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Serving Over 20,000 US Medical Transcriptionists

About 7000, but our income is low 6 figures, so ratio isn't too bad.

Posted By: nm on 2005-12-28
In Reply to: how far are you in debt? - please respond

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if have an HP 7000 - see message
I have the HP Pavilion 7000, love it and have had no problems with it, have used it for 2 years -- BUT, the biggest drawback on a laptop is that you have to make sure that the platform requirements for your footpedal is compatible with USB. Some platforms require a serial port, and notebooks no longer come with serial ports unless you order them special built, and even then they are hard to find. Some joy stick ports are also noncompatible with transcription foot pedals. Adapters to convert serial to USB do not work because the technology is entirely different. And the 17" laptop is heavy and bulky, a big strain to travel with and lug around.
Not sure, I have deductions for federal income tax, SS tax, Medicare tax, and state income tax. ???
nm
Oh..it's way possible. I've averaged $7000 monthly for the last 5 months sm
I have four accounts and work probably 60 hours a week, but have most weekends off, sometimes I'll work a few hours on Saturday morning or Sunday evening. It can be done, but it isn't easy.
They should look at your overall ratio instead
A seasoned Transcriptionist who gets a variety of acute care work will have a consistent ratio of the length of dictation to the amount of time it takes to transcribe. If they will look at each MTs ratio (say 1 minute takes 3 minutes to transcribe), this is a much more equitable policy and they will know which MTs are slackers and which are heavy hitters. It is counterproductive to be called on the carpet for individual reports and much more effective to reward consistency over a period of time.
3:1 ratio
Same here - that is what we learned in school - but using WordPerfect - I have found it not as easy using Microsoft Word - also depends on using a word Expander or not.
Probably going by the ratio
that it takes 3 minutes to type 1 minute of dictation.
I was told average was 4:1 ratio. NM

Usual ratio is 3:1 of dictation, so 2-1/2 to 3 hrs NM
xx
Hearing/typing ratio

Wondering what the input/output ratio of most is.  Are you typing in the spot you are hearing or somehow listening further ahead (and still typing from what you heard prior)?


Do you have to stop/start the dictation much?


Any descriptions appreciated. 


Figures
.
Don’t know where you got your figures but
I make almost $24.00 per hour, so that salary is ok with me.
Figures
My figures were based on your production x 0.03 or 0.04 cents per line which is what most of the major companies pay for VR.  Of course, I don't know what you get paid and it doesn't matter, was just doing the figures based on the AVERAGE pay I know is being offered.  I think 3000 lines per day is pretty much the high end of what most people can produce.  Some dictators lend themselves well to VR and others do not and that slows the production.
my figures were off.....sorry...sm

I went looking for the stats - and these stats I'm going to paste are from the 2000 census - and believe me, things have changed drastically since then....back then I read/heard there were 800,000 cubans in Miami but I think it was Miami-Dade and the stats i just found are Miami only....and 65% of the population are hispanic/latino but that's not just cubans...the 2000 census says total population in miami is 404,000.  I'm disputing that today but new stats (accurate) are a tad difficult to find...but I'm still researching...*laughs*


2000 census info for Miami, Florida:



Population - 362,470



362,470FL (Florida)" src=http://www.muninetguide.com/muninet/images/blend.jpg" width=226>





Latino

65.76% 65.8%





White

11.83% 11.8%





Black

22.31% 22.3%

 


The median age for residents in Miami, FL is 37.7 (this is older than average age in the U.S.).


Families (non-single residences) represent 62.1% of the population.


Median Household Income














Median


U.S.

$50,344


Median

Median


Miami-Dade County

$43,955



Median


Miami

$28,699


2000 U.S. Census data, adjusted for inflation

info gleaned from below link:


http://www.muninetguide.com/states/florida/municipality/Miami.php


when they speak of Miami with the bigger #s I just read at another site - they mean Miami-Dade, Broward, and Palm Beach County, total population of all 3 counties is 5.4 million, and all 3 counties comprise South Florida (as I would think/presume Naples and other more SW cities do on the Florida West Coast)....


all very interesting....I'm glued this afternoon to checking this out 


Here's some figures for you to gum on ..
For me, the half cent a line incentive averages out to about $1.75 an hour more JUST FOR THE CMT equates to about $1750 a year on a 20-hour a week job.

