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Thanks for sharing this. If federal guidelines were followed,

Posted By: Nymt on 2006-01-02
In Reply to: NY Times......sm....... - FYI - minimum wage info from the..

the minimum wage earner could not even shop at Walmart---that's really sad!  This is just another point that shows that the government has obviously gotten too big for its people, $5.15 is a JOKE.  I'm glad some states actually have some sort of caring politicians.

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Federal holiday, banks and federal offices closed, but
schools and everything else open here. 
Federal ID #

If there is a "mother company" that is overall all the smaller companies sometimes the ID could be the same -- I think.  My husband drove a truck for Dalles Mavis that was owned by Active Transportation that all has other comanies.  All of hs W2 forms, etc. came from Active with their ID number on it though he worked directly for Dallas-Mavis.    Even when he moved to Texas and worked there instead of Oregon, his W2's all came from Active. 

They won't be saving anything since if you made $5000 from Company B and they deduct it from Company A, they will be paying taxes more taxes from Company B and less from Company A but again, if there is a corporation over all of the companies, it will all be merged in together to pay taxes on the "profit" from the corporation.   Just like being married, your husband can over withold and pay for your taxes because you merge your income together.   Just hopefully be requesting that they issue you another 1099 that they don't send both into the IRS and so the IRS thinks you made $10,000 and not $5,000.  


There is no such federal law! :)
Every employer has the right to answer questions about former employees. Most prefer to not go into too many details. Asking whether or not an employee is eligible for rehire is a very common question.

We did this. We went through HUD or some federal program
that loaned us the closing costs and down payment on a second mortgage.  It was paid off within five years.
They were federal charges
go to a halfway house first, but I thought surely that the prison could tell me something, if that was the case?!  They just said he was out of custody and that's all they could tell me.  Thanks for the encouragement...it's appreciated!
You pay taxes to the Federal gov't, among others.
The question should not be about what taxes you pay and who gets the money. How governmental entities distribute the money is for them to worry about, not you. As an IC, you will have deductions available to you that are not available as an employee.

Only YOU can determine if the responsibility of being an IC is for you. There is so much more to IC status than taxes. My suggestion is to read up on what is involved in self-employment by checking out a book on entreprenurship from the library or do some reading on the Web. My guess is that you're not ready for this yet but you can be if you do your homework.
Is there federal money available

It occurred to me that it may be something we mention when writing/calling our government. 

I know that when Levi Strauss closed their factory in Roswell, NM, and sent it down to Mexico (thanks, NAFTA), they gave their workers money to retrain in a new profession.

Surely this is something that can be fought for.  We know darned well the MTSO's won't take money out of their own pocket to do this, but there was/is a government program called TAA which is supposed to help people who have lost work as a result of imports.  I think a case can be made for medical records transcribed overseas as qualifying as "imports". 

I found an old document on line at http://www.edd.ca.gov/pdf_pub_ctr/de8714x.pdf which describes that 3 or more workers who have been affected by imports can petition for federal money for assistance and retraining.  There's also JTPA/WIA which established one-stop career centers and I believe being laid off because of work being sent offshore (or just laid off, period) would qualify people for this program.

There's also this article, which I included a part of, that is talking about IT workers for Computer Sciences Corp (my brother happens to work for them and has survived the layoffs) filing suit....

*The department has long held that programmers who've lost jobs to cheaper, foreign workers aren't eligible for the TAA program because their employers, or employer's customers, are not importing a physical good in the same way as, say, steel manufacturers. A number of federal and state lawmakers have introduced bills that would automatically grant eligibility under the act to IT workers and other white collar professionals, but none has become law.

The labor department initially said that although CSC moved production of its Vantage-One insurance software from East Hartford to CSC India, the software was not an imported "article" as defined by the act. In a lawsuit, the workers asked the U.S. Court of International Trade to overturn the department's ruling. In January, trade court judge Nicholas Tsoucalas ordered the department to revisit the case, noting that, "Labor's interpretation of the law, that software code must be embodied on a physical medium to be an article under the Trade Act, is arbitrary and capricious."

