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How are you delivering the work? Are you e-mailing it

Posted By: mm on 2007-05-01
In Reply to: Templates raising line count ok? - Sherrie

or actually delivering it to his office. This would make a big difference since you are paying for gas to drive there, paper and ink to print out the reports, etc. Perhaps you could charge by the page. Personally, I would charge the same for everything since he will have more old patients than new ones, and you said the template is shorter for rechecks. Also, a lot of times they make changes to the template and you still have to edit.


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Katrina has stopped 1 of the 2 oil/gas piplines from delivering to our state....sm

Right now they have no idea when it will be back up and they're warning everyone in Georgia about potential $3.00 and above for gas by the weekend as well as possible gas shortages.   The governor and energy officials are working on trying to get emergency shipments from other sources. 


I'm glad I have a full tank and work from home - hopefully I can ride this crisis out but I know others don't have the work at home luxury.


a guy with a mule and wagon delivering fresh eggs to
Vacation bible school. Lassie every Sunday nite at 7. Building tree forts with my brother. My dad giving some change to live on everytime we threatened to run away.
Wow, on Discovery Channel - Preg woman delivering suffers leak of amniotic fluid into mom's

mom having an allergic/anaphylactic reaction.


Heart can't push the goo through.


Body went into shock.


She couldn't breathe.


Her blood began to clot.


Docs did emergency C-section in 6 minutes.


Then mom went to cardiac arrest.


Then another catastrophic thing happened.


Paula began hemorrhaging massively from every part of her body....from eyes, ears, nose, every incision, every bump and bruise.  All her blood clotting factors had been used up.


Docs poured blood clotting factors into her.


The baby's chances of survival were at 50/50. 


Mom was then noted to have unusual swelling in upper abdomen.


Surgeons reopened c-section.


Astonished to find 1 gal of clot-filled blood.  With the clots removed, her blood quit clotting.


Of the 10% of women who survive, most are brain-damaged. Only 1% survive without any damage.  She turned out to be in the 1% luckily.


A day later she was holding her baby and was OK.


=========


All this started with her first labor pain of her second child.  It was the leak of the amniotic fluid into her blood stream that caused her to immediately start to feel like her throat was "closing up" and she couldn't breathe (anaphylactic allergic reaction).  She passed out pretty quickly. 


 


Keep mailing

I have always just done mass mailings, 100 or so and always received anywhere from one to three responses and some of those accounts are with me 18 years later.  Now it is more word of mouth.  I am also listed in the phone book and receive some from that -- mainly a one timer transcription but those are good cash jobs.   Again, it is hitting the offices once every three months or so and they recognize your name.   If they do seem interested or if there is a particular office I want, I do follow up with some cookies or treats for the office.  Good way to get past the front office.  I have already been told it is dorkey to do this.  But I do it.  I have someone from our church that makes homemade cookies and the large ones, so for a special price she will do a dozen or so and when she wraps them, on the second wrapping is my business card so as they receive the cookie, the first thing that she see is my card.  Costs a little but has worked for me.   Have used pens, calendars but the cookies do seem to work the best.  If there were enough of us doing private accounts we might be able to bring back some of those from overseas as I tell the doctor -- I do not have overhead, big expenses so I can pass those savings onto you with excellent personal service.  I do some extras -- cut apart chart notes, envelopes, etc.  Again, I make a good living, my accounts pay on time and yes I provide them with a personal service on a first name basis and we all work together.  They know after this many years that if I raise my rates it is because it is necessary and never give me a bad time.  Never question my line counts, delivery time or what.  So keep at it, find your niche and go for it.  The downside is -- sometimes you get a bad account just like the nationals,  you really have to think and plan for time off and there are days you want to run away but all in all, I would not change having my own accounts for anything in the world.


 


Mass mailing

I usually do a mass mailing out to those clinics/solo docs/specialists with one to two in an office - usually 100 to 150 flyers, brochures.  Then if anyone calls or if there are offices I am interested in picking up or know do have companies do their dictation, I stop by with a dozen cookies --homemade and leave with a brochure.  Gotta get past the receptionist and sometimes that is the way to do it.  I try to go at times I know the offices are not the busiest, right before afternoon hours, right before lunch, etc.  I have gotten inquiries from perhaps 5 to 7% of my mailings, which they tell me is quite high and have picked up my last two accounts from mailings/call backs, etc.  They have all stayed with me.  I have not done a mailing in close to five to six years because I have had my accounts for so long.   But that is what I did.  I am thinking of getting my nephews and on a Saturday morning putting flyers underneath office doors in several medical buildings we have that are next to the hospitals here in Portland.   Also send out to orthodontists, psychologists, counselors, podiatrists, chiropractors, etc.  If you can do digital, then send flyers out to outlying smaller cities where no one delivers or picks up.   There are accounts out there just gotta dig for them sometimes.   But be willing to do it all, pick-up, deliver, printing, envelopes, copies, to get your foot in the door and then word of mouth works very well.   Good luck. 


