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Serving Over 20,000 US Medical Transcriptionists

I'll bet she meant that's how long the lines are before it returns. nm

Posted By: Becky on 2005-12-20
In Reply to: Gross lines are not counted in characters. - (sm)

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Sorry, 'MT way too long,' my post was not meant for you, it was meant for Wow! Sorry!!...nm
nm
Meant 8.86 cents, not lines
Sorry about the editing.  I meant 8.86 cents, not lines.  Good luck. 
Oops, or is it epitome? Ya'll know what I meant. ;)
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I hope you are joking or you meant 600 lines per hour.
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Oops, too long subject line, meant to say on the uncased tape.
We also had one or two real winners who taped things to the tape and then wondered why we couldn't get all the dictation done when the scotch tape tore the cassette tape. Oy vey.
Yep, but as long as some take it, they'll
xx
With an expander, you'll do more lines in that amount
s
and let's not forget cherrypicking! That'll boost your lines way up nm

Sounds good to me! I'll take it. Unless their lines are skewed.
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How long to get consistency in lines?

I have been trying to use an Expander for 2 years. My speed is between 150-200 lines per hour, 1100 to 1500 per shift, depending on the docs and type of report. None of the docs seem to say the same thing every time so I've been having a hard time. I have a slew of normals but must change them all the time.


I have hundreds of words and phrases in my expander, but I can't remember half of them or how they are abbreviated. The advisory gives me enough suggestions but I have to stop and chose one if I don't remember the number immediately.


I have the book Saving Keystrokes but part of my problem is that I'm not consistent on using abbreviations.  My goal is 250-300 lph consistently. How can I achieve this without jepordizing the quality of my reports?


Don't say use macros. I have no idea how. I've been reading up on everything I can find about them, but it goes in one ear and out the other. I just can't figure them out anymore (used to a decade ago).


Any ideas or help here?


Long lines . . . better to charge

lines at the pumps, 2-3 cars long.

How long does it take you to type 1200 lines?

On a normal good day it takes me about 5 hours, somedays I just can't stay focused so it takes longer.  I'm still debating about getting an Expander so just wanted to see how long it took people on average. 


another letter that I'll share if anyone wants to copy (long).
President Barack Obama
Secretary of State Hillary Rodham Clinton

Dear President Obama and Secretary of State Rodham Clinton:

Please take the time to read this important letter from an industry that has remained silent for much too long. I speak for a large number of United States medical transcriptionists, many who have made this their career for 20-30+ years. Our job is one we take great pride in, but are often unheard from because we work "behind closed doors." I'm sure you are aware of what our job entails, but I would like to elaborate. The patient's important medical record starts with verbal dictation by the doctor, nurse, etc. The qualified and experienced medical Transcriptionist produces a formal, legible, and information correct medical record based on this verbal dictation, which is of utmost importance for patient care. As a medical transcriptionist, I take great pride in my job and have spent many years perfecting my skills.

We are experiencing an astonishing number of lost jobs, not because the need for our services is down because of reduced medical doctors visits or hospitalizations by our U.S. citizens, but rather because our U.S. citizens' medical records are being sent offshore to other countries whose medical transcriptionists are being paid at a lower rate. Not only are U.S. medical transcriptionists losing jobs at a rapid rate, but we are allowing medical transcription services that advertise as U.S. transcription companies to shuttle the work offshore for a cheaper rate.

President Obama, many articles have addressed the shortage of U.S. medical transcriptionists. This is simply not true. It is a "cop out" to justify the tragedy that is taking place in the U.S. MT industry with sending medical transcription offshore to countries such as India and the Philippines. There are many experienced and qualified U.S. Medical Transcriptionists, so statements indicating a shortage here in the United States are simply unbelievable in my opinion. Unfortunately, the U.S. medical transcriptionists are losing their jobs to offshoring, and little seems to be happening to make changes to put a stop to offshoring of our citizen's personal medical information.

A large majority of our profession is female. Many have devoted their careers to medical transcription and are close to retirement, others are single mothers who have put themselves through school with hard work and training, and are working hard to raise their family with a full time job without relying on governmental assistance, but are losing their jobs because large national medical transcription companies are being allowed to contract with offshore transcriptionists, thus causing our U.S. transcriptionists to be out of work. The pay scale in our profession is currently comparable to what it was 20 years ago. We have not seen a pay scale raise despite the cost of living increase, but we can even settle for this with the economical turmoil at present, just to keep our jobs. Sadly, we cannot even have our jobs because offshore transcriptionists are doing the work cheaper.

