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Serving Over 20,000 US Medical Transcriptionists

Where I work we are on a tiered system,

Posted By: jd on 2008-10-23
In Reply to: CPL rate averages - Amy

per pay period.

9 cpl for the first 12,000

then an extra 0.5 cpl every 2000 lines.


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We are on a tiered system, no there is
no way we can get a raise.
We are on a tiered system, so there is
no way we can get a raise.
The midsize national I work for has a nice tiered incentive plan sm
for employees, not sure about the ICs.  In order not to qualify for one of the incentives, you'd have to transcribe at LESS than 150 LPH.  Pretty easy to make bonus each pay period.  The faster you are, the bigger the bonus.
The state told us that MTs are employees because we they work in our system and do the same work as
maybe you can work for a company in another state.
My FT job is 40 hours, we are on a tiered
system so the more you produce the more it goes up incrementally. Also, my IC job pays 10 cpl. For both jobs I am on 1 account each, so I know my client well and I have been doing this 25+ years also.
I work on VR and according to the system you will use
you might not be able to get double or triple the lines. My VR audio only goes so fast and it is entirely out of the question to make any more than I do. I keep the speed turned up as fast as it will go and the speed of VR dictates what you can make, not your speed.
Last day of the pay period. No work on the system.
x
It should work regardless of the programs on your system...sm
I'd try contacting their support team again.
System restore won't work for this.
The icon on the toolbar is controlled by the normal.dot file and system restore does not affect that file. You can take the icon off the toolbar by holding down on the Alt key and dragging the button down to the document window with your mouse. You can also open the customize dialog box on the tools menu and drag it off that way.
Does anyone know anything about the new EMR system? and how it will affect MT's work? nm

When you work in an office, you can see when others are manipulating the system.
so don't judge her for knowing
Keystrokes - Lanier system - anyone work on it?
nm
I'd work in Word and cut and paste into their system. SM
Ask them if you can type it in Microsoft Word and then cut and paste (copy the Word document and paste it into their system).

It is not feasible to work without a spell checker. Word has a pretty good spell and grammar checker and there is no reason to do without it.

See if their "tech" department can come up with a macro to copy the text of the Word document and paste it into their program. Or, you could create a Word macro and paste it into their system. Either way. There is an excellent Macro recording program called Macro ToolWorks which is free for 30 days and then $40.00 that can duplicate key strokes and mouse movements, and could copy the document, go to their program and paste it in. They you'd just hit one button, like the Ctrl button plus a number. Their tech department should only take one or two days to come up with some solution.

Good luck. I just would not work without Word spell checker and also Steadman Medical Spell Checker. Essentials to any production typing job. Good luck !
A regular Infinity USB pedal should work with their system. Why not ask them for sure? nm
s
I love the night shift! No interruptions and more work on the system.
I agree with poster below - Power NAPs! I am a napper, need my nap about 30 minutes to 1 hour, before my shift and a pot of coffee sometimes 2 gets me through!
work out an indexing system that works for you and copy (almost) every report into it.

while Ops offer lot of challenges -- that's a good thing, imho, REALLY ...


I keep my op stored in WORD sorted by


(1) client


(2) specialty (general surgeon, ortho, plastic, podiatrics, ENT, GYN, GI , urology, neurosurgery etc) .... and then in word folders


(3) within speciality, within client I name individual reports like this:


470 hernia vental simple


470 hernia umbilical


470 small bowel resection 


=========================================================


470 would be that doctor's id number -- the file holding 470's reports would be named with doctor's last name 


=========================================================


works for me, although I do usually do big time "indexing" until I've gota bunch of copied reports.


=========================================================


It's really important to NOT consider these NORMALS until you are more familiar with the dictator ... however... this is worthwhile ANYWAY because the joy of OPs is that most doctors say pretty much the same thing in 80% of their reports ... sometimes more. Gastroenterology and GYN  are excellent "easy money" most of the time but you MUST pay attention and change every difference ...


 


All these saved reports need to be updated when you review your QA ... those phrases that doctor mumbled yesterday are probably mumbled 24/7/365 ... follow up and record this information.


=========================================================


I use Emedicine for my go-to for a lot of things... while they don't have op reports they are stellar at terminology and spelling, hyphens, and capitalization as far as I can tell.


