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Serving Over 20,000 US Medical Transcriptionists

Wanting to land my own local account

Posted By: HR on 2006-03-01
In Reply to:

I am currently working part time IC for two different people, I have a little less than one year transcription exp, all in family practive or GI...I have been thinking about trying to get my own account locally but not sure about some of the "in's and out's".  Those of you who do this, do you have someone who covers for you when you have to leave town?  I have always had someone to QA my work, so if I do my own account and have a question(blank) do  you call the office and ask or do you leave it blank?  I am kinda back and forth w/ the idea, I know I would make more money, but not sure if I want ALL the responsibility. 




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You are trying to land this digital account with
You should require they purchase their own recorders.  That is only fair, but that is just my opinion.  Let them know you need some help with the purchase of the recorders. 
Land an account using your web site? sm
I'm setting up a web site to hopefully obtain clients. My question is if I get an account what can I do to be sure they pay me and I not get stiffed for doing work?

Was thinking about using BuyerZone or some other type of site to acquire payment from the client. If you have any suggestions, it would be greatly appreciated.
I have one local account that does that (sm)

I've gotten used to the fact that he'll do a 2 page report on an established who is being seen for a an earache.  He has to go through all of the other medical problems, review of systems, etc., instead of just saying something like medical history is in patient's chart.


The other doctor in the same practice will just do: Chief complaint: ear pain. Examination:  Left ear is red.  Assessment:  Otitis media.  Plan:  Amoxicillin.


The hospital and the practice have tried to get him to cut his notes down, but apparently he likes to hear himself talk.


No skin off my nose, I see that I have a tape for him and I sing, "I'm in the money!"


Local MT account

Has anyone ever tried sending a resume to local doctors to get some accounts of their own? If so how well did this work?


 


Thanks


Angie


Forgot to mention that our account is local to us.
sorry!
depends on location, I know someone who lost a local account - sm
in Woodbridge, VA, was charging .12 a line (60 character line), got underbid and lost it after having had it for years.  Now in order to get more but look less, she bids at .10 a line but a 50 char. line....comes out to .13 if a 65 cpl.   You can't get much over .10 around here on your own which really stinks, or do some fancy accounting which in this case works.
I've lost a local account today that I have had for five years......

I cannot believe that this happened to me today.  I went into one of my doctor's offices this afternoon to pick up his tape for today.   I was given a tape and told that his wife, who is the office manager, wanted to see me in her office.  I thought nothing of it because she sometimes has extra things that she wants me to type up for her and we talk quite often also.  


She tells me that she just has not gotten around to talking with me yet, but  "tomorrow we will start dictating through a company over the internet".  I was blown away!  She said she wanted to give me a break and that if it does not work out she will let me know.   The whole time she was tell me this she was writing me a check as I had just turned in an invoice.   


My first inclination was to throw that #@%$ tape at her and say "do it yourself", but I knew that wasn't the "professional thing" to do.  I was thinking how could she do this to me, not even a 24 hour notice.  She handed the check to me, I snatched it and walked out. 


I have had this account for five years exactly (began August 1, 2000).   I have never took a day off, never raised my rates, never asked anything of them, and my work has always been the best possible quality.  I have been the most dependable person they have could had.   I have passed up other accounts because of them, and I always put them first.   Thank goodness I have other accounts to fall back on.   In our town, there is only one other transcriptionist besides myself, and we both have more work than we can handle most of the time.


Just thought I'd remind all those other MTs out there that no matter how good we are and no matter how much we try to please everyone we are still not appreciated.  I will never be fooled again.  No one will ever receive the attention from me that I gave them.  


