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Serving Over 20,000 US Medical Transcriptionists

I've had a Hotmail account for years

Posted By: Okie MT on 2007-09-08
In Reply to: email company - Polish girl

They are updating it to "Windows Live Hotmail" which is much more like Outlook Express. You have 2 gigs of free storage space if you need it. I only use a fraction of that - it is the address I use when I'm ordering something online so I won't get tons of spam in my "regular" email.


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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.  


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
I've been doing this doc for many years, so I've learned how to function with him. sm
I can tell what's a stutter, what's another word, what's just an "uh." Years of experience will get you through a lot.
Wouldn't want to do his charts all day, of course, but a few per day aren't bad. I haven't had to send his to review in a long time, but they do take a little longer to shuffle through.
I've worn contacts for 30 years. I've had both
hard and soft.  My vision is much better with the soft ones than they were with the hard ones.   When I first started trying contacts soft ones were still new and they couldn't get me to 20/20, so I went to hard.  Hard were okay until my eyes started changing shape and then I could no longer wear hard ones.  The soft should give you better vision as they conform more to the shape of your eye. 
I've never hit that on another account.
I couldn't even tell you how many I've had now, but I've never had easy docs like that since.
I have had the same account for six years - sm
One of the doctors hates using tapes ... so he decided that he would dictate over the internet. Guess what? He hated it.

Then he decided that the whole office should use a transcription service. Guess what? He found out with each transcription service that if you wanted a stat letter done it cost him about $35!! $35 for a two page letter!! And he was angry because none of the companies would print the letters. They wanted to send them back by email and have his staff print them out! They also charged various line rates for various letters, which was totally ridiculous.

I charge $5.00/page to transcribe the doctors letters, they fed ex me my tapes no matter where I am (and they pay for the fed ex). Guess what? I'm still more cost effective than the transcription services. I manage a same day to 48 hour turnaround time. My bill averages around $600-800 month and I have never worked more than 20 hours a month for the group.

Don't fret it. I have found over the years that doctors will always try to find a cheaper alternative to getting things done, but I have never ever been let go because of bad transcription, and whenever this has happened, I can guarantee you this .... they will call you back!!! I can almost promise you that!

My doctors have come to rely on the fact that they have been able to call me on my cell phone and ask me if I could call them back before the end of the day because they have a stat letter that needs to be done. I tell them what time I will call, transcribe the letter, email it to them, or print it from where I am and mail it to where it needs to go. Now keep in mind that they don't do this all the time, but I would probably say on the average of about 4-5 times a day. They will never find that with a transcription service.

I have never raised my rates. I take my time off around the main doctor's schedule. I have even tried to find a replacement a couple of times for them for when I really needed the time off - and it all comes back to this - I am a perfect fit for my doctors, and they now know that.

So cheer up. You'll be surprised - they will call you back.
The key here is 1 account for many, many years.
How many dictators? I made that good before DQS, and of course, MQ lost the accounts. Now on an account that you never get the same dictator twice in a shift. Makes it extremely difficult. Happy for you, hope it continues.
I had my own account years ago
transcribing for an office of 4 docs. They all admitted they were were terrible at grammar and such and it was my job to make them look good on paper, but they were paying me very well for this at $25 an hour. Just a few years ago another account I had with 2 docs it was the same thing at 15 cents per line. Unfortunately, all these accounts went to an MTSO at less than half of what they paid me.

Now I am with one of the major companies as employee and it is the same as you are saying, QA inconsistent and always getting dinged for fixing things and dinged if you don't, at slave wages compared to what it used to be.
I've been told to use them in one account

and then another account I've been told I use too many....  


So much for trying to be perfect...  


