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An MTSO that I worked for charged $6 a page. NM

Posted By: Chickadee on 2006-02-01
In Reply to: Per page rates - Help!

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I used to do that and charged by the page. nm
x
Between $3-4/page if not through an MTSO
When I was working for an MTSO in Bergen County, they paid me $2.50 pp and billed the neuro's office between $3-4 pp, but it did vary base on the letterhead. Some of the clients left little room on the page for actual transcription, so I would use a lower $$ in that case. If it is office notes that will be placed in a chart, you may want to charge the higher fee.
I did when I worked for a small MTSO sm
and boy, did I live to regret it!  She was, let's just say, um PSYCHO!  In a nutshell, my nephew died and she didn't believe me when I asked for a few days off...she had to see the announcement in the paper first! Needless to say, I dumped her shortly after that incident.  There were many, many more, but this was the final straw!
I have worked for a small MTSO once and

was never afraid of not getting paid. Something in her voice told me I could trust her and just dove in. No contract, either. But I did have to give her my SSN for the 1099.


Never realized I would be setting myself up for trouble but every 2 weeks the check came in the mail.


Ask the MTSO. That's all you can do.


I worked for a small MTSO who gave the client
the client changed to smaller and smaller font sizes, the MTSO let them know the rate would change so the MTSO never lost money just because of the font size. The clients always understood. The client simply wanted less bulk in their charts, not to short change the MTSO.
Personal page/web page resource
Paula,

Thanks a lot for sharing these great websites!
$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.
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
x
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.
Some of my accounts are charged for blank lines..nm
x
Wow! Thanks for the info. I didn't know the nationals charged THAT much!! I'm going for it! n
nm
Agree, but geezzo, my acct only charged 150 to
x
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.

Yep, $2.00 a page and the page has about 30-40 lines on it nm
>
NJ $3 page, though I have heard as low as $1 page.

When I worked for a national, up thru 2 years ago, I was getting $1.75 page and heard they got $4.


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.
Every company is different -- I worked FT for one as an employee but worked a split shift - sm
So I never took breaks. I would work 5 hours, break for about 4 hours then do another 3. Another company I worked for did not care what hours you worked (IC) but wanted a min. amount of work each day, 500 for PT and 1000 for FT-- BUT they paid you by how many lines an hour you put out, the higher the lph the higher up the scale you made per line in pay; they have since changed everyone to a flat rate with incentive. But bottom line, if you are an IC it does not matter what hours you work, though many ask for a schedule and ask you to stick to it, they just want you to meet line requirements daily, i.e. 1000 per day, 1200 per day, whatever it is.
I got up early, worked during naps, and worked when DH got home.

You have to be disciplined to make yourself work when baby is napping instead of maybe watching TV or doing housework, etc.   


I might also go the route of having a teen come into your home, or either trying a mother's morning out program at a local church/daycare.   I've been home since my youngest was born and he has never been in all-day daycare, but I did have him in a mother's morning out program 15 hours a week at a local church.   It didn't help a lot with my work schedule because I had an older son in school and was a room mom and tutored other kids, but that might be an option.  The only problem with the mother's morning out program is they are around other kids and tend to pick up every germ.  I finally took my DS out of the program because he stayed sick.  You were supposed to keep them off if they had green nasal discharge and I did, but no one else did.  Every time I got him well after 2 to 3 days back he would be sick again.  Other than that it was very good for him because he would not have had a chance to be around kids his age otherwise. 


Oddly enough, if I don't use my bank card as a credit card in the billing cycle, I get charged fo
x
I worked on that system when I worked there...
The thing that chapped my hide about that TWS was that they designed it so that all the headers of each section of the report were canned and thus you were not paid for them, even though you had to take your hand off the keyboard and mouse down a list of paragraph headers to chose the one you needed.  Just racking up more profits for themselves.  Ticks me off.
that is what is being worked out, and has been worked on for the last few years already...only
why are we just hearing this now? I know voice recog has been around, but this is entirely different. This will also make coding and billing obsolete.

Don't know why, but it just bothers me that one of our 'own' is the one pushing this...and she is also connected with AAMT. Do they support this, and if so, what is their advice I wonder to the MT?

Perhaps that is one question for their website (I do not subscribe to their mag or credentials...)

Thanks, for the input!
It's on page 129 of the BOS II if they like to use it. nm
s
Page, AZ
This last summer we took a driving trip and were set to stop in Page, AZ for one night... Ended up there for an extra night because of car trouble and we loved it -- the entire Page/Lake Powell area is gorgeous and we are planning a trip back asap -- I'm jealous!!
Their web page...
www.limewire.com explains why they aren't breaking any laws - something about there is no central hub where people are downloading music (as with Napster back in the day) but simply file sharing - so therefore it is legal. But I would never pay to download music - and I don't think the Beatles are upset about lost revenues!
per page
I actually work for a service by page and actually I do pretty well and feel almost better than a per line rate. I wonder if 60 lines is a combination of both text and blank lines?
Per page

I get paid gross line and from top to bottom of the page.  My rate is lower which is what the docs like and on chart notes just take the line count for word.  Kind of like your two lines on a page you get the page.  One word on the line, I get the line.  Also with my clinic notes, there is just one blank in between patients but I do get that line.  Of course I cut apart the notes for the clinic so that kind of pays it.  I also make good money and can't complain. 