The 1 cpl incentive comes to a little more (easier platform and accounts) comes to about $3.80 an hour more and about $3800 over the year for 20 hours a week.

So, it totals about $5500 a year. For me, it's worth it.


I don't know where you got your figures, but you are incorrect.

Self Employment tax is only about 15.3%, which is only a small percentage more than you'd pay with employee status.  FICA and Medicare are already taken into that figure.  As a self-employed person, you get to deduct a bunch of stuff, too, so your taxable income isn't as high as it would be if you were an employee.  Nobody earning $1,000 is taxed at 40%.  You have to earn more than $278,450 as a single person to be in the higher federal tax bracket of 39.6%.  I've been self-employed for over 8 years now.  I've never paid anywhere near 40% in taxes.


BTW, I have a minor in accounting with many years of bookkeeping and tax preparation experience.  If you still don't believe me, check out the Small Business section at the IRS.GOV website.  There is a ton of accurate information there.


I don't know where you got your figures, but you are incorrect.

Self Employment tax is only about 15.3%, which is only a small percentage more than you'd pay with employee status.  FICA and Medicare are already taken into that figure.  As a self-employed person, you get to deduct a bunch of stuff, too, so your taxable income isn't as high as it would be if you were an employee.  Nobody earning $1,000 is taxed at 40%.  You have to earn more than $278,450 as a single person to be in the higher federal tax bracket of 39.6%.  I've been self-employed for over 8 years now.  I've never paid anywhere near 40% in taxes.


BTW, I have a minor in accounting with many years of bookkeeping and tax preparation experience.  If you still don't believe me, check out the Small Business section at the IRS.GOV website.  There is a ton of accurate information there.


Unemployment figures are also down
because the people that have run out of unemployment compensation are not counted in the final tally. Yes, unemployment figures are very misleading.
Also, are these figures before tax/expenses or after? sm
Some ICs might be quoting their pay before taxes and expense deductions, which isn't their ACTUAL pay for the year. If someone has their own accounts and says they bring in $50K per year, that's possible, but probably not the amount they receive free and clear.

I find it hard to believe anyone makes that much free and clear unless they are working 12 hours a day, every day, and pulling in a significantly high per-line rate. I'm not saying it can't be done, but I base this opinion on the fact that I make a very good line rate, type over 100 wpm for easy accounts I've had for years, and still don't bring in that kind of money free and clear. I come close with my gross income, but after taxes and expenses, it's only about 65% of that! And I work 9-10 hours a day with only one week of vacation per year.

Come to think of it, that's pretty sad when I see it on paper. LOL I'm going to go look for a new line of work now.
Lines per hour - I just do NOT get these figures. PLEASE tell me how you hit these #s
Okay. I have been doing this for 25 years, and am a CMT. I rarely have to reference anything - even meds. If I do, I can find my answer in 30 seconds max.  I type on a super platform, have a great expander and spell check, and type really, really fast - averaging 120 wpm last time I tested.  I have a great account, though I use NO normals or standards.  I simply cannot - accounts are verbatim to the word, and nothing is repeat dictation.  Even Op reports, which are my specialty, all MUST be typed from scratch. I average 200 lines per hour - maybe 250 at best.  I am great at this except obviously not making 1000 lines in 3 hours.  There must be some detail that you guys are leaving out, which, if it makes me feel like mud, must really dash the hopes of those new to the profession.  Is it that you all use normals or standards or copy and paste your own stuff to boost up those line counts? Otherwise, how on earth do you hit those numbers? I'm asking sincerely, cause I used to be SO happy hitting 1200 lines after a 6 to 7 hour shift, but now I feel like a total failure.  I'd rather do this in 3 hours, or I'd rather hit 2000 in the 6 hours.  Is it the macros and standards and normals and all?  I think that MUST be the key, in which case I won't feel bad, because my account simply won't allow that! Thanks for any tips!
I have heard fair figures between $14 to $18
per hour. Good luck!
I realize that, but any average figures?

