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Serving Over 20,000 US Medical Transcriptionists

Small Local MT Business

Posted By: What's Up Doc? on 2007-08-14
In Reply to: Help! Need advice. Trying to get my own MT accts in CA. What paperwork/contracts needed?? - Rachel Green

Hi Rachel,

What part of California are you in, and are you looking for any partners?

If so, please e-mail me.


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Oh no... This is a small local company. nm
nm
For me, a very small local MTSO
doing tapes/office notes.
I'm with a small local company....sm
so that doesn't help you, but I have heard good things about WildBlue, you might want to check out their website.
local business

Look in your yellow pages for companies that re-cycle as they will stand behind their cartridges -- at least in Portland they do.  I have a large laser HP and my toners cost me over $100 at Office Depot even their re-cycled one.  But several local companies offer for about $75 to $85 and they deliver and last just as long.  I do a lot of printing and so go through about 3 per year at 10,000 copies per toner.  Seems sometimes it is cheaper to buy a new printer.


 


 


As an IC, you are your own small business. As a

contractor you have NOT been in their emloyment.  You have worked as contract labor for them, whether it be 1 month, 1 year or 5 years.  They owe you absolutely nothing at any point in time of the contract.  However, should you contact their clients (as you mentioned below), there can be legal repercussions for you so I would seriously think twice about this before going forward.


As an IC, it seems you would know that you should not put all of your eggs in one basket. I would bet that most of us that are IC's work for at least 2 companies.  For the ones that don't, they probably work for 1 company and have their own accounts, OR better yet have all their own accounts.


TAT is of the utmost importance.  It only takes twice with me and I won't send anymore work to that particular IC anymore, which is my option.  I might give them a second chance IF their work was top notch.


Small Business
According to what I read on the internet regarding corps, yes you can and you can be the only employee under I believe the S-corporation.  There are C-corps, S-corps, partnerships, proprietorships and LLCs.  That is the way I read the info.  Reading all info gives me a headache, members, stocks, annual meetings, and so on.   Yuck!  Really do not know if it is worth it.  If you go to MTT Jobs, I have noticed that many, many companies are now requesting employee status.  At first I thought it was so they could have control over you, now second guessing. They may not have a choice in the matter.
Unless local, and can pursue in small claims, then she will end up sm
spending more money that she will ever get back.  Write if off.  Move on.  Learn from the experience.
look for a small local company in your area

 


I worked for a small company and although I did get paid by the line, I made way more than $16 an hour and could pretty much name my own hours to work. I did, however, have to pick up tapes!


I work for a small local company.
It seems that the smaller MTSOs pay better than the nationals. Maybe that would be a good avenue for you to try. I just think the low rates offered by the nationals are insulting.
I worked with a small local years ago who
s
Just became IC myself. Do I need a small business license?
dd
I use Turbo Tax Small Business - sm

It will walk you through everything and prepare a schedule C for you as well.  I would recommend this if you are going to prepare your own taxes. 


Try your local library or perhaps a small tax service would give you one. (nm)
 
We have a small local paper that comes weekly in the mail...

and I spend most of my time counting the spelling errors when I read it.  The best one was the headline one November that proclaimed - HAPPY THANKGSIVING.  Did I mention this is a FREE paper. I would never pay for something like that.


Another one I saw a number of years ago, mirrow instead of mirror. And one time at my old job at a manufacturing plant, they were taking a bus trip to some shopping "outlits."


I am a teacher's kid and stuff like that really bugs me.  Good thread by the way!


could you at least file in you local small claims court?
where the employer is located. My local county charges $50 for serving out of state notices on small claim issues. You would stand a greater chance of obtaining a judgement as the chances of the owner coming to your state would be small. Once you get a judgement and failure to pay, you can file a lien against the company. If they ever want to buy anything on credit, it would show up and they would be denied until they paid you, then another 7 years to roll off the credit report.
I only have dial-up, I work for a small local MTSO -sm
that uses a FTP site to send us our work, so dial-up is just fine for that (work is about a 20 hour TAT, so it does not matter how long it takes for me to download my work, and uploads are quick. So obviously a job that has no set hours, etc. is ideal for someone with dial-up. Also get your own accounts, then it doesn't matter does it as you are the boss. I have 1 account of my own and we transfer the files via the internet through an intermediary website (in place of a FTP). Just keep hunting there are dial-up jobs out there.
Do you have a weekly ads pub that you could put it in under Business Opportunities, or in your local
s
I went to a local business college which sucked.

