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There are too many variables. It depends

Posted By: me on 2006-04-04
In Reply to: Yearly income to expect as full-time... (sm) - MT

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. 




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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 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.


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. 


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.
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.
There are lots of variables. How fast you

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. 


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.
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?"
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
depends

I have one female who sounds as if she has cotton stuffed up her nose and she has just returned from the local pub.  Instead of correcting, she just rambles and you have to figure it out. For example:  "Social history is significant for review of systems noncontributory and mother with diabetes.  Pt has never had this before." 


I do find the female ESLs easier than the male ESLs however.


depends on where oh where you are now. nm
nm
It depends - please SM
I'm not sure what you were hired to do but I've always had the worktypes I was hired to do specifically outlined to me. As well, different accounts have different workpools containing specific worktypes. I know when I work on a specific workpool that I will only get certain worktypes; when they ask me to change workpools, the worktypes will change.

It SHOULD work so that you know the variety of worktypes you will get and you should be masked to get them. However, a great part of the time there are cherrypickers who will reject worktypes they do not want to do, dictators they do not want to do until they find a report that they want. Lots of cherrypickers don't like ESLs, so they throw them back.
Depends...
Is that with or without spaces? Is that full audio, read-throughs, or blanks only? Are the MTs experienced or newbies? Are the MTs Indian or domestic? Will you be required to provide feedback for each document or each MT?

If your offer is 5 cents without spaces and you are editing inexperienced or offshore MTs and providing feedback for each document, then 5 cents is too low. If, on the other hand, you were offered 5 cents WITH spaces, are editing experienced MTs, filling in blanks and providing little to no feedback, then 5 cents is fair.

ALWAYS ask these questions ahead of time. Editing on a production basis is no different than transcribing on a production basis--every little detail will affect your paycheck.
It all depends on what they say
constitutes a line.  If it is 65 characters includes, spaces, headers, footers then that is decent.  Being a newbie you are probably looking at the 8 cpl.  Keep in mind if this is an IC position you will be responsible for paying all taxes, no benefits.  If it is an employee position it is a good rate of pay these days. 
it all depends upon

which of my cats is looking for attention. 


Otherwise ... around 90 minutes, I suppose. It's up to my fingers.


Well, that depends on you
My golly, you gals make it difficult for a man to sit still here. All these questions and you gals want answers.

It truly depends upon you as an individual what you make. I usually have a very personal interview with you and usually can let you know at that time. Would you like to schedule something?

We always look to hire, even if you are new to this profession.

If you would like to schedule an interview, call me at 1-800-BIG-DING
Depends on which it is. nm

x


depends on where you are
We have a store called Freds in the midwest and I found the exact same bedspread and curtains Penney's wanted (at a price of 300.00) for 70! I also use www.brylanehome.com

At times Big Lots will have good stuff as well.
Depends.
Better buy a box or learn to hold it.
Depends
I taught myself html and have my site through avahost. They are incredibly cheap. I have thousands of pages on mine due to it being a geneaology site. You could contact them about your files and such. It can be expensive to build a website, generally 1000 and up, so that is why I taught myself.
It depends on the age it happens...

I was divorced at 30 and remarried at 31.  No, I wasn't looking, but along he came and he was only 26 and had never been married, fresh out of college and ready to settle down.  I'm glad it happened then because at 31 you can still get a good guy quite easily.  I had a 3yo and it has worked out magnificently.  She's almost 18 now and he has been Dad for a very long time, as her father moved across country and she only visits a couple times a year.  But blended families more often than not are rocky.  I was very lucky.  If my kids were older than 3, say school age, I would be more inclined to wait until they are raised.  It's too hard for them to adjust at that point.  As for remarrying now in my 40s?  Probably not.  There's not much out there except all the leftover and discarded "toads" I'm afraid.  A few lucky ones find a great guy in middle age, but I'm afraid your chances of getting struck by lightening are probably higher.


