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MTSOs are a dime a dozen, but your kids are not. - sm

Posted By: Lowly MT on 2008-08-05
In Reply to: How bad is this going to make me look. - Texas Girl

I'd have no problem at all postponing the training time with THEM, since they had already done it to ME! The kids are only kids for so long, and I think it would be more important to honor a promise made to them for swimming night, than to be further strung along by the company. The people at your new job are perfect examples of what happens if people grow up not learning to honor their promises & commitments. So in your same shoes, I'd keep my promise to the kids, which will help them to learn to keep theirs, as well. And I'd tell the MTSO what time is convenient for ME to have them train me. They deserve nothing more until they've earned it.


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Six of one/half dozen of the other
I have had both over the years (have bought my own insurance since 1989).  Neither gave me any grief.  Blue Cross was eventually cheaper for me than Mutual of Omaha.  The downside to Blue Cross is that if you move out of the area where you bought Blue Cross, say you have Blue Cross of Illinois and want to move to Georgia, you cannot take Blue Cross of Illinois with you, and just because Blue Cross of Illinois accepted you does not mean that the Blue Cross plan in Georgia will accept you when you apply.  With Mutual of Omaha, you would not have this problem.
There are probably at least a dozen jobs a week
posted for companies looking for people to work at home.  Pay may not be as good as it is usually production-based.  There are pros and cons, just like any situation.   With gas prices the way they are now being able to work at home is a plus, but working at home isn't stress-free either.   Lots of companies hire part-time and you could take a position for a month or two and try it to see how it will work for you before you decide to quit the other job. 
I most certainly never docked an MT a single dime SM
for errors or blanks. That is completely insane (I know companies do it, and my hospital used to do it till I took the helm).
Anybody can anonymously 'drop a dime'

on anyone in this type of situation - relatives, nosy (possibly vindictive) neighbors, a nurse in the ER who doesn't think the doc is doing his duty, store security, people in a public parking lot who only get a license plate number.  Obviously the more detailed and specific the information, the more seriously the report will be taken.  


Doctors are obligated to report if they suspect abuse and if what the doc dictated led you to suspect abuse, the doc probably did as well.  There's just no telling if he actually did follow through on this.  Generally, when I have transcribed such a report the doc has actually said that a report would be made to the proper agency.  It's right in the report.


The doctor's account of the situation would carry far more weight than yours, especially as you would be unable to give many details.  If you decide to make the call, don't forget to block caller ID on it.  If you don't subscribe to that feature for all your calls, dial *67 before dialing the number.  That way nothing should come back to bite you.  It's only self-protection. 


Yup ... smaller MTSOs, local MTSOs (sm)

local doctor's offices or clinics!  Don't get discouraged!!  :)


printed for my dozen coworkers! LOVIT!! -nm-
x
The reason I don't tip is because I NEVER have a dime on me. I don't carry cash, ever! I don&#
debit card and it's been like that for 4 years. I use a check or credit card for EVERYTHING!!!!!!!!!!!
My DH paid every dime of his bachelor's degree working....
36 hours a week and going to school.  How did he do it?  He didn't get involved in serious relationships because knee he would get sidetracked and wouldn't have the time to devote to school.  It also helped that he lived in California where state college tuition is reasonable.  For his master's degree, he borrowed the money from  his father (only about 4,000) and paid every cent back right away (this was after we were married and had 2 kids). 
I have not found one yet. Tried a dozen of them - nothing really works well or lasts long. nm
x
Go down this page a few dozen posts to where you posted this before. There are a few replies
s
Glad it works for you... but I think you need to raise your rate and at least do a dime! nm
nm
Yes, I bought a dozen or so awhile back and over half did that....sm
I have always used Maxell but that batch was really bad.   I was wondering if they had been on the shelf too long.   I went ahead and bought 12 more (different place) and so far these have been OK. 
Nickel and dime accounts/misc charges
I do not nickel and dime my accounts to death.  What I charge per line covers my time of delivery, printing, cutting apart chart notes, reruns when needed, etc.  If you hit them with this charge and that charge they very well could look elsewhere that just gives one price for everything, all included.  Simplicity.   Sure just like now I scanned a tape to do a STAT H&P for surgery but the doctor did it on the hospital line and did not write it down as he usually does, yes it took me 10 to 15 minutes but will I charge them NO.  WHY because yesterday I made $130 in less than two hours on their account and I received my checks one day after invoicing.  I invoice on the 25th, receive check today and it was due until the 1st.  And also they treat me like one of the team and appreciate what I do.  But you do what you need to do but if you keep it simple without all the extra charges, they will like you better.  You have to figure your nonbillable time into your rate.    Good luck.   Patti
Given their track record, I woudn't give them a dime
They had their chance, and all they did was take advantage of the people they claim to 'represent'.
Absolutely - woke up this morning to a dozen of long stem red roses, box of candy and cards from my
Beautiful day! Everything was sitting out on my dining room table for me when I woke up. Hubby had already left for work and teens getting ready for school. Plus, my coffee was already made and bagel in the toaster for me.

