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Serving Over 20,000 US Medical Transcriptionists

14.5 cpl National, 16.0 cpl small MTSO

Posted By: calimt on 2005-07-22
In Reply to: Transcriptionists with years of experience - question for you - *Just in case

Happy, both accounts are California accounts which is a higher pay!!!!


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Small national
Try - www.milnertranscriptionservices.com
Small national companies
I'm trying to find a new company and it is way more involved than I thought.  Earlier I asked about larger companies.  What are some of the smaller companies that people work for, say not more than 200 MTs??  Thanks for your replies!!
Should I go from national to small company?

Hello. I am sure many have asked this same thing before, just looking for a rooting section to feel better about this.  I currently work for a national.  With many changes, not feeling like a person, production sinking, morale gone, on and on and on... I decided to seek PT position with a smaller company.  So, I found a second company.  They are small, but growing. The director is a former MT.  They currently have about 100 MTs. The pay is very standard at 8 cents.  Their platform is slowing me down a bit, but they say they are working on upgradiing it.  Their communication and personal attention to me has been excellent.  I have 1 dictator. I see what work is coming in and have 20 hours to get it done. 


Is the small company too good to be true?  Being burnt from national, I am finding it hard to grasp that this really could be this good.  sure, the pay isn't as great..it is an IC position, rather than employee...but I am not stuck with God knows what work, changing all the time...and I am heard and appreciated.


Do I just bite the bullet and transition the small company into full-time and do the national PT?  Any comments, suggestions, etc would be appreciated!


WEBMEDX???? It's a small national, right? Benefits, running out of work, what kind of accounts,

flexible schedule (as in working EVERY weekend mandatory? 


Any opinions on the company would be appreciated.  Found some in the archives but all mostly from 2004 and 1 recent post but not much info.  Thanks.


10.75 cpl National; 11 cpl smaller MTSO. 25 yrs exp. nm
x
I do believe your loyalty is displaced. No MTSO or national are loyal to MTs
even though they claim to be. Loyalty is earned just like respect. This is a business just like any other business. If one company cuts pay, takes away health insurance, etc, why should any person or MT be loyal to that company? If promises are made and then broken or lies are told, why should any MT be loyal to that MTSO or company?

On the other hand, yes, if the MTSO or national and their people take care of the MT and provide her/him continuous work flow, as promised, pay on time, and work together with an honest and respectful relationship, then, yes loyalty should be mutual and reciprocating.

For you to just come on here and claim MTs should be loyal to company is very improper of you!

Ok, those are my cents worth! Have a good night!
Small MTSO

I am a small MTSO and I have two part timers that work for me.  I try to allow them to make a good living but there are costs of running a business.  I do the pick up and deliveries, I print, I buy the paper, toners, etc.  I do the invoicing.  I do the customer service.  I do the QA, etc.   So when I make 2 to 3 cents a line, that is sometimes barely $5 to $7 an hour after gas, paper, etc.   I keep my line charge reasonable -- 0.11 to 0.12 and that allows me to pay 0.8 cents per line.   But if my gals use their brains to use word expanders, templates, etc. they can make $16 to $24 an hour (200 to 300 lines per hour) which to me is fair.    I pay them on time often first and sometimes wait for the check to come in.    But you guys we do not make a lot when subcontracting out.   But if a document is 400 lines I make $8 to $12 for the report and that is before all my expenses.  So we are not jiving any of you.


 


 


To Small MTSO

No suggestions here except to keep up the great work and appreciation for your team.


I agree, don't waste your time on the ignorant's on this board that think everyone is out to screw the MT...it's a sad fact, but there are some who just have such blackened lenses to see through.  It sounds like you really appreciate your team and there are more employers out there like you, really there are.


TO: Small MTSO
see above post, it got posted in the wrong spot somehow.
What small MTSO we could
apply for work there too
Look for a small MTSO
like the one who posted above who still values his/her MTs.  I guarantee you there is no real shortage of work if you took the greed factor out of the big and greedy MTSOs.  They don't give two hoots in the wind about you and they'll offshore, contract with MT schools, whatever it takes to increase their bottom line profit. They couldn't care less if you and your family starve out.  By working for a small, and sometimes struggling MTSO, you will help them and yourself.  I guarantee you also that you will make more money working for 6 cpl and actually having abundant work rather than working for 15 cpl and sitting in front of a blank screen all day.
Anyone work for a small MTSO?
Compared to larger companies?
Amphion, Etransplus or small MTSO?
Pros and cons to any of these?  Thanks.
You're definitely in the spotlight with a small MTSO.
Easier to run under the radar with a big company, but I'm sure it just depends on the company. Though, generally, I have found small ones have close watch on QA.
Being a small MTSO myself, the second attorney is correct sm
Honestly, here in the Northeast, the courts will not uphold any noncompete clause written in that manner, signed or not signed.

