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Got my own account today

Posted By: MslaMT on 2008-01-16
In Reply to:

*happy dance*  I am so happy.

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I've lost a local account today that I have had for five years......

I cannot believe that this happened to me today.  I went into one of my doctor's offices this afternoon to pick up his tape for today.   I was given a tape and told that his wife, who is the office manager, wanted to see me in her office.  I thought nothing of it because she sometimes has extra things that she wants me to type up for her and we talk quite often also.  

She tells me that she just has not gotten around to talking with me yet, but  "tomorrow we will start dictating through a company over the internet".  I was blown away!  She said she wanted to give me a break and that if it does not work out she will let me know.   The whole time she was tell me this she was writing me a check as I had just turned in an invoice.   

My first inclination was to throw that #@%$ tape at her and say "do it yourself", but I knew that wasn't the "professional thing" to do.  I was thinking how could she do this to me, not even a 24 hour notice.  She handed the check to me, I snatched it and walked out. 

I have had this account for five years exactly (began August 1, 2000).   I have never took a day off, never raised my rates, never asked anything of them, and my work has always been the best possible quality.  I have been the most dependable person they have could had.   I have passed up other accounts because of them, and I always put them first.   Thank goodness I have other accounts to fall back on.   In our town, there is only one other transcriptionist besides myself, and we both have more work than we can handle most of the time.

Just thought I'd remind all those other MTs out there that no matter how good we are and no matter how much we try to please everyone we are still not appreciated.  I will never be fooled again.  No one will ever receive the attention from me that I gave them.  

HELP with Shorthand. Suddenly today when I tried to start work today.sm

my ShortHand would type only the first letter of an expansion and then take all the letters away!  I checked and the Type It button is grayed out!  I have restarted the computer and looked on the Shorthand Help menu but can find nothing that applies.  Can anyone please help me ASAP?  I am lost without it!  TIA

Perhaps you are right. This one is dated today. The original article was on Yahoo today also with

But this article states it would only affect new customers right now.  So I am upset over nothing.  I went through heck with BellSouth when they charged me a surcharge of an extra 50 a month and then would write a letter saying I had to switch to a long distance service and pay by the minute because of my "excessive" use. They told me the unlimited charge was for an average of an hour a day not somebody who worked out of their home and I needed to switch a business plan at over 200 a month charge.  I switched over to cable because of that and then to read that cable was going to charging on a per use fee and not a flat monthly fee it upset me.  It is the nature of our work, VR, only paying for VBC, having headers and footers taken away, now being charged for being on line, etc.  It just seems that everything is done to keep to insure less money.

What is the difference between an acute care account and a multispecialty account??..nm
I've never had a problem switching from account to account.
The problem I had was being switched too soon. If I don't get one account spec solidly in my memory with QA feedback on mistakes before starting another, I get confused. The other problem I had with former jobs was inconsistent QA. One person tells you one thing, another person tells you another.

Lately, I don't have a problem with it. Right now, my binder has 8 account specs (some I've never had to use) and I'm picking up a new weekend job for a while. The terminology and report formats stay basically the same. It's just all those little preferences. LOL
Blasted cold out today. It was 104 degrees last week, but it's 40 degrees today with rain.
However, I do like cozy days like today when I don't have to go anywhere.  I'm done working, the house is clean, there's chili on the stove for dinner already, and I'm just putzing around.  I think I'll go bake some jalapeno cheese bread to go with the chili.
what is your account and specialty on the account?
no one is watching. tell us all about osi.
I am going to see it today!!
Usually twice a day for about 10-15 min BUT today I seem
to have been here more. I'm getting behind though and going to cut outta here until I'm done for the day! LOL

Just a lot of information to pass along to some who really seem to want to know.

I don't think I'd make it down south.  We had high 90s with humidity for 16 days straight and that was bad enough.  Glad it is cool again. 



Don't buy gas today

e-mail because of the high prices and this a national boycott. Wondering if anyone else received or heard this.

doing well today

Just did 1343 lines in 170 minutes but that includes printing, 24 envelopes, looking up names, getting on here three times, doing 3 E-mails to my subcontractor -- at 0.11 per gross line.  So I am happy today.



