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When do physicians give feedback to MTs?

Posted By: Never heard of that happening. nm on 2007-12-20
In Reply to: You sound like most MTSOs who don't - want to pay what people are worth.

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just curious - the QA should give feedback sm
But you have to take into consideration if there's a huge backlog to be proofed QA person may have not had time to get it to you yet.  I find Google VERY helpful.  If you can at least get the name of city/state for clinic you might try what it sounds like in the search engine with the city/state.  There are several websites that are helpful for dr names/hospitals, etc.
be sure to give this feedback to the physician.

I always give feedback. it's not a matter
which I know happens to a point.  But it's just gotten to the point that it's happening too much and they are things that DEFINITELY should not be overlooked.
So, imagine the company that does not allow QA to give feedback, what does the MT learn then?
They learn that they've got no problems, they're not making any mistakes as they don't hear from QA, their work must be TERRIFIC.

MTs need feedback, no matter how long they've been in the profession. They don't need nasty feedback, just reminders if they are making errors to keep track of themselves. I know if I get feedback that I've done something wrong in a report it certainly makes me be more careful and I've even had to change some of my shortcuts to not make some mistakes.
You are so right. Its up to the physicians and
also your local competition. Its all about offering the physicians something better than the competition - better rates, better TAT, and if your competitors are certified, you can bet that's part of their "sell"...But you could never predict the certified issue until you check the waters. Good luck to you! Its not that hard to pick up a local account or two. Enjoy!
Do you think ER physicians actually do as thorough
a physical exam as they dictate or do you think they fabricate a lot of the details of the physical exam?
Not all physicians are like that .....sm
I work for very generous, kind and caring orthopedic surgeons who see patients, with little to no income, and charge them nothing. They ask for no payment and nothing in return. These docs would give you the shirt off their back.

Not every physician cares only about money.
It is bad enough for the ESL physicians but
today I had an ESL PA dictating and when she dictates hypertension she says hypertensions, as in the patient has hypertensions and heart disease is diseases and lukemia is well you catch how it goes EXCEPT if you have the patient's wife, then she says the patient wife or the patient daughter. I am TICKED
Is it just me, or are physicians getting worse
with dictation. I transcribe several that use speaker phones to dictate. I think ER docs are the worst. Not only do they use the speaker phone, but that talk at a rate of about 150 miles per hour. Do they not realize (or maybe they just don't care) how difficult they are to transcribe. I really don't understand why the companies we work for allow this.
I ask the physicians! Haven't had one yet
who didn't tell me what they were already being charged. You should be able to call the MT department at your hospital and ask around there too.
About incompetent physicians...
Yes, they are definitely out there and getting scarrier day by day. Actually, the great majority of them are quite pathetic.
local physicians

I was wondering if any one knows if local physicians would rather hire certified MT to do their work from home.  I am thinking about supplementing my income with a national and wondering if this would be a good way to go.  Any insight into this would be greatly appreciated!!


Prospecting physicians??

I currenlty have one account of my own and am an IC through a very small local transcription company.  However, I want more of my own accounts.  I have sent letters and am willing to do more.  Does anyone have any idea on what it takes to "land" an account?  Thanks so much for any ideas/help/suggestions!!


Physicians by State
www.healthcarehiring.com.  Scroll down to the bottom and you'll find all of the states.  This is a great site to search by state, and you can search by specialty even within that state.  It is in alphabetical order, which is very, very helpful.  I love this site myself and use it every day.  
Yep, been there,done that. Many physicians today
have gone to EMR. I talked with one not long ago who said I needed to find another line of work since EMR is replacing the MT. Even my own personal physician uses EMR.

We are either being replaced with technology (EMR or VR)or work is going offshore. Somehow for me, editing is really not something I am interested in, as I would rather transcribe.

Hopefully, others here will be able to direct you and encourage you, perhaps giving you ideas of how you can obtain clients. Much success in whatever path you choose.
We have many Muslim physicians in the US.
Would you be so quick to condemn someone who had a problem with "We took a moment to praise to Allah"? Would you be as tolerant as you claim to be in that situation?
The physicians used to have to be bribed
to come in and dictate charts, have seen for myself. I would love to know how it went from not wanting to dictate to suddenly everyone getting out their EMRs and typing away.
My take on how these physicians dictate
I question and I mean question about every day whether the person coming in as physician is really that. I have 1 that basically cannot string a sentence together, changes sentences 3, 4 or 5 times each sentence. I have physicians who pull the same stuff, going several paragraphs down and then asking you to add or delete something. I get really ticked when I hear all this and don’t hold my cool. The person in the room with me usually hears my ranting and raving. It is hard enough to get through the ESLs, mumbling, crunching, snorting, eating, sucking, sniffing, sorting papers and the list goes on without putting up with this. One change that was made at the hospital I work for was to tell dictators they could NOT use a cell phone to dictate. It worked. I only wish I were in charge so I could tell them more about how to dictate!
I've found that most physicians who
dictate at such a ridiculous pace are trying to make up for other deficiencies....you know like "male menopause" where the older guy goes out and buys an expensive sports car, etc., etc.  Seems most of the speeders on my account are DOs, NOT MDs.....guess they feel inferior in some way. 
Physicians are willing to share their knowledge with (sm)

anyone who will listen.  They love young bright eyed students. I expected the MT world to be just like medicine.  


