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I've lost a local account today that I have had for five years......

Posted By: don't be fooled on 2005-08-02
In Reply to:

I cannot believe that this happened to me today.  I went into one of my doctor's offices this afternoon to pick up his tape for today.   I was given a tape and told that his wife, who is the office manager, wanted to see me in her office.  I thought nothing of it because she sometimes has extra things that she wants me to type up for her and we talk quite often also.  


She tells me that she just has not gotten around to talking with me yet, but  "tomorrow we will start dictating through a company over the internet".  I was blown away!  She said she wanted to give me a break and that if it does not work out she will let me know.   The whole time she was tell me this she was writing me a check as I had just turned in an invoice.   


My first inclination was to throw that #@%$ tape at her and say "do it yourself", but I knew that wasn't the "professional thing" to do.  I was thinking how could she do this to me, not even a 24 hour notice.  She handed the check to me, I snatched it and walked out. 


I have had this account for five years exactly (began August 1, 2000).   I have never took a day off, never raised my rates, never asked anything of them, and my work has always been the best possible quality.  I have been the most dependable person they have could had.   I have passed up other accounts because of them, and I always put them first.   Thank goodness I have other accounts to fall back on.   In our town, there is only one other transcriptionist besides myself, and we both have more work than we can handle most of the time.


Just thought I'd remind all those other MTs out there that no matter how good we are and no matter how much we try to please everyone we are still not appreciated.  I will never be fooled again.  No one will ever receive the attention from me that I gave them.  




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depends on location, I know someone who lost a local account - sm
in Woodbridge, VA, was charging .12 a line (60 character line), got underbid and lost it after having had it for years.  Now in order to get more but look less, she bids at .10 a line but a 50 char. line....comes out to .13 if a 65 cpl.   You can't get much over .10 around here on your own which really stinks, or do some fancy accounting which in this case works.
Lost account of 28 years to Dictaphone because hospital believes it will eliminate all transcription
Curious if any of you are working for Dictaphone or Infomatics and doing an account out of Miami with mainly ESL dictators?  I was convinced I would not lose the account after a few days with VR. However Dictaphone is not using VR right away and will transcribe reports the regular way until they have a database. I am certain this hospital will never be done by VR. I posted a job on here about a year ago offering 18 cents per line to help with this account and not one person  accepted after hearing the ESL doctors we have. They are that bad.  Anyone else have this happen to them? Losing to Dictaphone  And we have had to do most of the work for over a month since they supposedly took over because their system is not working.          
I've had a Hotmail account for years
They are updating it to "Windows Live Hotmail" which is much more like Outlook Express. You have 2 gigs of free storage space if you need it. I only use a fraction of that - it is the address I use when I'm ordering something online so I won't get tons of spam in my "regular" email.
That's not our experience with our local SPCA... We also lost..
our lab 2 yrs ago from epilepsy and felt it was "time."  Our SPCA is a brand new building, the animals are kept in a gorgeous facility, walked every hours, and very well cared for.  We got a 2yo Lab mix (looks just like Lab, just a little smaller) for 120 dollars.  She came with all her shots and had just been spayed 3 days prior.  For 120 bucks I couldn't have even spayed her, much less get all her shots updated.  She also came with a month free vet health insurance, a free vet check up, and a month of free behavior assistance with their trainer.  I think it was a deal.  And she's turned out to be a lovely dog.  Fits right in here.
I've lost track of how many people who've asked about it to NOT
.
No, I lost an account to EMR

and of hospitals around here that have gone to EMR, no Transcriptionist is needed.


With VR and EMR, the VR automatically puts their dictation into the patient's record.  They could care less how it looks, their idea is to save money.


Lost my account

I am so upset. I have worked on the same account for 2 years now, ever since I started medical transcription. My computer has been giving me issues now on and off for about a month. This week I have not been able to work because of computer issues. I have spent $800 since December on computers having them upgraded and antivirus and more memory. It is constantly acting up for the last week and they had to reassign my work this week. They just called me and informed me they took my account and gave it to a MT who doesn't have computer issues. Like I chose for my computer to go on the fritz. So now I am a backup MT. I am so hurt that I had the bad luck to have computer issues for the last week and they take my work. How can I help that? I can't. Oh well. I think it is time to get another job.


