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How frustrating! Maybe you could offer to charge them half price, but

Posted By: Lonestar on 2008-12-01
In Reply to: New Doctor, some patients already typed - Lisa

I would not let them get away with taking advantage of you. I know you need the job, but it's not fair for them to expect you to spend all that time (especially over a holiday weekend) and effort for nothing. Offering to only charge them half price at least gives you something for your time and also offers them a break. It was their mistake - not yours but halfing it with them will hopefully show them that they are willing to work with them on it but also let them know you're not a push-over that they can take advantage of.

Good luck!


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I'll bring the dip and the half and half ;)

Offer 1 week notice, but willing to offer 2 if they would be in a bind. Also, (sm)
make sure your resignation letter is written with class.  Never good to burn your bridges.
Charge what the credit card companies charge when they don't get paid on time!!!!
 
Audio hour charge - what is fair rate to charge company?

Doubt you can charge 15 cpl for VR work to the docs - you can't even charge them 12 for straight
x
you don't have to charge $60/HR - all you have to do is charge a good rate and then..
work smart, not hard. If you have a great dictator, charge him 14 cpl on a 65 char gross line, then set up your templates and word expanders, you can make $80/hr. But you need all three to work together, otherwise you might only be making $60/hr. Some people are just really good at what they do - shouldn't they make more if they are more productive?
I'd still charge by line, just charge a lower
rate, like maybe 8 cpl.  Do you have to pickup and deliver work?    You could also setup a one-month contract until you see how it goes and then you can figure out the best way to charge and go from there.  You could also charge a flat rate per page and keep it fairly low.  
One office I charge .12, another I charge $2.25 page--nm
//
That must be so frustrating! sm

I've only purchased brand new units (around $200), but they only last a year or a little more for me.  I think they make the darned machines with too many plastic parts and they just don't last.


I don't think I'd trust buying a used one without some sort of guarantee.


Sorry - hope things get better!


very frustrating
I was not aware that the MQ levels were based on number of lines typed. The email I got differentiated the levels by work types.
its frustrating but all you can do is
report it to your mgmt. they have the power to stop it if they want to.
How frustrating is this?
   I have a NP who is dictating.  She calls the patient by his first name, calls him by his first part of hyphenated last name, calls him the last name of the hyphenated last name (i.e.  Mr. John Smith-Jones is sometimes John, somes Mr. Smith, sometimes Mr. Jones).  What a BIG pain for this verbatim account.  "uj" usually gives me the patient's name, now I can't use that because she keeps changing her mind what she wants to call him..................grrrrr.
it is frustrating
It's a little easier for me now because the kids are older, but what I try to do is get up early before everyone else and get a good 2-3 hours in. This works for me because I'm a morning person. If you're not, maybe you could work at night? I know it is tough - you just have to shut yourself in, close the door and become unavailable to the rest of the world !
I can see where it would be frustrating...

I am an MT who also takes frequent breaks to rest my hands and my back.  My daily production is pretty good, but my production per hour would not really impress anyone.


Perhaps you could suggest modifying the report to contain just daily production.  I do not see where productivity per hour or some of those other items are pertinent to anyone else because there are people who will shoot out anything to get a line count and there are those who are gifted at typing 100 wpm, neither of which I can/will do.


It is frustrating for sure...sm
I used to work in-house with a lady that was a cherrypicker. There was one hard dictator that she said "I can't do his and it takes me too much time." Well, it took the rest of us a lot of time and frustration also to do his, but we did it. She was allowed to get away with it because she was good friends with the supervisor. Needless to say, all the other MTs left (except her) and they couldn't find anyone to work there and stay, so now their transcription is sent out to be done. The cherrypicker is stuck there doing whatever anyone hands her to do now. Serves her right!
very frustrating.
I actually just put medical transcription in the search box and came up with 4 pages of videos all foreign. Yikes.
Oh that would be frustrating.

It's not just you. The job is especially frustrating
when the dictations are horrible. Let's see, today I've got speedy spit chick, the um um um um um um um um um um um chick, the old guy with gas who constantly loses his train of thought, and the two foreigners.
How frustrating
and sad. OT, but I would have loved the opportunity to get out of the Northeast cold!
It's very frustrating trying to access
This qualifies for the Stupid Business Decisions award.
It is very frustrating when your pay is determined

by your output and you can't produce with the dictators.  It does get easier and I can do them fairly well know, but I do some really, really bad ones - heavy accents, mumblers, can't pronounce words, etc. and even though I can get through them without any blanks it is VERY frustrating, especially when you have several of them at a time. 


