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

Does anyone really average 150 lph with 20 accounts? - Looking for honest input . ex-DSG

Posted: Feb 25, 2012

Hi, I would like to know if any of you regular MModal employees truly get to the point of being able to do 20 accounts and make both the lph and QA requirements?

Not looking for the negative flaming.

I personally am really struggling. I just don't know how one can read specs from 2-3 new accounts in an hour with all the peculiarities and still meet above said requirements.

I want it to work. I don't really want a new job. But I feel like we are being set up to fail.

Please - honest input would really be appreciated - from some of the people who don't post all the time. Email would be great too -- just put .. MModal input or something in the subject line so I will open it.

Thank you.

I can't say right now. When I left MQ 4+ years ago during - shortcake

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the birth of the cesspool, I really don't remember how many accts I had but I do remember spending more time reading specs and scratching my head and wiping tears from my face more than actually typing. Never worked so hard for so little. I left and unfortunately I am back. Fortunately, not thrown into the lap of MQ/Mmodal (whatever), but I am working hard on preparing to leave when that time comes because with all the accts they throw at you, the micromanaging, and that stupid 3 cent deduction for what probably ends up being cathing a doc's mistake, I will probably not even make minimum wage! That will not work for me. I feel your pain.

I just started from this nightmarish mess - from a buy out and what I

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am doing is just quickly reading the specs for the highlights, like how they want the PE or ROS formatted and then hope for the best from there. I will probably eventually get fired but just don't even care any more. I just put the reports together as best I can and don't even worry about what the specs want. I'm just seeing how long I can game the system before I start getting a lot of grief for it and in the meantime spend as much time as possible looking for something else.

I have tried what you are doing .. just hard for me .. - old school MT. see mess

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Letting go of producing a quality report like the client wants it is hard for me.

I suppose I'll have to try to focus on just getting the terminology right, and when I get fired for a heading being in teh wrong place or color, I'll know I have not done anything to harm the patient.

As I said in the original post - I really did not want a new job but I am also looking. Which is exactly what they want. The more of us that leave, the more they can whine and state statistics that there are not enough qualified MTs here to keep the work here.

I hear you - Silly Sue

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I get angry because I try so hard to do it right, but then I feel like I am being abused because it is never seems to be good enough for them.

My triad is PE, ROS, and whether they want patient - names or "the patient"

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Don't have time to read a book for every report.

Thanks shortcake .. trying to decide .. - see message

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if I am playing head games with myself.

Every time I log in I do with "This is going to be okay. I can do it. I will make it work." Sometimes I make it an hour or 2 before I start losing it; sometimes it's by the end of the second job.

Are any of you DSGers doing good?

I hate feeling 'is it me?"

I too sat at my desk and cried 4 years ago and did not make minimum wage. One day this week I did not make it either.

Like the other poster, - I also

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just skim the CPs and see how they want the ROS, PE, and allergies. Then I just type it. I figure just so the reports are correct and it doesn't compromise pt care, screw the format. What are they gonna do, send my job to India? I am just so far past the point of caring anymore... Thanks M*Modal, a company to be proud to work for.

My sentiments exactly... - as long as I can understand

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the dictation which has not really been much of a problem so far, the formatting gets done by what I understand from a short glance. Honestly I think if I did get fired now I would be doing cartwheels down the street for joy.

LOL .. Watched Moneyball movie last night .. a line hit home .. - see message

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Brad Pitt was discusing telling players they have been cut / demoted from the baseball team. ...

He says something like:
"Just tell them straight up. Would you rather take 1 bullet to the head or 5 to the chest and bleed and suffer?"

I feel like we took 5 bullets to the chest ... LOL

Feel you pain, here is what I did - SOSDD

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this took quite a bit of off-the-clock work but was well worth it when I got it all done.

Make up a template with the basics that all CPs had

PE formatting
stacked: then just list the hosp that apply to that particular heading
paragraph:

ROS formatting
Stacked: Since 99% are paragraph format, did not bother noting them unless they were stacked
capped headings:
mixed case headings: blah, blah, blah

Meds: (again, if you find a predominance, only list the exceptions)
stacked/numbered:
paragraph:

Number format (only listed the exceptions since most complied with the standards.

you get the jist.

