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Serving Over 20,000 US Medical Transcriptionists

Need advice on beginning MT Business

Posted By: MTWI on 2009-01-20
In Reply to:

Hi.


Was at my chiropractor's office today.  As the conversation progressed Dr. suggested that I might be able to get involved with their office doing MT work.  Offices in five states, new doctors that become busy need MTs to do their transcription.  I have owned my own business in the past and understand the in's and out's of that part of it.. My question is how would I set up a platform to do the work in case it would become busy enough to need another MT to help, software, expanders, etc.  I have a few very simple ideas like using MS Word and creating macros that can be sent to aother MT, etc.  but not sure that is what I would do.


Is there anyone out there with any suggestions or ideas?




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Need advice on starting my own business
I have been struggling for the past year to get my paycheck.  I am so fed up with having to constantly hound the "company" that I work for that I might as well get my own accounts if I have to do so much footwork.  I would love any advice on how to start up my own accounts.  I'd love to receive all my files off the internet.  Any advice...... Please.
Any small MT business owners in CA out there? I need advice!!

I'm looking start up my own small bus., just a couple accounts, but I need to know if there are any HIPAA contracts or anything else that I should be providing for the doctor and myself to sign.  Any advice would be truly appreciated!!


Thnx, Rachel


Want to start my own small business, need advice..sm
Hi all.  I am looking to get started doing some transcribing on the side for myself, and perhaps turn it into a small business.  Right now, I only have the capabilities of doing tapes and using Word as my software to transcribe in.  I feel like I should look into digital and see how much the equipment would run, and how easy it would be to use.  Does anyone have any recommendations on something that is relatively inexpensive for a beginner? Should I stick to my guns and start out with tapes first?  Any advice would certainly be appreciated.  I have been doing this for 16+ years and I feel like I shouldn't have any problems getting some local work drummed up.  I am getting ready to type up some letters to send out and I guess I will go from there.  Thanks in advance!!!!
I need some advice on starting my own small side business. sm

First of all, I have worked for several nationals in the past few years, and equipment has always been provided.  I currently have a f/t position with a national that I use my own personal computer for, they just put their software on it.  I had what I needed already, as far as foot pedal, Expander program, etc.


I have just been sort of rolling ideas around in my head about possibly starting up something small perhaps on a p.r.n. basis just to bring in a little extra income.  As I am still just mulling this around in my mind, my questions are:  How do I go about getting started? Do I try to purchase equipment first, or start out using tapes? I am worried about spending the money and not having any takers, so I am thinking, I should send out some sort of letters first; but, without having the equipment already, how do I tell them I plan on doing their transcription.  Maybe mention tapes first, and tell them I have plans to go digital after I get up and running? These are all just things I wonder about.  If anyone has any ideas, please feel free to email me with any advice. 


I have been an MT for 16+ years, but as I said, I have always had all of the stuff provided for me and just don't know how to start. 


Thanks in Advance!


 


Unfortunately it is legal..so yes it is business and they will continue with bad business practices
x
In the beginning ........... there were NO
nationals ..........
I was beginning to think it was just me...sm

I see these kinds of questions so often.  I was beginning to think everybody worries about this junk. 


I don't see any of that in the beginning.
I thought, from your post, that you were an IC who failed to understand basic economics.
In the beginning there were a lot of
bugs with Vista. Also, if what the MTSO has is compatible with their clients, why upgrade and possibly loose clients???
I'm beginning to wonder if that's all there is left is
crap dictation.  Most of us say we're doing the crappy dictation and ESLs.  So the good stuff is really going overseas or to VR?  Or are there people here who get the good stuff all the time, which is why they make good money and we don't?
As I stated right at the beginning....

If it were ME, I would be blaming myself.  Each and everyone of us are responsible, one way or another, as to what happens in our lives.  Too many people over the past so many years find it much easier to place the blame elsewhere.  That is one of the problems with our society.  I was "accused" of being an over-protective parent as my child grew up, but guess what, he never, ever even came close to an incident such as that, or close to being kidnapped or any of the other things going on in the world; didn't fall down steps; wasn't involved as a passenger in a car accident, wasn't around drug users or "bad" people, because I PAID ATTENTION...I didn't allow accidents.  Accidents are only LACK OF ATTENTION and lack of common foresight! 


