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Serving Over 20,000 US Medical Transcriptionists

MTs by definition are hired to transcribed - sm

Posted By: Army Brat on 2009-06-26
In Reply to: You won't believe what I just heard. - CrankyBeach

what the doctor dictates.  We can't be expected to have to catch their mistakes - they're supposed to catch their own.  That's why they're being paid the big bucks and we're note.  Years back, we weren't expected to know all this stuff -- the meaning of every word we transcribed, the normal/abnormal lab values, what a particular drug is used for, and I could go on and on, and we were paid better, appreciated more & respected more.


I do agree that we must know how to spell medical words and words of English usage.  That's what they get for their 7-8-8.5 cents per line.  I do NOT believe that we should have to look up doctor's names, on our time, when the dictator has it right in front of him/her and would take him/her only 2-3 seconds to spell it, thus also avoiding any confusion.  But I guess that would be too easy.


I didn't always feel this way.  Years back, when I was treated as a professional and compensated accordingly, I performed as such.  If I want to flag a doc's mistake, I do it for the PATIENT'S sake (but for the grace of God it could be me or a loved one lying in that hospital bed) - and as a courtesy to the doctor.  But they really expect too much for too little.




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U R confusing official definition of professional with "popular" definition...sm

the official definition is those jobs like physicians, PA's, NP's, law, etc. Not something you do for a long time or what your job is. The popular definition for profession is what you do. Same thing with vocation, a official definition would hold to calling, such as clergy or nuns or missionaries... popular would say what's your job. So depends if you are looking for the popular definitions vs. the official definitions, though I will say some very ignorant people posting on the topic...


definition
http://www.medterms.com/script/main/art.asp?articlekey=24648
I always said he was the very definition of

Unfortunately, our country and the world are the real losers while this failure holds his stolen office. 


Definition here
Mentor: A wise and trusted counselor or teacher.
If you have not transcribed using BOS
guidelines that is probably the problem. See which version they are using and get a copy.
BNP abbrv definition

BNP WHAT IS THE DEFINITION FOR THIS ABBR


IRS created the new SE definition and

then felt it was being abused.  They then noticed how large the MT industry was and decided that would be where they would focus their efforts to decide whether to keep the status or do away with it.  In order to find out that information, they had to start doing audits if the "SE" box on your W2 was marked.  I hired a tax person to help me but his efforts were fruitless.  One day after faxing back and forth and writing back and forth, I got on the phone and held for almost 5 hours until I got someone in the department created for consumer complaint resolution.  I was amazed to find myself talking to someone who was intelligent!  They saw what the problem was, saw that all the documentation was in place and negated all activity by clicking a few keys on his computer.  I had owed about $2000 that year but had already paid it as it was a retroactive audit, so I was lucky with how things worked out.


I was just wondering if anyone else had problems.  I've chosen to never again have SE status so as not to have lightening strike again!


 


Definition of a line can cause
x
Maybe you should look up the definition of sarcasm. nm
.
Depends on your definition (sm),
doesn't it?
definition of acquaintance....sm

  1. Knowledge of a person acquired by a relationship less intimate than friendship.
  2. A relationship based on such knowledge: struck up an acquaintance with our new neighbor.

  3. Someone you know.

from dictionary.com


and this is how our records are transcribed =(
x
I have not strictly transcribed in about 10 yrs.sm
I work full-time doing medical transcription but I also have other duties that do not involve transcribing so I don't keep up with lines or anything like that; I get paid by the hour.  I have worked 3-4 hours in the evenings for one of the national companies for a little over a month but I can't seem to get my line count up.  I've only been able to do around 100 lph.  I know it will take longer than it would if I worked 8 hours just transcribing.  I would like to quit the other job and just work from home transcribing but I'm afraid if I can't get my line count up I won't be able to maintain my current income.  I'm not a blazing fast typist, I probably type 75-80 wpm without any kind of expanders.  Any helpful advice or encouragement on whether you guys think at my typing speed it is within reason to think I can make it to 150-200 lph?  I've done straight transcription in the past but I never had to keep up with lines.  I have 30+ years of experience.  I just need to decide whether to keep things the way they are now or take the chance on income by production only. BYW, I transcribe acute care for the national.
The IRS definition of an employee is this:
Who Is an Independent Contractor?