 


We had an account that went overseas that when we lost it
one of hte people said they'd be back. Hasn't happened yet and it's been over a year. I always wished they would.
This is true......I lost an account to EMR like this
and I'm almost positive the same thing is happening to my account that I do now. It is definitely spreading as more of the younger generation of doctors comes into the field. To me, this is more of a threat than work going overseas (I definitely don't like that either but I found that most clients that do that at least come back; EMR physicians do not).
Me too.. Lost major account
to EMR.. basically put me out of business. I could have "stayed-on" in house doing limited transcription and scanning for 1/2 the money. System was not very friendly to transcription, had to constantly switch screens, etc. would have really lost $$$ if I was paid by the line. Either way hourly/cpl, less money for me. I decided to just stay home and go with national. Hopefully I can hold out for the next 5 or so years, or else I guess I'm off to Walmart!
I stood up for myself and probably lost an account - oh well

This is only the second month that I have had this account but they thought that their bill was a little "high" as the doctor does not feel that he should pay for any lines that I have in a template or if the physical is mainly normal and so I have a normal template, etc.  I told them to try to find somone else that was cheaper that gave them the service that I did, with the TAT and quality.  This is a doctor that loves to rib off insurance companies and morally I have been debating about doing this account but felt someone had to do it.  But I told the NP/OM that with the time I spend in delivery and pick-up, paper, etc. I need to make this much per hour and that is about what I make.  This is the first time in a long time I have really stuck up for myself.  She said that their last Transcriptionist had been charging $5 a page and  I said fine I would compare that with my lines but it would be with 1" margins all the way around and a 12 courier font to define "a page" and low and behold it came out about the same as with my line count.   Anyway I am sure that they will begin to look elsewhere and that is fine, I wasn't looking for an account when this one came my way and so somewhere else there is something else.  But it made me feel good to stand up for myself and believe in my skills.  


Update - lost the account

Well they said today that they were going to investigate other avenues, appreciated my work but did not appreciate that I corrected her when she did not correctly spell Crohn's disease.  She is a PA and knows how to spell so then why did she specifically spell it incorrectly -- anyway am glad as their were a little shady.  She saw the patients, dictated as the doctor, and charged out MD prices instead of PA so am glad I am out of it.  But God gave it to me over Christmas, I was able to pay off one credit card and so it worked out.  Will enjoy the 6 to 8 free hours per week now.  Just thought I would let you all know how it came out.  


Patti


I lost a clinic account
to EMR. I had lunch with an old friend who is an ER nurse in Colorado and the ER changed over to EMR recently. So far that is the only department in her hospital, but she expects the entire hospital will eventually.

This is the touch screen type of thing. She says there is a computer at every station or bed. When they chart, it also generates the billing so more revenue is captured.

I would be worried if I was younger, but should be okay until retirement hopefully??
I have one local account that does that (sm)

I've gotten used to the fact that he'll do a 2 page report on an established who is being seen for a an earache.  He has to go through all of the other medical problems, review of systems, etc., instead of just saying something like medical history is in patient's chart.


The other doctor in the same practice will just do: Chief complaint: ear pain. Examination:  Left ear is red.  Assessment:  Otitis media.  Plan:  Amoxicillin.


The hospital and the practice have tried to get him to cut his notes down, but apparently he likes to hear himself talk.


No skin off my nose, I see that I have a tape for him and I sing, "I'm in the money!"


Local MT account

Has anyone ever tried sending a resume to local doctors to get some accounts of their own? If so how well did this work?


 


Thanks


Angie


I know personally I have already lost 1 big account because of the new system and please sm
talked to my own physician yesterday about it. He said they have to be on-line within the next 2 years. I love my work from home MT job but I'm thinking of going back to school for nursing. Just checking if it has affected anyone else yet and if so, what are your long term plans?

I've never had a problem switching from account to account.
The problem I had was being switched too soon. If I don't get one account spec solidly in my memory with QA feedback on mistakes before starting another, I get confused. The other problem I had with former jobs was inconsistent QA. One person tells you one thing, another person tells you another.

Lately, I don't have a problem with it. Right now, my binder has 8 account specs (some I've never had to use) and I'm picking up a new weekend job for a while. The terminology and report formats stay basically the same. It's just all those little preferences. LOL
Yeap, lost huge account to EMR, most CA doctors are now using it
After I lost my accounts, I went to doctors' offices all over Orange County, and most are now using EMR or going EMR. I lost a huge account with several clinics. They loaded up all of my templates, and off they went. Good luck.
There was an article in our local paper today about

outsourcing (their wording) work to India.  The contractors in India are now outsourcing the work to other places in India.  They figure if  we (the US) can outsource American work to India, why can't they outsource the work also.   Your medical info is going to be as private as if you took out a billboard and posted it there. 


