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Serving Over 20,000 US Medical Transcriptionists

sometimes the docs specifically say they--sm

Posted By: DumDum on 2007-05-01
In Reply to: Templates raising line count ok? - Sherrie

won't pay for *normals* or pretyped template phrases. If he/they have not already stated this, then charge the same. If they realize after the fact that this is the case, be honest and tell them that it was never stated not to include template normals and then negotiate a price. If, as the other poster stated, you have to print these out, it is still costing you the same, so I would charge for it. Perhaps, if you want to be above board, ask him prior to beginning with the new templates, what his intentions are. Sometimes they *forget* to say whether it is paid for, or not. I hope you get what you want out of it. good luck.


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Did anyone specifically ask you for references?
Do not give out references unless you are asked to.  If they did ask you, did they want personal or professional references?  I use my parents' friends as personal references.  They've known me my entire life and would never say anything bad anyways.  As for professional references, you can call old supervisors or coworkers to see if they would do it.
The recruiter specifically said 8-4:30 Sun through Fri.
This has been mentioned in conference calls.

"You are not to work outside of your schedule. If we need you to work outside of your schedule, we will call you. Do not work off the clock. No where in the U.S. do people work off the clock. It is not legal to work off the clock. Do not work OT without prior authorization."

These are a few of the statements made by management regarding when to work.

I don't play bingo. I do have a mtg, a car payment and would like to live a modest middle America lifestyle which I cannot do I there is a feeding frenzy for the work load because some people make their own rules.

If my company would have said, "have at it" with regard to when to work, I'd be the first one and here is what I'd do.

I'd leave my computer on 24 hours a day and simply check on the work load every 30 minutes, sit down and type away when there was work to do and get up and do other things when there is not.

However, I signed a contract that said I understood the terms and until I am told otherwise, I will follow them.


M-TEC has a program specifically for ....

those with a prior healthcare bakcground.  M-Tec programs are very comprehensive.  Many companies waive the usual 2-year experience requirement for grads.



OP specifically said wants rental on...nm

My mom has specifically told me...
that she wants me to let the state take care of her. I, of course, cannot do this. I love my mom way too much, and she has had a VERY rough life. Unfortunately, she has not been able to save or put away money for her when she gets older. She will have to work until the day she dies. Having 4 kids with no help whatsoever from the dads, family or the state, she has taken care of us the best she could....holding down 2-3 jobs at times. All the while doing this, she still had my brothers in baseball, took my sister to the medical center for counseling several times a week and stood up to my abusive father in court to fight for her kids. Not to mention, my three times a week breathing treatments. We came first ALWAYS! None of my brothers and sisters (the ones still living) can take care of themselves. I understand that it will be my responsibilty, one in which I will do without hesitation. The only exeption to that would be if it were damaging to my own family, which she made me promise her. If it got to the point, like a friend I know, where she was constantly crying in pain and it was taking an emotional toll on them, I would have no choice but to put her in a nursing home. You bet your butt though I would be there on a regular basis.

It just all depends on the situation. I do think though that it is a very sad thing that we do not take care of our family better, especially our elders. When there are elderly people sitting without AC because they can't afford a $450+ electric bill, not eating right, going without medicine, that is a sad thing...just as it is that we have children starving in our own country.
Same here. I have accounts that specifically say to
put the patient's name in the report if the physician dictates it.
Unless the client specifically says do not
double space, then I do. Were you told not to?
If the doc said specifically send via (sm)
email, then address the email to him with ccs to other docs who are to receive a copy..
Maybe she is told to specifically do certain
dictators first or worktypes first. You never know what goes on behind closed doors or what agreements other coworkers have with the company or supervisor.

You can approach the subject with you supervisor gently without accusing the other MT of anything and see what reply you receive. At least, that is how I would approach it if it really bothered me.

Personally, I really don't pay much attention to what other coworkers are doing, as long as there is enough work for me and I am able to make a decent pay check and have the quantity of work to transcribe, I am happy.

