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neither slow, nor stupid, but I think there are lots of variables that need to be addressed..

Posted By: fg on 2005-07-19
In Reply to: 1000 lines a day, impossible? sm - I beg to differ

such as all the crap some companies want you to put into headers, cc's, etc., and make sure you know every word in the client's profile and check every day to see if anything changed - (of course, they don't PAY for time spent researching client profiles) - it's like "who's on first?"


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There are lots of variables there....

It took me approximately two weeks to really get the specifics down on the account I am currently working on.  That is just the account specs.  The DO's and DONT'S.  It is about 75 pages long.  I still am not used to all of the doctors yet because I have not had the opportunity to transcribe for all of them enough to be able to get used to them.  I work for a national, but my account is for a large hospital, so there are doctors there that I have not even come across yet.  I have been on this particular account now for 3 months.  I have the specifics down cold, and like I said, that only took a couple of weeks to get.


I have had other accounts that only took a few days to get used to because they were smaller and didn't have that many specifics.


The bottom line is that it depends on the account itself.  The client is going to be the one that will determine how long it will take you to get used to an account based on how many instructions, etc. they dish out for their accounts.  Each and every account will be different.  You may notice a pattern at some point, but you can't really count on a set amount of time or categorize it into a specific time frame.


Just my opinion.


Lots of variables

There are a lot of variables to what you are asking.  It also depends on what your definition of good money is.  I have a FT job and a PT job, both of which pay 8.75 cpl.  I average about 200 to 220 lph, so it's a good living for me.  I don't have any credit cards, my car is paid off and my mortgage is fairly low.  I also don't have a family - just lots of cats.  I should qualify that the FT job doesn't start until January.  I had a FT job in-house at an Oncology practice up to about a week ago making $14 an hour.


I work for Landmark part time (and I've been VERY pleased with my association with them so far) and the new FT job is with Probity.  I've read mixed reviews of them so far on this board, but my dealings with them so far have been very good and extremely professional.


Lots of variables
There's a lot of variables that go along with that, primarily on how good your Expander is and how much you have in it.  I happen to know from the last couple of days that I am more than twice as fast with an expander.  I've been typing without it because of a software glitch.  The company I work for wants every abbreviation expanded and I do mean everything.  I had to type percutaneous endoscopic gastronomy tube out at least 6 times for a 25 minute discharge summary.
There are lots of variables. How fast you

type, do you use an expander, do you have good dictators or lots of ESLs and crappy dictators, is the platform user friendly, are you doing acute care of clinic, do you have lots of normal/templates, do you get paid/counted for spaces, gross line versus 65 character line.


You really can't compare yourself to anyone else.  A lot of people (not all) care about producing lines and don't care about quality of the product.  They refuse to proof reports, say that is what QA is for.  Some people just seem to have a talent for MT, have lots and lots of expansions/templates, have an extensive knowledge base so they don't have to look up much.  If you do clinic you tend to have one speciality and only a handful of dictators so you can make lots of normals so you can produce more lines.


I can do 2000 lines/day on occasion, but can't do it every day.  I've done 3000 lines before, but that is rare. 


Typically this week is a slow week in lots of places

because it is a big vacation week.  Typically things slow dow a bit in the summer too because people are putting off elective surgery, but at the same time lots of people going on vacation so it should balance out.   


 


 


Slow day for me. Typed two reports in two hours. Anyone else having unusually slow day?
dd
was the post addressed to YOU?....sm

Have you got a life, yourself, by the way? 


Another topic that might be addressed
in this context would be the potential for identity theft. I am sure that if I, without a larcenous bone in my body, could think of the following scenario, others could too.

Suppose an unscrupulous overseas MTSO "contracted" with an ID theft ring in the US to supply names and SS numbers harvested from medical records.

This MIGHT have already happened to me; there's no way to know for certain. But last August, I went to the local GI clinic for "that procedure" that they recommend for everyone over 50. I used my credit card for my copayment, of course.

I happen to know from my local MT contacts that this practice offshored its work to India a few years ago.

Not too long after my procedure, I received several dubious "male enhancement vitamin" products in the mail. Huh? And then my credit card was charged for the products. Since I didn't order them, the credit card company reversed the charges. The identity thief was too stupid to actually change the mailing address, in addition to thinking that the "vitamins" would perform as advertised. (Anybody want 'em? I still have them. I wasn't going to pay to ship them back, no way.)

