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my friend just finished her BSN 2 years ago, working 32 hr/week making $60K with benefits nm

Posted By: MT on 2005-12-05
In Reply to: What?! You are WRONG? Physical Therapy - more than that. - BSN - more than that. Respiratory therapy - more

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I have 13 years experience and just started a hospital job working from home making $16 an hour

and with a really good incentive plan.  I live in the Kansas City area.  $10 seems like a low starting point even with only two years experience which is the usual benchmark for hospital MT jobs. 


It's been my experience that the low end of the pay scale for hospital employed MTs was around $12 an hour.  Also, it's been my experience that the pay offered is usually based on years of experience and how well you perform on the transcription test.


I would say if their pay is that low, they should at least be making it up with incentive and it doesn't sound like they are.


JMO


You get more working the evening or night shifts and working w/o benefits. And producing like a mad
,
36+ years. I wish I had finished my Masters. sm
The field is changing. I would never recommend it.  I do not see a bright future. 
I was making 14.06/hr with full benefits in Calif. (nm)
dd
OTI. So many lines per week. No schedule. No benefits, either. nm
x
48K with full benefits, 40 hours per week,
I also have a PT subcontractor position (about 5 to 7 hours a week), made about 7K last year.   
Wanted to add that I am working as an IC for this wage, so no benefits. nm
nm
What are the benefits of working as a statutory employee?
x
Daughter's friend drove her car into a pond the first week she had her license! Let him prove him
s
Geez I was making $20 an hour after 1 week as a newbie and now
average $30-$35 an hour. I transcribe 2000 lines a day acute care in no more than 6-7 hours a day. I refuse to work for these companies that expect you to actually transcribe 8 hours!! Talk about a quick burnout!!

You have to find the right company, account, and platform. Simple as that. Well I should not say simple, it definitely takes some digging these days..
What about benefits? I make 50k a year working for a company
out of my home full time. No gas money, no traveling, no printing, faxing, and I get full benefits. How is making 50000 as an MTSO good money? I really just don't get it!
A friend of mine has been on it for over 7 years...sm
and swears by it. He has stayed very trim and his cholesterol is fine. I would like to lose about 10 pounds and thought about trying it, but i love carbs, so don't know if I have the willpower.
My friend passed away years ago so I can't ask her

exactly what she meant, but I think it means pretty much what you said...once something is not a challenge anymore or the "new wears off", for some personality types boredom sets in.  I know it does for me.  I have often thought I may have mild ADD as well, you might have hit the nail on the head there. 


If U R making 40-45K/year for working half-days,
Something doesn't add up.
My best friend has been a nurse for years but I would not have her transcribe for me...
Believe it or not, we do more than "just type." Working the equipment and software is just a small part of it.
Are you making less than you did 3 years ago? sm
Unfortunately, I was making a LOT more.  Went from $900 a week to an occasional $900 a week and so many dead slow weeks it's about time to quit.  I will not be able to afford another computer and pay the overhead with so many slow weeks.  Of course, the alternative is to work for a very low line rate and I have found it is not worth it to work for pennies.
After being an MT for 2 years, how much should I be making? sm

I feel like I can't get out of this rut of making enough money to just pay my bills and nothing left over.  What would you say the average annual salary should be after 2 years of acute care work?


Thanks


After five years I was making $14.50/hr

We got one hour of PTO (paid time off) for every 10 hours worked, so that's just a little less than 3 weeks a year. We had a 401K that was pretty decent, good health insurance, life insurance equal to two years' pay, and they offered AFLAC and disability insurance as well.


Oklahoma's cost of living is among the lowest in the nation....I don't know how people living in California can make it on $8-$12/hr.


Can someone please tell me how these folks who are posting making $75-$100K working for services ...

are making this kind of money? I've been in this profession for over 20 years and the MOST that I ever made in a given year was $50K working for a service and that was with loads of off-the-clock overtime.  Where I work now the majority of decent work is being offshored and the American side MT's are left with terrible work to wade through.  A 'good' check for me now would come out to the equivalent of about $10 an hour!


I can see how folks who have their own accounts could make the type of income range above, but working for a service?  What is it that the rest of you now that obviously I'm totally missing???


I met my male friend of 6 years in local supermarket..sm
I was buying a can of salmon for my cats and he was nearby and asked if I made salmon cakes.  We talked, he was asked for my phone number and we have been seeing each other for about 6 years.
Me 2, 15-20 years ago I was making about $70,000 a year

Now it seems, I'm just scraping by, juggling the utility bills and paying whichever one has sent me the 24-hour disconnect notice this month; it's become a grim miserable job compared to what it was.  I'm nearing retirement age, but I doubt retirement is going to be in my future for a very long time.