In a Federal Register note published April 11, the Labor Department conceded the point and ruled that the four CSC workers would be eligible to apply for TAA assistance. In ruling, the department said it would henceforth look upon software, whether shipped into the U.S. on a disc or transmitted into the country via telecommunications networks, as a physical product.

Software and similar intangible goods that would have been considered articles for the purposes of the Trade Act if embodied in a physical medium will now be considered articles regardless of their method of transfer," the department wrote.*

Something to think about.

Also, I'm pretty sure we've been far OVERestimating how much money offshore people are paid for transcription.  Their companies might get 1 cent a line after it goes through 3 or 4 edits, but I'm pretty sure the person typing the report and mangling the English is paid more like 1/5 cent per line, which is still pretty good money for them.  My math is based on there being 40 rupees to a dollar, and 1/40 of 8 cents per line is 1/5 cent.  There was that article quoted on the company board from Manilla where they were gloating that their workers got $1 to $2 an hour and, if they're required to transcribe 1200 lines a day, that comes to 1/10 cent per line.  But that was back in 2005.

Back to the 1/5 cent.  So if the report goes through 3 or 4 edits, each getting paid their 1/5, then the Indian company keeps the 2 cents per line which is left over and our dear old MTSO here in the States charges the hospital what...11 cents?..pays our US MT 3 or 4 cents to edit.  So, 3 cents/line to the offshore company, 4 cents/line to our US editor, and the MTSO still pockets the 4 cents/line left over?  Why do you think we're seeing 7 cents/line more and more often as the going rate of pay?

Well, just some things to think about - I get my best ideas late, late at night!

They should ALL go by the same guidelines.
Different accounts have different specifications as well so that could account. But all in all, the editors should all be going by the same rules, etc.

What did we ever do before style guidelines? How did we ever type? I guess we have been doing it wrong for all these years. Now we are being graded. What is that about. Am I in grade school. I have been there and done that. Went to college and being treated like an idiot.

I would to see these supervisors and corporate try to sit and type all day.

You are correct that the possessive form of eponyms is now not possessive. And it is not just AAMT who did that, but also the AMA. It is in the new Book of Style  and in the Manual of Style that the AMA produces. You can find it in both places to show to your docs if you are looking for that.
That should entirely be up to the client.

Thanks for the guidelines..it's too bad that...
My manager didn't give an "official" explanation as to why this shouldn't be done.

Her reasoning is that the doctor can't read it as well when milligrams is typed out.
Federal Govt program (sm)
I am going to ask my tax person about this. I am currently working for a company as an IC, but now I'm thinking it should actually be called SE status, since they withhold, what looks like, about 7% of my income for OASDI and medicare. I also worked for MQ as an SE and they took out FICA, so I think I'm okay for now. However, if I switch jobs, I will need to make sure this is taken care.
I don't think FEDERAL varies whereas state...sm

I think states set their own regulations but I do believe that Federal is all one set of rules/regulations.  The police might be able to tell you but I think you'd find out so much more via the internet if you know what state he is in.  I found someone in jail recently.  I put in her name and she is locked up and probably going to get the books slammed at her.  Very young nonthinking girl too. 

All states and even federales have websites.  You can type in INMATE information and then the state and all kinds of links will come up.  You can probably this way find his name at some institution and if paroled, call the institution he was paroled from and find out more details if possible.

BEST of luck on this!!!  The internet is great for finding even old friends (I found several 30+ years after being in contact).

Question for ICs about SS and federal tax. I am new at this and I am wondering if you can pay
your federal tax and SS more often than quarterly so it doesnt turn out to be so much money.  I would pay the State and Local quarterly but would like to pay the fed more often.  Anybody do this or just file quarterly.
Can anyone that is an IC tell me when you send in your quarterly Federal and SS is there anywhere
you can check to make sure your money had been credit properly to your account to avoid problems at the end of the year.
HIPAA is a federal law, not State.
I could be wrong but I don't think you need to get the office to sign anything.  You just need to be HIPAA compliant on your end.  Double check on this though.
If you MUST have QA on staff, they should all have guidelines, be it BOS

or AMA, whatever you choose. I've been seeing ads for QA personnel and they don't have to have been MTs. I don't get that.