The timing of this COULD be sheer coincidence... but it's just a little suspicious to me. My credit card number was stolen from SOMEWHERE.

This town is small enough that if my local congress-critter (and his wife) have had "that procedure," they probably had it done at the same practice where I did.... I do believe I shall write him a letter; but I will have to compose it in words of one syllable or less, because he is really, really stupid.
Stupid is as stupid does, says Forrest...
x
One from MQ, and in it a letter addressed from the lawyers
I am just afraid the rug is going to be yanked completely from under us, and I have no plan B.  The changing of management, no raises, and losing accounts is nothing new, but my biggest fear is being sold and being at the mercy of a lower pay plan, worse rules, etc., i'm comfy where I am. 
Yup, I addressed this with the company I work for,
and they said they would crack down on it. But did they?
And mom isn't doing such a hot job of picking husbands, either. THAT should be addressed. nm
x
I also noticed that they *finally* addressed....sm
the issue of generic versus brand name drugs and state that generics should not be capped. One thing that drove me nuts, but nothing to back me up.
More about phrases as other poster addressed
Since the dictators seem to say the same thing in so many different ways, I have found I often have to add a a bit extra, and it would have been easier if I had thought of that when I first started making Expanders so I would have started right off being very consistent.

For an example CTDW, CSTDW, CDTDW = (respectively) continue to do well, contintues to do well, continued to do well. - It is amazing how many things will overlap or conflict.

Or, they will use a phrase with the word "or" or "and" in it AND without them ...
like, cyanosis, clubbing, edema ... and cyanosis, clubbing, and edema ... Or even worse, they flip the words around to clubbing, cyanosis, and edema.

So many dicators and so many ways of saying the same thing. That is what gets frustrating to me. It's endless.
BBQ, slaw, cornbread, ham, casseroles, lots of veggies, chicken pastry, lots of desserts!! BIG fami
.
It means I saw an email stating this, but it was not addressed to me.
nm
I justed attended a meeting and this was addressed
There are now computers that will be performing surgery. The medical field is changing in ways that are not good, according to the speaker, in that the younger physicians coming into the field are not comparable to physicians of yesterday, generally speaking. He thought it was a good direction, this computerized physician. He also did state that insurance companies and pharmaceutical companies have much to say about what goes on in the medical field (they have power/money).
Need to hook up a USB pedal to RealPlayer. I'm sure this has been addressed before. sm
I have a test wave file I need to play.  It runs fine from my desktop, but I can't get the pedal to work.  I have an Infinity In-USB-1 I just plugged into the hard drive, but it will not play the file.  Will this work wtih RealPlayer?  TIA.
Were STAT reports addressed in contract? sm
I had a doctor that did this same exact thing. He would procrastinate on doing reports, or just overbook himself so he never had time to dictate, and then when someone called wanting a report, he'd call me to see if I could do it ASAP. Of course, he didn't want to pay extra for this service, though. He would also call me night or day and expect me to drop whatever I was doing for other (better-paying) clients and do his "urgent" report. I go by the old saying that poor planning on his part does not make it an emergency on my part. I will do it for them IF I have the time and IF they pay a higher rate. Otherwise, I will not cater to this behavior because the poster above is right - they will continue to do it as long as you oblige. You have to be the one to set the boundaries. Get voice mail and caller ID if you don't already have and screen your calls. I found that sometimes just waiting a few hours before calling them back allowed them to calm down and realize it's not the end of the world, and they'd then say it was okay to get in by the next day or whatever. Sometimes it's not so much that it's a stat report in terms of the patient's need but that they need it to get paid, in which case they'll sometimes back down if you quote a higher rate or tell them you simply cannot fit it in right then. Same doc would pile me up with a week's worth of dictation and expect it all back in 12 hours, too, so it was an overall mentality with him that he wanted everything done NOW. It wasn't even humanly possible most of the time but try getting them to see that. You should have no social life, after all, and live to work! LOL

Good luck with that. I got rid of the client that did it to me. He felt I should be at his beck and call but argued the rate at every turn, and it wasn't that much to begin with so it wasn't worth the aggravation! Seems like the most demanding ones are usually the biggest cheapskates, too.
Lots of inexpensive decorations at Big Lots. Had a party last year.
s
Good things take time. (this is addressed to OP, BTW) My first 15 years or sm
so of MT was without the benefit of using an expander. When Expanders became the norm, I was reluctant to try, thinking that it would be more cumbersome than by not using it at all. Was I surprised and pleased I had ventured into the Expander world.