The single worst thing that ever happened to us was going from the gross line count to the character count, and not adjusting the line rate upward to parity -- not to mention the adjustments that should have been made to accommodate all the extra time spent struggling to make sense of huge increase in ESL dictations that has occurred over the last 15 years, and of course there should have been COLAs as well, which we all know has not happened.


In the 1980s, with the advent of powerful and affordable PCs, free lance transcription became much more common.  So if you were experienced, disciplined and organized, you could be much better off economically by working for yourself -- although there were definitely advantages to working in-hospital.  There were great benefits and the salary was indeed enough to support a small family (albeit very modestly.) 


For a number of years during that time, many of us worked part time in the hospital for benefits, but made our real money at home.


But in my case, the time came when it just made no economic sense to work in-housel, I was better buying off buying private insurance for major medical care, tax-deferred annuities, and self-insuring the little stuff. 


I would just pick up tapes from the hospital every morning, and drop off the work (which I printed out) from the day before.


I usually had 24 hours to transcribe tapes which I did during school hours, when things were peaceful and quiet. 


I transcribed a couple thousand GROSS lines day.  Every single character line counted, so by taking advantage of headers/footers, creative macros, word expansions, etc., I really boosted my productivity far beyond to what I could do in-house on the self-correcting Selectric, Wang or Mag Card, or whatever 10-years behind technology was currently being used, plus all the office distractions and politics, and I definitely did not to have to work 24/7 to earn a good living. (Oh how I loved WP5.1!)


In fact, 2000 gross lines a day, 5 days a week at 10 cents a line (courier 10-pitch font, one-inch margins) was very very do-able for an experienced productive acute-care MT, provided she had good equipment, good reference books, and stayed focused.  It would take about 5-6 hours a day to get that amount of work done.  So figure the math out for yourselves, that's just a tad under $50,000 a year, certainly not a high standard of living in those days but adequate when it meant you could stay home and be actually be a full time parent when your children were home from school, and very comfortable, if you were married with a working spouse, or had rerliable child support, or social security for your children (if you were widowed.)


If you chose to work some weekends and evenings, it was not that all that difficult to hit that $75,000 a year mark, which I did for a couple of years so I was able to pay the tuition at a good boarding school -- and cruelly thwarted my teen-aged son's only ambition in life, which was to become a high school drop-out.


Things have gotten bad, no doubt about that, and the worst part of it is, is that most of the big MTSOs are still charging the hospitals as much as we used to earn, and sometimes even more, but the MT is no longer earning it, and often can't get enough work to meet the line counts required by the MTSOs for benefits (although the cost of those benefits are reflected in the cost charged to the hospital.) 


I don't know what the answer is, as the electronic immigrant is such a huge threat.


It's pretty darn awful, and I feel very very bad for those of you starting out in this field, and I do hope things change for you (and that someday soon I can retire.)


And the point that the person made is that that she was worth $75,000 a year, not necessarily that she was getting it or could get it, and I absolutely agree with her.  This is a hard tough job if it's done right -- it's mentally tiring, it's hard on your back, your hands, your neck (and your behind.)


It requires a lot of time -- it requires focus, you must stay alert, and must give 100% of your attention to what you are doing 100% of the time, it takes education and brains -- and now a word of truth which my 35+ years experience gives me the right to say aloud -- it's not fulfilling, wonderful, lovable and enjoyable, it's often as repetitious and tedious as an assembly line but infinitely more frustrating.


PS: I recall one of my colleagues from those early years of my career, now gone from this earth, telling me that the 1960s were really the "fat" years, that things actually began to decline salary-wise, in real dollars, in the 1970s. 


I was working PT at home one week after my C-section and
probably working FT by third week, though can't remember exactly.   I did have a flexible schedule and I had a very good baby.   I worked where I could and weekends. 
Barely working 20 hours a week...sm
I have worked for this company for over a year now.  I love the account.  I love the work.  I am used to it and don't want to think about going elsewhere but I am not making squat  I don't get paid by the hour I was just letting you know that is the amount of time I am getting to work due to the fact there is not enough work.  I have never been able to get full time work here but more that this.  I don't know whether to stick it out or look elsewhere.  I only have 1-1/2 years exp so I don't have a lot of options with less than 2 years exp.  I don't know what I should do.  I have asked about a secondary account, but they said they don't need help on any of their other accounts.  Anyone else in this boat?  What to do? 
A good friend died of cancer that I suspected years before
because of a test he had and he had asked me to get a copy of, which I did, but not being "qualified", it said possible metastasis, I just told him I couldn't get it for some reason, and to talk to his doctor. His doctor, for some strange reason said it was "normal". I then asked him to get a copy of it himself, but he didn't. My husband told him to go to another doctor. It took several years, but he eventually was diagnosed with cancer after having a seizure, (it had spread to his brain) and he died a few months later.