A general rule is that the EO, as the payer, has the right to control or direct only the result of the work done by an independent contractor, and not the means and methods of accomplishing the result.

I'd suggest you get a consultation with an attorney, and be sure to file your response with EDD.
See definition inside.

From Webster's online dictionary:


A written or oral defamatory statement or representation that conveys an unjustly unfavorable impression b (1): a statement or representation published without just cause and tending to expose another to public contempt (2): defamation of a person by written or representational means (3): the publication of blasphemous, treasonable, seditious, or obscene writings or pictures (4): the act, tort, or crime of publishing such a libel.


Based on the definition above...
I would come away from viewing that site with an unfavorable impression and unjustly so for the name of the company as well.

I think there's a good argument for libel there.
Here's the definition I found: sm
"A ball of swallowed foreign material (usually hair or food) that becomes trapped in the stomach or the intestines."

That's on Google, and that's the way context in which the dictating physicians used that term on the reports I typed for 22 years. :)
This is the definition I found, it's
grosser than yours, eeewww!
How can you mention this, just like that??? Out of the blue?

Do you suffer from 'vocal tics?'

(n.) A calculous concretion found in the intestines of certain ruminant animals (as the wild goat, the gazelle, and the Peruvian llama) formerly regarded as an unfailing antidote for poison, and a certain remedy for eruptive, pestilential, or putrid diseases. Hence: Any antidote or panacea.


You need to look up the definition of synechiae....sm
It does refer to the eye, but also refers to any adhesions in the body, lung, uterus, vulva etc.
Small national definition
Would you define what you would perceive as a "small" national, and then maybe I could better have an idea how to respond to you with some ideas.
Your transcribed report would be your testimony, if anybody, for whatever SM
bizarre reason decided your input would be needed. Why the heck do you think you'd get called to court?
Depends on the company's definition.
At MQ, a medical Editor is a Transcriptionist who uses ASR (automated speech recognition) to get her job done; she literally edits the speech recognition product.

The QA Specialist handles the QA blanks the MTs or MEs send.

I got charged $75 for a copy of my old MRs, even though I transcribed it!!! n/m
:p
Have you tried checking the IRS website for their definition?
If there's a standard anywhere, it should be based on that.
QA Help: Earlier I transcribed a report where
the doctor used a really offensive curse phrase.  He was actually quoting what the patient said (ER report).  He said place this in quotes.  It was a really ugly thing to say (mother F word).  Even though it's in quotes as what the patient apparently said, I felt uncomfortable actually transcribing it.  And believe me I'm no prude.  I've heard it all (and said some of it).  However, it just seemed really unprofessional and not appropriate in a medical document. It's not like it was a psych report.  In fact, it really had no relevance whatsoever, in my opinion, but I could be wrong I guess.  So,  I left a blank.  But now I'm thinking, was that really not my call?  Should I have just transcribed it?  What would any of you out there have done?  QA?  What do you advise in cases like this?  It's happened before but never as filthy as this.
Contact the clients you transcribed for
n/m
VA accts transcribed offshore
My first editing job was for a company located in Virginia that has since closed and one of their largest accounts was for a network of VA Hospitals. I always wondered if they (the VA) had any clue that the actual transcription was being done in India.
It is 10 reports transcribed for free.

The OP states the account goes through transcriptionists.  I wonder why?  The OP states later on in the thread they go through transcriptionists. 


I'm trying to protect Lisa from getting abused from the get-go.  All she has to say is "my charge is" and go from there. 


Too bad if they were already transcribed.  Does that mean Lisa should take the loss?  NO.  Absolutely not. 


Again, read above where the OP states "they can't seem to keep a transcriptionist." 


To the OP:  Charge them!  You won't regret it.  If you are an IC, you have every right to charge them. 


Plus, look at rockinMT's post.  She bent over backwards for an account and what happened?  It turns out she was spending more time than it was worth. 


