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Varies by account

Posted By: Happy MT on 2009-01-05
In Reply to: is b.i.d. allowed anymore? sm - gemini

Not trying to make it completely confusing, but the BOS is a guideline and not really a hard and fast rule - at least that's what I've found.  I work PT for one company on a large clinic account and they want me to put what the doctor dictates, whether it be b.i.d., etc., or COPD or the like.  My FT job for another company has completely different guidelines - I have to expand b.i.d., a.m., etc. and expand all abbreviations unless very specifically told otherwise.


Generally, unless told otherwise I expand in the diagnosis and impression section and leave the rest verbatim.


Clear as mud, huh?




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varies
Relaxer $50
Wash and curly set $40 with 7 tip (I have extremely thick hair and its worth it)
Relaxer and rinse ($60) 10 tip for letting me be the first customer on Sat morning (6 am)
varies
I worked in house up until the year 2000.  In the NE area of the US I only made 9.00 an hour.  In Florida, I made 18.00 an hour plus 8 cpl per line bonus after 2000 lines per day.
Varies. 11p-7a, 12-8a, 9p-6a, somewhere in there. nm
s
It varies

I have one account that uses a 60-character line (including spaces) but they only pay 8 cents a line.


I worked for another account that did 65 (with spaces) and paid 10 cents.


Depends on what the client is willing to pay and how much profit the MTSO wants to make.


varies sm.
If you are with a company over 50 employees, have been there for 1 year, you are entitled to 12 weeks unpaid FMLA leave. Maternity leave is covered for 6+ weeks (depending on delivery method, complications, etc) by short term disability. Good luck!
It varies...
Generally speaking, the standard these days is 65 characters per line including spaces.  Some choose to bill by 55 characters per line, some by gross line, some 65 characters with no spaces, some by the page, and some by the minute. 
It varies by county in NC
I live in Randolph County, NC and the high school kids here can miss no more than 10 days of school per year before they have to start making up time. The elementary kids can miss 20. If this kid has missed that much school, the school should be contacting social services or someone to get involved. In NC parents can be held responsible and even be put in jail for their children not attending school like they are supposed to. It is truancy and it is illegal.
Oregon -- really varies

11 t0 14 cpl small MTSO   12 to 18 large MTSO.  Really varies around here and also depends on whether you deliver, print, or all by digital.


 


 


It varies greatly...
Where I work the range is from 6 cpl up to almost 12 cpl so you just don't know. I guess decent is 10 or more. Anything less is not too good in my opinion especially considering I made 8 cents per GROSS line 10 years ago which would equal I don't know maybe around 11 cents per 65 character line and again that was 10 years ago. The only profession I know of where the pay continues to go down! Thanks technology! :(
Varies with the expander
As far as I know, there is no universal shortcut. Each text Expander has a hotkey that you can use to temporarily disable the program without logging out of it.
It varies. 65 is not always the # used. Some places
s
It varies. Newbies usually
start around 6 or 7, average experience around 8ish, and very experienced in everything can make anywhere from 9-11. (This would be as an employee with benes, spaces included. As an IC or without spaces, cpl would be more to make up for that.)
Time varies
I worked for a doctor like the one above, records kept for years because they were so slack and careless they'd lose their nose if not attached. The doctors in the group I am with presently, I keep the notes for 3 months out of courtesy, but they have never had to ask for one. It all depends on whether others do their job or not as to how long to keep the reports. Talk to the company/doctor you work for about how long they want you to keep records.
i dunno, maybe 20? it varies depending
on hot topics, mental duldrums, needing breaks from bad dictators, etc. Its usually very momentary.
I don't think FEDERAL varies whereas state...sm

I think states set their own regulations but I do believe that Federal is all one set of rules/regulations.  The police might be able to tell you but I think you'd find out so much more via the internet if you know what state he is in.  I found someone in jail recently.  I put in her name and she is locked up and probably going to get the books slammed at her.  Very young nonthinking girl too. 


All states and even federales have websites.  You can type in INMATE information and then the state and all kinds of links will come up.  You can probably this way find his name at some institution and if paroled, call the institution he was paroled from and find out more details if possible.


BEST of luck on this!!!  The internet is great for finding even old friends (I found several 30+ years after being in contact).


