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

OPS, tier II vs. tier III: Let me break this down for you... - L&L

Posted: Jan 28, 2010

You can call yourself an MT and work for:

1. A single provider nonspecialist.

2. A multiprovider/multispeciality clinic.

3. A primary hospital.

4. A secondary hospital.

5. A TERTIARY hospital.

You can do "ops" with any of these jobs. However, at a tertiary hospital you will have patients who have failed treatment at primary and secondary hospitals. Tertiary hospitals are teaching and research institutions where you will encounter research protocols for both drugs and equipment/devices that are not conducted at primary and secondary institutions. At tertiary hospitals you will find world-reknown specialists in their fields and have patients coming from all over the world for treatments that are not available anywhere else.

Quit whining about how good you are if you do "ops." You can do a cholecystectomy anywhere. If you want to work for a tertiary institution you need to be tier III and a d*mn good one too. You will find terminology for diagnoses and treatments you will not encounter at primary and secondary institutions.

L&L...I think most of us know this..... - Kiki

[ In Reply To ..]
Unfortunately, you can't pick what "kind" of OPs you are given. Yes, there are less complicated all the way up to very complicated, but again, Tier 2 or 3 - you get what you get. You can't say, "I only want the easy OPs" anymore than you can say "I only want the "difficult" OPs. Not sure what your point is...

my point is I don't think a lot of MTs know this - L&L

[ In Reply To ..]
and it's not about picking or not picking ops, it's about what sort of institution you work for.

Okay, I see. I'm just assuming that since this is the MQ board - Kiki

[ In Reply To ..]
that MQ is who you are talking about.
:)

well yes, but remember those 6000 or so MTs no longer wtih MQ - L&L

[ In Reply To ..]
bet they never heard of a tertiary care institution. And I remember a while back MQ was looking for MTs to do primarily psych reports...they're so easy they bore me to tears.

I think anyone left at MQ at this point or in the near future is going to be an extremely experienced and seasoned MT.

I agree....They need the expertise to correct the ILP work. - Kiki

[ In Reply To ..]
And at 3 cents a line to do that, I don't see too many of us sticking around for that privilege.

Psych reports drive me crazy...slow me down. On the other hand, I can breeze through cardiac catheterizations. I just guess it depends on what you are used to doing. If you do a work type long enough, you can get good at it.

Was not sure what your post was about either, but - Liz

[ In Reply To ..]
one of my favorite accounts I ever worked on was The Cleveland Clinic (back before the internet for a reference tool). Very challenging, unbelievably fast TAT, and residents who often while in the middle of a report would start dictating in their native language. Great learning experience.

Does MQ know this? - sm - Confuzzeled

[ In Reply To ..]
As a tier II I've worked on 6 different teaching/reseach facilities and one psych facility that conducted clinical trials with drugs so secretive that finding them was nearly impossible.

I transcribed surgeries from the top of the head to the tip of the toes in every speciality you want to name.

A year ago I told them that unless they upped me to a tier III I'd just as soon go back to the ER.

They begged me to keep on doing these reports, but didn't have any openings for another tier III. Unfortunately, due to economic reasons, I refused, I needed the lines and the money that came with them, and couldn't afford to "waste" half my shift doing research.

You tier II's rock, don't let anyone tell you otherwise!

If MQ won't make you a tier III, you can find a better place to work - L&L

[ In Reply To ..]
I just wanted to clarify that not all MTs are equal. I once worked with a woman who had 10+ years experience. She turned to me one night and asked, "What's this PERRLA business?"

If you are doing this kind of work, you can work for ANYBODY. A lot of newer MTs, and even with 10 years experience, have never encountered anything beyond community hospitals.

Unless you are one of those tier IIs making more than us tier IIIs, I'd be looking.

Oh no, no, no - sm - Confuzzeled

[ In Reply To ..]
I only make 8.24 cpl when I actually do straight typing, could be high end for a tier II ?, but I hired on at 8 cpl 12 years ago.

My first job was doing long, drawn out autopsy reports, no abbreviations allowed, and when I hired on at MQ my first acounts allowed no abbreviations either. Can't imagine anyone not knowing what PERRLA means!

For what it's worth, I only stopped doing the OPs when they got nasty about line counts. Serioulsy, there were times I only got 50 lph with all the research involved, espeically in the drug studies.

I actually prefer psych, autopies and ERs, which is why I mostly get speciality clinics these days. LOL Know any ME's office looking for transcriptionists?

Tier level pay - alvin

[ In Reply To ..]
You need to request a cpl increase! According to my CCM, there are caps for each tier level - 9-cents for tier 1, 10-cents for tier 2, and 11-cents for tier 3. This is for transcription, not ASR.

Many MTs make more. Many came to MQ making more. But those above the cpl tier rate probably won't get increases (like me).

Hey, I'm tier III and have been at 9.83 cpl since 1999, and - L&L

[ In Reply To ..]
when I asked the pink staff about a raise, i got threatened. I'll just be happy to fly under the QA radar as much as possible.

you all get more than me as MME - dontmadda

[ In Reply To ..]
With company since early 90s, MT to QA to this horrible MME and don't even make the top pay for a tier 1...I think my experience, knowledge are definitely top tier 3 pay...wow the more I read this board the more horrible I feel. No more coming here it only depresses me. :0(

dontmadda - how much straight and ASR

[ In Reply To ..]
typing do you do? Or is it all QA'ing?

mostly qa'ing 100% ILP - dontmadda

[ In Reply To ..]
only a handful of straight type and correction work ... don't get paid enough to do any of it as with almost all of us I suppose.

that's what I was afraid of... - so sorry (nm)

[ In Reply To ..]
nm

L&L - tweeny

[ In Reply To ..]
Three snaps in a "Z"!

I'd LOVE to see some of these braggers doing tertiary work!

I personally LOVE it. LOVE IT!

Ops, tier II vs tier III - oops

[ In Reply To ..]
Where is this coming from? If it is from below about the comment tier IIs will not be able to do this much longer because of the difficuly, all I was trying to say to defend myself as a tier II is I have been dong this for 15 years, and do a lot of difficult work, for acute care, ESL, ICU, etc.

Not trying to say I should be tier 3. I have transcribed for a teaching hospital and am glad to leave that to you tier IIIs. Don't see what that has to do with me saying us tier IIs are good at what WE do and can't see our tier going away because we are not good enough.

Are we on the same page? I am confused.

I hear you. Don't know what all the fuss is about. nm - Tier 2 and stayin there

[ In Reply To ..]
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