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There are lots of variables. How fast you

Posted By: me on 2008-03-20
In Reply to: Production - Laurie

type, do you use an expander, do you have good dictators or lots of ESLs and crappy dictators, is the platform user friendly, are you doing acute care of clinic, do you have lots of normal/templates, do you get paid/counted for spaces, gross line versus 65 character line.


You really can't compare yourself to anyone else.  A lot of people (not all) care about producing lines and don't care about quality of the product.  They refuse to proof reports, say that is what QA is for.  Some people just seem to have a talent for MT, have lots and lots of expansions/templates, have an extensive knowledge base so they don't have to look up much.  If you do clinic you tend to have one speciality and only a handful of dictators so you can make lots of normals so you can produce more lines.


I can do 2000 lines/day on occasion, but can't do it every day.  I've done 3000 lines before, but that is rare. 




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There are lots of variables there....

It took me approximately two weeks to really get the specifics down on the account I am currently working on.  That is just the account specs.  The DO's and DONT'S.  It is about 75 pages long.  I still am not used to all of the doctors yet because I have not had the opportunity to transcribe for all of them enough to be able to get used to them.  I work for a national, but my account is for a large hospital, so there are doctors there that I have not even come across yet.  I have been on this particular account now for 3 months.  I have the specifics down cold, and like I said, that only took a couple of weeks to get.


I have had other accounts that only took a few days to get used to because they were smaller and didn't have that many specifics.


The bottom line is that it depends on the account itself.  The client is going to be the one that will determine how long it will take you to get used to an account based on how many instructions, etc. they dish out for their accounts.  Each and every account will be different.  You may notice a pattern at some point, but you can't really count on a set amount of time or categorize it into a specific time frame.


Just my opinion.


Lots of variables

There are a lot of variables to what you are asking.  It also depends on what your definition of good money is.  I have a FT job and a PT job, both of which pay 8.75 cpl.  I average about 200 to 220 lph, so it's a good living for me.  I don't have any credit cards, my car is paid off and my mortgage is fairly low.  I also don't have a family - just lots of cats.  I should qualify that the FT job doesn't start until January.  I had a FT job in-house at an Oncology practice up to about a week ago making $14 an hour.


I work for Landmark part time (and I've been VERY pleased with my association with them so far) and the new FT job is with Probity.  I've read mixed reviews of them so far on this board, but my dealings with them so far have been very good and extremely professional.