I got another job! For example today
the cherrypicker on the account is not working for some reason so I'm expected to stop working my other job to cover her butt, but that doesn't happen anymore! MDI plays a lot of games, IMO. I am only staying until I know for sure my other job doesn't turn out like them.

Being out of work on my account happens daily. It probably depends on what account you are on.

Experiences are different for everyone. Good luck.
Today, that would mean
Today and many other days. Personally, I think that this is really becoming ridiculous. I'm a car buff and I'm sure that there are many other MTs who are as well, but, I'm sure that people who don't give a darn about cars don't want to come to MTStars and have to sort through tons of posts on cars.

No difference with pets. I don't own any pets and have no desire to do so. If I want to read about pets and whose leg or thigh they are humping and why...I'd go to a pet board somewhere on the internet.

Please, give us a break.
I had this one today...

DOCTOR:  "Please send a CC to her primary care physician.  I do not know who that is, but send him or her a copy anyway."

No other reports exist for this patient.

Yes, in my spare time I'm a psychic! 



Today was my first day
and I only lost about 250 lines from norm.  Real easy to get the hang of, though.  (with my notes, anyway :)  Good luck!
Today is 6/6/6.
The devil made me do it!
I had one today too
The doctor said he weights 325 pounds which is (and then he kind of hesitated and then said "too much." (he'll usually say which is up or down so many pounds.) At least some of the doctors say something different than the norm.
Had a doc today that...
had a perfectly understandable conversation with one of the nurses after he had logged on to dictate. I was stunned. I didn't think he could ever possibly speak at a reasonable pace. Of course when he was done with the nurse he had wasted so much precious time he had to dictate his note even faster than usual.
Something hit me today . . .

Recently I had to do a lot of paperwork to enroll my youngest in kindergarten for the 2007-2008 school year.  They ask all sorts of questions about family history and specifically who has diabetes, heart disease, blindness, etc.  Does this not violate the HIPAA laws?  Do I have permission to disclose my grandmother’s health problems to the school?  Or my mother’s and father’s?  I never really thought about it when I enrolled my older child because I wasn’t a MT at the time and I never really had knowledge about HIPAA in those days.  What do you all think about this? 

Not my day today -- that is for sure!

Living paycheck to paycheck these days with the cost of living  being so hight and DH being on disability.  Today I get my check in the mail – national company—and it does not have a signature on it!  I called the office – of course the payroll department had left for the day – it was only 3 something in the afternoon.  I was told to physically mail the check back to be signed and they would return it right away.  Why not just cut me a new check and mail overnight?  Really sick of this place lately.  Never did get any resolution of the 60 odd lines I was cheated out of before only weeks ago.  Lost a few days work over the last week because the system crashed.  *Sigh* I just started a new job on the side.  Hope this one has a better track record. 

had one today . . .
it was a discharge summary - he said "the patient was admitted for some reason, I really don't know why". The patient was in for renal failure for Pete's sake.
Exactly! Today is my day off and I'm doing...
the laundry and housework, like I would if I were at an office all week. My work days are for working my 8 hours and then picking kids up from school to be with them. I wish half my family would also understand, not that they bother me during the day, but just at gatherings and such...I don't talk about my work. I really believe it's jealousy, and they wished they would have thought of that years ago. But I do agree, it's hard work to still do it at home, just minus the driving and office crap!
Went in today and they...

do want me to start out PT and then after a time, a month or so, would bring me on board full time, if all goes well.  This will be at $15.00/hr.  I'm excited--this is not what a lot of you make, I'm sure, but it's more (consistently) per hour than I've ever made before.  Keeping my fingers crossed it will work out!

Thanks for the replies!


