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Serving Over 20,000 US Medical Transcriptionists

Why does that bother you? You're getting paid to type

Posted By: Why? on 2005-08-17
In Reply to: Dictators who keep.... - changing what they want to call the patient throug

what is dictated. What does it matter if it is "Mrs. Smith" in paragraph 1, "Ethel" in paragraph 3, or "the patient" in the recommendations? LOLOLOL




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Hey Narey, why did you bother asking when what you're really looking
yes?  Look, you need to see the whole picture. MT is not easy and it won't make you a lot of money. Those who are making $13, $15, $18 an hour have been at it for a long time and they also need to thank their lucky stars they have those jobs and they haven't been outsourced overseas yet.  If you want to spend thousands on a good school, better pick from M-Tec or Andrews, maybe Career Step, but if you go with Career Step, you had better earn their top grade. These schools can get you jobs entry level with some companies, but that doesn't mean those companies are all that wonderful. 
If you're happy with your production, don't bother with it now.
s
Does it bother you they're spending the inheritance?
And I know that healthcare costs are so out of control here that there are organized flights that go to India and other countries to get get their health care. Because it's sadly cheaper to fly halfway around the world, get a hotel/apartment for a month, buy food, and pay cash for surgery or medical care than it is to stay here and get it down.

He11, even some of the insurance companies were pushing for offshoring our health care to India.

And nobody has yet to say that we don't have great medical care here; the big gripe is that so few have access to it.
I too am not paid by the line and I do NOT type. I do QA. There is a reason for QA because

MT has taken a toll on my body.  Some companies will pull you in there as QA and then try to have you transcribe...if you do it once for them, they will ask you all the time.


Now, as far as pay....$15.50 to $16 is average for non-CMT employee per hour. 


Line pay I have paid no attention to because any company that has true QA will not pay by the line.  Quality means quality all the way.


 


VR reports get paid VR rate whether I straight type or not.
I have just gotten to the point where on certain docs I know their VR sucks, so I straight type because it ends up being faster. It sucks, but that is the way the business is now a days, so I don't have much of a choice. I need a job, and I like where I am at, so don't like to speak up too much because the are really pushing the VR.
getting paid what (we think) we're worth

You may chuckle at what you're being offered, but there's a possibility that the company you're applying for a position with cannot offer more than that. If they're billing the client 13 cpl but after all of the overhead (401K plans, paid time off, software programs for MTs, employer's share of the SS tax, etc), comes out 5 cpl (which leaves 8 cpl), how are they going to keep enough for company expenses (i.e. lawyers, accountants) and still pay a decent line rate to the MTs.

So, unless you have access to the accounting books and have access to the profit and loss statements, you don't really know why MTs are not offered more than they were in the late 1980s to early 1990s.


We're usually paid by the line SM
I think MTEC is worth it, at least from what I hear.
If you're paid on production, SM
I'd very strongly recommend buying a program. Looking things up in a book takes so, so much more time, and wild card searches are the pits at very best.
If you're not paid for your time
you shouldn't account for your time.  It's none of their business if you have to go to the bathroom or get a drink of water or even load the washer or pet the cat.  They just want control which they don't want to pay for.l
Actually, no, it's poor you! You're the one who paid all the money
ha
Of course not, and that's why we're paid the BIG BUCKS to transcribe.
x
You don't care WHAT you're paid???? Gee, that's real sad........
 
Depends on where you work and how you're paid
kj
But we're not paid by bytes anymore..sm
in case you haven't heard lately, am I am being honest about it.  We're paid half of what we were paid 10 years ago, salary is going down yearly on a more or less geometric level...this is line by line, got it?
If you're paid by the hour, and not by the line, YES.
.
I also type ERs and understand what you're saying:-) nm
nm
We're paying 9 cpl and everything transcribed plus spaces is paid for.
/
you're wrong, I type for an MD w/ADHD...nm

No matter what type of business you're in, there does -
come a time when you have to draw the line somewhere. It seems like a no-brainer that if the price for transcription was X amount of dollars with letterhead provided by the client, then it would be X amount MORE with letterhead provided by the service. Still I would imagine she panicked a little, fearing she'd lose the account if she stood her ground about a separate rate for providing the paper. Knowing how expensive paper is, I still have trouble seeing how she could just let it slide in the beginning.