These are all my opinions, and I am trying to give my opinion on what the OP should do in regards to reports that she transcribed and should, yes, be paid for since she was not aware ahead of time and especially because it is a new account. 


What do I know?  Ya know?  I mean really?  Just looking out for the best interest of the OP, but hey, that's just me. 


The reports that are transcribed get scanned into
the EMR record. They do the same thing with the lab slips, x-ray reports, etc. The transcription is still performed in the usual way it has always been done.
I have transcribed from handwritten notes
and it was a nightmare.  Sometimes the info was missing and my neck hurt like heck looking down and up, down and up.  I charged per page.  This dr went from dictating to these 5 page forms that he would fill out when he saw the patient.  He scribbled and it was horrible.  It wrecked my neck, so I gave it up.  I was better off straight transcribing at lower pay than when I had to keep looking up and down from a page and no a stand for the forms didn't help because my eyes kept leaving the monitor, so it was hard to get back in gear only to have to take my eyes back to the handwritten form. 
The definition of "US-Based"
Does NOT mean the company doesn't off-shore its work!!!! It might just mean they have offices in New York and LA where they answer the phones before shipping the work off to India or elsewhere.
I swear, I just transcribed Bill Cosby! sm
you know that voice that Bill Cosby does, kinda sounds like he's drunk?  Well, this doc I just transcribed sounded like that!!! and it's workers' comp, no less. Just had to vent a little!  It's still too early for all this!
Not an MQ employee but have always transcribed via turnaround pool.
The office manager I worked for set it up so they could bill faster, i.e., ERs in 24 hours or less, op notes, discharge summaries, etc. She said it made for a better cash flow for the hospital. That's probably what MQ is trying to accomplish, maybe per client request.
Well, I just transcribed 1500 lines in 3 hours. sm

I work on the same account every day, same dictators, lots of templated reports I did myself and put them into auto correct.  I get up early, start at 7 am and today I was done by 10 am.  Cleaning the house now.  Also, the line pay is slightly higher than most, so 1500 lines is fine for me today. 


On harder days when the account is really behind,  I get up and vacuum the house after 3 hours of transcribing then come back for 1 hour.  If things are caught up, I stop for the day.  If not, I will go back in the evening. 


I can't sit for 6-8 hours straight.  Making $160 bucks in 3 hours is good for me and enough.   Tomorrow is another day!


Use templates and short cuts - that will help!  I have whole reports in my auto correct, but you have to listen through and change and correct things as each patient is a different case. 


I do have to tell you, I do not get this many lines every day in such short a time.  It just happened that today was a good day.


 


Hope this helps.


copies of previously transcribed reports
What I always found helped, make copies of reports from the medical record charts.  Make a few copies of each doctor and keep them in your desk that way you can refer back to the report when doing the doctor.  You will get the hang of it.  No hospital wants to go through the money and time hiring someone just to let them go right away.  Usually you get about a three to six month probation period. 
Guidelines are one thing, but if your client wants it transcribed a certain way, just do it.

p


My grandmother transcribed part time into her mid 70s.
,
Webipedia dictionary definition of flame is SM
(n.) A searing e-mail or newsgroup message in which the writer attacks another participant in overly harsh, and often personal, terms. Flames are an unfortunate, but inevitable, element of unmoderated conferences.
(v.) To post a flame.



My definition of hard work is totally different.

When I need a reality check on how good I got it with this at-home typing thing, I do my chores outside in the freezing cold or sweltering heat and realize that is about the only other thing I could do in this state for income, and I'd be lucky if I got minimum wage with no bennies out of it.


I guess you have to look at it from a different perspective every now and again.  I've heard of people who leave MTing at home because they miss the buzz of an office, and then the cranky patient's and office politics breaks them down and brings them back to doing their thing solo again.


For me, the pay isn't too awfully bad because I figure don't have to buy fancy clothes, I don't have to worry about a car, gas, packing/buying lunch, and putting on a happy face if I don't want to. 


We all have bad days.  Those are days when you really need to take a deep breath or two and walk away for a bit.  They will get better.  If the bad days just keep on a'comin, well, then I suppose it would be time to look for a change, and there's nothing wrong with that either.   


