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Serving Over 20,000 US Medical Transcriptionists

I think the on-line signature service

Posted By: desperado on 2008-01-31
In Reply to: They charged me almost $400 last year. - MslaMT

was something like 90 for me last year, can't remember exact amount, and he really helped me a lot.  The first couple of years, I went to an actual office too and got charged an arm and a leg and thought what's the deal, charged for every page and form they did and thought I can just plug the numbers that I gave her into those screens as well as she can.  They were charging more than my ex got charged at an accounting firm when we were married, and his business was WAY more complicated.  That's when I started doing my taxes myself using some system on-line.


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When I have had a problem I use the on-line service, don't have to
worry about not understanding them. All done on real-time chat.
Internet service without land-line phone

I recently looked into this subject myself.  If you have Verizon available in your area, you can purchase a plan at about $55.00 per month with a two-year contract.  You will receive a card that you can insert into your laptop, which will provide you with unlimited Internet access at the speed of DSL.  As far as I know, there are no other cell service providers that have come up with this type of card yet, but I'm sure it's bound to happen in the future.  Another option is to purchase a satellite telephone and phone cards as you go along, but the cards are really outrageous in price.  One last thing that I would suggest is that you phone cell providers in your area to see if they have any technical gadgets you could attach to the cell phone for Internet access.  Many of the satellite phone companies have separate packages you can buy, which can be attached to laptops or PDAs.  I also have a TracPhone, so I know it does not come with hardware that will do the trick.


 


Good luck to you in setting everything up.  With the way that technology is moving, I'm sure there must be a way to accomplish what you want. 


does anyone else work for a service where you have to get your line counts from a website?(sm)

I presently work for two services.  For service A our line counts post to the company password-protected website.  However, that isn't a problem as the program we use shows us our line counts as we go along.  Also, the line counts are available to us, from the program, within five minutes at the most after finishing the job.  It also posts to the website within that time frame.


However, for service B we have to completely RELY on the website for our line counts.  I'm not sure how the site works or how the jobs/counts get posted to that site but there are ALWAYS times where this site is down (usually around the end of the payperiod so we can't tell how much we've typed at any giving moment.)  Also, we cannot verify whether those counts are right because we do not have access to what is considered a line (other than the standard "65-character-including spaces").  Does anyone else work for a service where you have to get your line counts this way?  What do you all think. 


Made 11-12 cents a line working for a service in 1989
sucks
Just read whole thread. Yes. Working for a service is okay because line rates
actually have gone down. Just make sure they pay for spaces, headers, footers.
honey, it works like this: The MTSO(service) charges the doctor X amount per line or report, and
takes part, gives you the rest. Therefore - the MSTO(or service) decides your pay.

If you are paid 8 cpl, surely you do not believe the service charges the doctor 8 cpl - do you?




E-signature help. sm
Is this service available for IC MTs? I would like to get it, but have no knowledge of how to get it. Any suggestions would be helpful. Thanks!
check signature
It's going to be very tough to fight. The drivers licence would have to have been shown, so did you let somebody use it? Have your signature verified as well.

Most likely you will have to pay it and it can be expensive depending on where you are. My daughter-in-law got a ticket in Oregon for 500.00 for lack of proof of insurance. She had to pay the 500.00, plus another 400.00 to the state, PLUS she has to carry insurance in Oregon, even though she doesn't live there, for three years.
Electronic Signature/sm
I just add this phrase to the doctor signature line in the reports "(Electronic signature has been affixed)."  I do not have any special program.  Is there one out there?
Electronic signature
Where can I get information on electronic signatures and HIPAA compliance regarding this? Thanks!
You do not get any credit for the signature
line, patient demographics, carbon copy lines, etc. Some of this info may not take a lot of effort on your part, but it still will take a bit of input for which you will not be paid. These saves lines add up at the end of the day, thus saving the hospital tons of money. It makes you wonder what will be cut next to save a buck?
electronic signature software

I own a small home based medical transcription business and have been asked by prospective new clients about electronic signature capabilities.  Can anyone recommend a company or any advice regarding my document management needs.  I currently have physician offices set up digitally without any electronic signature capability at all.


Thanks


Offering E-Signature to a Client

 


Hi,


Does anyone know about offernig E-Signature to a client? Is there a way to do it easily, on your own -- I mean, instead of signing up with a big company like Vianeta or Bayscribe to handle all of the reports you type and want to send to a client.


Or... If that's the only way to go - through a big company - are there any big companies that are economical if you just have 1-2 doctor clients?  I know some of those companies charge like $5,000 as a set up fee.  Thank you.


