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Switching Around Accounts While Getting Paid for Production

Posted By: I'm also appalled on 2009-05-16
In Reply to: generic reply--guess I struck some nerves - appalled

Appalled, I understand what you're saying, but there's another side to your point that I think you didn't verbalize quite well enough for MT30+ to understand.

When the employer, who is paying you for production, or even the employer who might be paying you hourly, asks you to switch accounts frequently, the employer is also going to suffer. When you're not typing up to your potential, she's not profiting as much from your typing either.

Let's say the MTSO just got in over her head with backlog and needs more staff. It does take time to find and hire new staff. But if the MTSO doesn't do that AND QUICKLY, then the MTSO is going to be suffering from the learning curve of the MTs she's asking to pick up the slack in the meantime.

Everybody suffers when the MTSO doesn't staff adequately in advance for new accounts, not just the MT.

On the other hand, if the MTSO anticipates a new account and hires in advance, then everybody suffers again because they start seeing the No Jobs Available message from overhiring until the new account kicks in.

It's a very tricky business when you're taking on a new account, hiring new people to staff it, and trying to coordinate it all so that everybody stays happy.


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If you are not paid on production, does
it really matter??? You are not losing money by doing these other things and if that is part of your job description, then you have to do it.
Nope. Not if I'm being paid production.
If I'm being paid hourly I'll do that, but they can't have it both ways. If they expect us to do that, they can pay us for it.
Paid production/hourly

To those of you who are paid production (other than MQ) - are you limited to working 39 hours a week? I don't understand being paid by the line, yet being treated as an hourly worker. Just curious as to whether this is the norm at other places. 


Do you get paid by the hour or production?
`
are you paid by production or hourly?
nm
If you're paid on production, SM
I'd very strongly recommend buying a program. Looking things up in a book takes so, so much more time, and wild card searches are the pits at very best.
We are paid on a production system,
a tiered system determined by # of lines per pay period, not per hour. With each tier reached you get an extra 0.05 cpl on top of your normal cpl. Minimum line count per pay period (2 weeks) is 12,000 lines. Not at all hard to reach. The cap is 2 cpl above your starting cpl.
Exactly what happens when paid by production. Complain to all the companies sm
thay pay on production.  The bottom line is the dollar.
Depends on whether you are paid hourly or on production.

If you are paid on production, then I wouldn't even spend five minutes researching a physicians name because it's the MTSOs responsibility to make sure have up to date physician lists available to you.  Nothing irks me more than starting a new job with an MTSO who expects you to hit the ground running, but gives you very little to start with!


If you are paid hourly, then I would spend up to 10 minutes trying to figure something out.


Yup, it's fact of life when people are paid on production..SM
I hate cherrypickers too, but part of me wonders from a devil's advocate point of view, what if everyone just refused to do the crappy dictators? Maybe they'd be forced to clean up their act. Because when you get right down to it, CRAPPY DICTATORS are the main problem causing cherrypicking, NOT the MT.
I loved being paid for production/quality as opposed to being with the co. since
the beginning of time. And those long timers that I worked with tended to produce the least work and dish out the most criticism. I felt like a work horse and was paid half of what the 10 plus years on the job MTs in-house were. This created hostility, needless to say.
Nope. We get paid production too. Unfortunately, hourly QA is out the door.
They are fewer and farther between than you could imagine. AND, for those of us who have been fortunate enough to be paid production (I'm one of the unfortunate CBay editors who was fired just before Christmas.)
Production-paid employees have different laws and regulations. nm
nm
well, we ARE on production. And paid according to what the account pays. Have rates gone up? sm
You (supposedly) get a percetage of what the account pays.
We paid hourly with incentive for high production. So she's making money when she's just
sitting there.  I don't know if it is a habit or not because this is the first time I've really had to work with her for any length of time.  I usually only work a couple of hours a day with her when our shifts overlap.  I think I'm definitely going to ask the girl I'm filling in for what she thinks about her.
It is time to seek you own accounts to be paid what you are worth! nm
x
For QA consulting I'm paid per hour; QA instructing (college) paid salary, QA editing paid per li
I am an IC and work for two different MTSOs as well as instruct at a business college.
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.
Switching to DSL

I'm moving and the new place has DSL.  I have always used cable high-speed.  For those of you who have experience with both, can you tell me if DSL is a downgrade?  I'm concerned about my production going down because of a slower connection.  I know DSL and cable have comparable connection speeds, but I think DSL is significanly slower in transfer rate.


If I'm wrong, straighten me out.  Tks for all input.


Switching to radiology.......sm

I made the mistake a few years back of switching to a radiology account because it had a better schedule for me.  I had never done radiology, but I had the attitude that a lot of experienced, well rounded MTs do.  With such a vast knowledge of medical transcription.. how hard could it be?  Wow, was I in for a rude awakening!  Radiology is a language unto itself and if you think it's easy, you're wrong. It gave me a whole new perspective of Rad MTs.  So if you’re considering taking on radiology without experience or training, you might want to think twice.


no problem switching here

My office was consolidated into another one about three years ago and I never had a problem.  One day I had a different 800 number to call the office with and new clerks to talk to on the phone, but everything else was the same, i.e., accounts, etc.  Not everyone has a bad experience moving in with a new office.