Lots of variables
There's a lot of variables that go along with that, primarily on how good your Expander is and how much you have in it.  I happen to know from the last couple of days that I am more than twice as fast with an expander.  I've been typing without it because of a software glitch.  The company I work for wants every abbreviation expanded and I do mean everything.  I had to type percutaneous endoscopic gastronomy tube out at least 6 times for a 25 minute discharge summary.
neither slow, nor stupid, but I think there are lots of variables that need to be addressed..
such as all the crap some companies want you to put into headers, cc's, etc., and make sure you know every word in the client's profile and check every day to see if anything changed - (of course, they don't PAY for time spent researching client profiles) - it's like "who's on first?"
Prob is then you may get all fast fast fast talkers...not a fair way nm
x
depends how fast the MT is......No one would want to pay me by the hour because I'm fast.
nm
how fast you can type, has little to do with how fast you can transcribe
Let's face it, we can only type as fast as the doctors dictate... worse, we can only type as fast as we can *understand* the doctors.  Given someone who slurs or has a heavy accent, someone who clears his throat constantly or shuffles through the paper, given an unfamiliar account or work type, or an area we don't have much experience in and have to look up words, etc., any and all of these things combine to make typing speed not really relative at all.  I personally type 110, but not when I'm transcribing.  I tell most folks who ask, if you type 65-75 wpm, you're solidly in the ballpark for doing medical transcription.
BBQ, slaw, cornbread, ham, casseroles, lots of veggies, chicken pastry, lots of desserts!! BIG fami
.
Lots of inexpensive decorations at Big Lots. Had a party last year.
s
LOTS and LOTS of video tapes and DVDs.
x
Variables. sm
It probably varies.  In my situation, she gets a sufficient retirement check, not rich by a long shot, just barely adequate enough to get by.  We get no aid what so ever.  She has been on a waiting list for over 3 years to have house cleaning help.  There is transportation to and from doctors available almost anywhere, but they essentially "dump" them out with no help.  My parent cannot see, she just cannot be dumped out and left to do on her own.
Too many variables
Basically because there are too many variables and can only give you a range of cpl.  Depends on your experience, what type of service you will provide -- digital or tapes with pick up, printing and delivery, etc.  Are you talking gross, or 65 character per line, font, margins, spaces, headers, footers.  Without all the information it is hard to answer a question.  But I would figure a guess in the range of 12 to 14 cpl for clinic notes.   But that is a range only, your area could be higher. 
Variables
There are so many variables that it is hard to "point you in the right direction".  Each of my account works somewhat different.  You have to decide how to count your lines for your accounts and what you will charge, will it be gross or cpl?  As for software that also depends on each account.   Know the HIPPA guidelines.   Also if you are just starting out -- at least I felt this way and still do -- you have to be ready to accept any and all accounts if you want your foot in the door - so that means having the capability of doing tapes, picking up and delivering, digital, etc.  If you limit yourself your chance of failure goes up.  Again my opinion.   As for contracts a lot do not agree with me but after so many years with the same accounts I do not work with one.  But when I did, I simply wrote up stating what I would provide and what the client would provide, outling turn around time, rate per line, etc. But even with a contract they can quit your service at anytime stating "poor quality" or something like that.   There are no big secrets of getting your own accounts and no book to go by, you simple go out and hand out or mail out brochures/flyers, etc. letting people know that you are available and what service you will provide.   But if you want someone to hold your hand step by step you will have to go out and hire a consulting marketing firm to do that for you.   You do need to see if your city needs you to have a business license, see if you need to file your name with the State, etc.    I keep mine as simple and uncomplicated as possible and all my clients seem to appareciate that.  They give me the tapes, I type and return back in an agreed upon TAT at a agreed upon price.   Good luck. 
There are a lot of variables to consider
I would say 500 lines on an account you know and in Word (I do not work on MT platforms) would take say 4 hours tops, but it all depends on how much experience you have as an MT and also how well you know your accounts. 
many variables

Farther on down there are some comments/replies to this question.  It depends on whether or not you are doing digital, picking up tapes and delivering back hard copies, etc.  Also your experience.  As much as everyone thinks that we MTSO's rake in the big bucks by subcontracting our work -- we are lucky to make 10% after the cost of gas, if we deliver and pick-up, the non-billable hours of invoicing, QA the account, the marketing, the customer service to the account, etc.  Also be prepared that you will be the one to cover when that IC decides not to work -- as an IC they have that choice, call in sick, or whatever and if that happens with 2 out of 4 you are up all night typing.  That is why I have cut back to have enough for mainly myself and one I/C that works a very small account and if something happens I can cover easily.   Also think about who will cover for you and the administrative part of the job when you go on vacation or get sick.   But all that aside, start small with one account for yourself and charge what you feel you need to make a decent hourly rate, .11 to .13 cpl either gross or character count seems to be a good starting point if that is what the going price is in your area.  Pay your IC's .08 to .09 cpl so that they can make a "decent living" that they want.  I am not trying to tell you not to just pointing out some of the pittfalls and to start off smaller with just one account for yourself, get used to the "business" aspect of it as well as the medical and then in a while if all goes well grow.  Also remember that just as easily you get that new account, you can lose one and then you will have to lay off your IC's as you yourself will need the work.   Also remember that when those docs are on vacation, around holidays or the summer the workload goes down and that is usually when the IC is clammering for more work and wondering where is the work.   Remember to keep enough money is reserve to pay your IC's on time so that when the clinic runs 30 to 45 days late in payment, you can pay them and not yourself or your bills.    Even though they are a business also, they want their money whether or not the account pays.   Have enough work on hand to keep the accounts happy with 24 TAT and those "emergencies" of being one person short but not too many so that your help runs out of work and especially when the account decides not to dictate for 3 days and then you get it all at once.    There are accounts out there but you have to probably send out 100 to 200 flyers/contacts made to land one and if you are willing to put in the time -- go for it. It is not as easy as everything thinks but for those with the determination and drive it is there for you.    Good luck.   Patti


