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Serving Over 20,000 US Medical Transcriptionists

Late Payers Followup

Posted By: MoodyJen on 2005-12-25
In Reply to: LATE PAYERS - MoodyJen

These are all very good responses. As a usually-paid-late IC for a small MTSO, I am learning from your ideas. I hope more folks will add in their comments as well.


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LATE PAYERS

I want to talk about why so many MTSOs pay late.  We have all read the posts about complaints of independent contractors receiving late payments.  We have all read that some people feel these companies that pay late do not know how to manage the company.   I would imagine that many of these late-paying companies have not received their payments from their accounts, and they themselves are waiting for their money, so that they have enough money in the bank to pay the contractors.  I suspect that many of these companies do not pay late intentionally and maliciously.  I think they have a problem with cash flow mainly because their accounts may be slow to pay.  Many of these MTSOs probably do not have bank privileges to allow them to write checks to the ICs (while awaiting their payments).  So what do we ICs do when this happens?  Just be patient and understand this is the nature of the beast?   We are at the mercy of the accounts and their payments to the MTSOs.  What can the MTSOs do to improve their situation with cash flow?  Some people post notes suggesting to quit, run the other way, and find a better-paying company.  This is not always that easy to do.  This seems an unfortunately typical problem.  Doesn't the problem lie mainly with the hospitals and clinics themselves, who fail to pay on time to their MTSOs that serve them 24/7/375?  Suggestions?  Ideas? 


Late payers
I have posted facts to back up my statements, as listed under posts from MoodyJen. I however, am a bit concerned about mentioning the name of the MTSO, repercussions, etc. What is your thought on that.
followup
I do short cuts to remember
nfup= noun = followup
afup=adjective=follow-up
vfup=verb=follow up

Followup in two weeks.

A follow-up exam is recommended.

He will follow up with onc/rad in three days.
followup
I am an MT from Canada. Why would you send your work to India when you co uld be sending your work to CANADA, where we have a lower dollar, have the highest educated people in the world, we have fibreoptic telephone lines, we dont get storms, and we have the highest internet usage of any cou ntry in the world!!!

As for sending work to India, that is outrageous. When did slavery start?? At least in the old days, slaves were paid enough for rent and food and clothing!!The money you people pay MTs is not much more than this!! ANd what do you know about medicla transcription, I bet you couldnt type one medical word under production levels if you life depended on it!!! MTs are the brains and cheap asses make money off of OUR brains and talent!!
followup
I have decided against the company. Thank you all who responded, for looking out for me. Now I have another question. Have any of you heard of, or had experience with, VLC? Virtual Learning Center?

http://www.thevlc.com/
Followup
Okay - so I will check with my attorney or my state about the license thing... but what is the going rate for ICs to charge?? Is it by report or by the line or by the hour?? I know it probably varies, but I would just really like to have an idea of what to tell these 2 doctors if they ask me to set my rate.... don't want to sell myself short.
No followup
Yes this has happened to me too. They loved my resume, I told them I could test the following Monday. I sat around all day waiting for nothing. I E-mailed this company three times since with no response.
If you can put a in front of it, it is followup..sm
For example he had a followup visit scheduled. OR He is to come in for followup in 2 weeks.

He will follow up in 2 weeks. OR

He is going to follow up with me in 2 weeks.

Hope that helps
Maybe it's time for them to do a followup on -nm
.
quick followup
You make some very valid points, and I thank you for your input. Speficially, in my case, I have no platforms to work with -- all docs use 1-800 or digital handhelds and exchange is done on FTP site - very simple copy/paste procedure. Work is done in Word. There isn't a doc on my service I haven't done MYSELF for at least 2 weeks when I took them on and asked myself are they worth keeping? Are they good dictators? (I have virtually no ESL dictators). Did I make money? Even those specialties I didn't know and was slow at, I could refrence to find out what I didn't know --critical in our work. I don't care when MTs work and I don't try to contact them until their work is OUT of TAT - and then often get "i got busy with other stuff" reply. Shouldn't it be ME you tell when you get busy so I can still accommodate the client as I agreed to? I know life happens, and things come up, but tell ME instead of hiding. That's just being responsible. If the work I've given you isn't a good fit, then tell ME and give me a day or two to replace you.. don't just say the heck with it and walk away. But then again, if everyone was responsible in that way, I wouldn't be sitting here on Christmas day catching up work from Friday because yet another new hire just "disappeared" on
Thursday and didn't tell me till yesterday. Maybe I'm just getting old, but seems common courtesy went out somewhere in the mid 90's. HA. Thanks for listening.
Thanks for posting a followup...

