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Agree, but geezzo, my acct only charged 150 to

Posted By: do family/business taxes. nm on 2008-02-13
In Reply to: You can always say, "No, thank you." - sm

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$14.97 is what I was charged
They did not have these on the shelf (I wonder why). I had to ask for the model number. See my post above and they had to go get them in the back. You could call your local Radio Shack (what I did). They looked in the computer and saw them in inventory (they had only 3). I would ask them to pull a pair for you and hold them at the front register with your name on them until you can get there. Hope this helps. Happy holidays.
I think you should have charged them

the first time.  Tell them if you have to spend time to listen, then that's at a rate of $20.00 an hour in addition to the transcribed lines minus the reports they think are already transcribed.  This way, you are paid to listen.


How much more of this are you going to take Lisa?  My dear, you are letting them walk on you.


Are you being paid for the "meeting" in the morning? 


I can thank C-Bay for losing my job, too. 


Look, you are going to need to draft a contract to bring along in the morning.  Otherwise, you will be working for free, and this practice will drive you insane. 


You need to figure out what works best for you and set the ground rules.  You simply explain to the office manager that this is how you will be doing the work and what you will charge, etc. 


At some point, you will have to hold this office accountable for the work they give you and stop working for free.


If you are picking up flash drives, then they should not expect you to report back on patients, etc., which is time consuming unless they would agree to a flat hourly rate for listening and sorting out dictations and then a lower line rate. 


I know, I have a big mouth, but please, don't let them take advantage of you.  As I said in your last posting, they will continue to abuse you if you allow it. 


There are plenty of companies online hiring right now.  www.mtjobs.com - have you checked there?


AND CHARGED ME AND KEPT MY MONEY
when I asked for return. Thanks you for the post above. I think the people on here are mostly English speaking, are they not? Maybe some speaking broken-English. They are not seeming to understand. I do not think most would like to be stolen from. I would put this in several languages as I am thinking the posts coming in are maybe not comprehending what we are saying but I only speak English.
I charged per line
I charged per line because then they had no question with regards to hours.  It was gross line, top to bottom of page using Microsoft word.  Did all the uh's, yea, okay as they wanted it verbatim.  For a little over 2 hours dictation made $400 but it was very hard to do and I think that they got a deal.  It was a land use county meeting and people would not identify themselves and talk over each other, interrupt, could not tell who was talking, etc.  I think I averaged about $25 an hour but kept going over it and over it.  Had someone else helping me and we kind of relistened to each other's parts of the tape.  But again, they got a deal as between the two of us we put 10 hours typing and 5-6 hours reviewing.  But I charged .125 cpl.  Then told him that there would be review time and so we just settled on $400 and made sure that he paid me before I returned the tapes.  He had to review them to see who was saying what and I did eventually get an apology saying he now could see why I had the trouble that I did.  It was 7 men and 1 woman and all the men sounded alike.  But good luck.  I have done seminars, medical and building a computer chip and those were easier than this.  But the only way I would bid on this type of job again is to say I need to listen to part of the tape before I can name my price.   Good luck.
I used to do that and charged by the page. nm
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They charged me almost $400 last year.
It goes up every year. I overhold on all my employee jobs so I'm not worried about that. I just can't stand paying someone that much for something I can do myself.
Forgot to say, doctor charged $79

for DH to come in and find out the results of the MRI, doctor never touched him.   It could be worse, we could have not had insurance at all.   DH and I weren't exactly thrilled with the doctor anyway (can you imagine an MT going to support their spouse and not being allowed to ask questions until the doctor gives you permission - LOL). 


The doc charged $500 I don't see that as a rip off - the hospital bill though - sm
for $5K is a bit outragous and has nothing to do with the doctor actually. I hope she has insurance.
I got charged $75 for a copy of my old MRs, even though I transcribed it!!! n/m
:p
Cigna may be charged with manslaughter in
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Guilty as charged! It is very difficult.

My biggest and best suggestions are to type a specialty that interests you and try to keep up with the report.  In other words make it a challenge to diagnose and treat the patient before you're through with the report.  I use an online timer set for 45 minutes.  I'm not allowed to do anything but type during those 45 minutes.  If I'm feeling a compulsion to research something that I found while checking on a word, I write it down and give myself 5-10 minutes between 45 minute sessions to do exactly that.  I also take medication (adderall) without it I would be completely lost.  I also have to make myself use the interest as little as possible.....too many shiny things to take my attention away.  The good thing is that usually ADD people are exceptionally bright and innovative, so I can accurately produce in 4 distracted hours what most can produce in 6-8 diligently working.  However, can you imagine what your line count would be like if you stuck to it the whole time??


