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You are trying to land this digital account with

Posted By: the doctors not helping with the expenses? on 2007-01-20
In Reply to: digital recorders - M/L

You should require they purchase their own recorders.  That is only fair, but that is just my opinion.  Let them know you need some help with the purchase of the recorders. 


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Land an account using your web site? sm
I'm setting up a web site to hopefully obtain clients. My question is if I get an account what can I do to be sure they pay me and I not get stiffed for doing work?

Was thinking about using BuyerZone or some other type of site to acquire payment from the client. If you have any suggestions, it would be greatly appreciated.
Wanting to land my own local account

I am currently working part time IC for two different people, I have a little less than one year transcription exp, all in family practive or GI...I have been thinking about trying to get my own account locally but not sure about some of the "in's and out's".  Those of you who do this, do you have someone who covers for you when you have to leave town?  I have always had someone to QA my work, so if I do my own account and have a question(blank) do  you call the office and ask or do you leave it blank?  I am kinda back and forth w/ the idea, I know I would make more money, but not sure if I want ALL the responsibility. 


I do tapes and digital. And I was told if I'm not logged into the digital system, they assume I&

BUT she wants me logged into the system by 9:30 a.m.  So I'm confused too.  I've decided that I may come back to her and just say I'm not going to do the tapes anymore.  I hate the tapes anyway.  The voice quality is horrible, it fades in and out.  It takes me twice as long to transcribe their tapes than the digital.


Same as on land

That is so funny as one year I had my aunt and uncle visit from NYC -- where I was born -- and they asked if I had power and sewer system, etc.  And we are the same as you are on land.  They about died when they walked to the walkway, looked down and saw 53 homes on the water, it is a awsome site when you are from a large city like NYC.  I have cable TV, Comcast internet, the wires are in the concrete walkways.  Before they built this new moorage we had wooden walkways and our power lines, etc. were overhead and they were dangerous.  But they come undergrown from the street above and through the concrete walkways.  Have natural gas heat.   Portland has one of the largest number of floating homes as Seattle now has a moratoreum on building anymore.  So our prices are rising finally.    We are safer than normal homes near a river during a flood as we only go up, up up as we are hooked onto pilings on three sides of our houses.   So we float upwards.    Thanks for asking. 


 


From the Land of Make-Believe
x
This is the land of the free.
that works them to death has made the wrong choices in life. 
IT COULD LAND IN COURT SM
Sorry for the shouting, I also did legal and one of my reports from a service with my initials on it was evidence and they questioned the doc on the stand. They say the report belongs to the doc but who knows when this will change. Thank goodness I had nothing to do with it, but they did ask him where it was typed, by whom, the time and date. Some docs do doctor the date to cover their kiesta and that's a hard decision to make. If the case were serious enough, I would question it or send it back with a note and document that note and make a copy. Sorry to be so serious but I've been in this a long time and I've hear it all. Lots of CYA stuff goes on (cover your -ss)
If you are using a land line you don't really have
unlimited long distance, they cap it at 5000 minutes, which isn't enough if you work FT.   You could get a prepaid card - I think at Sam's club they are about 3 cents minute.  You can also use a company like (can't remember name, but has 10-10 in it) that is less than that.  There may be other similar companies too. 
Someone is in la-la land and guess who?
The OP. PA registration called and they said no breast or gyn exams on license. I bet they were about as amused as I was asking the question but I like to hear for myself.
Darned right - people are in la-la land

we're "refusing" to work? Rely on the kindness of strangers, or what? People really need to get a grip on reality here.



Did Discovery land safely?
nm
HAHAHAHA - you must live in the land...sm

of DELUSION AND DENIAL (de Nile as in river *LOL*)


Women use both sides of their brains, a rarity for a man.......*wink*


Ooooohhhh, Biltmore land! :)
Lucky you to be able to visit it so easily!

Hidee Ho! Dictation Land...
I have one doc who always says that before her dictations. It always makes me chuckle...then I wonder...where exactly is Dictation Land? LOL
don't remember land of the giants, but
I remember I just loved Gilligan's Island and Bewitched.
Is C-phone for land-line only?

Won't pretend I understand VOIP but I know its available with my broadband.


Wait to land the accounts first

Hi!


I say wait to land the accounts first before you think about what equipment to get. You basically want to use what your client is using, not make the client switch around to your set-up. Maybe others will say differently. But I figure you save $ that way by not getting unnecessary stuff.


Good luck!


BTW, I was just reading that self-employed folks really need to increase their fees once a year just to keep up with inflation. I think a lot of times MTs who are ICs for services forget that the service is their client, not their boss. ICs need to negotiate for the right line rate because remember, you are paying for a lot out of your own pocket now.


