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Serving Over 20,000 US Medical Transcriptionists

I disagree...I make a nice $37,000 a year, which is

Posted By: anon on 2007-04-24
In Reply to: Except that US MTs don't get PAID a fair rate -nm - for OUR economic environment.

really good for my area, paid hourly rather than production. I worked my way up to get to this point. I guess it depends on how you look at it and your lifestyle.


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You and I disagree on that end. I make myself
available. I specify why and not to just call to call, but if something is really important, I let them know that I am there to answer any and all questions.
I totally disagree, love VR and can make good money at it
I have been doing now for about 4-5 years and hate it when I have anything straight to type. I have done this for over 30 years, have excellent speed at straight but Escription is a bowl of cherries where I work. I would never want to completely straight type again, never.
Wow. They were so nice in an interview I had with them last year. Used ExText, too,
s
I got a nice card from the MTSO this year. :) NM
NM
Amphion does but they refund it after a year of employment so it worked out nice. NM
x
Last year $36K part time, going to make more this year full time BUT sm

I AGREE it IS getting harder to make money.  I used to make $24 very part time 10 years ago and now...well it is Word and platforms versus WP5.1.  I got 7.5 cents a byte line then and I get 9.5 cents a character line now.  That IS a huge different in point of fact.


OH I WANT MY WORDPERFECT 5.1 BACK!!!!! Bwaaah!


You could probably make some nice cash if -
you transcribed all that doctor trash-talking, then offered to SELL IT BACK TO THEM in exchange for NOT publishing it, or handing it over to their department-head.

Heh. Heh-heh.
Nice does not make for good pay check.
Ditto, Ditto.  sorry to hear that you had so much down time and not able to make any money.  Well hope for the best with your new company.
I actually did make over $20,000 my first year
I'm definitely not a genius, to say the least, but I think being an MT is just a good fit for me.  I already had a background in journalism and typesetting, so I had a grasp of grammar and could type very, very quickly.  I'm good with computers and the Internet, which helps with the tech part and with research.  I didn't make as much the first 6 months, but once I got going the income started picking up.  I was lucky to land a job making 9 cents a line that first year which also helped, and I also was working A LOT, for a few different companies.  I'm now in my fourth year and am making over $30,000, a year but am not constantly working as I was that first year.  Obviously not everyone can do it.  All of the pieces, the skills, have to be there, along with some luck in landing a good account, but it can be done.
no- you will not make 25K your first year
nm
Yes, I make over that every year, always have. NM
.
Do 16 y/o babysitters make $74k/year? That's what I sm
did this year :)
Are you saying that Transcend DOES make you work 1 year before? : (
Thanks for the info!  I was thinking of applying there.
How much can I expect to make the first year of MT work, around $20,000?
or more
How do these MT schools get away with saying you can make $40,000 per year. That is a fake
advertisement and should be banned!
I "only" make $1.15 per report and have made over $62,000 this year so far. I only work 8 hou
5 days a week and pick up one 4-hour weekend shift a month. It depends on the account, your company, the report length, your expanders, normals, etc. I made $1.43 with Edix before I switched and even though I took a per report loss, I make more money in the past 2 years than ever with Edix. I rarely run out of work, which is a HUGE factor. I know that the company I work for is both praised and condemned on this board, but I am happy at KS.
I also got put on 2 atrocious ESL accts with them last year. Couldn't make any lines. These dudes
s
Very nice owner, nice work, nice place - sm
the leave you alone.  I left because they do not budge from their pay which was kind of mediocre.  I would go back if I had to because they were extremely nice.
my first year I made 16k. Doubled that second year. Going on year 6 with (sm)

two local accounts I earned 23,000.00 and a national I earned 35,400... 58,400 this year.  Don't ask me how many hours, though, I really have no idea.  I'm pretty motivated.  (When people ask me how many hours I work a week I reply as many as it takes  I'd say 40-50/week.  I am also a fitness instructer and personal trainer, about 5 hours a week or so.  Decent money (sometimes under the table!) but mostly I just do it for fun and to be social and wear cute work-out clothes. 


that first year was a rough one... but I consider it part of my education. 


 


I'm pretty motivated. 


Very nice people, nice place to work. nm

nm


Yes, nice QA (and nice people in general), but very little work right now. nm
nm
Bare minimum? I make over $50,000 a year in 40 hours a week. That is not bare minimum. sm
Bare minimum would be $8 an hour which is $16,640 a year or $10 an hour which is $20,800 a year. I make more than twice that and that is NOT bare minimum.

