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Sorry, but to suggest that she use the questions...

Posted By: UTMT on 2007-01-01
In Reply to: terminology test samples - rmmt

from another company's test or website is just downright dishonest and is a violation of copyright laws as well. 


Good grief.  It just isn't that difficult to come up with a batch of test questions.


 




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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 would suggest
giving them a call.  I would imagine they would hire PT whether they're advertising for PT or not.  I work PT but do as many or more lines than is required for FT.  I know they bend over backwards for me in every respect and I doubt I'm treated any differently than their other MTs.  I think you'll find them to be incredibly nice folks even AFTER you're hired!     And, believe it or not, they do know how to coordinate hiring and work flow so it's unlikely you'd ever run out of work, might be ASKED to work extra but that with more than adequate compensation IMHO.
I can suggest one

AT&T CallVantage. - You can make all LD calls (including with your dictation system) directly through your DSL line. I've never been billed more than $35/month (I think that includes taxes), and I'm on close to 10,000 minutes a month.


So how to you suggest they do it then?
Unfortunately they have to keep track of who is getting these cards and they have to make sure there is no fraud going on, so they have to make some stipulations.

I think it's a great effort regardless!
Can I suggest something?
Two lines of thinking, actually:

1) Please consult a behavior specialist. There is an underlying reason or reasons for his behavior. It's much healthier for him to find out the causes for his behavior and design a treatment plan and work for changes rather than to just cover them up by changing the environment.

2) Please consider going against what seems to be the attitude today: Everything made-to-order. What I mean is that children learn quickly what is acceptable and what isn't. If we constantly are taking our children out of normal social situations and putting them in "specialized", "personalized", "made-to-order" situations they will never learn how to cope and get along with others. They will also be robbed of the joy of learning community-mindedness. Not teaching them how to get along in life is hateful. Not easy skills to learn as a teen, as an adult.

Just my opinion. I faced behavioral problems with mine when they were young. I know how it feels. My best wishes for you.
I would suggest..
going to a psychiatrist. I also suffer from anxiety and depresson. I take a combination of Wellbutrin and Neurontin, and this seems to work very well. I have had a hard time finding any medicine that works for me. I still have episodes sometimes, but they could prescribe you Xanax for those in between momements. I don't take Xanax though, just the Neurontin for the anxiety.
What do you suggest

How much do you guys charge for a late fee when invoices aren't paid in time? 


My terms are invoicing the first of each month and payment due within ten days. 


I've decided to impose a late fee since I'm having a horrible time getting paid.  What do you recommend?  Thanks.


Thanks! What do you suggest then?

I would suggest
investing in the Stedman's Medical Terms and Phrases book. It is kind of spendy, but it sure is a nice comprehensive reference book. Definately worth it..
oh, i was going to suggest
carboplatin and Paclitaxel...?
May I suggest

Shortkeys2?  That's the program I have at my office (I do transcription for a major medical institution) and at home (home transcription on the side).  It works with most programs and platforms.  I've only had one or two programs so far that it wasn't compatible (AOL and GMAIL).


I would suggest
If at all possible, I would suggest you get a job working in-house, so that you can get paid by the hour. I don't know about the rest of you, but when I first started out, I don't know how many lines I typed per hour, but I worked 8 to 2, and I only transcribed about 18 to 25 reports a day.  My speed and comprehension built up slowly and it helped greatly having co-workers to help me.  I feel that the MTSO will take advantage of you in several ways and believe you will probably not make a decent living in the beginning. You have to learn the system you are working on, the physician's style of dictaton, etc.
I'd suggest...(sm)
...using "AA (Photography)" or "AA (Media Arts)" in order to show the relevance of the degree.
May I suggest --sm
Shorthand V10 as an expander? It works just like autotext, which is exactly what I was looking for when I wanted an expander. It works with almost all platforms, and has a free 30 day trial. There is also an option for paying at the end of the 30 days. To receive all upgrades, I chose to pay once a year, at 29.99! It is the best Expander I have ever used and for the price, it's a steal! good luck.
and i would suggest
Your response does not surprise me.  I would suggest you read between the lines in the entire thread that I wrote.  I did not CALL FOR anything.  I was simply making an observation and throwing some thought out there.  As far as my spelling of HIPAA...... I am not an MT, nor a typist, nor grammar specialist.  I am, however, a very very successful consultant in many areas.  My expertise has afforded me very nice wealth.  How about you????? 
I would suggest only if you need benefits.
a
I'd suggest it if you want a job when you come back. nm
 
You need to be upfront with them. What you suggest isn't right.
 
