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Serving Over 20,000 US Medical Transcriptionists

If U R making 40-45K/year for working half-days,

Posted By: what do you get paid per line? on 2009-05-14
In Reply to: No, things are great. Don't let it get you down. SM - Sally Forth

Something doesn't add up.


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Working 6/hour days, 5 days/week I make
$42,000.00, but the work is there to make more if I want to.  I'm in the southeast. 
nope, still crunching last few days of year to hit my 50k this year. how can you when you haven'
;
half year mark
My small MTSO is at 22,500 and my part-time job in a clinic is $6200.  So should do well this year. 
$30,000 ---- YIKES! That's a year and a half's
I wish I had the money, and still had the time, to become a court reporter. Interesting work, banker's hours, great pay. And they can ask the people talking to speak up, slow down, repeat stuff, etc. I wish I'd had the foresight to pick CR back when I was 23 or so, instead of MT. I thought I'd made the right choice, but man, was I ever WRONG!
oh my production is cut in HALF!! wish we had year round school. nm
;
Nope, my doc who is supposed to be working at half- sm
schedule due to recent illness popped out 52 minutes today, other doc about 45 minutes....keeping busy.
How? By working 12-hr days 7 days/week?
;LKJ
I've used it as recent as a mont ago (for a year and a half total) with no problem.

In my exeprience, it has been MT friendly.  I did have some start up issues because of Vista, but that was easily resolved if you get a cust. svc rep with a little knowledge.  My issue was with getting word to run inside of the scribe program like it was supposed to.  It kept opening outside of scribe.  By Vista being so new to the platform, It was registry problem that needed some tweeking. 


Ditto....granted I am not working much these days, but am currently trying out a new way of working
when I do work which seems to be helping.  I am timing myself and keeping a log of how long it takes to to type however many minutes.  I am averaging anywhere from 13-18 minutes of dictation an hour now doing this.  Granted the time fluctuates between who I am typing, and if I have to look up names, addresses, etc., just depends on the division I am doing at the time.  But work that used to take me 3 hours to do is now taking me under 2 hours, I am also trying to put in more macros as I go along, which slows me down initially but pays off in the long run of course.  I was working "all the time" before but took forever to get done since I was not applying myself. This new "attitude" has helped me a lot.  My goal, in the Fall, is to do 90 minutes a day consistently at 6 hours, and then maybe get up to 120 minutes a day at 8 hours, still while having at least half of the day free (do 60 minutes at night, and the other 60 by Noon).  Thereby doing 1200-1400 lines a day.  I have never really buckled down and done more than 8000 lines per pay period, so it will be a nice change.  Maybe you can do something like that and have a specific knock off time as was suggested below. 
I fixed it. Some days I really get tired of making them look
x
Was with Hospice. He might live a few days w/o making urine depending on what
s
Yea, but she's probably making $50K more a year than you are because she knows what she's doin
:)
I incorporated but only after making over 50K year

IC's risk being considered an employee if they work only for one company. I had a friend with an MTSO that the IRS went after because some of her MT's worked only for her. 


Incorporation was a benefit to me because my business was making money, yet I was paying self-employment taxes on what my business was making. For example, if I have 3 IC's working for me, who bring in $40,000 per year, that is what my BUSINESS is earning, not me and therefore I should not be paying self-employment taxes on my business earnings. So I incorporated, paid myself a small salary for running the business on which I DO pay self-employment tax, and took the rest of the earnings as an S corp. They go right through to my personal taxes but I save the 15% SS tax, which as you can see on 40K, saves me $6 grand per year right there. Also enjoy 401K contributions from my corp, and increased deduction for health insurance.


would not recommend incorporating if making less than 50K per year with a business as there are increased fees and corp taxes too.


Regarding the prior post who said "For insurance, for professional liability insurance, I was told that you have to be incorporated. I don't have a problem with this. If I hired someone to build an addition for me, I would want him/her to have insurance. Why should medical records be any different?"


Medical records are different because the MT carries essentially zero liability. Insurance insures against lawsuits. MT's lawsuits are nearly nonexistent. Many, many, MANY MT's do not carry professional liability insurance. The analogy of a construction company putting on an addition is not equivalent to the MT situation. It would be like asking if your neighbor carries liability insurance against your contractor. Why would your neighbor carry insurance on your contractor if they have no liability? Exactly.


