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Doctors' offices pay little or nothing anyway. see message

Posted By: MT on 2006-07-04
In Reply to: just an fyi for new MT - A.S.

I've seen this happen before. It usually turns out to be a mess and they go back to a classic transcription system. As far as coding, they use a Superbill anyway. They don't need a coder. They just list the codes and check off the appropriate ones for each student. They don't get paid as well as if they had an actual certified coder, but they won't or can't afford a real coder. That's nothing new. As far as the transcriptionist, most dermatologists don't hire transcriptionists anyway. They scribble the notes in the patient's chart. Even if they use some voice recognition system and get poor results, it may be easier to read than the scribbled notes. I've also noted that doctors who do have transcriptionists who know what they are doing are not willing to replace them with a machine. Others are easily replaced. That's just what I've seen and I have access to small and large organizations.


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Have you tried local clinics or doctors' offices?
I went to a local community college and decided I didn't want to work for a large national so I sent out resumes to local offices and I got a job working for a Nephrology office with great benefits. I can be done, just send resumes everywhere and test when you can.
Why not try local MTSO's or local doctors' offices
That's how I started out when I first became an MT. I found a very small local MTSO who gave me a chance and now I work for a local company and have been there for two years. It might be worth it to take a look. I basically trained at the MTSO's office for about a month so there was no testing involved at all. Just learning along the way. Good luck whatever you decide.
Doctor offices do pay well
My docs pay very well, on time, no bounced checks and appreciate me.  So I disagree with you over this.   Dermatologists do use transcriptionists as they have a lot of consults that go out.   Evidently this office had to cut corners or they felt that another way was more profitable.  This is happening in all aspects of business world/life and there is not much that can be done to stop it.  We must use our expertise/experience in other ways and it is possible out there.  I don't think that they will every replace us 100% and we might be typing in EMR's or doing voice editing but there will be a need for us.  
check with local offices

I agree with the above poster.  It may sound mean, and I don't mean it to sound that way, but a course through Penn Foster doesn't mean much to employers and doesn't even come close to the education offered by the top schools.  I would try to start local if you can, get some experience in, then check out some of the bigger companies if that is what you want. 


 


 


Don't forget radiology offices in your area.
Never know when they might need some part-time help. Or chiropractic offices. You might do other jobs as well, but variety isn't all bad.
Those numbers are brought down because they include MD's private offices
Physicians' offices and clinics pay next to nothing. That brings the numbers way down. Every MT I know makes more than that, at least after the first year!


foreign doctors

Should I make more money for foreign doctors transcription?  What is the going rate for nephrology transcriptions for a foreign doctor??


In the few doctors I have done that are verbatim - sm
they want it exactly as they say it, even if it does not make sense to you. That is every comma, period, new paragraph, etc. On others, my QA mgr says we can clean up grammer as long as we don't change the meaning of the sentence (as he says, as long as it is not going to kill them). We NEVER guess on drug names or doses if we cannot make them out clearly. As for the BOS or keeping with the style of the company, most doctors want it done their way no matter what the BOS says, it is not their handbook. Every company you work for does things differently, some do p.o/PO, q.i.d/QID, q.d., q. day/every day, mL/ml instead of cc, etc.
i know that ahp uses ESL doctors on their tapes

because they want you to get used to listening to accents.  my original question was asking if there was anyone on here who is taking course 5 of AHP because then we could help each other, but mostly so i could get some help on a particular report.  hahaha.  i hate sending in reports with so many blanks.  i actually really like ahp and they do send your reports back with corrections and tell you what they think your weak areas are.  


my intention when i get done with ahp is to get a job working at a hospital and then when i have experience work from home.  is it harder to get a job with a hospital than to get a job with a company like MedScribe or ProTrans?


The doctors should dictate better, but it is our job to decipher

whatever they are saying, flying, mumbling, eating, etc.   I recommend typing what you can and then go back and relisten and see if you can get blanks.  If you still can't hear listen a few more times.  With experience you are able to decipher.   You can slow down the dictation and that may help.


