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Does anyone have any good, realistic advice for working on 60 different accounts!?...(exaggeration)

Posted By: losinglinesMT on 2005-08-30
In Reply to:

but I am really getting frustrated.  I left a company who bumped me off my ERs (which I did for over a year and were my 'bread-and-butter', and the more I complained or asked about it, the worst dictation I got, etc.  This was a change of management in which that company went down-hill fast, anyway, as far as the treatment of MTs. 


so I left, and now at the 'new' company I am still doing 5, 6 accounts.  Forget ERs, I am told. 


the question is, I am working on so many accounts, and even accounts with different management, different QA.  I am embarrassed to mention I just did a report using the SPECS FROM THE WRONG ACCOUNT.  Luckily, I had sent the report to QA, but I get a note from the QA like 'read the specs' (stupid) is how it sounded.  Yeah, I did, but for the wrong account. 


these companies do not see how making people work on so many accounts is going to be huge negative for them in the long-run.  they risk mistakes like this, not me. 


how does one keep it all straight, and why do we have to?  the only people who are having success, are people who will take any kind of abuse, it seems, and are just making the best of it.  does that mean only the aggressive will survive in this business? this gets more ridiculous all the time. 


not to mention, pay and money - LIVELIHOOD - severely diminishes the second week of pay-week.  anyone else notice that?  first week I am flying on the primary, second week in I am like getting scraps, working on 4, 5,6 accounts - there goes all I worked for in the first week. 


so these ladies typing 300+ lines/hour and making $50 thou a year, like so many boast on here, how,where, when ????  I am not getting it, and I am a 99-100% quality MT, working 35 hours/week.  every company I have worked with, my paycheck is totally dependent on the manager, period. 




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She asked for advice and that is realistic
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Be realistic! A newbie, fresh out school, no experience whatsoever cannot expect to get accounts

on her own and definitely cannot expect to earn $50k! 


EMR is coming whether you like it not and whether your doctors are older or not.  Eventually the older doctors will retire and the new generation coming out of medical school are products of this technological age.  There is no stopping it.


You have a good, realistic attitude about it. Good luck to you. nm
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Advice on starting up own accounts.... sm msg

I have my biz cards ready to go.  I have my letter partially ready to go, with sticky notes that I’ve designed as a promotional giveaway to insert into my packets.  I need some advice/suggestions for startup.  If I get ‘that’ call and the customer wants digital rather than tapes, who pays for the handhelds?  Do you all use an FTP site for return of documents, or some other way?  What wav player do you suggest or use that works for you?  I’ve tried GearPlayer, the trial download, which is very nice.  I have had a lot of trouble with Express Scribe, so that is out.  The audio skips and is just overall very bad.  I have never had good luck with Express Scribe.     


   


Either their own accounts (i.e. not working for someone else) - sm
or they are very, very lucky. I have 5 years exp. and make .09 (w/o spaces though) so it is really about .0775 which is not so wonderful. I am alway looking for something better. I have seen a few that pay well at .10 but they are very hard accounts. You might get paid more but believe me you will earn every penny and probably end up making about the same amount of money you were before due to the difficulty of the account. There are not too many that pay well, probably the small MTSO with less overhead, etc. can and does pay better (granted not all do) but the smaller the company the better off you usually are.
$40K working PT, own accounts.
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Question about working on Hospital accounts
I have over 5 years of experience unfortunately it is all clinic experience. Are there any companies that will hire a Transcriptionist with this much experience but not in the Acute Care field? I really would like to start doing those types of transcription. Any advice would be appreciated.

Thank you.
Advice from MTs working two jobs - sm
I am looking to take a part-time position with another company and was wondering if anyone who already does this had any tips on how to get "organized".  I have a choice of days and times, and have tentatively selected a day and time that work is slower at my full time company, so I hope that all goes smoothly, but would appreciate any input from others.  TIA.
Not all accounts are good accounts. One
That should not be the case. Sounds like you need new accountant with strong knowledge of IC deduction.  We save a several thousand on what we pay in taxes based on what I can deduct as at home IC, $2000 off the top for what I pay my child to help with office chores, as an example.  The measly 7.xx% I pay that an employer would pay is well worth my independence in being my own boss.  
Where did all the good accounts go?
To India.
LOL, and the good accounts are all taken by favorites (sm)
but they are always looking for experienced MTs for the bad accounts.
Good accounts are given to their buddies,
the ones who can do the hard accounts will never be allowed on anything but a harder account. And, of course, the ones on the easier accounts get raises and praises because they can get so much work done. Then there are those MTSO who give their buddies the accounts that use a lot of normals or work types that produce a much higher line rate.