That is basically what I thought your reasoning was based on your original post.  There is nothing wrong with questioning anything you are unsure of.  No one will hold it against you.


followup - 3 rules
#1. Follow up (verb): I will follow up with the patient next week.
#2. Followup (noun): The patient will come in for followup next week.
#3. Follow-up (adjective): The patient will have a follow-up appointment next week. I disagree mildly with the post about BOS2 on this.
Grammar good info in BOS/AAMT. Also any good grammar textbook from a bookstore would be good to review/read/study. I tried out Whitesmoke grammar program and hated it. Hope this helps!
Followup on comments

Hi, everyone.


I recently had an applicant inform me that my help-wanted ad was being badmouthed at this site, and I have since read elsewhere that I am apparently an overbearing/pushy, basically obnoxious person to work with (I have also posted responses at the other places I could find, in the hopes that the remarks do not keep potential applicants from applying).  There is a reason my help-wanted ad is so detailed.  One reason is to answer all possible questions that anyone interested in the position might have.  Over the years, I have amended my ad due to circumstances that have come up with transcriptionists I have worked with.  The information in the ad regarding "the work is to be typed until it is finished, not a set amount of lines per day," is because I had a Transcriptionist that thought she could type a very small amount whenever she felt like it, leaving the remainder to be typed by someone else later.  As I am sure you know, many large MTSOs only require that so many lines per day be typed.  In my situation, the transcriptionist essentially gets assigned doctors/clinics, so all of the work needs to be typed and returned the following day (the transcriptionists choose their workload when they are hired).  At any rate, I am sure many people will find flaws with my help-wanted ad, but I did the best that I could to fully inform everyone what the job actually entails.  BTW, as the ad states, the .07 cpl is only for one or two weeks, which covers my time for being on call to help out while the transcriptionist is getting comfortable with how the Macros function.  In the beginning, the new transcriptionists only type a few small reports per day, so if you deduct 1¢ per line from the reports they have typed, I am getting paid very little.


jhwm, I would like to say "thank you" for the kind words.  I have read a lot of really vicious things about myself and my company, none of which I feel is deserved.  I understand that I might not have time to chat with everyone who applies, but I do not feel I have done anything to justify the horrible things that have been said about me.  LOL--You're right, there is a lot of information coming at each new person in the beginning.  I am not sure when you worked with me, but these days, I forewarn anyone new about the information coming their way and that they do not need to memorize it.  Some of the information that has been compiled is on things that are not related to the job, such as how to do certain things in Word (basically everything I learned when first switching over from WP.1 to Word).  The pictures of the animal's eye, lab forms, terminology list, medication list, etc. are supposed to be helpful so that the transcriptionist who is learning does not need to look all over the place whenever an answer is needed quickly.  Sorry, I am in defensive mode and keep finding myself trying to explain everything!  Again, thank you for saying something nice about me.  I hope others see your post and realize I am not a total ogre! 


And here's the followup article to that one...
See link below:
Followup to resume

Maybe someone can help me!


I have always been advised to follow up after an interview/test etc.


Is that possible after taking a standard computerized MT test?


Any opinions appreciated!


Thanks!


Followup to resume

Maybe someone can help me!


I have always been advised to follow up after an interview/test etc.


Is that possible after taking a standard computerized MT test?


Any opinions appreciated!


Thanks!


Please post a followup when/if you hear anything about this...

Starting to talk to supervisor (and then probably payroll) myself about this, as I'd also like an explanation as to how this figure was derived (so I can hopefully double-check to be sure it doesn't occur again).


