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Serving Over 20,000 US Medical Transcriptionists

you would live in a security compound with all Americans around you...sm

Posted By: lara on 2009-09-12
In Reply to: I doubt anyone that goes to work in Saudi - Arabia would be "free as a bird".

not in the Arabian desert on a camel!

Read the manual!



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what you say about life in the compound is right, but ...sm
not exactly about dogs.
Dogs are considered, according to the Koran, unclean animals, but people in the Middle East would never eat dogs, eeeewww!

The far eastern peoples do this, so I have heard, Korean, maybe also Chinese, but not the Middle Eastern people.

Living in a "security compound". Now that
.
I don't know where you live but where I live foreclosures are rising and there are no jobs -- non
I worried about my employer for part of the winter as my accounts grew sparse. I had plan to switch to being an employee with benefits but dared not make the switch in this economy (this was last year this time, got it?)
I figured keeping my seniority was worth whatever security it afforded.

My accounts have rebounded some and I can pay my bills.

By economizing seriously, I have paid off my credit card and put some money aside, just in case. I'm breathing easier, thanks.

So, all in all, I'm not complaining. This last winter was brutal, but I had a job and I paid my bills. When employment rebounds and/or national health goes into effect, people will go to the doctor again and we will be busy.

My part of the world is like a ghost town -- everyone who could left to find work in the city -- many apparently leaving their homes to the banks. Several houses in my vicinity have been on the market more than 4 years.

Forgive me my loyalty ... it pays the bills.

What does yelling at the rest of us do for you?
AMERICANS NEED TO KNOW
Agree with you wholeheartedly. Need to start making Senior Citizens and Boomers aware. Go to AARP and scream about it. We need to find out the best way to make Seniors aware of all the facts, especially in places like FL - they have a huge voting block. Any suggestions on ways to do this, ways that we can all help?????
Americans are bad too
Here is the problem. If American MTs were perfect there would be no competition. I've edited Indians and Americans and some Americans are great!!! But some are just as bad as Indians.
So why shouldn't the MTSO outsource, pay an Editor to clean the mess and keep the change. I don't agree with it but that's the way it is. I think it's horrible. The pay should be better for the good Americans, that's all.
Any MT Companies that have only Americans?
Any companies in the US that hire and keep their American workers and do not outsource to India?  How about Spheris?  Anything?
not sure of the exact # but there are more Indians than Americans
nm
Indian MTs also pay much less to take the test than Americans do. nm
x
It is a violation of the Americans with Disabilities Act
to ask any health or disability-related questions (including to see your medical records) until a definite, firm offer has been MADE. If this occurring, I would recommend the person it is happening to call any disability rights lawyer, who would take it in a heartbeat.
I think you are right, but if us Americans jumped ship as soon as
it gets rocky, they would sink, but we hang on and on and wait for it to get better and then it doe not!
I have heard that some savvy Americans are moving
.
If Americans are a little thin-skinned and anxious right now, (sm)
it's certainly not without good reason! All of us, either directly or indirectly, have been affected by offshoring of ALL American work.
I am American. Are you helping Americans get jobs? nm
x
Americans have been working in Saudi Arabia
for a very very long time. Where you been?


