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Disagree. We have a gravy account that we, as IC's, provide our own equipment and pay for

Posted By: AZMT on 2006-06-01
In Reply to: Shareware programs - Wondering

a token to get into the software. Big deal. You pay $150 for a C-phone and $150 for the token but then you make scads of money!  So would weigh the ROI (return on investment).  Not a hard and fast rule to never buy equipment you can't use on another account.


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disagree with scam part about equipment above...sm

keep in mind that if you are applying to a company who is hiring independent contractors, that the IRS definition of employee vs. contractors hinges on three main areas, one of which is how much control the "employer" has over the worker. If the employer is providing equipment to get the job done, the IRS tends to look upon this as more of an employer-employee relationship. So if you are applying for a job that is independent contractor status, remember you are self employed and have to provide your own equipment.


Employee vs. Independent Contractor Status is a hot area of IRS Audits.The IRS, state taxing agencies, as well as the Departments of Labor (which are responsible for Unemployment tax collections) have been stepping-up their audit activities. The purpose of the audit is to misclassify a subcontractor as an employee. The taxing agency can then collect the taxes which "should have been withheld" as well as large fines, penalties and interest. So if you want to be an IC, expect to provide your own equipment.


Really? Who? Please provide more info
about these unsuccessful M-Tec and Andrews graduates. I'm sure Susan and Linda would want to know so they could help them. Because they DO help their graduates find jobs. Good jobs. I think you're making it up just to make yourself feel good.
There are a lot of companies now that will provide
an expander.  Some have programs that will only work with certain ones.  The most widely used by companies I believe in ShortHand/SpeedType.   I don't know anything about IT so don't know how it compares.  You can go to SH website and download a 30 day trial, don't know if there is a trial for IT.  I know with SH/ST you can convert your expansions from other programs.  I wouldn't buy an expander  though until you get a job.  I know a lot of people who still use autocorrect in Word.  Most companies use Word in some form and should be sufficient initially. 
Sorry, that should read "Do not provide..."
Forgot the drop-off point there.
which companies provide a computer?

Hello, which companies provide a computer? Just curious.


Her school should provide the names of
The school should provide her with the names of employers who will hire their graduates.

How about having her apply to the company YOU work for? That would give them some assurance that she was worth the risk to hire.




Very few provide. Most programs get loaded to your machine from CDs or
s
Please help! Did you guys have to buy the software or did the company provide them?

I'm  just trying to figure out if I'm actually doing this whole process right or not.....II know I have to purchase some things, but want to make sure I'm not being taken.


 


 


If a company wants you to work for them they should provide the software. sm
You will have to buy some hardware (foot pedal etc) but the either the software is free (express scribe) or they provide it. This is just my experience but I did see that company when I first started and I did almost take a job with them until I was told the same thing. Good luck!!

It depends on your account
Sometimes MTs, new and otherwise, get accounts like that. On the plus side, it is experience that you can use. Learning some of these difficult ESLs now can be benificial to you when you move on to another job. As far as line count goes, that would be tough. Just do the best you can, at least it is a paying job.

Good luck and God Bless.
They just lost their account
l
psych account follow up
What's your plan?
Not really, but I was offered one account that needs a Cphone....
Would that make it worthwhile? Are they widely used?

Thnx
It all depends on the account. Are you wanting to
do it on your own - meaning get your own account, or work for a company.  If working for a company there are various ways to get work, a C-phone or Lanier, tape, or through the internet - what you need depends on what they use.  If you want your own accounts it all depends on how they do their dictation.  It may be done on tapes or handhelds, in which case they probably have the ability to upload files.
IThey might have hired you for a new account. Call! sm

You didn't mention the name of the company. It could be they have a new account and it's not off the ground yet. It was a month after I was hired before I actually started working. That was two years ago and I'm seldom out of work.  I'm still on that same account. 


No ESLs on my account, but they're not hiring.

You're right that account specifics will dictate how you

do this, but generally you don't abbreviate diagnoses, but using cm and mL are okay, just don't use CHF instead of congestive heart failure.   In the body of a report it is acceptable to abbreviate, but you should really transcribe as dictated.  If the doctor dictates CHF then type CHF, if they dictate congestive heart failure than type congestive heart failure. 


i work for one national, one smaller, and have one private account.
i am always busy, but never without some type of work :). I make a great line count with MQ. I was statutory but effective January 1st, I am an employee. Not sure how that will work out. My secondary account is with a smaller company I have been with for over ten years, and I have a small private account that pays very well but low volume.
Getting lucky w/a great account figures in greatly. You'll be
s
What equipment will I need?