I feel somewhat like a stupid unpaid shill for MQ now, having defended the line counts on DQS on several MT boards a couple of times now, because I have occasionally randomly copied and pasted my reports into Word and "seemingly" confirmed that the line counts in DQS were accurate. 


Considering the amounts of these checks in general, being dependent on how long one's been on DQS (mine is less than $8, but I've only been on DQS for six months or so), I suspect it's something like them incorrectly rounding up (like maybe not crediting 64.5 as 65 but as 64?) or some little arithmetical folderol like that. 


Anyway, I'd be very interested to hear what the discrepancy is all about, from anyone who hears anything.  I sure do feel that we were owed an explanation in the letter along with the check, regardless. 


Followup poll regarding bifocals....SM
It just so happens that I went to the eye doc last month, and he recommended bifocals! Yikes! (I'm 44.) I was leery of the progressive bifocals (and their cost) so I ordered some old-fashioned lined bifocals. I have to wait 10 days for them (obviously not Lenscrafters) so I'm really curious how I'll do.

Bifocal people, what kind do you have, and do you like them?
Followup poll regarding bifocals
I have had both bifocals with line and without. It takes some getting used to, but after a day or two, no lines are what I went with. I now wear progressives trifocals, have beginning of cataract in each eye, but I tried one pair for transcription and one for driving and chain around the neck, pain in the neck. My pair cost me 285.00 and I am very happy with them, just got a new prescription for the progressive trifocals. Good luck in your decision.
FOLLOWUP: We are now only $75.00 away from reaching our goal.

You generous donations are amazing and truly appreciated.  Once the goal is reached, I will be walking into Walmart to speak to the store manager about getting a gift card to this family back east and know that the MTs children WILL have Christmas this year!


THANK YOU!


FOLLOWUP: We now only need $15.00 and we will have reached our goal
and I will be on my way to Walmart.  You are all fantastic people to be so giving.  I know that it's hard to scrape bucks together working in this industry and at this time of the year, so again THANK YOU for your emergency donations!
Frustrated with SmartLines--Followup
Well done! You have stated the problem perfectly; more clearly than my original statement of the problem.

I have been using Smartype for 6 or 7 years, I think. I have been transcribing for 20+ years. At one point I actually solved this problem, although I don't remember how! I don't remember what I did to solve it, and now it has recurred.

This multiple-SmartLines problem has happened with MS Word 2000, 2002, and 2003 (which I dumped in favor of going back to 2002 because it had too many problems, even with the updated version).

I have used Windows 98 all the way through 2003 while using Smartype.

I believe that I have experienced the SmartLine problem whether in MS Word by itself or in a number of MT programs. I have quit a number of companies because of various incompatibility issues with SmarType, since I have THOUSANDS of entries (both single words and SmartBlocks), and I didn't like the idea of doing the equivalent of rewriting an entire dictionary.

At this point, I am ready to "bite the bullet" and switch to ShortHand or something else, even if it means the equivalent of dictionary-rewriting, just so I can get some work done and some income coming in again!

I saw somebody's post about having put Smartype entries into ShortHand. Did this work, even for all the SmartBlocks? If so, could you please tell me how you did it? I'm sure many of us would like to know. (I will also post this last bit as a reply to that post.)

Thank you all for any help you can give.
Followup story linked below
http://www.gcn.com/online/vol1_no1/41036-1.html
Exanders to the Recycle Bin Followup
Right. There is still straight typing out there.

The point is that once one agency says, "We have ASR and now we are paying our transcriptionists 5 cents/line" what do the other agencies do? Eventually they have to do the same thing and eventually we will all have VR or ASR and eventually all be paid 5 cents per line. That's the way it works. One company can drive the entire business down.
Followup on the foot pedal
I was told by EMDAT support that there is nothing I can do, except buy one of their footpedals!  I smell a scam.  They can program this complex software, but cannot figure out how to make all footpedals compatible?  Oh well, complaining won't solve my problem, Just had to vent a bit.  Thanks to everyone for all your input.  I am off to spend even more money before I can make any.....
Depressing News followup

My PT job was at a hospital that used Meditech so I do have that training on that software, but I have worked via the Internet for years with a couple of diff hospitals so thank God I did have that experience in other software programs and knowledge of Internet.  


