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Serving Over 20,000 US Medical Transcriptionists

Maybe for a sense of security and peace of mind. sm

Posted By: Jewels on 2008-11-01
In Reply to: If you are already making that kind of money - justme

I always feel like good things don't last forever and I need a safety net. Weird, I know, but I always have this fear that if something happens to my IC client, I will fall back to having nothing.

Change is always constant in this field.

Does that make any sense?


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I agree - it is a false sense of security.

There are pedophiles everywhere that aren't registered.  I just can't believe that the laws aren't tougher on these people.  Anybody could come up with $500 bail - that's like a slap on the wrist.  This guy has made me very uncomfortable for a long time.  Last Thanksgiving when we were out of town, he strung Christmas lights all over the house to "surprise the kids,"  and he brings them over Christmas presents every year.  Thank God I have never let my children be alone with him.  The next time my husband tells me I'm over-protective, I'll be sure to bring this up!  Really, is there such a thing as over-protective in this day and age?


Sense of humor intact! Sense of hope as well! LOL

Yep, I knew it was advice, and I appreciate ALL points of view as it gives me perspective.  8-)  I've been reading the boards for a while now, and I realized that I'd get the good, the bad, and the ugly, and that's okay! 


However, I specifically asked for advice about how to do it rather than whether to do it, though, as I've already decided to defy the odds and give it a go. 


Enjoyed the NCLB reference, by the way! 


You should do as much for peace.
You are rude and immature and obviously not so enlightened.  Good luck.
I'm sorry. I was just trying to make some peace.
:(


Peace to you as well. Isn't that what John

was all about?


He didn't care about the money.  He just wanted everyone to be peaceful and understand that peace, love and kindness to all mankind was all that would matter.


It's a sad world with all of the hate and anger when there is so much to see and do and be thankful for.


I honestly think that John Lennon would have been absolutely mortifed, had he lived long enough to see all of the hate that has made our world crazy.


Like John said, "All we are saying. . . is give peace a chance."


 


My hero too, luv him, peace to all.
x
rest in peace!!!!
nm
All he was saying was Give Peace A Chance...nm
:)
Ah finally some peace!! I guess those
people who kept calling and calling finally decided to give up.  Not sure why or what happened, but when I emailed the phone company to tell them what had been happening, maybe they actually did trace it and the people decided to stop.  Whatever the reason, I am sooo glad!!  Now watch them call- lol!!  They were calling 5 times a day.  They only called once yesterday.  Whew!!
All we are saying is give peace a chance.

may Patsy rest in peace
Thank you for speaking up. I could never understand why everyone wanted to condemn that poor woman. Seems to me that all the people who wanted to condemn her are the sickos.
It is disturbing the peace if they bark incessantly.
We have a bark collar for our dog and bring her in if she's barking.  She barks at anyone that walks by, which is what I want because she's our guard dog.  Our neighbors aren't so nice.  I've gotten to the point where I just lean out the window and yell, "SHUT UP!!!!"  I don't like to involve the cops or animal control because our neighbors are the type to retaliate.
ahhh finally some peace and quiet, thanks!
s
Why don't people practice peace and love,just
zz
"perhaps" poster above is right. Peace and Love will lighten your load. sm
I once worked a summer holiday shift by myself and transcribed something so awful that I tear up when I think about it today. It was the death of a 3-year-old, and I got ALL the 5 dictations regarding the course of this little girl. Give me the "vanity" surgeries on holidays anytime. It is not up to us to make a judgement about who "deserves" treatment, it's just our job to transcribe it correctly. The work you transcribed may have been boring, but that lets your mind drift to loving thoughts about your own family and how you will all be together soon. Like the above poster says, turn your mind to loving thoughts, even for the patient you have prejudged, your heart rate will lower and believe it or not, the day will pass more quickly.
Your mind was in the gutter up there with sauteed stool, too. Would you please take your mind out of

Dana Reeves died last night at the age of 44. May she rest in peace! nmsg
xx
If security is what you want,
I'd look for something higher paying before relocating. Don't know where you're at, but there are numerous clerical jobs in CA on usajobs.opm.gov.   One in SanDiego right now for $33K in department of health for someone to do transcription.
Job security??? There is NO job security in
x
Job security

I have been doing SR for nearly 4 years now and love it. In fact, I almost resent having to actually type a whole report.


I believe there will always be a need for us. Not every doc is SR material. What about those specialties that require specific formating? SR can't handle those.


I think as long as we are willing to adapt to the changes, we will have the jobs if we want them.


