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Or why not hire an IC to work on the account under you? You found it

Posted By: MTSO1 on 2006-06-02
In Reply to: Know how you feel - Patti

and it is your reputation and bidding that sealed the account, why not ask IC's to BID on it. You might find somebody who loves derm work and wants the money. Even if you only make 1-2 cpl over your IC it adds up.


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If you found an account objectionable

I was recently assigned a new account at my current employer.  My first impression of the account was lousy dictators and now my impression is lousy practitioners to the point of feeling almost guilty working on their reports.


I don't want to get too specific for fear of ramifications, but....I see practitioners who are just confused, scattered, make many...MANY...errors in drug names, drug amounts, drugs for stated conditions that are wrongwrongwrong, etc.  They forget portions of dictations or ignore portions of dictations.  They will state the patient is not available for the exam but then say to just put in the following vital signs.  It makes my gut hurt.  I won't even go into what goes on in the background at this facility but it is equally disturbing and really drains me physically to listen to their long rambling nonsense while listening to the sounds of their failings as medical professionals(?). 


 


This is EVERY day in my workload (I am making no money on this account because of the constant re-dictating portions, mistakes, account notations, etc) .  Well....out of curiosity I did some research.  The facility has been nailed by the state on numerous occasions for errors and bad medicine and I cannot be surprised.  I half feel like someone has to do it, it may as well be me (though its not profitable....) and the other half has a feeling of 'aiding and abetting' their complete inadequacy as medical professionals. 


I am curious what your take is on this.  What would you do?  I am considering asking off of the account altogether but I am afraid to say because I don't want to work with the dregs of the medical profession.  I don't want to be one of those whiny MT's who don't like this or that and want something else.  I just find this account depressing and I dread it for all the reasons stated.


I agree... I just found it funny on that account that the 3 worst where in the same field...nm
x
I don't think DW is not looking to hire anyone but is looking for work herself - nm
x
I work for a company that will NOT hire editors:
The feeling there is that if you don't know your stuff, you're OUT. I don't know how many people have come and gone, but I've been on the same team for about 5 years now, so she's doing something right in her hiring.
Hire someone to work per diem or for a weekend. NM

"


Same thing with nationals. You work all the time to keep the account caught up when others dont work
and then when they decide to put a whole lot of extra people on your accounts and run you out they could care less about how much you worked.
steady work...gearing up to start new account....but there was no work on Tues as it was a holiday
Be patient with your eyes open....
I was thinking about this situation with companies that hire people and then there is no work. When
you think about that, that is about as low as anyone can get to just run people out of work for whatever reason when people need money to live, pay bills, support children and feed them, etc. When you really think about that, people's lives hinge on their income and as far as I am concerned, that is the worst thing any company can due to the people that work for them. That is how I feel today because I have been out of work and scrounging for lines and I am disgusted with the whole business. I hope that companies will soon wake up and stop doing this to people. It is disgusting.
Great company but like everyone else they over hire. Haven't had work since before Christmas *sm
because it is a slow time and I refuse to get up at 4:00 a.m. to beat someone else to it.  I am in the process of obtaining a second and third account and am going to start looking out for myself from now on.  I now understand why there is such a turnaround with MTs and companies - seems like the companies overhire and then the MT has to look elsewhere - they work at the new company for awhile until they find that they have now over hired and then they look elsewhere.   I have been with MDI for a few years and I plan to stay there but I am going to take on another job or even two so I do not sit idle when times are slow. 
Okay, quit bragging and hire someone then. Lots of people need work. nm
.
Does anyone know of companies that hire for physical thearpy work? Many years experience.
nm
hire people with solid longstanding work background with good references; like myself
nm
can you ask for another account to work on? SM
that's what i did. it was too much fretting over whether there was work.

companies won't wake up and stop doing anything. you will have to do it for yourself unfortunately.
You might not work on the account, but YES
x
I can work all I want. I don't have to account
for my hours. 
I found the work!!!!!!!!!!
I just heard what happened to the work - Tonya Wimberly-Huger ate it! LOL! LOL! LOL!
What I have found to work the best, is to put
a standard-size bed pillow in my lap (prop it against desk or keyboard tray) and that helps me to sit back with my back against the chair.  I tend to lean forward a bit.   You also might want to get something to put under your feet like a thick phone book, an old wooden Coke box, or something similar.  This tends to make you sit straighter too.    I've tried pillows and that butterfly shaped cushion between me and my chair and they just weren't comfortable. 
I work on an account that still has tapes and ...sm
it is a very profitable account. The line count is twice as good as several of the accounts I have that are digital. To each their own, but there are many doctors out there who do not want to go digital and you will find when they do you might just lose them to VR, as I lost a very good account to that because they figured out how to do it themselves. If the account pays on time, the doctors are easy to understand, and they pay you a good line rate then go for it, tapes or digital.
Well, I work for a national, but my account
is a big hospital, doing acute work. It was a heck of a way to learn starting off, but I know it will benefit me in the long run, just one of those days!

