MEDICAL TRANSCRIPTIONIST CAREER. INFO

Advice for MTs, MT students and medical editors

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Your questions answered: 
 
These questions are not in any order and no question has any more weight of importance than another. They are just questions I have answered by e-mail to those who have contacted me. 
 
Rest assured if you contact me with a question, your privacy is protected and no names or other identifiers will be used on this page or anywhere on this site.
 
QUESTIONS IN ORDER:
1.  What do I need to know about HIPAA?
2.   How do you keep track of lines typed?
3.  What can you tell me about Allied Schools.com?
4.  Which do you think is more lucrative:  medical billing/coding or medical transcription?
 ~1~
 
Q: I haven't work as a transcriptionist in a while and as I'm applying at some of the national companies, they are saying I need to read the AAMT Book of Style cover to cover and be up to date on the HIPAA laws. What do I need to know about HIPAA and where can I find out about it?

A:  As I've said on my reference book page, the AAMT Book of Style is essential for any medical transcriptionist to have in their library. It is the manual most MT companies and their clients use for style, grammar, English usage, etc.

As far as HIPAA, I just now looked in my Book of Style to see how much is said in there about that subject and they have 1 paragraph! When I worked for a national company they sent out a document we were all supposed to read and sign that specified how HIPAA impacted us as a transcriptionist. It was basically covering what I'm reading on many transcription company sites.

The HIPAA requirements for the individual transcriptionist are not much. It's really more for the company you work for to have policies in place about HIPAA. If you were going to start your own transcription business that would mean you would have some things to comply with that the individual transcriptionist does not.

It really boils down to making sure that health records are accessed by as few people as possible and that there is a paper trail for anybody who has had access to them. The regional company I work for made one change to comply (at least only one change that impacted me). He started having us make sure we put the job numbers with our initials at the end of the report so you could track who typed more easily.

The HIPAA law says that "Covered Entities" have to provide some training to their employees and document that training. My sister works at one of our large teaching hospitals and they went to classes to emphasize how you aren't supposed to talk about a patient in any identifiable way in the hall, in the elevator, leave charts lying around where they could be seen by the public, etc. The ERs used to keep white boards where they put all the information up about who was in triage room # X and what they were there for or info about a patient coming in who was going to be assigned to a room. They used to put at least their full last name and male/female and age sometimes their whole name up there. They had to stop that because the public could see that board and it might compromise the patient's right to privacy. You can see the general idea of things that needed to be changed to beef up patient privacy.

But you'll find that "Covered Entities" is NOT an independent contractor transcriptionist or even a transcription company, so most of the law does impact them, other than they have to sign a contract with any "Covered Entity" they do work for (that "Covered Entity" being, for example, a hospital or large clinic) to say they will comply with the confidentiality and paper trail that HIPAA requires. Transcription companies are considered "Business Associates" and independent contractor MTs are just "third parties." There really isn't much to comply with at our level.

Anyway, I think if you looked on the HIPAA government site and could say you actually read the bill and then look at some of the transcription sites which have interpreted the bill you would have as much information as you would need to know. And this should suffice when applying for a job. Any national company you interview with will probably have you sign a form and give you some information.

Here's one site that pretty much sums up the law: http://www.mtworld.com/tools_resources/understanding_hipaa.html

And here's the actual government site: http://www.hhs.gov/ocr/privacy/
 
~2~
 

Q: How do you keep track of your lines typed?

A:  Unless you are going to work solely for yourself as an independent contractor, you won't need to track your own lines. It will be done for you at a national company, a regional company and most local companies. Of course even if you're working for one of those, you'd maybe like to keep track a little bit to see where you are line-wise so you can get an estimate of your pay. With my regional company that I work for now I have gone back to my old rule of equating lines to minutes. 1 minute = about 10 lines. So I just keep a running list of my jobs completed as I do them with the length of the job and at the end of the pay period I add up the minutes and multiply by 10. The nice thing is that whatever program my boss is using it seems to always come up with quite a bit more in lines than what I calculate based on minutes x10. So I'm always pleasantly surprised at my pay check. :o)

If you are going to work for yourself you will need to get a line counter program to accurately count your lines so you can bill your client. There used to be some free line-count programs around, but they seem to have disappeared or turned into paid products. I have not found one free one lately. The least expensive one I found was $20.00 to upload. Here's a link that has a whole group of them that range from $20 to about $70.

 
~3~
 
Q:  Can you give me your opinion on Allied Schools.com?

A.  Yes, any of the schools approved by the AHDI organization would be good schools from which to get your education and if you mean alliedschools.com, they are on the approved list.  Out of AHDI's short list, I have narrowed it down to 3 that I know the most about and that offer a spectrum of less $$ to more $$ and less time to more time.  Many potential students are more concerned with money than time, some more concerned with time than money. 

When I looked on the alliedschools.com site I was unable to find out what the course costs so it is hard to compare them to other schools.  Also, I was not sure if they provide you with the reference materials that they list on their course outline or if you have to buy those yourself.  If you have to buy them yourself, figure in that extra amount when comparing costs to other schools.  Looks like the only way you can find that information out is to send for their information.  So I would recommend them for their course content (pretty standard content for an AHDI approved school) but I can't say how they stack up for cost. 