Forgot to say the income varies according to....sm
what company they are working for.  Everybody doesn't make only 12-15 hr.  Just like any job, depended on the person and who they worked for.
It varies but make between $12 and $16 an hour - nm
xx
It varies as to location and what docs currently pay in your area. nm
s
What is the difference between an acute care account and a multispecialty account??..nm
nm
It varies but for me it works about 10 lines per minute of dictation.
nm
It varies so much with your ESLs, how good you are with your shortcuts, macros, etc. but most jobs
s
varies: clinic/acute, employee/IC, own accounts/pool.
nm
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
what is your account and specialty on the account?
no one is watching. tell us all about osi.
I've also found it varies from editor to editor -
In one case I researched it fully, and found that both of them were wrong, and I had been right all along.
[Sigh........]
I think it varies greatly from company to company...sm
I was hired five months ago by a national straight out of school at 8 cpl. I think it just depends on your knowledge level and ability, and of course, what the company is willing to pay.
The position varies from place to place..
Sometimes you end up doing VR, which can be really easy or a real pain. Sometimes you end up simply editing files and all is good. Other times, you end up with more job responsibilities and hours than you ever wanted. All in all better than typing LOL.
i think it varies from company to company and/or location

varies from state to state...nm
x
some of what you want to know varies from company to company,
client to client. The services each have their own QA grading system and you will get a copy at hire that tells you everything they deduct, and for how many points. This usually also includes formatting, such as wrong dates, right exam/wrong patient, etc.

You will need to know your punctuation and grammar first and foremost and use it properly, this is what you do. THEN if the client requests garbage in/garbage out (usually because they don't trust leaving anything up to us), you give it to them even though it hurts -- and should not be marked off QA for it.

Where do you study? Colleges with the 2 yr transcription course in my state make you take a year (or 2) of English grammar. No offense, but it's pretty much a 5th/6th grade review (is vs are, doctors' vs doctor's).

blanks will be limited, usually to 2, before you cannot send the report to client.

Wrong shortcuts - pay attendion to detail.
Varies from company to company
My first company I chose specifically because I knew they had a mentoring program and you had 12 weeks of "mentoring" to get up to speed. The training was very thorough. The first week was all training classes. There were very limited samples (1-2 per doc if at all). I worked there 6 months and never made their production quota, but they didn't care. When I asked my account manager about it, she said they knew the account was very difficult 95+% ESLs) and she wasn't worried about my production, that I was doing well.

I have also worked with companies that just did a training over the phone (usually about an hour) just to learn the platform. Then they did full QA for a day or two and then I was on my own. For both of these companies, I could review all the past reports of the doctors on the platform. That was really nice. I didn't have production requirements with these positions, just a daily schedule that I had to stick to. They just wanted to know when I would be working.

My recent company gave me a 10-minute training over the phone and gave me a couple of samples of a couple of the harder docs. I then had to submit 3 reports to the account manager to review, and then I was off on my own and was required to meet production immediately.

So it all depends. Each company is different. Good luck on the new job!
Look, if I were on an account that
kept me sending more blanks to QA than was allowed to qualify for an incentive program, I would ask for another account or get with a different company.

I've bid off accounts before; I've also changed employers because of this problem.

I've been there. It's not what I wanted so I fished until I got the catch I wanted.

As well, if your dictators are dictating on cell phones, that can be a real source of contention with HIPAA guidelines and they should be reported. I report that when I run across it; I also tell my supervisor I won't do that physician again if he is dictating on a cell phone. I've never been given a problem with that.
Second account........sm
Does your company base full-time status on line count or on hours?  If line count, it doesn't matter if you do the work in less than 8 hours.  You're still holding up your side of the bargain and you have every right to refuse to work on a crappy second account.  Just tell them you've decided that your one account is enough and keep your second job.  Same goes for the post below stating co-worker is avoiding taking on second account.  Unfair?  I give her credit.  She's a survivor.  We're not the ones who started the game.  But many of us are quickly learning how to play. 
If your account uses the BOS ...>>>

you use numerals for all numbers (and the old way is to spell out numbers UNDER 10).  The BOS says to use numerals for ordinals; 10th, 2nd, etc.  BUT, many accounts have their own preferences, so why don't you check to see what yours wants?


 


My own account

My own accounts been doing them for over 4 years, it is just one office person that says anything.  I think that she was having a bad day last week and we about went on a minor screaming match with each other not only over this but some other things.   So will let things calm down, check and double check to see if I can figure things out but without showing me, I am in the dark like I explained to her.  When nothing comes back you think all is great.  


 


 


I don't do any of that. I have each account in a SM

separate folder on Word and I just click on the appropriate folder. I do 4 hospitals in one state and two more, plus a local.


I never have gotten anything mixed up that I know of.


