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Serving Over 20,000 US Medical Transcriptionists

On-site employee status is not cheap either.

Posted By: Healthcare is expensive everywhere. on 2007-06-21
In Reply to: what big company actually provides you with health insurance? sm - LMT

Oh well!


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You're probably doing nothing wrong, employee status seems to be the norm with IC status primaril
SE status instead of IC? For me,SE status is heaven -with part of taxes paid and flexibility in my schedule. Have you ever applied to MDI-MD? They only accept qualified, experienced MTs and stress quality in their transcription. From what I read of your qualifications, it sure would be worth contacting them.

Per "see mssgs" comment regarding age discrimination later on in this discussion, I'm 64 - no problem getting hired at a line rate higher than average. Age is not a factor with MDI-MD - knowledge and quality is !!!
Who has gone from IC status to employee status? sm

I'm sure this has been asked a million times, but I am an IC and I am thinking of going to employee status to get benefits.  My husband will be self-employed in 2 weeks and we will have no insurance or anything.  I love the freedom of being an IC but need bennies.  We have no kids but probably will in a year or two.  Would like to know who has done the switch and if you regret it.


Thanks


Are you asking about IC status or employee status? sm
As an IC, I must have a contract before I will work.  However, never heard of employee status signing a contract. 
I am employee status...nm
nm
Not IC-employee status
x
What is your status - employee or IC or SE?
If you are an employee they do have the right to treat you like this, however, they should have paid for your equipment and your DSL... if you are an IC you are supposed to be totally independent and not at their mercy - I can't give any advise until you clarify.  A SE is another story and not real clear myself on that status.....
I went from IC to employee status.
It was pretty much seamless for me because I was pretty much working the same hours as I am now but not getting any benefits and having to pay my own taxes. This is much better for me!!
Again, it's a little different for employee status
When an IC is subcontracting to another IC, then the hiring IC becomes the applicant's client.  So, therefore, questions do need to be asked. 
Are you looking for IC or employee status?
I firmly believe that American MTs should not even edit reports typed by foreigners on foreign land, thus enabling the whole offshoring situation. I hope you can be successful in finding a job that does not work with offshore transcriptionists. If I knew what kind of employment you would be interested in, I might be able to give you some ideas on companies.
Just my opinion.......employee status (SM)
I don't ever want to work as an IC again, mainly because of taxes. When you work as IC, you are responsible for 100% of your own Social Security Tax and taxes where as when you are an employee the company matches this money for you. I always dreaded tax time and would come out owing a lot of $ every year no matter what expenses I took off, which was also a hassle because if you didn't keep up w/ everything you ran the risk of being audited and in trouble with IRS. Add to this not much more money per line at all, the expense of owning and maintaining own computer, no PTO or vacation time, and all the other expenses, it just wasn't worth it to me. Good luck in your decision.
10 cpl/gross - employee status, SE
 
By line, employee status--nm
d
IC versus Employee status?

I am just curious which you prefer, and why?  I have never been an IC before and have just accepted an IC position and am a little nervous about it.  I like some aspects of it, but some things have me a little concerned.  I would just like to get a feel for what you think.


 


insurance with employee status
I just started with a new company and am about to enroll in insurance. For employee + family I will be paying about $160 per pay period (paid biweekly). That is with a $500 deductible per person/$1000 family. The plan also has $20 copays and a prescription plan.
Employee status question . . .

For an employee with benefis  - what happens if you don't meet the minimum line count?  How do companies enforce that?  I've always been IC and considering changing.  Thanks



How about at-home employee status, sm
on salary. That way, if they offer benefits, you would qualify for health insurance, etc.
If you can't charge on production, it becomes difficult to maintain contractor status, unless you become some sort of "consultant" for them.

Or you can be an IC and bill them hourly. If that is the case, just figure out how many hours you spend on their account and charge it accordingly to equal the yearly salary you are seeking.

Hope this helps. Good luck!
I am employee status and I am very happy...
just have to find the right company that works for you and I have :)
Please respone IC versus Employee Status

Can the person who posted the site www.EFTPS.gov please reply to this...


My husband and I are "discussing" the ad/disadv between the two.  I know you said IC all the way.  Can you please tell me why IC is better? I would be gratefully honored!