The "unemployment" figures are down bec our country does not count
have gotten discouraged and given up.  So the unemployment figures are very misleading according to a PBS program I listened to this morning.  That sure made sense to me bec all around me I see people being laid off and they sure aren't getting jobs.
That's great if I typed with 65 cpl, but my National's line figures
xx
What is acceptable error rate (i.e. error ratio to line count).
Thanks.
ATT- I was paying $320 for 7000 minutes, I am now paying $175 for 5000 minutes in CA. nm
nm
MT income

I am at #6, but have been an MT for 30+ years. 


But for those who need FT income...sm
I can see how that could be a problem for some. It is my intention to get a PT job, and if I don't get enough work, find another to fill it out; then, who ever pays best for the best work and least hassle WINS. However, my DH is the primary wage earner around here. My income helps, but we don't require it to live.
income

I live in New York, have been doing MT for 15 years and during all of that time I have needed to work 50 to 70 hours a week.  I started on working mostly from tapes. When the dictations started coming through the computer and I started using word expanders, income went way up.  But so has my rent - used to be $750, now $1100.  And my son eats a lot more at 14 than he used to! A few years ago I started working for 2 services for extra money... but now I couldn't get by without 2 jobs. The first job used to pay well, but with a combination of a new platform and VR,  plus being transferred to a different account at a lesser line rate, I make thousands less from them than I used to.  I am changing companies.  Would love a 40 hour work week but don't think it's possible.


40,000 not low income

maybe with 10 children..  I know of one circumstance (in my state, and some others) where a person can make a decent amount of money (sky's not the limit, but 50,000 range is OK) and still get Medicaid. It's a program for working people with disabilities, whose medical expenses are extremely high and would not be covered by regular insurance - including services of home health aide and transportation to medical appointments, equipment, etc etc). I am on this program (which I was not told about by Medicaid workers, had to do my own research). So I am in the curious position of receiving government assistance (Medicaid only, not food stamps or disability payments) and working/paying taxes at the same time.


Likely the OP is not in this category.


Income Tax after Death

I have a friend whose mother passed away in March of this year.  She was an IC and thus earned income right up until the time of her death.  Is her daughter now responsible for filing an income tax return and/or paying taxes on this income?  I know an accountant for her would be handy in this situation, but I thought I might get some opinions here as well.  Thanks!!


Disagree - it is NET income
You pay your social security on your NET income not your gross, after all your deductions and look around you will find them.   Also you are only paying 7.5% MORE than if you were an employee.  Again, as an employee you have the convenience of someone controlling and withholding your income tax while as an IC you do it.  I have more usable income as an IC than as an employee because of my deductions.  If your husband is working have him take one less deduction or have them hold out a specific amount that will offset what you make,  they will do that and that way you don't have to worry about paying quarterly taxes.   The IRS doesn't care who pays as long as if you are filing jointly the tax has been paid.  
He can't cut his income intentionally.. sm
It's written into the divorce decree (if you have a halfway decent attorney) that income cannot be reduced.. and even if it is.. the child support and other payments remain the same as ordered. Been there...and done that..
Monthy Income
I would like to know what short cuts "nm" is using in order to make $60K a year.  Maybe that will help us all make more money.  Thanks.
Yearly income

I have three 1099's here in front of me  -- one for 24K, one for 13K,  and one for 5K.    My W2 one is for 14 almost 15K.  I did work without 1099 in the amount of 3K.   The reason that my average goes down on the IRS forms is that after all my business deductions -- which includes my health insurance and 401K and Self employed retirement fund, mileage, supplies, etc. it goes down to less than 20K.   Believe me or not, but it is possible and I still have time to go on the boards.  I do not work 60 to 70 hours per week. 



