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It depends what type of surgery, I guess. sm

Posted By: OP Specialist on 2007-04-17
In Reply to: Are Ops hard to do? - Curious

Some are very easy and fast money, others are very detailed and long, nothing "normal" about them.

It all depends....Personally, they are my favorite and I specialize in doing only op reports, all specialties.



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I type brain surgery. Maybe I should switch to rad? LOL

I guess it really depends on how much you
enjoy the "freedom" you have and how much you enjoy the job you do right now. I know from experience that sometimes it's better to take less money and be happy in your job than to take more and not be happy. It's a tough decision and I wish the best to you.
I guess it depends. Do you also do
Are you using ICs or hiring as employee status? That makes a difference, too. If IC, the turnover rate can be high with ICs (at least in my experience, even w/ good line rate/decent dictators) so it's quite literally a neverending process for some MTSOs.

Another factor is my first question, do you do some of the work yourself? It's really dependent on your personal goals. Do you want to free up your time to work or are you wanting to add more clients and build up your business? If the former, does having the help afford you the extra time necessary to do QA functions? If the latter, are you able to charge a high enough line rate to bear paying an MT and a QA person a decent rate and still earn enough of a profit to operate? How many ICs do you typically have on QA, how long, and how many QA people would you realistically need to handle the workload? I think those are all legitimate questions to ask yourself.

FWIW, I tried doing QA myself at one time and it was not a winning formula. My theory was pay the MT more of the line rate to attract quality help and they won't be on QA for long, but it didn't play out that way. I had a high turnover for various reasons, ICs going AWOL, not meeting TAT, too many errors, etc., and even with the really good MTs, you run the risk of losing them to bigger services that can pay more and/or offer benefits, or they simply find their own accounts. I was putting in very long hours in order to handle QA plus get my transcription done. It wasn't worth it for me, time wise or financially, so I gave it up. Again, it depends on your situation, your ultimate goal, and if you are able to find good reliable help. I just thought I'd share my personal experience with you, too. YMMV, of course!
depends on what you did I guess sm

Sometimes the less said, the better, but of course, only you know what you did and I don't think you should broadcast any personal info on here or the Web. You will have to decide for yourself, if you have the skills, maybe they will give you a chance; maybe they won't think it matters. Only you can decide. I can't give you advice and doubt anyone else on here would either. We're used to everything being confidential, etc., professional people here, at least most of us anyway! Good luck!


 


Pay depends on where you work, I guess.

I know if I have a midnight deadline, it's 4:00 a.m. my time because I'm on the east coast and my national is out of California.


Good luck with the 3rd shift.  I was thinking of that myself, but my husband has been doing 3rd shift for 7 years and I do first shift and we tell everyone that's why we get along so good.


P.S.  He usually tries to keep his all night routine on the weekends, (his shift is 10:00 p.m. to 6:00 a.m.M- Th) but sometimes he'll stay up on Friday morning and go to bed at 11:00, but it messes him up sometimes because his week starts Sundays with a 12 hour third shift from 7:00 p.m. to 7:00 a.m.  You'll get used to it.  He loves it.  No alarm clocks. No morning rush.


That depends on your company. You will need to ask your TL about that one, I guess. nm
x
Depends on where you live I guess. sm

My cats have been outdoor cats all of their lives.  One is 13 and the other is 10.  Where we live, they sleep in the street.  They're both neutered and up-to-date on shots.  They don't wander too far from home anymore as they get older.


We moved here from a farm on a dead end road and I tried to make them stay indoors at first, but they wouldn't have any part of it.


Like I said, it depends. 


Everyone in our tiny neighborhood knows them by name and dogs fear them. :)


(They're 15 lbs. each).


Guess it depends where you live. sm
Clerk didn't care if I would lose day(s) pay and also said I wouldn't get the $50 a day reimbursement as I was self-employed and had to pay myself. 
No, I guess it depends on where you live (sm)
Like I said above, I have heard it used in a derogatory way many times. I am definitely not the prejudiced one. Anyone can look at the term "ebonics" and see where the root word comes from.
I guess it depends where you live...
Some employers require or "prefer" certification, but I don't know whether that earns you any extra money or not. Most do not require certification, at least where I live, and do not come out and offer extra pay to be certified or encourage you to be certified. My opinion is that it is a waste of your time and money.
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.