I worked to get my typing speed to 80 wpm. I worked to get my Expanders user-friendly and plentiful. I am not the fastest because I look up what I do not know, but I am lucky to have a very good memory so if I type it a few times, I do not have to look it up. I keep notes when I run across something I do not know. I am interested in my profession and read the magazines for our profession and network with other transcriptionists during my free time, devoting a minimum of 2 hours per week to networking and learning new things.

I am not the fastest MT, but I am accurate and boiled it down to simple math. I need to transcribe 250 lines per hour for 8 hours a day, 5 days a week. At 10cpl, that is 2000 lines a day x 5 days per week x 50 weeks per year. I take 2 weeks off per year during July to visit my grandchildren (unpaid), 1 week a year to vacation with my husband (paid) and 1 week a year to spring clean (paid). I have worked for the same company for 4 years and 8 years for the one before this.

I treat my work hours as work hours and take 1/2 hour for lunch which I do not include in my 8 hours. I pretend that I am working outside the home and do not answer the door, get the mail, do laundry, etc. If I have a good day and go over the 2000, I bank it in my mind for days that are not as good and make sure that I get 10,000 lines each week.

My W2 each year is consistently $50,000. A few years it was higher, but I worked a few weekends, which I no longer do.

It IS possible.
Yes! Nice lady, nice company. nm
xx
I second that. Amphion is nice, nice, nice

Last year, there was a letter sent that told us what we earned the previous year. sm
In the past, it has been all or nothing; if you did not hit the lines for full time for the year, you did not get PTO. I talked to my lead this morning about a last-minute vacation and she told me that the yearly packets are going out in a week or so and that the new policy will acrue PTO by the pay period or month. I like that a lot better, but she also made it sound like they are upping the amount of lines needed to acrue PTO. I normally get between 15 and 20,000 lines per pay period, so I am sure that will be fine but I am worried about the periods that have lower volumes, like most of January every year.
Webmedx lets you carry them from year to year sm
You can accrue up to 140 hours (I think) before you stop the accrual process. Don't have to use it all in one year.
I would stick it out, most places are slow now through the end of the year every year (nm)
x
that's nice. have a nice weekend.
x
Nice post, thank you and have a nice day. nm
.
I doubt you will make enough money in 5 hours a week to make
nm
I make 4 cents a line, work part and make
over $500 a week on part.
I disagree with you......sm
I've been working with them since July and have not had any problems with communication or having work available, and I'm an employee. 
Have to disagree

I am a hospital employee.  I like the platform, it is basically word.  I am making more lines here than I ever have anywhere else.  I only work on one account.  The equipment is fine, brand new Dell with flat screen.  No problems in particular with supervisors or QA.  Hospital can be picky about things, but it is the hospital, not DK.  Benefits are great through the hospital, very affordable.  


DK is no worse than anywhere else, you just have to find what is best for you.  They are working fine for me  


I disagree with you. sm

I have to say that the reason companies are offshoring is not completely their fault.  US MTs, over the  years, have gotten to where they want to make more and more money so that they have to produce less and less work every day. 


Any talented MT should be able to produce 1500 lines (accurately) in an 8-hour period.  At a rate of 0.075 cpl, this would total $112.50, which works out to 14.00 per hour.  If you want to earn more than that, you work extra to do so.  There are people coming out of college with degrees that do not start out at a wage like that and don't make that until they have many, many years experience in their field.  This would be though in an average area.


By asking for exorbitant wages, which you could also earn by increasing your line count and working just a bit harder, we are forcing companies to have to look at offshoring more and more work.  Yes they work cheaper over there.  However, they also don't mind working harder and doing everything possible to increase their line count.


Another issue bringing our wages down is the fact that now an Editor is used.  This has come about simply because the MTs that are coming into this business are not adequately trained.  Therefore, an extra cost associated with the higher wages.  The same editor can be used but editing India work and the company will make a better profit and turnaround times are much better.


I do feel that MTSOs should look at the cost of living of different areas and also pay MTs accordingly as any other job would.  For instance, an secretary in some parts of Texas start out at 6.50 per hour; however, a secretary in New York may start at 17 or more per hour.  This is an issue that has never been addressed by an MTSO and I am sure never will be.


