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Serving Over 20,000 US Medical Transcriptionists

Variables in cost of living

Posted By: me on 2005-12-06
In Reply to: Is $15.00 per hour with excellent benefits good pay for a pathology transcriptionist - MT

Some states sound good, but then check out the taxes - real estate tax, personal property tax, sales tax, cost of heating/cooling, transportation, license plates, insurance, etc. A lot of it balances out in the end. Some states have outrageous license plate fees, (I paid over $600 for my car last year). I also get a personal property tax bill each year for everything including my dishes and silverware. State income tax is out of sight. Cost of heating in winter is unbelievable. I have to have 2 sets of tires for the car, 1 for winter, 1 for summer. I have to have 3 complete wardrobes for the weather changes.


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You either need a job to fit your cost of living or a cost of living to fit your job. sm
While I agree that you cannot live in California on $35,000 a year, no one is forcing you to live in California. Suze Orman says either find a way to lower your expenses or find a way to earn more money. It's common sense :)

There was a post a few weeks ago about not everyone being cut out to be an MT. I agree.

The original poster needs to stop whining and either get a job that pays more or get a new career. She can make $15,000 on minimum wage at a mall or Walmart.

BTW, it was insulting of her to say that MOST woman don't need to work. How dare she? In this day and age, most adults need to work. This is not 1958, this is 2008. I am not a bra burner, but my husband and I both make similar money, clean the house, cook, raise our 3 children. I am just lucky to have a job where I can work from home. I hated commuting anywhere, hate traffic, no patience.

But that doesn't mean that I work less. I treat my job like a job. I work in my home office but I work all day. I do not do laundry, chat with friends, cook. I go to work each day by getting ready as if I were leaving for an office, pour my coffee, make sure I have everything I need and start. I take bathroom breaks and a lunch break and take the full hour that I would somewhere else. I work 8 full hours as I do not include my lunch hour, so my day is 8 to 5. When I am done for the day, I turn everything off, leave the room and close the door, as if I were in an outside office.

My husband has a salary of $71,000 and I make near the same as him each year. I do not work overtime except very rarely, an occasional Saturday here and there, just like if I were on salary in another profession.

I am not perfect, but I love my job and do it well. I also know that MT'ing is not for everyone, although it seems as if a lot of MT's who are not very good at their jobs have a sense of entitlement.
does anyone know the cost of living in Bangalore? I need a job... lol nm
x
Cost of Living Increases

I work for a large MTSO and after four years have not received a cost of living increase. Is this standard operating procedure? Things cost more than they did four years ago. Do you think CEO is getting the same pay as four years ago? Any thoughts?


Cost of living is higher
In eastern bloc and Ireland and India. They're gonna want as much as we make. And if not now, then soon once they seal the deal. Plus our HIPAA laws still don't apply anywhere but here. There is still that.
It also depends on your cost of living.
I live on the California coast, which basically means I can't make a living at the national going rate. Fortunately, I also have one small local account that pays at a rate commensurate with the local cost of living, and because I have this, I can survive. Not sure I'd call it a good living, but I can get by.
They haven't forgotten about the cost of living.
They are having to compete with India and other countries and to do that they have to hold their line rate.  Their rent goes up, they have to pay support staff, etc.  I'm sure the majority of the companies are not struggling to meet their obligations every month, but the profits aren't what they used to be.   As MTs we were spoiled when we were making $60,000+ year when that was very good money, but now that $60,000 doesn't go very far, but you'll be hard pressed to find that kind of money in most positions in other job markets.  
But the MTSOs knew the cost of living would
contract with the hospital was even dry. They cut it too close by too much bottom-line bargaining, and didn't leave any wiggle room in order to be able to continue to pay the MTs that are the ones who actually produce what it is they're selling. No wonder we all play job-leapfrog all the time! The way they do business is too short-sighted to even be believed, sometimes. And the hospitals (most of which are WALLOWING in money) are taking total advantage of the average MTSO's lack of foresight, and most MTSO mangers' lack of even the slightest clue as to what medical transcription is, or how it's done. It's all too pathetic for words.
Heard no more raises or cost of living either.
a
to long time MT - the cost of living is about the same as the midwest - sm
you can have rent ranging anywhere from $500-900/month depending on where you live and what you want. It's not expensive like NY or DC or VA. The line rate is ABOVE - A-B-O-V-E 8.5/line and the docs are fairly easy with the exception of a few marblemouths, but I think every hospital has to have a few marblemouths, or it just wouldn't be right. If you are seriously thinking of it and would like to send us a resume, let us know your email and we will contact you!

