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I have 17 years acute care experience and don't make 1200 lines in 6 hours. sm

Posted By: searching on 2006-09-15
In Reply to: production - Alexa Hoover

I work for a company that is VERY picky about their work, 100% QA everything.  I have been with them over a year, and have to go back and listen to my work a second time while proofing.  I only make 160-170 lines an hour, but the pay is good for that, and I have learned so much in the year that I can go to work anywhere without problems.  For me it is worth the extra time to put in the few extra hours a week to have really top QA.  There is room for all types in this business, the really fast ones, and the slower ones who work differently, you just have to find your place.  Ideally, we should all type 200 lines an hour and have 99%+ QA, but I don't thank too many of us make it.  Good luck to you.

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And I have 25 years of acute care experience
Hon, I have 16 years acute care experience sm
in all work types/specialties and only getting 9 cpl as an employee with a service plus incentives. 
Hours per 1200 lines

Just want to get some feedback on how long it takes to do 1200 lines.  I did clinic notes and was an IC for four years and work on and off throughout the day, so I really never had to work straight through the day to produce.  I am now going to do acute care-hospital work minus lab and radiology reports.  I have about four years experience.


I have more than paid for VR. I achieve 1200 lines in 3 hours. No need to hate sm
the MT to use technology to its full capability. Do you think a company cares if you type everything no. The bottom line is you have to get you line count.
I can do 1200 lines in 5 hours so with 2 full time jobs
I work on average of 9-10 hours a day.  When I sit down to work, I do not do anything but work.  I do not surf the net, etc.   Also, I am single and I live for my weekends so during the week I work hard.  I also have 2 kids so most of my work is done during their day at school and after they are in bed for the night.  I have a ton of short cuts in my Expander program too.  If I type something twice, I come up with a short cut for it.  Its not that hard.  I would try the one full time and one part time and see how your time is first and if it is okay, then I would bump it up gradually.  You don't want to burn yourself out but if you can do it and you have good accounts, go for it!!!!
Always more - in less than 8 hours, acute care, ops only, own hospitals. nm
Do have experience in acute care? (sm)
If so, you won't have a problem.  It will take just a little getting used to, but overall it is quite easy if you already have acute care experience.  I live in Texas, and the hourly pay is around $11-$14/hour.  Currently I make 11 cpl on radiology as well as acute care as a hospital employee.  Hope this info helps you out on your decision.   
How do I get acute care experience?
I've been working as an MT for over two years now for a local MTSO.  The MTSO I work for has several PT accounts, some family practice accounts, and a few others.  I've grown bored and want to get into hospital accounts (I want the action LOL).  Does anyone know of any companies that hire experienced MTs to learn acute care?
EASY. If you have the experience in acute care,
No offense is intended to any radiology MT.
Acute care position with clinic experience???
Can anyone help or advise me? I have 3 years of clinic experience, but I would like to break in to acute care. It seems like I run into the same brick wall that I ran into with no experience.  Does anyone have any leads or advice as to acquiring acute care employment with clinic experience only? What do I need to do? Thanks.
Oh, my. 30 years doing acute care. sm
I started VERY young!!
27 years, all in acute care. NM
30 years, doing it all (acute care now)
Been doing acute care for 7 years now,
and I was taught to do all of what you QA said you should be doing. The only exception is the spelling out of the abbreviation (GERD). Then I think that depends on how your hospital wants it done - verbatim; spelled out; first time said spell out, then abbreviate after that, if the doctor abbreviates. But I think all of the other times you listed are according to AAMT guidelines.
I have done acute care for 25+ years and
ERs were not considered part of what I did. ER had their own transcriptionists. I personally think ERs fairly simple compared to acute.
14-1/2 years, 10 yrs at home w/acute care. nm
11 years of acute care, all from home. nm
25+ years all worktypes, mostly acute care and Ops! nm
Yes, 25 years here - all acute care. You name it, I transcribe it.
Can't complain - I have a great account and high cpl rate. It took a lot of energy and was very time consuming to find it - but it was well worth it.
10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
Acute Care or Clinic????? Which is easier? Where can I make more
I have been transcribing clinic reports for the past 3-1/2 years (not for the same clinic).  My company does have some acute care accounts and occasionally asks for someone to switch.  I was just curious if anyone had any opinions on which is easier.  I mean where can I be faster and a better lph.. clinic or acute care?  TIA
2-5 years in acute care wouldn't solve this (sm)
I worked in house with a lady who has done acute care as well as clinical transcription, all of it in house for at least 20+ years. She does the same, if not worse, than this person just posted. Her spelling was awful! She's at home working now, and still putting out the same crap as before. So I will disagree that even working in house won't solve the problem.