Over the last several years, many schools have developed that teach MT.  However, they are not producing quality MTs.  To make it in this business and earn the big bucks, you have to have speed and accuracy.  You have to be able to remember medical terms.  Most of all, however, if you cannot produce 200-250 lines per hour minimum, you might should consider a new job.  This is a production job and if you can't produce, it is not the job for you. 


For those of you experiencing out of work problems, easy solution... find another company to work for/with.  There are too many out there, so don't waste precious time.  Find one.


 


 


Well, I disagree with YOU !
Here is your statement -Over the last several years, many schools have developed that teach MT. However, they are not producing quality MTs. To make it in this business and earn the big bucks, you have to have speed and accuracy. You have to be able to remember medical terms. Most of all, however, if you cannot produce 200-250 lines per hour minimum, you might should consider a new job. This is a production job and if you can't produce, it is not the job for you.
___________________

Now, I am taking issue with this type of noncaring type attitude to those of us who are 50 and older, have a lot of physical problems, but you know what, I might not produce 220 lines/hour, but I do type 70-90 wpm, but I find I can only type for four hours, then have to stop, and then restart later on to finish up. Up to now, I have found employers out there who do understand this, and as long as I get my quota in for the day, they and I do not see anything wrong with doing the work this way. Well, you had your say, now, I had mine. Why don't YOU get to work, and stop chewing-out us other hard-working MTs, and there are quite a few of us left! I stack my medical terminology memory next to a doctor's, so there you have it, and I just could not sit by and read your comments without having some of my own to stick up for those us in my situation.
I disagree with you.

I disagree with you on a number of points.


 


First of all, as was pointed out by another poster, 1500 lines in 8 hours depends totally on the accounts and dictators you transcribe.  I have an (occasional) account where I can transcribe 400-500 lines an hour, and that, obviously, is due to the template.  I have another account on another job where I can only transcribe 120-140 lines an hour.  That isn’t due to my failings but due to the slowness of the company-provided computer and their platform.  When transcribing another dictator, I can usually transcribe 250-275 LPH.  The main reason I can do this is because I get this dictator all the time, have had the opportunity to become accustomed to his style of dictation and can make shortcuts based on his particular consistent phrasing of sentences.  If a person transcribes for more than 100 different dictators, the Transcriptionist never has the opportunity to become familiar with the dictator.  There are many variables in how many lines someone can transcribe per hour, and they don’t always involve the skill level or competency of the transcriptionist.


 


I also take issue with the fact that people coming out of college with degrees earning less.  Who cares?  Why should MTs who have been in this business for 20-30 years suffer just because kids who graduate from college make less money?  I’m sure most of these seasoned MTs would tell you that they made much more money 10 or even 15 years ago than they do today.  They are hanging in there with a deteriorating industry, just trying to make a living wage.


 


I especially disagree with paying transcriptionists different rates based on where they live.  Often that is the only recourse for those of us who have the ability to relocate to economically impoverished areas, just to keep up with steadily declining wages in the MT industry because we love this kind of work.


 


Although I agree that speed used to be a very important of a transcriptionist’s job, I also believe that with the evolution of VR, the need for typing speed in a transcriptionist is obviously going to diminish since it is no longer required.  Combine that lack of skill with the new graduates you mention who are basically clueless, and a whole new generation of incompetence is being created, leaving the more experienced, seasoned MTs out in the cold.


 


I personally am going to remain with the smaller companies, as I believe when it is all said and done, they are the ones that truly care about quality, and they may be the only ones left after all the big nationals outsource themselves into extinction through their new quantity versus quality standards.  They are also the ones who are less likely to cut the throats of their loyal, highly-skilled employees.


 


Disagree

Just because an MT is a production worker doesn't mean we never deserve a raise.  Basically, you expect the MT to do more, more, more, and never make anything more per hour, which isn't right or fair in general, and especially with the way the cost of living constantly goes up, health insurance, etc...


As far as editors go, editors have always been a part of the MT world as long as I can remember.  They aren't anything new.  I'm sure it's much easier for an Editor to edit jobs done by U.S. MTs than people in India who can't even speak English...That's just common sense.  Alot of their reports need to be totally redone because the quality is so bad, yet you'll send work to them??? LOL!!!