I've worked the same one account...sm
for over 10 years. They know I'm reliable and I know what those docs are going to say before they say it ;0) Seriously, though, I've tried other short term assignments or on-call situations through the years but always come back to my bread and butter. Like anyone, I could of course be let go tomorrow, but in the meantime I'm making good money and doing work that comes second nature by now. Less stress too!
Yeah, QT. Same account for 4 years. nm
nm
Been undercut, after 4 years, losing account, I am sure.
I am a small MTSO and have had this physician group for 4 years since I started my service. I have always charged them just a flat rate per 65 character line, which in the North East I feel is reasonable - 14 cents per line. Never charged them extra for reprinting reports they have lost (which have been many over the years) and I always did the printing and delivering daily for them. Now some other vendor comes in and says they only charge 11 cents per line. This group comes back to me and says that their "final offer is 12 cents per line".... I told them, no way....MY final offer is 13 cents and NO PRINTING! Did I do the right thing?
Same for me, I made more 10 years ago. It depends so much on account, SM
work type(for me), and expanders. I find it hard to stay motivated when report after report is ESL and a work type I can't make money on. The above poster likes radiology, I like OPs. It is easier to stay motivated when you have that.
I use MSN/hotmail and
have never had any problems. As mentioned before, a lot of companies will not allow you to use AOL. I worked for a company one time that would not allow you to have any part of AOL on your system, not even the AIM messenger.
Hotmail is the same way - you can see what it is sm
and who sent it before you open it. If it's spam or junk mail, you can delete it or send it to the junk mailbox without opening it at all.
MSN and Hotmail
Anyone else having trouble accessing these today?
Accessing hotmail
I think it must be a server thing or the number of ppl accessing. I have a hotmail account and I could not get there today, no matter what I did. and I have IE7 also. I went through Windows Live Messenger. I even googled and tried to get in that way and all my other sneaky ways to get around problems. As you can see, I finally got through. You just have to be one step ahead of them i guess. Try some of your Windows Live programs, that is what I do and did. Good luck.
I've heard you can normally expect about 3 months before you feel comfortable on a new account. n
x
Since updating to IE7 I cant access hotmail, anyone SM
else have this problem. I've tried all the usual routes. TIA
I cannot access hotmail today either (not sure what IE7 is) :) nm
x
3-1/2 years experience, type cardio only on clinic account, and make 9 cpl nm
nm
Lost account of 28 years to Dictaphone because hospital believes it will eliminate all transcription
Curious if any of you are working for Dictaphone or Infomatics and doing an account out of Miami with mainly ESL dictators?  I was convinced I would not lose the account after a few days with VR. However Dictaphone is not using VR right away and will transcribe reports the regular way until they have a database. I am certain this hospital will never be done by VR. I posted a job on here about a year ago offering 18 cents per line to help with this account and not one person  accepted after hearing the ESL doctors we have. They are that bad.  Anyone else have this happen to them? Losing to Dictaphone  And we have had to do most of the work for over a month since they supposedly took over because their system is not working.          
you've been an MT for four years,
so, based on this information, that would imply that you are a grown woman. If this is true, does your handsome husband know how immature you are? Does he know that his hot wife is on this board making juvenile and childish remarks? Just curious, what makes a babe such as yourself do something like this?
gee, I've been doing this nearly 27 years

And the clients have always liked my work.

That is the only CORRECT in my book ... he who signs the paycheck.


I've been doing this for 25+ years. SM

My problem with changing accounts was not the terminology, the dictators (I do 4 big hospitals even now), but it was shuffling around to remember account specifics. That is ridiculous.


It is another case of an MTSO (not the client, the MTSO) treating the MTs as a cost center instead of a revenue center. The "money" was for the suits and the editors (no offense) and the MTs who did the work were at the end of the money line.


I've been with BTS for nearly 3 years now.

I've never run out of work, been slow at times, and asked for more.  If you are a well-rounded MT the work is there.  If you are limited to one or two specialities well, work is limited as would be anywhere.  As for the pay, my check was been screwed up twice in 3 years.  I had the difference in my hands the next day, the fedex the check to me. 


Question to you?  How did you treat BTS?  Where you there to work if and when they needed you?  Was your work 98% or better and within TAT?  Most employers will treat their employees they way they are treated.  It's a give and take situation people.  I sign on do my work, send it to the clients and have no problems.  If they need extra help somewhere I usually (but not always) say sure (who can't use the extra money anyway).  When I want time off, they say no problem. 


Did you ever try talking to the owners about your problem with pay or work or to your manage?  You can't complain if you don't try and solve the problem first.!!


 


 


I've been using it for at least 4 years now and never
had any problems. I love it. It makes it so easy and it's a lot cheaper than paying someone to do it. You can load it on as many computeres as you want as you don't need the disk after it is loaded so me and my mom always go in half on the deluxe version so that we get state taxes included.
I've been in this biz for over 10 years

and can honestly say I've never had a background check to my knowledge.  They really should let you know beforehand and I guess it is possible I've had one and not been aware but highly doubt it.