The bottom line is, we're really not qualified to diagnose or advise people. I do feel terrible guilt for it, (you should've seen me at the funeral) but there's nothing we can do. If a doctor doesn't diagnose something properly, even if WE KNOW, there's still nothing we can do about it. We don't have the capacity to treat them and nobody is going to listen to us.
You are an exception to the rule. After 20 years, I'd like to be making
dd
You're okay making LESS than you made 10-20 years ago?
I'm not. No, every "job" doesn't work itself DOWN the ladder of success. I'm working to earn a living, I'm working to have goals, to better myself and my way of life. I would never settle for a job that keeps paying less and less. Sorry, but I disagree with you but to each his own.
Doing wrong? Probably only working 80 hours a week 6 days.


Yes! My kids (above, age 22 and 24) started out making more than I make after 30 years of MT!
.
I was making 6.5 cpl in 1975 at a service -- 30 years later most jobs
Talk about PITIFUL.
10 years here, too, and making 8.4....same as i was 5 years ago. nm
f
One week of working on a new platform and I do not feel it is user-friendly
Editing itself is not bad. It is the documentation of the changes I made, I think for purposes of feedback to MT, which I have to do on Word (outside of the platform) that is driving me crazy and is eating up a lot of time. I do not think I am being productive. I am paid an hourly rate but I am almost embarrassed with my production. I think doing QA without going the through the MTing using the same platform presents a lot of difficulty. Is it too early to decide whether this is a good fit for me?
I dont mind working 1 of the weekend days every week.
I just figure people get sick and doctors have to work them..
At 53 working 2 jobs 80 hours a week is impossible. I tried it, it does not work!! (sm)
I have been at this business 30+ years and at one point worked 3 jobs and 2 were for hospital contracts with taxes taken out and the other IC. It gives you no life. My suggestion, if you need the extra $$ work your 40 during the week, then 1 or 2 nights 2 hours and then Sat/Sun 16 hours which would give you 20 hours. That is more than enough and will give you a chance to see if you want to make a job change. Have tried the 2 FT 80 hours and almost had a seizure over it. Remember if your not physically well you cannot do it all!
I prefer working a shorter shift 6 to 7 days a week. SM
I work hard when I work to put out a lot of lines per hour, which is very tiring. Also, my company has a work flow/volume problem, and this allows me to schedule my hours for those times when work is most likely to be available.

Regarding having a life, in a 24-hour day, subtracting say 8 hours for sleep leaves 16 hours, and subtracting 6 hours for work leaves 10 hours every day for "life," a luxuriance of time if you don't have young children or other heavy responsibilities filling them with other work.

The trick (sometimes it is a trick!) is be firm with yourself, and others, and get the work out of the way briskly and on schedule, such as those early-morning or evening and split schedules, and not drag it out through the entire day, sandwiched in between TV shows, phone chats, family duties, and so on.
Haven't heard in years. Supposedly making it harder to get money
xx
Made 60K last year working 50 hours a week being paid on gross line
nm
You have been going 5 times a week for 2 years and have not lost weight? So..
it's basically more than $300/year for social hour? I've been going for 2 months faithfully and didn't lose an ounce until I went back on Atkins this week. It's nowhere near enough of a workout.
That was with full benefits, which are the same benefits as an in-office employee for the QA staff..
However, I hear that their current QA staff are being asked to reach numbers that are out of sight and goals are basically impossible.
We're at 19 1/2 years, and this week he already backed brownies and ironed a shirt for me!
(nm)
Working on VR and have 30+ years in
I consider myself a very good transcriptionist. When first starting (same platform, same hospital) on VR around 5 years ago I was shocked to see that the training period for the VR was about 2 weeks and then it was up and running. I personally do not think the MTs can train. Our platform (same one, remember) was working really good and then it was like the bottom fell out. It is now not numbering, not doing period at end of sentence (although next word capitalized), not putting in physician names in reports when they are said, not putting in numbers when said in the dictations, just lots of salad. Why the change? I can work exclusively on VR all day with no straight (which I am paid more for) and still average around or over $20.00 an hour. I thank God for having VR now because ours definitely captures probably more of the ESLs than I ever could. Working yesterday probably about 85% all day were the ESLs and very hard to understand at that. I definitely never see VR as taking the place of transcriptionists. I am very pleased, even with the lower salary, because my income no longer depends on my paycheck alone and even if it did, I could make enough because of having the knowledge and having the speed also to make VR very workable.
Been working on a laptop for 6 years.