Try not to get so wrapped up in what others are doing and just do your job to the best of your ability. If and when it hinders your ability to make a decent living, then maybe talk to your supervisor.
I would specifically ask the company
how your lines are being counted, their program, characters with spaces/no spaces whatever. Get it in writing. You have a right to know. After you get it, compare counts and if they are wrong go back on them for backpay, provided of course you have your old line counts and can verify it.
No info about them specifically...
But I would suggest that you look into AHIMA's Coding Basics.  Their program is eligible for college credit, which is very important.  Many coders have their RHIT credential.  In order to obtain that, you need an associate's degree.  If I remember correctly, the Coding Basics program provides around 40 college credits.  You need around 60 credits to finish an associate's degree, so you would have about 2 semesters to get those extra 20 credits.  Their program is self-paced and costs around $2000 plus books.
Specifically the Good Humor
ice creams bars with the chocolate candy surprise inside! Do they still make them? I may have to chase down an ice cream truck. Oh, do they still make THEM? LOL!
Can someone tell me specifically how to take Instatext and Glossaries

to a new computer?  I guess a flash drive, but i have never used one.  Do you just plug it in a USB and....well, then what?


 


Thanks in advance!


They specifically asked for a contract.
They want a contract by Tuesday.  I think it protects all parties involved.
Can't you read? I specifically wrote...
"..for us, the MTs.'
nobody looked down on you that you know of specifically but there is that "trailer trash"
mentality the general public thinks about trailer people. You have heard the jokes.
More specifically, free medical spellchecker, sorry about that..
nm
what are you finding specifically wrong with this company
nm
We were specifically instructed to work our schedule
and that working off the clock was not permissable, that nowhere was working off the clock permitted. That if the acct required us outside of our shift, we would be called by management. It is to prevent taking work from the scheduled MTs (as well as unapproved OT.

So, I am not dreaming this up. This was made clear. They gave us a shift to work, we clock in and clock out during those shifts. If they need us after our shift is up, they will contact us.


Sample OP NOTE specifically ORIF
Does anyone know of a good site for sample op notes, specifically ORIF report
Same here. I tell them specifically and have them write it in my chart that I do not wany any of my
Infuriating.
There's a board specifically for these types of jobs
Call centers and different types of phone work. From what I've seen, if you have a quiet environment and flexibility this is a good job to make extra money.
anywhere specifically or just what inhouse folks in Atlanta are making?
x
Exactly - create an email folder specifically for that company sm
and save all pertinent emails in that folder (just drag and drop). I have one for each of the companies I work for and I keep everything for a minimum of 3 to 6 months, longer if I think it is important.
Lipid panel. They specifically stated that are not testing
xx
Does hormone replacement (specifically low dose Prempro) cause you to gain weight? nm
nm
Oops..sorry your right. I forgot that. I specifically ordered my Windows XP as Vista is compatible w

Just about every computer has Vista now but I went through Dell and found the computer I wanted with Windows XP and then went into ebay and got it $400 cheaper than what Dell was going to charge..The one downfall, it didnt have Office Word etc.. installed so I had to buy that but I still came out ahead.


i specifically refinanced my mortgage because my lender transferred my mortgage to a company
that offshores. Ironically, my NEW mortgage co. just transferred me back to the same company that offshores. I can't win.
A friend of mine got one and she is finding that some of her software, specifically her ISP software
x
Specifically MQ. I do not work, have never worked and will never work for them, but ...sm

totally am against outsourcing work outside of the United States.  Any company should not be allowed to advertise if they outsource outside the US, in my opinion.


ESL Docs

That is SO true!!!!  There is definitely a problem with dictating the appropriate gender when it comes to ESL docs. They tend to go back and forth umpteen times during one dictation, so you really have to pay attention.  Verb tense can also get very confusing.


I agree that sometimes slowing down and concentrating can actually increase productivity. Even though I feel like I'm transcribing like a tortoise, I'm really getting more done than I think when I slow down and allow myself to think.


Just hang in there with QA. They are just doing their job and you need to take a good look at what they are telling you and concentrate on that issue. It's really hard not to take it personally, that's for sure, but it's gonna make you a better Transcriptionist in the long run. On the other hand, if you feel they are truly wrong about an important issue, then challenge them!!  But you'd better have major references to back up your challenge.