I've been using an erg for a few years.
It took a while to get used to but it did help with wrists. I have a really hard time typing on a regular keyboard now.
I've been at it for nearly 15 years
I consider myself seasoned, not because of my years of experience, but because of how many different types of work I have done. I think that being flexible, versatile, and maintaining a good attitude is what makes a seasoned transcriptinoist.
I've been doing this for years...sm
I have been saying this for years.  If they would just contract it themselves.
I've been doing it for three years
I don't really have anything special I do. It's just something I'm used to. I work between 13-14 hours Monday through Thursday and take Friday nights off. I do have to have the TV on though. If it's too quiet, that's when I get tired and start to fall asleep. I don't like coffee, but I make sure to take some form of caffeine. I'll get up and walk around every few hours though.
I've been doing this for 20 years

Been in healthcare since 1972 :)  Got halfway through my Masters in HealthCare Administration and stopped because I was NOT passionate about that.  Got into this instead. 


I am still passionate about my house and everything else I do.  I'm 55.  I'm not naive, or dumb.  Passion comes from inside you, if you're not passionate, it's because you make yourself that way.


Thanks for the tip, but I don't have anything to get over.  I don't waste a lot of time whining and complaining though.  :)


It's been a few years since I've

been IC, but one of the things I did was to have my husband claim zero and at the single rate.  If you're already doing that and it didn't help, you might want to have him pay in a little extra per pay or pay estimated taxes yourself.  I thought with federal income tax, my employer did take it out because I was considered a statutory employee but still IC status.  I think I had a little extra taken out and claimed zero and married at the single rate.  A lot of things go into determining whether or not you owe taxes. 


You say you adopted a child this year and will get that tax credit, did you have any children before?  If not, then you likely didn't have much choice except to pay estimated quarterly taxes and have both you and your husband claim zero and the single rate.  We have 3 children now, which definitely helps, but even still we continue to claim zero on our W4s just to keep ahead of the gov.  We like that little "bonus" we get back for vacation, etc.


I know I always paid estimated state taxes.  In some cases, you can end up paying penalties if you don't.  Talk with your accountant.  He/she should be able to give you ways to avoid having to pay in.  You probably can't reduce what you make anymore than you already have.  It sounds like you've got your deductions covered.  Your only option may be to pay estimated.  Good Luck!


I've been doing it for many years.

I work a few hours in the morning before kids get up, spend time with kids, do housework, fix dinner, etc. and then I work a few hours after dinner.   I get up at least every 2 hours and do something, may put on a load of laundry, may lay something out to thaw for dinner, may take a power nap, etc.  I couldn't sit for an 8 hour shift if my life depended on it.


It works for my and my family.  My husband works 12-15 hours, a lot of them overnight and he is home by 11 most days, so my schedule works for him too. 


I've actually been doing this for years!
i produce 500 lines an hour consistenly and average 3500 lines in an eight-hour day. Anyone who does not believe is jeolous, but that's JMHO.
I've been doing this for 28 years
And I get paid less now relatively seaking than 20 years ago. I've seen line rates as low as 5 and as high as 13-14 (if you're lucky).

MTs are not getting paid according to their experience, not anymore. Our pay has been so undermined by offshoring, if you find a company paying 10 cpl and up, good luck to ya. It is frustrating I know but that's the truth of the matter. I wish I could sing you a better tune.
I've done MT for 35 years, don't know how to do
to learn a new career, I'd be a 70-year-old "newbie". I don't think I'd get any job offers.
I'm with you. I've been doing this 20 years and
was a supervisor for semi-large company at one point, and I don't think it's possible to consistently do 4300+ lines of straight transcription per day...
After you've been an MT for years, have
experience with all the different foreign accents & high-speed/mumbling dictators & develop an ear for them, memorize the BOS rules, JCAHO, etc., then you'll be qualified to do what you're suggesting.
I've been in MT 15 years & have never
paid AAMT/AHDI a dime and never will because they're right in the big middle of selling us out to India. And you know what? Not having my CMT has NEVER been an issue because I know my stuff, have the experience, and test well. They need to rename themselves the Indian Association of MT.
Yes, I've used one for years

Ever since they first came out I have been using.  I prefer some of the cheaper knock-off brands to the MS though.  Does anyone remember the Wave keyboard?  It was the precursor to the MS and also there was an actual split keyboard and one time, where the keyboard broke in half so you typed with your hands vertically instead of horizontally.  I also tried learning Dvorak and that was an interesting experience!


