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I have been paid both ways. Depends on the account. nm

Posted By: Rad MT too on 2005-07-11
In Reply to: Radiology - per report or by line? - kyradmt

n


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RE: Depends on the account
No it does not!!!!!!
depends on which account
It really depends on which account you are going to be working on as to how much of a response you will get.  There is one account manager who manages several who is NEVER around, doesn't answer emails or the phone and it's been whispered she may even work another job.  There is a huge group of clinic accounts without a manager, they got rid of her, probably to save money since there have been lots of money saving cuts going on.  Currently that one is being overseen by the HR lady with no transcription experience (the second in command, watch out for her, really thinks anybody can do the MT or Editor job without having any experience).  There was another account with a really good manager but a bad platform, but she finally left, so hard to tell who is there now.  The actual owner is a very nice lady but unfortunately isn't much involved and only knows what her second in command tells her, and she makes it look like she has all under control, and in reality she is the second top reason most people leave this company.  A new manager has been hired for the new account we have, but yet again she will be limited by what Ms. G. will allow her to do, which won't be much.  This used to be a really good company but steadily has been on the decline.  Tell me what editor will put up with bad platforms, 100% listens and low work for 3-3.5 cpl?  What MTs will stay on with bad platforms and being ignored when there is no work?
Yes, it depends on the account (sm)
I do think it would be strange to have a PE section.  The physical exam section is the "O" section, for Objective.  It would be redundant to have PE within O.  You may want to ask for samples.
Depends what account you are on. I have been
there just over a year. DocuScribe is easy to learn, not bad at all. I don't have that many ESLs, mostly they are residents, but still I don't know about other accounts.
I think it depends on what the account wants, and
In fact, one account I type wants it both ways: They want all abbreviations expanded in letters, and usually no expansions except in certain circumstances on all other dictations by that account. The 'twice a day' vs. 'b.i.d.' thing is trickier. If my account has no specific rules about it, then for the sake of continuity, if the first couple meds in a list are written one way (such as b.i.d.), then even if they say twice a day on the next med, I still type it b.i.d. That way there's a little more uniformity, and I think also the list is easier to read. Of course, it all boils down to the preferences of those you work for.
Depends on account, but discontinued
would be correct (sometimes it means discharged)
It depends on what your clients or account wants. sm
BOS sometimes does not matter. The only thing that matters is what the people who sign your paycheck want on their reports.

It depends. If you have a very difficult account

an hourly rate would be great, but being paid by the line I make $20+/hour and I don't think companies would be willing to pay that hourly, so I guess I would have to say I'd rather be paid by the line, unless it is editing and that is a whole different story.   I also think being paid hourly would make me maybe not work so hard to get lines and perhaps slack off occasionally.   Depending on what shift I'm working I'm up and down every hour or so, putting a load in the washer, feeding animals, loading the dishwasher, etc.  If I was getting paid hourly I should not be doing that stuff.  I am not very disciplined and find it hard to sit still for more than 2 hours, so I would have to have a change in my routine.  I enjoy the flexibility of being able to get up, even go outside and sit on the deck and watch the sunrise, etc.   Another pro for the hourly wage though is at least you'd know what your paychecks were doing to be every payday and could maybe budget better. 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


I find it really depends on the account.
I really lucked out that I am on an account that has been doing VR for a while and the docs all speak pretty clearly. The reports come to me pretty clean. I only have to verify demographics and make minor changes to the report and I can get pretty good line counts.

On the other hand, I know MTs who aren't so lucky and end up having to transcribe many of their reports because they are so bad and end up making less money.

I love my VR account. I decided to do VR to save my wrists. I have had problems with carpal tunnel, but not since switching to VR.


It also depends on your account specifics too...
if it is verbatim, you type what they say...
Depends on your account, I would guess.

Some accounts want a strict SOAP format, so you would disregard the other headings.


I personally work on verbatim accounts so we put in any headings they dictate.


It depends on the account guidelines.
For the majority of the accounts I work on abbreviations are only expanded in the critical sections, such as diagnosis, impression, etc. This is to the client's preference, and it is considered an error to expand an abbreviation when it is not necessary.