Ellen S.


 


 


ESL docs
are you on VR yet? you can choose to have a 20% cut on your baseline rate and get the "better" dictators ?? or you can choose to keep your MT 100% baseline rate and probably get all of the ESL docs -- what a choice - not fair, huh??
This is almost as bad as the docs
I got three of them yesterday...three different docs. I think this is soooo rude! I'm almost to the point where I'm going to refuse to attempt to do them. Surprisingly, it's always a female doc who is dictating either a GYN or breast cancer related report.

I can picture a couple of these ladies hopping on a Harley Davidson riding home from work.
I think they should ask all ER docs

if they even know the English language to begin with, 'cause if they do, they don't practice it.


I know everyone knows that a lot of docs don't

read the reports after we have transcribed them, but I just had a doc on my account dictate that he wanted the line "Dictated but not read" added to ALL of his reports from now on.  He was mad because he said he requested this to be done a few weeks ago and has been "keeping track" and it hasn't been getting done.


Amazing.


All of my PAs were better than the docs before

I switched companies and along with my new account came all new PAs (and might I add, quite a few of them) who all make me miserable. They botch the dictations beyond belief and I am left to fix the sentences which look like riddles and are actually confusing after they get done with it.


Change thoughts in the middle of a sentence...start talking and forget where they left off so I am sitting there for another 2 minutes waiting through the ummms and ahhhs and the start of sentences "the patient umm.... ahhh" and I'm waiting for them to say something and they just hang up.


Mine are good for this too... they will dictate an incomplete report and then a few dictations after they will start finishing incomplete dictations, adding in something they forgot to say, or they will say CC a copy to: Dr. ____  on a 4 second report and not say whose report it goes on. This would be easy to figure out if they didnt have 40 dictations and at least 5 hang-ups with about 8 of those 40 dictations being something they want added on to some nameless patient's report.


Had I not switched jobs, I would have had a hard time believing any PA was hard to transcribe...just because I had a good bit of them on my other account and they were all PERFECT speakers.


Now when I see that I have to transcribe a PA-- 


 



ESL docs
Hey there,
Hang with it a little while longer. You'll probably find that it gets easier. Those ESL doctors do say the same thing over and over again and it takes practice to get it. Try listening a few seconds longer than the phrase you aren't getting because sometimes that helps. I agree that samples help an awful lot so be sure to request as many as you can. Good luck! You can do it!
I would always rather have my ESL docs over the sm
English as first language docs, who speed talk, slur words, and don't seem to care about the patients.  I am usually very impressed with the patient care given, and the understanding of the human issues, by the ESL docs.  I think the problem with the original poster is she needs to learn to transcribe these docs, with all the suggestions, especially getting samples, mentioned above.  She doesn't really seem that concerned with patient care, but her inability to transcribe difficult dictators.  It is, quite simply, the nature of the business.  The easy docs go on voice recognition, and the transcriptionists transcribe the difficult dictators.
I tell ALL my docs that I'm an MT...
...and I transcribe and read my own reports (I work for a large healthcare co).  Hubby signed a HIPAA form for me to transcribe and read his reports, too.   Now the docs are more careful 
how many docs know?

When I mention to physicians that if they send their work out it might be sent overseas they are appalled!  Sometimes they say things like, "So that's why there were so many mistakes."  Companies don't always tell them where the work is being done or by whom. 


I still fault them for trying to save money at our expense, but in a certain sense some of them are being taken advantage of as well.  Perhaps our "enemies" could turn out to be our best allies should a good case make it to Court TV. 


We need to educate the physicians as well as the public. 


docs
Or I like when they make up their own spelling of words, especially meds.
docs
sorry made a mistake above...I meant the docs take me to the bathroom with them LOL!!!
docs
Let's face it ladies and gents - doctors have absolutely NO respect for what we do for them so they can make $$$$$$$$$$$$$$....
My ER docs do it alot

I guess it gives them the right to charge PREMIUM prices,  although I


think ER prices are quite pricey enough.  My friends trip through the ER


the other night was a cool $10,000 and all she got was an aspirin.  (she thought


she was having a heart attack and it was GERD.  But to rule it out they gave her


the works; CT scan, CXR, blood work, cardiac enzymes......and on top of that came the doctors (including the cardiologist, oh my) bill.


