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All of these factors depend on the

Posted By: individual MTSO. (NM) on 2009-01-21
In Reply to: QA questions - Considering

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other factors . . .
I think besides the server being busy, my slower processor contributes to the slow word appearance on my screen from time to time. My computer is on my long list of things to replace around here!
too many factors here
are people giving net, take home?  How much are they contributing towards taxes, 401K, health ins., equipment rental, on and on....how many hours are you working, what are you paid per line, employee or IC (big one), etc.  You can't just ask someone how much they make.    And it's just causing a big feather-raising ruckus. 
There are a lot of factors...
But I think also if you can get up to $15/hr, that would be okay because it will be dependable. You also need to consider how much driving is involved each day, will you have to pay for extra daycare, how much the benefits cost, etc. If you can get $15 and all of the other factors are good, I would probably take it. You can always get an IC MT job on the side to make extra money.
Pay plan factors
Those factors include monthly QA score, production (lines/hour), and how much you send to proofing for help. Also if you have the CMT there is a differential. It really does put us in control of what we can make and the potential for increases is there as you get more familiar with what you are doing. It's been a great plan for me to work on! Insurance is with Blue Cross, rates would depend on whether it's just you or a family plan.
It depends on a lot of factors for both.

How big is the page? In other words, how many lines define a page, and how many characters in the line? Or, if paid by line, how many characters in the line? Are spaces included? For both, are headers and things included. I assume you're referring to Silent Type. I have always heard they paid archaic wages per page. There are posts on Company Board about them - I would search back a few pages. I know they make you travel to their offices for 2 or 3 days, and even though I live in NJ, I would never stoop to that in this day and age - not very high tech.


Lots of factors..
Overtime laws are federal/state. Federal law is 40 hr/week. States can supercede that to an 8 hr/day, etc. Company policy doesn't matter. Classification of employees is key. Some employee classifications do not quality for OT pay and can be required to work 60 hours a week with no additional pay. Company policies/collective bargaining agreements can grant benefits not required by the law (sometimes including, but not always the ability to grant comp time in lieu of OT), but cannot offer less than the minimum required by law. Example: If you are in a state that requires OT after 8 hr/day, then you cannot be offered comp time in lieu of OT. If you are in a state that required OT after 40 hr/week, you can be offered comp time SO LONG AS it is taken in the same week. Some employee classifications have different requirements, which may allow the comp time in the same pay period (2-week, month, etc), but for the classification that MT (not supervisory, just plain MT/QA classified as employee - not IC, SE is gray area) fall into, pay period doesn't matter. For those, comp time must be taken in the legal period, whether it be day or week in order to be in compiance with the law, which we all know not all companies are.
Here are the factors in my opinion...$1.10 is okay if...sm
... they pay for links meaning if the CT chest, abdomen and pelvis are dictated together which most radiologists do it gets counted as three reports.

Some companied including Medquist counts this as one report now.

Also if the account is not a teaching institution - no residents only attendings dictating then that means better usage of macros/word expanders.

If the account is a teaching institution with lots of residents and ESL attendings and does not pay for links then it is definitely way too low.

Hope this helps.

JMO
Could be any number of factors
It could be any number of factors.  For someone to be on actual QA hold for 15 months sounds a little odd.  How do you know the account requirements do not specifically call for 100% review from the service.  I think you answered your own question.  If someone needs actual QA hold for that long they'd be released.  I think there is more to this behind the scenes that you are unaware of.  If you're making your lines and an income, who cares how anyway?  I can assure you the QA person is not making any extra money and enjoying the power by having to review each and every document.  I suspect it's more of a client requirement for it to be going on this long.
Some other factors to ponder Maggie...sm

I've been in the MT field for 16+ years now, produce quality work that I have always taken pride in, and my work ethic, well let's just say I do not think that there has been one weekend, Christmas day, etc. that I have not worked in 16 year iin this profession, and those times being mainly at night.


I agree with some of what you state, however with that said, you may want to ponder a few other things. I have met many, many hard working, highly experienced MT's who likewise produce quality documents, take great pride in their work, and even have a stronger work ethic than I.  I hear the same story, over and over from MT's such as they, the lack of respect in general for this profession declining over the years, along with declining wages, outsourcing, etc.


