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Great article about this in Advance (sm)

Posted By: IC goddess on 2005-09-21
In Reply to: Anyone know a site for IRS guidelines for IC nm - ntk

early this summer -- explained the 3-prong test (instead of the old 20+ questions).

If the service insists you use their software, if the service tells you when you can invoice them (instead of the 2 of you deciding together), if the service, not the client, decides turnaround time and quality, and if the service says you can't subcontract the work and insists on a noncompete clause, then you are an employee.

You can file a form with the IRS if you want your status clarified. Also contact Dept of Labor office in your state.

If you don't have an attorney and accountant on retainer, then you aren't professional enough to be an IC.

Also check the Nolo Press site as they have some excellent reference books regarding IC/employment issues.


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Article in Advance
Did anyone read the article in Advance: Is Mandatory Credentialing Next?

The article says: "we have more and more companies paying premium for credentialed MTs." Is that true? The author is president-elect of AHDI. You all know what that is? Never heard of em. Or is it that new organization that used to be called something else, what was it... I think it had the words Medical Transcription in it. Maybe we should write a letter to tell about the reality of working out here.


Advance article
Thanks for sharing this article in Advance - don't get magazine anymore since I dropped my AHDI membership. Proud to be part of ATA - we MTs deserve an assocation that will advocate for us.
did anyone see the article in Advance magazine

about how wonderful it is to train Indians to do our job.  OH YAAAYYY, LET'S HERE IT FOR SPHERIS AND HEALTHSCRIBE   Let's give a big whoopie and cheer them on while they continue to post for transcriptionists on this board and yet outsource and TRAIN Indians to do our job.  I guess I'm angry about the article on other levels, such as the fact that it seems that Advance magazine is constantly promoting offshore transcription.  This is not the first time they have printed articles like this. 


 


Our hospital used Spheris and Cbay and we spent hours up hours redoing the reports, yet these companies got paid in full.  Where is the logic in that?  Thank God, administration wised up and brought the work back in.  Now we can go back to doing what we've always done ... OUR OWN TRANSCRIPTION ACCURATELY!


 


Lasted Advance MT article
I was wondering if any of you have read the latest article in Advance about MTs? It's called The MT Critic.  Color me stupid but I did not know MTs had to go to medical school to do their jobs?  How many of you know the average size of the left atrium of the heart? How many of you would contradict the doctor's vital signs because the patient had a fractured ankle and you just knew that because of his pain, those vitals could not possibly be correct?  It is no wonder we are not attracting qualified people to our profession.  What are your thoughts?
Link to Advance IC v. employee article (sm)

which discusses the 3-fold test that the IRS is using instead of the former 20-factor list.


I know of very few MTSOs which really treat ICs like ICs. 


My best friend successfully challenged the company she worked for -- she got unemployment and a nice tax credit; the company owner got hit with huge penalties. 


Regarding the Advance article, here's how I would have handled the examples

I'm curious how other MTs would have handled them?


1. Hemoglobin 9, hematocrit 39. (I would have flagged this with a blank for the hemoglobin and sent to QA).


2. The nose and mouth were suctioned on the perineum (during a C-section dictation).  (I would have changed "perineum" to "abdomen" and sent it on).


3. SKIN: Without lesions, rashes or scars (Patient has HIV and kaposi sacroma).  (I'm not the doctor.  I did not examine the patient.  Therefore, I would have transcribed as dictated and sent it as usual).


4. Left atrium is normal, measuring 4.6 cm.  (I don't get paid enough to second guess the doctor on whether the LA is "normal" or not.  You get what you pay for.)


5. VITAL SIGNS: Heart rate 70, respirations 18, BP 120/70 (in an 18-year-old with a comminuted ankle fracture).  (Again, the patient may have gotten pain medication by the time the doctor saw him, so perhaps he/she didn't have pain at the time of examination and so the vitals were normalized.  I wasn't there, I don't know.  Type verbatim and send it on!)


Great article. . .
So much said. . . and yet so much left unsaid. The possibilities for compromise of personal,private,confidential, "nobody else's business but me and my doctor" is totally lost sending medical records offshore... all in the interest of saving a buck. Right now I'm grateful to be home working and able to care for my demented dad . . .another health care casualty. . . but the work seems to be siphoned away exponentially day by day.