Too many variables
Depends on what rate per line they pay.  This is gross line which is good but if itis 5 to 6 cpl per gross line versus 9 cpl for 65 characater probably not.  Also   is it clinic notes, same docs, Basic 4 or what.   too many variables here, not enough information.  Only you can tell by what your paycheck shows. 
variables

With all due respect, there are many more variables from the side of the MT than you have mentioned.  I admire you for giving the information in your ad that you say you give, and I am sure you have had more than your fair share of MTs with little to no work ethic or those desperate for a job who will say they can do it just to get their foot in the door and be given an opportunity to try hoping it will work out--and for some of them, it doesn't.  I can appreciate the bind this places you in. 


But if you are dealing with ICs, then maybe they are not necessarily hiding from your calls and e-mails but just working the hours they choose to work.  ICs are not employees as you know.  I am an IC and the company I work for expects "employee" status from me in many ways and they are wrong to treat me as an employee and not give me the benefits of being one.  This has me thinking more and more of going elsewhere.  Perhaps, just perhaps some MTs perceive your company as being like this and they get frustrated and quit.  Just perhaps.


Also, no MT knows what a job is going to be like until they actually do it for a while.  Listening to some voice files and seeing templates helps, but there is so much more.  Until you work the platform, until you see how many lines you can do for a particular dictator per hour, until you have done this for a few days, you cannot judge whether this particular employer is for you or not.  In my present job, I get feast or famine with the same TAT expected.  Feast can burn out an MT.  Famine can scare one off.  And when I get good speed on an account, they take me off of it and give me a new client because they say I am good and they want me to do the client's work so the client will stay.  Very flatering to me, but not necessarily financially the best thing for me.  Constant change slows production--more variables from which an MT must decide to stay or not. This may not be your situation, but this another variable we MTs must consider. 


I've done other types of secretarial work and it is much like MTing -- you don't know the job until you've been there and tried it.  All either side can do -- you and the MT -- is try to find the best fit and see if it works out to the advantage of you both.  I don't think either side wants to waste their own or the other's time. 


What you may consider is a good account may be horrible to the MT after he/she has done it for a week or so.  You may think your platform is top of the line but maybe the MT finds it cumbersome, slow, a time-waster.  He/she moves on because there are bills to pay.  Even your line rate, good as it sounds, cannot salvage a bad fit.  I'd rather work at a lesser rate and speed right along and produce tons of lines than struggle every day for a high rate.  Now I'm not suggesting you lower your rates LOL!!!  Goodness, we NEED rates like that!!  I'm just saying if the MT for whatever reason decides he/she cannot make good money with you--a good hourly rate of production, good lines--they will move on. 


They might have been totally honest with you on their resume but when confronted with all the variables of the job, they found it just did not work for them.  And you, as an MTSO, have no way of knowing whether someone is being truthful or not, or of knowing if they will be pleased once they begin to work for you, or if you have someone who is careless and misrepresenting themselves and just biding their time until something else comes along at which point they abandon your ship. 


You sound like a fair, honest person who has been burned too many times.  But MTs get burned too and I guess at this point in our profession we are suspicious of one another and the low wages overall makes the MTs quick to move on if it looks like the job won't give them what they need.  We can't afford to wait it out and see if it gets better with this or that company.  If it does not work from the beginning, we have to move on because our time is precious too. 


Some of the actions from MTs which you describe are NOT right and those MTs pull this profession down to a lower level of respect.  But this, for many, is today's work ethic unfortunately no matter what business you are in.  I've seen it in corporations and in healthcare settings.  It's like people just don't care anymore about their job.  And for that, I have no answer to give you as it leaves me amazed too.


 


Everybody is different and every day is different. Too many variables. SM
What I earn depends on work type, staying focused, concentration, etc. I have been through 5 jobs this year due to lack of work. I currently have 2 but my motivation is lacking, trying to get my mojo back. Good luck. Don't judge yourself on what other people earn. I personally know a lot of MTs who make fantastic money. I made in the mid 30s.
variables

There's a lot of variables involved - your typing speed, your Expander software, the platform you will be typing on, etc.  When I first started out as a brand new MT, I was lucky to do 100 lph.  Now that I've been doing this a little bit more, and have good Expanders and shortcuts set up, I can do 250 lph.  My goal is to get up to 350 lph - I've talked to a lot of people who say it can be done.


