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I work for an agency, type for a major hospital - no hourly wage - just production. nm

Posted By: anon on 2008-04-18
In Reply to: $36/hr?? - birdlady

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I get paid hourly $18.00. The hospital I work at don't believe sm
in production because of the error rate, blanks, etc. just to make money. I am sooooooooooooooooooooooo happy.
I think you would have to charge an hourly rate for this type of work.

I work four 8 hr shifts, home based for hospital.. hourly plus incentive.
sfg
We do get hourly wage

during down-time and the only approved down-time is meetings and computer malfunction.  Lack of work was not approved so if there is lots of work available we have no worries, if not then we will be scrounging around for work.  I don't have time for that.


I will have to ask my supe if that is how it is because that is how I understand it.  If so, I maybe putting in my 2 weeks notice.


That's a great hourly wage!!
s
seriously, do not compare an hourly wage job with
nm
At this point, not much! An hourly wage and

what is a typical QA hourly wage for experienced QA
wondering what a median QA hourly wage for an experienced QA 
Hourly wage for Med Rec Reviews in Cali
It's been many years since I've charged for med record reviews and have no clue what the going rate may be.  They are for QME reports.  Anyone have any idea on what would be fair to both parties?  Thank yew!!!
Hourly/Production
If an MT is paid hourly, then the law states that OT is mandatory.  But, "certain computer related occupations" per the Department of Labor, are considered exempt.  I tried to find the right web page for it, but I couldn't find it.  I know that even my husband, who works by production, does not get paid OT.  Most times they will offer an incentive when they want the work to get done faster, but no OT.  If anyone finds the link, let us know! 
Opinions: Do You Think $12.00 An Hour Is A Lousy Hourly Wage For An Experienced Medical Transcripti
Opinions?
Paid production/hourly

To those of you who are paid production (other than MQ) - are you limited to working 39 hours a week? I don't understand being paid by the line, yet being treated as an hourly worker. Just curious as to whether this is the norm at other places. 


editing pay hourly or production
I'm currently working editing newbies and am getting paid by the hour.  I really enjoy it and feel my 32 years of MT knowledge is being put to good use; however, next month the company is changing editors to production pay and I will probably quit.  I don't think I can make any money and still do a good job.  Do most companies paid editors on production?  Seems counterproductive to me. 
are you paid by production or hourly?
nm
Hourly pay versus production pay
Are there any of you who made the transition from an hourly paying job to a production-based job?  If so, how did it turn out for you?
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.


Needing to make a decision... hourly or production...
If you had the choice between a shift lead type position at somewhere between $14 to $16 an hour or production on an account with a lot of normals.  The shift lead gets you experience editing, supervising, etc., but the production account you are just transcribing. You can make a lot more money at the production job, but the shift lead will get you started in a more management type of position, which would you choose? You will be stuck at that hourly wage with the lead position, but there are possiblities of moving up with the company.  But, the money on the other account is quite good, as there are a lot of free lines.  I am just so confused and have to make a decision, as I cannot work them both at the same time.   Any suggestions, comments, or feedback?  Thanks. 
Nope. We get paid production too. Unfortunately, hourly QA is out the door.
They are fewer and farther between than you could imagine. AND, for those of us who have been fortunate enough to be paid production (I'm one of the unfortunate CBay editors who was fired just before Christmas.)
you just described the hourly fram of mind, production is driven, or lose.
period. You could benefit from in-house-paid-breaks employment and the pay that comes with it.

the difference between being business and being someone else's business.

We paid hourly with incentive for high production. So she's making money when she's just
sitting there.  I don't know if it is a habit or not because this is the first time I've really had to work with her for any length of time.  I usually only work a couple of hours a day with her when our shifts overlap.  I think I'm definitely going to ask the girl I'm filling in for what she thinks about her.
I worked in a teaching/major trauma hospital
when I was doing radiology and we had scads of standards.
Doesn't matter, IF you are not paid an hourly wage, i.e. a set amount no matter - sm
how much or how little you type, say $12.00/hour, you do not get OT. As someone mentioned here, certain jobs are exempt, and as most of us are paid a flat rate of .08 cpl or .09 or .10, whatever it is, that is all we get regardless of how many hours under or over 40 hours we go. If you want OT then go get an in-house job or get a job doing something else.
You should try production pay job before quitting hospital.
i0
Could your hubs become a patient of a home health care agency and then you could work for them
s
Hospital job is "work-at-home" paid hourly
Thank you for well wishes.
If you are working at an hourly rate in a hospital setting, then you are
going to be in for a shock when you go to production rates. Most of the in-house positions were farmed out years ago. If you were lucky to secure an in-house position for this long, consider yourself blessed.
How much do you make hourly if you relisten. What type of perfection are you looking for?
I mean I listen very carefully as I go along and address issues as I go. If I took the time to relisten, I would make half of what I make right now and I can't afford that as a production transcriber.  Seriously if you relisten, what is your hourly wage to produce a report considering all things.
I don't work for them but I think they can get away with paying less than min wage
becuase you are an IC and not an employee.