Depends on the doc (sm)

I actually prefer doing consult letters over all other kinds of dictation.  Some doctors are concise and to the point, and some are long-winded (just like anything else).  I have found that there they mostly say the same things over and over, so it is a good way to use a lot of Instant Text and boost your LPH.  You still have the basics (CC, HPI, PH, SH, FH, Meds, etc.) but you are working in paragraph format instead of using all the headings.  Remember to ask for a sample of how they want them done in particular.   


The only downside is that you will have to edit them for grammar and tense issues rather than just do verbatim transcription, but it's not a hassle by any means. 


I've known other transcriptionists who hate letters, but I really enjoy them!  Good luck!


It depends
I had an account that paid gross lines and thought that I got a great deal, until I realized that the page margins were really wide and I would have made more $$ with a 65-character count....watch those side margins!
That depends.....
Were they paying you 12 cpl for a 65 char line count or less than 65? If so, 65 characters is the same, regardless of margins.
It depends on who the cc is..
Are you working on a hospital account or your own accout? Please provide more info.

It is usually justifiable if the cc is involved in the patient's care is some form or fashion and this cc's involvement is documented in the patient's record.
Depends what you consider to be a hot job
I love these people who say they're making 50 grand like it's really good money. Where I live 50 grand is enough to live on - period - and no one would brag about making that, so a job that "tops out" at 50 is nothing to brag about. Only someone who has never had the ability to make really good money would make a statement like that because to them that's something to be proud of.

To answer your question, this is not a hot job. I have been doing this for over a quarter of a century and people look at you like you're an idiot if you tell them this is your job. Some have laughed and said, "Oh, a typist!" or "Oh, you're a secretary!" Neither of which are HOT jobs.

If you want respect for what you do, go to an accredited college and get a real degree - a bachelor's or beyond. Then you're qualified for a HOT job.

Best of luck. Just being honest.
Depends
Well it all depends on the method of line counting; whether it is gross lines or character lines.  Gross lines at that rate is excellent hourly for someone with experience.  I.E., You can type 1000 gross lines in roughly two hours on average.  Here is the math:  1,000 lines x .05 = 50.00  (two hours).  Anyone get it?
it could be, it really depends on the dog
xx
It all depends of course, but I can usually
average 1600 lpd on average for an 8-hour day. When I am part time (4 hours a day), I can get about 850.
depends
As a QA person, to me it depends on the skill level. If someone his hired on and say they have 15 years experience yet leave blanks for general terms, yes I would track them. If I have a person who has been working doing clinic work and wants to crossover, no I don't. I give them adequate time to actually learn. If I can't get a blank either, it most certainly is not counted. Mostly what I watch for are the major errors, medication guessing, gross lab errors, etc. I don't see a need to go crazy on people. They are better served to be taught....if there is a new word they do not know, I send them the meaning. I teach them what the labs mean. I give endless references from books, websites, etc.
Just depends...
I think it depends on what company you work for. I work at home for a large clinic and it is wonderful. I get full benefits, overtime pay, quarterly bonuses and also have great ladies to work with and we go out together once a month. We have department meetings and parties, so I don't feel isolated at all. But I can understand how it would be awful without these things and how isolated I would feel. Good luck to you!
It depends. I use both. See below.

I use the net a lot, but couldn't live without my Quick Look Drug Book.  I have found it to be the best.


The two sites I've found the most helpful on the net are Medline Plus and Drugs@FDA.


 


depends on how much (sm)
Mine wanted an iPod. Laptop is a good idea, but very expensive. Is she in a dorm or apartment? Something for her place like a microwave or another appliance or a small TV. Portable DVD player. A nice bookbag or sachel of some sort for her books. Or maybe a family picture enlarged and framed.

My daughter's best friend's mom made her a scrapbook of her high school years. It was so beautiful and my daughter cherishes it. Wish I could have been crafty enough to make her something sentimental. She cherishes the iPod, but in a different way ;-)

Good luck to you!! My daughter's senior year was very, very special to both of us. Enjoy her while she's still at home!


It depends.

If the only thing you will be doing is logging into the hospital system and transcribing, your line rate will probably be more than with a national, but less than what a company would charge the hospital.