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Fortunate enough to have a DH who has a very good income, plus...

Posted By: phillychick on 2008-08-14
In Reply to: Anyone else have holes in their pockets? It seems like I can't make enough - workinMT

the fact that we have no debt but our house. There are those people who just have to have everything right now, no matter what the cost. We have 1 fairly newer SUV, paid for, and DH drives a paid for, older commuter Subaru that has over 200,000 miles that he drives 66 miles a day round trip to work. We don't have kids at home anymore, don't pay for college, still manage to save a bit. I'm always amazed at the couples with kids who have an SUV or mom van, a big truck for dad, boat, RV, flat screen TV, etc, and all the payments to go with them and then complain that they are broke. If people lived below their wage there would be no problem. Our next big crisis in the US is going to be credit cards...imagine buying $100 worth of groceries and paying 19% interest forever!




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#2 is a good income but
//
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.
Poll: What do you consider a good income for MT work currently?

You can answer in your subject line.  Talking about gross annual income:


1)  $20,000 to $30,000


2)  $30,000 to $40,000


3)  $40,000 to $45,000


4)  $45,000 to $50,000


5)  $50,000 and up


6)  $60,000 and up


MT work - IC or employee or MTSO, even QA work could be included here. 


 


Good point - Income Tax and Social Security
It would be nice to see someone do a study on this.  Not only the income tax dollars there are not going to our federal government, your states, but also what it would do for our social security program.  I am sure we would be shocked at this impact.  No one seems to want to talk about it.  They say that offshoring is good for our economy because it makes businesses more profitable - but at what cost to all of the American people regarding jobs and tax funded programs?  I don't get it.
Not sure, I have deductions for federal income tax, SS tax, Medicare tax, and state income tax. ???
nm
I have been very, very fortunate....

as mine only flares up a couple of times a year, so far, but you change see the changes in my fingers, etc.  I'm very stubborn about everything in my life, like Frank Sinatra.....I did it my way.....don't take meds, don't follow any particular diet, etc.  I do live in Florida which of course helps with the Raynaud's which was a problem when I was in Virginia a few years ago.  Medications do not like me at all, they always cause some kind of problem, so when the pain is really bad I'll just take good ole Bayer aspirin that seems to help a lot.  I'm about 60 years old now and one day will  probably have to do more but for now, just aspirin and ignore it.  Stupid maybe?  Who knows.  Look at all the bad things they are finding out about certain meds now.  I'd rather just trust in the Lord for now; will do meds when absolutely necessary.  As for typing, it takes an hour or two before my fingers really fly anymore but they do still have wings!!! 


Do as I say and not as I do....make sure your friend has a GOOD rheumatologist...they can do wonders for those who find themselves really incapacitated!!!!  If you are in Florida, go to Dr. Norman B. Gaylis in Aventura, Florida.  He really helped me with my first flareup before I moved!! 


consider yourself fortunate
/
I am very fortunate!
All my docs thank me at the end and sometimes will even after a particularly long report will say "Say, I am ready for a cool one--how about it?" After reading all these comments on board, I feel very lucky.
Fortunate IC.

I know very well the difficulty of taking vacation and while I do not take a vacation every year, I have taken time off for a cruise for my 20th anniversary and for three major surgeries.


I have taken my laptop with me on trips and done what I can while away but it's not the same quantity as when I'm home. I tell all my offices several weeks in advance the dates that I will be gone and that I will do what I can while I'm out but they will have to wait until I return for my undivided attention. I have not had any problems with this arrangement. I did not take the lapto on the cruise and everything was waiting when I returned. Yeah, it's kinda of tough getting caught up but I consider it even tougher not getting away at all.


When I had the surgeries, I made arrangements to have other friends take some of my work while I was recuperating; all of the offices have been very compassionate and understanding so I've been very fortunate in this regard.


It's not easy to take a vacation but I have found that if I explain what is going on and give them plenty of notice, they are very understanding. Everyone in the office gets a vacation, including the docs, so they understand when I'm due for the same.


Sorry, that should have been "I am fortunate to have"

Some of us were fortunate

to get started in this field when it was possible to be hired and trained on the job.  Some of us started right out of high school in the transcription department of a hospital where OJT was offered.


After retiring from another career, I took an aptitude test given by MRC, and did well enough that they basically let me train myself in medical transcription.  I spent the next several years with my nose in books, looking up every other word and for the first year listened to every report twice just to make sure my work was okay.  It took a long time to train my ear for ESL dictators.  It was slow going and not very profitable at first, but eventually I began to make fairly good money at it.  I've worked for MTSOs ever since, and currently make $20-$25 an hour - depending.  But now these companies are really putting the screws to us.


Many employers now demand a ''certificate'' from a ''school'' for serious consideration.  Some years ago, with over 10 years of experience with MTSOs, I interviewed with a local medical practice (the type with a staff of physicians and a stuffy professional practice manager).  He did not really understand how I could be doing this without any ''formal training.''  I offered to demonstrate my ability, but once he realized I had no ''degree'' I was not allowed to test for a position.  I have sent my resume to other local practices over the years, but never got an interview. So it was much easier to keep working for MTSOs, who at least would hire me based on experience and testing.


Anyone who has been in this profession very long realizes that it takes years of experience to become any good at it.  However, I don't think a newbie has any way to get a foot in the door without some silly piece of paper from some funky school nowadays.  Am I missing a way that the neophyte can get hired, work at MT and ''hone the craft'' without attending some rip-off school?


