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Serving Over 20,000 US Medical Transcriptionists

? for small in-home businesses

Posted By: Sally on 2007-09-17
In Reply to:

I am looking into adding a 1-800 number to my system, DH thinks that you pay for the minutes you use, is this correct? One of my Transcriptionist travels to my house to work, which is 45 minutes away from her's.


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What is a good inexpensive small home printer.
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I have my very own very small office at home.. It's decorated in lighthouses and serene
r
I make very good money at home with a small MTSO

Keeping small children at home will cost you more than paying a daycare ... see message
If you are really committed to working, then transcription can be beneficial. It is not a job where you can attend to your children at the same time you work, you either work or you attend to your children. You make choices.

I would recommend this career field - I make 50,000 a year working 6 hours a day. It is still good if you work it.
Working full time at home with small children is hard but part time works great
is almost impossible. You will either have to work when your spouse is home or for only a few hours during the day and then more when they are asleep. I work part time at home and my kids (2&5 now) have done very, very well. They are great kids, very well behaved, don't get into much. I stop working to check on them/give them some attention every hour or so while I work (5 hours each afternoon or so) and they get all my attention in the morning and at night. It has worked out beautifully for us.
I would, but they ran out all the smaller businesses here. nm
..
cleaning for businesses
Definitely pays more and there is less grunge to clean. You vacuum, empty trash cans and easy. Probaby depending on the size of the office, good money
friends of mine pay house cleaners once or twice a week, $75 for half a day.. the hispanics do about 2 or three hours and leave to another job.


Ummm, some MT's run their own businesses...

which was exactly the kind of advice she was asking for..


your life may be narrowed down to only MT but some of us do much, much more


They are running businesses SM
and a new MT is costly to train in the way you want.  As far as making sure EVERY report is 98% or better, I'm sorry but there is no medium or large company doing that.  As long as MTs are paid on production, errors are going to be made.  I think you probably need to focus your attention on the work you are doing, don't bother with other people's reports.  As for people working more than *they should be,* again, production is the key and the more an MT types, the better their paycheck is and the better the supervisor likes them. 
Businesses also have people to
answer to. They hire for when they need people to work. If they cannot accommodate the schedule an individual wants, then that person just needs to look elsewhere.
Did you know that not everyone can get direct deposit for their businesses? sm
There are a lot of factors, and banks will not take on a small company. They want to provide services for bigger companies that have a lot of money going through their accounts.

I deal with one of the biggest banks in the country and they will not let me do direct deposit until we deposit over $100,000 per month or it is not worth it for them.

The smaller banks in my area do not even offer it.

All I can do is get checks out on time and correctly.
Outsourcing affecting other businesses...

My husband's co-worker's wife is losing clients to cheaper labor overseas. She owns an advertising company and would charge $25,000 per client, and now they're paying $600 for the same thing, but not here. She has lost about $100,000, and they are struggling now. These people have tapped into something that is really hurting our country. I'm afraid for our kids' future and what they might not have, nevermind ours. I just thought I'd throw this out there. I know this is nothing new to hear.


I think it is how businesses is done. Hospitals are always looking for a better deal
Since all transcription services "GUARANTEE" turnaround time with complete accuracy a hospital will try to find the rock bottom rate they can get the work done for.  Since they don't deal directly with the Transcriptionist they are going to look to the company that will insure them quality work at the lowest price possible.  The service cannot make a profit if they keep reducing their prices to secure/keep a client so they have no choice but reduce compensation.   It is such a competitive business so if a service is willing to do it for less but still provide turnaround and quality that is the service that is awarded the account.  It just trickles down to the transcriptionist basically taking what is offered because they are not doing the negotiating.  I think the trend is keep cpl as low as  they can but making speed and quality mandatory.  If you want to be considered for employment because of this competitiveness a transcriptionist has to accept this as not a field where wages are rising...if anything they are going down.   It baffles me because all in all other health fields, salaries are going UP.   With transcription salaries are other going down or the rate is the same as it was 15-20 years ago but the quality standards are much higher...that is the difference - the standard of quality but not the pay.   It is the trend of the industry.  It is considered such an advantage to work out of your home and be afforded a flexible schedule that of course you are willing to take less plus combine that with the threat of having your job outsourced because "you make too much and others including other countries  will work for much lower wages"  it seems that lowering cpl will continue as the trend. 
I don't want the govt telling businesses how
That is MY privilege to negotiate with my employer!

Too much interference by governments already by forcing minimum wage, etc.

You'll have businesses closing down if you put too much mandatory regulation in the mix. It's a free enterprise, you know.


I got your point. I already knew that. Fact is, most businesses sm
in other areas give benefits. We all know that holidays are given at the discretion of any business. The fact is though that most businesses do offer them off in other areas, hospitals do, and why wouldn't an MTSO want to make her employees more attracted to her service? That is my point. I understand your point. I had a point too. :)
Yes, I would be very angry. Men do not run businesses with emotions - they don't care! nm
x
many businesses are doing credit checks before they hire. Some of the reasons are
for example, an employee with a very bad credit rating, carrying a lot of debt might be deemed to be a greater risk for financial problems, such as embezzling. Also, if one cannot handle one's own finances, tends to show that perhaps they can't handle other responsibilities, particularly supervisory duties. Just what I've heard in the business columns...
small mentality usually means small pocketbook
Still make more than you and I but that is deserved. They've put the effort forward and educated themselves.