I have my own accounts and my income
was around $38,000. That is around $3,100 a month. I work M-F and usually work 8-hour days, though there are times I need to put in an extra hour or two on the weekend or in the evening when the work is really coming in. If you work for someone else, that person is charging at least 3-4 cents per line over what they are paying you in order to turn a profit, so if you are making 7 cpl, you can bet they're charging at least 11 cpl, if not more. At 11 cpl, if you can achieve 1400 lines a day, that would be around $3000 a month. That would be 175 lines an hour and that is not an extraordinary amount for an experienced MT with Expanders and other production tools in place. I would venture a guess that most saying they make that much have their own accounts and those making less than that a month work for someone else.
Low income housing?
My sister is getting divorced and wants to move into this place that bills itself as "low income".  They told her they would take 30% of her income.  BTW, she is also an MT.  She says she makes about $1350 a month, but has a van payment and various bills.  I am asking on here because the place won't answer any of her questions right now.  She needs to be moved by the 15th of March.  I am wondering if anyone knows how they can take over $400 of her income and still call themselves "low income" that doesn't seem fair.  I knew a lady that lived their with one child and paid less than $10 a month.  I mean what about her other bills?  She has 4 little children (twins 4, and  6- and an 8-year-old).  I hate to see her move in there and overpay.  My mom and I don't know what to tell her.  She's been through quite an ordeal already.  Any help would be appreciated.  Thanks!  Aunt Maria
annual income
Watch out, you will be accused of being childish from the same person who refers to "some" fellow MTs as unfortunately not having a brain. Hmmm, pot calling the kettle black? That was so rude and so not called for.....is that necessary!
20K is my taxable income

Boy you guys do not know how to read financial statements or know the first thing about running your own business.   That is my taxable income.  I start out about 55K and end up paying taxes on only 20K if that.  I support myself in a very unique lifestyle living on a floating home.  I contribute 15K to a my own retirement fund.  I have NO debt.  And I probably spend no more on gas than if I were working at a hospital but I get to deduct the mileage which is a good deduction.   The only outlay that I have that I would not have if I were working for someone else is supplies -- sticky paper and toner.  I have looked at employee versus IC or business owner and I am so much more ahead financially doing it this way.  A lot more usable income.  And I only work 30 hours per week even with deliveries and pick-ups.   So before you speak, learn how to realize what is net, gross and  taxable income.   


loss of income
I think this is happening to many of us in this profession.  I am making two thirds of what I made 13 years ago and there is no way to get clients in my area as one hospital went out of business, two merged and gave the docs laptops and the largest only uses one service and has a 10 year contract but I have heard they are giving all new doctors laptops too.  The hospitals in my area own most of the clinics, family meds and speciality offices too.  Time for me to think about something else.
income taxes
Hi - Now working as an IC. Can anyone tell me what form or format you use when filing your taxes to list deductions from work-related items. Would appreciate any help on this.  Thanks
Income potentials...
There are so many variables to that, but since no one has posted yet...

I think the average for a newbie (which you will be starting out until 2 years) is around 5-7 cents per line. The average after your "2 years of experience" goes up to about 8-10 cpl. There are so many variables, and every company is different. Of course, if you were to be running your own business, that is another story altogether, which maybe someone else will respond to (as I have no idea on that). Most companies require between 1000 to 1200 lines per day (full time) to 5000 to 6000 (part time). That is my understanding as a general rule. I'm not an expert, but that might give you some idea anyway. There is a website/magazine called Advance for HIM. They have a salary survey on their website for MTs you might find helpful.

Hope this helps!

Rae
Just report your income
Keep copies of your invoices, and just report your income from her.  Some do not provide 1099's.  It is your responsibility to keep track of your income and report that. 
Still if she has $11-22K a month of income - sm
you don't think that is enough to pay all her bills with some left over for herself? What is her equipment made out of? Gold or some other precious metal. Most call in systems run $5-10K, even if she has 5 of them I would think she could have them paid off in a year, 2 tops; granted I do not know how long she has been in business but with 44 clients/accounts I would guess it has been a little while. If she is working out of her home then she has her "home office" deduction, if she rents an office I would suggest finding something cheaper obviously. It is just hard to comprehend that she has $11-22K a month in expenses; how many QA people does she have? What is she paying them, hourly or by the line? Are they cheating her if paid hourly? She definitely needs to do some restructuring/reorganization in order to keep afloat. She doesn't give any details so it is a little hard to give her a sensible answer, we can only guess and she will have to see what fits and what advice she finds useful. If her 44 clients barely produce 2000 lines a month, then that is $8800 a month for herself to pay bills, QA, attorney, etc. That is a much slimmer number but that is still a high cost to doing business, $105K a year, just does not seem right. But again we do not know details and can only guess.
Variable Income

