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Serving Over 20,000 US Medical Transcriptionists

I got my own accounts & started an MTSO.

Posted By: M-TEC Grad on 2006-03-18
In Reply to: Can you say where you work that you can get lines that easily? Thx. nm - Woe is me

nm


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She is trying to get her own accounts so
experience or not doesn't matter as far as what she charges.   If she only charged 6 cpl she'd probably have every doctor in town calling her (provided her work was good enough).  If she were working for a service 6 cpl would be about what I would expect her to be paid, but own accounts is different. 
How many different accounts or
dictators and worktypes are you dealing with?

Have you learned to make normals where you have already set up most of the report and just fill in the specifics?

There are techniques, but long distance makes it hard to mentor newbies effectively IMO.
ACQUIRING ACCOUNTS FOR SELF

I was wondering if any of the newbies ever thought of acquiring their own accounts.  I have a friend who is doing this.  She got 250 free business cards (from Vista Print) and also had them create a pamphlet.  She is about to take her final exam at MT school and has decided to work for herself and is just starting to solicit business; she lives in Georgia.


I have other friends in the Chicago area who do this.  Their accounts are mainly with solo practitioners and small group practices.  Believe it or note, some physicians are still using microcassette tapes and some MTs still pick up the tapes and drop off the work.


Phyllis


Acquiring Accounts
Currently, I'm working at home as a subcontractor right now, but I thought the recent graduates might want to try this.  (I am thinking about it myself.)  However, I would try to get American dictators who speak clear English; I would not try  to acquire ESL accounts as a newbie working from home.
I have 2 main accounts with a scattering
of 3-4 others. I'm not one ot give up easily, but, it seems like they change the rules quite often. It's my pure stubborness that keeps me going. I really do hate defeat. Thanks to everyone for their words of wisdom.
The newbies working on clinic accounts for me..... s.m.
leave one blank every other report or so. Usually it's due to some random phrase they're not used to hearing. It's rarely an actual medical term.
Try hospital accounts with psych units
The only psych reports I've ever were through hospital accounts that had psychiatric units. Whether the psych report come through the ER, a consult or the unit, I find psych notes are always interesting. Good luck. I hope you find a great psychiatric account.


Ashley, have you considered getting accounts directly with a doctor's office?
I have been very successful as an independent contractor. You should really consider it.
Thank you Admin for removing the posts below regarding people who lost accounts.. Appreciate it.
x
Do you work nights and produce very high volume for your 12 cpl? Are these your own accounts?
s
It has started already and I'm

A friend wanted me to try to get her a job where I start next week.  I'll be doing MT for an hourly wage.  I have an educational background and training in everything related to it except actual transcription, but I am being given a training period to get my ears up and running, and I hope that I can get fast enough.  I am working through a medical transcription text at home (bought it a year ago used to get more information about MT) to brush up and get some more information before I start. I am also gathering some reference materials to shore up what I already have at home from my previous studies. 


Anyway, she said something like "maybe you can get me a job there too". She thought that I could get her "up to speed" with MT skills and recommend she be hired.  I told her the reason I was hired w/o transcription education was because of my medical studies background.  I had to take a terminology test as part of the assessment.  She said that she would definitely fail that.  I told her then, first of all, she should take a med terms course, to which she said pretty vehemently that she did not have the money to do so.  I kind of stuttered at that point and kind of repeated what I had already said about my background helping me land the job.  I think she got annoyed with me . But this is a job where you cannot wing it at all, and you need to invest in your training. Why is it so hard to explain that to people without upsetting them? 


Recently when she knew I was looking for a job, she let me know that the tax prep firm she works for offers their tax preparer cost at a deep discount in January, and that once I pass it, I could apply to do part time or prn tax prep for them at the office where she works.  While that was kind of "insider" info that I did appreciate, I feel like maybe now I upset her by not agreeing to try to get her a job where I work. 


What do you do when people want you to get them into MT like this?  If she asks again I am considering finding a practice dictation to listen to.  I just know I can't put a word in for her if she doesn't even want to take a med terms course.


