It also depends on your account specifics too...
Posted By: Ohio-KS-MTMom on 2008-04-04
In Reply to: transcription help - Kymbers
if it is verbatim, you type what they say...
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lines produced also depends on type of account, doctors, specifics, platforms.
nm
Don't know specifics about account.
The setup and all that is exactly what I am clueless about. I know nothing about what type of service physician would want yet, but he mentioned to my husband that he might be interested in getting me to do work for him or may try to get me on at hospital he primarily works in. He asked my husband what I charged and my husband told him he wasn't sure. The physician automatically said "15 to 20 cents a line". That is more than I am making now and is very tempting.
Our account specifics say
We have recently been told to type the patient's name if doctor dictates it in the report. I also thought that was against HIPPA.
I could see if she posted account specifics, etc., BUT
I definitely don't see the big deal about saying what hospital you will type on. Some people are way too sensitive and look for something to complain about, but that's just my personal opinion.
When account specifics does not cover
I usually refer to BOS and it states to add the year if not stated - if you are sure of the year. Also - interestingly enough - it says if you are doing long dictation and doc says labs done on April 4, 2006 are.........and then says additonal labs 4/5.... okay to used slashed date - this is on page 121 of BOS edition 2 if you are interested. That being said don't think you would be WRONG to leave off the year if it is verbatim account :))
do you follow an Account Specifics?
nm
I would read the specifics on that account and do it that way. sm
Sometimes QA gets things backwards, doesn't understand the rules, etc. Make sure you're doing it the way the account wants and ignore incorrect feedback.
If your account specifics don't address it, get a definitive answer from the account manager.
Once you get that definitive answer, it might be wise to have the account manager inform QA of the correct format.
I think that would just be preferential or maybe account specifics for the doc. sm
I think you are asking whether the "before" or "after" makes a difference. Not that I know of at all, I think it is all preferential in the way they are dictating unless his clinic/hospital requests it that way. The code is the code and is used for billing, makes no difference where in the diagnoses it is other than in order like primary diagnosis, secondary diagnosis, etc. Makes is so much easier on the coders when they give codes rather than second guessing them as some can be very confusing.
whatever the account specifics are, is how you to have type it...
regardless of whether or not you agree with it...just how some companies/accounts are...
and it is our responsibility to know the account specifics...
nm
Your account specifics or the client should tell you which they prefer....
otherwise, I would use 2 spaces as that is the way it is normally done. I believe the AAMT recently has stated that only 1 space should be used, but I don't put a lot of stock in their rules. I go by what my client wants and account specifics.
My account specifics require it typed out, so I can't really comment
I have been on accounts that did not require it. Unfortunately, you have to follow account specifics. I had all abbreviations in my Expander to type the full word or phrase because the account I worked on previously did not allow ANY abbreviations anywhere in the report. Needless to say, anytime you switch accounts, you likely have to adjust your expanders.
My account specifics state 2 spaces after a period, but when I get ASR..
it spits the report out with only 1 space after each period. I understand they are paying me less by making that minor adjustment, but is it worth my time to go put the extra space in. I would get paid for the spaces then. This will take extra time, obviously, but wondering if I would get thru the report quicker and make more money in the long run? Any suggestions?
But my account specifics wants 2 spaces which takes precedence over BOS doesn't it? sm
So when I type on that account I put 2 spaces, and when I do ASR there is only 1. Maybe I am too detailed oriented, and I have to let the small things go. Been doing this 30 years, so I am stuck in my ways, I guess.
AccuSTAT in Wisconsin is hiring for an ER account. See the Job Bank for specifics. IC position. NM
xx
RE: Depends on the account
No it does not!!!!!!
depends on which account
It really depends on which account you are going to be working on as to how much of a response you will get. There is one account manager who manages several who is NEVER around, doesn't answer emails or the phone and it's been whispered she may even work another job. There is a huge group of clinic accounts without a manager, they got rid of her, probably to save money since there have been lots of money saving cuts going on. Currently that one is being overseen by the HR lady with no transcription experience (the second in command, watch out for her, really thinks anybody can do the MT or Editor job without having any experience). There was another account with a really good manager but a bad platform, but she finally left, so hard to tell who is there now. The actual owner is a very nice lady but unfortunately isn't much involved and only knows what her second in command tells her, and she makes it look like she has all under control, and in reality she is the second top reason most people leave this company. A new manager has been hired for the new account we have, but yet again she will be limited by what Ms. G. will allow her to do, which won't be much. This used to be a really good company but steadily has been on the decline. Tell me what editor will put up with bad platforms, 100% listens and low work for 3-3.5 cpl? What MTs will stay on with bad platforms and being ignored when there is no work?
