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Hospital versus At Home

Posted By: Sanatonio on 2005-08-16
In Reply to:

The hospital I work for has finally said I could work at home.  I am wondering if there are experienced people that can tell me the cons of working at home.  I am looking forward to it but need to know if I need certain things and what kind of books to buy. 

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On-site versus home

My hospital job was from home but again, I had been with them for years and I made good money and did not see how the industry had gone downhill. I did have an on-site job when I left the old job but after 9 months of traffic and office politics, I quit.  Even though I work 2 jobs, the sad part is when there's a feast I make more money than I did with the onsite company and when there's famine, I make about the same as I did at the onsite.  Unfortunately, I brought my CA bills and lifestyle to GA and my finances can't handle the fluctuation being a single mother.

hospital versus IC
If you are happy being an IC, stay there. I went from there to MQ and was happy for several years, but just quit MQ because of all the changes. If you stay your own boss, you obviously have much more control.
Diskriter versus hospital
There is a BIG difference between working for Diskriter and working for a hospital through Diskriter.  I've done both and there's no comparison.
Diskriter versus hospital accounts

Did they explain the Diskriter versus hospital status to you when you spoke with them?  I'm a little confused about that from the above posters.  Thanks!

Hospital at home now.

Please forgive me but I really need to vent.  I think  I am at my lowest now.  I have worked in local Hospital Radiology dept. for 10 years and was told I must work at home, or no job.  I must provide high speed internet and pay for it, I provide space in my home and desk and chair, must show proof that my homeowner's policy will cover their computer equipment, and must show picture of area in my home showing a door for HIPAA compliance, they say.  I get 9 cents per line, only what I type, one line each for headers and footers.  They won't tell me how they determine a line, they won't say if macros and normals are included. I went to personnel and they say my department head determines what and how she pays and they won't interfere.  I have a one year old mortgage so can't say no, and my pay is down to 8-9 dollars an hour, and that is before I deduct what I have to pay to work at home.  When I told my supervisor that the new program they put in is not Transcriptionist friendly, she said, no it's not, it is mainly designed for Voice Recognition.  I can't check my lines, they give me a paper with total lines for the last two weeks on it with my paycheck.  I feel abandoned and abused.  I called local labor board and they said if I was getting minimum wage and overtime pay as required by law, then I should be thankful I have a job!

I am about to default on my mortgage, and have three kids to worry about too.  Can it get any worse than this?

hospital vs at home


i would love to work at a hospital again.  i've been working from home for not quite 2 years now, and the ONLY advantages for me are the hours that i work and being able to be close by in case of a family emergency.  and of course, the price of gas. 

other than that, i now understand why all the people i know who tried working from home went back to their in office jobs.  the pay was so much better, you have contact with people who will answer your questions, most of the time you know your dictators, or at least have the same few, and if you have questions you can actually walk up to them or call them and ask them.  at home jobs just leave you clueless and payless, basically.   thats just my experience obviously.  lots of folks love working from home. 

MDI versus MedScribe versus SoftScript versus Transsolutions versus TransHealth. SM

I'm getting ready to start applying and these are the companies that I'm looking at.  So give me the low-down.  Good, bad, India?

Here are my criteria:

9 cpl or better

Does NOT send work to India

Good accounts with at least 50/50 of ESL versus American dictators

Consistent work flow - no downtime or time spent waiting for work

Upper management should be professional, positive, and encouraging.

Pay for lines WITH spaces.

Is there such a job out there or am I just dreaming?  If there are other companies other than the ones I listed that would fit the bill, please feel free to let me know. I tested with TransHealth and I felt like I tanked.  It was a hard test and I had to use the mouse to stop and start the dictation as it was online test and you couldn't download the voice files.  So that made it a lot more difficult.  One of the dictators was cutting himself off through the report and I had to leave some blanks.  I'm very frustrated with this whole process of looking and testing.  Are all the tests like that?  Or are there companies that allow you download the test files and transcribe them using your pedal and software?  Ugh!  I am just so frustrated and discouraged.

Thanks for any helpf.

I work at home as IC for hospital...
Stay put.  After 10 years of working at home for this hospital with no raise, I decided to venture out and try other MTSOs.  Good thing I kept my hospital job.   I usually do 200-250 lines an hour with the hospital but other MTSOs I was down to 120-150.  Mostly it is the different dictators and I can't stand leaving blanks so I would listen over and over to try to get them.  Then the styles of what this one wants and what that one wants also differs tremendously.  Stay where you are and maybe talk to the hospital about possibly doing at least some days at home. 
At-home hospital jobs
Does anyone know of any hospitals that let you work remotely as a full-time employee with benefits?  Thanks!!
At-home hospital jobs
I have 12+ years of experience in most medical fields.  I am in the Fort Collins area. 
I work for a hospital at home also. sm
Fortunately, our hospital has the team approach. I am an IC for the hospital and my workload is the same as if I was an in-house employee. I see the entire work queue just as they do and we work first in-first out and abide by TAT. Not all facilities treat you like a second-rate citizen. There are wonderful people and well run hospitals out there to work for at home. You just need to seek them out.

