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

Questions regarding account specifics (sm) - Old timer

Posted: May 19, 2011

What percentage of hospitals would you guess are really, really picky about account specifics; by that I mean, this doctor wants one thing, this doctor wants another, and there are like 200-300 doctors on staff, with pages and pages of instructions (maybe 20). You can read it 10 times and will still have to refer back to it for every report because of the different little quirks of each doctor. On average, what percentage of hospitals that you transcribe are like this? Thanks

What percentage? Zero. - MT 44

[ In Reply To ..]
I've worked for both and the hospitals care mainly that you type what the doctor says and it is readable.

Usually, the hospital has one set of rules (sm) - OTE

[ In Reply To ..]
And the doctors have to conform. It is the clinic accounts where the doctors have their say and they want what they want. BOS--of course not, numbering with only 1 item--all the time. Still using ' and " for 5'2". .drives you to drink!

This is what I have found to be the case also. - It is really lovely when

[ In Reply To ..]
you work multiple clinic accounts, and they all have very different specs that are not BOS. It can get extremely confusing.

Well if that is the case, and you all seem to agree(sm) - Old Timer again

[ In Reply To ..]
can you tell me why the national I work for has THE most picky accounts I have ever seen in my entire life. If you are unlucky enough to have to switch accts, it's almost impossible to get all their little quirks down without QA jumping on your butt for doing it wrong. Each set of acct specifics is about 5 to 10 pages long. Not the norm? Is this because the national is letting them get away with it? May be time to move on.

In my experience, - OlderMT

[ In Reply To ..]
This is what I call "butt kissing," the ridiculous deference to the provider's every whim. Usually one finds this attitude in MTSOs, even the small-time operations because they are SOOOoooo desperate for the account. There seems to be no end to the minutiae heaped upon us. This even happens in radiology accounts...

However, more and more hospitals are adopting the "MTSO model," so it's not surprising this that is happening.

to old timer - a1typist

[ In Reply To ..]
If we work for the same national (and I think we do), you are lucky to only get moved twice. Yesterday, I typed on 18 different hospitals. Can you believe that one? The worst part is they now want 99% accuracy. My head is spinning till I think I will vomit!

Similar Messages:

Jan 28, 2011

When do you captilize these terms? We had to transfer patient for a "pulmonary" consult. There is no "pulmonologist" due to the "pulmonologist" being out of town. Always confuses me!!! ...

Oct 07, 2011

Any know of any companies that have a short list of account specifics? I am spending all my time looking at account specifics (over 20 pages). I would rather work as an employee, but IC will do. Thanks to all! ...

Nov 21, 2011

I really wonder why some of these places have so many account specs...really. What does it matter if they dictate a consultation and the headings are in all caps or have just the first letters capped, or are bolded or not, or have a colon or a dash. Or if the doctor says "past history" but the specs say you must type "past medical history". If all the accurate medical information is transcribed as the doctor dictates, what does it matter? The information is still there fo ...

Oct 27, 2009

Is it me or what - I was always told to follow account spec and make sure I didn't use the forbidden JCAHO abbreviations. Lately if I look at an old report to get a slurred/muffled word that I can't make heads or tails out of, I've noticed that others on my same account don't follow the specs at all! They do everything verbatim. It totally upsets me. I noticed it a while back and put it down to a new employee not yet knowing all the specs, but it wasn't as ba ...

Mar 17, 2011

Just curious how many pages the typical or average account specifics are if there is an average. Mine is 54 pages for 1 facility, IC position, scheduled shifts. I don't think that meets the definition of an IC per the IRS. Do you have an IC position or employee? Per IRS website........You are not an independent contractor if you perform services that can be controlled by an employer (what will be done and how it will be done). This applies even if you are given freedom of ...

Dec 13, 2011

Does anyone other than myself think that this business of medical transcription, which I have been involved in for over 30 years, has just become so complicated? There is one particular account my company has and the account specs for this account is 101 pages long. 101 PAGES LONG PEOPLE!!! Why on earth is medical transcription not regulated by Joint Commission as everything else is? I mean they require certain things to be included on reports and they require the reports ...

Jan 29, 2013

After reading all the posts below, I wish I would have asked more questions before I accepted a job at SS. I made the mistake of accepting a position because I had been unemployed for several months and was desperate. Now, after a few months of the constant harrassing emails, threats to be removed from an account if another acct spec error is committed, and also the threat of going back to 100% QA, I've just about had it. No amount of money is worth the costant barrage aimed at demeaning ...

Aug 18, 2010

Okay, i have a doc that is dicating pretty much an H&P but account specifics require SOAP format for all dicators. Would most everything go under subjective heading such as social history, family history, no known allergies, etc.? I know PE will go under objective, but would the ROS go under objective as well or subjective? Thanks! ...

Jan 13, 2010

Why, oh why can't all the dictators on one account use the same format????!!!!! Dozens of doctors on the same account and they all want different styles. Some want headings capped, some do not. Some want bold, some do not. Some want them underlined and some do not. Some want PHYSICAL EXAM, some PHYSICAL EXAMINATION, and then some EXAM. Followinig on down in a note, you can just imagine how many differences there are with each dictator. These guys ...

Nov 07, 2009

Have been pondering this a lot lately. Why would the hospitals and MTSOs not want to all have the same specifics so MTs could concentrate on providing an accurate report based on BOS that would then allow all healthcare providers to recognize a standard for their records? I am so tired of switching to a new account or my backup account and having to change gears to comply with different specifics. I have one account now that we are told to literally "might as well thr ...

