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Serving Over 20,000 US Medical Transcriptionists

Questions - Working with Mobile Broadband Access

Posted By: Thanks in advance .. on 2008-12-19
In Reply to:

Hi ..


I need to set up to work away from home and am considering mobile broadband wireless. 


I would appreciate any information ya'll could give me - I know nothing about it, other than most service is 60.00/month ... specifically, what carriers and how much time does it get you? 


Thanks so much!  I have verified the major carriers provide coverage in the area I will need to be in. 


Merry Christmas!




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I use Verizon mobile and the rule of thumb with mobile broadband is...
Basically, it will work whereever your cell phone will work.  If your too remote, it may not work, but I do know a lot of campgrounds like KOA offer Wifi, which means you should be able to pick up that signal too. You can always call ahead to the campground etc. I use mine going down the road for the most part but every great while going through the mountains I lose reception.  
Sprint Mobile Broadband sm
I have been using this service for the last 3 months or so and would never go back to dial-up. However, be aware that there is a 5GB limit per month with any of the $60/month data plans offered by Sprint (starting next month), AT&T, and Verizon. I have been checking my usage, and even with downloading a ton of songs for my son's MP3 player, work, and occasional youtube type stuff, I am averaging about 3.5GB for the month. Also, check what service has the best coverage for your area. I went with Sprint because of the unlimited package they had at the time, but since that is going away, there is no difference to me in carriers except their coverage area. If you have any questions, please feel free to e-mail me, and I can give you the website where I purchased my equipment. They have incredible customer service and even helped me get my modem switched out when it broke (my fault but I had the total protection plan on it, only $7 per month and well worth it).
Anybody use verizon mobile broadband?
Can you tell me anything about it? My dad is thinking about getting it and I wondered if I could use it at the campground they go to, but wasn't sure how it worked. Is there a limit to how much you can be online? Any info is greatly appreciated! TIA!
Mobile broadband 5GB limit with ALL carriers
I signed up with Sprint last year when it was unlimited, and starting in July 2008, they put a cap of 5GB, which is what all the other carriers had done also. That said, if you are using the connection mainly for work, the cap should not be a problem. I downloaded a program that keeps track of my usage as well as use the Sprint site to check it occasionally. You can't be downloading tons of MP3s or watching a lot of youtube or other video things during each month, but it doesn't have to be completely avoided either.
Working on my tax return and have a couple of questions, I'm hoping

First, A company I worked for briefly at the beginning of 2008 sent me two different W2.  One lists all the pertinent boxes (wages, federal taxes paid, etc).  However, in box 15 where your state and local taxes are listed, they have the wrong state.  It is a state I used to live, but haven't lived there for the past three years.  I definitely did not live there at all in 2008.  The second W2 they sent list nothing in any of the boxes except box 15 where it lists the correct state, income, and taxes I paid.


So does this mean I paid taxes in a state that I didn't even live in?  And if that is the case, do I have to file a return in that state?  Or do I contact the company and ask they correct my W2? 


I am using TurboTax to prepare my return.  My second question is I have a 1099 from IC work I did in 2008 and after I enter the information, the software asks me for a business ID code on attachment form C for my "self-employment business."  I have no idea what to put on this line.  I looked at a list of the codes on the IRS website and there is nothing that is specific to medical transcription.  There is a code for Data entry and then under legal there is a code for document preparation and stenotype.  Those are the only two codes that even come close.


So which one do I use?


Oh, and have I mentioned, I HATE TAX SEASON! 


Meditech questions and Cerner questions. Any input is appreciated. SM

I just recently went back to work in the office at a local hospital. We type in both Meditech and Cerner, depending on what you are typing, i.e. Medical Records reports versus Radiology.  We are currently typing blindly in Meditech, meaning we do not have access to our line counts and must depend on management to give us our totals.  In Cerner, we are able to run a line count report and print out a hard copy of our line counts at the end of the day.

