Advice needed - Switching from employee to IC

I have been working with a national company for 5 years and have enjoyed it but a friend called me recently stating she had a doctor who is despirate for a new MT and she recommended me.  I talked to the doc. today and she is very interested.  I have a meeting with the office manager next week to work out the details.  I have a few questions and would appreciate your advice:

1.  Doc. did not know what type of dictation system they use, but it sounded like a C-phone or DVI system.  Currently I do everything on line, is there a way to dial into a C-phone system through my computor's modem?  I know that this is probably wishful thinking, but it can't hurt to ask. 

2.  Do you draw up a contract?

3.  Are there any questions you would recommend I ask (we have already discussed pay and vaccation/sick time as well as turn around on the reports)?

I am a bit nervous about striking out on my own but the company I work for made a lot of changes last January and it just is not working well for me anymore.  

Thanks for your help,

Mariah

• Advice needed - Switching from employee to IC - MTMOM
  • Thanks! - MTMOM
  • Uh, please... - LORDEE!
    • Ummm, some MT's run their own businesses... - sm
  • IC status - Patti
  • To answer C-phone question - MT2
  • advice - mhmt
    • this is not exactly right - IC2
      • SS tax - Patti
        • Poor you, Patty. I can't imagine living off 20K a year! - LORDEE!
          • 20K is my taxable income - Patti
          • sm - none
            • I second that motion! - mac
        • I understand this except where you say - ER MT
        • better yet is when you incorporate - IC
          • SS - Patti

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I just can't seem to make any money working at home with the kids talking to me constantly with transcipriton so I am thinking about switching to something I don't have to listen to.  Maybe medical billing.  Any advice anyone? 

Thanks

 I was offered a home-based MT job as a direct employee of the hospital with an extremely good per-line-rate.   But yes, it was too good to be true!  Apparently on further consideration, the administrator now says it is too costly (technically) for home set-up; mentioned something about the Lanier DVI desktop and how costly etc. etc.  and some other MT has the license (?what's that about?); also mentioned "Cquence" transcription software program.   They already have 5 other off-site MTs.   Anybody out there with opinions and/or constructive advice...please.  

I am an IC MT.  My MTSO continually loses files that I have already sent her.  I am paid only for what I type per line, not doing secretarial work.  Just today she said that she needed me to resend EVERYTHING I have done for her since October 15.  That's going in, in separate emails so I don't crash her computer, and sending separate emails with each day's work.  I just spent over an hour doing this.

Saying anything will get her irate, because she doesn't understand the concept of IC versus employee paid by the hour. But does anyone have a good sample email for how I would basically say, "I spent an hour on this.  I bill out at $25 an hour, so further resending of previously sent work will be billed at this rate."

That will probably get me fired.  Any better way to put it?

Thank you for posting this and thanks to all for your words of encouragement. I thought about giving up also but I paid too much money for my course to give up.

It was good to read that others failed before they succeeded.

Thanks again.

Pam

This is, I know, an old and overdone question BUT...Please, please other than coffee, protein, water, energy drinks, herbs, and Provigil, please does anybody have a way in which I can stay awake in between 10 p.m. and 1 a.m. during my shift? My shift is second oddly going into third.  I am fine when I do third shift going into overnight and early morning.  But, it is absolutely the worst struggle between 10 p.m. and 1 a.m.  I would gladly give my highest paycheck to the person who can help me stay awake at that time. That is if I could LOL. Appreciating your replies.

Problems on this job have me seriously considering making a move if there's no improvement soon.  Last night I started to polish up a resume, and realized I'm not sure what to do with references.  I am not ready to tell my current employer that I am investigating my options, and I would rather not have them called for references until I'm in discussion with a company that looks like a good fit for me.

So what to do on the resume?  "Available upon request"?  I have a number of reference letters from when I was an IC that I can attach, if I really need to have references on the resume itself.  Do you think many companies actually followup on references before they interview?  Any thoughts/experience are appreciated!