In her position, having allowed him to cheat her for a certain amount of time, what I would do next is give him notice that next month (or next week, or whatever), due to the overhead costs of supplying paper for the account, she could no longer do it at the old price, and then quote the new price.

If she gets 'replaced', she'd have to figure that it was going to happen sooner or later anyway, and if he was that cheap, there were probably other 'surprises' down the pike, as well. So probably good riddance. It might seem like a better deal to keep that account and let the guy keep cheating her like that, but then again, a better account is probably just around the corner. OR --- he could start to take her seriously when she sticks to her guns and says she has to raise her price. She has to make a living, too, right? OR --- he could go with someone else for a while, realize he had a good thing when he was using her service, and come crawling back. At that point, she could probably charge him almost anything she wanted, within reason of course, and he'd gladly pay it.

I had a non-MT, service-type business a number of years ago, and some of my BEST clients were the ones who left in a huff when I had the 'audacity' to raise my prices along with the rise in overhead, only to come back on their hands and knees a few weeks or months later. Some of them became the most generous tippers, too. It was funny how male colleagues of mine in the exact same business were rarely, if ever, questioned when it came to their charges for services rendered. Yet as a female, it was almost expected that if the client tried to get me to provide the same service for less, that I wouldn't stand up for myself and would just accept it because I was a female.

Until there is an equal double-standard to go along with the perception that women's work is worth less than men's, and we can pay half what men pay at the gas pumps and in the grocery stores due to our gender, then we shouldn't have to simply settle for less than they would get for the same job, either. And you just KNOW that if medical transcription had evolved into a 'men's' profession instead of a 'women's' profession, it would most likely be a good, high-paying white-collar job that they would have fought long and hard to prevent from being offshored. We just stood there and allowed the hospitals to reduce it to about the same level as janitorial work, or lower.

If a woman running an independent MT business such as this woman is STILL doesn't want to do things like give clients the bad news when a price hike is in order, why not simply borrow a strong male voice to make those calls? And to have a little spiel on the voicemail system, so that it SOUNDS like the system is owned and run by a man? If the client believed a man owned the business and was making those kinds of decisions, I bet she'd be able to command a higher price for her services all around, not just when supplying the letterhead. Something to think about!
Why would they care? Management is paid salary and that's all they're concerned with.
We're an expendable commodity to those people. If we quit, we're easily replaced.
Yes. Three months paid training? That's just ridiculous unless you're working
in the office.  What service can afford to pay an MT for three months of training?
Just wait till you're 10+ years into it and getting paid half of that.
x
You're expected quota depends on whether you are paid hourly or per line. SM

I'm paid hourly and I was told the requirement was 50 or more reports per day.  I've never worked QA per line, but I'm sure their line quota is pretty high, at least 2000 or better per day, as you get credit for every line in every report you QA.


Hope this was the answer you were looking for.


What a lame excuse. Move forward on your lawsuit, cuz you're not gettin paid.
k
For QA consulting I'm paid per hour; QA instructing (college) paid salary, QA editing paid per li
I am an IC and work for two different MTSOs as well as instruct at a business college.
if mt paid 9, editor paid 4 or 5...how can company charge 14 and make it..sm

I know the going rate in our area is 14 cents per line.  As MTs most companies here pay us 8 or 9 cents a line.  Now add in the Editor rate at 4 or 5 per line..you are paying OUT more than you can charge a line.  How would companies stay in biz?


