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Serving Over 20,000 US Medical Transcriptionists

I have been printing my docs reports for six years - sm

Posted By: NY on 2005-09-02
In Reply to: How much do you charge for copies? sm - Ga Peach

I charge $4.50 per page for the original letters. I do not charge for copies because I am averaging about $120 for 30-60 minutes of work for each tape. If I started charging the copies with that, I would be making about $250-300 for 30-60 minutes of work, and my docs just will not pay that kind of money for transcription work that takes 1 hour of my time to do.

Now - trying to find someone to cover for me while I'm on vacation is a nightmare because NO ONE WANTS TO PRINT THE LETTERS. Go figure. How hard is it to print letters. The docs provide all the paper and envelopes and blank paper. I pay about $32/month for ink. But if I'm being paid $600-800/month for my transcription, $32 is practically nothing - a business expense.


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Charging for printing/mailing reports
I just spoke to a doc interested in my services and one of the questions he asked was how much I would charge for printing and mailing the reports to him. The cost of paper and shipping is pretty easy to calculate, but the cost of ink as well as my time is a little more difficult. Is there some easy way to calculate this for an estimate or would some of you mind sharing your rates? I appreciate any help or advice on the matter. Thanks!
IC Question: How long do you keep your reports for your docs?

ICs, I was curious to see how long do you keep your reports on your computer for the doctors?  Is there a usual time limit? 


Thank you!


 


Unfortunately most docs don't care; they don't even read the reports most of the time.
It's OUR job to comply with quality standards.
Let the docs use their reports transcribed in India as a defense! LOL
The doc can sit there while the personal injury lawyer shows the jury a grieving family and the messed up report.
US MTs should not accept sweat shop wages or conditions. We are providing a service to them! We are their first defense!:) :) :)
If US MTs stoped working for low wages, the physicians who value patient safety and their livelihood would pay a descent wage. The other ones can try to explain the report being done in India to the personal injury lawyer tearing him apart.


Yer right... half the time the docs dont even read the reports. (nm)
.
Docs I know have been doing that for years - sm
its a CYA and its nothing new unfortunately.
Korean docs are the worst in my experience of 30+ years.
x

I did child abuse reports for 2+ years then quit.

I did a report on one kid, just learning to walk, who had the little feet stomped on by mom's significant other.  That was the beginning of the end for me with that job. Of course mom kept significant other and lost the kid. 


I had to get up and walk away and go back to it.


I honestly do not know HOW you got through your report.


For years I typed innerspace instead of interspace - who knows how many reports! nm
nm
Printing

If they were to provide you with the ink cartridge then you would have to put it in and out everytime you printed something personal or for someone else.   You will probably go through 1 to 1 1/2 cartridge per year for their printing needs and this is an expense of doing business included in your cpl.   I do all my printing and do probably close to 35,000 to 40,000 lines per month and go through about 2 to 2.5 toners for my HP which is about $200 to $250 per year -- not even $20 per month.  At 10 cents per 60 charcters that is a decent  price and if it is decent lines, pretty good dictators I sure would't rock the boat over that.  Again, if you do they could go elsewhere or else give you a toner and say do not use it for anything else and ask for documentation when you use it.  If you become petty over this, they will become petty.  I just would not start out this way, but then I have been told that I am too easy on accounts but then they have been with me for many, many years, and pay on time and treat me well.   So do what you feel is best but to me it is just being somewhat picky. 