I work as a hospital employee at home
I'm moving to Hawaii!!! Here in PA our hospital sent the MTs home but
they must do 100 minutes a shift. They also have to go to meetings once a month at the hospital which they do not get paid for, then have to go home and make up that time. Pay isn't that great either.
Is there really any way I can go wrong to accept at-home hospital job?SM

My national seems to be losing ground as we have had DD taken away effective August 1 and already had had our 401k discontinued about 2 years ago.  I had said I would stay with the national until I actually did not have a job anymore.  However, there is an at-home hospital job open fairly nearly to where I live.  I'm making pretty good money with the national (although not nearly as much as about 3 years ago for various reasons), and so I'm wondering if it is pretty much always a good thing to go with a hospital job working at home if possible.  I know they provide all equipment but I'm not sure abut the line rate.  Minimum production is I think 1275 lines per day.  Not sure about incentive (I know this will be a big factor here, as well as line rate) but all overtime is approved and has been for several years.  I talked with the transcription manager earlier when the position first came open but we didn't talk specifics about pay.  I also am pretty sure I could get a job with a national any time also - I have 29 years of experience and am a CMT.  Any comments?

I went and got my own hospital account, at home, IC status. nm
Anyone happier working for a national versus local clinic or hospital? SM
I'm with a national but from time to time, openings come up with areas places. None are in my own town, but would be 30 to 45 minutes away from home. In the case of at least one of these places, you are required to work in-house just to get used to their system, which I understand, but they say it usually takes a year before being set free at home. Now I can understand that if you are a brand new MT, but as far as just getting used to how they do things, that seems excessive. If you meet the criteria sooner, you can go sooner. It worried me about the length of time. That would put me in a bind with little kids and being away from home on certain days after they got off the school bus.

On the flip side, they pay hourly so I might like that, rather than make next to nothing on some days where the dictators are horrible on my current account. On the other hand, on a good day the lines are worthwhile and I'd come out ahead by LPH rather than hourly rate.

So many things to think about...oh, and another biggie...with this local place I'd get health insurance free for myself (not the family, but I have the kids covered on a plan I'm already paying for myself, along with me on the plan, which I could then drop myself from).

Anybody worked both scenarios and decided the national really was better? I actually interviewed here a year ago but didn't have to decide because they offered it to somebody in-house so I never got an offer. I have 3 years of experience but I still worry I would take forever to meet the criteria to work from home. I guess there are a few that have been there over a year and haven't met it. I don't want that to be me.
Anybody work at home for a Louisville area hospital?

Would you mind saying who and what it is like?


THE absolute best job for me was at home hospital empolyee, production. sm
If they only knew the money they would be saving cutting out the MTSOs and hiring direct with, like you said, one or two in house to supervise.

I predict (okay, I'm praying, or meditating, or universing, or using the Secret for) the day to come through some major MTSO/OFFSHORE FUMBLE that will cause this evolution in our favor.

Oh, antie Em...health insurance again!
My last hospital did offer home-based employee positions. sm
They paid the employee positions by the hour with incentive and IC positions by the dictated minute.

It still was not as lucrative for me as my national position.

What works for one, however, may not work for others.

It is all about personal needs and opinions! Bully for you!!! :)

I was paid by the hour to work from home for a large hospital. nm
I have a friend working in a hospital and she is looking for a company from home as an employee.
Would anyone care to recommend a good company?
The only difference is we are at home and doc is hunted down by the hospital/client's staff
after we or our QA submit it with a blank.

