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Yes, and on some accounts we're not even

Posted By: hmc on 2009-05-26
In Reply to: doctor wants me to abbreviate everything I can . . . . . - sara

allowed to make complete sentences.  On our verbatim accounts if the doctor dictates something like patient to OR, under GA, 3-cm incision, that's exactly how we have to type it. 


Back in the day we would never consider that appropriate for a medical document that may some day have to be used in a court of law.  But, lately we have to just throw all common sense out the window and type what they want.  It sure does hurt the line count, but even worse, it hurts the profession in that it seems we're not allowed to use our brains...just type. 




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Well, you're all complaining that accounts are current and work is low, so, gee, maybe they're
focusing on WORK, as in CLIENT and transcribing, as maybe half of you should be focusing on!!
You're right on all accounts! I started sm

taping it every day since Cassie died but I haven't watched it in a few days becuase Nick and Phyllis just make me sick.  I don't really see Brad and Victoria together.  They don't seem to click, you know?  I can't stand Colleen so I've just stopped watching it altogether. 


 


 


well, of course you make more with your own accounts cuz you're not employee
nm
yeah, pretty much what we're saying, accounts set the rules
over anthing else. If JC says something to them - they will let us know.


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.
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?
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.  
For Pete's sake, you're not terminating a pregnancy, you're just typing a report after the
It's already been done before you even hear about it, and NOTHING changes regardless of whether you or someone else types it. Sheesh.
It's not funny when you're on a board where language is one skill you're selling.
.
Hope you're gonna have a glass of wine while you're relaxing

in your spa goodies. Congrats!


If you're experienced, try for 9cpl or higher, and you're lucky to get that! nm
s
Skip it. No one cares. Either you're good on the test or you're not.
x
You're probably right. Plus we're losing our percentage of good people by .... (sm)
allowing every loser from every 3rd world country on the planet to just stroll on into our country, some legally, most illegally, and take advantage of the social services all us hard working little gerbils pay for by having money taken out of our pay every month. But I don't think we're all lazy. Just the ones on permanent welfare driving around town in brand-new Cadillac Escalades. Saw one just today on the Bayshore Fwy. Brand-new black Escalade with expensive spinner wheels, with 5 or 6 Mexicans in it. Well, who knows - maybe they stole it and it was on its way to a chop-shop. Smart-and-hungry people aren't always hard-working and honest.
You're not going to find a word expander for free. You're going to have to pay
g
You're forgetting all the stuff you can't buy when you're UNEMPLOYED!
Unemployed people have a hard time buying anything, including cheaply made offshore products. How many will have to end up depending on public assistance? That means more tax dollars being eaten up - besides the taxes NOT being collected from the overseas workers. In the long run, are you really enjoying a lower price?
If you're on the job, ask for samples to do it how they want it. If you're testing, separate o
s
You're not losing it, you're burned out on your main job.
I feel for you... I am having my own "version" ;-) of these kinds of struggles. Lots of recent changes at the admin level have made my job do a 180, going from a really great one to a really crappy one.

For me, it's a struggle to get through the day with a shred of motivation. I get distracted in the way you discuss as well.

I just try to make my environment as comfortable as possible and make the best of it while I decide what the best way is to deal with the burnout... I figure if I can't change my inner brain workings so that I still like this job, I need to find another one, or this feeling will possibly get worse!

I hope it works out for you. Wish I had some better advice for you, but this really does look like burnout and extreme job dissatisfaction to me. We all wear it differently. Try to be good to yourself while you figure out a solution.


Don't know what you're complaint you're making with this post. sm

You stated in your original post that you don't want to work weekends or odd shifts. What is your definition of an odd shift?  Second shift?  Third shift?  Sounds like you want to work M-F on days.  Sounds kind of rigid to me. 


Personally I like second shift, so everyone working days means more work for me! 


You're not under a rock, you're just like me... an adult with more to
s
It's not because you're beautiful, it's because you're an IDIOT!
Does that make it any clearer for you??
YOU'RE A SACK OF CRAP!! YOU'RE NOT

THE ADMINISTRATOR.  WHAT DO YOU THINK WE ARE IDIOTS??? 