Dave


 


 I mean, I'm sure you can do it


HA! Ignore the signature above - I forgot to change it !!!!

A signature is authorization that the info is correct.
Anyone who has signed a income tax return knows this. A doctor who does not read his report before signing is incompetent. If a report is signed, it is sending a message that it is correct.
one more ques nana: digital signature. ?how do you get it on there (sm)
On that first way you are describing --- are your docs able to SIGN OFF on the note digitally?
Preferences? Setting up NP with Doc signature block

Need to set up nurse practitioner dictator with Doc signature block, think I know how it should be set up but it's been awhile.  Any current examples or preferences of how anyone likes to do this?    Thanks. 


We have decided to add this to our current service not have a new service. It will be easier to sm

keep track of and will just be a different department. 


It looks like we will work out details over the next 6 months, talking with community college program directors as well as a few of the distance-learning course leaders to work on the recruiting end.


We will train current staff to mentor if they would like to do so and want to work in the office.


We are still working on production requirements, goals to set, pay, benefits and other fine details but we have 6 months to get it all in place with three months to pull it together after that with a tentative start date of 09/01/06.  We need to build the building as well, although that is already at the blueprint stage in a spot next to our current office. 


We did not want to cause flames and bashing by listing the company name as there are always so many negative people on this site, but we are national with over 200 transcriptionists, located outside of Chicago (40 miles west) and have the best team of transcriptionists around!


We will have an "official" announcement after the first of the new year. 


Thank you for all of your feedback and suggestions!


Might need to mail her a letter from a lawyer that requires a signature and take some action. nm
,
Do you put "License xxxxx" on a SOAP note for signature title?

I am typing up a SOAP note template for a new PT.  He gave me his credentials, plus his "number," which is his license number for his signature title.  He did not say to put License in front of the number, but I think it looks funny without it. Has anyone ever done this before?  Is it appropriate to put the word "License" before the number?  He is away from the office, otherwise I would ask him myself.   


Thank you!  


My telephone service is VOIP, but it s through my cable service, along with my cable internet. .
We have had VOIP for about a year now and I love it. I really can't tell a difference in traditional service, except the price. One of the best calls of my life was to Bellsouth to cancel our service!
A gross line is anything on a line is a line. A line set at 65 characters means it sm
has 1-inch margins on each side. The maximum number of characters on that line would be 65 and that includes spaces. If there is 1 character on that line it is a line.

A standard 65-character line usually consists of 65 characters with spaces unless, of course, the employer does not pay for spaces and then it would be 65-characters without spaces.
I am not asking for a service, I AM the service looking for recorders
nm
Anything on the line makes up a line even if just one letter or number. Every line of print is a
s
Gross line = each line on page counts as a line, even if it's only 1 word. nm
x
Gross line means anything on a line is counted as a line.

You can get an idea in the difference using documents you have already created, assuming you're working in Word. Simply open a document and check the properties. Click on the statistics tab and you will see the number of lines as well as characters with and without spaces. If you're currently getting paid by the line and a line is 65-characters with spaces, do the math and see how that number of lines compares with the number of lines in your stats.


One thing to keep in mind: if you have a blank line between paragraphs, instead of hitting the enter key twice, format your document to give the appearance of blank lines between paragraphs.


Gross line, also including blank lines because my line rate is so low. It all works out in the wash.
x
$.06 gross line / .70 = approximately $.0857 cents per 65 character line.

A gross line is anything on a line versus 65 gross characters per net line the other way.  You make more money working for the gross line than for the 65 gross character line, as long as the line rate's OK.


A gross line is any line with typewritten characters on it - no matter how long or SM
how short.  So your gross lines may be longer than 65 characters, but you get credit even for a line as short as "Sincerely,".  If your gross lines are not being counted that way, then you are not being counted on gross lines and are probably getting screwed.  I'd look into that if I were you.
Yes if gross line or 65 character line with spaces....Good Deal!!! nm
x
1) do you have a contract stating line counting and line rate,sm
if you look at the IRS website it's pretty clear what constitutes IC versus SE versus employee. You might want to photocopy that along with a copy of your contract with your next invoice and also put on the invoice any monies due from past invoices they "changed"...maybe catch more flies with honey than vinegar. Good luck!
New England, 16.50/hr, 8 cents a line after minimum line count..
full benefits available with general contribution by the hospital before you start paying for them, retirement, 403b, all benefits, and working at home as an employee, BUT, you have to live local to the hospital.
I changed my line to a business line, talked to a supervisor sm

at SBC, told him what I was using the service for, and got the okay to use it -- $49/month unlimited. 


