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Need input on chiropractic account rate

Posted By: Wondering on 2007-06-22
In Reply to:

Does anyone do a chiropractic account?  I am wondering what is a proper rate to charge.  The account is basically patient SOAP notes, fairly easy.  He has just started dictating his notes.  I don't want to overcharge him, but I want a decent rate too.  I don't want to charge separate for paper and toner, just add it in to my line rate.  Have to take into account the cost of gas for pickup and delivery as well, which is about 10 miles one-way for me usually once a week, but I do try to run other errands when I deliver work as well.  I am in Michigan.  I have no idea what the going rate is in my area, as I don't know of any local MTs here.  I am sure there must be some here, but in my 10 years in this area, I have yet to run across another local MT, nor have any of the numerous people I've met been aware of any as well.  I have made between .10 and .13, be it 65-char. or gross line, for at least several years now as a subcontractor.  I have 15 years of experience, mostly in acute care, so am not well versed in the going rate for clinic notes. Any input is greatly appreciated!


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What is the going rate for account
managers in the Midwest?
Is 13 cpl a good rate for clinic account?...nm
ss
take a cent of their rate and a cent of your mom's rate. I'd do it to keep the account or the

You already charge a fairly low line rate, but I'd definitely cut it to keep the account.  JMO


chiropractic
I have been working for a chiropractic neurologist for about a year, part time. I received my certificate from a local college in May. Stedman's also makes a neurology word book that may be helpful to you. I love doing chiro work.
Anybody do chiropractic trans?...
Have only done radiology before...was wondering if, with this background, would it be possible to break into working for local chiro's or if totally different type of work.  Anybody having done this type of transcription before with any ideas/suggestions would be greatly appreciated.  Thanks!
Chiropractic care...sm

Hi there!


Just wondering if anyone has had any positive benefits from chiropractic care?  I have pins and needles in my face and arms for about two weeks every since the "pickle jar" incident...yes, I somehow managed to hurt my neck by opening a pickle jar!!!  Since then, the pain is pretty much gone, but I still have the nagging pins and needles feeling, so I scheduled myself an appt. for x-rays and treatment with a chiropractor for the first time and I'm a bit nervous.  Any advice?  TIA.


chiropractic work
I work strictly for chiropractors only and I charge all of them $2.50 per page.  One of the accounts I do only S.O.A.P. notes and they want them on labels, so they provide the labels, so it is just ink.  I use an ink jet.  I have been with them many years.  Hope this helps.
Soft tissue work with chiropractic care
Moving/manipulating the skeletal system without addressing muscle/tendons/ligaments is useless because the bones will misalign again if adhesions, etc. in muscles (from previous injuries, bad biomechanics, gravity's effects on our up-right postures,etc.) are not dealt with. I'm in my late 40's so I speak from experience. Muscles are often the culprits that pull bones out of proper alignment. Stretching muscles with adhesions is moot. Consider most of the time we are bending forward in our daily lives; psoas muscles get stronger but back muscles (S.I. ligaments) do not.
Soft-tissue work is essential. Chiropractic care alone doesn't complete the job, hence, need for repeated visits over months/years.
Hope this helps.
If you are that slow, why don't you stop in some local doctor's offices, pt, chiropractic, etc
do their backlog?  That has always kept me extremely busy.
What is the difference between an acute care account and a multispecialty account??..nm
nm
Charge him an hourly rate. The current rate is
between $15-21/hr. according to your location. If he had to use an independent secretarial service, he would be charged much more. You can look in the Yellow Pages in your area under Secretarial Service and ask them what they charge, then charge accordingly knowing you can back it up.
I've never had a problem switching from account to account.
The problem I had was being switched too soon. If I don't get one account spec solidly in my memory with QA feedback on mistakes before starting another, I get confused. The other problem I had with former jobs was inconsistent QA. One person tells you one thing, another person tells you another.

Lately, I don't have a problem with it. Right now, my binder has 8 account specs (some I've never had to use) and I'm picking up a new weekend job for a while. The terminology and report formats stay basically the same. It's just all those little preferences. LOL
ME rate 80% of baseline MT rate
are you happy with the 20% cut to do ME work or are you going to just do MT work (which will be those dictators that ASR can't do) at your baseline rate?
Cross off old rate, put in your new rate, (nt)

Employee rate/IC rate......
I work at home for a hospital account that I make .11 cpl on 60-character line. I also do IC work for a clinic where I make .14 cpl. I am from Missouri.
what is your account and specialty on the account?
no one is watching. tell us all about osi.
my input
There are many companies out there, and the majority of them are good companies. Most jobs are work at home, too. There are pros and cons to every single MT company. What works for one MT won't work for another. Research the Company board. Use the MTstars search function. Read the Job Seeker board to see who's hiring. If you apply and get a nibble back, ask questions specifically. However, I don't think we're all going to list every MT company we've all worked for.

Here are some hints. Don't pay for proprietary hardware or software from the company, buy it on eBay, don't work for free, don't work for less than what you think you are worth. Even when I started out as a total newbie grad from a terrible school, I still made $.065 per line.