Patti


Try e-mailing the SPF file to yourself. sm

if you still have your old computer...this advice might not help if your old computer is gone.


Good luck!


Chickadee


Would you mind e-mailing me with the name

of the TASP?  I have been looking for information on TASPs and have contacted a few and of course they all say they are reliable, bla bla bla.  The two that I actually was able to get hold of by phone took almost a week to get back to me, so I'm not impressed already. Thank you very much. 


I wouldnt pay them for the work that they held up.  Get all the proof you can of when the clinic sent the work, when it needed to be returned, etc.  If you lose the account over something like this, that means the TASP gets less money too.  Doesn't make sense to me. 


Turn it around on them. Ask them for a mailing label

wait for their reply.  If they tell you they're going to hold your check, tell them again that if you'll be more than happy to return the equipment if they send a mailing label or arrange for pickup.  In that letter / email, mention also that after 30 days you will be charging them for storage and after 60 days you will be forced to sell the equipment to recoup your losses for your last paycheck and will send them the remainder of the sale profits.  Keep sending them letters every week or so to show good faith in trying to contact them and work out a solution to the problem.


It doesn't mean that's what you have to do, but tell them it's one of your options and see how they respond.  If they threaten you with court, tell them that you have copies of all correspondence regarding return of the equipment, but they have been unreasonable.  If they really want their equipment bad enough, they'll pay to get it back.  This expense should not fall on the shoulders of the MT.


based on posts below regarding supervisors not e-mailing, etc
 does anyone know what a work at-home supervisor's job duties area and what salary they are paid.  looking for a supervisory job so i can quit the grind of transcribing but need to know more about duties and pay.
I got the email in a mass mailing that was done in error
Then one of the owners of the company tried to weasel out of it in a subsequent email.

It happened. I was there, and so were you. Shame on you for trying to mislead people once again!
The last call I received after a huge mailing (sm)

And I mean huge, over 200 brochures with over 25 years of experience and a digital system -- they were willing to pay about 9 cents a line for surgery notes.  Since I live in California, 16 cents would be more like it.  I guess I'm not that flexible.


They must have answered that India ad. 


Charging for printing/mailing reports
I just spoke to a doc interested in my services and one of the questions he asked was how much I would charge for printing and mailing the reports to him. The cost of paper and shipping is pretty easy to calculate, but the cost of ink as well as my time is a little more difficult. Is there some easy way to calculate this for an estimate or would some of you mind sharing your rates? I appreciate any help or advice on the matter. Thanks!
Safe way of mailing printed reports?
I am currently transcribing and printing reports for a doctor, and pay a courier to go back and forth picking up tapes & dropping off printed reports. Have found a way for the doc to easily send me his transcription digitally, but they still want their reports printed and sent to them. The courier is kind of expensive to just deliver reports. Wasn't sure if Priority Mail with Signature Confirmation would be a HIPAA compliant way of sending reports? Or possibly a Fedex option? Does anyone know of a relatively inexpensive way of getting reports delivered (about 40 miles away) that would be safe and HIPAA compliant? Faxing is not an option, as most are printed letters and the fax quality is just not great. Would appreciate any thoughts/ideas at all. Thanks!
Look for like inside directly from Microsoft about how to print mailing labels

and mailing lists.


http://office.microsoft.com/en-us/word/HA011269731033.aspx


Anyone know how I can take addresses from a Word document and transfer them to mailing labels?

I have several hundred typed out, but cannot for the life of me figure out how to turn it into a mailing list.  I have downloaded Avrey Wizard, but when I try to do it, it asks me about field delimiters and no matter what I pick it doesn't work.  Maybe there is a simpler way??


Thanks!


