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what is their points review

Posted By: haven't heard of this one yet on 2005-09-14
In Reply to: No work - it's horrible sm - Me too

doesn't sound like its in our favor, is it part of the new mt/me rewards plan??


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There are good points and there are bad and ugly points. Unfortunately, the bad and ugly get
deleted.  Just the other day there was info and it seems to be more positive.  Like any MT job, some love it, some hate it.  But, having been employed there, the bad parts are/were true.   The changes sound great but not great enough to make me change my mind about working for them.  I do say she pays well for the area.  She is one of the rare business owners who actually started out as an MT..I think that makes a big difference in pay.
REVIEW

I think it should depend upon your experience and possibly the difficulty of the dictation.  I have been working at the same place for a VERY long time, so I rarely have to listen to dictation twice.  However, I have found that if I am doing a difficult doctor or cannot understand something, I will mark the spot, so that at the end of the report, I can go back and maybe after finishing the rest of the report, I may hear that portion now!  Miraculously, sometimes if I go back, I have familiarized myself with that doctor's dictation and TA-DA, I get it!


If you were a newbie, and were maybe in training, etc., I think it could be a great idea.  It just seems sometimes that between trying to obtain a reasonable production, it is just impossible to listen to every single report twice!  Hope I helped!


 


 


 


here's a review
-- i don't have the actual
experience.

http://reviews.cnet.com/headphones/sony-mdr-nc7-headphones/4505-7877_7-33352178.html
Hospital is probably up for review by....sm
JCAHO. If the charts are incomplete, then they could face penalties. Or, perhaps they already have gone through an audit and were found lacking.
to "me", you should further review
because there are MANY negatives posts still on this Main Board. Just look at posts where "Kikki" had anything to add to the mix. LOL. The OP is correct in his/her assessment.
Go for it! Good for you! I am in the review
stage of my CMT exam and plan to take it ASAP as well. No discounts here, either, but I really want to earn this! I think its a great thing to strive for, and so do lots of companies, despite the naysayers!!
Review guide...sm
It was my experience that the dictation portion was exceedingly easy, not nearly like the "snippets" on the CD that comes with the book.  Pay more attention to the rest of the book. 
Does anyone know? I am using the CMT Review Guide...
to study for the CMT exam.  There are practice tests on the CD.  What is considered a passing grade for the CMT?  I can't find this info anywhere online, or in the guide.  Thanks!
performance review
How do you find the performance review going.  Are yout satisfied with the way the QA people are checking your reports?  I will get a correction from one and another QA will let it stay the way I typed it.  One MT said that most of her reports were OP notes and the doctors say mostly the same thing over and over, so she made templates and she just has to punch in a few strokes and the OP note is done.  How can you do this when the QA people are checking it word for word.  I cannot set up any templates because a few words may be changed.   Just curious.  . 
What are some good review books?

Hi everyone,


I have a question that I hope you can help me with. In short, I graduated in 1997 from college with a certificate in medical transcription. (I took a 1 year program) Even though I never worked in transcription, I have recently been offered a chance to work and do transcription from home. I was required to take a test and actually made 88% on it with no review at all. I needed to make a 90% though and am wanting to find a way to review and boost my score. I was wondering if any of you could give me the name of a good book or program that might help me out. I have seen one book called "The Do's and Don't's of Medical Transcription" but would like to have some opinions on it and other books out there. I would appreciate any and all help on this as I'm really looking forward to getting into the medical transcription field for the first time.


Many thanks,


RT


You can purchase the CMT Review Guide-sm

from Stedman's. The title is "The CMT Reveiw Guide."  This book was just released last year (2005) and was developed for the current version of the CMT exam.  You might also want to consider a CMT Study Group.  Contact the nearest chapter of AAMT as they do have CMT Study Groups.  I know that the Online Chapter of AAMT is about to start a study group that will complete in time to take the CMT in the end of July/begining of August.   Oak Horizons also offers and online CMT Prep Course which I have heard is really good.  You can get more info on the Oak Horizons class on www.aamt.org and do a search for CMT prep course.  For more info on the OCAAMT Study Group contact certconnector@aamtonline.org.


think you need to contact the medical review
try the insurance company's medical review board for a reassessment of your bill(s).  Good luck! 
A "peer review"! Sure never heard of THAT, before! (nm)
.
My last QA review was a BIG surprise. Here I thought I SM
always topped 98% and routinely cut into my potential earnings to maintain my own standard. Wrong! The QA person's explanations for my mistakes were confusing and seemed in some cases to contradict the guidelines and in others just plain wrong, but I figured my job was to pass the review and get back to work, so I tried again. Failed so completely I was going to be put on probation, allowed to do something like 10 or 15 reports a day until my performance came back up. So I contacted my account manager, who told me she'd take care of it, and that was the end of it. Something I heard later suggested that QA person was still there causing trouble months later. Maybe you should talk to your supervisor. I'd also start gathering documentation of prior reviews for the Labor Board if that raise doesn't come through. There are plenty of companies out there looking for skilled MTs.
Do you listen to every report twice, to review it,
x
Why? Why should we review every single report and in its entirety? SM
The QA bar has been set at 98% by both of my employers. I BEAT, not just make but BEAT, that QA rate every single time.

