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Training on secondary accounts. Can you refuse?

Posted By: How to do this properly? on 2005-08-16
In Reply to:

I have a great primary account. I realize I need a secondary for slow times but the secondary account blows big time. It is laborious (many fields, special requirements that are tedious, etc.). Can I say, "No, but thanks." I reach my required line count with what I have on the primary account even though I am not working a full eight hours. I have taken on a PT job and just fill in empty space by turning around and typing on the other computer when it gets slow.

Any feedback or advice would be appreciated. Thanks!



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Secondary, tertiary accounts
Have you tried asking for back-up accounts to work on?  I think a lot of us have experienced a slower-than-usual summer this year.  Even though production may be slower/lower on accounts you don't work on frequently, having secondary, tertiary or more accounts to work on helps to get through the droughts.  Good luck.
they don't REFUSE to hire new MT's. They REFUSE to hire them at 6-8 cents per line.

mostly because you can now hire experienced MT's at 6-8 cpl. In the near future, you will be able to hire experienced MT's at 5 cpl. Then people will start getting out of this business and new people will stop trying to get in. I had a job opening and asked people to bid what they wanted per line. One very smart young lady was a new grad and bid 3 cpl. I hired her a year and a half ago, she has been terrific! and I was willing to spend my time training her because a) time is money and she saved me money so I could spend my time and b) she had definite potential!. In another six months, she will be the MT with 2 years experience applying for jobs. AND she will get them because she will test well and essentially "bought" her experience. So use Economics 101...


 


I saw this happen in MQ office while training. Supervisor was supposed to be training but
account was behind so she did transcription while she collected salary for "training" me. Of course I asked others for guidance rather than bother the furiously typing supervisor. I don't know if she cherry picked but she definitely double dipped into the MQ payroll.
primary..secondary
I agree 100%. I was on a great hospital with MQ but they kept calling me to work in my secondary which is one of the worst hospitals I have ever transcribed, IMHO, over 36 years.  I frankly got tired of the every day call to work in my secondary so I focused on my secondary, mastered the hard doctors and now my secondary is my primary, a hospital which most dont want to transcribe..so usually there is lots of work and bonuses too..guess **I won**, hun?
primary and secondary
If you want to have a primary and a secondary, Cornerstone has it. I am the QA supervisor and we are looking for ESL typists for a primary with one secondary. Check out the ad posted in the job section either today or yesterday.
It is 9 in the morning and my main is out and secondary going out from Amherst. No wonder everyone

is leaving. How can you be paid on incentive with the new pay plan and be out of work and stuck in accounts you never heard of. That has to be the most ignorant stupid thing I have ever heard of. Totally ignorant.


Familiar with primary/secondary insurance?sm

My son is currently covered under my husband's (his stepfather) policy.  His father and I have talked about changing him to his insurance come open enrollment time later this year because his coverage is now much better than ours.  I am considering actually leaving him on my husband's insurance too though, in the hopes that primary/secondary coverage will leave less out of pocket expenses...because it costs us no more or less with him on our policy anyway (same family rate regardless of the number of children covered). 


My question is this.....if our policy has a huge deductible then pays at 80/20...and if he was also covered by his father's policy that utilizes office copays...how would that pay?  Would his father's policy still not kick in and pay anything until we met the deductible on the primary policy?  If so that's pointless...but I don't see the secondary insurance company wanting to pick up all the expenses that the primary won't.  Anyone familiar with this situation that has any suggestions?  Would be greatly appreciated...very confused.  LOL  Thanks!


I have diagnosed myself with motivation necrosis, possibly secondary to DQS. SM
I hope it's not terminal.  Not old enough to retire yet.  Anyone else with this sickness?
Use main pattern, secondary backup patterns when first SM
isn't enough, and then deviate by choosing the "intuitive" choice for an abbreviation that pops into my brain, on the assumption that it'll be the one that pops in when I need the expansion. Usually it is.

I've always had the drop-down list turned off on my ShortHand program, so I can't speak to working that way. A lot of people clearly like it a lot.

