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Serving Over 20,000 US Medical Transcriptionists

Tell him you have reviewed the time and expertise it takes to do his work, versus ... - sm

Posted By: Lady Parker-Huffington on 2005-09-28
In Reply to: How to politely "fire" an account - Any suggestions?

... the amount of revenue his practice generates, and being a prudent businessperson you don't wish to undervalue your services.


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Do you ever feel as though this job takes over your life and you have to work all the time in case
there wont be work and you just keeping working and you cant get away from it and it gets to be no fun anymore. I am having a problem with that. Is it from working at home or just getting obsessed or what. I hate this. I feel like I am losing my life to it.
Maybe they will. Give it time. It takes time to set up links.
OSI, Precyse, etc tell us more.
It takes time
It probably seems like it is not worth it because you are new.  No other account will be easier and probably harder.  So you have to stick with it, get a good Expander as since you have the same doctor you should only be actually typing about 2/3 of what he says and probably more like 50%.  Use your autocorrect if you don't have an expander.   You don't say how long are your lines -- what side margins and what font are you using?   I have helped get newbies started and always paid between 7 and 9 depending on how much clean up work I had to do.  Again, it will take time and practice.  Don't give up.  Though 6 cpl is a little low, if it is still  65 character line, in time you should be able to get 200 to 300 lines per hour which is not bad and once you get him down good, ask for a raise.  But you have to get your speed up.  You have an advantage of having the same doctor and so listen for his common phrases and put them at least into autocorrect so you don't have to retype them.  If he doesd any x-rays or procedures, make templates.  Anything to save him time.  His exams, put into autocorrect, etc.   Are you an IC or an employee???   Good luck. 
IT TAKES TIME to get a trial going.

Here is a link regarding the lawsuit from FEBRUARY, 2005 for which you will need Acrobat reader.


http://deflaw.com/medquist_add.pdf


Here is MQ e-mail which was followed up by hard copy in US mail regarding MT lawsuit. 


July 14, 2005



VIA Electronic and U.S. Mail



Dear Statutory Medical Transcriptionists:



We would like to thank you for your continued service and support. We know that the key to our success is the people who work so hard for our customers everyday.



At MedQuist, we are determined to become the medical transcription provider of choice for statutory employees. Over the past several months, with your help and input, we have been working on developing a pay plan and comprehensive benefit program that will enable us to set the standard in the industry. We recently announced significant changes to our benefits program for full time employee transcriptionists and within the next few months, MedQuist will be announcing a new pay plan that will address the feedback we received from medical transcriptionists in response to our survey on pay issues.



As you may also know, MedQuist is currently responding to a lawsuit brought by three medical transcriptionists that was filed in response to certain publicity surrounding MedQuist's billing practices involving the AAMT billing unit of measure. MedQuist takes all allegations concerning its pay practices very seriously and will seek to address any concerns raised by the lawsuit. While we believe that the claims raised by the three transcriptionists appear to lack merit, we are diligently working on addressing this matter in order to best serve all of our valued medical transcriptionists.



To enable us to fully and appropriately respond to this, as well as other lawsuits currently pending against the company and governmental investigations, our lawyers from Winston & Strawn are required to collect documents. To ensure that you are completely informed about the materials they are seeking, we have attached a memorandum below regarding MedQuist's document retention and collections policy. Please review this document as soon as possible.



Once again, we would like to express our deep appreciation for your continued patience, cooperation and service to the company.
















Very truly yours,


Frank Lavelle


President



Enclosure


 


The lawsuit is VERY MUCH ALIVE AND WELL and as some of the more sophisticated posters realize, it takes time for DISCOVERY allowing both sides to attack and defend their position.  And MQ stock is STILL delisted as not even MQ can figure out cooked books based on illegal billing for which ANOTHER lawsuit is STILL pending against MQ by the clients.  And as the MQ stock remains delisted for cooked books and illegal billing the shareholders in MQ stock have YET ANOTHER lawsuit still pending. 


 


I agree with you. It takes time to get the

kind of help in there. They have one road open. Everything is flooded. There is no airport to land at. Gas is scarce. 90% of the gas that came from that area is no longer functioning. Cars are being stolen from places just to get out. Thugs are shooting at helicopters trying to evacuate critically ill patients. You've got groups of thugs shooting everything up and steeling anything and everything, but they don't realize mostly everything they take will have to be left behind.  Everyone wants help now but it takes time to put together a plan of these proportions. Nobody was prepared for this because they didn't think it would happen. You have people commandering vehicles with guns for their own use that are being brought in to help evacuate. The only boats you see are very small ones because the big ones can't come in and work. The water is not deep enough.