Amazing how you only harp on quality, speed and accuracy when it comes to U.S MTs; none of which you're getting from any MT in India, but you're okay with that because it's filling up your pockets. 


Soon, U.S. medical records will have to remain in the U.S., which is the way it should be.  You'll see.


I have to disagree (sm)

I used to be an MTSO.  There is a very fine line to walk between overstaffing and adequate staffing.  With the TATs being what they are today, it is even worse.  You have to keep the clients happy or they will go elsewhere.  I don't believe that is a problem at TT like it is at many other companies.  I also never ran out of work during slow times, just adjusted my schedule.


disagree

SirPercy - please don't denigrate yourself with such names.  No one is garbage, maybe a little trashy, but certainly not garbage.  I just left D and L typing a few weeks back.  They were fab-u-lous. Challenging (in a good way -- not too hard to comprehend) work, wonderful software, very nice staff. Always was paid as promised, on time. I didn't want to leave, but had other committments. I give them 5 stars.


 


I have to disagree with you.....sm
on that explanation.  I do NOT work for Keystrokes, but I did try them out very briefly awhile back and they put me on an account that had horrid ESL dictators that I could not even begin to understand.  I tried telling them in a round about way, but they never would give me anything different and there was NO WAY I could have stayed there with that mess.  If they had anything better than that, I wouldn't know, but I have heard that most of the accounts or horrible.  Besides that, they weren't too bad, but nothing out of the norm. Not every company is good for every person. 
I disagree.
Great company small company to work with. Plenty of work and payroll is DD and always on time. There are a lot of ESLs, but if you're an MLS that's great. Let's face it their here and they're not going anywhere. Their only downfall is that are no benefits so if you need paid vacations and insurance don't go there. They do not treat you like you don't exist. You are in constant communication through IM which stays up all day and there's always phone or email if needed. As for previous post you do look up a lot of addresses, however those are provided for you for each account. If you do not have it you don't search you leave a blank. No guessing. No internet searching. Can't find a word - they don't dock you for blanks. They would rather you leave a blank than guess. Daily feedback. You can have DSL to work with them, you dowload several voice files at a time and then can up load at same time or individually so second line would probably help but not necessary. They do not have much in the way of flexible hours, pretty much wanting you to work 8 hours straight but what job doesn't. They are not strict though, very easy to work with. As I said though if you are needing insurance coverage and vacation/sick time they currently do not offer, although have been working changing this.
I disagree
We work long hours (often longer than reported) on a job that is physically demanding (people don't realize how much so until they do it a few years and people who have never done it have absolutely no clue). You cannot socialize at all when you work, your right foot, both hands, ears and eyes are 100% on task for many hours. Because we work from home I think most people don't realize how hard we do work. In fact, most of us work harder from home. Yet, we get vacation time that is like a carrot dangling in front of a horse to get and you'd better be careful how you use it, unrealistic demands that we would have told any hospital to shove it (well, most hospitals don't treat their employees like that to begin with). We work holidays, weekends, nights, days, you name it. Our work is changed and thus our incomes, we're asked to be on call without pay. I could go on but I won't.

No, it's not that attitude that is harming the MT field. It's the attitude toward the MT field that is harming the MT field. It's become a nuthouse.

I disagree

I'm sorry, but I think we most certainly are different from assembly line workers or a pharmacy tech, etc.  Our job involves a whole lot more than those professions and I feel proud that it does.  I would say an experienced multi-specialty MT might be on the level of having a bachelor's, and what would be wrong with that?  How many of you with years of experience can diagnose a patient after hearing the H&P and know not only what meds to prescribe but their proper dosage along with a treatment plan?    


We still do patient care but in a different way.  We work with the written record as opposed to hands-on patient care.  Why should this mean we don't need as much knowledge?   We're the patient's safety net, as I recently heard a medical professional say.  Especially with the EMR and electronic signatures, we've got to be darn sure all the bases are covered and covered correctly.  The next time that patient is treated, what we have transcribed will be what the treating physician refers to.  How else can we know what the mumblers, speed demons, ESLs are saying if we don't know what they are supposed to be saying!  This is where the years of experience really pay off.