Forgot to mention that our account is local to us.
sorry!
Wanting to land my own local account

I am currently working part time IC for two different people, I have a little less than one year transcription exp, all in family practive or GI...I have been thinking about trying to get my own account locally but not sure about some of the "in's and out's".  Those of you who do this, do you have someone who covers for you when you have to leave town?  I have always had someone to QA my work, so if I do my own account and have a question(blank) do  you call the office and ask or do you leave it blank?  I am kinda back and forth w/ the idea, I know I would make more money, but not sure if I want ALL the responsibility. 


Got my own account today
*happy dance*  I am so happy.
You know you've lost it when while typing...
you mess with their voices just to entertain yourself.  I like to make them sound like elves.    Anyone else?  I could use a good laugh.
Remembering those lost 4 years ago
I just wanted to take a moment to remember those lost in the planes, the WTC, and the Pentagon 4 years ago including Laurie Neira, one of our own, who MT'd for YOG.
I lost my brother 17 years ago and still cry every day.
I know it wasn't my father, but the loss is still great! I understand. The pain will never go away, it will just dull. You need to remember that you must go on and live with his memory and love in your heart! It really does get a little easier as time does heal a bit, but it will never go away.

There are times now that I can get through the day without a tear, but one song on the radio or one look into his daughter's eyes and the wells start overflowing.

I, by no means, am depressed. Actually I am a very happy person; however, that does not mean you take a minute to think about someone you have lost and shed a tear or two, wipe them away, and go on with your day and life.

Just know, he is with you and it will get better. One day you will wake up and smile just knowing he is looking down on you! Then, you will be able to start to heal and the pain won't be as great.


No, because I've never lost anyone extremely close to
me, huh? You assume so much.

I do know how it feels to lose someone before their time, traumatically, lose my world...so don't come here telling me I don't know anything of what she is feeling! How can you sit here and tell me not to judge and then judge me?

Am I harsh? Probably so, but I have good reason to feel the way I do about her. I know we all make mistakes. I've made plenty myself. That doesn't make me change my mind on some of the things she did. Call it what you want. I don't really care.

I did however say that I feel bad for her. I don't think anyone should have to go through losing a child.
I've lost my note about where to buy ear bud covers (sm)
I've seen posted here before but can't find where I made a note of it. Were can you get the ear bud covers that fit over the little rounded ear buds that companies usually supply.  Mine are so dead I finally threw them away.  I've washed them so often they are in pieces.  I saw where you could buy a set of 12 but now can't find it.  Anyone out there have a clue?  I'd truly appreciate your letting me know where.  Thanks loads and have a great productive day (if you have to work like I do). 
I was hit by all 3 that summer, I lost power, I lost work, I lost savings...but..sm
NEVER did my employer in any way imply or threaten or dare even mention that my job was in jeopardy because I could not work immediately following a trifecta of natural disasters! My jaw agape is not at your concern about working, but at your concern that you would lose your job because of it. Companies have to have a heart in some situations. You're one MT, your company won't go under without you working for a week or 2 or 3.
I couldn't agree more. Lost my mom 13 years ago sm
this coming August. I miss her the most on Mother's Day.
You have been going 5 times a week for 2 years and have not lost weight? So..
it's basically more than $300/year for social hour? I've been going for 2 months faithfully and didn't lose an ounce until I went back on Atkins this week. It's nowhere near enough of a workout.
As someone who lost their husband almost 2 years ago, I can tell you that no amount of money could

ever replace my best friend and husband.  Yes, I have tried the dating thing, but to tell the truth here, it's not the same and I don't think anyone could ever replace the father my children lost at such an early age. 


 


By the way. he had just turned 34 when he died, so I suppose you might want to give your hubby a big hug tonight for thinking of your future without him, especially when we truly do not see ourselves leaving this world so soon. 


 


Hugs to you and yours!!!