 A lot of people stuck there are making the situation worse for everyone else because they are helping to put off rescues that can happen by shooting at vehicles, shooting at police officers, setting intentional fires just to get the police over to the fire so they don't come chase them for looting or terrorizing others. You have idiots walking around with AK-47s down Canal Street.


Shephard Smith described itbest the other day. Made me think too since I live in Fla. The day after a hurricane you hear chain saws going, you have people cleaning up, you get out there and assess the damage. They could not do that because for them in NO it was not over. The floods were getting worse and rising. There were no people assessing damage, no chain saws cutting down trees, no power trucks checking out downed power lines just because they couldn't get into the city. Everything is blocked. The closest city to them that has power is 90 miles away. That means no gas for them. Yes, they're bringing buses and stuff but it's very slow going. Trying to figure out how to do everything and coordinate everything w/o communication to others is very hard.


One of the guys in the news conferences said yesterday that he spent 18 months at ground zero. They are looking at being in NO much longer because that is much more damage than what he saw at ground zero.


I do it the same as you...takes a little bit of time but worth it. nm
t
Honestly, it takes time.
It took me almost 6 months to completely adjust to 3rd shift.  I have been on 3rd shift now for 7 years and could not imagine ever working any other shift.  Just a few suggestions that took me a bit to figure out.  Call your family and friends and tell them not to call you during the daytime.  If you have a cell phone, use that as an emergency number for emergencies only, i.e. kids, family, etc.  Turn off the ringer on the home phone completely or turn on music and a fan or whatever to drown out the noise.  Room darkening blinds will also help filter out the light.  Good luck.
because it still takes too much time to train
it may be that they don't see potential in your work, i.e. poor grammar, accounts have too much ESL, etc.
Time it takes to type...
Approximately how long does it take to type, say, 5 minutes of dictation?  Or 10, or whatever?  Just trying to get a feel for if I'm in the ballpark.  Thanks!
Signed but not reviewed
I am an IC and my new account wants me to include this under their signature line.  Is this okay?    Why?  I transcribe microcassette tapes which are erased after every use.  Legally, could I get in trouble if a report is dictated wrong/transcribed wrong, is it my responsibility since it states "Signed but not reviewed"?  Any feedback is much appreciated...
It takes a lonnngggg time to get paid.

You get paid for work you did a month ago.  Paychecks were short.  No answer when questioned about how they arrived at their line counts.  Advertise holiday bonus and $1500 bonus for acute care - do not know of anyone who got one.  Probably just management cronies.  They have great accounts but it is difficult to get lines.  All the work is straight type with lots of looking up because they have teaching facility accounts, so it is difficult to set up templates.  All the better work I am sure goes to preferred MTs or farmed out elsewhere.  The platform is not transcription friendly, lots of looking up and spreadsheets, and they do not pay for headers and footers.  They also micro management big time. 


You have no idea how much time it takes to run this board! (SM)
Hindsight is always clearer!

You are right - they will get the message sooner or later!

Goldbird
time it takes to hear back

General question for you all. I recently applied with a company that took a month getting me through their hiring process only to be told that one of their accounts dropped them so they could not hire any more MTs. Now I've applied somewhere else and interviewed, a company that sounds like a great company, but it's been about 7 days since the interview and have yet to hear back. I interviewed with them last Wednesday and was told that I would hear back one way or another by the end of last week. I sent a follow up email yesterday and have not heard anything. How long do these companies typically make you wait before hearing something back? How long before I should give up and apply somewhere else? Thanks.


You don't want to record, takes a long time and unless you

are making big $$ you won't make any money.  Also, if you forget to rerecord header info you're out of luck.


You can get an adapter from Radio Shack for about $15 and rerecord to a cassette player, in which case you'll need a transcriber, or record to your computer and I'm not sure how that is done.


As I stated last week when you asked this question, you need to look into digital phone service, something like Vonage, or most high-speed internet services also offer it. 


You could also buy prepaid phone cards at Sam's Club, where they are fairly cheap, but you're still talking about $100+/mo.   My digital phone is $34.95/month and you can keep your landline or switch it to digital, which is what I did. 


