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Serving Over 20,000 US Medical Transcriptionists

I do not think they had a database the doctors could search.

Posted By: mtathome on 2007-01-07
In Reply to: just call me Dino - dinosaur?

I think they just store the reports in a way that can be retrieved. As a subcontractor, in general I keep the files only until I am paid for them. When I complete a file, I send the reports to the doctor and to the MTSO. Some large companies do provide an electronic health record, but I doubt it would be feasible for an IC to provide this. I would say this is one of the areas we cannot compete with the big guys.


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Websites to search for doctors
I'm looking for some good websites that I can use to look up a doctor's name.  Any suggestions would be appreciated.  Thanks 
Searchable database

There's a product called ScriptXSearch, new on the market, that will allow you to easily provide your clients a searchable database.  You can find it at www.scriptxsearch.com, or write to rob@reynet.net--he's developing it specifically for ICs and small MTSOs.


The EHR is coming.  Physicians offices are going to be the last to move to the EHR, I think, but I'll bet more money will go that way now that the Democrats are in power.  Bush proposed it but never really funded it, so it's kind of stalled.  Except that it's such a good idea that it's picking up its own momentum.


My thought is that if I offer doctors these small pieces of the medical record maybe they'll take us along in the EHR.  A lot of vendors are advertising that their EHR is going to replace transcription.  I don't really think that's going to happen, but it may be pretty lean there for a while.


We can't go too far, though, HIPAA says something about if you maintain medical records you have to make them available to the patient and you SURE don't want to get caught up in that.  I'm a small serivce and I offer Rob's ScriptXSearch.  AAMT had provided a HIPAA agreement that included a clause explaining that we don't maintain medical records, these are preliminary reports.


Meditech is a hospital database. sm
It allows everyone in the hospital and also physician offices remotely to view patients' medical records.  There are upgrades but they are costly.  It is not transcription friendly at all.  I worked on it for years, and so glad that was on an hourly basis.  You are better off transcribing in Word and cutting and pasting into Meditech.  It is not user friendly.  You cannot download it.  The hospital or MTSO must give you a password and you either access it by VPN through the MTSO or directly into the hospital's server.  When it goes down, you can lose reports.  There is a recover feature, but it doesn't work all the time.  Just be sure to save reports midstream.  One more thing, there are a lot of screens and some require data be filled in before you actually get to transcribe.  JMO.  I'm sure I'll get flamed but I've been through upgrade after upgrade and you wind up losing features and having to put canned text back in, which can only be done by the Meditech people.  NOT USER FRIENDLY at all in my opinion.  It also lags behind your typing.  You would be better off finding work that you can type in Word.      
Patient Database in MS Word?

We released MPLite less than a month ago, and most of the emails we are getting speak of how having a patient database is saving so much time.  Another feature that many emails comment on is how the invoices give the details (patient, Job#, MR, dictator, MT, DOS, Doc Type and count).


If you missed the release announcement, perhaps a free 10 day trial of MPLite will ease your workday too.


Best wishes for a joyous Christmas!
Vann Joe
Emmaus
Medical Transcription Software since 1995


escritption database errors

It seems lately that I'm always getting database errors, either while pulling up updated physicians lists or problems with the queue.  Sometimes it won't even get past the login screen and requires a reboot of computer because editscript won't shut all the way down, even though there are no indications of it running on my task manager, so I can't restart it without a reboot.  At times it is only one account and I can login to another, others it is any account I try to login and pull up queue.  At times this decreases my work time by hours.  I've redone my whole computer hoping this would resolve the issue if it were my computer.  From what I can tell there is no difference between now and whe Escript seemed to be working perfectly well, at least on my end. 


Anybody else with this problem or any ideas? 


...should be new meds, colleagues not in the database, etc. Damn! nm
s
Talk to a real person! database

This web site has the listings for lots of major companies that we deal with every day.  It includes the numbers to actually speak to a human being and not a computer.  My daughter forwarded it to me, but I haven't actually had need to use it yet.  Thought it might take away a frown  or make someone's day a little better.


It is:  http://www.gethuman.com/us/


Form letters and database management

I would like to offer database management to my potential clients.  Any notions on what to charge for this?  I was thinking of an initial charge to set this up, and if I do their transcription no charge to maintain. 


Also want to offer form letter creation and mailing.  Has anyone ever done this and what did you charge?  Any input is appreciated.


Phys database sorely lacking SM
and the rest of it is okay, but certainly not almost $200 okay.
Focus Infomatics - they assign work or you pick from database

I wanted to know from anyone who works at Focus if you are able to download work when you want to or is it assigned to you? I thought I heard that you can go onto the site and grab dictations when you wanted to instead of being assigned.