My friend and her boyfriend of 5 years recently obtained custody of the boyfriend's now 7-year old daughter.   You talk about a handful of trouble, that's exactly what has been packaged into this mini sized monster child.

Bear with me because this will be quite lengthy.  I  will call the girl by her nickname, Tater.

Tater was 5 when my friend (S) and her boyfriend (D) started with the custody proceedings.  Every time Tater would come for visitations, she was full of these wild stories that were quite alarming to S and D.  She would come and tell them how her mom walks around the house naked all the time with all of these different boyfriends, how one of those boyfriends held a pillow over her (Tater) face one time, and how Tater and her baby brother were often left alone for hours at a time and sometimes overnight while her mom was out "getting drunk" with her boyfriends.

Naturally, S and D were really upset by these stories and so they got an attorney and really pushed for custody.  They got custody in March 2005 and their life has been a living hell since she has come to live with them. 

Less than a day or so after she moved in, she started telling them how one of her mom's boyfriends "did things to her" so S and D were once again in an emotional fit because they thought someone had molested Tater.   They called a psychologist and the police.  Had her evaluated, everything.  Even had Tater talk to a detective that works child abuse cases.  His findings and the psychologist's findings were the same.  She had not been abused and, in fact, had a severe problem with delineating fact from fantasy. 

Tater now sees the psychologist once per week.  The goal of the treatment was originally to get Tater to understand the difference between telling stories and the truth, along with dealing with the fact that her mother now has absolutely no contact with her.  It's been rough for S and D as well as Tater. 

Things went well for a short time, then school started 3 weeks ago.  Since starting school, S and D have been called to the school numerous times because Tater has either said that she couldn't do her homework because her daddy was "all drunk", that when S dropped her off at school she was "drinking wine from a bottle in the car" (it was green tea in a glass bottle,) and that they don't allow her to talk to her mother, which is not true. Her mother has supervised visitation but chooses to opt out. 

She has told her aunt and uncle that S killed her cat on purpose when it was actually her aunt who accidentally ran over the cat but Tater didn't know that.  She told one of the neighbors that her mommy had her (Tater) picture taken once and was in a naughty magazine because her mom got money for it and Tater would get it when she was old enough.  OMG yet?  Yeah!  This kid is something else.

She also made a little boy cry in class by rudely saying how he was so stupid and slow during outloud reading time.

S and D have tried all of the things the psychologist have recommended, taking her toys, taking her TV, radio, making her write apologies and hand deliver them, and sit directly behind the bus driver (for even more trouble on the bus.)

She also missed the bus home purposely last week because she was going to go to a friend's house.  Her grandmother had to come all the way into town (they live about 10 miles out) to get her.   When D and S questioned her about what she was doing, she screamed at them that it was "HER LIFE" and she could do what she wanted if she felt like it.  Remember folks, this kid turned 7 last month!

Now, a few minutes ago, S called me in tears.  She got another call from the school because Tater had told some of the boys that another boy was threatening her and making her scared (which was a lie) so she wanted them to do something about it.  These 3 little boys proceeded to gang up on the other boy and he was hurt.  Not seriously but that he was hurt is bad enough.  These 3 boys and Tater are now suspended.  These are first graders and this is a very small town.

S and D are ready to snap.  I don't know what else to tell her.  The psychologist told S and D that she was afraid that Tater had multiple personality disorder but couldn't make that diagnosis on a definitive basis because, as of yet, there are no clear cut documented cases in children of this age.  They usually don't start developing these tendencies until they are in their mid to late teens. 

I have looked online for any kind of research or specialists that can deal with this but it's very difficult to find information even on pre-adolescents that are out of control. 

I am asking for your help.  If anyone knows of a professional or group that can help S and D with Tater, PLEASE post here ASAP.  At this point, I'm very concerned about THEIR well being. This kid is a serious danger.  There is much more but I think I have told you enough already.   We are in Washington State too, just in case anyone has any ideas where to go for help.

