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Serving Over 20,000 US Medical Transcriptionists

Don't discount ops. That's how I make my big production. SM

Posted By: Becky on 2005-12-19
In Reply to: I wish I was a superMT - that's amazing

There are SO many phrases you can shortcut. They're all the same! I insist on working where I only type ops.


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if i make production requirements only
which is 1200 lines a day...it is about 2100 from the national, and then the local i pull about 500 to 1000 a month depending,

suffice it to say, however, that i have been withthe national for a month, and have not managed to get my lines in yet...though i had a bad run with mono int he middle of that.

I have been at this for 7 years, and can on a good day do upwards of 300 lines an hour, on a slow day..heh..you get the idea...

right now i am averaging about 2200 a month between the two jobs
Needing to make a decision... hourly or production...
If you had the choice between a shift lead type position at somewhere between $14 to $16 an hour or production on an account with a lot of normals.  The shift lead gets you experience editing, supervising, etc., but the production account you are just transcribing. You can make a lot more money at the production job, but the shift lead will get you started in a more management type of position, which would you choose? You will be stuck at that hourly wage with the lead position, but there are possiblities of moving up with the company.  But, the money on the other account is quite good, as there are a lot of free lines.  I am just so confused and have to make a decision, as I cannot work them both at the same time.   Any suggestions, comments, or feedback?  Thanks. 
Discount
Yeah, it is a discount plan, which means no pre-existing conditions, no claim forms. I didn't sign up for the medical part of it, which is available here in Tennessee. I just signed up to get the dental benefits. I needed a lot of work done on my teeth (3 crowns, 1 filling, a bridge, and a root canal) and it has saved me a ton of money using AmeriPlan.

I mainly just wanted to make people aware, especially Transcriptionist like myself, that if you don't have insurance, this could be an option. Or if you do have insurance, you could still use it and save even more money.
Discount
If you go to the link I posted it says in big letters that it is not insurance, that it is a discount program. I'm not trying to fool anyone. I signed up for it myself through my father-in-law. It may not be available in all states. You can go to www.ameriplanusa.com or www.ameriplanhealth.com to find a provider near you. I live in Tennesse and have a regular dentist that accepts it and my husband and son go to an eye doctor that accepts it.

Discount
You don't have to give me your email address.

Here's the website, go check it out for yourself. I am a member myself, but somebody has got to sell it, right? It really is a good benefit.

www.everyonebenefits.com/BradfordInc

Thanks.
Discount -from below
I charge a decent price, I make VERY good money, have had my accounts for 5 to 18+ years, have never had a bounced check, am always paid within 48 hours of receipt of invoice,they NEVER question my line counts so if it costs me 1% per month - to me it is worth it.  They also give me free medical care, medication samples which more than makes up for the small discount that I give.  So though many of you disagree - it works for me.  I can pay my bills on time because I can COUNT on the checks to pay them.  No hassle at all.  I get it back in different ways.  One antibotic prescription per year makes up for it.
I wouldn't discount sm
on-line dating but there are so many weirdos out there these days that I would be EXTREMELY careful and follow all the precautions that have ever been written on the subject.  In addition to meeting in a public place, hopefully with someone with you, I would be extremely careful that I wasn't being followed when I left the date.  From what I've read many, if not most, of the mass murderers came across as being very nice guys but then you really don't know anyone when you first meet them no matter where you meet them.  I recall at least one of the infamous mass murderers was well-educated, well-liked and apparently well-respected in his community.   I don't think I would ever go for the internet dating myself but apparently there are quite a few people who  have been successful in finding their mate that way; I just don't happen to know any personally.  I don't think probably it would be any worse than any other way of meeting people, you'd have probably a 50/50 chance of meeting someone you would want to spend your life with and a 50/50 chance is about the best we're gonna get in this life no matter what we're gambling on; we only have a 50/50 chance of making it through this day.
They probably got a discount since they are outdated.
 
CMT (Indian MTs have discount)
Sadly, I am slowly moving from lower middle class to poverty level since pay cuts as a full-time MT.