Take the account and run!
You really need to ask? 
I don't know anything about the account
I am considering an IC position and want to know what is an average rate. I have 9 years experience as an MT and have only wored in a hospital.
Keep that account @ .12 cpl
Keep that account (tell them you will meet or beat the competition). Don't say another word, just keep sending out advertising brochures, etc., until another higher rate really needs you, then tell these cheapskates that your accountant has informed you that not only are you losing money but it isn't fair to those others who do not question your charges nor would they ask you to "cut your rate." I've been in this situation and it has made me very depressed but that's the way these others work, they will undercut you for 1/4 cent, done to me by "friends". Just go along to get along and then you have every right to be the "dumper" instead of the "dumpee." Treat them like a bad boyfriend, until a better one comes along. Had this done to me many times and my only regret is that I let it affect me financially, I used to take the "moral high road" and now I take the "me" high road. If they are thinking only of their wallet, then you should as well if you need the money. Hope this makes sense. Most likely it isn't the docs, just someone in the office trying to say, "See, I saved you some money, so how about a raise?" Don't let them spoil your business accounts receivable, just hang in there and smile a lot.
You must be the OM at this PIA account. (nt)

I am getting .08 on one account and ..sm
.085 for the other acount I work on.
One account, can get only...
250-300 because they are obnoxious.  The other account, can get sometimes over 500 lph.
Usually, each account has a
prescribed method of formatting and if you work for a service you should get all of the specifications for formatting in a document when you start working a new account.  Inhouse, asking the manager will get you the information you need.  It is purely a subjective matter with each and every account; however, AAMT and ASTM are working on best practices in dictation and these of course would include a standardized formatting for all medical records .. making it eaiser for all of us to do our jobs and then ultimately find information in a chart.
I have been on my account
with 15 doctors for the past two years, but I am sure someone else had it before I did. We are about to get a new one in August, as well. I am sure you have just about everyone else beat though.
Pay Pal Account
I have a dumb question regarding my pay pal account.  My new employer pays through Pay Pal.  I do have an account that I've used only for ebay transactions. She's asking for my account number.  I can't find any information in my account as to what my account number is?  Does anyone know what that would be?  Does she want my bank account number associated with my Pay Pal account?  Sorry, I told you this was a dumb question.  TIA.
I have a second account sm

You should never work for only 1 company.  I learned this the hard way.  It's always good to have a backup.


Come take my account
First I get "Mrs. Ed" who talks just like Mister Ed and now I've got a dictator that sounds just like Granny from Looney Tunes.  Gives me a little laugh now and then, guess you gotta look at the little things in life, or you'll become a looney tune! :)  I pray next week is better for you.
If you want an account,
go out and honestly bid for it.....don't "steal" it from your MTSO!!!!! That is just wrong. Bidding on accounts that you don't know the MTSO is a different story. When you take an account from the MTSO you are an IC for, that is "stealing" and you'll get yours when you get to the pearly gates...if you get there!
Nothing really if you want to keep your account. sm
sometimes as an IC and in business, you must compromise. Looks like they are dictating the way they pay. Hey, it would be worse, you could invoice and not be paid for 60 days or longer. So, you will just have to adjust.

own account

I took a small account a few months ago. 3 docs, I do 2 and 1 has his own MT. She is an employee but we cover for each other for vacations. It is lucky they have that other person and they are flexible when I go away (rarely). Some accounts might expect you to find your own coverage. I have had problems with them not paying on time. It's not their fault, they have a large institutional accounting office over them. But MT is my only income so it has been a problem. Make sure you have a cushion in your checking account or whatever that you can live off of if you don't get paid for a while.


Another option might be an IC position if you can find the right one. I also have an outside contractor position with a local hospital that has employees, but I charge them like a service and they make no demands on my time.


Something to consider is how much time you will spend doing administrative things like billing, recordkeeping, marketing, answering emails, picking up tapes if applicable, traveling for interviews or training if you will be working on their system. I find that stuff eats up a lot of my time.


You might want to consider a 30-day trial period in case you dont like them. My account turned out to have a crappy dial-in system, they expected me to fax every report 1-4 times, and they eat up my time with emails and phone calls - each doc has his own secretary and they have another MT and they all tend to call me for things they don't need to bother me with like I'm an employee. Instead of telling them to find one person to deal with me we agreed I would charge by the hour instead.  I have no problem telling a secretary who calls me at 7p I will take down the info and call her back during business hours unless it is an emergency. It is hard to anticipate those things hence the trial period.


New account
Hi everyone.  I was wondering if anyone had any advice on how to convince a doctor's office that they need transcription done when they haven't had it done in the past.  This is my first big meeting on my own and I am nervous about what to say.  I have other accounts, but I never had to convince them because they were already using transcription.  Any suggestions would be helpful and appreciated.  Thank you in advance.