Also, my "over-protectiveness" did not in any way inhibit my child's growth.  He is a Gunnery Sargeant in the Marine Corps and handles great responsibility well and has the foresight and the attention needed to prevent accidents! 


As for the driver of that car, I'm not trying to "take their side"....I'm just saying we don't know what the circumstances were....my goodness, we have all run over something in the road at one time or another and when the weather is inclement or it is dark, sometimes you don't know what it is.  I would certainly hope that if they knew it was a child, of if they find out through newscoverage that they ran over a child, that they will come forward.  I'm sure that at least 99.9999% of people out there will not willfully run over anyone.  Perhaps he/she looked down at the dashboard or the left rear window for just that one second and felt a thump as he car moved on.  Probably wondered what it was but had no idea whatsoever that it was a child....why would any driver in their right mind think that a 2 year old was out on the highway at 2:00 AM or midnight or whenever it was????? 


No, definitely no keto in the beginning of it.
I have listened to this dang thing 10 times at least and at a bunch of different speeds..... no clue on this one.
2000 is only the beginning

Believe me, that $2000 is only the beginning.  I do feel for these people but many of them are only used to hand outs and they will be getting them left and right.  Lets see how many of  them stand in line for a job.  I heard that WalMart will hire any evacuee, no matter what.  I wish they would report how many have been hired thus far.   I was watching Fox news the other day and one of the  guys they were talking to said something along the lines of "They aint helping us at all, its like they shipped us all on slave boats again"  He then said the F word, which Fox didn't see coming because you could hear it plain as day.  Now that is the state of mind of many of these people. Give me, give me.  The welfare system has tought many that the government will take care of them, they do not have to take care of themselves.  Now I am not talking about all the evacuees just the ones that are not used to fending for themselves.  


Okay, said what I had to say.  This just all gets to me.


 


I do agree with you, too. In the beginning
I found the posts hilarious as well. But I got rather turned off with Frankie Boy. Things got graphic and very disturbing. I think that is when everything started adding up for me.

I like when everyone sticks to a name, as well. Things get confusing! I just hope this stops with whoever is trying to ruin this board!
The beginning salary for (sm)
a GS-0640-5 is $24677. Top end at that grade is $32084. Some localities have a higher pay scale, depending on the local economy. It's likely there will be no chance of promotion unless your supervisor quits, retires, or dies and you happen to be selected for the position. You must work to age 65 or 20 years of service, which ever comes later. Search
http://www.usajobs.opm.gov/
for all federal job postings. If you decide to apply for a govt job, be sure to read the qualifications for the position. When you write your resume, use the exact terminology (keywords) as the job description. Some clerk who has never transcribed anything in her life will be the one to look at your resume and decide if you are qualified. The only thing she has to go on is the qualifications listed for the position. When you fill out your paperwork for your security clearance, do not lie about anything. They don't care what you've done in the past, they are looking for any secrets you might have. If you have secrets you can be blackmailed!
p.r.n. at the beginning of a sentence
P.r.n. is incorrect. The correct way to type this would be:
1. Ibuprofen p.r.n.
not
1. P.r.n. ibuprofen
Slow beginning
Paid by the line, my first job paid less than $2.00/hour.  First year earnings were about $10,000.  Currently, depending on the worktype and dictator available, working for a National, I earn an average of $16/hr with the worst times being $7.00/hr and the best times being in excess of $22/hr.  Again, the quality of the dictation makes a huge difference in production, obviously.  I use Instant Text, the Expander program, which has made a huge difference.
Thanks. Good tip. I was really beginning to wonder ! nm
x
It's a great beginning

I think it's great and a step in the right direction.  I think what this industry needs from us is proactive steps toward making it known to people outside of the industry just what is taking place.  If every MT concerned about their job security wrote letters to the President, their representatives, media people - reporters, in particular, and it began to resonate with people just what is taking place, maybe changes would actually happen.  It costs nothing to shoot off an email to a local reporter, a member of Congress, the Senate, etc.  Let's get them to pass laws making it illegal to send medical records overseas. 


Numbers at beginning of sentence

I know that if a number begins a sentence you spell it out, but I'm not sure about after a colon.  We type:


BLOOD LOSS:  50 cc.


but what about


FLUIDS:  500 cc normal saline. (?)