Thanks for sharing. . . I can't wait to forward a copy to my super. . .
Advance
I too saw it and was as angry as you are! I'm canceling my subscription, how 'bout you?
Thank you in advance it should be !! nm
TYIF -- something like Thank goodness it's Friday, but not that either. OOOPS !
thanks in advance..................nm
x
Advance is another one.
x
Since ADVANCE is free, there would
be little immediate impact if we cancel our subscriptions. Contact the advertisers and express your displeasure. They're the ones who provide the income stream for ADVANCE. They need to know that the people they're trying to reach are displeased and that their companies are associated with an extremely unpopular position.
how to advance in the MT field ...

I am wondering what it takes to advance to another position in the MT field.  I've been an MT for about 13 years, acute care for 12 of those years.  I'm tired of typing and have done QA as well, but the pay is horrible.  What does it take to move up the ladder to another position, such as MT supervisor or account manager?  I'm just curious. I know there are probably many more qualified people than I out there for any such position, but curiosity has got me as to the general qualifications and average salaries of each.  Anyone know?  Thanks....


how is Advance irrelevant?
nm
I sent Advance magazine an email
I think if enough people did, then maybe they will stop glamourizing the overseas work. This is the third article in a year's time that they have done. A few months back Advance actually interviewed an Indian owner, picture and all, about his company!!!


If we cancel our subscriptions, Advance won't be able to
sell as much advertising.  THAT is where they make their money, not by promoting offshoring.  If they can't distribute XX numbers of copies per month, the advertisers will go elsewhere.  Boycott ADVANCE and spread the word.  Shut the traitors down.
lol=laughing out loud, tia= thanks in advance
b
Current ADVANCE issue is MT pay

Cover story:  Are MTs Paid Fairly.  This story needs rebuttals.  (I don't know if I spelled that right -- too mad to look it up.)  There is another article about MTing as well as some good letters to the editor.  No, I didn't write them.  Not promoting self.


Look, this magazine wants feedback.  Controversy creates publicity which creates readership.  Please think about sending your own letters to the editor.  Write what you write here.  Let more people involved in our field know your thoughts whether they be MTs or not. 


No, I don't work for ADVANCE.  I'm just an MT just like most of you.  I just want our voices to be heard by more people who call the shots that affect us.  This is one venue.  Even if you don't like the publication, fight back and make your voices heard!!!  What a lot of you write here would be fantastic letters to the Editor which would reach a wider spectrum of our associates than this forum for MTs.  We've got to keep the topic of the MT situation HOT in the media.  You can submit articles to them as well.  Get busy, PLEASE!!


Advance is irrelevant. Who cares what they say?
x
Letter to Editor-Advance

I will  write a letter...


Advance to the 21st Century and get a new job

I couldn't believe it either. Advance has gone the way of offshore, just like AAMT

I sent a comment to Advance and heard back from them
supposedly, they are going to put my letter in the next edition in Letter to the Editor .... we'll see. But I did not cancel my subscription.
You mean that MSN link to Melbourne IT? (it comes up each time). Thanks in advance. nm
nm
Try off of the Advance Magazine web site, pasted inside. nm
http://health-information.advanceweb.com/main.aspx
Mayo Clinic in AZ has an ad for in-house MT in Advance Mag, $19/hr base pay. sm

Plus shift diff and bonus, plus $1000 sign-on bonus, and relocation $. What a great offer if it's true.


Anyone read Letter to Editor in ADVANCE see message
 February 26, 2007 issue?  Two letters regarding MT and AAMT.
Advance magazine? Anyone notice the letter to the editor?
It's on page 5 entitled Does Walmart or Home Depot pay better?......Gee, I wonder what company this person is talking about?  Okay, which one of you sent this in? hahaha!

 

Well, while everything the writer of this letter says is true about the company, I think we all know most of us make a bit more than 8 to 10 bux an hour.  For myself, it's about twice that.  If I really were only making that for what I'm doing, I WOULD head over the the Walmart or Target.  I would NOT do this for 10 bux an hour NO WAY in HE double toothpicks!