Since you're at home you can add entries on your free time, even if you do 5 or 10 at a time, when there is no pressure on you. Start out with expanders for "the patient," "-year-old," the names of your doctors, anything that is repetitious. You will be surprised how much time this will save you. My initial expander, PRD, actually calculated saved Keystrokes and productivity. Back then I was saving 30%!

The expander is especially helpful for those crazy terms that are hyphenated or have camel caps, those that I always had to look up to check myself. Create your brief form by just using straight lowercase, for instance, duoneb for Duo-Neb (or d-n).

Speed will come, don't worry. Good luck to you!

(Posted in the wrong place--I always do that!) This is in response to OP.


LOTS and LOTS of video tapes and DVDs.
x
I think presenting a letter addressed to him and/or the office manager to submit to him is very
appropriate. That is exactly how I presented it as I was having a hard time thinking how to say and what to say. It was much easier to "plead my case" on paper. Go for it.
Variables. sm
It probably varies.  In my situation, she gets a sufficient retirement check, not rich by a long shot, just barely adequate enough to get by.  We get no aid what so ever.  She has been on a waiting list for over 3 years to have house cleaning help.  There is transportation to and from doctors available almost anywhere, but they essentially "dump" them out with no help.  My parent cannot see, she just cannot be dumped out and left to do on her own.
Too many variables
Basically because there are too many variables and can only give you a range of cpl.  Depends on your experience, what type of service you will provide -- digital or tapes with pick up, printing and delivery, etc.  Are you talking gross, or 65 character per line, font, margins, spaces, headers, footers.  Without all the information it is hard to answer a question.  But I would figure a guess in the range of 12 to 14 cpl for clinic notes.   But that is a range only, your area could be higher. 
Variables
There are so many variables that it is hard to "point you in the right direction".  Each of my account works somewhat different.  You have to decide how to count your lines for your accounts and what you will charge, will it be gross or cpl?  As for software that also depends on each account.   Know the HIPPA guidelines.   Also if you are just starting out -- at least I felt this way and still do -- you have to be ready to accept any and all accounts if you want your foot in the door - so that means having the capability of doing tapes, picking up and delivering, digital, etc.  If you limit yourself your chance of failure goes up.  Again my opinion.   As for contracts a lot do not agree with me but after so many years with the same accounts I do not work with one.  But when I did, I simply wrote up stating what I would provide and what the client would provide, outling turn around time, rate per line, etc. But even with a contract they can quit your service at anytime stating "poor quality" or something like that.   There are no big secrets of getting your own accounts and no book to go by, you simple go out and hand out or mail out brochures/flyers, etc. letting people know that you are available and what service you will provide.   But if you want someone to hold your hand step by step you will have to go out and hire a consulting marketing firm to do that for you.   You do need to see if your city needs you to have a business license, see if you need to file your name with the State, etc.    I keep mine as simple and uncomplicated as possible and all my clients seem to appareciate that.  They give me the tapes, I type and return back in an agreed upon TAT at a agreed upon price.   Good luck. 
There are a lot of variables to consider
I would say 500 lines on an account you know and in Word (I do not work on MT platforms) would take say 4 hours tops, but it all depends on how much experience you have as an MT and also how well you know your accounts. 
many variables