Again, here, I've been fortunate...
5' 5" and weight fluctuates between 105 and 115 pounds....so I don't have a problem with weight.  Why in the world doesn't she try a different rheumatologist?  Are you all in a small town?  Believe me, it would be worth the drive to go 2 to 4 hours to see someone who can help her.  The pain is no fun at all; it is deep within the bones; you can't touch it to make it better; all you can do is wait and know that eventually it will improve.  It sounds like she has a really advanced case.  Maybe you can help her find another rheumatologist, no matter how far away; I have seen many patients improve to the point where they CAN enjoy life again....she just needs a good doc!!!  I'll be thinking about her.  Tell her she will not get better until she does something to improve the situation and the first step is finding a good rheumatologist.  She probably needs some help here as right now she probably doesn't care too much anymore, especially if she is drinking too much....I know just went through this with a neighbor.  She was in the deepest, darkest pit of depression, didn't want to live, drank constantly, lost down to 60 pounds and was totally jaundiced.  I called EMS and put her in the hospital for a month.  She was angry but only for about two days.  Now she is a very happy person and looking forward to life, although with some liver damage.  Guess sometimes we just have to take them by the hand and lead them to where they need to go.
Well I at least I am fortunate to have a job I guess

So many newbies can't find work and I have tried in house in my area, gues what they mostly outsource their work, I know Spheris does a few hospitals in the area, So I will try this IC for awhile but I am deffinatley going back to work, I cant live off of this yet and I am not doing this for (stay at home mother) I do not have children... Yet...


Just wanted to give this an honest effort


make that -- If I ever am fortunate
it is very late and I am very tired. Darn it -- where is my spell checker. LOL
We are fortunate to have benefits.
The problem is that we have a person who can transcribe their required line count in 6 hours or sometimes under that.  When there is extra work to be done, she will get on and get her line count in about 6 hours, then get off for about an hour, then get back on and do extra to finish her shift.  When there is not extra to be done, she gets on and off so that she covers her shift.  This Transcriptionist always produces more than the others when there is extra to be done.  We have other transcriptionists who cannot transcribe as fast, but they make appointments in the middle of their shift and take off and come back on and transcribe their remaining lines.  The ones who do not transcribe as fast complain about the one who gets off and on, but in reality, they are doing the same thing in the name of appointments or errands, just not getting as many lines.   All employees have a base hourly pay.  The required line count is 1000 lines per day.  The lines are calculated at 125 lines equaling one hour pay.   All transcriptionists work in the same pools so the work is distributed evenly.   If a transcriptionist transcribes 5375 lines in a week, they are paid 40 hours at base pay and then  paid time and a half for 3 hours, even if they have not actually "worked" 43 hours.  The lines are registered in minutes, with one minute of dictation equaling ten lines.   We would like to go with a straight line count, not minutes, with an incentive program, but our system  counts headers and footers and blank lines.  Not sure what the solution should be.
I was fortunate enough to have an account
where my Expander stats were running 65% consistently. That meant I was only typing about 35% of each report. Expanders are definitely worth the money. I use ShortHand and love it.

I had one doctor I could do 440 lines per hour on. Unfortunately, those are the accounts going to voice recognition or offshore, so I'm unemployed yet again.
I hope your 70 MTs know how fortunate they are (sm)
Your MTs are very lucky. A lot of us would give anything to have a decent-paying job with someone who cares.
You are fortunate to call shots. Most MTs can't
MQ doesn't give a care about cell phones, noise in the background or whatever would keep you from doing the report. Just do it and don't send it to QA but if QA picks it up randomly to "grade" you, you take a cut because your report may not stand up to QA standards. It's win-win for the companies and lose-lose for MTs.
I was fortunate with community college
I took courses through my local community college's continuing education program. The instructors were people who worked in the medical field during the day and taught at night. By doing exceptionally well in the classes and being a model student, I was recommended by a couple of the instructors and got a start at the office where one instructor worked before I even finished my transcription class.

Once I got my foot in that first door, I've been working steadily and successfully ever since. I had only a couple of classes under my belt!

The approved schools are probably the best chance for work after graduation, but opportunities can arise wherever you train.


Also fortunate enough to have a separate room. And
s
I envy you! But I am very happy at your success! Wish more of us could be as fortunate! :) nm
nm
How fortunate that someone took the time to answer your question.
I was merely pointing out that it was possible that you don't need to spend the time or money to do all of that since I apparently wrongly assumed that you knew what you were doing. So much for the assumption that you were totally aware of all that the process involved. You're lucky that after reading your response to the original post that someone even wanted to bother answering your question.
You're extremely fortunate to get those lines. Too many of us deal
s
You're incredibly fortunate. Many of us aren't even getting offered 8.5 cpl for years of exper
m
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. 


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.
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. 
How much did your income fall?
NM
income drop
My production is about even with SR/VR as straight transcription, sometimes even less (the reports come in that full of garbage). Hence, with a rate per line decrease, my hourly pay dropped to 1/3.

Not for long. I just won't lay down and take that sort of abuse. And I do consider this situation abusive.

I have yet to find anyone that I can verify that that they are producing double, let alone triple their usual transcription lines per hour.
Is anyone doing anything else at home to supplement MT income?

I need some ideas.  Besides running out of work, I am on burn out.  Please give me some ideas to make some cash at home w/o going back out into the workplace.  I thought about e-bay but I don't have an ongoing product to sell.


Thanks!