I had about 6 years' experience before I started doing the difficult ESL dictators and I was not very good, mainly because I was majorly stressed out with the whole job.  I've got about 18 years' experience now and can pretty much do any ESL without any blanks.  Sometimes I do have to listen 2 or more times to a word though.   Sometimes when I hear it first I swear they aren't speaking English at all and a couple of times that has been the case. 


Doctors speaking too fast!
Ok i need some help here, i can not understand what some of these doctors are saying because they are speaking way to fast!! I have tried slowing down their voice and speeding them up but it is not helping me at all. Please please help.
doctors speaking too fast
Well thank you for your response. I am really worried about this issue...... especially if there is a whole sentence I cant understand but I guess blanks are the only option.
Doctors generally won't just contract with an IC from an ad-- too much risk...sm
pretty much all the docs rely on word of mouth to find services or transcriptionists. Can you imagine turning your office transcription over to someone brand new? As an IC, not only do you have to still get the work produced when you are out sick or on vacation (do you  have a back up plan?), you also have to troubleshoot file transfers, etc. all by your lil' ol' self.  Yesterday, I went into the office of an internal medicine doc who had dropped our service. He moved and decided to just try to keep up with the charts himself - but after 3 months finally called desperately saying, what would it take to get set up with you again? I walked into the office, programmed his Olympus recorder, set him up with a user ID on the FTP site, and then installed an program that would allow him to place his recorder in a docking station, press OK when the "Do you want to import?" window popped up, and the software is automatically going to upload his file to the ftp site, and download the completed dictation. Then I showed him how to print it, and made some recommendations as to how he could archive his work. So you see... handling the account for the doc isn't as easy as it seems, is it?
So you can't do the ESL doctors? Your skills may be what's limiting your success
Your skills may be limiting you. Do some work on them. See if you can bring your work up to the level necessary to do well. You can do it!
Mumbling doctors cause major frustration!
Why can't someone just speak clearly? Grrr. Sorry, really needed to vent to someone who understands. I have re-played and re-played and it doesn't make it much better. This doctor clearly mumbles.
Have you tried local hospitals, doctors, small MTSO's
That's how I started out working for a very small local MTSO, then I went on to become an employee of a small local nephrology group where I still am today with great pay and benefits. I had no experience when I stated but the small MTSO decided to give me a chance. Don't give up.
Guess what, it's not just the testing. MANY doctors are terrible dictators.
Sometimes the dictation they use for the test is from the actual doctors they are hiring MTs for. If you can't do it on the test, you can't do it, period.
see message

There is no difference in training.  In general, I think it would be easier to start out in house if possible.  There will be other people to help you with questions, etc., plus most in house positions are hourly positions.  You may still have a quota to meet, but at least you can count on the hourly pay.  


Your training would need to be very good to start out at home in the beginning.  At home you are pretty much on your own.  You will need good reference materials.  Most at home positions are paid by production.  That is good if you are fast.  But if you are just starting out, you may not make much in the beginning.  


All of this will depend on your individual needs and wants.  I think the best case scenario is to get a job in house for a couple years, then transition to home.  Good luck.    


 


 


no message...........
@
See message
Long story, but the bottom line is after they switch me to something I'm unfamiliar with they tell me they don't have the time to train me on it, so where do I go from there. Then the company instituted some 98% accuracy policy and new QA policy. I would never met their expectations so why bother? If they were accommodating, I would understand, but they don't have the time. I understand that. Just want suggestions to assist me so if I try again will be more prepared.
Thanks for your message
Guys thanks for your messages. It was helpful.
See message.

If you are an IC, they only need your SS number.  If you are an employee, then they need two forms of ID, such as driver's license and one other (maybe copy of birth certificate) and your home address. 


A lot of companies who hire people for IC positions don't know the law and ask for all kinds of stuff. 


