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Lisa B - my rates and a long message

Posted By: Patti on 2007-02-20
In Reply to: To Lisa - Going Rate in Area - luv2type

Again, I am from the old school, old way of counting and have had my accounts for many, many years - some 18 years.  I do the simplest and easiest for me which is just doing gross lines per Word -- which I know counts the spaces but that is how these accounts were started and when I inherited some of them was told to count top to bottom -- but with that in mind -- I keep my rates a little lower.  I am from .11 to 12.5 cpl.  The lowest is for my Psych accounts as they give me 3-5 days turn around and we insert a lot of templates.  The others are internal medicine, surgery, surgical oncology, Plastic/Hand surgery and Dermatology.  I do pick up delivery, print, envelopes, cut apart chart notes but I average $35 to $45 and sometimes over $50 an hour (depends on how many Op's and consults that I have) and cannot see raising my prices.   So I am happy and content.  My pick up and deliveries take me an hour each day (depending on how much I visit with the office staff and docs) and I usually stop at the store or something but it gets me out of the house and I really do not mind that at all.  I figure this into my work day to get my average hourly rate and am still happy with it.  I will probably raise my rates at the end of 2007 but it has been two years.  So with all of that said -- again it depends on your variables -- pick up and delivery, printing, etc.  But for a ballpark figure I would go for 12 cpl for digital and 12.5 to 13 for pick up and delivery knowing that it will take 3 to 6 months to get your average up there while getting to know your docs, etc.  I have used Sylcount for another account and to me that was too cumbersome.   I tell my accounts the simpler, less time consuming we keep it the more savings I can pass onto you.  And yes, they do appreciate me, pay on time, Birthday cards are received, Christmas bonuses received, included in staff parties if I want and the doctors actually talk to me and treat me as a person with a name and joke with me.  Nobody can really answer this question for you as only you know what the account entails, your experience and what you want to make.  You can always raise in a year or after doing it for a while. Good luck, e-mail me if you need any other additional info.   Patti




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Q&A rates - see message
Hi everyone. I need advice on what to pay someone for doing Q&A work. I'm not sure what the rates are for that. Any advice? Thanks.
As far as calculating rates, see message inside
I also charge by the line and I use 65 character lines to calculate. I use MPCount, which is a free software that you can download and it works great and is simple to use. Sure makes the line count calculation easy to do. Good luck.
Please see message. I have three daughters with long, long hair.
I also have long hair down to my waist and my three girls have hair that long too. My daughter brought them home from school last year. I was devestated and grossed out!!!! I have never had to deal with lice. Anyway, we did the treatments and two of my girls broke out in a severe rash with the OTC stuff. Their little heads were so sore!! I thought I was being meticulous with eggs, only to find them hatching again down the road. A nurse at the pediatricians office suggested I try oil to suffocate them since my girls were allergic to the lice solution. I bought a huge bottle of veggie oil and dumped it on all three heads, plus my own. I then wrapped the heads in platic wrap and then a towel. I left this on for 30 minutes. It takes a while to wash out the oil, but we never, ever had the lice or eggs again!!! If you try this, make sure you put on an old shirt and put a towel around your shoulders. Obviously we were desperate, but we all have such long hair and very thick hair so I was willing to try anything. And I figured there was no chemicals involved so that was pretty safe. And it sure did help my littles ones since their scalps were pretty raw from the solution. Hope this helps and Good luck!
Here's the story - long message

I have been using the product off and on for the last 7 years, but mostly since November 2002. Let me offer the short version of what’s involved: 


1.            You need a computer that has a CPU no less than 2 GHz with no less than 1 MB of memory, and it should not have a Cerelon processor.


2.            The system requires a sound card that is not integrated into the motherboard. Here is a link for sound cards that work well with Dragon:  http://support.scansoft.com/compatibility/default.asp


3.            Don’t use the microphone that comes with the product. You need to order one separately. Here’s a link for quality brands:   http://www.emicrophones.com/microphones/product_detail.asp?subcatID=1   (I’ve used both the Andrea-700 and VXI Talk Pro in the past, and they are suitable to the task. I currently I use the Sennheiser MD431 II handheld/desktop microphone (it’s worth every penny).


4.            Learn the proper way to dictate:   http://www.emicrophones.com/articles/index.asp  (check all of the links on this page; Marty has a terrific web site). This can make or break the level of accuracy.