I'm on rad today, and I did get a bad
dictator. On top of that, on several reports he said oh on the one I just did on so and so, order number so and so go back and put such and such at so and so and then remove line so and so and change to such and such.  This is not easy to do on Dictaphone EXText. (Not on voice recognition) ARG!  I wanna choke him today!  Lots of burps and yawns and sniff, snort, cough, hack, wheeze.  He has a cold so it's been a real joy to do his dictation today.  NOT!!!!
Thank you. Need to do that today. nm

I'm off today. Want me to think of another
What I did today...sm
I had to call Bell South about my internet and DID NOT get someone in Mumbai.  First, I thanked her for not being in India, then I told her how I despised speaking to someone in India or some other third-world country about whatever issue I am calling about, then I asked her if she knew that the medical records of American citizens are being transcribed in India, which includes much of their identifying information, and she did not know and did not like it.  Next Monday night I am going to bring up the issue at a town hall meeting with one of our state senators and tell him that despite what ole BO says, I LIKE my job and WANT to keep it and do NOT want it offshored!
It's sad that some today consider
manners too much to ask, I agree.
Look, if I were on an account that
kept me sending more blanks to QA than was allowed to qualify for an incentive program, I would ask for another account or get with a different company.

I've bid off accounts before; I've also changed employers because of this problem.

I've been there. It's not what I wanted so I fished until I got the catch I wanted.

As well, if your dictators are dictating on cell phones, that can be a real source of contention with HIPAA guidelines and they should be reported. I report that when I run across it; I also tell my supervisor I won't do that physician again if he is dictating on a cell phone. I've never been given a problem with that.
Second account........sm
Does your company base full-time status on line count or on hours?  If line count, it doesn't matter if you do the work in less than 8 hours.  You're still holding up your side of the bargain and you have every right to refuse to work on a crappy second account.  Just tell them you've decided that your one account is enough and keep your second job.  Same goes for the post below stating co-worker is avoiding taking on second account.  Unfair?  I give her credit.  She's a survivor.  We're not the ones who started the game.  But many of us are quickly learning how to play. 
If your account uses the BOS ...>>>

you use numerals for all numbers (and the old way is to spell out numbers UNDER 10).  The BOS says to use numerals for ordinals; 10th, 2nd, etc.  BUT, many accounts have their own preferences, so why don't you check to see what yours wants?


My own account

My own accounts been doing them for over 4 years, it is just one office person that says anything.  I think that she was having a bad day last week and we about went on a minor screaming match with each other not only over this but some other things.   So will let things calm down, check and double check to see if I can figure things out but without showing me, I am in the dark like I explained to her.  When nothing comes back you think all is great.  



I don't do any of that. I have each account in a SM

separate folder on Word and I just click on the appropriate folder. I do 4 hospitals in one state and two more, plus a local.

I never have gotten anything mixed up that I know of.

Take the account and run!
You really need to ask? 
I don't know anything about the account
I am considering an IC position and want to know what is an average rate. I have 9 years experience as an MT and have only wored in a hospital.
Keep that account @ .12 cpl
Keep that account (tell them you will meet or beat the competition). Don't say another word, just keep sending out advertising brochures, etc., until another higher rate really needs you, then tell these cheapskates that your accountant has informed you that not only are you losing money but it isn't fair to those others who do not question your charges nor would they ask you to "cut your rate." I've been in this situation and it has made me very depressed but that's the way these others work, they will undercut you for 1/4 cent, done to me by "friends". Just go along to get along and then you have every right to be the "dumper" instead of the "dumpee." Treat them like a bad boyfriend, until a better one comes along. Had this done to me many times and my only regret is that I let it affect me financially, I used to take the "moral high road" and now I take the "me" high road. If they are thinking only of their wallet, then you should as well if you need the money. Hope this makes sense. Most likely it isn't the docs, just someone in the office trying to say, "See, I saved you some money, so how about a raise?" Don't let them spoil your business accounts receivable, just hang in there and smile a lot.
You must be the OM at this PIA account. (nt)