After numerous requests for some kind of help toward paying for the certification, I am told by AHDI (AAMT) discounts are not even being considered in the near future.

With the future so bleak for the future of MT, I am not sure why I should put out all that money. I am bringing home less than $300/week after taxes and health care...? How do I justify the $287 or so cost, when I have my utilities threatened to be shut off every other month for simply just not having the money...

For me, I do not have a partner who supports me. Am I the only one in this boat?
go with a discount plan, sm
you can use YOUR dentist, not just anyone on a list - ask at your dentist's office what discount plans they accept and look them up on the web. just like insurance, they all cover differently. Similar, tho.

the main reason I went this way is because there is no hot-shot company of office workers on the other side of the country playing doctor and denying claims. They are doing that more often in these days. I was shocked when it happened to me with a cracked tooth - then EVERYONE told me they went through the same thing with their companies.

you don't need any suprises like that - to the tune of thousands of dollars.
So do you think gas stations should discount gas for us pumping our own gas?
I'd rather scan and bag items I am purchasing, folding them the way I want to and separating them then pump gas out in the cold with the smell of gasoline on my hands.
Not to discount your fear right now, but didn't her doc

advise her that the risks involved with surgery would include perforation of organs, and other complications, including death. Medicine is unfortunately an inexact science, and doctors are, after all, only human. May not be a clear cut case of malpractice, may "merely" be an unfortunate complication.


I've seen many people rush into a lawsuit, only to have their lives and money consumed by them, to find out they don't understand legal concept of malpractice and even if malpractice, if the insurance company has a better lawyer, you can lose anyway.


For now, I would focus my energy on praying rather than suing...


 


 


Students get a hefty discount
If you're in continuing education, could you still call yourself a student?  I don't know, but when I bought it, I just had to tell them I was a student and I got a discount.
Discount - sorry long message
I do offer my docs a 1% discount if they pay within 3 days and especially if their account does go over $1000 I get my check the next day.  One of my newest accounts did not apply their discount to their second bill and I was told "You work hard,  the work is returned on time, good quality, Dr. C______ is not the easiest person to work for and I did not take off your discount because you deserve every penny of your invoice."   He is a dermatologist, has lots of Op notes, good gross line count and he is really not that hard to do, lots of shortcuts but he does have an irritating habit of clearing his throat about every 5th line but you get used to it.  But again I have been luck, all accounts pay within 3 days at the longest, never a bounced check and never a question on my line counts.  But along my 15 to 18 years of doing this, I have had my share of poor ones but for the past 7-8 years I cannot complain.  I have older docs who will probably retire in the next 10 years but then so will I.  They are stand alone, 1-2 in a practice and so don't know if they will ever go EMR or even digital but will continue as I have.   The accounts are out there you just have to look and perhaps go through several before you find one that appreciates you. 
I do give a discount - some ideas
I do give a discount and my accounts pay usually the next day and in one account the doctor actually writes the check to me.  I would call back and talk again with her explaining that you are a small business and need to have a check by a certain time in order to pay your mortgage, etc.  Ask if you submit them the invoice by the 25th to 27th if you can count on a check by the 1st or if you submit on the 1st you can have a check by the 5th.  So if you need your  check by the 1st, I would give them the invoice by the 25th to 27th depending on what day of the week it is and put a note on it stating "per our conversation payment is due to me no later than the 30th."  or whatever date you agree upon.  I have found that offices do not like bi-monthly billings and like to pay only once a month.  I have 4 accounts for invoicing and payment by the 1st and 2 for the 15th and payment by the 18th so I have cash flow throughout the month.   But try talking to them as people and see if it works. 
Your personal creditors may not discount amounts due, but
commercial entities often do. In doing the books for numerous local businesses, I was required to pay ASAP to take advantage of discounts. For example, "terms 2/10 net 30" means you get a 2% discount if you pay within 10 days, otherwise, it's the full (net) amount due within 30 days to avoid a late charge.
I agree with you. Why would we give a discount for being paid what
we're legitimately owed? Some businesses do it to encourage prompt payment, though.
U.S. offers them medical school at a discount
if they remain in the country and practice in out of the way places for a period of time before returning to their country or to a higher wage earning position within the medical establishment.
J &R Electronics discount 83.00 with free shipping. sm
Not a bad deal.  just wondering about quality with just voice and not music. 
I have a 100% discount for you. Don't take the test! It's worthless as is the association be