My first job was a p.r.n. position with a local hospital filling in for vacations and people off sick.  That's where the real education came from.


Independent Contractor vs. Small Business?

I am negotiating a contract with a clinic to be one of two transcriptionists.  I have typed for this clinic for several years as a sub-contractor, but the current contract holder is not renewing the contract.  The clinic's lawyer is not comfortable with "Independent contractor" as the contract would be for one year and for the usual questionable definition of an IC. 


I tried to research this and just became more and more confused.. so I hope I can get a little advice here..  I do not want to be employed by the clinic - I prefer to be self-employed.  Do I make myself a small business and get a license?  I do plan to meet with my accountant to ask some questions, but I was hoping to get a little info here so that I would not sound completely stupid!  (Doesn't seem as bad to sound stupid here rather than in person!)  I am used to getting a 1099 and paying self-employment tax. 


Are you an Independent contractor or a small business?  I do not plan to have any employees..I just want to type for this clinic and get paid! THanks!


Any small MT business owners in CA out there? I need advice!!

I'm looking start up my own small bus., just a couple accounts, but I need to know if there are any HIPAA contracts or anything else that I should be providing for the doctor and myself to sign.  Any advice would be truly appreciated!!


Thnx, Rachel


Want to start my own small business, need advice..sm
Hi all.  I am looking to get started doing some transcribing on the side for myself, and perhaps turn it into a small business.  Right now, I only have the capabilities of doing tapes and using Word as my software to transcribe in.  I feel like I should look into digital and see how much the equipment would run, and how easy it would be to use.  Does anyone have any recommendations on something that is relatively inexpensive for a beginner? Should I stick to my guns and start out with tapes first?  Any advice would certainly be appreciated.  I have been doing this for 16+ years and I feel like I shouldn't have any problems getting some local work drummed up.  I am getting ready to type up some letters to send out and I guess I will go from there.  Thanks in advance!!!!
I need some advice on starting my own small side business. sm

First of all, I have worked for several nationals in the past few years, and equipment has always been provided.  I currently have a f/t position with a national that I use my own personal computer for, they just put their software on it.  I had what I needed already, as far as foot pedal, Expander program, etc.


I have just been sort of rolling ideas around in my head about possibly starting up something small perhaps on a p.r.n. basis just to bring in a little extra income.  As I am still just mulling this around in my mind, my questions are:  How do I go about getting started? Do I try to purchase equipment first, or start out using tapes? I am worried about spending the money and not having any takers, so I am thinking, I should send out some sort of letters first; but, without having the equipment already, how do I tell them I plan on doing their transcription.  Maybe mention tapes first, and tell them I have plans to go digital after I get up and running? These are all just things I wonder about.  If anyone has any ideas, please feel free to email me with any advice. 


I have been an MT for 16+ years, but as I said, I have always had all of the stuff provided for me and just don't know how to start. 


Thanks in Advance!


 


Even with a salary you're kind of a small business owner!
Even if you're paid a salary you are your own agent, so to speak. Why not hire a part-time helper and pay them a subcontractor rate. That's what a service owner does. You are no hero for not getting some help. MTs who have their own accounts have responsibility for 7 days a week coverage, but not all of us type 7 days a week. Put an ad in the job seekers board and pay someone to take up the overflow. You will burn out and not be able to work at all eventually. Good luck to you.
My first job was a total cold call to small local company...got hired over the phone- sm
give it a shot. Look in your yellow pages or on-line white and yellow pages and see what you can come up with. MT Daily has a list by state of MT companies to with their contact info. Also test your butt off anywhere and everywhere on line, you will learn a lot during the process. I found it quite enlightening when I was doing it 3+ years ago. Good luck.
It is absolutely TRUE! Comcast and vonage not sure about, but AT&T small business says NOT ALLOWED!

