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Serving Over 20,000 US Medical Transcriptionists

Local hospital and state sponsored class. (see message)

Posted By: MT1981 on 2008-07-20
In Reply to: Let's Do the Math!!! - Deenie

This was way back in 1980-81 (age 19) in a pretty small town.  Our local hospital in cooperation with state funding had 3 different programs:  Medical Secretary (note--not transcriptionist) which was an 8-month program, as well as Respiratory Therapist and LPN, which were both 2 years if I recall correctly. 


The cost was about $300 (my parents paid) and included ALL materials (books, paper and pencils) for classes 8 hours per day, M-F, from Sept thru May.  The classes consisted of anatomy/physiology, medical terminology, typing and transcribing, English, accounting, and general office practices, all, in 1 room with about 10-12 students in the entire program. 


The last month was spent doing 1 week of practicum for 4 weeks.  We could pick just about any situation we wanted and as long as there was approval by those "offices," it was all right.  I did 1 week in that hospital's pathology dept (transcribing, charting, answering phones--almost got to see an autopsy but was a burn victim, so couldn't); 1 week in another town's hospital MR dept (spending a day or so in each subsection--MT, coding, filing, etc); 1 week our local area's cancer treatment center (again, in each MR subsection), and the final week at our area's tumor registry.  I felt sorry for the 2 girls in the latter; they had ARTs (don't even know if that still exists as a 2-year associate's degree for "accredited records technician"), and all they did was file cards all day long. 


After that, we graduated with a "Certified Medical Secretary" certificate and pin.  I've been an MT ever since, working inhouse (both hospitals and service office for 10 years) and now at home for the past 17 years. 


 




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Buy local. The local stores pay taxes to support your city and state. (SM)
Using online and catalogues does nothing to promote the local economy.  We complain about outsourcing and about the big companies gobbling up all the work so the jobs at local hospitals are gone, yet we do the same thing when we buy on ebay, catalog, and these web sites that may be located any place in the world as their primary business location. 
Contact your local BBB in your state and in their state if different from yours.
xx
local hospital
I work for a local hospital that have all transcriptionists at home except for radiology. I have been working from home with them for about 8 years now. We are hourly employees and clock in and out on computer. We also have an incentive program (which used to be good, but they changed transcription platforms and it's not that good anymore), but it's better than having to drive into the hospital every day. I love it!
local hospital
I worked for local hospital for 11 years, then they decided to go to ASR and the Q took over their account! Seems like most hospitals are finding it more cost-effective to send it to large company with ASR!
I had a local hospital do the same s/m

even after explaining to them what E&O really meant.  Their previous transcription company had E&O, but that was because they had to have it for their copying services as well and the transcription just fell under it.  I found that Farmers carries it, but it was around $1,500 for a year.  They did have payment plans though too. 


Best of luck!


So did I!!! I left a local hospital
because I thought I could make more money working for the nationals.  Ugh, I threw away a good thing.  I tried to go back, but they said I'd have to start all over at the bottom working night shift again.  Not gonna happen.  Well, chin up, things will get better.
I work for a local hospital,
not a company. I know to stay away from Transcend.
local hospital work
i moved from a large city to a small town and i'm thinking about doing what you did. try to go to work for the local hospital. would have to probably work a set schedule, but the town is small so it's not like i'd be driving a long distance and i could go home for lunch. i don't have benefits right now and that's scary, so i'm leaning that way.
at my local hospital, they always call the

I think that is pretty standard. Calling by the first name only would be rather confusing. Especially if it is a busy hospital with a waiting room that is always full, like our local hospital.


I have a "questionable behavior" story for you! I went to the walk-in clinic held at our local hospital b/c I was having pain in my pinky finger. The waiting room was packed, as always. I go in, see the doc, and he tells me to go back to the waiting room until they call my name again. After a few mins in the waiting room, he calls my name & I get up thinking he was going to bring me into a room to privately give me my diagnosis. NOPE! The dope says it to me, loudly - not at all in a whispering tone, in the middle of the waiting room for everyone to hear!! He said "I think it is some kind of fungal infection" His actions were not only humiliating, but wrong! It was not an infection, rather a blood clot that developed on my nerve that needed to be removed surgically! Now, that, I think qualifies for a HIPAA violation!!  (Yes I did file a complaint with the Patient Care Rep)


I also work for a local hospital which is
growing in volume of work minute by minute. We have 52 remote transcriptions and still we need to send out work to two venders.
Local Hospital Accounts

I actually work for a Hospital Transcription Dept. My advice is to ask for the supervisor of transcription or Director as they usually have one or the other.


I actually had a person(who I know was from an outsourcing company from overseas) called and aske me if we were doing any outsourcing. We told her we were not interested, but I actually do send some out to an outsourcing company already. Just wasn't going to do that.


Alot of hospitals around where I live usually are small and have in house transcriptionists. The only reason we have our outsourcing is for people on vacation and when some emergency comes up and we fall short.