Some of the dictators I have now I can fly through, but the first time I had them I was ready to quit because I left lots of blanks and I just don't leave blanks.  I can't believe I ever thought they were hard because they are so easy now.  You have to train your ears.  Give yourself a couple of weeks and if it doesn't get better ask for another account or start looking.  Every company is going to have some bad dictators, ESL or otherwise, but doing 10% and doing 90% is a big difference.


Good luck - hope it gets better.


It was very frustrating to learn but

after 3 months, I have grown to like it.... well maybe I have grown not to dislike it so much.  I would still rather work in MS Word.  It is NOT the best platform out there to be certain.  The spell check is awful and I copy everything into a Word document to double check.  You cannot copy back into Emdat though.  If there are any changes to make you must type them.  For some reason if you copy from Word, although it looks okay to you, on the physician's end it is wrong.


It is nice not to have to worry about the line count.  It is VERY nice not to have to save each patient separately.  It is nice to have the patients name available (although that is not always the case).  Overall, I give it a C. 


Hope this helped.


The same things happens to me...so frustrating

I have to manually right click and delete all of the extra smart lines.  I've had it to where I have so many smart lines that I only have a couple of inches at the top of my screen to type in.  It happens more some times than others.  It happens whether I'm working in straight Word or ExText Word. I find that if I log out of Word and back in, I can get it to stop happening for awhile, but that is so time consuming, especially if I'm logged in to ExText.  I've looked on all of the boards for a solution but haven't found one yet.   


Yes, it gets so frustrating when trying to work
and having to shut down because of a storm. I recently started with a new company and had to explain the quirky weather around here so they wouldn't think I was just slacking off...lol. But, they are very understanding about it, but it drives me nuts!
This happened to me too - it was SO frustrating! SM
I found that I had a lot of Spyware on my computer that was bogging everything down, and that was causing my ShortHand to work VERY slowly. So when I typed out my abbreviations, it would print out the abbreviation followed a couple of beats later by the whole phrase, know what I mean? It was a huge problem. I ran Spybot (free) and it fixed the problem, but not before my production was drastically decreased and I ended up having to give up one account because the majority of the phrases I used on it were in my shorthand and I just couldn't keep up. Good luck, and I hope this helps!
Frustrating on both sides
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Truly Depressing!!! Frustrating!!!
I know I have posted before....thanks to all those that have given me leads.....but I am so depressed....have applied at too numerous-to-count companies....and STILL no MT job!!!!! Have some medical background besides my MT diploma, yet cannot get anywhere!!!! Even bought a foot pedal.....how is one supposed to get experience if no one will mentor them....and I have applied to all mentoring openings.....but no responses!!!! I JUST WANT TO CRY!!!! Seriously thinkiing that this was a big mistake.....wanted to further my career....but this hasn't helped!!!!  And unfortunately, I cannot afford to take another MT course......sorry to post again....I just needed to vent.....so miserable!!!!    Sneaser
Yes I tried it many times. This is so frustrating. nm
:
Yes, it is frustrating when trying to converse with people
who don't understand English.
Oh golly, that must be frustrating and annoying.
maybe you can make a game for yourself of second-guessing the QA folks. It sounds like they are the kind of ill-informed people who would rather cling to their ignorance like grim death than open their minds and learn something useful. If you look at figuring out their foibles as a game, maybe it won't rankle so much.
I would agree they are slow and frustrating
but once you have them down you can make great line counts on them.

