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Preparing for a major cut in pay is scary.

Posted By: I am a wreck too on 2008-02-25
In Reply to: How do you find anything out there? My - supervisor is See Message

I am without an emergency fund :( and no one seems to be responding to my resume.

This is so cruel.


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Preparing for SE/IC status

I have BC/BS of Illinois PPO coverage for around $250 a month with a $2500 deductible.  I'm in my 50s.  It includes vision/dental/chiro if you go where they want to send you which is often doc-in-the-box or inside major retailers.  It also includes prescriptions.  Most hospitals and docs in the area belong so medical bills reflect the negotiated price rather than full price, and there is no difficulty getting medical care.  The only problem would be if I wanted to move out of state.  You can't take BC/BS with you with a private policy, and there is no guarantee that BC/BS in your new state would accept you.


Life insurance is a policy my dad took out on me as a kid.  Should be enough for burial if my family goes the cheap cremation route I keep telling them about.  Don't need it for dependents. 


I don't have disability, which is a bad thing I know, but I can't afford that and health insurance because disability costs even more than health insurance. 


Retirement is just save at least 10% from every check and put it into an IRA.  Like the other poster said, sometimes you just have to do with fewer material things now.  You are SE, so you won't have self-employment tax, and you will still be eligible for Social Security and Medicare, assuming the programs are still around when you are the correct age.


Yes, you can research these things on the Internet, but I would recommend seeing an independent insurance agent where you live.  Ask around among your neighbors/co-workers for who they would recommend.  He/she can offer various companies and answer your questions. 


I've been doing this for a good 20 years.  I won't be living high of the hog in retirement, but that's no different from how I live now so it's no loss.  Good luck!


Well as has been commented on here many times MQ seems to be preparing for something because many
MTs are running out of work and have so many backup accounts you cant make any money. Whats the game anyway.
I am preparing for NCLEX while working as an MT
While working at home as an MT has its advantages, I think I have more potential for career growth with a nursing degree.
There is something major going on here
Accounts that used to be really busy have no work.  Multiple accounts are asking us not to work on their account for the day.  Last night an updated was posted with 100 something jobs available in one account, and then later an oops, sorry, I meant 0 jobs available.  What is up with that?  Don't know what's happening with this company.
scary
It is scary to think how narrowed minded people can be. Plantation mentality is alive and well in the South....So help us all....
Scary
Your last 2 paragraphs made absolute sense. I always thought, even back "in the day," that dictation to transcription was archaic.

However, I fit into the "over-educated but don't know how to get in out of the rain MT" category, so scary thought because if you thought of it, someone else should as well... and I do need to keep doing this at least until one of my kids strikes it rich!

Good post.
Now that is scary!

That is really scary to me No wonder that sm
these gals hire on places, begin to work and then can't get their pay.
That is scary...
...
How scary to have a dog like that...
as your neighbor.  If you have children, PLEASE keep close tabs on them...I just heard on the news a few weeks ago about a pit bull (I think...) snatching a baby out of her mother's arms and malling her head badly.  The baby survived, thankfully, but was very badly hurt. I agree with you, these dogs are inherently vicious, and no, it's not the dog's fault at all...it's the human's fault for training and breeding for fighting...how very sad for the OP..I am sorry...
What's scary is...
they are treating people.  How does the patient understand what he is saying (if they deem to say anything).  I know when I see one of these doctors I have a hard time when I'm not ill.  My husband is hard of hearing but can understand if clearly spoken to and he understands nothing and refused to go back to a GP we had.
I'm sorry, but its really scary to me that anyone
let alone a spouse, could just go back to sleep and post on a MESSAGE BOARD the next day, asking about a SWOLLEN HARD TONGUE!! You have got to be kidding me. And I presume you're an MT as well??? What is WRONG with you?? Goodness, the blunders never cease to amaze me.  GO TO THE HOSPITAL. And don't wait til it happens AGAIN - get him to the hospital NOW to have it checked out, diagnosed, and have yourselves armed with epi-pens, etc. A BENADRYL??? That's just insane.
Very scary
Makes me paranoid about every "normal" person I meet. I hate being that way, but when it comes to my kids I am happy to be labeled *over protective*
this is really scary -

