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Serving Over 20,000 US Medical Transcriptionists

Working for a physician's office.

Posted By: Elena on 2009-06-15
In Reply to:

I am currently working for a small company as an IC. I need some extra work and I'm thinking of trying to get hired on with a local physician's office (if I can find any that are hiring and are willing to hire someone who is a recent graduate) and was wondering how do you charge them for your work?  Is it per report, by the hour, so much per line, etc? Is there anyone out there who could give me some pointers as to how I can go about doing this? Thanks.


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I worked in a physician's office as well.
Normally they get paid only a percentage of that.  If your mother has insurance she can pretty much disregard that initial bill.  The hospital my parents used also chopped off a large amount due to their fixed income.  The worst part about this system is that people with no insurance and who do not qualify for the indigent write-off have to cough up the whole thing. 
This is for a physician office that uses that program. I am not familiar with it. We are trying to d
.
Have you contacted the office manager, physician, etc.(?)
x
Could you contact your personal physician's office and ask - I am sure they get info on this all
xx
RMAs/CMAs usally work in physician offices as the office nurse.
x
Office politics. That is why I enjoy working at home. In the office,
people are in other people business. Just mind your own business.
Which office are you working for.

WORKING IN DOC'S OFFICE
I doubt offices use MTs anymore. All of our hospitals use outside services. All of our clinics have the reports dictated back to the hospitals which then ship them out. I would love to get back on site again. My doctor actually types out his own report on a laptop as he is examining you. I read that is very popular. Where in CT are you?
Working in doctor's office

I have a small MTSO, two I/C's but last January started working in a clinic that used to me one of my clients -- but they put in electronic charts and after 4 years of pulling their hair out and late notes I now go in 2-3 days a week and one of my subs 2 days a week to do their notes.   It is as an employee and no where near what I get with my own accounts but gets me out and with other people.   Nice mixture.   Out here in Oregon we have several large clinics that only use in-house people.   Need to go to the medical offices located by hospitals.   They are out there but don't expect big bucks as you won't get them. 


 


working directly for rad office

If you took a position working from home directly for a small doctors' office (5 docs) with no ESL and you supplied your own computer and internet, what is the lowest line rate you would accept?   There is a good chance they may provide benefits too, including medical insurance.  This would be for radiology only with mammos, x-rays, CTs, diagnostics, ultrasounds and no MRIs. 


Thanks in advance for comments. 


 


Working from home and not going to the office
I work for a local hospital and I have worked from home for 20 years now.

I would never never go back to an office setting unless there no other at-home jobs were out there.

I have a separate office and can watch my house from thieves, throw a load of laundry in, put supper on early, etc. I do take my two 15 minute breaks and 30 minutes for lunch just like I am in the office. If I need to run a short errand I save my breaks and lunch and combine the two and have an hour to get back.

I have three grown children but I still get phone calls all day and have a separate phone line for them if they need me and screen other calls on regular phone line.

You just have to learn to kind of pace yourself. I do sometimes type in my PJs but not too often because my husband runs his business from our home and Fedex and UPS come here all of the time.

Just set a space aside if you can from the other part of the house. I try to stick to a rule for everyone "if they see my door closed to my office, then they try not to bother me unless it is absolute necessary."

You will love it if you ever try it.I really do not miss the office and its politics.

Sometimes being at home we home MTs do not get the necessary information like we should have. Also I can count part of one phone line and my office space and books and whatever it takes to do my job on income tax. Hope this helps. I do not think that you would regret it.
In-office work is different than working at home. That's just the way it is. If it seems too
rigid to you, maybe you should stick to working for the nationals.
Working at home is harder than in office
Because we are our own housekeeping, tech support, errand runner, no cafeteria, ect. I have no idea why they are passing around this WAHM myth. I don't understand the savings idea either because our utility bills are higher. In an office you get paid 15 min breaks 2x a shift too. You are also paid for all the stuff you deal with that you have to deal with to work. Like talking to supervisor, sending an email, reporting a problem, ect.

