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Puhleez! I happen to know of two MAJOR MTSO's who charge 0.45 cpl and only pay their people 0.08

Posted By: KYMT on 2006-05-13
In Reply to: YOUR money???? - sm


to 0.09 cpl!  And both of the two companies I speak of also offshore. So let's do the math, they charge the client 0.45 cpl, they pay the India MTs 0.02 cpl.  Either way you add it up, they are making big money off our sweat or by exploiting third world workers!


Boo Hoo for the MTSO's and their overhead and their time and headaches.  And what friggin overhead do they have, really?  They have an office staff of about 10 people at the very most!  They employ mostly IC's, don't have to worry about paying for benefits and the one's that do have actually employees, the benefit packages are a joke.


I will say one thing, if I EVER lose my mind and decide to take a job with another MTSO, I will turn over every rock I can find before I accept a position.  They want to do a background check on me?!?!!  Well, I'm gonna do one on them.  


I harbor just a little ill-will towards some MTSO's.  If they're not offshoring the work, they're screwing us "worker bees."  It is a racket and it's best to get your own accounts or eliminate the middle man and work for the hospital.  I do both.  The hospital pays me hourly and gives me great benefits for me and my kids.  My accounts are for making my fun money!


 




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ask if there is a charge for local calls. I have had this happen a couple of times. I take an egg
xx
I think it depends on the MTSO, some do not charge much - sm
in order to beat the competition. I worked for a MTSO that was only charging .13 cpl (65 cpl); I was making .09 cpl with her, that was as high as she would go so she could make some $ too. She ended up losing it to someone who bid lower, so I lost my job with her. As for cost of living and all that, yes it goes up but as far as MT goes, I don't see rates going up. All the doctors want is our prices to go down, since they are getting gouged by the insurance companies, their malpractice insurance keeps going up, etc. So to stay competitive many MTSOs have actually had to lower their prices to keep accounts. So it is possible your account does not charge too much over .12, again demographics has a lot to do with things too. Obviously a more rural area charges less than in the city, rates vary widely from coast to coast. I only make .09 at my current job, though I know they probably charge .16-.20; I don't know for a fact just a feeling I have as they top out at .12, and base your salary on both the number of years there and amount of lines per pay period. Those who do a large amount of lines on a consistent basis make a better wage (no incentive pay). I am trying to get my lines up so I can get to .10 (my goal). I only work PT but luckily I am good and relied up there, so I am in a good position and have 3 raises in 4 years. So I gues it depends on the rate you started at, you started a quite a high and good rate, so your room for advancement of pay is limited I would say by that. Again, ask for a raise, the worst thing that can happen is they say no.
I know MTSO's that were TOLD by the client to charge less or
they would go offshore. So what is the MTSO supposed to do? You can't stick to your guns in that case. It's either swallow your pride and everyone takes a pay cut, or everyone gets no paycheck.
The going rate to charge a client for rad by an MTSO is in the $4.50 range.
Need to figure in what type of reports, etc. Never go below that - there is a lot of administrative work to do.
As long as the MTSO does not charge the client I don't have a problem with it - sm
its those that don't pay, but then charge the client (which I am sure most do in that scenario) that is not right.
Own accounts, line charge, MTSO percentage
I think you might have posted this same question about a week ago.  I take anywhere from 20 to 30% on an account from my IC's that covers my being the QA, the accountant, the customer service rep, the go between and the relief transcriptionist.  I really think you MTSO is being more than fair.  Stop and think if and when you get your own accounts, would you only keep 25% if someone was typing for you?  Sometimes it is hardly worth my time to keep the accounts for the IC's as the time I spend on those accounts I accounts I could be typing and earning $30 to $40 instead of the $10 to $12 that I get when someone else types it.   Remember when you have your own accounts there is no one to cover for you when you are sick, your child is sick, you go on vacation, holidays, etc.  There is always a flip side to the coin.  I do wish you luck but there is more into doing your own accounts than you realize. 
DH has one through his work, but he's in charge of over 100 people. Can't see
x
To me what is scary is the way some people think. They imagine it won't happen
x
How much do most people charge for doing IC work for doc offices, just

What program is good to use for line counting?


I was thinking 13/cents a line?  Is that undercharging?  I have to remember that I have to pay my overhead so even though 13 sounds high, I have to pay equipment,  equipment, equipment.


help


Who ARE these people who make this stuff up every year charge $ for it??
I could make one up every year myself.  Why do they think they are an authority.  I have never understood this, and will never buy another one.  I bought one in my life for $75.  What a waste of money to read someone's "made up rules for this year."
The political people knew what could happen if a hurricane hit New Orleans. sm
after 9/11 they diverted the money for the war.  One should not take money from one project to do another.  This tragedy didn't make any sense and there are some people on the political board that says its the mayor fault.  What a joke.
Never had this happen either. Email the SH people. They're very prompt with help. Good
s
How about interior wallpapering and painting? People charge big bucks for that. nm
s
The MTSO should be compensating you if you're teaching people!
And if they won't, then I'd politely refer their questions to the MTSO. And the email request is perfectly reasonable, IMO.

