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When I worked in-house

Posted By: catsxoxo on 2009-04-09
In Reply to: Not 100% bad - Alice

at several different hospitals, we would bring a problem dictator to the attention of the supervisor, who then would present it to the HIM manager.  Most of the time the problem dictators got better after a discussion with the manager.  If it costs the hospitals EXTRA money, believe me they will take corrective action.  Money talks!


Sometimes, there are very legitimate reasons for corrections, as we all know, and I don't think Frustrated was upset about the legitimate ones.   There is a lot more of this careless dictator crap going on at teaching hospitals, but at least they have an excuse, they are new to dictating and usually feel quite bad for making so many corrections.  If they realize this and make an effort to be more careful, I don't have a problem with them, but there's just no excuse for the long-time dictators who carelessly make the MTs jobs more difficult.


While a certain amount of addendums or mind changing does happen, an "abuser" should always be brought to the attention of management.  No one knows about these dictators unless an MT brings it to the attention of those in charge.  Frustrated has a right to complain!  I feel her pain!


I had a dictator (on an account at an MT service) who made 10 different corrections to her reports on a regular basis & I am not exaggerating.  I had been instructed to join them altogether (in a time-consuming fashion) and fed up finally, I flagged them ALL separately for QA.  The transcription manager gave me a hard time about it, but I fought back.  However, when I talked to QA, she told me I did the right thing and that the hospital was having a "discussion" with that particular dictator as there was NUMEROUS complaints.  Dictator cleaned up her act a bit after that & I didn't have much more trouble with her.




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It was the same when I worked in-house

Slow at the beginning of the summer. After the Fourth of July, people started coming in for elective surgery and things like that and work picked up.


It used to be really slow at Christmas, but with high deductibles on most insurance policies, December was fast becoming the busiest month of the year when I left.


ask yourself what you did when you worked outside the house. NM
.
Whe I worked in house, we use to have sm
that problem all the time. HR would interview folks and let really GOOD folks go because they didn't know what they were doing. We werent' really interested in typing speed, we just wanted to know about their MT skills. They use to let some really good folks get away. Also where I worked, if HR said you couldn't hire them, I don't care how good they were or how much experience they had, we couldnt hire them.

It has been going on forever that the people in charge are not even MTs!

Where I work now, the supervisors, recruiters, etc are all MTs themselves, so we speak the same language! I think its like that on alot of other jobs, the bosses don't even know the jobs.

As far as referring a friend, everything has gone to computers and there is no "personal touch" anymore either! Very sad.
Yuppers. When I worked in-house in an ER, you
would NOT believe the stuff we saw. Hamsters were common, though gerbils were preferred due to their tail. At the doctor's loung in the ER, the docs kept a list of the top 10 most outrageous cases. They wouldn't go into detail - just post a list of top 10 weird things, no names, just 1. Hamster. 2. Harmonica. 3. Pea., etc. Hamsters/gerbils were always up there, and a baked potato wrapped in foil held the #1 slot for a long time. Mother and fiancee came in with the guy, and none offered a word of explanation or an ounce of embarassment. The guy just needed help with a baked potato. That stayed at #1 for a while til I left. I can only imagine what the list says now...
I worked in house for 2 years

and when I went on Maternity leave they set me up from home.  I started working for a national in January.  My other at home position went VR and they brought all the jobs back in house. I couldn't go back into the office as I have two little ones and the cost of daycare is outrageous.  What's the sense of working then?


Hi Janna..when I worked in-house SM

We got paid hourly plus incentive pay.  Anything over 1100 lines a day was paid an incentive rate of 5 cents per line (plus your normal hourly wage).


So, if I typed 2000 lines in an 8-hour shift I would make:


$16.50 x 8 hours = $132


900 lines (1100 to 2000 lines) x 0.05 cpl = $45


Total for the day = 132 + 45 = $177.


We had a maximum of $1000 a month that we were allowed to earn in incentive pay.


Hope this helps you!