As I've said before here, I work for an MTSO who believes if you have to have QA personnel, you've hired the wrong MTs. I tend to agree with her.

We get up in the morning, do our work and send it in. If there's something we don't understand, we put a note on the log for the doctor or the hospital - because we're all experienced enough that we either know what we're hearing or know how to find it.

My daughters have certain guidelines in the way they want (sm)

the children to act, be treated, etc.  We have an understanding that I won't let them play in the street, swim unattended, smart mouth an adult, cus, or do anything that is generally dangerous for them.  They love to help cook, garden and just sit on my lap and be read to.  Yes, I may take them shopping a little too often, but they usually have helped in the garden or helped with housework prior, so they are actually earning the money they spend for toys at WalMart. 


I would never undermine their parents (even though the father of the two youngest is a true bum) to them.  I try to always touch upon good things they should be proud of such as "Your mommy sure knows how to fix you hair so nice, I wish I could do it as well."


These grandchildren are the most precious thing in the world to me and the last thing I would do is act in a way that would keep their parents from allowing them to visit.   Maybe you should explain to those grandparents your reasons/concerns.  Surely they would be glad (after an initial sulk maybe) to change their ways in exchange for more hug and kiss time from their grandbabies.

MQ is going by the AAMT Guidelines
with rules regarding transcription. So I would think that as MTs we should be typing by AAMT Guidelines. If you think we are not paid for spaces, then why do one more than necessary.
Anyone know a site for IRS guidelines for IC nm
Docs don't have those guidelines because... sm
they realize how stupid they sound and look.  They learn the language of medicine and stick with it.  They don't bow to some silly-*ssed organization's whims. 
AAMT guidelines about not using q.d., q.i.d. q.h.s. etc.

what is the current recommendations for these?  I have been an MT for 7 years and I still type them this way.  Was I off school that day?  Thanks!!!!

is it acceptable in our guidelines, if so I will

do it too.

You should always follow guidelines
set up by your MTSO/client. If expanding when not allowed to, that could be considered line padding and a quick way to lose your job.
Did you follow BOS guidelines??? That could
Marie, what type of federal job, is this still medical? nm
Section 8 housing. It's a federal program through HUD.
Google it "Section 8" housing to verify.
Probably 2 weeks and if i recall it will be on a Friday for Federal.
You will! Just as you all said I was "crazy" when I posted about the new QA guidelines, only t
you obviously all get them within a few months top, now you can stop kicking the covers off over QA bonuses, and lack thereof, as that will be coming your way, too!
Anyone know the origin of the AMTA guidelines?
I was told that the 2 women in Amherst came up with this book just to make money and that they really don't (excuse me, do not) know their "elbow from their kneecap". I know it took me some getting used to: 1 space after a period and colon, using numerals instead of writing out numbers, not using contractions, etc., etc. I see the book on sale with the guidelines, but does anyone know who wrote it? Frankly, I think it makes medical reports look a little less professional than they used to. I have been a MT for 20 years and even though I am using the new guidelines, I am not crazy about them.
HIPAA faxing guidelines
Fax only when necessary, always verify fax number and ALWAYS use cover sheet. Do not fax hypersensitive PHI.
There have to be guidelines and standards in place
for every profession, including MT. While I don't like the AAMT or agree with some of its new ways, there has to be something in place for all MTs to go by so they are all on the same page. The only way to bring real professionalism back to the field is by mandatory certification or a license to practice MT. There are way too many inexperiences terrible MTs out there ruining all of our reputations! And I for one am tired of it.
You need to brush up on HIPAA guidelines...

The computer should be password protected for individual users so files cannot be accessed, but, other than that, HIPAA requires "reasonable care" be taken to safguard patient information.  It does not require any computer used for MT to be used exclusively for that. 

Some believe the computer must be in a locked room.  That is absolutely not a requirement either.  Reasonable care means just that. 

Thank you so much for replying - that gives me some guidelines to follow
AAMT number guidelines
Does anyone know the newest guidelines for numbers with AAMT?

