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Wow, 600 lines from 30 minutes of clinic/chart notes - sm

Posted By: XXX on 2007-08-26
In Reply to: 60 minute tapes - Patti

The most I would squeeze out of that would be 350 probably. You must have one fast talking doctor. You are also very fast if you can do 600 lines in one hour, or else you have it macroed/expanded to death and there is very little actual typing so that is why you can do so much in such a small amount of time.


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Other related messages found in our database

OH! ER notes - that is where you can rack up minutes/lines!
Just fly 'em out the window, dude!!
Chart Notes

Was wondering if anyone could help me out.  I need to see some example of different ways to set up chart notes.  If anyone knows of a place on the net i can view these of would send me some blanked out that would be great!!!!!


 


 


Thanks,


Jackie


cut apart chart notes
Told you I was an old timer.  I print on sticky paper so that they can stick the chart note into the chart one after another on a piece of paper.  It is an 8.5 x 11 label.   I print sometimes up to 3 to 4 patients  on one sheet as I can and  I cut apart the different patient chart notes so the gals in the office don't have to do them and they can be filed right onto the charts.   Just an extra service I provide.   Takes me 5 minutes to do about 20 pages for all my accounts. 
cut apart chart notes & I also emailed you
Hi Patti.  when you say you cut chart notes what exactly are you referring to?  Thanks.
I hate chart notes so that is a simple choice for me.
n
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...
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!


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.
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


 


Clinic notes
I have always done acute care.  If you get a good line rate, could you make good money doing cardiology clinic notes.  I was not sure since you have letters too. 
I do clinic notes...sm
Clinic notes are a lot easier to do. The letters are very easy. If you have good rate of pay then you should make as much money. I do general surgery clinic notes and letters. The only problem I have with clinic notes is you will run out of work. It is according to if it just that one clinic or not you work on. But they can only see so many patients in a day. And if they do surgeries to then they aren't always in the office to see patients all day. So I don't always have enough work. But to remedy that I have another job too. So if I run out on one I work on the other. But if you have plenty of work there is no reason to me you couldn't make good money. My problem is just having enough work.
I do clinic notes also
I love them. They are very easy and I have a lot of normals that I use. I don't have any problems keeping busy with work. The doctor's I work for sometimes see 50 patients a day total. And I don't worry about having no work because I'm an employee and if there's no work I still get paid.
I think clinic notes are boring, you have the same

number of doctors usually and for the most part there isn't a lot of medical terminology and they have lots of normals, which is good because they you can have lots of macros/expanders to help, but I like learning from my dictation.  With clinic notes I did know when viruses/illnesses were going around and what the standard treatment was, so I could try some of the same treatments if we got sick without a doctor visit, just after a while they were just boring.  I much prefer acute care. I have lots of dictators so I don't get sick of hearing one doctor all day, although occasionally I do get a slew of the same dictator, the terminology is constantly changing, new drugs, new equipment, new procedures, etc.


 


Some have said clinic, some op notes, some ER, depends on what you
s
Clinic notes questions
I see lots of jobs looking for clinic notes. I have only done acute care. What exactly are clinic notes? Are they office visits by specialty? Also is the pay for clinics typically higher, lower, the same for acute care?

Thanks.
Depends on clinic notes, sm
I really think it depends on the type of clinic notes you transribed.  I went from transcribing very detailed and lengthy multispecialtiy outpatient clinic notes for a major teaching hospital to transcribing acute care, mainly op notes, for another hospital, and it seemed to make the transition, although I felt very confident after about 3 months.  But if you were transcribing clinic notes for just a regular outpatient clinic or clinics (well child checkups, lots of cold and flu, etc) you may have a longer transition period.  It really just depends on whether it's a teaching hospital, the number of dictators, etc?  You CAN do it though--it is all a matter of mindset.  If it IS a teaching hospital or they have an ophthalmology department, I would definitely recommend getting the Stedman's Ophthalmology book.  That made my transition SO much easier, that book, and the Stedman's Equipment Words.  Good luck.  Just give yourself 3-6 months to get acclimated to the op notes, number of doctors/residents, etc., don't pressure yourself to get it right away, and make copies of each report for every dictator--it will save you in the long run because they usually say the same things.  Good Luck!!
I do much better $ wise with clinic notes
I have local office accounts and also work part-time for a national. The repetitive nature of doing the same dictator day in and day out increases my production at least 30-50%; more expanders, more normals, familiar terminology, etc.