I started with
15 to 180 range per 2 weeks last year and now am getting 650 to 700 per two weeks. It depends on the account that you get. If you are working for somebody right now with work coming in regularly, concentrate on it. When you get your speed and accuracy up and believe that you can tackle more reports, try looking for another account.
however, when I first started out, I DID....sm
I DID pay quarterly when I first started out....gave the IRS about $500 every 3 months....totaling $2000 for the year for the IC side of my business (I also work for a national who takes out taxes with each pay period...which is good, cuts down on what all I owe the IRS by April).
Started out at 9, now up to 12.
Just depends on where you work, how much they need you, etc. If you are happy with that then do not worry about it!!
I started at .065 cpl
... and I was thrilled to make that, as a High Honors grad.
I started at 8 cpl
Considering how slow newbies are and how much they have to learn, I think 8 is very reasonable.
I started at 8 cpl

about 7 months ago.  It isn't all about typing, really.  I type about 98 wpm now, but with research, entering identifiers, finding doctors or city names, etc...the typing isn't as important, even though it still matters.  Plus, after typing all of the reports Career Step has, you'll be typing faster in the end.  When I started school I was typing about 74 wpm roughly, just to give you an idea.


Plus, there's always Typer Shark .  I bought it while in school to get some typing practice.  It's helpful and fun.


When I first started I had no MT
experience and no MT schooling.  This was in the day before we had expanders.  I did just under 700 lines a day and that was a hard 8 hour day. It was gross lines, so maybe  600 lines based on 65 characters.  I don't know how long it took me to get to 1000 lines/day, but it was probably 6 months.   You just need to build up your Expander a little bit and work smarter.  Don't get on-line, build up your reference materials so that you don't have to get on-line much, you can look it up in the book and not be tempted to check e-mail, etc.  Set an egg timer and work until it goes off, don't think about the laundry that needs doing or what you are going to fix for supper.  Every hour take a 15 minute break and do the laundry, or lay out something for supper, etc.  


How to get started
I have my BA in something totally different but I want to start looking into medical transcription so I can have the opportunity to work at home when I have kids. I just don't know where to get started. The places around where I live require 2 years of experience and a number of classes. Are there any places that you can just take a few classes and start working? Any information will help!
getting started
Hello- I am actually a dentist- and have been for 18 years. I am currently staying home with my child and thought MT might be a good avenue to travel for awhile. What sort of training do you recommend for someone who has a medical/dental degree. I have all the medical terminology and pharmacology etc I think one might need. I do not know anything about the digital transcription or have any equipment. What do you guys recommend?
Getting Started

Hi Andrea:


I've been doing transcription for 25 years and I love it.  I've been working at home for about 6 years and for Medquist for 3 years.  One thing I would tell you right off the bat is a lot of graduates have problems getting that first job because everyone wants experience.  I would talk to the schools about what they offer in terms of finding employment once you graduate.  I know Medquist used to have a school called Career Step and would hire you directly upon completion, but I haven't checked into it lately.  I think the website is careerstep.com. 


Other than than, it is never too early to start building a medical library.  I would start with Dorland's Medical Dictionary or Dorland's Medical Speller.  They aren't cheap, but you will get your money's worth over the years.  I love my noise-cancelling headphones that I found on Medword.   


I hope this helps you get started.  Good luck!  


 


I started with going to

Monster.com and placing a resume there.  MTDaily is another place you can put in resumes.  Keep passing resumes out.  Look for a company and check out its reputation here and other MT service blogs or boards.  I came here first and discovered that some companies don't pay until they see their names lit up here.  I went looking for transcription companies advertising for doctors to type for, and then found the back door to their recruiting department.


Getting started
Just finished school-looking to start slow as IC- not fast, but accurate and dependable- any suggestions?
MTSO?
Please excuse my ignorance, but what is MTSO? (obviously, I'm a newbie)
MTSO

Forgive me for being so ignorant of the abbreviations, but what does MTSO stand for?


Thanks.


