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Serving Over 20,000 US Medical Transcriptionists

When worked in clinic, Dr. supplies everything

Posted By: we requested/needed, uniforms,office supplies on 2008-01-16
In Reply to: Question - tam

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the USPS supplies boxes and supplies free of charge..but you have to "order" it sm
by phone.  I'll see if I can find it.  What is sent to soldiers is what is allowed by military protocol..beef jerky would not be allowed in a country that considers beef sacred.  They (military) strongly enforce being considerate of the countrys culture.  within those guidelines, send anything..if the recipient does not want it..it goes on a public area and free for all to share..they love doing it too.
What happened when a clinic I worked for did this - sm
Mind you, this was when I was working from home, so I never actually met with anyone face to face.  However, the clinic I had done for years from home went this route and we never got another transcription request from them again.  Not that there were not some problems with the program and they wished they could come back, but because the clinic had spent a ton of money on the program and they HAD to use it no matter what.  I had other accounts to switch to, so it was okay for me in the end.  If not, I would have definitely been looking for something else.  Best of luck to you!
I used Olympus DDS for a clinic and it worked fine.
Not sure what you question is, but the dictation and transcription using this system should be acceptable as any other. I wonder what would be the alternative and how it could be improved. Sounds to me like at 3-months behind, you should do a temporary outsource to get caught up before a needed report not on the records comes back and bites the manager.
I worked at a naval hospital outpatient clinic--sm
as a salaried employee $28. In 2002 had the opportunity to work at home as an IC for .12/line. In 2003 I was told had to become an employee and dropped to .11/line as the company woudl have to pay taxes/benefits. In 2004 had a raise to .1133. In 2005 that company merged with another and was dropped to .10/line and have had no raise since then. Am at top of pay level in both line rate and salary rate.

Just told the company is buying a new platform that could possibly doudle our production and in turn may affect our line rates even more by raising the daily line requirement. Will have to wait and see about that.
Worked in clinic for 30 yrs and have tinnitus. I am used to back ground noise, hard to work
:+
It's for the agencies to buy supplies-- hello!
nm
Webmedx supplies all equipment. They do have a (sm)
pretty high ratio of ESLs, but the QA is really good here. They DO NOT penalize for blanks or sending reports to QA. I don't know about family insurance, but single is very reasonable, BCBS. They also offer dental and vision.
Supplies and driving to and from, time printing - no less than .12 cpl.
Why is it that court reports are so well respected and their pay never an issue?

I feel like I am stealing when I ask to be compensated for my knowledge, experience and reliability. It is basically the same work, one is in legal field and one in medical field. What is up with that????


Amphion supplies hardware and software
www.amphionmedical.com
888-400-5777
medcompare.com for supplies, components, equipment,
s
Keep in mind that if gas supplies are low, how will trucks get their loads to the store.
It's a good idea to stock up now. We went to Sam's Club tonight. Bought 25 pounds of sugar, 10 pounds of flour, 10 pounds of beans, 4 large jars of peanut butter, canned tuna and chicken, powdered milk, etc. If those damaged pipelines aren't put back on line fast, there may be shortages.

Just be sure to buy things your family will actually eat. Don't forget to store water. Prep as if you're expecting to be off the grid for a month or more.

To learn more about prepping, Google "survival."
Power supplies are Dell proprietary and must be purchased from
power supply is the same way.  I have 3 Dell laptops and a Dell PC and there are indeed a number of items that are proprietary.  However, I love all of my Dell products and wouldn't trade them for anything.
clinic is not walk-in or ER notes; it is clinic
could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
This is hard to do when the co. supplies the computer. Got it finally, now is he updating and getti
Unless we are transcribing, we are losing money. This is why a relative decent line rate is not asking for a lot, I believe.

I do think we should all have a savings account though. I have 17 hours of PTO that I am going to cash in.

DOH!
Sometimes find decals for this in office supplies. OW, just use Magic Marker. nm
s
Congrats to Nina P. of NY on winning the scrapbooking supplies courtesy of
/
True but that is to cover the expenses like rent, office supplies, sm
manager salaries. That does not include payroll that is based on service.

