sounds like my clinic visits ... sm
Posted By: sickofit on 2007-12-05
In Reply to: Turnabout is fair play - mt6513
When sick for a visit, have done very interesting things with bodily fluids (including regurgitating on the doc). When rattled, have screwed up HPI and ROS. Have had conversations with other patients/office employees during my visits. Used to take at least 1 small child for every visit (one doc even let her play games on the computer while doing my exam, a tech let her help place EKG leads, and a radiologist let her help "read" a mammogram). Now that the small child isn't so small, have answered her calls during doc visits. They do put up with that and more. Seriously, I'd rather type about a pelvic exam than do one, especially if yeasty. Your post actually made me appreciate the doc more and be more tolerant of the way they dictate.
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sounds like you need to obtain a clinic acct or two. nm
nm
Visits to MTSTARS...sm
How many times a day, on average, do you come to this website? Just curious.
Chiropractor visits
I take myself and my two boys (14 and 8) to the chiropractor every 4 weeks. It is just to keep us "tuned up". My kids notice a difference in themselves if we miss a month. They actually like going because it makes them feel so much better. I would be concerned about it if they are going every week though. If you are paying for it, you should have the right to ask about it.
9 YO Chiro Visits
As an insurance claims specialist, there are two issues here.
1) Since the mother works for the chiro, it is likely he would not bill the mother for treatment. And, if he did approve of professional courtesy by not charging the mother, then any claim to insurance would be fraudulent in the first place. This will be a policy provision in your own insurance policy.
2) The mother is probably filing fraudulent claims. You MUST speak to the Chiro on a personal and confidential basis. I would either try to contact him by phone, or send a certified letter where only the chiro can sign for the letter. Then you have proof that he received it. It won't take long for the provider to find out if the mother kept the money.
3) Filing a false claim is unlawful and can result in treble damages. You bring it up to your carrier and if it is truly a false claim, you could be entitled to part of the recoupment, if that happens. This could even potentially be a police matter of embezzlement.
4) 50% of all doctor's office will expeience some form of theft by an employee. I've seen it time and again.
No matter what, it doesn't sound right. And since the boy obviously hasn't been to the chiro in a while, it is very suspicious. Since you pay for the insurance and presumably the difference not covered by insurance, you have EVERY right to get involved. Furthermore, just as an innocent bystander, when you know someone is breaking the law, you have an obligation to report it. Don't be intimidated, find out what's going on. Best of luck.
Cyndee Weston
You might try a few visits and then switch to
Massage therapy. I too have muscle spasms in my neck and I have done both chiropractic and massage therapy. I have found that a good 1 hour massage does wonders!! and the effects last longer than what the chiropractor does. Sounds like a luxury but to me its preventative maintenance in this line of work. When I'm crying because it hurts so bad to hold my head up straight I can't very well type!
Limiting MTStars visits! LOL.
But one must check in from time to time throughout the day. Only trouble is, I find myself using that time to also check my e-mail, do a bit of browsing. Amazing how those the clock ticks quickly and the minutes can add up. 
if the average person who visits the doc
Only knew where their private records were going, I think there would be an uproar to say the least.
emergency room visits
I have often wondered this exact same thing. A lot of people go to the ER who have no health insurance or no primary doctor.
I had one woman bring her child in because he made a funny face after eating a sour fruit candy, I mean come on! 
yes, your cranky; the patient visits are actually coded sm
due to time spent in the room. this is to document to CYA if needed. so remember, the more you talk in the room with your doc, the higher bill you will see. like office visit, regular; office visit extensive, etc.
I have Blue Cross through Webmedx. Office visits are $20. nm
x
clinic is not walk-in or ER notes; it is clinic
could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
Husband's plan has no deductible, just copay and pays just straight up to 12 visits a year.
I do have a high deductible for mine, I think $5000 but the important thing to me is that I only pay $35 office visit copay. The deductible only kicks in on lab, x-ray etc.. and I have prescription coverage. The other thing you have to consider, as I also work in a physician's office doing medical billing, is that there are substantial contractual adjustments if you are with a BC plan. Say, your bill is $100 and the "allowable" from the insurance company is $75, that means that your doctor's office has to adjust off the extra $25 and you are not responsible for that; whereas, if you had no insurance, you'd have to pay the whole $100 out of your own pocket, no discount there.
clinic
yes, it is clinic work
Clinic pay
I'm thinking about doing some doctors clinics. What should I charge. I too will be picking up and delivering. Thanks a bunch!!
I had only clinic exp.
I just applied to companies that seemed good and was hired with no acute care experience. Good luck to you!
Do not know about WP, but I have a clinic--sm
who has WP and I type in word, save document as "rich text format' and they can open it on their end.
I went from FP clinic to OPs sm
hardest darn 4 months of my career! I skipped acute care other work types. In the end, it has been just great. I then went work for a service doing OPs after that (it was all outpatient surgery) for a large teaching hospital. At this point, you can throw me about any OP and I can do it. I learned cardiothoracic surgery this year without much cardiac experience and didn't even find that a problem.
I have a Stedman's Surgical Equipment word book, but if you are a good googler that is almost as good, but can be time consuming if you are not. It would help you to have another MT who knows OP notes to ask questions of as you learn. I did, it helped a lot.
when you say clinic...
Do you have multispecialty clinic experience or is it just a few specialties, multiple docs or 1 doc? That might have something to do with it.
mainly clinic, but
I do have about 4 months of acute care. I know most places like to have 6 months of experience.
Any hiring - ER only - or clinic maybe?
Need a new job! But have only done ER for 12 years. Old single mom with small children and no time to learn new tricks right now LOL! Anyone know of a good company - at-home - that hires for ER only (not Spheris) or clinic work? Would appreciate as much input as you are willing to give. Would especially be pleased if they supply equipment! Thanks!