Buy local. The local stores pay taxes to support your city and state. (SM)
Using online and catalogues does nothing to promote the local economy.  We complain about outsourcing and about the big companies gobbling up all the work so the jobs at local hospitals are gone, yet we do the same thing when we buy on ebay, catalog, and these web sites that may be located any place in the world as their primary business location. 
I went local. Great local tech support, they know what I do and were able to set it up just for me
:)
Same as on land

That is so funny as one year I had my aunt and uncle visit from NYC -- where I was born -- and they asked if I had power and sewer system, etc.  And we are the same as you are on land.  They about died when they walked to the walkway, looked down and saw 53 homes on the water, it is a awsome site when you are from a large city like NYC.  I have cable TV, Comcast internet, the wires are in the concrete walkways.  Before they built this new moorage we had wooden walkways and our power lines, etc. were overhead and they were dangerous.  But they come undergrown from the street above and through the concrete walkways.  Have natural gas heat.   Portland has one of the largest number of floating homes as Seattle now has a moratoreum on building anymore.  So our prices are rising finally.    We are safer than normal homes near a river during a flood as we only go up, up up as we are hooked onto pilings on three sides of our houses.   So we float upwards.    Thanks for asking. 


 


From the Land of Make-Believe
x
This is the land of the free.
that works them to death has made the wrong choices in life. 
IT COULD LAND IN COURT SM
Sorry for the shouting, I also did legal and one of my reports from a service with my initials on it was evidence and they questioned the doc on the stand. They say the report belongs to the doc but who knows when this will change. Thank goodness I had nothing to do with it, but they did ask him where it was typed, by whom, the time and date. Some docs do doctor the date to cover their kiesta and that's a hard decision to make. If the case were serious enough, I would question it or send it back with a note and document that note and make a copy. Sorry to be so serious but I've been in this a long time and I've hear it all. Lots of CYA stuff goes on (cover your -ss)
If you are using a land line you don't really have
unlimited long distance, they cap it at 5000 minutes, which isn't enough if you work FT.   You could get a prepaid card - I think at Sam's club they are about 3 cents minute.  You can also use a company like (can't remember name, but has 10-10 in it) that is less than that.  There may be other similar companies too. 
Someone is in la-la land and guess who?
The OP. PA registration called and they said no breast or gyn exams on license. I bet they were about as amused as I was asking the question but I like to hear for myself.
Darned right - people are in la-la land

we're "refusing" to work? Rely on the kindness of strangers, or what? People really need to get a grip on reality here.



Did Discovery land safely?
nm
HAHAHAHA - you must live in the land...sm

of DELUSION AND DENIAL (de Nile as in river *LOL*)


Women use both sides of their brains, a rarity for a man.......*wink*


Ooooohhhh, Biltmore land! :)
Lucky you to be able to visit it so easily!

Hidee Ho! Dictation Land...
I have one doc who always says that before her dictations. It always makes me chuckle...then I wonder...where exactly is Dictation Land? LOL
don't remember land of the giants, but
I remember I just loved Gilligan's Island and Bewitched.
Is C-phone for land-line only?

Won't pretend I understand VOIP but I know its available with my broadband.


Wait to land the accounts first

Hi!


I say wait to land the accounts first before you think about what equipment to get. You basically want to use what your client is using, not make the client switch around to your set-up. Maybe others will say differently. But I figure you save $ that way by not getting unnecessary stuff.


Good luck!


BTW, I was just reading that self-employed folks really need to increase their fees once a year just to keep up with inflation. I think a lot of times MTs who are ICs for services forget that the service is their client, not their boss. ICs need to negotiate for the right line rate because remember, you are paying for a lot out of your own pocket now.


Diane


If you use dial-up then yes you need a land line - sm
But you don't have to have long distance at all. I have 2 lines in our house, one is the main line with unlimited LD through Verizon, my other line (also Verizon) is just a connection at about $30 a month, no long distance on that line. I have AT&T as my internet provider, though may change my package now as I have one of those 875U aircards (also with AT&T, but could have used Sprint or Verizon if I wanted to) and not sure if when I connect with that it has any bearing on my unlimited package with my dial-up, so I might as well save some money and scale back on that charge. We have no package deals. I have a TracFone, my DH has a company cell phone that they pay for/handle. Your situation sounds a bit screwy; I'd investigate getting either a better deal or seperating everything and see if that works better.
I need a land line and I need it now-suggetions?