Check with college, sometimes you can get a student discount for a laptop....nm
xx
Do you give a discount for standard procedure notes? SM

I have an account who asked me to provide them with a form that could use for standard outpatient procedure notes.  I personally feel that there are too many variations for them to use one paper form and offered for me to do it for them at a discount since almost the entire thing would be a standard that I don't have to type in its entirety.  This account is a great account and I figured it isn't a big deal say to chage 25 cents instead of a $1 (example) for the form since I only have to type a couple letters to pull up the form and insert any changes.


I really don't know the easiest way to keep track of this discount or what amount to discount.  Any ideas?  I'd rather see me getting a small amount for doing the form then to get nothing for them using a paper form.  Plus, the account is newer to me and I thought it might look like a plus for me to offer them a discount and to make their life easier by not having to dictate the entire note.


Thoughts...ideas???  TIA


 


 


I would not offer a discount. You have to create and then edit each report--sm
to make it patient-specific and that will take time. It will also be hard to keep separate which reports were edited and which one was not.

Once you start lowering your cost, this will not be the only thing they will want a discount for. I do not think it will be a plus for you and in the end you could be doing yourself a disservice in the future when you need to raise your rate.
I must comment: You do know Indian MTs get a huge discount on the cost, right? Do
you think that is going to come up and bite us some day. The association seems intent on making this a standard, that everyone should have the certification, and they are certifying foreign MTs way more than American...

What are they up to with that?
I got a discount by joining a study group...I think they still offer that. nm
;)
that doesn't sound like insurance, sounds like a discount plan:
x
Just enough to cut into my production. nm
:+
production
Don't "P" off your coordinator! lol
production
 I have been transcribing for over a year now and I STILL cannot produce 1200 lines a day.  Sometimes I have to work 8 hours to do 900.  What is my problem?  My account manager says most transcriptionists can do 1200 lines in 6 hours.  Please tell me how you do it!!!  I have developed a good Expander vocabulary...
production
There are a lot of variables in this issue.  I know when I have op notes or certain ESL dictators and lots of discharge summaries, my line count drops tremendously.  If I have ER notes which I love, I can do a lot more.  What are your report types?
production
I have two accts that i can type at least 500 lines per hour!
Production QA
I was looking into a QA/editor position being paid per line.  (5 cpl)  Does anyone have any suggestions on whether to look into this more?  I've been a Transcriptionist for 10 years and I am interested in a different position than typing now.  Any advice would be very helpful.  From what I understand (??) it is US-based MTs with 100% read throughs on average ESL accounts.
production pay

I'm sure with your 15+ years of experience and your speed you will do very well pay-wise.  Be sure your internet research skills are honed and this will make you even more successful.  You may want to try and find an account that is all cardiology or all operative notes if you really want to hit the ground running.  Good luck to you! 


Please try doing more ops. Your production SM
will increase because the doctors dictate faster and some will say the same thing over and over. You can make samples of their standard reports.

Speaking of samples, can your supervisor send you some? Ask to be sent specific op reports such as ob and ortho. Those are the ones the doctors say the same stuff all the time. Try mastering one specialty at a time.

You will be doing yourself a favor by learning to do more report types.

I know this isn't answering your original question, but I would really like to encourage you to try them. I know you can do it! :)
I am on production too s/m

does anyone ever think of that?  Everyone keeps saying we are paid to fill in their work, but does anyone ever consider that I get paid by how many jobs I do in a day?  Filling in 20 blanks on 1 report versus filling in 1 blank on 20 reports makes a difference to me.  Nobody ever thinks a lot of us get paid just like you do, by how much work we produce.