I guess maybe it depends on who you work for...
All I know is my boss is well aware of every single report that I proof every single day. I have specific accounts that are my sole responsibility, so if an error like this drug mistake got through on one of my docs' reports, it would be easy to know who saw it last.
I guess that depends if it is a verbatim account...
I think even so I would type feces....
I guess it depends where you live. Grocery
I don't know of anyone who shops at Walmart for groceries.  Not one.  No way I'd buy perishable stuff from Walmart.  I was desperate one night a few years ago and bought milk at Walmart and BLECH!  It wasn't past the expiration date but it tasted like it was nearing expiration and the coolers were lukewarm.
I guess that depends on how many hours you work. sm
Do you save yourself 2 hours because of your Expander and then quit for the day? Or do you work more hours because your expansions allow you to = more on the paycheck?
I guess it depends on which office you get switched to now doesnt it.
:
I guess it depends on what company or client you work for. nm
x
I guess it all depends on what part of the country you live.
I could not live on $2000 a month.  Our house payment is more than that, not including electric, cable, car, etc.  One day we will retire down south!!
lol I guess I wouldnt type that! nm
x!
Guess it depends on how porous his skin is-- try cold cream maybe? - sm
My kids have done all sorts of stuff, usually the face cleans up except for red in my experience...fades over a week or so. But cold cream is good for make up so maybe it will work, if you don't have any handy maybe a thick moisturizer? Obviously the hands are not an issue since they won't be in the picture, you can always try a liquid make-up if it doesn't come off and if the make up does not look weird. Good luck.....you can always keep him home or arrange for him to do the make-up picture for kids who are sick...they always have a make up picture day...find out when it is and just do it then.
I guess it depends on if it was a long-term affair or a one-nighter sm
Probably would try to make it work because I love him and want my daughter to have her daddy around.
depends on what type of reports.....
130-160 per 8 hours, if typing combinations of everything; i.e. MRI, CT, nuclear medicine, fluoro, x-rays, angiograms, etc.
depends on type of reports sm
do not sign on to do MRIs, CTs paid by the report, you'll lose money big time.
depends on type of work
Recent experience shows that working for a service with radiology accounts pays anywhere from $1.25 to $2.25 or so for a page or report (depends on how computer program / system counts a page) with diagnostic x-ray being short and quick and longer MRI/CT reports paying more. I've heard of psych reports - IMEs which are longer with very dense line count per page - being paid higher page rates but many years since I have done this work, no idea of average $ amount now.
That depends on the type of work

I'd think 8 hours; depends how fast you type - sm
and how good the quality is of the dictation. If you have to break down multiple people talking I expect it will take you longer than 8 hours.
depends on what type of clinic you were transcribing

if they were basic SOAP notes, then i would guess the basic 4 hospital reports will be quite a bit harder. 


if you had an intense multispecialty clinic, then you could probably do H&Ps and consults.


but I would suggest you give it a try. being able to do hospital acute care can only help your resume, and possibly up your income after a learning curve.


JMO


I think it probably depends on the dictators and type of reports.

Personally, I think it depends on the dictator, how familiar you are with the specialty, and if there are expansions/normals that can be used. 


For argument sake, lets compare $1.15 per minute to 9 cents a line, if it takes someone 1 hour to transcribe 10 minutes of dictation. 


If you have a slow dictator who reads the chart, changes their mind every other sentence, or uses terms/equipment that you have to constantly research, and at the end of the hour, you only have 100 lines typed, then you are ahead of the game.  You earned $11.50 that hour.   


10 minutes x $1.15 (typed in 1 hour) = $11.50 per hour.


100 lines x 9 cents per line (typed in 1 hour) = $9.00 per hour. 


BUT, if you have a great dictator who knows what they want to say, are organized,  normals or a great set of expansions are used, you never have to stop to look anything up, and in the end, you have typed 200 lines, that is a whole different story.  You could have made $18.00 an hour. 


10 minutes x $1.15 (typed in 1 hour) = $11.50 per hour.


200 lines x 9 cents per line (typed in 1 hour) = $18.00 per hour.


So in my opinion, unless you can talk to other MTs with the company doing the same work, there is no way to know in advance if you will be making more or less by being paid by the minute as opposed to by the line. 


Please update us after you have worked for awhile and let us know how things are going.  GOOD LUCK. 


 


Depends on type of prepaid card sm

I have a Visa debit card through ADP. They are the payroll processing company used by Medquist (which is where I got the card initially) and many other companies, not just MTSOs. The only fee involved is $1.50 per month to have the card and fees for using it at an ATM, which is the same as if it were through a traditional banking account. I can also transfer the funds to my saving account if I want or set it up to have a certain percentage put on the card and the rest in the bank. I have had this card for about 3 years now and love it. However, if the card they are wanting you to use is like the ones you can get at grocery stores, Wal-Mart, etc, stay clear. They require fees for almost everything from getting your money loaded onto it to using it for each and every purchase.


