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Serving Over 20,000 US Medical Transcriptionists

The MTSO has paid the outstanding invoices.

Posted By: Administrator nm on 2005-08-01
In Reply to: Warning about MTSO in Scottsdale, AZ sm - MT

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What do invoices have to do with MTs getting paid..sm
Sounds like a crock.  A very unprofessional way to run a business/company. They have a regular TAT, right?  They want the work done by a certain time, right? MTs should have a regular payday, then, without exception. 
What do invoices have to do with MTs getting paid..sm
Sounds like a crock.  A very unprofessional way to run a business/company. They have a regular TAT, right?  They want the work done by a certain time, right? MTs should have a regular payday, then, without exception. 
If her MTSO actually paid her on time...sm
She might have had a bit more of a substantial cushion if she was paid on time. But this is not possible if she is always being paid considerably late whether it be by weeks or a month. If this happens to her often this "cusion" will be depleted quickly. You cant save something if you dont have it. By the time she does get paid she probably has late fees for bills, taking care of her sick child etc. Have some compassion. Whether she has any type of "cushion" makes no difference. The point is if she was paid on time she would not have the added stress and probelms from the lack of recieving a pay check on time. I am sure her work is on time, why not her paycheck.
MTSO I work for, get paid by the line.
x
Outstanding - thanks!
I use a prong collar myself, but I also tested on myself first (I try to practice what I preach LOL)

Thanks for the great advice on citronella.
I have an Outstanding Olympus handheld
that does voice and conference that I'm considering selling :) It's the size of a cell phone.

Can upload to computer - DSS/WAV FILES.
I have an outstanding Olympus handheld
Used and for sale! (hmmm maybe I'll post it on the Classified board)... in the meantime I highly recommend the brand. Phillips has a great reputation as well.
That could just be one or two invoices to

that medical center.  Walk in shoes ...


However, if you have clients of that size, you should be able to get a line of credit OR use a factoring company such as PRN.  We did for a while, and it got us through a bad cash flow period.  MTs have to be paid correctly on time or there is no business.


IC invoices
I am a new IC Transcriptionist and I was trying to find an invoice on the internet for transcriptionists. Does anyone know where I can find one? Thanks!
Outstanding post! Thanks for putting on here what I was trying to keep inside myself (sm)

This brought back a lot of memories from 3 years ago...everything you said is absolutely right on the money!  Anyone who's been abused will know that. 


Bless your heart and ((((HUGS)))) for posting what I couldn't at the moment!!!


Naw, just find it an easy set up and their support is outstanding.
I personally hate paying out month after month after month for TASP, when Internet is the same thing. Maybe I ought to get a commission though! LOL
Outstanding! My favorite dictator sounds
like JOHNNY CASH!

Love it! I keep waiting for him to break out in song: ... i fell into a burning ring of fi-ar...
"To" invoices?
nm
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.
Yes. I went to the library today and was told I had an outstanding book--sm
so I came home and looked around. Asked my husband if he saw it. Said when I asked him to drop off boxes at the Goodwill for me last week that were in the TRUNK he thought the book on the front seat was also for them. A 12 year old book cost me $24.76 and its my fault because I did not tell him that when I specified trunk I did not say "do not take items inside the car".
I personally don't like MPCount and they way the invoices look.


I use Sylvan Gold for my invoices, it sm
pulls from my reports done in word and counts the lines and tacks my line rate onto it. You can customize it to fit your invoicing/tallying needs. You can check it out at Sylvans website. They also offer a free 90-day trial on their product.
I should explain that I had to do this because of an account that would hold the invoices until they
xx
Invoices. Does anyone have a good invoice software program they use other than MPCount invoice?
I am looking for something professional and easy to use. Any suggestions would be appreciated.
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


But how much are the US EDs gonna be paid? Typically this work is paid at 2-3 cpl. nm
:+
You don't get paid an hourly rate you get paid by line - sm
so because of how you are paid (not an hourly rate) you don't get OT, especially if you are an IC.
I would move on. I think it is so unfair not to be paid for spaces! I think we should get paid

per keystroke, but that'll never happen.  I just think that these national companies are going to keep finding ways to cheat us.  I found a job working for a hospital as an employee, paid hourly plus incentive, and they let us expand everything!  Somebody's gonna have to kill me to make me give up this job.  I will never go back to the national's again.