If you're just getting back into it, I would say figure 150 lph as a good base, and then once you get back into the swing of things, you'll increase from there.  Don't plan on that right off the bat, though.  I just started a new job on Monday and I'm working very closely with QA. I'll be lucky to make $100 by the end of the pay period, but that's the way it works at the very beginning sometimes.


There are too many variables. It depends

on how many lines you can produce, how company counts lines and if it is hard to get lines due to their system, do you have lots of bad dictators that slow you down, how hard you are willing to work, how smart you work (macros, expanders), what shift you work and if there is a shift differential, etc.  


There are many MTs that make $20,000.00 or less and many that make $40,000.00+  based on past postings to that same question. 


Agree with you -too many variables.

I pay my IC's 8 cpl for my psych work as it has a long Turn Around Time and all they do is type, I pick up, print, QA, deliver, etc. to the psychologists.  But even at that, they can average one report of 400 to 500 lines in 60 minutes, depending on the tests, done, etc.  but I made so many templates when I was doing the account that it is very easy to do and very good money.  But then if you compare that with one of my clinics  that has a very nice doctor but talks 220 words per minute and it slows down to only 200 to 250 lines per hour.  So there is a difference there.   You can only assume the lines you would be typing in a day and times it by 8 cents and then times how many days you are working a week, etc.  Too many variables -- what if there is no work?


Patti


 


 


Because of all the variables involved, sm

I think it's ridiculous that your team leader would post such a thing.  Every MT's situation is different--different accounts, shifts, work types, hours, etc.--and a team leader should know that.  As far as working for a national goes, I feel less "communication" is better.  Why stir things up?  These companies ought to just let us transcribe and keep their silly emails to themselves.  Don't they know the old saying, "Familiarity breeds contempt?"  Maybe your team leader needs more real work to do.  Don't let it bother you.  Just do your part and forget about it. 


One time I told a national bigwig (because my opinion was requested) that if I were asked to draw a cartoon which described this company's relationship with its MTs, I would draw the MT in a cage, sitting at her computer, with a (particular) "suit" poking the MT with a big stick, saying "They produce more when they're angry." 


Fortunately now I am a happy IC with a very nice company that treats its MTs with respect.  Ya have to kiss a lot of toads in this life, ya know? 


 


 


Probably would depend on a lot of variables.
what I would do. I would have to be in the situation, I guess.
There are so many variables involved that you

really can't compare things.  A lot of the people making that money have their own accounts or are working many hours.   You don't know if the person making 60,000 is an IC and has to pay their own taxes.  IC positions generally pay better than an employee position.  One acccount may not pay for spaces or headers.  You might actually be doing the same amount of lines, but they aren't being counted. 


At one time it wasn't that difficult for someone to make that amount of money if all the variables were favorable.  These days it is harder because line rates are overall lower and companies are always reconfiguring how to count lines in their favor.


If you are pleased with the amount of $$ you are making that is all that really matters and I would not feel that you are inadequate. 


The problem is they are trying to standardize that which has too many variables.
Important details in documentation are going to be left out. Patient care is going to suffer. Forget about our jobs, we should worry about the medical treatment we will receive from doctors who do not have our full and complete histories.
But there would be variables at ANY line rate. (nm)
s
Wow. I don't know that there is "an average". So many variables here.
Depends on if it is known accounts or new accounts/dictators; familiar specialties, etc.

My overall average line count in transcription is about 275 lph. This would include HPs, Ops, Dis, Cons, ERs, clinic notes sometimes and anything else that might pop up here and there like a procedure note, etc.

I know as many MTs (or are we considered MLS's now? lol) who average much more and those who cannot make that.

Guess I didn't help much, huh?!

I agree with Patti . . . too many variables
Here's a link to an article I found some time ago, which suggests multiplying gross line count by .70 to attain an estimation of an equivalent 65-character count line (or 30% less, as Patti also suggested). It really just depends on too many factors though.

http://www.mtworld.com/tools_resources/line_counts.html
There is a reason they are called variables.
The most lucrative setting is where you get paid a better than average line rate to produce reports dictated by clear-speaking doctors who say the exact same thing for each work type and never backtrack while you work on a platform that has no headers, footers, or demographic entry that you don't get compensated for.