The average MT can do 150 lines per hour, so 1,000 lines would be roughly 6.5 hours of work. I expect to put out about 1,200 lines today by noon, and I'm certainly not as fast or experienced as most on this board. There are people out there consistently doing 250-300 lines per hour, so 1,000 lines per day is certainly feasible.
Thanks for that input.
I thought there might be something wrong with me.  Maybe I'm too critical because I keep finding something "wrong" with all these kids.  They're just kids.  Yeah, little demon spawn is my favorite term for them.  These little beasts have no respect for other people, their possessions, or adults.  It certainly makes me appreciate my own kids so much more.  I don't tell them enough that they're good kids.
Thanks! I will look into both of these. Appreciate your input! nm
xxx
Thanks! I will look into both of these. Appreciate your input! nm
xxx
Thank all of you for your input!
I appreciate the info on both Cymed and Transolutions. Sounds as if Transolutions is the better of the two. If this does not work out, I think I will try doing IC work - just need more info on it. Guess I would have to check into insurance. Have Cobra now and it is sending me to the poor house. Thank you.
Thanks for the input
The person I dealt with was Jennifer, but I never met her, just back and forth over the phone and naturally she was very positive.
Thanks for the input. NM
d
Thanks for the input - sm
We aren't in Western Washington, other side of the mountains and she is even further east from me, about an hour from here.

They will get help. It may just take a little while longer before they can find someone qualified for it.
Thanks for the input everyone (nm)
x
TY everyone for your input..

I think I will get busy on approaching some of the chiro's in the area then.  Small town here..not many facilities to choose from for just rad and someone else suggested trying chiro.  Any other suggestions would still be greatly appreciated as well as any websites or individuals willing to share some sample reports.  Feel free to email me with samples/more suggestions.


Thanks again!


Thank you both for the input.

thanks for your input!
x
Thanks for the input.
My primary account, though it keeps me busy and has for over 10 years, there is no extra work.  What I do and what another girl does on weekends is all.  I did take on another account at one time but it was either too much or not enought.  Too much for me to handle accurately and do domesticated stuff and dropped back to handle both but not enought money.  I think I will just have to buckle down and stress to family (kids are old enought to help out) that they will have to pitch in or do without!  Thanks again.  You do help me feel a lot better!
Thank you. I will try that. I appreciate your input here nm

thank you for your input
The local is sort of what I am leaning towards..
Any input? Looking in to them.
I appreciate it!  Thanks! 
Thanks for your input.....
I guess I will just take today as a day to do some "testing." Thank you so much for sharing. I feel so alone and worried about my future as an MT.
Thanks again, I appreciate your input...
more than you know! Yes, I am definitely a female, I'm sure my sensitivity shows here!! LOL

Would I be going against anything if I sent a letter of apology to those docs for what happened? It isn't like I would be going against noncompete as I would not be trying to get their business, just to apologize and set my mind at ease and get closure.
Thank you all so much for the input....
xx
thanks for input
I appreciate the input. try and have a better night! :)
Thanks for the input! nm
!
Thanks for the input!


Thanks for all your input. sm
But Home Depot does use subcontractors.  I asked if they speak English and was told NO.  So, I'm looking at local carpet stores.  Found a lot of horror stories on the net.  Guess it depends on which Home Depot you use and which subcontractor you are lucky or unlucky enough to end up with on your project.
Thanks for your input

 Leaving the office and going home to work sounds like something I should seriously consider.  I moved from Oregon to Texas recently and was shocked to find the wages so low.  I went from $15.00 an hour to $9 an hour and nothing around here pays anymore. Believe me my goals are higher than $9 an hour. Thanks again and I'll be hanging around!


Thank you all for your input
The part time job I work at is small and very personable, so with this newer job I have, at a bigger company, I wasn't quite sure. It sounds like I should not send her an email. I just really hate to leave all of these blanks, but you should really hear this guy - he has a very thick accent, he is mumbling like crazy, and coughing in my ear. I feel like the whole report is one big block of swiss cheese.

Thank you all
Thank you for your input, as well
I'm certain there are many QA'ers that do not have a power trip. I am just so used to the small company I work for that I did not know what was proper. My particular QA rarely sends me feedback, which I value because I am still fairly new. In light of your post, I won't take it so personal anymore that there is no "personal touch" given. Thanks a lot
I will...And thanks for all your input...
Next round of competition is August 12.
Thanks for all the input! sm
I am an old-time MT. I was able to obtain an at-home position due to my acute care in-hospital experience. So, I was not able to give my SIL much advice regarding schooling. She has been traveling about 60 miles round trip to get to work each day and she is having a baby in February. She was asking me about my job and when I explained a little about what an MT does, she was really excited about it. She is an excellent typist, so I'm hoping this will be the answer for her in the end. Thanks again!
Thanks, appreciate your input. nm

thanks for all your input ....
Luckily, I have no kids or family obstacles - my time is my own. The distance from my present job and the new job is negligible; it's actually less than 5 mins closer the new job! Both are 15 mins away.
I realize I'll have LOTS of ESLs ... yikes .. but I do have them now, anyway. Hey - maybe I can whip these new docs into shape by dictating the RIGHT way - slow and courteously? lol .. yeah right.

Yes, I can definitely check out the job before I leave my present job. I have 2 days off during the week, and they need someone to start ASAP. So that can work out.

I will definitely keep everyone posted if I get the job. I love the feedback guys - thanks !
Thanks for the input...
...I think I will try a glare screen...that seems to make sense!
Thanks for your input!
nm
Thanks for your input - I really appreciate it! KM (nm)
.
thanks for the input everyone..
I am a little worried about underlying causes, and am going to have it checked out. 
Thanks for your input!
Sorry I didn't see your message before!  That is really good input.  I'm not trying to write a book as a course per se, I'm really trying to help folks most likely as an IC (that's what I am, and you can still pick up some accounts -- though it's getting harder!)  Also the home/work balance, that sort of thing.  I'd like to help people start successful businesses but you may be right -- that that would work best if they go into medical billing.  Thanks.