We are finding that 800 lines in Cerner equals about 500 lines in Meditech.  We are not paid per line nor do we have an incentive plan, but we have a new HIM Director who would like to institute an incentive plan and the administrator over our department has laid down the law and decreed that all transcriptionists not making minimum in the department will be written up.  Problem is according to Meditech line totals that we have been given, that would be about half the department.

The transcription supervisor has taken our concerns to the new director who told the MT Supervisor to hold off on writing people and has taken home all the line counts from the last month and she is going over them with a fine tooth comb this weekend.

I am not a very trusting soul by nature, so I am doing a little research on my own.  I've been in this business for about 15 years.  I started out in a hospital and have worked for a few services at home and am now back in the hospital setting.  So I know a few things about line count and I consider myself to be pretty well informed on trends and technology in the industry.   I would like to walk into our next department meeting armed with as much knowledge as possible.  So I have come up with some questions that I would like some fellow MTs to answer, give opinions, and maybe even direct me to websites or individuals who could give me a better understanding of Meditech and Cerner.  Here are my questions:

 


  1. Is it possible for an MT to have access to her line count in Meditech or is strictly a management function?  Any MTs that work in Meditech on this board, do you currently have access to your line counts and if so, how do you check them?  Is it an option on the main menu after you log into Meditech?

  2. How is a line defined in Meditech?  (i.e. 65 cpl, with spaces, without spaces)

  3. How is a line defined in Cerner?

  4. What abbreviation Expanders work with both Meditech and Cerner?

  5. Examples of incentive plans (if anyone would like to share that with me that would be great, if not I completely understand).

  6. Measuring productivity by minutes of dictation versus typed lines.


    1. What would be the minimum minutes required for an 8-hour day?

    2. How would one structure an incentive program based on minutes?

I was thinking of presenting the idea that we keep track of productivity using minutes instead of lines since there is such a discrepancy in Meditech.  I also worry that if an incentive plan is put into place and we are still typing blind into Meditech, what's to keep management from shaving off a few lines here and there?


Feel free to email me or post here any responses.  Either is fine.  I really appreciate any input, comments, or just plain old supportive posts would be nice too! 




I use wireless because it's the only broadband I can get...sm

I  have a router on my main computer, which also speeds up the connection. Downloads .wav files in a flash. The router also allows The Boy to play his Xbox live in the basement.


I also have wireless broadband s/m

I don't have it because of the price ($55 a month), but because I cannot get DSL or cable.  I looked into satellite, but after explaining to them the work that I do, they said that I would easily exceed their limits in probably about three weeks, leaving me with week four totally down (they don't have an overage that you can buy).  I actually spent the time tallying one weeks' worth of voice files to give them an average of what my week looks like.


The weather doesn't really affect my wireless, I have had my satellite go out during bad weather, but my wireless is still up and going.


I would be interested in the cards mentioned, but I live in an area where cell phone reception is hit or miss, so that won't work for me either.


I use two different FTPs and also a WebTop platform for my hospital account.


I also have wireless broadband s/m

I don't have it because of the price ($55 a month), but because I cannot get DSL or cable.  I looked into satellite, but after explaining to them the work that I do, they said that I would easily exceed their limits in probably about three weeks, leaving me with week four totally down (they don't have an overage that you can buy).  I actually spent the time tallying one weeks' worth of voice files to give them an average of what my week looks like.


The weather doesn't really affect my wireless, I have had my satellite go out during bad weather, but my wireless is still up and going.


I would be interested in the cards mentioned, but I live in an area where cell phone reception is hit or miss, so that won't work for me either.


I use two different FTPs and also a WebTop platform for my hospital account.