Meditech is not a MT friendly  program either but I did make good money so now I am going to have to find another PT job to help the gap.  I sure am going to miss that account.   I have been so lost since I lost my hourly paying hospital job and going back to working by the line for my total paycheck and I hate it.  I really have thought about going back to school at age 58 and doing medical billing maybe.  Hope it improves for all but I really do not think it will for a long long time. 


 


I have a problem with followup versus follow up

Which is correct.


Followup in the office tomorrow or follow up in the office tomorrow?


He was told to followup   or he was told to follow up?


he presents for followup or he presents for follow up?


Thanks so much for any help. 


 


 


 


 


 


Followup for AHDI and Indian transcription
As promised, this is the new response I got from AHDI regarding the special pricing for certification exam from AHDI.

EVERYTHING BELOW IS A QUOTE FROM AHDI

I believe that information comes from a dated press release that was sent out by our testing company, Prometric, when the exam went live in India. That is the correct price being offered on the exam there. However, we also offer that very same rate here in the US when we run promotions like our current Credentialing Cup. In addition, at least quarterly we offer this discount on our exam to individuals who do not want to participate in the Credentialing Cup. (If you're interested, you can read more about the Credentialing Cup at http://www.ahdionline.org/scriptcontent/CredentialingCup08.cfm. This promotion is our attempt to engage US transcriptionists and encourage them to become credentialed. In India, transcriptionists sit for this exam because they WANT to earn the credential - not because it necessarily pays them more money. We simply don't see this attitude often here in the US. MTs here only seem interested in certification if it is going to directly impact their wallets. I can understand that - having worked for many years as a production MT and watching my line rate slowly erode - but someone needs to take the first step toward professionalizing this industry. MTs need to learn to speak with their feet. If they get credentialed and they engage in continuing education, then there is no reason why they should settle for working for an employer that does not recognize the value they bring to their position. There ARE companies paying more for CMTs. We add them to a growing list every time an MT reports one to us. Check out: http://www.ahdionline.org/scriptcontent/whocarescert.cfm.

I don't blame the transcriptionists in India for our falling wages here in the US. Linda Kloss, CEO of AHIMA, gave a presentation at our annual conference a few weeks ago. She showed us a graph that detailed the profit margins for hospitals over the last several years. It was shocking to see how financially stable hospitals have been pushed out of business. Hospitals that once had huge profit margins are now operating in the red. The rising cost of healthcare and shrinking reimbursements from insurance companies are, in my opinion, the primary drivers behind the drop in wages for MTs. Hospital CFOs see medical transcription as a COST. They don't understand that documentation is the beginning of the revenue cycle, and that medical transcriptionists are the first line of defense for risk management. Many CFOs fall prey to technology vendors who promise that their widget will eliminate transcription, so they buy into expensive technology solutions like templates and speech recognition only to find that it costs them even more in the long run, and their documentation is now substandard. Hospitals aren't making money, transcription services are no longer making money, and, therefore, medical transcriptionists are also struggling.

One of our primary goals at AHDI is to raise awareness about the vital role that medical transcriptionists provide to healthcare. We are lobbying (literally, in Washington DC) to bring attention to the need for accurate, timely, efficient documentation. We are making the case for keeping a human professional involved in the documentation process in order to ensure quality record keeping and impact patient safety.

It's unfortunate that people misunderstand the goals of our association and automatically assume that we do not support US MTs, or that we only want to make money off of MTs. That is so completely far off from the truth. One-fourth of the staff at AHDI have worked as medical transcriptionists. We are passionate individuals who are extremely devoted to our profession and our colleagues in this industry. And we need the help and support of every single MT in this country if we're going to turn this industry around.


My daughter will followup at MCV Pediatric Hem/Onc. for the rest of her life - sm
They said that is the norm there, granted this is cancer followup and not normal yearly physicals for an adult.....she is only 5 now so she still has a long way to go. But as for their normal pediatrician, I will take them their until they graduate high school (I did the same), then onto a regular family/adult doctor.
Too late now, but what you should have done...
You probably should have deprived yourself of sleep last night and slept today, or better yet a couple nights in a row, just cleaning house or something to keep you "awake" so you can get a jump start on training your sleep cycle.

