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Actually, my local hospital offered me MUCH less than what I make at my MTSO

Posted By: strokermt on 2008-01-27
In Reply to:

By 4 cpl.


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    I used to make an hourly rate at a local hospital but s/m

    The home-based MTs were on a tiered hourly scale depending on how many minutes we typed daily.  The in-house MTs were not on this scale and I believe they are the reason we lost our jobs to outsourcing.  They made the big bucks and could not even produce 80 minutes of dictation a day.  The home MTs had to produce 100 minutes a day to reach the maximum hourly pay. 


    I feel that being paid by production is not such a bad thing because at least the ones who produce get paid for it. 


    Offered a new local job and trying to decide. sm

    The new job is MT but it is not straight typing.  It is basically putting reports together from a check list with occasional regular transcription.  Will also be building reports from handwritten documentation.  The doctors are all available and do not mind you asking if you cannot read something.  I met all 11 of them today.  There is 1 week vacation time the first year, 2 years after that.  Med insurace is $30 per pay check is very good.  Family is around 120 per check.  They have retirement as well.  It is also 8-5 M-F.  All holidays off and paid.  Now, here is the drawback.  They only start at 13.50 per hour.  They do give annual raises of a minimum of 5%.  Travel is not a big issue as it is only 10 minutes or less from my house.  The low pay I am a bit worried about.  What is your opinions?  All are appreciated.  Also one last thing, this is a specialty clinic and I have always done acute care but know the specialty well.


    I had a local MTSO try to do that to me...
    ...I was ready to sign the contracts after meeting with them in person, until I heard I'd have to pay a one-time nonrefundable charge due lump sum for $600.00 for the FTP software. To add further insult to injury, they also advised me they didn't pay for spaces and required me to transcribe a minimum of 1200 lpd.

    I couldn't run out of there fast enough.

    What would I do with their FTP software if I quit? It would be useless to me, and I'd have paid for it.

    I steer clear of companies asking me to pay for use of their software, I'd suggest you do the same.
    Local hospital - sm
    I loved Medware until they started sending so much of their work to Medware India. I spent my days editing the offshore work.  Its incredibly frustrating.  It doesn't matter how much feedback you give, the same errors are made. A person cannot go day after day after day doing that without getting down. I made the decision to leave and have been so much happier.  I only have to worry about my own quality now. 
    Our local hospital...
    has closed the entire top floor, and the nursing students from the local college are lucky to get 1 patient for their clinicals. They are asking the older seniority nurses and other personnel to retire early. Another hospital has the healthcare workers down to 32 hours per week. I am in OH, and my area is really bad economy-wise.
    Then a small co or a local hospital SM
    would be better.  You are not going to find an MT service of any size that doesn't have a bunch of ESL dictators.  That's just the way it is.
    JLG did work for our local hospital when I was there.
    They charged us $3.50 a line. I saw the contract. I was shocked. We paid ICs $1.50 a line. And the work was horrible. Everytime they uploaded reports, 2 of us spent most of the day correcting them. After about 6 months, we fired them.


    Once, while working for a local hospital
    I was also working PT for the service that the hospital used. The only conditions made for that were that I could not work on my hospital's account as that could be considered a conflict, i.e., less work for the hospital so more was available for the PT job. I have yet to have a problem working for 2 companies. Currently I work for a national company FT and a local company PT. They do not have the same accounts, so therefore no conflict.
    Only when hired by a local hospital - sm
    It is a little surprising to hear they want you to do this.  I was hired by a local hospital (an hour away) and had to come in for training there - up to 3 months, unless I got the hang of it earlier.  Some folks who worked there lived a little farther away (one was 3 hours) but all were within driving distance.  So I have been asked - however, I've not been asked for a place as far away as what you described. 
    It's just a local hospital account, not a
    national.  Most of the time I do their acute care work on Chartscript; I just help on radiology in Meditech if they are backlogged.  It's not the Meditech Magic version, though.  Don't know if that makes a difference. 
    The local hospital I go to has it....I have to say it is impressive.
    I have various scopes done periodically for surveillance, and for the last few years they have handed me a beautifully typed and surprisingly detailed report as soon as I wake up, complete with color photos. I recently asked how it was done so quickly. The nurse said the doc types it using a template.
    Often it is better to apply at your local hospital. Many times they
    train on-site. The training is invaluable as you can get training on acute care and radiology and you would have a mentor with you all day.
    i just started working for a local hospital. sm
    They pay for the entire phone bill and internet for an extra line to do their work.
    worked 3 yrs, went to work for local hospital nm
    nm
    Oh boy I will. It is nothing but depressing out there. I applied at our local hospital because I can
    hardly stand another day of this disappointment. This business has gone down the tubes!!
    I work in-house at a local hospital...
    And it's been pretty much famine conditions there, too. We're having to use our VH hours when we're called off for lack of work. I don't know where you're located, but I'm in central California. Perhaps it's a nationwide phenomenon for some reason.

    Hang in there. The powers-that-be where I work keep telling us it's just temporary (although I'm preparing for the worst).

    ~hugs~
    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.