 


                  


Honey you're not being a shrew, you're being a
I don't get it when husbands and wives *allow* the other to have money that THEY work for...just don't get it.  Go buy the flippin' keyboard and tell him to take a hike! (To put it sweetly!) 
Why is it the only expander you're permitted to use? How would any know what you're using?

xx


They think they're smart to accept it, but they're
m
If they're withholding taxes, you're not an IC.
As an IC, you should already be paying taxes. That said, the only benefit having them withhold FICA is that your Social Security/Medicare share will be less. Social Security is 15%; if you're an employee, you pay 7.5% and your employer pays 7.5%. As an IC, you pay 15%. Doing the math, 0.0925 would be your 0.10 minus 7.5%--the 0.0924 is just a tad less than you're making now.
We're out here (good MTs) but we're busy! sm
I don't recall ever taking an employment test where I wasn't offered a job. My MTSO does not even look at my work unless I happen to have a question or a blank, which happens maybe once in every 30 or so reports with an ESL. If you find a really good MT, how much training would be involved? Certainly you would save time in the long run once they're trained and you don't have to check all their work.
If you're one of the MTDesk clan then you're ok
wersdffa
You're right if you're single it's tough.

I am an IC as well, but I have a husband with benefits and makes a fair buck.  I am fortunate after 20 years to able to work from home.  I worked on site for 17 years with a "chocolate cake" the day I left.  Nothing more...  The loyalty in any profession is gone, gone, and gone again. 


Most companies want new employees/ICs that will take low pay and that won't cost much in the way of paying vacation time.


I do take every Friday off and try only to get on to check e-mail, etc. 


However, I wouldn't trade being here for my kids at this point.


There are headaches no matter what profession you are in.  It seems if it isn't one thing it's another. 


Raises?  Out of the question in this profession since most are afraid they will lose the account including myself.  I also underbid my last account because I wanted the account so bad.  I should be charging more. 


It is a neverending cycle really.


But, I still enjoy the work, so I guess that's the difference.  It does take will power to sit and type.  Some people need that boss hanging around to keep the production up and the incentive of a nice paycheck is just not good enough.


Good luck with your new job!  Sounds great! 


If you're new, good - if you're not a newbie, not so hot
Would need to know how long you have been an MT. For a newbie, this is a pretty good rate of speed.

However, if you have anything over a couple years of experience, then this is not too hot.

Also, what are the dictators like? Is it a "United Nations" account??

If you ARE capable of 200 lph or more and you can't seem to get it, then the problem has got to be with the platform you are using. In my experience, the platform into which you transcribe can make or break your paycheck - so if the platform stinks, then I hate to tell you, but there is no way you will be able to improve your line rate. I have quit jobs because of awful platforms more than once.
You realize by doing that they're making more money & you're making less? You should reconsid

How many accounts?

My national employer has 19 accounts in my queue, though I rarely work in all of them in a week or a month.  Still its too many.  I'll often work 5 or 6 accounts in a single shift, despite the promise of a limit of 2 or 3. 


This is a terrible business practice. If you are a dedicated MT, it requires extensive time to review account-specific instructions, not to mention being unfamiliar with place and people names associated with the different regions.  It is unfair to "quality patient care" to bounce MTs into unfamiliar territory.  After all, how quickly and accurately can one transcribe a record when you are overwhelmed with studying your fifth or sixth different set of instructions in less than 4 hours?  I believe the substantial amount of MT shuffling is to slow us down--they have overstaffed and its to their benefit to force familiarity with odd accounts so they can do it again next time.  They do phase people out of primaries and secondaries and even tertiary accounts once they become proficient.  We hear the work is low due to summer slow down, yet they keep sending their "please welcome our newest recruits" memos.


And, yes, I will definitely be searching for a new company very soon. 


I have 8 accounts and seriously,
they do run out of work, but I change my work hours. I know if I get on at 6:30 a.m., I will get a decent amount of lines done in about 2 hours time with the normal interruptions of kids. I usually do get back on in the afternoon to try to finish up and there usually is work for me at that time too. I was transferred to Amherst when our office closed. I have been with MQ for 4 years. It just stresses me out that people complain so much about Medquist and it is always the same people. Why not get another job????? Why do they continue to come here and complain about the same thing over and over and over again????? It is the most annoying thing I have ever seen. I agree that we all need to vent, I do too. But why remain at MQ if you are all so unhappy? Maybe finding another job with a different company will make you happy, although it seems like people from every other company are complaining, as well.
15 accounts......
Yes, but it is important that we post this information. I believe, or at least I hope, that the people at the top need to hear this.