It is SO hard to do this job sleep deprived because it is so sedentary. I can easily stay up 24 to 35 hours as long as I'm doing something physician and nonbrain-taxing.

If you find yourself nodding off, take a 45-minute nap. I'm sure your employer will understand this is something hard to go into "cold turkey."

Good luck!
Late fee

I do the opposite, I offer a small discount when they pay within five days and in the past five years I have had my checks well within that time frame (usually 2 days) and never have had to ask for my check.  


Patti


 


Late fee
I really don't think a late fee is going to make them pay you any earlier.  You really need to sit down with the office manager or whomever  processes your invoice and talk with them.  They probably won't pay the late fee and still take 3 weeks to pay you.  If you stay with the account and this has been a chronic problem you gotta budget to have money to tide you over for the 20 to 30 days or how ever long it takes them to process your check.   Talk to them see what they say and then decide if it is worth the frustration to continue with it.   If this has been going on for quite a while doesn't sound like it is going to change so you either have to live with it or find another account.    In 22 years of doing my own accounts I have never had anyone pay me any later than 10 days after recepit of invoice and that was just a couple of time.  I guess I am lucky but it is the truth. 
late pay
Well, I feel the same way, I don't want to mention the name of the company at this point. I do know however the company actually goes to pick up the checks from the hospitals and has to get them in the bank before she pays her ICs! I have been in this business over 20 years and it's the first time I have encountered something like this.
Late $
We sound like we are in a similar boat. Very nice people, very appreciative of good work, and it does get paid, just late, which most of us cannot handle because our bills need to be paid on time. How do you manage with your bills?
late pay
It isn't easy! When she does pay I try to get enough ahead to pay bills when she is late which is basically every pay period. And luckily, my husband has a good job, but it is one which slows down in the cold months. I Christmas shopped about 6 months ago! Plus, our work has not been slow and I have been able to make an extra $200 or so each week. How do you manage?
Late pay??
Ok, I've never had a problem getting paid before, so I'm not sure what to do. I worked for this small MT company and they still owe me a month's worth of pay. I've tried emailing the person, but she just keeps blowing me off. What should I do next?? (Of course, I quit.) Thanks.
You will get a 30-day late on your...

credit report.  You may also get an "Intention to Foreclose" letter, which will scare the heck out of you.  Those letters standardly go out the day after the 30 days passes.


I agree that your best bet would be to ask for one deferred payment.  Some lenders will do that, but some are very hard-nosed and NEVER do it. 


Will you be able to make your March payment before the end of March?  If so, you should try to schedule both February's and March's payment to come out of your account on specific days . . . say, on March 2 (as you mentioned) and even March 31.  That will keep you from getting another 30-day late.


Once you start to lag behind, it is soooo hard to catch up again.  I'm hoping they let you defer a payment. 


153 in my late 20s...however I do believe it is going down.
as I once was, that's for sure.
don't know if too late, but....sm
doesn't your insurance cover such things...mine would have replaced the whole thing.
Definitely late 40s for me
Here I sit, having worked six days in a row with one day off and starting new week facing more OT due to computer down with one MT and death in family with another.

Did it in my 20s and 30s with no problem.

Now, however, I have eye strain and sore hips from sitting so long and really am rum-drummy if that is a good description. Fear making an error.

And, I do not make much more money as I have to proof everything and think before I type which slows me down in long run.

Yes, give me 40 hour week over the age of 40. Long complicated reports is where my expertise is these days.

Late Pay

I recently had to leave a wonderful lady and I mean absolutely wonderful due to late payments.  She had paid late several times over the last year.  I had even changed my bill dates so that I could accomodate the usually no more than 5 days late that she consistently was with pay.  Last month she was 6 days late, which would have been okay with me, except that I had an automatic payment come out the day before the pay was due to be DD (which I signed up for due to promise that pay would be on time this way).  Fortunately I was paranoid and called my bank and was made aware of the problem, but I had to borrow from my niece, my 21-year-old niece!!  HOW HUMILIATING!!!  I told my very extremely wonderful MTSO that I could not work for her if she was late again.  I also had it set up that all I needed was my August pay checks on time (meaning within the 5 day "grace period" I gave her) and the September 1st paycheck, then I was set to just put her checks into savings. 