Farther on down there are some comments/replies to this question.  It depends on whether or not you are doing digital, picking up tapes and delivering back hard copies, etc.  Also your experience.  As much as everyone thinks that we MTSO's rake in the big bucks by subcontracting our work -- we are lucky to make 10% after the cost of gas, if we deliver and pick-up, the non-billable hours of invoicing, QA the account, the marketing, the customer service to the account, etc.  Also be prepared that you will be the one to cover when that IC decides not to work -- as an IC they have that choice, call in sick, or whatever and if that happens with 2 out of 4 you are up all night typing.  That is why I have cut back to have enough for mainly myself and one I/C that works a very small account and if something happens I can cover easily.   Also think about who will cover for you and the administrative part of the job when you go on vacation or get sick.   But all that aside, start small with one account for yourself and charge what you feel you need to make a decent hourly rate, .11 to .13 cpl either gross or character count seems to be a good starting point if that is what the going price is in your area.  Pay your IC's .08 to .09 cpl so that they can make a "decent living" that they want.  I am not trying to tell you not to just pointing out some of the pittfalls and to start off smaller with just one account for yourself, get used to the "business" aspect of it as well as the medical and then in a while if all goes well grow.  Also remember that just as easily you get that new account, you can lose one and then you will have to lay off your IC's as you yourself will need the work.   Also remember that when those docs are on vacation, around holidays or the summer the workload goes down and that is usually when the IC is clammering for more work and wondering where is the work.   Remember to keep enough money is reserve to pay your IC's on time so that when the clinic runs 30 to 45 days late in payment, you can pay them and not yourself or your bills.    Even though they are a business also, they want their money whether or not the account pays.   Have enough work on hand to keep the accounts happy with 24 TAT and those "emergencies" of being one person short but not too many so that your help runs out of work and especially when the account decides not to dictate for 3 days and then you get it all at once.    There are accounts out there but you have to probably send out 100 to 200 flyers/contacts made to land one and if you are willing to put in the time -- go for it. It is not as easy as everything thinks but for those with the determination and drive it is there for you.    Good luck.   Patti


Too many variables
Depends on what rate per line they pay.  This is gross line which is good but if itis 5 to 6 cpl per gross line versus 9 cpl for 65 characater probably not.  Also   is it clinic notes, same docs, Basic 4 or what.   too many variables here, not enough information.  Only you can tell by what your paycheck shows. 
variables

With all due respect, there are many more variables from the side of the MT than you have mentioned.  I admire you for giving the information in your ad that you say you give, and I am sure you have had more than your fair share of MTs with little to no work ethic or those desperate for a job who will say they can do it just to get their foot in the door and be given an opportunity to try hoping it will work out--and for some of them, it doesn't.  I can appreciate the bind this places you in. 


But if you are dealing with ICs, then maybe they are not necessarily hiding from your calls and e-mails but just working the hours they choose to work.  ICs are not employees as you know.  I am an IC and the company I work for expects "employee" status from me in many ways and they are wrong to treat me as an employee and not give me the benefits of being one.  This has me thinking more and more of going elsewhere.  Perhaps, just perhaps some MTs perceive your company as being like this and they get frustrated and quit.  Just perhaps.


Also, no MT knows what a job is going to be like until they actually do it for a while.  Listening to some voice files and seeing templates helps, but there is so much more.  Until you work the platform, until you see how many lines you can do for a particular dictator per hour, until you have done this for a few days, you cannot judge whether this particular employer is for you or not.  In my present job, I get feast or famine with the same TAT expected.  Feast can burn out an MT.  Famine can scare one off.  And when I get good speed on an account, they take me off of it and give me a new client because they say I am good and they want me to do the client's work so the client will stay.  Very flatering to me, but not necessarily financially the best thing for me.  Constant change slows production--more variables from which an MT must decide to stay or not. This may not be your situation, but this another variable we MTs must consider. 


I've done other types of secretarial work and it is much like MTing -- you don't know the job until you've been there and tried it.  All either side can do -- you and the MT -- is try to find the best fit and see if it works out to the advantage of you both.  I don't think either side wants to waste their own or the other's time. 


What you may consider is a good account may be horrible to the MT after he/she has done it for a week or so.  You may think your platform is top of the line but maybe the MT finds it cumbersome, slow, a time-waster.  He/she moves on because there are bills to pay.  Even your line rate, good as it sounds, cannot salvage a bad fit.  I'd rather work at a lesser rate and speed right along and produce tons of lines than struggle every day for a high rate.  Now I'm not suggesting you lower your rates LOL!!!  Goodness, we NEED rates like that!!  I'm just saying if the MT for whatever reason decides he/she cannot make good money with you--a good hourly rate of production, good lines--they will move on. 