I am not sure how many governmental officials are actually aware of what is happening in the U.S. medical transcription industry. I would estimate that twenty some thousand or more U.S. transcriptions are displaced from work, and sadly because no one will take a stance and put a stop to offshoring our U.S. citizen's medical records. Security risks are high with the age of the Internet, but private citizen medical information is being allowed to leave our country where HIPAA laws are not regulated or enforceable.

These two crucial issues of offshoring medical records for transcription in a foreign country need to stop.

1. We are endangering the confidentiality of our own citizens' medical records by sending them to a foreign country where no regulation such as HIPAA is enforceable.

2. The U.S. medical transcription profession is losing jobs at an astonishing rate, not because the need for our services is down, but because offshoring our citizens' medical records overseas is cheaper and thus foreign workers are replacing us. Why is this being allowed to happen without any legislation against such practice that is not only destroying a U.S. profession, but endangering the security of U.S. citizens?

Please take seriously the need to stop offshoring our citizens' medical records. As a medical transcriptionist, our work has always involved the patient as top priority along with the confidentiality of the work we do. There are great risks being taken when this information leaves our country and laws here in the United States are not applicable once this information leaves our borders. I truly believe with the coming age of the Electronic Medical Record, changes must be made now to keep our citizens information in their own country. Each country, in my opinion, should have access only to their own citizens' medical records. Of course, emergency situations will exist if a patient were traveling abroad, in the military, etc. In this age of security issues and the implementation of Homeland Security, please consider where our citizens' medical records are being allowed to go, and unfortunately many times without the patient's knowledge. As a U.S. citizen, if my doctor was obligated to inform me that my medical records would be leaving the country to be transcribed into a report, I would no authorize this to take place, and if necessary would change to a provider who does not contract with a medical transcription service who sends work outside the U.S. The patient deserves to know this is happening.

Please, Mr. President, give U.S. medical transcriptionists the opportunity to get their jobs back and save our profession by supporting our workers first, as well as protecting our citizens' rights to confidential medical information by keeping this information in their own country.

Please work together with the Dept. of Health and Human Services in revising HIPAA laws to restrict the offshoring of medical transcription. Other countries do not place their citizens' security at risk by sending their personal medical information to the United Sates for transcription purposes, so why are we letting this happen? In the process, we are losing a profession that has been so valued here for many years, but we are a profession that has not been heard from much in the past. It is time we speak our minds on this issue, and we hope that you will sincerely consider making major changes to offshoring medical records for transcription.

Thank you in advance for your time and consideration in this matter.