A good example woould be this: You are starting a book store. You need to plan the original inventory and six months worth of expenses. If you sell that inventory, you use the money from that to buy more books. If you do not sell any at first, you can stay in business for six months while you get noticed.

With transcription or any service business, you need enough in the bank to cover the same expenses, those that can keep you afloat while building your client base. However, you only hire more people as you get more customers. The payroll does not figure into the 6 months as it is based on what you provide, whereas the 6 months takes into account what it takes to get it going even if you do not have 1 employee.

Very, very few companies can have $800,000 lying around. If they did, they probably would need to invest it in equipment or spend it in other ways or the IRS would consider it profit and tax the heck out of it!
deduct everything you can think of, electricity, phone, home office if you chose to, supplies, inter
you get the picture. I don't do the home office deduction though because we keep saying we are going to build on a lot we have and things get screwed up with taxes due to this, something with depreciation, not really sure, know someone who had this problem though, owed a lot back. When we do move, then I will take it since I know it won't be an issue then. I write off about $2-$3K a year which helps some. Was paying quartly but have not done it in 2 years as I usually don't owe more than $1200 and my husband has extra taken out of his pay, so that has always, so far, taken care of any taxes I have "owed". -- Check out the IRS website they have plenty of info on the subject.
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!
clinic

yes, it is clinic work


Clinic pay
I'm thinking about doing some doctors clinics.  What should I charge.  I too will be picking up and delivering. Thanks a bunch!!
I had only clinic exp.
I just applied to companies that seemed good and was hired with no acute care experience.  Good luck to you!
Do not know about WP, but I have a clinic--sm
who has WP and I type in word, save document as "rich text format' and they can open it on their end.
I went from FP clinic to OPs sm
hardest darn 4 months of my career! I skipped acute care other work types. In the end, it has been just great. I then went work for a service doing OPs after that (it was all outpatient surgery) for a large teaching hospital. At this point, you can throw me about any OP and I can do it. I learned cardiothoracic surgery this year without much cardiac experience and didn't even find that a problem.

I have a Stedman's Surgical Equipment word book, but if you are a good googler that is almost as good, but can be time consuming if you are not. It would help you to have another MT who knows OP notes to ask questions of as you learn. I did, it helped a lot.
when you say clinic...
Do you have multispecialty clinic experience or is it just a few specialties, multiple docs or 1 doc? That might have something to do with it.
mainly clinic, but
I do have about 4 months of acute care. I know most places like to have 6 months of experience.
Any hiring - ER only - or clinic maybe?
Need a new job!  But have only done ER for 12 years.  Old single mom with small children and no time to learn new tricks right now LOL!  Anyone know of a good company - at-home - that hires for ER only (not Spheris) or clinic work?  Would appreciate as much input as you are willing to give.  Would especially be pleased if they supply equipment!  Thanks!
The gal I shared a clinic with (sm)

went in one day to pick up tapes.  She was standing there erasing tapes when one of the docs walked in and started chatting with her.  As they were standing there, he handed her his tapes for that day and the day before.  They continued to chat and she took those tapes and ran them through the magnet!  She looked up at him, he looked down at the magnet, and they both busted out laughing. 


Yeah, it sucks, but it isn't the end of the world!  Go in first thing Monday morning and tell them what you did. 


 


My old clinic spent (sm)
over $100,000 implementing an EMR system that claims to "replace dictation."  Well, they'd have to sell it to doctors who are interested and have time to type in order to replace dictation.  If nothing else, it increased my line count because of all the crap I had to add to get the notes uploaded to the system!  I'd still be there if I didn't have to move. 
Mayo Clinic
They have run that ad in "Advance" for years.  I had a friend who applied for it and they told her they were just "making up a list".  I don't know if that has changed or not.  Also, to work at home, you have to live in the Phoenix area-- no way for me!  It used to be nice when I moved there in 1964 with large citrus groves, beautiful clean air, etc., but now with the traffic, high crime, illegal aliens, gangs, road rage, shootings every day, etc., it is just like living in LA.  If that appeals to you, go for it, but not me!  I have a horse and used to enjoy riding along the canals and cotton fields, etc.  Now it is just wall to wall houses about 3 feet apart. I got out of there in 1997 and not a moment too soon!.  They are trying to make the rest of Arizona just like it and ruining everything, unfortunately.  It used to be a beautiful place, but not any more.  Besides, all the Californians are moving here with their money and are pushing housing prices out of sight. 
Anyone know what co has ad for clinic work - sm
on the job seekers board.  States you have to have a C phone or be able to re-record but no company name given.  Anyone know who this might be? 
Does anyone do PT Clinic Reports?