UPS or broadband air card maybe ?
Thanks to the posters below. After more investigation it sounds like I could get a fairly good UPS battery backup for the money a generator would cost. Of course it would not last as long time wise. I just wish I knew for sure that our cable high-speed internet would still work w/o power. The customer service guy put me on hold, then came back and said yes, but I am leery. I guess I could test that by buying a battery backup...charging..hooking it up and cutting the power via the main switch and see if the cable works but that would only test if MY house is without power not if the power were cut to the area. Been thinking about cutting the cable internet and going with an "air card" (broadband off cell towers?) Then, with a laptop, I could take my work with me too ?? I am Soooooo low tech it is agonizing !!!
Broadband/Internet Phone - sm
Hi - I've been using USA DATANET (it's available in my area) without any problems on a Lanier and DVI (Like C-Phone). Mine is $24.95/mo for unlimited long distance. I can turn my Internet modem off at night, and therefore, can't use the phone if that is off. Otherise, no problems. Hope this helps.
i love my satellite/broadband!
I too do not have DSL/cable available in the boondocks where I live...but a small local broadband company started up a year and half ago at good rates and I jumped on board. I love it! I have never in 18 months or so had an outage other than when we had severe weather with power outages. I have a neighbor who had satellite with one of the big companies (Hughes, I think) and said the service was fine but too expensive. I have been using satellite for at least three different accounts with no problems...the only problem is when a company doesn't "allow" satellite.
Wireless Broadband/Sprint, etc.

Hi to everyone!


 


Is anyone out there using the wireless broadband, like Sprint or Verizon (not so unlimited)?  I am currently using Verizon and have now found out the unlimited is not so.  I have ordered Sprint and the USB modem will be here in a few days, but am now paranoid about 0ver-Use on that!


 


I just moved to a house in the country, with no DSL, no cable and am unsure about Wild Blue for satellite because of the start up cost and then not being satisfied.


 


Any country living transcriptionists out there with advice?  I am in northern CA.


 


Thanks for any help!


I just got fixed wireless broadband
And I love it! No lag like satellites. I thought I'd never get broadband since I'm a mile from the nearest house but this is a very nice connection.
Satellite/WiFi/Broadband
I am going to return to working at home soon.  My husband has retired and we are going to be spending a portion of our time in Scotland in a private residence with a wireless connection.  In looking at the requirements of several of the company websites I have found, they apparently do not allow satellite or WiFi connections.  Do any of you travel and use your laptop for work?  If so, what sort of connection do you use?  When I was working for Medquist I worked from Scotland with a wireless connection, password protected, in two separate private homes, no direct computer to modem connection, and had no problems with this at all.  This was a couple years ago.  I am currently employed at a local hospital, so I cannot ask my current employer about this.  Many thanks to anyone who has an answer.
Broadband/Internet Telephone Service
Does anyone use a broadband/internet telephone service for transcription, such as Vonage, Covad, Lingo, SpeakEasy? I have a local long distance account and am looking into this type of service for a monthly flat fee for unlimited minute usage. Otherwise, the long distance fees would eat me alive. Any info on any company, good or bad, would help me tremendously in making my decision. I am researching several via the internet, but once again, any info would help.

Have a save and sane 4th of July!
Lillian
Have you looked into Verizon wireless broadband. sm
It might be available in your area.

Don't worry about the ESLs - just takes getting used to their voices, and practice makes perfect. I had a hard time at first, but over a few weeks, the clarity came as I got used to it. Ask your supervisor for samples, too. Samples really help - and they will help you master the voice, too.

verizon has broadband internet card
for laptops..  it is about 15 dollars/wk but you can write it off.. i do lots of stuff in the car and verizon works everywhere..
SuddenLink broadband service good ?
Would appreciate any input anyone can give me with this. Considering switching from phone line to cable broadband. Thanks.
I'm using a fixed wireless broadband connection
And so far, so good. The tower is just across the cow field, though. I haven't had any cutting in and out and I feel like a kid with a new toy since I'm able to watch You Tube, etc. now. My provider (SEIdata) came and did a site survey before installing it first and told me I had an excellent signal. They put a small box on my roof and ran cable to my office. I plug into an Ethernet modem and I can WIFI it with a router if I want to, too.

I've heard mixed reviews on the "cards," but I would recommend fixed wireless if you have a provider that does a site survey and installation.


