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Serving Over 20,000 US Medical Transcriptionists

That's why all QA staff should cc their feedback to the

Posted By: old QA on 2006-11-28
In Reply to: Need to vent . . . - flying fingers

entire QA staff! QA needs to be on the same page. By cc'ing the QA staff (blindly of course), QA can get on the correct page. That way, if one QA has a question, bat it back and forth to determine the answer. QA people have a good rapport with each other for the most part and are very accepting of the correct way a company does things. If someone challenges something, then we just find the correct answer and that is that! Also, the QA staff I most recently worked with had an updated frequently most common errors and the correct answers that they passed out to the MT staff and it included the reasons for the correct response. It does work.


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InterPro often sends IMs to staff to NOT send feedback if they are "too busy" or there is too
:(
Glo and staff at MTS. (sm)
Just wanted to thank you for your ultra-quick response to my plight of not being able to get to your job bank this morning!!  Found it w/your help, was ready when the phone call came in and got an offer!!  Yahoo!!  Thanks again - you are the best!
If you MUST have QA on staff, they should all have guidelines, be it BOS

or AMA, whatever you choose. I've been seeing ads for QA personnel and they don't have to have been MTs. I don't get that.


As I've said before here, I work for an MTSO who believes if you have to have QA personnel, you've hired the wrong MTs. I tend to agree with her.


We get up in the morning, do our work and send it in. If there's something we don't understand, we put a note on the log for the doctor or the hospital - because we're all experienced enough that we either know what we're hearing or know how to find it.


office staff at MQ
that's exactly what I've seen. I had one of the guys at 1888# tell me when I said that MQs priority is with the clients 150% and the MT's concerns are at the bottom of the list and his response was well, they do pay our salaries -- those techs don't have a clue what we do
11
office staff at MQ
LOL, you reminded me at one time, about 9 years ago that we had THE tech support guy in our office pinch hitting also as the CSR. on the overnight and weekend shift, just when you would need someone with a brain...forget calling when you had question on how an account wanted a format, etc
Poll for QA staff

1.  Are you paid by line, report or hour or salaried?


2.  What are your production requirements?


3.  Do you get incentives or bonuses beyond your base pay?


4.  How do you provide feedback?  (Directly to MTs, to a supervisor, etc.)


My answers:


1.   Hourly ($19)


2.  12 reports/hour


3.  No.


4.  Directly to MTs.


 


monitoring staff
We need this done for a lady in our department. She works at home, goofs off, and starts late. She gets to stop working, and I get called in on my day off without on-call pay. From now on I'm not answering the phone!!!!
The rod should be a guide, a staff, not a weapon.

Please reaad the following if you think spanking is okay.


Spanking can cause a sensitive child grave psychological damage.  You probably won't even see it, and the child may never tell anyone or even recognize what it is.  Please, please, if you insist on spanking your child, at least give that child an outlet for the anger that follows.  When I child is forced to feel anger/shame directed at the person(s) they depend on above all others, and then to suppress that anger, it can cause significant, lifelong problems in his/her ability to have healthy relationships.


Another reason to reconsider spanking is the prevalence in today's society of spanking being related to sex - it's all over the place, and unless your kids watch no TV, no movies, read no magazines, and have no access to computers, they are eventually going to come across this.  It can be very confusing, very upsetting.


From:  http://www.stophitting.com/religion/faithMaterial.php


All of the biblical quotations advocating corporal punishment of children are taken from the book of Proverbs in the King James Version of the Bible. They were written by King Solomon, and presumably reflected his parenting beliefs with respect to his own son.


Proverbs 13:24
"He that spareth his rod hateth his son; but he that loveth him chasteneth him betimes (diligently)."


Proverbs 19:18
"Chasten thy son while there is hope, and let not thy soul spare for his crying."


Proverbs 22:15
"Foolishness is bound in the heart of a child; but the rod of correction shall drive it far from him."


Proverbs 23:13
"Withhold no correction from the child: for if thou beatest him with the rod, he shall not die."


Proverbs 23:14
"Thou shalt beat him with the rod, and shalt deliver his soul from hell (Shoel)."