MTSO
I know what it stands for.  I've read the posts about MTSO's. But I can't find a straight forward answer. I've read that for newbies, a good bet for getting a job is with/thru an MTSO.  I've googled it but no good info pops up. Where in the world do I find an MTSO?
So who is your MTSO
I have a friend that went to Allied, having trouble now finding work. Who is your MTSO??
There used to be a lot of $$ in being an MTSO, not

anymore.  When you are competing with single-digit line rates from off-shore companies you can no longer charge 18 cpl.  In most cases it isn't corporate greed, but trying to be stay afloat.  Medical expenses are through the roof and everyone is looking for a way to cut expenses and MT is one of them. 


I agree that companies that went offshore long ago did it for greed, but now it is mostly for survival.


People go into this business lured by working at home and making $40,000/year.  They don't investigate to see how realistic that is.  They go to one of the cheaper schools because the better schools are too expensive, yet the cheaper schools are pretty worthless and don't equip you to work as an MT in the real world.   If potential MTs would do their research on the front-end they wouldn't go into this field to start with. 


I started by doing transcription
for veterinarians! You might try a local specialty veterinary hospital to see if they need any transcription help. You do need to know a little bit about dog and cat breeds, but the body parts are pretty much the same (except for the tail)!
Just Started working PT
I just graduated from Career Step and got a PT job within 2 weeks. Mind you it was the only company that was interested in doing the PT thing, plus I have dail-up, so I was really limited on my options. But, so you know, PT jobs are out there. Good luck.
Newbies I know started at 6 cpl
/
I started my education
at a community college and finished at PCDI, and the materials were identical, so I can't say either way is better, but the best help I got was once I started working, and the training on the job.  I think PCDI teaches the basics, and if I were you, I'd shoot for an in-house position to start with to have some help.  All of PCDI's tapes were incomparable to what you really get.  If I had a doctor speaking like that, I'd be making millions :)  Good luck!
Jill, have you started yet? nm

just an fyi...but i got a paycheck before dsp...maybe they just started doing that
nm
I relistened to everything when I first started sm
The question is, when you go back over it, do you find that you got everything? When you do, then you should feel confident enough to just move on. I still read through my stuff to check for errors, but I don't relisten and I have not had QA tell me I missed anything.
I started out doing radiology.
You may want to try the radiology portion since it is less intense and it's a good base, in my opinion.  Others may not feel the same way, but I think you are better off starting with radiology as opposed to multispecialty.  Best wishes... 
Meaning of MTSO

Could someone tell me what MTSO stands for?  May be a dumb question, but I wont know if I don't ask. 


Thanks


hate to tell you but yes I most certainly am an MTSO
as attested to by my corporate annual report to the Secretary of State, my notice of acceptance of an S-corporation by the Internal Revenue Service, my certificates of shares of the corporation, my quarterly payments to the Department of  Employment Security for my employees and my portofolio in a corporate 401K. The OP said "sensitive information" which would hardly constitute your name and address which people even write down on blank pieces of paper at the supermarket to try to win a Caribbean cruise at the supermarket. And if I were you, little Miss Cop of the Internet, I would keep my fancy little fingers off this board. According to your own logic, how easy would it be for a hacker to get ahold of YOUR IP address and start stalking YOU down? The OP probably even has a site on MySpace for cryin' out loud. So go ahead and dispense your advice, i.e. panic, via the MTSTARS board. I'm sure that since you found this site it makes you an expert in all matters. LOL.
MTSO - What are you afraid of?
,
As an MTSO owner.....
I will just let you know that in response to an add I ran for 2 MT positions, I received 50+ very good, qualified MT resumes...that is why no one will hire a newbie! I actually have 3 newbies that I am working with now on a small clinic account that I have. I will not put a newbie on an acute care facility due to the amount of QA that goes into that, but I will start them on my small clinic note facility to begin with and let them work up to the QA. That is my position on this subject...there are too few jobs for too many qualified experienced MTs out there, and there is a deficiency of work due to Nationals outsourcing work overseas..that's that, IMHO.
Bet MTSO is tickled, also, to get an MT for 5 cpl.
x
Can somebody tell me how to find an MTSO?
I've tried google, but MTSO seems to be a common acronym for lots of things. Is there some key term I could search for that would point me toward potentially hiring MTSOs?