A concerned U.S. Medical Transcriptionist

Sounds amazingly stressful. I'll stick to my 1200 lines a day, thanks. nm
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Sleeping all day long while my little fantasy slave does my lines LOL :-)
Wow... you vacuum every day? Dang, I'd never even get 50 lines done a day if I did that. I maintain and clean seriously on my one day off, but... hats off to you, sister!
check your old tax returns
to see what your status was checked. If "nonemployee compensation" was checked, then you were an independent contractor and owe the money. If it was not checked, then the IRS is in error.
See last years returns
A lot depends on your status -- are married?   If so, your husband can overwithold and you can pay that way.    If not, look at last year's return and see what your income was, how much you paid and compare that to what you will be making as an IC this year.   See what your tax liability was last year.  You might have more deductions as an IC for your net income on which you will base your SS and tax liability -- all get paid into the same place.   You can divide that by 4, go onto the IRS web page and print out Quarterly coupons and send in that amount if you do not want to have your husband overwithold.   If you don't owe much the penalty is  not that much.  But as I have said before, for the first year or two as an IC I suggest people seek out an accountant to help them get started.  It is hard to give advice without seeing the entire financial picture.  But first place to start is your last years return compare to this year's earnings and go from there.  Again, though if you have a husband working or have a second job as an employee just overwithold from either as it is easier than trying to save and pay quarterlies.   Good luck.  IRS page has a lot of good advice.    Patti
IRS is not processing ANY tax returns sm
until at least Feb 11, when the new software is in place.  You may be talking about and H.R. Block type place that figures you return, for a price, then cuts you a check.  But IRS not sending checks or processing until Feb 11.
Will be a nurse-practitioner...but I'll keep my MTSO as long as it stays alive...
nm
Stedman's Ortho and Rehab words. You'll keep researching screws & pins as long as you do
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Personally I don't charge for tabs and hard returns - sm
but then again it would not make a big difference for me. I just went over my last invoice and re-did it including spaces, tabs and hard returns, my invoice went up a whole $1.70. I will live w/o the extra $3.40 a month. On another point, I try not to put 2 spaces after my last period of each report (mine are just single block paragraphs on each patient) so I don't "pad" the invoice that way either. Now if I did a lot of reports with tabs and returns then I probably would bill for them, as it is a keystroke. As for how to phrase it, I thought you have already put it quite well, but I think asking for a cent raise might be too much, .005 would probably more than compensate you for your "loss" if you don't count the tabs/returns anymore. Run an invoice and see what the $$$ would be with .005 and .01 raises. Good luck.
Our tax returns are outsourced. Our credit history is outsourced. Our employers know everything
our age, our residence, our credit (if they want it), any criminal activity, etc.  What is new here?  You apply for health insurance and your employee knows your health background.  What is new here?  Privacy is long gone.
It'll be the most expensive magazine subscription you'll ever get! No point in joining. nm
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Aaahhhh, now I get it. Gross lines vs. Character lines. I guess I've just been conditioned to
think in terms of character lines.  One of the perils of working as an IC for somebody who defines what a line is versus owning your own company and defining it yourself.  After working for someone else for 15 years, maybe it's time to bust out on my own.
I'll go! I'll go!! I won't take hormones and will be ready to defend your honor :) n/m
.
No. It'll be the most expensive magazine subscription you'll ever get, and it's unnecessary
s
You'll get used to it. It is keeping the right leg propped up at the same time that'll be the
When I broke my ankle, I was just grateful it wasn't the hands. Without our hands we'd be totally screwed.

I broke my right ankle slipping on ice and was lucky to have gloves on because the palm of the glove was totally torn up and my hand was okay.

Good luck and be sure to do your exercises when it is time.
That is a lot of work/lines for 2 people. I do 3000 lines per day sm
if you times that by 30 days that only comes to 90K lines a month, that is working 7 days a week including weekends. I don't think 2 people can handle that.
900 lines is below 1100 lines, where the bonus starts.
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I hate Instant Text. It is expensive, long long learning
curve, and too much distraction for me.
How long should I wait after applying for a position before I follow-up. It has been as long as two
without hearing from some.  Just wondering if I should send an e-mail to follow-up to see if they received my resume or not.  I don't want to offend anyone but feel two weeks should be long enough for someone to at least acknowledge my resume and that I have applied for a position.  Right now I would accept anything even a note saying no thanks.  Any advice would be appreciated.  I haven't had to apply for a job for the past 10 years so I am a bit rusty at this.  Thanks again for any advice. 
It'll happen. You'll find your fit.
You might have to kiss a few frogs first, though.
Oh she'll spice it up alright, she'll be
placing hidden cameras in the other ladies' dressing rooms! LOL!
continue your goal; he'll/they'll get used to it/over it
nm
I'll vent and I'll sign my name sm
I have two IC contracts right now. I recently went back to a job I had quit earlier in the year to work for the other company I am still working for.

The newer job has 80% ESLs. I transcribe OP notes primarily and I can fill in other work types as the opportunity arises. I am frustrated with this particular situation. After 6 months, I am making less money and working longer hours. I am past the learning curve and I should be doing better, at least in the number of hours I am spending doing the job. We have run out of work for 24 hrs at a time at least 5 or 6 times since December 1, and in November it was more than that. I have a friend who worked for this company as well and she was having similar difficulties. The only thing that we can figure is that they are shorting us line count some way, because after 6 months at it, it should be easier/faster/more money, but it is less and less every single pay period. It is not a nice thing to accuse a company of doing, but it SEEMS that way to us. I am fed up with being expected to type every single OP note that comes in 24/7 and meeting the 6 hr TAT for them on weekends, evenings, holidays, wee hours of the morning...