I will be graduating soon and the school I'm with doesn't do placement. What equipment should I have right away (foot pedal, c-phone, ....) to be prepared when I start taking tests? Where exactly is the best place to get the equipment?


Thank you for the help.


equipment

I am a newbie, just finishing up school and I have no idea what kind of equipment I should be looking for.  Can someone give me some idea's?  Should I jump into digital?  Thanks 


 


Equipment
I would wait until you get your first job to see what your employer would like you to have so that you can comply with company specifics, etc. I know that some companies require you have a certain type of wav player, etc. Good luck and welcome to the MT world!
Equipment and pay

Couple questions. Is the dictation equipment portable, ie., could I plug it into someone elses computer???? Also, we have to buy our own equipment, or do some schools include it in tuition?


Also, translate per line, into what you make per month and how many hours you're working. If you get a certain amount per line, how many lines do you type in how many hours of work, and what would your pay check be.


Also, I found out that MTEC works with vocational rehab centers across America, SO I can get help with paying for the course!! Yahoo! They may pay for all of it, since I have a disability.


 


Equipment
I see from previous posts that you have to get your own equipment, and that the type may depend on who I work for. Hopefully the school will educate me on these issues. Will they?
Equipment

I need a line counting program that can be used on Windows XP.  I am using Microsoft Word.  I also need a good medical dictionary on CD that can be used on Microsoft Word.  I only have a couple of small part-time accounts, but I need these two items. I've looked on the boards and I am just confused as to which ones listed are best.  Please help!!


GC from NC


 


 


 


Equipment

Thanks.  I have the hard copy Stedman's.  I have an older Stedman's on CD.  But I doubt if it is compatible with Windows XP.  I appreciate your help.


equipment
I tell my students not to buy anything - reference books, equipment, etc. until they have at least 1 client -- then it's tax-deductible. Also, ask your new client if they have equipment you can use. Many small offices have a spare transcriber you can use.
Rosie

I disagree 100%
I went to a crappy school (didn't know any better until after I paid for and started the training). I studied hard, found as many sample dictations I could on the web (in addition to the ones included in my course), did everything in my power to learn what I could. Interned for 3 months (2 months during training and 1 month after - was offered the internship because I did so good on the homework). I sent out probably 30 resumes, passed tests at 98% or better...no one would hire me without experience...until the day I sent out a resume to a company who was hiring with "a minimum of 3 years experience." I included a cover letter begging for a chance, explaining what a fast learner I am. They hired me at 8 cents a line with incentives on top of it. After 3 weeks I got the okay to submit directly to the client, I was (and still am) praised repeatedly for the quality of my work. My second pay period I was the 2nd highest producer of 16 MTs on the account and the 3rd pay period I was the highest producer on the account. After 3 months I got a 1 cent raise. In short, got my certificate in March, got hired in April... and here I am at 9 cents a line and they tell me I am one of the top 4 MTs in the group. The lesson here...if you KNOW you can do it then you can! I say apply...ESPECIALLY if you went to one of the top schools. They can only say no. Good luck to you!
Sorry - I disagree

I disagree since I have seen both sides.   The younger ones, below 30, might be okay with this but those over 35 do not like this.  Another thing there  is too much standardization and the insurance companies are cutting down on payment, etc. when a note is so standardized that it does not show the 45 minutes spent with the patient they will pay at the rate for a  20 minute visit which makes a big diffence in payment.  Anytime Medicare or an insurance company can cut down the payment they will which then costs in rebilling cost.   I work right where the billing is also done when I work on the EMR's, typing directly into them, and I hear what is going on.  Also legal wise, the docs are finding out it is not good.   Like I said the 5 docs in this clinic would rather pay me $18 an hour to type into the charts than take the 2 to 3 hours it takes them to do them along with the procrastination.    Most of them dictate while driving home -- they have good machines, easy to understand and this is not a problem for me, and by the time they get home, their chart notes are done and they bring me the tape the next day, I do them and chart notes are done within 48 hours.  Anyway it works for them.  Trouble is now they want me 40 hours per week but cannot give up my other accounts.  Started out doing just 10  to 15 hours per week  -- 2-3 docs, to get out of the house, then 20 to 25 wtih four and now  they want me full-time for the five.   But I make too much off of my own personal accounts and cannot do it so they are looking for someone else. 


Also, I have been approached by two other clinics to help out with their EMR's as they are having the same problems.   Patients are speaking up and telling the doctor, hey I am paying for your service, look at me when I talk with you and don't be typing into that darn computer.   But then this is just my side of it.     Patti


I disagree.... sm

I went through CAI and got hired with MQ after I graduated.  They are acredited with the New Jersey Deptment of Education as well.  I don't see why everyone is so quick to disregard this program.