Why is cost the only issue? It is unprofessional to only think about money. What about pride in the profession and wanting to share knowledge? Isn't that how professions advance and grow? 


I am surprised.


 


 


 


State Licensure for physicians
I use the State licensing agency for whatever state the physician is in.  I just Google State License or Health State licenses and it brings that particular website up and then I do a search.  Great Tool!
I have heard American physicians say that. What is the
big deal? You know what they mean.
A lot of physicians refer to their patients
as heterosexual or having same sex partners, it is very relevant in some aspects, as in exposure to AIDS/HIV, etc.
physicians pinching pennies
while making over $100K a year (after insurance premiums), for a service that is tax deductable.... they really dont have a clue...
To my knowledge, you can't print the physicians'....sm
list and I doubt they are in there by specialty, too. You can print the contents of your ESP file if you save it to your desktop and then print it. Hope this helps.
There are no dictators, physicians, nurses, PAs or the like
who don’t dictate on the VR I use, wish I did not have the crap dictators as you call them but they are not left out on my end. I really, really hate it now when I do get a straight report to type I am so happy with the VR I do. I think before long most big places will go that route, little ones not so much as I think VR costs quite a bit.
The girl was 13, the rapist a distant relative they took in. Give money, give food and your time, b
you don't put your family at risk by taking in strangers. That's just plain foolish. There were over 3300 registered sex offenders in NO. Where are they now. In your community? Perhaps in your house? Good luck.
oh our lovely government does give illegals medicaid, foodstamps, and housing so in term we give tha
i have been through some rough times lately and had to apply for some help. there are signs, big signs, all over our offices saying "YOU DON'T HAVE TO BE LEGAL TO GET HELP". so we and our government do give them our benefits whether they are legal here or not. now that is messed up. i am helping to support them so they can take away my jobs and i can't even support my kids and yes i get benefits, wow $75 a month in food stamps which lasts not even a week in a household of 6. don't get me wrong, i am thankful for any help at the moment, but i get penalized for trying to work my tail off and still can't survive.

there was recently an article in our local newspaper where one of our local school districts tried to charge $1000 a year for each illegal student enrolled. it was bulked and the illegals got a lawyer to sue for discrimination. the school district merely stated that they had to HIRE extra teachers that could speak the foreign language just to teach these children and were trying to offset some of the expenses. ridicilous!! so again our taxpayers money is paying to educate illegals as well.
A great site for referring physicians

that includes credentials and you can search by state is:


http://www.healthcarehiring.com/physician_pennsylvania.php


Down at the bottom you can change the state.  I have used this site quite a bit. 


 


Good gried!!! Plenty of physicians
mispronounce terminology, medications, etc. that they are not familiar with in their specialities. Get a life and find something worthwhile to gripe about. Did you understand what they meant? Apparently so, so just do the work.
Physicians and caring or lack thereof

recently I have experienced both sides of this aspect.  In January I was hospitalized for asthma by my then family physician.  I had been to him 3 times in the month before that with problems but he made no effort to adjust meds, etc.  About a month later, he walks into his office and tells his staff today is your last day. I'm closing the office. 


I got strep throat and went to a different doctor.  She was absolutely the best.  She looked at ME while she was in the room, not at the chart or her PDA in her hand (like the first doctor used to do).  She talked to ME.  Asked ME questions and answered any I had.  asked about allergies (which I have many). The first doctor tried to give me medicine I was allergic to (and he had been told multiple times).  Two weeks ago I was hospitalized through the emergency room with another asthma attack (brought on by the flu).  My new doctor sat down beside me in the room. Talked to me.  Got a very detailed history.  Explained what tests she was going to do.  Explained the results of what tests had already been done.  Told me she was going to refer me to a pulmonologist to evaluate if my meds need tweaking.  Even asked me which one I preferred based on how my insurance would pay.   I have only seen her in the office twice and then while hospitalized and I already feel more at ease and reassured that 2 years of using the other doctor. 


Also, at work this past week a patient was admitted after lunch.  Because the patient had missed the noon meal, the PHYSICIAN went to the cafeteria and bought lunch for the patient and took it to him.  Now THAT is a physician that cares about the welbeing of their patient!


