What companies do have 24-hour TAT?

• lack of work - worklag
  • lack of work - worklag
  • Like the OP, I made sure my "second" job... - anotherMT
    • What companies do have 24-hour TAT? - TIA - NM
      • New England Medical Transcription. NM - anotherMT
      • MDI-MD, not sure of others - NM
  • I only take jobs that (sm) - midwestMT
    • While I realize we all need a Plan B, I mean... - giddy pc guru
      • I would like to get the heck OUT OF THE HOUSE. - I'm really losing it. :)
      • I'm going to break out of the mold (sm) - midwestMT

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Please explain this to me.  I am not new and not naive, but I really would like someone, preferably an MTSO, to answer a simple question for me.

Why is it that QA, for most MTSOs, still get paid by the hour, but VR gets paid by the line?  Are they not basically the same thing? 

Am I wrong? 

Would you prefer a higher cpl for Editing VR or an hourly wage for Editing VR? 

Before VR, the MT would type the report and leave blanks for words/phrases the MT could not understand.  Those already typed reports would go to QA so that another ear could try to decipher the blank and send a nearly 100% correct report to the client.  QA was always paid by the hour because the reports they worked on ranged from one blank to fill in and little listening to the voice file required, all the way to listening to the entire voice file and practically retyping the entire report for a newbie Transcriptionist or a totally unintelligible ESL dictator.   Now, doing VR, the “Editor” receives (supposedly) already typed reports.  The Editor then has to listen to the entire voice file, and sometimes there are very few changes, while at other times, the entire report gets thrown out and typed from scratch. 

Also, I think VR is dangerous when paid by the line.  As every MT has been told since transcription began, “if you leave a blank, DO NOT leave a sounds-like word – just leave the blank.”  Everyone knows that if the Editor is not really paying close attention, the word typed on the page can look/sound “reasonable” when compared to what is heard because the suggestion is there that the word is correct.  If there is a list of Diagnoses or medications with no context of what symptoms and past history the patient has, it is very easy to assume what has been typed is correct, whereas, if no suggestion was made, the MT/Editor may hear something different.  There is not an MT on earth that has not raged against QA because QA changed something that the MT swore they heard right and typed right the first time.  I vividly recall nearly being fired for insubordination because I was livid with one QA.  It was an ESL dictator doing a discharge summary.  The patient was on over 20 different medications.  I heard and typed “q. day.”  The QA heard “q.d.”  The account specifics stated that “q. day” was to be typed as is, but “q.d.” was to be changed to “daily.”  No change in content, but I was assessed an error for each and every change QA made because of “not following account specifics.”  Do you think an Editor making 3 or 4 cents a line cares if the dictator is saying “q. day” or “q.d.” and will bother to change that, whether or not the account specifics requires verbatim transcription.  There are many words that sound similar that a tired or stressed Editor will skip over because it sounds/looks acceptable.  Unfortunately, there are also probably whole paragraphs that get little scrutiny because the Editor is trying to get their lines done to avoid losing benefits.  I would never say these Editors are trying to get paid for not doing their jobs, it is just physically difficult to concentrate for extended periods of time at the same intensity, and unintentional errors do get by.  Again, we have all probably run across finished reports in medical records with blatant errors that we swear would never get by us but which the MT who transcribed it felt they gave 100% of their effort and produced a 100% accurate report.  None of us intentionally would send back to a client a report full of errors, but it does happen.    

If QA can be paid by the hour for doing the same thing, isn’t it more equitable to go back to paying MT/Editors by the hour?  The way things are now, everyone is stressed because they are afraid they won’t make enough lines to pay the bills or keep insurance.  Of course, there would be minimum editing lines per week, just like QA has to prevent Editors from taking their sweet time, but I think the MTSOs would benefit also because they would also have a more definite payroll month after month.   When I worked in-house and was paid by the hour, I never had that stress.  If I had a few really bad days with impossible ESL dictators, I knew it would not hurt me.  I guess I am not competitive, so I do not care if I type 400 lines an hour or edit 1000 lines an hour in order to make a $10 a day bonus.  I just want a decent paycheck that I can count on month after month. 

What is your opinion?  Would you prefer a higher cpl for Editing VR or an hourly wage for Editing VR? 

I know it has been has been posted here before, but I can't seem to find it. Is there a list of companies that have a 24-hour turnaround time for getting work back?

Also, a list of companies that use ExText or train on speech recognition? Thanks.

I would like to know what companies offer a 12-hour window.  I ask if anyone that knows of any will please let me know.

Thank you so much for your time,

Ada

I know this has probably been asked before, but I'd like to know of some companies alow 8 hours of work within a 10- to 12-hour window?  I don't mind punching in and out, I just can't sit for 8 hours nonstop and produce like I need to.  I know other factors are important, but I think that's where I'm going to start this time.   BTW, no need to offer up MQ.  I work for them PT, just need a good FT right now.  Thanks!

I am wondering if there are any companies that let you work anytime you want as long as you get your daily or weekly line count in?  Thanks....

I have many, many years experienced and was just told a little while back, even though I am an IC, that I have to have a set schedule...And I am struggling to follow the set schedule due to family illness....

Any suggestions would be greatly appreciated!

Anyone know of a service that pays by the hour for full-time and lets you work at home?

We actually have 48-hour TAT.  I work for a local cardiology group in my area.  We can work whenever we want as long as the work gets done within that amount of time.  We can work weekends to make up for time during the week, etc..  That is the main reason I hate to give up my job.  I could make a little more elsewhere, but I prefer the flexibility.

but this seems low to me.  I was just wondering what the range was in different states or this would be the normal range for this position.  Thanks.

Making at least that hourly, plus 7 cpl, plus employee status (PTO, holidays, blah blah blah.)

Doesn't sound like I'm getting that raw of a deal.