Okay, is there any chance that anything in our medical records is going to be correct, either done overseas, dictated by someone who has little grip of the language, perhaps transcribed by someone with even less of a grip, maybe corrected, but in the money crunching, I doubt that, probably never read by the physician and now you are telling me that the doc himself is typing this info directly.  I frankly cannot imagine this.  I cannot imagine they would want to type it.  They can't keep on track half the time just reading. 


That's scary sm

I'm sure it happens - as Patti says - but personally I would have a very hard time putting something like that on a report I typed. It is the doctor's responsibility to review the report. If he/she chooses not to do that, that is also his/her responsibility. But if I type it on the report, that means I am aware that the doctor is not reviewing it, and I would be concerned that I could be drawn into a lawsuit if there was ever a problem with a report.


It's quite possible that would never happen, but it's also possible that Patti has just been lucky...............


Something Scary!
Let me tell you something very scary that happened to me! I posted a comment in support of one of the companies on the Jobs Board and the CEO wrote me back an e-mail to my personal e-mail address thanking me for my comments. I was shocked as heck! I thought our identities were protected here. Guess again. They tracked me down to my personal e-mail address. Be very, very cautious of anything yo post here.
Now that's scary
I just envision a scenario where a doctor dictates a dose wrong, we type it wrong, QA doesn't change it for this reason, newbie nurse reads it and gives it to the patient. Dennis Quaid's kids got the wrong dose. Kid here in Central Florida recently got wrong dose because pharmacist typed it wrong. But as MTs we aren't liable? Very scary.
SCARY
Wow that med thing is scary to hear about. I thought it was bad enough when my FORMER PCP tried to tell me hypertriglyceridemia was from eating too much animal protein. That was so dumb it was funny but med errors aren't.

A Walgreen's here is in trouble because they wrote a script for a 3-month-old, premature twin for cough medicine and typed 1/4 teaspoonful instead of 1/4 mL. Granted not a doctor but it was in the news recently and the kid could have died if the pharmacy didn't catch it and call the parents prior to the second dose being given. What is it medical mistakes are the 4th leading cause of death in America?
French Ed. major
with English Ed minor and Music minor. No jobs around here in Northern Indiana, and extended family is here, so once started having kids, kind of just fell into this work. Love it, though, love using the Latin I had years ago.
We have DirecTV and have had no major

issues.  I have internet through the cable company and have had lots of problems.  If cable is through Time Warner they have the worst customer service.  In my area the programming is about the same between cable and satellite, except DirecTV has just added satellite radio.  I don't know if cable charges per each box, but DirecTV does charge $5.00/mo per box after the first one.  The only complaint I have about DirecTV is that we had a big storm and after that we could not get every channel on every box (we have 3).  We're not sure where the problem is, but for them to come out is an automatic $70.00 and then depending on what the issue is there could be more charges.   When my internet goes out there are no service fees, although it is a pain in the rear getting anyone out to fix the problem. 


With satellite you may have to put the dish in your yard on on your house where it might be an eye sore, but if the dish is on the house they only have the run the wiring down the house and not in the yard.  If you have cable they have to run it from the pole to your house and they barely bury it, so that you have to have it located every time you need to do any planting/digging.


With satellite when it rains real hard we lose signal, though it doesn't usually last long.  When we used to have cable we might not lose signal entirely, but it would be very fuzy.  Cable really utilizes satellite.  Our local cable company has huge dishes setup and the cable feeds from those.


 


 


some major issues!
If the post set off some "emotions," then keep them to yourself, or scream them out loud at home where no one can hear you. The person who posted this did not do so to set off YOUR PERSONAL "emotions." I think your major emotion just might be jealousy!!
These are not petty! These are major sm
things that any experienced MT should know. You need to take the correction as it was intended...........not to be petty but to fix things that you have been doing wrong for years! The docs don't know formatting and unfortunately most of the hospitals don't either. Be glad you FINALLY have some correction! Why you would waste your time checking everyone elses transcription is beyond me.