Yes, it depends on the account (sm)
I do think it would be strange to have a PE section. The physical exam section is the "O" section, for Objective. It would be redundant to have PE within O. You may want to ask for samples.
Depends what account you are on. I have been
there just over a year. DocuScribe is easy to learn, not bad at all. I don't have that many ESLs, mostly they are residents, but still I don't know about other accounts.
I think it depends on what the account wants, and
In fact, one account I type wants it both ways: They want all abbreviations expanded in letters, and usually no expansions except in certain circumstances on all other dictations by that account. The 'twice a day' vs. 'b.i.d.' thing is trickier. If my account has no specific rules about it, then for the sake of continuity, if the first couple meds in a list are written one way (such as b.i.d.), then even if they say twice a day on the next med, I still type it b.i.d. That way there's a little more uniformity, and I think also the list is easier to read. Of course, it all boils down to the preferences of those you work for.
Depends on account, but discontinued
would be correct (sometimes it means discharged)
It depends on what your clients or account wants. sm
BOS sometimes does not matter. The only thing that matters is what the people who sign your paycheck want on their reports.
It depends. If you have a very difficult account
an hourly rate would be great, but being paid by the line I make $20+/hour and I don't think companies would be willing to pay that hourly, so I guess I would have to say I'd rather be paid by the line, unless it is editing and that is a whole different story. I also think being paid hourly would make me maybe not work so hard to get lines and perhaps slack off occasionally. Depending on what shift I'm working I'm up and down every hour or so, putting a load in the washer, feeding animals, loading the dishwasher, etc. If I was getting paid hourly I should not be doing that stuff. I am not very disciplined and find it hard to sit still for more than 2 hours, so I would have to have a change in my routine. I enjoy the flexibility of being able to get up, even go outside and sit on the deck and watch the sunrise, etc. Another pro for the hourly wage though is at least you'd know what your paychecks were doing to be every payday and could maybe budget better.
I find it really depends on the account.
I really lucked out that I am on an account that has been doing VR for a while and the docs all speak pretty clearly. The reports come to me pretty clean. I only have to verify demographics and make minor changes to the report and I can get pretty good line counts.
On the other hand, I know MTs who aren't so lucky and end up having to transcribe many of their reports because they are so bad and end up making less money.
I love my VR account. I decided to do VR to save my wrists. I have had problems with carpal tunnel, but not since switching to VR.
Depends on your account, I would guess.
Some accounts want a strict SOAP format, so you would disregard the other headings.
I personally work on verbatim accounts so we put in any headings they dictate.
It depends on the account guidelines.
For the majority of the accounts I work on abbreviations are only expanded in the critical sections, such as diagnosis, impression, etc. This is to the client's preference, and it is considered an error to expand an abbreviation when it is not necessary.
As far as dosages, I always transcribe what the dictator says unless it is a prohibited abbreviation or an error. Prohibited abbreviations are changed, per client preference, to the acceptable term. If it may be an error, it is flagged for review. If the doc dictates "twice a day," they get "twice a day." If they dictate "b.i.d." that is what I transcribe. It is also considered a error, at least at my company, to alter what is dictated.
Much depends on the account/accounts that you are on (sm)
Like everywhere else, I suppose... I've been with JLG for almost 12 years and have had the same main acct the whole time. It's a large hospital system, and yes, lots of ESL, but only a few that I would consider dreadful. Have been on some other accts with virtually no ESL. Have also been on work types where I could rack up lines like crazy, and other times (like now, for instance) struggling to get 1200-1300 per day. Have had times where I felt extremely micro-managed, other times don't hear anything from anyone for literally weeks. Paycheck has always gone out on time, but unfortunately no longer do direct deposit. I guess you could say they've been a little erratic since I've been with them, but overall I am pretty happy. I believe they have several different platforms - I'm on "EHR" (for the past year or so) and while it's a little slow going from the patient information screen to the document screen and back again, it works with your own Stedman's spellchecker and with Shorthand, so better than some others that I've been on. I will say that the support personnel have not always been the best, but, again, I've seen a lot of people come and go! Hope you find a position that's perfect for you - or at least nearly so!
I have been paid both ways. Depends on the account. nm
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I guess that depends if it is a verbatim account...
I think even so I would type feces....
I agree, it depends on who you work for BUT also the account
and how long it has been on VR. If it has been on VR for a few years, piece of cake. If it is just starting out on VR - tedious work, low pay as it takes longer to edit than to just transcribe it.
I have been doing VR editing for 4 years now with an account that has been on it that long also...can make up to $50 an hour, and some times as low as $30 an hour when we add new dictators.
Hope this helps.
Same for me, I made more 10 years ago. It depends so much on account, SM
work type(for me), and expanders. I find it hard to stay motivated when report after report is ESL and a work type I can't make money on. The above poster likes radiology, I like OPs. It is easier to stay motivated when you have that.