I have also used The Neighborhood, and their unlimited is truly unlimited.  I also explained to them when I signed up what I was using it for and their comment was "unlimited means just that -- unlimited, no matter what."  I cannot remember how much they were, but it might be worth checking into for you.  (www.theneighborhood.com)


 


Good luck!


What is the average line/hour for a 65 character line with spaces? NM
.
Curious, do most IC's usually charge by the gross line or 65 character line?
Thank you~
it certainly is not pay worthy at 4.5 line or 3 line. I know the companies cram it down our throats
nm
That still is not a paid line rate. If your base is $0.10 per line, it will be $0.08 cpl.
Considering other companies pay 4 or 5 cents per line for VR - you are still making out.

Question about what is PAID for a line and what is BILLED for a line
Does the MTSO actually bill for headers, footers, and other things the transcriptionists are not paid for?  I worked for a company a while back and their copy of what each Transcriptionist typed the day before and our copy was a lot different, about 30% different.  Their copy was the billing copy. So, double their enhanced amount and subtract our 9 cents a line, it comes to a bigger profit than what I thought.   
What's the diff between a gross line and a 65-char line?

Mebbe just got my first OWN ACCOUNT YAY!  He said to charge him the "going rate" since I pay him that.  This could be the start, baby!  (I hope)



A gross line is any amount of characters on a line

for instance...


MEDICATIONS:


Effexor


Prevasid


 


A 65 character line without spaces is black marks on the page only and 65 w/spaces is everything... tabs, spaces, numbers, letters, bold, etc.


 


 


that should be "up .02/line" NOT up "to" .02/line. geez. nm
x

Gross line versus character line....Sm please

I am thinking of taking a job that pays by the gross line and not a 65-character line.  I have never worked this way.  Does this literally mean if there is one little word on a line you get paid for it?  I have not pinned her down on a line rate but I am just thinking I am going to be comparing apples to oranges and am wondering how to accomplish that. 


Thanks for any help!


gross-anything on line counts as line,even one word
xx
It is a service job and they should
help parents with small children and also the elderly. I think a normal healthy person with "more than a bag or 2" should not have them help them out to the car. It causes the cashier to have to bag, therefore delaying the progression of the line.
PS on Cox service
Did anyone ever receive any surprise charges from Cox, as this is what I plan to use to offer online service to others, i.e., long distance, etc.?
Do you have your own service? I ask because
that it is possible, especially since she has some educational background in the medical field. I certainly would not waste money on an MT course in this day and age (at least not if I am gauging the career opportunities available to MTs by what is said on this board).

I am NOT saying that just anyone can sit down and type, and being an MT is as easy as that. We all know that it is not. However, I was able to break into the field almost seven years ago by having a mentor from a local transcription company (I am in GA too, btw). If you are planning to provide her with work and review her work, provide feedback, etc., then there is no reason why she cannot do it, unless she is just not cut out for it, which you would both know pretty quickly. If she is cut out for it, then it sounds like it could be a great opportunity for both of you, if you are wanting to grow your business. If you are not going to do this for her, she will likely have a really hard time finding a job, unless someone else is willing to do so, and if you are working for someone other than yourself, then you likely do not receive a high enough rate to be able to pay her a decent wage and still earn something for editing/mentoring. (Certainly not saying that you don't -- I obviously have no idea what you make, but not many people who are transcribing for others make enough to share that way :).)
My service is actually going to be (sm)

Comcast here in the next couple weeks.  Verizon is offering a 30-day free trial.  In the meantime I will keep my cable internet just in case I'm not happy with Verizon.  My cable internet service has been very frustrating for me, as far as not being available at least once a week for a couple of hours, always during my normal working hours.  So, I guess it's worth a try. 


ASP Service
Finally :-)I am negotiating with one doctor to be my direct client. For that I need some ASP service where he can dial in as toll free and I can get dictations thru FTP. Anyone please recommend some best ASP with minimum per line cost & reliable. Thx!
do you still do this service?
If so, are you happy without the middle man?  Right now I don't have extra money to fall back on so maybe I should work PT with my present company and try do 1 account for now until I feel comfortable doing my own.
So what service do
you use for your car?
Could you tell me what the name of the service is?
You know, if it's "AT&T Small Business Plan" or something. I just want to ask for the right thing. About how much do you pay total for it? Thanks so much for the help!