Right now I am averaging $25.00+ an hour on my local notes, and less than $12.00 with my national acute care. I do have more taxes and such with my locals as it is 1099 income but I still come out much better on clinic notes.

good luck!
LOVE clinic notes
I do clinic work and I LOVE it.  I transcribe for 3 docs.  There are 4 girls on the acct.  And we ALWAYS have work.  When I am bored on Saturdays or Sundays, I sit down and type for a few hours.  Rarely is the server empty by Monday morning.  I have never been at a loss for work.  It is so repetitive and easy.  Each doctor has his own way of talking and I have tons of shortcuts for each doc in my autocorrect in Word.  So easy, so fast, so fun!
Clinic notes are less detailed normally
than acute care/hospital reports. They are limited to that 1 speciality with only sparse mentioned normally of other medical conditions not pertaining to the clinic visit. However, in acute care, you have to be aware of drugs, generic versus brand, correct dosages, all types of medical conditions, problems, side effects, lab values (a working knowledge of correct and invalid values dictated in case the doctor is in error), and "all" specialities. That is just a few of the things required for acute care transcription.

Many MTSOs looking for acute care MTs will not consider someone who has only been in a "clinic" per se because the MT has only been possibly working in 1 speciality. You need a broad overall knowledge to work in acute care as you never know from 1 report to the other what is going to be thrown at you. In the clinic setting, the MT can be isolated from anything new that has cropped up, especially if in a clinic for a number of years.
clinic notes to acute care

Has anyone gone from doing clinic notes for different specialities to acute care in a hospital?  I have been a Transcriptionist for four years and lost most of my work to India.  I went back to medical billing for about 5 months and have been offered a position to work at home for a hospital.  I never did hospital work.  This will exclude lab and X-ray reports.  I am a little scared.  Any good sites to brush up on for documents or any words of wisdom?


Thanks!!



I was getting $3 a page 12 years ago. But $2 might not be bad for VERY short clinic notes.

Whew! I just left clinic notes after 4 years..sm.
and got back into acute care. My momentum is back and I feel like I'm part of the medical process again. I guess I just like acute care better. I can never go back to clinic notes. I can't deal with those 20-second charts. Took me longer to get in the chart than to type it. The company I WAS with had such a screwed up demo screen if you made 1 mistake you got put on probation. Just toooooo much for me.

IMO, that is.
I am working today but i don't get extra pay. just behind on clinic notes and trying to catch up
between cooking.
It is clinic ortho notes , same doctor, very easy dictator
I am supposed to be p/t and he dictates between 30-50 min a day, many times 50-70 min even. It takes me many hours since I am a newbie. The paychecks just don't seem worth it for the amount of time that I am putting in.

I get close to 9 cpl as an IC doing clinic notes. No chance of raise unless I find my own accounts
x
How would you handle clinic notes coming up missing after you've delivered them to the facility?

I type the clinic notes at home, print them, verify the all notes printed, place them in a manila envelope clearly marked with the clinic name and dictator doctor's name and date of clinic.  I then deliver the notes to the lead Transcriptionist at the hospital which manages the clinics.  She in turn distributes them to the clinics. 


The last two weeks, I have gotten several calls from the lead MT that I give the work too that clinics are calling saying they are missing certain notes from certain days which is impossible because I type all notes for a specific day in one large document and print them out together.  There is no way that some are printing and some are not.  Plus I ALWAYS verify that each note printed.  Today, she called and said there were missing notes from two different days.


Then there is the issue of my work being typed by someone in the hospital.  When I deliver work I get a print out of what's on the system as far as clinic notes.  It is a worktype specific list that only I am supposed type.  There are a couple of doctors who dictate all their notes in one looooong job.  There were two very long jobs on my list, but were never pooled to me.  When I enter the specific job number, it says they have been transcribed.  In one instance, the dictator dictated half on one job and half on another.  I typed one job and the other just magically got transcribed.  When I've called to ask who's typing these reports, no one seems to know.


