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That's how movements get started, and progress

Posted By: is made; it all begins with talk! on 2009-02-12
In Reply to: I never though a Union could work anyway - and you are right; lots of talk.

nm


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progress notes
My company, XXX, has been out of work quite a lot lately and their only explanation is you know how it is during the off-season but the off-season now has been pretty much all of this year. My question is are MTs now all paid the same way for notes as opposed to reports. I distinctly remember that MTs who did progress notes and ER notes were generally paid differently because the notes were so short it was next to impossible to get an adequate line count. I feel like I am getting shafted because I am reduced to doing progress notes on a daily basis and I am generally spending 10 hours a day just to make my 1100 lines. Keep in mind that these are still ESL doctors who either don't know or don't care about putting in demographics so that too still has to be looked up and in the end I may get 5 lines per report. I understand that things do change but if its gotten to this point then maybe I need to be the one to make the change.
it has all to do with the evolution and progress
of technology:

Manual typwewriter
Electric typewriter
Computer
Straight transcription
Voice recognition (VR)
EMR
etc......
My account has all progress notes.
everything was straightforward.  I thought I was doing everything right but then I was notified I'm doing certain things incorrectly.  One day last week I asked someone in the office how to do something and got an answer but then I got more corrections telling me this way was wrong.  It's a little confusing and I hope it's just the new account adjustment.  Like I said I'll wait a full 90 days before making any definite decision.  What account are you on?  
Progress and change cannot be stopped, nowhere, anywhere...nm
nm
Why does progress mean accepting a lower wage?
I want to point out the contrast between the OP and this response.

The OP says MDI moving to VR is to cut costs. Had to Respond says it is keeping up with the times and says nothing about reducing costs. Is moving to VR keeping up with (sic) technological times or is it being used to reduce costs?

I believe it is the latter, not the former. And if that is the case, Had to respond has no straws to grasp to justify the transition. It is NOT about moving with technology and everything to do with paying less to the ICs.

I am so not impressed with Had to Respond and her big girl panties to accept less money.
Pay for acute care versus ER/progress notes

My company has been out of work quite a lot lately and their only explanation is you know how it is during the off-season but the off-season now has been pretty much all of this year. My question is are MTs now all paid the same way for notes as opposed to reports. I distinctly remember that MTs who did progress notes and ER notes were generally paid differently because the notes were so short it was next to impossible to get an adequate line count. I feel like I am getting shafted because I am reduced to doing progress notes on a daily basis and I am generally spending 10 hours a day just to make my 1100 lines. Keep in mind that these are still ESL doctors who either don't know or don't care about putting in demographics so that too still has to be looked up and in the end I may get 5 lines per report. I understand that things do change but if its gotten to this point then maybe I need to be the one to make the change.


I was hired and started in 1 week. That is not a long set-up time. When I started with our local h
I needed to get a physical and go through orientation at the hospital which is only given two times per month. This is a 900-bed hospital, so it cannot be an unusual process. MQ took 2 weeks. KS took 1 week. SoftScript never got me started even after repeated calls and emails.

I have only been with KS for 9 months but would never put them in the same catagory as the others you mentioned. They are the best company I have worked for, and unfortunately, I have bounced around a little in the last 5 years.
I was hired and started in 1 week. That is not a long set-up time. When I started with our local h
I needed to get a physical and go through orientation at the hospital which is only given two times per month. This is a 900-bed hospital, so it cannot be an unusual process. MQ took 2 weeks. KS took 1 week. SoftScript never got me started even after repeated calls and emails.

I have only been with KS for 9 months but would never put them in the same catagory as the others you mentioned. They are the best company I have worked for, and unfortunately, I have bounced around a little in the last 5 years.
I was hired and started in 1 week. That is not a long set-up time. When I started with our local h
I needed to get a physical and go through orientation at the hospital which is only given two times per month. This is a 900-bed hospital, so it cannot be an unusual process. MQ took 2 weeks. KS took 1 week. SoftScript never got me started even after repeated calls and emails.

I have only been with KS for 9 months but would never put them in the same catagory as the others you mentioned. They are the best company I have worked for, and unfortunately, I have bounced around a little in the last 5 years.
and they started
you at 9.5 cents per line???
Well let's see, I started my day
and have sat here all day to only have 60 some reports! Sad but true. I have 2 other PT jobs for this very reason. I only stay because when the work is there, the money is good. If it does not pick back up soon, I'm gone!
Just started...
using CS this past week, and it is very, very easy and practical to use. You should love it!
I started with TT at 8 cpl - sm
and I was told by Debbie that top pay was 8.5 cpl, not over.  Maybe it was the account I was on.  Don't know.  Just relaying what I was told.  I really did like TT.  I couldn't afford their benefits, and yes, it is my fault for not doing my homework.  I
i actually just started with DRC ..
and just completed my first week. When I was offered a position, I was told that everything counts - spaces, characters, everything in expander. Considering it was just my first week with getting used to the system as well as formatting and dictators, I did very well - a hair below where we need to be for full time, which is not bad considering I relistened to all my jobs before sending it. That is my method of learning. I am happy:)
when I first started with MQ which sm
was then Transcriptiosn Limited, for years, I was a subcontractor given a 1099 and they supplied all my equipment. Probably weren't suppose to. Well, I leased it. Maybe that make a difference.
I started at 10 cpl with MDI-MA
NM
I started out at
8, then they gave me 9 because the account I was on was HEAVY esl, then switched to VA, which also pays 9. Did fine on the ESL account but can't make the new production requriments on the VA account. Oh, full time employee status.
Just started, but so far ...
I'm not having too many problems other than the usual just getting used to new things. I don't think WebCorrect is that slow. I've worked on worse, that's for sure. I've checked their line counts and found them to be accurate and they do include spaces/65 char lines.