Thanks.
National MTSO
I really have no experience with a national MTSO, but I think it depends on where the MTSO is based. So, if the MTSO is based in the US, you would be paid dollars, and if it is based in the UK, you might be paid in EURO, and so forth and so on. However, while checking around on the net, I found a company based in the Philippines. You might want to check them out, the web address is, www.peoplesupport.com. I don't know what their money would translte to US currency, but it may be easier for you.
how to find an MTSO
Thanks.  I know what MTSO stands for but I was having a hard time finding an MTSO in my area. I have noticed a lot of people say that a newbie is better off working for an MTSO to gain experience. But when I search for MTSO I get nothing. If anyone reading this works for or has worked for an MTSO, can you please tell me how you found them. Any info would be helpful. Thanks.
I started at 6.5 cpl for acute care.
I had 3 offers (2 of them before I even received my final exam scores):  One for 6 cpl no spaces, one for 5.5 cpl for straight transcription and 2.5 cpl for VR editing, and 6.5 cpl for acute care.  I took the 6.5 cpl since it was the highest cpl, but found that the account was awful.  It was mostly ESLs (probably more than 90%).  I could work a whole 8-hour shift without a single EFL (English as a first language) and most of the docs were new residents that had no idea how to dictate a report.  It was awful.  I had times where I could get 200-220 lph so I knew I could do the lines with decent doctors, but most days all I had were ESL residents and my average was more like 120 lph, so I didn't even make minimum wage.  I worked there for 6 months just to get the acute care experience and then began hunting for a better job.  I now work for a clinic that pays me 13.5 cpl and also for an MTSO that pays 7 cpl, but it took me several months of testing and turning down offers as I was not going to work for less than 7 cpl and did not want to work weekends. 
This is similar to how I started out 19 years ago.

I was given the opportunity to transcribe for the radiology department and soon was asked to cross-train to other areas of the hospital to transcribe.  Boy, did I learn a lot. 


I remember one lady (I was only 18 when I started working at the hospital) after 3 years of vo-tech high school training.  I used to get mad because she would make me look things up in the medical dictionary.  She forced me to use my noggin.  Once I got the hang of it, I thanked her again and again for being so hard on me.  There was another lady who worked p.r.n., but she had her own clients.  I learned a lot from her.  I think of her often when I "can't go/have to work" even though I work from home.  NOW, I know what she was talking about, but I have learned to manipulate my schedule to not miss out on anything. 


When I started working from home we only had one
I just made sure that my programs were closed out before my husband or kids got on.  The only problem with letting others on is that they will surf the net and download things that bog the computer down.  I would suggest if possible for you to have your own PC.  Usually bare bones is okay as long as it's fairly new.  Actually, Vista does not work with some companies, so you may want to look into a refurbished tower running XP and maybe Office 2003.  I've also seen others post that they work from a laptop on the go, which I haven't done yet, but it seems to work well when MTs need to travel.  Good luck in your endeavors, and welcome to the MT world.  It is a satisfying job.
I started at minimum wage.
When I started working as an MT, I was only making minimum wage(was an employee and they had to pay at least minimum wage if I didn't make my line count). I could have started working at the local hospital for $15 an hour, but I chose to stay home with my son and not have to put him in daycare, even if it meant I would make a little less. I am glad I did. Now after 11 months, I make $17 an hour and do not have to pay daycare, commute costs, or spend a lot on clothing (love to working in my sweats). I knew the minimum wage was temporary and that if I focused on my speed, I would get to where I needed to be financially. So while you may start out making minimum wage, you don't have to stay there.
started school at 25 wpm, finished at 75 wpm
It takes a lot of practice but it is definately doable. I have been transcribing for 12 years and am well over 120 wpm. I haven't done a typing test in awhile to give you an exact number, but it is definately possible. I agree with the poster who said make sure you are in a credible school, it makes all the difference in the world!
After some experience working for another MTSO...
I registered a dba with my city, marketed like crazy, and got my own accounts and my own subs working for me.

Besides a great MT education, the thing that has helped the most is having a Stanford MBA business consultant in my corner. I couldn't have done this so quickly without his advice and coaching. Luckily, he works cheap since he's my SO!
You didn't say if you are an MTSO or IC or employee or what. (nm)
nm