I feel for you though.  I know that for us MTs those good jobs are few and far between and some have little choice but to work for the nationals.  I just happened to luck into the job I have now.  I just applied at the right time. 


Good luck to you whatever you decide.


If those companies paid a fair wage, and paid more
all came out equal, people wouldn't feel the need to try to make up the deficit by going for the good stuff. I actually prefer the harder, juicier reports. But I can't make a living doing only that, because the pay is not commensurate with the difficulty. So even though I prefer not to, sometimes I have to pick up some of the easier, more boring 'line-o-matic' reports just to make ends meet. Tell your MTSO to make it work their while, and MTs will stop taking all the easy work away that you obviously would prefer to keep for yourself.
You wont show UE being paid because it is employer paid -
the employee will never have to pay this.
What you "should" be paid and what you "are" paid

sadly are two very different things.  Good luck on demanding more..because someone else will just come along and take it for what they offer and they know it. 


10$ late if invoice is not paid within 10 days. At day 15 work stops until invoice is paid. Hardly
xx
what is MTSO?

I'm an MTSO. I can tell you....
We don't hire *anyone* unless they have successfully completed a college education, meaning an associate's degree, in medical transcription.  It doesn't matter if they learned on the job, learned in their garage, learned on their patio, learned it on their own 25 years ago or 25 months ago, taught themselves or  taught the next door neighbor, or if they used to be a nurse, doctor or janitor.  The short and simple of it is:  No formal college training in MT, no job!  (And that includes the "make-$40,000.00-a-year-correspondence-courses, too!).  We've seen the handiwork of those who say they're self-taught, and it's not pretty! 
mtso
Amen!
I'm an MTSO
and trust me I believe in paying above average for an above average job, but when you can't get the docs to cough it up because you've got third-world countries and VR breathing down your neck, not to mention newbies fresh out of school who will do it for even less, well, what do you expect...the MTSO to pull it out of her pocket to pay for you to work.  Never forget ....MTSOs have to make a profit.  They're entitled to that dear....If not, there's no reason to be in business. If you don't like what you're being offered, you're always free to get brave, strike out and get your own accounts. 
When I was an IC I sent my MTSO
Christmas lottery tickets, which he loved. Nothing compared to the $500 bonus he gave me. Now that I am working for a large national, I'm just another number lost in the shuffle. I probably won't send them anything, don't expect anything from them and probably will receive nothing, though a full day's work would be nice once in a while.
I am a MTSO

I am a small MTSO and also IC'd for another company a couple of years ago and something similar happened to me.  However it was probably a little different as I did the pick-up and deliveries although I was an IC for the company.  When she did not bill the clinics so that I could not get paid, I knew the clinics and so I went to them and told them that after a certain date I would not be doing their sevice because I was not being paid -- a little different than your story but you can also let the clinics know how that service is being run.  Again, only after you write your calm, fact filled letter.  But if someone threatened my business with anything like that - going to my accounts -- they would be paid within 24 hours.   Reputation is what counts in this business.   But again, just write to them calmly and with the facts asking them to prove that you had signed a contract, then giving them 48 hours to produce such contract or send you a check for your services or you will see them in court.   Again, I would threaten to go to their accounts to let them know how they run their business but only as a last resort.  But just do it, write them you deserve your money.   Was there problems prior to quitting and that is why you just left suddenly -- I know this leaves them in a lurch but if they were a crummy company they probably deserved it.  Also if you did not sign a contract stating you would not go after any account you worked on for two years go for the accounts. 


 


I'm not a MTSO, but

my hospital's TAT is between 24 and 48 hours depending on type of report.  When I worked in-house, it was from 2 to 48 hours, with Op notes/HP having a 2 hour TAT.   I think it varies a bit between hospitals, but as a general rule most reports are no greater than 24 hours. Sometimes discharge summaries have a longer TAT, such as 48 hours.   I don't have any experience with VA hospitals, but they probably aren't much different.  


