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Serving Over 20,000 US Medical Transcriptionists

depends; clinic/acute, IC/employee, pool/own accounts....

Posted By: nm on 2009-01-12
In Reply to: Average MT pay - Abby

nm


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varies: clinic/acute, employee/IC, own accounts/pool.
nm
own accounts, IC, employee with benefits, acute or clinic?
nm
variables: clinic v. acute, employee (benefits) v. IC (pay taxes);
nm
When I applied looking for acute care, Jane told me it's 70% clinic and 30% acute. nm
s
Not an MQ employee but have always transcribed via turnaround pool.
The office manager I worked for set it up so they could bill faster, i.e., ERs in 24 hours or less, op notes, discharge summaries, etc. She said it made for a better cash flow for the hospital. That's probably what MQ is trying to accomplish, maybe per client request.
My #4 key is a return to pool key. Depends on how you are set up. nm
nm
Clinic and acute are very different.
I think acute care is much easier personally, but I've done mostly clinical stuff for 8 years now.  I've only done acute care for a few months but I think it is much easier.  Of course, my old clinic had every type of doctor known to man lol.
Acute vs. Clinic

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.


i currently get a mix of clinic and acute care; sm
i get all different report types (clinic, acute, and various types), different facilities, just a big mix and yep it hurts on production. i have worked for MTSO before that assigned us set report types like i did consults and discharges. i was way much more productive there than i have ever been.
acute care vs. clinic

A walk-in clinic would still be considered clinic work.  When applying at a company that classifies experience as acute care and/or clinic work, acute care is the term used to designate hospital dictation. 


Acute care clinic

The reason I called it acute care clinic, is to convey that it was not a specialty clinic.  Our patients were there for acute care, and it was a clinic.


But you are right, I am knew to the transcription world outside of what my doctor expected.  I have read at least 5 text books on MT, but all emphasize asking your employer which format is preferrable. 


I was also wondering, on these online tests,  do they want verbatim, even if it is incomplete or run on sentences, or am I to make them complete by using "and" etc.


try for a company with both clinic/acute
if you can get on a clinic account with a company, down the road you may be able to train for an acute account with that company.
Do you do acute care or clinic?
nm
i went from clinic to acute care..
with no problem.  i work for 4 big hospitals and yes, there are a lot of doctors, but they tend to dictate all at the same time so i will get a bunch of dictations from the same doc in a row.  also, sometimes it seems like i get all ortho for a day or all ds for a day or all psych for a day.  i think it all depends on who you work for.  don't be afraid, jump in.  that's the only way to start and with all those acute job openings, i don't think anyone is going to tell you that you don't have the experience. 
clinic to acute work
I so understand where you are coming from.  I did clinic work for 16+ years and could never break into the acute care but just recently someone gave me the chance.  I thought I would have a hard time but I have had no problem and made my line count within a week.  I am soooo grateful someone finally gave me the chance.  Keep trying! 
clinic to acute care?
How do you transition from clinic work to acute care work?      I have done about a year of radiology work, which is what I started out doing.  I went to in-house family practice for 3 years.  Now I do GI and clinic notes.  I have also done a pain management clinic.  I have been doing transcription for about 6 years now.  I can't test for acute care because I do not have the 2 years required.  I tried working at a hospital part-time or PRN actually.  The drive and gas plus it was a second job for me, killed me and my budget.  It was an hour drive one way. 
clinic to acute care
I'll be starting with a new MTSO in a couple of weeks and will be doing acute care ONLY.  It's been a great many years since I've transcribed acute care; have only done clinic dictation for quite some time.  Can you guys give me some pointers to help me ease in to the transition? 
16 years, 1 radiology, 7 clinic, 8 acute
.
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!!