If it affects your ability to make an income and provide for yourself, it will not hold up in a court of law in the great US of A.
Small MTSO and bad business practices

I think the reason for late/bounced checks is exactly due to a lot of small MTSOs not keeping business and personal money separate and they do not have a reserve to fall back on in case something happens.


I had one that did not keep her personal finances separate from business and some government agency (she was having legal problems) went in and wiped out her bank account...she still owes me big bucks and that was several years ago. Unfortunately, I kept working (2 months with no pay, stupid) believing things would get better and believed the excuses and lies before I found out what was going on and quit, but could not collect because she had no money left and then she just dropped out of sight (rumor has it she changed her name and moved to a different state).


Another one had the same situation as far as not separating business from personal money and bounced payroll checks (I quit when the first check bounced, lesson learned from the first time). I finally got my money from that one after months of waiting. Needless to say, I will no longer work as IC for small MTSOs. They will lie to you when you ask if they have a separate business account and a line of credit or reserve to ensure payroll is on time even if client does not pay on time or they themselves get into financial trouble.


BEWARE THE CONTRACT THAT SAYS YOU GET PAID WHEN I GET PAID because it means just that and you will have no legal recourse of getting your hard-earned money, definite red flag. 


 


$2.50/report own account - .17/line small MTSO

I worked for a small local MTSO for 10+ years, through

3 owners, and I trained the last 2.  The MTSO is a man.  He is extremely disorganized, just wants the job done, not interested in providing samples, doctor's lists, etc.   Frequently doesn't answer e-mails, not recognition for MT week.  I lost 3 close family members within a short time, never got a card, a plant, or I'm sorry.  When I worked there I did acute care and I didn't need samples, lists, because I had been there for so long I had the info or knew where to get it, but when this MTSO came on the scene things changed.   He lost the account to MQ, who has since lost it to CyMed, and he got a bunch of clinic accounts.  I left because I didn't want to do clinics, but I would occasionally do overflow for him.  He was always calling me because I wasn't doing something right, but he never gave me samples or answered my questions, so I did the best I could under those circumstances.  Pay is 7 cpl per gross line, which is 1 cpl more than I started out making 10+ years ago.  Never hear from him unless there is a problem or he needs a favor.  Checks are mailed and even though he is about 12 miles away it can take 3 to 4 days to get my check. 


I currently work for a small national (about 50 MTs).  Pay is better, MT week is recognized, my BD is recognized, Christmas is recognized.  Not that I expect these things but it is nice to feel appreciated.  I get an e-mail or phone call every few months thanking me for all my hard work and going above and beyond when they get in a bind, etc.   Pretty much left alone to work otherwise, but provided with any information needed to do my job.   I have direct deposit.


I briefly worked for YOG for a few months prior to their selling to MQ and it was the most disorganized company.  I didn't know who did what, couldn't get samples, had to frequently call for work because even though I was cleared by QA and should have been getting pooled work I wasn't.  Deducts if too many blanks.   I still had them calling me to work extra 6 months after I left.


 


Anyone pay less than $800 a month for family insurance?? I work for a small MTSO
and it's not like I make a ton anyway, but the insurance is so high for my family. I feel like I'm just working for the insurance. My husband is self-employed so he obviously doesnt have insurance through his job to provide this so it is up to me and I'm dying here. Any suggestions? We have tried individual plans but it is a fortune for high deductible and yucky coverage. I need to maybe find a larger company to work for where the benefits are a little better.
I work for a small national. I have steady work, usually

extra if I want it.  I make 10 cpl as an employee, get vacation, 401K matching, PTO, wonderful QA, lots of ESL dictators but mostly decent ones, direct deposit, no IM, no nasty e-mails, no phone calls asking me to work extra day after day.   Saying that MTs are surprised at how much money they make because they have steady work even though the line rate is low sounds like a line a used car salesman would use.  A low line rate is a low line and an insult, especially since without the MTs you wouldn't be able to pay your bills.