Closing in on my 2 years now, I thought about maybe applying at a hospital inhouse here that hires starting out at $20, but once you add all the expenses (not counting any deductions), you come out to about the same. It's just not worth it. It would probably be less stress considering I would work set hours instead of all the crazy ones I have been doing, but then you have to add in at least 2 hours of drive time to that each day. It evens all out I suppose.
The company I work for has one account
that does not want IV at all. They have programmed their VR software to expand out IV, much to the consternation of cardiologists when they dictate IV conduction time and the MT doesn't catch it.
I found this in the archives. I need to try it myself to see if it will work. sm
http://archives.mtstars.com/main/24596.html
Is it possible some of the account work is going overseas. MQ does offshore you know.
:
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.
I work on an account that just came back from India sm
They had an outsourcing company that sent their stuff to India. They were so unhappy, they brought the account back to be done by AMERICAN MTS.

But the poster below me is right, the government IS doing something, they are making it easier and more financially rewarding to go overseas. One day and sooner than later, the American worker will be so poor and so economically depressed that America will no longer be able to import goods/services from overseas because we can't afford them. By that point, we'll be gardening in our window boxes and stockpiling foods that we will no longer be able to have or afford.

The tip of the slippery slope towards another Great Depression.
Sounds like an account I work on locally
can ya try to focus on ONE thing.  I know I would NEVER go to this doctor.  He's not sure if he did a colonoscopy or an endoscopy???  Scary.
evacuee - just found work at library
Hello!

Hope I am doing this right. Do not know how to reply to posts but here goes -

Library down the street from where I am staying has wireless internet. They said I could stay there all day. Going to by a lap top tonight!!!! Praise the Lord!!!

Called Medquist. My supervisor and the main office I am from - kind of overwhelmed with calls from evacuees and their e-mails.

Talked to payroll. VEry helpful. Said I could use vacation time for day I missed. Medquist is not THAT bad!!!



Michelle :)

Michelle
I found out the hard way that first in always have the work. Supervisor sm
doesn't care what time I work. As was stated to me first come first serve.
Stopped getting work in the middle of Dec and found a new job.. however he
There are some who work locally to the office.  Has anyone asked them if the office is open?  I live in a different state.  What a royal mess!
Mistakes found in other people's work

I work on a platform where we can pull up previously-transcribed reports for samples.  I have worked for this company for about 7 months now and have never had a QA done on my work.  I like to know if I am doing something wrong or if there is a better/easier way of doing things.  While going through some reports to get samples I have noticed things that are not that big a deal, but more along the line of somebody padding their lines, i.e., in the laboratory section writing out the number seventeen, in extremity examination writing out plus-two pedal pulses, cranial nerves two through twelve, things like this.  Also, things like sclerae IS instead of are.  Our accounts are not verbatim.


I guess my question is what would most of you do, leave it alone or say something about it?  I have left it alone for this long, but it just doesn't sit well with me.  I'm sure I do things that are wrong too and that is why I wouldn't mind getting reviewed every now and then to ensure consistency and quality.  Thanks for any thoughts or suggestions. 


I've found you have to work more than 8 hours a day to
If I had to stick to an 8-hour time period, I couldn't afford to continue.
My people skills are just fine. I just want to hire people who want to work.
I've not been ugly, I've asked questions, legitimate ones.  Please tell me what is wrong with that.  This site is not just for MTs, it is for QA Editors, Supervisors, Service Owners, there's even sections for Billers, Coders, and Nurses.   
Anyone work for Sacred Heart or PeaceHealth as an account
Any advice on these I might need to know before I start?
I work in Meditech for a radiology account and have no lag time. sm
There are a few things to try that might help. The first is to try to go through an NT connection if possible through their Citrix. Another is: Disable your virus protection, log in and re-enable the virus protection. I have found this solved my problem.

I am also answering your cut and paste question from your other post: It is HIPPA as the possibility of putting the wrong report on the wrong patient exists. However, I would go above or beyond your company's IS dept (they tend to be the most paranoid) and go to a production person such a Lead or Coordinator or even MTSO. If they are MTs, they tend to be more sympathetic and will often allow cut and paste when IS will not. If you are the only person experiencing this, IS is not going to be too diligent in helping. Worst case scenario? Ask for another account. Sometimes it is an account-specific, computer-specific problem, almost like putting the wrong size tape in a tape player.
work for hospital account - use lots of expanders - nm
x
Wasnt that a rip. They must have called every person on every account to work. I cant possibly
figure that mentality. PLUS we get nothing extra for weekends, nothing extra for  holidays ZIP. They overload the accounts and so we have no work. Why would they pay weekends or holidays when they play this game. Somebody is pocketing something but it AINT THE MTs. I hope every MT in that office inundates Mt. Laurel with complaints until they replaced the people that did this and not to mention their STUPID STUPID PICKY MQ point plan. That is a horrendous joke. Somebody up there needs to be removed and quickly.
I work an account where ESLs are better than the American dictators ever hoped to be. sm
There is bad dictation all over - you need to learn to cope with what is out there. Don't be afraid of the ESLs - you can only do what you can do, and for even American dictators, there is just no hope for the report coming out flawless if it is a bad dictator. I have 25 years experience, and there is just the fact of the matter that if junk goes in, junk is going to come out, and experiences helps with figuring out the words, but some words are so badly mispronounced, there is no hope of figuring them out. Blanks are inevitable, but that is why we have QA - they are the next level after the MTs get the rough draft out there. It pays to have a second set or third set of ears, and it is part of the plan - it is not all on just you to get it right on the problem dictations.