I pay $40 a month unlimited wireless broadband...
And I work on Bayscribe for two different MTSOs. I never have a problem and have no limit to 5GB or anything. It's through a company called Cricket if there are any in your area. I also have dial-up as backup just in case weather conditions interfere with my wi-fi connection (Bayscribe works great with dial-up, too, BTW!).

I, too, can't at this time afford satellite or cable, so I'm making do with wi-fi and dial-up and saving myself about $25 a month. It doesn't sound like a lot but in this economy, every little bit I can put back in my pocket helps.

Good luck!!!
Anybody have any experience with Verizon Broadband Wireless (air card)...
Hello, I'm looking into buying as USB720 from Verizon Wireless.  It is for wireless broadband access and simply is a modem with an antenna that plugs right into your USB port which I could use with my PC.  It is $99.99 after a $50.00 mail-in rebate.  The service itself is $59.99 a month with a 2-year commitment.  I live out in the boonies with only satellite internet and dialup available to me.  Also, I believe that it is compatible with a VPN.  This certainly would be a nice alternative to pokey diaup and satellite.  It is cheaper than satellite (the initial cost anyway) and it is faster with speeds up to 700 kbps.  According to the map at Verizon, it is not yet available to me in the Las Cruces/El Paso area.  But according to two reps at Verizon, it is available.  I get a strong signal here at my house and there is a 30-day trial period.  Is there anybody in this region that has been able to get this service with success?  Also, any experience at all with the Verizon air card would be welcomed.  Thanks in advance!  Shelley
I just want to be mobile

I just want to be able to move around the house with a laptop, which I am still looking for a good deal on.  I am looking for a 17 inch screen.  What is your laptop?  Give me the specs please.


Thanks


KC


Mobile...
I have used ATT and with the $60 package you have unlimited use...It worked good for me.
Mobile Infirmary sm
Beth, where would you be moving from?  I did hear today that Mobile Infirmary bought Knollwood which is also a hospital in the Mobile area.  I don't know anything about working there, though.  I just accepted a position at Providence Hospital in Mobile and started today.
Mobile transcription
I am really just fishing here. I don't start this itinerate life until February, so I am hoping to here from more people who are out there on the road earning a living.
Mobile Transcription

Interesting question!  I own a small MTSO that is essentially a family business.  My Dad is retired, but does sales and bookkeeping for me.  My Mom is retiring August 1st, and she is planning on getting back into transcription, working for me.  They own a big RV and are planning on being "snowbirds" - living in Arizona for at least 3 months of the year.  The place they are going to is a big RV community which has WiFi internet, so they can both work remotely. I am also an avid camper, so we've been looking into remote internet options.


We explored the different satellite options, but it was very expensive initially for the equipment and the setup at each stop seemed kind of complicated.  The other problem was the upload/download speed - I can see why many services won't hire someone with satellite service.  We ended up going with Verizon Broadband access - anywhere I can get a cell phone signal I can get internet.  The speed isn't the greatest, but it works for us.


What I've found is if you work for a company that requires you to be logged on to the internet the whole time you are working, this option won't really work because of the connection speed.  However, we use a product called DocShuttle by Bytescribe that allows my staff to download the audio and disconnect, type the reports, and then connect and upload the documents.  It works great for that - I even have an employee who lives in the country where there is only dial-up available, and she works just fine like this.


It can be done - I've worked while camping several times this way.....


Mobile transcription
I have just heard from one person so far, and she just did this for about 6 months. I will keep in touch.


Mobile transcription
I'm a fairly new MT, and my husband and I are going to start living in our RV and traveling around the country moving about every 3 months. Is there anyone out there doing something similar? I'd love to hear from you.
Mobile homes are many here in NC, and
they are not a good deal, IMO. Every tornado heads straight for them like they are magnetized, and they seem to burn down a lot. Now I had a townhouse that I lived in for 11 years, and I made quite a nice profit due to the fact they were attractive, had a bit of land and nice landscaping, and were in a good location. I think I paid $85,000, and sold it for $119,000 11 years later. Not bad for a townhouse.
I am mobile with a laptop and use a....sm
Microsoft Elite keyboard. Many years ago I started transcribing with my keyboard in my lap. This has served me very well and is the only way I work now, even at home at my desk. Ergononically, it is great with no stress on arms, neck etc. Just be sure you have the computer at the right height. Sometimes I have to put a few books under my laptop depending on the height of the chair I am sitting in. I love being mobile!
Mobile internet
I need to go mobile with my laptop so I can work away from home.  Anybody else out there who does this?  Any suggestions.  Good carriers?  Any advice greatly appreciated.  Thanks. 
Okay, I decided to try mobile