I've good a great balance between speed and quality.

If you want to take your time to do that with every report, that's great for you! Your choice.

I guarantee you that even if you score 100% on your QA'd reports, because you are not being QA'd on every single report, you're still making mistakes somewhere. So, the line has been drawn in the form of the level of QA expected.

Funny, I just got my 3rd 100% review and asked for a raise
I was told SEs are paid on a sliding scale and there are no raises at all EVER.
The CMT Review Guide is great and geared
toward the current CMT test. Published by Lippincott Williams & Wilkins, publisher of Stedman's. I believe you can buy it from them, or from AAMT. Good luck!
SmarType users please give review...sm

I'm thinking about investing in SmarType.  I have heard good things about it.  Can some of you how use it give a review?  Does it take long to get used to? 


TIA


CMT review guide. I'm glad I read it.
Good luck!
Review in great detail with the company first....
xx
I'm sorry, but the physicians are supposed to review the medical records for
accuracy, then sign off on them.  THEY are the people who went to medical school, did their internship, and actually saw the patients.  THEY know what they were trying, often badly, to say.  THEY are the ones making the big bucks.  NOT US.  We go to maybe a year-long correspondence school, make crappy money, and watch our butts spread wider every day while we TYPE, yes, I said TYPE, medical records for them.  Anyone who thinks it's more than that is kidding themselves.  And save your speeches on patient care and work ethics.  I know all about that stuff.  The harsh reality is that this job does not require a college education to get into, and your income is tied to your production level.  The doctors don't care enough about the medical records to speak slowly, enunciate, and double check everything before signing off.  How are we supposed to read their minds?  Anyone in this field who knows more than grammar and medical terminology ought to be working as an RN or MD, because you'd be better at it than half the medical providers we type for.
Same theme, but CBS on Wed. is to review the top 100 inspirational movies. Should be good! nm
m
Are you talking about full QA where you send every report for review?
If you are not a newbie and are full time, then it does not seem fishy at all. If you can't figure out the platform and account specs in 3 days' time...

If you are new and will require mentoring, then that may be different depending on the quality of education you received.
I agree. Eyes are always scanning, but never review enitre report.
zz
Are you kidding? After reading the health department's annual review, I NEVER eat out.
Especially at a fast food place. They always have long lists of violations, plus, after a look at the fingernails and hair on some of those people, I wouldn't feed my dog there.

They do list restaurants that maintain high standards of cleanliness with no violations, so if I'm in the mood for a long drive, I'll go to one of those.

I do miss eating out.


I think she is talking about full QA review not occasional blanks with a new dictator.
As a newbie I was off full QA at the halfway through day 2 working on acute care. However, I had an excellent trainer/mentor available to answer any questions, and I could send unlimited blanks to QA.

Now when I work on a new account, even with a new platform, I am off full QA within a day. If the platform instructions and account specs are clear, it should really not be a problem.
Hospital where I worked cut raises from 12% possibility to 6% with excellent review. Which means
dd
Two points

According to the BOS:


1.  You are supposed to substitute mL for cc.

2.  When quanity and unit of measure immediately follow a heading such as estimated blood loss, use numerals.


two points
what is a sentence ends and the next sentence starts with...
80% how do you do that?
Just a few points

Okay...here goes...


So, currently I work in-house at my local hospital.  (Probably shouldn't mention this cuz it's rude, but just trying to give accurate information)..I make 16.47 an hour, plus benefits.  I love my job and it is supporting me and my husband (who is in college at the time...graduating in JUNE!!!)...So, it's worth it.  However, I have to deal with a LOT of crap from the other MTs in-house.  Lots of bitterness, competitiveness, bi*chiness, etc.  I am dealing with it because I know I am not going to do this forever.  Which brings me to my next point:


Don't stay in this job for a long time!!!  You won't go anywhere with it, if anything you will probably get laid off due to outsourcing.  I, myself, am starting school for medical coding.  I will be done with school ($2000) in June and then get started in my new career.  If have been a medical Transcriptionist for 6 years and have done everything from psychiatric to internal medicine to sleep studies as an IC (and it's not worth being and IC in my opinion because of all the taxes you have to pay...big bucks) and my best job yet has been working in-house at my current job.  However, like I said, MTing is not going to get you anywhere fast.  If you want a job that takes you to the next level, go into coding.  There are a lot more career opportunities out there and you can eventually work from home being a coder as well. 