Definitely need an external keyboard and I would also recommend an external mouse instead of using the touch pad, unless you have a keyboard that has a touch pad.    Unless you plug in an external monitor too, the smaller screen may be an adjustment, although several of the newer laptops have 17 to 17.5 screens now.   A major plus to a laptop is if the power goes out and you download via wav files you can work, at least for a little while, using the battery.   I have cable internet, but I also get 20 hours/month dial-up with that, so I can use the dial-up to download/upload and use my battery to work for 3+ hours.   You can also get  an inexpensive inverter to plug into your cigarette lighter in your car and plug your laptop into that to charge your battery, or use for working in the car while traveling.  I have a box about 1-1/2 inches tall that all my power cords plug into and I have my laptop sitting on that and it makes it the right height for typing. 


Laptops generally run considerably more than a desktop, though you can find a decent laptop now for $800.00 or less, though most will run you around $1000.00/more depending on what bells and whistles you want. 


 


After 30+ years of working in this field
on VR I make 4 cents a line and 8 cents for straight. Most now is VR. Knowing that my pay would go down this way, having typed 2000+ a day with straight, just decided I would have to do over 3000 lines per day on the other and do that to bring my pay up. I love it myself and would never want to straight transcribe again all day long.
Please tell me you are not working for .07-.08 per line with 15+ years experience. SM
Sweetie, I would rather work at Walmart than settle for this. Not sure if you were referring to yourself; however, this is what is driving our payscale down. Speaking for myself only, I will not even consider working for a national who pays under .10 line (bare minimum). I have many years of experience and truly appreciate and understand the need to have a job in this field, but there is a fine line to draw. Let's avoid desperation and take back our pride.
I have been working at home 4 years in March...
I worked in an office for 4 years before that...prefer being at home by far...
Amazing, we must have been working in the same places over the years (NM)
NM
years of working at home, some of 'us' might forget how to
Its not what you say, its how you say it.  DUH
oops cut myself off....working at home with 3 years experience.
';
Nope. Many years working at the School of Medicine. SM

An MS4 is a med student till June graduation. He's "Mister So-and-So" then in June when he graduates, he's "Doctor So-and-So."


A 4th year resident is something else entirely. He is an R4 (or that's what they call them here). HE is an MD. The MS4 is not an MD.


My goal every year is $52k, which I have done for the past 2 years working sm
for Keystrokes. I do radiology only, I should mention. I took the amount I wanted (actually needed) to make in a year, divided it by 52 weeks, divided it by 5 days, came up with $1000 per week or $200 per day. I divided that by 8 hours and by my report rate ($1.25). I know that I need to transcribe 20 reports per hour on average. I keep a tally. Some days, it takes me longer to do than others, but I sit down and do my 8 hours every single day. I use my Expander a LOT (literally for all but a few words). I am on one account, so I know those doctors inside and out. If I am short at the end of the week, I ask if there is work available on the weekend for me to do. The most I end up with 2 hours to make up what might have been short during the week.

At $40k, you would need to make $153.85 per day, or $19.23 per hour. At $0.07, you need to type 275 lines per hour, or 2200 for the day. This should be very easy to get with using an expander and sitting down with a set schedule.

It takes a while to get used to making sure you hit your internal quota every day. I have to think of it daily and make it up on Saturday or Sunday so that I never start a week behind my personal goal.

I also take an incentives that are handed out (for instance if they are asking for help in a backlog situation at increased rate) and work at least a partial shift on holidays. If I am ahead at the end of the week, I carry it to the next week and know that I have some lines in my internal quota bank.

I know this sounds weird, but it works for me. I have helped a few others to get to their goals as well, and this seems to work for them too.

I would also look for something that is more in the 0.08 to 0.09 per line range. Ask your lead for production tips. Ask other transcriptionists. It is very possible for us to make good money, we just have to focus on our goals.

I have a sales background, which involved sales quotas. This is easier as I am in control of my daily production, not on someone else's decisions.

Good luck!
I've been home working with my kids for 10 years now sm

I worked outside of the house for one year after my first boy was born.  I hated leaving him.  So I was home working by the time he was a year old.  I really enjoyed it.  10 years later, I'm still working at home, and have a 6 y/o boy too.  Both my kids are in school.  I'm so thankful to be home so that I can get them off the bus, attend parties at school, go on field trips with them.  I can take care of house chores and keep and eye on my three dogs.  The only thing is sometimes I miss being around people, being able to leave my work at my job (at home it's here all the time).  My hubby works midnights, so he's home during the day too, but sleeps.  Sometimes I feel like I have no "me time".  After my boys get a little older, I may get out of the house to work.  Sometimes I would like to actually change my career to sometime more hands on with patients.  I love the medical field, I've been doing transcription for about 14 years.  Another plus for working at home with kids is if they are sick, you don't have to call out of work.  You can do your job and take care of your kids.  You don't have to look your best either, on those days or any days.  I'm guilty for sitting here in my PJs a lot, not having any makeup on or hair fixed. 


Good luck in the future. 


After working 2 years, I average 220-250 lph for clinic work.
nm