 


 


Not so...I don't DO printing....at all.
x
Printing
If they are doing the printing, I guess that may explain why she uses letterhead for every page. They can send all the files to the printer and don't have to worry about having the letterhead paper for page 1 and plain paper for page 2, 3, etc. If that is the case, you might approach them about incorporating the letterhead info in a header on page 1. They could then fill the printer with plain paper, send all the files to the printer, and still have letterhead info print out on page 1.
Charge for printing
I do transcription for a group of physicians out of my home as an IC.  One of the physicians (an Indian doctor) outsources his work (fortunately, in the US), which is fine with me as I have difficulty understanding him.  The office asked today if I could print his notes/envelopes after they're sent back to him and he edits them.  Does anyone have suggestions on what I should charge for this printing?  Thanks for any ideas.
Perfect!...I'm printing this and
memorizing it! Thank you, thank you! This makes so much sense (and with the symphathetic face/tone). It's hard to think straight and think of this when I'm the one in the situation. I'll let you all know how she takes it. Thanks again.
I would do the printing and eat the ink cost - sm
write it off of course. If you can, use a separate ink cartridge just for their stuff and keep track of how fast you go through the ink. If it is excessive, then brink it up possibly and maybe you could bill them a printing charge every time you have to buy a new ink cartridge. But I'd probably just eat it regardless, it is not going to hurt your bottom line much and it helps them out (they save time obviously); the little extras help and you could get more work out of it, who knows.
Printing problems
I recently went digital. My clients are getting set up to print the completed reports. I'm having trouble with one client and their printer that is printing out a little differently than what my printer prints. I use Word 2003, so do they, but our printers are different brands. I've downloaded their printer driver and set them up in my Word. Just wondering if their printer is going to print the files out correctly now that I'm saving their documents with their print driver? Anyone have experience with this and have a solution? I'd appreciate your input!
Printer not printing

My hp LaserJet 1300 will not print what I send to it, however, it does print a page with a single line at the top - ?%-57755}euom%oog/ and so on.


I turned off the printer for 1/2 hour and tried again and it is still doing this.


Any ideas?


Thank you. Barb


printer not printing

Thank you for all the help. I tried everything and then called the place where I bought the printer. Three days of no printing, the morning the tech was due here the thing printed! He came out and determined that we probably had a "brown out" and that something was hung up in memory and it eventually cleared itself. Had a few other questions for him and so I guess the $90.00 for his 45 minutes of time was somewhat worth it!


Printing from this site - sm

When I print something from this site, i.e. a reply, the copy comes out very, very light. Is there a reason for this?


The MR reports were being filed. Referring physicians/medical care providers reports were not.
This is a hospital radiology department with in-house MTs and a clerk who is in charge of the report distribution.
Words printing too small
Trying to type a letter in Microsoft Office Word this morning. Noticed when I first started the print seemed extremely large. Nothing that I know of doing that would have caused this. Used the minimizer and brought the words on screen down some. The writing on the screen in big but when I print it off need a magnifer to read. Tried everything but do not know why it is printing so small. Any suggestions on how to remedy this? Thanks.
Printing AutoCorrect List
Does anyone know how to print the autocorrect list on Microsoft Word 2007?  I've searched it on Google, but I keep getting odd articles that don't make any sense to me at all.  If anyone can explain it to me in layman's terms, I would be forever grateful!  Thanks!
check que - printing might be paused
double click on your printer icon and see where it has your documents to be printed... it should either say printing or printing paused or no documents in que.
Supplies and driving to and from, time printing - no less than .12 cpl.
Why is it that court reports are so well respected and their pay never an issue?

I feel like I am stealing when I ask to be compensated for my knowledge, experience and reliability. It is basically the same work, one is in legal field and one in medical field. What is up with that????


Help with Copying and Printing Shorthand Dictionary

I am trying to copy and print my ShortHand Dictionary (the list of expanders) and cannot seem to find the way to do it.  Can anybody help on this one.  By the way, Happy National Transcription Week!


TIA.