Diane


If you use dial-up then yes you need a land line - sm
But you don't have to have long distance at all. I have 2 lines in our house, one is the main line with unlimited LD through Verizon, my other line (also Verizon) is just a connection at about $30 a month, no long distance on that line. I have AT&T as my internet provider, though may change my package now as I have one of those 875U aircards (also with AT&T, but could have used Sprint or Verizon if I wanted to) and not sure if when I connect with that it has any bearing on my unlimited package with my dial-up, so I might as well save some money and scale back on that charge. We have no package deals. I have a TracFone, my DH has a company cell phone that they pay for/handle. Your situation sounds a bit screwy; I'd investigate getting either a better deal or seperating everything and see if that works better.
I need a land line and I need it now-suggetions?

I moved and I can't get a land line for (perhaps) another week.  I've already lost a week's income because of the promblem (THANK YOU, CHARTER!!).  I need a quick fix.  I am open to any and all suggestions to getting set up on Friday with a land line or VoIP, even if it is with Vonage for a week until I get my land line phone to work with my DAC phone.  I just moved into this apartment on Monday, but I let Charter know on 1/4 that the previous tenant had turned in her keys, but until she pays the outstanding balance -- heck, she probably hasn't even gotten her final bill yet!!!), they put a "freeze" on phone service. I got that unfrozen yesterday by going into their main local office with my lease agreement, but I have already lost a weeks' pay because of this and I need a quick fix.  They installed my ISP and TV today. I REALLY need to work this weekend.


I am probably in real jeopordy of losing my job.


On top of this, when my son and his roommate came over last weekend to help me pack, they told me they had both lost their jobs to a family of Indians who had come in and bought out their store's owner.  By our State's examination, only one passed the English literacy exam so she is the only only who can answer the phone.  Since the 4 Indian brothers need the managers' positions and they bought 4 stores, 4 managers (my son any his roommate and 2 others) are out of jobs and another 25 or so have left because of the new managers' incompetence. 


Please offer help in getting a land line so I can work.  I am feeling so overwhelmed and it is hard to think with this kind of pressure.  I'm thinking of installing Vonage's VoIP for a week until Charter can get their act together and I get their service.  It's hard to reach other services like ATT when I don't have a phone to contact them.  Charter changed their protocol for getting land lines last week (just my luck) and did not tell my installer/sales rep of the changes.  They are telling the independent distributers it is because of having to reset 911.  I call that baloney.


Can I get a cell phone? How would that connection fit together? OMG, I am so in panic mode.  Please kick around some ideas so I don't have to start job hunting after 1 week after moving. 


Wow, you live in LALA land
You got I'm rich from my post-wow you are delusional. We live paycheck to paycheck like most of our friends and family, and yes we have health care coverage but over the years more and more of the cost of that had been switched to us rather than my husband's employer.  And I know more than 5 people in Canada and Europe who hate their national healthcare coverage.  Didn't know I needed to list them all.  Go back to lala land.
If it weren't for needing a land line for DSL
My cell phone is my primary phone and I have more minutes and free long distance than I can use per month. I got basic phone services and locked it from any LD calls to save money and my land line still costs $30 a month. I feel I'm wasting that money but there isn't anything I can do. I won't drop my cell phone because I have my kids on as extra lines and they wouldn't have a phone otherwise.
No land line even? How far away from civilization will you be? Hospital?
s
7 years clinic experience and cannot land a job

Any suggestions??  I have 7 years clinic experience and am looking for work.  Seems like I cannot get a response back to test or interview.  I need a company that offers TAT, not set hours.  I send in resumes and cover letters daily...What else could I do??? 


Also, in the meantime does anyone have suggestions on "practice files".  I want to expand my skills/specialties.  I have not done radiology and have always wanted to get into it...Thanks for any advice!


What is the difference between an acute care account and a multispecialty account??..nm
nm
Yeah, what land are they living in? Copy the page indicated - sm
and fax it to them. Also ask then where in the book does it say "non Hodgkin lymphoma". Too weird.
Internet service without land-line phone

I recently looked into this subject myself.  If you have Verizon available in your area, you can purchase a plan at about $55.00 per month with a two-year contract.  You will receive a card that you can insert into your laptop, which will provide you with unlimited Internet access at the speed of DSL.  As far as I know, there are no other cell service providers that have come up with this type of card yet, but I'm sure it's bound to happen in the future.  Another option is to purchase a satellite telephone and phone cards as you go along, but the cards are really outrageous in price.  One last thing that I would suggest is that you phone cell providers in your area to see if they have any technical gadgets you could attach to the cell phone for Internet access.  Many of the satellite phone companies have separate packages you can buy, which can be attached to laptops or PDAs.  I also have a TracPhone, so I know it does not come with hardware that will do the trick.