We posted this because we wanted to know our options - rather than to have an outside service take the overflow.
Medware has been paying $14 for years, No cost of living increases there! nm
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Slipping Backward - Line Rates and Cost of Living

This is for those of us who have been in the business awhile. 


 I stumbled across an online calculator that lets you input a dollar amount and a year in the past, and see what it would be today with cost of living increases.  (Link below).


You can use this with line rates and do it two ways - either as cents, which gives you a whole number result, or as dollars, which gives you the decimal portion as well.  In other words, if you made 8 CPL, you can either enter it as $0.08, or you can enter it as $8 and then move the decimal point over to the left two places in the result.  The multiplier is the same either way, so the dollar method with the extra decimal points is more precise.  Just remember to move the decimal point over.


I was making 10 cpl in 1990, so I gave it a spin and ran some different line rates through it using 1990 as the base year:


8 CPL = 12.96 in 2009


9 CPL = 14.6 in 2009


10 CPL = 16.2 in 2009


11 CPL = 17.8 in 2009


12 CPL = 19.4 in 2009


Is there any doubt that if the line rate had even kept up with the cost of living, people would not be feeling the way they do about this industry? 


Then I did something else and tried different input amounts to see what amount in 1990 would have equalled 9 CPL today - a typical line rate.   I had to back off to 5.56.  Someone earning 9 CPL today is making the equivalent of less than 6 CPL in 1990.


It's kinda fascinating playing with this thing (the way watching a train wreck is fascinating, I mean).  Here's a link you can paste into your browser, or you can follow the link at the bottom of the post.


http://www.aier.org/research/worksheets-and-tools/cost-of-living-calculator   


 


 


 


There are just too many variables...
in this business to answer these types of questions. Line rate, platform, work types, experience, definition of a line, employee versus IC, etc. It's like comparing apples and oranges sometimes. I've personally known MTs to earn anywhere from $5 an hour to over $50 an hour. $1000 a week is NOT impossible.
Too many variables to say --

When I worked for MQ, I was on 2 primary accounts that were SR.  The dictators on these accounts were pretty good and I generally got 300 lph, sometimes more or less depending on the dictators.  MQ paid 70% of your line rate for SR and paid for spaces but not demographics.  Some companies only pay 50%.  A lot will depend on the platform, the dictators, your SR rate of pay, what the company pays for (ADT, spaces, etc), and how many accounts you are on, in addition to what your general MT capabilities are.  Generally speaking, I type about 200 to 250 lph.


You might get a better idea if you state which company/platform you are talking about. 


There's a lot of variables

There's a lot of variables
Especially if you're a relatively new hire, you're probably just getting up to speed on the account they hired you for and so they may not have the personnel to change that right now. As to adding it as a secondary, they're usually pretty good about doing that as long as it's in the same 'difficulty' level. They're not real keen on having the top tier transcriptionists getting paid at the top of the scale for typing no-brainer stuff. But your best bet is to talk to your supervisor. It may be that the spot you have now can be easily filled by anyone, and if you've got skills that would work well with what sounds like a new account coming on-board, they may be more than happy to switch you over.

Of course, like everything, be careful what you ask for.
Depends on SO many variables.
I have seen 6-8 cents for a 65-character count line for acute care. There are many variables here. It might be more with incentives, if you can attain them as a newbie. I am sure others will weigh in with what they know. Good luck!
There are HUGE variables
Formulas that MT companies give as average are usually based on average work that a MT is well versed in - which companies do not always make available to MTs then act surprised. Duh. Connections, software, familiarity, accents, account types, etc., etc. are huge variables for production and should be considered. Left on the same work for awhile I used to be capable of producing 2,000-2,500 lines, but that changes if my work is changed or if I'm put on a subspecialty I'm not familiar with. It's why companies that have people on a zillion accounts and are not rewarded for it have unhappy MTs. People making huge counts are usually people who are happily typing away at familiar work. Been there, not there now, and am miserable and burnt out.

Again, there is no average. Too many variables. As for
work it out with your client or clients or find someone to cover for you. Or you can have them find someone to cover for you, but if that person is faster, nicer, or better in some way in their eyes, you run the risk of losing the work. I always provide backup if any extended time off or just work double the next day after a single day off.

You can set forth your TAT, but if the client doesn't like it, you won't get the work. I typically ask what kind of TAT the client expects and if it doesn't work for me, I don't have to take their work.