To begin with, I would suggest
Paying for your rent/mtg, food and utilities without fail first.

I ended up in BK 13 so I can't help you with a company name but this is what I learned, food and shelter come first.
I would suggest getting a 9 pin pedal

With the new systems, the problem is within the wiring that causese the incompatability.  I've tried a total of 5 different coverters/adapters (including Radio Shacks) that did not work with the 9 pin pedal to my new Dell.  I found one converter than even the inventer is unsure would work and costs about $30.  I have a 9 pin foot pedal that I would sell to you for about that same amount if you want it.


The only adapter that I found that does work is with converting a 15 serial port to USB with a product by Radio Shack with a game switch on it.  That is not a shelf item and has be to purchased through their web site.


I would suggest an inpatient
detox program if you are feeling really badly.  Your pain management physician or your primary care physican would be the best source for information.  Please call their office and let them know how you are feeling, they should be able to help get authorization for you to be admitted for inpatient detox.  Do not feel badly about this - OxyContin is a highly addictive medicaiton which should have been explained to you when it was first prescribed. Good Luck. 
It's not rude to suggest a job. (nt)

I suggest going to some place like Best Buy
that has lots of keyboards on display and try them out.  I have a keyboard that came with another computer that has a light touch, but you can't buy the keyboard separately.   I also have carpal tunnel and have had surgery twice.   What works for me is to use a pillow under the keyboard.  You can push your chair back a little, put your pillow on the edge of the desk or the edge of the keyboard try and then put your keyboard on top of the pillow.  It supports your wrists and arms and it makes you sit back in the chair, thus relieving back/shoulder strain.   My orthopod also recommended soaks, 15 minute cold, 15 minute hot, and then 15 cold again.  I also recommend wearing splint(s) at night because you may bend your wrists while sleeping and wearing a splint will prevent that, which will help the discomfort during the day.  
i can suggest a book that might help - sm
I started reading Melodie Beatty's "The Language of Letting Go" - helped me tremendously. Congratulations for finding the strength to leave that mess. I wish you lots of happiness.
I would also love to suggest the following:
Insert a picture of a happy MT transcribing from her beach towel as the kids and hubby splash in the surf! LOL!
She is obviously OCD, cannot let it go. I suggest we move on.
x
suggest after that post that you do not.....sm
Here's a thought - don't move to Tampa, especially if you think it lacks culture, try SE Florida.....can't tell me SE Florida lacks culture; there are so many cultures, it feels like NYC!   If you could pay $2200 rent in NYC, you could find a 2 BR, 2 BTH in SE Florida for same or a tad less, $1500-$2000 1500 sq. ft.
This is what I will suggest so we can all speak up.

On one day, say May 1, every MT that reads this sends a letter to the Editor of their local newspaper calling attention to the fact that protected medical information may be going overseas, complete with SSNs.  If people don't start becoming involved in protecting their own information, then they don't know or maybe even don't care, but I think many will start to ask questions.  But I could be wrong. 


Worked as MT for 15 yrs; I'm 60. Can you suggest another
xx
You suggest being less offensive ... yet
you are obnoxious!!!
I would suggest you give it a try and see if you like it. nm

I used to work use Express Scribe and out of all the employees (there probably was 10 or 15) only one that I knew of used the function keys.  It felt awkward to me.


Suggest to go to Amazon.com and buy SM
"When The Name Of The Game Is Saving Keystrokes" by Diana Rolland. You have to have a system. The book teaches you that.