I am blessed!
Do little kids like caramel? My big kids won't even eat it! We make the basic Baker's chocolat
s
I never said you shouldn't have kids! Feeling guilty? I asked WHY you had kids.
You clearly stated in your post that you ship the kids off to camp all day, and they're TIRED AT NIGHT!!  You know exactly what you said.  You said it as a PERK - AS IN GREAT! They're gone all day, it wears them out, and so I shovel dinner in their mouths and off to bed!  You can try to paint it any way you want, but YOU SAID IT.  Again, I only hope your kids never hear you speak that way or write that way. Shame on you.  Why have kids at all?  Just another parent who has them, gets rid of them for day AND night, BRAGS ABOUT IT, and then calls ME wicked!  Give me a break!  Camp is fine - its WHAT YOU SAID AND YOU KNOW IT.  Your own words showed your heart. Period.
Kids are demanding and so is MT work. My question is how CAN you do this with kids, rather than how
When you have two young kids, 11 months apart, (like I stated they are now 4 and 5) and have been doing this since they were born with no help from their father and no family around, YES, the kids get neglected. Part time might work but living on one salary, part time, is not an option. How can you possible tell me that anyone with two young kids can stay at home and work a full-time, 8-hour shift, and still give their kids the attention they NEED. I dont care how good you are at multitasking and how great your organizational skills are. It is a very difficult thing to do. And I am offended by your post making it sound as if it is easy to do.

I do agree that it can depend on how well your kids behave and how well they are able to play on their own. But my kids were not able to play well on their own. They needed constant attention.

So please take the time to realize that there are people out there in different situations than your own.

Reading our posts should help you to understand that everyone has a different situation. I believe everyone should have the right to shares their experiences as it might benefit the original poster in her questions and concerns.

I dont think anyone should be bashed for taking the time out to write about their experiences. I dont usually come on here to argue but you really ticked me off with your post. And try reading the post correctly. I said next time around I would have put them in day care. What I DID do with them was set them up to an activity like art or put on a movie for them. Geez.
Stayed "because of the kids?" I say "leave because of the kids"
You're in no position to buy right now. Keep saving, keep paying down your bills, and for heaven's sake get rid of that dead weight of a BF you're living with. You can do better.
So, should I return the $75 (x2 kids) in music cards I got the kids for x-mas...sm
My son has been telling me about free music sites and I was very leary.  How do they skirt the law Radguy?
I don't have kids, but my Mom was from the "old school," and still had everyone, kids inclu

call her by her first name.  The little neighbor girl next door from the time she could speak called her Aggie (my mom's first name), and they were great buddies until the day my mom pased away. 


I don't think there really is much in a name, but more in the respect you are given and the way you are treated.   Personally, I kind of cringe inside when someone calls me Ms. Anything or God forbid, "maam" (makes me feel like Methuselah!) ... I'm always just plain Merrie.  :-)


But, as someone pointed out, to each his own.  If you want to be addressed a certain way, you have that right, and people should respect that.  I'm glad you corrected the child ... hope it "sticks."    