Thank you so very much if any of you can help.

I guess I've been lucky to work with some wonderful MTSO's in the past! I've been an MT for over 10 years, but am just now looking for new work and have not worked for big, national companies before. I posted the other day about testing with companies, and I did and got 2 job offers. Yea!...you'd think.  Ha! 

I thought I'd get offered a decent wage, for starters. Two companies offered me positions, one at 6.25 cpl and the other at 5.5 cpl. Both of them say they go up, the more lines you have. Unless they go up...like double...forget it! At least one of them additionally charges a fee if I don't make my anticipated line count during the payperiod (and I had to make my schedule a month in advance), as well as a bi-weekly service fee for using their software.

Is this what I have to look forward to????? I guess my head has been in the sand, because I had no idea this is what people's contracts had in them. No wonder no one is making any money. Honestly, is this standard? Sorry if I seem so out of touch.

I worked as an IC for a company with questionable business practices and who treated me like a dish rag for about 8 months this past year and when I finally could not take any more, I quit.  In the end I was stiffed for about $1900 in pay but I pretty much knew it was pointless to even try to get my money and decided to leave it in the past. 

Well now, they have just sent me tax papers, evidently they never got my signed forms or lost them or whatever.  My question is do I really have to fill them out and send them back, or should I hold out for my back pay, or what?  I really don't feel like I should do anything for them even though I know that it is wrong.  Does anyone know if I can get in trouble for not returning this form?

TIA,

Still angry MT

Hi, I'm trying to start my own small local MT business, and I'm just wondering if anyone knows what contracts/HIPAA paperwork should be signed between Drs. and myself.  I'm clueless on where to begin!

Thnx,

Rachel

I'm moving and the new place has DSL.  I have always used cable high-speed.  For those of you who have experience with both, can you tell me if DSL is a downgrade?  I'm concerned about my production going down because of a slower connection.  I know DSL and cable have comparable connection speeds, but I think DSL is significanly slower in transfer rate.

If I'm wrong, straighten me out.  Tks for all input.

I made the mistake a few years back of switching to a radiology account because it had a better schedule for me.  I had never done radiology, but I had the attitude that a lot of experienced, well rounded MTs do.  With such a vast knowledge of medical transcription.. how hard could it be?  Wow, was I in for a rude awakening!  Radiology is a language unto itself and if you think it's easy, you're wrong. It gave me a whole new perspective of Rad MTs.  So if you’re considering taking on radiology without experience or training, you might want to think twice.

My office was consolidated into another one about three years ago and I never had a problem.  One day I had a different 800 number to call the office with and new clerks to talk to on the phone, but everything else was the same, i.e., accounts, etc.  Not everyone has a bad experience moving in with a new office.

I am thinking of switching to radiology (for a change) after doing all other specialties for over 21 years.  I feel I can make the transition okay after a learning curve, as I have transcribed a lot of ortho, physiatry, physical therapy, etc.,which should help some.  Here is where I need some help.....   My offer was for 10/line gross count and right now I am working for 9/line, 65 ch, but I have no idea how this compares because radiology reports are different and a lot shorter, etc. etc.  I am used to making pretty good money since I have done this for so long and just want to make sure I am not going backwards in pay.  I definitely cannot afford that in this economy.  So for those of you who have experience in radiology can you give my your thoughts and ideas on expectations for this pay rate (obviously after my learning curve).  Thanks so much for any help!!  Also, feel free to e-mail if preferred.

but someone told me that coding is going the way of MT too, being outsourced and such, so I am not sure it would not be a lateral move.  There seem to be lots of ads in Advance magazine for coders, so perhaps it is still a hot field.   The Andrews school offers an at-home training course, and also offered this web site for more information on coding as a career:  http://www.codernet.com

Hope this helps.  Good luck!