Chickadee


When I worked in house and used Meditech sm
only the person with administrative access, the lead MT or the supervisor could do that. They had access to all functions in corrections, the MT did not. Could be different where you work.
I've worked in-house and at home ....
I find that even when you're in-house, with the nature of the job, there's no time for chit-chat.  When I worked in-house we had production minimums and there was incentive to earn if you produced, so who has time to talk?  I'm with you.  I'm happy being here in my comfy clothing without all that aggravation.  Let is snow, I don't have to drive in it!
Never worked in my house RadGuy w/5 brothers

I still crack up at the time my dad came home from work to find my 2 eldest brothers room a shambles with clothes strewn all over the place.  Being a senior and junior in high school their clothes WERE prize possesions..until that day when they got pitched out the window into the backyard full of mud from all the spring rain. 


Now that one worked as they never ever let a pair of shorts even touch anything but their dirty clothes basket.  Now, I'm using the same standard on my boys and just the uncles telling that story keeps them in line


in-house great idea & worked
When I was working in-house our hospital imposed for $50 fine on the docs for EACH delinquent chart. You can bet that got them to dictate on time. I think more hospitals should follow that example. it is better for everyone involved but mostly for the patient, who has info on their chart needed for continuing care.
I worked in house in a doctor's office and it was the same for me...
and I had to answer phones, make copies, et cetera, basically was an MT/secretary...and I hated it...I am making much more money now working at home part-time...
when I worked in house learning MT the first shifters were just like the mean folks here
x
Same situation here. When worked in-house or for physicians offices,

never as much as a single episode of no work available.  Much to my dismay, I have found out that MTing from home for a nation is so unpredictable, in so far as what your paycheck is going to be every week or 2.  They all say "there is plenty of work," which is probably factual.  However, the nationals are primarily interested in pleasing the client with their promised swift turn-around-times.  What they forget is that if it weren't for the MTs, there would be no turn-around-time whatsoever.  It's really very discouraging and quite unfair.  Most people try to adhere to their monthly budget, which is impossible when one never knows how much they are going to make from one week to the next. We ARE the providers, not peeons, and resent being treated as such.   


 


And I disagree with that. I've worked home and in-house,
Everyone is different and some people don't rely on jobs to provide social interaction. When it comes to my job, I prefer being at home working independently without a lot of interruptions and enjoy the freedom of working from home. If I were stuck in an office with rigid hours, then I'd be resentful. Personally, I loathe being stuck in an office full of catty backstabbers and love the solitude of home. When I want to socialize, I call one of my friends.

You also have to be able to let QA remarks roll off your back a little, but that only works if you don't have the threat of being docked or terminated as a result of those QA remarks. Find an MTSO that doesn't hold those things over your head (yes, they do exist).

I do think the key IS where you work, but not home versus office - it's finding a company that values MTs, not sees them as mere production machines. They are few and far between, but they're out there. I lived through my share of bad apples in this biz before finding the good ones, so I speak from experience.
Before I started my own business, worked in a hospital in-house with taxes taken out & then went hom
was getting with shift differential 23.80 when I left. Your pay seems extremely low, you could make more as an IC seriously.
Every company is different -- I worked FT for one as an employee but worked a split shift - sm
So I never took breaks. I would work 5 hours, break for about 4 hours then do another 3. Another company I worked for did not care what hours you worked (IC) but wanted a min. amount of work each day, 500 for PT and 1000 for FT-- BUT they paid you by how many lines an hour you put out, the higher the lph the higher up the scale you made per line in pay; they have since changed everyone to a flat rate with incentive. But bottom line, if you are an IC it does not matter what hours you work, though many ask for a schedule and ask you to stick to it, they just want you to meet line requirements daily, i.e. 1000 per day, 1200 per day, whatever it is.
I got up early, worked during naps, and worked when DH got home.

You have to be disciplined to make yourself work when baby is napping instead of maybe watching TV or doing housework, etc.   


