Opinions/impressions, please, on wording enclosed.
Posted By: sm on 2007-12-29
In Reply to:
Please help me with the wording of this letter that I am seriously considering sending to one of my offices:
Please inform Dr. XXX that in the future any dictations that are done in the swimming pool area, karate room, cafeteria or other public venues will not be transcribed by this service. This decision has been made due to the fact that the dictation is difficult to hear and understand because of the amount of background noise.
Additionally, I believe this to be a breech of the confidentiality of patient records that are mandated by HIPAA and I do not agree to be a part of such violation.
Any future dictations that are submitted by this physician which have been done in the above-named situations will not be transcribed by this service and will be immediately discarded.
Thank you for your understanding in this matter.
Sincerely,
(end)
There is a new doctor in one of the practices with small children and she's one of those who is trying to be supermom. (That's a whole other issue.) I have transcribed for two other (male) doctors in this practice for over 15 years without anything like this. I have twice now asked the office manager to tell her about this situation and it improved for a short while but today I had 18 minutes of very loud swim practice in the background. Her solution appears to be talk louder and I've got one HUGE headache after listening to her. I don't understand why she has to be right there instead of even finding a quiet spot to do this while the kids are occupied but she apparently thinks they can't be out of her sight. (I know they're unsupervised, either; I can hear the coach shouting.) Among the reasons listed above, I really want to say that I think this is just flat out disrepectful of both patients and myself but I don't think it is wise to get that personal. I really don't want to lose this practice but I honestly am not willing to put up with this nonsense from her anymore, either.
Thanks in advance for any HELPFUL suggestions you might have. If you're not willing to help, that's fine, too, but please keep the mean stuff to yourself.
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I agree, IMPRESSIONS (with an 's') does sound weird. sm
I have a few docs who say PLANS instead of just PLAN, for that heading, which also sounds odd to me, but I've started to type it that way if they say it. IMPRESSIONS though, doesn't sound right to me, although I guess it could go either way.
Does anyone know the wording for...
It has a penny so you're never broke, string, eraser, different little objects that "fix" things. I saw it in a magazine and can't find it out. Thanks if you can share it.
Your wording is confusing.
An IC would DO work for a clinic not work at and you would not resign as you are not an employee - that is an employee term. I would simply tell them you are cutting back on the amount of work you can handle. You control the amount of work - not them if you are truly an IC.
strange wording
"The patient is doing well from his colon cancer point of view."
Colons have opinions? Oh yeah, that's right. Everyone has one, opinions and colons, and the other part of the anatomy which shall remain nameless, from which originates some people's opinions.
Dear Moderator, the wording is what it is. sm
If I had meant new MTs, I would have said so. So, to be clearer, I define wannabes as the individuals who claim to want to be MTs but fail to deliver the necessary skill set. This would not include individuals who understand what skills and knowledge the MT vocation requiresand know how to apply that skill set in their delivery of quality work.
I am going to look into their specific wording on this today
and post here tomorrow what i find.
Be careful in your wording. Wannabe's? If you're referring to new MTs, then say so. It's
p
Need help on wording to Google area hospitals that hire MTs at home
Everything I put in gives me sites like MTDaily, etc., that have stuff about work-at-home programs and work-at-home information. I would like to find out which hospitals here in my area hire MTs to work at home so that I can apply as I have just found out that my company is about to sink. Any advice appreciated. Thanks.
see enclosed
I recently signed up for a health insurance savings type program called Equal Access, where you are covered for prescriptions, get some sort of credit for doctor's visits, etc. for a reduced rate. If you want additional information, let me know. Apparently, participating doctors give reduction in rates for people using this plan.
seen enclosed-sm
http://home.adelphia.net/~ktm58/links.html
see enclosed sm.
Tools, Macro, Record new macro, box will come up to name macro, choose toolbar or keyboard. I use keyboard F12 since that is easy to get to. You will see a box somewhere on your screen that looks like a cassette. Do Ctrl F, in the find box, I use the ^ as my code, but enter whatever you want to be you code. Find next. Close. Stop record.