SR nearly doubles the amount of work produced in a day by the transcriptionist, so I think the problem is going to be for the newbie finding that first job. Those of us already in the profession will be fine.


security sm
This is what worries me as well, what about storing it all on a portable drive and not the hard drive? Then what if you lose that extra drive even if you hang it around your neck, etc., or it gets stolen? Lots to think about here. Not especially talking about people on this board per se. It's very worrisome that everything is going all over the place. I also hear of people going to others' homes such as relatives, etc., to do their work and the company is none the wiser. I don't think there really is 100% confidentiality, as hard as everyone tries. There are some MTSO's also who do not check out these homes - how can they possibly???? Some of us are going by the book, but I wonder about others, especially if the work is being hauled outside the home to a public place or being performed with people coming and going all over the home. I am not talking about most on this board because we care enough to keep our finger on the pulse of what is going on in the field. What about the tons of others "out there" who we don't know about? Thank God for this board and the questions we ask and the help we give each other, we care enough to check everything out and talk it over. We need each other. Again, it is not about our members, moreso about those who don't care to come in here or don't care. I don't want to be part of a class action suit, no way!
Job security....

This quote was taken from a report  on the AHIMA web site about  Turnaround Time in medical transcription: (link:  http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_039584.pdf)


 


"Despite multiple replacement technologies, including point-and-click menus, front-end speech recognition (FESR), and documentation by exception, most industry experts and stakeholders believe that transcription services will not be fully replaced anytime soon. The need for a comprehensive free-thought narrative is integral to producing a record that supports continuity of care."


Don't be too sure about EMR job security
I worked for a large facility that went EMR without prior notice in December. This account went from steady work 24/7/365 to almost nothing. Depending on the EMR system in place, transcription can and is being replaced. Scary, but true.
Security
Using our computers overseas should be no different than the government using their computers overseas. I have family who work at the Pentagon and travel extensively to ungodly places with their laptops and all their work. If they can do it, why shouldn't an MT?
Ewido security
x
Well, talk about job security

This morning, she came in my office and brought me a flyer...


HEADING:


Medical Transcription Services at 7.6 cents per line...


Extraordinary Quality Medical transcription at 7.6 cents per line (65 character line)


24-hour Turn Around Time (TAT) compliant


2-4 hour Turnaround available on request


Secure and fully HIPAA complant


HIghly experienced Medical Transcription Staff will ensure that your transcription is completed efficently with the highest level of quality.


yada...yada...yada....on and on with their ad...


How can a company possibly work for this?  Wonder what the transcriptionists get paid? Would this be outsourced??  I wanted to ask these questions, but our manager doesn't care about anything but the dollar. I've been here 17 years and the work load is overwhelming. So am I threatened, YES! Should I be?


 


it sounds like security
is the primary issue for you. Great equipment, and great people mean a lot. Course, so do great dictators, so you may want to look into that...but since security is your big worry in life -- I think you might want to take it. You can always make another choice down the road if you change your mind. State and federal jobs on the resume can be a plus too, if you move on.

I'm almost 5 yr older than you, working for a national and the sole support of my household, and just co-signed on a daughters school loans of $125,000. To me, that is kinda scary. But personally i still have confidence in our field of expertise, and in our future. But you have to go with your concerns and what is most important to you. Good luck!
Thank you Microsoft for job security!!
LOL
So if MT 'incompetence' is job-security for you, then
.
contracts and security

Yes, the only real "comfort zone" is what is covered in a legal document.  There's your security to a certain extent.  That's not to say that will eliminate all problems, but it gives people an idea you're serious and professional about your servies and you don't expect to be taken advantage of.  Demand all that you want.   Then decide down the road how strictly you want to hold the other party to those demands. 


Think of how business people operate -- they argue at the conference table over clauses in contracts and then go play golf together the next weekend.  It's expected.  It's part of running a business.  Business is business, social is social.  Draw a line here between the two.  Be nice when you type a term paper for your neighbor's kid.  Be strict when you deal with clients. 


Anyone can challenge a contract or agreement, and sometimes you will lose or it won't be worth the fight to pursue it. Every situation is different.  That's why it's best to get the best attorney you can afford, the most experienced in this, to draw up that contract to begin with.  Obviously the clients for whom we work have their own lawyers and the money to pursue things.  But looking at the overall picture, it's just easier to give into your demands as a Transcriptionist than fight, especially if they really want to keep you which seems to be the case here.  If there is a disagreement and you walk, their work is going to get backed up until someone else is trained and up to speed (in most situations).  Who wants that hassle?  It's easier to give into your demands.  Lawyers aren't cheap for anyone, either side.


I'd sit down with these people and explain what they have done to you because they really may not realize how it is affecting you.  Be pleasant about it but firm.  Then have that contract ready and re-negotiate.  Tell them your lawyer has advised you to do this with every client you have and you are changing your way of doing things to protect your business.  Who can fault you for that?  It makes perfect sense.  Then you'll know where you really stand with them and you can make your decision to stay or move on.  And when you deal with anyone else, present the contract to them and make sure all parties understand what they are signing before you do one bit of paid work for them.   