Vonage nor Comcast work with all equipment (static, echoing, etc.) and I would be interested in learning more about what "the fine print" says for these two companies.  So, you must be misinformed because I have a sister who works at AT&T and no matter what package you buy, MT IS NOT ALLOWED.....and that is a FACT!   


I get it. But in return for supporting the small business the poor folk get nothing in return.
I understand why you don't shop at Walmart. You support those who support you but it doesn't work that way for me. I can go to an independent shop and by a dishwasher, pay lots more for it and get nothing in return to supplement my support of their small business. Same for all the poor folk who are shopping in Walmart trying to stretch a paycheck. I am glad Walmart exists for those folks.
Buy local. The local stores pay taxes to support your city and state. (SM)
Using online and catalogues does nothing to promote the local economy.  We complain about outsourcing and about the big companies gobbling up all the work so the jobs at local hospitals are gone, yet we do the same thing when we buy on ebay, catalog, and these web sites that may be located any place in the world as their primary business location. 
I went local. Great local tech support, they know what I do and were able to set it up just for me
:)
small mentality usually means small pocketbook
Still make more than you and I but that is deserved. They've put the effort forward and educated themselves.


Unfortunately it is legal..so yes it is business and they will continue with bad business practices
x
I made my business your business by posting and...
I totally respect everyone's opinions. It is easier for others on the outside looking in. That's why I pushed the "post reply" button yesterday. I trust my fellow MTs and I know the more I read from you all, the more confident I am becoming. I just need that final push, not from him though. I also wanted to let you all know that the physical abuse while I was pregnant was documented by my doctor and the hospital. I only wish I had known then that it is a felony to abuse a pregnant woman. I also photographed my face from a couple of weeks ago and told several people in my circle. I had such high hopes for us. Now...not so much. I'm not saying that I won't try to get him to church, but I realize that God can only do so much for someone who isn't listening. j
Business is business. Internet forums are
.
For a business ad?! A business that deals
''Transcriptsis'' x2

''with good track record''

''serve our clients of all sizes'' (I know what they mean, but I just think the wording is funny)

''strive to achieve highest possible quality'' (once again, they never met an 'article' that they didn't hate)

''all departments including H&P...'' (or a comma, for that matter)

local
I am in a small town in Florida and I had one set up by a local one person company, cost me about 500 and he gave me a 5 year parts and labor warranty, I had a minor problem with it, I took it to his store and was back home in an hour - didn't have to have it shipped to me, didn't have to wait for "rebates" and would do it again any time.
would the local
mental health center be able to help? (if a child psychiatrist is not affordable) Might Social Services have a referral, or a crisis hot line possibly have referral information?

I think this child probably either has been exposed to visual porn in some form or is mentally ill.

Pray for them all too.
I have a local ISP (sm)
I have a local ISP so unless you live in the State of Michigan I am afraid this won't be much help to you. :) Here is the link anyway, just in case. :)

http://glis.usonline.com/
I would take the local job. sm
what is so nice about the local job is that you have the same dictators over and over.  You can use your expander/templates/macros, etc to get really fast on a local account and work less and make more.  Good luck.  The local jobs are the best IMO.
I do both. Go local. Luv my local job. nm
nm
local ic
Hi there! If I did a local account for a hospital, would I still need a license? I know for the state I am in I would need one if I had accounts of my own. Thank you so much! 
Need to look for something local, like
a small clinic or doctor's office to get your foot in the door and get some experience. Most larger places require experience, but some only a year or so, so see what you can find locally, even if PT, and start there.
Now you know the local job market and my
home situation better than I do.  For your information, I make more working parttime at home doing MT than I would working fulltime for any of the local advertising agencies.  Plus, I don't have to travel or put my kids in daycare.   Thank you so much for your concern about my employment situation, though.  And please, get off your
I went back to local. sm
Local companies are popping back up because people are getting fed up and going back to local.