Perhaps just finding a place other than MQ would solve your problem better, though. Having your own clients doesn't always equate to more money. You might get a better per-line rate but there's a lot more involved so you end up working more hours, etc., as stated below, and don't always end up on the profitable side.
With all the variables as to what could be lurking
that dictated minute, your guess is as good as mine. Do you have an offer? If so, what is it? Is this for an IC job? PT? FT? No real way of knowing uness you take the plunge, do the dictation and see what you come out of it with. IMO, sounds like more smoke and mirrors.
Lots of variables.
I do tend to agree with the poster that a lot of it has to do with the type of work. Like her, I had an account that paid 9 cpl but because of the nature of the work, I was lucky if I could break 125 lines/hour.

I recently chucked it for an account that pays 8 cpl, have my weekends back, sit down, do my much easier work, and walk away...no more sitting at the computer from morning to midnight hoping to get enough money to get a living line count. I'm getting line counts in five hours that it would take me 12 to get at the 9 cpl place.

I will also point out that a lot depends on what company it is. Some of the same people saying that there was no way in hello they would work for 7 cpl, yesterday said they would work for even less for a small mom-and-pop American company to help get it going.

So, in a nutshell, if it was one doctor, one account, plenty of work, free-form schedule, for a small company, yes, I would do it for 7 cpl.
Something is missing here. Please answer a few ??ing variables here. Please sm.
I'm not affiliated with Landmark, but have perused enough archives to see that not paying their employees is not a common practice with them. The majority of posts regarding LM are very positive. No MTSO has 100% positive info, especially on this forum.

I'm not taking sides here, but to quote a poster below, there is a lot of missing information.

There are always two sides to every story, which is the reason for my questions.

1. How long were you employed with Landmark?

2. Have you returned any and all of their equipment?

3. Is nonpayment why you quit? If not, did you give the customary 2 wks notice?(Not that this justifies holding back pay, just trying to find ALL the answers.)

4. Were you in breach of contract in any way?


Whether your statements are true or not, they are still considered slanderous/libel. You may want to be prepare yourself in case you need to back them up.

Good luck!
Part of the problem with variables, and where we are today -sm
is because of how isolated we are, not only from the managers in the hospitals and MTSOs who don't have to see and get to know the people whose incomes & healthcare they're grinding down, but also because other than boards like this, for the most part we're isolated from each other. I'd venture a guess that of however many MTs there are working in the US nowadays, only a rather small percentage read this board or ones like it, and it's nearly impossible for MTs to function as a single, large entity that would get more respect from hospitals, MTSOs, and even our elected government officials.

I don't know if it's actually possible, but I still carry the hope that someday, somehow, this powerful communication tool, the Internet, can be used to once again get MTs what they deserve - even if it's just a small portion of the financial pie. The more money the employer makes, the more the employee should made, as they are the cogs driving the wheel, and it's the squeaking wheel that gets the grease.
Do they count spaces? If not then it would be a lot less. Find out what the variables are from your
Good Luck. Had the same problem with a job I had to leave. I got half the lines I used to. Now with another job same thing, just a little more than half of what I used to. Still looking for a company with the fair line count (65 with spaces, headers, footers, etc). Tired of looking but still trying. Good luck to you.
Many variables affect work load
Sometimes I have run out of work.  Sometimes my accounts are swamped with OT, while other accounts are caught up.  Some platforms have more work/accounts than others.  Some specialties are overstaffed, some are understaffed.  Its pretty much the same at other companies.  Its just that people speak in absolutes on this board about their experience.  You have to take it all with a grain of salt.  I have come to understand that everyone's situation is so different that maybe we all should put a disclaimer that my situation is this and not make blanket statements using words like always and never, nor argue with one another about who's reality is valid - they all are.
Sounds good to me, but lots of variables. Employer stability, for one. nm
x
Too many variables to count. A lot depends on shift, accounts, what types of work you do. (sm)

I can be totally out of work on my 2 accounts and pull up backlog report and see some accounts have OT offered. 


Every company has some employees totally satisfied with amount of work and some who run out totally. 


Like I said, many, many variables to be figured in.


It's all the variables that can make it difficult - lousy software, mangling ESLs, inaudible dic
s
Isn't that what we do for a living?
That's why keyboards were invented.
They will not hire MTs living in CA or CT.
nm
How can she pay living expenses on that? nm
X
making a living

Is there anyone out there supporting themselves and able to make living with a transcription company?  i I have been wanting to make a switch but need a push.  thanks so much


making a living
I have been an independent contractor for over 20 years (MT for 30) and have 5 kids which I have raised alone with no support from their dad. I have bought my own house, have a decent car, pay all my bills and my kids have many excurricular activities (which runs into moocha dollars). Hope this answers your question.
making a living
I would definitely recommend Transtech for you, and if you are full-time, they offer you benefits, and can provide you with a computer if needed.
Decent living..