I am getting .08 on one account and ..sm
.085 for the other acount I work on.
One account, can get only...
250-300 because they are obnoxious.  The other account, can get sometimes over 500 lph.
Usually, each account has a
prescribed method of formatting and if you work for a service you should get all of the specifications for formatting in a document when you start working a new account.  Inhouse, asking the manager will get you the information you need.  It is purely a subjective matter with each and every account; however, AAMT and ASTM are working on best practices in dictation and these of course would include a standardized formatting for all medical records .. making it eaiser for all of us to do our jobs and then ultimately find information in a chart.
I have been on my account
with 15 doctors for the past two years, but I am sure someone else had it before I did. We are about to get a new one in August, as well. I am sure you have just about everyone else beat though.
Pay Pal Account
I have a dumb question regarding my pay pal account.  My new employer pays through Pay Pal.  I do have an account that I've used only for ebay transactions. She's asking for my account number.  I can't find any information in my account as to what my account number is?  Does anyone know what that would be?  Does she want my bank account number associated with my Pay Pal account?  Sorry, I told you this was a dumb question.  TIA.
I have a second account sm

You should never work for only 1 company.  I learned this the hard way.  It's always good to have a backup.

Come take my account
First I get "Mrs. Ed" who talks just like Mister Ed and now I've got a dictator that sounds just like Granny from Looney Tunes.  Gives me a little laugh now and then, guess you gotta look at the little things in life, or you'll become a looney tune! :)  I pray next week is better for you.
If you want an account,
go out and honestly bid for it.....don't "steal" it from your MTSO!!!!! That is just wrong. Bidding on accounts that you don't know the MTSO is a different story. When you take an account from the MTSO you are an IC for, that is "stealing" and you'll get yours when you get to the pearly gates...if you get there!
Nothing really if you want to keep your account. sm
sometimes as an IC and in business, you must compromise. Looks like they are dictating the way they pay. Hey, it would be worse, you could invoice and not be paid for 60 days or longer. So, you will just have to adjust.

own account

I took a small account a few months ago. 3 docs, I do 2 and 1 has his own MT. She is an employee but we cover for each other for vacations. It is lucky they have that other person and they are flexible when I go away (rarely). Some accounts might expect you to find your own coverage. I have had problems with them not paying on time. It's not their fault, they have a large institutional accounting office over them. But MT is my only income so it has been a problem. Make sure you have a cushion in your checking account or whatever that you can live off of if you don't get paid for a while.

Another option might be an IC position if you can find the right one. I also have an outside contractor position with a local hospital that has employees, but I charge them like a service and they make no demands on my time.

Something to consider is how much time you will spend doing administrative things like billing, recordkeeping, marketing, answering emails, picking up tapes if applicable, traveling for interviews or training if you will be working on their system. I find that stuff eats up a lot of my time.

You might want to consider a 30-day trial period in case you dont like them. My account turned out to have a crappy dial-in system, they expected me to fax every report 1-4 times, and they eat up my time with emails and phone calls - each doc has his own secretary and they have another MT and they all tend to call me for things they don't need to bother me with like I'm an employee. Instead of telling them to find one person to deal with me we agreed I would charge by the hour instead.  I have no problem telling a secretary who calls me at 7p I will take down the info and call her back during business hours unless it is an emergency. It is hard to anticipate those things hence the trial period.

New account
Hi everyone.  I was wondering if anyone had any advice on how to convince a doctor's office that they need transcription done when they haven't had it done in the past.  This is my first big meeting on my own and I am nervous about what to say.  I have other accounts, but I never had to convince them because they were already using transcription.  Any suggestions would be helpful and appreciated.  Thank you in advance.
Looking for your own account?
It has come to my attention that Travelers Insurance worker comp claims in some states are off shoring their transcription.

Contact your local offices and offer your services. I also know the pay is comparable to ours - (I have been contacted by an off shore agent to handle this for them ) - imagine work off shored only to be sent back to us to handle.

I will be starting with Charlotte NC. - Who is with me?
If you have an account
where you get the same doctors who repeat the same things you can make a template and not have to type anything or just edit a little. Around 15 years ago, I had a great job with a chiropractor who would do a 5-page report and all we had to do was change right/left and some range of motion measurements. Easily made $45-$50 an hour with him as part-time employees. Some people are also really good with Expanders like Instant Text. It really depends on your account. I have a huge hospital, too many dictators, too many bad dictators.