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Serving Over 20,000 US Medical Transcriptionists

transhealth versus hourly

Posted By: Graham on 2005-10-26
In Reply to: TransHealth - Linda

I work for them currenlty and gave up my hourly job. I totaly regret it. My reasoning was saving gas since it was an inhouse job, but I totally regret it. Think hard before you decide to take that plunge.


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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.


HOURLY VERSUS PRODUCTION..sm

You point is well-taken.  But not all hourly hospital workers are 'slackers'.  (True about the petty office politics, though).  I spent years as MT in various big-city hospital settings, a lot on a contractural or 'temp' basis, and the client (hospital) usually made sure they got every penny's worth that they're paying out of you when they pay you to transcribe.  I had little time to slack off, as I saw so many of the other (non MTs) were able to do.


As for applauding production work over hourly work, the only advantage I see is that, transcribing for a national company, you're able to do it at home.  We forget about all the NONPAID work (but very profitable for companies) that virtually all MTs are required to do there (demographics, looking up names... Dr. ?*%#??...who??, studying account specifics ad nauseum, daily emails to/from management, QA, downtime).  I could go on and on, but my favorite peeve is the constant, unpaid BS about demographics, but often the 1st thing critized by both QA and the client hospital/dictator.


Hourly versus line
Do not give up your hourly job. I had an hourly job until about three weeks ago and then hospital outsourced and now working per line. Everyone is running out of work and we have to wait on reports to trickle through. We are not making anything like we used to and will have to take a second job just to make up for loss. We are all depressed and upset and as usual they have overstaffed, but they said they would not, but they have. If you like your job stick it out. At least you will know what your paycheck will be.
TransHealth pays hourly for training. nm
 
They have created a new position that pays hourly. Anyone know what the hourly rate range is? NM
xx
A combo hourly/incentive or straight hourly rate based on
A platform where MTs have had major input in developing it.

10 annual days of PTO, at average hourly rate.

Affordable, decent health insurance.

QA done by very experienced high-level MTs, with open and respectful communication between QA and the MTs.
Hourly?? Where does one get an hourly editing job?
I'm at 5 for VR/8.5 for straight typing.  I know we aren't to mention names, but I'm curious how hourly VR jobs are located. 
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?
not that...only hourly, no less than $14
x
What about QA? Looks like they pay hourly. nm
nm
I used to be hourly
Until Western Montana Clinic outsourced to TTS, then it went to line. I do think editing should be above 4 cpl though.
yes, hourly.......
I really had to look for it, and it is at home, to boot.
Yes! But not hourly...
Production pays VERY well when straight through the hospital. No muss, no fuss, if you know what I mean.
Hourly?
Yes I agree QA should be hourly pay. I am still wondering if QA is a step up as far as pay is concerned. I assume it would pay more on average, as you need to be proficient in all specialities/work types as well as having extensive experience with ESLs, difficult dictators, etc.
Do they pay hourly for QA?
Is this the company that requires you to pay for something before you can start? If so, what is it that you have to pay for and how much is it?

Hourly QA
Medquist and Sten-Tel do.
Hourly pay
So, if you work a 4-hour shift, do you get paid $15.00 an hour regardless of the amount of work available?  If not, then how do they determine how many hours you worked?
Do they pay QA hourly there?

Hourly...
I, too, make $25-$30 an hour. I have a treo of neurologists and do law enforcement & parole board hearings... I think the key is getting away from the MTSO's and getting private practice accounts...
Not hourly
They pay 0.05 a line - no hourly wage - if you ask Matt in HR, he will tell you that what you read online about the free books, the free foot pedal, sign on bonus and hourly wage - it was all a typo.
VR pay- HOURLY
HOURLY. At a hospital that gives a rip about dedicated, quality oriented MTs, with numerous documented templates and has the best Dictaphone has developed.
Hourly Pay
It is all true, I used to work for them.  Weekly check, hourly pay, not a problem and always on time.
Its an hourly job
that is posted, not a cpl job. Apparenlty, Premiere Office Solutions has mostly hourly positions.
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?


MT VERSUS MTSO
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-


CC


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?
MD-IT versus Amphio
Has anybody got any feedback on MD-IT.  I am considering an offer from them and also from Amphion.  I've heard some not so positive things about Amphion and was wondering if anybody knew anything about MD-IT....
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Made the change and can't believe the difference.  I knew there had to be a better company, couldn't have been worse, and boy am I glad I made this change!
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.
MQ versus Webmedx
I am wondering if anyone has left MQ for webmedx.  Is it any better there.  Another question, webmedx does not supply an Expander with their program, or am I confused.  Just looking for anyone that might have switched and how they are doing with webmedx.  Thanks!
US versus India
I have to agree, the qualityof the India MTs has been superior in many instances and some of the people who claim hey have 10-20 years experience must be flat out lying.  I have seen lap coli in reports..in a urology report the patient is impudent, it is embarrassing to say the least.
Indian MTs versus US MTs sm
I QA'd Indian work for about a year and a half and for the particular ones I QA'd, they did not seem to grasp feedback. The same errors by the same MTs would come across again and again. Additionally, please remembers that most of the Indian MTs are sent to cream of the crop dictators and all that is left for the US MTs are all the crap. That combined with low rates, they try to do as much as they can to try to make money and pay the bills. Just my opinion; please don't flame!