I wish all doctors could be like these two - both of them female!  Maybe it has something to do with our nurturing instincts! 


I have to agree. I would be uneasy having some ESLs as my physicians - sm
at times, too, for that same reason -- I've seen too many errors creep into the medical record because of the language barrier (though I would place equal, or greater, blame upon the MTs and/or QA who allowed it to happen through the "god help us, we can't have a blank so fill that blank with SOME kind of word, quickly!" mindset).

I once had an ESL psychiatrist who had a terribly thick accent. After doing hundreds of his reports I would still have a difficult time understanding him at times, yet when he was interviewing his patients and they didn't follow the conversation well he would often enter that into the record by saying that "the patient had a difficult time understanding this examiner and following the conversation" ... well, h--l, anyone would, doc.
I'm sorry, but the physicians are supposed to review the medical records for
accuracy, then sign off on them.  THEY are the people who went to medical school, did their internship, and actually saw the patients.  THEY know what they were trying, often badly, to say.  THEY are the ones making the big bucks.  NOT US.  We go to maybe a year-long correspondence school, make crappy money, and watch our butts spread wider every day while we TYPE, yes, I said TYPE, medical records for them.  Anyone who thinks it's more than that is kidding themselves.  And save your speeches on patient care and work ethics.  I know all about that stuff.  The harsh reality is that this job does not require a college education to get into, and your income is tied to your production level.  The doctors don't care enough about the medical records to speak slowly, enunciate, and double check everything before signing off.  How are we supposed to read their minds?  Anyone in this field who knows more than grammar and medical terminology ought to be working as an RN or MD, because you'd be better at it than half the medical providers we type for.
switchboard.com is another good site for finding physicians
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Many physicians in my area don't want to take Medicare, Medicaid, Tricare
or other insurances because the insurance companies require a huge buydown of charges and then disallow quite a bit for being "above the reasonable amount."

For example, I had double insurance of Blue Cross/Blue Shield and Tricare when I had surgery. The bills totaled $15,000. Blue Cross knocked $5,000 off the physician's $7,800 bill, paid him $600 and left Tricare and me to deal with the $1,200 balance. Tricare wouldn't pay because they disallowed the amount as unreasonable, the physician's office forced me to make payments on it, and I had to fight just so I didn't owe them another $1,200. It was ridiculous that I had double insurance coverage and wound up owing anything. Meanwhile, the doctor didn't even get paid that much, and he did my presurgery appointments, the actual surgery, two postsurgery appointments to remove hardware, plus coordinating everything between cardiology, radiology, anesthesia, laboratory, surgery, and having special equipment trucked in from out of state.

If I had not had insurance at all, I would have had to pay the entire amount. I think it's crazy that noninsureds have to pay the full amount but insurance companies can disallow or buy down the amounts due. Anyway, you hit a big rant of mine. Shortly after I lost my Blue Cross coverage, my son needed to be seen but we couldn't find a provider to even take Tricare at all. So much for my husband serving his country and being away from his family in the line of duty. The doctors get rich and refuse to treat military personnel who fight for their freedom. Talk about a total lack of appreciation.
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.   


 


Does anyone know where to find a listing of the V.A. Medical Center physicians?
Thanks for the help.
Medicare is offering free installation of EMR to physicians and hospitals.
http://www.medscape.com/px/instantpollservlet/result?PollID=1502
I also have two offices w/mult physicians on tapes, but going digital this month (sm)
at my encouragement.  I am training them with a consulting fee by the hour.  They were resistant, very old fashioned, but after multiple problems with a few docs dictating over each other's tapes, and the cost of gas, paper, and everything else... I encouraged this.  In fact one service just added another physician and I told them I could not handle their transcription anymore, but they said whatever I can do to continue, so we are going digital and longer turn-around time.  It will be a time saver and more cost effective for me right away. I will still be going in to the offices probably twice a month because I feel the personal touch is really important.  I also work PT for a national, by my choice, as I feel it keeps me on my toes with different types of transcription.  Also the national is a guaranteed paycheck via direct deposit every 2 weeks, whereas my own customers, thought good money, well sometimes they are late. 
They are physicians, not grammarians. I transcribe it so it is grammatically correct, but my accoun

Aw come one give her a break. She said she was sorry and is willing to refund. Give her a chance to

do what is right.  If she fails to do what is right, then go about this in an adult way and not act like such a child.  "you suck"  That is so immature.


She is responding to you and you are eating her alive.  Why would she put herself out there to be treated like this if she didnt mean it. 


I am really astonished at how people can act on here.  Would you treat people like this in person?  If you do, I cant imagine you having very many friends. 


Remember we are all "HUMAN." 


 


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!