However, that is hard to come by so you will have to decide for yourself what suits you best from the options available to you.
Line rates can also be regional. Too many variables to
give somebody else hope that they might someday get the same rate. If you don't like the rate an employer offers, don't take it -- that's the only way to make them listen. It's not the baloney you seem to think it is.
There are so many variables at play that it's dangerous to compare to others along these lines. s
I know that there have been occasions when I've had a run of one of my more familiar docs -- one for whom I have a lot of canned text and who tends to dictate with a great deal of regularity, and quickly -- and I've been able to break the 500 lph barrier, but only briefly. Otherwise, working a large hospital account as I do, with dozens of regular docs and a hundred or so others who just crop up now and then, I can't conceive of anyone averaging anything close to that ... I'm luckly to average above 250-275 lph on a typical day, and some days -- when it's resident and ESL heavy -- that can go down to 150-200.

But, again, it's really pretty silly to compare lph between different MTs unless the variables are the same.
variables: clinic v. acute, employee (benefits) v. IC (pay taxes);
nm
RUN, RUN, RUN, as fast
You do not want to work for SS. They lie, steal lines, and will work you 7 days a week for as many hours as you are willing and you won't get paid accurately. Their line counter is always "down" and you can't track lines accurately.
run very fast
I too am an ex-IC for eTranz and this company is not professional at all. I consistently received paychecks 2 weeks late. Deb Garrison, the owner, if very unprofessional, hollering on the phone, hanging up on you. There is no communication in this company whatsoever. There are some very good companies out there. Please do not work for this company.
Get out fast!!
Well you definitely need to get out fast. Easier said than done I know I lived it. He sounds like my exhusband except throw in some cheating as well. He called me every name in the book and never wanted to do anything around the house but griped about it constantly. He stayed out and drank and everything else under the sun. He was also violent and would throw things and hit things. I feel your pain. It took me one night just finally getting my fill. No crying occurred like before. No yelling. Just me calming saying that was it I would be leaving and wanted a divorce and by two weeks I was gone along with our son, not quite 3 at the time. It is hard to leave financially and emotionally but sometimes you reach that point. Get out as best you can if you can!
Run as fast as you can
from AIM platform. It is more like typing in fields such as data entry.
I need help, fast!

I'm losing my job at the hospital in two weeks due to outsourcing and have decided to go it on my own.  I have $800.00 in my budget to spend on a digital dictation system.  Do you suggest I buy a phone-in system or an Internet software system and what brand names of each/or do you recommend?  How much does the average one cost?


Thanks very much for your help.  I have to move fast because my money is fast dwindling down and I want to make sure I make a wise and good investment so I can get moving in trying to find clinic accounts.


Anne in Clearwater, Florida


Need help fast
Before you jump into unchartered waters, I suggest that you start as an IC with a small national. You said you are a newbie. You still have much to learn. It takes a few years to hone your craft and be able to work independently without assistance. I would be afraid you would be biting off a little more than you can chew right now. Not trying to insult you. I have been around for a long time and would hate to see you make an investment like that and have to struggle. Find a position with a small national doing multispecialties for a couple to three years.
I'd go for a min. of $18 - now the fast MTs - sm
and the production guru's won't like this as I am sure they make more than that. But I only make $13-$15 now on production; some days down to $9/hour, depends on the dictator. But I think $18 is a fair wage, though I am sure many would disagree.
How fast can you run?
I would definitely not go that route.  It would not be my choice of transcription platform!
They want to seem as fast as possible?
Maybe because the more lines their editors do, the more they (the company) get paid by the hospitals? I dunno ...
fast fox
Fast Fox by NCH, the Expander by the people that gave you Express Scribe. It has been good for me, it is easy and CHEAP. Go to NCH.com to download a free trial.