I know someone making 60 grand a year with no CMT
Means nothing. Nowadays, it's pure luck and nothing more.
Is your hubby making that much a year? sm..

Is he telling you to earn that much or is he being funny? Just my situation, but my hubby would never tell me how much money I had to make or whether I should work part time or full time. Life is too short to work 7 days a week or 12+ hours daily for the almighty dollar!


Me 2, 15-20 years ago I was making about $70,000 a year

Now it seems, I'm just scraping by, juggling the utility bills and paying whichever one has sent me the 24-hour disconnect notice this month; it's become a grim miserable job compared to what it was.  I'm nearing retirement age, but I doubt retirement is going to be in my future for a very long time.


The single worst thing that ever happened to us was going from the gross line count to the character count, and not adjusting the line rate upward to parity -- not to mention the adjustments that should have been made to accommodate all the extra time spent struggling to make sense of huge increase in ESL dictations that has occurred over the last 15 years, and of course there should have been COLAs as well, which we all know has not happened.


In the 1980s, with the advent of powerful and affordable PCs, free lance transcription became much more common.  So if you were experienced, disciplined and organized, you could be much better off economically by working for yourself -- although there were definitely advantages to working in-hospital.  There were great benefits and the salary was indeed enough to support a small family (albeit very modestly.) 


For a number of years during that time, many of us worked part time in the hospital for benefits, but made our real money at home.


But in my case, the time came when it just made no economic sense to work in-housel, I was better buying off buying private insurance for major medical care, tax-deferred annuities, and self-insuring the little stuff. 


I would just pick up tapes from the hospital every morning, and drop off the work (which I printed out) from the day before.


I usually had 24 hours to transcribe tapes which I did during school hours, when things were peaceful and quiet. 


I transcribed a couple thousand GROSS lines day.  Every single character line counted, so by taking advantage of headers/footers, creative macros, word expansions, etc., I really boosted my productivity far beyond to what I could do in-house on the self-correcting Selectric, Wang or Mag Card, or whatever 10-years behind technology was currently being used, plus all the office distractions and politics, and I definitely did not to have to work 24/7 to earn a good living. (Oh how I loved WP5.1!)


In fact, 2000 gross lines a day, 5 days a week at 10 cents a line (courier 10-pitch font, one-inch margins) was very very do-able for an experienced productive acute-care MT, provided she had good equipment, good reference books, and stayed focused.  It would take about 5-6 hours a day to get that amount of work done.  So figure the math out for yourselves, that's just a tad under $50,000 a year, certainly not a high standard of living in those days but adequate when it meant you could stay home and be actually be a full time parent when your children were home from school, and very comfortable, if you were married with a working spouse, or had rerliable child support, or social security for your children (if you were widowed.)


If you chose to work some weekends and evenings, it was not that all that difficult to hit that $75,000 a year mark, which I did for a couple of years so I was able to pay the tuition at a good boarding school -- and cruelly thwarted my teen-aged son's only ambition in life, which was to become a high school drop-out.


Things have gotten bad, no doubt about that, and the worst part of it is, is that most of the big MTSOs are still charging the hospitals as much as we used to earn, and sometimes even more, but the MT is no longer earning it, and often can't get enough work to meet the line counts required by the MTSOs for benefits (although the cost of those benefits are reflected in the cost charged to the hospital.) 


I don't know what the answer is, as the electronic immigrant is such a huge threat.


It's pretty darn awful, and I feel very very bad for those of you starting out in this field, and I do hope things change for you (and that someday soon I can retire.)


And the point that the person made is that that she was worth $75,000 a year, not necessarily that she was getting it or could get it, and I absolutely agree with her.  This is a hard tough job if it's done right -- it's mentally tiring, it's hard on your back, your hands, your neck (and your behind.)


It requires a lot of time -- it requires focus, you must stay alert, and must give 100% of your attention to what you are doing 100% of the time, it takes education and brains -- and now a word of truth which my 35+ years experience gives me the right to say aloud -- it's not fulfilling, wonderful, lovable and enjoyable, it's often as repetitious and tedious as an assembly line but infinitely more frustrating.


PS: I recall one of my colleagues from those early years of my career, now gone from this earth, telling me that the 1960s were really the "fat" years, that things actually began to decline salary-wise, in real dollars, in the 1970s. 


Our 16 year old son has been working for a year now to pay for his truck.
He's learning how to sand and do body work and how the engine and transmission go together. My parents didn't buy cars for my siblings and I either. I had a 20+ year old beater car until I could afford to move up to a a newer one.