If I had to do it over I would have gone straight into coding (except for the fact that I got a lot of medical experience working as an MT).  Good luck to all of you who decide to stick with MTing, but I don't think it will reward you in the future.  I believe it is a dying profession and we all need to move on while the opportunity is here. 


I pray for all of us to be able to support ourselves and our family!  I know it's tough out there and we all are struggling to make end's meat.  Just keep on keepin on and we'll all make it through some how. 


 


Points well taken, thank you.
Your points are well taken. I was being a bit vague in what I was actually thinking - there are times on this board that things turn really nasty and hateful, and some of the MTs who are on this board appear to turn on each other, squabble about meaningless points. I really didn't want to encourage a hate-fest against anything, that's all. I think that is indeed unproductive.

BUT, you are right... we can't just be all happy we want fair pay and expect things to change or that we will be heard. We do have to have a stance and a mission and goals. After posting, I did a search here on AHDI and found that I'm hardly the only MT who feels this way, and saw some really great posts back in Sept 2008.

And, I do agree, there are times when it pays to be against smoething (and risk appearing "negative").

So, where do we go from here? Most of these threads seem to die out... and maybe this one will too. I'm hoping it won't, but I really don't have a clue where to go from.

My thought is to brainstorm and continue this dialogue - but I'm not sure MT Stars is the correct venue?

What does anyone think about an email list - that would mean using our real names and emails - to interact off of this forum. I may be way off here - if so, please, opinions welcome! I am not sure going on and on about it here is the momentum that is needed... nor am I sure talking about it on an email list is either, but it's the only idea I have. I don't have the knowledge or time to create a website forum for a group to form via that method.

Maybe this will all sputter out after we all vent again here, I dunno, but I really hope not. Someone mentioned to me today it may well be too late, that trying to organize could push VR and offshoring even faster... I don't want to believe that.

I have a ton of ideas and thoughts and have seen so many good points and posts about how AHDI has hurt U.S. MTs.

We need to band together.

So. From here I make the suggestion that anyone interested in participating in an email list (where we can send a group email by hitting reply all and sharing our thoughts and hope and ideas for a mission and how to get something organized) write to me via email.

I'm not interested in being a leader of this per se, but I am willing and motivated to try as best I can to get some sort of ball rolling.

Let's do this?! I hope the MTs who were posting about this way before I did, back in 2008, will reply too.

Tech Support, your thoughts are exactly what I am envisioning us doing on an email list. Let me know what you think of this and if you want to participate. Thank you for responding so thoughtfully.

Any other ideas, please!



Points well taken, thank you.
Your points are well taken. I was being a bit vague in what I was actually thinking - there are times on this board that things turn really nasty and hateful, and some of the MTs who are on this board appear to turn on each other, squabble about meaningless points. I really didn't want to encourage a hate-fest against anything, that's all. I think that is indeed unproductive.

BUT, you are right... we can't just be all happy we want fair pay and expect things to change or that we will be heard. We do have to have a stance and a mission and goals. After posting, I did a search here on AHDI and found that I'm hardly the only MT who feels this way, and saw some really great posts back in Sept 2008.

And, I do agree, there are times when it pays to be against smoething (and risk appearing "negative").

So, where do we go from here? Most of these threads seem to die out... and maybe this one will too. I'm hoping it won't, but I really don't have a clue where to go from.

My thought is to brainstorm and continue this dialogue - but I'm not sure MT Stars is the correct venue?

What does anyone think about an email list - that would mean using our real names and emails - to interact off of this forum. I may be way off here - if so, please, opinions welcome! I am not sure going on and on about it here is the momentum that is needed... nor am I sure talking about it on an email list is either, but it's the only idea I have. I don't have the knowledge or time to create a website forum for a group to form via that method.

Maybe this will all sputter out after we all vent again here, I dunno, but I really hope not. Someone mentioned to me today it may well be too late, that trying to organize could push VR and offshoring even faster... I don't want to believe that.

I have a ton of ideas and thoughts and have seen so many good points and posts about how AHDI has hurt U.S. MTs.

We need to band together.

So. From here I make the suggestion that anyone interested in participating in an email list (where we can send a group email by hitting reply all and sharing our thoughts and hope and ideas for a mission and how to get something organized) write to me via email.