I get my work from an FTP site that they load the work to, however I don't have pool work so to
speak, but I tell them how many minutes a day I want.  The work is generally put in my box by 5 pm every day, then I have until 10 am the following day for some priority work, or 3:30 pm for the rest, so TAT is not too bad. I would like to work less at night though, but I working on that. My downside is I do not get the same dictators day to day, there are a few I do on a semi-regular basis though, some generate great lines but take longer to do that other doc's and are not "money-makers", I also do not get paid for spaces so that hurts a bit too.  This is WP5.1 too.....so very antiquated but that is what the hospital uses, so not much choice there. But I understand what you mean about the C-phone. I was just doing another job with C-phone recently...they incidentally did not tell me how to get off of the system, which was very simple.  I'd finish a job, then hit stop and hangup if I wanted to get off or quit working.  That is what you need to do if you want to sleep, eat, etc.  Don't feel guilty, do what you signed up for, believe me they watch the pools and will get others to do the work you don't finish.  If they get on your case remind them that you are only PT and only want 500 lines a day, etc.  It's not worth killing yourself over.  Good Luck.
You go by your schedule and have no work. Everytime I get on to work, there is always work.
x
Then you would have no life at all except work, work, work if you did that. I wouldn't do it. nm
.
Same thing with nationals. You work all the time to keep the account caught up when others dont work
and then when they decide to put a whole lot of extra people on your accounts and run you out they could care less about how much you worked.
Have a hospital I work for and they consistently change work types and do line counts. (sm)
Management just doesn't understand in order to crank out the work you need to be proficient by typing the same accounts. Go figure, they just don't get it ??
Usually work "live" on a Cphone, while connected. There are ways to record & work off line, bu
s
steady work...gearing up to start new account....but there was no work on Tues as it was a holiday
Be patient with your eyes open....
I work for Warminster at MQ and I am sick to death of being jerked around with no work all the time.
I would like a job where I can depend on the work and it does not seem to be in this office of MQ.
Speaking of offshoring MT work, who does not directly send work offshore?
Just curious.  Has anyone got a list of companies who do not send work offshore?  Precyse?  MQ?  Spheris? 
Becky you work in a great place. With no one hovering, I bet you get a lot more work done w/o agoniz
wants what. The only people qualified to do QA on my reports are the dictating doctors and the rest is just pure waste of money and time. If I have a question fine. But this random QA bites and hurts everyone. BTW, I don't have random QA for those who seem to think I may have an ax to grind. No dog in this fight. Just common sense.
Good. Why dont you send some our way. What office do you work for so I can call and get your work.
:
Before needing to work, I did volunteer work through the Junior League where I am from in Texas. lm

Junior League was like a full-time job sometimes, but I loved it. Now that I have to work, even though it is from home, I still volunteer through my son's school.  I am a school teacher in my previous (pre-MT) life, so I volunteer my tutoring services for children who need the help beyond what the schools are able to provide but whose parents cannot afford to pay for private tutoring. I also know how you felt about being afraid.  I was strangely afraid before I joined the Junior League.  It was just the unknown. But I was SO blessed by being able to help.  Honestly, I am sure that it helped me just as much, if not more, than I helped others.  Go for it.  You won't be sorry.  (Just remember that you have to say NO when you have to say no, okay?  Remember that and you will be richly blessed by the experience!)


nm would you mind if I asked where you work and what type of work hosp, clinic ?
x
All I know is it caused the company I work for to be unable to do all work due today and the rest
:+
Just return the work, submit your bill, the scurry and find more work elsewhere. sm
They will never meet with you before next week. It is Thursday, already. Be prepared to sue for payment, because you will probably need to. But, most of all, find other work elsewhere, because I have a feeling this final payment will be a long time coming.
I work on Escription platform and the adapter didnt work for me. I tried it on my laptop though
and the foot pedal would just not play correctly with the adapter. I think others have tried it and done it but it just didnt work for me.
IC sets their own hours. As long as the work is done by the deadline, you decide when to work.

Glad I work somewhere where you cannot cherrypick....our work is divvied out by minutes and - sm

the office manager (who does not normally transcribe) dishes out the work, so some days are easy, others are a mix.  So no cherrypicking is possible.  You type up what is given to you, period.  She will alternate the tough one's out so no one person gets him/her all the time unless they want him/her and are used to that doc, or everyone gets a little piece, etc. There are days when I ask for easy work (tired, chemo day, Jen sick, or a lot going on, etc.) but not often, generally I get a mix but they all get easier the more you do them.  I am not working as much as I should be of course, every week is different here so I adjust my limited work schedule accordingly, so sometimes it hard to get better at certain docs.  I used to have a lot of blanks with the Trauma ER unit, but I have been doing that a lot lately and now and very good at it, still a time consuming account but at least I am improving. -----------------------  But I believe the OP was stating she did it to clear out the log, not to make more lines, and only when she was asked to do so.  At an old job I had #s meant everything, everyday we would get report (2=4 x a day) of the backlog, and emails pleading us to work, work, work.  The QA rules sucked  (MQ probably is basing their new plan loosly on this one), however we did not get penalized, just chewed out if you sent in too much work to QA (over 5%, and was 80% ESL), I would imagine eventually fired if you continued to do it. They were a great place to work for until they re-organized....it all went downhill from there.  This is why I prefer smaller MTSOs, it's not all about the #s, yes, they want production too but at least it's not so cut-throat. 