So, to summarize:


1.  Try to find an MT job that interests you.


2.  Use a timer to limit your distractions.


3.  Take medication.


4.  Avoid the internet for reseach if at all possible. 


has anyone ever charged insurance companies for doing their work - SM
I have a lot of medical issues with my family and so see a lot of doctors and pay a lot of copays.  Each and every time I see a doctor or facility I have to pay a copay, which I always ALWAYS charge on my credit card.  No exception.  Do not pay, do not see the doctor or have the test.  Yet time and time again I get letters from the doctor's billing or facility saying I owe a copay to them.  When I call them up, explain that I paid my copay at the time of services rendered and do not owe anything further, I am told they don't have a record of it.  I must find the receipt and send them a copy for proof of payment.  In short, I must do their job because they are either too lazy or inefficient to do it.  Earlier this month I got a statement from the x-ray facility saying that I owed a copay.  The customer (dis)service person was very unhelpful when I explained that I always made my copay first and it showed up on my credit card statement.  Finally I told him I would call the facility myself and get things straightened out, which I did (they had put my copay into a different account by mistake).  But I ended up doing his job and got treated rudely to boot.  Then yesterday, I got yet another doctor's billing statement saying I owed my copay.  I called and left a message saying that it had already gone through on my credit card bill and would not be paying.  They want proof.  Am I out of line saying, fine, I will photocopy the receipt (and this is an NCR receipt so the office has a copy of it) and my credit card bill (with everything else blanked out) and send it to you as proof of my payment, but it will require my invoicing you a $10 processing fee.  If you are not willing to reimburse me for my time to straighten out your mistake, then I will not provide proof of payment.  This takes time out of my day to hunt through my receipts, make a photocopy, document it in writing (LOL I learned that VERY early on), then postage, etc.  Why must I do this without being reimbursed for it.  IS ANYONE ELSE FED UP WITH PEOPLE NOT DOING THEIR JOBS?????  Arrrrghhh.  I feel every so much better.
An MTSO that I worked for charged $6 a page. NM
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Some of my accounts are charged for blank lines..nm
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Wow! Thanks for the info. I didn't know the nationals charged THAT much!! I'm going for it! n
nm
line rates charged to clients
I know that 10 years ago, Medquist charged one of their big hospitals in St. Louis 24 cents per line!!! Yet of course they pay their employees peanuts, since they pay by the WORD. (MQ is more concerned with paying Wall Street.) But there's your upper ceiling of what you might dare think of charging!
Very impressive. Reading this really charged me up, and I hope it does him also. nm
nm
Yep, my son's doc charged 111.00 for a 3 minute visit to tell him he had a kidney stone.
And to think the insurance paid it. Hmmm.
figure an average at 1.20 and 1.50 and charge double..we charged 2.50 and 3.95

I've never heard of sales tax being charged for a service, only
for a tangible product.  
I charged by the gross line and made more money that way.

I had to have a bowel resection for a Meckels diverticulum and the surgeon charged 2500 and got 1500
and the hospital bill was 27,000. Until that surgeon gets done paying malpractice, his office costs, taxes, etc. I bet he doesnt get one third of that money plus all the visits I had while in the hospital for 9 days and fu visits. I did have insurance thank God.
You need to charge for this extra service. Stat reports should be charged at a higher rate or per r
Never lose money. I have unlimited long distance and when my docs what things faxed, etc, I charge them per report to fax the document as well as charging them to transcribe it.
MOre than one acct

The above is a good recommendation.  I have a binder with the account specifics and when I first started with them I would bring it out, review what their specifics were and so on to refresh my memory.  Now after years of managing five accounts it is an automatic switch of font, margins, set-ups, etc.   After a time you will be doing the same but until then, just make a binder, cards or folder and prior to starting the account bring it out and refresh your memory and keep it handy to refer to when needed.   Good luck.  


Patti


RAD ACCT
I get 9 cpl on two accts using ADAC/MARS, 2.00 report for mammos and 1.50 report using Meditech
acct
I got my own account by actually being a patient there. They actually gave me a rate they were looking to pay and worked from there. Also, I do not print or pick up/drop off. I speak with the office manager if there are any problems. They also have a few other Transcriptionist so we try to send the files to each other if we get stuck but if not it just gets left blank for the doc to fill it in. I have a TAT of 2-4 days.
Need Help to set up an acct.

my aunt just asked me if i'd be interested in doing some work for the doc she works for.  i currently work for somebody else, so all of that legwork is done for me.  i simply download from her system, type and return. 


how do i go about setting up something so a doc can dictate digitally and get it to me.  i don't know the first thing about it or where to start!  he currently does not do digital, but is considering looking into it, so i can't really turn to them for help on this one!


suggestions greatly appreciated!