I moved and I can't get a land line for (perhaps) another week.  I've already lost a week's income because of the promblem (THANK YOU, CHARTER!!).  I need a quick fix.  I am open to any and all suggestions to getting set up on Friday with a land line or VoIP, even if it is with Vonage for a week until I get my land line phone to work with my DAC phone.  I just moved into this apartment on Monday, but I let Charter know on 1/4 that the previous tenant had turned in her keys, but until she pays the outstanding balance -- heck, she probably hasn't even gotten her final bill yet!!!), they put a "freeze" on phone service. I got that unfrozen yesterday by going into their main local office with my lease agreement, but I have already lost a weeks' pay because of this and I need a quick fix.  They installed my ISP and TV today. I REALLY need to work this weekend.


I am probably in real jeopordy of losing my job.


On top of this, when my son and his roommate came over last weekend to help me pack, they told me they had both lost their jobs to a family of Indians who had come in and bought out their store's owner.  By our State's examination, only one passed the English literacy exam so she is the only only who can answer the phone.  Since the 4 Indian brothers need the managers' positions and they bought 4 stores, 4 managers (my son any his roommate and 2 others) are out of jobs and another 25 or so have left because of the new managers' incompetence. 


Please offer help in getting a land line so I can work.  I am feeling so overwhelmed and it is hard to think with this kind of pressure.  I'm thinking of installing Vonage's VoIP for a week until Charter can get their act together and I get their service.  It's hard to reach other services like ATT when I don't have a phone to contact them.  Charter changed their protocol for getting land lines last week (just my luck) and did not tell my installer/sales rep of the changes.  They are telling the independent distributers it is because of having to reset 911.  I call that baloney.


Can I get a cell phone? How would that connection fit together? OMG, I am so in panic mode.  Please kick around some ideas so I don't have to start job hunting after 1 week after moving. 


Wow, you live in LALA land
You got I'm rich from my post-wow you are delusional. We live paycheck to paycheck like most of our friends and family, and yes we have health care coverage but over the years more and more of the cost of that had been switched to us rather than my husband's employer.  And I know more than 5 people in Canada and Europe who hate their national healthcare coverage.  Didn't know I needed to list them all.  Go back to lala land.
If it weren't for needing a land line for DSL
My cell phone is my primary phone and I have more minutes and free long distance than I can use per month. I got basic phone services and locked it from any LD calls to save money and my land line still costs $30 a month. I feel I'm wasting that money but there isn't anything I can do. I won't drop my cell phone because I have my kids on as extra lines and they wouldn't have a phone otherwise.
No land line even? How far away from civilization will you be? Hospital?
s
7 years clinic experience and cannot land a job

Any suggestions??  I have 7 years clinic experience and am looking for work.  Seems like I cannot get a response back to test or interview.  I need a company that offers TAT, not set hours.  I send in resumes and cover letters daily...What else could I do??? 


Also, in the meantime does anyone have suggestions on "practice files".  I want to expand my skills/specialties.  I have not done radiology and have always wanted to get into it...Thanks for any advice!


What is the difference between an acute care account and a multispecialty account??..nm
nm
Yeah, what land are they living in? Copy the page indicated - sm
and fax it to them. Also ask then where in the book does it say "non Hodgkin lymphoma". Too weird.
Internet service without land-line phone

I recently looked into this subject myself.  If you have Verizon available in your area, you can purchase a plan at about $55.00 per month with a two-year contract.  You will receive a card that you can insert into your laptop, which will provide you with unlimited Internet access at the speed of DSL.  As far as I know, there are no other cell service providers that have come up with this type of card yet, but I'm sure it's bound to happen in the future.  Another option is to purchase a satellite telephone and phone cards as you go along, but the cards are really outrageous in price.  One last thing that I would suggest is that you phone cell providers in your area to see if they have any technical gadgets you could attach to the cell phone for Internet access.  Many of the satellite phone companies have separate packages you can buy, which can be attached to laptops or PDAs.  I also have a TracPhone, so I know it does not come with hardware that will do the trick.


 


Good luck to you in setting everything up.  With the way that technology is moving, I'm sure there must be a way to accomplish what you want. 