 


The two sentence normal reports will balance out the 3 page reports.
I am Wendy too
Make sure it's ok on the receiving end to enlarge. Sometimes it screws up the printing
s
No kidding! I just let that update the other day when I was printing and saving my taxes.
I bet that's what happened.  I will try restoring my computer to a couple days ago and see what happens.  But then I will need to know HOW to save my normal.dot somewhere other than where it is now so this doesn't happen again, because it is SO frustrating and on top of a lousy, lousy day to boot.  Thanks y'all!
Doesn't it give you the option of printing all the forms and schedules?
x
Think it has to do with # of users on the system, too. Dicating, printing the jobs, MTs working, et
s
Replacing broken tapes, printing?, gas costs...gotta
s
Your English teacher does not do medical reports. This is for medical reports.
.
58, AHP/self-taught, trained at hospital 5 years, now with 2 of my own accounts for 10 years, employ
Also worn out 2 keyboards in 4 years. I will never retire. DH will come home some day from work and I'll be slumped over my keyboard. I put in 14 hours a day 7 days a week.
Pack years = packs smoked per day x years of smoking - sm
25 pack-years = 25 years of 1 pack a day, or 12-1/2 years of 2 packs a day.

I don't think pack-years applies to someone who smokes only cigars. But I don't know for sure.
I worked for Cbay for 3 years. I was also part of their lay off back many years ago. sm
Even though I got stuck in a lay off era, I still love the company. They paid well then. The people were nice (exception of 1 person) and if I had the opportunity I would go back again. Fortunately (or unfortunately - depending on how u look at it), I have a great paying job right now, so I am not looking for a change. I do know that at one time, they asked management to accept late paychecks, but never sure of the reason why. My check was never late.
ESL Docs

That is SO true!!!!  There is definitely a problem with dictating the appropriate gender when it comes to ESL docs. They tend to go back and forth umpteen times during one dictation, so you really have to pay attention.  Verb tense can also get very confusing.


I agree that sometimes slowing down and concentrating can actually increase productivity. Even though I feel like I'm transcribing like a tortoise, I'm really getting more done than I think when I slow down and allow myself to think.


Just hang in there with QA. They are just doing their job and you need to take a good look at what they are telling you and concentrate on that issue. It's really hard not to take it personally, that's for sure, but it's gonna make you a better Transcriptionist in the long run. On the other hand, if you feel they are truly wrong about an important issue, then challenge them!!  But you'd better have major references to back up your challenge.


Ellen S.


 


 


ESL docs
are you on VR yet? you can choose to have a 20% cut on your baseline rate and get the "better" dictators ?? or you can choose to keep your MT 100% baseline rate and probably get all of the ESL docs -- what a choice - not fair, huh??
This is almost as bad as the docs
I got three of them yesterday...three different docs. I think this is soooo rude! I'm almost to the point where I'm going to refuse to attempt to do them. Surprisingly, it's always a female doc who is dictating either a GYN or breast cancer related report.

I can picture a couple of these ladies hopping on a Harley Davidson riding home from work.
I think they should ask all ER docs

if they even know the English language to begin with, 'cause if they do, they don't practice it.


I know everyone knows that a lot of docs don't

read the reports after we have transcribed them, but I just had a doc on my account dictate that he wanted the line "Dictated but not read" added to ALL of his reports from now on.  He was mad because he said he requested this to be done a few weeks ago and has been "keeping track" and it hasn't been getting done.


Amazing.


All of my PAs were better than the docs before

I switched companies and along with my new account came all new PAs (and might I add, quite a few of them) who all make me miserable. They botch the dictations beyond belief and I am left to fix the sentences which look like riddles and are actually confusing after they get done with it.


Change thoughts in the middle of a sentence...start talking and forget where they left off so I am sitting there for another 2 minutes waiting through the ummms and ahhhs and the start of sentences "the patient umm.... ahhh" and I'm waiting for them to say something and they just hang up.


Mine are good for this too... they will dictate an incomplete report and then a few dictations after they will start finishing incomplete dictations, adding in something they forgot to say, or they will say CC a copy to: Dr. ____  on a 4 second report and not say whose report it goes on. This would be easy to figure out if they didnt have 40 dictations and at least 5 hang-ups with about 8 of those 40 dictations being something they want added on to some nameless patient's report.