Idea in letter to Editor in Advance magazine (sm)
Just last night I read a letter in the Advance for Health Information Professionals from a former MR who is now a cancer registrar and loves it. I had looked into that myself a few years ago, although I chose to stay with MT. At the time there were on-line courses through community colleges.

What about coding? I have a friend who works now for a local hospital at home doing ambulatory coding.

Just some thoughts.

BTW, the letter to Advance can probably be found on-line at advanceweb.com/him. It's the Nov 5 issue.
don't cancel ADVANCE subscriptions - just send an email or letter

detailing how disgusted you are with the fact that they are promoting offshore training and offshoring transcription.  This is the third article on this sort of topic that the magazine has done in a year. 


I find this particularly offensive because so many hospitals/medical record departments get the magazine and if they see this, then companies like Spheris, CBay, Healthscribe, and others will be getting called to come do their transcription!


 


So please, don't cancel your subscription, just voice your opinion and comments.  Thank you.


MODERATOR - I am apologizing in advance for my nasty remark to a poster, but I had to get it out of
x
DocQscribe and Dragon Naturally Speaking.. Can they work together? Thanks in advance.
nm
There was an excellent letter to the editor in Advance Magazine last month sm

that spelled how why, but here are some of my reasons:


1. In all their years in existence, the AAMT has yet to make life easier for the AMERICAN MT.  In fact, the state of MT in this country is worse than I have seen it in a very long time. 


2.  The AAMT chose to align themselves with MTIA whose board of directors is largely composed of Indians.  They also support offshoring and have adopted the motto "work smarter" which to them means pay hundreds of dollars for a CMT that most companies will not even acknowledge and then hundreds more dollars to join AAMT yearly to get their crappy publications.


3.  They are now certifying offshore MTs.  Yes, nothing like opening the cover of the AMERICAN Association for Medical Transcription and seeing the names of the Indians who have received their CMT. 


4. I get less pay than I did 20 years ago and offshoring is the main reason.  So pardon me if I am a little testy that I just paid so much money to an organization who stabbed me in the back.


5. I certainly think they SHOULD change their name to something else.  How about the I SOLD THE AMERICAN MT DOWN THE RIVER ASSOCIATION FOR MEDICAL TRANSCRIPTION.  Bitter?  You bet.  Gosh, they made so many promises and all they did was take our money for a piece of paper rarely recognized by anyone at the same time extending a hand to the reason I am making less money than I did 20 years ago!  


6.  It's a bloated association full of lots of people who "do things."  Everything except stick up for the American MT. 


7. Oh yes, and the BOS is ridiculous.


Advance for Health Information Professionals. Mostly geared toward coders now. nm
s
Auto Text entries on word. Is there a way to copy these or print these? Thanks in advance. NM
nm
Emdat platform?? Good, bad or ugly? Any info is appreciated. Thanks in advance. NM
/
In the back of Advance Magazine you see all the coding jobs. Can access it online, too.
s
Sombeody actually wrote a really good letter to Advance a few issues back. sm
It was in the Jan. 12, 2009, issue, letter to the Editor titled, "What Good is Change for MTs?" by Wendy Keller. She does attack AHDI in a very intelligently written letter.
Saw him on CMT show with John Fogarty. Great, great singer with a neat personality and drop dead
gorgeous without seeming to know it. 
Great post. I swear by both Advantage and Frontline Plus-- both work great! - sm
I don't know about "natural" approaches for the house. I have always used flea bombs in the past before the miracle of Advantage and Frontline changed my life. Have not had a flea problem at all since I began using those products about 10 years ago, dose all the dogs religiously once a month with the Frontline Plus except in Dec.-Feb. to save a few bucks and because the ground is generally frozen by then and no fleas are scurring about. -- Hope you get flea free soon.
article
51, trained on the job 26 years ago,
article...

I'm 57, learned on the job 28 years ago.  I can out transcribe people half my age.  I have no arthritis, no carpal tunnel syndrome, no fibromyalgia and only occasionally get a crick in my neck from my job.   My QA score is 100%, has been for years, and I type 90 wpm, transcribe 200 lph at least and that's on an account that is almost all ESL.   I could do this job another 20 or 30 years if I wanted to (barring sickness or accident that could happen at any age).