What SusieQ, and probably some other MTs who think they are doing it correctly, is there are others who read these reports and see these errors. I have had to go over papers for friends who have had correspondence typed from other offices and what I found was awful! I happened to recognize the initials and couldn't believe that this person still worked!

To SusieQ, I will tell you as I tell my kids. When I'm correcting one of my children, I always hear "it's not fair! Why does Jenny get to do this and I don't?" or "Why did I get in trouble for this when you let Jenny do it last week?" I tell them, "I'm talking to you now, not Jenny, and Jenny has nothing to do with you. You are not Jenny and Jenny is not you. You pay attention to what you do, not her."

To SusieQ, pay attention to your own work. If QA corrects you and you question it, then ask QA or the supervisor if QA is correct in their emails. If so, then you need to change your way of transcribing to meet the needs of those for whom you work. If Jane Doe across the street isn't performing up to par, maybe they haven't hit on her just yet; or maybe they have and Jane doesn't want to admit it.
I have typed acute care for about 15 years now, and lots of ESL
docs included in that, but I can usually average 1600 to 1800 lines per day, and that is without PC problems, or new ESL dictators that I haven't typed before...
Just experiencing acute care dictation, for the first time in years
the dictation seems lacking of a change in the tone of the dictation, inflections put on syllabyls or sentence structure are both missing. It makes the job boring with the sighs and "ummmm"s of which there are many, loss of train of thought. In my day, the doctor's dictated with some emotion which helped to enjoy the job even more, in fact, that is my fav part, typing a good job for the person dictating - that has always been my goal. It is very depressing since I see another 10 or so years in this field unless I sprout a new talent that can pay the bills.
Through your years of experience you care more about quality I bet than quantity
This happened to me after midcareer that is after about 15 years. I started caring about the patient more than my paycheck. This might have cost me a lot of dough, and I can't afford fancy extras much anymore. But, I can sleep at night knowing I put the right gender of the patient with the difficult ESL dictating. I do not know you, but I just bet that your 1200 is a really good 1200.
i have 19 years experience and still type 220+ lines/hour
without having to cherrypick. That's just what we do when we get into a backlog. That way, we never have to outsource ... thank God ... and we won't lose our jobs to India ... even BETTER!
Are you saying you have 2+ years experience and only make .04 cpl? -- if so you really need to look
for something a little better.  That is a total slave wage.......I make .085 now with 3+ years, and I started at .06 with 1 job, and .075 at another, and .085 at another (until they changed their pay tier then down to .07 which sucked).  My goal is .10 eventually......believe me you can do better, start looking if you are not already.
What I make with 22 years of experience
Here's my experience. I have been making around 10 cents per line since 1997. I was with ddi and then Medquist for a total of around 16 years. In 1997, I was given my last raise - mind you, I asked for ALL of them, no one ever offered them to me. After that, I was told I was in "highest tier" etc., etc. Even when I offered to work on more difficult account (back when that still mattered and we were offered extra) - I was told I already made higher than the difficult account offered. So, I have made the same cpl since 1997, yes, 11 years. I hit just over $40,000 one year out of the 22 years... otherwise, I range from 35,000 to 38,000 if it is a good year. I am dedicated, work full time, weekends as required, and holidays as when possible/the number required. When I started looking to leave MQ, I was offered 8 and 8.5 cpl - my experience was irrelevant, though all the companies seemed to be quite gleeful to be getting all the MTs out there with many years of experience for 8 cpl... One company offered to up the 8.5 to 9 cpl if I would work their night shift and only ops on their most difficult account. No thanks. I work days. I finally found a place that offered me a lateral move. Really like where I am now but if I think too hard about it, still blown away that something I love to do has led to making the same amount of money I was making 11 years ago... with really, no hopes of more, unless I live and breathe MT and become a workaholic. I'm 43, by the way, been doing this since I was 21. Because of my move to a new company a year ago though, I refound my love of MT. Good luck.
When I applied looking for acute care, Jane told me it's 70% clinic and 30% acute. nm
3-1/2 years experience, type cardio only on clinic account, and make 9 cpl nm
between 1000 and 1200/day in 5 hours. VR and
straight typing. Depends on work type and account.
I usually average 1200 in 6 hours. But
I end up surfing the net and take a bathroom break every 2 hours, so it ends up being around 1K. I should be doing better, but some days are so boring on I am here way too much, when I should be typing.
1200 lines per day.
If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies.  It goes on and on and it means and acute care hospital setting, not a clinic.
Need to type 1200 lines on new

