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I went and got my own hospital account, at home, IC status. nm

Posted By: ex-mdi on 2008-01-15
In Reply to: Mind if I ask where the greener pastures are? - StevieZMT

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Hospital at home now.

Please forgive me but I really need to vent.  I think  I am at my lowest now.  I have worked in local Hospital Radiology dept. for 10 years and was told I must work at home, or no job.  I must provide high speed internet and pay for it, I provide space in my home and desk and chair, must show proof that my homeowner's policy will cover their computer equipment, and must show picture of area in my home showing a door for HIPAA compliance, they say.  I get 9 cents per line, only what I type, one line each for headers and footers.  They won't tell me how they determine a line, they won't say if macros and normals are included. I went to personnel and they say my department head determines what and how she pays and they won't interfere.  I have a one year old mortgage so can't say no, and my pay is down to 8-9 dollars an hour, and that is before I deduct what I have to pay to work at home.  When I told my supervisor that the new program they put in is not Transcriptionist friendly, she said, no it's not, it is mainly designed for Voice Recognition.  I can't check my lines, they give me a paper with total lines for the last two weeks on it with my paycheck.  I feel abandoned and abused.  I called local labor board and they said if I was getting minimum wage and overtime pay as required by law, then I should be thankful I have a job!


I am about to default on my mortgage, and have three kids to worry about too.  Can it get any worse than this?


hospital vs at home

 


i would love to work at a hospital again.  i've been working from home for not quite 2 years now, and the ONLY advantages for me are the hours that i work and being able to be close by in case of a family emergency.  and of course, the price of gas. 


other than that, i now understand why all the people i know who tried working from home went back to their in office jobs.  the pay was so much better, you have contact with people who will answer your questions, most of the time you know your dictators, or at least have the same few, and if you have questions you can actually walk up to them or call them and ask them.  at home jobs just leave you clueless and payless, basically.   thats just my experience obviously.  lots of folks love working from home. 


Hospital versus At Home

The hospital I work for has finally said I could work at home.  I am wondering if there are experienced people that can tell me the cons of working at home.  I am looking forward to it but need to know if I need certain things and what kind of books to buy. 


I work at home as IC for hospital...
Stay put.  After 10 years of working at home for this hospital with no raise, I decided to venture out and try other MTSOs.  Good thing I kept my hospital job.   I usually do 200-250 lines an hour with the hospital but other MTSOs I was down to 120-150.  Mostly it is the different dictators and I can't stand leaving blanks so I would listen over and over to try to get them.  Then the styles of what this one wants and what that one wants also differs tremendously.  Stay where you are and maybe talk to the hospital about possibly doing at least some days at home. 
At-home hospital jobs
Does anyone know of any hospitals that let you work remotely as a full-time employee with benefits?  Thanks!!
At-home hospital jobs
I have 12+ years of experience in most medical fields.  I am in the Fort Collins area. 
I work for a hospital at home also. sm
Fortunately, our hospital has the team approach. I am an IC for the hospital and my workload is the same as if I was an in-house employee. I see the entire work queue just as they do and we work first in-first out and abide by TAT. Not all facilities treat you like a second-rate citizen. There are wonderful people and well run hospitals out there to work for at home. You just need to seek them out.


I work as a hospital employee at home
//
I'm moving to Hawaii!!! Here in PA our hospital sent the MTs home but
they must do 100 minutes a shift. They also have to go to meetings once a month at the hospital which they do not get paid for, then have to go home and make up that time. Pay isn't that great either.
Is there really any way I can go wrong to accept at-home hospital job?SM

My national seems to be losing ground as we have had DD taken away effective August 1 and already had had our 401k discontinued about 2 years ago.  I had said I would stay with the national until I actually did not have a job anymore.  However, there is an at-home hospital job open fairly nearly to where I live.  I'm making pretty good money with the national (although not nearly as much as about 3 years ago for various reasons), and so I'm wondering if it is pretty much always a good thing to go with a hospital job working at home if possible.  I know they provide all equipment but I'm not sure abut the line rate.  Minimum production is I think 1275 lines per day.  Not sure about incentive (I know this will be a big factor here, as well as line rate) but all overtime is approved and has been for several years.  I talked with the transcription manager earlier when the position first came open but we didn't talk specifics about pay.  I also am pretty sure I could get a job with a national any time also - I have 29 years of experience and am a CMT.  Any comments?


Anybody work at home for a Louisville area hospital?

