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Serving Over 20,000 US Medical Transcriptionists

Own accounts; 12 cpl 65 char and 17 cpl 65 char.

Posted By: IC-MT on 2005-12-16
In Reply to: Line rate survey - Terry

Accounts are on the West Coast.


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What is a 55 char gross line compared to a 65-char line including spaces?
t
8 CPL, 65-char w/ sp.
RTI, Inc./California (but I am in AZ as IC. Think I could do better.
0.775 (?? how they figure it) and 0.8 (65-char w/ sp)
/
A 5-char word would be better....
I just counted an entire report that I had done earlier. It's typical of clinic reports that I type every day. No long medical terms, just the basics.

It probably isn't the most reliable way, but using MS Word Count, the report has 394 actual words, 2387 chars with spaces.

So, if you want to say a word is 5 chars:
Divide all the characters in the report (2387) by 5 (the number of chars per word).
Then divide by 8 (for the number of words per line).
This comes out to 59.67 5-char, 8-word lines.


Again, using MS Word Count:

To calculate a 65-char line:
There are 2387 actual chars in the report. Divide 65 into 2387.
*There are 36.72 65-char lines.

To calculate an 8-word line:
There are 394 actual words. Divide 394 by 8 (words per line).
*There are 49.25 8-word lines.

That's an easy way for her to do her line count for this company, as all she has to do is let MS count the actual words in her report, then divide by 8 to get her line count.

Pay for this report:
36.72 (65-char lines) at 0.08/line -- $2.88.
49.25 (8-word lines) at 0.08/line -- $3.94.

With the pay being 0.08/line, comparatively speaking, that still comes out to about one extra 8-word line (for every three 8-word lines she types) when comparing it line for line to the standard 65-char line.

At 0.08/line, a 5-char, 8-word line would be $4.77 for the same report. If the OP wants to go to the trouble of counting this way, she would do well.

She could probably also find a line counting program she could program to generate her bill and simplify everything.

10 cpl per 65 char line
I include all spaces, headers, footers, etc with a 24 hour TAT.
65 char line
while you are in a Word document, click on Tools from the bar at the top. Then click on word count. You will see characters (no spaces) and characters (with spaces). If you are paid by 65 characters with spaces, take that number and divide it by 65. Then take the result and multiply the result by .08 or .09 if you are paid 8 or 9 cents per line. That is the amount of money you made for that one letter.
1385 by 65 char line.
nm
To SandyGirl: MDI pays 10-11 cpl 65 char., sm
Spheris pays 10 cpl + incentive.

FC pays 10 cpl and 11 cpl on weekends - IC status.

QT pays 9 cpl - gross line, IC status.

JLG pays 10 to 12 cpl 65 char.

As you can see, there are companies out there who will pay 10 to 12 cpl, albeit IC status mostly, but they are out there.

I hope this helps you find the right company that pays the "big bucks"!

Merry Christmas!
65 char per line is not the same as gross?? sm
You said "Anyway go with gross line, I still quote it as 65 characters per line which it is but I count by gross and 12 font."

65 char per line is NOT the same as gross. How in the world do you come to the conclusion that it is? If it was the same, then the 65-char line would not even exist. Gross line count means that even a line containing only one word is counted as a whole line. 65-char. line means that a line must contain at least 65 characters (i.e., letters, numbers, or symbols) to be counted as a whole line.

Gross line does not equal 65-char. line and you are doing a huge disservice to your clients and to the other MTs asking for advice here by saying it is. Clients do sometimes check the line counts to see if they match (obviously yours don't so you have been lucky so far) and if you bill them at gross lines and they are counting at 65 chars per line, your line count will be quite a bit higher and it will look like you have been padding your line counts.

Please, do clarify how it is you feel a gorss line is the same as 65 char. per line. Also, font does make a difference when using gross lines but does not make a difference when using 65-char lines so again, your theory that you are switching fonts tells me you are, indeed, charging gross lines and yet are quoting clients at 65 chars a line.

Does anyone else think this is just a tad on the shady side ???
I'd count it too via 65-char just as you are doing the rest - sm
especially since you print it out, ink costs money, as does paper.
Gross lines vs. 65-char

A gross line is anything on a line IS a line - usually the standard is Courier 12, 1 inch margins - that way, if a doc wants Arial or Times New Roman or any other font, he will know that it will always be counted in Courier 12 regardless of the font he uses.