You will need to go through you document and insert you code where you want them. By pressing F12 or whatever you set as you key, it should go from one to the next.
If this does not work, e-mail me and I will try to help furtehr.
This is also a good site for Word help---http://textware.com/board/msword/index.html
site enclosed--sm
http://www.transcribers.com/product5.htm
try enclosed site-sm
http://www.mt-resources.com/sample_contracts.htm
Link enclosed
dangerous abbreviations should be avoided.
Go to the enclosed web site.
http://www.komando.com/index.asp
This girl really knows here stuff!! look up her shareware. She has a radio program and gives lots of great free advice.
Web site enclosed
http://komando.com/tips_show.asp?showID=8854
try enclosed site--sm
http://www.prounlimited.com/compliance-questions.html
The enclosed link will help you out - sm
http://www.medicalese.org/line_count.php
check out the enclosed site--sm
http://www.mt-resources.com/sample_contracts.htm
Christmas link enclosed.
Here's a really great site that somebody shared with me. Merry Christmas to all.
link enclosed for trial.
http://www.pcshorthand.com/dnload.html
This is where I downloaded the free 30 day trial from. It also says you can order a trial CD if you prefer. So far, I am enjoying playing with this expander. It seems like it offers a lot! Wish me luck..
Enclosed cached link has
at the bottom.
I use the enclosed for my meetings with new clients. May be able to use some of them--sm
Spec Sheet
„Ï How many doctors? ________. Names and credentials exactly as wanted for signature line.
„Ï Clinic hours_______________________
„Ï Does office close for doctor¡¦s vacation?
„Ï What is the estimated amount of dictation in minutes per day?
„Ï Turnaround time__________
„Ï Is there ever any STAT work needed? If so, what are the expectations for that work?
„Ï
„Ï Pickup time___ if tape is not ready at this time, TAT is no longer in effect.
DICTATION
„Ï Micro cassette___________ C-phone______________
„Ï Return cassette unerased?
„Ï Will patient log sheet be provided for name spelling/acct #?
„Ï Will office sign for returned work? _________ POC ___________
„Ï What font?
„Ï How do they want you to flag blanks or questions? How to flag for any questions/inconsistencies
„Ï
„Ï Samples provided?
PRINTING
„Ï How is transcribed data to be returned? Printed_______Floppy disk ____
„Ï If printed, client____ service _____will provide paper, letterhead, envelopes.
„Ï If I have to call the office to determine proper spelling of patient's names or doctors¡¦ names the turnaround time is no longer guaranteed.
„Ï Typing letters and envelopes or just actual medical reports. If addresses are not provided for recipients of letters, there will be an added clerical service fee for my time of $0.25 per letter/envelope.
„Ï
„Ï Faxing or mailing reports to third parties will not be done.
BILLING INFO
„Ï What kind of invoice is preferred?
„Ï Billing date: ___________ Payment date: _____________
„Ï Reprints for transcribed data delivered in the past and signed for by office staff will be charged at $0.75 per page.
„Ï _________________________________________________
„Ï Reprints¡Xreprints of reports with an error made by me will be provided at no charge. Reprints of reports with corrected errors by the doctor will be provided at $0.75 per page.
check out enclosed site--sm
http://textware.com/board/wordperfect/index.html
Someone there may be able to help you. Other than copying the macros from WP document into Word document and then creating the macro again, I can not think of a way to do it, though there probably is a way.
yeah, my friend sent enclosed link...sm
and I had just posted this on the *other* board....to get their minds off of their problems. I, too, feel like I have lost a family member, especially because I knew her nephew years ago, Perry....same last name as hers prior to her changing it......
very sad, indeed........she never made a movie that I didn't like........