Just because everyone else sees to be going to India is like the saying you parents would say if everyone else jumped off the bridge ....  Many companies sell out, but you don't HAVE to sell out.  You choose to get more bang from your buck but I've seen the work that comes back from overseas and I would never put my name to it.


You might can fool some of the people some of the time, but it won't fly with me. 


 


I work for a small national and use FTP, also work for
a small local and use a website.  If you check the job boards you'll see lots of companies use FTP. 
Absolutely not! I work for the best MTSO. I am have been so blessed to work for the small company I

I will share this about the MTSO I work for.  I called her late last Wednesday night after Church and told her I was compelled to help out with Hurricaine Katrina in some way and an opportunity arose for a small group from my Church to go to Louisianna this coming week.  Would she be able to cover my work.  She told me no problem without any hesitation and even donated money for the trip. 


And I am sure there are plenty of good companies out there to work for.  To compare us to migrant workers is just not right.


Do what you think is best. I just left a major national, went to another national but after
6 weeks found it did not fit. Just happened to luck into another smaller national and things couldn't be better. There are other jobs out there.
when docs give mtso a check, then mtso pays you?
nm
Isn't she an MTSO owner - which MTSO ? Just curious. n/mnn
nnnn
9 cpl, national, 10 yrs exp.
Unless you are an I/C then 9 cpl is good.
Which national is that?
nm
You are less apt to do it with a national!
More apt to do it with your own accounts or land a great paying job with someone who is not using the internet MTSOs, the internet robbers!

They pay you crap and suck the life out of you! Go independent.
Can you get a job at a national
with going to a community college for your MT education?  Thanks!!
Which national is the best for...
flexibility, clinic work and fair pay.  I have about 17 years of experience, looking for STEADY part-time work for now. If it works out with a company, I would consider full time.  Who is the favorite national here?  TIA
at the BIG national I get 7.2 CPL for ASR

but I have been an MT for 26 years.......


4 CPL???  Unheard of in my world....actually....sorry



I used to be AC at a national for $32,000
//
Pay with National
I made 41K last year with very little overtime, and this included incentive pay. My account is going to SR shortly, though, and this kind of money will be a thing of the past. For that reason, I will be moving on soon to a company where I can do straight transcription and be paid a decent wage for it.
The national I work for does not do that. sm
If low on work, they do not take away benefits. 
you work for a national....nm
x
Forgot to say that was with a national. NM
x
National Certification for MTs
Can someone refer me to a website or something so I can get certified.  Finished my course with a college and they don't of course deal with the National Certification.  Anyone out there done the certification part.  Please help.  Thanks
When is National MT Week? TIA

They were the first national I worked for, and sm

Giselle had a wonderful personal touch with the employees, and swore they would never outsource their work overseas, and it was pasted proudly over their website.  The accounts I had were sucky and I left, but with no hard feelings.  Now, I see their web site no longer says anything about them not keeping everything in the US -- sad.



No other national beginning with "M"...
I worked for Cymed and stayed with SPi. I hate it. Absolutely. TAT is so tightly controlled that there is almost never any work. It totally sucks. And they don't give a damn about us MTs. Just in it for the money. A HORRIBLE company.
in my first year of MT at a national
I was making $130 a day with my main account...then the rug was pulled out from underneath me and my company lost the account (would not say why).  I have not made that money since and that was 7 years ago.
national company
I have been with a national for about a year - was on one account for about 6 months - then all of a sudden the work load dropped and then was told the hospital went another direction.  I waited it out for a month, as they told us that they would place us on other accounts - they finally did - now some of us are being moved to another account - which I don't mind - other than the downtime in learning it - and this is supposed to be helping out another service.  I learned today that the reason they lost the first account that I transcribed was because they outsourced it to India and the hospital had specifically had in their contract that their work was not to be outsourced.  Why would a company take that kind of risk - and then lose a very large account?  Plus lose good transcriptionists who could not wait a month to be reassigned to another account?  I now have spoken with the company who has my original account and hopefully will be hired.  They know I worked the account for 6 months, so I could just pick up where I left off.  How many nationals do this, though, contract for US work and then outsource?  I also heard of a company who is hiring only editors to QA and edit work coming back directly from India - now that is a job I want nothing to do with. 
Pay is much much much lower than any other national
/
TT is my favorite national so far
NM
Is it possible to make 35K/yr with a national?
employee status
The national that starts with an S.