I took back a job I held for 2-1/2 yrs. The team leader has changed and this gal thinks that I should be on call 24/7 for whenever she has work. I might have some at 7 a.m., or perhaps not until 6 p.m. or later. I can't plan my personal life and between these two IC situations, I find that I am not eating on a daily basis, not showering on a daily basis and not sleeping more than 3 or 4 hours at a time. I have lost weight and I don't feel very well. I woke up today with a rip roaring head cold (my first in nearly 8 yrs) and it has already moved to bronchitis and I am expecting pneumonia by the weekend because I develop it very easily. I already have deep pain in my back.

Yes, I should call in sick tomorrow, but I really can't take the fallout. The job I took back I am covering for another gal who wanted vacation over the holidays and if I have to call in sick, the team leader will call me and pitch a fit about how this is my responsibility. It IS my responsibility, I did say I would do it, and I will do it, despite being quite ill. In the past, when I worked for this company, they would not allow me to call in sick for a "cold" without a doctor's note. I worked through many illnesses with them and only called in sick when I developed West Nile Fever and while I was sick for over a month, I only called for my last 12 reports one day when I could no longer see the computer screen because my head hurt.

The problem is that yes, many MTs lack work ethic. They don't take their responsibility seriously. This is not a work as you please career, not even for an IC. I can see the MTSO's point of view, I truly can. Like finding experienced, reliable and capable MTs, for the MTs who are these things, finding a company will treat you like a human being is equally difficult. I sit here, feeling lousy and like I am an utter slave labor with no consideration whatsoever. I know that my work needs to be done, but when I am this sick it is better that someone else do it for the sake of the work, for accuracy and for speed of getting it out. I know that I am needed, but to be the MT these companies need me to be, I also need to look after my own health.

I will also mention that when I have asked for vacation, I have been approved for the time, but the MTSO queues up my work and calls me then I am not on the system getting it done. I have told them I had been approved for time off, but the MTSO didn't schedule anyone to cover for me and I am told to get on work, vacation or no, if I want to keep my job.

Thus, I work 24/7/365 and have for years. I work sick, I work when I am in pain (I have an AI disorder), I work exhausted from staying up all night covering for others who are allowed to call in sick and have vacations when I can't have either. I work having no health insurance and not being able to afford the $125 a month to buy some with a high copay so I can see a doctor. I work without breaks for breakfast, lunch or dinner and I sometimes come close to having an accident because if I leave my desk to go to the little girls' room I get nasty calls about where I am at and what I am doing.

Many MTs are mistreated, and I am one of them.
Gross lines include all lines containing
printable characters, so a full line and a line with one word on it are charged equally. Straight lines are basically the same as gross lines, but with this method of counting the blank lines are counted as well (again, equally). I have only had one company pay this way, and they are a middle man. I would think the charge would be about the same as for gross lines, and that not too many offices will want their lines counted this way (the one I worked on was probably inherited from someone who had counted the lines that way, so just continued).
The norm is 1 minute = 10 lines; 10 min = 100 lines - sm
granted this varies per dictator. More lines if a fast talker, less if a slow talker.
I went from 2400 lines to 1800 lines

a day when I switched from clinic (through an MTSO)  to hospital work. Not only was the clinic work easier with more macros (and less providers to learn, 12 vs 300+), but I was typing in straight Word (as opposed to Softmed/Chart Script).  So you see, it really varies depending upon the type of work as well as the platform used. That said, I am so much happier typing the 1800 lines per day (I make over $15 per hour plus an incentive for any lines in excess of 1200 per day) plus a great health package/benefits, AND approximately 5 weeks of paid time off per year.  In my opinion, hospitals really are the best employers WHEN they appreciate the work we do.


My advice for you is not to judge a job by any one criterion but rather the entire picture. The 'extra's can really add up.

Good luck in your job!


Which is the one where they are sc*&ing us the standard lines or the qualified lines? SM
Mine show up as STD when I pull up my transcription log.  But I see now there is STD/QT....  So which is the one where they are ripping us off, standard or qualified?  Need to know.  I am about to switch companies and I will not do if they are actually taking lines from me.  Thanks guys. 
Congrats! How long have you been a MLS and how long did you study for the test!