If anyone knows I would greatly appreciate !!


How is keeping a patient database on your personal computer HIPAA compliant?

I would love an effortless line counting program too, but...


 


Just curious if anyone has investigated that issue with this software.


Only 30 doctors?
Your line count sound great anyway! Maybe some day I will get there. I will keep working on the expander thing. But only 30 doctors? I am sure we work for the same national. I have only two accounts, but have 97 doctors! I have been meaning to ask my friend who works for the same company if she has as many. She has 4 or 5 accounts, but I don't know how many doctors. Sometimes, when I see the 'no jobs' screen, I am tempted to call and ask for another account, but I never do since I am afraid of what I will get. One of my accounts is my 'dream account' because there are few doctors, and they are WONDERFUL. The other account has about 90 doctors and I never know what I am going to get!
Doctors
I used to type for a doc who said sh*t at least once in every sentence. He always told "the typist" to delete that but it was a laugh just listening to him!
You may be right that most doctors
do not read their reports, but a lot of other people do, including coders, nurses, insurance companies, attorneys, and possibly even the patients themselves.        
CERTAIN DOCTORS.

I work for a small MTSO, and I have been asked to work on a certain doctor.  It happened to me because I was getting his work done on time and how he wanted it done.  So, yes there are good reasons for this to happen. 


Thanks!


So....how do you think these doctors who
And some of them KNOW about offshoring (lots of them do), feel about people going overseas for their medical care?  How does it feel?  Not so much fun, huh?
One of my doctors...
is wonderful about saying A-B-duction or A-D-duction instead of assuming I will know. He's got a slight accent, too, so I really appreciate it
Doctors as MTs
I can't help but wonder why someone would go to med school, then decide to become an MT. Even in India, I would think an MD does better financially than an MT -- which is why I bet while they may be good MTs, they must have been inferior MDs. JMHO.
Do you ever wonder how much doctors would
keep patients if they talk to them the same way they dictate? I have transcribed some doctors that I wouldn't go to (no matter how "good" they are) simply because of their dictation. If they talk as fast, slurred, etc. to patients as they do when dictating, no wonder people are sick.
Doctors
Does anyone know where doctors post that they need a transcriptionist?  I have looked through many websites but only find companies and not doctors.
doctors-ha
I am frustrated beyond belief at doctors who do not keep up with dictation then the office blames the Transcriptionist for being behind.  Dictating a week's worth on Sunday afternoon does not mean they will get all the dictation returned on Monday!  And of course they are asking for "stat" reports on one particular patient, then claim they have "missing" dictation.  Well I don't get paid for my time going through and finding one in particular.  I've been an MT for 15 years, but never have I been so frustrated as this afternoon when this whole situation came up for the upteenth time in the month of May.  Sheesh.........why don't they talk to the doctor about keeping up?!  gggrrrrrrrrrrrrrrrrr     Sorry, just had to vent..... but I was wondering if anyone has a spare tazer I could borrow.
doctors
Isn't it sickening?! Funny how they think they know everything and are always right, then can't even dictate all of one day on that day or can't remember what patients they've dictated on and blame us for losing them! It's actually the doc who has the problem, but they can't/won't see that. If I didn't need the money so bad, I would certainly quit this guy. He's a major royal pain in the buttocks!

Maybe it's just normal "rigors of transcription", but this has been a consistent problem for months and months and especially for the last couple of weeks. Maybe his allergies are frying his brain! Whatever it is, the staff has the same problem!
They are now quoting me what my contract says and claiming I'm not fulfilling that contract!

gggggrrrrrrrrrrrrr
Getting new doctors
I was wondering if any of you can give me some idea on how to get new docs. The last two accounts that I had I just fell into them. My friend was working for an office when they needed a transcriber. And the second were my ob that I had been seeing when I was pregnant with my twins. Unfortunately, I lost the first account to a lady who was going digital and she was was to come in and cover for me while I was out on maternity leave. And now the ob docs changed over the a new system. They are actually using a piece of paper that they check off everything and if there is something abnormal they make a note of it directly on the paper. I had been transcribing for six docs, but now I am only doing 1 and he is probably going to be retiring soon. I don't know what kind of information I would put on a flyer, or should I send out a letter to doctor's offices. Any help would be greatly appreciated. I have never done hospital dictation, so I am strictly looking for office work.

