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Serving Over 20,000 US Medical Transcriptionists

Excuse me, but NCLB was a bi-partisan bill written in large part by Ted Kennedy. NM

Posted By: Get your facts straight on 2006-09-24
In Reply to: Thank GWB for that. It is all about the testing, not the learning. - No child left behind

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You bet! And sometimes that's just the written part
s
A large part of the problem is pressure to cut costs (sm)
often results in the squeeze being applied to the non-acute-care parts of the equation and very, very often that ends up being the transcription. The services end up bidding jobs lower than they want to and it just trickles right on down.

Then you have some MTSO's who insist on paying for the technology they want and need off of the worker's backs. I used to work for a guy who wanted to do this and it's one reason I don't work for him anymore.

It sucks being a mushroom and it always has. I don't see it getting any better, either.
can you take part of the water bill under the home office deduction? (nm)
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NCLB and tests.
I am in Alabama and my husband works for the school system. Not only is the school rated in many ways by how well the students do on the tests, but the individual teachers are as well. I agree that there should be a way to evaluate teachers/schools, but NCLB has really burdened the system. Also, teachers cannot simply teach. They have an ungodly amount of evaluation material they have to complete and report to the various agencies involved. This is on computer, and last I heard they are not supposed to take it home. I have actually seen some of this "paperwork" and it goes way past ridiculous. I know there are bad teachers out there, but considering what they make and what they have to deal with, there is on way I would be one. Consider also that there are students who simply refuse to be taught, and others who even the best teachers cannot reach. Their scores count just as much as the students who really want to learn. Do the teachers "teach the tests"? Of course they do. If your entire livelihood was based on how well you knew the Book of Style, what would MT schools be teaching?
I think it's unprofessional not to pay..I simply state, if you don't bill, I bill directly...

This has only happened once, and I had my check cut same day.  This is business and I will not beg someone to give me my money.  I simply stated it as a fact. 


I'll trade you your $88 bill for my $350 bill.
I would love to have such a small bill like that.
JF Kennedy, California
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Jacuelyn Kennedy because she
.
Jackie Kennedy.
/
Jackie Kennedy-O'Nassis
nm
Not political but re Senator Kennedy's OP:

Wouldn't that have been a great one to transcribe?  Not because of who it is, but just due to the type of the surgery he had--open brain surgery with intermittent wakeful testing.  I've been an MT for about 27 years, majority in acute care (now clinic--boring), and I absolutely love doing OPs.  I really enjoy doing long, complicated, interesting operative reports like I'm sure this one was. 


Gruesome?  Maybe , but well wishes to the senator in any case.


 


As do politicians, going back to the Kennedy era
.
Definitely Jacqueline Kennedy. She was refined, smart, and an
excellent example to American youth. 
Let's try this again...A confederancy of Dunces by John Kennedy Toole nm
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Maria Shriver and Caroline Kennedy Schlossberg. nm
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Oh bullshit, that is such a lame excuse. The same lame excuse that has been
time someone doesn't agree with offshoring.  Of course I have bills that need to be paid...EVERYONE DOES!  And, guess what sweet cheeks, I have a job and it's with a company that doesn't offshore!  Wah...wah...wah all you want, but this site does not support offshoring private health information and if you don't like it, run somewhere else because there are a lot of us here that DON'T agree with you!
The easy part is making the decision to leave, the hard part is
actually doing it.  Been in your shoes and it took me a year and a half to leave after I had made the decision to do so.  It was the best thing I have ever done for myself and my girls.  I had family and friends and a counselor telling me what needed to be done and I knew what needed to be done but until I had the courage on my own to do it I stayed.  One day, we had an argument and he spit in my face and that was the last straw for me.  Even though it is something that I will NEVER forget, that day is also a day I will never forget because it is the day that I took my kids and left.  I am a single mom of 2 and have been single and supporting us for 5 years now.  I have been healing ever since and still am to this day.  You can do this.  I know that if I hadn't have left and I would have stayed one of us would be dead by now or both. 
If it's written
everyday, it's probably written by you.  It's really amazing how some people on this board are so __________.  I put a blank because I really don't know what to call it.  Why is a reply a 'comeback'?  So childish.  If you want to argue with someone, get off the computer and go find your husband.  I don't lead that type of lifestyle.  I hope you have a good evening.
here are some I had written down
When state = Wednesday



Doctor was talking to a group in the background and said, in a thick Alabama accent, "y'all are leaning on me hard." This translated into "innominate Howard."



Able to answer simple questions = Able to staff with pulpitis instance.



Lungs clear without wheezes or rales -

Lungs clear without wheezes or Ralph. Don't know who Ralph is, but don't want him in my lungs..lol

I believe it is written 1:160, 1:80 to 1:320
nm
OMG!! I could have written this!
I've even returned to school and am taking Psych too!