As far as dosages, I always transcribe what the dictator says unless it is a prohibited abbreviation or an error. Prohibited abbreviations are changed, per client preference, to the acceptable term. If it may be an error, it is flagged for review. If the doc dictates "twice a day," they get "twice a day." If they dictate "b.i.d." that is what I transcribe. It is also considered a error, at least at my company, to alter what is dictated.
Much depends on the account/accounts that you are on (sm)
Like everywhere else, I suppose... I've been with JLG for almost 12 years and have had the same main acct the whole time. It's a large hospital system, and yes, lots of ESL, but only a few that I would consider dreadful. Have been on some other accts with virtually no ESL. Have also been on work types where I could rack up lines like crazy, and other times (like now, for instance) struggling to get 1200-1300 per day. Have had times where I felt extremely micro-managed, other times don't hear anything from anyone for literally weeks. Paycheck has always gone out on time, but unfortunately no longer do direct deposit. I guess you could say they've been a little erratic since I've been with them, but overall I am pretty happy. I believe they have several different platforms - I'm on "EHR" (for the past year or so) and while it's a little slow going from the patient information screen to the document screen and back again, it works with your own Stedman's spellchecker and with Shorthand, so better than some others that I've been on. I will say that the support personnel have not always been the best, but, again, I've seen a lot of people come and go! Hope you find a position that's perfect for you - or at least nearly so!
Well - just depends on what the top paid MTs
make where you are working. Your "top" pay may be less than that paid elsewhere. I feel that compared to what I have read as to the average of 5-8 cents a line, I'm paid well over the average - and I don't have CMT after my name :o) :o) My pay is based on my knowledge & expertise - not initials !
I believe it depends on how you are paid. sm
If you are paid by the line, you can clock into as many jobs as you wish.

If you are paid hourly, then you are not giving either company your honest time, which they are paying for. I know there have been people doing this for a long time. I believe it has been especially prevalant among hourly QA, since most of the MTs are paid per line, which should not make it a problem.

If you worked in an office and did another company's work on your paid time, would that be ethical? I know it is done, my manager did it in our hospital department, but she certainly lost our respect, and did not get a reference from me either time she asked for it.

So I guess it depends on your work ethic. Many companies would consider it grounds for termination. I believe most would certainly consider it unethical, if they were aware of it. JMO
I guess that depends if it is a verbatim account...
I think even so I would type feces....
I agree, it depends on who you work for BUT also the account
and how long it has been on VR. If it has been on VR for a few years, piece of cake. If it is just starting out on VR - tedious work, low pay as it takes longer to edit than to just transcribe it.

I have been doing VR editing for 4 years now with an account that has been on it that long also...can make up to $50 an hour, and some times as low as $30 an hour when we add new dictators.

Hope this helps.
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.
Depends - one account I make 40 an hour, other - s/m

I grunt it out to make 10 bucks an hour.  If I worked just the ER account, I would definitely make full time money for part time hours.


Durn second account.  :}


depends on location, I know someone who lost a local account - sm
in Woodbridge, VA, was charging .12 a line (60 character line), got underbid and lost it after having had it for years.  Now in order to get more but look less, she bids at .10 a line but a 50 char. line....comes out to .13 if a 65 cpl.   You can't get much over .10 around here on your own which really stinks, or do some fancy accounting which in this case works.
Depends on where you work and how you're paid
kj
Depends on whether you are paid hourly or on production.

If you are paid on production, then I wouldn't even spend five minutes researching a physicians name because it's the MTSOs responsibility to make sure have up to date physician lists available to you.  Nothing irks me more than starting a new job with an MTSO who expects you to hit the ground running, but gives you very little to start with!


If you are paid hourly, then I would spend up to 10 minutes trying to figure something out.


I consider myself a pretty fast Mt, and I am lucky to hit 100 reports a day...depends upon account.

Tell them you need to be paid more for the new account. After awhile it should get easier to unders
x
well, we ARE on production. And paid according to what the account pays. Have rates gone up? sm
You (supposedly) get a percetage of what the account pays.
lines produced also depends on type of account, doctors, specifics, platforms.
nm
You're expected quota depends on whether you are paid hourly or per line. SM

I'm paid hourly and I was told the requirement was 50 or more reports per day.  I've never worked QA per line, but I'm sure their line quota is pretty high, at least 2000 or better per day, as you get credit for every line in every report you QA.