THANK YOU!! 


Yes, Medical Dictation. Have both IC and employee status
x
I didn't think they hired employee status.

Do receive benefits through them?  I was under the impression they only hired IC for transcriptionists, which means you are self-employed and they really don't have to give you any work.  If we all sued every time we were "jacked around" by a recruiter or an employer, there would be no more transcription companies.


 


Withholding is the same as an employee status with the exception of state tax.
xx
Do any of you work a split shift? Are you employee status or IC? Thanks!-nm

I didnt "make out well" having to take the taxes out myself. So I prefer employee status.
x
I highly doub that MTs (IC or employee status) have begun using Vista; even more unlikely (sm)
for company-employed MTs.  Vista will need to undergo extensive testing and scrutiny before IT Directors will approve it to be compatible with their software programs. 
How are hiring companies getting away with trend towards IC versus employee status SM
after the lawsuit that determined that IC was indeed an employee because she was told when to work, what days of the week.  The company got into trouble with employment laws because of this a few years back, yet I see most of the job postings on this and other sites are mostly IC.
9 cpl, 65 characters per line, spaces, headers, footers included. employee status. nm
 
IC vs. employee...see link to IRS site for more info...
http://www.irs.gov/businesses/small/article/0,,id=99921,00.html
Excuse me but federal taxes are paid as employee by employee
The ONLY difference in IC is you pay the ENTIRE amount of the SS which is the 15.25%, as an employee you only pay 7.75%.  And you can easily make up that difference in deductions.  As an employee you just have someone else manage your withholdings and as an IC you do it yourself.  I have much more usable income being an IC and not an employee and I am strict about putting aside what I need to.  But everyone always says you have to pay your own taxes, well your employer does not PAY them for you -- except 7.75% of SS, they merely withhold it for you.  As an IC you are the employer. 
Several companies still train on site. In fact, we are piloting an on-site training sm
program, where everyone would come in to the Keystrokes office to train for 1 or 2 weeks. We have a large training room and feel that this may be a way to cover all aspects of an account, be right there to answer questions as they come up and have one-on-one contact.

It will be optional at this point and may not be more effective as remote training, but some people have expressed that they miss the training that you get when you start at a hospital.

We are trying to bridge that gap between working in-house somewhere and working at home.

It may seem out-dated in many ways, but sometimes going back to basics is a good step to take!
You an IC, statutory employee or employee?
That designation, and/or forcing the IRS to designate you, can make a diff. Are you a corporation? Partnership? You need WAY more help than we can give you.
If you are employee, unless suit against your employee
otherwise the posts on here as far as I can see telling it like it is. I think a lot of the posts are so young they just don’t have a clue as to what it means to be an employee. You do as your employee wants (I am talking reason now, not stupidity as far as sexual advances, etc) or else you find another company that fits your personality better. You do not confront, you do not tell your employee no, that is their job, not yours. This is such a simple thing for people who have been in the work force for any period of time.
I have noticed sometimes I will try to get into a web site and that site will freeze up and I dont

know if I have too many screens opened up and minimized or what. I tried to open a website sent by email and froze up the email screen. Not sure what I am doing.


No, you are not being cheap.
I spend what I can afford. No more, no less.
They got her cheap
Quality is on the downswing and hiring cheap people is up but that's ridiculous.
Yes, cheap. NM
no message
that is cheap
I have done seminars and meetings and still charge by the line and have made about $100 per 60 minute tape.  
Its because they are too cheap

to upgrade to the latest technology.  I remember using DOS forever and WP 5.1 forever because the MTSOs were too cheap to invest any money in state of the art technology.


There are services that use Vista, but harder to find.


Cheap docs

They absolutely don't care about quality or any of that jazz, which is why I have always wondered why we as an industry keep beating each other up over issues that doctors couldn't care less about. Not that I think we should all just transcribe any old way we want, but it seems like we act like the slaves out in the mud pit slapping each other around about how much or how little straw to use for the bricks while the slavedriver sits on the side line with the whip completely content with end product either way.