 


Good luck to you in setting everything up.  With the way that technology is moving, I'm sure there must be a way to accomplish what you want. 


If you have a cell phone, why not use that for your LD calls and CX the LD on the land line?
.
My aunt has extremely low rate for land, no frills but
I was told according to where you live- mine no frills over $30.00 a month but now say I can have a land phone, will not work, but still pay for it? Erks me.
I've never had a problem switching from account to account.
The problem I had was being switched too soon. If I don't get one account spec solidly in my memory with QA feedback on mistakes before starting another, I get confused. The other problem I had with former jobs was inconsistent QA. One person tells you one thing, another person tells you another.

Lately, I don't have a problem with it. Right now, my binder has 8 account specs (some I've never had to use) and I'm picking up a new weekend job for a while. The terminology and report formats stay basically the same. It's just all those little preferences. LOL
Company states cannot use Vonage. Any suggestions for land line unlimited long distance? nm

what is your account and specialty on the account?
no one is watching. tell us all about osi.
Digital
I am brain dead also, since I've been away from the "job" due to husband's illness. I do not see any replies on here. Please forward any good info to my E-mail. Appreciate it. Turn your back around here and technology changes, zap!
Going digital

Hi,


I read your post and was wondering if I could get in this thread?  I don't have my own accts yet, I work for a small national and a large national.  However, I am seriously thinking about getting my own accts.  Before I go looking, I thought it would be good idea to have a digital system in mind and ready to set up. 


One idea that I have seen that I found really interesting was in the Transcription Gear Catalog.  There is a 2 page spread about their idigital system.  This is a toll free dictation ASP, very similar to what the nationals have, I would think.  With this system, you pay for the minutes that you will use during the month.  Has anyone else used this type of system?  Any thoughts about it?


digital
I have two different setups for digital.  I have an internet based call in system, which allows me to set up Transcriptionist to receive the work directly to their systems using Express scribe and I also have a doctor who uses a handheld digital recorder that he uploads in the evenings and sends the work to me through Magic Vortex......There are several great companies for you to check out.  RTKING,  JAY VANCE,  START STOP TRANSCRIPTION are a few good places to start with.   There are also other options for sending and receiving work,  such as FTP sites, Hypersend, Magic Vortex and many more.
Going Digital
I switched to my 5 accounts to digital using Jay Vance with Vance Digital in March. I absolutely LOVE it! Wish I would have done this 5 years ago! e-mail me with any questions.
digital sm
How on earth do you print to the docs? Do you both have to have the same WP program and do you supply them with a printer? The offices I worked with were too lazy to even take the tape out of the tape recorder, "not their job" so I gave up on asking them to do "anything at all" as they were so lazy. By the way, thanks for sharing, not too many are willing to do this; would rather play their hand close to their chest. You are a wonder! Thank you!
digital
I'm doing digital for my client and it's wonderful--no more traffic jams. They use Olympus handheld dictation devices. We use hushmail to upload the dictation and transcribed reports so they are encrypted and HIPPA compliant. It's fairly inexpensive -- I believe $30 a year. One nice thing about that you can be anyway to pick up your files as long as you have internet access. I've often taken my laptop with me on vacation to cover emergency work. Not that I want to work on vacation, but it makes the client feel better knowing you can access the work.
If you want to go digital this is what I did
Purchased DocShuttle Admin ($300) and DocShuttle Client for myself ($99), had doctor purchase DocShuttle Dictator ($99) and an Olympus recorder ($129). Rented FTP site (about $45/yr).  Set up DocShuttle so once dictator docks the recorder, it takes file from recorder and erases recorder, imports into DocShuttle, goes to ftp site, posts new dictation, pulls off old.  You may want to go to Bytescribe's site though and see if the program they have for doing it by email would work for you. If you are the only MT and they are the only client, then do it by email. Email me if you need any further clarifications.
digital
i went with transcriptiongear.com and have been very happy. you can email me with questions.

for those new to digital...

FTP stands for file transfer protocol. An FTP program transfers files (uploads and downloads) from a virtual warehouse on the Internet, called an FTP site. FTP sites are rented by size. FTP programs are free or cost a fee. You can post ANYTHING to an FTP site. You can put your's kid's first grade picture there. You can put your resume there. You can put your back up data from your Quicken there. You can put a love letter there. You can put a .wav file there. You can put a MSWord document there. You can create folders there. You can password protect your ftp site and some software allows encryption, different levels of user permissions, etc.  Once it is there, anyone who has the password to your FTP site can then go and pull it off. i.e. TRANSFER the FILE.  So if your doctor dictates on a digital recorder, downloads the voice file into his PC, then uploads the .wav file to the FTP site, you can go to the FTP site, download the .wav file, transcribe it, post a .doc back to the FTP site wherein your doc can then go to the FTP site, pull the .doc off. Voila!