As far as the AAMT rep saying younger people are not lining up for this job - have they done anything to market MT to younger people?  I'm sure a lot of high school kids or even community college people would be interested in this work if they were educated about it. 


One last thought - the people they are offshoring this work to in India, Pakistan, Trinidad, the Philippines, are not spring chickens!!! 


I for one am sick of AAMT trying to justify their greediness by blaming their victims, the US MTs.


 


article
There was an article in the news online that said it has spread to 3 more countries through ducks and geese and that it's only a matter of time before someone carries it here.
one article
Boy do you have it wrong, we have both stated our sources about googliNG pet food ingedredients, and if you choose not too, that is your problem, I am sorry for your pets, but you need to read up, not one article but thousands. I hope you check your facts, sincerely,
Article
Can anyone tell me where this article was originally published? I forwarded it to a friend who asked... I wasn't able to tell her.

Thanks!
Article.........sm
http://health-information.advanceweb.com/common/EditorialSearch/AViewer.aspx?AN=HI_06may22_hip18.html&AD=05-22-2006

Try pasting this in your browser - it's an article from the latest Advance magazine called A New Set of Shoes for MTs!

I saw that article too

My first thoughts were like you, just another way to cheat us.  But then when I considered the possibility (trying to be kind here) that some companies are not giving us full credit for every character typed (as in perhaps counting 3 Keystrokes as 1 as has been mentioned here before), then even if they didn't pay us for spaces, we might make more in such a situation if they had to pay us for every single black character.  They can't hide that from us!  In other words, they would not be able to manipulate the line counting as much as I think they are doing now.  Now how much they would pay us for every black character might differ from company to company, but I think this might work in our favor overall.  If pay based on production is better for us than an hourly wage, we need to find what works most to our advantage.   And with the difference there is out there now in line counts from one company to another, pay by character might help us. 


And yes, even if it is a template, every character should still count as well as spaces, returns, tabs, demographic insertion, and also for our knowledge which comes into play every single time we keep the dictators from sounding like idiots and/or catching their mistakes.  Let's face it -- we do at least basic editing too, folks.  We are NOT just typists!  We should be reimbursed for our knowledge as well as production.   We're not donating our time to a charity here.  This is a way of making a living.  We should be paid for whatever we do for the company we work for, just like in any other job.  This might be a step in the right direction. 


I am cautiously almost hopeful. 


 


Here is the article
http://www.networkworld.com/net.worker/news/2002/0408networker.html
I think her article is a little sm
outdated in reference to VR.  Apparently she hasn't been out there in trenches lately.  There is a LOT of VR work out there and unfortunately the pay isn't great, in fact it's awful for the work involved.  Although it won't actually replace the MT, but rather move them into a different area, the pay is never going to match the effort that must go into it. 
FYI - article
I just read an article yesterday in the Oakland Press that Oakland County, Michigan, is getting rid of all their court reporters and going electronic to save money.
EMR Article
I have done transcription for about 19 years. Over the years I have been concerned about off-shoring and voice recognition, but still felt fairly confident about still having work for a long time. Now, with the EMR system coming into play, along with the other factors mentioned above, I feel that eventually, not too far off, this is a losing battle.

I love doing this type of work. It has supported my family while my kids were growing up, I had a secure hospital job, and the luxury of working at home, I have to face reality though.

I am going to go back to school and maybe look into being a radiology tech and/or ultrasound. I will not take anything in medical records, such as coding or biling, as I think that will also become automated eventually, and is already in some instances.

I think doing the editing and/or transcription (if there is any) would be a good part-time second job to have in addition to another job, but not fulltime, as I don't think you could support yourself. I still have a good 15 years or more of working left and do not want to be left out in the cold whle hoping that this is not really going to happen.

I think if the off-shoring could be addressed it would keep more work here in the long-run to keep us working until we have other options. I have seen postings here regarding contacting the president regarding off-shoring transcription (which is a good idea) but you need to also write your local congressman in your particular area. That is what they are there for (that is very important.)

It is ridiculous that the medical records of patients are so highly confidential, but yet we will send it to another country, and with the economy as horribile as it is too.

Maybe the government should retrain us LOL.

I do feel sorry for the newbies, and that these MT schools keep recruiting people into this occupation, and they probably know full well what is going on.

Just my opinion.