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Serving Over 20,000 US Medical Transcriptionists

System lease or buy?

Posted By: Harika on 2007-06-12
In Reply to: To the newer MTs here, the ones who don't - make the big bucks yet - here is some advice

If I had my own clients, wouldn't I have to make a large investment for a call in system?  Any advice on that?  Also, I did make up flyers and put them all over medical offices and I only got 3 calls and one came to be out of hundreds.


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Meditech is an operating system and Fusion is voice for a dictation system
nm
We lease
It's a version of living beyond your means.



"Lease payments are much lower than buying" talk about needing instant gratification! Leasing per mile is always more expensive than ownership. You forget, at the end of the lease, you give the car back. At the end of the same $$ spent in car payments, you could sell the car and get MONEY back.


My husband is also in the car business and although he has a car that is now paid off, we've been leasing my vehicles for over 8 years. I also resent what one of the posters said about living from pay check to pay check and living beyond our means. We do not live beyond our means in any way and if we live pay check to pay check, I'm sorry we aren't as priviledged and as you and your family. You don't know everyone's situation so please don't judge those of us who don't do things your way.


oh, puh-lease. you don't have to QA here. nm
x
puh-lease
I'm sure you weren't the original "just me".  Lots of people use that as their name on here, as well as mtmt, mtmtmt, radmt, happymt, etc.  Due to the way this site is set up it is unavoidable.  If you want to post somewhere where your name is exclusively yours, this may not be the site for you.
Equipment For Lease
Hi! I would be doing part time transcription for two months and would need micro casette transcriber. Does anybody know if there is any company that lease transcription equipment. Thanks in advance.
Lease Equipment
Part-Timer.

Do you need a cassette transcriber. I bought one from ebay that works great. Think it was about $80.00 and never used it. Will sell it to you for the same. Or you can try EBAY.
my email:
ray-m3comsys@cox.net

Hope this helps.

ray
I only lease. I want a new car every 3 years. sm
After 3 years, things need fixing. I have had no problems whatsoever leasing my vehicles. You can even bargain the price and lease amount. Negotiate is the key. I always get the 0 down, 36 month leases and they work out great. Mind you, I have to negotiate hard for the 0 down, but it always works out and the sales people given in.

I am on my 4th leased vehicle 2nd year. By next year, I will be ready for a new car again.


I considered a lease once (sm)
but when I found out my payment would be only $1 different I decided to buy instead. My loan was for the same length of time as the lease, had no "fees" attached, and didn't require a down payment. Make sure you read all the fine print on a lease. They can determine who services the vehicle. They determine "wear and tear" when you turn it in, early termination fees (you never know), and on and on. Any little dent that might be on the vehicle will need to be repaired, either by your insurance or out of your pocket, or they will charge you for it at turn-in. Beward of leasing salesmen that call you after you have already leased the vehicle and try to squeeze cash out of you. I've heard of that scam more than once.

The only way to end up upside down on a loan is to pay more than it's worth to begin with. As soon as you drive a new vehicle off the lot you are upside down on the loan and will be for at least 6-12 months. You'd be better off buying a vehicle from someone else who made that mistake. Not a lease buy-back, but from a private individual who needs to get out of their loan and hasn't driven the vehicle into the ground in a year's time. With a year-old vehicle you can easily determine whether there are major problems with them too, unlike new vehicles where you just hope it's going to be okay. Check epinions.com and read reviews from owners who are already driving that vehicle. Good luck!
I personally like to lease and SM

decide at the end whether I want to keep the vehicle or not (I have low mileage also)...but if you have dogs/kids/heavy wear on the car (burns, stains, scratches, etc.) when you turn the car in they charge hefty fees for rehabbing the car.


I just like to have new cars under warranty, which is the great part about leasing.


Busy MTg...quesiton for you, lease sm
I read your post that you are on DQS (all my accounts will be on DQS beginning Nov 15; right now, only a few are).

Do you use the DQS expander? I'm asking because I find it just simply dreadful and I use Instant Text, but have only been using IT for a short time and haven't gotten completely used to it.

The transition from MTShell Expander to DQS expander was difficult because the DQS expander doesn't allow for nearly as many expander keys. IT is pretty good, I suppose, but uses a completely different system so that is taking some getting used to.

Just curious as to what expander you use. My expander database is huge, but I'm having to do some major modifications for it to be used to any great degree in IT.