No I do better job. On acct 1 yr. nn
X
How much do you want this acct?
You could stand up for yourself and say you want XX more per line or you arent interesting in doing acct. It would be a headache for MTSO to find another MT to do this acct as well as you, but it wouldnt be impossible. Also MTSO would have time tied up in training new MT. MTSO MIGHT decide giving you a raise is worth it to her or she might decide to invest in someone else. You may have some insight as to which route she would go, but beware, you could lose acct.  Again, how much do you want this acct?  If you dont want to take a chance on losing it, you can hardly gripe about what MTSO is making on it.
I used to have an acct like that...
I could do 1000-1200 lines in three to four hours. I mostly did one doctor who said the exact same thing over and over, so I had a template for his entire transcription and just had to plug in specifics. Sadly that job went to India :(
If acct is on ASR, what is left for MTs
is the worst of the dictators that have always and will always be a problem. The best speakers are put on ASR to the machine can under stand it. They've got you. It is no faster that using expansions. There is no production increase, so there should be no decrease in MT/ME pay. THAT WAS THE DEAL! I will go back to cut and paste an old post that says what happens.
Get a local acct (sm)
The middle man is making money on your work. Cut out the middle man and you'll make more than $15 an hour.
hospital acct
A little more info would be helful. Medical Records? Acute care? Full time? Benefits? Large hospital? Days/evenings? Where are you (what state)?
i am on verb acct,
and there are very very few reports that actually go out word-for-word verbatim. I do keep it as close as possible within reason and common sense.
I was removed off an acct. after one day -sm
as the client requested I be removed. I don't remember being given any samples (several years ago). It was an ESL, a new acct. etc. So I did have blanks here and there, the MTSO had told me not to worry, they'd QA all the work. For some reason or other they did not, hence the work went through as I had left it. Needless to say the client was not happy, so I was removed from the account. I did not lose my job though, but I was peeved for sure about the whole thing. We eventually parted ways and I have not had that problem since.
Tell MTSO you want off this acct. ;

MTSOs are always complaining about the shortage of good MTs.  Your MTSO, I am sure, would rather have you working for her on all your other accrts than risk losing you because of one bad dictator.  A good MT is worth more than the sum of lines of one bad dictator. She knows he is bad and to this point, she knows you will muddle through with him.  Put a stop to it. She will not quit giving you work over one doctor. I have been in similar positions and have always been taken of acct/dictator that I requested because I could not make money. MTSO is it this for money, she shouldnt expect any different from you.


Unless this is your only acct, worth more for
x
If IC, you CAN choose to do or not do an acct.
x
losing acct

Hello Patty,


I lost an acct about two yrs ago and it hurt, but I wasn't backing down.  The OM of one clinic knew the OM of another clinic I typed for and they mentioned to each other how much they were paying me per line.  The OM from the higher paying clinic called me and asked why I was charging her clinic more.  I told her first of all it wasn't really any of her business, but the other acct I had had for 10 yrs and I billed them 50,000 lines/mth, plus I picked up tapes every day.  Her particular clinic I only had about 6 mth., billed about 3000 - 5000 lines/mth, and didn't get tapes every day.  Needless to say, I never picked up another tape from that clinic, but that's the way it goes sometimes. 


No. You said verbatim acct. Maybe that is why
x
Start looking for another acct and when has
x
On my acct are 2 drs. that all know are horrible.
to just do our best and email acct manager the job number so she can alert the facility.  Facility knows the work of those 2 are going to have more than the allowed amount of blanks and we just have to let them know when those jobs are coming through. 
Do acct coordinators have the power to....
knock you off the server so you lose whatever work is downloaded to you and, if so, is this pretty standard practice when they want the work to go to their favorites instead???
Maybe they haven't set you up with an e-mail acct

yet.  My company assigns us an e-mail but in 5 years I've never used it and don't even remember what it is.  Some MTs choose to use it.  


As far as the e-mails sent only to you, maybe they are just updating you with all the info, or you could be doing something incorrectly and they have these e-mails in a file and pull them up and send as appropriate.


Maybe they have their e-mail setup so that it sends to each person on the list separately.  I don't know how this is done if even it could be done.  I get e-mails from my company that don't show any addresses in the To: section that go out to every MT on my account.  I like it this way so my e-mail addy (my personal one) isn't being published.  I don't have anything to hide, just don't like my e-mail on forwards for everyone to see and possibly harvest. 


Call your supervisor or the tech department if you have concerns instead of worrying about something that really is no big deal. 


 


Depends on the acct and how much editing (sm)
on a good account, you can do 400-600 lph, more editing takes more time.
5-10 of each a day with 2 others on acct doing 350-400 exams daily
Works out good if you are paid by exam which I hope you are.
having own acct charge question

Just curious.  I have had this account for almost 4 years and have never gone up on my charge to them.  Is it appropriate to go up for standard "cost of living" increases in medical transcription?  I don't have to do anything except email their work to them when I'm finished with it, but used to print it out and deliver it, but recently finally got them to accepting it via email.  What is the standard procedure for charging a bit of a higher rate as time goes by?  Thanks very much for any advice.


Depends on what your acct. allows. Many don't follow
s
Anyone ever had a local acct & had to deal

How did you deal with it?  I mean the docs like your work and insist on giving you work, but the in house MT who coordinates your work is a Wicked Witch of the West and blocks the docs' attempts.  I'm talking small $ here.


If acct pays for spaces, do 2. Every little bit
x
Ask you acct for samples to look at. And get the Dorland's
s