I see all the nice new cars parked in the high school parking lot every day. It's nice that so many disrespectful punk kids get handed something nicer to drive than what all the teachers drive. Oh, well. Honestly, I think most of them borrow Mommy or Daddy's car or are the child of a doctor who can afford to hand them everything.

Hopefully, my kids will take better care of their cars because they bought and built them on their own. You're not going to grow up to be responsible if you don't work hard for something and expect Mommy and Daddy to bail you out all the time.

Oh, my Dad lectured us on even allowing our child to have a vehicle because Dad didn't have one until after he had worked his way through college, lettered on the football team, got straight As, lettered on the baseball team, yadda yadda. He either walked or hitched a ride. Yeah, well, times were different back then, Daddy-O. LOL At least my kid has the opportunity to work and earn his own car.
My 5-year-old goes to the sitter 3 days a week....sm
4 if I need her to.  The 1-2 days she's home I have lots of arts and craft things for her to do and she'll play with her toys.  I do take frequent breaks to check on her when she's here.   She is allowed to watch TV 2 hours a day so she'll usually pop in a movie while I'm working or watch PBS.
Can someone please tell me how these folks who are posting making $75-$100K working for services ...

are making this kind of money? I've been in this profession for over 20 years and the MOST that I ever made in a given year was $50K working for a service and that was with loads of off-the-clock overtime.  Where I work now the majority of decent work is being offshored and the American side MT's are left with terrible work to wade through.  A 'good' check for me now would come out to the equivalent of about $10 an hour!


I can see how folks who have their own accounts could make the type of income range above, but working for a service?  What is it that the rest of you now that obviously I'm totally missing???


This is interesting...average number of vacation days around the world per year..
Italy 42 days
France 37 days
Germany 35 days
Brazil 34 days
United Kingdom 28 days
Canada 26 days
Korea 25 days
Japan 25 days
U.S. 13 days

We are crazy to work so hard!
my friend just finished her BSN 2 years ago, working 32 hr/week making $60K with benefits nm
x
Doing wrong? Probably only working 80 hours a week 6 days.


I have 13 years experience and just started a hospital job working from home making $16 an hour

and with a really good incentive plan.  I live in the Kansas City area.  $10 seems like a low starting point even with only two years experience which is the usual benchmark for hospital MT jobs. 


It's been my experience that the low end of the pay scale for hospital employed MTs was around $12 an hour.  Also, it's been my experience that the pay offered is usually based on years of experience and how well you perform on the transcription test.


I would say if their pay is that low, they should at least be making it up with incentive and it doesn't sound like they are.


JMO


I dont mind working 1 of the weekend days every week.
I just figure people get sick and doctors have to work them..
I prefer working a shorter shift 6 to 7 days a week. SM
I work hard when I work to put out a lot of lines per hour, which is very tiring. Also, my company has a work flow/volume problem, and this allows me to schedule my hours for those times when work is most likely to be available.

Regarding having a life, in a 24-hour day, subtracting say 8 hours for sleep leaves 16 hours, and subtracting 6 hours for work leaves 10 hours every day for "life," a luxuriance of time if you don't have young children or other heavy responsibilities filling them with other work.

The trick (sometimes it is a trick!) is be firm with yourself, and others, and get the work out of the way briskly and on schedule, such as those early-morning or evening and split schedules, and not drag it out through the entire day, sandwiched in between TV shows, phone chats, family duties, and so on.
Once you give notice and quit working, how many days/weeks/months

are you covered by your medical/dental insurance?  My employee handbook does not mention this.  Is there a "standard" period of time that you remain covered?  TIA for your reply. 


year os working...
I agree, you weren't nasty or rude. However, I just wanted to say that unlike you, I do believe places hire untrained QA and training people - as a matter of fact, I know they do. Not making any judgments on OP's situation, but just saying it is plausible.
I would charge more per line for working holidays or if asked to work scheduled days off. SM
But did you address that in your contract? 
I've been working just under a year and am on ER.. LOVE it!

nm


 


I'll bring the dip and the half and half ;)

What about benefits? I make 50k a year working for a company
out of my home full time. No gas money, no traveling, no printing, faxing, and I get full benefits. How is making 50000 as an MTSO good money? I really just don't get it!
My goal every year is $52k, which I have done for the past 2 years working sm
for Keystrokes. I do radiology only, I should mention. I took the amount I wanted (actually needed) to make in a year, divided it by 52 weeks, divided it by 5 days, came up with $1000 per week or $200 per day. I divided that by 8 hours and by my report rate ($1.25). I know that I need to transcribe 20 reports per hour on average. I keep a tally. Some days, it takes me longer to do than others, but I sit down and do my 8 hours every single day. I use my Expander a LOT (literally for all but a few words). I am on one account, so I know those doctors inside and out. If I am short at the end of the week, I ask if there is work available on the weekend for me to do. The most I end up with 2 hours to make up what might have been short during the week.