I left the MT profession awhile back and am working among people again, and I'm with you. People in general are rude, insensitive and just plain mean. If they sense that you're not the type of person to pick on people, to fight back with them when they give you a hassle just for the sake of being a jerk, or if you're just plain old not interested in the high schoolesque gossiping, backstabbing and meanness, they see you as weak and come at you even more.

I was ready to quit today and missed being at home by myself with no one to mess with me just for the sake of their own amusement.

Geez, isn't it awful? And yes, that is why I started working at home in the first place. In the early 1990's I worked in-house and had a boss who was a mean, arrogant, control freak bully whose reason for living was to make my life hell for no apparent reason.

You're a nice person, I can tell, but I have no clue why people see people like us as targets for their wrath.

Sick.
as written
You've been told 3 times to do it their way. If you cannot follow their wishes, then you do need to get out. I think you're lucky that they told you 3 times - most places would have given you the boot the one time you questioned what the doctor wanted.
why it is written this way
HIPAA is U.S. and we have no authority in other countries.  I was reading about advice to docs who choose to offshore...they are told to do the business-associate agreement (between a covered and noncovered entity) expressing that financial responsibility will fall on the offshore agent(cy) for any violations, but this article also goes on to say that basically, there isn't much one can do to get the money or do anything about any of those violations.  Pretty much, the way i read this is that the responsibility is going to fall to the US-based organization because that is who HIPAA and/or the JCAHO actually have authority over. 
Wow, I could have written that. nm
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I could have written this
My MIL is the exact way you described in your message.  She finally did end up in the hospital in the spring with a pyelonephritis, played the poor-pitiful-me routine for a while...ugh! She's diabetic, but eats sweets like crazy (though tries to deny it), will NOT exercise, and smokes like a chimney.  I have no sympathy for someone like that whatsoever...We have distanced ourselves from her destructive behavior.  It's not worth it when we know she's not listening to us or her doctor!
This could have been written by me...
It sounds exactly like my experiences since transcribing at home. The best spaces for me were in closets. It's perfect.
1. Eveything is easily within reach.
2. You can close it up when you are not working.
3. No distractions and I want to get in there and get it done and get out.
4. Doesn't take up a other needed space.

I could have written this! .. SM
   It sounds like my company, and I can just about guess which one you're with.  My account, also, must have literally hundreds of dictators, most are great... but these last 2 days all ESL crap.  The Leads (MTs who assign the work) have to get their lines in, too, and no doubt they're not keeping the ESLs for themselves.  I got p - - - d off plenty, too, the same way you did... but needed to make lines before the end of the weekend, but wasn't goint to do it pulling my hair out.  I did the same, typed a few, went to bed. 
Ole Bill for me too...

Believe it or not, my bill was $35.
But then my apartment complex pays for AC and heat - yea!
Bill in NY
The rates in NY have gone up too, but we just paid $175 so I feel very lucky after reading some of the amounts.
$440 last bill

I bill

once a month and pay my MT's once a month. Payable upon receipt. I've only had a few times where the check didn't come but that was a small account at the hospital and the bill was going to the wrong department, etc. As a business owner you should be prepared to have SOME cash flow, just for occurrences such as these. I have had accounts miss a payment but when I send the next month's bill, they paid right away. Then again, there were some months when I forgot to send THEIR bill, so fair enough. I have never really been stiffed.


p.s. a contract is only as good as the two people signing it...


I couldn't have written it better myself...
Those are exactly my thoughts. Didn't work for Spheris or Medquist, but did work for Heartland before MDI. I am so happy I came to MDI. I am sure they are not perfect, but I think they are better than a lot out there.
I could have written your post! I am the same way you are/were in that
I've been with MQ over 6 years as an IC. I have looked around other companies, interviewed, and my mind keeps telling me just to stay put and give it a try, so I will hire on at 10 hours or so a week and just "get it over with" and see how it goes for 3 months or so. Can't hurt.

Of course, I have to stay in the same office with the same accounts for me to do that. Can't really be all that bad if you consider your line rate staying the same - is yours?

I am out of one of the CA offices and just love it there!

So, I'm gonna do it and be filling my paperwork out shortly. Good luck to you.
I also am going to try for the 401 K since I've worked for so long as an IC and have absolutely no investments whatsoever.
I honestly could have written that....sm

back when I was in high school in the late 70s!  The first high school I went to was just like that.... there was a large snob/bully society  (the snobs were basically verbal bullies because they'd put down people that weren't in the  "clique", and I had some idiot teachers.  My algebra 2 teacher was so stupid that she would write a problem out on the board, stop, look at it and say  "oh that's not right" and then erase it, doing this 2-3 times per problem,... then wondered why no one had a clue what to do on tests.  