I am wondering if the message regarding Spheris, stating that should they want an MT to go, sabotage of their work may take place, could be elaborated on.


It is important that I stay with this job.  I have BC and ins. is an issue and honestly, I love it.  But, it is very stressful for me to work under these conditions. 


If I thought that there was a possibility that the more hostile arm of my management team could retype my work to include an error that would place the patient in jeopardy, just so they could get rid of me, I would take action now. 


I would like to know if ex employees who left with heavy hearts would e-mail me confidentially and anonymously to let me know how they came to the conclusion that the sups were brutal and ruthless.  


 


I work FT for a national,
and a few hours a week as an IC for a local doc, whose transcription I have done for nearly 11 years now. The full-time job is 32 or more hours per week, and includes benefits. The IC gig might take 3 hours a week, but the line rate is a LOT more than for the national, and in fact is keeping me alive.
Is this normal for a national?

In my 12 years, this is my first IC position with a national and I'm spinning my wheels. Just wondering if this is normal stuff I need to get used to?  


Things like, their field codes sometimes are there and sometimes are not, so if not, I have to go back and put in say the patient's name or DOB by hand. Ok, so that's not too big deal. But most of the referrring doc addresses are not in their system. So I have to look up in their info or search internet, enter into their system, but if there are no codes, have to go put all that in each document by hand. Their templates are mess, IMO. They don't have necessary spaces and some even have grammatical errors. But the worst...sometimes at the end of a report that has a lengthy template where I've had to delete some of it because it wasn't what he said (for example, they have a limited number of templates so maybe I have to use a stress echo template for a nuclear test, so I have to delete much of doc's canned words), it gives me a NEGATIVE LINE COUNT for that report. They have told me they can't fix this, that all in all I'm doing better in the course of my shift by getting paid for the templates, i.e., that it all equals out.


Their system is very slow, bogs down, all this click and point stuff I'm not used to, and I can't produce more than about 150 lines an hour. It's just a part-time gig for me, trying to make some extra money in these crappy times, but it's getting frustrating. Have I just been pampered with awesome MTSOs and docs all these years? Or should I jump ship? Sorry so long, thanks for your input.


National Disgrace?
I don't think I would take it that far, but I do understand. The way things are getting outsourced, some news media would certainly get more physicians and groups to start hiring local ICs instead of making use of the big name companies. I talked to one physician a couple of days ago (Tuesday I think) when I took my son in and she said she has to call in her dictation to the medical group's line and then one of the big companies takes it to transcribe. The last year or so she gets the files back and they still need a lot of editing by her because neither the Transcriptionist nor the QA person could understand her. Now, I've done per diem for her when they get backed up or she needed something back that day, her dictation is very clear as are most physicians in her group. They speak slowly – but not overly – and they enunciate very well. She will even pause and say: instruction - put that in bold: or something like that so you know it doesn't need typed, just done. There is really no reason for this much QA to be done by her.

She is working with many other physicians in the group and they are trying to get approval to hire in house instead of this stuff. I think that if attention is drawn to the fact that physicians are paying the same amount per report, and the reports are being outsourced with very poor quality, that more CEO's of these major groups will pay more attention and hopefully get their heads out of their rears and stop outsourcing. CEO's only see the bottom line and that is very bad for patient care!

Bottom line, when a company is screwing their employees most people immediately think union - but that is kind of hard to have in this field. I have printed some of the posts from this site and taken them to her. They are gathering for a meeting the first of May to discuss this with the group’s CEO and CFO and VPs. I am hoping they succeed. They hire their billing and coding in house so why not their transcriptionists. After all, they had to setup the dictation system, so they could use IC’s as well as in house to do their dictation without much change in the structure that the physicians use! Yea, it would be a bit more expensive to start, but the end reward would be significantly improved! Let’s cross our fingers that this works out and that other groups (Kaiser Permenente, etc.) follow suit!!

The national out of GA, cannot find anything on the
the other one.  At least that is the one I am talking about, and from the other posts on here, it seems that everyone else is too, the over-kill with emails, low work, changing time sheets.  I would steer clear of them. 
cascas: what national is offering 11 CPL?
thanks