I lost a clinic account
Posted By: Cheryl B. on 2008-06-12
In Reply to: Offshoring going away too? - RLA
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??
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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 did a clinic account once and this one doctor was
majorly ADD (we diagnosed him - LOL). He would lay the phone down and look through the filing cabinet or his desk drawers, dictating the whole time. There were almost as many blanks in his report as words.
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?
Is 13 cpl a good rate for clinic account?...nm
ss
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.
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.
I typed both Rad and Clinic, just asked to be put on when a Rad account came open.
nm
I've lost a local account today that I have had for five years......
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. 
For this account, I charge 0.12 cpl. It is very easy clinic stuff with good dictators, but ...
I also do tapes which are horrible so I'm considering upping my line rate especially if all this aggravation keeps up. When I first took the work, I thought I was being fair because the work was so easy, but then they asked me to do tapes and then work specific hours, print and deliver work three times a week. I wish I would have addressed more than TAT and line rate in the original contract. I do charge them a $5 per delivery fee because of gas prices, but still I think I'm getting the shaft.
Oh well, live and learn. I am negotiating for a local doctor's office here in my hometown, small one doctor office, and I'm here to tell you I will be negotiated every little detail right down to paper and toner charges!
3-1/2 years experience, type cardio only on clinic account, and make 9 cpl nm
nm
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 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 recently lost 20 pounds. That means I lost 80 sticks of butter.
    
I doubt your brother has won more than he's lost. To win that much he's probably lost 3 times
So he probably has more bills than money. Otherwise the casinos would go broke.
clinic is not walk-in or ER notes; it is clinic
could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
What is the difference between an acute care account and a multispecialty account??..nm
nm
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
what is your account and specialty on the account?
no one is watching. tell us all about osi.
My dad lost 100 lbs on WW (sm)
He followed a strict WW diet and walked every day.
JUST LOST JOB
Does any know of a Radiology account that needs a Radiology Transcriptionist with 25 years experience. I worked for a small company in my State for a year and the account was dropped today.
Lost my cat
I am so sorry for your loss. I have had pets for many years and it is so hard to see them go. We can enjoy them for a while. When my little dogs and cats have had to go, I just think that I am doing the kindest for them. I think they seem to know when it is time as well as you. I have shed many tears over the loss of my little friends and still miss them all. Get you another to ease your grief. They are all different and a new friend would bring new joy into your life. Another animal lover, Mary
lost
sorry, makes no sense to me.
Lost Dad
It has been five years since I lost my dad, and those times still hit me out of the blue. Dads and daughters have a special bond other folks may not understand. It will always hurt, but time tends to dull the pain most of the time. He's in your heart and there will be times you will be able to gain strength from him where you can't gain it anywhere else. Grieve however you need to. Not for anyone else to say. God bless. You are in my prayers!
Very likely she lost it to (sm)
someone cheaper, but could call to find out.
lost or just said so
I have worked inhouse for a company that when they pulled trans off an account for personal reasons or due to edits, they tell them they lost it. If your company is anything like the one in PA, this is always a possibility - when they don't like someone they frequently "lose accounts" If this is the case - it would be a contract problem
Lost
This company wouldn't be located near Gastonia, NC would it? The same thing happened to me recently and I am just curious if we were working for the same company.
I lost 72 lb in about 2 yrs on WW. sm
Easy to learn, good program b/c you eat "real food", you can eat with your family or go out to eat. Wonderful, sensible, slow weight loss but it is healthy and is not a "diet" per se - it is a lifestyle change. You can eat whatever you want, just in smaller portions and sensibly! Highly recommend it. You can do it on-line too.
As one who has lost everything before...
The best way to backup anything is to email it to yourself on an internet-based email account (i.e. yahoo or AOL). For instance, you back up your Autocorrect, email the text file to yourself. To backup favorites, while in the internet, go to File then to Export/Import, save to your Desktop, email to yourself by attaching the file. Pictures, videos, and the like are a little different. Those should be on a DVD, and do what I do: Make copies of your DVDS (family pictures, videos) and give a copy to two friends. That way, if you lose your copies to fire, theft, etc., you will always have a copy.