However, when editing rather than transcribing, I question how well one can read ahead for corrections to pop down to and scan the dropdown list too. Fast-reading ahead and even making corrections while listening to the squeaky speeded-up dictation as it trails is how to make good money editing. One needs expansions a lot less when editing, of course, but they're still extremely handy. So if you choose to keep developing a system to work directly from as much as possible, rather than coming to depend on scanning a list, I think it should pay off nicely over the long term.

OTOH, since editing does need a lot fewer expansions overall, an Editor would come to memorize all the usual ones anyway and only have to stop and look at the list now and then, never in some documents, often in others. I'm not tempted to change my routine, tho.
there is a world of difference between MT training and NP training
honestly, I am in nursing school and have lots of health care experience as a paramedic and medical assistant. I think you can relax and leave your family's health either in your mother's hands or their physician's...
IF it is secondary income, where is the harm? As long as you work around your kids (at night, naps)
a big plus when you are around kids all day and bring in a little cash to help out the household.
How about zillions of accounts. MQ has these accounts so overloaded even the new hires dont have any
work. I would love to read some of these reports and then they expect perfect QA and no blanks. Did they lose their minds completely.
I refuse
I have a second job and their information is on there as well. I could see it if it were company provided email, but to randomly want to look through email and files. I have medical information on my computer for my family and they have no business looking at anything. As a requirement of employment, we had to show we have antivirus and spybot protection or we had to download theirs. They delete work done about about 10 days, so no files remain and during that period of time, nobody could access those files without the proper log in as they are part of their own designed typing system. I don't believe for a minute this is regards to protecting their information as the statement mentioned sending out information about the company via email.
If we all would refuse to do bad dictators - what can they do about it?

Let them do them themselves or have their fair-haired Indians do them. 


Let the mush-mouthed doctors get back mush-typed dictation.  It would be fair.


Tonight I had so many questionable lab values it made me sick.  I also got a non-ending stack of bad, foreign, indistinct, unable to speak English doctors --- you know the guys who end up at the bottom on last day of the payperiod.


I have gotten to the point that I want them to say "This isn't right!" and stomp their feet, because I want to go nose-to-nose with these jerks.  Just mess with me suckers!  I'm ready.  I'm premenstrual and I'm ready.


If you have 25 years of exp and refuse SM

to be on the supervisory side of things, that's your problem and not your service's problem.  You sure think you are important if you expect the management to consult you on every supervisory hire they make to see if it meets your requirements.


 


Actually one now, but some people refuse to let go of the old way. SM
It took me forever to train myself! I finally made a macro.
Do you honestly think that you can get MTs to refuse to go to
People have enough problems getting to the physician of their choice due to insurance hurdles!

Your idea is very admirable but in today's economy (especially with all the moaning and groaning about NOT making enough money to live), you are more than unrealistic. Perhaps a handful, literally a handful, of those MTs who have husbands who provide very well might opt to do that but who/what is that going to serve? The well-supported MT club?! lol

You've waited too late. Besides, what are you going to use for your platform to reach the masses? These message boards where only God knows who visits (ID and numbers) -- eventually the owners will tire of your use of their services and probably charge you. Of course, you have television - a very, very expensive medium. Perhaps some trade magazines, again advertising costs. And what will the members who live far away get in return for their hard-earned dollars?

What product/service are you going to offer?

Everyone's just full of these ideas but no one is putting a reality in there anywhere.

You are wrong. An IC can refuse
someone else.  The OP should not have to make-up work.  Also, anyone who is committing to lines or hours should then be paid as an employee.  I don't get how these companies can force an IC to type a certain amount of lines.  That is wrong.  An IC has every right to do as much or as little as he/she wants to do.  I know these companies don't like that and some MTs allow it, but I for one am an IC and am not expected to transcribe any amount of lines and when there is no work, there's no work.  That's it.  If there's work, and I want to type, I type.  I can also refuse even the accounts I am so-called expected to be doing without any problem.  There are other ICs that work for the same company that are able to do the work if I cannot.  This is how it should be.  The OP is not wrong in her thinking and no she is not overloaded due to her own fault.  A contract that states a certain amount of lines in a certain amount of time is considered employee.  Check the IRS site if you think I'm wrong.  There should be no control in that form at all. 
Maybe if refuse to do bad dictators, they will
x
refuse to quit
I told him of some of the posts on this board, even the few that were leaning in favor of him, and he says I am not painting a true picure of his concerns. He said that I have given up a good job with benefits and healthcare to now be a contractor and have to pay more for benefits and not even have a retirement plan with the company to fall back on. His company does not offer much in the way of benefits to spouses, so I had to get my own. I admit, I did have better benefits in my old job and this business is not as stable. He feels he is only being concerned for my welfare and that I am misjudging him. We just do not agree on the situation. But even if I go back to my old field, I will still do MT on the side because I love it. I have worked too hard to give up now.
IF MQ LETS YOU GO, ARE YOU GOING TO REFUSE TO TAKE $$ FROM THEM?
Be honest.
REFUSE to do QA work for CPL
Notice to all greedy MTSOs out there: I will NOT work for cents per line in QA. You will not be making money off of my knowledge and painful hours I have put into this profession.