Please do not simply give up, kids or no kids!
Talk with a professional. This can be worked through if he really puts forth the effort and you participate. The right counseling can truly make your marriage even better than it was before, if BOTH parties are willing to be honest. Give it a try. Nothing to lose at this point and everything to gain!
MTSOs
You are not wrong but in my opinion, you are giving them too much credit. The reason why they don't do what you ask is because most of them are not concerned with making your life easier; rather, they are more concerned with figuring out more ways to cheat you and to make your life more difficult. Then when you get disgusted and quit, they will just get somebody else in a very short time to replace you because you are very expendable. And it goes on and on in the same vicious cycle.
MTSOs
You know, there has to be a market between the dastardly corporate MTSOs and small transcription companies. It seems to me that if a talented, aggressive MT with a good business sense could find a way to create a "team" approach to the transcription business, perhaps one could find that niche and sell "team transcription" to good accounts that the MTSOs screw up and have cheated. After all, you have to believe that with the scandals in the transcription corporations - over billing, sending work over seas without informing the client, a lot of trust is lost by some of these unsatisfied accounts. I say, find a way to market to those clients in a "team group" and find the right price, somewhere a little lower than the MTSO charges and go after those accounts aggressively in a group. There is a market there you know.
more than most other MTSOs pay.
it is not kosher to share on public forums what a company pays.
I would not think many MTSOs would want to
x
No, it's not just the MTSOs (sm)

The actual doctors don't want to pay more than minimum wage for transcription either.  As an independent, I've had doctors balk at 12 cpl (which is BELOW what the MTSOs are getting, believe me) and I've lost business because I wouldn't take $6 an hour or what equated to 7 cents a line. 


So where am I at?  Making peanuts working for MTSOs who are getting 15+ cents per line as a middleman for these same kinds of physician while I'm making a paltry 7-8 cpl.  It's a no-win situation.


 


Help for new MTSOs? sm
I have questions about proposals, equipment, and what to charge in order to get started. Are there any web sites out there to help me in this? I have books that I have read, but they go over the basics of start-up MT services.

You should run this by the MTSOs and
see what they think.
This is why the MTSOs have gone so low
single mom, does not want to work away from home. I bet they love reading postings like yours. They have women where they want them, just lower the rates because these people are saying they cannot leave the house.
When MTSOs overhire, this is what happens:
There are actually MTs who work to support their family or supplement their income to meet the customary lifestyle. When MTSOs overhire, leaving the MT with very little work, I have observed this - Jobs are done hurriedly. When extra foot work is required (due to discrepancy in report, incomplete info provided, etc.), the MT who is desperately trying to meet their bills will skip the job or disregard the need to research and go on to the next job. This is extremely dangerous for everyone concerned. At times, it is weeks before the incomplete report is realized.

I do not fault the MT entirely. When the MTSO overhires, they are setting themselves up for this. I do believe 98% of us want to do a really good job, especially those who have been at this for years. But, I have noticed this more and more, and it will, MTSOs, come back and bite YOU.

When you have a dependable employee who can be counted on for production of a certain amount of work, provide that to them.

MTSO - When you get a new account and hire top shelf MTs initially to get the ball rolling and make a splashing impression, do not replace them with lower rate MTs afterwards - it is obvious when the company is hiring nonstop and they already have MTs sitting at home idle for hours at a time. And this creates, MTSO, the "disgruntled employee" who may make every attempt to ruin your reputation each time they can.

I have just come home after being in house for a few years and after three months, I see this happening with my company and, according to the board, it is widespread. It is an issue that needs addressed before someone, namely the patient, is hurt by it.




Unfortunately MTSOs now do good if....sm
they collect 15 cpl.  With the pressures from overseas vendors the pricing has dropped to 12-14 cpl.  In the "old" days (prior to say 5 years ago) the going rate was 20-25 cpl and of course companies could afford to pay 10-12 cpl easily. 
Wellll, I don't know about MTSOs, but JLG -- Please SM
was helping with our hospital transcription.

We got paid $1.50 a minute if we did 2500 minutes a month ($1.75 a minute for all minutes over 2500).

JLG got $3.25 a minute. I saw the bill. I saw it with my own eyes. I nearly fell over. And to boot, it was horrible transcription, FULL of ridiculous errors, blanks. And we had to convert the text files. It was such a bunged up mess.