One of the fabulous things about op reports is usually NO MEDICATION LOOKUPS!!!! (although you will spend time finding out the latest heart stents, hip replacemetn component marketing  names, etc. ) Most medical device manufacturers have "pretty good" web sites -- use them, rather than relative Google popularity wrt spelling, caps, etc.


Good luck -- there is a learning curve but imho it is more than worth it -- Surgeons understand that their dictation is in essence their "BILL" when it comes to Medicare and insurance -- they have a vested interest in it being intelligible and complete ... they may talk really fast but most of the time, if you have samples, you will find they are saying variations of the "same thing" using the same words/terminology. 


Oh, and OP pay better.


Sincerely, good luck.!


Meditech is an operating system and Fusion is voice for a dictation system
nm
It's the way our system is set up..
We can search to see what work is out there, and we can also search by author and see what work each author has, and even look at completed reports, which is nice when you're stuck. I love my platform.
everyone on DQS (DEP) system
not all accounts are on it yet, but most are
Can you say what system it was? nm
xx
I think it is what system you are using,
that is why I asked you to tell me more. I use eScription and 1 can believe or not but I am amazed at how the ESLs are picked up better than the English. You are using Dictaphone- I have read other posts who are on different VR system and they are not satisfied. I have loads of ESLs on my account but am happy VR is picking up instead of my having to listen to them all and trying to muddle through.
Your system allows this?
The system I work on does not allow me to 'pick' my work. I have a pool of work and it loads into my computer 3 records at a time. I have to take what I get and do what I get. Your system allows you to choose what dictations you want to do? In my opinion, that is not fair to anyone. It should be what pops up gets done by whoever reaches it first.

I would say one last thing to my boss about it, if I were you. I would just tell her that you can sit there and watch what is happening, that this one person is taking the gravy jobs, and for your boss to sit and observe it herself and do something about it. I don't see why any person feels they are better than another, to get an easy income while others struggle. I sure hope it is resolved soon for you.
For every system set up, there is a way around it..
our system recently changed to allow only ONE job to be seen and worked on at a time, which they thought would stop the cherry picking, but it has not. There is a web site where we can still view what is coming next and down the line. The cherry pickers just wait, PERHAPs doing a little job here and there, and then as soon as a very large one comes up, snap. it is gone! I hate this way of things. I certainly wish that all accounts were "assigned" accounts. Much more fair to all transcriptionists. but that is just my opinion!!!
EMR System
I just got back from a meeting at my employer's office. They've been implementing EMR and expect most of it to be up and running by March. They haven't come right out and told us (the other transcriptionis), but we may be without a job, although they haven't really said too much. Supposedly they may still need us because there are some doctors that are set in their ways and won't use it.
What system do you use? NM
b
The problem is with our system.
As a Caucasion I do feel shame for what my ancestors have done to people of other races, especially to Native Americans.  However, I cannot go back in time and fix that.  The problem now is not that people want to come here, the problem is the gravy train our government allows outsiders that do come here.  This is in no way good for the citizens of this country, no matter their original nationality.  If I wanted to become a citizen of another country, the first thing I would expect to have to do is to learn the language.  The powers that be have had a global economy as part of the agenda, and now we have it.  This did not start with the current administration.  I do not know if there is anything that can be done to help the situation at this point.  The powers that be have what they want.  If you are big business, then you can trade with anyone in any country who has the money.  If this is what they wanted, at least they could level the playing field so that we could financially compete with those who are being given a free ride.
Then she'd get back on the system with
This is so-and-so, and I got disconnected AGAIN.
Call-in system
I have an internet based digital call in system with 4 ports.  It is very simple to use. The doctor calls in and then the work is on the server, you load it with Express Scribe and do your work........If you want another transcriptionist to get work, then you just put in their e-mail address along with your doctor's key and it will automatically forward to the transcriptionist, while you still have a copy of the voice file to be able to double check the work.   I bought mine through RT King.
abcdz system
Could you please explain?
Yep, but its the Dictaphone system...
My hospital rad account decided to "upgrade" their system which supposedly would take half an hour - its now 6 hours and counting - and the docs haven't been able to dictate since noon - boy R we in for a backlog tomorrow!
Can't you log onto MQ's system and find that out?
I don't know about anyone else, but I would never stay with a company that didn't have enough work to keep me busy.
To sm, don't do it! Someone will call you and ask why you are off the system!
nm
Where can I get this vacuum system? NM
x
DOS based system
Has anyone ever worked for a company that is DOS based? I started a new job today, and their system is in DOS. To me it is really old-school, but I guess I will just have to learn.
Can you use the DOS system with Windows XP?nm
x
You can't explain it. Our system we have
set up, like I said before, does not help the people who really need it half the time. The people who can afford to build on the beach and build mansions at that, should have to rebuild themselves.