It's been my experience as a lead MT and trainer over the years that some people just would rather have somebody give them fish rather than learn to do it themselves. When I got that "vibe" from somebody I promptly handed them their fishing pole and bait and refused to give them any more fish, if you know what I mean!
looking for people that used to work for small MTSO in Suffield, OH a few years back.
ss
PUHLEEZ!
PUHLEEZ - Why are the unhappy ones so jealous of us happy transcribers? I beg to differ with your opinion on the level of maturity around here. You need to adjust your bifocals, slide your chair as close to the computer as you can get, enlarge your font, and re-read these posts! If you can't do the above because of your size or age, then ask someone to read them to you. UGH - nothing more disturbing than people living in this world with no brains! Take it from me and learn to accept that life is about opinions and that is what makes us all different. I happen to agree and like MQLOVER because she seems like the only other HONEST one around here.
PUHLEEZ!
What a waste of space!
PUHLEEZ
Oh I beg to differ - this is absolutely hillarious! All you pimply, wrinkled, bifocal-wearing hags are loving this. It has been years since most of you laughed this hard! Sit back, wipe the slobber off your screen, enlarge the font and enjoy - we ain't goin no where honey!
PUHLEEZ!
Just a fan, that's it! I love laughing and there is no doubt they made me do it!
PUHLEEZ
UH OH - Do I sense some jealousy here.............awww I am sorry!
PUHLEEZ
Try MTstars job seeker's board and MTjobs.com - or are you that screwed you can't find them? PUHLEEZ - This plan is a great improvement!
PUHLEEZ!
x
Charge what the credit card companies charge when they don't get paid on time!!!!
 
Audio hour charge - what is fair rate to charge company?

Puhleez, what exactly is the government doing about illegals crossing the border?

Absolutely nothing.  NOTHING!  The government sanctions sending American jobs oversees, puting thousands of American workers on unemployment!  So why should I or anyone else feel guilty about trying to get what we rightfully deserve?


As far as testing on the phone goes, doxie, you can be listening on an extension and write the answers down for your husband.  Don't feel guilty.  You're going to pay your taxes.


Doubt you can charge 15 cpl for VR work to the docs - you can't even charge them 12 for straight
x
you don't have to charge $60/HR - all you have to do is charge a good rate and then..
work smart, not hard. If you have a great dictator, charge him 14 cpl on a 65 char gross line, then set up your templates and word expanders, you can make $80/hr. But you need all three to work together, otherwise you might only be making $60/hr. Some people are just really good at what they do - shouldn't they make more if they are more productive?
I'd still charge by line, just charge a lower
rate, like maybe 8 cpl.  Do you have to pickup and deliver work?    You could also setup a one-month contract until you see how it goes and then you can figure out the best way to charge and go from there.  You could also charge a flat rate per page and keep it fairly low.  
One office I charge .12, another I charge $2.25 page--nm
//
if you live among trashy people, low income people, people w/o goals or direction,
content to just get by, you by default become a part of a group. "people" have decided to group trailer people as trash. that is because there are enough people in that group to earn the title and even if you aren't trash, you are categorized by others. did i think i was trash in lower class neighborhood surrounded by people who drank and fought all weekend? no but i knew i wasn't staying and did not try to pretend that all the fools in the neighborhood were just nice folks who ended up where they were because high horse snobs deemed their neighborhood low class. people for the most part live exactly where they belong because they don't want to educate themselves, they don't mind "trash" around them and they don't want to be bothered trying just a bit hard to extract themselves from that world. they justify everything to themselves i guess saying everyone who doesn't like their lifestyle is a snob and the comedians (Jeff Foxworthy/Chris Rock, etc) who make fun of them are just ill-informed.

As for me, I fought hard to get out and don't even want to look back. It amazes me people stay for generations.
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.
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.
This was a major national. You can mess with just about anything...
as long as you have a space bar.
to fellow psych major
I would like to start working in the field before I get my BA.  Do you know how many credits you would need in order to do that, and is an AA degree far enough to begin work?  You're a lot closer than me so I figured you might know this.  It would be a big weight off my shoulders knowing I could work within three years rather than 7, which seems so long.  Thanks in advance
Major patriarchy brainwashing.
Having sex does not make you a "wh0re." It usually means you are a functioning adult capable of making your own choices and not having your entire life dictated to you.
We have Publix - MAJOR stores all over....sm

Publix says tipping is not allowed.  I do not agree with that.  They are loading TONS of stuff into cars, why shouldn't they get a tip?  I tip, their bosses are not outside watching anyway and I don't know that anyone ever lost a job with Publix (one of the largest employers in the SE) due to this


to each his/her own I suppose    


Dude, what's your major malfunction? sm

Since I've been working for the last 1-1/2 years with a company and more recently with my own accounts, I daresay that I am doing just fine with or without the RMT.  I wanted to take the RMT for my own fun.  I am sure there are others that either want to take the test or that are waiting to hear their results after waiting several months.