 


 


No, not really. Do you realize how much time feedback takes. nm
x
It takes a long time to become familiar with
all of the surgical instruments and equipment in operative reports. Most of the time if you do operative reports you usually do all specialties, and each specialty has certain equipment that they use. It just takes time to learn.
Oh it is a lot of extra typing that takes time which I don't get paid for! nm
nm
In the time it takes her to ask you if it's urgent, she could have just answered your question! n
x
And then sometimes they want us to delete unused headers, which takes extra time, which we don't
X
IC versus National Full Time
I have been an IC for the last 10 years.  I have enjoyed a somewhat flexible schedule. Because I do radiology and acute care, there is a time during the day that I do have to be at my desk working, usually 2-3 hours a day.  I thinking of going to work for a national because of the down side to being an IC.  I don't always have work, I do work weekends and holidays at the same rate of pay and no vacation time.  I have the worries of going on vacation next week with the loss of a paycheck when I get back.  Do the nationals really require you to work 8 hours even if you have your line count? 
The FUNNY thing is that in the amount of time it takes for them to post a message
x
SO the little one takes up your time yet you have time?
LOL
Agree! I hate Daylight Savings Time. It takes me a good two weeks
to get myself and everybody in the household adjusted to the time change every six months. If the farmers need to get up earlier, let 'em! That doesn't mean I should have to, also! DST has definitely outlived its usefulness. I stay up later and get up earlier in the summer, but go to bed earlier and sleep later in the winter. It's like my mind and body are tied to the sun, not the clock. I never got an extra hour of sleep last night anyways because the neighbor's stupid dog barked from 2:00 a.m. to 3:00 a.m.
actual typing time versus hours worked-venting here

I just have to vent about companies that keep track of your actual "typing time" and then say you are not putting in your 40 hours.  I always come up short and not by just a few hours.  They have said I worked only 60 hours when I worked 80.  But they say "their system is not wrong."


For one thing when you look up old reports or do research on-line or if you walk to the fridge, that shouldnt count as "not working" as long as you are getting your line rate.  Also something is wrong because I dont take that much time looking up things.


Also how can they get by with making you work 40 hours when you are paid "production?"  This is wrong.  Either pay me by the hour or leave me alone!!


 


Someone I work with takes an AWFUL lot of
x
expertise
Well I don't have much expertise to give you, but I will tell you that you are not alone. No I don't have anywhere close to 11 accounts, just 2. BUT 1 of those accounts is a HUGE hospital and I very seldom do the same doctor. And all different kinds of reports. Not to mention I am a newbie. Also I have a low line count. I do not know of anything that I can do but keep practicing and hope I get faster.
I do the same thing now and then, have a glass near the end of my work, usually takes me an
I find it relaxes me a little and I type a little faster, but I certainly don't do it on a daily basis, maybe Friday or Saturday night when I am winding down. As for the open bottle, get a vacuum system for it--rubber "cork", then pump the air out of the bottle, it will keep for a LONG time, no more tossing of flat wine. Works great!
Anyone really know if allocation of work takes place

I wonder if anyone has true knowledge of work being allocated to a particular MT or MTs.  Supervisors possibly who have done this or have witnesses this could you please tell me if this occurs or if paranoia is setting in? 


It seems to me that this is wrong for important reasons that could stand up as an issue for being reprimanded by anyone who does it.  It is taking money out of one person's paycheck and putting it in another, after all, how sleazy is that???


This is a medical transcription business.  We should all be accountable.  What are we, working for the mob??? 


QA takes great concentration, like MT work..NM

I work 2 jobs, one FT that takes care of
my taxes (I have extra held out), and also as an IC.
bring your expertise!! sm
bring your expertise over to http://www.productivitytalk.com/forums/index.php.  they are always looking for new ideas!! 
The testing at the hospital I work for takes 2 hours. How else would they sm
know that you are a qualified transcriptionist?
one would think offering expertise and guidance
You'd be not only happy, but FLATTERED to be asked questions.  Newbies should be admired for asking questions and encouraged to do so, rather than putting whatever they want.  There are times when you search, and search and search, not  finding, but having two sets ears especially one with more experience is always better than one set.  Stop being grumpy already.  geez.
I have to agree that cherrypickers will be out of work when VR takes over, since the harder reports
Even when I worked inhouse and had the opportunity to cherrypick, I didn't. Even now, I am finding out that ESLs are probably easier than than some of the American doctors in the long run, because they get down to business and dictate their report. Most times, they say the same thing over and over. Learn the doc, know his quirks and bang, you are done.
Use of WiFi versus dial-up for MT work

Hi all,


Posted this on the technical board as well and just wanting to get some imput -- I just moved to an area were the ONLY options for me are dial up or wireless internet.  One of the companies that I work for "gave me the go-ahead" to be able to use wireless, but with the advice to have dial-up available as a "back-up".  The other company said that it really wasn't that stable.  I am in clear view of the wireless tower and about 5 miles away.  I have had both cable and DSL in the past, and have had times when my cable would go out for hours, due to "various reasons".  What I am trying to find out is why wireless is considered "so unstable" when I feel that some of the other high-speed internet connections are just as unstable and if there ARE medical transcriptionists out there that do use wireless and what their experience has been with it.