Proverbs 29:15
"The rod and reproof give wisdom: but a child left to himself bringeth his mother to shame."


The Bible itself records the negative effect of Solomon's parenting style on his son, Rehoboam. He became a widely hated ruler after his father's death and had to leave to avoid assassination by his own people.


What would Jesus do?


If you take the Bible seriously, you have to notice Jesus' attitude toward children. It was wise, loving, and filled with compassion. Even when anxious adults wanted to shoo the children away, Jesus rebuked the adults. "Of such," he said, "is the kingdom of heaven." Given this attitude, it's hard to conceive of Jesus hitting a child on any occasion or for any reason. It's simply not consistent with what he taught. If Jesus wouldn't hit a child, why would we? SpankOut Day is dedicated to exploring alternate means of discipline. We believe that Jesus would approve. A simple slogan for Christians to consider might be this: the next time you are tempted to hit a child, ask yourself "What would Jesus do?" Then go and do likewise.
Reverend Dr. Thomas E. Sagendorf, Senior Pastor
Bexley United Methodist Church, Bexley, Ohio


Wisdom from the Talmud


Many people who strike their children do so not because they are evil or mean, but because they believe they are doing God's will. They often cite the phrase in Proverbs: "He who spares the rod hates his son." The problem is that pulling one line out of the Bible ignores the rest of the text. Much of the Book of Proverbs is filled with good counsel on how to be a better person. In Chapter 22 we are taught, "Train a child in the way he should behave, and even when he is old, he will not depart from it." Isn't it possible that the rod Proverbs refers to is to be used to point to lessons on the wall? When we fail to properly educate our children, we not only spoil them, we show them the opposite of love. We must use the rod to point out right from wrong, not to beat our children into submission the way slaves have been beaten throughout history. Even the Talmud says, "If you must strike a child, do so only with a shoelace." When taken in its entirety, Judaism can hardly sanction the use of violence against children. Even the famous sentence in Deuteronomy to stone to death the stubborn and rebellious son, was, according to the Talmud, never carried out. Instead, while discipline was and still is crucial for raising healthy children, striking a child need never occur. The mix of discipline and love is the recipe for a good future for our sons and daughters. The Talmud suggests: "A child should be pushed aside with the left hand, and drawn closer with the right hand."
Rabbi Larry Kaplan
Temple Israel, Wilkes-Barre, Pennsylvania


The Law or the Spirit?


In the book Spare the Child, Philip Greven suggests that our readiness as fathers to strike our sons explains why we men grow up so ready not only to tolerate but to perpetrate violence in our culture. A boy picks up his moral cues from Dad: "Dad hits me when he doesn't like what I have done. Therefore, men resolve differences by violence. If Dad did it, it's OK. I can hit people myself, especially when I think they've done wrong and therefore deserve it." Often a boy who has been spanked won't respond later to love, but only to more spanking. The Law, that is, has supplanted the Spirit within him. God's story of Israel says clearly that a son lost in the Law can be restored to appreciate and respond to a relationship with the Father only though crucifixion. In this case, that might mean the father's dying to his pride and asking the child's forgiveness, then begging Jesus to show him whatever brokenness in himself has led him to resort to the Law and how to become hospitable again to his Spirit's rule.
Reverend Gordon Dalbey, Santa Barbara, CA
Author of Fight Like a Man and leader in the Christian men's movement
Quoted with permission from Fight Like a Man


Also see:  http://www.nospank.net/toc.htm


 


No, I am not qualified as Chief of Staff
but I do my job well and I think that is what matters. I took the time to learn what I needed to learn (on-the-job training) and I am very much qualified to work as a medical transcriptionist.
Try Piedmont - they have inhouse staff nm
x
They expect so much from MTs but the other office staff
is paid well and make mistakes (x-ray techs, scheduling, etc), be paid full benefits.

What is UP with that?
Cranky staff is not your imagination.
The attitude you describe seems to be prevalent. It is as if we were a necessary evil rather than support staff. I think personally it is due to the amount of time needed to keep the paperwork in order. Everyone hates paperwork (even if it is electronically) and we produce a ton of it.