wireless internet through Verizon.  I currently have a Verizon cell and have no problem with reception in my home, so I'm hoping this is a go.  I also have a 30-day trial period, so I'll know for sure if I have any glitches. 


What I don't understand is this lingo about voice files, etc.  I'm on the Bayscribe platform, so any info would be greatly appreciated.  Please "dumb it down" for me, as I am not a PC person.  The lady that signed me up told me that the limit is 5 GB and that that generally means about 35,000 web pages a month.  How does this correlate to voice files?  Do I even use voice files on Bayscribe?  I'm assuming so since I have an audio player. 


At least I know if this doesn't work out, I can cancel and not lose anything.  Then I'll have to sign up for satellite, which is about $300 upfront and $60 to $90 per month for service.  I'm keeping my fingers crossed that Verizon will work for me.


Thanks for any info.


Anybody seen how Time Warner is going to start charging "heavy broadband users?" sm
http://www.news-record.com/content/2009/04/02/article/time_warner_cable_will_track_charge_by_internet_usage
...and regarding the mobile devices (more information)
http://www.intel.com/business/casestudies/mckesson_integrated_digital_hospital.pdf

Ladies:  Looks like we should be investing in some of these companies...Intel/McKesson on cutting edge, and VOIP companies (we currently use a VOIP phone)...

If we can not make money in transcription, maybe we should invest in its future?

Quote:  "Medical Transcription will change more in the next few years than it has in the last 100."

It is an odd thing, but I actually like typing and will not like it when it is gone. 
Mobile Infirmary Medical Ctr
Have applied for a full-time MT job at Mobile (AL) Infirmary Medical Center.  Has anyone experience working for them?  I would appreciate any information, as this would involve a move for me.  Thanks in advance--
Mobile Infirmary Hospital
I don't know much about Medical Records except that they have a BIG turnover. Always hiring. Say a little a prayer before you except, it may be that it works out great for you.
Mobile home buying

Shop around for repossessed homes. I have a double-wide Palm Harbor that we picked up for about 60% of book. Yes, they do depreciate like cars, and some brands hold value better than others. Palm Harbor and Patriot seem to have the slowest depreciation rate, and do have pretty good records for storm survival (always remember, they have earned the term Tornado Bait honestly!)  Our home was barely lived in, with very little evidence of wear, and a great price.  Try to look for a repo-only lot - they are usually run directly by the mortgage company and if you have good credit, a good deal can be made, especially if they have had the home back for a while. They can also show you homes alreay set up in parks, or on lots of 1/2 to 1 acre or even more, and if you like the location, won't even have to wait for moving and set-up. Make sure they are able to demonstrate that the heat and air work properly, even if they are lot-set in a temporary sales lot. Don't know about AZ, but in Texas they do have to have certain warranties for roofs, appliances, etc. for at least 90 days.  New home dealerships often have some repos, but they are usually dogs to make you want the new ones.  Shop around, take as much time as possible (we stayed in contact with the repo dealer we brought from for about a year, and he called when he got in what he knew we were looking for) and you can find a deal, especially if you have great credit. We are way more happy with the mobile home we bought when we remember how little we gave for it. Stay away from Fleetwood, Shulte and SOUTHERN ENERGY (run-don't walk-away), unless they just give you one, then be prepared for problems anyway.  I am running on, aren't I? I just wish someone had steered me this direction in the first place.   21st Century Mortgage Company is a good lender for mobile homes. There are not many companies out there who still do trailers, but you can find them if you look. Hope this helps. Contact me if you want more info. 


