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Wow, this must be directly for a facility. Sm msg

Posted By: Lynn on 2008-10-31
In Reply to: Need opinions Please sm - Jewels

Very hard to imagine an MTSO paying that type of money, although it is well worth every penny!  Good luck!  Grab it quick!

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I am an MT at the facility where the

report came in.  This dictator is not our best, but he's not our worst, either.  I also transcribe his dictation.  MQ does our overflow and has for YEARS!  This is not an ESL dictator, and this physician has been at our hospital for years.  I know nobody is perfect.  All I'm saying is, I would never send a report through with that many blanks without someone checking first. I also know that yesterday one came through from MQ with more than 14 blanks, and it was from one of our easiest dictators!  It doesn't matter whether you are management or an MT in the trenches (as am I).  You should take pride in your work and care what the finished product looks like.  If you have done your absolute best, then okay.  If not, then there's a problem.  With multiple reports coming through like this every day, it makes us wonder if all whoever types these cares about is getting the lines and doesn't care about the work they do.

Maybe work like this is why things aren't going so well at MQ, at least according to what I read on these boards.  And for the record, I worked for MQ for a short period of time as an IC about 6 years ago but chose to go to work in-house for this facility for benefits. 

I have been transcribing for 19 years, and I have had my share of difficult dictators, ESL, bathroom talkers, dictating in cars, airplanes, screaming children, fighting spouses, gum chewing, burping, and hearing other bodily functions, along with transcribing while parties, code blues, superbowl games, etc. are going on in the background.  I know about crappy dictation and good dictation.  I struggle through the bad and rejoice in the good. 

The patients deserve the best.  Our best! Yes, the ultimate responsibility should be the physicians, but isn't it our job to create the best possible report with what we have to work with?  Medical Transcription is not a perfect world.  There are no perfect dictators, but I do know a couple that come awfully close!  In a perfect world there would be no sickness and we wouldn't be needed!

It's time for us to quit complaining about the dictation and do our absolute best with what we have.  We owe the patient that much. 

It is up to the facility not the MT (eom)
Whatever the facility wants is what you should do.
No facility should be given permission (sm)
for any kind of physical discipline.  Its not a spare the rod spoil the child issue.    When having to discipline someone elses child, the results could be far less or far more than what the parents would have inflicted.   The result in some cases, especially in Texas, is the accidental deaths of children.     I spank my children, on the behind but as a LAST result.   THerefore, I would not allow my children to go to a school or facility, camp, counseling, etc, that would attempt to discipline my child physically.   Call me and I will come and take care of it, but don't put yourself in the parents position.  
incompetent facility
Your story sounds like something from a small town (or small office). That many radiology reports withheld from being distributed, you know some of them had remarkable findings such as a chest x-ray that needed a follow-up MRI, CT scan, etc. I hope this girl gets terminated soon enough and out of there. Otherwise, the radiologists themselves will be paying the price and hence it would be followed through to the administrative office/CEO office of the medical center/hospital.
This is how we let facility know they need to check
No, I know not every facility/provider is
compliant, but two wrongs don't make a right.  I want to keep my nose clean if the facility/provider is ever charged and investigated for a HIPAA violation - if the gov't has done so thus far.  You think the gov't will buy 'oh, I was non-compliant because my client signed my checks'?...nope!
It is still up to the facility to make that
determination, not the individual MT. We only do what we are told to do.
Yes, it is for a facility, remotely. sm
My concern is the salaried position and not hourly. The hours are supposed to be 9 to 5 Mon-Fri; however, if the workload is heavy, no overtime is paid, no shift differentials, etc. because it is a salaried position.

I could end up working a 60 hour week for the same amount of money as a 40 hour week.

That is what is holding me back right now.

I guess I could always try it and if for some reason it doesn't work out and they demand more than 8 hours a day without any type of incentive or bonus pay, then decide to leave or not ~ good idea?

Contact the facility...

That's the best thing to do.  I don't think they want people posting that type of information here.

Been there-done that, but you can not complain to the facility
If you are working for a service, it is their responsibility.  I would not put a report note or anything of that nature with the report to the client as it could cause YOU a lot of trouble.  I have had so many bad dictators like that - one even fell asleep while dictating!!  I know you have to take the good with the bad but like I have said before, an account has to be profitable to me or I do not want it.  Bottom line, I am here for the paycheck just like they are.  When I worked in house years ago, the doctors were actually offended and insulted if you brought up discrepancies in their dictation.  Then the MT company did not care much when I complained.  They just said to make sure you typed accurately exactly what was dictated.  Again, accurate garbage is still accurate garbage.  It is the provider's responsibility to dictate a professional medical document before you can transcribe one.  If he/she cannot do that, there is not really much you can do to help them.
Where I work, the facility wants L used.
Usually Dr. dont hire MT, it is thru facility and
The facility is a "suit" who has no idea of MT. He
If your hospital/facility could take MT back

from the outsourced services, would it be interested in doing so? If you think it's Take Back Time at your hospital, facility, doctor's office, I am ready to offer them a proven solution to take control back into their own hands and create a win/win situation for hospital, MDs and MTs. It's Take Back Time!