I might also go the route of having a teen come into your home, or either trying a mother's morning out program at a local church/daycare.   I've been home since my youngest was born and he has never been in all-day daycare, but I did have him in a mother's morning out program 15 hours a week at a local church.   It didn't help a lot with my work schedule because I had an older son in school and was a room mom and tutored other kids, but that might be an option.  The only problem with the mother's morning out program is they are around other kids and tend to pick up every germ.  I finally took my DS out of the program because he stayed sick.  You were supposed to keep them off if they had green nasal discharge and I did, but no one else did.  Every time I got him well after 2 to 3 days back he would be sick again.  Other than that it was very good for him because he would not have had a chance to be around kids his age otherwise. 


I worked on that system when I worked there...
The thing that chapped my hide about that TWS was that they designed it so that all the headers of each section of the report were canned and thus you were not paid for them, even though you had to take your hand off the keyboard and mouse down a list of paragraph headers to chose the one you needed.  Just racking up more profits for themselves.  Ticks me off.
that is what is being worked out, and has been worked on for the last few years already...only
why are we just hearing this now? I know voice recog has been around, but this is entirely different. This will also make coding and billing obsolete.

Don't know why, but it just bothers me that one of our 'own' is the one pushing this...and she is also connected with AAMT. Do they support this, and if so, what is their advice I wonder to the MT?

Perhaps that is one question for their website (I do not subscribe to their mag or credentials...)

Thanks, for the input!
Yes.. In my house! nm
c
DQS in-house
I would think this is a dream come true. DQS can be used/bought by independent companies including hospitals and it doesn't necessarily mean that MQ is taking over the account or has anything to do with the MTs on staff at the hospital. Hopefully this is the case for the OP, because that is wonderful.

Also, regarding the demographic field, she is probably familiar with the little things of the hospital that sometimes MQ MTs struggle with, especially those of us with multiple accounts, like who dictates for whom, doctors who put in their wrong IDs, who gets copies and who doesn't, etc.

I hope MQ doesn't mess with the account too, because she, IMO, has the perfect set-up because DQS is really a pretty decent program and to be able to work on ONE account, in-house, would be my dream come true, anyhow! :-)

Oh, but maybe she should be warned that DQS is a speech recognition platform...
in-house
they are sending the supervisors or "workflow coordinators" (as they are referred to now) to work at home also. Those of us who cannot achieve the line quota are "offenders." I feel like I work for the devil himself. Not a good feeling :(
I do, my house is about as big as (sm)

a bachelor apartment.  It benefits me in the long run.


Get out of the house once in a while.
I get depressed, too, but I've got kids, animals, and everything else running around underfoot making messes.  Do you have any friends or family you can get together with for coffee?  What about puttering around a bookstore for a while?
Is this your first house?
If so plenty of programs available through Fannie Mae or FHA for first home buyers. If not look for a "rent-to-own" deal, usually sold by investors. You pay an "option" of usually about 5K to rent out the house for a year while you work on qualifying for a mortgage. Then a percentage of your rent each month is put towards your downpayment. The house is yours, and after a year if you qualify you have your home. Great program for those who have some bucks but not many of us can afford 20% on anything!!! Good luck.
Yes, but who does them in-house?
zz
House
I think House is very loving. I think he realized that Mark loved and needed Stacy more than Stacy loved and needed Mark, that Stacy really didn't know what she wanted and would regret it if she left Mark. Finally, the fact that Stacy had left him, House, before and now just wanted to keep him in the wings made him realize he had to put it to rest.

I think will free House up for someone else - hopefully not Cameron, she really needs someone her own age. It was creepy to see them on their date last year - looked a Dad with his daughter.
No. If in-house - yes! nm
x
We had them at our first house

We didn't plant them, but they were probably about 5 to 10 years old when we bought the house.  We sold the house about 8 years later.  A couple of them at that time had already died, and they all died within a few years after that and had to be cut down.


They are very nice to look at and grow fast. I did not have any problems with "sucker shoots", they all grew upwards.  The trees also do take the wind very well, never any broken branches, etc.   If you need a quick fix, I would certainly recommend them.  Only downside is that they are not very long-lived.   