As a side note, I have been doing ops daily for 10 years and I still use my Stedman Medical and Surgical Equipment word book often. If you are going to dive into ops you must, must, must get this book before starting. It will help you a lot.
1 out of 2, 1/2 looks like one-half
what do you do in this situation?
I have it also and they don't have even half sm
when you are doing angios and MRIs.
Could you do half and half - QA/MT?
Some days I think I'd rather do QA -  I have carpal tunnel and I could sit in my recliner and QA because I wouldn't have to be pushing a foot pedal all the time and could use hot keys, and it would be a change of pace.  But then I have days at a time, if not weeks, where I have the worst dictators.  I rarely have blanks, but I do have them, and I think no way do I want to be stuck listening to every horrible dictator, although my company pays by the hour and a good rate, so it would be nice not to have to worry about working 50+ hours/week so I can pay my bills because I don't have a consistent pay check to try to budget with.  
Which half?
nm
No, it is NOT your price to pay SM

unless you continue to allow the "price" to be extracted from you.  There are companies out there who value what you have to offer.  Sounds like it is time for a heart-to-heart with your current company regarding at least being adequately compensated for doing all the crap dictation (believe me, they KNOW you are doing it) and if that fails...MOVE ON.


I feel for you and I hope this helps but if you continue to allow yourself to be used/abused to the point it is ruining your life...sorry but don't look to me for sympathy, you DO have options and working at Mickey D's is not the only option.


Not sure what that has to do with the price of tea, but I
still recommend them.  Better than paying a big bill.   I average 8000 minutes a month and they do not complain at all. 
Price
It's around 12 cents where I am. However, this is a red flag that they are looking and you should be looking for a new client and dump them. Believe me, they will dump you if they're thinking about it. Too bad, if you're good, good ones are hard to find but they have to find that out the hard way. The buck is top priority. Good luck to you.
Where did you get the price?
x
Sure am. The price of EVERYTHING is going up and
the taxes are through the roof, but my pay would go DOWN if I didn't work longer and harder to make the same amount. This really isn't good! but it's life, so we plug along and live (or at least WORK).
My price - PS

I know my prices sound low but it is gross line and a letter is counted from the date to the signature line and blank lines count.  That is the way that the company did  prior to me taking the account over, very upfront about it and I continue to do the same and everyone knows about it.  So that is why my rate to them in .115 per line but it adds up as they are surgeons.  They prefer looking at the lower rate per line.  I know it is the "old way" of counting lines -- use word and take the total amount of lines and that is my line count.  Now you know why I don't want to give up this account.  


 


Best was would be to price it out..sm
DHL, UPS, rental the smallest U-haul trailer and drive it home. Network with fellow MTs and see if anyone from that area is headed your way?
price

To me it seems a little low, depends on if you get a lot of consults or if it is just patient notes.  Psych consults can have a lot of tests that take a while to set up in a template but once set up, as long as the dictators dictate them the same way, you can use them.   My psych account I do for 11 cpl gross line and we have just converted over to digital.  Used to pick up and E-mail back.  But I do not have 24 TAT, I pick up on Th/Fri and have to have back by Weds night.  Also depends on how may dictators you have and if you can do normals, templates, etc.  Also each doc could want the same test set up differently.   But you have it now, see how it goes and go from there.  If you find it is too low, tell them and up it.  Again, depends on if it is chart notes or consults.   Sounds like you will be having your hands full to say the least.  Congrats and best of luck.   I do two psych, one for ADD children/adults and one that does a lot of consults for traumatic brain problems/cognitive and voc rehab.   


Patti


I think the price was too low.

somewhere around 11 would have been fair.  Of course they say, you only press a button and it pops up. I had a doc tell me about how he dictates the same paragraph with his normals and wanted a discount because of that. I told him he could just add in that part when he got the report back, since it was so easy.


In your presentations, keep talking quality when your clients are talking cheap. Show them how nice the finished product is and tell them you would be happy to work with the docs to help them make templates for redundant work so that --here's the kicker-- they don't have to dictate the same thing over and over again.  Sell that the technology is for their benefit to make their lives easier. And again, when they say the little "but you only have to" just smile and say, how about if your staff just adds that when it comes back then...


Don't feel bad about underbidding. Do a really, really good job - spend some time in the office developing a relationship so they know you are a real person. I like to take my kids with sometimes when I drop by so they know when they sign the check, it's not going to a corp but to a family.  Go high end on the service, get it set up so it works real good, then raise your rates. You asked about a fair rate and this rate is not fair to you.


Email me with any other questions. We can talk over some of your options and do some trouble shooting.


 


Not for that price
$18+/hour. I make more as an MT, but I would not consider anything less. I took a cheapy $14/hr QA job and the owner treated me like dirt. No way.
Seems to me for the price of the
book that AAMT should have used spell check before sending it to the publisher. After all, they are the ones who make all the rules, or are they exempt?