They might have been totally honest with you on their resume but when confronted with all the variables of the job, they found it just did not work for them.  And you, as an MTSO, have no way of knowing whether someone is being truthful or not, or of knowing if they will be pleased once they begin to work for you, or if you have someone who is careless and misrepresenting themselves and just biding their time until something else comes along at which point they abandon your ship. 


You sound like a fair, honest person who has been burned too many times.  But MTs get burned too and I guess at this point in our profession we are suspicious of one another and the low wages overall makes the MTs quick to move on if it looks like the job won't give them what they need.  We can't afford to wait it out and see if it gets better with this or that company.  If it does not work from the beginning, we have to move on because our time is precious too. 


Some of the actions from MTs which you describe are NOT right and those MTs pull this profession down to a lower level of respect.  But this, for many, is today's work ethic unfortunately no matter what business you are in.  I've seen it in corporations and in healthcare settings.  It's like people just don't care anymore about their job.  And for that, I have no answer to give you as it leaves me amazed too.


 


Everybody is different and every day is different. Too many variables. SM
What I earn depends on work type, staying focused, concentration, etc. I have been through 5 jobs this year due to lack of work. I currently have 2 but my motivation is lacking, trying to get my mojo back. Good luck. Don't judge yourself on what other people earn. I personally know a lot of MTs who make fantastic money. I made in the mid 30s.
variables

There's a lot of variables involved - your typing speed, your Expander software, the platform you will be typing on, etc.  When I first started out as a brand new MT, I was lucky to do 100 lph.  Now that I've been doing this a little bit more, and have good Expanders and shortcuts set up, I can do 250 lph.  My goal is to get up to 350 lph - I've talked to a lot of people who say it can be done.


If you're just getting back into it, I would say figure 150 lph as a good base, and then once you get back into the swing of things, you'll increase from there.  Don't plan on that right off the bat, though.  I just started a new job on Monday and I'm working very closely with QA. I'll be lucky to make $100 by the end of the pay period, but that's the way it works at the very beginning sometimes.


There are too many variables. It depends

on how many lines you can produce, how company counts lines and if it is hard to get lines due to their system, do you have lots of bad dictators that slow you down, how hard you are willing to work, how smart you work (macros, expanders), what shift you work and if there is a shift differential, etc.  


There are many MTs that make $20,000.00 or less and many that make $40,000.00+  based on past postings to that same question. 


Agree with you -too many variables.

I pay my IC's 8 cpl for my psych work as it has a long Turn Around Time and all they do is type, I pick up, print, QA, deliver, etc. to the psychologists.  But even at that, they can average one report of 400 to 500 lines in 60 minutes, depending on the tests, done, etc.  but I made so many templates when I was doing the account that it is very easy to do and very good money.  But then if you compare that with one of my clinics  that has a very nice doctor but talks 220 words per minute and it slows down to only 200 to 250 lines per hour.  So there is a difference there.   You can only assume the lines you would be typing in a day and times it by 8 cents and then times how many days you are working a week, etc.  Too many variables -- what if there is no work?


Patti


 


 


Because of all the variables involved, sm

I think it's ridiculous that your team leader would post such a thing.  Every MT's situation is different--different accounts, shifts, work types, hours, etc.--and a team leader should know that.  As far as working for a national goes, I feel less "communication" is better.  Why stir things up?  These companies ought to just let us transcribe and keep their silly emails to themselves.  Don't they know the old saying, "Familiarity breeds contempt?"  Maybe your team leader needs more real work to do.  Don't let it bother you.  Just do your part and forget about it. 


One time I told a national bigwig (because my opinion was requested) that if I were asked to draw a cartoon which described this company's relationship with its MTs, I would draw the MT in a cage, sitting at her computer, with a (particular) "suit" poking the MT with a big stick, saying "They produce more when they're angry." 


Fortunately now I am a happy IC with a very nice company that treats its MTs with respect.  Ya have to kiss a lot of toads in this life, ya know? 


 


 


Probably would depend on a lot of variables.
what I would do. I would have to be in the situation, I guess.
There are so many variables involved that you

really can't compare things.  A lot of the people making that money have their own accounts or are working many hours.   You don't know if the person making 60,000 is an IC and has to pay their own taxes.  IC positions generally pay better than an employee position.  One acccount may not pay for spaces or headers.  You might actually be doing the same amount of lines, but they aren't being counted. 