 


65-char means based on a 65-char per line basis, lines are counted, so it is not a "line" unless there are 65 characters on it - the counting programs that count this convert the document to one big long document without returns, etc., linking all the characters in one long line and counting them that way.  Clearly you can see how many fewer lines you would get by this method.  When this was brought into the business it was touted as a "fairer" way of counting - but the only one it is "fairer" to is the doctor - it cuts the lines vs gross lines an average of over 30% - for example, if you are making 7 cpl for a 65-char line, you are in reality making 4.8 cpl gross lines - quite a difference. 


.11 cpl/60 char. line for hospital
account that I do from home and am also considered an employee.  They pay my insurance and also offer family insurance for 110.00 a month.  I also have another account for a brain and spine trauma center that pay me .13 cpl/65 char. line.
Here's the thing. We were paid on a 50-char line SM

because we were on new software and it was hard (before EDiX). Then we went to 60 char and you have never heard the screeching and griping (LOL. We just didn't know).


I have told this story before, but for five years I was the supervisor in the MT dept. All I did was evaluate MTs, line counts, average lines per hour, just endless figuring. I could tell you off the top of my head what any particular dictation should count out to.


In fact, after I decided to go back to transcribing, I knew the very day that my former employees started cheating - our line counts were posted by ssn on a computer-generated list. I knew that work like the back of my hand.


When EDiX did their spiel, I was eager to start with them because I knew how they supposedly counted their lines and I knew how many lines a day I could type. Man, I was gonna be RICH.


Not one line count EVER matched what it used to. Bad thing about that is, I just got blank silence on the telephone when I asked what was the deal. When I asked my immediate supervisors how they were counting these lines, I got "I don't know. I'll get back to you." Nobody ever answered my question. I gave them a year full time, and then I had to start working other jobs to make ends meet so I quit.


They asked me to come back, and I said I would, part time. They said they really needed me on that account. All told, I was employed there three times in three years. I never made enough money to even cover my basic expenses. I cannot live like that.


My biggest problem with nationals, and the reason I refuse to work for them, is that the money goes to the suits first, the MTs next. People who do what we do simply do not need that much supervision. If they hire newbies who do need extensive supervision (and they do, we all did), we all pay for it in that situation -- I'm not against hiring newbies, by the way, but the $ it takes to hold their hands the way the need their hands held should not come out of the pocket of the veteran MT who sits down and chugs out her work day in, day out.


So no more nationals for me. I make three times what I made at EDiX now, working for a company that could be considered a national because we're scattered out, but it's still run by the owner, and her aim in life is for us to make as much $$$ as possible because then SHE does. That's the way it should be.


National companies treat MT as a cost center and that is not right. That's for the facilities to do. The MTSO should treat us as an income-generating entity instead of a hole to divert money away from their executives. They've got it all wrong!


Gross versus 65 char line
Can someone tell me how a gross line is calculated. Thanks.
I charge by 65-char line with spaces...sm

The two accounts I've worked on wanted 0.5 inch margins on both sides.  One of the accounts wants 10-point Times.  The other wants 12-point Times.  They want the margins so big because they are trying to save on their paper costs, because the sticky back paper (I think that's what they use) is apparently quite expensive.  I send the documents via e-mail for them to print on their own.  Anyway, charging for a 65-character line with spaces nets me more than a gross line because of the margins, font, and typeface.  Try it with your line counter.  I have one built into my Instant Text (which I don't use for invoices) and SylCount.  Both of them show that the gross line is quite a bit less when the margins are this big. 


 


Why not charge for spaces?  You type 'em like you type a letter or number! 


Gross lines versus 65-char, etc.
I think the above poster misunderstood me. I was trying to simplify the difference between counting a gross line and counting a line via character - which IS basically blowing out the document to full 65 character lines (with or without spaces)and counting them, versus counting anything on the line as a line.

That is true, though - the best way to compare documents is to look at the gross line count (after changing margins and font to 1" and Courier 12 respectively), then taking the character count and dividing by 65. Many who have never been paid by gross lines or have not really compared the difference would be amazed to see how many less lines you get on a 65-char count.
10 cents/line 65 char. w/spaces,
Small company (about 7 of us, I'm the only part-timer) Acute care, mix of dictators, 1 year part-time experience.
Can someone please tell me what $5.00/1000 words converts to in cpl when 5.5 char=1 word? nm Thanks!

