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Serving Over 20,000 US Medical Transcriptionists

have my own private clients, never seems slow

Posted By: Bonnie on 2006-04-12
In Reply to: Anyone else have a slowdown - frustrated

much to my dismay. Can't remember the last time I got a real day off without having to bust my butt to catch up.


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private clients
It is refreshing to see normal expected amounts given to other MT. So often I see "I would not expect less than 10.00 per page and such high line counts" I believe the misconception by many is that you can make a bundle with little effort given some of the "I won't do this" attitudes. When looking for your own private accounts, think about who they are, where they are coming form and who did them before and assess accordingly. And keep in mind you may have to negotiate and get a bit less but your first client and everyone after is your own - which is a good thing
Slow day for me. Typed two reports in two hours. Anyone else having unusually slow day?
dd
Private ins
You can get private insurance lots cheaper than MOST COBRA plans but it is up to you.  Also a lot of times they only cover for so long and if I remember correctly dental and vision might  only be for one year and some plans do not COBRA that over.  And if your husband is self employed, then it could be a business expense to provide the insurance and with six figures could easily do it and pay less taxes.  I know COBRA is easier to just kind of roll over into, but again, it only lasts for 18 to 24 months and so you will be looking eventually.   However, just ask why suddenly you are not covered.  
I use my private e-mail sm
and receive all my messages from my TC through my private e-mail.  In fact, I never receive anything throught my I-mail, don't even hardly check it anymore.  Call your TC and ask her/him what to do.  This may not be the same across the board, as so much is not the same from office to office!
LOL in private, not seclusion :-) sm
like a different room in the house. 
I would see about a private school.....

Your son sounds like a very bright young man... No offense to you, but can you honestly challenge him and teach him things you may not be proficient at yourself.  Foreign languages, advanced math, etc.  Even high school teachers only specialize in one subject.  Something to consider.


Private accounts

How do you go about getting private accounts?  Any MTs out there that have done this and are still doing it.  If so, how much can you charge per line for a private account that you obtained yourself.  I currently make 8 cents per line with an MTSO.  However, I have been hearing that if you have a private account with a doctors office you can actually charge a lot more, about 12 to 13 cents per line. 


Any tips on doing this.  I am currently an Independent Contractor and would like to expand my horizons.  Thanks for any advice.


It's how I got my private accounts....sm

I had business cards made up and every week, one day only, I went and solicited another medical building filled with offices usually next to a hospital.  I brought only a couple of resumes (nobody asked me for one either) and within a month or 6 weeks, I scored 5 private mds.  It's really all about self-confidence and belief in yourself and your own abilities.


I'm still working for 4 private MDs all these years, one of the 5 went into *receivership*, a form of bankruptcy.


Best of luck, believe in yourself, go solicit yourself and your abilities and don't be afraid.  If it worked for me, it can work for you!! 



I do agree - I have many private mds...nm

THANK YOU JAM for your private email....

very kind of you.  Please know that I do appreciate your help and the time you took to respond.


private accounts
anyone out there doing private accounts for docs who don't have to do operatives?  just trying to get some info as to what type of reports some may do when typing for own accounts.  I was thinking along the lines of internal medicine.  Thank you!
If you have private coverage on yourself, you would not--sm
need workers' compensation on yourself. your private insurance would cover anything happening to you. If you have employees, they may need it, but only if you offered them employee insurance benefits. JMO.
most private doctors...
I speak to say that they went to the bigger companies because they were assured TAT - however it is explained to them that the same people working for the Nationals are the same ones that would do it as an IC, I find that my clients came around. Sometimes common sense is not the easiest thing for a busy mind. They also like the idea of not paying the rates a national charges, knowing we do not make it - so drop the rate a penny and they get a break too. They wont pay us what they pay nationals because they do not feel we are the same thing - if we cut out the middle man for us, they want it cut out for them too.
Private accounts
I am curious to know how to go about getting private accounts?  I am challenged when it comes to how the work is transported back and forth.  What would be a reaonable expectation in terms of costs on my end?  All I have now is the computer, foot pedal and copier/scanner/fax.  What else might I need?  I live and Houston.  Our medical center is top-notch and there are many, many hospitals, medical organizations and clinics to choose from.  Any advice?   
private accounts

I haqve been working on 2 private accounts, one of them I pick up tapes twice a wk and at the second pickup I pickup a check.  I have been with them for 9 years.  The other one I started last year and they send me the doctors notes by mail and I overnight it and they pay me through the mail.  They both pay me by the page.