It is a phone call away at times. This is not as anonymous as ADHI would like. Doctors these days need assistance by qualified MTs as it appears to me there are many with ADD. That is time consuming when dictating. And errors are deadly.
You all have a point. I forget how this at-home thing works. I used to work in-house at a hospital.
and... we got paid extra for working holidays and even weekends and evenings. I am new to this at-home thing and it's pretty disappointing. I think I'm back to the hospital..
Like I said - it depends who you work for. I work for a hospital at home - not a company. nm
In the early days, MedQuist said working at home was a benefit, therefore at-home sm
employees did not receive as many benefits as those working in-house.  As I believe, it was something like at-home employees got 3 days off a year versus 10 days for the in-office employees -- WHAT?!!!  I told them it made no sense to me, since by working at home I was saving them money -- no need to provide office space, equipment, references, utilities, etc. -- yet I get shafted.  I was only part-time when they took over the previous company with their great policies, and I told them to kiss where I can't. 
Diskriter off off offshores - and on some hospital accounts - they have not informed the hospital
Jewish is the main hospital, St. Mary's is another hospital under their management. (nm)
First for hospital, then outsourced still on same hospital work
and believe it or not, the hospital was so much easier. Had worked at the hospital for 11 years before they outsourced and then worked another 3+ years for the company they outsourced to. What a difference! The company had so many rules and regulations you could hardly keep up with them all, thousands of them, on the same account, mind you. The higher ups would not leave you alone, constant IMs about any and all. I have gotten to the age where I do not need all that and walked the other week. Have scheduled testing with another hospital for this month. Hope I make the cut, love the hospital work 1000 times more than a company.
MQ versus others
Neither do I......
SE versus IC
I thought they were the same, so I guess I am the one with the missing brain cell!
IC versus SE

I know the SS differences between the 2 but can anyone tell me is there any real advantage of being an SE versus an IC?  Why did MQ do away with SE?  Do you think this will be growing trend with companies?

RN versus MT
Take the R.N. course. I wish I had taken it at an earlier age. You will have a job that you can depend on with good salary. Don't make the same mistake I made.

Good luck.
RN versus MT
So true!!!
SE versus IC - sm
If you got 8 cents as an SE, what do you think this would calculate to in line rate as an IC - 9 cents?  By this, I mean SE helps with your taxes but by how much would you estimate?  Anyone know? 
QA versus MT?

I was just offered a QA position.  If I accept the position, it will be my first QA job.  According to my calculations, I would only make about a dollar more an hour on average by staying a production MT than I would as QA with this particular company, who pays their QA staff by the hour.  I am wondering, is being offered QA anything like a promotion in the industry, or is it more of a lateral move/matter of preference?  Would love to hear opinions on pros and cons of QA  Thanks!

BS versus DQS
I have used them both and produce about 150 more lph on Bayscribe.
MDI versus MDI-MD
Would appreciate clarification - Are these the same company, the one located in Gaithersburg, Maryland? Thanks in advance.
MDI versus MDI-MD
Thank you for your response. Do you happen to know if the one in Maryland is the one that people generally refer to as a good company to work for and one that and does not send work out of the US?
MQ versus Webmedx
Been and done MQ...now at Webmedx and enjoying my job again. Nice to feel valued.
SE versus IC. I know there is s simple

but I'm a math retard.  If an SE made 10 cpl and an IC also made 10 cpl, and everything else were equal, then the SE is actually making more because half of the 15% social security tax is paid by the employer.  So the SE makes 7.5% more than the IC, correct?

Now here's where I'm a math retard.  If you take that 7.5% into account, what is the SE's *real* line rate?  Sure, it's still cpl but when you figure the employer is paying 7.5% of the taxes then does that make the line rate actually more like 10.75 cpl?  Or am I off on my math?

I have to agree with you that job hopping can look unprofessional. I have a bit of dilemma though: I am on my second job and either I stay and continue to be unhappy or risk a third try that may put me in a similar/worse situation. Here's the kicker though - My problem is not the company...it is my coworkers. I am discouraged by a lot of my fellow MTs' work ethic and the every-man-for-himself attitude. I don't mind sharing my normals with everyone. If it means they are more productive, helps them get more lines in and our account is in turn, why wouldn't I want to share? We have all been new to an account...why not be helpful and supportive? Here is the resume I would love to send out:

MT with 3 years experience in acute care; ESLs not a problem; reliable, will work the schedule YOU need, will be on time and stay for entire shift(imagine that); no children to bring to doctor/football practice/exhusbands house/school play; actually does research, has an extensive library of research books, and does not just toss a job to Quality dept for them to finish; NEVER cherrypicks or skips jobs; will not poach, working outside my schedule trying to get extra lines to pay for Xmas/kids braces/second mortgage, taking work from others; does not mind working over/extra when needed; does not have a endless stream of mysterious health problems - in fact, has only called in sick once in 3 years; recognizes the Quality department's value and that they are an essential part of the job I do; does not whine about hard dictators/OPS/ESLs/short reports/long reports; have taken Anatomy and Physiology courses in addition to initial training and still taking continuing education courses; sitting for CMT next month; helpful and supportive of my TEAM (for those of you who do not know, that is my coworkers and my employer); does not have constant, vague-sounding internet/phone/electricity problems that prevent me from working.