They don't need a copy of your SS #, only your number. 


See message
First of all, I can't believe the company did not provide you a foot pedal.....hmmmm.  Anyway, try going to www.transcriptiongear.com.  They have every kind of pedal.  If you call their toll-free number and tell them you need a pedal for eScription, I bet they will know what you need.  Also, you could try going to www.escription.com and asking questions on their forum.  Good luck-!!
Please see message.
First, do an extensive search on the internet for medical transcription companies, then test with the ones that will allow you to. Even though some companies may say they require two or more years of experience, some will waive that if you do well on their test. Try Spheris and Sten-Tel. They are known for sometimes hiring newbies.

Second, don't get discouraged! It can take a while to land your first job, but be persistent. It took me about five months for me to get my first job. Once you are in, then you will be gaining the experience required for applying for other jobs down the road.

Third, NEVER pay to work! This might sound strange, but there really are scammers out there ready to prey on newbies desperate to get their foot in the door. Some will say you need to purchase their software, or a footpedal directly from them, but you don't. You can always purchase those things independently.

Best of luck to you!
see message
Webmedx and Diskriter also provide the computer to the MT!
nm = no message, sm = see message,
M-Tec is the actual name of an excellent on-line school. Google that spelling plus medical transcription and you'll find the website. The other school would be Andrews, do a Google search the same way. Read about those programs and see how yours compares.

These 2 schools are worth every penny because students do get jobs right away.
see message
I've been with Spheris 5 years....the supes are decent, pay on time, platform is fine, insurance not good, some accounts end up in India, some will not, pay is average. I have been on same account 4 years.
See message
You said, "I know that many people who are extremely bright and smart cannot get hired because of lack of a certain certificate from only certain schools, which I think is crazy to limit the hiring process based on that only."

The reason for this is that after testing "x" number of graduates of XYZ school and finding out that 90% or more of them could NOT pass the employment test, companies decided to stop wasting time and just tell those grads that they need 2 years' experience.

On the other hand, after testing "x" number of grads of Andrews and M-Tec and discovering that 90% or more COULD pass the employment test even without experience, companies agreed to waive the experience requirement and allow grads of those schools to test.

Sure, there might be a few people from the not-so-good schools who might be able to pass, but who has that time to waste to weed them out?
See message...

Occasionally, you will see a Veterinary Transcriptionist job advertised on our Job Seeker's Board.  If you search "veterinary" in the Google box (MTStars) above, you will see related past posts.


Moderator


See message...

It is fine to post constructive criticism, but let us do it in a polite and thoughtful manner.  Many MTs come to this site for enjoyment; therefore, they may write a quick post without editing.  Regardless, we all make mistakes...no one is perfect.


Moderator


See message...

We do not grammar police at MTStars.  As was stated, MTs come to this site to relax, for enjoyment.  If one is searching for employment, the appropriate avenue is to send a resume to a potential employer.  Whether there are mistakes in one's resume is not the problem of the posters here.  A simple post here will not always be an accurate portrayal of one's skills, and I think it is unfair to assume such.


Moderator


See message...

It is grammar policing.  It is not appropriate here.  We do not allow employment-seeking posts on the boards; therefore, the posts here are not directed toward potential employers.  If you spot a mistake in someone's post and you feel the need to say something, please do it politely via E-mail.


