinic is the same.  Acute Care is up to 0.10 lph
Encompass
How come?  There wasn't enough work?  Were there problems with the platform?
Encompass uses eScription
Apparently, Encompasss is another MTSO that uses eScription on some accounts. That's great. I really like working with eScription.
Encompass Medical Transcription

I have been contacted by this company out of Wakesha, Wisconsin.  The President/CEO is Tamara Brown.


I am considering accepting a position with them.  I did hear from 2 people and it was positive feedback. 


Guess the company must be a well-kept secret!  LOL


Appreciate any news you may have on this company. 


 


Encompass Medical Transcription
What restrictions are you referring to?  Clinic notes are at 0.74 cpl and 0.77 cpl and Hospitals they pay up to .10 cpl.  They offer bonuses, which seem attainable.   The national I am with makes it virtually impossible to get a bonus.  There is no incentive, that is one of the reasons why I am considering this company but I have not spoken with a recruiter yet.
Encompass Medical Transcription

Who contacted you?  You mean you did not inquire or apply for a position?


Encompass Medical Transcription
I have been hearing good stuff about them.  They are supposed to be one of the only MT companies that allow you to chose your hours and days.  They offer insurance, which is important to me. 

My only concern is the 12,000 lines every pay period.  If their platform is really good, I am sure it should be no problem.  The one I currently use is a nightmare!  Constantly crashing and slowing down.  I work for a national.
Encompass Medical Transcription
Yes, I think it is for weekends.
Encompass Medical Transcription
How come? They didn't have enough work? Was there a problem with the platform?
Encompass Medical Transcription
Hey Teaser,

Thanx, for getting back to me. I appreciate it!
Encompass is based in Wisconsin
www.encompassmt.com
A friend of mine in same boat is at Encompass
She actually had less than 5 years exp and like you it was all clinic, and she got hired with Encompass and loves it. She's done both clinic and acute care there I think.
Long short forms vs short short forms

Carla,


A long short form is usually easier to remember. So I would definitely assign the short forms as suggested by Kelli:
SmithCThead
SmithCTabdomen
etc


In most Expander programs you would opt for a short short form as you have to type the whole short form before you can expand.
In Instant Text you don't have to type the whole short form: you type the first two letters of your long short form and then you can type any of the following letters.
So in this case you would type smcth for the first one, smcta, and you may also type smhead, smabd


This is possible when you use the Instant Text marker key to expand. If you use the space bar to expand, you may be better off assigning the initials as suggested in the second response, as you would not be able to "jump ahead".


Marianne


Tax forms
This is the first year I have worked as an independent contractor. Do I use Schedule C, profit or loss from business form, Form 8829 and Schedule SE (self-employment tax form) to file? Form 8829 goes into detail about depreciating house, mortgage, etc. and in the past I eliminated that because if you take this off when you sell you have to factor this depreciation amount back in. Of course, in the past I worked as an employee and filled out the other form, employee business expenses.  I hate to pay for a CPA for no more than I worked but maybe I should?
Tax forms

This is not about that form per se, but you might want to consider filing a form 4868 "Application for automatic extension of time to file"  This can be sent any time before April 15 and gives you some more months to get your return ready.  If you owe money, it still has to go in, but at least you won't be one of those folks you see on TV lining up at the Post Office at midnight. 


Good luck.


Transcription from Forms
I do the exact same thing transcribing from forms.  You cannot read into these too much.  They are probably already using the forms they filled out as their report, but having you transcribe to make them "look pretty".  No one is perfect.  If the money is right, I would overlook the inadequacies, and of course you should fix dramatic errors, as you would if you listened.  I am not trying to be unkind, but it works both ways.  Sometimes as transcriptions, we inadvertantly type an incorrect spelling, and the dictators don't give up on us, or do they??????  Something to ponder.  Good luck to you!!!  I hope you can find a happy medium in this matter and not lose what sounds like an "easy" account.  However, the reports I transcribe are not from a nurse, they are from PA-C or the physician himself.  I do, however, have a question for you, if you don't mind.  What do you charge, per line, per page, etc?  I charge per page and make out pretty darn good since everything is so canned text!!!!    Take care... 
1099 tax forms