 


By page

You need to turn it around so the doctor feels he is "saving money" by being charged by the line and therefore for only the part of the page that is completed.  Tell him that if you charge by 1/4 of the page anything over 10 lines would be a mininum of $1.50 - 2.00  and so he would be paying for part of the page that would not be filled up.   The same applies if he were to go only 1 line past the 1/2 page mark and thus pay for the entire page.  So make it seem more economical for him.  Also make sure that you figure your line charge out in the font you want to type in and if he wants a smaller, convert it over to charge out.  As long as they know that a gross line -- which is what I charge -- consists of how many characters in the Courier 12 font in, you are not cheating.  But show him how it would be beneficial for him to do the line charge and don't go with an attitude of "my way" show him you are looking out for him.   I would probably start out around 12 cpl per gross line as you will probably get a lot of standards that you can set up, etc.   So if work up to 200 to 300 lines per hour that is very good pay. 


Patti


Wow, we are both on the same page!
I would love to be a homemaker and be with my children, btw I dont have any yet, but that is what I would love to do!!! I agree with your comments totally on this board. Have a blessed day!
It's not there for me either. I think that and the mom page
should have a drop down in the menu thing above.
Could be anywhere from 1 page
to 5 pages.  These would be reports, not chart notes.
If you will look down the page...
There is a discussion about this. Here is a link to my post, which gives a link to the chair I currently use. I highly recommend it.
Are you saying $10 per page?
I just raised my rates to .12 for gross lines, old accounts but again I make good money per hour and just cannot justify raising higher.  I am happy.  That is gross line per Courier 12 and 1" margins.  With one account lots of consults and letters and can make $50 to $70+ per hour and so am happy.  Guess that would equal 13 to 14 65 cpl so that is in the ballpark.   My accounts pay on time, within 48 hours, never a bounced check, NEVER question my line counts or TAT.  I pick up and deliver, do envelopes, cut apart chart notes, and make good money.   Was just sick last week and did a pick up and delivery anyway and one of my docs told me to go home and rest and all others asked how I was feeling.   So do what is fair for all, do not price yourself out of the account as he could think that he could do it again himself but show him how much more free time he has and it is worth the money.   Oral surgeons will have lots of letters and op notes and so you can make a lot of standards and use a lot of expanders.   So you have the opportunity to make good money, again I always see what my bottom line is or hourly rate and not what cpl I charge.  
$1.30 per page???
I know it really depends on many factors, but I was wondering if $1.30 per page is a good rate?  I haven't typed a per page rate in years and I don't remember!  This would be a psych. account.  This company gives a template (I get paid for the template lines).  I am thinking this seems kind of low.   Any help would be appreciated.
$1.30 per page?

Oh, gosh...I almost fell over when I read this.  Maybe I missed something here, but when I had my own private accounts a few  years ago I was charging $5-$6 per page, which was actually low at that time.  The reason was that these docs were excellent dictators (hand-picked, of course), and $ wasn't an issue. 


I'd be interested in any other input.


Good luck.


$1.30 page
They should be ashamed of themselves. Don't take the job! I type speech pathology reports and charge $5.00 per page and do 200 pages a month for the last 8 years. These reports take up every inch of the paper, as they do not say
"new paragraph" very often
You can do better I'm sure!

I get $2.00 per page

Have a look at this page.
Copy and paste this link. These guys are GOOD. Looks like at least a couple of things to help.

http://majorgeeks.com/google_search.html?domains=MajorGeeks.com&q=antivirus+2009&sitesearch=MajorGeeks.com&client=pub-6960825562757852&forid=1&channel=6517887233&ie=ISO-8859-1&oe=ISO-8859-1&cof=GALT%3A%23003300%3BGL%3A1%3BDIV%3A%23665522%3BVLC%3A78B749%3BAH%3Acenter%3BBGC%3Acccc99%3BLBGC%3A336699%3BALC%3A11593C%3BLC%3A11593C%3BT%3A000000%3BGFNT%3A940F04%3BGIMP%3A940F04%3BLH%3A0%3BLW%3A0%3BL%3Ahttp%3A%2F%2Fmajorgeeks.com%2FEric%2F404.gif%3BS%3Ahttp%3A%2F%2Fmajorgeeks.com%3BLP%3A1%3BFORID%3A11&hl=en