 


I wish you the best.


I now have private insurance (sm)
Call and check into private insurance through Blue Shield.  I pay $294 a month with a $750 deductible.  Might save you some money meantime.  I also lost benefits through a MTSO due to lack of work and could not afford the COBRA. 
I have private insurance (sm)

My premium is almost $300 a month with a high deductible.  My bills are now being rejected due to "pre-existing" and I believe it goes back 5 years, which is ridiculous.  What is a person supposed to do?  I'm willing to pay, but most of my pay is going for medical bills at this point.  I'm owing about $1500 and still need my mammogram and a screening colonoscopy.  I'm paying 20% after my insurance pays (if/when they pay) and it's adding up on top of my monthly medication costs, which is hundreds.  AARP rejected me because I have diabetes and hypertension, so I'm stuck with the high-deductible major medical, which is basically for anything catastrophic.  I don't want to put my house in jeopardy should I need to be hospitalized.  I worked for a company as an employee with healthcare benefits, but when the work is low and you don't make production, there goes your benefits.  It's like being between a rock and a hard place.  Good luck with your decision to drop your healthcare.  I'm paying an arm and a leg, but if I'm hospitalized at least I'll be covered. 


private practice
Cardiology in PA, $17.00/hr, 6 weeks vacation, employer funded pension plan 10% of salary yearly, been here 15 years.... longing to be home and a full time MT.. good luck coming back to the jungle.
Private Psychiatrists
Does anyone know if private psychiatrists hire MTs and if so, would they use us for session notes etc...?  I would like to transcribe private psychiatrists, but it doesn't seem like they really use MT's.
Private psychiatrists

I transcribe for a private psychologist who specializes in psychoeducational and neuropsychological evals for schools as an independent evaluator.  I only type his initial and review evals.  He does not have any weekly psych sessions transcribed at all.  His evals are quite long; however, are infrequent.  They are 10-12 pages usually, with very small font and single spacing, but I only get on average 1-2 a week.  I charge $4.00 per page because of the small type. 


To find docs that do these, you could contact your local school districts and have them give you a list of psych evaluators they use for independent evals for special ed students.


Another psych specialty I transcribe for is a drug/alcohol treatment center.  I only type discharge summaries, and again they are quite long but not that many per week.  They are pretty easy and repetitive, though.


;)


Christine


They are 2 private groups. SM
What exactly do you want to sue them for?  Your post makes no sense.
Virtual Private Network.
x
does anyone work for Private Secretay Inc (PSI)
nm
talking in private, he may have other ideas
I would not go into private with this man because it is hard to tell what he may think if he is senile.

I have an uncle this way and I just refused to go over there.

I would talk to you mom and say something to her in a round about way. Just ask her if anything is wrong with him.

It would like like she would see what is going on.

He may have some altered mental status that needs to be checked out or maybe he can be placed somewhere if your mother feels dangered by him.


Why not work for yourself with private accounts?
Then you don't have to follow the beat of the MQ (or any other company) drum?

Or try for a supervisor position? You know how you want to be treated; then you'd be in the perfect position to handle other MTs the way you believe they should be. You'll be highly motivational for them and your company will probably have kudos for you for having a winning team.

Just two options of many.
Working for a private service
I just started working for a small independent service and was wondering if I could have some input.  I am getting paid .13 a line and the service takes 25% of my gross earnings.  Is this normal? Or is the percentage too high?
probably train MDs in private practice to use VR
(only kidding)


You'd be better off getting a private policy. Premiums are
cheaper, though still expensive, and you don't have to worry about insurance if you make a job change.   Shop around, should be able to get a family policy for about $400.00/mo. 
I am using public and private schools
My two youngest are in the local public elementary school, and I've had no problems with it. In fact, it's a terrific school, but I have a feeling it's probably much better than the average public school.

My eldest, who's in high school, goes to a private creative arts boarding school because I feel the local public high school doesn't give the kids enough one-on-one attention and doesn't offer as many educational opportunities as my son's school. Also, he is big into music and drama, and our local school has a weak creative arts department.
Private School here for mine.

nm


Just a very small private company. nm
:
Offshore MTs do not see any private info.
ss
Private Accts - Logistics?

I have been an MT for 8 yrs and have been thinking about getting my own accounts locally.  It would be much more efficient to avoid trips to dr's offices for pick-up/delivery, so my main question is what is a good alternate way to do this?  I have seen email mentioned, but can the work be transferred securely this way...is it emailed as an attachment so that work is done on another platform that has expanders/shortcuts integrated...what platform/program to use??  What equipment do I need...what equipment does the dr need for dictation...do I provide it or does doc?  I have so many questions about the logistics of working this out...detailed info would be greatly appreciated.