In short....the answer about Is it possible to make a decent living with them, without having to work 40 or 50 hours per week?.... NO 


This is where living in a certain state...
makes a HUGE difference in such things.  I currently pay for the insurance for my husband and I (no kids but still need family plan) through DeVenture and it costs me a brutal $136 per WEEK, and the copays for office visits and drugs are still hefty.  This is one of the main reasons so many people in this state (Maine) are uninsured...it's just too frickin' expensive
MQ looking to earn a living
With ASR making money is getting tougher and tougher. Years of transcription experience counts for nothing here.
Try living in Delaware where the just

1,100 workers worked their last day on Friday.  What do they tell their kids.  You are worrying about a measly Christmas bonus and jealous of CEOs?  What about these auto workers? 


Have some dignity and stop with the 2-year-old me, me, me.  Be lucky you have an income and are not being told sorry this is your last day a week before the holiday season. 


No one is ever just happy they wake up in the morning these days.  It's always want, want, want... 


Not sure what us living in the same state has to do with anything. sm
Everyone's experience with a company is different. I think it just all depends on what your specific needs are. It's disheartening when I hear that other people have had a bad experience with a company that I think highly of.
It's because they are living in a falsehood.
If the person just does a one liner to sound like they are bragging, they are just trying to ruffle feathers.  Don't believe everything you read on this board.  Its anon and it is open to the public. 
Living Wage
I don't know exactly what I would call a living wage for a weekly amount. I can tell you that for my family of 5, the GOVERNMENT says that if I make less than approximately $40,000, that I qualify for various forms of government aid due to low-income status.

$40K divided by 52 weeks per year works out to about 1700 lines per day at 9 cpl.

If you're only making 5 cpl (case in point: That recent ad on the Jobs Bank!), then you would need to type 3076 lines per day in order to keep a family of five above the cut-off for food stamps and free lunches!
I think a living wage is
1 thousand dollars a week.
No cost here either
x
cost...
For medical and dental it is around $85 biweekly.  SGS is also the only company I know of that allows contractors to have medical and dental, around $110 biweekly, as long as you meet 9600 lines minimum biweekly, which is pretty low these days.
how much did YOU cost THEM?
If the FOB belongs to the hospital, why in this world would you not want to do the right thing and send it back even if it means going out of your way (although it is crystal clear here that this would be against your nature) to do right by the hospital?

I could never, ever do something that could cause an MTSO to lose a client and if you chose to follow the road you are on that is what could happen. It doesn't belong to you. It has security codes on it. The hospital is upset. The MTSO is upset. You are upset. Crimy!! God save the MT profession from crabby, nothing-better-to-do-with-their time old timers like you!!!!!!

Do you think that you are so special that you were the only one who lost money on trying to get you started up? People in the hospital were helping. People at the MTSO were helping. You were sitting around waiting, not helping and you continue not to help.

Send it back all ready and be done with it!!!!!!
I guess I'm living proof

that past behavior is a good predictor of future behavior.  Did you ever have your days in the beginning when you could have been one of their cheerleaders?  I know I did.  Yet, I still saw those unhappy posts and, rather than automatically think they were lying, instead I wondered how they got so unhappy.  I think I found the answer.


How do they make a living if they don't get paid for their
services.  I don't know that they get a percentage of the line rate, doesn't make sense that it would be like that, but I'm sure they get a flat fee.   The MT doesn't pay, the company does.  I didn't ask them about getting paid because that was none of my business.   Maybe they don't get paid unless the MT accepts a position.   A lot of companies offer referral bonuses, could be the same thing with TM.  
We have to make a freakin' living
..
living "in the sticks"
I too live where there is no DSL or cable option. I use wild blue satellite. It is fairly affordable, though more expensive than DSL, but it works great - I started out downloading with dial up, and the difference is wonderful. You can Google search wild blue to check out the service closest to you.
barely making a living
Used to make a decent living but lately (past 2 years) have not. Major pay cuts in all 3 jobs (per diem to hourly and page count to line count) and big expense of benefits for single mom and 2 kids.

I sort of lost all my incentive and feel very used. Thought my salary would increase over the years (or at least stay the same), not decrease. Keep trying to get motivated but can't seem to get there.

I am currently employed by a national, benefits are $550 a month and I have no control over how my lines are being calculated, plus it is on a 74 character line, not even 65 so my lines in my pay are way lower that what the company is calculating already.

Recently tested and interviewed with another national but they pay per page (which was way less than my page rate 10 years ago) and beneftis were more than $600 a month.

Any suggestions and ways to get motivated again would be appreciated.

Yes, you are living in a dream world, but you might get 11 cpl
nm
Terrible....can't make a living on that.
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