Moderator


See message
From what I've read from other students who have graduated from those programs, you shouldn't have a hard time finding work once completing the programs. They have a really good reputation and so companies hire right out of the program. Iwork from home, but I also work as an RT 1 day a week at a hospital, so I don't feel isolated. When I did work completely from home, I felt isolated. Personally, I need the social contact. I think as long as you stay active with your friends and family, it shouldn't be an issue. :)
See message
I have a Toshiba and I love it. It has 4 USB ports and a very good quality sound card. The only drawback is that it is loaded with Windows Vista and not XP. So if you are thinking about going with a company that does not support Vista, you will be out of luck.
see message
I am sure I will get all kinds of bashing for this one, but I am going to be honest with you and tell you that you should probably just LIE on your job application and you WILL get a job.  Most companies never check prior references.  Put on your application that you worked 3 years in-house in the hospital in your town and apply for one of the companies that may not be the best, but are always hiring, like Focus or MQ or something along those lines.  When you get the job, you can gain experience from there and then move on to a better company in the future.  Again, I'm sure I will get bashed, but you have to pay your bills and no it is not fair that you can't get a job without experience and no experience without a job.
See message and link
Due to the Freedom of Information Act, the government is required to provide information on any complaints filed with the Federal Trade Commission.  When the commission gets repeated requests regarding the same company, they add that company's file to their website entitled "Frequently Requested FOIA."  Please visit their website and read up on At-Home Professions before wasting your time and money.
NM just means No Message. SM means See Message. SM
MT4 was the poster in question, not "nm."
edit of my message - sm

Sorry, I meant "tax preparer course" and finding a sample dictation for her to listen to and try to type.


no message inside....
f
You did not understand my message?
it is you and not PCDI. (I know . . . I was ugly this time, but how much clearer could I have been???)
Sent you private message, MT from BC - nm
nm
See message inside.
I am a CS graduate, and if I had it to do over, I'd choose Andrews School or M-TEC.

Almost all of the books you receive from CS are written by the lady who started the school. The other 2 schools use real reference books that contain a LOT more. That's one reason the other 2 schools cost more.

Also, the other 2 schools have real instructors who go over your work and point out errors, and help you along. At CS, your work is "automatically compared" against the same report done at some unknown time and place by some unknown MT, who may or may not have done it correctly. All you get is a comparison between the two, it only shows the differences, like holding two pieces of paper up to the light to see if everything matches. Whenever there are differences, it's up to YOU to figure out which one is correct. The only time a real person actually looks over your work is when you take your final exam (which over 50% of students fail the first time they take it, and that statement comes directly from CS itself, not from me).

Yes, I did get a work-at-home job after graduating from CS. But I feel my first year of work was a lot harder, I spent a lot more time looking things up, there were a lot of things I would have learned at Andrews or M-Tec that I didn't learn at CS.


See message inside.
If she's already made her decision, I suppose this doesn't matter much.

But the fact is, if she takes the course from Andrews or M-TEC, she will indeed be able to pass most TRANSCRIPTION (not typing) tests right out of school. Many companies will waive the 2-year experience requirement for grads of those two schools because of the excellent training. Also, she should not need an internship if she takes the course from Andrews or M-TEC.
and yes I know there are typos in my message (nm)

This is important. see message
You need to know that although you might have a "certificate" from an MT school, you are not a certified MT. In order to be certified, you need to have 2 years' experience and then take and pass a test with the AHDI (formerly AAMT).

You need to know this because when looking for a job, if you say you are "certified" and the employer checks the list of CMTs (certified MTs) and you are not on it, they will think you are lying about it to get the job.

It is a very common mistake, lots of new grads think because they have a "certificate" that they are certified, but there is a big difference.

Good luck in finding a job.
Ok.....I messed this one up. The message above was for Vanessa
nm
Oops! that message was for justcurious! :) nm
x
MTstudent, what an awesome message! It has
encouraged me and I could say the very same things! I plan to begin either M-Tec or CS after the holidays; around Jan 10th.
Good luck to you!
-Anne :)
Contact your school for help first. See message
If your school can't help, you may have a problem. If their graduates usually get jobs, they will be glad to tell you where. They will be proud to tell you which employers like to hire their graduates. If they don't have any information to give, that means the results have been poor.
Who said anything about Spheris? The message was about accidentally getting into MT
I wouldn't want to encourage people to do it that way. I don't remember anyone mentioning Spheris. Maybe they did. I don't have time to go look. I am with those who think it's not smart to "bumble" into MT.
I didn't see YOUR name on this message, MTSO!
nm