Thank you in advance,

Cheryl
Doctors
Thanks.  I did work for a doctor who stated that doctors are always looking for transcriptionists, but I could never find where they advertise.  The doctor I got was from word of mouth, but he recently moved out of state so I am looking to do work for another doctor.
doctors lie

What do ya'll think about doctors who lie in their dictation.  I have come across this twice within the year - so I am sure it happens quite often.  Once was my own personal MR - doctor came in and told me I had a coronary spasm but when I got my records there was no mention of a coronary spasm or anything else having to do with coronary - he basically said he didn't know what the problem was - other than my blood pressure was 220/114 - which I had to take my own medicine in the bathroom to get it to come down -


 


then - a friend of mine had a bariatric procedure and developed a stricture - he then had an egd under conscious sedation (he is 21 years old) and he became combative on the table.  The doctor came into the RR and told us all about how he had been up and down on the table and how he was not able to do a dilation because of this - then when we got his records - the report said that he had used 3 different balloons and dilated the stricture successfully.  However, my friend was not able to keep anything down - so the doctor went in and did the egd again under general - and could not even find the anastamosis site - he was sent to a specialist who did an egd using dye and fluoroscopy.  Another stricture is forming and the specialist is going to place a stent which is not approved for bariatric patients - it is something they place in people who have esophageal cancer which allows them to eat until they die since the cure rate for esophageal cancer is so low.  I wouldn't let them touch me again - but this is a young kid and he doesn't know any better.  I might also add that the anesthesiologist and the nurse that was in the room on the first EGD came to the RR and told us how bad the situation had gotten before the doctor gave up.


long story long - do ya'll think this is common?  can we no longer trust doctors with our lives?  I realize they are scared of malpractice suits - but, as with my friend, we know that the doctor messed up his tissues - and the specialist told us how bad the tissue looked - like it had been "stabbed through with a knife, inflamed and beginning to scar up".  But do you think that they lie in all of their reports where something goes wrong - or that they color the situation so that they come out smelling like a rose?


doctors
I like www.healthcarehiring.com/

Can look up doctors, clinics, and other things by state.
Doctors --sm
are so used to dictating certain ways that he may not even know he said the word comma. I have a doc that uses "comma" for every punctuation, including period at the end of a sentence. My transcription training drilled it into my head to use as few commas as possible and we were graded on that, dinged if we had too many. I transcribe what I feel to be right, not what the doctor dictates as far as punctuation goes. JMO
I take this seriously; however I know doctors
My mother's surgeon is one of them. Sometime during one of his visits, mother's medical records were brought up and somewhere in the conversation transcription. Well, he said all the x-rays were transcribed by a facility in Australia and he thought it was wonderful because they were ready the next day since their day is our night, etc. He just had a big 'old smile on his face. When I asked him didn't he realized HIPAA rules could not be enforced, he just shrugged as if it were no big deal. This is a guy that has been around a long time and he doesn't even care about patient records, and this would go for ALL the other doctors in his group practice as well. The x-rays are sent by a local hospital, so if the doctors don't care, and I know the hospital knows where the records are, I find it hard to believe most don't know what's going on with our records.

The bottom line......MONEY.........and not the patient.

I take this seriously; however I know doctors
My mother's surgeon is one of them. Sometime during one of his visits, mother's medical records were brought up and somewhere in the conversation transcription. Well, he said all the x-rays were transcribed by a facility in Australia and he thought it was wonderful because they were ready the next day since their day is our night, etc. He just had a big 'old smile on his face. When I asked him didn't he realized HIPAA rules could not be enforced, he just shrugged as if it were no big deal. This is a guy that has been around a long time and he doesn't even care about patient records, and this would go for ALL the other doctors in his group practice as well. The x-rays are sent by a local hospital, so if the doctors don't care, and I know the hospital knows where the records are, I find it hard to believe most don't know what's going on with our records.

The bottom line......MONEY.........and not the patient.

my doctors!
or the nurses or whoever else, but as i just said this IS being implemented April 1st!

dont think it will happen super quick for everyone, this is an eventual process, how can you deny that?
Doctors will not like to have to
put all that data into a computer. They are doctors not data managers. That work will pile up on them and because of their busy schedules and become a real pain.

They will always in the end have to dictate/narrate some sort of personal profile on the patient that does not include vital signs,lab values and imaging results.
No, because the doctors will not want
to listen through an entire dictation of sometimes meaningless stuff to find out what they need.
if the doctors in the USA really REALLY sm
knew why their work is of such bad quality, they would bring their transcription back into the US and hire EXPERIENCED US MTs to do it. I see it happening already, albeit very slowly!
Doctors
are the worst at spelling. I have one doc that consistently spells words wrong. I spell them correctly and leave a note letting him know. He continues to spell them wrong (the same meds). I think he just cannot admit that he is wrong(-:
Where have all the doctors gone?
Gone for AMA meeting every one...ohh when will they ever learn? When will THEY ever learn?