How about you? If you could work for a hospital or facility without having a service between you and them, would you be interested? Do you have the proven quality and experience to offer a hospital? (Excluded: new grads, MT wanna be's, and trainees - this question is only meant for those with solid and strong acute care experience)

If the above scenarios appeal to you, contact me and let's talk.  

Usually not Dr. who pays, but facility/hosp that
Doesnt matter what we think. Facility way is
MT works for the company, not the facility
It has been my experience that approaching an issue like this comes across as bullying and I have not had very good results with this method. Its like ha-ha you got one more chance kind of a deal. Rather than putting it off on the facility I would have sent a directive to the MT and asked that it not happen again, stating that the facility expects top notch work from us and anything less would not be acceptable to them. If that fatal second blow were to occur, then let the company deal with any disciplinary action it normally takes and/or perhaps move the MT over to another account. I have worked both sides of the fence, so I know this technique never works, almost always results in more and more errors.
Maybe facility doesnt know how deal with IC,
You do have only one crowd to please. The facility. All this other baloney is
I used to type for a pediatric psych facility.
At first I used to laugh, thinking maybe I'm not so dysfunctional after all.  Some of the cases were just out of control kids and this was the only option, but there were 7-YO or younger who had attempted suicide.   I don't do them now and don't know how someone can do them for very long.  
I was searching for a Kaiser facility and the article came up (sm)

I don't know if I would call it better, but different sites come up.

It doesn't mention what they plan to do about identity theft and their 3 years is now up.  Anybody work for this Kaiser facility?

Yes I have found some facility websites that have pics of all the MDs
and I have to say they may be the most unattractive group of people I've ever seen! I guess if you have nothing else going for you, it's a good idea to become an MD! Sort of ruins that sexy voice visual, huh? LOL
Others are working without spell check, facility
Sounds like facility is trying to save money by
I have a job where MTs were to put in billing and coding number.  Use # X for emergency admits, except if it is Tuesday and sunny, then use # XX.  That sort of thing. I had no idea what I was doing but figured if Dr was going to sign off on this mess, it was all on him. 
Only a problem if your MTSO/facility decide
to use it. From what I have heard, not everyone is going to it.
I inquired about that as my MD provides care at a nursing facility & assisted living, he said
that he just hand writes notes it is cheaper, and if patient has to be admitted he dictates a full note at the hospital. But basically he said it was up to the individual facility, so you might want to check into it.
I think is called preferred vendor? Facility gets certain monetary breaks to only use one


Unless a facility name accompanies the phrases you hear/type, you should not capitalize.

What I would tell you directly sm
I know you want a better job and for whatever reason, it just has not happened...YET.

Anything worth having is worth waiting for. Up to a point, the longer you wait the better it will be. Though, after a while it seems useless, it really isn't.

I had a wonderful job up until summer of 2007. Like a fool, I had $$ in my eyes and I took a job at 10 cpl. It was hard work and the line counts weren't great, but then they started to regularly run out of work. That was year ago this month. I started actively looking for work and I had offers, but I didn't take them because the grass is usually greener over the septic tank, rather than on the other side of the fence. I have been burned and didn't want to be so again. I sent out one last resume just before Christmas, but didn't think anything would come of it. I was wrong. My gift for Christmas turned out to be my dream job, so I quit the one I had.

In June, the one I quit in December begged me to come back and I accepted, because as a PT job, it would be perfect, and it has been. The boss I disliked is gone and a great gal is in her place. There is also a great deal of work.

I have the same time in you do, 15 years. I have waited much of that time for a full time job and a part time job to come together in a way that meshes as perfectly as these two do. All good and wonderful things come to those who wait.

I am wishing YOU all good things and soon. There is a company out there wishing for a hard worker, looking for their needle in a haystack and that needle is YOU. Best wishes and good luck!
I would start with hospital websites in the surrounding areas to whatever facility you type for. SM

Hospital websites usually have a pretty good physician directory you can search through by name or by speciality, which is nice.

I also use the AMA website which has a sound alike search feature which is helpful.  Here is URL for the AMA doctor finder.


Also, some states have websites for the medical board licensing or professional licensing where you can look up doctors with licenses in that state.  You might do a Google search for whatever state your facility is in.