5.            I prefer Dragon Medical Suite over the Professional version. You want to have the latest version, which is version 8, since it has the highest level of accuracy (you upgrade further at no charge, but you need version 8 on your system).  Previously, you could purchase version 6 or 7 off ebay for $250-300 and then upgrade to version 8 for under $200, but it seems that now the upgrade to version 8 is $450. So, you’re best option is to keep an eye on eBay and pounce when you see a good deal on DNS Medical Suite version 8. However, you *can* get by with DNS Professional if you have enough documents for the program to “read.”  They say 30-50 MB is sufficient but I disagree. I do acute care and have close to 500 MB, and keep adding all of the time.


6.            Will the product benefit you? I would recommend the product to someone who can say “yes” to any of the following:  [a] you have physical problems such as carpal tunnel syndrome or arthritis; [b] you don't have a great memory and cannot remember thousands of abbreviations, which means you’re typing things out at least 50% of the time (that includes being proficient at SmarType and Instant Text, which *still* boils down to memorization).


7.            You need to put the time and effort into preparing and training the product. You cannot just install it and “Away we go!!!” However, if you’re diligent about the training process (which is continual), you can probably average 350-400 lines per hour with 98-99% accuracy after three to four months of training. This product is not for everyone. Some will do better than others. Success or failure lies in the user, not the product.


8.            The more you learn about the product, the higher your level of production. That goes for any product. There are three web sites out there which are dedicated to the product and can answer anyone question you’ve got.


9.            Is proofing necessary? Yes, no matter how accurate you think the product is. But, the more you train it, the faster the proofing process. With proofing, I average 350 lph. So, if someone did the proofing for me I would probably dictate 450+ lph.


 


I think I've covered the initial bases on this. If you want to discuss things further, just email me. 


Need advice -long message

Some of you probably know me but I am small MTSO, 2 part-time IC's.  One of mine does Psych Eval and I pick up tapes once a week usually, 2-3 tapes on Thurs or Friday.  I deliver to her.   Do not need the last one back until Weds a.m.  I usually ask that if there are two, one back on Monday and one on Tues p.m.  So the doc does get them all at once.  They have to be out in the mail by Thurs from him, I send them to him and he prints and mails.   Well this gal has been doing this account for over a year.  She is always rushed and trying to get them done "faster" all the time to make that much more per hour.  (I pay 0.8 per gross line with headers and footers counted).   So there is usually 350 to 400 lines per account which she does in about an hour since I have set up so many templates.  Good money I think.  But she rushes so much that there are minor mistakes being made -- wit instead of with, or instead of on, bear essentials instead of bare essentials,  not big ones but little. I feel that because he gives us so much time tht these reports should be 100% accurate with the typing and grammer -- am I wrong.  I make very little on this account, 25% of the take at maximum.  So I told her that if the reports came back PERFECT I would pay her 0.85 cents per line and she really got upset.  Said that humans make mistakes, etc.  Am I out of line?  She really gets defensive on the corrections I send her and so I stopped sending them to her.  Yea she used to be a friend.   So how to you like to be told that you have errors?   I try not to be too stern but when she attaches the incorrect letter to a psych eval that got me the other night.  Give me some advice. I mainly just E-mail her back the corrections I have made but evidently I am too "harsh" and demanding too much perfection.    Thanks.  Patti


Discount - sorry long message
I do offer my docs a 1% discount if they pay within 3 days and especially if their account does go over $1000 I get my check the next day.  One of my newest accounts did not apply their discount to their second bill and I was told "You work hard,  the work is returned on time, good quality, Dr. C______ is not the easiest person to work for and I did not take off your discount because you deserve every penny of your invoice."   He is a dermatologist, has lots of Op notes, good gross line count and he is really not that hard to do, lots of shortcuts but he does have an irritating habit of clearing his throat about every 5th line but you get used to it.  But again I have been luck, all accounts pay within 3 days at the longest, never a bounced check and never a question on my line counts.  But along my 15 to 18 years of doing this, I have had my share of poor ones but for the past 7-8 years I cannot complain.  I have older docs who will probably retire in the next 10 years but then so will I.  They are stand alone, 1-2 in a practice and so don't know if they will ever go EMR or even digital but will continue as I have.   The accounts are out there you just have to look and perhaps go through several before you find one that appreciates you. 
balance...sm (long message)
just wanted to encourage you. i suffer from burnout too (30+ years in this industry would burn out anyone!) =) ...but I have found ways to overcome it.