Only if that is coupled with a line definition of greater than 55 char.
.
65-char line to client and charge for gross? sm
That's a bit underhanded. If they ever get suspicious, your line counts are going to exceed what they count at 65 char. a line. You said yourself that 65-char/line and gross line are two different things, so why do you contract with the client saying you bill for one and actually bill for another ?? That's shady, IMO, and I would never quote my client a 65-char line and then charge them for gross line.
At 40 hours a week? Is that gross line or 65 char?
You'll never get an accurate comparison unless you have every single detail lining up, i.e., same rate per line, same amount of hours, same type of work, same doctors dictating, same amount of Expander entries, same typing speed, same method of payment, etc., etc.

It just doesn't matter what anyone here posts -- it's going to be different for each individual. There is no real true way to predict what you will make at this profession!
then they'll offer you 8 cents/ 65 char line. very sad nm
dfd
127 if based on 65-char line (8243 divided by 65 is the formula) nm
c
Industry standard used to be 65 char and font didn't matter...
but that's all up in the air now - sometimes lines are gross lines, sometimes it's character count divided by 65. If you are on a line count that just takes characters and divided by 65, then font doesn't matter. It might SEEM it takes you longer to make your line count but not really relevant.
I quote a price per gross 65 char line, say 12 cpl, but then convert

I have one client who doesn't want bulk and is Franklin condensed 10; another is on Garamond 12 with a 1 inch margin R and L. I take a large block of type, put in a format that gives me 65 char per line and do a line count that way and get a price for the whole block, for example, 58 gross lines at 12 cpl = $6.96. Then I take the same type and format it as the client wishes, get a line count and divide the dollar amount by the lines. If their formatted version came to 28 lines, then 6.96 divided by 28, would come to 24 cpl for their format. I always include a line on the invoice to indicate their 65 char line rate. Something like


2586 extended lines at 0.24 cpl = $620.64


(your line rate converts to 0.12 cpl for standard 65 char line)


I always educate the client as to the industry standard of the 65 char line which allows clients to compare apples to apples...


 


 


 


 


I just re-read his email and he said he paid 9 cpl per 55-char line! Must be offshore. sm
I'm going to bring up the offshore issue with him and HIPPA issue as well.  My OB/GYN just switched over to that practice to do just GYN and specialize in urological gyn, so they have my records too and I sure don't want them overseas.  Even if they don't want to hire me, that's fine and I'm not going to sales pitch him at all, but I don't want my records outsourced.
Two companies, both 65 char lines including spaces, one pays 0.10/l and the other 8.5/gross line. n
x
What's the diff between a gross line and a 65-char line?

Mebbe just got my first OWN ACCOUNT YAY!  He said to charge him the "going rate" since I pay him that.  This could be the start, baby!  (I hope)



7.5/gross line or 10/65 char line?
Anyone have any idea which would come out to more?  TIA
How about zillions of accounts. MQ has these accounts so overloaded even the new hires dont have any
work. I would love to read some of these reports and then they expect perfect QA and no blanks. Did they lose their minds completely.
The accounts are old and she keeps her accounts TRUSTING she hired the right MTs
who if in doubt will ask questions regarding reports. No one can find all mistakes in all reports and that is human to have a report with perhaps a typo. You think anyone reads through all the reports of a national company before they get to the hospital? Not a chance. Some random QA is supposed to correct all mistakes? Not hardly. Doctors/dictators make mistakes too. We all do. So do QA people. So the thing is this person hires good people who are trustworthy, the hospital likes the way she does their account and life goes on quite nicely w/o hovering editors/QA people. BTW, who QAs the QA people on your accounts. Ever wonder?
Not all accounts are good accounts. One
That should not be the case. Sounds like you need new accountant with strong knowledge of IC deduction.  We save a several thousand on what we pay in taxes based on what I can deduct as at home IC, $2000 off the top for what I pay my child to help with office chores, as an example.  The measly 7.xx% I pay that an employer would pay is well worth my independence in being my own boss.  
How many accounts?

My national employer has 19 accounts in my queue, though I rarely work in all of them in a week or a month.  Still its too many.  I'll often work 5 or 6 accounts in a single shift, despite the promise of a limit of 2 or 3. 


This is a terrible business practice. If you are a dedicated MT, it requires extensive time to review account-specific instructions, not to mention being unfamiliar with place and people names associated with the different regions.  It is unfair to "quality patient care" to bounce MTs into unfamiliar territory.  After all, how quickly and accurately can one transcribe a record when you are overwhelmed with studying your fifth or sixth different set of instructions in less than 4 hours?  I believe the substantial amount of MT shuffling is to slow us down--they have overstaffed and its to their benefit to force familiarity with odd accounts so they can do it again next time.  They do phase people out of primaries and secondaries and even tertiary accounts once they become proficient.  We hear the work is low due to summer slow down, yet they keep sending their "please welcome our newest recruits" memos.