i used to work for a company that divided the work types up and i loved it. sm
there were only 4 of us working a major teaching hospital. someone was assigned surgery, different assigned discharges, different admits, etc. we all had the backup work type in case the original assignee wasn't available and were cross trained. it made us much more efficient, ability to get used to dictators, set macros, and in the long run we were all much happier.
Used to work in Cooperstown, NY - and on the way to work is a huge turkey farm
It made me never want to eat turkey again - seeing them all cramped up against the fence and cages, packed tightly, no room to move. Actually, it made me want to do some harm to the farmer who found this acceptable.
Do not work for Amherst if you can work for any other office in MQ. It is terrible. They overload
accounts terribly. We are always running out of work or need to have 8 or 9 backups to get lines in. This is the way it is. There may be a few out there that it is different but I do acute care and was just transferred there along with my office and everyone in my office is in the same boat. Not a good deal at all.
An MQ recruiter told me yesterday if work is low they "cut off" the work

SEs are doing it.  She also told me that it is written in MQ policies


that MQ can let go EMPLOYEES without notice (I'm not saying statutory employees here, I'm saying employees).


 


You're lucky they work for you. I've never gotten a refill to work right, ever.
x
Has anyone breast fed while trying to work at home, can you do this and still work full time?
It seems like the more literature I read on the subject, the longer it seems to take, especially in the beginning when you are breast feeding every two hours, or does it really just depend on the baby?
HAHA! Yes! I have those daily! But it's not really work as I work nights, it's little things l
turning on the pool filter in the morning and then in the afternoon running out there because I thought I forgot to turn it on. Or preheating the oven and then 5 minutes later saying "shoot! I forgot to preheat the oven!" It's really bad. And I'm only 31. I'm not 90!

I don't know if dementia or Alzheimer's runs in my family, but this could be a sign of something to come. Or as my husband says - you jut don't pay attention to much. He's probably right!
I work Sun.-Thurs. normally and will work on Fridays to get Sunday off if I need it. Works
s
The company I work for said cable phone wouldn't work, just FYI.
nm
Easy to work with. You can look up old reports. Your own word expander will work
s
I just work with ShortHand minimized. Smarttype doesn't work the same way? nm
s
Work for 1 hour, then count your lines of the completed work - sm
either check you total characters in word (with spaces) then total them all up and divide by 65, and you get your total lines per hour. 10,000/65 is 153 lines. Or if you have a line counting program us that to figure you count, either way will work quite well. Maybe do it a few times and then figure an average over 3 hours or something like that, it will vary with the ease/difficulty of the work you are doing.
Sounds like where I work. Everyone morning I wake up to not enough work. I'm quitting
This has been going on for a few months so I don't know if they have overhired or just sent a lot of it to India. I just know I can't sit here everything day waiting until "volumes build up." I'm looking elsewhere.
The state told us that MTs are employees because we they work in our system and do the same work as
maybe you can work for a company in another state.
the hospital I work for already has started to implement this and lessen our work
I see it every single day... they are going to EMR... meaning the doctors simply use a template already in the computer and check boxes or something... The doctor's office i GO TO actually does this too. This is why it creates tech jobs to create those templates and takes AWAY MT jobs because the doctor is no longer dictating, they are just pushing little buttons or checking boxes straight into the computer.

Personally I still think that is more time than the doc wants to take but whatever, i dont see how generic charts are good, what happened to detailed information...

But this is definitely how i see it going along. Maybe not everywhere, but plenty of places are going to go to this, it's all about saving money now isn't it???


Question. How many MTs sit and wait for work when companies overhire and there is not enough work
on your shift.  Is this what these companies want for people to sit around and wait on work.  As an IC, this probably doesnt amount to even close to minimum wage.  What do you do in these cases of no work and sitting waiting for practically nothing to come in when obviously lots of others are doing the same thing.  It actually almost seems as though you need to have 2 jobs to survive in this business really.  I cant image how you can get the lines in they require.  Crazy business this is.
I tried Relacor, it didn't work because I wanted it to work without
my trying to really lose weight, i.e., dieting.

My true belief is that any product will not work unless you TRY yourself. I had 20+ lb loss with Metabolife (sp?) and really felt more energy.

BUT, I truly believe if I don't really try, nothing will work to make me lose weight. Please know, I'm right there with you and wish there were a magic pill that could make the lbs just shed away.
Yes I work for AMHERST ALSO and it is 9:30 and no work. Everyone really needs to call Corporate
about this. This will not get any better unless you go to Corporate and complain very loudly and I am very serious about this. Some of us have already done this but it will take all of you to do it. If you dont get a person down there put it on someones voice mail. The human resource manager is Donna Jack at extension 4905 in Mt. Laurel.