Does the "500" need to be spelled out since there are words after the quantity, or is it considered part of a sentence beginning with "FLUIDS?"


I'm beginning to think that the Kevin vote is
America making fun of American Idol. I can't see how he's gotten enough votes and I do really hope he doesn't last much longer as he's certainly not in a league with the rest of the performers on the show this year. I'm afraid Bucky will probably fall for the same reason. There are several really great performers this year, these 2 just aren't.
True. This is at least the 3rd one since the beginning of the year.
:+
I am totally beginning to agree.
What other occupation that I know of can the employer get away with paying late, no benefits, and sometimes not paying at all.
I'll find it and let you know. I was beginning to think this was all about

.


I made my business your business by posting and...
I totally respect everyone's opinions. It is easier for others on the outside looking in. That's why I pushed the "post reply" button yesterday. I trust my fellow MTs and I know the more I read from you all, the more confident I am becoming. I just need that final push, not from him though. I also wanted to let you all know that the physical abuse while I was pregnant was documented by my doctor and the hospital. I only wish I had known then that it is a felony to abuse a pregnant woman. I also photographed my face from a couple of weeks ago and told several people in my circle. I had such high hopes for us. Now...not so much. I'm not saying that I won't try to get him to church, but I realize that God can only do so much for someone who isn't listening. j
Business is business. Internet forums are
.
Shift - home will do it backwards to the beginning
x
Beginning phase of Atkins - it's in his book. nm
:
I don't add it to the beginning as the noun is understood, especially if it a verbatim
account I would not change it.
ERs.. beginning/middle and end. Short story almost.
//
Add the Ctrl + B commands at the beginning and end of entry.
You click the command button in the Add window. The manual has more instructions.
Advice to YOU..1st learn to spell before insulting poster and trying to give advice...sm

chapped lips are caused from dehydration in the beginning and sm
chapsticks are a chain reaction causing continual need.
If this was posted at the beginning of th year, it has taken 3 weeks for anyone to notice. nm
:{
Site was foreign built from the beginning..just listed at top only for US
NM
I work for a large company beginning with an "M" and make
10.5 for text and 7 cpl for speech recognition. I work 10 hours a week and make 800 a month. I'm old and slow too.
At the beginning, thought the whole thing had been a dream - thank goodness it wasn't.
nm
Agree, we are only seeing the beginning of losing so many jobs overseas to India, China, etc., etc.,
This is a sad reality.  However, our country has let this go on for years now.
Sound advice from a fellow MT if you want advice or support (sm)

I have been an MT for over 10 years.  I also am getting burnt out, tired of my job, day in day.  However, I do love transcription and make excellent money at it, have grossed over $50,000 per year the last 5 years.  I decided to go back to nursing school and am very happy with my choice.  However, over these 10 years of transcription I have had my ups and downs.  My biggest issue with being at home working is lack of socialization, being home day in and day out with just the kids and the animals really gets to a person, sure hubby is home at night and thinks working from home is the easy life, thus the return to school and boy has my overall enjoyment of life changed once I realized I was the problem, not everyone else and I needed to find myself again.


Anyway, my biggest advice to you three-fold:


1.  Get into counseling for yourself, find out who you are and what your needs are, whether or not you think you need to, I sense you are feeling overwhelmed and need someone other than your family to talk to that can be nonjudgmental to your feelings and needs.


2.  If you're only making $100 after you pay preschool you can either keep doing it and be miserable, or quit because you are lucky enough to have a husband who can support the family without your income. (See how fast his mind changes just by losing the income you do have as to whether your job means anything.)  Or look for a different company or office that you like more and are more productive if you really want to do transcription (lots of fish in the sea as far as companies).


3.  Find a local "mom's" group where you can get out and socialize.  MOPS (mother's of preschoolers) is an excellent one that is nationwide, they have a website.  Also Mom2Mom is in a lot of areas.  They provide a once a week time for moms with kids the same age to get together, socialize, (some offer spirtual guidance some don't) and each week a different mom takes a turn watching everyone else's children at the facility that hosts it so the other moms can talk about things they have in common.  Every stay-at-home and work-from-home mom needs to socialize with adults, without their kids, or they will have a nervous breakdown eventually no matter how much they love their kids.