I will be a Wal-Mart greeter before I let you make another dime off of my back and I hope all experienced QA people do the same.

This is ridiculous and insulting!!
I refuse to do it. I have research papers, etc.
get in the habit of doing INCORRECT things just to please AAMT.  If it means I can't be an MT after 25 years of MTing, then so be it.  But I learned English many years ago and every other facet of my life still requires PROPER English/punctuation and I'm not going to learn a bastardized version for AAMT.  AAMT can kiss my hiney!
If I were married, my husband would not refuse to let me do anything
of this nature. I had a husband like that. I got rid of him very quickly. I am who I am and if I want to go back to school, I would tell him I am going back, which is what I did. He demanded I stay home with the kids at all hours of the day and night. I told him bye.
I agree and I refuse to do any sort of
make up time because I feel if the work is not there, they cannot expect me to work the hours I said I was unavailable. They better not say a darned word about my not getting my lines in this pay period due to no work situations constantly.
And when the US MTs refuse to work for that guess
where the work will go? 
I refuse to do tapes but have a possible solution for you.

I have eliminated tapes completely--just not worth the aggravation, gas, time, etc. I only do digital and the docs have two options. One, buy their own recorder and pay a lower line rate or have me supply the recorder and they pay $0.02 more per line. The digital recorders are as easy to use as the tapes recorders.Stress that improved quality of recording will allow you to hear what they're saying more clearly and will result in fewer blanks. Also, they will experience an improved TAT and there will be no more broken tapes. You may find that they are willing to give it a try when you stress the benefits.


Let the next MT refuse him also. Be open bout
I dont consider this cherrypicking.  Just straight up refusing to do a doctor who has no regard for me or his pts if he is going to dictate in a manner that is indecipherable.  Again, I am in this for the money just like MTSO.  I am not here to work for mere pennies an hour.  There are plenty of jobs out there.  The MTSO can get rid of me over 1 crappy doctor or keep me, knowing I know the platform, etc.  If MTSO would rather have 1 crappy doctor or a darn good MT, whatever.  Again, it is hard to find a good MT, crappy dictators are a dime a dozen.  Let the next MT refuse him or not. It is here decision.  Mine is to ask to be taken off so I can make money just like the MTSO.
no and I would refuse to work for that company. nm
nm
If experirenced MTs refuse to do VR, then the services will not
find enough workers, and perhaps will decide to go back to straight transcription. Hard to make any money off VR. You do not get paid for inputting demographics. Are you typing one space or two spaces between sentences? Some VR programs are set to add only one space, so you are being short-changed there also. No extra for bolding or underlining. No numbering allowed. No tabs allowed. The signature line is not being counted toward your line count. The only way to make money with VR if you have taking a 50% cut in pay is to crank up the speed as fast as possible, let it play, and basically read and not have to fill in too many blanks. Otherwise, you will not make enough money to survive.
When US MTs refuse to edit their garbage
xx
Actually, I can REFUSE to have a breast exam done on
me by a doctor, and I always did. For me this procedure is much too intimate.

I guess you can refuse and be fired and then
be making no money.
If we all refuse to do VR at low rates, we may see an increase in pay.