Thanks. I think the local is more expensive. They have been around for about 7 years but of course
they could go under trying to compete with Dell, etc. I dont know where to go to get quick service then if something would happen to this small place. Some people do well with Dell and others have problems. I am using IBM right now which is not mine but belongs to the company I work for and it seems fine. I am really not computer literate at all. I can learn any program but dont ask me about what makes it tick.
I've read the statement; think sheri sat on this and lost it for both of them out of spite
matches her personality.
I've lost more than one hard drive on Dell computers
That's the message you get normally if the hard drive if fried.  I just called Dell and they diagnosed the problem and sent me a new hard drive and I returned the bad one. Is yours still under warranty?
Yes, it does. My hosp is typing in MOX, we lost Word many years ago due to cost.
Good luck!
I worked with a small local years ago who
s
I met my male friend of 6 years in local supermarket..sm
I was buying a can of salmon for my cats and he was nearby and asked if I made salmon cakes.  We talked, he was asked for my phone number and we have been seeing each other for about 6 years.
I've been doing this doc for many years, so I've learned how to function with him. sm
I can tell what's a stutter, what's another word, what's just an "uh." Years of experience will get you through a lot.
Wouldn't want to do his charts all day, of course, but a few per day aren't bad. I haven't had to send his to review in a long time, but they do take a little longer to shuffle through.
I've worn contacts for 30 years. I've had both
hard and soft.  My vision is much better with the soft ones than they were with the hard ones.   When I first started trying contacts soft ones were still new and they couldn't get me to 20/20, so I went to hard.  Hard were okay until my eyes started changing shape and then I could no longer wear hard ones.  The soft should give you better vision as they conform more to the shape of your eye. 
we've lost our sense of community, no more back yard fences, no more coffee klatches
It's the sense of community we miss, and there is some semblance of it here. My son has been online since age 10, and he knows the status of the marriages and pregnancies and jobs and traumas of his gameing friends, from his age on up into the 60s, male and female. They comfort each other, congratulate each other. Ranges from students to cops to medial installers to computer geeks. It's a sense of commnity that has sprung up, but that society doesn't really recognize as REAL yet, it's too new.
I've never hit that on another account.
I couldn't even tell you how many I've had now, but I've never had easy docs like that since.
I have had the same account for six years - sm
One of the doctors hates using tapes ... so he decided that he would dictate over the internet. Guess what? He hated it.

Then he decided that the whole office should use a transcription service. Guess what? He found out with each transcription service that if you wanted a stat letter done it cost him about $35!! $35 for a two page letter!! And he was angry because none of the companies would print the letters. They wanted to send them back by email and have his staff print them out! They also charged various line rates for various letters, which was totally ridiculous.

I charge $5.00/page to transcribe the doctors letters, they fed ex me my tapes no matter where I am (and they pay for the fed ex). Guess what? I'm still more cost effective than the transcription services. I manage a same day to 48 hour turnaround time. My bill averages around $600-800 month and I have never worked more than 20 hours a month for the group.

Don't fret it. I have found over the years that doctors will always try to find a cheaper alternative to getting things done, but I have never ever been let go because of bad transcription, and whenever this has happened, I can guarantee you this .... they will call you back!!! I can almost promise you that!

My doctors have come to rely on the fact that they have been able to call me on my cell phone and ask me if I could call them back before the end of the day because they have a stat letter that needs to be done. I tell them what time I will call, transcribe the letter, email it to them, or print it from where I am and mail it to where it needs to go. Now keep in mind that they don't do this all the time, but I would probably say on the average of about 4-5 times a day. They will never find that with a transcription service.

I have never raised my rates. I take my time off around the main doctor's schedule. I have even tried to find a replacement a couple of times for them for when I really needed the time off - and it all comes back to this - I am a perfect fit for my doctors, and they now know that.

So cheer up. You'll be surprised - they will call you back.
The key here is 1 account for many, many years.
How many dictators? I made that good before DQS, and of course, MQ lost the accounts. Now on an account that you never get the same dictator twice in a shift. Makes it extremely difficult. Happy for you, hope it continues.
I had my own account years ago
transcribing for an office of 4 docs. They all admitted they were were terrible at grammar and such and it was my job to make them look good on paper, but they were paying me very well for this at $25 an hour. Just a few years ago another account I had with 2 docs it was the same thing at 15 cents per line. Unfortunately, all these accounts went to an MTSO at less than half of what they paid me.

Now I am with one of the major companies as employee and it is the same as you are saying, QA inconsistent and always getting dinged for fixing things and dinged if you don't, at slave wages compared to what it used to be.
I've been told to use them in one account

and then another account I've been told I use too many....  


So much for trying to be perfect...  


I've worked the same one account...sm
for over 10 years. They know I'm reliable and I know what those docs are going to say before they say it ;0) Seriously, though, I've tried other short term assignments or on-call situations through the years but always come back to my bread and butter. Like anyone, I could of course be let go tomorrow, but in the meantime I'm making good money and doing work that comes second nature by now. Less stress too!
I just put my cat of 12 years to sleep today...sm
I know it was the best thing to do but it sure is hard to do things like this, isn't it?
WOW, did I need to hear that today after 30 years!!
Thanks! Today has been a challenging day with ESL!! It will get easier as it goes and it is rewarding, and your always learning something new!!
Yeah, QT. Same account for 4 years. nm
nm
I've got my loverboy doctor to do today, too.
Plus, an unexpected check dropped off last night, and a cup of Italian dark roast coffee while sitting on the deck in the sunshine.
About 4 years ago, it was anywhere around 99 cents to 1.09...now it is 2.41 (could be higher today)

it changes every day -  up, up, and away!