I haven't been paid yet, so I can't comment on that.

Communication is very good. You can IM a question any time. I've never waited long for an answer. You do have to pay attention to who you're supposed to IM though.

Everyone I've encountered is very nice and professional. I might change my mind later, but so far, I think it's working out well for me.
I just started with them, but so far
Mary has been extremely flexible with the schedule. Just ask her. I would be willing to bet she would work with you. She is the easiest boss I have worked for yet and I have worked for quite a few:)
I started with them just a little over

a month ago and can't afford the $125 to quit.


Do they still charge you $125 to ship back the computer if you're there for more than 45 days?


Welcome! I just started...
recently myself.  Does your account start with a C by chance?
started at ,12, now...
make 16.
I just started with SGS
So far I have no complaints.  Im fortunate, I have a very easy account.  I have not had any ESLs so far...well, I had one, but he had an English/British accent and was not difficult to understand.  I think the platform you work with is dependent on the account you are assigned to.  I am using a web-based platform and Word 2000.  As for direct deposit, I do believe they told me they have it, but I could have confused them with another company I was entertaining simultaneously.  Benefits are reasonable for individuals, the family price is a little pricey in my opinion at nearly $178 per pay.  I have to do some serious typing to justify that big of per pay deduction and Im hoping I can pull it off because I need those benefits as a single parent. 
just started
I am just starting with them. If you want to email me I will give you what I know.
Just started
I just started with them and so far I like it. My account has been great. Everyone has been very nice.
Just started with them myself

but have you tried cut and pasting document into a Word document just to get a rough idea?  Or is that what you did already?


Just started with them....
on a brand new account. It is a group of hospitals and there is evidently plenty of work. I am doing Emergency Department Reports, which there is a never ending supply of. I am brand new, so it has been kind of tough, but everyone is very helpful and encouraging.

That's all I know, hope it helps.
No, have not started yet, my first
year as IC. Employee prior to this with another company.
Just started...sm
I am working two jobs at this point as i wanted to feel things out before jumping in and the were understanding about that, number 1.  The testing was not bad at all and was in line with the actual work difficulty.  I do ortho so I don't know about the other testing, but I would imagine it isn't bad.  Thus far, I have had plenty of work, QA is WONDERFUL--best i have ever seen by far.  The internet platform takes a little getting used to if you are used to installed programs, but still not a major issue.
and when I started w/MQ they had 12,000+ MTs

Yes, that's exactly how it started out with me...sm
She told me my bank was rejected my direct deposits because my account was closed. I was actually dumb enough to believe her for a while and kept arguing with my bank. Please keep my posted about your situation. I've recently sent a copy of all the invoices she owes me to the hospital with a copy of the job numbers, etc. I doubt they'll pay me but they'll certainly see what kind of a business she's running. I cannot even imagine where she gets off thinking that she can get away with pulling this. I just find it incredible. Hope you have better luck than I did!!!
It has still not started.

After you get started
I almost took the test, but went for a job closer to where I live, in the same state.
I started at .09 CPL at WMX.
x
I just started with them...not so sure yet!
It's too early to tell about the company. I like the HR manager, recruiter, etc., but the QA manager is a little pushy....
Have you started yet?
How long after testing did you hear back from them? How long after being hired did you receive your equipment? Do they pay an hourly rate for training? Thanks
I just started there and not on DD yet. I don't know
when I'll get a paper check.  The company may be growing, but if they are getting the payroll info to ADP in the required time frame I don't know what the issue is.  I would be worried that I didn't have a good answer as to why the payroll is late, especially is this is the second time it has happened, because I would be walking it through the make sure everything was okay and if it wasn't I'd be chewing someone's rear.   I don't know how late it was last time, but if this hasn't been a pattern I don't think it is time to freak. 
Here's what I did when I started out...

My first year as FT IC, when I had the accounts set up I did a guesstimate of my income and expenses, go ahold of the required Federal tax forms, and did a mock-up. This gave me a ball-park figure of what taxes would be due the Feds. After the first year when I paid it all in one lump sum in April (having stashed the money monthly in a savings account), then the Feds sent me a pack of quarterly payment slips.  From that point on I paid quarterly.