This kind of transcription is why I don't get too excited when I have an "experienced" MT call me to test for a job. I have tested MANY MTs with experience even more than yours and gotten the same thing! Sometimes people have been working for the same place for years and never been corrected.

This kind of stuff is why (in my opinion) that all MTs should have at least 2-5 years experience in an acute care facility before going out on their own! This "new wave" of going to MT school and then opening your "own business" is bringing this profession way down! It needs to stop.
major discrimination
My husband works for an agent with a major insurance company.  He is not the agent although he does have to have agent's licensing. We were told probably 15 years ago, that a white male would not be allowed to become an agent for many, many years due to people (this happened to be two women) who declared that they were discriminated against in this company.  So to compensate for discrimination this national company will not hire a "white male" for the appointed amount of time (which was a very extended time period of many, many years) unless that "white male walked on water."  That was their quote too.  I have heard (but have not verified this) that this same "discrimination" is going on in the medical field.  Therefore, you have all the ESL's who are able to get into med school but the American Caucasian is not chosen because you cannot discriminate.  My question is "Who is really being discriminated against?"  In my husband's company -- It is the Caucasian white male and I have a feeling that it is the Caucasian that is discriminated against in the medical field as well. 
What is a major bummer is...
A lot of the older MTs in this neck of the woods have lost their jobs not to outsourcing, but inability to keep up with technology, and it's not their fault either.  All of these transcribing companies seem to have upgraded their technology so now people NEED high-speed internet/cable, and dial-up just won't do anymore.  Imagine losing your job because the cable/phone company won't string up cable or DSL in your neighborhood because your're just too rural.  It's a huge problem and I can see why that would make many people (including myself) jaded.  What in the heck do you do for work when all you've known is transcribing?  Hardly any hospital hires in-house these days either.  Scary times indeed.
me too... lost major $$$.. sm
I lost my derm practice to EMR, $1500+ per week.  That was my only account.  Very humbling experience.  I know a lot of you are in the same boat.  Now it is taking me about a month to make what I made in a week.  Have a couple PT accounts and am working for my FP doc that has EMR.  He dictates part of the note and I put the typing where he wants it.  It is slow as I have satellite but at least it is some income.  I think EMR is the wave of the future.  Hopefully it doesn't become a law soon. 
For me, a major consideration is, would you be
nm
MAJOR PROBLEMS!!!!

Okay first of all I updated to XP from ME, lost my Microsoft Office so had to reinstall it. I use Express Scribe to play dss files.  Before my update I updated ES to version 4.16.  Found out that does not play dss files so uninstalled that and reinstalled v. 4.15 and it worked.  After the upgrade, I reinstalled version 4.15 and it does the same think at 4.16 did.  WIll not load dss files.  They appear in the file list but with a duration of 0 seconds.  I have tried uninstalling and reinstalling, restarting and everything I can think of.  Even with the extra dss .exe that the website said I needed.  Is there a possibility that XP doesn't not run with ES or dss files or do I need to install another component to make my files play on XP? 


Please help, I am getting backlogged and starting to freakout. 


major errors
Only 2 major errors allowed? When learning a new account that seems a little strict. I understand they can't have major errors but give someone a chance to get things right and learn the way of doing things.
I would say those are major. Hospitals SM
often have this sort of policy and expect the services doing business with them to enforce it.
Major error?
That is not a major error. They are just two straggling headers that got left behind, an oversight at best but not major error category. What is wrong with these people? If they call that major what do they call a real major errors that could possibly affect the outcome of patient care? When you consider all the malpractice that goes on with direct patient care involving doctors and nurses, two straggling headers on a report is really very minor.
The major obstacle is the ...sm..

long distance phone charges for the C-line.  Check into Magic Jack.  Some people have been very happy with it and have used it for long distance while using a C-phone.  It makes no difference what kind of computer you're using when you use a C-phone. 