The gal I shared a clinic with (sm)
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.
My old clinic spent (sm)
over $100,000 implementing an EMR system that claims to "replace dictation." Well, they'd have to sell it to doctors who are interested and have time to type in order to replace dictation. If nothing else, it increased my line count because of all the crap I had to add to get the notes uploaded to the system! I'd still be there if I didn't have to move.
Mayo Clinic
They have run that ad in "Advance" for years. I had a friend who applied for it and they told her they were just "making up a list". I don't know if that has changed or not. Also, to work at home, you have to live in the Phoenix area-- no way for me! It used to be nice when I moved there in 1964 with large citrus groves, beautiful clean air, etc., but now with the traffic, high crime, illegal aliens, gangs, road rage, shootings every day, etc., it is just like living in LA. If that appeals to you, go for it, but not me! I have a horse and used to enjoy riding along the canals and cotton fields, etc. Now it is just wall to wall houses about 3 feet apart. I got out of there in 1997 and not a moment too soon!. They are trying to make the rest of Arizona just like it and ruining everything, unfortunately. It used to be a beautiful place, but not any more. Besides, all the Californians are moving here with their money and are pushing housing prices out of sight. 
Anyone know what co has ad for clinic work - sm
on the job seekers board. States you have to have a C phone or be able to re-record but no company name given. Anyone know who this might be? 
Does anyone do PT Clinic Reports?
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.
yes, but did you hear that this clinic is now
closed, and nobody knows why? Hmmm... All of their patients are scrambling to fing somewhere to go for medical treatment. Interesting.
Mayo Clinic
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 do clinic work for them
/
I think clinic/ ER notes sm
would be a good place to start, either working as an IC/employee for a national or getting your own accounts.
Good luck!
Hospital or Clinic? sm
Will you be doing one work type or several?
If you are to be doing one set work type for a hospital, I would say 14 cpl. More than two work types 16 cpl.
If you are to be doing clinic work I would say anywhere from 10 cpl to 12 cpl.
Let her know that your quote is negotiable based on the work. Don't undersell yourself.
Might try clinic work ... seem to be less there. Otherwise
x
Clinic vs Hospital
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.
Why only work clinic
and not in acute care? Do you feel you cannot do the hospital work or ? If you start off in the 4s, it helps you to be able to work just about any job relating to transcription but you might fear, do you?
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.
Do you get more LPH with clinic notes or Ops? nm
x
only clinic notes can have
an actual name in a report. hospital reports should never have an actual name but instead just have * the patient *. hipaa rules.
If the clinic does procedures or is SM
accredited by the Joint Commission on Accreditation of HEALTHCARE Organizations, they have to comply.
My work is clinic also
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.
Yes, it is clinic notes...sm
I also have an extensive list of Expanders that I wouldn't doubt was well over 20,000. I've been building it for the last 11 years working at home. I don't even type out the word with (wi).
I appreciate your response and the boost.
Clinic notes
Mostly clinic notes from my experience:
S - subjective
O - objective
A - assessment
P - plan
Need ER or Clinic Work
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
ER/Clinic Work
Check out Diskriter, they are hiring for ER. Check out www.mtjobs.com for a long list of companies hiring.
Clinic notes
I have always done acute care. If you get a good line rate, could you make good money doing cardiology clinic notes. I was not sure since you have letters too.
I do clinic notes...sm
Clinic notes are a lot easier to do. The letters are very easy. If you have good rate of pay then you should make as much money. I do general surgery clinic notes and letters. The only problem I have with clinic notes is you will run out of work. It is according to if it just that one clinic or not you work on. But they can only see so many patients in a day. And if they do surgeries to then they aren't always in the office to see patients all day. So I don't always have enough work. But to remedy that I have another job too. So if I run out on one I work on the other. But if you have plenty of work there is no reason to me you couldn't make good money. My problem is just having enough work.
I do clinic notes also
I love them. They are very easy and I have a lot of normals that I use. I don't have any problems keeping busy with work. The doctor's I work for sometimes see 50 patients a day total. And I don't worry about having no work because I'm an employee and if there's no work I still get paid.
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.
Clinic work
Why would you want to start over? Go through the job ads on this board and other boards and send resumes to all those companies that were offering clinic work in the past. You will probably need to send out lots of resumes to get any response at all. Many companies will not respond. By searching on Google you will find lots of companies and lists with companies, and then just send out your resume to a large number. Some of these will respond, even if it takes a few weeks. It might take several weeks to find a new job, but just hang in there and don't give up.
Well said! I went from clinic to hospital. sm
There's a learning curve, but I sure hope I don't ever have to type clinic notes again! ZZZZZZZZZZZzzzzzz!
I do clinic work and what they do...sm
is the company I am an IC for individually assigns MTs work. It is not in a pool. I get work that comes in on Friday evenings, and I usually do it Sunday because since the clinic is closed through the weekend it isn't due until Monday. But the workload is usually much heavier on weekends because the doctors are trying to dictate things they didn't want to dictate during the week. So I would say I do more work on weekends.
My clinic has gone to this recently...sm
Our clinic went to this in October. The doctors started using it for their clinic notes in November. Right now my dictation has been cut down to less than half of what it was and they still don't have all the appropriate templates set up yet, so I am expecting in the next 3-6 months there will be no more dictation at all. Right now I am having to find other things to do because the dictation is so sporadic. I don't have any experience doing anything other than medical transcription my entire adult working life (30+ years), so needless to say this is very difficult for me to adapt to.
Multispecialty clinic
Multispecialty clinic with over 75 physicians I have typed for.....
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