You can pay as much as you want to the Feds (they'll take it!), and I tried to hedge on the side of caution, so sometimes I got a refund. Most of the time I had paid my taxes fairly accurately.


The advice to talk to an accountant for your state is a very good one, especially if this is your first at-home business venture. Usually CPAs don't charge a horrid amount for a consultation and it can make things a lot easier for a newcomer to Schedule C.


You can e-mail me with more specific questions, will help if I can. Good luck to you! 


Getting started
I also was lucky to have received on-site training from wonderful co-workers--one of whom also trained her own daughter. Of course, now, with all the outsourcing, Indian mothers can pass this trade on to their daughters while we are supposed to be politically correct, broad-minded, and respectful of all other countries (but our own of course) and just tell our own daughters to go find something else to do. Very fair, isnt it.
i started with 8
For acute care, but I lasted 1 month.
I just started with them and I really like it. sm

Lots of work.  Decent dictators for the most part (in my pool).  I like the management team.  They answer  your questions and are very nice and very  helpful, as are the QA people.


I opted for full time and work Sunday through Thursday on the day shift. They are very flexible too if something comes up during your shift. You can pick a schedule that fits your needs and don't necessarily have to do 8 hours 5 days in a row.  I like having my two days off together (Fri and Sat).  Haven't had that happen in a looooooooooong time.  :)


The platform takes a bit of getting used to, but my old platform (MQ) was cemented in my brain for the past 4 years.  The team and QA people have been very helpful with that as well.


It was only my first week, but it went very well.  I like it much better than my old job.


Good luck!! 


I started...
working for them maybe 3 months ago and only worked 1 month.  Like I said it was hard for me to get work, although I'm not saying it's like that on all accounts, they post here daily looking for MTs, so I don't know.  I was told when starting that it was 60% VR and 40% typing, but I probably typed maybe 5 jobs the entire time I worked there, it seemed to be all VR.
i just started and
and was never treated the way you supposedly were...kind of wonder how truthful your being here...being asked to commit to a tue-sat or sun-fri isn't telling you when you have to work...you need to check yourself
Getting started - but not really

Okay, I graduated from a branch of CareerStep in 2000, but the company that did the training was only training for one physician group.  The training was very localized to acute care (so I have trouble with other specialities, but I am learning) and when I started working it was acute care.


Problem is that once I was given this job I found out they didn't offer benefits if you weren't full time...and they couldn't move me to full time.  I left to start working in high tech with medical benefits.  Since then I have worked per diem (The company would call and ask me to cover for MTs on vacation or for excessive workload) but I was paid cash or off the books; so I can't use these companies as references.


So many companies say no newbies...but I am not a newbie.  I also have trouble passing the tests that others give because of how limited my training was.  I score a 92 and they want 95 or I score 84 and they want 85.  It's so close!


Any ideas on what I can do?  My last few job positions were with small companies (really just one MT saying they own a company which is really just a group of MT's using this one person as a recruiter)  and the lack of support or even professionalisim is appalling.  I was actually accused of lying on my resume with the last one.


I took these per diem jobs hoping they would result in more permenant employment, but no such luck. 


Any suggestions would be helpful, it seems that I am somewhere between newbie and experienced even though I have 9 years of experience!


Thanks 


why if you started in the 70s and have sm
done this for so long, would you even consider VR to be a good thing? Surely to goodness YOU have enough sense to realize that VR is nothing more than a way to take MT to the level of just a plain typist.....no even less than that.

I cannot for the life of me figure how any good MT who knows their stuff can enjoy this kind of thing much less think it is an overall good thing for the medical record itself. What happened to a sense of satisfaction of having put out a great medical/legal document for the benefit of the PATIENT? Everything aside, the only thing VR personnel is doing is correcting the mistakes that either a machine make or an MT that doesn't know what they are doing!

At the very least I would rather be doing QA and teaching and mentoring a prospective GREAT MT!
One like you is the one who started this
name-calling bash-fest, lest we forget.
I started as a new QA at $14. Now
after 10 years of QAing, I make $18.
I personally am getting started with them
soon and cannot be more excited. I look forward to working with them!
Recently started too
Flexible schedule but you need to decide what your hours are and commit to them. Benefits granted at 32 hours. Plenty of work. Really good, patient and supportive people. Training with guaranteed pay. Smooth, easy and fast startup. Good, high-tech platform.
I have 15 years in. I just started with them
4 months ago and was started at .10/line.
Go for it!! I started 3 weeks ago. (sm)
They have a super training team. You get an immediate reply when you send an email to ANYONE at Medware. They are a great bunch of people and very helpful. Bonnie (recruiter) has always been there for me and I am on a team with a great Team Leader and Lead Transcriptionist.

I am on the Merit side and love it. It is an excellent program and soooo MT friendly!!