Link to Magic Jack info is below.


A Major Rant

A rant letter to a couple of doctors:


What has happened to the medical profession in this country?  Why is it that doctors forget their Hippocratic Oath?  Why is it they forget the purpose of their career choice?  I've transcribed this week on numerous elderly patients who have been with their doctors for five, ten or even fifteen years, but they have to seek care elsewhere because so many doctors are refusing to accept Medicare.  How would you feel were if it were your own mother or father being refused care with their established physician just because they became classified as "elderly" and qualified for Medicare?  If it weren't for your "connections," your parents would face the same dilemma that other elderly people face.


Why is it that when a patient comes into your office complaining of feeling fatigued and achy that you automatically assume they're depressed and pop out a prescription for them to pop a pill?  Why not LISTEN to what the patient is saying and realize that while some MAY be depressed, others have a legitimate medical problem going on?  Why not do some labs on them to check for anemia, hypothyroidism, etc.?  Oh, I get it -- let them wait two hours to see you after their appointment time and then spend two minutes with them... after all, time is money.  By the way, I guess that kid who came several times a couple of weeks ago complaining of abdominal pain wasn't just trying to get out of school since I saw his obituary in the paper this week.  Even when his mom and dad brought him in a second and third time, you brushed them off.  I hope seeing his obituary hurts your heart at least half as much as it hurt mine.  I can't imagine the pain those parents are enduring right now, but I doubt you've stopped earning money long enough to let it bother you.  And, no, I won't cover your butt if I get a subpoena when his parents sue you for medical negligence.


Why is it that you cringe when I tell you I need to raise my rates when I've not had a rate increase in three years or longer when in the mean time you've raised your rates at least three times a year every year?  Oh - ok - your expenses have gone up?  Do you think they've discounted my electric bill, gasoline, supplies and everything else?


Remember that last check before Christmas that I asked about when you were late paying me?  You know, the one where you said you didn't have the money to pay me until after the 1st of January - although my contract with you explicitly explains payment arrangements?  That was hard to swallow when your wife was standing there while I was waiting to talk to you and making out a check for $8200 to have your home decorated for Christmas?  Yes, it ticked me off that you had the money for that in your budget but not the money to pay me my measly little $702.  It also ticked me off when you took your three-week vacation to France and left me waiting for payment.


I do understand - its all about the money.  Of course, that is why I work.  But, if I ever get to the point that I'm so cold-hearted or money-oriented that I cannot try and give the best of my abilities in my transcription for every patient I type on, I have common sense enough to know its time to get out of my profession.  Yes, to you I'm just a "typist", but how many times have you picked up the phone and called me asking, "Do you remember the names of the tests that I need to order for Lyme disease?" Or, what about when you can't dictate a proper letter and you say, "This is what I want to say - can you fix it for me?"  What about those times when I've flagged a lab result and said, "This patient would be dead with a potassium of 988."  Regardless, I remain just a "typist" in your mind.


In spite of all your faults, I do my best for you.  I give you accurate work every day of every week because I know one typo (on the transcription work you don't review) with a drug dosage could mean the difference between life and death of your patients.  But in the end, does it really matter to you? 


 


At least 200; FT account is a major
trauma center, PT is a major surgical center. Both are teaching hospitals, so I have all the residents thrown in too.
No kidding...that's just scary nm

Pretty scary. Do you actually think you
are Frank?
Danged scary if you ask me!!!!!!!
 (gramps at 100 target practicing)
pretty scary
I know that this does happen.  I just try not to think about it.  It's amazing how many physician's and other big tim professionals are functioning alcoholics and drug addicts. Even more sad is the fact that other hospital staff know that these people are enebriated and don't dare say anything to anyone about it. 
is it scary though? or just gross?
x
Scary movies
Creature From The Black Lagoon.