i would suggest that you NOT change companies. often when we're really stressed, making major changes is the LAST thing we should do.

for me, i find if i lower my MT expectations and quit being as perfectionistic as i want to be, i decrease the stress load. if you have the ESL from h*ll leave the allowed amounts of blanks or let QA deal with them and move on! you have nothing to prove to these difficult dictators...i try not to take it personally that they don't give a rip that they make our job nearly impossible....

i also need to keep my work life and home/personal/creative/school/community/family roles in balance. i work 2 jobs (1 MT, 1 not, go to school--online, and am a single mom raising 2 kids--older now) IT CAN BE DONE! And burnout can be BEAT!

if you need some moral support let me know--i'll give you my email addy.

ALSO, as far as the CTS, for YEARS I've had to wear typing gloves...best ones I've found are "MouseMitts" http://www.mousemitt.com/wrist.html
i have no affiliation with them...just passing on a good product that's saved me from having to have surgery...

hang in there...there is a creative solution to your burnout...

now, back to MT work for me!!!
=)
First, you are not alone. Most of us have been there. We understand. Long message. sm
1. You will never make your husband or his family understand your job. To them you will always have a "work in your spare time" pud job. They aren't capable of understanding, so don't waste your time. Concentrate on helping yourself succeed, for your own satisfaction.

2. Not being judgemental, but it sounds like you either need to look for a new job, or streamline your work process. There are a lot of tips on increasing production from the more experienced MTs, I have learned a lot. Just ask, and you'll receive all kinds of suggestions for building speed.

3. Don't waste time on street names, unknown company names, etc. If you can't find them on one or two good websites, leave a blank or spell them the best you can, depending on the directions for your account. I have one account I blank a doctor's name, one I leave a ? after the best spelling I can get. I check three good websites for doctor's names, maybe four if the hospital is on a state line. I never waste more than 5 minutes looking for things that aren't pertinent to the account (doctor's names are, but the rest aren't).

4. If you are getting 60 minutes of work and it only works out to about 400 lines, you might want to get another account. In my experience, 60 minutes should give you between 500 and 600 lines, depending on what kind of work you're doing. If it is discharge summaries, you may never build up your speed. Sometimes clinic work is faster, you use more canned text. Op reports are good money makers if you have the experience. Use Expanders for everything. Every Expander you put in will make you money in the long run. Also, if the work isn't coming in when it is supposed to, let them know you need it by a certain time. You can't sit at the computer 12 hours a day to do an 8-hour job and maintain a life. It isn't humanly possible.

5. TAKE your days off, do something YOU enjoy occasionally, not always what your family wants. Be good to yourself. This is where burnout comes from. If your husband can afford to pay all the bills, use your money to hire a sitter for your daughter 1-2 days a month, and spend the day with friends. Hire someone to clean your house regularly. Learn to streamline everything you can. Without being selfish, you have to take care of you, no one else is going to.

I too went into medical transcription because I hated working for a company that made bombs. This is much more worthwhile. But it is very hard. You have to approach it as a profession to succeed, and you'll have to do that for yourself, because families rarely understand that sitting at home working is probably the hardest thing you'll ever do, besides raising your children. Best of luck to you.
disagree with you - long message but 50K+ can be made
I disagree.  I just picked up another account today.  You just need to go where the money is, do a little extra and pick up your own accounts.  In the past six months I have picked up two accounts that total an income of close to 1200 a month if not more.  This is on top of the accounts that I have that already generate 50K a month.  No I do not charge 15 to 17 cpl, no I do not work 60 hours a week and yes the majority of the transcribing I do.  I pick uo the single doctors that no one else wants, I pick up and deliver, print, fax, get to know the staff and low and behold I make a good living.   With these two accounts I still will be working less than 40 hours even with pick up and deivery and probably closer to 32.    I may have my IC's help if they want to pick up more lines than they do with their psych accounts but if not, well I will do it.  Again, look for the smaller clinics and go for it, the money is there and sometimes yea you have to put out a little bit of personal contact and customer service but again it is worth it.  Though my accounts are not perfect, they are dependable,  pay on time, and work with me when I have problems.   And these are older doctors who do not want EMR and do not want to type and so we have all decided that we will all retire at the same time.  In fact, I cut my thumb the other day trying to cut my new carpet to make if fit and my hand surgeon stiched up my thumb for free.  Anyway, to me the money is there but you might not be in your pj's all the time typing and need to get up and out and deliver and pick up.  Good luck to all of you.  My life is good.
Unlimited long distance in Maine. Please see message.
Hi all! There was a thread not far down on this board about unlimited long distance, and a few companies were mentioned, like Verizon, etc. I found out today that not all of these services are offered in Maine, where I live.
Does anyone know of any unlimited long distance services at reasonable prices in Maine?
ALSO, I know we have AT&T unlimited long distance here in Maine. Does anyone know if AT&T is one of the "good" companies? That is, can I use a C-phone with them and not be penalized?
Thanks so much for any help anyone can give!
see inside for link and article from Bill Gates...lm (long message)