I was grateful when we moved to another town and the high school in the next town was much smaller.  The teachers cared about the students and teaching, and the students generally cared about each other.  There weren't snobs there because the area was economically depressed and no one had a lot of anything.  I was able to participate in a program with a local college where during my senior year I went to high school 1/2 day and college 1/2 day, so the 10 of us that did this (out of a graduating class of  99) graduated from high school with 30 hours of college credits completed.  We were also able to do this because the local college gave us discounts to participate in this program. 


When I've asked on classmates.com about some of the snob/ bullies from the 1st high school not a single one of them has had a great life.  One of the ones that was in the "it" girl group has been divorced 4 times now and is a heavy partier, and I've been told that she looks like crap from the years of partying.    One of the guys who was the most "it" for the males died from AIDS which he ended up getting after he moved to New York to get into acting, turned to a life of male prostitution and picked it up there.    The successful people are those who hung around with people like I did.  Out of the group I hung around with 1 is a pediatrician, another a dentist, another is an architect, another is a software engineer and every one of us has stayed in contact throughout the years and get together occasionally. 


I could have written this about someone I know, don't know the answer. nm
ff
Typing as written

First of all, let me explain that I work not from dictation but a handwritten template that I fill in--typewritten "transcription" in turn.   The physician fills out the form while in the treatment room, circles correct choice from a list, etc.; sometimes the nurse does this.  I've been instructed for the third time to "type as written" when I've questioned meds or inconsistencies.  This goes against my training and principles (if that sounds sanctimonious, so be it)--when I can't reference things. I've had as much as half with questions and blanks where information was simply skipped. I don't have the patient charts to consult--just a stack of forms.  I have respect for the doctor professionally; her patients, many of whom have been coming to her for years, seem to love her.  Never had this experience before, either with transcription or as a secretary.  Most of the time my supervisors have been happy that I caught errors.  Please let me say these aren't nitpicky things--it is misspelled drugs like Demedex rather than Demadex!


The last time I said I wouldn't put my initials on the reports I questioned and was told I must put my initials "to tell who to return work to," even though I'm the only one doing transcription.  Furthermore, the office manager told me the doctor takes ultimate responsibility because it's her signature on the notes.  I'm going to comply while looking for other work, because this is one of many things we just don't see eye-to-eye on!  What do you all think?  How to deal with this?  TIA!


 


Beautifully written.


 


Good luck wherever you have gone. 


Well, duh, if I hadnt, would I have written
that. I am just so tired of seeing "recovering alcoholics," " recovering druggies," recovering anything that are supposed to be "heros." I JUST DO NOT GET IT when you put yourself in that position. Give me a fricking break.
Oh my Lord, I could have written
Thank you for putting this into words that I've been thinking all along.  Phewee on QA.  QA is for weaklings.  Learn to swim or get out of the lake!!!!  
You could have written my story
I have been a Transcriptionist for over 20 years. It seems the longer I am in this profession the less I make.
All I can say is what is written on my up-to-date
social security forms and the fact I just talked with them in January. I certainly asked the question, again, if money withheld when I turn full retirement next year and again told no, full benefits then. Like I told Doxie, just call social security and check with them.
I found it written this way, from a very
"He appeared comfortable and in no acute distress."

This appeared in an journal article I read published by the Cleveland Clinic. Don't think you can get more reliable than that.

I'd probably first send her a written sm

formal demand for payment including any bank fee/charges.  In the event you need to take it further you will need that evidence that you attempted to collect.  I'd give her a specific time frame to submit the funds (i.e. 7 business days) via cash, money order or cashier's check. 


I'd send the demand certified mail/return receipt for your proof.  You can explore in the meantime the procedure for filing a complaint, etc., but that's not going to be a "quick" thing. 


I could have written this post
I think its the same all over. And nobody's saying why, that's the thing that galls me.
beautifully written.. but I'm an IC...
what do I use to fill in the blanks?

I only experienced this first hand not by jobs being sent overseas, but by women in my own country under-bidding me out of a 7-year account I Had....
Obvious that law was written by men
Do they think that because we have breasts we can't drive correctly? OMG.

This is especially upsetting, seeing as most females who are getting permits are teenage years and breast cancer is not so common in that age range.

As an aside, a friend of mine had to go in for a mammogram a while back. Her insurance company refused to pay for it. Said it was not a necessary exam because she is "not old enough to need a mammogram". Her doc found a lump and wanted the test. Why is this not necessary?
very well written. I agree. nm
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Yep, except the game with Bill
was minus the odor and the little white crabs marching around the stogie.
Mine went from $19 to $138 from one bill to the next.
We expect it to go even higher despite using wood heat in the shop now.
Heating bill
I just got socked with an over $500 bill for a fill of propane