These ladies in this particular transcription department are not a friendly bunch.  I have felt that they sort of resent the fact that I am doing work from home while they have to come in and type.  I think they are wondering why they aren't allowed to work from home.  The work I do is very easy clinic work and would be pretty easy lines for one of them to do just to pad their line counts.


I have a meeting tomorrow with the HIM director who contracted with me about TAT and I know they want a shorter TAT than the agreed upon 24 to 48 hours and I know she is going to want me to make more deliveries than the three I do a week now.  I have asked that they set up a remote printer for me so I can print from home that way delivery isn't an issue anymore, but they act like this can't be done which I know it can be done.


I'm about to cut this account loose, but it's such easy work.  It's just that I'm running into brick walls at this place.


 


Thanks for listening to me whine! 


My mistake, I am not thinking tonight, I actually make 11.5 cpl, clinic notes. I earn my money thou
nm
minutes vs. lines
In my experience, as I get paid per minute, depending on what you get paid per line, let's say anywhere 10-13 cents per line then by the line is the way to go especially if you have a lot of normal reports. I have a speedy radiologist and sometimes get paid nothing for a report because I barely get the name recorded and study recorded.
130 lines in 15 minutes?
Wow!  You are fast.  That would be 530 lines an hour!  I thought I was doing good at 250.  At that rate you can make a lot of money, but I think it would burn me out typing that much every day. 
Minutes vs. lines

Can anyone please tell me what 75 minutes of dictation should yield in lines (65 char).


TIA


minutes to lines
I recently started a new job and was told the formula is 100 minutes of dictation equals 1000 lines a day, approximately. Hope that helps.
probably about 100 minutes/1000 lines
15 years ago, I worked for a company that paid by the minute.  we got 87 cents for 1 minute.  I did 200 minutes a day and it was in the ballpark of 2000 lines.  it varies depending on your dictators but that's a good average.
Info on minutes converted to lines
Hi everyone.   I have a potential job offer and two of us are going to split the minutes.  Does anyone know what 100 minute's worth of dictation would equal in lines per day.   I know there is probably a formula for converting this, but I cannot find my information that I used to have.   Thanks
I mean without blank lines in between patient notes

On average 1000 minutes equals how many lines?
nm
How do minutes dictated equate to lines typed?
In other words, if I commit to type 30 minutes of dictation, how many lines would that equate to (for 150 lines per hour for example)??  Or put another way - how long would an average Transcriptionist take to type 30 minutes of dictation (from an "average" dicatator)??
approximately how many minutes dict. equals 1000 lines?sm
When I worked in-house, I pure typed all day (8 hrs) 1/2hr lunch..2 10-min breaks and we were applauded for 70-100 minutes (we weren't paid by line but by hour). We didn't have Expanders and such..no normals..just typed. I don't know how many lines I produced, but 100 minutes dictation was a lot of work. Now it seems everybody looks at 1000 lpd as low normal.
One of my employers told me to just add a 0, i.e. 30 minutes would roughly equal 300 lines. sm

Of course, if someone talks fast, you'd get more lines, and if you get one of those guys who stops and turns pages and/or talks slow, the lines would be less.  Seems to be a pretty good rule of thumb for me.


As for the length taken, when I started doing MT work 30-some years ago (back in the days of the vinyl belts and carbon paper -- eek!), the quota was that you should be able to 15 minutes of dictation in 1 hour.  However, I think anyone with experience would probably do it in much less time. 


Hope this helps.  


I found pain clinic to be very boring, but you can rack up a lot of lines with all the repetitious
s
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
I used to say he nursed for 30 minutes every 30 minutes. I was trying to figure
out a way to strap him across my chest so he could help himself while I went about whatever it was I had to do.    I really miss those days too.  
I Chart

Is anyone familiar with I chart dictaphone platform?  If so, I would love feedback - negative or positive!   Thanks!


chart
Thanks a million. The chart was there just way down on the page.
Fast Chart
Any info about Fast Chart? 
Can someone tell me Chart Script is? It is a
nm
Re: Chart Script
It's okay, we use it currently. But it crashes alot.
Fast Chart, Inc.
Anyone work for Fast Chart or know anything about them?
why not? it's just key points of the chart ---
or chart condensed. anyone needing to know anything will go into the chart itself, including the courts.
Fast Chart
Does anyone have any information about Fast Chart? I applied for a position there and am curious to know if it is a good company.