The people at the top management levels read this board regularly. They are concerned about the bottom line. Three things affect the bottom line: production, TAT, and quality.

If you have 2-3 accounts, you will have much higher production, much better quality and TAT will be better controlled. You will make more money because you are not wasting time jumping from account to account.

I believe the problem is in middle management. They are the ones putting us on 15 accounts at a time. (I actually had a supervisor who told me she had asked the manager while she was throwing me at every problem account and her answer was...."Tough S---" Unbelievable.
These are only for MT's/accounts that are on DQS
If your account has never been switched to DQS, I don't believe you would receive a check. This somehow pertains to DQS. It appears that the longer your account has been on DQS, the larger your check would be. But this is all a mystery to us MT's. It may also pertain to certain accounts/clients that MQ had misbilled, per the law suits against them. At this point, MQ upper mgmt is keeping very quiet about this check, so can't help but think that it pertains to the overbilling that they had done to some MQ clients -- possibly we were the MT's who were worked on those accounts. BUT YOUR GUESS IS AS GOOD AS MINE about the purpose of the check, other than they had to pay back some monies FOR ONE REASON OR ANOTHER. Will we MT's ever know ????
TOO TOO MANY ON ACCOUNTS
Don't forget to call Human Resources and follow up with a written Employee Complaint with ALL these complaints. They think the complaining is only from an isolated few and won't even take things seriously until the written complaints start to mount up.
Try for your own accounts - How did
xx
Those of you that have your own accounts, what's the

best way of getting your own accounts?  I have one small local account that I got from a newspaper services ad eight years ago.  If I had two or three more like this one, I'd be a happy camper.  I've mailed postcards and made cold calls with no luck whatsoever.  I've even done intro letters with business cards to new providers on the city business license list and in response to help wanted ads.  No nibbles there either.


It doesn't even necessarily have to be a local account.  It could even be Internet based or via mail/UPS.  One guy used to priority mail tapes to me from New York back when I had my virtual assistant/secretarial business.


Any positive suggestions are welcome.  Thank you.


New accounts

It is like selling a house or anything, it takes a large volume of people to get one buyer.  Even if I am not looking hard,  I send out flyers every year or so to keep my name out there -- have a lot of people that are willing to subcontract for me.  I also hit the smaller ones sometimes and do the rounds in the medical office buildings by the hospitals.   Send flyers out to smaller cities/towns if you are set up for digital as those are the ones that are sometimes looking.   Do networking with other MTSO's in your area. I know many in mine and we all network together.  A lot of it is being at the right place at the right time as they often just throw our flyers out and that is why you have to keep sending them out.  Offer something unique -- I cut apart chart notes and that helped with a couple of accounts.   Stupid but they love it.   Also accounts that use transcription services -- take them a flyer personally with some cookies -- it does work to get it to the manager's/doctor's desk it really does.   I have also offered my own accounts a "finder's fee" if I get an account.  Anything works.   I have gotten a few through the yellow pages.  But it takes time and persistence.  One mailing does not usually do it as there are a lot that start up and stop so if they see it once or twice, they remember it.   Good luck.   Keep your prices fair and offer a good service.   Patti


Do 7 different accounts in my
job, 2 programs, and another job with another program. different hospital.  Once you get used to an account and work on it regularly, I have found it does not slow me uip to switch from account to account, keeps me in work.  Also, no problem with doing way over 1000 lines in 8 hours.  But that is just me.  I have been at this 21 years.  I hear others do have problems and sympathize with them. 
As far as QA and their accounts, sm
this company has the best I have worked with. I have no idea what the QA rate is, but they do have the best QA IMHO, so I am assuming they are paid well.
Accounts
Ihave 4 clinics -- one with two Internal Medicine, one with two surgical oncologist, one with a plastic surgeon and hand surgeon and then my psych.  Total in all accounts is about 25 hours per week and gives me about $3000 per month.  I work 12 to 20 hours additional at a clinic as an employee doing EMR work and that pays me per hour with benefits.   Going digital I hope within the next 2-3 months.  No health problems yet.  Have had accounts from 5 to 18 years.
If you have your own accounts and

do you feel obligated to share whatever work there is with them, even if it's really only enough for you?  In my case they have other work that can do but they make more from my work, so they are anxious for any work I have available.  It's overflow, so sometimes there is work and sometimes there's not.  The amount of work available right now I could easily do myself.