Unless all work is sent by the company overseas at pennies per line, this would not pay for a company.


just curious how this works out


Why bother asking???
Just looking for reference so everybody who needed to know could know. Not trying to flame. Simply asked for reference as BOS User provided reference and ALS did not -- guess you weren't as interested as I thought you were?!?
bother, not both
oops, suppose will get slammed here.
Don't even bother -
.....as we speak!
If he is not used to it, of course it will bother him at first, but he will get used to it if
:l
Don't bother with them...
I worked there for a few months and received incorrect and late paychecks.  They are not worth spit.  The MT manager has never been an MT and is clueless when it comes to the work. 
i have them around, they just don't bother me.

that would bother me too
-- how do you know that down the road, someone wouldn't undercut you the same way. It would be hard to trust them and not get nervous about it later, esp if you took on a debt/new payment or something.
Does not bother me in the least-
I get out and go as much as I want, just had lunch out before starting work today, hubby and me, went over to my daughters house last night to give her some assistance with lawmmower, etc. and to tell you the truth, like hubs and me just well, really donít care that much about socializing all the time, rather be working and making the $$$$.
I don't know why I bother...

but here goes.....


I am not for "outsourcing".  I am not for it because it is a way for greedy americans to try and get cheap labor.  If someone wants to compete fairly with me for a job, I am fine with that. 


But I am also not for belittling people and picking apart their posts no matter who they are and where they are from.


I also think that if you are proud to be American, you would rise above losing your job to outsourcing.  You would not spend your time whining and complaining and insulting strangers.  Rise above your circumstances...create your own opportunity...isn't that the American way?


Don't bother!
I joined with the same thought process as you.  Not only did no one care whether or not I had this to add to my resume, but I have not used one thing that has been offered.  There is an email that comes once every couple of weeks that I delete before even looking at it.  I did look at the first couple and it was "who cares" kind of information.  I just don't have time to be perusing through a bunch of information that I will probably never need and if I do, I can look it up through Google, drugs.com, etc.  This is just my opinion, take it for what you will.
Would this bother you? regarding QA
When corrections need to be made a bulk fax goes out to the MTs on that account. Any corrections, or notes, made by the hospital are on these. I just feel like these should not be sent to everyone but only to the individual that needs to correct them. Am I wrong?
Would this bother you?

I was hired with 2 other MTs to do a new acct for a national whose name shall not be mentioned. 


During the first several months, it became noticeable that one MT who was the largest producer was cherry picking and their reports were riddled with errors.  And this is a fantastic account for the most part - very easy to make money without cheating.


So, the other MT and I mentioned it to each other and agreed to what we were both observing.  She took it to the supervisor who concluded that there was envy on our part because he typed the most.  She dismissed our claims as did the QA person/assistant to supervisor after I mentioned to her I was seeing his work (like when 2 rads dictate the same report and you find out by seeing the other report in place) and it had typos in it or the skeleton of a canned report not filled out at the bottom of the page (must have put it in twice). 


A few months later, the account (a hospital) requested this MT be taken off the acct.  He was placed on 100QA and then let go (policy). 


The sup and the QA person, although never mentioning it, must have realized it was not jealousy at all at that moment. Right?  That we loved our jobs and did not want this type of work to go through and all of us be considered fly-by-nights.


Rather, there appeared to be something close to resentment as we began to be both QA'ed to death with the other MT nearly losing her job until she put her foot down and refused to be on 100% QA (25 yr veteran). 


The tension was palpable and it was made worse that every lead MT in our dept appeared to know about it and began to treat us like we were whiners and complainers. 


I was then dx'ed with BC and in a state of panic told my group.  My sup told my the QA person had been dx'ed with BC too and that she was call me and reassure me. We spoke for quite some time on a few different occasions on the phone and and e-mailed back and forth.


She said she was also engaged to a radiologist who worked at the hospital in her hometown.  A team member with an investigative mind decided to check it out and found out he was married and had a child with no divorce recorded in his county. 


I was contacted and told not to take her advice regarding BC treatment and maybe I should be more private about details..


It has been over 3 years now. I am still alive.


But.. I cannot for the life of me answer the phone when my sup calls.  I dread talking to her and actually have not for nearly a year (lol)


I feel as if they pretended she was a cancer patient so I would share details about my prognosis and they would be better prepared for coverage should I end up unable to work.  


Have you ever heard of anything quite so strange in the new world of work place telecommunication?   Should I just shut up and count my money and thank the MT Gods that I have an account with no ESLs? 


Sorry, I have wanted to write this for a year but was afraid the details would reveal who it was should anyone peruse this site.  Hopefully, now, it will go unnoticed.