No flame here - think it's great you found something that will work for you plus get clothes clea
at the same time.  Thanks for sharing this tip with us!
I had found an earlier post that said Infinity would work with InScribe, but sm
I don't think the poster knew about the most recent upgrade.

I had also read about the start/stop pedal being frustrating due to it not stopping immediately. I did find one at Dictran that said exclusively for InScribe, but there are two types there, so that was also confusing!

I work an account that the doctor names scare you half the death, sm
all foreign names, but the voices are pure heaven - very clear and good enunciation, even the one that have a tangible accident. I feel lucky to have an ESL account like that.

I know a PA from South Carolina at a hospital I used to work at that would bring you to tears. ESL is not necessarily a bad thing.

I used to work for a hospital that used Meditech and we found the line counts to be inconsistent. SM

I used to be a supervisor and was trying to find a way to monitor productivity on Meditech and found that line counts fluctuated greatly!  I did all kinds of comparisons - typed reports in word and counted the lines in word with MP Count and then compared it with Meditech and there was sometimes near a 200 line discrepancy at the end of the day.  Then we found that running a line count twice in Meditech on the same MT and same reports would get us two different numbers with about 20 lines difference.


Meditech is just not MT friendly, but unfortunately MTs are at the bottom of the list of considerations when choosing an EMR system.  I gave up and started keeping track of minutes of dictation.


The national I work for usually offers jobs to the in-house people when they acquire an account. nm
nm
I've found this resource pretty useful for rehab work. Link inside.

Have this as one of my bookmarks - found this handy whilst handling rehab work. Hope this helps!


http://medicaltranscriptionwordhelp.googlepages.com/rehabmedicineterminology


they don't REFUSE to hire new MT's. They REFUSE to hire them at 6-8 cents per line.

mostly because you can now hire experienced MT's at 6-8 cpl. In the near future, you will be able to hire experienced MT's at 5 cpl. Then people will start getting out of this business and new people will stop trying to get in. I had a job opening and asked people to bid what they wanted per line. One very smart young lady was a new grad and bid 3 cpl. I hired her a year and a half ago, she has been terrific! and I was willing to spend my time training her because a) time is money and she saved me money so I could spend my time and b) she had definite potential!. In another six months, she will be the MT with 2 years experience applying for jobs. AND she will get them because she will test well and essentially "bought" her experience. So use Economics 101...


 


What is the difference between an acute care account and a multispecialty account??..nm
nm
Oh, I found it really creepy when you said you found the flowers not so skillfully arranged on your
steps, and from your own flower bed.  That's what I was worried about, having gone thru some psycho kids myself with my pups.  Someone's been in your yard and in your garden and at your door without your knowledge.  Its just creepy to me, and I'd still be very, very careful.  Especially valid sounded the other MTs warning you about potential fake molestation charges.  You just NEVER know nowadays, and these people have already turned on you big time once. Luckily (though I don't believe in luck), you had it on film to save yourself and your puppy.  You might not be that lucky next time, and the whole thing just sounds very unstable to me right now.  I know you feel sorry for the little girl, but probably the only time I have ever made BAD decisions regarding my life is when I felt sorry for someone, particularly kids.  My son even has an evil kid in his life, but one who has a million reasons for sympathy, and I was saying how we should "be bigger" than the situation and invite this kid over to play.  Thankfully, I regained my sanity long enough to remember - ever time I have done something like that on a personal basis for someone just because I feel sorry for them AFTER horrible behavior, it has always been a disaster... Be kind, but you don't have to risk your family again. Be kind from a distance.  Its sorry she went thru this horrible experience, but YOU didn't cause it, and its not really your problem.  But it could be your problem if this kid acts out in your life.  Know what I mean?
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
I found out a long time ago that there are two kinds of editing.. one is editing MTs work (like QA)
and the other is editing as in VR. I have done VR editing, but when I put down this as experience on a resume, I was asked by the HR person if this meant that I had "edited" other MTs work. I think there is a lot of confusion out there and I wish they would just keep that as QA instead of calling it editing. Just be clear in what you want to edit as most companies that expect you to "edit" other MTs in a QA position do require you have a lot of experience. If you just going for VR editing, which is what Transcend has available and there are a few companies out there doing VR, none of which I think really require much experience as it is easy to learn. Hope I made some sense and it can be pretty confusing on how companies use the term "editing" thus it effects their expectations as far as experience goes.
I have never found a program shorthand does not work with, it works outside the program (I think tha
nm
I think I found it, found multiple recipes with the same
exact ingredients so I figure this must be it. 
what is your account and specialty on the account?
no one is watching. tell us all about osi.
Found it, Prolastin, also found
alpha-1