Americans edit Indian work, never Indians
I was asked to sign something that said I would not tell that I edited Indian work. I would not sign that. Indians cannot edit Indian work.
duh
Americans have to do it.
American, yes I guess we still count southern as Americans
Just to let you know, doing grammar or spelling policing here can get you tossed off. Not being ugly, just knowing.
Focus Infomatics uses Indians to edit Americans' work
They do make mistakes. But if you point it out to them, at least they are willing to learn, they don't get all huffy like Americans do, and the Americans should have better grammar, etc. in the first place!
Toyota factories are in the U.S. and hire a large % of americans, my sibling works in ...sm
motor assembly division, and has never worked for a more respecting, generous and thoughtful company. Anyone who thinks buying a Toyota makes them guilty of buying a foreign made car, this is certainly not true now days!  They are right here in the US and have one of the most dependable, long-lasting vehicle on the road. I think your analogy was a little off-base with all due respect.  Have a good day!
By chance, are these people calling "non-Americans" I worked for a company
who shall remain nameless but their supervisors were in India and would IM me constantly to do a STAT. Even though, I would try tellin them I was not working that day or that I was going somewhere. They continued to ask. It was bizarre. I kept think, what part of English DONT you understand..NO..I thought meant the same everywhere. They are just the only poeple I have dealt with that just doesnt comprehend rejection of any sort, but that's just me.
NO job security
Well, I can add a little more information about Interpro. I signed on to work, as usual, on this particular day, second shift and had an instant message waiting for me that said, "I sent you an email. Please read ASAP!"...it was a letter telling me that as an IC, I no longer had a job as of IMMEDIATELY and that they were phasing out the ICs in the company. I've never, ever lost a job in my life! What's more, the team I was on had gotten along great...one big happy family....that worked their rear off!!! I've seen these gals work over 16 hours a day to get the work out. I worked on a great team. Those ladies were great! They worked their rear off and for what? They never talked to you like you were stupid or beneath them. They were real, real people! They were awesome bosses! Sorry you new folks won't have the experience of working for them. This company needs to learn to appreciate their workers. Hey Interpro, the majority of your workers actually DO work and should NOT be treated as just a production number in the computer or as a pile of crap. I'm not there anymore, and that's fine. But Nandan needs to wake up and see what's going on in his company. It was much, much better before, Nandan!!! You made big major administrative changes in the last month and it is ruining your company...and just for the record, they do send work to India. I certainly miss the folks I worked with, but I don't miss the company itself.

Security fob - sm
Do you find that to be terribly inconvenient, i.e., does it interfere with your production at all in your opinion?  I tired to use one with one job, and while I wasn't with this job very long, I strongly disliked it LOL.
Me too. Also, job security to the MTs
My son's pediatrician and my own doctor have English as their second language and I would bet my life and my son's life on both of them. They are wonderful people. Both of them said they would love for me to tanscribe for them, too, if they did not have their own service. I guess we all get to do in life what we are destined to do. I do see these so-called ESLs as people who provide great care and honestly I have transcribed for so long, I don't even blink at who is dictating. It is the dictator in any language who disrepects the medical record by misspeaking terminology or just plain disrespects the Transcriptionist in that they think we read their minds that I think less of, in which case I leave a blank. They can fill it in, and read their own mind. LOL.
What do all you IC's do about Social Security? (sm)
I see all these good-paying jobs for Independent Contractors, but wondered what do you do about paying your social security??
Extra job security, anybody do this?
I recently took on another job, this one part-time.  I had been working for several months for a company that was constantly running out of work.  This way I can always be sure there will be work in one place or other.  I think in these economic times we have to protect ourselves.  Anybody else do this?  How does it work for you?
False security...DUH !

The email address isn't what they check; any dummy can use a false name.  IP address and computer MAC address is what they check.


No anonymity.


How do you NOT have to pay Social Security??
x
Work 3 - like the security - cm
I am an IC for a doctor working about 6 hours a week.

I am an IC for a small service about 15 hours a week.

Lastly, I work as an IC at a midsize service to cover the rest of my income.

My preference would be to have 2 income sources instead of 3 as I don't really make *more* this way; however, the job security is better this way. I can always move work around to cover when I have less work from another source. I can't afford slack paychecks as I am a single mom with no CS.

I like that I am doing clinic work and acute care work so I don't get pegged into one hole and lose marketability. I also like the extreme flexibility in that I can do the work any time during the day and not be tied to a clock.
It depends on where you live. If you live in their
service area it would be cheaper than outside their service area.   I only have rates for out of service area and medical is  139.13 for family or 168.42 depending on what plan you choose.  Dental is 20.85 for family, vision is 5.13.  These are per pay period. 

Individual coverage would be 44.79/54.21 medical, 7.99 dental, and 1.71 vision.  