What would you do re this MTSO?

I am an IC for a small MTSO.  I have a deduction taken from my invoice every pay period for renting Transnet equipment.  My foot pedal broke and I asked urgently Monday morning for a replacement foot pedal to be Fed Exed to me - work was on the system and needed to get done.  Well, after many many phone calls and e-mails I got the replacement foot pedal via Fed Ex (they shipped on Friday) on Saturday morning.  So I worked all weekend to get caught up on a whole week's worth of work.  Got my invoice yesterday (late - the MTSO has rescheduled their payment schedule as they are not getting promptly paid by their clients - the ICs had to accept the new payment schedule or quit).  There was a deduction for $40.13 for delivery fee for the foot pedal.  The Accounts manager says that "many memos" have been sent out that ICs are responsible for delivery fees.  Huh?  I looked over the memo I received about Transnet rentals and it said our invoice deduction covers maintenance costs for faulty equipment, etc. (the MTSO had originally said I would be billed for a new foot pedal - then I brought up the memo on rentals that covers faulty equipment and that got dropped pretty quickly).  I told the Accts manager that postage is the MTSOs expense, just like it is my IC expense to return the faulty equipment to the MTSO.  I also mentioned that the MTSO pays for phone charges to fax stuff to ICs; likewise the ICs pay for their phone charges for faxing to the MTSO.


What would you do?  I am so fed up with this MTSO...I don't make that much money on Transnet anyway (most of my lines are from microtapes) that I am tempted to just tell her to take all of my doctors on Transnet and quit doing these willy nilly deductions without my approval or knowledge.  This is the third time the Accts manager has taken "deductions" from my invoice without telling me - the last time was for Chicago taxes on rental equipment (totally illegal according to Cook County govn't) - that took 2 weeks to get straightened out!  Arrggghhh!!!


i'm not an MTSO,
but i think you did right and my guess is that within 6 months to a year, they'll come back to you.
MTSO
I have checked the labor sites and just could not find anything. In the beginning, my accountant told me I would need to either collect sales tax or get a wholesale exemption from my client, but after calling the local and state sales tax offices and being told I didn't need one, she changed her mind too. The problem with offices is you don't always get the right answer but you are still responsible for the results. I just thought if nobody else charged, then I could be pretty safe in not charging as well. Thanks for replying anyway!
MTSO??
x
MTSO
I am just starting with an MTSO and looking foward to many, many happy years with them; locally based to my area. Can't wait. Start training tomorrow.
Everyone should be IC/MTSO at least once
it gives you a great prespective on where your money goes and how much goes to taxes... people think that when you are an employee the employer is "giving" them benefits, paying their share of the employee's SS taxes, etc. but actually the employee is paying indirectly, reflected in their wage amount, cpl, etc. They just don't have to write the check for the taxes, it's taken from them before they can see it. The problem with being in this business and being IC is that you need to make a better line rate than an employee and people do not realize that until the tax bill comes. I had to go with a national last year as my large physician group went to an EMR, so I switched to employee status. They were only going to pay the same line rate either way, so it works out better for me now to be an employee. As an IC/MTSO I had alot of deductions, kept every reciept, took depreciation, mileage (a big ded for me as I live in the country), etc. but now with my national position everything is internet, no printing documents, etc. so it only made sense for me to switch to employee. I have another sideline business which provides plenty of deductions right now and not much income. Planning is key whenever taxes are involved, check out the IRS publications or home business books, etc. Some great information to avoid the same tax problems next year.
MTSO
I loved your comment about the outhouse!! :) (And some of the matchbook schools could well BE outhouses for all we know.)
mtso, who?
or stirring up trouble?
As an MTSO, I would want to know

if an MT is directly contacting my client and I would appreciate the tip that I could follow up on.  A good MTSO will be able to handle the situation in a way that would not result in you being in the middle.  Perhaps the MTSO could approach the MT and simply say that the client said that they were contacted by one of the staff about whatever the topic may have been and to no longer make direct contact with the client. 