Need to vent acute care/vs clinic

I just have to vent and get some opinions on this.  I have started a job at a hospital.  I have done clinic notes for about 4years about 3 different specialities. I type normally 175 lines -200 at the most on a good day.  Since I started the hospital one week ago, I cannot get past 550-600 in a 7 hour day.  They told me until I get my line count up to 1000, I cannot go home to work, which is what I am suppose to be doing.  There are so many specialities, operative reports and procedures that I have never done and so many things to learn, I am losing so much of my speed looking stuff up. Does this take a long time learn?  Was I crazy to think I could do acute care vs clinic these past 4 years.  I am starting to doubt my intelligence here and thinking I am way out of my ballpark taking this on.  Has anyone else gone from clinic to acute care? Help!!



I went from clinic to acute care last year...
And then went back to clinic. I hated the acute care maybe because I think I had one of the worst accounts ever! Terrible dictators. It was such a big change. I didn't like it and I went back to clinic. You can do it and you could adjust in time but to be honest I wasn't making nowhere near enough money to bother with it. If the money was right it would be worth it but for not much money it wasn't worth it for me.
Clinic work to acute care
You are on the right track but it's just that no one has given you the break. Most MTs start with clinic notes and then wait for a break into the Big 4 doing acute care. Don't get discouraged. Yes by all means, test away and you might just get lucky. Take any job you can doing acute care even if the pay and hours are bad just to get experience under your belt.

It's not easy making a go of it these days even with tons of experience. Ya gotta be a little clever and have a game plan. Look at it as a challenge and keep at it. Best of luck to you.
Acute care vs. Clinic reports-

Being new to MT full time and coming from a hospital setting (specialty clinics) for most of my career.....How does acute care transcription differ from "speciality"clinics (i.e. ortho, GI, oncology, etc.) when applying for jobs?   Acute care is the same as emergency medicine right?


Aside from the differing terms, doesn't the basics of format apply to all H&Ps, clinic notes, etc. when transcribing notes regardless of specialty?  Therefore, even if you have mostly specialty 'experience' wouldn't you still be qualified to do acute care?  Just wondering....


10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
Only 7 or 8 cpl for clinic and acute unless they've changed recently. nm
s
Acute Care or Clinic????? Which is easier? Where can I make more
I have been transcribing clinic reports for the past 3-1/2 years (not for the same clinic).  My company does have some acute care accounts and occasionally asks for someone to switch.  I was just curious if anyone had any opinions on which is easier.  I mean where can I be faster and a better lph.. clinic or acute care?  TIA
Clinic work or acute care question....sm
If you were offered a job by two different companies, the benefits were the same, line rate was the same, everything was the same except one was exclusively acute care and the other was clinic, which would you choose and why?  I have two offers and everything is even except for the type of work.  I would think clinic work you could get more lines, but then it is not as marketable later if I have to switch companies as staying acute care would be.  Any input? 
I have 3 jobs, 1 FT doing acute care, and 2 PT doing clinic work. sm
It can be a challenge juggling things, and I really do not have much of a social life, but for now it works.  It not only keeps the wolf away from the door but allows me to build up a little nest egg and save for a mega vacation I have planned in November to celebrate turning 50.  Having goals definitely helps me get through it all. 
Acute care position with clinic experience???
Can anyone help or advise me? I have 3 years of clinic experience, but I would like to break in to acute care. It seems like I run into the same brick wall that I ran into with no experience.  Does anyone have any leads or advice as to acquiring acute care employment with clinic experience only? What do I need to do? Thanks.
I started on Acute care, then went to clinic work, - sm
and then back again. I found clinic work to be more challenging, plus it often included radiology. I think it's more a matter of just getting familiar with each institution's way of doing things, along with new doctors, and getting familiar with a few new terms (which don't we all do every single day, anyway?) than it is one being easier or harder than the other.
Difference in Acute Care vs. Clinic reports

Being new to MT full time and coming from a hospital setting (specialty clinics) for most of my career.....How does acute care transcription differ from "speciality"clinics (i.e. ortho, GI, oncology, etc.) when applying for jobs?   Acute care is the same as emergency medicine right?