One other tip:  This is not meant in any way to offend you, as I'm sure your sklls are good, especially if they asked YOU to find a replacement.  They assumed they would get someone just as good as you.  Don't do it.  Don't ever hire a fill-in who is equal to or better than you.  You want them to be exceedingly glad upon your return!!!  Doing this even puts you in a better bargaining position as far as rate increases in the future.  If you want to help out a friend, get her/him an account you don't want.  OR, hire them as a subcontractor for you so that they do not deal one-on-one with the client except to do the work.  They are not to be involved in any negotiations whatsoever.  But I still prefer hiring below your level of expertise.  It's better for you that way. 


Did security updates; seems all better now. -- nm

As an IC MT do you pay into Social Security? SM

I am an IC MT in California.  Does anyone know if we can pay into SS so that we get compensated for retirement?  As of yet, I have not but would like to in the future, if it is possible.   


TIA


Social Security
If I understand it right, assuming you are paying your federal taxes, you are paying Social Security.  It's something like 15.3% of your reported income, half of which you get to deduct if your income is under $102,000.  Gee, think I just barely fall under that tax bracket!  Google "self-employed social security" or something along those lines for a full explanation. 
We have job security?? What company do you
fh
Security enabled?
Is your network password protected?
security code
How do you enter a security code if you don't know it?
security code for what??
x
Being wireless has nothing to do with security.
You can still set your security requirements and firewalls to prevent problems. You can be wireless on a regular home computer, doesn't have to be a laptop or a WIFI hotspot, etc.

Speaking from experience, most hotels are well equipped where security is concerned. Like another poster said they can't have just anyone dropping in on their connection and accruing charges. Also, most of their systems work off the same wireless connection as the guests, obviously they have a secured connection to prevent problems with their own equipment, records, etc.
security, confidentiality, etc...
I also have a home computer and all the same programs on a laptop to use when I travel. It's no different than my home computer. When I type at home, I am typing in my living room with my husband and son moving all around me. (We're remodeling right now.) They respect that what I am typing is no one's business and they have never even offered to look or ask what's going on. Furthermore, this is a family computer, not provided by work. They are on the computer quite alot when I'm not. The program in which I transcribe is password protected and the information on patients is not stored locally, but on a server 1000 miles from here. That's about as secure as you can get. Then, that is not to mention that I have a wireless network here at home, as well as when I travel. With a password and a good firewall, security is just not an issue. Also, see the post from Just Me a few down, about networks. She is correct. (I also have worked in IT for many years.) Hotels ARE secure networks with original passwords. The last one I worked in had to give me a new password daily. Working at McDonald's or an Internet Cafe is what wouldn't be safe.

As for the laptop... like I said for my main job, no patient information is stored on my hard drive, but at a server away from me. I have a local account also, and once I do the work and send it in, it is deleted. I personally don't see the concern. There's not any point when I'm traveling that I have patient data stored on the laptop. The only way anyone could get patient information off of it is if they bust in the door while I'm working and jerk it from me mid-note.
security code
Try 7534.
Security code....
Mine is 7000. Don't know if they are all different or not.
Security issues.
x
There is no way you can compare security
x
I think i know my kids better than you and at least it is some kind of security.
x
They are. Many of them get social security checks for
mental illness or other issues. Some of them spend their social security checks the day they get them on booze and gambling. Some people CHOOSE to be homeless, if you can believe that. There are programs out there for them if they apply. I got to know the homeless population of our city pretty well at one of my former job. I could tell you some stories about some of those characters. One guy is homeless, but he could have his house and bank account, his military retirement, and his social security. Instead, he pushes a cart around town and sleeps on park benches. One woman runs down the street in nothing but polyester pants pulled up to her armpits in the bitter cold of winter. She has shoes and a coat, plus welfare and social security benefits.
Wow! Way cool! The security issue isn't something..

you need to worry about.  The president's itinerary is readily available to anyone, and there is not need to NOT mention he will be in your town.


I hope your daughter will be able to attend to see him and hear the speech! 


Anyone with an ADT home security system?

We have been thinking about getting one for awhile, but especially now since our neighbor is out on bond for 1st-degree sexual abuse.  How does this work and what all does it monitor?  Any info would be appreciated.  Also, is it expensive?


the self-employment tax IS the 1/2 of your social security...
"On top of the self-employment tax, etc., you don't get the benefit of your company paying 1/2 of your social security so that is where most of your money at tax time goes to. "  please don't post if you don't know what you're talking about.
security of any kind is really an illusion
so i would agree that you should make a choice for family and sanity vs security. You can make it work. If one company doesn't pan out after a few months, then move to the next.
No job security with offshoring companies
x
Social Security will take it from your Schedule C

Social Security will take your earnings from your Schedule C that goes onto your 1040.  Whatever amount you declare and pay your self employment taxes on (15.75%) is the amount that they will use for your yearly earnings.