I had horrible trouble with downtime with Adelphia, so I switched. Last time I talked to Adelphia I talked to a "rep" who was obviously in India, who asked if I was enjoying the snow.

Arst uz enjozinz' snowz!

It was May!

Now I can call and say "Yo, Eric, hows it going? Having a little trouble here."

I went to wireless and I have toooooo many trees. They trimmed branches for free and they also gave me free dial up backup, just in case, so I won't lose any money.

I have had them since May and I haven't lost a dime. I've lost the wireless on occasion, but I have the dialup to back me up.

With Adelphia, I had downtime sometimes for days. Still had to pay the ridiculous bill though!!!
I like my national (PT) but my local is the best.

With my local I know exactly what I'm in for and how long it's going to take me.  With my national, I can work hard at it and do the extra or just meet the requirement.


My local has picked up a ton of accounts so I may be able to find a national that doesn't have a "schedule requirement," i.e. 3 hours 4 days a week and one weekend day.


With my local, I can say, "Hey kids, not much work, let's go get ice cream?"  They like that, but they hate "Mom's gotta burn the midnight oil."


It's a trade off. I'm not complaining.  I burned my nylons in the fireplace last October and I don't miss them! 


I have one local account that does that (sm)

I've gotten used to the fact that he'll do a 2 page report on an established who is being seen for a an earache.  He has to go through all of the other medical problems, review of systems, etc., instead of just saying something like medical history is in patient's chart.


The other doctor in the same practice will just do: Chief complaint: ear pain. Examination:  Left ear is red.  Assessment:  Otitis media.  Plan:  Amoxicillin.


The hospital and the practice have tried to get him to cut his notes down, but apparently he likes to hear himself talk.


No skin off my nose, I see that I have a tape for him and I sing, "I'm in the money!"


thank you, that is great to know...how do you know it is local?
what is the best way to tell?  we have a (small) butcher shop here, but I see the trucks pull in from all over, and they even have told me their meat is just ordered from all over. 

Do you from a farm?  I live in WNY, and there are plenty of dairy and cow farms, but was not sure they would sell direct...

Any information would be greatly appreciated! 

I still will not eat meat, but my boyfriend does, and I have to make it every day...would feel much better if it was local...
I get it all the time. I have a local guy
who is amusing.  He addresses every report to me personally because he knows I'll be typing it.  Then he adds commentary and personal opinions.  "I don't what this yahoo was thinking.  G.D. idiot.  blah, blah  If you can figure this out, let me know."
Maybe get local accounts
I was lucky enough several years ago to hook up with a urology office that was expanding its practice. I did this at home for a long time. The pay was excellent and, of couse, only 5 doctors, so I got very used to doing them which increases your speed. Also, there was not all this looking up doctors from huge databases which really slows one down. Maybe you can check around your local city and find something like that. It doesn't hurt to try.  Good luck to you both!
If local co can be trusted, then go with them, but SM

will probably be more expensive. Again, they can probably customize it for you.


On the other hand, I just bought a Dell.


Get a local acct (sm)
The middle man is making money on your work. Cut out the middle man and you'll make more than $15 an hour.
I do not see how you can get around this with local accounts.
You are always going to run across patients that you know.  That is why confidentiality is so important.  Yes, I know things about people that sometimes I wish I did not know.  However, the people who work in my physician' s office know things about me that I wish they did not know.  My physician is a client of the service I work for, so I do not see any way around it.  In my opinion, typing reports is no different that actually working in the office with the patients.  You just have to keep your mouth shut. 
Buying local ....
Unfortunately, some of us don't live in areas that have a lot of choice. My town is tiny and we have a teensy WalMart that has items that (I really think this!) have been there waiting to be sold since the day it opened years ago! I buy from JC Penney's from a catalog outlet here in town (if they're open) or online, sometimes I shop in one of the larger neighboring cities. Frankly, unless I'm buying cotton or watermelon, it ain't happening here :-).

However, in defense of your statement, when I lived in a larger city and had variety (and choices!) I did shop in town more often than not. I miss those days LOL.