Does anyone out there who is an IC know of the deadline date for the 1099 forms to be sent out via "employer"?  As a special input, I did some research on what deciphers an employer-employee versus employer-independent contractor.  In summay there were 20 points made and I fit all criteria of being an "employee" instead of classified as "independent contractor" per the IRS.  I am considering filing the "SS-8" form with the IRS, which is a form for the IRS to give their input on the employer-independent contractor issue to determine how I really should be classified.  The way I see it, my employer refers to me as an IC because it simply benefits her, and on the otherhand, it does nothing for me except harm.  I am making 9 cents a line, cut back from 10 cents a line a few couple months ago, and have am offered no benefits whatsoever.  This happens to be one main point that the IRS displays as I would really be classifed an employee as my employer has control of my pay.  Just thought this was an interesting fact to point out to all as it is something I was not aware of until today upon doing self investigation into it.


the line forms here....
i will require 12 cents a line or at least $23/hr. lol i want paid vacations and sick days, i want free coffee and my DSL paid for and i want profit sharing... :)
abuse comes in many forms

 


This truly is abuse.  You may not have visable body scars but mental abuse is just as bad if not worse as physical abuse.  I'm not sure there is help for your husband but you need to get out of this relationship for your own sanity.  A tiger never changes his stripes.   I had been in relationship that had the same elements.  I worked all day and would teach a class at night and we were to dress in a professional manner and I would be accused of having an affair.  (Huh, like you have the time and energy.)  I had the courage to get out and have now married a man who respects me and treats me as an equal partner.  Is that not what a true marriage is, a partnership.   If you do not have family to help check with you local Women's Help Center possible that could be a start.   I wish you the best and hope you have the strength to more forward and leave him in the dust.


 


filling downloaded IRS forms
Okay, I'm supposed to be able to fill in the 1099-Misc form I just downloaded but for some reason I can't add any information.  Am I missing a plug-in or something?>
Short forms for AXIS I-V

You can edit your short forms in the Glossary Viewer and have them come up according to the short forms you have chosen:


ax => AXIS I


ax2 => AXIS II


etc.


 


Stock proposal forms
Does anyone have a "stock" proposal form they use to bid on transcription work? Thanks.
There are various forms of back supports
you can purchase for your chair, or check with your physician for chair types.
I never received 1099 forms when I
was an IC. I worked for a hospital for almost 10 years plus had other docs and an attorney. The attorney did give me one every year and it never conformed to my figures but I never had a problem.
naming your short forms
Productivity Talk has a forum dedicated to command entries in Instant Text. Google their name for the link.
If you haven't signed non-compete forms...
with a company you are employed by now, and you leave the company, is it acceptable (legal) to contact a client of theirs and offer your IC services if you really want that account as your own?  Any suggestions from anyone having ever done this before would be much appreciated.
I used a Selectric for my first job and on the subject of whiteout, we used forms that were three
different colors, so each time you made an error, you had to white out on your carbons with all of the matching colors and this doc hated errors and would point out that you had to use the whiteout.  Glad those days are over!
Transcription Contract forms or ideas.....

Can anyone refer me to a site that has contract forms for transcriptionists or what do others of you have?  I have one sample, but there are quite a bit of things on it that don't really pertain to the services I am giving.  How do you come up with your own and what should be put in a contract?  Thanks for all of your help and suggestions.


 


You can change tax forms to have extra taxes

come out of your husband's check.  You can figure out how much tax based on $900/mo.  If you have too little taken out you'll have a penalty (around $50) and then you can adjust the next year if you need to.  I had taxes taken out of my husband's check, but didn't figure enough and I got hit with the penalty and I just adjusted the next year.  I am an employee now so don't have to worry about it this year and have adjusted tax withholdings so we have more $$ in our pocket.


You can find a used C-phone for $125 if you are lucky, but more around $200-$300 range.  There is a classified board here, you can also check E-bay.  If you need a food pedal only and not the software you can find a used one for $25 if you're luck to about $50.  You can new for about $80.  


A lot of times a company will send you the foot pedal if required, but not always.  Sometimes they will rent you a C-phone, but not always.  I wouldn't buy anything until you have a job.


As far as working to only gross $900/mo you can guestimate how many lines you can do based on xx line rate and monitor it so you don't go over.  I would guestimate higher to give yourself a little room.


Just be upfront with companies that you can only do so much so they know they can't expect you to work extra if things are backlogged. 