 


In-house MT job - sm

I would like to take a part-time in-house MT job.  Unfortunately, there a few jobs out there.  The local hospital has an ad for a full-time MT position.  I had applied there many years ago and withdrew my application.  The pay was quite low and the hours were not flexible at all.  For example, one hour for lunch meant one hour for lunch! 


I wondered if I should apply and tell them I am only interested in part-time, not full-time and see if they are interested.  Or should I just assume that they are still very rigid in their thinking?  I don't want to waste their time or mine but really would like to go in-house a few days a week at this point.


What do you think?  TIA


Either it's your house or it's not.
Do not do any work to it at all until it is yours, in your name, and you own title. Period. Until that happens they are free to do what they want with THEIR house. They haven't cared about the condition of it thus far, so why should you until it's yours and you will reap the benefits of whatever money and elbow grease you put into it. They are not giving anything away until someone else's name is on the title. Don't let them continue to manipulate you. If their house isn't worth it than don't bother. If you can afford to put money into their cra!py old house you can afford to put money toward a new one of your own. They sound like truly selfish people and they are not going to change at this stage in their lives, are they? You seem to have the brains of the bunch. Put those brains to use. Get your own game plan to take care of you and yours and forget the rest. I speak from experience. You cannot change the pepole around you, only how you react to them.
I do not want an in-house job
I was only inquiring as to how companies hire employees and those employees may work more than 40 hours/week and not have to pay OT.   I think for the most part the ? has been answered.
She needs to get out of the house...
and make some friends in her new town. Maybe part-time preschool for the oldest, if not old enough for school, and she could meet some people that way. Or check out different churches. Or She definitely needs to meet new people near her. Until she establishes some kind of life where she is, she will continue to pine for the old life she left. Has she met any neighbors yet? Maybe visit a garage sale, even if she doesn't need anything, just to be out with people?
and when she is done with your house
send her over my way!  That is wonderful.  I wish I could get, and stay, that organized myself.   You 






When I am in-house
Yes, I have to answer phones, take care of nurses, reception, billing all bringing me questions or requests, research doctor's addresses, phone numbers, splice tapes back together that have broken (yes, we still use tapes and work on WordPerfect 5.1!!), fix computers when they go screwy, etc. etc. At home it is soooo much more peaceful and stressless!
When I was in-house sm
I transcribed reports on friends, coworkers, people I knew in the community....I tried to keep my mouth shut as much as possible. But when you learn that a friend has breast cancer....it's hard.
going in house sm
Make sure you know exactly what you are getting into and have it all in writing. I had given up a very successful IC position to go into one of my hospitals. As an IC I was treated well, but when I went in house I was treated like I came to steal the silverware. I was promised there was a need for me and they would be pleased to have me. I did not get this in writing. The insiders hated my guts, had the job posted and and all the night shift and weekenders scooped up the hours, leaving me with only weekend hours and holidays. I went through the mill that year because I made such a wrong decision. Be sure you know what you're getting into. I hate to scare you, but be armed with backup in print, in black and white, before you give up your home office. You are used to working alone. I did not know people could be not only so mean-spirited but they were not of my caliber concerning professional behavior. Be prepared to deal with the witches of the world should you have to. I was not prepared for the change. Perhaps you will be more fortunate than I. I made a terrible mistake and gave up a lot. I had to leave and start all over again. It was not easy and not worth it.
new job in and out-house

Well, I did it!  I start with SoftScript at the end of the month.  Although there are fears and all that, I have done the right thing getting out of the unhappy in-house job I was in.  It's a big gamble, but I feel right about it.