What to charge? ....I know this is controversial...was thinking .14 cpl (65 character), 12 font, ? margins.  Recommend higher or lower rate? (region=major city in AZ)


Marketing:  How to introduce service in marketing material...should I include price in the material or just say something like "reasonable" or "competitive"?


I welcome any input you may have, especially on the issue of specifics how to receive/deliver work, platform/equipment needed.


Thanks


 


Your Private Information....2nd Verse

A few days ago, I expressed my concerns that it would be possible for an "MT-related" website to garner information from unsuspecting MTs.  Some replied, either that such concerns were unwarranted or that the poster was too savvy to be fooled by such a thing. 


Yesterday, a company called Jax Transcription posted a very seductive job listing on the Jobs Board.  My first thought was, of course, to find out more about Jax and it seems no one has heard of them.  I've so far been unable to discover a website or phone number in national databases, and inquiries posted to the board admin about Jax have not been answered so far.


I'll continue to look into "Jax Transcription".  In the meantime, the problem is that many people appear to have just gone ahead and posted their resumes to this company - if it is a company.  Not just their name and email addresses, which was enough to cause me concern earlier...but their entire resumes! 


Again, as in my former posting, I will say that the company might be legit or it might not.  The point is...the folks who posted their resumes had (and still have) no idea whether it is or not.  It could be merely an email address being used to "phish" for information.


I'm sure you won't like me saying this, but it very obviously NEEDS to be said:  Let's smarten up.  We're not immune from identity theft just because the entity on the "other end of the line" presents themselves as being an MT company, an MT vendor, an MT website - or even an MT.  Give your information to NO ONE without confirming first that you know who you're giving it to. 


A great deal of identity theft and other computer-related crime occurs by various methods known collectively as "social engineering".  Social engineering does not depend on clever hacks into computer systems.  Social engineering is done by deceiving people into giving up their information voluntarily, and it's easiest thing in the world to do, because people just aren't paying attention and they don't think it can happen to them.  This IS my domain - read it and believe it. 


 


 


What to put in brochure for private accts-SM

I have the need to go out and find some more private accounts. The one I have is too erratic to depend on, and I fear will dry up shortly.


What information should I put in the brochure? Do I just say "experienced" or list the local places I work for and have worked for?


Bright color paper to bring attention to my services or good business quality?


Send to the office or the office manager ?


I have so many questions. Does anyone have any good suggestions, or even samples you might be willing to share with me? I have always gotten work by word of mouth. All suggestions will be greatly appreciated.


 


 


If you transcribe for a private physician and he wants
cc then use that. However, most MTSOs and facilities go with Joint Commission recommedations or BOS. You only need to find out what is required by your employer. If your employer wants you to use cc it is fine. You do what they want. mL is the correct abbreviation for milliliter. I have been doing this for almost 30 years and you would not believe some of the changes AAMT/BOS have made, but we just have to go with the flow.
Yes, all the info we are told to keep as private as possible

Here we are supposedly protected by HIPAA laws, so its "OK" to give our SS number and birthdate, even credit card info to the providers.  However, if the work is outsourced, and the transcription page is linked to the main medical record so we can research problems, its all right there for the taking for every patient we type.  The only ones that aren't at risk are (ironically) the many illegal aliens that are getting free health care - they don't have SS numbers to steal.


Whether you like it or not, your private health care is distributed to others
Everytime you are diagnosed, have a test, go to the doctor, everytime you are billed, your information goes into a data base that all health care providers (insurance companies) have access to.  I don't get the big deal over this all of a sudden.  So someone in India finds out you are treated for a wart or depression.  So what?  What difference does it make as far as privacy goes if India MT knows this or Kansas MT knows this? 
have you followed her career and her private life? she actually sickens me.
that kiss with her brother and then billy bob!!!!!! ugggggghhhhhhhhhhhhhh  gross and nothing beautiful about it.  now she tries to rehab herself with adopting pitiful children who are cared for by a staff of nannies and other caretakers.  those kids are tools for angelina. 
Uh...ok. What does that have to do with federalizing donations from the private sector?
That's part of what I'm saying.  People have been donating relief items like blankets, generators, food, diapers, otc medications, etc. to their churches that they think are being dispensed to their fellow Catholics, Baptists, Lutherans, whatever.  The only problem is the feds are intercepting these donations, federalizing them, and then either storing them in warehouses so that the people who REALLY need them (those not in the shelters because they had actually evacuated to churches) don't get them until they're approved.  Or FEMA takes those donations to the churches, intercepts them, federalizes them, and then hands them out to those already approved like everyone in the Astrodome on welfare - while others who have probably never had a handout in their life still wait for help.
MT Daily has a private board for MTSOs

I know a lot of us now come here since MTD decided to institute fees, but that board is so valuable that it makes it worth it--only if other transcription company owners keep it active. It's definitely not what it used to be but those who have stuck with it sure have great camaraderie and help one another with issues just like this one you are facing.