Then as I had to access CPs, made a quick note on my list and pretty soon had most of them covered for the basics. I then only had to access the CP for really squirrely stuff. I was amazed at how much time it save not having to flip between screens. And before I flaminig begins, I did have codes for the hosp for HIPAA (usually just hosp initials)

Then I had a section for each hosp outside-the-norm specifics.

got this on 3 pages that I could set out in front of my keyboard, so much easier to just glance down to a specific heading than to flip between screens. You'll be surprised at how quickly it starts to stick in your head and how much less you actually have to reference your notes over time. Don't forget to put the notes in the vault after work so they can't be confiscated or something like that. LOL

PS, in the long run it is much easier to take the time to put it in a Word or OpenOffice document for editing purposes and it's just so much easier to read PC type than handwriting.

Please feel free to contact me for clarification or any help you might need. We have all been there at one time or another.

Thanks .. my problem with that so far is .. - original poster

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I truly have different accounts every time I work, so no way of knowing if and when I will get them again, or if it is worth investing even that time into. I had done a similar thing with a one-page summary of specs before and I agree, it is much easier than flipping screens and saves time.

Example - I would write ALLERGIES or Allergies, as a tip to cap or not

or "# meds > 1" or "# meds > 3"

Someone asked me if I was overwhelmed. I said no but .. I think I am:

overwhelmed

disgusted

saddened at what has happened to the MT profession

angry at working for a company that lies so much and cares so little for this awful transition that have put us through. It did not have to be this way.

feeling incompetent ...SHOULD I be able to do this?

Thanks so much for your helpful input!

wow .. I had that separated into paragraphs .. sorry - original poster - no message

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x

We should not have to - me

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You asked, Should I be able to do this? Well I think the question should be Should we have to? Why are we spending so much time focusing on formatting? Can't the IT people focus on back-end (hind end if you ask me) formatting and just let us focus on the patient information and medical data? As an ME I spend too much time formatting and less actually working. Such a sad thing to experience. I know I need to change and evolve with technology, but shouldn't that technology be working for us instead of against us? Making out jobs easier instead of losing focus on what is important, patient care? Just digusted with it all.

Most EXCELLENT comment! Thank you! - no message

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s

Should I be able..... - MT Gone

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First off, YOU are not incompetent. It's the morons who think ASR or EPIC is so great who are incompetent. Secondely, you could do it, if you didn't have to memorize/manage so many different account specs. Thirdly, should you have to use the skills you have for the low pay they now offer - NOT! I miss being an MT, but was fortunate enough to transition to another job/career without a lot of searching, but I had been planning my exit since Q bought us out when I started reading the writing on the wall. The MTs are not the problem here, it's what the MT field is becoming that is the problem, with M*Model, MedQuist or whatever they are going by, leading the way.

here is what I did - similar

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I had some extra note cards lying around and I just made up a note card for each account. It has the main things listed- PE, ROS, dates, lists, numbers, forbidden abbreviations and any weird things listed on the CP and whether I need to look again at F5 for address specifics or cc or worktype specifics (some CPs can be so darn confusing). For our BOB when we get an email that dr So and SO needs whatever I just add the info to the back of the card. Now I just flip through the cards (keep them in alphabetical) and keep the one on top for the account I am working on. Yes, it did take a little time to set up, but now I hardly ever use F5 and it does save me a ton of time. I have a stack of cards for the BOB and a stack for the accounts that we roll into.

Bottom line, you have to do what works best for you and using F5 and reading the CP for every report does not help the line count.

Thanks! I will continue with my one page summaries for now .. - see message

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I already had done a similar thing for the accounts I was on at DSG.

Hopefully the influx of new accounts will stop. Just feels like a waste of time to clock out and summarize them when you get new accounts every timeyou log on practically.

Have a great day!

I just realized - Just Me

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I just realized I was getting a headache because I had been jacking up the volume of the dictation because the quality is so bad. Crackle, buzz, crackle. I do not remember it being that bad before.

So much depends - old and burned out

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on how often you are audited and how picky they are. I have always tried to get the correct information in the report but for formatting, just the basics: PE, ROS, allergies, patient name in report; that's about it. I have an alphabetized stack of index cards for each account with that basic info and it takes just a second or two to flip through. However, I am audited very infrequently and they are not picky because I've always gotten 99+% even with my "attitude." I also stopped correcting grammar and punctuation a long time ago though I may add a comma here and there. I might also add that my accounts are dreadful and my guess is that most of the work is so bad that mine looks good in comparison and that is why they are leaving me alone. If they start getting picky, fail me on audits and try to reduce my line rate then I am gone. I will not do this s**t for 3 cents per line.