No I don't work for NCH but I tried it because I always like express scribe.
Fast dictators

When are these ******** doctors going to figure out that by dictating 100 miles per hour they are NOT going to get an accurate accounting of their patient encounter????  I feel like I'm being set up to fail.  I don't care how much experience we transcriptionists have, if you're going to dictate a three page report if 1.5 minutes, SOMETHING is going to get missed or screwed up.  I hope that extra three minutes they saved themselves throughout their busy day is worth it when the patient's chart gets the wrong data and somewhere down the line a big mistake is made.  I've had a terrible morning, struggling with Mr. All-Important who dictates vital signs as one long rambling of numbers, never in the same order (one time it will be weight first, then pulse, blood pressure, respirations and the next time it will be blood pressure first, then weight, then respirations, then pulse) -- I've had it!!!!!  I've got so many blanks in this batch of reports that I'm embarrased to turn them in. 


Thanks for letting me vent.  I'm not a bad transcriptionist.


 


Speaking too fast
Wake up call -- they speak too fast so they can blame you for any mistakes. The same with those who write poorly - "That's not what I said." Another reason is they are too cheap to take the time to speak slowly, have to keep making those $$$. It's all about the money - not the patient. It also gives them a sense of "power" over you. You'll catch on.
Well it's pretty fast. SM

Brown your hamburger and maybe drain it if you don't buy extra lean. Add chopped onion and 2 cloves garlic, stir it all up till the onion is clear. Add salt, a smidge of sugar, just a little. Chopped bell pepper if you like that. Then add chili powder till it looks right, add canned tomatoes, tomato sauce (I don't like paste, but if you do, I guess you could use that). Ground cumin.


I'm no Texan, so I like beans in my chili. Pork & beans used to be $.22 per can so we got a taste for those in our chili, LOL. That's what I use.


Did I forget anything? Oh, if it looks too clear and orange, you can make a paste out of a tiny bit of flour and water and thicken it with that. Simmer. Serve.


Any chili cooks out there? Did I forget anything? I just make it without thinking!


You can also use chili seasoning in a packet but I don't like that as well, personally.


Not so fast sunnyMT (sm)

EMTEE's duh was not directed to you, it was to the subject they typed in their response (digital records instead of digital recorders)


Philips makes digital recorders that do not require a docking station.  The DPM-9360 is one of the cheaper ones.  It can use either a USB cable or memory card for transferring files.


Try looking at WinZip for securing the files.  Email is not a secure method of tranfer and if the files were intercepted, it would be a HIPAA violation.  Using a password to zip the files with WinZip will make them secure for transfer and zipping will make the files smaller allowing you to download them quicker.


Fast Chart
Any info about Fast Chart? 
Geewhiz, that's fast. Don't know how you do it!!
I bow before thee. Hahaha
That was fast for you Jodi!

My ex kept playing games,scheduled the pick-up over 11 times, each time the police had to be here and set up in advance, so they were not happy at all.  Realtor called the judge because the house showing did not do well with a 2 car garage packed with all his junk.


Judge finally "ordered" him to show up on a date SHE chose and if he did not, then his stuff (including his furniture) would be picked up by a local battered womens shelter and the Salvation Army! 


7 months post exist he showed up with some help but the cops who had previously sat around waiting for him also showed up off an on (besides the 2 there to protect me) and did some subtle irritating


Keep reaching for that star Jodi, it will all work out for you.  You've taken the most important step in gaining control of YOUR life again and freedom with security is sweet!


you are right! I read too fast!
nm
RUN AWAY FAST FROM THAT OFFER!
I had to purchase the StartStop foot pedal for $200. The first day was a nightmare. The second day was worse. The third day was just pathetic, but the fourth day was okay after I sent them a nasty email. I had to explain to them, I was a Transcriptionist and not a translator. They put me on another account with doctors speaking English and as soon as I got my line count decent, they put me back on the ESLs. Their accounts are 99% ESLs. When I say ESL, I mean they do not speak any English whatsoever, i.e. "thrappy" is therapy and "palowang" is electrogram <---- I am still trying to figure that 1 out. Their QA/editor must be an online transcription course poster and have no experience in grading a transcriptionist's work. They constantly change your report, spell it wrong, and then turn it in to the client with words misspelled under your name. Then to top it off, they send you nasty emails stating your accuracy rating is low due to mistakes. When you go view the corrected report, your report was actually right and they were the one who changed it for no reason because they do not have grammar, medical terminology, etc. So I would not take any offer with them. They are more of a learning transcription company who have not mastered transcription itself. Therefore, they are not capable of grading an experienced transcriptionist's work because they are still learning.