Appreciate your feedback if you have any at all. 


Sorry to be such a bother.
The reason I asked about feedback is because I went from working under a supervisor at a local hospital, who constantly told us how we were doing (monthly reviews at least), to an MTSO where I only rarely get feedback, and it is always negative. Because of this, I am concerned, as I don't know whether I am actually doing good or whether I am just squeezing by.

When you are coming close to needing to fire someone, do you make it pretty obvious? Only asking because I am personally afraid of being blindsided, since I am not used to working for an MTSO.

Feel free to let me know if I am crossing the line in any of my questions as well. It is just nice to be able to ask someone higher up about how things are done, especially being newer to the business.

Thank you!
Don't Bother

I was a CMT for 12 years, but let it lapse last year when it was up for renewal.  It never made a bit of difference when I looking for a job, either you're a good Transcriptionist or you're not.  There's some CMTs that are book smart, but don't have a bit of common sense and that's just as important.  Being a CMT is a matter of personal choice, but in no means does it guarantee a better job or a higher paying one.


AHDI supports offshoring and always has.  They try very hard to remain "politically correct" and not upset their Indian buddies.  In fact, most of the board of directors are employed by Indian companies.  They do not support the American MT at all.


AHDI would like you to believe the certification may become required.  If it does, it would not be through them.  It would be a state or federal licensing program, not through AHDI.


You have to earn 30 CEC's in a 3 year period to renew your CMT.  You have to pay for continuing education classes or attend AHDI functions which you also pay for. 


 


So why did you bother asking in the first plac?
:
Thanks..I won't bother to apply with them now.
nm
This totally would not bother me and
I would love to work at home for a hospital with an excellent incentive plan instead of a large service with jumping from account to account just to get my lines in.  I bet if they had a job listing on the boards, they would have many, many replies, even with the micromanaging.
I get this all the time... these are the ones that bother me...
The ones that bother me the most are the people who ask me to babysit their children, saying, "since you are home all day, could you.."  Those are the ones that get under my skin. 
they really don't bother you if you just leave them alone

they are just trying to survive like all the other creatures whose habitat is slowly being destroyed.  Most snakes are afraid of people.


Why bother to get that upset?
I'd be singing a different tune in a different circumstance but I always tell MTs to go through and type what they hear. Go back and give it a second listen and fill in what you can. Then, if you have absolutely no idea .. you need to send it to QA and move on. You are working production and if you cannot get the blank, leave it to your QA team. Your work is going to suffer in the big picture if you are not able to complete the work and frankly, you might just need a change of venue altogether. There is too much that factors into a job to become that upset over it all.
If you do not have experience, do not bother......sm
I have had way too many inquiries from "non MTs" that think this job is easy.  Get an education and experience in-house first. 
and of course she/he doesn't bother
to spell drugs so mispronounced that they are impossible to figure out or experimental drugs that are impossible to look up even if they were pronounced correctly. 
CMT......why bother at 28 years?
Girl, 28 years experience speaks for itself. I would never go to the expense or hassle at your level of expertise. A friend of mine took it last year. The test is not online, that I am aware...she had to go to a local testing facility, something that sounds like "Prometrix" or something close to that name. The test was 6 hours, though you could finish before the 6 hour mark if you wanted. She said she came out shellshocked and was totally surprised she passed. She has to keep up 36 hours every 3 years of continuing ed to keep it, and she's only making 1 cent a line more, for which she has to agree to 2400 (YES, HUNDRED) lines a day to keep her little penny. I don't think I'll ever put myself through that, and certainly could not keep up the lines to keep my penny. That's in 8 hours. No way for me, and I've been at this for 7 years. Do what you want, but I really feel your experience is enough and the CMT would be a waste of your money and time.
Doesn't bother me at all.
I don't get why people call the machines transcribers. They don't transcribe. Personally, one of my best clients still calls us "typists." I could care less since they are my highest paying contract and treat us "typists" very well.
doesn't bother me what you say. sm
At least I can "speak" without the #@*@ words. Can you?

If you think I put in a LOL to "throw something in" so you will think I am sweet you got a nother think coming.

Are you trying to be cuddly?