Do you expect businesses to cease operating because the U.S. work force refuses to provide services?
What will be wanted is that the immigrants pay taxes and that there are no outlaws coming and going. This is all about taxes.
Has anyone ever tried those multilevel marketing businesses such as Fortune Hi-Tech marketing...sm
My friend wants me to sign up...she is making about $2000 a month now but working quite hard at it.  My husband claims it is like a pyramid.  I just don't know. I wondered if any of you have had personal experience with this type venture.  TIA
My kids have suffered greatly from me working at home with them home. SM
I have been working at home as an MT since my two kids were born. They are now 4 and 5. In the first few years, I had no help whatsoever. Their father was a bum who didnt work or take care of them while I worked. Your children get neglected while you work basically. And babies and young children desperately need your attention while they are home with you.

My kids have so many behavioral problems right now because of their neglect. I would try to set them up with things to occupy themselves, like coloring or a movie, etc.

I finally put them in day care and things have improved, but there are still a lot of issues because of the damage that was done. They still try to seek attention by doing bad things and they dont listen to me because they are so used to me letting them get away with a lot of stuff because I was too busy typing to discipline them in their early years.

If I could do it all over again, I would definitely have put them into day care from the very beginning.

My advice would be to seek PT care for your baby. Maybe you can do some work around her schedule a little when she is home, like when she takes a nap, and then bang out a bunch of work while she is in day care.


I enjoy being alone at home, but I've got one home sick from school already.

One on one with a kid is nice, too.


This summer has been absolutely crazy.  I haven't had a moment to myself for three months because all of my kids were home traipsing their friends through the house and yard.  My husband switched his work schedule, too, so he's around more than usual.  However, I like not having to do two loads of dishes and four loads of laundry a day.  There are no toys or clutter dragged out everywhere.  I can clean the house first thing in the morning, and it stays clean until everyone gets home at night.


I even got to relax with a cup of coffee and watch TV for half an hour this morning, something I liked for a change instead of cartoons or kids' movies.  I signed up for an online class that I've been wanting to take.  I can exercise without being interrupted.  Yesterday, I went to the mall and spent all my saved up gift cards.  I got some clothes, books, bath stuff, and a new coffee mug.  My work gets done a lot faster, too.  Call me nuts, but I've never had the luxury of being alone in the house for 14 years.  It's kinda nice.  I love my family with all my heart, but I love having a few hours to myself each week, too.


Except now the cat and dogs have been acting weird since the kids went back to school.  They must think that I need someone or something to clean up after and correct behavior on.  They're getting into everything and racing around the house behind me.


my take is that she worked inhouse, not at home, and now wants to find out how to work at home. nm
x
Forget "per line." Your take-home pay should be taking home SM
roughly what it was before. If it is not, is it because your current pay rate for editing (which in many companies keeps changing as the VR system is developed) is too low or is it because your talents and skills are more for speed typing than speed editing?

If the first, discuss it with higherups, and go get a new job if you don't get the response you need. My last MTSO was secretly refiguring how production was counted to pay us less. I can accept hard reality, it was the secrecy that burned. Sometimes, though, it's just that the learning curves of individual editors and that of the system aren't in sync, and you end up temporarily making less.

If the second, though, recognize it as soon as possible and change to straight transcription work, in your company or a new one, for as long as you can find it.

As for why we aren't paid more for a higher skill, that's just the way the labor supply ball bounces. Best wishes.
I think she means she has wireless TO her home, not IN her home..nm
x
hospital at-home -vs- national at home

I have an interview today with a hospital...work in-house for 3 months, then go home, paid on production. I don't know as of yet what they pay production, so my question is to anyone who works for a hospital at home AND has also worked for a national at home...


Which would be the best to choose? The hospital offers great benefits, but the national I work for now also has benefits, not as good as the hospital, though.  Any input would be most appreciated!



Ditto for me. Have done both outside the home and in the home. We all have
bad days, but I sure would not want to trade working at home for anything. Just being here for my kids is worth every bad day!
If one's biz is small I do not think you can....nm

Yes, you should get a small
social worker, psychologist, or whatever. You just have to wade in and start swimming. If you find the right account, that should help you start out.
Huge, I think it's small on my end (NM)
NM
$18,000+, small national. nm
 
Any small MTSO need PT help? sm
Okay, I have tried the big nationals and that did not work out for me.  I would like something for a few hours a day - would love to do family practice SOAP notes again or something where I can just type away and make some decent money.  I promise a fast turn-a-round and I am willing to work hard, but no complicated platforms and no set hours.  
Why not sue in small claims (sm)
You have a business contract with them. It's not a paycheck we are talking about. It's payment for services rendered. Are they going to send someone to your state to defend it? Probably not!
It's actually one of those small bldg. you
added to the house but it's on the same property as the house...I can't really describe what it looks like. I have only seen it a couple of times. Not sure if that would work. It doesn't have to be that. Just whatever would work. I am more interested in seeing what has worked for others. Just wondering. Thanks for your response.:)
my office is a small
table between the kitchen and the dining room. Books are in a closet right next to it. It helps so I can keep an eye on what my toddler is doing.
how did you get your print to be so small?


if you are for real, your best advice is read this board and take good notes.