 


Bill Gates bets $84M on corn power
Investment in ethanol manufacturer by Microsoft founder shakes up industry.
December 13, 2005: 6:41 PM EST


NEW YORK (Reuters) - When the richest man in the world invests $84 million in a company, you can be sure Wall Street notices.


That's why Neil Koehler, president and chief executive of Pacific Ethanol Inc. (Research), was looking as if he had won the Powerball jackpot on Tuesday.




"It gave us instant credibility and the equity financing to be very credible and real with our (business) plan," he said of the investment by Bill Gates, the Microsoft Corp. (Research) founder, whose personal fortune of $46.5 billion topped Forbes magazine's list of the world's richest again this year.


"It really differentiated us from the pack," Koehler said. Gates' investment firm, Cascade Investment, agreed last month to buy 5.25 million preferred shares in Pacific Ethanol, a producer of the corn-based fuel hailed by environmentalists as an answer to the earth's dwindling supply of petroleum.


The financing, in which the preferred shares will be converted into common stock, is expected to close in January and will net the Fresno, California-based company $84 million.


The Gates ripple effect

In an interview at Reuters' Times Square offices, Koehler said Gates' investment was a sign that ethanol can be a viable alternative to oil at a time of see-sawing gasoline prices and concerns about global warming and climate change.


"It's all coalescing and, obviously, a smart investor like Bill Gates sees that," said Koehler, who was in New York to attract institutional investors.


Gates' money will help Pacific Ethanol proceed with its plan to initially build five plants on the West Coast to process Midwestern corn into ethanol, he said.


"It's not only had a huge impact on our operations, but it's had a huge ripple effect on the whole industry. It has really caused a stir in the ethanol industry that Bill Gates has stepped up and said: 'I believe in ethanol.'"


The company went public in March and the $84 million will help finance the plant construction.


"This was very much our strategy and they very much synched up and helped us make it more real," he said. "They had decided they wanted to get into ethanol and had looked at many companies before they found us."


Despite the investment, Koehler has not met Gates, who is also known as a philanthropist.


"He's pretty hands-off," he said.


But just the name is enough to attract attention from Wall Street and oil companies, said Koehler.


"With Bill Gates and that whole left-wing, progressive position that he has and the philanthropic thing, it reinforces ethanol's green stamp," he added.


Ethanol versus oil

With crude oil at $50+ per barrel, Koehler sees the market for ethanol-burning vehicles growing. Already, U.S. gasoline contains about 10 percent ethanol and Ford (Research) and General Motors (Research) are developing cars to run on 80 percent ethanol.


With 150 billion gallons of gasoline sold in the United States each year, that represents some 15 billion gallons of ethanol.


"We could do what Brazil's done and have 30, 40 percent of our transportation fuel renewable," he said.


Brazil, which makes ethanol from sugar cane, and the United States are the two largest ethanol-producing countries, he added.


"It's a common fact, we are running out of oil and there is only one commercially-viable liquid fuel alternative," Koehler said.


But historically low gas prices and powerful big oil companies combined to stunt the ethanol industry for years.


"Because of the politics of the oil industry, ethanol has always been viewed as raining on their parade, interfering with their business model," said Koehler.