 



TIA 



I agree - charge for your technical expertise
I worked a hospital account for an MTSO that liked my work so well that they asked the MTSO to use my templates and daily logs for all of the work types asked the MTSO to give them to all the other MTs on the account, present and future. I did not know they had pirated my logs and templates until after I received a promotion to work in the office. I was livid! It took years to perfect those templates and logs. They were created based on my knowledge of what Joint Commission liked in audits. They did NOT get the macros or instructions on how to move around the documents (lots of hidden codes in those logs/templates).

I had negotiated a relocation fee of a few thousand dollars to move to their area to work in the office. I didn't feel badly about not paying it back when I left 6 months later after discovering lots of things like that once I started working in house.

You did the work. If he wants them and if you want him to have them, decide on a fair price, then add 15% :)


Couldn't work any other way. I love being portable, and the equipment takes up so much less room.
nm
65 character line versus gross lines versus pay by word

I am checking into other options for transcription.  Can anyone tell me how to compare all of these types of lines & also payment per word?  I know companies use different scales, so I wondered how they compare.  I have been paid on a 65 character line with spaces, but I may be making a change in the future - don't want to get burned.


Thank you in advance!


I work part-time hours with full-time pay...
I made over 26,000 this year...
I work 1 full-time, 2 part-time....nm
NM
Same thing with nationals. You work all the time to keep the account caught up when others dont work
and then when they decide to put a whole lot of extra people on your accounts and run you out they could care less about how much you worked.
I work for Warminster at MQ and I am sick to death of being jerked around with no work all the time.
I would like a job where I can depend on the work and it does not seem to be in this office of MQ.
Has anyone breast fed while trying to work at home, can you do this and still work full time?
It seems like the more literature I read on the subject, the longer it seems to take, especially in the beginning when you are breast feeding every two hours, or does it really just depend on the baby?
I work a full time and a part time, but not sure about 2 full-time...
My hubbie is disabled and I am the only one in my family working also, so I fully understand. You will not have a day off at all working 2 full-time as that is going to be the only way you will get in all your hours. I work one job in the mornings from 8 a.m. to 1 p.m. and the other from 5 p.m. to 1:30 p.m. and do have off one day a week, but if I had to get in the extra 15 hours to make the other job full-time I am not sure how I would do that other than lose my only day off. Also, make sure you have your account specifics in front of you at all times because you will get yourself confused as to who is what and having notes will help in that area. Good luck to you, as it is possible, but forget about your house being clean, having any social life, etc. Feel free to email me personally if you just need someone to talk to, as I have been where you are and still am.
Question versus gross lines versus 65-character lines....

I have always charged or been paid by 65 or 60 character lines or per letter or space typed, but have never been paid or charged per gross line.


What is the advantage of this?  If I were to charge 11 cents per 65-character line including spaces, what does this figure out to for an average line rate and how do you do this calculation? 


I'm wondering if it is financially beneficial for me to bill by gross line or to keep it the way I have it.  I do know some accounts will only pay per 65-character line, as this was the deal my first own account I recently acquired.  They were adamant on a 65-character line, but didn't specify with or without spaces and I personally would never not charge for spaces.


Thanks for explaining this.  I appreciate it and hope everyone has a speedy day.


I work 2 and have for some time
Pretty much ever since my separation and then divorce back in 2002 I have worked 2 and 3 jobs. Right now I work a full time MT national job and a part time job for an imaging center doing MT and coding. It is hard sometimes to get it all done. I try to do my MT job and just do the other either in the mornings before or at night after. I am lucky in that my position is flexible. He emails the dictations from Express Scribe and sometimes he waits and sends a bunch at a time instead of daily. Those times it is hard to do it all. Doctors have minds of their own and sometimes forget they are not the only busy ones. The coding I do daily so no worries on that. My tip is to try to get enough rest and try to keep time in for family. I have a hard time with that some days. When my son says he wants to spend time with me I just have to make time and take the reality check seriously.
I became an IC 75% of the time and work for

I get to pick and choose what junque I'll take privately *LOL* 


Working for the nat'l is merely to supplement a tad what I'm not yet making privately....but if I got 2 more MDs, I'd probably dump the nat'l....*LOL*


best of luck 


How do you have any time to work?
You talk way too much. I doubt you can be that productive with these long, long, numerous posts.
I work for them and always on time nm
x
When do you know it is time to look for work?
I work for an MT service as an IC.  The last 6 out of 10 days I have had no work.  The other 4 days it has been light.  I know it's summer and its' slow but this really hurts the pocketbook.  And the company does not communicate anything at all to me.  If I call them, its' check back in 2 hours.....it's a broken record.  Should I sit tight or start looking?
when you know it time to look fo work

I have 5 accounts and haven' t had a full paycheck since  last October. Always run out on the weekends. Depends what account you have if you get work. I can't understand these MTs who are makey 50 grand a year.  Where do they work