Also, in my view, physicians and care providers absolutely hate to make errors given their jobs are so important and the likelihood of a lawsuit keeps them paying very high premiums. We MTs tend to be one of the few who can say that an error has been made. It can irritate some doctors though I have met a few who are very thankful for it.

In the 20 plus years I have been in the medical field, there has been a change due to pressure from insurance companies also, plus the change in patient complaints as the population ages. This may add to frustration as the bottom line is not only finding relief for the patient but making sure treatment is approved by insurances. This can only get worse from where I sit as cuts are coming with Medicare and Medicaid payments.


Suggest she and the other office staff take a pay cut, too.
p
Re office staff to print
No, the office staff are not allowed access to the 2 PCs and they still work with a handwritten appointment book as well as only fax facilities and no internet at work... this is the reason I have to cut & paste WP doc into Word and e-mail to doc's home e-mail so wife can e-mail the report. This is really a mess I have myself in... and Im starting to throw tantrums now! I corrected him yesterday morning on a mistake he corrected me and now its spite on his side to pay me back because how dare I take a printout from physician website with the correct spelling and show him his mistake - my reports gets marked like a school teacher grading it big circles with messages "I spelt this for you a few months ago, you should know it by now!!!" etc
I type things like this a lot. Staff are always
calling in chaplains, pastors, etc., to comfort the patient and/or family. I don't understand why it is even questioned. Whatever the doctor dictates is transcribed (except major cussing, but even that is if the patient is being quoted). We are not here to determine what does or does not go into a report. We just transcribe it as dictated.
How about QA staff from previous jobs?
Do you know any other transcriptionists? Those are the only two I can think of for you. I have always been IC and have had individual doctors to give, also, if that applies to you. Good luck.
Go search bar and put in the word Staff
It will bring up a post(s) regarding the EMR system posted on Jan 12.

Put the word -- staff -- in the search bar. It should come up medical records staff being replaced by EMR
I sent it to 2 staff writers for the Associated Press plus...
Forbes Magazine, 60 Minutes, USA Today, Washington Post, NY Times, and a couple of others.  The Editor who e mailed me did not know I was an MT but that's okay - you investigate one offshored industry, you investigate them all.  I asked him to check into any credible sources he had.  You may have noticed in my letter it constantly said, "See what you can find out."
HAPPY 4TH OF JULY from all the staff at MTStars!

We went with the accounts and Warminster is still there with the office staff.
:
Yes, I do. The office staff are always very kind to me when I call, and I just
x
Happy Mothers Day from the staff at MTStars! May you have the best day!
/
Happy MT Week from all the staff at MTStars!
Administrator
Goldbird
Sam
Natalie
Jamie
Kelly
AJ
Kasey
Sharon
Adam
Mimi

Good idea about telling them to let the staff
I'm going to have to use that one! LOL Since most clients aren't wanting more work put on their staff, at least not in my experience, that will certainly be a showstopper for many of mine. :D Hee hee, thanks for that tip, JoV! ;)
Staff will be reduced and equipment not replaced
Care provider will attempt to maintain their income and will attempt this by reducing staff/overhead (that includes transcription by the way).

The medicare/medicaid patient should have copays that are reasonable.

Reasonable is the key word here. But there is a sense of urgency that is taking place due to the state of Social Security and the aging baby boomers who are beginning to retire, who will due to good medical care for a lifetime, perhaps live for 20 plus years on Medicare benefits.




My vet and his staff told me nothing makes their day more than goodies!
It may be old hat, but they said getting a basket of cookies or pastries really makes them feel appreciated. I know you wanted original ideas, but this is what my large vet practice has told me in the past. Good luck. :-)
HAPPY 4TH OF JULY from all the staff at MTStars!
a
Happy Mother's Day from all the staff at MTStars!