You follow the account guidelines - sm
Expanding out abbreviations when the account specifics say not to is an easy QA ding also.
It depends on the account guidelines.
For the majority of the accounts I work on abbreviations are only expanded in the critical sections, such as diagnosis, impression, etc. This is to the client's preference, and it is considered an error to expand an abbreviation when it is not necessary.

As far as dosages, I always transcribe what the dictator says unless it is a prohibited abbreviation or an error. Prohibited abbreviations are changed, per client preference, to the acceptable term. If it may be an error, it is flagged for review. If the doc dictates "twice a day," they get "twice a day." If they dictate "b.i.d." that is what I transcribe. It is also considered a error, at least at my company, to alter what is dictated.
Urgent question regarding BOS guidelines!! PLEASE sm

I'm testing for several jobs right now that will offer the full-time status I desperately need to support my family.

The last job I had didn't follow BOS guidelines and I as advised by a few MTs to follow these guidelines when formating the body of the test reports.  I do not own this book nor do I know anyone that has it.   Are there any online resources that I can refer to for some of the more common guidelines?

I need all the help I can get and want to thank those willing to take a moment to help a fellow MT out!! 

God Bless!

I agree with "Snow Bunny" Federal govt. sm
Everyone new that New Orleans was pooooooooooooooooooooor
With state and Federal, you 40% of your earnings GO, bottom line.
I don't know what's up for debate, it's fact.

Housing prices have gone up 40% in the past year alone in California.
The federal gov't is urging paperless MR to save costs.
you're right, it's federal but diff for each state...see link...sm


ALL STATES PAY MINIMUM WAGE DIFFERENTLY - i.e., Arizona says *No state minimum wage law.*

Here's how foster-to-adopt works on the federal level...sm
All non-Caucasian over age 1 automatically get adoption assistance. All Caucasian kids over age 8 get adoption assistance. If you adopt a sibling group that is more than 2 kids you get adoption assistance. All special needs children qualify for adoption assistance. Adoption assistance usually means Medicaid until they're 18 and in a lot of cases the monthly per diem rate is paid to the adoptive family. For the special needs kids, sibling groups and non-white children that meet the adoption assistance criteria generally the fees for adoption are reimbursed up to $2000 - which is pretty much what all of the attorneys charge for these adoptions since Child Protective Services/DFCS does the majority of the paperwork.

We're currently in the process of adopting our 6-year-old foster child who has lived with me since she was almost 5. The adoption should be finalized in January after my husband meets the 6 months residency requirement (we got married in June and he moved here from another state at that time).
Social security is part of Federal taxes

Your SS is figured in on your schedule C -- after your deductions you pay on your net income and that is added to your federal taxes and you send in one check and pay it all.  You can do quarterly if you do not have a husband to over withold from or if you are not an employee on another job.  Social Security and Federal taxes are not two entities -- but one.


We got an updated set of account guidelines constantly
put somewhere different than it was last week, they'd tell us to change something and when we changed it they sent it back and told us not to change it anymore.  They blamed things on us that weren't even anything we do, like if someone was on vacation and a report didn't get sent to the right place. People started to get threatened with termination (not me but I know people who were) for even the most miniscule reason like forgetting to sign off a doc as a DO instead of an MD. They were just unreasonable bullies and the more they complained and fussed the more Diskriter management bowed to their every wish and created a monster.  Good luck if you end up there.  It could have been a nice account if this nonsense had been nipped in the bud.
According to the Medquist Style Guidelines that I received,
it states that the one space rule applies following a period, in numeric lists, and following a colon. I received these guidelines in March from MQ. This is what I would go by. I was told that if I spaced twice I would receive a penalty on my QA reviews. Obviously, you are the uninformed one, so see ya later wench.

Guidelines are one thing, but if your client wants it transcribed a certain way, just do it.


Is there any danger putting bank acct# and routing# on federal tax (sm)
tax form so as to get your refund by direct deposit? Can someone use this info to their advantage?
Most companies draw from the AAMT's standards and guidelines.
If you meet guideline, you are IC. Taxman has guidelines for what is IC in your state.