Here's a thought (not for the original poster, but for those the shoe fits) - how about thinking about what you have to offer a company instead of what you can get out of them? What do you bring to the table? Selfishness? Laziness? A baby hanging off of your hip, a slew of pathetic excuses, and a victim's attitude? No wonder you are not happy anywhere...you get what you give.

I will not send out that resume, obviously. Why? Because those types of MTs are everywhere. I cannot hope to find a place where none of that exists, not with the pool MTSOs have to pull from. Plus, it is not professional. The reason I did it here was to illustrate a point. People do not always job hop with the hope of improving their situation, many do it for bonuses or to find a place where they get the most and can do the least.

Want change? The responsibility for change and growth within this industry lies with the individual MTs.
IC versus Employee
As an IC, you can deduct at 100% all of your expenses.  An an employee, you can only deduct the amount that exceeds 2% of your gross income (if you are married and filing jointly, it is yours and your sponse's combined gross income).  In other words, if your joint combined gross income is $100,000, you can only deduct your expensed over $2000.  That is a huge amount to have to not include.  Check with any tax accountant or IRS regarding this.
Holidays versus PTO

I think it all depends on the amount of PTO that you accrue per pay period.  Some companies allow you to accrue more, but then you are expected to use your PTO for holidays.  Some may pay for holidays separately, but then you don't accrue as much PTO; it basically all balances out in the end.

IC versus employee

This is a muliple-part question--hoping someone here can help with some or all of them! 

1.  Does anyone have experience working for Shriners' Children's Hospital inhouse in Norcross, GA?  Many ESLs, how are working conditions, etc?

2.  I've been recently sent home from my small office practice (didn't volunteer!) and changed from transcription/med records clerk employee to IC; lost benefits. I think a little further on I'll have to get another inhouse job--remains to be seen if I can afford to live on this reduced income.  Does anyone have solutions regarding health insurance for self-employed, single people?  In my state an individual BCBS premium for someone my age is $300.00/month w/$250.00 deductible. (Yikes!)

3.  How to tweak my (hopefully) next interview to reflect that in my last job I was told basically I wasn't a good "fit" for the office, even though they were happy with my work quality and quantity?  In their opinion I didn't pitch in and answer phones quickly enough, schedule patients and take on copying duties cheerfully enough--in short, lacked a positive attitude, even though I DID do these extra duties politely. I'm nearly 60 years old--and don't do perky very well.  Should I just explain this last job didn't suit my skills and personality? 

Thanks for reading thus far--will appreciate your suggestions or input!



VR versus straight
Oh, I get pain 4cpl for VR.
VR versus typing
Do you make more money with straight typing or VR?  Just a poll.  I do both and seem to make more straight typing.  You would think VR would be quicker.
VR versus typing
I make WAYYYYYYYY more money typing that VR. There is no question about that at all. On one particular account that I do I can type almost as fast as he speaks so that is a great moneymaker, but even on my fast talking doctors there is no comparison to doing them in VR.

SPI versus MedQuist
I tested with SPI yesterday -- no word yet on the results, but keeping fingers crossed very tightly!  Anyway, got an E-mail from Medquist today but I see I lot of MTs complaining about running out of work and a high ESL range of doctors.  Is MedQuist a place I should avoid?  I haven't tested or applied yet -- just looking to get out of where I am working now.  Not enough lines and just generally unhappy there. Thanks for all of your input!  Was offered a job with DocuMed -- called to accept and was asked to type a few more files only to never hear from that company again.  I guess I did some free work as I heard that I was not alone.
MQ versus Webmedx
Can anyone compare the hourly line rates between MQ and Webmedx for me?  I'm usually around 250 and 300 per hour at MQ but want to find a company with a better reputation.  Just want to know an average of what anyone can type at Wedmedx per hour.
OSi versus DeVenture

Hi.  There used to be a lot of negative posts on here about OSi.  What are you guys' current opinion on it?

Here's what I'm really contemplating:  contacting DeVenture, who had offered me a job at around the same time that OSi did.  Here's why:  I got put in a program that would advance me to acute care kind of transcription.  It did, but now I have to type for about 10 hospitals, thus I never can get good--or a good line count--at any ONE hospital's transcription.  So--my cents-per-line rate in theory has gone up but there's no way I can make the kind of line counts I made when I was just doing clinic transcription.

Theoretically, I have a primary account, but there is never enough work on it.  That's why I get work from 9 other difficult accounts instead.

Anyone else having this type experience?

Thanks a lot-


MQ versus Webmedx
Anybody left MQ for Webmedx?  Just curious about how they treat MTs as compared to the Q.  I was also told they do not offshore - can anybody clarify?