I opted out of insurance as we have through my husband's job.  I believe  the cheaper insurance is a 70/30 plan and the more expensive an 80/20, not sure about co-pays.  Deductibles are $2000 for family, not sure about individual.
It is a matter of security not personal. nm
nm
Self-employment tax IS Social Security...
As an IC you pay it all, rather than when working as an employee and paying half with the employer paying the other half.
Does Keystrokes use a security fob for their accounts? nm
xx
What about violation of Homeland Security
They have all our personal information over there where it isn't safe. I was told of an Indian that was doing AIDs patients, got mad, printed their information, and sent their reports to family members....Go outsourcing!!! If my doctors outsource I won't go to them anymore. Ask before you go...
Social Security & Medicare
Here's the scoop: As an IC, you are responsible for all 15.3% of your combined social security (12.4%) and medicare taxes (2.9%).

As a statutory MT or a full employee, the MTSO will pay half, or 7.65%, of your social security and medicare taxes. It is only as an IC or statutory that you are able to fully deduct your home office-related expenses on your tax return. I think an employee can only take SOME of the home-office write-offs, but I am not sure which ones.

Also of note is that only the first $92,000 of your income is subject to the SS and MC taxes (not that many of us make this much, but it's good to know!) However, you are only required to report your income if you made over $400 that year.

When you file your federal taxes at the end of the year, you will have to pay a self-employment tax which is what takes care of your SS and MC taxes.

If you expect to OWE more than $1000 in self-employment taxes at the end of the year, then you will actually need to make quarterly estimated tax payments or risk paying a penalty fee when you file annually. To compute that, I believe that you would owe more than $1000 in self-employment taxes if your taxable income is more than $6500 per year (which hopefully includes nearly all of us!).

If you can find a company who will treat you as an IC (not binding you to specific schedules, etc) yet will hire you to a statutory position, then this, in my opinion, is the way to go.

For instance, I currently work for two companies, one as an IC and one as statutory. They both pay me the same per line, but since the statutory one also pays half of my SS and MC taxes, it's like taking my line count and adding 7.65% to it!

You may ask why I don't just go full-time with the statutory--the answer is this: My IC account has a lot of standards, so I actually make about the same, if not more, even after I consider the fact that I am responsible for all of my taxes for income made with this account.

Hope this helps to answer some of your questions!
Everyone has to pay 15% for social security; however, for employees
7.5% is paid by the employer (by law) and 7.5% by the employee. Self employed - contractors - must pay the full amount themselves.
IC versus employee - job security

Which status affords more job security with a company?  Working as IC now and love the account and the company.  I really want to ensure a long future with the company, so wouldn't going PT employee status be the obvious choice over remaining IC?  I understand the pay is a bit lower but is one really more advantageous than the other.  I do not need benefits currently; however, they do offer a 401K program for their PT employees.  Thanks for any input.


Employee status = more security
There is an investment by the employer toward an employee through their unemployment insurance, all the recruiting and hiring costs, etc. As well, employers are bound by several state and federal regulations on interacting with employees.

A contract with an IC usually has a quit clause in it and, even if it doesn't, most ICs do not have the money to battle legally about a contract that was annulled. Easily broken.


It's about Nat'l Security, not bashing India
I have posted this before. It's not that American MTs are scapegoating India or Indian MTs.

Are 1st concern is with NATIONAL SECURITY. Some of our MTSO do transcribe for V.A. Hospitals (and 1 brave MT did whistle blow on Medquist for doing this).

I'm not against nation building; however, how is it that India and Pakistan have billions for nuclear weapons, BUT can't feed their people???

And, why do their top 1-10% of their educated, the Brahmans, ABANDON their country the 1st chance they get, and leave their country with a BRAIN DRAIN?

This situation is like Mexico in reverse. We get Mexico's uneducated and poor AND India's best and brightest.

These respective country's government MUST do better for their OWN PEOPLE!
It is not a matter of national security......

First: It's one thing to know whether I have HBO or Cinemax, quite another to know those in the US Armed Forces could have INTIMATE details of their H&Ps, operative and rehab reports, their addresses and phone numbers, and those of their loved ones, in an Indian or Pakistani file server.