I'm not interested in being a leader of this per se, but I am willing and motivated to try as best I can to get some sort of ball rolling.

Let's do this?! I hope the MTs who were posting about this way before I did, back in 2008, will reply too.

Tech Support, your thoughts are exactly what I am envisioning us doing on an email list. Let me know what you think of this and if you want to participate. Thank you for responding so thoughtfully.

Any other ideas, please!



I agree with you on several points

That is, if you have a reputable daycare that is organized with caring people educated in childhood development. My neice was recently changed from a nursery (2 yrs old) because she was found lying on the floor in a corner at the nursery by her mother who came to pick her up at 5:15 p.m.. She had a 103 degree fever, and no one had bothered to call my sister about it. Anyone knowing that child would know she would have to be sick to be lying around when other kids are present. The new nursery is the different in night and day. She gets a report every day from what the child eats to even how many times a day she poops. It's wonderful and the child's attitude when she gets home... a world of difference. My sister thought she had a caring daycare, until she moved. Now she knows what one is really like. To all who have to put children in daycare, KNOW WHAT IS GOING ON IN YOURS!


Also, you second point, the shyness... I was also raised at home by my mother and never put in daycare and I was "painfully" shy when I got to school. I had a hard time throughout my school years because of it. Now as an adult, I don't think there is anything holding me back, but I had to work hard to get out of the shyness. I think because I was at home, I didn't know other kids but they knew each other and I never seemed to fit in.


 


 


great points...sm
You've really given me a lot to think about this early Thursday mornin'...thanks! You're right, though. A lot of the issues you bring up, I have NEVER thought of.  Wow, pretty eye opening post! It's about time something worth reading was posted...
Here's some points to ponder....sm

1.  You can go ahead and cash the checks you received and it 's guaranteed money.


2.  You can wait and join the class action suit if you haven't and not cash the check; however, remember that in class action lawsuits the only true winners are the lawyers.  They end up getting most of the money in the end and generally the plaintiffs end up with a very small amount.  It irks me to see things like class action suits that results in the attorneys receiving millions of dollars in legal fees and the plaintiffs end up with less than  $100 because the legal fees ate the money available up.   Look at people who sue insurance companies over automobile accidents for example.  Say an attorney gets them $500,000 - well the attorney gets $250,000 for legal fees and the injured party receives $250,000 - and in situations where they receive large monies it's generally because the person is going to have permanent health problems related to the accident that future insurance companies will exclude paying for.   $250,000 isn't a lot of money if you have an injury that will cause chronic problems throughout your life.


3.  Remember that if you do join the suit that this will probably be tied up in court for years so don't expect a quick settlement if they do decide to settle.  Agreeing to settle a case outside of court doesn't mean the defendant is guilty - sometimes it's cheaper to settle out than to continue racking up costs associated with the lawsuit.  


As a note I don't work for MQ - I've just been out there in the legal world to see very commonly that what people think will happen isn't what happens in the long run.  The best you'll get is checks for any amount you weren't paid properly and possibly some interest, but don't expect to get a truckload of cash because they messed up your paychecks.  Instead if you wait on the lawsuit then you may end up having to share the back wages with the attorneys. 


You made several of my points..
With hard work and encouragement, the helping hand from the government helped produce productive citizens.  You had the advantage at least of an intact family.  Think of a poor baby born to an uneduated teenager mother with no father.  Without a lot of hard work and self determination, no amount of money from the govt. is going to end that vicious cycle.
I agree with some of your points. sm
I didn't post my original post to argue. I simply offered a different opinion and what I thought were some good suggestions. I didn't realize everyone here had to have the same cookie-cutter opinion or they would be broad-sided. I agree that everyone needs some alone time. Never said they didn't. I just don't think a vacation is the way to accomplish that. And I never said I take my kids with me everywhere I go, and for you to make these assumptions is pretty rude. What I said was that I don't take a VACATION without my kids -- I think it's wrong. My opinion, and I'm entitled to it. And I have a very healthy relationship with my kids. I never said they were angels -- that's your assumption (again). But I did say that my kids are treated with respect, they treat me with respect, and we enjoy each other's company. Sorry if you don't understand that. I'll try to keep my opinions to myself from now on in case they conflict with the prevailing cookie-cutter opinion.
A lot of good points, especially one (sm)
I also like to stop and do other things.  Constantly popping laundry in and out of the washer/dryer, running back and forth cooking in the kitchen, etc.  So I agree that by the line is probably the best. 
Excellent points! (sm)
I like the idea of the letter serving double duty both as information about and an example of your transcription.