Usually I share whatever I have with them, but right now I have so many bills and really need to do the work/keep the money myself.  But I feel bad about doing that.  Should I feel bad?  My husband says no.  He thinks of it strictly in a business sense.


I believe it with your own accounts.
most MTs do not have their own accounts and have to deal with the company's line counting system as well as being paid a very low rate.

Then again, I could never work 60 hours a week (my body just wouldn't allow it) even with my own accounts so this income is definitely not the norm, but having your own account I feel can really put you in control of your income potential. You go girl or guy, don't know.:)

Own accounts
Do a search on this as we extensively discussed this about a week ago.  You have to be ready to do all types of accounts using all types of equipment.  The more money sounds good but there is a lot of work to it, no relief for time off, a lot of non billable time.   You have to realize that if it is just you will be be seeking out either a one to two doctor clinic as that is about all you could handle at first.  Most of these smaller clinics use tapes, you print, pick up and deliver.  But if you are going to limit yourself to digital only then you need to expore setting up your own FTP site, know how to transfer back and forth and it is usually a larger clinic which would be hard for one person to handle.   I think you need to do a little more investigation and there is no "book" to buy it is through a lot of hard work, sweat, tears and perservence that you keep doing your own accounts.  Like I said you are sick, no one to do your work and often times the office understands the first time but when you are new, a second time and they look elsewhere.  They have a hard time understanding sick children, relatives, power outages, disc failures, etc. until you have built a reputation and rapport with them.  Has taken me 20 years to so do.   Good luck, use your own common sense and brains and do a flyer, brochure, letter introducing yourself and send them out.  It can be done but it take a while to get started and keep going. 
Own accounts

Well how did this office contact you?  I would get this one under your belt and use them as a stepping stone and a reference and go from there.  It works the same in this field as in any other field you want business, you go out and advertise, do flyers, make phone calls, etc.  Most will not come to you unless you have been established for years or have an ad in the yellow pages, etc.  So start with this one since they have contacted you and go from there. 


 


I am an IC with my own accounts -
I get 17 cpl for transcription and 12 cpl for editing VR, all acute care.
Getting Own Accounts

Hi, I would like some info on where to start in getting my own accounts as in what kind of equipment required, where to begin, etc.   Also, what do you charge, etc.


I have 17+ years of transcription experience working for others, want to try something different.


Own accounts
Have had several contacts to me regarding own accounts.  I don't mind sharing general information, etc.but please do not ask me for samples of my brochures, flyers, business cards, etc. and ask for a step by step procedure to go through for  obtaining your own accounts.    I am not a consultant you pay for those fees.  If you have been in the business even working for someone else for many years, then you should have a basic idea what is needed with regards to equipment, etc.  No one can know you have a service unless you go out and advertise it.  Get your name out there and let them know you are available.   I am not being mean but I had to do a lot of learning along the as well as time spent in research and development and if you want to do this there is no easy way.  Guess I could write a book and sell it.  As for rates, if you are working for a small MTSO  in your area add on 25 to 35% of what your rate is currently.  To me, I would rather start out low and raise in a year or so to get the account, the experience of doing my own clients, etc.     Patti
Getting new accounts
Talk to your hospital medical staff coordinator and ask if you can sponsor doughnuts for the doctors lounge on a certain day. You get an estimate of how many dozens you need, pick them up, deliver them to the lounge and then the hospital puts up a board saying the doughnuts are compliments of "XYZ Transcription Service." You leave a stack of brochures and business cards on the table so they get into the hands of the doctors and not the office managers. You'll get business quicker by impressing a doctor than you ever will by impressing an office manager.
The accounts I currently have are *sm*
small and I use a call-in system for them.  This account would be quite large.  My first thought was to get the account and use a call-in system and switch to something less expensive later on.   I find it strange also that they expect the vendor to provide the paper but that is what it says.  In regards to what someone else posted, am I allowed to request a copy of the prior bid? 
getting accounts
I work as an employee, but have a friend in another state who developed her business by going in person to Dr.'s offices, introducing herself as someone who will do overflow work when their regular Transcriptionist gets behind or goes on vacation, and leaving a business card/flyer. That way she is nice, polite, and doesn't come off as cutthroat. When she does get the call, her work is so professional that many switch to her permanently.