     


    I currently spoke with a local hospital and their pay was hourly with an incentive (nm)
    x
    Recently applied at local hospital that paid incentive.
    The local hospital here also pays hourly plus incentive. New MTs start at $15 an hour and then anything over 120 lines are paid at an incentive rate with the incentive rate increasing with the more lines you completed.
    Anyone happier working for a national versus local clinic or hospital? SM
    I'm with a national but from time to time, openings come up with areas places. None are in my own town, but would be 30 to 45 minutes away from home. In the case of at least one of these places, you are required to work in-house just to get used to their system, which I understand, but they say it usually takes a year before being set free at home. Now I can understand that if you are a brand new MT, but as far as just getting used to how they do things, that seems excessive. If you meet the criteria sooner, you can go sooner. It worried me about the length of time. That would put me in a bind with little kids and being away from home on certain days after they got off the school bus.

    On the flip side, they pay hourly so I might like that, rather than make next to nothing on some days where the dictators are horrible on my current account. On the other hand, on a good day the lines are worthwhile and I'd come out ahead by LPH rather than hourly rate.

    So many things to think about...oh, and another biggie...with this local place I'd get health insurance free for myself (not the family, but I have the kids covered on a plan I'm already paying for myself, along with me on the plan, which I could then drop myself from).

    Anybody worked both scenarios and decided the national really was better? I actually interviewed here a year ago but didn't have to decide because they offered it to somebody in-house so I never got an offer. I have 3 years of experience but I still worry I would take forever to meet the criteria to work from home. I guess there are a few that have been there over a year and haven't met it. I don't want that to be me.
    I was just offered that PA Hospital job....details....sm
    Large teaching hospital, 80% ESL, need experience doing op reports including transplant surgeries, da Vinci Surgical System, etc., lost of neurosurgery and orthopedic surgery experience.

    Actually, sounded great for me, love neuro, ortho and in-depth transplants and state-of the art surgical equipment; however, I turned it down due to low line rate, no shift differential, and I make more on the account I have now.

    QA is run by DR.

    Hours are Sun-Thurs 2nd shift
    or Sun-Thurs split shift.

    8-9 cpl, depends on how you negotiate that.

    I think your supervisor is the hospital supervisor regarding shifts, etc.

    I think she said the platform was Chartscript.

    Good luck! Not enough pay for me.
    Thank you!!! Obviously an bitter MTSO because they offered a ridiculous cpl and got shot down.
    Shame on you!!
    MTSO HOSPITAL CONTRACTS

    What duration of time is a contract with a hospital, one year? It is now April, meaning 50+ transcriptionists needed a year ago, means 50+ now fighting for work. ??


    Yes, the hospital contracts out to the MTSO who is an IC...sm
    and has to hire people to fullfill that contract. They have the option of hiring independent contractors with some sort of line quota in a period of time or hire employees who work a schedule enabling them to meet turnaround times more precisely but having to pay employment taxes and give benefits. A company can have of mix of these employees but there is definitely a difference by law. I myself prefer flexible part-time, but so far those jobs have been hard to find.
    I work right for the client.......not the MTSO. I am an IC for a hospital. nm
    x
    I work for MTSO and know the hospital acct
    I work on is a big one, just do not know how many MTs that on this particular account. When you say you correct only erroneous text I am not really sure what you mean by this. I correct everything I see that is an error so can you explain further as far as erroneous. Do you read the entire report as it goes or ?
    When the hospital contracts an MTSO they are abiding by contract
    and the hospital CAN ask that the work be done at certain times. That does not make the MTSO an employee now does it?

    They CAN contract a person out to do work at certain times with certain turn around times, and that is NOT called an employee. It is called CONTRACTING someone out to do the job they need done when they need it done.


    What hospital was it? I want to make sure I don't go there.
    There is no subsitute for a dictated and transcribed report. You can't get comprehensive info without it. It takes 38 seconds to dictate a returning patient and 2 minutes for a new patient. How long does it take to point and click 500 times?
    I make twice as much as my hospital job
    They can keep their on-site jobs.  I always had to pick up all the slack from my lazy co-workers whether that be other MTs, secretaries, techs, and even my supervisor.  I hated working on-site.  Plus, I make twice as much now working production for me!  I work for me now! 
    I believe the MTSO can make any hoops it wants. n/m
    x
    I make twice what I made working at a hospital.
    And I even work for MedQuist, no less!
    Also make sure the hospital insurance covers you if
    nm
    Got offered 1.5 cent/line this past week....she said her editors tell her they make good $$....
    .
    Curious, can you make more money working for a hospital rather than a clinic?
    I've never really did acute care and curious?
    You wont make any money with them. Expect to get ripped out. The hospital they do work for should...
    be ashamed to sent their work to Indian companies like treat their employees like crap. You can bet the hospital pays full price, but once the MTs get their part, it is minimal. Dont go there!!
    MTSO gift to their at-home MT's who make their living for them and all the office staffs' livi

    Why is it so hard to share their profits with the at-home MT's? ? ?   Give me MONEY for Christmas because so much has been taken throughout the year -- I won't it back -- or at least some of it !  I will buy my own gift or pay my light bill or buy my children/grandchildren a gift with it.