Career Step is probably the least expensive school on the ADHI list, and besides payment plans they also offer a limited number of scholarships each month you can apply for, and those usually equate to about a 25% reduction in tuition.  They don't include a lot of reference books, but they do include some good ones.  And one thing people have found valuable is a very active online student forum where you can stay connected with others taking the course, and not just connected with your teachers. I couldn't tell if Allied had a student forum or not.  They only talk about being in contact with the teachers by phone, fax and e-mail.  Some people say that Career Step is a "light weight" in the list of correspondence schools, but they are AHDI approved, which means their course material must measure up, and I know they have a high rate of employment after graduation. 

Andrews School is at the middle level for expense, but they do include all the good reference books in the tuition cost.  They do have a payment plan.  They have an active student forum.  They help with job placements, but I don't think there is much help needed.  They have such a good name in the industry that you would have no trouble getting a job with successful graduation from this program.

MTEC is at the high end for cost, but their course is very thorough.  They also have tuition assistance (through Federal funding, etc) and an active student forum.  They have a high rate of job placement, again because of their good reputation in the industry.  I don't know how much they actually help you find a job, but just like Andrews, I don't think you'd have any trouble getting a job after successful graduation.

Allied says they have job placement assistance for an additional fee.  It doesn't say what that fee is.  That probably is another item you can only find out by requesting additional information.  I would find out how much that "additional cost" is for job assistance so you can compare "apples to apples" with the other schools.  The information they list in the FAQs under the question "do you provide job assistance?" is this: 

Yes. We will provide you with the skills to successfully enter the job market. Our Career Center teaches you how to create an effective resume, write a strong cover letter, interview effectively, and more. Receive a professionally written resume and cover letter, job leads, and personal introductions to top employers. Note: Allied's career assistance programs are available for an additional cost.

Resume help, cover letters, etc. you may already know or can certainly get assistance for free.  Job leads, personal introductions to top employers are good if they really follow through on this, and since this is listed in the "free" part, that sounds like not much more than what they would do if you paid them extra.  So I would really check into that part of it to be able to compare prices with the other schools and see if their job assistance is worth some extra dollars.
 
~4~
 
Q:   Which would make me more money, medical billing/coding or transcription?  If I took the coding course and the transcription course from Career Step would I have to pay for 2 courses?
 
A.  It is probably a toss-up as to whether billing/coding or transcription is more lucrative.  The huge trend to voice recognition in transcription, turning transcriptionists into medical editors has definitely cut down the earning potential in transcription.  You probably read my page about "how much can I make" which talked about what you could earn with straight typing and what you could earn with editing.  Editing is paying at anywhere from 80% to 60% of the line rate of straight typing.  That has cut the salary of most veteran transcriptionists down considerably.  The employers still try to say that we can make as much or more with editing, but I personally found that not to be the case, and I get e-mails frequently through the web site from MTs all across the country who have taken a loss of pay because of voice recognition. 

That being said, many people are still willing to continue on in the career of transcription, or get into the career of transcription for the one factor that has not changed...you can do the job at home. 

Billing/coding may in the long run pay better than transcription in my estimation.  BUT...there are very few coding jobs being done at home.  Most of them require you to be on-site in a hospital or clinic.  I have known of a few long-time employees in hospitals (note the key word long-time) who have been offered a set up to work at home.  But entry level coders would probably not be offered an at-home position. 

Entry-level pay for coding/billing would probably be about the same as transcription.  In transcription you don't have many opportunities to "move up the ladder."  You could move up in a company to being a QA (quality assurance) person or maybe a supervisor or trainer, but that's about it. 

In the coding world, you would probably be paid an hourly wage in a hospital or large clinic setting.  You could move up to supervisory positions, and you most likely would be offered merit raises and/or cost-of-living raises.  The longer you are their employee, the more you could make just by "being there."  Transcriptionists usually don't get raises because the MT companies don't like to raise the rates to their clients for fear of losing them to someone else.

I would agree with you that transcription is more interesting than coding, but you need to decide what is most important to you...working at home in a job that is more interesting but the pay is pretty fixed (only way you earn more is to work more/produce more lines) ...or working out of your home with a more "boring" job (but the benefit camaradarie of fellow employees and making new friends) with potential for salary increases over time. 

As far as Career Step, yes, it is my understanding that each course is separate.  If you wanted to take both transcription and coding you would pay double.  I have never inquired directly to them about that, and I think they would probably recommend not trying to do both courses at the same time.  Maybe some have done it and lived to tell about it :o) and maybe if you tried it, you could work out a deal to pay less than full price for each course, but I don't know that for sure.

Career Step, as do most transcription correspondence schools, has various payment plans.  Some of them are no-interest plans over a course of a few months, some are plans with interest that usually allow you to stretch your payments out longer.  The payment plans make the course pretty affordable.  I think they may work with some of the state unemployment/reemployment funding programs or even some of the federal grants just like any other college, but I'm not sure about that and one of their advisors and/or the material you get from them should be able to answer those questions. 

I am pretty sure Career Step still offers "scholarships."  What used to be the case from other students I talked to is you must apply for a scholarship and they have a board that meets once a month to review the applications.  If granted, the scholarship is usually a 25% tuition reduction. 
 

 

 
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