Help...always worked in WP5.1, now switching >SM
to Word.  Any help appreciated.  Type of reference books for Word.  MT productivity Word books??? Thanks.
My one job uses it still though they are talking of switching - sm
over to regular WordPerfect one of these days...probably be years though as a slew of formats would have to be redone, macros, etc.
Switching to Digital
Can anyone tell me anything about switching to digital?  I only have one very small account of my own but the tape quality is awful.  With only 1 account is it even feasible to do so?  Thanks guys. 
switching companies
I need some input!  I've been offered a position with another company but I'm not sure if I should jump ship and take it.  There's not much difference in pay.  There's a bit more flexibility with hours.  Should I ask for time off from my current company and try the new company for a couple of weeks to see if it will be a good fit?  Should I let the new company know that I'm just wanting to "try" them out?  I know this probably all sounds unrealistic, but I don't want to go from something bad to something worse and have regrets and not be able to go back.  I've recently separated from my husband and have 2 small kids.  I'm not happy with my current company, but I want to make sure this new company will be a place I'll be able to succeed at.  I just don't want to make things worse for myself.     
switching fields
Many big nationals have every specialty now. If you work for one, ask them if you could just do rad and path. You might find path interesting but rad could be a tad boring.
switching MT fields
I've been doing acute care for almost 30 years, but I would really like to do radiology and/or pathology. What's the best way(s) to get into these fields?
Switching to radiology - help, pay, etc.

I am thinking of switching to radiology (for a change) after doing all other specialties for over 21 years.  I feel I can make the transition okay after a learning curve, as I have transcribed a lot of ortho, physiatry, physical therapy, etc.,which should help some.  Here is where I need some help.....   My offer was for 10/line gross count and right now I am working for 9/line, 65 ch, but I have no idea how this compares because radiology reports are different and a lot shorter, etc. etc.  I am used to making pretty good money since I have done this for so long and just want to make sure I am not going backwards in pay.  I definitely cannot afford that in this economy.  So for those of you who have experience in radiology can you give my your thoughts and ideas on expectations for this pay rate (obviously after my learning curve).  Thanks so much for any help!!  Also, feel free to e-mail if preferred.


Any advice on switching to med billing from being an MT?

I just can't seem to make any money working at home with the kids talking to me constantly with transcipriton so I am thinking about switching to something I don't have to listen to.  Maybe medical billing.  Any advice anyone? 


Thanks


Unsure about switching jobs.
I've applied to three companies over the past couple of weeks and gotten interviews with all of them.  I just don't know about switching jobs right now.  Obviously, there's a reason I want to leave my present company.  I just don't know if it would be jumping out of the frying pan and into the fire if I switched.  There are pros and cons to each situation.  Until I actually do the work and try out their platform, I don't know if I could be more productive than I am now.  I don't want to be stuck on their most difficult account, which is exactly what happened at MQ and S in the past.  I've been on my current account for over a year now, so my expander is pretty full.  However, it's such a waste of time to pull up the templates and look up hardcopy doctor and patient information on every single report.  I do like the flexible schedule without having to work set hours, but I run out of work all the time.  I'm half tempted to cancel the interviews, but I could be throwing away a good thing here.  There's no way I could work two at a time to see if things work out either.  I guess I want the best of both worlds.   Any suggestions?
We're switching this week
I will get to keep the gas guzzler Dodge Ram and DH will drive my Hyundai Sonata.    $2.99 for his truck.  I use the lower grade, $2.79.  Is this ever going to end? 
Switching internet service
Cox just informed me that my monthly bill will be going up by $5 starting in October.  Does anyone use NetZero or can anyone recommend a reliable internet service at a decent rate?  My bill will go up to about $45/month. 
I have thought about switching to coding too, but sm
but someone told me that coding is going the way of MT too, being outsourced and such, so I am not sure it would not be a lateral move.  There seem to be lots of ads in Advance magazine for coders, so perhaps it is still a hot field.   The Andrews school offers an at-home training course, and also offered this web site for more information on coding as a career:  http://www.codernet.com

Hope this helps.  Good luck!




Try switching feet? For the life of me
I can't seem to get the hang of using the footpedal with my left foot .... no coordination there at all!

To the poster with foot problems, you might check with podiastrist ... maybe you have plantar fasciitis or a bone spur?
switching to unfamiliar dictators...
Absolutely...It's sooo hard, isn't it? I've been doing this for 15+ years on major ESL accounts and it kills my production to switch when my accounts run out of work.
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?
if mt paid 9, editor paid 4 or 5...how can company charge 14 and make it..sm

I know the going rate in our area is 14 cents per line.  As MTs most companies here pay us 8 or 9 cents a line.  Now add in the Editor rate at 4 or 5 per line..you are paying OUT more than you can charge a line.  How would companies stay in biz?