I lost all my trust at all in the hospital since they were paying us HALF of what they paid a service. I even contacted JLG to see if I could hired to work on MY hospital's account. They were going to pay me 7 cpl. What a joke.
Any Medikin using MTSOs out there?
I am in the process of opening my own mid-sized transcription company.  I am still in the process of deciding what TASP to go with as I do not want the hassle of maintaining my own equipment.  I have been looking at Medikin's website and am very impressed with what they have to offer for the price.  If anyone is currently using or has used them in the past, could you please post your experience here. 
Good MTSOs are even
more difficult to find than good MTs.  Many of them have negative attitudes and expect indentured servitude in exchange for peanut wages.  Many of them have limited, at best, technical or MT knowledge.  We get tired of the ranting emails that don't even apply to us from a PMSing or menopausal females.  Disorganized, poor communication skills, cheap, selfish, zero management skills, lack of a formal education, lousy platform, personal life issues conflicting with job performance.  You'd be able to find good MTs if you were a good MTSO.
From an MTSOs standpoint

no, I'm not one ... just throwing a coin into the playing field ...

Wouldn't having only ICs working "for" a company mean less liability. IOW, if MQ phased out the SE status, could that take a potential monkey off their back?

OTOH, they can hire all the ICs they want, but if those ICs only work for MQ, they're still considered SEs ... correct?


small MTSOs

There's a great online resource for MTSOs of all sizes, varying benefits and pay, and variety of work.  It's called www.MTJobs.com.  Sign up to be on their mailing list.  There are usually at least 50 companies listed on each newsletter, which comes out twice a month.  Good luck in your search, and prayers for God's healing of your medical problems.  :)


To MTSOs or QA Managers
I recently took over QA for a small company just purchased.  Previously there had been essentially no QA rules.   If any of you could send me examples of how your QA is set up, the percentages you deduct for errors - common, critical, etc., it would be most appreciated.  Any rewards given for high QA or deductions would be appreciated as well.
Patti or other MTSOs...

Hi,


Need to get my own account/s instead of relying solely on the national (guess who).  Getting a client in my area is probably the easy part.  The hard part is the logistics of software, paper, etc.  Not having dealt with this stuff working with a national, it is the *simple* things that are a mystery to me (and others, I suppose).  I hate to even inquire about transcribing for someone, not knowing what equipment I will need, what software, kinds of paper.  I am sure I would come across as an idiot (like right now, maybe?) 


OKay, well, I looked online at Dictaphone and it looks like there are mini, micro, and standard cassette units (not to mention digital online programs), so I guess you WOULD have to find out which the client prefers before investing in one, and I know you can get them on EBay, but what else? Does the software come with the transcriber? I don't suppose you can type them out in Word?  I suppose one can buy a medical spellchecker.  Then you need paper if you are going to print them out...what kind?  Anything else? There are so many variables.  I suppose I should first contact the two MTSOs that I know locally and ask for overflow work.  That way, they could help me learn about this stuff. 


No slamming, please. Very sensitive tonight as I just received a call from my Supervisor, very nicely hinting that I need to bring my line count up but, as we talked and now, hours later, I have *no jobs* on my screen.  Pretty hard to get that line count up with no jobs!


Thanks for any tutoring and/or advice. 


 


MTSOs AND RESUMES
As a recruiter, it is nice to have the references already listed in the resume.
To all MTSOs. please help with answer..sm

I have been a Transcriptionist for 14 years and I am looking to become an Editor.  I have experience in many specialties.  The problem I have is most places want an experienced Editor to fill their positions - how do I get a chance to become an Editor without any experience.  I have asked my company that I work with now about a position but they too want an experienced Editor.  Please help!  My poor hands need a break. I love transcription field and want to stay in it.  I am just wondering how long my hands will hold out.  I have every resource that I need for the position - last year I bought the COMPLETE set of Stedman's reference materials because I know how important it is to have good, reliable reference materials. 


Any and all information would GREATLY be appreciated!  I am just looking for a company that will be honest with me as I will be with him.  I am easy to get along with but would really like a chance to go in this direction.