Another good one that I use is the WebMD physician finder.  Here's the URL for that one:


Hope this helps you.

Hmm..patient information, name of facility, etc. on top of page is a header. Stuff on bottom like ph
I was not meaning you directly at all
guess I was just trying to get across the point that in other parts of the states southerns are protrayed as such. I am white, my husband is black and my mixed daughter was an English major in college here in the south and an accountant now, She, along with me, shutter when we hear ebonics. Like where you live and where I live outsiders would probably not believe with all the diversity, huh?
Jan -- I type directly into the EMR
Your doctor can still dictate but you will type directly into the EMR but you need to do it in house unless they allow you access from home -- which they might.  But it is hard to charge per line as there will be some "normals" that they put in.  So I do it hourly at the clinic.  Have done this twice now for clinics.  The first one, only one doc did the dictation, then another started and pretty soon all five were doing it and I had to quit as they needed someone full-time and I have my other own accounts.  I did it just to help them out at first and get out of the house.  But they did not like the hours they spent after seeing the patient doing the charting.  So one never knows.   Good luck but don't burn your bridges.   Charge them reasonably but not out of anger.  
Please see the post directly above yours.
While you are right that SSDI is different than SS, you forget that there are hundreds of children out there who have lost one or both parents and receive SS until age 18. They are certainly not retired so you're argument that it is SUPPOSED to be an account that helps people after they retired is inaccurate. It is, as originally stated, a program that was meant to help people who fell on hard times (not retirement).

As far as judging someone else, I'm just stating facts.

Like many other hardworking people on this board, I am not especially fond of watching my tax money be spent in a wasteful manner (I am not calling SS wasteful), and I certainly do not appreciate the people out there who are looking for ways around the system.

I could go on in this vein for a while but I've got to get back to my work. :)
Even though IC directly for the hospital,
it sounds like you do not handle all of their transcription needs (in other words, providing the staffing, with the hospital being your account). For MTSOs who do have hospital accounts, I have seen the rates varying between about 18 cpl and 25 cpl (I imagine this is dependent on several factors, such as how the lines are counted, volume of dictation, and geographical location, among other things). For clinic accounts it also varies, but usually at a lower rate, about 12 cpl to 18 cpl, again depending on several factors.
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! 

i purchased it directly at stedmans.com (nm)
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. 


I work directly for a hospital in the NE,
the list is provided to me by the hospital.
Hi, Paul. Appreciate hearing from you/him directly.) SM
Anon, I also love this product; Paul and Ben did a great thing producing it and I'm grateful. I can't say why I like the platform so much except that it pretty much doesn't make me think about it. The work's in the reports, not fussing with the system. With one big exception as far as I'm concerned--it really needs a wild card or at least a better search feature for practitioner's names. That's often a major time waster.

I also like it so much because I find I'm faster on VR. It turns out I have a knack for editing, while I'm just a mediocre typist; others are obviously discovering the opposite. I certainly don't feel the disconnect from the dictator's meaning described by another editor. I confess, although many "hearing-it-wrong" mistakes are made by eScription (enough to make me needed), I've come to have a very healthy respect for its ear and listen very very carefully before overriding its reading.

That said, I'm unfortunately soon moving on to another, untried platform. My old account was offshored, like other eScription accounts with my employer before. I've heard the profit margin with eScription is just too low to compete with local editors. Sad reality???
I have my headphones plugged directly into
I plug my headset directly...

...into the computer in the jack that you plug speakers into.

You might need to bypass the USB hub and plug directly in. sm
I have had this problem with other USB devices.  I just switch around until I find one that will work in hub.  I don't use EMDAT so don't know if that's the problem.  Maybe someone else can shed some light on this. 
Is the post you replied to directly above this one?
If not, the one you replied to may have been deleted. They can't control that. They delete one part and everything in response to it automatically goes with it. They can't leave responses hanging there when the one it was tacked onto was deleted.
That cpl is for contractors working directly with doc.
I made 14 cpl (65 char including spaces) when I had my own account.

I agree check with your facility. Enlarging the font size can cause problems once a report uploads

I wrote a macro that would take the font size back down to 100% once I was finished and ready to sign off.  I think I assigned to something like CNTRL+ALT+F and I got into a habit of doing that before hitting whatever function keys to spell check and sign off.  It worked great.

My DD is a social worker and says that she dictates directly into VR
and the report is on her desk when she gets back to the office. She said everyone in her department loves it!
Anyone else have the family pet who has to sit directly on your foot pedal? My dog (who is an 80-lb
black lab) has done this all week and will not come out from under my desk.  Don't know if it's the weather or what, but it is making me crazy!
I take it you've also been lied to directly by supervisor?