Would you mind saying who and what it is like?


 


THE absolute best job for me was at home hospital empolyee, production. sm
If they only knew the money they would be saving cutting out the MTSOs and hiring direct with, like you said, one or two in house to supervise.

I predict (okay, I'm praying, or meditating, or universing, or using the Secret for) the day to come through some major MTSO/OFFSHORE FUMBLE that will cause this evolution in our favor.

Oh, antie Em...health insurance again!
Diskriter-Hospital Employee Status

I've recently accepted a hospital employee status position with Diskriter.  Is there anyone else out there that works one of these positions that would be willing to network with me?


Should have added that I would especially like to hear from those with hospital emp status. nm
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My last hospital did offer home-based employee positions. sm
They paid the employee positions by the hour with incentive and IC positions by the dictated minute.

It still was not as lucrative for me as my national position.

What works for one, however, may not work for others.

It is all about personal needs and opinions! Bully for you!!! :)

I was paid by the hour to work from home for a large hospital. nm
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I have a friend working in a hospital and she is looking for a company from home as an employee.
Would anyone care to recommend a good company?
The only difference is we are at home and doc is hunted down by the hospital/client's staff
after we or our QA submit it with a blank.

It is a phone call away at times. This is not as anonymous as ADHI would like. Doctors these days need assistance by qualified MTs as it appears to me there are many with ADD. That is time consuming when dictating. And errors are deadly.
Agree somewhat. I have done transcripion at a hospital and we did have benefits for PT status.
You just acrue it at a different rate but I certainly never had them take back all of my PTO I had earned when my status fell to less than FT. I even earned PTO time but just less per pay period, but to each his own. They do it because they can.
You all have a point. I forget how this at-home thing works. I used to work in-house at a hospital.
and... we got paid extra for working holidays and even weekends and evenings. I am new to this at-home thing and it's pretty disappointing. I think I'm back to the hospital..
I work for that account from home and it is
a great money maker. You have to move to Wisconsin for 6 months to train, though.
HPI used to do a neurology account from home...sm
and was getting paid 12 cents a line. I was told that my benefits were being able to stay home with my child and I should not need anything more than that.

It really ticked me off because we were EXPECTED to come and work in the office when one of the in-house girls took vacation, which as an IC, I did not HAVE to do, yet they made us.

I am finding that a lot of companies use that as their benefits that you get to stay home with your kids and do not have to pay daycare. Granted I do save money by not having to commute, paying daycare, clothing and makeup expenses, lunches, etc., BUT my salary has also decreased significantly. I started in this business 10 years ago and am making less now than I was then. They do not pay for experience and they do not give raises. It is very unfortunate for us, that our skills are not as important as someone who can crank out 3000 lines in a day and produce crap.

I figure I have 2 years left in this business (my son will start school) and I am going to change careers. Hopefully I can last that long.
Keystrokes--Ortho account IC status. Anyone know what the pay is?? Thinking of applying. Thanks
nm
I am on a hospital account
using EXText and the sound quality is fine.  I can get my lines OK and yes, although I have a few docs that are ESL it is less than what I would consider normal.  I have not done clinic work for Medware, just a large hospital in FL.  Hope you get a better answer, but I would consider Medware because they have been great to work for.
IC - yes - 1 hospital account. nm
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Hospital account ID?
If you will be working on a hospital account and are waiting for them to give you the ID, then, yes, it may take a few extra days. I had to wait a few days for the hospital to assign me an ID number. I was told the holdup was not on Keystrokes' end. Maybe you could call the office and ask?

However, I would not worry if I were you. It WAS a holiday weekend.

Welcome to Keystrokes! I hope you will be as happy here as am I.