Okay, joking aside. The AMA is meeting in Chicago. Obama is addressing this convention to push his new health plan, something the AMA doesn't support. They are afraid, as are we all, that this will "save" money by cutting compensation to doctors and hospitals. They seem to have record numbers in attendance to show their numbers and power.

So, this might be why work is low all around right now. Bully for them! If they can stop Obama on this, I'll be low on work for a bit and I don't mind in the least. I don't believe that nationalized health is the answer for this country.

GO AMA
search

best for me is www.rxlist.com


just type 1 or 2 letters and add *, then you'll get the drugs containing those letters.


Did you try the search at the top?
x
Do a search for
Silent Night Radio. Download it and run the program and look for Radio Free Colorado.

Excellent!!!
They have. Search the net. nm
nm
do a search
This was all discussed in quite detail about a week or so ago.  Do a search and see what you find.  With only a year's experience you may have a little bit of trouble.  You say you are working for a local MTSO, what are they paying you, add on 20 to 30%.  Do they print?  You have to be prepared to do any kind of job, tapes, digital, printing, delivering, pick-up, transferring files before you advertise to get an account and have all the equipment necessary and everything ready to go.  But just like every other service, you gotta go out and make the calls to get the account, it isn't going to come to you and knock on your door unless you have been an established business.   Check in to see about a business license, register your name with the state, get ready for taxes, etc.   
do a search
.
I ran a search and got 0
Sorry to repeat a question but I had run a search before I posted and it produced nothing - I don't know why.  Forgive me for being a bother.
Do a search
If you do an archieve search yo will see that this is talked about every 7 to 10 days at least.  It is no big secret it is basically what you feel your service is worth and then figuring up what you rexpenses are, paper, delivery, etc.     As stated there are too many differntials to state flatly how much to charge -- it is not like minimum wage -- but it seems like a good starting point is 0.12 cpl but again every part of the country is different and what you will be providing in your service is different than mine.  But do a search as we went into this quite extensively about a week or so ago.    Patti
Do a search

Do a search as this has been really talked about several times during the past month or so.


 


Search

You have to have the word exactly the same when you do the search if there is an extra space between first and last name or between two words it will not pull it up.  I use the search from my START key rather than from working in the microsoft word.  I also name my documents with an extension .doctor initial, i.e. .mb .jn .eif or whatever so if I know the doctor I can specify in advanced search to look only at that doctor's documents.  But if I am looking for a type of report, i.e. Colonoscopy, op note on crushed finger/nailbed, then I just put in those words and tell it to search all "My documents" or wherever you file off your reports and it does so.  I have had very good luck with this.   Hope this is what you were talking about. 


Patti


Sorry - should have done a search

I see this question has been answered many times. Never mind.


search

If you type those schools into the search box for MTSTars, you will come up with hundreds of repsonses to that very question.  As well as a wealth of information.


Good luck with your decision. 


search it
I would suggest you either do a Google search OR you can type those phrases into the search box here on MTStars.  I am sure those questions have been answered on here before and you can probably gain the information you are looking for.  People on here are very knowledgable about that stuff. :)
I did a search. take a look at this : sm but I will keep looking
Is Adobe Acrobat 7.0 installed on the computer? If so, the Acrobat 7.0
Create Adobe PDF toolbar add-in for Word prevents Word from automatically
saving changes to the normal.dot template (which is where autotext is
stored). Create/change the autotext again, and click "Shift+File | Save All"
to force Word to save the normal.dot template. Alternatively, you can
prevent the add-in from loading as described in the last section of
http://www.gmayor.com/lose_that_adobe_acrobat_toolbar.htm , but you'll lose
the PDF toolbar if you do this.

"suzyq" wrote:

> When I create an auto text it is only available until I close Word. After I
> close Word, the next time I open Word the new auto text is gone.
>
> Also, when I delete an auto text it is off the list until I close Word.
> After I close Word, the next time I open Word the deleted auto text is there
> again.
.

Doctors have bad days too!
Guess SHE was having a bad day. Once during the dictation, she screamed it ou because she could not find the medication list!  This foreigner had no trouble learning that word, obviously!
Cheap doctors
I remember one specialist many years back who complained when the hospital I worked for put in a new dictation system which required pushing the buttons on the phone to put in patient ID, etc.  He came to the department in person, ranting and raving because "now he would have to pay to have a push button phone installed" in his office.  This same doc came in the department on a Sunday afternoon and was using the hospital department copy machine to copy EACH AND EVERY PAGE his JAMA because he had DROPPED IT IN HIS POOL at home.  Can you say, "cheep, cheep, cheep"????