    In general, the top echelon is getting so greedy at most MTSO's!   They would have nothing w/o the MT's constantly tapping those keyboards . . . and I mean it gets more and more difficult for us MT's as with each passing year to make a decent living . . . I dare say a living of any sort.  Only those MT's who have husbands to support them are happy with whatever few cents they are offered, because it is only play money for them anyway.  Hubby pays all the bills.   I guarantee you that if a poll were taken of the Happy MT's with their at-home job, it would either be hubby making living for them OR mommy not having to pay a babysitter to work outside the home.  Those in HR/management, with a little research, can easily see how our paychecks are dwindling month by month due to lower wages because ASR/VR is taking away the decent dictators and leaving only the horrible dictators (who take lots of time to transcribe a quality report), lack of cost-of-living raises, rising electricity bills at home that the MT has to pay, high-speed internet/phone bills higher and higher and loaded with taxes, rent/mortages/taxes/insurance continuously rising. 


    The office staff don't have to think about those at-home costs, as theirs are paid by the MTSO during their working hours/shift, nor do they have to worry about the lack of raises, etc, because in-house employees get raises automatically with tenure or with a 6-month or annual review or at the discretion of management at any time.


    Personally, my line count continues to decrease; I don't know what the reason is because in the past many years, I could transcribe 200-400 lines per hour, and I do good to transcribe 100 or 150 an hour with the horrible dictators sifted out by the VR machine Dictaphone ExText.  


    Please don't yell at me -- because I am thankful for a paycheck -- but why is the burden put on my fingers to WORK HARDER AND HARDER to earn that paycheck.  Don't say try ASR/VR because it will double your income, because I have tried that and know better and have proven that theory to be wrong -- at least on Dictatphone ExSpeech you can't !


    The other thief of a good line count/wage for the U.S. MT's is the majority of our work going offshore because it can get done CHEAPER !  Who is all that extra money saved by offshoring our work going to ??  Not the at-home MT.  That is exactly why I request MONEY for my Christmas gift from my employer, rather than some promo gift that is handed out to any and everyone.


    MERRY CHRISTMAS TO ALL US MT's in the good 'ole USA !  ! !


    when docs give mtso a check, then mtso pays you?
    nm
    Diskriter off off offshores - and on some hospital accounts - they have not informed the hospital
    x
    Jewish is the main hospital, St. Mary's is another hospital under their management. (nm)
    x
    Isn't she an MTSO owner - which MTSO ? Just curious. n/mnn
    nnnn
    First for hospital, then outsourced still on same hospital work
    and believe it or not, the hospital was so much easier. Had worked at the hospital for 11 years before they outsourced and then worked another 3+ years for the company they outsourced to. What a difference! The company had so many rules and regulations you could hardly keep up with them all, thousands of them, on the same account, mind you. The higher ups would not leave you alone, constant IMs about any and all. I have gotten to the age where I do not need all that and walked the other week. Have scheduled testing with another hospital for this month. Hope I make the cut, love the hospital work 1000 times more than a company.
    Go Local
    I would not consider editing unless the pay reflected my experience as an MT. Editors spend a lot of time cleaning up the garbage.

    I think you have to go local for that.
    I don't know of any that pay hourly for MT work. Many do for QA work, but not for MT.

    I know around here many of the local hospitals do that, but it's usually MTs that have been with their hospital for a certain period of time. They don't hire from outside to work at home.

    Also look at local
    While most local comapanies have an onsite group they will sometimes hire people who have worked out of their homes for years. If you are moving from Transcend submit your resume to local recruiters and find out if there is a temp agency in your area that does transcription based companies. A local physician group still uses me per diem and while they have onsite if I need to they also support offsite - it saves them some money because they don't have to support your equipment!

    Just be aware, VR is the wave of the future. My guess is that in 10-20 years everything will be run through VR and nothing will be transcribed from scratch...of course if we all stand together and demand more money than they are currently offering the market will eventually succumb :)
    I know...it's sad..I used to love it at MQ when we had a local

    office but everything has changed so and I just HAVE to make more money!  Good luck to all MQers looking elsewhere!



    local offices

    what is the best way in getting starting for working for local doctors?  Get business cards made up, show them a resume?  I have often thought about this and afraid to take the leap.  is this reliable work?  I'm sure they can let you go whenever they want but I guess that's the case anywhere.    please, any info would help.


    I agree - go local. (nm)
    .
    Local Hosptials in GA

    Greetings


    I reside in ATL and wondering if by chance if anyone knew who handles the transcription for Atlanta Medical Center, Grady Hospital, St. Josephs Hospital and any other local hospital here. I seem to can't get anywhere by calling. I am a newbie and is not having the best of luck with MTSOs right now. Any help would be very much so appreciated. Thank you.


    Call your local DOL

    You are entitled to minimum wage if you are an employee.  So make sure you are punching a time clock or otherwise keeping track of your hours and your pay.


    You can also file for partial unemployment.


     


    That s/b local OR 800#. no text
     
    gourdie - do you have a local - sm
    news station that exposes these type of injustices? they love the david vs goliath type of stories...