I just started new job about a week ago.  I need to type 1200 lines/ day to reach my income goal.  How long does it usually take to reach this amount of lines?  I can't seem to find a comfortable routine.  I want to work nights but no luck with that.  I am straining too much to see the work because the eyes are just too tired by the end of the day and day time is full of interruptions.  Thought about splitting it up with 4 hours in the day and 4 hours at night.  Anyone heard of doing this? Any other suggestions?  I have an Expander but I haven't put all of the shortcuts in yet.

thanks for input.

well, some newbies are getting 5-6 cpl; so, 1200 lines day = $16,000
Diff between 1200 lines/day with MQ vs Spheris:
If you type 1200 lines a day for 5 days of the week with each company, here is the incentive difference:

MQ: Incentive would be $0.
S: Incentive would be $24.

That is for the entire week.
How long does it take you to type 1200 lines?

On a normal good day it takes me about 5 hours, somedays I just can't stay focused so it takes longer.  I'm still debating about getting an Expander so just wanted to see how long it took people on average. 

Most expect 1200 lines a day, but I think I've seen 1100.
How hard that is depends mostly on work availability and how good the platform is.
1200 lines should be a given. You could be making superb money!
Our department does 1200+ reports a day. They average 11 lines. nm
This is for 2-3 line normal chests to MRIs. They look longer, but if you take 65 characters with spaces, you will be surpised. Here's an example:


INDICATION: Chest pain.

FINDINGS: Heart size within normal limits. Lungs are clear.

IMPRESSION: Normal chest.

This is 116 characters with spaces, which is 3 lines (if you round up - actually 2.55 lines). If by the line, you would make $0.30.

Something to think about.

Do the same with an MRI of the knee. Copy and paste it into word and count it. A very long one I had was only 15 lines.
Sounds amazingly stressful. I'll stick to my 1200 lines a day, thanks. nm
What would you make in incentive doing 1200 lpd?

With MQ's new plan in January:   $0 incentive on 1200 lines/day.

Spheris:  1200 lines a day = $24 a week incentive.

What about where YOU work?!!


Do you need to have 2 years full time experience or just 2 years' experience? nm
I do 2000 lines in 6 hours - so maybe 3 hours - nm
1/2 rad and 1/2 acute care
Does anyone have an acount where they do some radiology and some acute care?  Do you get paid differently for rad/acute care on this account?  I get paid the same and have one radiologist that slows me down considerably (I transcribe for 2 radiologist alternating weeks).  I make 1/2 with him than what I would make doing acute care or the other radiologist. 
Acute care

Can someone please explain acute care setting in detail?

Yes, and also known as acute care. (sm)
To me, the next thing would be OPs right after doing radiology, because you have lost most of your drug names by now. But it is hard to break into OPs, especially exclusively. You would also likely do well with (office) orthopedics or gastroenterology. I'm not saying you can't do acute care, but you would want to be in-house with a mentor nearby for the easiest transition. The drug names and all the various mispronounciations will be a thorn in your side.
I do know that the acute care...
would benefit me in the long run because I would have more opportunity to learn more. I currently do not take on the variety of work that you do, hence, the boredom. I only do discharge summaries on a regular basis and just started with consults and H&Ps. I have yet to do any regular workload of OP reports, etc.

I have always been interested in the psych field. Maybe that is why I think that I would be more interested in doing the transcription. Also, yes, I am on the hardest account we have. Thanks for the input though.
Acute care, 0.07 and 0.075....maybe??
I was hired making 0.08 cpl doing acute care for a national right out of school. Personally I think your numbers are a little low compared to what I have seen out there.