Carla


local hospital accounts
do any of you IC people have any tips on what is the best approach on how to find out info on who does transcription for local hospitals?  Thanks! 
I worked at a local hospital

It had its good points and bad points.  The good being it paid better and had better benefits than most outsourcing companies. We had a 4 tier incentive program.  The lowest pay being 0.087 and the highest being 0.10 cpl. You had a choice of working in-house or at home and we were all paid the same either way.   Also, if there was little work or no work you had the choice of using PTO or working in medical records at an hourly rate which gave us a little break from MT and a feel for something else.   


 


The bad, if you were at home they would pull you in at any time just because.  Also, at home we had a lot of problems with their computer locking up, getting kicked off the VPN, slow moving from one screen to the next etc.  The tech support always blamed it on our ISP.  Also, they always made sure you never moved up to the next pay tier.  Only their favorite ones could do that.  They made excuses of why you cannot move up even though the numbers were there.  The one they used on me was that I took off a day during the last 6 weeks.    They told another girl she walked around in the halls and talked too much to bump to the next level.   However, if you did not get your line count they were all over moving you down.


Look at your local hospital's websites
jobs open.  The reason you don't see them advertised is a lot of hospitals outsource all their dictation.  But some still have in-house (or at home) MTs.
When I worked at a local hospital
this happened.  I just transcribed it like any other report.  I would not even mention it to the family member.  When you work for a small local hospital it is bound to happen. 
Wanna tell that to the local hospital MTs whose....sm
...staff was just decreased because EHR came to town? They were told only a few would be staying now because even in the hospital most reports could be handled by EHR. I think you need to reserve your opinion till we really find out what O has in mind for this field.
I worked at home for the local hospital here.
It was fine. They paid hourly and provided equipment. We had plenty of work and had to stick to a set schedule. They do use a service or two for overflow, but it is strictly overflow. The hospital still has employees working at home. They don't ALL outsource. (And ironically, some hospitals are taking back their transcription and hiring in-house and at-home MTs!)
Wow! VERY well written and said! My husband works for a local hospital and
there is one patient who is an illegal that has been in the hospital there for 2 weeks and has racked up a bill that is now over $200,000.  One of the other nurses on staff there called the police department and explained the situation and they are in the process of deporting the patient back to Mexico and admitted to a Mexican hospital.  We can't cover the cost of every single person in the world.  The US is just so big and sorry, but my family, all American citizens comes first.  Does that make me a cold hearted person?  I don't think so.
I worked for a local hospital that used the same formula for our incentive pay.
x
I tested at a local hospital on the East Coast...
The pay was $14.82 per hour to start. They were paying medical unit secretaries $14.60. Also the job was per diem, needless to say I didn't take it.
The easy answer is to go to a local hospital and get experience.
The other answer is to ask anyone and everyone out there to give you a test, prove yourself, put your best foot forward.

Be very careful tough, because in your post you even used a wrong word "there" for "their" and I just wanted to bring this to your attention not to give you a kick but to caution you that you really need to "know your stuff" to get into this business. What you put out there tells about you, so make sure it's your best.
Just got an offer from a local hospital and wanted to run it passed you all before I say yes...

Employee status w/benefits


$13.50/hr with 0.05 cpl incentive fo anything above 1200 lpd and $2.00 shift differential (for 2nd shift which I will be working)


1000 lpd minimum productivity requirement


Work in the office first month for training and then home with hospital provided computer.


Dictaphone EXText Word Client transcription platform


Is this a decent offer?  I've worked at the same place in the office forever and haven't actually been out there  looking in several years.  I tried working for a national part time at one time because I wanted to be working from home, but couldn't see how someone could make a living on 0.08 cpl without working yourself into an early grave, so I gave up the part time job and kept the full time in office job.  Now I have a new boss who doesn't know her butt from a hole in the ground and I started looking around and came across this current job and before I jump ship, I want to make sure I'm getting a good deal.


The $13.50 seemed kind of low to me given my years of experience (13 years), but because I was at my other job for so long I maxed out pay wise.


How do I find out if a local hospital's transcription is done in-house or not?
Can someone please give me some advice?  I am trying to find out if one of our local hospitals has in-house transcription or what company they use for their transcription.  I called the MR Dept. and the lady acted like she did not want to tell me anything.  She said some was done in-house but most of it was done electronically and would not elaborate as to what company they used.  How can I go about finding out who does their transcription for them.  I never see any actual job opening in the MR Dept. or for transcription for them, so I am assuming they outsource most to a transcription company.
Try calling your hospital or local medical providers.
I've been uninsured and in pain for about two years now requiring surgery. I've tried finding a job with insurance. I've tried working extra to save up the money to pay for the surgery. I just found out that the local hospital has a program in place for people who can't afford surgery or medical bills. Their income limit isn't really low either. If I had known this, I would have had the surgery two years ago instead of living with a ticking time bomb inside me and daily pain.
Try working inhouse at a local clinic or hospital.
That's what many MTs end up having to do to get their foot in the door & gain experience. IMO, that's the best way to start anyway since you have experienced people nearby to ask for help because those first few months can be very difficult. Good luck!