As far as not wanting to give out routing information for direct deposit, why is there such a worry? So long as the information is given only to your employer, there shouldn't be a problem. Unless this is only a short-term job, I don't see the big deal.


too vague; depends on type of dictation and the dictator
n/m
Generally 200 lph, but depends on work type, I can do more with OP notes, has to do with motivation
I hate HP, consults, and DS, but that is the majority of what I do. I always, always do better with OP notes.
ROFLMBO..jsut saw my blooper..guess i shouldn't type late at night eh?
x
lines produced also depends on type of account, doctors, specifics, platforms.
nm
I'm left handed, guess that makes me dyslectic, so I used to type "patient was raped and prepp
also....wayyyyy back in the late 60's and early 70's when I actually worked in a doctor's office or hospital, if patient's name was Norman, 75% of the time I typed Normal.  What is really funny....my father's name was Norman Hassell...can you imagine anyone being a "normal hassell"?  Even funnier still, my mother named me Joy....so guess you can say I'm a "happy hassell"!! and a lefty at the same time; people tend to steer clear of me!!!  Have a good day.  Big huge storm moving across our little island right now; got to shut down and unplug everything.  
I was transcribing a surgery once, the surgery was over and the doctor was dictating
from anesthesia yet.  Anyway, the surgeon dictating stopped dictating and said "Hey Mary - is this one big enough for you?"  It was obvious he was talking about the patient's PENIS!  I thought HOW EMBARRASSING!  I hope they didn't make fun of my anatomy when I got my tubes tied!
New job first, save sick time, then surgery or surgery first?

I’d like to go back to medical secretary work.  I’ve had cortisone shots in my ECU tendon 3 or 4 times and was warned not to have too many or my tendon could rupture.  It’s been very weak for a year or so and my left wrist is smaller than my right wrist.  I can’t type at all with my left pinky so I think it’s ruptured.  I have Word auto correct and Instant Text set up so I very seldom type As, Qs, or Zs.  I haven’t had surgery because I have my own account, no subs, a DD in college to support, and no disability insurance and didn’t want to take time off work for surgery.  I do have medical insurance though my DH. 


 


I’m debating whether to get a job, save up sick time, and have the surgery while getting sick time pay or have the surgery first without any sick time pay.


 


I’ve done medical secretary work before.  I figured if I use Word there I can save their Auto Correct and transfer mine.  If they use EMR, I can make my own shorts to stay away from Q, S and Z.  I could only accept a job where I don’t type for more than an hour straight, which is what I do now.  Then I started worrying about what if I have to use someone else’s computer?  What if I unexpectedly have to type more than an hour?


 


I think I have cold feet about getting a job outside the home after over 7 years at home AND I’ve had cold feet about having surgery!  Can someone help me think this through logically?  I can’t think straight when my feet are cold.


Surgery/Plastic Surgery Transcription
Hello. I am considering taking a position in the field of plastic surgery. Can anyone recommend a way to pick up on the terminology FAST?
don't type double spaces. Type single. Then no one will be cheated.
x
I can type with wine, can't type with coffee, though...too jittery.
x
That is, type the code above before and after what you want bolded in the text-to-type box. nm
nm
For me it isn't an account type but a dictator type ...
and that would be oriental. An oriental dictator (hahaha, that kind of sounds funny...hahaha) is the most challenging for me.
No, you don't type directly into ES. You type in Word -
or whatever their platform is, just like you did with your tapes.

Then you do your line count in Word or the platform.
You should type them. I usually type them in parentheses following the diagnosis.
x
If it's different for each report, my guess (only a guess)
would be no. I think the macro would work if it was the same each time, but not sure if it will if the documents are different each time.
surgery
My son is having it on Friday in Dallas by the doctor who invented it. He has guaranteed it will work for him even with his astigmatism. He said he underwent five solid hours of testing today and the doctor told him to stay away from the 500. per day, 15-minute exam places.
If you do not want surgery,
You can have your dentist make a nightguard for you, and a chiropractor is also helpful for manipulation. For a quick fix, albeit temporary, you can go to a pain management physician for steroid injections into the temporomandibular joint. If treated, symptoms can abate without surgery. Hope that helps.
LOL and even after ALL that surgery...
x
Eye surgery
My son had this done last summer when he was 4. You can E-mail me if you have any questions.
Had surgery
I just had this surgery last week.  Go to the surgeon and have him submit it to the insurance company.  If your BMI is near 40, and/or you have other medical conditions as a result of obesity, most insurance companies will cover it; although some do make you jump through hoops to get it done.  Just have to work with them. 
Surgery

Just to let you know the condition I am in, and I am not looking for sympathy here, but I had a major foot surgery.  I was born with clubfeet.  I had to undergo a calcaneal reconstruction due to bone damage, and I underwent an Achilles lengthening and reattachment.  I was totally non-weightbearing of the right foot for 8 weeks, and then another 8 weeks of rehab.  Again, my doctor did not want me to go back to work yet, but due to the insurance and FMLA situation at work, I had to go back. 


I am just belly aching I guess, but it just seems that this other FMLA person gets away with murder.  I am more than willing to work 4 to 6 hours a day, as my foot withstands it, but it would mess up my insurance coverage, which is the only reason I have stayed at this facility for as long as I have.  Such is life!


 


 


I just had the surgery - sm

I waited way too long before taking steps to stop it.  Good for you for doing this now.  Make sure to get an ergonomic keyboard and mouse.  They have new ball mice (is that right for multiple mouses??) that is supposed to be really good at preventing cts.  Taking breaks and wearing the splints at night are the keys though I think.  Hoping that you can stop this in its tracks.