The only reason I struggle to make line count is because morale - is so low I have no incentive to work

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just skating by on producing the minimum and getting paid minimum wage. I am truly ashamed to admit that. The very truth is when I pay attention and do not get distracted by visting other websites, petting my dog, etc..I can easily produce 300-400 lph on ASR. I will say, I am fortunate to be on 1-2 accounts though and that could be a huge difference.

Other than that I agere with sentiments here..the suits that run this company have no idea how to manage MTs...NONE.

What did you do to only get on 1 or 2 accounts? - We DSG people were told

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the lie that we would be kept on the same accounts and nothing would change after the buy out. That lasted for about 2 days, then I started getting stuff from all over the map. I wouldn't even mind so much if it were a bunch of reports from one place, then a bunch from another, but this has been one at a time from 8 or 9 different accounts just today. I could almost deal with anything, but it's the lying that makes me furious!

I don't know how I am able to stay on my one acct. I know they are very picky - and Iv been with MQ for years

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This acct is extremely high profile and high maintenance and I guess I am just one of the lucky few they "allow" to MT. I do realize I have it much better in that regard and I do not take that for granted..not to mention..and I so hate saying this..but its an awesome account and is the ONE reason I do not get off my lardarse to look for other work..I just hate to give up this account.

Of course..this could change at any nanosecond and I could be thrown to the cesspool wind

DSG - Ninner

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What is DSG? Was that another company bought by the Q?

That's me to a T - me

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I could have written your post, when I read I thought you were reading my mind! I too could be producing a lot more, but my morale stinks. I was on 1 account for years and was loyal to that account. I always told myself, if that account was gone, so was I. Well last year 90% of it went to EPIC and I was on the remaining 10% until recently, but now that's gone too. So hopefully I'll be out of here by summer (learning coding). It makes me sad to see what has become of this profession. I just keeping hanging in there, doing the minimum, passing time until I can leave. Good luck to us all.

See Message - noname

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Well I have been with M-Modal almost 2 months, the hospital I worked for outsourced our dept.

I currently have "3" hospitals, one being the hospital I used to work for, but altogether there are 16 accts for our team.

I mostly only get the "3" primaries and I average anywhere between 155 to 180 lph, but again it varies with the day, the work types, and the doctors. Also there are days I get all Op notes, as I am tier 3.

I am still getting use to VR, have never done it before so a huge adjustment. Straight typing I can produce anywhere between 200 to 250 lph so VR really has slowed me down.

I say maybe talk to your CCM and see if she can shorten it down a bit so you can become more productive.

From what I am learning about these companies, a lot depends on your area, year CCM and your quality coach, as far as what your job experience is like.

Good Luck!

I agree. - I think you just have to be

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a squeaky wheel that gets the grease.

Thanks for the input. Good luck to you! Maybe ours will get better. - no message

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x

Have you thought about contacting your HR rep? - jane

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Some might laugh or say what good will it do, but you never know. To me it sounds like a lot of disorganization.

They have basically taken on a bunch of workers and have no clue where to place them and in turn sounds like you all have been put in the system to have any and everything routed to you.

Are you on a team? in a group? working for a specific region? I would definitely be in touch with HR if I were you.

Calmly, but clearly explain yourself and let them know that you are serious about keeping your job, but you really need to stick with a familiar set of accounts and 20 is way too many.

I am sure there are teams out there somewhere that can use an extra body, especially since they just acquired your company.

Better yet, ask them whatever happened to your previous primary accounts. If you can't get anywhere with your CCM, you gotta do something. Even if it means calling whoever is in charge in HR and expressing your concern.

You sound sincere and I wish you the best.

What a thoughtful reply! TY. The whole transition has been VERY disorganized - see msesage

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We are in the North Region. For now, we have our same management staff from DSG but they are learning too and really trying so very hard. Can't be upset with them.

I will keep this in mind, and later on this week I may do this. I have had some email input in response to my original post, and I am certainly not alone in my concerns and frustrations.

Appreciate your input!

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