I suppose the answer most would give is that we should take pride in the quality of our work whether they (the doctors) do or not, but I can't get passed the notion that these are the same individuals that the powers that be seem so intent on pleasing and are also the same individuals who would see us all in the soup lines tomorrow looking for the next homeless shelter to sleep in if they had their way. They (the medical profession) will not think twice about putting all transcriptionists out of business at their first opportunity, and yet we as an industry continue to bow to their ridiculous and uninformed demands concerning how to do what we do or their complaints about how much we charge or that we shouldn't charge for line count generated by short forms or macros, etc. They have no clue how many times their butts get saved by transcriptionists on a daily basis.


I've never met a transcriptionist who wouldn't readily agree with the notion that we are part of the health care team, and yet many of us continue to act like we still work for the doctors instead of the patient. Oh well, go figure.


Just venting as well.


Cheap doctors
I remember one specialist many years back who complained when the hospital I worked for put in a new dictation system which required pushing the buttons on the phone to put in patient ID, etc.  He came to the department in person, ranting and raving because "now he would have to pay to have a push button phone installed" in his office.  This same doc came in the department on a Sunday afternoon and was using the hospital department copy machine to copy EACH AND EVERY PAGE his JAMA because he had DROPPED IT IN HIS POOL at home.  Can you say, "cheep, cheep, cheep"???? 
No, its cheap labor.
x
That's cheap.....electrolysis......sm

the plastic surgeon charges $400 per session no matter what part of the body, mine was the chin and one brown spot, oh and in between the eyebrows (which the dr who didn't own the practice charged me HALF that).  That doctor is more experienced in laser than the doctor who owns the practice (who wouldn't have charged me at all *lol*).


Someday when I am rich (hey, I can dream, now can't I???  *LOL*) I will go back and have the chin done over and over again *lol*


 


 


The reason they are so cheap
I think it's a bit of hyprocrisy on MLSs who are so anti-offshoring but love their computers from a company that offshores a lot of its jobs and there are plans to do even more.
Onesuite.com cheap, not
unlimited but very cheap, under 3 cents a minute.  Lots bells and whistles.  It's for regular phone not internet. 
Cheap tickets.com
I got two round trip tickets for less than 500 on cheap tickets.com
Talk is cheap and I don't believe it
I have a feeling you make a lot of sloppy errors and that's why you are hostile to QA who is in the same boat as you struggling to make pennies for each line. Grow up and go to charm school.
Maybe it's a new, CHEAP way to lower their
Could happen..........
is this doctor cheap or what?

I know someone who has an account that she's had for about 3+ years.  This practice recently went through some changes; one of the main partners retired, they hired another one or two new docs, and now the other partner who was left behind has slashed costs every which way, even to the point of not purchasing letterhead anymore.  They expect their MT to now print their letterhead (oh, and she has to buy the paper now too!!!), and she is consequently using a lot more ink than normal.  She was already printing their letters and not charging them for the ink (on their letterhead that they furnished), but now she has to use their letterhead template on plain white paper, which is going through ink like crazy, not to mention the now added cost of paper on top of that.  How rude is this?  Do you believe it?  I told her she needs to speak up.  She is pretty angry about it, but she is so afraid to say something for fear they'll get rid of her too!  And, in all the years she's been doing their dictation she has not gone up on the price, not one penny.  Any advice out there?   


To those with cheap headsets

Just wondering if any of you have tried the "quality" sets?  I only ask because if you have not compared, you might not know what you are missing.


I keep bugging you all because it seems when I make investments that are supposed to help, it is about a 50/50 success.  Some help; some were not worth the money.


I need to get faster.  I am okay with certain accounts, but others slow me way down, so I need to make every improvement I can to make the slow accounts a moot point (at least).


Thanks again for all the help! 


what spell check do u use? Looking for something cheap... sm
Just starting out and need a spell check program that will do drug names also. I am looking for something that will cover the basics for now and then when I get some pay checks under my belt I can get one of the big ones like spellex. My current employer states there are literally hundreds of medical spell checkers on the market and I should be able to find one that covers some drug names also...does anyone have any ideas or can name a few?? thanks
need a cheap word expander

hoping to find a decent one at a reasonable price.  Please post if you have one for sale or have a good web site.


Thanks!


Cheap Word Expander
I have Instatype and I have never used it - brand new but have had the program for a couple of years. If you will pay postage I don't think you will find one any cheaper.