Don't start just making them up randomly or you will go crazy. One thing I use is dividing word in half like nesc for nephrosclerosis, but, as stated, buy book.
Not only do they repair, they can suggest, and
x
I suggest trying Medware

I'm starting with them 7/1, but I can tell you the hiring process was one of the best I've experienced. The recruiter was super friendly. Once I applied, they got back with me within a few days.  Also, the testing process was very reasonable. Great benefits from what I've read (on here) and they don't change your accounts frequently. Take care and good luck!


I would suggest trying some of the free ones out there....sm
There are plenty that can be found on line and IMO are WAY better than Norton. I tried it twice and both times got viruses. For the $$ they charge, I don't think that should happen! Do a Google search for "free antivirus program," which should give you plenty from which to choose!
Can anyone suggest a good company

Not perfect just decent, I have a year experience so deffinately still learning, I work as an IC on Acute Care but the work runs out and I want to keep this job and have another MT job for I'm getting tired of my office job... Figure I might as well do what I like for a living


 



Google Suggest Rocks!
x
I would suggest that you have your thyroid checked--sm
It is the number one cause of fatigue and most often overlooked by physicians. Have a complete TSH blood test. T3, T4, free T4, and an iodine uptake test.
I would also suggest dumbbels for toning. NM

 


 x


if you really want to know, I suggest you attend an EMR conference..
I did. I was considering selling EMR's for my next career. Omigosh, if MT's would get their fat rear ends out of their chairs and into the real world and see what these babies can do, you would really hear people sweating it.  Every year, the docs that come out of medical school are more and more savvy with computers. I've seen lots of young docs who can type as fast as I can... so be educated and make educated decisions about your future...don't guess!
Suggest she and the other office staff take a pay cut, too.
p
Can anyone suggest some helpful radiology
I am going to be starting radiology transcription next week for the first time (lots of experience in acute) and was wondering if there are any radiology-specific websites that radiology MTs like to use.  Thanks!
What good expander do you suggest and
do you have to remember what you want to call up or how does 1 work? I know in ShortHand I put in Tp and it comes up the patient. Does an Expander work identical to that?
Yes, I would suggest using a commercial expander sm
Like ShortHand or Instant Text. They will increase your productivity tremendously.

As for the buckling down and just getting to work, well, as soon as you realize the secret to that, be sure and share it with the rest of us! If I knew the answer to that, I would not be sitting here on MTStars at 10:03 replying to your message, I would be cranking out the lines!! :)
I suggest you seek out an accountant sm
Since you have no experience as IC, you really need to talk to an accountant. Honestly, that is the only way to be knowledgable about it. I had to do that 18 years ago when I started as IC. Each year, the tax laws are updated, new write-offs, things you were deducting can't be deducted anymore, etc.

I have had the same accountant now for about 12 years, and he is not that expensive. Last year, he charged $180. Not too bad.
I don’t think he would just out of the blue suggest the medicine
Probably you made mention of having had the cervical cancer and that is where the dialogue started, right? As far as the x-ray, think that is being overplayed with that and fertility. Loads of children, females included, have x-rays when younger and do not lose their ability to have children. You sound like you are stressed out, mentioning this and that, xrays, miscarriages, sterility, etc., etc.
I'd suggest a gentle cycle and even then you may come out with a tangled
mass, depending on how the yarn was rolled up.
suggest finding out if your state is a community

When I divorced the ex, we had just bought a house.  We live in a community property state - everything you accrued during the married is pretty much split 50-50.  I hired an attorney for $600 !!!  He hired a real-property attorney for $350 as he was worried about the house.  I gave him the house and the dog and I took the child.  It is a joint custody state but I was the primary custodian. 


It's worth it to hire a divorce lawyer, and like you said you're only married 2-1/2 years (I was married 12 yrs) and you probably have little to no equity in the house at this point (just like us back then).  


Check out cheaper divorce lawyers and see what you can do.  Best of luck!



I would Not suggest Wolf Creek, very disappointing to me
nm
I'd suggest you look for a local doctor's office if you
want no ESL.   If you do acute care you're going to have ESLs. 
I wouldn't suggest wearing them while you work.
Magnets and computers don't go well together.