At one time it wasn't that difficult for someone to make that amount of money if all the variables were favorable.  These days it is harder because line rates are overall lower and companies are always reconfiguring how to count lines in their favor.


If you are pleased with the amount of $$ you are making that is all that really matters and I would not feel that you are inadequate. 


The problem is they are trying to standardize that which has too many variables.
Important details in documentation are going to be left out. Patient care is going to suffer. Forget about our jobs, we should worry about the medical treatment we will receive from doctors who do not have our full and complete histories.
But there would be variables at ANY line rate. (nm)
s
Wow. I don't know that there is "an average". So many variables here.
Depends on if it is known accounts or new accounts/dictators; familiar specialties, etc.

My overall average line count in transcription is about 275 lph. This would include HPs, Ops, Dis, Cons, ERs, clinic notes sometimes and anything else that might pop up here and there like a procedure note, etc.

I know as many MTs (or are we considered MLS's now? lol) who average much more and those who cannot make that.

Guess I didn't help much, huh?!

I agree with Patti . . . too many variables
Here's a link to an article I found some time ago, which suggests multiplying gross line count by .70 to attain an estimation of an equivalent 65-character count line (or 30% less, as Patti also suggested). It really just depends on too many factors though.

http://www.mtworld.com/tools_resources/line_counts.html
There is a reason they are called variables.
The most lucrative setting is where you get paid a better than average line rate to produce reports dictated by clear-speaking doctors who say the exact same thing for each work type and never backtrack while you work on a platform that has no headers, footers, or demographic entry that you don't get compensated for.

However, that is hard to come by so you will have to decide for yourself what suits you best from the options available to you.
Line rates can also be regional. Too many variables to
give somebody else hope that they might someday get the same rate. If you don't like the rate an employer offers, don't take it -- that's the only way to make them listen. It's not the baloney you seem to think it is.
There are so many variables at play that it's dangerous to compare to others along these lines. s
I know that there have been occasions when I've had a run of one of my more familiar docs -- one for whom I have a lot of canned text and who tends to dictate with a great deal of regularity, and quickly -- and I've been able to break the 500 lph barrier, but only briefly. Otherwise, working a large hospital account as I do, with dozens of regular docs and a hundred or so others who just crop up now and then, I can't conceive of anyone averaging anything close to that ... I'm luckly to average above 250-275 lph on a typical day, and some days -- when it's resident and ESL heavy -- that can go down to 150-200.

But, again, it's really pretty silly to compare lph between different MTs unless the variables are the same.
variables: clinic v. acute, employee (benefits) v. IC (pay taxes);
nm
STUPID,STUPID
G*D is this the pits or what? Sure I got in...finally, but like others, I can't set up files for my various accounts, it's a stupid decision and HEY,if they did it to prevent junk mail..guess what Frank...didn't work, got 5 junk mails already today!!!!!!!!!!!!!!
stupid
maybe if we didn't have to spend so much time and money in other countries fighting their causes, we could spend our time and money on global warming issues.
You really are stupid.
You think that you all have the same opinion of Medquist and no one could possibly like them. How insane is this? Who is agreeing with themself? Obviously, there is someone else here who agrees with me and isn't afraid to say so. What I have to say is the only loser here is you, so lose about 50 pounds and come back later.
Now that IS stupid. :D nm
x
stupid
Oh really? Stop being so politically correct and tripping over yourself with apologies when you are speaking to or addressing the subject of someone that isn't like you. Always with the apologies, always with the fretting of not to hurt their precious feelings!  THAT'S your problem, right there.  Stupid is as stupid does, Becky.  (Could Samtel tell me who that quote was from? hmmmm?)  Don't be so quick to jump to the "defense" of someone encroaching on OUR jobs, who by the way is also someone who probably does not want or need your defense, and is doing quite a nice job of showing his STUPIDITY by his postings on this board anyway.  It's like nails on a chalkboard tho when I see comments like yours rising to defent these jerks just for the sake of POLITICAL CORRECTNESS.  Enough!
stupid
man, lady, you got major anger issues! i'm going with "anon" because i don't want you coming to my house with a shotgun or somethin!