More than likely you will be on your hospital's account, so in
that respect you have that part down. I would talk with them and see what they have to offer. Some companies are grandfathering in insurance, PTO, etc. that you already have.
Yes, new hospital account
nm
Does WMX still have a 5 hospital account
in the Atlanta area?  I think they got the account about 2 years ago, but only doing overflow, didn't have entire account. 
It depends on your account, employee status, amount of work agreed, etc. NM
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Hospital Account Work
Go to mtdaily.com and check on their jobs page. There are numerous. Diskriter has issues; be careful. Of course, all places of employment have those, but some you have to be very careful with. It is great to work at home, and there are some great employers. If you don't need benefits, I'd suggest working as an independent contractor as you can set your own hours. However, if you need more discipline and the benefits, working for a national company might be great for you. Good luck.
The account can get bigger if the hospital uses...sm
several services for their transcription. So, if they decide to start letting company B do what company A used to do, then yes, the account is getting bigger and bigger for company B. Also, Maybe the hospital is part of a large system and company A was only doing one location and the hospital is happy with the work so they start giving them more and more locations, guess what, the account is getting bigger and bigger. There are many ways for the account to get bigger, so she is not lying to you, as I work on one of the accounts she is talking about and that is what has happened. They now need double the amount of MTs they first needed for this account, as they are now outsourcing more work to Diskriter. Make sense?
I know they just got a large hospital account near me.
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It's the FL Hospital account, not employed by
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Is Apex the name of the hospital account that
you are assigned to?  It doesn't sound familiar to me.  They also must have 2 different QA teams because super nice as you describe doesn't come close to what I've experienced.  I'm glad your happy though. 
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. 
If the hospital finds out will they pull the account? nm
nm
It depends on the account. They use the platform of the hospital or they use
either Scribe or TA Plus. All are easy to use and learn. I am on a Meditech account and love it but it is a hospital. Depends what you are looking for. I do not get shift differential but my hours are flexible as long as I get my 1200 lines in on the calendar day.
Diskriter MTs, is hospital account or DR accounts a
nm
They will use the hospital MTs for samples, then ship account
@
TransTech has done the same on a conglomerate hospital account

No choice, but to take the 4 cents per line.  Jobs will come as they come to you and no choice except to work at 4 cents per line or less.  Very sad for us MTs who work on that huge hospital account.  Not only that, but they are changing platforms at the same time, both of which will SLOW us all down.


Not wise to stay in this field UNLESS we are working directly for the hospital with great benefits and most MTs able to work from home at the SAME pay as working inhouse and the SAME benefits as those working in the MTSO office would get -- true paid holidays -- locked doors to the office, and on and on.


Like I said - it depends who you work for. I work for a hospital at home - not a company. nm
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I worked on a large teaching hospital account and was
frequently out of work.  KS didn't have the entire account.  I don't know if they had in-house MTs or they used more than one company.  You should have a backup account too, though there may be some  lag time between getting you a backup as they figure out where they can plug you in.   They supposedly are getting several new accounts so surely they should be plenty of work. 
No. Teaching Hospital account, too many dictators = low line count = little $$$. nm
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In the early days, MedQuist said working at home was a benefit, therefore at-home sm
employees did not receive as many benefits as those working in-house.  As I believe, it was something like at-home employees got 3 days off a year versus 10 days for the in-office employees -- WHAT?!!!  I told them it made no sense to me, since by working at home I was saving them money -- no need to provide office space, equipment, references, utilities, etc. -- yet I get shafted.  I was only part-time when they took over the previous company with their great policies, and I told them to kiss where I can't. 
Agree..with IC status, equip. is your responsibility; employee status - you should SM
not have to pay out-of-pocket for use of their equipment. I would never work employee status for a company who required me to purchase or lease their equipment. The only thing I would find acceptable is to have a small security deposit taken out of paycheck when starting with a company. This will protect the company from those few who might abuse the equipment.
Anyone know of Escription companies that offer IC status. I do not want employee status but would
like to stick with the Escription platform at all possible.
Employee status w/benefits vs IC status??? Dilemna enclosed

I am caught between a rock and a hard place and figure this is the place to get the best advice from those in the know.  I have been an IC for the past 5 years and love the flexibility but was interested in a job with benefits.  I started a new job about a month ago with good pay (2 lph more than I was making) and benefits......very happy with company but as an employee, obviously have a schedule.  I am working both jobs currently and starting to burn out.  On the new job, I am struggling to get the 1200 lines per day required but on my old.... I can easily get 150-400 lph depending on the dictator but again, it is IC and less lph than the new job.  Obviously, the platform is different and not paid for template headers/footers wheras the old one, I am paid for those.  Now to my question.  Is it just me?  Is it because I really enjoyed the freedom of ic status and therfore seem to be struggling?   Anyone else experienced this before?  Tempted to go back told job and lose benefits/more pay because in the end, maybe it works out be the same pay because of amount of time I spend getting the job done?   Not sure if this makes sense but hoping you can all offer some advice!!  TIA


Diskriter off off offshores - and on some hospital accounts - they have not informed the hospital
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Jewish is the main hospital, St. Mary's is another hospital under their management. (nm)
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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.