Cool staff. Thanks for the warm wishes.
Hope everybody here had a good Mother's Day.
If the office staff are rude then all that just isnt worth it!
x
I have found that when you switch over to other accounts that have a full staff then you have no
work anyway because the main people have the account and if they have had it for awhile it seems the clients like that. Sometimes best to hit a new account when they get it to start from scratch. Many times if an account is full of MTs they wont move you on it.
Happy Thanksgiving from all the staff & moderators at MTStars!
GOBBLE! 
I just want to add that I work for an AWESOME company with great staff and
:)
EMR System replacing/elminating med records staff

I have looked for posts regarding electronic medical records, but have not really found any.  Does anyone know very much about this subject?  I see many regarding outsourcing.  As far as job security, the EMR system worries me more than the outsourcing.  I know Kaiser has implemented it, has gotten rid just about all the MTs (in CA) anyway, and now is cutting back on the coders, next billers, etc.   


I just sent it to 60 Minutes staff writer - You guys help me- please read
Who ever mentioned sending it to Lou Dobbs, Dateline, or anybody else, please send this along yourself and name who you sent it to here on this site, so it is not duplicated to the same person too much.  Girls, I don't want any credit for this - I just want someone to look into this who has access to any credible sources and figures.  What ever it takes to get this out there - please help me do it.  We are talking about 30 MILLION jobs and counting.   I have already sent it on whitehouse.gov and to 2 newspapers.  Copy the thing.  Spread it around as much as you can and encourage others to do the same. 
0.075 cpl for acute care, 1 normal, 500 staff physcians.

1025 lines per day and 0,075per line. Acute care, Benefits, one of the big corps employing foreign labor.  This is after 1,46 per exam in Rad for 4 years. 


0.075 cpl for acute care and shorthand, 1 normal so far (new acct). 


I am in my 50s and would like to be assuresd at 0.075 cpl in 8-hour day will givce me enought to live on for a single woman.  Hired at different rate but considered "new hire" which I feel requires a contract or some type of informativce interview.


What is this?  More "fleecing of America" in the disguise of pilferation?


I


It's 18 pregnant staff members, not students (see link inside)
http://www.charlotte.com/mld/charlotte/living/education/14306113.htm
MTSO needs to staff appropriately, not IC take care of staffing issues.

Why should the IC give up her staffing solutions to the MTSO?  The IC only makes may be 9 cpl if she's lucky, and the MTSO probably makes 13-15 cpl.  I think my friends would rather make the 13-15 cpl to keep the account happy, than make only 9 cpl and make the MTSO happy.  The MTSO is wrong to take an account they can't staff properly, and then in turn blame the typist for TAT, etc.  It is just not fair!  Lowering the boom on the typist is my big concern, not so much "client stealing".  "Client stealing" has been around longer than we think it has.  The MTSO had to begin the "stealing" process from the get go, and then in turn cannot staff.  It all boils down to staffing.  I say, hire per diem employees.  Most transcriptionists are able to pick up a little extra now and again to accomodate the MTSO in a "tough spot", but this work should be paid a little extra as an incentive.  Tit for tat, though, in all fairness! 


It is because, stamps, cost of checks, envelops, staff time
.
Busy MT, your statement doesn't make a lot of sense. First of all, if US staff did walk out, MQ

one, because they don't have enough people in India to cover a large walkout and, two, their QA staff put out about maybe on a good day 70% quality.  Even the quality that gets back to the client I work for now is horrible because there are certain MTs who apparently some not too bright supervisor thinks is producing work that is good enough to go to the client without being checked over and the hospital is having an absolute fit over it.  I say, let em walk!


Who in the heck spends time chitter chattering w/ office staff?
I deliver and it's not daily but every other day and I definitely do NOT disrupt workflow and I do not chitter chatter with the office staff. In fact, most times I go in at night when the staff is gone because I have a key. It's clear that your perception and reality are two completely different things.

Lifelong friendship -- that's a good one! Where in the world did you come up with the idea that MTs would want to be lifelong friends with the office staff?!? I work at home to avoid all that office politics crap and gossip. Why would I want to pop in daily to listen to that junk? LOL

Seriously -- I hope people don't actually take all your advice because you don't even address the important issues. You only want to try to make everyone feel smaller and less important than you feel you are.