However, the situation has changed and oil companies now look more favorably on ethanol than other transportation power sources, such as electricity, fuel cells or hydrogen.


In addition, President Bush's energy bill included renewable fuel standards and starting on Jan. 1, it requires a virtual doubling of ethanol fuel use from the current 4 billion gallons to 7-1/2 billion gallons by 2012.


"With $50 oil and up, ethanol is very attractive from a price standpoint," said Koehler.


Ethanol receives a 51 cent per gallon incentive from the U.S. government and today it is selling wholesale for roughly $2 a gallon.


"The actual cost to a refiner is roughly $1.50 and wholesale gasoline is roughly $1.70 or $1.80 today," said Koehler.


And in another sign of the future, he said that, starting next year, the Indy Racing League is converting all Indy racing cars to run on the high-octane alternative.


"Ethanol is racing fuel," he added.


 

 

 

Has anyone kept a list of line rates, report rates, benefits, etc for sm

the different companies out there?  I feel lost and confused.  It seems like everything is changing daily, and I am not being organized enough to keep up.  I am about to actively look for full time employment again but if there was a list, I would be able to sort through a lot more quickly. 


Can anyone help?  I am going to start keeping a chart myself in case anyone needs this in the future.


Line rates in the Northeast - can anyone advise as to what the going rates are in the NE part of the
country? Specifically Connecticut. I want to make sure I am on target here. Thanks.
Thanks, Lisa! (sm)

 


I was pretty sure it wasn't illegal, since I signed all this paperwork and they did a credit check and everything to issue me the overdraft protection insurance, but it's nice to hear it from someone "in the know".  Thanks for the reply! 


On a Halloween sugar high, back from Trick or Treating with the kiddos, back to work and hoping I actually get paid for it.... 


(Sending out about 12 resumes tomorrow....)


 


Yes, you can Lisa if you look :o]

For instance if you have applied to a smaller company and they've filled the spots, you can offer assistance in the future with a backlog or to cover vacations.  Keeps ya' networked, plus gives you some extra cash.  If I had anything that I needed help with that is what I would do.  I don't see anything wrong with advertising for temp/vacation help.  Why not?  Sounds like a way to meet quality transcriptionists that you can count on.  The other ideas posted here are good, too, but if you need a vacation then you just need a vacation.  Taking work on vacation just doesn't seem like much fun to me.  I wish more people would network in this fashion, but I think there are people out there that might try to steal your accounts, so you might want to be very careful.  JMO.  Thankfully, I have not had that happen. 


Hi Lisa
I do not think that this is the trend, but have seen a few companies who are doing this. In a way, it makes sense because then you are getting paid for airtime and all the BS like conversations with staff, etc. that you would normally have to listen to and not get paid for. Most folks that I've seen post here on the subject would not do it for less than $1.00 per minute, but it really is about how long it takes you to type it (obviously) and how much your time is worth to you. Since a general figure of how long it takes to type 60 minutes of dictation, from what I've heard and experienced, is about 3-4 hours, at 0.67 cpm that would work out to about 10.05 to 13.40 per hour of typing time. Of course, I've had work that I could fly through, and then I've had work that would take longer than the norm, so like everything in this biz, it all depends. Hope that wasn't TMI, since you asked only about the trend thing :)

I also hope you are not talking about losing the account with the flashdrives, as I know that would be really disappointing after what you have done for them.

Have a great night, and a Happy New Year!
MedQuist - Lisa
With your experience, I would have to say it depends on cpl they are willing to offer you. I know of many companies that are generous in cpl due to the number of years of experience. I agree with earlier posting about it depending on if you get a good supervisor. The raises are not much to be desired, you will have to fight for one in the far, far future. Again, with your experience, don't settle for anything less than what you feel is fair. Worse case scenario, if you don't like the job, move on to another company until you find a job you do like. I don't think anyone can answer this ? for you.
Lisa - subcontractor
There have been people here who would like just a little extra.  If you get the account and once you are settled, why don't you put your need on the board.  You might find some bites.  Some people like to do a little extra.  Of course if it is something digital you could even go away from your state.  Just a thought.  I happen to enjoy helping others when on vacation.  It has worked for me in the past as well when I needed a vacation .
I would love to help if I can, Lisa....sm
I love to help newer MTs, because back when I first became an IC, I was so shaky, I had my first two babies at home, my husband was gone most of the time for work, and this ANGEL that I met on another message board happened to see one of my questions and since she lived in my state and my area, and she had been doing MT for many years, we hooked up....she was so wise, and so helpful, and we became really good friends until she had to move to Italy with her husband. Also, if you are doing IC independently, I found so much info from my local SBA (Small Business Administration), they will actually let you know the laws of the state regarding setting up business, tax laws, tips, and they will just mentor you along in growing a business. Anyway, please feel free to e-mail me anytime, I will help if I possibly can! You'll be great!
Lisa - your 1st post was so optimistic....sm