I think you're selling yourself and this profession short to compare it to those others.   To do our job well and make the most money, we can't spend time looking things up.  We have to KNOW it.  We have to know anatomy and physiology, disease pathology, pharmacology, procedures, maneuvers, signs, surgical equipment, the world of nuclear medicine, etc.  not to mention knowing how to make the best use of our computer's software, and the Internet, and tricks of the trade with our platforms, and skills with the English language such that we can edit where necessary all the while following account specifics which change depending on which account you are on.   Yee gads, it's amazing what we do!   If this weren't the case, why would the companies be so insistent on wanting people with years and years of experience?  They don't want errors and they want high production from us.  That's why newbies have such a hard time finding employment -- they don't know enough yet.  It takes years, as you all know, to incorporate the booklearning with excellence in the job performance.   It all has to come together and this takes time and effort on our part and the end result (our pay) should be worth the effort just like with any other job. 


 


I, too, disagree.
I feel obligated to use my expert grammatical and punctuation skills to make my work look professional. Typing verbatim makes the following look bad: the dictator, my company, and me! Of course, we would never change the meaning of the sentence - goes without saying. I have a problem with making everyone look dumb, though.
I disagree, as well..sm
medical transcription is SO different from anything you described, such as court reporter or closed captioning writer. When I was in MT school, we were TAUGHT to make the doctors dictations more correct with respect to grammer, punctuation, spelling, etc. This verbatim junk just came out recently as a way of cutting lines for the Transcriptionist and is sooo wrong. but as the other poster stated, we can all disagree and each to their own opinions.
some will disagree...but SM
many companies will offer their top quality MTs an abundance of work on a continual basis, but often offer less work for the less talented MT. I'm not saying one is harder working than the other, but as a previous MTSO, it does not take long to figure out which MTs will produce the quality work that requires little to no editing, making the service operate overall more efficiently. I will be the first to admit when I operated a small service of 5-10 MTs over ten years ago, the top quality producers (not quantity) received more work than the less skilled. Both had the proper education and training, some are just naturally better MTs than others. I would imagine this is how many large companies operate (not saying all). So when you don't have adequate work and you feel you are a top-notch MT, either move on. On the other hand, consider your work and don't always be quick to blame the company you work for.
I disagree with you
I have a great background with ESLs but seems like I got a good bit of them. I couldn't make a decent line count with short reports and these dictators. Sadly this happens everywhere especially where work is farmed out from the hospital. Do you think they are gonna assign you the butter reports. Heck no, they assign out the ones they cannot do or don't want to do. Its no different anywhere else. If you wanna survive in this business these days you have to learn to do these and then find a place that pays you what you want and has the right balance of reports to add up to the check you want.
Disagree. sm
Well, I just don't know about you guys.  The level-1 acute care center I work for is up and running 24/7.  Hope no one I care about is at your facility on the weekends, waiting for discharge , consult ,  transfer, surgery, whatever.   P.S.  Been chugging along here 20 years, not a prima donna.
Disagree
I disagree. RC starts at 5 cents a line. MedEDocs starts at 7.5. BIG difference.
I disagree
The company should mail the paperwork to the employee and provide an overnight or 2 day prepaid means for the employee to return the paperwork. Some people cannot afford to pay $25 for a fax machine. BTW, the cheapest I've seen is $50.

I feel that an employee should NEVER have to spend a dime in order to obtain a job.

If you interviewed at a local hospital for an inhouse job and they asked you to do something that required you to spend $50 before you could take the job, what would your response be???? This situation is no different.

It is not a matter of complaining, it is a matter of not being able to afford to purchase a fax or pay $25 to have papers faxed back to an employer. There are plenty of companies who overnight the paperwork and provide a means for the employee to overnight it back. I have worked for 3 such companies.

To the person who stated that if you work from home, you should have a fax machine: These people are MTs. It should not be assumed by an employer that all MTs have fax machines at home as a fax is not pertinent to their jobs.
Sorry would disagree there - sm
I'd always choose working for a smaller company over a larger one. But it's harder to find them these days.

I think with offshoring being as prevalent as it is even with the McTranscription companies, it's getting increasingly difficult for small companies to compete at all for anything but clinic work, and even that's getting harder because small companies might not be able to handle the McDoctors megagroups that are everywhere these days.

And as far as smaller ones becoming larger ones, I don't believe it happens; the playing field simply changes beyond a certain growth level with the technology and staffing requirements of larger groups. I've seen that happen several times. And then the successful smaller company is often approached by another one, maybe a little larger, and a purchase comes about, and, well, the smaller company is no more, really.