It is much more prevalent in smaller companies that the really big ones, or in those companies that started small and knew their MTs personally.
Good accounts are going overseas
How ironic!
Good way to keep her accounts. SOMEONE has to read this stuff over
EVERYONE makes mistakes.
Bad. Good pay, but bad accounts and rude people
stay away IMO
Good accounts and plenty of work. sm
PT line count is 6000 per pay period; FT is 12000. 
Very good advice! NM
..
Good advice! nm
x
this is very good advice
Embarrassment and nips it in the bud.  When this first started I was so dumbfounded that I didn't know what to do or say, but I find myself not going over there at all and unhappy so I need to take control.  Hopefully it won't happen since big mouth brought it to his attention, but if it does, I will force myself to quickly say something within moms earshot.  Thanks for the advice.
Very good advice
nm
Need some good advice, please

 I'm looking for an Internet-based software for my home MT service, one that can be accessed from any web browser, can e-sign, auto fax, let the docs' referring physicians go to the site, log in and read their patients' reports, and offer a complete accounting of lines charged on a daily, weekly, monthly, etc., basis.  Also software that will allow the doctors to search transcripts by any criteria; i.e, patient name, their date of office visit, names of meds prescribed, and the like.  Also, one that could also be integrated into EMR without any problem in the future.


Does anyone have any good ideas? 


Also, any idea of the intitial outlay and the per-line charge the vendor would charge on the average?


Finally, I'd be very interested in reading about the type of software you currently use and if you and your clients are happy with it.


Thank you much.


Britta in Las Vegas


Good advice!
I don't exactly time myself on how long I try before leaving a blank but I would say I never spend more than 3 minutes either.  I would think though that 3 minutes would certainly be enough time for anyone to spend, more than that would be a waste of time IMO.
This is such good advice! Thank you.
I am on the Climara patch - low dose. Sleep deprivation was making it very difficult to get through the work day and so, I really had no choice. I promised myself yearsd ago I would not be sad due to aging and really, I had a wonderful time as a young woman. The physical symptoms, though, I never expected to be so difficult. It is like being slapped up side the head with a 2 x 4 when you least expect it.


That's good advice. I like that. :) (nm)
x
Good advice
And exactly what the OP apparently wants someone else to do for her and spoonfeed her the results. She declared she didn't have the "patience" to read all the posts, so it is unlikely that she will follow your advice.
Need some good advice, please...

There's a very large insurance company here in Boston that wants me to handle their transcription - very little medical terminology, and the typing would be pretty darn simple.  The head of the company seems like a really nice, down-to-earth guy; the work will be plentiful; and there would also be an opportunity to get in with other branches of the company as well doing their offices' transcription.


I know as an IC we are to set the rates, and I normally charge on a per-line basis; however, they are adamant about paying a per-page charge - currently pay $2.50 per page now to a service they detest.


What do you feel is a fair per-page rate to charge them?  I really want to be fair, but I use an Internet-based platform that charges me 1.5 cents 65 cpl.


Any and all suggestions are welcome, and thank you so very much!   


 


good advice

I'll just keeping trudging along. Learning and living.


That's some good advice
there.


all good advice
You have already gotten some good advice and I agree with all of it. You should not make a hasty and impulsive decision about your marriage, certainly. But as one who spent 15 years in an emotionally and eventually physically abusive marriage because I went to a church that "didn't believe" in divorce, let me just say, if you do eventually make a rational decision to go, don't let what others think even be part of the decision. I still get lots of criticism and judgment from so-called Christians about my decision, but my children and I have never been any better off than we are now.
always such GOOD advice!

...they will pay your average pay for term of contract.....


