clinic is not walk-in or ER notes; it is clinic

• Clinic notes questions - jmr
  • Pay is the same for me. - Msla MT
  • Could be by specialty, but usually walk-in clinic, stand-alone - ER facilities, stuff like that. Pay is lower. NM
    • clinic is not walk-in or ER notes; it is clinic - with speciality...depends on size....

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would be a good place to start, either working as an IC/employee for a national or getting your own accounts.

Good luck!

Mostly clinic notes from my experience:

S - subjective

O - objective

A - assessment

P - plan

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.

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 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! 

yes, it is clinic work

went in one day to pick up tapes.  She was standing there erasing tapes when one of the docs walked in and started chatting with her.  As they were standing there, he handed her his tapes for that day and the day before.  They continued to chat and she took those tapes and ran them through the magnet!  She looked up at him, he looked down at the magnet, and they both busted out laughing. 

Yeah, it sucks, but it isn't the end of the world!  Go in first thing Monday morning and tell them what you did. 

I have never transcribed these type of reports and may have an opportunity to in the near future. I have over 12 years of multispeciality experience as an IC and am just wondering what the pros/cons might be of the these types of reports.

TIA.

I know for a fact that all of the Mayo System clinics here in Minnesota run ads just to collect resumes. They will lie and tell you that the opening has been filled, but I have an insider who tells me what is really going on and you also see the ad continue to run. There are no job openings. Not nice.

I have noticed that it does worse with clinic notes than hospital notes.  If I sit still for an hour I can average 600+ lines an hour but I get bored.  My line count for all my escription accounts together average around 3000 a day, with about 25% of that being straight typing.

I also found my thumbs got very sore using soley keys so I prefer to use my mouse some.

accredited by the Joint Commission on Accreditation of HEALTHCARE Organizations, they have to comply.

My work is clinic notes, psych reports, surgery letter and consults also and I have had the same doctors for 7 to 18 years.  But I still pay me IC's 8 to 9 cpl even though I can personally do 400 to 600 lines per hour and they can make $40 an hour on the psych reports.  I also will not boost my rates sky high to my docs because we make a decent living due to shortcuts, templates, etc.  But no way would I ever start anyone out at 6 cpl or even 7 cpl, though of course maybe I should and rake in the money myself.    And on the other hand, I pay well but I still have had to look deep and hard to find those that will work for that amount and be mainly depedable so I can keep the accounts.   They only wanted to work Tu, half of Weds and perhaps Thurs depends.  I used to have 3 IC's and now have one after a doctor died and one retired and I keep the majority of the accounts because I could not find anyone that was dependable and thought it didn't matter if a report was 24 hours late, or the report was just half done, etc.  And if the doctor requested things to be done  a certain way we did it, mom and dad capitalized we do it because he signs the checks.  So I can only imagine handling 10 IC's and trying to have enough work and yet have enough coverage when you needed it.  Too much for me.  

Does anyone know of a reputable company who is hiring for ER or clinic work and pays fairly well?  I've just about had it with Medquist and my 23 different accounts. 

Thanks much,

Brenda

I cut my teeth on acute care - real baptism by fire - and by comparison clinic would have been an easier start for me working from home, but I'm glad for the experience.  Acute is so much more technical that, if you're willing to do it on production, you should be prepared for the income hit that can come with the learning curve.  If you can go in-house to get the experience, I'd suggest that.  However, if you want to continue from home, keep knocking - with your years of clinic experience, I'm sure someone will give you an opportunity.