http://www.cnn.com/2006/SHOWBIZ/Movies/01/14/obit.winters.ap/index.html
Check the enclosed site. May be able to find what you need there--sm
http://www.google.com/search?hl=en&q=HIPAA+guidelines
check the enclosed link to see if that hels you--sm
http://speechrecognition.wordpress.com/2007/07/13/front-end-or-back-end-speech-recognition/
Get a Google Toolbar, description and link enclosed
I have a Google search toolbar at the top of my browser. It's a small line like the address bar but it says Google beside it and I just type in my searches there instead of going to Google first, etc. I've found it very easy to use. Of course, as with anything there are extra parts to the program, I just added the basic tool bar and went to options and only kept the parts of it that I wanted on my toolbar. It makes searching a whole lot easier, all I need to do is bring up the internet and my search is at the top.
I got the enclosed by accessing Help, typing in template. There are more options--sm
other than this one--
Create a memo
Show All
Hide All
On the File menu, click New.
In the New Document task pane (task pane: A window within an Office application that provides commonly used commands. Its location and small size allow you to use these commands while still working on your files.), under Templates, click On my computer.
Click the Memos tab.
Double-click Memo Wizard.
If you do not see this wizard (wizard: A feature that asks questions and then creates an item, such as a form or Web page, according to your answers.) in the Templates dialog box, you might need to install it.
Follow the steps in the wizard.
Notes
For more templates and wizards, visit the Microsoft Office Online Web site.
You can use the Memo Wizard to create a memo for printing, e-mail distribution, or faxing.
Hope this helps.
I'm just putting my clinics on digital too, check out enclosed links - sm
http://www.hthengineering.com/sst2.html
http://www.hthengineering.com/pdf/DigitalGuide.pdf
Enclosed are the steps involved, my point of view only. Very long post. sm
1. Make sure you have the qualifications. If you have EXCELLENT spelling and grammer skills, good typing skills, complete attention to the smallest details, and willingness to work HARD and learn constantly, you may have what it takes.
2. Realize that you will not learn this career in 1-2 years. That is a good beginning, but then you will have an "apprenticeship" period. This runs anywhere from 1-3 years, depending on the job you get, the training available there, and your ability to branch out and absorb a constantly changing field.
3. Do your homework on the training schools. Some schools offer a program that will actually help you get a job when finished; others have a reputation that will allow you to hire with some companies as a "newbie." Don't waste money on a school that gives you a certificate and sends you out on your own. You may find it difficult to get a job without experience, and can't get experience without a job. I am not recommending a school. DO A LOT OF RESEARCH. Every school has "lucky" graduates, so get a consensus from MANY graduates.
4. If you expect to make a fortune, look elsewhere. You will find "exceptions" that make anywhere from $50 to $100 thousand a year. Most of us with a lot of experience make anywhere from $30 - $50, depending on your speed and stamina. Without stamina, you'll burn out or develop physical problems in a couple of years.
5. VR will never replace transcription. However, it takes a lot of knowledge to "proof" VR reports, and as the machines get smarter, we also must have more experience to catch their errors. I do not foresee us being replaced by machines. It is possible, though, that the wages will not go up because of this, and most MTs will stay on a plateau. Not easy, when cost of living keeps going up, but right now it is a reality, so consider it.
This is my view of the MT field, and its future. I have 18 years experience and have worked on the web for 9, since being outsourced from a hospital. It's a rough field, but not impossible, and I'm happy with it. I only have 10 years to go, though. I'm not sure I would start it now, if I were younger. You have to have a lot of determination. Good luck to you.
Great post -great job of wording your answer! (sm)
Original poster - I completely agree with this answer, especially the part about finding yourself and using all that you have learned intellectually and connecting that to something that you will also enjoy with your heart!! You have so many wonderful options for your future - much more than many of us.
Need opinions
Does anyone use software for transcription that has the automatic faxing and e-mailing so the doctor's office doesn't have to pay staff to do this?
Was it expensive for you to buy - does the vendor charge you a per line fee or any fee for this - is it easy for you to use - and do you feel that the doctors like this kind of software and its faxing and emailing of transcripts to referring physicians functions? Also, do you have names of companies you could give so that I could possibly check into this? I am currently using a phone-in system but I thought an automatic faxing software would draw in prospective doctor clients.