TIA

Regards,
CB
never heard of lease trader, thanks for the tip

I'm hoping to keep payments under 200 though, probably dreaming.


DH has been in car business forever, He says NEVER lease a car.
:+
I alway lease, very 3 years I have a new car. sm
I works for us. I bought 2 cars and by the time 4 years rolls around I am tired of it and want a new one. So, the better option for us is to lease every 3 years. It works great and the payment is much more affordable.

I will always have a car payment as I get tired of the same old thing after a while. So, knowing that, leasing is the best option for me.
I am with you - I lease, love having new car every 3 years. nm
x
Do not lease. Big financial mistake for you. (nt)

To those that lease puters from MQ with DQS on them, what brand do they send you? Thx. nm
.
Anyone lease their vehicle? Need pros and cons please - sm
Am considering trading vehicle, and was advised because of the low miles I put on vehicles (under 25,000 miles in 5 years), that I would be better off leasing than buying.  Would appreciate any and all thoughts and things to watch out for when leasing from those of you that have gone this route.  TIA.
Suze Ormon on TV advises to NEVER, EVER lease a car. (NM)
 
You are correct. Developed by a transcription company, but a division also lease its use to sm

facilities.  I knew that, but had never encountered anyone who works with it in the real world who doesn't not work for the specific company that developed it.  They keep us pretty much in the dark about that stuff.


anyway, when the platform is working well, it is not impossible to make over 300 lph.  350 would be rare, and depend a lot on formatting, what you are paid for and what you are not paid for.


It's the way our system is set up..
We can search to see what work is out there, and we can also search by author and see what work each author has, and even look at completed reports, which is nice when you're stuck. I love my platform.
everyone on DQS (DEP) system
not all accounts are on it yet, but most are
Can you say what system it was? nm
xx
I think it is what system you are using,
that is why I asked you to tell me more. I use eScription and 1 can believe or not but I am amazed at how the ESLs are picked up better than the English. You are using Dictaphone- I have read other posts who are on different VR system and they are not satisfied. I have loads of ESLs on my account but am happy VR is picking up instead of my having to listen to them all and trying to muddle through.
Your system allows this?
The system I work on does not allow me to 'pick' my work. I have a pool of work and it loads into my computer 3 records at a time. I have to take what I get and do what I get. Your system allows you to choose what dictations you want to do? In my opinion, that is not fair to anyone. It should be what pops up gets done by whoever reaches it first.

I would say one last thing to my boss about it, if I were you. I would just tell her that you can sit there and watch what is happening, that this one person is taking the gravy jobs, and for your boss to sit and observe it herself and do something about it. I don't see why any person feels they are better than another, to get an easy income while others struggle. I sure hope it is resolved soon for you.
For every system set up, there is a way around it..
our system recently changed to allow only ONE job to be seen and worked on at a time, which they thought would stop the cherry picking, but it has not. There is a web site where we can still view what is coming next and down the line. The cherry pickers just wait, PERHAPs doing a little job here and there, and then as soon as a very large one comes up, snap. it is gone! I hate this way of things. I certainly wish that all accounts were "assigned" accounts. Much more fair to all transcriptionists. but that is just my opinion!!!
EMR System
I just got back from a meeting at my employer's office. They've been implementing EMR and expect most of it to be up and running by March. They haven't come right out and told us (the other transcriptionis), but we may be without a job, although they haven't really said too much. Supposedly they may still need us because there are some doctors that are set in their ways and won't use it.
What system do you use? NM
b
The problem is with our system.
As a Caucasion I do feel shame for what my ancestors have done to people of other races, especially to Native Americans.  However, I cannot go back in time and fix that.  The problem now is not that people want to come here, the problem is the gravy train our government allows outsiders that do come here.  This is in no way good for the citizens of this country, no matter their original nationality.  If I wanted to become a citizen of another country, the first thing I would expect to have to do is to learn the language.  The powers that be have had a global economy as part of the agenda, and now we have it.  This did not start with the current administration.  I do not know if there is anything that can be done to help the situation at this point.  The powers that be have what they want.  If you are big business, then you can trade with anyone in any country who has the money.  If this is what they wanted, at least they could level the playing field so that we could financially compete with those who are being given a free ride.
Then she'd get back on the system with
This is so-and-so, and I got disconnected AGAIN.
Call-in system
I have an internet based digital call in system with 4 ports.  It is very simple to use. The doctor calls in and then the work is on the server, you load it with Express Scribe and do your work........If you want another transcriptionist to get work, then you just put in their e-mail address along with your doctor's key and it will automatically forward to the transcriptionist, while you still have a copy of the voice file to be able to double check the work.   I bought mine through RT King.
abcdz system
Could you please explain?
Yep, but its the Dictaphone system...
My hospital rad account decided to "upgrade" their system which supposedly would take half an hour - its now 6 hours and counting - and the docs haven't been able to dictate since noon - boy R we in for a backlog tomorrow!
Can't you log onto MQ's system and find that out?
I don't know about anyone else, but I would never stay with a company that didn't have enough work to keep me busy.
To sm, don't do it! Someone will call you and ask why you are off the system!
nm
Where can I get this vacuum system? NM
x
DOS based system
Has anyone ever worked for a company that is DOS based? I started a new job today, and their system is in DOS. To me it is really old-school, but I guess I will just have to learn.
Can you use the DOS system with Windows XP?nm
x
You can't explain it. Our system we have
set up, like I said before, does not help the people who really need it half the time. The people who can afford to build on the beach and build mansions at that, should have to rebuild themselves.