At $40k, you would need to make $153.85 per day, or $19.23 per hour. At $0.07, you need to type 275 lines per hour, or 2200 for the day. This should be very easy to get with using an expander and sitting down with a set schedule.

It takes a while to get used to making sure you hit your internal quota every day. I have to think of it daily and make it up on Saturday or Sunday so that I never start a week behind my personal goal.

I also take an incentives that are handed out (for instance if they are asking for help in a backlog situation at increased rate) and work at least a partial shift on holidays. If I am ahead at the end of the week, I carry it to the next week and know that I have some lines in my internal quota bank.

I know this sounds weird, but it works for me. I have helped a few others to get to their goals as well, and this seems to work for them too.

I would also look for something that is more in the 0.08 to 0.09 per line range. Ask your lead for production tips. Ask other transcriptionists. It is very possible for us to make good money, we just have to focus on our goals.

I have a sales background, which involved sales quotas. This is easier as I am in control of my daily production, not on someone else's decisions.

Good luck!
I made 21,000 last year working part time...
hoping when my youngest gets a bit older (she is 16 months) I can make a bit more...
Working 2 full-time jobs (for a year now), and boy am I tired!!
.
Sickest thing, I made more money my first year as MT as I do now, for working
zz
I'm a hospital employee, working local at home, so I get a raise every year.
x
Amen.... Gravity is definitely working on my 45-year-old, post breastfeeding mammaries.
c
I've worn mine working for a year and haven't had a problem. .sm
  I even still handle floppy disks all the time.  The magnets aren't that strong.
Tax guy told me to hold 30%. After first year when got idea what I would be making, he told me
:P
Made 60K last year working 50 hours a week being paid on gross line
nm
sure i was. i'm making fun of the people who are making a case for background checks, etc
to do medical transcription at home as if they may do something AWFUL with the info they receive. So if you want an invasion of privacy let's REALLY invade it and make sure fat chicks don't transcribe because they are so busy eating they can't get the work done, they mess up the keyboard with food and if they are provided health insurance they will raise the rates for the company sky high because their health risks are higher than others. Then there are the psychological issues overweight people bring to the table. After we eliminate fat people, we can go on to eliminate diabetic people who may have low blood sugar while typing and go into a spell and type the wrong thing. I could go on and on through the process of elimination. How about prescribed medications that may cloud your thinking? So you take Ambien to sleep but you have an Ambien groggy hangover when you are transcribing? Should they transcribe. How about your teens are on your last nerves and you take a Xanax? Should you be allowed to transcribe?
30 hours divided by four days equals seven-hour days. Most of us have to work pretty much every day
.
2000 low days, 4000 busy days
Did 43,000 lines last month.   6 doctors. 
You can "make a living" if you work 16-hr days, 7 days
and if you rarely buy anything but food and the barest essentials in clothing. My balancing act is so precarious that all it'll take is one of life's little disasters (rent increase, sick pet, major car repair) to pull the rug out from under me. Not a good feeling at all.
550-650 lph on average. Some days more, some days less. It all depends. nm
x
You realize by doing that they're making more money & you're making less? You should reconsid

Mine are in year-round thank goodness! They've started their new year 2 months ago.
x
Union diesil mechanic - good pay, great benefits. We swap year to year on who brings home more sm
money.....but I am an IC and he has all the benefits...health insurance/dental that the company pays for, pension plan, 401k, etc.  Factor all of that in and he makes way more than I do.
to cowgirl - Last I knew, last year the job paid $25,000/year no taxes, etc.
The hospital was bombed about a year ago, but not a lot of damage, very minimal damage.
44-year-old WF, M, Texas, 3 grown kids, just had 26 year wedding anv.
nm
Nothing this year. We ALWAYS got a cool surprise in the past, but this year nothing. :-( nm
d