Going Digital

Hello


My doctors use Olympus recorders.  One doctor does well with the DS-10.  The other uses the DS-330 (No longer in production).  The DS-330 has the advantage of overwriting.  For instance, if the doctor makes a mistake, he can back up and record over what he has already taped; however, this was a disadvantage for my other doctor, who taped over his entire morning of dictation by accident by hitting a wrong button.  It depends on the doctor.  With the DS-10, you cannot tape over anything.  If you are sending the audio files over e-mail, you should consider first encrypting the file for confidentiality reasons before sending.  I use e-mail, because it is free, and it was easiest to train the office staff to use.  There is a free software program, ZipGenius that will encrypt your files.  Yes it is free.  When getting a handheld, you want to consider the types of files also.  A .dss file is much smaller than a .wav file or a mp3 file.  That is also why I went to Olympus recorders, because they record in .dss format, which makes for much faster upload and download times.  If you have other questions, please e-mail me.  Also as one poster has already said, the express scribe software is great and free as well.  I bought the recorders.  They have already paid for themselves in gas and time. 


Lynn


You would have go go digital
If you are doing digital for a national you already have the foot pedal if not then you will need to get one that would transcribe the type of files that will be sent to you, wav or dds.  I don't do digital just the tapes but from what I have read you would need to get an FTP set up going so that you can transfer the documents and then if you have your pedal, you should be set to go.  So just send out flyers/brochures giving your experience and stating what you will provide and go for it.  But you will be a little  limited since you only are available for digital and don't pick up and deliver back printed material.  You might be able to do overflow for some local large clinics.  Some might require a C-phone to dial into their equipment.    Good luck.
Digital

I have a couple of accounts that I go daily and pick up tapes/deliver.  One of the docs wants to start sending me dictation via computer but does not know how to go about it.  I must admit I have no clue.  Can anybody point me in the right direction?  Thanks in advance.


digital
What about encryption when sending through an email?
Digital

Hello,


I need help from anyone that can write in and give me suggestions.  I was just approached by a physician that has 4 in a group and they want to go digital and have me do their transcription.  This would be a great opportunity as I have just lost 4 of my accounts to outsourcing to India, so I need all the help.  They need to know how this can be set up.  Do they need a FTP site and do I need one?  What kind of system do they need and all the basics.  I am sure the easiest and cheap way to do this over the internet the better, as you know physicians-HAHAH. Also if Patty is on any information from you would be appreciated.  I have this weekend to work on this and give them a proposal on Monday with the costs.  I know what to charge by line as I am an IC already; I just need help on the way to get me the files and for them to send. I presently do tapes and pick up still.


Thanks Everyone in Advance!!


 


digital
Hi Luvdigital,
I just posted on board. I was approached to do a large 5 DR. account, but want the easiest and cheapest way to do this digital way. I have some questions as your way sounds easy. 1. Do you have the software on both of computers, the one Dr sends and yours? 2. Do you send just by email or to a FTP site and can you send to FTP after? 3. What is this DDS Player? 4. Do I need a foot pedal, what kind? I have to make up a proposal this weekend, so info is needed ASAP! Thanks again for your help. I would love to land this account as I have lost 4 accounts to outsourcing to India and need this badly, so the easiest and cheapest would work and I not very computer sassy, so easy is great for me.
Thanks,
Mary Lou

digital

Thanks everyone that wrote in with suggestions about going digital.  I have a few questions about the brand of digital recorder.  I researched the Olympus, but do you recommend the ones that have editing capabilities or not, as I am unsure what this really means.  Any other types that your Docs use would be helpful.


Thanks!!


digital

I think you misread me.  I am landing the account.  The Drs are paying for it all.  I just need to know what recorders are the best and cheapest.  I also need to know what wav pedal is compatible with Olympus.  They are paying for the FTP sites.  They just wanted me to research everything and give them the prices. Sorry if I confused anyone.  


If there is not a way for them to go digital
I would at least seriously look into a way to have a delivery service - I used one myself 10 years ago....... most areas have them - they send the tapes in a locked pouch and you sign for it when you receive it and visaversa if you have to print out work and deliver..... it can be compliant - you just need to secure the information - these companies are bonded.... time on the road is costing you money big time lady!!
Going digital
Do some research here.
Going digital, again.

http://www.transcriptiongear.com/Merchant2/merchant.mvc?Screen=CTGY&Store_Code=T&Category_Code=DIGITAL-TOP


 


Sorry, the link didn't post. The tricks are to get your doctor(s) to give up their old recorder(s) and learn to use the new one(s) and also having office staff able to download the recorders reliably and retrieve/print the reports/notes, etc...You will love the convenience, but if you're in-house it still won't help locate patient charts (LOL)