I refuse to validate the idiot Cruise
or to enrich him with one penny of my hard-earned money. I will not be seeing his movie or any other project in which he is involved. I feel the same way about Johnny Depp since the horrible, hateful statements he has made about America and Americans. They are free to speak their minds, but I am also free to choose not to reward their hatefulness.
Maybe it would work with deadbeat ex-spouses who refuse
to pay child support.
Good advice but some people refuse to
split "amicably." I know for a fact in my case it would be a blame game and a huge mess. Been there many times and resorted to other ways of handling it. I wonder if what you suggested would still work for me?

Not the OP but helped by your advice.

Thanks,
me
This is getting ridiculous. I REFUSE to buy yet another edition of the BS of Style.

Those broads at the AHDI or whatever it is called now have too much time on their hands!  They need to get real jobs.  Get back out there in the trenches, have someone QA the crap out their work, and see how they like every changing quicksand of MT.


I refuse to go to Imail...I've gotten a virus from there and so have many other people. nm
,,
Geesh! What's up with you people who refuse to work holidays?
Don't you think people get sick, have accidents, etc on holidays too? What about the doctors and nurses that have to work holidays? Did you forget about them too?

How about police officers, firemen, paramedics...

Do you think you are the ONLY people out there with family and would like to spend time with them during holidays? We would all love to do that but this chosen career requires some sacrifices.

If you can't give a little you should have never started doing this kind of work.
I refuse to work for a company who outsources. Period.
nm
True. Just as I refuse to deal with cust. service
x
The accounts are old and she keeps her accounts TRUSTING she hired the right MTs
who if in doubt will ask questions regarding reports. No one can find all mistakes in all reports and that is human to have a report with perhaps a typo. You think anyone reads through all the reports of a national company before they get to the hospital? Not a chance. Some random QA is supposed to correct all mistakes? Not hardly. Doctors/dictators make mistakes too. We all do. So do QA people. So the thing is this person hires good people who are trustworthy, the hospital likes the way she does their account and life goes on quite nicely w/o hovering editors/QA people. BTW, who QAs the QA people on your accounts. Ever wonder?
Should've held out for the candy bar and refuse to leave till you get it!

I think I would refuse too. I've seen some pretty silly names here, including Why Worry Lane and
x
Not all accounts are good accounts. One
That should not be the case. Sounds like you need new accountant with strong knowledge of IC deduction.  We save a several thousand on what we pay in taxes based on what I can deduct as at home IC, $2000 off the top for what I pay my child to help with office chores, as an example.  The measly 7.xx% I pay that an employer would pay is well worth my independence in being my own boss.  
I just went through training and they
told me that MQ itself does not pay for spaces. I was trained on DQS and again it was told to me during training when I asked about that and the answer was, "No, DQS does not count spaces as MQ does not pay spaces."

?? I'm all confused now.

Training (sm)
To tell you the truth, and I'm not dissing the trainers, but I really would be sure they are passing on correct information by asking your transcription supervisor.

When I was trained, they told us to disable some of the features of the platform, like the capitalization after the period and the thing that corrects your text if you type 2 capped letters. These are probably some of the best features of the program and I, nor any MT who wants to produce as much as possible, would dream of disabling them.

So... I really wouldn't put a whole lot of stock into somme of the info they give out. To be sure, get a second opinion. :)
You will need a LOT more training
than you have to be a successful transcriptionist, or even a mediocre transcriptionist. Simply from reading your post, it is apparent that English is probably not your first language. You will need to improve your English-language skills considerably before you will be employable. On the basis of your post alone, I would not hire you. I would not even bother to test you since you have so little training and your English is so poor. You need to take a GOOD transcription course, not something offered by one of the matchbook-cover schoools and certainly much more than you already have taken. Self confidence is all very well and good, but simply believing you can do something is not an acceptable substitute for good training. You do not yet have the skills you need. It is, of course, unlikely that you are going to believe any of this, so to satisfy your own curiosity, just start submitting applications to transcription companies. One or two might let you take their test. Your results should be an indicatino of just how far you have yet to go to be properly trained. Good luck to you.
MT training is not enough
it is just a foot in the door. The real training comes in by doing various dictations from various clinics/hospitals. Every doctor talks differently or uses different terminology.
MT training is not enough
it is just a foot in the door. The real training comes in by doing various dictations from various clinics/hospitals. Every doctor talks differently or uses different terminology.