My point though is that not everyone can get out. Not everyone has that opportunity. I got so tired of hearing about it was the people's fault in New Orleans because they should have left. What do people not understand about not being able to leave if you have no vehicle? It is their local government's fault for not using the buses they had on hand.
Cerner is a pie system for MTs...(sm)
A hospital I used to work for went to Cerner about a year before I left.  It was very nice for the MTs compared to the dinosaur system we had before it.  The front office and billing I cannot say were so happy about it..and expect alot of headaches throughout your department until they get used to it.  But as far as the MT side of it..it was great.  LOVED the lil "sticky notes" you could enter on a document to bring something to the rad's attention before they could sign it off. 
About system restore, sorry about that
nm
Our problem is...system will
Therefore, we are not able to edit anything because we can't get in.
DocQScribe system help

Anyone use ShortHand and docuscribe together?  With my old company i was using Word and shorthand.  I had a macro set up to take me from blank to blank.  I am lost on this new system.  Any ideas on how to set this up?  Thanks in advance!


Dawnrey


Do you use a digital system
How does it work on the clients end and on your end. How much did it cost?
Dictatphone System
I have an Enterprise Express that I would like to sell!  If interested, please email me!
...that would be 'great' system! :) nm
s
It depends on how the system is set up...sm
I have worked on several different Meditech systems.  They are all different. Margins are different.  How the lines and/or characters are counted are different.  One system counts gross lines, one system counts all lines blank lines included, one system counts just characters.  Some count the headers, some don't.  I currently work on two systems and when I copied and put into word, one system was right on and the other had a descrepancy I though might be the header.
lanier system sm

Please help. Our Transcriptionist left abruptly, and we are needing to acess the files to pull a medical report. We have the job in que, but we are not able to get any further. Can someone walk us through getting this thing typed.


HELP!!! Just bought new system

any ideas?



DocShuttle System
How user friendly in the DocShuttle System?  Any info. would be appreciated.  How would you compare DocShuttle to DocQScribe or Webcorrect??
don't you also need the call in system with this? nm
???
Get yourself a system...most important..
With Autocorrect, you have to remember everything!  So I had to come up with a system that I would remember them.  I use the letter *J* for anything that ends in *tion* or *sion,* the letter *Z* for endings with *ize* or *ization*, *x* for words that start with prefix of *ex*, for capitalizing abbreviations, such as HPI that you want to capitalize in a sentence, would be *xhpi.*  I use *U* as in uhpi to bring up History of Physical Illness when needed in a sentence, as *HPI* will come up all caps for headings.  I also have a system that I will use the first two letters of two words if I have already used the first letters of two words, such as *cp* for chest pain, *chpr* for chemistry profile.  If those first two letters are used for something, I go to the first three letters of the first word and the first two letters of the second word.  Also will use maybe the first four or five letters of a word.  Also, have phrases, such as *sdnh* for she does not have, *shnos* for she has not seen, and just a lot of those types of things. Saves a lot of time.  Also have, of course, what the docs constantly say, their little phrases they use all of the time.  However, I do forget I have some of these things in there, and have to keep refreshing myself as with about 5000 abbreviations, it gets wicked!!  But it really helps to have a system that helps you to remember what you have in there.