Hope this was the answer you were looking for.


Depends on the pay and account. My lowest average is $15.52 an hour (roughly 182.6 lines an hour) w
;'
For QA consulting I'm paid per hour; QA instructing (college) paid salary, QA editing paid per li
I am an IC and work for two different MTSOs as well as instruct at a business college.
What is the difference between an acute care account and a multispecialty account??..nm
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
if mt paid 9, editor paid 4 or 5...how can company charge 14 and make it..sm

I know the going rate in our area is 14 cents per line.  As MTs most companies here pay us 8 or 9 cents a line.  Now add in the Editor rate at 4 or 5 per line..you are paying OUT more than you can charge a line.  How would companies stay in biz?


Unless all work is sent by the company overseas at pennies per line, this would not pay for a company.


just curious how this works out


But how much are the US EDs gonna be paid? Typically this work is paid at 2-3 cpl. nm
:+
You don't get paid an hourly rate you get paid by line - sm
so because of how you are paid (not an hourly rate) you don't get OT, especially if you are an IC.
I would move on. I think it is so unfair not to be paid for spaces! I think we should get paid

per keystroke, but that'll never happen.  I just think that these national companies are going to keep finding ways to cheat us.  I found a job working for a hospital as an employee, paid hourly plus incentive, and they let us expand everything!  Somebody's gonna have to kill me to make me give up this job.  I will never go back to the national's again.


I feel for you though.  I know that for us MTs those good jobs are few and far between and some have little choice but to work for the nationals.  I just happened to luck into the job I have now.  I just applied at the right time. 


Good luck to you whatever you decide.


If those companies paid a fair wage, and paid more
all came out equal, people wouldn't feel the need to try to make up the deficit by going for the good stuff. I actually prefer the harder, juicier reports. But I can't make a living doing only that, because the pay is not commensurate with the difficulty. So even though I prefer not to, sometimes I have to pick up some of the easier, more boring 'line-o-matic' reports just to make ends meet. Tell your MTSO to make it work their while, and MTs will stop taking all the easy work away that you obviously would prefer to keep for yourself.
You wont show UE being paid because it is employer paid -
the employee will never have to pay this.
I believe there are many ways
we have benefited from others coming to America. We have a specialist at our Children's Hospital, that is world renowned for rebuidling throats and trachea's for kids after haveing had a trach tube...guess he should have stayed in Africa, in your way of thinking?
That goes both ways, though.
I don't know how many times I set aside an entire day because the company told me there would be work only to sit there all day long checking in every 15-30 minutes for nothing.  There are days when I make $5 and days when I make $200.  If I don't have work within an hour or two of my shift starting, I turn off the computer and leave for the day.  I'm not going to be on call for free just because the companies decided to call us ICs for their own tax break purposes.  The same goes for the cherry picked leftovers.  I'm not working for $7 an hour while someone else is cranking out the lines by taking all the good reports and dictators.
Sometimes you can have it both ways.

I used to work for a Jewish lawyer and received Jewish holidays off (paid), along with all other paid holidays (including Christmas.)


The difference is that Christmas is a FEDERAL holiday, in fact, the ONLY religious FEDERAL holiday where most people are paid regardless of their religious beliefs.  So people of other religious beliefs celebrate the *secular* Christmas, which is supposed to mean happiness, charity, gift-giving and especially tolerance.  Your post gives me the impression that you want to investigate and judge every American's religious beliefs and deprive them of the holiday if their beliefs don't match yours.  This is a pretty scary thought, especially because of the recently discovered practice of the government's illegal wire-tapping and spying of Americans under the guise of terrorism.


So maybe this issue isn't really about Christmas at all.  Maybe it's just about personal freedom, and personally, I find what's happening in this country to Americans almost as terrifying as the terrorists themselves. 


I don't think we can have it both ways.

I didn't see Frontline but have read and discussed the WalMart issue in depth over the years.