Sorry so long but it does get better but you have to take the first step at making yourself happy.


For a business ad?! A business that deals
''Transcriptsis'' x2

''with good track record''

''serve our clients of all sizes'' (I know what they mean, but I just think the wording is funny)

''strive to achieve highest possible quality'' (once again, they never met an 'article' that they didn't hate)

''all departments including H&P...'' (or a comma, for that matter)

Nothing new since the beginning of time..calories in, calories out. good food choices..portion size

Well then, don't start at the beginning, start in
x
Is that really any of your business?
I would think that it would be very wrong of you to spread the information you found on Google while searching for the patient's name. Are you 100% certain that it is the exact same person you are transcribing? Even seemingly oddball names can be duplicated and how would you look spreading around gossip? Even if it is court-documented, it really is not your story to tell, IMO. I would love to know who is telling you to put it on the news. That is about the craziest thing I've heard in a while, although quite good for a laugh.
MT business
It depends on how large a business you want.  There are still some small accounts, (10,000 to 18,000 lines) per month that are still on tape that you can get.  Also the digital is not that hard but I will not pay for anyone to transfer my files, I can do that.   I do not have a phone in system but if someone were to ask I would probably start out with the ones that charge so much per minute and use their system until I knew for sure the account was staying.   Where are you located, have you networked with anyone in the area?  Are you set up for tapes as well as digital?  If you start out alone, you have no back-up, you have to do everything.  When you hire I/C's sometimes they are dependable and sometimes not.   You will not earn much off of them if you want to keep your accounts.   You will not be able to charge as high as the larger companies nor go after the larger accounts at first.   It is a fine line as to having enough help and enough work and that is why you hear the complaints all the time, "We have run out of work" as you have no control over how much or when a doctor dictates or if he takes time off.  But would I give it up, probably not as the money is good to me.   You can E-mail me with any specific questions, I have been doing my own small MTSO for over 20 years.   Been through it all, ups, downs, good times, bad times, and everyting in between.   My accounts have been with me from 6 years to 20 years so I feel that they are pretty stable. 
Well I am sorry that you are using this business as sm
your excuse, but hospitals pay their people for holidays and if by chance you have to work them, they pay you time and a half.

I do not know why a business owner cannot take these things into consideration when setting up a business. This is a business just like any other business and if you have employees, those employees need to be given the same consideration as any other business. IC status is different, but I find using the nature of this business as an excuse just a little weak.

A good business head would enable you to provide benefits for your employees and if you have already made up your mind it does not, then I think probably it is because maybe you need someone else to do that figuring for you.

I am not being mean in saying these things, but even small business owners I know are able to work it out that a holiday is a holiday (whether you have to work it or not) and an employee needs to be compensated in some manner. To me, there is no excuse for not doing so.
new business
My opinion would be to let them either work at home or at the company.  I prefer to work at home, but some people may not.  As far the pay issue--when I started doing transcription I made .06 cpl and I think that is a fair rate.  Hope I helped
This is really none of my business, and I know that,
but the more I read of your story, the more absurd it becomes to even think of staying with this man.  I'm truly sorry.  I know how hard it is to leave, as I had to that in my former life, and believe me I wanted my marriage to last "til death do us part," but that ain't always possible.  I too TRUST in the Lord with ALL of MY HEART and SOUL, and as I said, sometimes it just ain't possible.  The Lord will guide you through this.  Guess it is just that as an outsider it is easier to see the forest for the trees.
Been there on business
I used to work retail management and my company had a resort there. I have been there several times to meetings and we always had some time to do things. I always enjoyed it and would like to go some day just for pleasure. There is lots to do there.
New business
I have a small transcription company that kind of fell into my lap, luckily.  It has been a year now, we have five girls and are doing a really good job with one large account.  I had tons of experience as a transcriptionist, but never as a business manager, so I took my time.  Now I am looking to get more work.  Anybody have any thoughts as to how to reel them in?
I have been in this business for
always been cherrpickers and probably always will be, just like bad drivers,  you can't get away from it.  I have given up and just do what comes up.  Saying anything doesn't seem to help.
I would say the same - none of your business
nm