 


 


of course, I know 'bout as much as the docs do...sm

yeah, and that's why I'm here typing and they're out on their yacht somewhere, right?    But I do try to diagnose, even did this when I worked for a doc in the back office.  And sometimes I was actually right!


Cheap docs

They absolutely don't care about quality or any of that jazz, which is why I have always wondered why we as an industry keep beating each other up over issues that doctors couldn't care less about. Not that I think we should all just transcribe any old way we want, but it seems like we act like the slaves out in the mud pit slapping each other around about how much or how little straw to use for the bricks while the slavedriver sits on the side line with the whip completely content with end product either way.


I suppose the answer most would give is that we should take pride in the quality of our work whether they (the doctors) do or not, but I can't get passed the notion that these are the same individuals that the powers that be seem so intent on pleasing and are also the same individuals who would see us all in the soup lines tomorrow looking for the next homeless shelter to sleep in if they had their way. They (the medical profession) will not think twice about putting all transcriptionists out of business at their first opportunity, and yet we as an industry continue to bow to their ridiculous and uninformed demands concerning how to do what we do or their complaints about how much we charge or that we shouldn't charge for line count generated by short forms or macros, etc. They have no clue how many times their butts get saved by transcriptionists on a daily basis.


I've never met a transcriptionist who wouldn't readily agree with the notion that we are part of the health care team, and yet many of us continue to act like we still work for the doctors instead of the patient. Oh well, go figure.


Just venting as well.


also, most docs won't do certain tests (sm)

without your consent, if they are not considered standard and will probably have to be paid for by the patient out of pocket, unless the patient agrees to pay either up front or if the charge is denied.  At least that's been my experience! Good luck, I hate insurance companies, too!


Isn't she cute? 


Do your docs talk 2U?

I have one doctor who, when she wants to correct something or other always says "This is an aside to the typist." ARGH. I feel like I'm in a Shakespeare play or something - don't those have a lot of "asides"? I always want to scream at her "Don't you know I'm not a TYPIST?? I'M A MEDICAL TRANSCRIPTIONIST, DAMN IT!!!!" Of course she's 80 or something so I shall forever be "the typist" to her.


I have a resident who always says "For transcriptionist, would you...." to get my attention - but when he was new I thought he was saying "Poor transcriptionist..." I always nodded my head in sad agreement until I realized what he was actually saying....


And then there's the doc who loves to complain about his job to me, sometimes in great detail - "Here I sit, waiting for some x-rays to come in so I can make a buck" and "I cannot believe this hospital."


They crack me up!


docs talk to me
I always get one who says, "uh, secretary, please correct..." and then I have one who always says "oh, operator, could you kindly...." Does he think that because he dictates into a phone it's a telephone operator on the other end or what?
Docs don't have those guidelines because... sm
they realize how stupid they sound and look.  They learn the language of medicine and stick with it.  They don't bow to some silly-*ssed organization's whims. 
Hoo yah. I hear ya. Then you have the docs that. . .

think for some reason you know exactly what they are going to dictate for ROS so they just basically babble right through it and take a big deep breath at the end.


Or the one like I had today that sounded completely wasted off his butt and even with the speed up or down it still sounded like a drunken drawl. It was ridiculous. It was also dicatated later on Thanksgiving night, so who knows? Maybe doc had a few too many rounds of Thanksgiving cheer and then thought, "Ow thith, I thstill gottsa do my dictatheen."


Report them to your supervisor. It's worked for me in a few cases. It's up to them to pass the word along that the dictator needs to slow down.


I had one guy that I do locally on tapes that suddenly decided that he was going to take his machine and dictate on his way home in the car.  I don't think so pal. I called my local boss and said I wasn't going to do it. His tapes have been clear as a bell ever since because he's doing them in the office again.