You are so right.  Maybe we need to stick together and ask for hourly wage that is fair to us and to the hospital/clinic/private office, benefits that mean something, and all work our shifts.  If some of us don't keep up then we will get fired!  However, the rest of us will all benefit immensely and be fairly treated.  It seems in the world of transcriptiion that we, the transcriptionists, always get ripped off.  Consider that my husband has a "regular job" and has had yearly cost of living increases, bonuses, etc. forever.  By my estimation, my pay translated into hourly has gone down considerably.  Twenty years ago the hourly offered for our services has never changed one iota and now that we are home not only did it go down (unless we skip lunch and work over) but we have lost all our benefits unless we work for cheap line counts for big nationals.  I am tired of them taking all of my money, are you?  It is just like the health insurance racket.  They have all kinds of "middle men" who get their piece of the action from the people who really do the work.  My husband's share we pay for our benefits has gone up, his company's share has gone up and the offerings have gone down.  Why?  There is no real need for middle men.  All they do is drive the cost of things and the real workers get it in the neck or other body parts I won't mention because I am a lady. Face it, doctor's don't even know we exist any more.  There is no personal factor.  I don't need constant affirmation, but it was nice when the doctors I transcribed for vaguely or not so vaguely knew who I was and respected me and my integrity and realized I made some contribution to their practice by my careful attention to detail.  They also remembered that I too worked there when everyone else got a raise.  I guess I am done now, but this gripes me so much and we all continue to sit here and type and nothing changes.  Somehow others have insinuated themselves into our transcription business and are pocketing all the profits and calling all the shots.  Some days I feel like a rat in a wheel. 


#2 is a good income but
//
taxed on net income
You take off all your deductions and pay the SS on the net business income.   Then you take that income, deduct half of the SS, your personal deductions and pay federal income tax on that net.   
Income after deductions.
Income after expenses is what you are given credit for making. If you grossed $40,000 and had $10,000 worth of expenses, you made $30,000. This is your taxable income and what is credited as your social security income.
MT, whenever I see someone saying a good income isn't possible SM
I immediately suspect that person is still typing most dictation out slowly and laboriously, letter by letter, word by word, like in the old days. Not as bad as trying to do this work on a Selectric, making corrections with Liquid Paper, but still way behind the times.

I have over 37,000 entries in my Expander program--words, phrases, paragraphs, whole report sections, and macros--and I'm still trying to catch up with people who use a lot more.

But just for instance, two Keystrokes are what it takes me to separate a run-on sentence into two and start the new sentence with a capital "The." My ShortHand knows I'm not really computer literate, so it recorded the strokes I use to type that normally and asked me to give it a name. I chose ".t"--the two keystrokes.

"Dr. Samangaranapour" is "drsam." And so on. And on.
For a slow typist, with the help of my expander I'm now record-breaking fast by the old standards.

And that's how it's humanly possible, and why so many people are still making good incomes on the current pay rates.
Since 2000, my income has gone down sm
every year and I am working more hours.  That's it in a nutshell.
Income Taxes SM

I use an accountant for my taxes and it is well worth the money.  One time I had an issue come up with the IRS and the accountant handled the problem for me.  Also, the taxes are more complicated than if you are an employee somewhere.  Good luck.


supplementing my income
I decided to apply for a U. S. Census 2010 job, took the test, and was hired.  Hooray!  Training starts in my area in a couple of weeks.  It's just the thing to supplement my MT income.  Depending on where you live, there are still lots of census jobs available.  The census bureau has already hired 140,000 census-takers and is planning to hire at least that many more.  In my area, the pay is $12.50 an hour.  It depends on your area of the country as to how much you make.  You have to commit to 20 hours a week for a minimum of 10 weeks, maximum of up 10 months.  You can work up to 40 hours if you want.  That's what I'm going to do:  Census 40 hours and MT 20 hours.  Personally, I can't wait!  I'll get to do the 2 things I love the most:  walk and talk.