As I understand it, what separates WalMart from other large department and grocery stores is their business practices. WalMart dictates the price they're going to pay manufacturers for the goods going on the WalMart shelf. If the manufacturer doesn't cut his price to meet WalMart's demands, the store will just move on and stock a different company's brand. (So maybe Bounty cut a deal to get their product distributed thru WalMart but Marcal paper towels couldn't, for example.) The manufacturer is then faced with having to trim his margins while producing more to meet the higher distribution of having WalMart's business. Some companies are much more able and willing to do that than others.


But there is a mentality there that I just personally have a problem with.


To me it's like the hospital telling the MTSO that they're only going to pay 10 cents a line, period. The MTSO will have to slash her profits and likely the rates she's giving to her ICs or employees in order to keep the work coming in. OR, the MTSO may decide it makes more sense for her to get ICs that are willing to work at a much lesser rate (like those in India) so she can keep her business profits steady. This forces the MTSO's hand in a way that I feel is unjust, as her options are quite limited. No business owner or worker wants to go backward income-wise as the years pass, but this is the kind of thing that WalMart is doing to business people. It sounds to me like many hospitals and physician practices do business the WalMart way, and I think we need to walk the talk. If you shop at WalMart to save a few cents, do so knowing that you're supporting a company policy in the process. I do shop there on occassion, I admit, but I keep it to a minimum because I don't want to contribute to WalMart's success. 


Good opportunity, while I have the soapbox, is to share something that has been on my mind for years as this offshoring issue has snowballed. I think the saddest outcome of all this is the illwill that has been fostered among so many us. Some of us get on a high horse about where we shop and don't shop, others resent that they have to run from to store to store, cutting coupons, just to get by every month and they last thing they want is to be preached at. Often there seems that there's not enough compassion or understanding, and to me, this devisiveness among people is just a horrible outcome as the loss of American jobs.


I also cringe when I read posts that just reek of bigotry toward Indians, Pakistanis, Canadians, etc. who wind up with work because a company thousounds of miles away made a business decision. Everyday working people, whether they're in Bangalore, Ontario, or Erie PA, do what's best for themselves and their families. I hope that no matter where we each stand on this complex issue that we don't allow ourselves to become mean-spirited and bitter people over it.


My DH is nothing like my dad, wish he was in a few ways though - sm
but for the most part I have a pretty good guy, just needs to learn to let the little stuff roll off his back. Both my dad and I are Scorpios and born 1 day apart so we are a bit alike, so I kind of went for the opposite of me which at times can drive you nuts but we have the same fundamental values and goals and that is important.
oh there's ways to get out of it....nm

2 ways
If you can go into Control I, that will show you the number of jobs (not the job numbers), but I don't write mine down with that function, I check frequently and would know if I missed a job.

on the other hand, if you have to go to the Dictaphone site, write down every job #, not that it does you any good because you have a lump dictation #, but if you do 40 reports (that you have written down) you should have at least 1000 lines and if it shows (as commonly does) 700 to 800 lines, then something is wrong, but how you prove it beats me.
Two ways. SM
1. Alt insert to add a shortcut. type in the keyword. Go to the text to type box. Hit Ctrl-K. (The next keys you hit will be assigned the shortcut). Hit Ctrl-B (for bold). Then type the text you want bolded. Do it again to turn off bold - hit Ctrl-K, then Ctrl-B.

2. After you name the macro and go to the text to type box, click on "Record" on the right side of the box. Then type your shortcut exactly like you want it, using Ctrl-B as in Word to start and stop the bold function. When finished, click "stop" on the recorder box. It will close and the shortcut will be saved.

You can do this with any Word function - italics, etc.
There are a few ways to do this. sm
Under Settings, Incoming you can specify the location where you want the files to be loaded from. Hit Add and chose either the folder on your computer or the FTP location. Check the file types you want and how you want them to load (manually or automatically). If you choose automatically, you can specific how often you want the program to check for new files. If you choose manually, you can use the Load Now button in the toolbar. This method will only load file types ES provides for selection(.dct, .wav, .mp3, and .aif file types). This will not work if you're working with .dss files (and is very frustrating to me).