(Read this quick, because my posts about being a CAI grad get deleted rather quickly, no matter how much that fact is denied! )


I disagree.
.
I disagree with you
I totally disagree! I am not new; I have 22 years of experience as a medical transcriptionist. I think of "newbie" as a somewhat affectionate term. It is used in many other fields as well. I don't find it at all demeaning. When I am posting, I do not want to have to write out "new transcriptionists" all the time. Let's hear from those new to the field, though - do they mind?
I disagree
M-TEC and Andrews are the best schools out there.  If you have a decent GPA upon graduation, you are pretty much guaranteed a job.  Quality MTs are desperately needed, and these 2 schools produce quality MTs.
Actually, I disagree

"Spelling correctly should be second nature for an mt, whether it is an email or a quick response to a post."


If I'm sending an email to my boss, you better believe I spell check it.  Taking a test for a job?  Obviously that too.  Posting on a forum?  Not on your life.


I do glance at my posts 90% of the time to see if I catch obvious errors, but I could care less if my spelling skills impress strangers on a gab forum. Not to mention, in our profession of using typing shortcuts all day, I'm lucky if I remember HOW to spell these days.


I disagree...for me anyway :)
Working two hours before getting up is not at all burdensome on my body. I guess it depends on who you are. I've been doing this 11 years and have had no problems. Two hours FLIES by for me still to this day. If you're somebody with back problems, etc., then yes, I would say every hour get up and move your body. I do ankle circles and stretch my leg out while sitting in between reports to keep the circulation going in my legs. :)
Sorry got to disagree
No disrespect but I do not think that is fair or all the way true. I feel it is more frustration than complaining. To spend thousands of dollars on school to constantly be told 'No' or 'You need experience' can be frustrating to anyone. I mean we are human and not fortunate to have  had a job as a MT for 25 + years as yourself (congrats btw) so please be a little more open minded and understanding what us newbies are going through. No need for you to complain due to your resume, but us newbies are trying to get there. Just a lil bit more positive feed back would be helpful.
advice on equipment

I need advice about the type of digital handheld wav recorders.  I need to get one that I can set up at a Doctors office and I am not sure what to get or even how to set one up.  I need any info on the best ones to use and how to get it up and running.  HELP!!!  I know nothing about that stuff.  I just took courses and they didn't tell me anything about that stuff. If you have any advice I sure would appreciate it. 


 


You should be marketable after all that, equipment or not. If you
s
Stedman's equipment - I do mostly Ops. I also

use the abbreviations book a lot. 


www.drugs.com or www.rxlist.com for drug references.  I have Dorland's but in 22 years I think I've only used it twice. 


Questions about Equipment

Hi everyone - I graduated from US Career Institute earlier this year.  Since that time I have moved out of state and am new to my area.  I have put together a marketing packet including a letter of introduction, a flyer describing my service, a business card, a reference letter from my school and a coupon for one free report to try my services. 


I have a list of 65 doctors that I will methodically start marketing but what if someone actually gives me an opportunity??  AAK!  I was told to get a Start/Stop pedal as it is the best, but I see that the Infinity USB-1 is much cheaper.  Also should I get a microcasette transcriber too?  Anything else I should have?


Any positive feedback is appreciated.


Actually it's better to HAVE the equipment IMHO (sm)
because how easily you will lose your client if they need you asap and you have to wait to get your equipment ordered.

I was fully functional with equipment in place before I got my first client and I'm sure glad I was!
I totally disagree with you
I took Allied's course and I have two jobs. I applied with over 100 companies, and all of them allowed me to test. It was my decision on whether to take their offers or not. Some of the tests I did not pass, I cannot lie about that. But I totally DO NOT blame it on Allied.

For people to post on these boards saying that they HAVE to take the M-Tec or Andrews course is just insane. I do agree that there are some schools that do not prepare you. All of the jobs saw that I took the Allied course and still let me test.

I do not know why people are so quick to judge or try to bring new MTs down.
I disagree that 6 cpl is tops
I am also a recent CS grad. I was offered several positions and only 1 paid less than 6 cpl and that was for an extern position. The rest of the offers were 6.5-7.5 cpl. I hate to see grads who take jobs for less than 6 because they think that is all they are worth. There are better jobs out there.