My point though is that not everyone can get out. Not everyone has that opportunity. I got so tired of hearing about it was the people's fault in New Orleans because they should have left. What do people not understand about not being able to leave if you have no vehicle? It is their local government's fault for not using the buses they had on hand.
Cerner is a pie system for MTs...(sm)
A hospital I used to work for went to Cerner about a year before I left.  It was very nice for the MTs compared to the dinosaur system we had before it.  The front office and billing I cannot say were so happy about it..and expect alot of headaches throughout your department until they get used to it.  But as far as the MT side of it..it was great.  LOVED the lil "sticky notes" you could enter on a document to bring something to the rad's attention before they could sign it off. 
About system restore, sorry about that
nm
Our problem is...system will
Therefore, we are not able to edit anything because we can't get in.
DocQScribe system help

Anyone use ShortHand and docuscribe together?  With my old company i was using Word and shorthand.  I had a macro set up to take me from blank to blank.  I am lost on this new system.  Any ideas on how to set this up?  Thanks in advance!


Dawnrey


Do you use a digital system
How does it work on the clients end and on your end. How much did it cost?
Dictatphone System
I have an Enterprise Express that I would like to sell!  If interested, please email me!
...that would be 'great' system! :) nm
s
It depends on how the system is set up...sm
I have worked on several different Meditech systems.  They are all different. Margins are different.  How the lines and/or characters are counted are different.  One system counts gross lines, one system counts all lines blank lines included, one system counts just characters.  Some count the headers, some don't.  I currently work on two systems and when I copied and put into word, one system was right on and the other had a descrepancy I though might be the header.
lanier system sm

Please help. Our Transcriptionist left abruptly, and we are needing to acess the files to pull a medical report. We have the job in que, but we are not able to get any further. Can someone walk us through getting this thing typed.


HELP!!! Just bought new system

any ideas?



DocShuttle System
How user friendly in the DocShuttle System?  Any info. would be appreciated.  How would you compare DocShuttle to DocQScribe or Webcorrect??
don't you also need the call in system with this? nm
???
Get yourself a system...most important..
With Autocorrect, you have to remember everything!  So I had to come up with a system that I would remember them.  I use the letter *J* for anything that ends in *tion* or *sion,* the letter *Z* for endings with *ize* or *ization*, *x* for words that start with prefix of *ex*, for capitalizing abbreviations, such as HPI that you want to capitalize in a sentence, would be *xhpi.*  I use *U* as in uhpi to bring up History of Physical Illness when needed in a sentence, as *HPI* will come up all caps for headings.  I also have a system that I will use the first two letters of two words if I have already used the first letters of two words, such as *cp* for chest pain, *chpr* for chemistry profile.  If those first two letters are used for something, I go to the first three letters of the first word and the first two letters of the second word.  Also will use maybe the first four or five letters of a word.  Also, have phrases, such as *sdnh* for she does not have, *shnos* for she has not seen, and just a lot of those types of things. Saves a lot of time.  Also have, of course, what the docs constantly say, their little phrases they use all of the time.  However, I do forget I have some of these things in there, and have to keep refreshing myself as with about 5000 abbreviations, it gets wicked!!  But it really helps to have a system that helps you to remember what you have in there. 
New system blues
We recently had a computer upgrade at the hospital where I work and we are having multiple issues.  We are using Word 2003 in conjunction with Dictaphone Enterprise Express.  First, does anyone know how to load the medical dictionary into the spell checker so that it pulls words from that dictionary?  The spell check is stopping on almost every medical word and driving us all crazy!  Secondly, the command CTRL+shift+spacebar is not keeping words together like it used to on our old system.  Anybody have any clues as to why?  Also, if you create a macro it will work fine until you sign off of word client, and when you sign back on, its gone.  Any help would be appreciated...it has been a long 2 weeks!  TIA.
I looked into that, but I need a system that will...
automatically route work to my MTs.

Thank you for the suggestion though!