Hubs always comes into my office to kiss me hello or g'bye if I'm working. :) nm
s
If you don't have kids, have you considered working in-house at a doc office or the nearest big
s
Have most people had good luck with their MQ office closing and moving to the regional office. Have
things gotten better or worse for you.
Yes, I lost mine. I upgraded the Office 2000 package to Office 2003. sm
I have over 2000 autocorrect entries and lost them all as well as my supplemental dictionary for my Stedman's spellcheck. Lots of grief!

Maybe you will be lucky and not lose anything. Good luck to you.
Might be able to rent one from an office supply or office machine repair shop
s
I gave a tin of toffee for each office and a Lia Sophia necklace to each office manager. ~nm~
x
I gave a tin of toffee for each office and a Lia Sophia necklace to each office manager. ~nm~
x
Can anyone suggest an office in MQ that is not run like this Amherst office. They are absolutely
pathetic. I wonder how many other MTs are in that office in the same situation.
Just DQS from my office was transferred and the rest are getting on DQS before the office closes.
:
Pay kids work around office, renovate office.
x
Per my physician....
"All the antibiotics in the world will not clear up your sinus problems because you need to dry your sinus passages out." Get those little red Sudafed tablets and take the maximum dosage for several days. Also, try avoiding dairy products to see if that's a trigger. I can't even eat Ranch, mayonnaise or gooey cheese anymore because it triggers postnasal drip with that irritated ticklish throat and cough.
This is a physician saying this
The patient was tooken to the operating room. OMG, please keep me from screaming!! Where did you go to school, or did you finish?
Get another physician
NM
Not OUR job, it is the physician's and/or
x
EMR physician
I need quick advise. I worked for 4 physicians, one used EMR (partially) the others still use tapes. The EMR physician does not like to read his dictation and the three mouse clicks to sign his documents is too much. The physician has a high school graduate opening up the notes, reading them, editing them at her discretion and then SIGNING them. I informed them that to the best of my knowledge this was 100% illegal but they are still doing it. I have been doing this for some time, but did not think the rules had changed.
see what I mean? LOL ... physical not physician...
x
Your own physician tells you that you know too much. nm
//
I saw an xray the physician had
that showed a Gator-Aid bottle up this guy's rectum. The wife wanted to know if he had accidentally sat down on it. He had to have it surgically removed. And then again, there is the one I typed on where the person was an alcoholic, had drank dog shampoo and when arriving at the ER was blowing all kinds of bubbles.
Physician Websites

Here are a couple good ones:


www.healthgrades.com


www.doctorpricing.com


The physician put his comment in
quotes and it should have been transcribed. I would get more offended about incorrect dosing of meds you hear in reports if I had the option to pick my battles, but the fact is, you are a Transcriptionist who is being paid to transcribe what the physician says. You really have to leave your personal stuff out of it. And, if you are the patient, and you are crass enough to be so rude and foul then you deserve to see it in black and white.
This sounds like an ad placed by a physician's
I cold called thinking they may consider an at-home MT, which yes they would be fine with, but they thought event $1.00 per page was pricey since the in-house MT could easily type 20 reports an hour, so they were doing the math.  They figured by my charging per line that I would make way too much. Of course, I told that person very politely that I would work for no less than $3.00 per page if that's how they were looking at it and that I charge for production.  So maybe this office expected the same thing your hospital does.  However, if you type 3 MRI reports, then you're done for with the expectation of 20-25 reports per hour.  All I can say is the hospital advertising this way must have a lot of normals and only perform plain x-rays and not any kind of special procedures or MRI/CT.
A physician shared this one

with me...


The patient was in a cute dress... (medical Transcriptionist error....)


Physician Letter

Opinions on this please:   Most of my physicians dictate where they would like new paragraphs to start in their letters to other docs.  However, I'm just starting with a new person and she didn't specify.  She told where she would like periods, quotations, etc. but she never even once dictated that there should be a new paragraph. 


 


I'm tempted to just put the breaks where they seem correct, but I'm not sure if that's the right thing to do.


Any suggestions?