Unless all work is sent by the company overseas at pennies per line, this would not pay for a company.


just curious how this works out


how about switching it around and telling the people who run the show that you really can't
expect any more out of people who have not received increases in pay in years, are swamped with ESLs and American mushmouths and they really should stop and think about the pay rate being increased so you aren't faced with this scenario.  how about representing the MTs interests instead of sucking up to the big boys?
Millinium RadNet? My Hosp is switching...any help? SM
We currently transcribe in Word from Lanier VoiceWrite and send via VPN.  I've been informed we're switching to Cerner Millinium RadNet the first of January.  The people inside don't seem too worried and don't know much about this system.  Does anyone have a clue for me?  I need to know what I'm getting into here.  Any and all help will be appreciated ! !
Advice needed - Switching from employee to IC

I have been working with a national company for 5 years and have enjoyed it but a friend called me recently stating she had a doctor who is despirate for a new MT and she recommended me.  I talked to the doc. today and she is very interested.  I have a meeting with the office manager next week to work out the details.  I have a few questions and would appreciate your advice:


1.  Doc. did not know what type of dictation system they use, but it sounded like a C-phone or DVI system.  Currently I do everything on line, is there a way to dial into a C-phone system through my computor's modem?  I know that this is probably wishful thinking, but it can't hurt to ask. 


2.  Do you draw up a contract?


3.  Are there any questions you would recommend I ask (we have already discussed pay and vaccation/sick time as well as turn around on the reports)?


I am a bit nervous about striking out on my own but the company I work for made a lot of changes last January and it just is not working well for me anymore.  


Thanks for your help,


Mariah


My hospital is switching to eScription - what can I expect?

The hospital I work for just told us that they are going to switch to the eScription platform.  Many of my fellow transcriptionists are afraid they will lose their jobs.  They think that because it is editing, the hospital won't need as many transcriptionists.  I have been a Transcriptionist for 20 years, doing mostly acute care, and I'm a little concerned as I have only been at this hospital for three years.  If you could please tell me what we might expect in general, I would sure appreciate it. 


Some other questions I have are these:


For those of you who have been in this position before, how was your pay affected by changing to eScription?


Do you like working on this platform and why or why not?  Does it make your job easier or harder?


If you use it at home and get paid by the line (which is one possibility our supervisor suggested might happen), did your line rate go up or down or stay the same?


I guess I'm wondering if I should start looking for a new job and trying to find out all I can about this platform before making that decision.  Any info you can provide is greatly appreciated.  I have read all the posts here about eScription, but many of them are very old, from 2005 or so.  Please help with current info and thanks so much!  I don't want to worry if there is no need to and I want to be prepared just in case there is cause for concern.


switching peripherals from desktop to laptop

if they have previously been used on that machine, does the machine have to be turned off before attaching them?  don't know what i'd do without you guys on this board, be lost in space i guess...


Cool!! Glad to help! Switching rooms does help a lot. nm
x
Wow, people! Thanks for the info on AT&T. I was thinking of switching over to them sm

I have had problems with my internet service on occasion, but I am not not without service for five days though! Yikes! And good point about complaining that they might charge you for a business line in another posting here. I think I would still switch though and ask companies how long their customers are usually without service, i.e. ask how long before service is restored.


Losing expander by switching companies

If I decided to switch companies but am using an Expander program that is the company's software, I would have to start from square one with  new company. (There is no way around that, correct?) 


Not planning on leaving now but was just thinking that if that should become a consideration, my line count would drop big time until I could build all those expansions again.    Has anyone ever gone through that?  Do you remember how long it took to get back up to speed?


? switching monitors to flat panel sm
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I was just notified my hospital is switching to DQS, any tips or warnings (sm)
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Switching banks - DD question (Happy B-day to poster below!!)

I have two bank accts.  One is Wells Fargo where I have DD.  The other is with Wash. Mutual which I just opened as I want to quit banking at Wells Fargo.


Has anyone switched banks and requested DD to be placed on another account?  If so, is there a time lapse in between that is of any length?  (i.e., will they mail the check to me in between stopping one DD acct and before setting up the other?).


Guess I should just call HR but I know they are busy as it is payday.  Will wait until Monday.  Thanks if you can be of help. 


We're in the process of switching my FIL to cable from Direct TV.
It's just too complicated for him to figure out what channels he actually has and what are just black channels that he doesn't. The "guide" seems too complicated for us, or it could be that we're just spoiled at the ease of cable use. Either way, he finally is ready for cable and I can't get it switched as fast as I would like. Direct TV is too complicated in my opinion.
Switching your internet browser doesn't automatically
make you immune to ALL viruses. Firefox is a browser just like Internet Explorer. The Windows XP viruses come through your operating system, not your browser. Viruses can also come through your email program. Your ports can be hacked no matter which browser you use, too.
I would say a GI is the correct specialist and keep switching until you find one who helps you. So
//