Any opinions, good and bad, are welcomed. Thank you. 
Need opinions please
Does anyone use software for transcription that has the automatic faxing and e-mailing so the doctor's office doesn't have to pay staff to do this?
Was it expensive for you to buy - does the vendor charge you a per line fee or any fee for this - is it easy for you to use - and do you feel that the doctors like this kind of software and its faxing and emailing of transcripts to referring physicians functions? Also, do you have names of companies you could give so that I could possibly check into this? I am currently using a phone-in system but I thought an automatic faxing software would draw in prospective doctor clients.
Any opinions, good and bad, are welcomed. Thank you.
Thanks for the opinions. sm
I'm still firmly of the opinion that it does suck. I hate it. The poster who said it's just a mess to clean up, is absolutely correct. That's the whole problem. Some doctors are great, others are so-so, and many are just a mess. You waste more time backing up and correcting, and could have typed it by hand in the first place with less grief and frustration.
Yes, maybe it is the wave of the future, but as many bad dictators as there are, there are always going to be people needed for them. Let the ones who love speech rec go for it. It might help some, saving some people's hands, and boosting production somewhat, but I'd really like to talk to the people themselves who love it and supposedly have great production, rather than just seeing a generic sheet of numbers that the supervisors wave around for show.
No, it was not the Dragon program, and not a national company.
This is not on just a few providers, it's about 70% of them in a quite large facility, ESLs included right along with the stumblers and mumblers.
Correct, the supervisors are pushing this program so hard, to save money. Yes, it can be a great help to some, but not to all.
Medical reports can be extremely complicated, and are in no way comparable to social work reports. One person, consistently dictating all the time, compared to an assortment of 20-30 dictators/speech patterns at random, with different types of reports? No, there's no comparison.
All in all, it does suck to work with. And if I'm not taken off the program at the end of three months, then I will probably quit. It might help me somewhat, but I doubt it's going to boost my production that much. We'll see what happens. To me, it's not worth the stress and frustration.
My opinions (which is what they are - opinions)
are just as worthy as yours!
You need not worry about my work production. It is still steady. I'm on here when I have time. Took the day off today to relax and rest.
I hope you enjoy your day! :)
need some opinions, please
I applied at 2 companies on Friday evening - heard back from both of them the same day - one wanted a questionnaire filled out, the other said they were very interested in talking to me and asked me when I was available to speak to them M-W of this week - I wrote back and gave times, etc. Haven't heard anything yet. If I don't hear by this evening, should I call them? I'm very anxious to get another job!
Opinions PLEASE!
I am SO sorry for reposting this. If I knew how to remove my other post from the pressure valve, I would... I do not want to get in trouble for multiple postings, so PLEASE forgive that mistake. I just don't think that the PV gets as much traffic as this board, and I really need some help right now!
Can I get an opinion from someone who is experienced in this business? I am a relatively new MT... I have only been doing this job since March 2005, so less than a year.
I work as an independent contractor at .08 per line. My employer is a really nice person, but she will frequently need help over the weekend. I have always said sure because I want to make myself valuable to her. However, I have always done as much as I can do comfortably and still have time with my family over the weekend.
I did an extra 1000 lines this weekend, which takes me about 6 hours because I am still new and research everything if I am not totally familiar with the terms. I got an email this morning saying that, basically, I had not done enough to help her and she ended up doing "most of it" herself.
My feeling is that she is the owner of this business. If she overextends herself as far as taking on work and she has to work all weekend to get it done, that's what she has to do as the owner of this business. If she wants to pay a weekend differential to me, then sure... I will make plans with my husband to take the kids on his own and I will work all weekend now and then. But if I am working for the same rate, I am not willing to work all week and then work all weekend too and miss out on my husband and children. Isn't it customary and expected to offer a differential for working weekends and holidays?