------^ This information is easily available.  Again, you think your job as an MT is more important than it really is.

Second: Why didn't you answer why India and Pakistan spend billions on nuclear weapons, BUT their people are STARVING? (whose being racists and cruel here?)


------^ Last I heard, the United States was helping Pakistan.  Did you forget about that?

Lastly, the U.S. and Canada have OFFICIAL border, trade and protection treaties to protect each other, as they do now, having multi-nat'l forces in Iraq and Afghanistan. This is not the case with either India or Pakistan.


------^ Who cares!  So, you believe your medical record is safer in Canada than in India?  Why exactly is that?  What makes an Indian more likely to misuse your information than a Candian?  Please answer that question?

Musharef can't even get OBL in the Pakistani mountains because tribes are protecting him there!!!


-------^  And what exactly does this have to do with anyone's medical record?  Why don't you first ask President Bush why the US has not captured OBL? 

Now, tell me who is RACIST???!!!


-------^ ASK YOURSELF THAT QUESTION!!!!


Cleaning up garbage is job security? nm
nm
2005 MW Social Security Statement

Thank you very much for alerting us to this. 


I am ex-MW employee.  I too am going to report MW as my 2005 SS statement was not reported.  I hope they are FULLY investigated.


I am going to call SS in the morning.  Who should I notify in the Department of Labor?


I also did not have my state taxes taken out by MW, but I was required to pay my state taxes as if I were an IC in my state, even though I was an employee in this company. 


UMM, if you follow Workstation Security Policy you can.
Please refer to this document.  If you land a private account, understand and follow all HIPAA guidelines, write up a confidentiality policy that you follow for the clinic, sign it, give them a copy for their records and keep a copy, copy and complete for each clinic the Workstation Security Policy, sign it and have the clinic sign it.  Never let anyone use your work computer and hopefully have a private office.  Store all records safely and shred all documents with PHI on them that you print. 
Taken directly from social security web site
I am full retirement age (FRA) and still working; do I report my earnings to Social Security?

Question
I am full retirement age and still working. Do I have to report my earnings to Social Security?


Answer
When you reach full retirement age you no longer need to report your earnings to Social Security.

You do, however, need to report earnings for those months in the calendar year before the month you reach full retirement age. For example, if you reach it in May, you would need to report your earnings for the four earlier months.

The law also changed the annual earnings limit for workers who reach full retirement age during the year. During those months before you reach full retirement age, your benefits would be reduced $1 for each $3 you earned over the limit which is $37,680 in 2009 and $36,120 in 2008.



Most of the time it is for security reasons. We do work for 4 hospitals sm
and 3 of them want us to take someone off the account immediately when someone gives notice. This is their in-house policy as well with any staff member with access to medical or financial records.
While there are tax savings remember you must pay the full 15% of social security
And not 7% portion with your employer patient the other 7%. There are lots of deductions true, but those social security taxers are the killer.
Oh no. Also check to see if your tax deductions (fed, state, social security) were
nm
Medware employees, please check your Social Security statement
I worked for MW in 2005 and just got my annual Social Security statement.  It has a big fat zero for my 2005 earnings.  They also withheld 10% of my salary (at my request) for 401(k) account, but that account also had a zero balance.  I reported that to Dept. of Labor and have now notified SS.  Please be aware and check, take care of yourselves because they sure will not do it for you.
I'd do it in a heartbeat. You'll never beat a hospital's benefits or job security.

I like the idea of going to my job every day, doing it well, and being done with it. You are not penalized pay-wise if you dont happen to meet your line count and the incentives are nice. I'd say jump from that sinking ship and jump aboard job security.


Here Here!!! I just called the Social Security office to apply for benefits, and somebody is already
They needed and had my medical records to do this.!
retiring from Spheris? Gonna get retirement pay from them or Social Security? nm
.
since I didn't pay into social security as an IC, I started a retirement plan to cover me.
x
I work for 2 … gives a little bit of security for those "run out of work" times. nm