MQ feedback from QA???
Are you kidding???
Feedback on e-MTS

Does anybody know anything good or bad about this company?  I am looking for a good MT employment position, and I have been burned before (by Voice Systems--they don't pay!). 


e-MTS (Electronic Medical Transcription Services
Contact: Recruiter
2836 N. University Dr., Coral Springs, Florida 78065
jobs4mts@yahoo.com
Telephone: ., Fax: .


More MDI-MD feedback, please?

Well, I just got offered a statutory position at MDI-MD, but the huge packet of policies, acceptable acronymns & abbreviations, etc. (8 attachments!) plus having to set up a specific testing time with proprietary equipment and specific tech help is a bit daunting, not to mention having to submit a schedule 2 months in advance!


I have satellite as my only option, so that limited my choices of accounts, too.  I am apparently going to get an account with a high percentage of ESL dictators.   .  I can't TELL you how tired I am of thick accents and having to edit the grammar of ESL dictators. 


In addition, I must learn to use their BayScribe with its own word Expander instead of being able to use Word with Smartype. 


Is this all worth it? 


I would appreciate any feedback, good or bad (hopefully with details) on MDI-MD. 


Thanks for the feedback sm

Talking about teens. I heard on the radio the other day that some teenager, I don't know the age skipped school so the father made a sign that said I skipped school and my father is making me stand here.  He made her stand on high traffic road for 30 minutes.   Most callers said they applauded him.  


I feel better that I am not the only.   I starting to think that she is getting cold feet about going on to college. 


 


 


thanks, all, for your feedback.
 I will be trying the B&L bifocal contacts next week.
Thanks for the feedback!

I've checked in with my LT colleagues, and they're echoing what you are saying as well. I'm considering it a gross error and landing those applicants in my Delete box.


Thanks!!


Thanks for all your feedback...
At least I know I'm not alone - and yes the "attitude" is what REALLY bugs me.  Thanks again.
Looking for feedback

on my job situation at the current time.  I underwent major foot surgery (right foot) on 04/10/07.  I was off on surgical leave from then until 07/16/07.  My doctor did not want to release me back to work until 07/16/07, but my FMLA ran out on 07/02/07.  My place of employment gave me the run around about extending my FMLA but they did.  I have been back to work transcribing (I am the supervisor and senior Transcriptionist at a local mental health facility) now since 07/16/07.  Every evening my foot swells so bad that I cannot sleep. It throbs and hurts. 


I asked if I could work just 4 hours a night for the next month to transition back.  My supervisor said she did not care; however, my HR person stated that it would affect my insurance, which is based on fulltime status. 


Here's the main problem.  There are rumors that they are going to get rid of in-house transcription (I have been here for 15 years).  They have already hired a service "to help us", etc. 


I would like to just work 4 hours a night, or maybe even have my doctor write me an excuse, but with having used all of my FMLA for the year, my job position is not secure, especially in light of what is going on. 


Here's the cincher, I have an FMLA person who calls off all the time, and she seems to be protected (insurance, etc.).  This woman is just dead weight in my department, but I can do nothing about it because she is protected under FMLA.  I had to use all of my 12 weeks of FMLA up at one time due to my surgery.  She takes hers here and there, and every pay period receives one day of PTO; so, her FMLA never seems to run out.  I am feeling as if I am being treated unfairly here.


I need insurance as does everyone, so I do not want to jeopardize my job position, but my foot is absolutely killing me.  Again, this was a major surgery and I do not want to mess my foot up working for these ding-dongs that do not seem to care, that I sit with my right foot up on my desk with a pillow underneath it and an ice pack on top of my foot, while I try to transcribe with my left foot. 


This is just utterly ridiculous - - any suggestions as to what I can do here! 


I'm tired, !@#%#% off, and just plan fed up.


 


 


 


 


 


 


Thanks everyone for the feedback! sm
  This helped tremendously!  Have a great weekend. 
Thanks for feedback everyone

All of your responses REALLY helped. I feel better about my decision to move on. I am not going to say anything to the PT office. I am looking for more acounts and aleady have interviews with 2 companies. I have learned a very valuable lesson - Be cautious and cover your back!