I am filling out a job app and they want transcribed words per minute.
Thanks.
I have transcribed for doctors in the past who have dictated...sm
that the patient is heterosexual. I'm not much on what is politically correct or not, I just transcribe what the doctor dictates.
Pull up the whole period for which transcribed...see more inside
Say July 1 was the first day and July 14 was the last day - are you able to do a date-specific count? If so, get that on the screen, hit the "Print Screen" button (above SysRq next to Scroll Lock). Then open a Word document or go to Accessories and get either Word Pad or Notebook. Do a control C, which is the Word command for copy. This will copy the whole screen shot into that new document. Go to "file" on the task bar, do a "Save as" and name it what you want, say 07012008to07142008 or something so you will be able to recognize it. This will now give you a document that you can email to their payroll period with a nice little message something to the tune of "WHAT GIVES" or other equally professional question - just kidding, but now you have proof of what your total lines were and a bargaining tool. If you can only do it 1 day at a time, you can still use the screen shot method, but you will have a lot of documents to email if it comes to that.

Be sure to question them verbally by phone first as that might clear up any confusion. If not, then you can tell them YOUR line count and ask why your figures are so different. Just a thought. Good luck!


Depends on the definition you choose to accept
It can be "the particular occupation for which you are trained" or simply "a person's job or profession." I choose to think of mine as a career, also. I have not failed to increase my income each year, albeit by a relatively small amount, each year for the last seven. I think maybe the main difference between categorizing MT as a "career" or a "job" is one's contentment with where they are and what they are doing.

http://www.google.com/search?source=ig&hl=en&rlz=&q=define%3A+career
Meds are not given based on transcribed reports
Meds in hospitals are not given based on what is in transcribed reports. There are so many errors with transcribed material that everyone expects there to be errors in meds, either because it was dictated incorrectly or transcribed incorrectly.

Physicians write orders for drugs, treatments, tests, and procedures. They're in a different part of the record entirely. They're either handwritten or they are in electronic form.

That's not saying there are no medication administration errors, but just saying the likelihood of an error stemming from a transcribed report are almost nil.


I googled this and found a definition of a wav. file.
WAV (or WAVE), short for Waveform audio format, is a Microsoft and IBM audio file format standard for storing an audio bitstream on PCs. ...  It is basically the format in which an audio file is saved.  There are all sorts of audio formats such as dss., wma., etc...Hope this helps!!

look up each definition..and it is drug-eluting stent. with hyphen.
nm
Another definition of satanic is a behavior that is evil , which I think may have been the original
poster's intended meaning.
"For 30 years, I've transcribed things by what is..SM

correct."   This is where the problem is.  Do you know that some of the most stubborn, difficult, argumentative, inflexible MTs I have ever met in the course of my career are the ones who parrot that particular sentence?


What was done or has been done for 30 years is not necessarily the correct way now.  Language has changed.  With the advent of VR, the way we transcribe is now more of a verbatim way than ever.


These 30-year MTs are still adding 's on to Down syndrome, still typing out the word "centimeter" even though it is no longer accepted as anything but line-padding....get my drift?


We're paying 9 cpl and everything transcribed plus spaces is paid for.
/
Depends. Did you just study or have you actually transcribed lots of tapes as sm

part of your training?  If you can't put down on your resume that your home study included multiple tapes in many specialties, etc. you are going to be hard pressed to find a good job. 


On the other hand, you might be able to type some orthopedics or pt notes (and then at least have some experience to put on your resume.)  Orthopedic doctors have TONS of dictation.  Besides their clinic notes, etc, most of them do IME (independent medical evaluations) which are fairly easy to do.  You'll need some good ortho books to get you started, but most will let you start without the experience if you can demonstrate you know the terminology.  Good luck.  Get some experience and the doors will start opening REALLY fast for you.  Sometimes, taking a low paying job is okay in the beginning just to get the experience.  If you can possibly get in a PCP's office to help out with clinic notes (even offering to to backlog/vacation stuff, you will get good experience and your resume will look great for the future stuff that comes up.  Good Luck to You.  Hang in there and learn everything you can.


Only if that is coupled with a line definition of greater than 55 char.
.