 


Yes, small services (sm)

used to pay 11 cpl IC, have now sold out to squids who in turn pay 7-8 cpl.


And services left average 8 cpl, if you're really experienced you'll get 10 or 11 and get such bad dictation you'll get a headache you'll never forget. 


Small accounts
What kind of small accounts are you talking about? How do you find them? Thanks.

I know a couple of people who key as fast as you do, so it is possible.


small company
You just keep your eyes open all the time. Keep looking. You will find them. Opportunity comes knocking at the strangest time if you just keep looking.
A very very small family.
z
I had a small MTSO ask that once. sm
As I was heading toward the exit door, she asked me to send her every single one of the normals I used.

So, I sent her the exact ones she had sent me in the beginning, before I refined them to a fine tune, which had taken me hours and hours to do. I'm telling you, I had most tests for every doctor where I could just hop around and fill in the blanks. No way was I giving those hours of work away!
Thanks! The 16" look so small and the 20" so large! nm
x
small MTSOs

There's a great online resource for MTSOs of all sizes, varying benefits and pay, and variety of work.  It's called www.MTJobs.com.  Sign up to be on their mailing list.  There are usually at least 50 companies listed on each newsletter, which comes out twice a month.  Good luck in your search, and prayers for God's healing of your medical problems.  :)


should have said that this is for a small national not
an individual. We are trying to put some new things in place and want to make sure that we put the right things in place.
Small Nationals.
I guess just not the huge places like Medquist. I would like a little bit smaller. I am even interested in any companies that are great to work for and pay okay. I am not having that great of luck working for MTSO and getting paid good.
Thanks!!
thanks (small message)
just that I posted the link in the subject line and it was too long...no problem, though! thanks!
Small ear pieces
Try Lanier Healthcare.  They have a headset that has ear pieces that fit right into your ear without any hard plastic to deal with, just wires and the foam that fits into your ears.  They are the best ones I have ever used. 
Believe me, you are neither weak or small.
You are a very strong lady who simply wants the best for her family (including an abusive husband). You are the only one who can make the choice to stay or leave and it has to be your choice entirely. We can all give advice all day long, but the ultimate decision will be yours. We are here to listen, though, and to pray in your behalf for wisdom to make the right choice. Whatever you decide, don't ever forget that when it seems like you're all alone, God is always with you, leading and guiding.  
As an IC, you are your own small business. As a

contractor you have NOT been in their emloyment.  You have worked as contract labor for them, whether it be 1 month, 1 year or 5 years.  They owe you absolutely nothing at any point in time of the contract.  However, should you contact their clients (as you mentioned below), there can be legal repercussions for you so I would seriously think twice about this before going forward.


As an IC, it seems you would know that you should not put all of your eggs in one basket. I would bet that most of us that are IC's work for at least 2 companies.  For the ones that don't, they probably work for 1 company and have their own accounts, OR better yet have all their own accounts.


TAT is of the utmost importance.  It only takes twice with me and I won't send anymore work to that particular IC anymore, which is my option.  I might give them a second chance IF their work was top notch.


I have 2 - one large, one small
My first was a very nice rose in the upper-inner quadrant of my left breast. I thought about it for 17 years before I did it. It kind of felt like going to the GYN when I had it do. The guy was very professional and let me catch my breath from time to time. The more fill-in work, the more painful. The more it is just an outline, the less painful.

The other is something private but special to me to honor my kids on my lower back, but above the bikini line. That was much more painful but different guy and it went much faster as I cussed a lot more with fewer breaks.

If I ever get another one it will be a circle on top of the sternum with the leters DNR inside!

I have a small flower

a daisy, my favorite flower, in my bikini area where just about any bathing suit would cover it up.  I got it when ankle tatoos were really trendy and knew I A. did not want to have the same thing as everyone else, and B. might not want to show my tattoo to everyone, so I got it somewhere private. 


It made for good conversation in the delivery room lol!


I was thinking of getting another one, but would like a spot that covers up and is not that common. The big toe sounds like a neat idea. I hate toe rings for the discomfort, but like the look. 


Have you ever seen that SNL fake commercial on the tramp stamps (lower back tattoos) and the "roll on" to remove them?  LOL.  I thought briefly about getting one but they are too common. 


BTW the bikini area tatoo basically felt like if someone was taking tweezers and plucking hairs one by one. It was not that bad. It was actually harder dealing with it during the healing period because I had to wear clothes over the site.