I am a bit miffed because I gave up most of my Saturday and an hour or so on Sunday to help her out, and now I am criticized for not doing more for the same pay. Any input from you experienced MTs?
I am sitting on my email reply, but it does have this in it:
"I am happy to help as much as I can over a weekend without a differential, but I will need to do so around my family's schedule."
I need to reply to her email, but am not sure what to say. Thank you in advance for your help.
Opinions please!
Have any of you worked at home for a long length of time and then had to go out to work in the public for any reason? I have been a home MT for a long, long time, 10++ years. I work for a big national, but find that I can no longer sit here and wait for work! I have applied for an in hospital job doing rehab! Is this type of work difficult? Any opinions greatly appreciated. I would really like to have your input!
TIA
Opinions please!!!!!!
It's not PT the add just said Rehab MT. So, this had me confused! What do you all think? TIA
Need Opinions-OP
I got things straightened out, but thanks for your replies. I ended up with a 13-page report right after posting. LOL He spoke clearly, too! It's for a psychiatrist, so it should be interesting to hear those cases.
You know what they say about opinions!
8>)
Need opinions
Yesterday, I received an announcement in the mail regarding the graduation of a long-time ex-friend's daughter's graduation...wheew!
My question to y'all is...the last time this ex-friend and I spoke, we were not on good terms..and actually, she wasn't really a friend. She was an MTSO that I worked for for about a year. Turned out (and long story short) she was a crazy person!!! Anyway, I was very surprised to receive this announcement.
What would y'all do? Send the girl money?...I have nothing against her, though I don't really know her that well...trash the announcement and forget about it, or what? I am by no means going to attend the ceremony, but should I even acknowledge the receipt of the announcement?
I feel like the "friend" just...like my daughter said...went through her address book and sent everyone in it an announcement...probably just for gifts...your help would be so appreciated! 
LOL! No wonder you have so many opinions on here!!!!
You are not allowed to have them at home :)
Thanks for all the opinions....sm
I don't believe I am looking for acceptance or any such thing from my mother, but rather I truly care about my father and aunt's health. I think sometimes people are very close to a situation and may not be able to see outside of themselves.
Also, I never said, nor do I believe, that an MT has anything on a NP. I only believe that we do have some medical knowledge and can sometimes pick up on things. Years ago my dad had a constant cough. His doctors (IM, card, pulm) or my mother couldn't figure it out. I asked if he had started any new medications and he had started an ACE. He changed meds and his cough was gone.
I have to think a little more about this, but I do appreciate all the help.
Would like some QA opinions...
I am very frustrated with inability of some of my IC's to punctuate and construct sentences correctly. Is this a common problem, or am I just being too particular? Do others correct this kind of thing and inform the MT or just let it go?
QA opinions
Well said sm! Well said!
Opinions please
I have been working for a small MTSO for over 3 years. My current pay scale is .0675 per gross line. This company recently merged with another company and I just received a new contract to sign changing the pay scale to .08 per 70 character line. Can some of you math experts out there tell me if this is actually a *raise* as they say, or if this is a cut in pay? and also, would you sign the contract and stay??? I may need to reconsider my options. 
I am asking for opinions here first
I can ask the doctor at any time what he pays and he'll tell me. I just wanted some other peoples thoughts before I start asking the doctor questions and trying to sell him the idea of keeping the work in the US.
I'm asking for opinions
I wasn't expecting an accurate answer. I just wanted to get some QA opinions. If you read my post, it says "do you think....," not do you KNOW.
Thank you to those of you who took time to share your kind opinions with me. The rest...I'll just take with a grain of salt.
Opinions please
Just curious, what do most MTs think about built in headings, would you rather have to take out the ones not used or put in your own? Would you rather have a physician's list on line or a printed copy in front of you? Just wondering because I seem to have a real hard time with all the built in headings as most of them are never used. When you do have the headings, if the accounts specifics do not indicate specific ones to be used, do you change the wordings, such as from history to history of present illness if, in fact that is what the dictator dictates? Thanks for the opinions in advance.
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