Well, that never happened.  It did not occur to me that she would dare be late, but come August 21 I went to deposit a refund check from a Church camp as it was canceled due to fires, and the bank tells me that after depositing $220 that I was still short in my account!  To make things worse, it was not my money that paid for the camp.  I was depositing the refund check and then writing a check to my mom's Church as she had used her tithe money to pay for my girls to go to camp!  I still was trying to be calm at this point and asked the MTSO what was going on, well supposedly she had sent me a check on the 7th of August.  Funny thing is I did not even bill her until the 9th.  First it was a certified check, then it was a money order, then it was sent on a different date.......... I could go on and on, but needless to say I had to quit.  I cannot afford to work for free.  I cannot afford to be late on my bills. 


I stayed with this MTSO for so long despite late payments because I thought I new I would always get paid.  We had a GREAT working relationship, except the pay, and I really wanted the long time IC, great reference that this provided me...... you know a real "feather in my cap" for my resume.  I plan on going after my own accounts next year after saving a couple of months worth of bills.  BUT, in the end I had to threaten legal action to even get what I was owed, and I was sick for several days because of how ......... well sick this made me to have to "burn" that bridge, and how sick it made me because I ended up having to get very, very ugly (which made me even more sick) in order to get more than "I will check into that and get back to you" on when I was going to get paid. 


This is a touch situation that you are in and only you can make the final decision.  I personally LOVE being an MT.  I just have learned to not "put all my eggs into one basket."  I work for a couple of companies, one a national and one an MTSO.  I can get extra lines at both if desired.  It can take a long time to find the right fit, so hang in there if you like being an MT.  Of course, teaching is a very honorable and rewarding career choice too. 


Please excuse any typos, tired, but felt it very important to respond to this one to let OP know she is not alone and there is hope.


This is probably too late but....
Oncology was my specialty for years, and I felt like you...so difficult. Then one day the codgy old oncologist that was a detailed and strict dictator started dictating a report about his patient and started to cry....me too.

No one is spared this...IMO


Its too late know, but I would not have even said
anything to the first company.  If they are sending you such little work you should have been able to juggle both companies for a short while.  I don't think they terminated you because of a different job though. 
Trying to help but maybe too late

This is the procedure I found for when you want to transfer glossary from one computer to another, I'm assuming you do not have access to the other computer:


You need only send your .glo files to the new computer through an email attachment, through floppy, jump drive or other media, and save to C:InstTextGlossary folder. Then open IT and finally, open the glossaries.


Sure it is SS that is late and not your bank? They have to
build deposit files and it may be the banking system having problems.

Just trying to help.
Oops, too late

I'm sure I will regret my decision, but I have decided to ride the storm out


I am in Slidell which is on the north shore, but I know we are going to see extensive wind damage and who knows what else!


Yep! Especially late afternoon.. nm
.
late fees
My business attorney told me I could really charge whatever I wanted - BUT - it had to be put as a disclaimer on the bottom of every billing you send them-- that is their "notice" -- you can't just charge them without warning them.  I charge 5% of total billing.  Mine reads something like "late fee of 5% will be charged if invoice is not paid within 10 calendar days."   Be careful on the verbage of calendar days versus business days.   And don't be afraid to charge it or defend it -- every other vendor they have is charging it!!
late payer
I am also hesitant to name the company.  I have worked for a small company a couple of years and pay is ALWAYS late.  I consistently do over 2000 lines a day for this company and I have about had it.   She is a very nice person and is obviously going through some hard times, but how long do you hang on ??
late reports
All of those reports should be dispersed, filed, etc. within a day's time. To consider that as low priority is ridiculous. I guess I'm surprised some of that hasn't been outsourced. They could hire a temporary service employee/clerical worker to clean that up immediately! No excuse for the negligence on the part of the worker with reports 30 days old.
Yes. Use MT while you learn something else. It's never too late. nm
x