My personal opinion. Nothing worse than starting over.
Are you sure they are lost?
I thought book marks were actually saved online for you by for example Yahoo. When i got a new computer, I downloaded the yahoo toolbar and signed into yahoo and voila! There were my bookmarks.
Job lost
Believe it not, C phone and Lanier technology is very passe now.  If you work for a national, you never lose jobs no matter what happens. Don't worry about it. It's their equipment not you that caused your job to disappear. It's all in a day's work. My mom used to say "tomorrow is another day." It's true it is, fresh start, new beginnings with lessons from the previous one to lean on. 
Not ALL MTs - I lost 50 lbs 12 yrs ago and
and lookin' good (mid 50s).....20 more to go to be FIT
Nothing is really lost
You are a gem Patti, and a real business woman. You were not meant to have a pain in the neck account. Things always have a way of working out for the best. I have had those type of accounts in the past where the PA (usually female) will spell the medical terms incorrectly, and then try and tell you that YOU spelled it wrong when in actuality you spelled it correctly! Something else will come along.
Lost job too
Well, join the crowd. More and more of our work was being sent to the service company, and now we are being eliminated as part of the work is going to some sort of point and click for the doctors to do themselves, and then some going to voice recognition as well. So I am looking for Psychiatric work if anyone can give me any good tips for this. TIA
I also know someone who lost
It only takes about a month for them to get up and running and then they cut the MT off. Sad affairs...
sorry....lost me with the $9.00 fee.
x
clinic
yes, it is clinic work
Clinic pay
I'm thinking about doing some doctors clinics. What should I charge. I too will be picking up and delivering. Thanks a bunch!!
I had only clinic exp.
I just applied to companies that seemed good and was hired with no acute care experience. Good luck to you!
Do not know about WP, but I have a clinic--sm
who has WP and I type in word, save document as "rich text format' and they can open it on their end.
I went from FP clinic to OPs sm
hardest darn 4 months of my career! I skipped acute care other work types. In the end, it has been just great. I then went work for a service doing OPs after that (it was all outpatient surgery) for a large teaching hospital. At this point, you can throw me about any OP and I can do it. I learned cardiothoracic surgery this year without much cardiac experience and didn't even find that a problem.
I have a Stedman's Surgical Equipment word book, but if you are a good googler that is almost as good, but can be time consuming if you are not. It would help you to have another MT who knows OP notes to ask questions of as you learn. I did, it helped a lot.
when you say clinic...
Do you have multispecialty clinic experience or is it just a few specialties, multiple docs or 1 doc? That might have something to do with it.
mainly clinic, but
I do have about 4 months of acute care. I know most places like to have 6 months of experience.
lost work
I would ask you, one MT to another, do not let this burn you and make you less than you are. In reality the situation is no different then if someone was going to one store for years and then a newer, more modern one came along and the person switched. This is free enterprise at work. The way that people know we are professionals is the attitude that we have when this does happen to us. Always be a professional and you will be better then the next man. I have learned that it is our attitude in this world that will either change it or make it worse. You new know, because of the way that you handled this account, you could be recommended for something even better. Just a little encouragement. Just do things to the best that you can and it will come back to you, whether you see it or not.
Lost time?
Maybe you are all spending too much time doing searches?
In training we were told don't spend much time - let it go to QC because the clerks have all the census information, etc. that we do not have access to and it is easy for them.
Some things to consider:
If it's an old dictation (more than a couple of months), it probably won't be in the database. If it's a preop for the future, it won't be in the database; just type in what the dictator says.
lost lines on DQS could be from
Is there a program that just detects how many times you hit a key rather than the word if you use an expander? Could that explain the line decrease? For example if I type PE and my Expander puts physical examination, maybe it only counts the PE?
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