[I also like how you broke your post up into small paragraphs -- so much easier to read online where solid, dense paragraphs appear so inpenetrable.]

Cold-calling and mail solicitations rarely yield immediate results, but within 3 to 6 months inquiries should start trickling in from the managers who were impressed by the presentation and filed the letter for future need.
a couple of other points
This is not only about our jobs - this is about our medical records - the quality of what is done overseas is not the same as what is done here.  Errors made in medical records should be taken seriously.  Secondly, our privacy is protected we are held accountable for that in the US - do you think for one minute we could prosecute someone in India who does not follow the rules?
And very good points. nm
x
Excellent points. Very well said.

There were 2 points to the post.

Both points were addressed and specific solutions to both problems were given. Obviously, there are those readers, such as yourself, who only want to focus on one of the problems. I don't feel a need to lecture anyone on financial planning. I am simply offering a solution to helping this person overcome her problem for the future. Please trying offering a suggestion yourself instead of pointing a finger at those who do.


Good points. nm
x
Interesting points...

I did some research on HIPAA compliance with companies who offshore to India.  From the looks of it, the American-owned companies can be prosecuted for violations.  Also, it appears that India has similar laws and can prosecute their own citizens who violate confidentiality.  I definitely think there is more to the story than just people typing from cafes with no rules or laws.  Being that offshored work is big business in foreign countries, it would be to their own advantage to prosecute anyone who violates confidentiality.  I imagine there are laws in place already.


Under the summary points

This statement was my favorite, and I do hope a lot of companies read this survey and learn from it!


"Speech-recognition technology is only a transcription tool, and not a transcription replacement. The job involves too much professional intelligence and sense-making ability to have it migrate completely to speech recognition."


I honestly don't think a company should be able to lower our rate of pay because of VR...We are still responsible for sitting and listening and correcting mistakes...although I have been fortunate enough not to have my company have any accounts that use VR yet...but I have a friend and her company is doing VR, and her rate of pay is ridiculous!


why not? it's just key points of the chart ---
or chart condensed. anyone needing to know anything will go into the chart itself, including the courts.
specific points
Any specific points that you feel are meaningful to you. Whereas in my situation I am going to make the point that I applied at a hospital and intended on working for the hospital and not being outsourced after 10 years. The benefits aren't going to be as good for me, and also with outsourcing like that they put so many people on the account to get that turnaround time real fast that you run out of work. Those are just a few of my points. What I am going to do is make an outline of why outsourcing is a bad idea for the hospital and bad for us on a personal level just to sum it up, and then I am going to proceed on with my letter.
You also brought up points sm
I had overlooked. Being willing to work Sat, Sun, holidays etc. I realize there are folks that dont' want this type of job, unfortunately, IT IS THE JOB! Medicine is 24/7 and so is this job.

If a person doesn't want this kind of life, then they need to get out of acute care at least. Work in an office, M-F making an hourly wage. But, to make it in this business, at home doing acute care for hospitals, you have to be willing to work outside of what most people call normal hours.

Another point to be thought about is if you are willing to do this, when these companies are approached fron clients about taking in new work, guess who will get called to do that work? You will because you are reliable and good and they are trying to "land" an account. It is very nice to help a company "land" an account. Most of the time, you will have your choice as to whether or not to do that account or not and that is more stability in your job.

There are so many variables you cannot put this profession in a box like any other. You essentially make your own paycheck! Its up to you. In this economy, people better be ready and willing to work outside the normal 40-hour a week, M-F box if they want to keep a job. That is just the way it IS!!!!!!!!!!!
You gloss over several points
A) The majority of Canadians are quite happy with their care, and if asked if they wanted to switch to a private provider like the US has, they overwhelmingly vote 'No' (under 5%).

B) The average Canadian is not coming here for health care. The average Canadian cannot afford to come here for health care. And if you're going to judge the quality of health care by whether someone travels there to get it, India must be even better than us since a lot of Americans (and not naturalized or ABCDs) go therefore for their health care.

C) The mentality of punishing everyone for the 'sins' of a few is egregious, especially if you're using them as your rationale for withholding health care to the working poor.

D) And I'm sure this is heresy, but maybe I don't really need an MRI every time I stub my toe, a CT angiogram for a charlie horse, or a colonoscopy everytime I fart.

Canadians by and large love their health care system and are aghast at what ours is like. It's great that you have wealthy friends that can come here and buy the health care that most Americans can't get. But you'll have to excuse me from not feeling badly that they'd have had to wait an extra 48 hours to get those tests back in Canada; at least they could get them.