I do think the main problem is your line count though. Even at 7 or 8 cpl, you won't make much money if you are only transcribing 100 lph. I would look into ways to increase productivity. Are you using your Expander to its fullest potential? Are you staying focused your whole shift? Are you finding you spend a lot of time researching? What is it that is keeping you from making more than 100 lph? I have been working for 6 months doing acute care work and average 150 lph, but can hit 200-220 on a good day.
I disagree 100% with your advice.
Every hour take a 15 min break? OMG! It will take them all day to get their work done!

A 5-min break after working solidly for 2 to 3 hours is more effective.

Books go out of date every year. However, having a handful of great reference websites keeps you in the know at all times. Do stay away from chat boards while you are working.

If it takes more than 4 letters, make an expansion for it but only do a handful each week. Write them down and put up so you can see them. Don't do anymore new ones until you've actually memorized and easily incorporate the current ones in your work. Using Expanders must be as natural as typing the words themselves.


Totally disagree
Congratulations should NEVER be spelled incorrectly by an MT. We are grammar and spelling specialists, are we not? In my opinion, if you are not able to put together an e-mail with correct spelling and grammar, you are in the wrong business (and I don't mean a little typo). From what I've seen, there are plenty of people in this business who should not be because they can't use the English language properly. That's the basis of all other MT learning and skills. It's like trying to fit a square peg into a round hole.
I disagree. I've been in a
position of hiring and training MTs and I've worked with several Career Step grads.  Some were very good and some not so good.  I really think the bottom line is the actual MT.  They will get out of any program what they they put into it regardless of the money they spend.  I've worked with Career Step graduates who had absolutely no grammar skill whatsoever and were still communicating like a teenager on IM, but they heard that Career Step gets them the job.  It may get them in the door, but staying afloat in this business is a whole different story.
There are new procedures and equipment all the time
so you can't possibly know it all, but you need to know when the doctor misspeaks, you  need to have a good grasp of the systems so if you don't know the word you at least know where to look for it by knowing what system it is for.   If you only do clinic it is easier, especially if you do family practice or if you only do urology dictation because then you only have to learn one speciality.  If you do acute care you're going to have to have a good grasp of anatomy and terminology, even if you don't do Op notes. 
MT books and equipment for sale

Getting out of the MT biz and want to sell my word books, spellchecker software, C phone, wav pedal, etc.  Anyone interested please email me.  See inside for list


 


Stedman's word books:  $16 ea including shipping Psychiatry/Neurology/Neurosurgery 2nd ed


Surgery including Anatomy and Anesthesia


OBGYN 2nd ed


Endocrinology GI & GU 2nd ed and 3rd ed


Pathology & Lab Medicine 2nd ed


Equipment words 3rd ed


Oncology 3rd ed


Orthopaedic & Rehab 4th ed


Cardiovascular & Pulmonary including respiratory 3rd ed


Plastic Sx ENT/Dentistry


Abbreviations, Acronyms & Symbols 2nd ed


 


Other books:


Handbook of Commonly Prescribed Drugs 14th ed $5


Mosby's Rapid Reference to Diagnostic & Lab Tests $5


Drake & Drake Pharm Word book 2000 & 2003  $5 ea


American Drug Index 1999 $5


Current Medical Terminology Vera Pyle 7th ed $5


Stedman's SpellChecker for Word 2000, 2002, 2003 $18


ea


Medical Acronyms, Eponyms & Abbreviations 3rd ed $5


 


Stedman's Medical Dictionary 26th ed hardback $15


 


101 Best Home-Based Buisnesses for Women 2nd ed $5


 


An at home medical transcription training course - all manuals, text and tapes included.  Contact me for price.


 


C-phone model 0421 $125 - good working condition


 


wav pedal $25 - older model uses game pin port, good working condition


 


Two microcassette transcribers with foot pedal $40 each


You pay for equipment that may or may not work. You purchase it

through a third party so AMA is no help with getting your money back, although they told you what company to buy it from.  You don't get paid until your work is good enough, but your work is never good enough, so you work and work.  Now I can't figure if they actually have real work and so you're working for free and they are making big bucks, or they don't really have any work and are making their money on ripping you off on the software.  I figure where has got to be some connection to the software company. 


They have many, many complaints still unresolved with the BBB.  They have moved to a different state and changed their name at least once that I know of.   They also represent themselves as very religious. 


But you're not going to be any better off if you have the WRONG equipment. nm
x
Not that I disagree with you totally, but (see inside)
there just aren't many hospitals in many areas any more where people can work. Many of them hire services.

Graduates of Andrews School and M-Tec seem to have no problem getting hired or keeping their jobs at home right out of school. "Grads" of the "matchbook" schools are the ones who need all the extra in-house assistance.