Lisa:  Your first post was upbeat and optimistic/positive.  Then in walked the panners of MQ.....outside of a few clear realistic posts.  Now, this current post of yours saying something to the effect of *now MQ isn't lookin too good* is indicative that you HAVE, indeed, let the panners influence you.


Again, hopefully you'll get a GREAT supervisor....(not a given) - the supervisors can make it or break it for you...hopefully you get one with NO POWER OR EGO problems!!  I always said, the day my PS leaves, I'm gone!!  *lol*  Good luck to you whichever way you choose! 


 


To Lisa - Going Rate in Area
I would try Career Builders and look for on-site MT jobs in your area and see what the hourly rate is and try to figure how many lines you would do in an hour for this account.  I'm no expert, but that is probably what I would do.  It seems strange to me though that the Nationals pay pretty much the same line rate to their MT's, yet they are all over the US.  Will you have to pick-up/drop-off tapes?  Do you have to print?  If yes to these two questions, bid in the middle to higher range.  If it is all digital and you only have to e-mail the reports back to the office, then maybe consider the low to mid range.  I'm on the East Coast, and the cpl ranges from 10-15 cpl (65 characters with spaces) or anywhere from $13-17 per hour.  I hear though in some other states such as Texas, the going hourly rate is $9-12 per hour, so this would reduce the cpl rate.  I guess it would depend on the type of program you are using.  I only use Word and the line count built in.  I do not have a separate line counter.  I hope Patti has ideas, and she very well may.  I think she said she's in Oregon, so that would be considered West coast, so I'd be anxious to hear what her opinions are on the average rate.  She's pretty knowledgable and from her posts "plays fair".  With all that being said, I think either 13 cpl or 15 cpl depending on the program and method of retrieving dictation and sending back reports once they are transcribed.  Hope this helps!  I tend to get real chatty!  Sorry! 
I hope it was okay to e-mail you Lisa.
NM
Lisa/MT Student (see mssg)
I don't think you would have to pay to place an ad.  See if there is a "Letters to the Editor" section.  If not, it might have to be done the way the doctors do it:  Their papers are submitted to JAMA for consideration of publication.  Even though we MTs are not doctors, it is their work that we are transcribing.  And sometimes (if we're lucky) we even get to transcribe those papers that they are submitting for publication!  I don't think there is a single doctor or medical professor out there that would want their JAMA submission, book manuscript, etc. transcribed by an ESL MT.
Lisa, the truth of the matter is ...
that there *are* actually MT's out there who are still happy in their jobs and who make good money still in this profession. In truth, I still love the *type* of work that I do; it's the rest of what's going on that I'm sick of as well as the downward trend in pay. What we're commenting on here is the *overall* mood, feel, and status of the industry right now ... and my personal belief is that it's not going to get better.

I say hold true to your dream. If you really want to be an MT keep looking for that company that's going to be a good fit for you. It's going to be hard with you being a newbie, but it's still possible. Don't put all your eggs in this one basket though as some of us have done. Keep a back-up job in another industry so that as things continue to degrade on the MT side you'll have a soft cushion to fall back on. Keep reading the boards with an open and critical mind and decide for yourself if the common challenges that you see MT's as a whole facing are of an ilk that you can tolerate.

I hope this helps.
Hi, Lisa. Have you added macros to SM
your Expander yet for many of the common VR changes--such as for backspacing over a comma, adding a period, and capping the first word of the new sentence? How do you drop common words like, say, "she" into a sentence on the run? I hit "k" and in it goes, but I'm off scanning the next line by then and don't actually see it. Do you constantly use your program's function for jumping the cursor to the point of dictation and vice versa (assuming it has one)? This is a big speeder-upper.