The hospital I work for just told us that they are going to switch to the eScription platform.  Many of my fellow transcriptionists are afraid they will lose their jobs.  They think that because it is editing, the hospital won't need as many transcriptionists.  I have been a Transcriptionist for 20 years, doing mostly acute care, and I'm a little concerned as I have only been at this hospital for three years.  If you could please tell me what we might expect in general, I would sure appreciate it. 

Some other questions I have are these:

For those of you who have been in this position before, how was your pay affected by changing to eScription?

Do you like working on this platform and why or why not?  Does it make your job easier or harder?

If you use it at home and get paid by the line (which is one possibility our supervisor suggested might happen), did your line rate go up or down or stay the same?

I guess I'm wondering if I should start looking for a new job and trying to find out all I can about this platform before making that decision.  Any info you can provide is greatly appreciated.  I have read all the posts here about eScription, but many of them are very old, from 2005 or so.  Please help with current info and thanks so much!  I don't want to worry if there is no need to and I want to be prepared just in case there is cause for concern.

if they have previously been used on that machine, does the machine have to be turned off before attaching them?  don't know what i'd do without you guys on this board, be lost in space i guess...

I have had problems with my internet service on occasion, but I am not not without service for five days though! Yikes! And good point about complaining that they might charge you for a business line in another posting here. I think I would still switch though and ask companies how long their customers are usually without service, i.e. ask how long before service is restored.

If I decided to switch companies but am using an Expander program that is the company's software, I would have to start from square one with  new company. (There is no way around that, correct?) 

Not planning on leaving now but was just thinking that if that should become a consideration, my line count would drop big time until I could build all those expansions again.    Has anyone ever gone through that?  Do you remember how long it took to get back up to speed?

I have been an MT for over 10 years.  I also am getting burnt out, tired of my job, day in day.  However, I do love transcription and make excellent money at it, have grossed over $50,000 per year the last 5 years.  I decided to go back to nursing school and am very happy with my choice.  However, over these 10 years of transcription I have had my ups and downs.  My biggest issue with being at home working is lack of socialization, being home day in and day out with just the kids and the animals really gets to a person, sure hubby is home at night and thinks working from home is the easy life, thus the return to school and boy has my overall enjoyment of life changed once I realized I was the problem, not everyone else and I needed to find myself again.

Anyway, my biggest advice to you three-fold:

1.  Get into counseling for yourself, find out who you are and what your needs are, whether or not you think you need to, I sense you are feeling overwhelmed and need someone other than your family to talk to that can be nonjudgmental to your feelings and needs.

2.  If you're only making $100 after you pay preschool you can either keep doing it and be miserable, or quit because you are lucky enough to have a husband who can support the family without your income. (See how fast his mind changes just by losing the income you do have as to whether your job means anything.)  Or look for a different company or office that you like more and are more productive if you really want to do transcription (lots of fish in the sea as far as companies).

3.  Find a local "mom's" group where you can get out and socialize.  MOPS (mother's of preschoolers) is an excellent one that is nationwide, they have a website.  Also Mom2Mom is in a lot of areas.  They provide a once a week time for moms with kids the same age to get together, socialize, (some offer spirtual guidance some don't) and each week a different mom takes a turn watching everyone else's children at the facility that hosts it so the other moms can talk about things they have in common.  Every stay-at-home and work-from-home mom needs to socialize with adults, without their kids, or they will have a nervous breakdown eventually no matter how much they love their kids.

Sorry so long but it does get better but you have to take the first step at making yourself happy.

I have two bank accts.  One is Wells Fargo where I have DD.  The other is with Wash. Mutual which I just opened as I want to quit banking at Wells Fargo.

Has anyone switched banks and requested DD to be placed on another account?  If so, is there a time lapse in between that is of any length?  (i.e., will they mail the check to me in between stopping one DD acct and before setting up the other?).

Guess I should just call HR but I know they are busy as it is payday.  Will wait until Monday.  Thanks if you can be of help.