I have an MS at work and one at home.  My hands hurt less and my shoulders are not as tight.  I can't stand to use a regular keyboard as I tend to hunch over and my shoulders get tight, not to mention make all kinds of errors!  I don't know about using the "B" with your other hand though.  Never heard of that.  I just use a standard technique.


I've been doing this for 3 years
and have never made anywhere close to $31,000.
I've been saying this for years. Unfortunately,
all too often, whenever an employer pulls another fast one on us, or in the case of Acusis, pulls the rug (our paychecks) right out from under our feet, we're furious about it for a few days, and by about the 5th or 6th day, we suddenly become complacent and unwilling to stand up and fight against the status-quo.

That fight doesn't necessarily mean quitting your job (or getting fired). Fighting back can be done in your spare time. It can be done on your cellphone on the bus. It can be done next time you're in the waiting room at your doctor's office. A revealing and poignant letter can be written to a local newspaper's editorial page, an internet blog or chat room, a state governor, a congressperson, a hospital CEO, etc. The number of things we can do are limited only by our imaginations. If every MT in the country sat down and wrote a letter to Congress or their Senator (not a cookie-cutter email that gets deleted the minute it's received, but a real, hand-written or hand-typed letter that tells your personal story, of the stories of people you work with, or that you chat with on MT Stars, maybe someone with more clout and a louder voice than we have will see it, grab onto the story and run with it. When a country goes to war, it ultimately boils down to each individual fighting his own personal war. When the state of affairs in our field reaches almost-rock-bottom, which is where it's at right now, the only way for the MT species in America to survive, and not be wiped out entirely, is to network, talk to or write to as many MTs as you can, set up chat-room, or send out emails when possible, and help MTs start a movement. It takes time for a movement to build up momentum, but every little bit helps towards that goal. Even one letter is better than no letters. One person in your doctor's waiting room told what's happening to their medical records, and the quality of their care when their records are offshored, is better than no one told. We need to start making our voices heard. Not too many of us are going to last another 2 years in this business at the rate it's deteriorating.
they've been doing this for years and years (nm)

IMHO


Becky, I've been an IC for seven years now without
any type of liability or error insurance at all.  As the other poster said, the physician is the one that's responsible for reviewing and signing off on the reports.  If you don't believe me, go to Google.com and type in "transcriptionist sued" to see how many lawsuits are out there where doctors sued their transcriptionist.  Zero.  It's not going to happen.  Besides that, technically you are a SUBcontractor for softscript, so it's their butts that are going to be on the line no matter what your employee/IC status is.  THEY are the ones that signed the contract with the hospitals or physicians, not you.  Also, if you search the MTstars archives about that company, they don't get rave reviews.  You can find a better company where people actually know what they're talking about.
I've used it for 2+ years, no problems.
x
We've been doing this for 1-1/2 years. It's no surprise. nm
nm
I've used Speedtype for almost 2 years
and I love it!  I have verson 8.  It's very easy to use, particularly when changing dates every day, etc.  Once I'm at the beginning of a new month, just delete the whole prior month and begin again.  It's easy to format anything.  If I have one word or a small grouping, it's easy.  If I have a large chunk of dictation, that's easy too.  The woman who sells it is extremely helpful.  I've never had one bit of problem since it was installed. And does it help with productivity - absolutely!
I've used Bytescribe but it was years ago
and I currently use Stop/Start for an overflow account.  Depending on the file format S/S will do a conversion and it may take 15 seconds or more to run the conversion depending on the size of the file.   I had trouble with Bytescribe, but that was years ago, and I don't remember much about it.  Both Bytescribe and S/S play many file formats.  I've never heard of PowerPlay so I can't speak for that one. 
I've worked for MQ for years and
have NEVER been given the opportunity for bonuses.  Those who have gotten them have been lucky.