Production
How long does it take to get up to 1200 lines?  I've been reading the posts on cafemt.com and I can't believe some of those people get 2000 lines.  How do they do that?  Any suggestions would be great.  thanks.
production...
i average 12-1400 L/day but that is on a 6-7 hr workday. I do acute care, lots of chunk-type expanders, very few 'normals', mostly decent dictators. On days with more diffi dictators, too many short reports, etc, its good if i average 170/lph. i'm not that fast but i get up to 260 lph at times, yet average 200/lph. i've been at this several decades, but take more time than many (probably) to research something or verify accuracy too. i take lots of breaks too, so it stretches my day out. On the other hand, i have, in my years, seen some extremely fast typists, and people who can stay put in the chair a long time. if you have the knowledge, stay put and build momentum and are naturally fast, i can see being able to do 2000-2500 a day with quality. but maybe you burn out or stress your arm nerves too much in a shorter time.
Production/Pay
Okay, you might have some good points but how come the majority of us, who loved our jobs and made great $$ on any and all of our accts are having the exact same problems, the exact same worries at the same time? 
Production
500 lines an hour are 12.5 pages! A page has usually 40 lines.
There are people who cannot even read so fast.
I bet all is Expanders and mormals.

LOT more to MT than just production. sm

Maybe you worked at one of those very rare places where they compensated a MT for her knowledge and expertise and not just her production.   


Also regarding production
None of us can compare ourselves anyway because there are so many factors involved in determining how many lines get done. Within my own accounts, mine vary up to 70 lph, and I swear I am working harder on the slow days!!
VR Production
Does anyone consistently edit 450 lines per hour on EXT VR? That is what I need to do to keep my salary the same and so far I am not even up to 300 lines per hour. Any suggestions to improve my line count would be much appreciated. Thanks!
Much better for me on production

I worked in house for about four months last year and went back home.  Hated the office politics crap, but I made significantly more per hour at home than I did in the office.  I was considered a newbie and so wasn't paid as much  hourly as the women who had been doing it for years.  Because I'm MUCH faster than they are, though, I make more than they do working from my home.


It all depends on your line rate and your speed, and what you think good money is.


You spending 3K in gasoline to make 4K plus all that time on the road?That doesn't make sense Pat




Oh, is that so? We get production bonuses, but none for
xx
ASR production increase?!?!
Anyone want to know how MQ came up with the figures to say we have a PRODUCTION increase because of ASR?  It will surprise you!
p.s. ASR production up.............. I forgot
to mention that even though my production is up a bit with ASR, it only makes up for being down on production with DQS in general, finally back to getting my lines in an eight hour day instead of 10 hours.
DNS and line production

>>>I have wondered if Dragon Naturally Speaking for Medical Transcription is a way to increase overall line count.


1.  It takes several months to reach a good production level.
2.  You need to listen to the dictator *AND* dictate at the exact same time. However, if the dictator is one what requires a lot of mental editing, you're better off using the keyboard.


>>>I seriously want to know how is it that some MTs can type up to 2000 lines a day!  That is phenomenal!  Is there a secret?  Please share!


I used to transcribe 250 lph (gross lines) back in the days of using a typewriter (no Expanders and time spent erasing carbons), plus I was only typing around 90 wpm, which isn't all that wonderful. So, my suggestions are:


1.  Stay focused.
2.  Make the best use of your Expander as you can.
3.  Don't treat the BOS like a bible.


Oh foeey on production
Well, you are hearing right then honey.

I do run a great company and I am overwhelmed with some of my girls' abilities. They never cease to amaze me. There are only a handful that really mean something to me and to be honest with you they are not big producers (of lines that is) but that is okay with me.

Our turn-around-time still beats any competitor. Go ahead Spheris, SoftScript, or anyone and try to beat a 3 minutes turn-around-time. Sorry, but it won't happen. My girls are trained to know what happens when they make me happy, and for that reason, and that reason only, I run the best business.


My production went in the toilet....
x
None - pay is on production - per line. nm
x