If you have a cell phone, why not use that for your LD calls and CX the LD on the land line?
.
My aunt has extremely low rate for land, no frills but
I was told according to where you live- mine no frills over $30.00 a month but now say I can have a land phone, will not work, but still pay for it? Erks me.
I've never had a problem switching from account to account.
The problem I had was being switched too soon. If I don't get one account spec solidly in my memory with QA feedback on mistakes before starting another, I get confused. The other problem I had with former jobs was inconsistent QA. One person tells you one thing, another person tells you another.

Lately, I don't have a problem with it. Right now, my binder has 8 account specs (some I've never had to use) and I'm picking up a new weekend job for a while. The terminology and report formats stay basically the same. It's just all those little preferences. LOL
Company states cannot use Vonage. Any suggestions for land line unlimited long distance? nm

Are you wanting to know what it says?
x
That is not at all what I was wanting!!!
I came here for honest advice...positive and negative. I got that...and I am very glad for both views. Now it is just up to me to decide.

I have never expected to just graduate and make BIG money....I have NEVER said that or thought that. It is very obvious that most MT's don't get rich. Like I have already said...I am looking to supplement my husbands income....and I came here to ask all of you your opinions on the business....good and bad. That is all.

And thanks to everyone for that!!!!! I am sorry that a lot of you are getting discouraged about the MT business...It is worrying me too! Which is why I may not even spend the money to go to school. I have a lot of time to think about it....and that is what I will do!!!!!
Why are they wanting you to take it??
Will it mean an increase in your pay? If not, I would not waste my money. I was a CMT for 15 years (15 years ago). In the part of the country I lived then, it made a difference -- we were paid another 1 cpl, but once I moved back to the south central part of the US, nobody cared.
wanting to know more about Transcend.

I have been curious about them as well because I have thought of applying to work for them.  I am with a company now but feel I need to make a change for the better.  It is a small company and I feel I need to be somewhere else.  I just was not sure about the company.  I would welcome any input on this matter


 


Kebra 


Not wanting to start a war but sm
it just really gets old reading the same ole, same ole about SS.   As far as I'm personally concerned, there are usually 2 sides to every story.  If  I happened to be in SS's shoes,  I believe I'd be talking to a lawyer about something called "slander" and I'd be telling some folks to put up the proof or shut up.  Nope, I don't work for SS, never have and probably never will.  If I happened to be in the market for a new job, I believe I would give them a try just to see if they're really that bad.  If they were......well, I'd move right along.
wanting to go digital

and I am totally clueless!  Had a call from a cardio group today and they want to send me transcription via WAV files, guessing I need a WAV pedal??  HELP


Also, I am tired of the old tapes and want to "go digital"  I have heard of 800#'s for a call in system, but dont know of any websites.  Any help is much appreciated!!


 


TIA,


sunnyMT


They OFFSHORE and are wanting to do even more.
Pay not that good.  I have 20 years' experience in acute care, can do ESLs and was only offered 8 cpl. 
Just wanting to know if any IT users

would care to share tips on getting started with Instant Text, especially the best way to go about customizing the glossaries . . . just received my IT and I'm anxious to get going, but it does seem that there is a learning curve and takes some getting used to.


 


Thanks to all!


Re: wanting to work MT
Check w/ Diskriter. They have at least one account for a hospital in Florida. I have been w/ them for 1 1/2 years, plenty of work and OT. Hired in as hospital employee.
wanting to go digital

I have had my own transcription service for several years now.  All of my doctors are local and everything is dictated on microcassettes.  I am looking into going digital and I have heard that there are phone in services that you can go through for a charge every month.  Does anyone know who would be a good service to use or how this works?  If anyone has any info on this I would greatly appreciate it.


Thanks!


I have been wanting to rant too
When they start talking before the system is recording. Is it REALLY so difficult to turn it on BEFORE you talk?
Not wanting to work
I know this happens at every company, but why is it that when the work is there, nobody wants to get it done but when work is slow, they are always the first to complain? Do they not realize that by letting it be late that they are harming the company and could eventually lose their jobs? Or is it just Spring Fever? Anyone else going through this at the moment?
wanting to go digital
Please send me information on how to go digital.

Thanks,

Cheryl
We aren't the only ones wanting
more flexible chairs for work:

http://www.oodlesofpartsplus.com/plasma2.htm
Bro wanting to use my disc to get his PC
x