My advice if you do buy your own is to get a laptop so you can be mobile. nm
.
Lots of people are mobile.

Be sure that you're using a secured wireless network/hot spot. Your laptop should have the wireless card already installed, unless you're using an old model. Try Google search for VPN to learn more.


Most importantly--make sure it is allowed by your company!!


is this with a mobile home company by chance? nm
:
I agree. I used to finance mobile homes.
However, they had to be on a permanent foundation with the wheels removed, and the interest rate was scary.
Dragon Naturally Speaking v 8 Mobile
Is anyone using Dragon Naturally Speaking v 8 Mobile to download digital dictation from a recorder and convert into a transcribed document?  I saw where it claims to be able to take digital dictation from a recorder and automatically convert it to a typed document.
Mobile Infimary Medical Center
It depends on what department you are going into. Are you Medical Records MT? or Radiolgy MT?
using desktop computer mobile as a laptop

Anyone have an idea about using a desktop computer as a laptop?  I am wanting to take a roadtrip and I had a laptop that has a cracked monitor screen that I used a Belkin wireless internet PCI card in the side of it with WiFi internet connection.  Is there a way to use my physical harddrive and establish the same wireless internet connection with WiFi?  I do not have the same port that the laptop has on my harddrive that the Belkin wireless card fit into, but is there another card that plugs into the desktop harddrive that will have the same effect?  Thank you all.


 


Mobile PC card - no router required.

here is the section on Cingular's web site.  Sprint also has one.


http://business.cingular.com/businesscenter/solutions/wireless-laptop/modem-cards.jsp


If it's in your service area, DO NOT GET CRICKET MOBILE (SM)
My BF got it, and it's just horrid. It worked okay the first few days, then began dropping the signal, sometimes up to every 5-6 minutes, and you either have to call to get your signal "refreshed" or go thru the trouble of uninstalling and reinstalling the program.

It's only about $40 per month, but this is apparently one of those "You get what you pay for" situations.

I'm trying to warn everyone I can. We MTs work too hard to have to deal with this kind of aggravation.

Cingular and T-Mobile advertise prepaid plans.
nm
point-of-care mobile devices - that is a bigger threat...

another excerpt: 

It is no longer a question of whether medical transcription will survive. The move away from traditional, free-text medical transcription is inevitable, given the improvements in speech recognition technology and natural language processing; the development of standardized templates through HL7ís CDA (clinical document architecture), ASTM schema, and other similar efforts; XML-based communication; and point-of-care mobile devices that will ultimately facilitate real-time documentation. And it is very clear that real-time, point-of-care documentation by the practitioner will replace transcription! This can already be seen in countries outside the United States that are developing direct entry, interactive, structured text documentation without going through all the evolutionary steps from traditional, free text transcription.


In a perfect world, the mobile devices will work perfectly..
It will only take a few big money malpractive suits and lawsuits against hospitals for this standardized text and free text to be proven to be inadequate documentation. Do you honestly believe Joint Commission and insurance companies will relax their standards for health care documentation? I could be very wrong, but I'm not throwing in the towel yet.
actually, they are boasting better quality care with point-of-service mobile devices...
as they (service providers) will have immediate access to all information on a patient throught a "MedChip" rather than have to wait for, you know, "people" (heaven forbid) to get old records, records which have too much information, etc. The system will eventually be world-wide as well, which that will take years and years, I am sure.

This is also to be used not only by doctors, but nurses, physical therapists, anyone who performs a service on a patient. They will have hand-held devices that do everything, document, code, bill.

I realize that will take years, but you can already see the 'growing pains.' Look at all the complaints about MQ. They are losing work because of the speech recognition. All the good, easy, clear dictation is being switched over. This alone seems to be 'weeding' out quite a few MTs.

There are supposedly over 400,000 MTs in the US.

I understand there is no going back, and technology is moving forward and eliminating jobs just as automation did; but excuse me for having some passion. I love this job.