The original Phantom of the Opera with Lon Chaney.
new people are scary
I have an orientation this Saturday with an animal shelter, i'm debating whether or not to show.  My main thing is the distance, afraid my car won't make it.  I can't wait to see some new faces though.  Make the call, you'll be glad.  They're all good people if they are volunteering their time.
Man, I can't tell if this is scary, or laughable.

Are you really that uninformed? That IS scary. nm
nm
Scary how close it was!
I've been having to tape Tue/Wed shows because I am working and so I haven't been able to vote either.  Next week I will just have to make an exception and watch/vote.  Have to get Taylor through-whoo-hoo.  He's my soul man!
Now THAT'S just plain scary!!!!

The omen was for sure very scary! And BTW,
Didn't Elizabeth Hurley name her little boy Damien?  I like that name.  I always thought if I ever had twin boys I'd name one Damien and the other Julien.
Johnson!...scary, huh... nm
nm
Thanks much - why is it so scary?? I have not updated my
x
Wow, kind of scary LOL. nm
nm.
Here is the REALLY scary part sm
I have heard that Medicare will not reimburse anyone unless they use EMR. They are starting this in 2009 and hope to have the changeover complete by 2014
I found this....really is scary.
Paper and Supplies

EMR will substantially reduce paper and supplies for:

• Fee Tickets
• Charts and Chart Labels
• Prescription pads
• Paper Copies
• Custom Forms

Savings:

• Paper and Supply reduction in annual costs for paper by eliminating charts, forms and prescription pads. The average cost to create a chart is around $5.00 per record:
o Chart Jacket $2 to $3 dollars
o Chart tabs and labels $1.00
o Labor cost to assemble $1.00
o Labor cost to Handel $1.00

A physician seeing 30 patients per day can have up to 400 paper chart transactions per day, which would be eliminated with EMR. The following are some examples of this:

➢ 30 chart pulls off the shelf
➢ 30 charts going back on the shelf
➢ 30 chart pulls to file the notes after the exam
➢ 30 charts to return after filing dictation
➢ 15 chart pulls for incoming lab results
➢ 15 chart returns after the lab is filed
➢ 15 chart pulls for RX request requiring a pull
➢ 15 charts to return after the RX request
➢ 40 incoming faxes per day requiring a chart pull
➢ 40 charts to return after the pull for faxes
➢ 60 calls per day requiring a chart pull
➢ 60 charts to return after the call
➢ 10 with calls after the visit
➢ 10 with call to coordinate care
➢ 5 will be billing issues requiring a chart pull
➢ 5 to return after retrieving for billing
➢ 3 medical record requests to transfer their records
➢ 3 to return after paying the cost to copy which could have been faxed to the recipient at minimal charge

416 chart transactions per day @ $.080 cents per transaction = $333.00 per day / $1664.00 per week / $83,200 per year – based on 50 weeks per year assuming a practice closes two weeks per year.

Transcription

EMRs have been very successful in eliminating or substantially reducing transcription through templates and pick lists.

Documents can be customized by provider and document type. Referral letters can be generated automatically and faxed directly to the referring physician before the patient leaves the office. This enhances physician patient relations, minimizes paper, labor and postage costs.

My own experience on reducing transcription costs was nearly $1000month. If you employ a Transcriptionist that is nearly a $30,000 annual savings for each transcriptionist you have on your staff.

There is a whole article on this at the following address if interested.

http://www.urologypracticetoday.com/index.php?option=com_content&task=view&id=206
So here's a scary note about

I'm at an age where Social Security has started sending me periodic notices that show how much I've paid into the system over the years, etc.   They also tell you what your monthly pay would be if you retired at 62, or at 65, or at 67 and beyond. 


And of course, we all know that our Social Security checks aren't going to be enough to live on, right?  That's why we have (or try to, anyway), 401K's and IRA's, to pick up where Social Security leaves off. 


Well, even if I started taking Social Security payments early, at age 62, even with the penalties for doing so, and a smaller check, I would be making more money than I do now as a full-time employee of an MTSO. 


Now THAT tells you something about the shabby state of affairs in this industry.