Had I not switched jobs, I would have had a hard time believing any PA was hard to transcribe...just because I had a good bit of them on my other account and they were all PERFECT speakers.


Now when I see that I have to transcribe a PA-- 


 



ESL docs
Hey there,
Hang with it a little while longer. You'll probably find that it gets easier. Those ESL doctors do say the same thing over and over again and it takes practice to get it. Try listening a few seconds longer than the phrase you aren't getting because sometimes that helps. I agree that samples help an awful lot so be sure to request as many as you can. Good luck! You can do it!
I would always rather have my ESL docs over the sm
English as first language docs, who speed talk, slur words, and don't seem to care about the patients.  I am usually very impressed with the patient care given, and the understanding of the human issues, by the ESL docs.  I think the problem with the original poster is she needs to learn to transcribe these docs, with all the suggestions, especially getting samples, mentioned above.  She doesn't really seem that concerned with patient care, but her inability to transcribe difficult dictators.  It is, quite simply, the nature of the business.  The easy docs go on voice recognition, and the transcriptionists transcribe the difficult dictators.
I tell ALL my docs that I'm an MT...
...and I transcribe and read my own reports (I work for a large healthcare co).  Hubby signed a HIPAA form for me to transcribe and read his reports, too.   Now the docs are more careful 
how many docs know?

When I mention to physicians that if they send their work out it might be sent overseas they are appalled!  Sometimes they say things like, "So that's why there were so many mistakes."  Companies don't always tell them where the work is being done or by whom. 


I still fault them for trying to save money at our expense, but in a certain sense some of them are being taken advantage of as well.  Perhaps our "enemies" could turn out to be our best allies should a good case make it to Court TV. 


We need to educate the physicians as well as the public. 


docs
Or I like when they make up their own spelling of words, especially meds.
docs
sorry made a mistake above...I meant the docs take me to the bathroom with them LOL!!!
docs
Let's face it ladies and gents - doctors have absolutely NO respect for what we do for them so they can make $$$$$$$$$$$$$$....
My ER docs do it alot

I guess it gives them the right to charge PREMIUM prices,  although I


think ER prices are quite pricey enough.  My friends trip through the ER


the other night was a cool $10,000 and all she got was an aspirin.  (she thought


she was having a heart attack and it was GERD.  But to rule it out they gave her


the works; CT scan, CXR, blood work, cardiac enzymes......and on top of that came the doctors (including the cardiologist, oh my) bill.


 


 


of course, I know 'bout as much as the docs do...sm

yeah, and that's why I'm here typing and they're out on their yacht somewhere, right?    But I do try to diagnose, even did this when I worked for a doc in the back office.  And sometimes I was actually right!


Cheap docs

They absolutely don't care about quality or any of that jazz, which is why I have always wondered why we as an industry keep beating each other up over issues that doctors couldn't care less about. Not that I think we should all just transcribe any old way we want, but it seems like we act like the slaves out in the mud pit slapping each other around about how much or how little straw to use for the bricks while the slavedriver sits on the side line with the whip completely content with end product either way.


I suppose the answer most would give is that we should take pride in the quality of our work whether they (the doctors) do or not, but I can't get passed the notion that these are the same individuals that the powers that be seem so intent on pleasing and are also the same individuals who would see us all in the soup lines tomorrow looking for the next homeless shelter to sleep in if they had their way. They (the medical profession) will not think twice about putting all transcriptionists out of business at their first opportunity, and yet we as an industry continue to bow to their ridiculous and uninformed demands concerning how to do what we do or their complaints about how much we charge or that we shouldn't charge for line count generated by short forms or macros, etc. They have no clue how many times their butts get saved by transcriptionists on a daily basis.


I've never met a transcriptionist who wouldn't readily agree with the notion that we are part of the health care team, and yet many of us continue to act like we still work for the doctors instead of the patient. Oh well, go figure.


Just venting as well.