Please see message. I have three daughters with long, long hair.
I also have long hair down to my waist and my three girls have hair that long too. My daughter brought them home from school last year. I was devestated and grossed out!!!! I have never had to deal with lice. Anyway, we did the treatments and two of my girls broke out in a severe rash with the OTC stuff. Their little heads were so sore!! I thought I was being meticulous with eggs, only to find them hatching again down the road. A nurse at the pediatricians office suggested I try oil to suffocate them since my girls were allergic to the lice solution. I bought a huge bottle of veggie oil and dumped it on all three heads, plus my own. I then wrapped the heads in platic wrap and then a towel. I left this on for 30 minutes. It takes a while to wash out the oil, but we never, ever had the lice or eggs again!!! If you try this, make sure you put on an old shirt and put a towel around your shoulders. Obviously we were desperate, but we all have such long hair and very thick hair so I was willing to try anything. And I figured there was no chemicals involved so that was pretty safe. And it sure did help my littles ones since their scalps were pretty raw from the solution. Hope this helps and Good luck!
It's been a long, long time since I've used a C-phone, sm
but I do think jobs can be paused.
I had a problem with this for a long, long time sm
I have always worked days, like from 6-3. Over the last few years, it didn't matter how much sleep I got, I became real groggy between 7 and 11. Really shoots the day. Talked to my doctor and he said my blood pressure pills were the culprit but he refused to change me to another brand or dosage since I have multiple aneurysms (2 in the brain). My BP has been stable for a long time and he wants to "keep it on the low side". I tried taking them before I went to bed instead of early in the morning, but then I had headaches all day. So, I am changing to a night shift for a few months so I can sleep when those pills kick in and so far it is working pretty good. I stay mostly awake during my shift and die when I hit the bed from 6 am to 10 am, then I lay down again later in the afternoon for 2-3 hours. I still get 6-7 hours of sleep, it's just split up during the day, plus I am mostly awake now when I sit down to type. I don't have to deal with the heat in my office, either. It tends to warm up real fast in here with the south sun on the house and 2 pc's running all day, even with the air conditioner on.
Way back when, a long, long time
ago and in a galaxy far, far away, I had my own accounts also and some years cleared $75,000.  Yes it can be done, but you need to have your own accounts.  Also lots of delivery, and other duties involved.  I work for a large national now and make much less, but I got tired of accountants, having to deal with hardware problems, deadlines, driving deliveries, printing, printers, etc.  So I decided to simplify my taxes and stay home and just type.  Don't have to worry about computers either, because the company will just send me a new one. 
Long, long files. Seemed like they'd never end! I'd never go back to VA again. nm
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I've been doing this a long, long time...

I used to make $70,000 and up a year and did so for most of the late 80s and 90s (one girl used to make six figures a year working 7 days a week!)  Because we were making more money than the supervisors and Medical Records Directors in hospitals, they began to switch to transcription services which were sprouting up all over the place.  Plus AAMT came into existence and even though in the beginning it claimed it was to fight for transcriptionists (although assured us it was NOT a union), they eventually morphed into an organization that was more management friendly.  They developed the "guidelines" and the 65-char line.  That was the beginning of the end for those high-end wages.  Then all those mickey mouse transcription schools popped up, and now outsourcing overseas.  YES, we're complaining. 


Been in this biz a long, long time, 30+ years and....sm
I love/loved MTing. However, things have changed so much during these years. The job definitely gets easier; don't have to look up much, can decipher ESLs much easier, in other words, you get pretty comfortable with things and you have confidence in yourself. The more experience you have the easier the job, but....

I actually made more money 10 years ago!! We didn't have speech recognition and you actually got paid for headers/footers, demographics, carbon copies, etc., you got paid for what you did fairly; today, I am not so sure.

You will feel burned out at times, but that passes and you find you like your job again.

Good luck to you!!
Tell him you'll give him your macros if he'll give you his Lexus, his ski cabin, and (nm)
;p
Question versus gross lines versus 65-character lines....

I have always charged or been paid by 65 or 60 character lines or per letter or space typed, but have never been paid or charged per gross line.


What is the advantage of this?  If I were to charge 11 cents per 65-character line including spaces, what does this figure out to for an average line rate and how do you do this calculation? 


I'm wondering if it is financially beneficial for me to bill by gross line or to keep it the way I have it.  I do know some accounts will only pay per 65-character line, as this was the deal my first own account I recently acquired.  They were adamant on a 65-character line, but didn't specify with or without spaces and I personally would never not charge for spaces.


Thanks for explaining this.  I appreciate it and hope everyone has a speedy day.


Control. I'll still get OT though. And you'll
still sit and complain!