And, yes, I will definitely be searching for a new company very soon. 


I have 8 accounts and seriously,
they do run out of work, but I change my work hours. I know if I get on at 6:30 a.m., I will get a decent amount of lines done in about 2 hours time with the normal interruptions of kids. I usually do get back on in the afternoon to try to finish up and there usually is work for me at that time too. I was transferred to Amherst when our office closed. I have been with MQ for 4 years. It just stresses me out that people complain so much about Medquist and it is always the same people. Why not get another job????? Why do they continue to come here and complain about the same thing over and over and over again????? It is the most annoying thing I have ever seen. I agree that we all need to vent, I do too. But why remain at MQ if you are all so unhappy? Maybe finding another job with a different company will make you happy, although it seems like people from every other company are complaining, as well.
15 accounts......
Yes, but it is important that we post this information. I believe, or at least I hope, that the people at the top need to hear this.

The people at the top management levels read this board regularly. They are concerned about the bottom line. Three things affect the bottom line: production, TAT, and quality.

If you have 2-3 accounts, you will have much higher production, much better quality and TAT will be better controlled. You will make more money because you are not wasting time jumping from account to account.

I believe the problem is in middle management. They are the ones putting us on 15 accounts at a time. (I actually had a supervisor who told me she had asked the manager while she was throwing me at every problem account and her answer was...."Tough S---" Unbelievable.
These are only for MT's/accounts that are on DQS
If your account has never been switched to DQS, I don't believe you would receive a check. This somehow pertains to DQS. It appears that the longer your account has been on DQS, the larger your check would be. But this is all a mystery to us MT's. It may also pertain to certain accounts/clients that MQ had misbilled, per the law suits against them. At this point, MQ upper mgmt is keeping very quiet about this check, so can't help but think that it pertains to the overbilling that they had done to some MQ clients -- possibly we were the MT's who were worked on those accounts. BUT YOUR GUESS IS AS GOOD AS MINE about the purpose of the check, other than they had to pay back some monies FOR ONE REASON OR ANOTHER. Will we MT's ever know ????
TOO TOO MANY ON ACCOUNTS
Don't forget to call Human Resources and follow up with a written Employee Complaint with ALL these complaints. They think the complaining is only from an isolated few and won't even take things seriously until the written complaints start to mount up.
Try for your own accounts - How did
xx
Those of you that have your own accounts, what's the

best way of getting your own accounts?  I have one small local account that I got from a newspaper services ad eight years ago.  If I had two or three more like this one, I'd be a happy camper.  I've mailed postcards and made cold calls with no luck whatsoever.  I've even done intro letters with business cards to new providers on the city business license list and in response to help wanted ads.  No nibbles there either.


It doesn't even necessarily have to be a local account.  It could even be Internet based or via mail/UPS.  One guy used to priority mail tapes to me from New York back when I had my virtual assistant/secretarial business.


Any positive suggestions are welcome.  Thank you.


New accounts

It is like selling a house or anything, it takes a large volume of people to get one buyer.  Even if I am not looking hard,  I send out flyers every year or so to keep my name out there -- have a lot of people that are willing to subcontract for me.  I also hit the smaller ones sometimes and do the rounds in the medical office buildings by the hospitals.   Send flyers out to smaller cities/towns if you are set up for digital as those are the ones that are sometimes looking.   Do networking with other MTSO's in your area. I know many in mine and we all network together.  A lot of it is being at the right place at the right time as they often just throw our flyers out and that is why you have to keep sending them out.  Offer something unique -- I cut apart chart notes and that helped with a couple of accounts.   Stupid but they love it.   Also accounts that use transcription services -- take them a flyer personally with some cookies -- it does work to get it to the manager's/doctor's desk it really does.   I have also offered my own accounts a "finder's fee" if I get an account.  Anything works.   I have gotten a few through the yellow pages.  But it takes time and persistence.  One mailing does not usually do it as there are a lot that start up and stop so if they see it once or twice, they remember it.   Good luck.   Keep your prices fair and offer a good service.   Patti