If you're an employee then, yes, I'd say you'd have a leg to stand on but if they have min line/production requirements then more than likely those min requirements would equal out to at least min wage so it would still fall back on you. These MTSOs are usually pretty savvy about getting around legal issues.
Minimum wage requirements when there's no work, perhaps?
Looks like the Q is having to pony up minimum wage to a lot of MTs when there is NJA and this, I believe, is the highest in CA. Interestingly, CA-based employees of the Q seem to get NJA less frequently than other regions.

I work on Escription VR and if you cannot make minimum wage, then
something is really wrong with either you or your system. I make a very good salary on VR. It can be done even at 4 cpl and that is what I am paid. I have occasional straight but 90%+ is all VR. I do not understand people saying minimum wage- that is only 6 or 7 dollars an hour, ridiculous to work for that in this kind of profession.
I type into a hospital system that does not have ....
a line counter for radiology and the other line counter I have does not work either.  Just wondering, because I have a superfast radiologist that is short and to the point and I have another one that is slow and long winded reports so it would also be hard to average per minute of dictation.
I've also tested at a hospital. I only had to type one report and
the rest was the interview and a small written test on abbreviations and proofreading test for correct punctuation etc. I certainly was not asked to come in and sit and do 6 reports. Overkill in my opinion and totally turned me off to this company.
I also want a living wage for MTs. Don't mind hard work and longer hours, just want to be paid
:+
work production
In my experience it's any work that has repetitive information, normals/macros etc that you can insert into the reports over and over again.  A lot of my docs have pretty much the same physical exam for example, so I'm not retyping it over and over again.
Work hourly for physician. Need help..
I wonder if someone could tell me how they created an invoice when being paid hourly doing transcription. I tried using MP Count but it only calculates using line counts. Thanks for any help.
I was better on hourly. Quality of work was better

I would start with hospital websites in the surrounding areas to whatever facility you type for. SM

Hospital websites usually have a pretty good physician directory you can search through by name or by speciality, which is nice.


I also use the AMA website which has a sound alike search feature which is helpful.  Here is URL for the AMA doctor finder.


http://webapps.ama-assn.org/doctorfinder/home.html


Also, some states have websites for the medical board licensing or professional licensing where you can look up doctors with licenses in that state.  You might do a Google search for whatever state your facility is in.


Another good one that I use is the WebMD physician finder.  Here's the URL for that one:


http://doctor.webmd.com/physician_finder/home.aspx?sponsor=core


Hope this helps you.


Are you paid hourly? If so, I'm surprised they allow you to work with such little ones.
 r
I get paid hourly and I work at home
They expect me to work 7-1/2 hours a day and I do, but they do let me spread it out over the course of the day. I work four hours in the morning, two in the afternoon and the other one and a half in the evening. I can leave and go to an appointment and make that time up in the evenings also. But then again, when I don't have any work I still get paid.
No way I would work and put my production in anyones hands! sm
Your production should be verifable to you at all times period. Wouldn't trust company nor the hospital as I have been cheated before. Cannot verify, cannot work in my book. Look for another job.
We are nothing to them. The fact we work on production never enters their minds.
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I would not work without my production software, including spellcheck sm
I think it's great that you were able to do this work in the conditions that you did. But times have changed and we have technology to make us more accurate and more productive, so why not use them??

I have several pieces of software that I use, and if I was offered a job that wouldn't allow me to use any one of them, I would flat out refuse it. i have found the combination that works best for me, and if they can't be flexible to get the best work out of me as possible, then I don't need to work for them!!


I was "let go" for not meeting production. Tough to do when there is NO WORK!!! EVER!!!!

Have a hospital I work for and they consistently change work types and do line counts. (sm)
Management just doesn't understand in order to crank out the work you need to be proficient by typing the same accounts. Go figure, they just don't get it ??
the hospital I work for already has started to implement this and lessen our work
I see it every single day... they are going to EMR... meaning the doctors simply use a template already in the computer and check boxes or something... The doctor's office i GO TO actually does this too. This is why it creates tech jobs to create those templates and takes AWAY MT jobs because the doctor is no longer dictating, they are just pushing little buttons or checking boxes straight into the computer.

Personally I still think that is more time than the doc wants to take but whatever, i dont see how generic charts are good, what happened to detailed information...

But this is definitely how i see it going along. Maybe not everywhere, but plenty of places are going to go to this, it's all about saving money now isn't it???


nm would you mind if I asked where you work and what type of work hosp, clinic ?
x
If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
Depends on what kind of hospital? Large urban hospital or small community hospital? SM

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.


I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 


I work for a hospital and can do in less (sm)
than 8 hours (65-char line).  Are you sure you mean per week?
Actually, I do work for a hospital now
and there are 8 of us who work from home. BUT, they have begun to do things the way the "services" do (NAMELY MQ). They stopped counting our spaces, and so forth, because it is "the trend".

Even the hospital MTs are not as safe as they used to be. We are the only hospital left in my area that has not outsourced yet, and anytime we complain about our pay being reduced (which has been several times in the past five years), we are threatened with outsourcing.

So, it probably is a good idea to start thinking of a change.
I do work for a hospital
that is the position that will be going fulltime. It is 28 hours a week now. I work at home for this very large Level 1 trauma hospital right now doing radiology. I have insurance, I have short term disability through them. I have one national as a sideline, and another local clinic as a sideline.