Okay, Patti -- fess up.  What's your web site or fan club address?


Administrator -- We need to give Patti her own board!!! 


That was good advice
This post offered some great advice! I'd do that until I was sure I liked my new company better. Also, the advice someone else gave about searching the company board for positive and negative comments about the new company was good. You may feel a little bit overworked for a short while, but it shouldn't take you too long to know if you like your new job. Best to you!
that's good advice, too
I would stay at the current job, take the paid maternity leave (making sure, as the last poster said, that you can quit after it with no repercussions) and find something during your leave that you can take your time to work into.

All 4 of my kids were born with me working at home, and that includes the middle 2 being twins. It worked for me. Some babies are very easy to work with and others are very hard. I guess you can't really know until they are born. I switched companies when I was 4 months pregnant with my last one and I was worried about that, but it did give me time to get used to the new company before adding the baby and getting used to two new things at once, so think about that, too.
Does anyone know any good advice on how to
get rid of Office 97 when installing Editscript? If Editscript finds traces of Office 97, it won't install.  I have talked with Escription and they gave me links to download Office registry removal and that didn't work.  Thanks
Good advice
A very nice, generous, and helpful post. Great advice about going over the nasty supervisor's head--nobody should have to be verbally demeaned on the job--no matter how many years a supervisor has. (Congrats on in-house & good luck)
That's good advice. Thanks.
no message.
Good advice - nm
nm
Good advice - nm
nm
Good advice - nm
nm
Good advice - nm
nm
No insight but good advice....sm
.... get to a doctor now!  Better safe than sorry.
Good advice. I'm new to this area, and still sm
don't have enough phone books. The nearest Wal-Mart is 15 miles away, so I'm kinda limited as to resources. I will check to see if there is a bike store in the next "big town" (20 miles away). Thanks!!

Very good advice from 'Been there done that.'

I think this advice is great.  Maintain your professionalism and integrity.  You are worth 14 cents a line.  I also live in the Northeast and charge 13 cents a line for a psych account, which is very easy, but if I were doing family practice, I would probably charge 15 cents per line, as that is what the other MTs in my local area charge.  Good, quality, dependable service is hard to find.  I think they will be back.  Get out there and market yourself and find another account.  You’ll be fine. 


Lynn


Starting over you have a lot of good advice below on..sm
your situation. I must say I do feel for you and wish you all the best. Take care of yourself and those children first. That is most important and I will most certainly be thinking about you and saying a prayer or two. Take your time and do whatever you have to in order to make a safe and happy life for yourself and those children. Bless you and wishing you happiness.
Good advice Mandi...thanks...nm
nm
Good advice Dreamweaver! When my
computer starting "biting the dust" about a month or 2 ago, I panicked and bought a new one with Vista. I had to wait until Express Scribe was updated, which was about 2 weeks or so, one of the companies I worked for had to do a fix, and I just startes with a new company on Tuesday, and I was just on the phone with the IT guy for about 30 minutes with him doing a fix for Vista! I have a cousin and a friend who can rebuild computers, but I though buying a brand new one was a better idea HAHA
This is good advice. I had the same question - sm
last year when I changed jobs. Found out that a pre-existing condition could have made new insurance more expensive, or even harder to get. So painful as it was financially, I got COBRA. As it turned out, I'm glad I did, because during that waiting period I got a really bad ear infection - so bad that I was basically deaf. It took a long time and lots of antibiotics to clear up, but I couldn't have afforded the care without COBRA, and might have damaged my hearing, which is not a good thing for an MT to lose!
Very good advice, RadMT! nm
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That is very good advice - and less likely to get you in trouble!
After all, that's what the QA people are there for. If we didn't make mistakes and leave blanks, they'd be working at Wal-Mart.
Well, you should. She gave you good advice.
If you don't like the contract, move on and find one you do like. Like Patti, as a business owner, I've heard a lot of things and if you don't put even the smallest things in writing, there's going to be someone out there who will take advantage of trust. Sorry if you don't like it, but that's what it's come to--and not just in the MT business. Check your next loan contract, service contract or sales agreement.
Thanks for all the replies...VERY good advice...NM
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Call Jacy. She gives good advice,
:+