I wouldn't necessarily say it's none of your business considering that the job you hold is your bread and butter and if your coworker says something to the MTSOs client that could jeapordize the MTSO/client relationship, that COULD affect you, so I believe you have grounds to speak up.


Bad MTSO
I worked for someone like that as well. I bet it was the same company/person. She expected you to work 24/7 so if she needed you all she had to do was IM or email. I wasn't supposed to have a life. I have 2 children and a disabled husband. I did my own accounts -- always on time and when my work was done I had other things to do. Well if your work was caught up you weren't suppose to have a life or rest you were supposed to do more work for her. The paychecks starting coming later and later until one day I had one returned for NSF. I quit at that point. You have every right to vent. Your family comes first. I have had a number of job offers since and I am currently working again with yet another offer on the table. Good Luck!
MTSO here

I am a small MTSO that has two part-time IC's and can only pay them 0.85 cpl to 0.9 but because of the account they can make $45 an hour.  Again, I stress to me it is what I can make an hour.  But it is a psych account, I pick up tapes, meet the gals, and then they have 3 days to do the reports which are long, 10-12 pages but I developed so many templates that they can do them about 60 to 75 minutes.  They E-mail to me and I E-mail the reports to the docs.  We pick up on Thurs, and they have to have to me by 10 on Tues.  My other accounts they sometimes help me with but again I can only pay .85 to 9.  Again though they can make $25 an hour which I don't feel is bad pay.  I just cannot charge the docs more than I do at 11.5 to 12 cpl.  They pay on time, never a bounced check and appreciate what we do so I feel we all benefit.   Also they have been loyal to me and my psych account has been with me for over 16 years.   See what you make per hour. 


That is my Saturday 2 cents worth for the day.  If any typo's cannot find my glasses so sorry if there are.   Patti


That must be one of my MTSO...sm
I know the feeling ALL too well. I have one I help out prn, only if I have the time. I never have any idea when she will need me...a week could go by and I hear nothing, sometimes 2 weeks. I have other large accounts, plenty to stay busy. I check my e-mail in the am, see what needs to be done and get busy.

Well, when she realizes she is in over her head and needs help, she thinks I am sitting on my e-mail and should reply ASAP! I sign off at night, the next morning she has a nasty message in ALL CAPS wanting to know why she hasn't heard from me. Well, for one thing, you sent the e-mail at 10 pm...I am NOT sitting on my e-mail at 10 pm. She then rants and raves about how she is short some MTs, and this account, which she has taken on to help someone else out, is putting her in over her head. She is very short tempered and nasty when she gets herself in these holes and then thinks we should bail her out... and if we are not available, it's somehow our fault.

She preaches on and on about how late she sat up getting the work done, as if it is somehow OUR fault she dug herself in this hole. As I told her, just because you do not want to turn down ANY work, do not expect everyone else to be free to help you out when you get in over your head. And I remind her that IC means just that. After 2 years helping her out, she does not want to pay any more than before. So, when she starts a tantrum, I just remind her that I am working on clients that pay me 2 to 3 cpl MORE than she does, and they are my priority.
MTSO
ok, i give up, what does MTSO mean? i been reading this for months and i can't figure it out. "My Tired Sore Ohhhhhhh...." lol
She's not an MTSO
But if she wants to train MTs for free I am sure nobody is complaining.
LOL you must be an MTSO
It's not dangerous OR hateful advice and it's worked for me in the past.

The OP *should* hire an attorney if needed, BUT BEFORE she/he spends one nickle on an attorney to collect HER money! she/he should give the MTSO one last chance to get it right - and that would be a with a warning about what is likely to occur if she sues.

If the MTSO has a LEGITIMATE reason for a delay they can speak up about and negotiate. But ignoring a contractor who is owed $ is NOT acceptable.

which MTSO are you?
nm
Not MTSO, but
I have used ibackup for a couple of my clients with a need for multiple people to access files.

http://www.ibackup.com/

It's secure. You just send them your directory link and viola.