P.S. Agree with the other posters below that you need to specify you have your certificate in MT, not referring to yourself as a Certified MT which is a completely different thing and can only be obtained after a few years of experience & testing with AHDI. However, that brings up another topic... many MTs choose not to become certified now that AHDI has sold us out & encourages offshoring of our work. I've been doing this nearly 20 years and only once have ever been asked if I had my CMT, so it's pretty much irrelevant anyway. As long as you have experience & test well, that's what they care about.
Check into adoption through local Catholic services, fees in our state (Ky) were based on income and
although expensive, not as bad as private adoption.  Still, a long wait, we were told.
Mammograms are going to PenRad in the local hospital's Radiology dept.
dd
Thanks. I thought so. This is the largest hospital in our state
I am being ripped off.  Thanks for the reply!
Keep applying at jobs is my opinion. Find out where your local hospital transcription is done
dd
I'm a hospital employee, working local at home, so I get a raise every year.
x
Any chance of taking a tiny ad out on local hospital websites, if not too expensive? Perhaps Drs wo
xxx
If you want to work at a local hospital or doctor's office, go to community college. Otherwise
if you want to work from home, for a national company, you need to take the course from either Andrews School or M-TEC. It does you no good to save money by taking the Penn Foster course, because most companies will NOT hire grads from that school, it is a poor course and does NOT prepare you sufficiently for MT work.
Central Valley, Coalinga State Hospital
There is a prison and a hospital.
New message on New Mexico state board nm
x
No need to repost. Look at the LINK/URL at the bottom of the message and click on State of Californi
.
Depends on what kind of hospital? Large urban hospital or small community hospital? SM

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.


I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 


I went local. Great local tech support, they know what I do and were able to set it up just for me
:)
Work for a company in a state that has no state income tax
I think there are 3 or 4 out there (Florida, Texas, and a few others.)  Then you really avoid the tax situation. 
Name a state and put every company in that state under suspicion.

Tell what the first letter of the company is and every company with that initial will be suspect.  I would imagine that everyone who works for that company has received an inquiry from department of labor, so they would all be aware of it. 


Why do we persist in setting up companies to be torn down when there is no reason for it.  If a company is suspect, then give the name of the company, don't give big hints that cover at least 5 companies, 4 of which may be the best companies to work for, but fall into the category of an alphabetical letter, etc. 


 


 


 


Not mandatory, as you state it depends on your state - sm
or county. Where I am I do not need it; though if I was cutting grass or landscaping I would where I live, makes no sense to me as I am providing a service, but very happy I don't have to have one. We pay personal property tax here and I would have to list all my business related equipment and pay taxes on it every year I was in business. So until I am told otherwise by my county, I will not be getting a business license.
Venting-why do people keep putting nm and THEN writing a message?? nm means no message - sm
Please put sm if you have a message and NM if there is no message other than your subject line.  It makes it easier when reading these messages.  thanks so much and have a nice day everyone. 
class 0-6
found this site via google of spelled-out form:

http://www.fda.gov/cdrh/ode/guidance/800.html

MT class

I am wondering about how much transcribing is expected to be done a day.  Number of reports, lines or maybe pages.  I only have my students two times a week for one hour at a time.  I don't want to give them too much or too little.  Thank you.


What a class act
I think your line "Shove it where the sun don't shine" says it all.  Medquist must be so proud to have you as an employee. 
class
If you are classified as a Statutory Employee you can use the deduction.  Be very careful.  Got to irs.gov pulldown menu self-employed......You don't have to guess.  You have to know the square footage of your dwelling, the square footage of the room you use as an office to get a % of what is used for work.  Add up all of the utilities, interest, mortage, and multiply the %.  That is your deduction.   Sch C is probably easier.  Home off deduction does you NO good if you have a NOL (net operating loss) from business earnings.
And then there is no class
NM
I also did this. One class from my BA.
I'm weighing my options and may go ahead towards a Master's degree but ultimately, I did so for the same reasons. In 5 years there are going to be so many MTs vying for fewer jobs that it will drive down wages and I'm not going there. So, I'll just learn to do something else.
varies from state to state...nm
x
deluded are ye? state by state..sm

http://www.washingtonpost.com/wp-dyn/content/article/2006/05/15/AR2006051501201.html


http://www.votefraud.org/vote_fraud_articles_by_state.htm#VO


http://www.votefraud.org/


Some people just CHOOSE to live in DE NILE (DENIAL) and we all see you are ONE OF THOSE.


Some of us CHOOSE to go through life as a REALISTS! 


 


   


 


Things are different from state to state, but I think
you probably could, if you are actually "laid off."  You would have to get a letter from your surgeon regarding your temporary disability status and take to the unemployment office and to Medicaid....but you know how Medicaid works, 1.5 pennies over the income limit, you don't get it.  But, as I stated, laws differ from state to state, so you would have to inquire or go on their websites and see what they will approve and what they will not.
If not in your state, try filing in THEIR state. Then they
nm