Aside from the differing terms, doesn't the basics of format apply to all H&Ps, clinic notes, etc. when transcribing notes regardless of specialty?  Therefore, even if you have mostly specialty 'experience' wouldn't you still be qualified to do acute care?  Just wondering....


difference in Acute Care vs Clinic Reports
I thought so.  Thanks!
I made 9 cpl doing rad (employee). I also do acute care.
There are places where life as a rad MT is very, very good (and no, there are no openings, sorry!).
rad/acute accounts

I am contracted with a hospital to do acute acare and radiology.  I have been understanding that radiology usually is made more.  Doing both do you get paid the same for both or bill differently for radiology?


Thanks


Is it harder to reach your daily line count on acute care or clinic?
nm
I've never seen mixed acute care & clinic at the same time. That's a production killer for sur
s
Some have said clinic, some op notes, some ER, depends on what you
s
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!!
depends on what type of clinic you were transcribing

if they were basic SOAP notes, then i would guess the basic 4 hospital reports will be quite a bit harder. 


if you had an intense multispecialty clinic, then you could probably do H&Ps and consults.


but I would suggest you give it a try. being able to do hospital acute care can only help your resume, and possibly up your income after a learning curve.


JMO


If you work from a pool, it's onlyl a matter of returning a dictation to the pool for the poor sucke
,
well, of course you make more with your own accounts cuz you're not employee
nm
I get close to 9 cpl as an IC doing clinic notes. No chance of raise unless I find my own accounts
x
Greatly depends on whether you are an IC or employee.
mm
I have my own accounts and I work as an employee, but we are not talking about BEING an MTSO, we are

the MTSO's offer.  If you are a well-trained, knowledgeable medical Transcriptionist with experience and you are looking for an IC job or an employee position with an MTSO, then you are worth more than 8 or 9 cpl.  If all you do is sit and transcribe all day long, you are worth more than 8 or 9 cpl. 


I really don't know what you're getting at.  Not everyone has the capabilities, time, or money to start their own service.  Not everyone is good at pounding the pavement and finding their own accounts.  I'm not a salesperson to say the least.  I lucked into my own personal accounts and if I hadn't, I'd be working for one of the MTSOs, but I'm not.  My full-time employee status job is with a hospital for the benefits only and it pays hourly with incentive.  Right now, that's the only employee status job worth taking is through an actual hospital, NOT an MTSO.  At least at the hospital, you get a decent wage and get great benefits.  Oh, there are a few good MTSOs out there, but they are very few and far between.


IC versus employee, accounts, transcription type, platform,
nm
Depends on the position. Some accounts are 3, some are 5. sm
I think that radiology is 3 now and acute care 5. I might have it backwards though.
Much depends on the account/accounts that you are on (sm)
Like everywhere else, I suppose... I've been with JLG for almost 12 years and have had the same main acct the whole time. It's a large hospital system, and yes, lots of ESL, but only a few that I would consider dreadful. Have been on some other accts with virtually no ESL. Have also been on work types where I could rack up lines like crazy, and other times (like now, for instance) struggling to get 1200-1300 per day. Have had times where I felt extremely micro-managed, other times don't hear anything from anyone for literally weeks. Paycheck has always gone out on time, but unfortunately no longer do direct deposit. I guess you could say they've been a little erratic since I've been with them, but overall I am pretty happy. I believe they have several different platforms - I'm on "EHR" (for the past year or so) and while it's a little slow going from the patient information screen to the document screen and back again, it works with your own Stedman's spellchecker and with Shorthand, so better than some others that I've been on. I will say that the support personnel have not always been the best, but, again, I've seen a lot of people come and go! Hope you find a position that's perfect for you - or at least nearly so!
depends on your speed, knowledge & accounts.
x
Right. Can't compare the two. Just like you can't compare clinic and doc office work to acute
.
If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies.  It goes on and on and it means and acute care hospital setting, not a clinic.