Do 7 different accounts in my
job, 2 programs, and another job with another program. different hospital.  Once you get used to an account and work on it regularly, I have found it does not slow me uip to switch from account to account, keeps me in work.  Also, no problem with doing way over 1000 lines in 8 hours.  But that is just me.  I have been at this 21 years.  I hear others do have problems and sympathize with them. 
As far as QA and their accounts, sm
this company has the best I have worked with. I have no idea what the QA rate is, but they do have the best QA IMHO, so I am assuming they are paid well.
Accounts
Ihave 4 clinics -- one with two Internal Medicine, one with two surgical oncologist, one with a plastic surgeon and hand surgeon and then my psych.  Total in all accounts is about 25 hours per week and gives me about $3000 per month.  I work 12 to 20 hours additional at a clinic as an employee doing EMR work and that pays me per hour with benefits.   Going digital I hope within the next 2-3 months.  No health problems yet.  Have had accounts from 5 to 18 years.
If you have your own accounts and

do you feel obligated to share whatever work there is with them, even if it's really only enough for you?  In my case they have other work that can do but they make more from my work, so they are anxious for any work I have available.  It's overflow, so sometimes there is work and sometimes there's not.  The amount of work available right now I could easily do myself.


Usually I share whatever I have with them, but right now I have so many bills and really need to do the work/keep the money myself.  But I feel bad about doing that.  Should I feel bad?  My husband says no.  He thinks of it strictly in a business sense.


I believe it with your own accounts.
most MTs do not have their own accounts and have to deal with the company's line counting system as well as being paid a very low rate.

Then again, I could never work 60 hours a week (my body just wouldn't allow it) even with my own accounts so this income is definitely not the norm, but having your own account I feel can really put you in control of your income potential. You go girl or guy, don't know.:)

Own accounts
Do a search on this as we extensively discussed this about a week ago.  You have to be ready to do all types of accounts using all types of equipment.  The more money sounds good but there is a lot of work to it, no relief for time off, a lot of non billable time.   You have to realize that if it is just you will be be seeking out either a one to two doctor clinic as that is about all you could handle at first.  Most of these smaller clinics use tapes, you print, pick up and deliver.  But if you are going to limit yourself to digital only then you need to expore setting up your own FTP site, know how to transfer back and forth and it is usually a larger clinic which would be hard for one person to handle.   I think you need to do a little more investigation and there is no "book" to buy it is through a lot of hard work, sweat, tears and perservence that you keep doing your own accounts.  Like I said you are sick, no one to do your work and often times the office understands the first time but when you are new, a second time and they look elsewhere.  They have a hard time understanding sick children, relatives, power outages, disc failures, etc. until you have built a reputation and rapport with them.  Has taken me 20 years to so do.   Good luck, use your own common sense and brains and do a flyer, brochure, letter introducing yourself and send them out.  It can be done but it take a while to get started and keep going. 
Own accounts

Well how did this office contact you?  I would get this one under your belt and use them as a stepping stone and a reference and go from there.  It works the same in this field as in any other field you want business, you go out and advertise, do flyers, make phone calls, etc.  Most will not come to you unless you have been established for years or have an ad in the yellow pages, etc.  So start with this one since they have contacted you and go from there. 


 


I am an IC with my own accounts -
I get 17 cpl for transcription and 12 cpl for editing VR, all acute care.
Getting Own Accounts

Hi, I would like some info on where to start in getting my own accounts as in what kind of equipment required, where to begin, etc.   Also, what do you charge, etc.


I have 17+ years of transcription experience working for others, want to try something different.


Own accounts
Have had several contacts to me regarding own accounts.  I don't mind sharing general information, etc.but please do not ask me for samples of my brochures, flyers, business cards, etc. and ask for a step by step procedure to go through for  obtaining your own accounts.    I am not a consultant you pay for those fees.  If you have been in the business even working for someone else for many years, then you should have a basic idea what is needed with regards to equipment, etc.  No one can know you have a service unless you go out and advertise it.  Get your name out there and let them know you are available.   I am not being mean but I had to do a lot of learning along the as well as time spent in research and development and if you want to do this there is no easy way.  Guess I could write a book and sell it.  As for rates, if you are working for a small MTSO  in your area add on 25 to 35% of what your rate is currently.  To me, I would rather start out low and raise in a year or so to get the account, the experience of doing my own clients, etc.     Patti
Getting new accounts
Talk to your hospital medical staff coordinator and ask if you can sponsor doughnuts for the doctors lounge on a certain day. You get an estimate of how many dozens you need, pick them up, deliver them to the lounge and then the hospital puts up a board saying the doughnuts are compliments of "XYZ Transcription Service." You leave a stack of brochures and business cards on the table so they get into the hands of the doctors and not the office managers. You'll get business quicker by impressing a doctor than you ever will by impressing an office manager.