 


It wouldn't be tolerated from a private provider, right?

It was a privately held company where they depended on referrals from MDs to keep them in business, in today's work environment the normal TAT is 4 to 8 hours.  USUALLY there is someone responsible for matching up each days order slips and the reports and goes to medical records if there is any report missing.


I'm sorry but I think disciplinary action is in order for both parties.  This really impacts patient care (can you imagine worrying about your mammogram for a month to find out whether that lump your doctor found is cancer??)  Where any of these reports for next-day preoperative evaluations?  Geesh, imagine your surgery being cancelled because of what she did.


When I worked at an outpatient diagnostic center, the MR supervisor could not leave at night until all slips were matched to either films on the rad's desk to be the first ones done the next morning or all reports were in the couriers bin for delivery or had been faxed to the appropriate office.


If she does not have the time to send out reports and the supervisor does not have the time to manage the work flow, it seems to me they are both pretty worthless.


just my opinion.


d~


Have you tried private dealers? This way you sell direct to them. They usually can SM
be found at shows and auctions, much like local gun or computer shows. I know someone who does this for a living.
It depends. In the inner city, I'd say private school.
Although it's a noble effort to shield them from potentially bad situations, that's how we all learned how to conduct ourselves in a social situation, to choose friends wisely, and to sharpen our "people" skills.

Keeping them at home does nothing but smother them and is a control freak issue IMO. You're not doing them any favors.

My kids both attended our local public school and are now college educated professionals who have many friends, some of whom they've known since elementary school. If you can make it in public school you can make it anywhere. It's a microcosm of society and the natural way to learn skills that will serve you throughout your lifetime.
Private Christian school is where my kids go.
nm
We are going to public in the Fall after 3 years at private - sm
I would have liked to go another year or 2 at the private but the cost is outrageous (over $6K a child and I have 2), plus they beat another $1K out of you over the course of the year for trips, teacher gifts, fundraisers, etc. Next year my monthy cost would have been over what we pay for the mortgage (and that is not counting the bus fee ($275 with the bus stop 6 miles away), student fees, and some other fee the stick in there). I do like the school but the headmaster (new as of 2 years ago) is dragging the school down and out right lies, so between him and the escalating cost we are putting our 2 in public next year. Our local school has a very good rep though and classes are only 1 or 2 students larger than what mine were in anyway. I checked them out before registering them there. My DH is not happy about it but he is coming around finally. But if they hate it (which I doubt) I will begrudingly put them back in the private school the following year (as long as the tuition doesn't jump up another $400....headmaster is already talking increases for the following year if enrollment keeps dropping....ya think the high cost has anything to do with it??? That and that fact that 6 teachers/aides quit at the end of the school year (big shock), the school is only K-8 (and preschool).
OUCH! I had a private policy with BC/BS for $180/month sm

and it was a pretty good plan -- Affordablue -- had a $25 copay for office visits or something like that.  That was just a single plan, though.  It included dental coverage too, bot other than covering for routine cleaning and such, it was kind of useless when paying for crowns and other "big" items.


Sounds like you have a good deal.  Fortunately, I am working for Transtech now and have affordable insurance .. whew! 



 


Not company - it was a private firm's offer. nm
.
Wow - Talk about sending private ID info. to a -
'
Call your local BC/BS for private insurance. (sm)

I pay $292 for just myself with a $750 deductible.  After the first year, they will pay for pre-existing.  I hated mine at first, but I'm used to it now and it's coverage that will protect me.  Thankfully, I make enough money that it's working out well for me.  Check out the link below.  They may have affordable insurance that will help you as well.  A friend of mine is considering this.  Her pharmacist thought it was a nice policy.  Good luck.


http://www.ehealthinsurance.com/ehi/individual-health-insurance.ds


I think a lot of the private practice docs like smaller ones.
They like the personal attention they get.