Thanks and hope you all are having a great weekend! 


don't feel sorry for MTSOs sm
the person I work for is making hundreds of thousands profit off all of us and I'm being paid higher than 8 cpl. Don't feel sorry for MTSOs
MTSOs...What, if any, TASP do you use?
I don't like the one I'm currently with and am looking for some other options. What do you like about yours? You may email me if you prefer.
Ungrateful MTSOs
I know how you feel. I worked this way for years. Just Friday night as I was at the end of a report, I got a call that my son had been in an accident and was being transported by ambulance to the hospital. I signed off the report and shot a quick email to my supervisor that I had to leave to go to the ER. I had a nice email the next day from both my supervisor, as well as our QA person inquiring as to how he was doing and not asking at all - "when are you going to be able to work again" that note was so very appreciated, as most that I have worked for would have only inquired as to when I would be up and running on "their" work again - their only thought being on how I wasn't producing during a bad personal time and how they couldn't afford for me to take too much time off. I appreciate you, for what that is worth, and I hope that you will one day find a compassionate MTSO to work with. There are some out there, but they are very few and far between. By the way - my son is going to have to have surgery, but his life is intact and we will get through this setback.
small MTSOs
Ditto. I am not at all happy with the nationals.
An exception to MTSOs
I see that my post has been removed.  Perhaps it was too inflammatory.  .  In all my "trying out" of companies across the board, I can say that there are a couple of exceptions to my  post about MTSO's.  One of them is the owner of Keystrokes.  I do appreciate this company for being above-board, line count appears to be accurate and  pay  is always correct and on time.  There are still a few good ones out there. 
Any in-house MTs or MTSOs...
...or MTs who used to work in-house, have doctors/clients who want you to call them by their first name and insist on it.  I'm in California, so I'm used to the first name stuff - though I was raised by "formal" parents who insisted that I call everyone by Mr. or Mrs. or Dr., saying I should do so even when I became an adult, particularly with customers or clients.  But I still want to keep it professional...just my pet peeve I guess. 
IC is just a ruse that MTSOs use so they don't have to
pay employment taxes, etc. I've never worked an IC job where I was truly an IC. They tell you there's 24 hour turnaround, but they really mean 8 hours or less. The MTSOs tell us how to do the work and with what equipment/software, when to work, etc. That is NOT an independent contractor! They expect you to sit there doing nothing if there's no work, but have a conniption fit if you need a day off. I went three years working six days a week without a day off.

The IRS definition of an IC is "Who is an Independent Contractor? A general rule is that you, the payer, have the right to control or direct only the result of the work done by an independent contractor, and not the means and methods of accomplishing the result."
MTSOs - Need hep with new account please....SM

I had my meeting with the office manager of my new account.  With the system I use now for my other account (Word-based), the front desk receives my completed transcription via a secure transfer program, downloads it, and prints it.


 


The problem I have is the new office wants eight computers to have access to the dictation.  With the way things are now that would mean all eight would have to download the transcription in order to have access to it.  This would work, but I do not feel it is the easiest thing for them to do and I want to retain this account, so I want to find something that is easier that would allow all eight to have access to the dictation.


 


I believe what I’m looking for is something more like a web-based program where I could upload the dictation and then the eight people could have access to the dictation that way.  I’m not familiar with FTP sites or what other options are out there.  What I need is a way to transfer my files to the office where all eight people/computers could have access to it, make any changes if needed to the dictation where all eight people would then have access to the final dictation.  Does anyone have any ideas?  I’m totally willing to put a little money into this, but I just don’t know where to begin.  Are there any MTSOs out there who use a program that sounds like it fits my needs or any ideas to guide me in the right direction.


 


Any help/ideas would be greatly appreciated.  TIA


You sound like most MTSOs who don't

Experienced MTs are worth their weight in gold because they can produce and produce fast. 


An inexperienced MT needs to be molded and shaped and in no way can produce the amount of work an experienced MT. 


Just in those two sentences I've summed up my opinion of this industry at this stage in the game with formal training way before AAMT came about and producing quality documents. 


It's do or die! 


It's sink or swim! 


All of this hogwash you've typed is a waste of time.  Offshoring is going on because it's cheap labor and not because they're good or put forth effort. 


The amount of knowledge and skill comes from transcribing real documents by real dictators and not by books or prefab practice sets. 


COME ON!! 


This is all, of course, JUST MY OPINION!  I'm making loads of money in this field because I have the skill set and the only feedback I want is from the physician himself!  Thanks and have a nice day! 


Yes, like why do MTSOs allow padding to
x