A community of 30,000 US Transcriptionist serving Medical Transcription Industry

starting new accts - kandi

Posted: Jul 01, 2010

I was just wondering how hard is it to find new accounts in order to do medical transcription out of your home? Just about anyone that I have contacted has the new EMR or they already have someone doing their transcription.

Times, they are a-changin' - MissyMT

[ In Reply To ..]
What method of voice recording are you using? Is your rate schedule clear, concise, and verifiable? Are your TATs within industry standards?

Those are key questions to have answered if you find someone open to taking on new (to them) MT.

However, many, many doctor's offices are going with their own staff (oftentimes the doctor) inputting the info, point and clicks, etc, or are tied in with their affiliated hospital system and get their work done through there.

I wouldn't recommend to anyone to go out looking for smaller accounts these days, although I'm sure there are still a couple of offices still doing things the "old" way.

the good old - days

[ In Reply To ..]
>>I wouldn't recommend to anyone to go out looking for smaller accounts these days, although I'm sure there are still a couple of offices still doing things the "old" way.

As late as 2006, I had to drive across town to find a place that would repair a hopelessly broken microcassette tape that had an hour of fresh dictation on it! Usually we could just splice the broken tape with scotch tape! Oh to find such places now, though... Remember those manila packages or white lumpy envelopes with little cassettes inside and how careful you had to be to erase the "done" ones and not the "not done" ones!

Question regarding having own accounts - MT

[ In Reply To ..]
What about nonmedical transcription. Is there a market for that?

I'm particularly interested in finding my own accounts with respectful dictators; in other words, I am hoping to say goodbye to the "RFL" medical dictators who have rudeness as their first language.

Clarification - MT

[ In Reply To ..]
With regards to RFL, "rudeness as a first language", I must add that this continues with some dictators because they either do not know better, or no one has educated them or required that they improve. They either don't care or are just clueless of the fact that such practices as eating while dictating, coughing into the microphone, leave the tape running while they shuffle through pages or carry on extraneous discussions with others, etc., can have a negative effect on the the human ear on the other end of the microphone. I'm totally shocked at the way these practices are tolerated in the name of "not offending the dictators."

I've been very blessed. I never had rude doctors dictating - or else maybe...see message

[ In Reply To ..]
It's possible that I was just so focused on transcribing that I didn't notice any rudeness, but I sure don't remember doctors being rude. I do remember people coming in and asking them something about a patient occasionally, but I always just took that as part of the job. I didn't consider it to be rude.

Rude dictators - MT

[ In Reply To ..]
You truly are blessed if you have never encountered a rude dictator. I try not to focus on the rudeness, but it's difficult to miss such things as eating, chewing gum, sucking on candy, dictating while yawning, fast talking, carrying on conversations with others in the background while letting the tape run, etcetera. Anyhow, if you have dictators that do not do these types of things, you are certainly very lucky.

Those non-medical jobs are not very dependable - Been there done that

[ In Reply To ..]
Talk about stress! I had people calling me at my home or coming by and pounding on my door in the middle of the night! Then there is the fact that it's feast or famine. You either have more than you can do and they are screaming at you to get it done or there is no work and you starve. If you think MT is stressful, you haven't seen anything. Then again, there are exceptions. Maybe you'll find one. Good luck with that!

I know an MT with many accounts that are still pick-up-and-deliver - Very rare though

[ In Reply To ..]
The MT I know has lots of other MTs working for her. She has all sorts of accounts and some of them are still pick-up-and-deliver. There are very few of those opportunities left though and I don't know where you go to find them.

Options - MT

[ In Reply To ..]
I'm just wondering if, these personal accounts allow an MT to require the dictations to be done in a respectful manner. In other words, does anyone require respect from dictating clinicians, or has the industry created an atmosphere where the dictating clinicians are treated as fragile beings where respectable behavior is not expected or required, for fear of losing the account?

The doctors don't get much 'respect' these days either - See message

[ In Reply To ..]
I really just want to do my job and be paid. I never really think about whether someone is respecting me or not unless they use 4-letter words at me, which I wouldn't tolerate. Other than that, it's a job! I work. I get paid.

Back in the 'old days' they said, "the MD writes his notes in longhand." - Times not really all that different in doctors off

[ In Reply To ..]
Doctors' offices have never really hired a lot of MTs. Many of them just wrote their notes in longhand and if you called them about a job, they would say that they don't need any transcriptionist. Hospitals have traditionally hired most of the MTs and they don't typically contract with individual MTs. They do sometimes outsource to MTSOs with proven business success, usually medium, large, or mega-large. Nothing has changed much about that either.

There still are a very few that might be interested in your service, if you can sell it to them, but you will have to look long and hard to find them.

Nonmedical providers - MT

[ In Reply To ..]
I'm thinking that nonmedical providers might be another market, and might be an easier group which which to work. Some of them actually care that they are heard, as compared to doctors in facilities where they are required to dictate and don't really want to do it, leading to possible passive-aggressive behavior.

passive - aggressive

[ In Reply To ..]
MT, that is a great insight about the passive aggressive behavior. One surgeon we had was always late with his dictations, and when he HAD to dictate, it seemed like he had the attitude "I defy you to make sense of what I am saying." Who else would dictate on a cellphone in the car, with the windows rolled down. You couldn't understand him even with a perfect connection. Then that puts someone in the awkward position of having to ask him to dictate **yet once again** because three separate people listening to his dictation could only salvage a few phrases. He was disciplined once for hitting an office employee with a medical chart, so now he must take out his aggression in more subtle ways. Great surgeon, though-- tops in his field.

Sounds very familiar - MT

[ In Reply To ..]
It sounds like you have met a few of the same type that I have met. Thank you for understanding my point. I personally believe that the idea of a doctor doing dictation originated out of someone's mistake, as many doctors do not have the skill of writing or speaking clearly; it's just not their area of expertise. Dictation was never meant to be their specialty, but I wonder why being passive-aggressive is often considered to be an acceptable option for them.

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