And a reality that's hard for some to run into: Editing skills and talents are different than transcribing skills and talents. Reading fast and accurate becomes big. Punctuating fast on the run was always desirable, but it's more significant now as the ability to simply get the letters on paper becomes less so. Are you one of those this work suits or one it doesn't? If yes, keep working on speed. If not, move on sooner rather than later.
Hi, Lisa. Just wondering how the meeting
Hope everything went well!
Hmmm, interesting theory on Lisa. Maybe so, huh?
x
Hey Lisa - I'm from Lyons - give me a shout!
X
That's why this is a great Site! Congrats Lisa!
Way to go Lisa
The 1st giveaway had 92 entries with Lisa I. of CA as the winner.

Directly after announcing the first winner, the second hunt began.  There is indeed an I FOUND IT message posted and will be awarded over the weekend. 


GOOD LUCK!


Lisa, you make a very good point. sm
I guess I should have been a little more specific. If ALL MTs were to go on "strike" and not accept the low wages these MTSO's are offering, they eventually would HAVE to offer a decent wage we can live on. But, the other side of the coin is, if the MTS WOULD STRIKE, then the MTSO's would no doubt just hire those non-U.S. MTs anyway, because that is the reason in the first place they are paying so little. The U.S. MTs have no support, that's for sure. (and I apologize for the misspelling of a word in my previous post.)
N-n-noooooooooooo!!! Not Kev! Did you see how crushed Lisa Tucker looked
because she didn't get the boot? As she walked over to the host, she looked very unhappy. Then as soon as she went by Ryan she put on a weak smile to walk back over to the other contestants. She wants to go home.
Congratulations! Lisa I. of California on winning the first dinner!

Email to admin@mtstars.com with your full mailing address and your choice of restaurant and we will send out your gift card immediately.


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CONGRATS to Lisa R. of Wolcott, NY on winning the $10 gift certificate
/
Venting-why do people keep putting nm and THEN writing a message?? nm means no message - sm
Please put sm if you have a message and NM if there is no message other than your subject line.  It makes it easier when reading these messages.  thanks so much and have a nice day everyone. 
I hate Instant Text. It is expensive, long long learning
curve, and too much distraction for me.
How long should I wait after applying for a position before I follow-up. It has been as long as two
without hearing from some.  Just wondering if I should send an e-mail to follow-up to see if they received my resume or not.  I don't want to offend anyone but feel two weeks should be long enough for someone to at least acknowledge my resume and that I have applied for a position.  Right now I would accept anything even a note saying no thanks.  Any advice would be appreciated.  I haven't had to apply for a job for the past 10 years so I am a bit rusty at this.  Thanks again for any advice. 
small message. nm means no message
see?
Flame=200 views, sm=see message, nm=no message
x
Congrats! How long have you been a MLS and how long did you study for the test!

It's been a long, long time since I've used a C-phone, sm
but I do think jobs can be paused.
I had a problem with this for a long, long time sm
I have always worked days, like from 6-3. Over the last few years, it didn't matter how much sleep I got, I became real groggy between 7 and 11. Really shoots the day. Talked to my doctor and he said my blood pressure pills were the culprit but he refused to change me to another brand or dosage since I have multiple aneurysms (2 in the brain). My BP has been stable for a long time and he wants to "keep it on the low side". I tried taking them before I went to bed instead of early in the morning, but then I had headaches all day. So, I am changing to a night shift for a few months so I can sleep when those pills kick in and so far it is working pretty good. I stay mostly awake during my shift and die when I hit the bed from 6 am to 10 am, then I lay down again later in the afternoon for 2-3 hours. I still get 6-7 hours of sleep, it's just split up during the day, plus I am mostly awake now when I sit down to type. I don't have to deal with the heat in my office, either. It tends to warm up real fast in here with the south sun on the house and 2 pc's running all day, even with the air conditioner on.
Way back when, a long, long time
ago and in a galaxy far, far away, I had my own accounts also and some years cleared $75,000.  Yes it can be done, but you need to have your own accounts.  Also lots of delivery, and other duties involved.  I work for a large national now and make much less, but I got tired of accountants, having to deal with hardware problems, deadlines, driving deliveries, printing, printers, etc.  So I decided to simplify my taxes and stay home and just type.  Don't have to worry about computers either, because the company will just send me a new one. 
Long, long files. Seemed like they'd never end! I'd never go back to VA again. nm
s
I've been doing this a long, long time...