Nov 07, 2012

What a flippin joke. Didnt Amy say she was going to keep us in 1 account???? OMG, I have done evey account in my BOB this morning as well as some other Bob. I cant keep my head on straight anymore. It is spinning like a top. My production is down to minimum and I am at risk of being fired for not meeting production because some idiot decides to open the cesspool! GO CCMs! GET YOUR 100% TAT... SCREW THE REST OF US. ...

Jun 08, 2015

.... I read notes below to this effect. Oh, and don't forget to NOT count QC lines and scores when you calculate your QA score on FIESA. ...or just ignore it altogether. ...

Oct 14, 2009

So, I am trying to research per line rates in my area, and no one seems willing to open up about their rates. I have spoken with one woman from a local company who told me to give it up as I more than likely will never land an account and work for other established companies, also stating that I am not hiring right now, but you are more than welcome to submit your information. I replied stating to her that I am not a newbie as you say, I have been in this field since 2007, and wish to acquire my ...

Oct 19, 2009

Once i get used to the dictators and names, is it possible to reach the same production as when I was doing ops? I have access to prior reports, so that's helpful. I know I need to tweak my glossary to include more non-op terms. Any other productivity tips to make a non-op account super productive? ...

Nov 24, 2009

I am not sure if this is going on with your accounts, but I have noticed on my primary that there are a lot of old reports in there, from days and days ago. A few weeks back my team leader said ignore those TAT times because they were pulling old stuff for "training." It started with DS, and now I notice that there are old H&Ps and Consults in there. So I am wondering if they are training Transcend employees to do my account, maybe VR, or I guess it could be the hospital tr ...

May 22, 2011

Did anyone ever contact a hospital after your account was lost to find out where it went and you were still employed with the former MTSO that had the account. Concerned about doing this if the hospital were to contact the MTSO and still employed there but not overly happy anymore. I would rather keep this confidential until I at least find out if the new MTSO is even hiring for the account, etc. ...

Oct 13, 2011

We are supposed to do 12 reports/hour but the work is not there. I no longer respond to the e-mails where they say they want to help you get more work and not make peanuts. What joke! Not only that my lead has been on cherry picking when there is hardly any work. ...

Oct 02, 2012

My state medical association publishes a monthly journal with a Classifieds section at the back. There's a section for Services Available where there are ads for EMR companies, billing services, and a couple of private MT ads. A small ad would cost me about $45/month and it would also appear on the online edition. I'm just looking for 1 or 2 new clients right now, and thought this might be easier & cheaper than mailing out brochures. Do you think this is a good idea a ...

Nov 28, 2012

I am in discussion with a doctor's office to do their transcription. This would be the first time I would have my own account. How do I find out the going rate of transcription in my area? I would like to be prepared when discussing this with the office. Thanks in Advance! ...

Dec 28, 2012

out of work, AGAIN!! The other account I had has TONS of work this morning. I'm about to go back over there and get some lines in! Why take me off an acct that has TONS of work to an acct that has NO WORK?????? ...

Mar 28, 2013

Received email stating that one of my accounts which I was always under the impression was a very LARGE account will no longer be using Nuance. ...

Mar 17, 2014

QA & I've noticed the errors that QA finds are getting more petty to the point of ridiculousness just over the last couple of weeks. "The" when I heard "A" or "A" when I heard "the" - just sheer craziness. I assume they are gearing up for the 99.7% accuracy rate change. I figure I'm a goner soon, so I'm just typing my little fingers off in the meantime. Just my vent ...

Feb 27, 2015

Give me back my account please! ...

Mar 13, 2015

I cannot get anyone to answer my e-mails. Due to not answering my questions I will not be working extra. ...

Apr 16, 2015

is 3 days behind, don't you wonder why accounts you have never heard of are coming into your que? Not to mention, the accounts that are coming into the que are not out of turn around (i.e., are current almost up to the hour). ...and did I mention my account is three (3) days behind! How is this helping anyone? ...

May 20, 2015

Is anyone working on a new account with the first two initials RG? ...

Oct 15, 2009

I currently provide transcription to various speciality clinics using a call-in system for the dictation, typing in Word and uploading via FTP site. I was contacted by a hospital to do their transcription. They asked if my transcriptionists could type in their VPN program. Can anyone tell me how I would do QA on this then? This would be a new system to me and I really want the account. ...

Nov 16, 2009

You don't know who the managers are, or even what division is falls under, and the old managers don't have a clue, how does one escalate to find out? MTQuestions? Tossed to the wolves here..but hey hey, I still have work! LOL. Slowly losing my mind on trying to get answers while restructuring in in progress. I've learned too much from the past that patience is not always a virtue. Things get lost in the shuffle. Anyone ever had this happen to them? Any suggestions. ...

Dec 03, 2009

Ouir BOB lost another large account and now there are too many MTs. So, about 8-12 are being moved. The account that I transcribe is going to be almost 100% ASR, and the account is being transferred to the Canadian MTs. Apparently the poor Canadians don't have enough work. They do, however, get free health insurance. Now we not only have to worry about the Indians, but the Canadians too. I can guarantee they are being paid less. ...

Jan 18, 2010

pain in her "disoriusembi ciftom"? on her arm? ...