I have never transcribed these type of reports and may have an opportunity to in the near future. I have over 12 years of multispeciality experience as an IC and am just wondering what the pros/cons might be of the these types of reports.


TIA.


yes, but did you hear that this clinic is now
closed, and nobody knows why? Hmmm... All of their patients are scrambling to fing somewhere to go for medical treatment. Interesting.
Mayo Clinic

I know for a fact that all of the Mayo System clinics here in Minnesota run ads just to collect resumes. They will lie and tell you that the opening has been filled, but I have an insider who tells me what is really going on and you also see the ad continue to run. There are no job openings. Not nice.


 


I do clinic work for them
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I think clinic/ ER notes sm

would be a good place to start, either working as an IC/employee for a national or getting your own accounts.


 


Good luck!


Hospital or Clinic? sm
Will you be doing one work type or several?

If you are to be doing one set work type for a hospital, I would say 14 cpl. More than two work types 16 cpl.

If you are to be doing clinic work I would say anywhere from 10 cpl to 12 cpl.

Let her know that your quote is negotiable based on the work. Don't undersell yourself.
Might try clinic work ... seem to be less there. Otherwise
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Clinic vs Hospital

I have noticed that it does worse with clinic notes than hospital notes.  If I sit still for an hour I can average 600+ lines an hour but I get bored.  My line count for all my escription accounts together average around 3000 a day, with about 25% of that being straight typing.


I also found my thumbs got very sore using soley keys so I prefer to use my mouse some.


Why only work clinic
and not in acute care? Do you feel you cannot do the hospital work or ? If you start off in the 4s, it helps you to be able to work just about any job relating to transcription but you might fear, do you?
Clinic and acute are very different.
I think acute care is much easier personally, but I've done mostly clinical stuff for 8 years now.  I've only done acute care for a few months but I think it is much easier.  Of course, my old clinic had every type of doctor known to man lol.
Do you get more LPH with clinic notes or Ops? nm
x
only clinic notes can have
an actual name in a report.  hospital reports should never have an actual name but instead just have * the patient *.  hipaa rules.
If the clinic does procedures or is SM

accredited by the Joint Commission on Accreditation of HEALTHCARE Organizations, they have to comply.


My work is clinic also

My work is clinic notes, psych reports, surgery letter and consults also and I have had the same doctors for 7 to 18 years.  But I still pay me IC's 8 to 9 cpl even though I can personally do 400 to 600 lines per hour and they can make $40 an hour on the psych reports.  I also will not boost my rates sky high to my docs because we make a decent living due to shortcuts, templates, etc.  But no way would I ever start anyone out at 6 cpl or even 7 cpl, though of course maybe I should and rake in the money myself.    And on the other hand, I pay well but I still have had to look deep and hard to find those that will work for that amount and be mainly depedable so I can keep the accounts.   They only wanted to work Tu, half of Weds and perhaps Thurs depends.  I used to have 3 IC's and now have one after a doctor died and one retired and I keep the majority of the accounts because I could not find anyone that was dependable and thought it didn't matter if a report was 24 hours late, or the report was just half done, etc.  And if the doctor requested things to be done  a certain way we did it, mom and dad capitalized we do it because he signs the checks.  So I can only imagine handling 10 IC's and trying to have enough work and yet have enough coverage when you needed it.  Too much for me.  


Yes, it is clinic notes...sm
I also have an extensive list of Expanders that I wouldn't doubt was well over 20,000. I've been building it for the last 11 years working at home. I don't even type out the word with (wi).

I appreciate your response and the boost.
Clinic notes

Mostly clinic notes from my experience:


S - subjective


O - objective


A - assessment


P - plan


 


Need ER or Clinic Work

Does anyone know of a reputable company who is hiring for ER or clinic work and pays fairly well?  I've just about had it with Medquist and my 23 different accounts. 


Thanks much,


Brenda