I'm posting here to tell you if you want an in-house job, check the job board at a certain hospital in Central Illinois, near Morton, IL.  A big, Catholic hospital.  I think there are actually 2 Transcription jobs open.  The benefist are great.  The rest of it is OK to absolutely unbearable.  You'll see.  I don't think I'm allowed to name the hospital.  But the job is on the job board of the hospital web site.  Good luck, I guess.  Pray for me, as I will for everyone who gave me advice. 



in-house
I have found that working in-house for a hospital usually pays better than working at home for a service.... in some ways.  The hospitals I have looked at pay a decent hourly wage, but if you are a seasoned Transcriptionist and work on accounts that you are familiar with you can make more being paid by the line.  I have always worked by the line and when I first started out I didn't make crap.  I expected this though.  And now I don't do too bad.  I actually make more than I would if I worked in-house at one of the local hospitals and I have the benefit of being at home.  I save money on gas, "work" clothes, etc..  So I guess what I am saying is that maybe you should try to find something in-house for a while to have that guaranteed hourly wage.  Just a suggestion.
in-house
You're right - in-house is wonderful pay - but the downside is giving up the comfort of home. I made $19.00 an hour at a hospital job, but don't like working in the same room with other MTs - usually can't get your work done unless you are a die hard. You get the urge to chit chat and the hospitals do require a quota. Don't get me wrong.. it does have its good points.
in-house pay

It depends on so many things.  I worked "in-house" (was actually working at home for a hospital that had in-house MT dept).  Got paid by the hour, so depending on your production, you might make more by working in-house (if you produced less), or more at home (if you had higher production).  It depends, too, on the hourly pay scale -- the hospital I worked for I think was pretty much known for lower pay, in all professions, at their hospital


However, with working at home, I always factored in $$ I was saving by not spending $$ for gas, etc., and since I did not drive, I did not have a separate car either (insurance, etc.), so this helped "raise" my salary.  Also, at home did not have to spend money for "work clothes", could wear my jeans, etc., again saving $$.


Also, even though I worked at home, and had "set hours", there was some lee-way in there, so if I felt tired, I could easily take a break and rest for a while -- much more relaxing.


 


Actually ,yes I do own a very nice house and car.
because I'm good at my job and make good money. Why is that so hard to believe?
Not at my house it isnt!
lol
any suggestions how to get them out of the house?
We've had our house professionally sprayed inside, outside, and entire yard 2 times already this month. This morning I got up to about 80 ants in my shower, and the other day I killed well over 200 on my desk while I was trying to work! Anyone have any ideas?
Well, I am the parent and I run my house sm
My kids are told to speak only when spoken to, and if they talk back in anyway, I smack them in the mouth. Granted, they are teens and not toddlers. In their teens, they try to push it to the limit no matter what situation. My kids know not to push!
Let them live in YOUR house then (sm)

I don't want them in mine.



In house transcription
A friend of mine recently left MQ and went in house too with benefits paid by the hospital and starting at $17.00/hour, however, in my area there are no hospitals that have in house transcriptionists, so I either have the choice of traveling more than one hour each way on heavily traveled freeways each day or staying at home and working.  I choose to stay home.  If the two hospitals in my area ever go back to in house, you bet I will be the first in line for an interview.
I do now and then, mostly stuff about the house but have been looking
for additional $$. Know what I want to do and currently researching finding suppliers, preferably here in the U.S. I'll be happy with an extra few hundred, but if it takes off...... I'll take that too!
I wish I could go back in house
I worked in-house in Florida and we made a base of 14 (this was back from 1997 to 2000), with $1 per hour more for everything over 500 lines per day to a top of 18.00 per hour PLUS 8 cpl for anything after 1000 lines per day. I made 1300 biweekly take home plus another 1500. monthly bonus. You could get up and stretch, talk to coworkers, etc. Now the circulation in my legs is shot, my hands are nearly non functional, and for nothing!
sounds like my house
I have a lab, husky and shepherd mix.  The lab would be sitting on my lap if I let him!
When I bought my house....sm

one if my requirements was that there had to be a room that was decent enough to use for my office.  In order to qualify for the IRS home office deduction  you can't use your office as a bed room or anything else.  


I have the best view in the house in my office - I can see outside to the flower garden and also see the road so I can watch the people and cars going by during the day.