 


How do you fill out forms in Adobe Reader 8.
I am referring an MT to a company I work for and to get the referral bonus I have to fill out this form in Adobe Reader and E-mail it to HR.  Well, I don't know how to do that.  One friend said to copy it in Word and fill it out that way.  It won't let me do that. 
Stedman's on 3 forms crepitant, crepitus, crepitation
crepitant:
1. Relating to or characterized by crepitation.
2. Denoting a fine bubbling noise (rale) ...
3. The sensation imparted to the palpating finger by gas or air ...

crepitus:
1. SYN crepitation.
2. A noisy discharge of gas from intestine.
ex: articular c., the grating of a joint
ex: bony c., SYN crepitation (2)

Stedman's Illustrated, 26th edition
crepitation:
1. Crackling; the quality of a fine bubbling sound (rale) ...
2. The sensation felt on placing the hand over the seat of a fracture ...
3. Noise or vibration produced by rubbing bone or irregular cartilage ...
there is delay due to delayed minimum tax vote on certain forms
The five forms affected by the delay are:

Form 8863, Education Credits.
Form 5695, Residential Energy Credits.
Form 1040A's Schedule 2, Child and Dependent Care Expenses for Form 1040A Filers.
Form 8396, Mortgage Interest Credit and
Form 8859, District of Columbia First-Time Homebuyer Credit.

I avoid numbers in my short forms and use letters
instead when needed. What I do most often is double-key a short form (same two letters) that goes back and adds slashes or dashes for dates and decimals. It's easier for me to key the numbers, then let a command entry edit when needed. You might want to go to Productivity Talk for a lot of great tips on learning IT.

Doesn't it give you the option of printing all the forms and schedules?
x
I have to disagree. Most hospitals have migrated to EMR & RNs are able to fill in online forms
My husband is an RN at an acute care facility and he loves his job.  He has dual majors.  One in computer science and the other in Nursing.  He decided he didn't want to sit behind a desk plinking on a computer all day and really wanted to do something with his life that would help people.  Being an RN is not just about the money, it is about caring for those in need.  Seriously, think about the reasons you would be entering the nursing field.  If it's just about money, you'll be disappointed.  However, if you are the type of person who likes caring for others, then by all means, go for it.  All the best!
Instant Text creates entries and the short forms from
previously saved documents. You run a compile on the reports and it picks up the most frequent words and phrases. Go to their site and click on the overview link to see how it works.
Bidding on new account - states that they will provide specialized forms such as letterhead, *sm*
progress notes, operative forms or other such printed documents.  The accounts that I have previously worked on did not have "printed" forms for progress notes or ops.  What are they talking about here?  If there is such a thing as a preprinted form, then how do you do the account long distance - I am not near them?  Could the forms be scanned or made up in a template which could save them money by not having to buy them?  Years ago I worked as a legal secretary and we had forms that we made up and filled in on our computer rather than with a typewriter. 
Pasta prima vera, quiche, turkey in all its forms, Oriental stir fry. nm
s
It's THEIR dictation. They want what THEY are
dictating. If they use poor grammar, etc., that's not the MT's fault!!

Many don't trust the MT to make appropriate corrections and I can certainly understand that.

dictation by doc's
you're absolute right about the hospitals doing something about how doctors dictate and it probably wouldn't take that much effort to do it, but they're not going to do it. If the dictation is wrong, the MT will get the blame regardless.
low dictation
This is several hours of time just disappearing.
? min. of dictation per day

What is considered the average amount of minutes for 7.5 hour day.  I'm thinking 45 to 60 minutes???


PA dictation
You must be lucky! Our group had two PA's and they literally "outdid" each other to see who could dictate the fastest. I got used to them, of course, listening to them all the time but many times had to stop and look up a med to be sure of the dosage because I couldn't tell if they were dictating 5 mg. 50 mg. or whatever! They seem to have an "attitude" too; we had one female one who really thought she was hot stuff. If they were that good, why didn't they spend the extra time and $$ to go to med school???
RE; Dictation
Kept forever. Chart is microfilmed and kept. Regular transcription is kept for 10 years supposedly at hospital I worked for.
I just had a dictation where
he stopped dictating mid sentence in the chief complaint and I Iistened to silence for about seven minutes (maybe he fell asleep, I dunno) and then he says, "hello? hello?" and hangs up!  Gotta luv this job! 
60 min of dictation

How long should it take someone to do about 60 minutes of dictation on average.


Thanks you.


60 min of dictation?
My own personal average is about 1 hour for each 15 minutes of dictation.
Can't help with the dictation but...

LOVE YA!


Hope that helped. 


Dictation
The problem is that MTs are rarely in the workplace any longer.  When I originally started in transcription years ago, we were in-house and accessible to the doctors. I would tell the the speeders to slow down.  We had one ER doc who loved to look through reference books for words to use.  I would tell him nicely, "If you have to look it up, spell it and save both of us the hassle."  That usually worked.  But now, most of the time, they have no idea who is transcribing their work and as long as it gets done, that's all they care about.
Ever think that maybe 15% is going to QA because of LOUSY DICTATION? nm
x