I used to make $70,000 and up a year and did so for most of the late 80s and 90s (one girl used to make six figures a year working 7 days a week!)  Because we were making more money than the supervisors and Medical Records Directors in hospitals, they began to switch to transcription services which were sprouting up all over the place.  Plus AAMT came into existence and even though in the beginning it claimed it was to fight for transcriptionists (although assured us it was NOT a union), they eventually morphed into an organization that was more management friendly.  They developed the "guidelines" and the 65-char line.  That was the beginning of the end for those high-end wages.  Then all those mickey mouse transcription schools popped up, and now outsourcing overseas.  YES, we're complaining. 


Been in this biz a long, long time, 30+ years and....sm
I love/loved MTing. However, things have changed so much during these years. The job definitely gets easier; don't have to look up much, can decipher ESLs much easier, in other words, you get pretty comfortable with things and you have confidence in yourself. The more experience you have the easier the job, but....

I actually made more money 10 years ago!! We didn't have speech recognition and you actually got paid for headers/footers, demographics, carbon copies, etc., you got paid for what you did fairly; today, I am not so sure.

You will feel burned out at times, but that passes and you find you like your job again.

Good luck to you!!
???going rates
Help!!! just been offered an OB/GYN doctor account.  What should I charge?
Rates
I am out here in Oregon.  I will be completely honest but have been told on this board that I am too low and do too much for my docs but they have been very loyal to me, all have been with me from 5 to 18 years, pay on time -- 48 hours recepit of invoice, no questions asked about line count, etc., never a bounced check, etc.  I have  just raising my rates to 0.115   for my larger accounts and 0.125 for a small account that I have that does less than 1500 lines per month.  Oh yea, my psych account is still at 0.11 cpl but he is not 24 hour turn around and going digital.But I do charge gross line, 65 charaters per line.  I pick up and deliver, provide the sticky paper, cut apart the chart notes, do envelopes.  I make about $3200 to $3500 per month depending on whether all docs are in all month or not, (6 docs) and since I have been doing them so long, I put in 25 to 28 hours per week with printing, pick-up delivery, etc.  And yes, they appreciate me and give me Christmas bonus, birthday gifts, extra time when I have a crisis, etc.   Had been working at a clinic doing about 20 hours per week in addition for the past year  but just paid off my last attorney fee from a ugly divorce and so am qutting there as of next month and taking three months to do just my own  accounts and have some fun this summer.   I had a resume from a company out here that wanted my clinic account and charged 0.18 cpl but to me that is way too high.  I feel that I average 30 to 40 per hour and to me that is more than fair.   And yes I provide my own insurance, own my own home, put $500 to $800 aside for retirement.   Patti
Rates

It definitely depends on where you live.  I'm in Arkansas and have a hard time getting 0.10 out of docs around here.  Right now I have a peds acct that is 0.08 and an internal med that is 0.9, 65 character lines.  The peds acct provides their own paper for me to print on and I email transcription to the internist, so they print it.  I do pick up tapes everyday and I am always available, never take vacations unless the docs do.


The best thing to do would probably be to talk to some of the doctors and negotiate terms.


rates
I work full time and also do "extra accounts" to support my love to travel - live in the northeast.  I do a big GI practice (6 docs), ENT practice (2 docs) and high-risk pregnancy (2 docs).  I charge a flat $3 a page no matter how many lines are on that page.  (These are all letters).  I've been told I'm cheap, but it averages out to about $30 an hour for the most part and anywhere from 16 to 20 hours a week. All are quite good dictators, provide their letterhead and since I have been doing it for so many years, easy accounts.  They are wonderful about me taking vacation - just hold the work for me.  A bit overwhelming at times when I get back from vacation, but worth it. As all offices are near my full time job, I pick up and deliver almost every day. 
Rates...
I work as an IC for a neurology group and also for a child and adolescent/family and marriage psychiatrist.  I charge 12 cents per line based on a 60-character line.  I had worked for another group that paid me 14 cents/60-character line, but they needed tapes picked up daily and I lived nearly 45 minutes away.  If you have experience, in my area you can pretty well set your own price and they will jump at it.