Physician Finder - a useful one

you can search using different criterias, might be helpful for u ppl


use the link below


http://doctor.webmd.com/


Try the AMA Physician Finder
You can do a "sounds like" search by state, and by specialty. Somewhat tedious, but you can generally find them when all else fails.

Here's the link:

http://webapps.ama-assn.org/doctorfinder/html/patient.html
Exactly why I quit using my last physician.
I would wait close to an hour in the waiting room only to feel ignored once I got into the exam room. My doctor spent more time on the computer than he did with my exam. I finally got tired of this and changed doctors.

How do you know the physician hasn't
reported it. No, I do not believe it is our place to do so.
are you sure the physician HASNT sm
reported it? I don't think (I am quite sure) that our scope of duties does NOT involve any of that. Would be real tempting to report though wouldn't it?
Actually, throw out the BOS and use the physician's preference.
I learned that disc is eyes, disk is computer disk, and disc/disk for back is up to the account preferences.  The doctors do not care what some stupid AAMT BOS book says because it's THEIR notes and they aren't regulated by the AAMT.
Work hourly for physician. Need help..
I wonder if someone could tell me how they created an invoice when being paid hourly doing transcription. I tried using MP Count but it only calculates using line counts. Thanks for any help.
I worked at a 25 physician multispecialty

clinic as an audit clerk to the transcriptionists (counted lines by hand back when we used typewriters).  I picked up some terminology by reading clinic notes as I was counting.  I took a terminology and anatomy class and my boss let me take tapes home to practice on.  When there was an opening, I tested and got in!  I also worked for an ENT doc (who was desperate for a transcriptionist) part-time in the evenings while I was learning to transcribe. 


Then the dictating physician needs to spell it out instead
of expecting us to be psychic. I used to waste so much time at my old job trying to find the proper addresses for these yahoo CC physicians. In the meantime, the dictating physician mispronounced, didn't spell, and didn't even give a clue where the other doctor worked. I had to check the company physician list, the hospital physician directory, Anywho.com, then Google. And that was even if I could spell it properly! One physician in particular couldn't pronounce properly. He would put extra Ns and Rs throughout the name. How was I supposed to find it? And I got chewed out by QA for not being psychic enough to figure it out.
Are you seeing a sleep physician or just thinking
If you're having a rough time with sleep, make sure you see a sleep medicine doctor (if you already have, please excuse the following). Family docs are great but a sleep doc will know much, much more about it. There are a lot of things you can do to improve your sleep routine and they can do a sleep study or have you fill out a questionnaire that will tell them more about your sleep habits. Provigil should only be tried as last resort with a diagnoses of narcolepsy or when all else has failed. Plus, there are a lot of different wakefulness-promoting meds, such as Ritalin mentioned above, and Provigil may not even be the right one for you.

If you already are seeing a sleep doc, you can ask to try something else if you are leery of Provigil. Sorry for being presumptious, but I just want to be sure you are not jumping to medicine first because it's wise to try other methods before resoring to an Rx.
Seek another physician as fast as you can sm
the one you have obviously does not have your best interests at heart, nor does he care. Any good physician with an ounce of brains knows exactly how addicting OcyContin is and should not keep any patient on it for the long term. You should also seek a rehabilitation clinic for addiction problems. You can't do this by yourself. I think they have outpatient clinics, but you need help and you need to get it soon. Good luck.
be sure to give this feedback to the physician.

If you transcribe for a private physician and he wants
cc then use that. However, most MTSOs and facilities go with Joint Commission recommedations or BOS. You only need to find out what is required by your employer. If your employer wants you to use cc it is fine. You do what they want. mL is the correct abbreviation for milliliter. I have been doing this for almost 30 years and you would not believe some of the changes AAMT/BOS have made, but we just have to go with the flow.
Need physician locator website!

I've been using the NCIH website when I have to search a specific state for a provider name, but that website is now gone and apparently is not going to be back.  Argghh.


If anyone has any good websites to do physician or provider search by name by STATE (not city, too often don't have that information), I would be grateful if you could share it!  TIA.


You should make it clear to the physician that
there will be an editing charge for any changes or additions once a report has been completed and submitted. I charge an hourly rate for such.