Depends - one account I make 40 an hour, other - s/m
I grunt it out to make 10 bucks an hour. If I worked just the ER account, I would definitely make full time money for part time hours.
Durn second account. :}
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.
I consider myself a pretty fast Mt, and I am lucky to hit 100 reports a day...depends upon account.
Depends on the pay and account. My lowest average is $15.52 an hour (roughly 182.6 lines an hour) w
;'
ask her specifics; she needs to tell you
if she asked you when you were getting DSL, it indicates she wants you to produce more lines, sounds like. Many of us employees of transcription companies pay our own DSL. Check with inhouse MTs. Maybe they are producing more.
Specifics
Sorry - I forgot to mention I have the PostureFit Aeron chair by Herman Miller. I checked out E-bay and took a couple of months to bid on a few until I could get one for the lowest price possible - which at the time was about $500. I know it's pricey, and at first I was disappointed because I thought I paid too much (I have to admit I'm cheap), but now I believe it was worth it. I'm just glad I didn't get rid of it right away without using it for a while! Hope you find one that works for you!
Any specifics on how to do that?
Any way to re-learn to listen ahead? It all comes so automatic (the way I do it now). Also, it seems like I would have to slow the recording down too.
Specifics, please....
Do you use a lot of self-made normals? I've been lucky this week and have gotten a lot of ops. I managed to post 221 LPH my last shift worked, but I also got the you-know-what scared out of me awhile back (vicariously) when my CCM called a conference call to explain that using cut-and-paste Expanders from specific dictators previously dictated reports was not allowed, so I've never done that. In fact, the thought hadn't occurred to me to try that until the conference call, LOL! (Amazing what ideas you get from somebody ELSE getting in trouble....)
Anyway, I'm pretty fast at ops, and consider them my favorite work-type, but even on a complete night of them on a primary account, 221 LPH was the result.
Suggestions?
specifics have not been announced yet.
x
You need to give more specifics for any really
helpful answers. Are you an IC? Is it a private client and some unknown person is changing your reports? Do you work inhouse and have some other processing of your reports? Do you work for a national, and think QA is altering your reports? I know lots of MTs accuse QA of removing sentences, etc., when, in reality, the MTs never heard what they thought they heard to start with! One error in mid sentence and then 3 sentences incorrect! QA often has to go in and retype sections, while the MT accuses QA of being lazy or some other such charge. Can't really think of why someone would want to change your reports - are you thinking you are being set up or something? Please provide more details if you need more help! 
How come you provide no specifics?
Too busy to spend a few minutes typing information that would benefit other people, when obviously you benefit from this bulletin board by reading it and even responding? This website is criticized by people for being overly negative and when people make such harsh comments without having anything to base it on, it makes the poster look suspicious. If you have any facts (or even impressions) to support your claim, please give them. If you don't, why make such strong statements?
Want specifics from posters
Let me clarify: I wanted to hear specifics from the experiences of those MTSOs that participate posting on this site.
I would do what you think looks the best if you're not given any specifics.
They will certainly tell you to make a change if they don't like it. In this case, no news is good news.
link to AMT specifics
http://dontmesswithtaxes.typepad.com/dont_mess_with_taxes/2007/12/tax-season-on-s.html
Are there no "account specifics" in QA?-
First let me say this is not my being "sensitive" to having mistakes pointed out, if I make a mistake I want to know so I do not make it again. BUT, it is absolutely so frustrating when the QA people are not consistent with each other and make corrections on their personal preferences. For example, one tells you you made a mistake by formating this way, you change it, someone else QAs it and they say its wrong and to do it another way! You question this and are told to follow the account specifics, which is what you did to start with! I am truly curious to know if the QA people are brought together and given the same account specifics the MTs are. Honestly, from what I am seeing it is a "to each his/her own" and they are free to make whatever corrections they deem necessary and are given the freedom to change things we were told not to, then we get ganked for it! It also varies greatly between the day shift QAs and the night shift QAs. I have come across a few wonderful QAs in my time who were great and from who you could learn a lot. Unfortunately, there have only been a few.
If you are not given specifics for your test...sm
just type it as you learned it in school!
HISTORY OF PRESENT ILLNESS:
is right as you typed it, it is usually capitalized and always followed by a colon :
And it is
p.r.n.
The newest form is to type 'at bedtime', as h.s. is a dangerous abbreviation.
What is the difference between an acute care account and a multispecialty account??..nm
nm
True. Specifics, especially "different" ones
I have an account whose specifics break just about every style rule known to MT. Had they waited to break all this to me in hard copy after transcribing it the "right" way, I would be seriously confused.
thanks for the tip, but as stated, our specifics say double. 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
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