The alternative method is to click on the Load button in the toolbar and go to the folder where you files are located. Hold down the Shift key, click on the first file, then scroll to the last file and click on it, while still holding down the Shift key. This will select all the files. Hit load.
Are you going to be looking for ways
If DH could "claim the income and I could be his "employee"? Really! You just want to type unlimited, have the money go to DH and then he just pay you the limit of $900.  And you dont see how this is wrong?  I would not want to hire you, would be afraid you would always be looking for way to cheat me, too. 
two ways
I work part time and in one of my jobs we use VPN which is easy and fine.

On the other we use DocShuttle which is also very easy. These are both pretty small operations.

There are ways
without having to depend on the employer to give you a raise - we all know that's getting harder, if not impossible. But someone asked about actual salaries below, so here's mine - I get 1.10/report for radiology, employee status, transcribe about 140 reports per day, work Monday-Friday and cover on Sunday afternoons for about 80-100 jobs on the understanding that I get to it when I get to it! (I do this so that they don't have to hire another person to cover this, thus possibly having us run out of work during the week.) So this comes to $3400-3500 a month.

When I first started on the account, though, I despaired of ever producing enough to pay my mortgage and car payment - UNTIL one day I kept careful track of how much was actually nose-to-the-grindstone transcribing and how much was getting up and down for snacks, coffee, water, restroom, laundry, meals, and other countless distractions. I was quite shocked!

So I made it a point to sit down and type for 1 hour. Then I signed off, went and did whatever I needed - a 3 to 5 minute break that could include a quick phone call, restroom, water, etc, etc. Then I sat down for another hour and repeated throughout the day. My productivity zoomed! In addition to the obvious reason of only allowing one distraction an hour, that 3 to 5 minute break also cleared my head, was guilt-free, and made me ready for another hour of productive transcribing.

The other point that I wanted to make was that I make it a point to actively think about what repetitive motions I make, like between every job or shortcuts within the job, that could be done faster or more easily.

For instance, since I work off a C-phone and have to log the job #, physician ID, etc, I have an Excel spreadsheet that I set up with columns for Doctor, Patient ID, Job #, and Time (in the order that the "voice" reads them - those of you who do this know what I mean). At the top is a freeze pane that has today's date, today's job count, today's money made (job count multiplied by rate of pay), and then total made for the pay period (a running total). Then, although it seems so obvious now, I discovered ALT+tab so that I didn't have to lift my hand from the keyboard to go from the job log to the platform - back and forth with minimal motion.

Little time-savers like that really add up when you're talking 140 reports a day.

And there there is your Expander program. I still add to mine on a daily basis. I have 1 or 2 doctors (bless their pea-picking hearts) that say the same thing over and over, and those are the ones I build normals for. The others aren't worth it - too much editing. But I do make shortcuts for their favorite phrases (for instance, *no fracture, dislocation, or subluxation*, and another one for *no fracture, subluxation, or dislocation*). Any words that aren't caught by autocorrect and which I continually misspell gets either an abbreviation or a spelling correction.

So anyway, even if your boss doesn't cooperate and give you a raise, keep an eye out for more productive, faster ways to maximize each keystroke, each hand movement, each report, and you may find your income growing (my own personal estimate is by about 40%).



Two ways
I copied this from the Instant Text MS Word board. The link no longer works there so I think it's okay to copy it here.

Adding "-year-old" and "cc:" in AutoCorrect

The method for adding "-year-old" depends on your version of Word.

In Word 97, enter -year-old in the With box, enter yo (or whatever short form you choose) in the Replace box. Type 4yo to expand to 4-year-old.

In Word 2000/2002/2003, enter -year-old in the With box and precede your short form in the Replace box with a punctuation mark, such as a semicolon. Type 4;yo to expand. The punctuation mark backs up and replaces the default space AutoCorrect inserts in later versions of Word.

To keep Word from capitalizing cc:

Put cc: in the With box and type ;c (semicolon c) in the Replace box as your short form. The punctuation mark backs up and replaces the space (or letter) with the first letter of your expansion. In this case, it also tricks Word into not capitalizing the first letter of a sentence when you have that option turned on.

A punctuation mark after the Replace entry eliminates the space at the end of the expansion.

You can use other punctuation marks, however, the semicolon keeps your fingers on the home row keys.

This method also works for symbols (such as the degree sign).

Sleeping......no two ways about it! NM
:)