Another thought that you may want to ponder is regarding outsourcing. There are subskilled and substandard MT's in the US, however they are in a minority. By far most are intelligent, hard working and dedicated individuals.  The reason that this industry is being outsourced has little to do with the quality of the US MT. The industry is being outsourced strictly due to the ability to procure cheaper labor elsewhere. Period. Yes, the Indian MT, etc., works hard and does not whine as you state. They are paid 3 or 4 cents per line for their work. I don't know if you are aware of the cost of living in India, however it is far below that in the US; for example monthly cable television is $5.00 per month, etc., so the rate that is being paid there furnishes that MT with a nice lifestyle, thus nothing to whine about, as this industry used to provide to the equally hard working US MT.


It is often convenient to point one's finger at a small handful of people in a given profession and state that to be the cause of an industry that is declining in the US. Even if that were the case in the MT profession one also then needs to take a look at other professions such as engineering, the IT industry, support centers, etc. that are being outsourced, and likewise in those fields the jobs are not being outsourced due to the incompetance or lack of work ethic of the American worker.


MTSOs have no control over the factors that would make this
:+
You're omitting some very important factors.

1.  The cost of living has increased drastically since 1992.  That $15 an hour was worth far more than it is today. 


2.  TIME, which to many is the most important factor.  You really can't put a value on what you're losing with your family when you have to work *that couple more hours* to make what you made 15 years ago.  In fact, if we had worked that *couple more hours* 15 years ago, we would have been paid time and a half as overtime.  Also, 15 years ago when I worked in house I was paid hourly.  If it took me a little extra time to find the address for a copy the doctor wanted sent, I was still paid the same.  Have you figured the percentage of lost work now working production and trying to find the addresses, first names, correct spelling of referring physicians, etc., for the hundreds of different doctors from multiple accounts for multiple national MTSOs over the 15 years? Our job requires the same, if not more, amount of unpaid time...yet we're not paid hourly anymore.


3.  I really liked your phrase *the benefit of working from home.*  LOL  Sure, we don't have to buy business clothes or pay for gas, but what is the employer saving by having us work at home?  We buy the computer, buy the printers to print out the hundreds of pages of account specs, the ink, the electric, the internet access, our research materials, and in some cases even the software.  In fact, this brings me to the next point you never considered.


4.  IC status.  More and more MTSOs are asking for IC status.  When I started working at home about 14 years ago, I was an employee making 12 cpl WITH the best health insurance I ever had, weekends off, all holidays except 2 off with pay, AND 2 weeks paid vacation.  Here it is 15 years later and the MTSOs not only want us to work for less than we did then, but they don't even want to pay benefits, taxes, disability insurance, or unemployment insurance.  They want us to pay all that for less than what they paid us 15 years ago...AND THEN, they want to tell us what hours to work, what days to work, and how much work we have to do in a day.  In other words, they want to treat us as employees, but put the price of all the employee *extras* on our backs. 


And you're content with all this??  Maybe I shouldn't use the word content.  You're used to all this and accept it?  Now I see why posters have made the correlation between battered spouse syndrome and our profession.  The more you become used to the abuse, the more you accept it.


I would go back. The factors that made it difficult to work there before are no longer there
Clear expectations, documented style guide, friendly and helpful staff from the top down, consistent QA. They put in writing what they expect and if you do your thing within those expectations, you will thrive!
(I'm only a lowly MT, not anyone in a position to profit from these statements!)
I agree. Big factors- ease of dictators, length of reports, platform. NM
.
That would depend on what you need.
If you need consistent work, Transcend isn't for you.   Most companies have dry spells now and then, but Transcend runs out A LOT.   If you're a high producer, Transcend isn't for you because within the next 2 years the majority of their work will be editing VR.  A moderate to high producer makes less money editing VR than transcribing.  If you prefer to stay on the same account, Transcend isn't for you.  You might be hired on an oncology account, but chances are you won't be working on that account in 4 months because the majority of the people there have at least 4 or 5 accounts before the end of their first year.
IMO, that would depend a lot on what your needs are.
nm
Must depend on the
then...I work for them and do not have even 1 ESL...Love the company!
It would depend
I am a new MT. If I do not have samples or adequate feedback on a specific doc, I normally blank if I am not 100% certain of the word. That being said, I make every effort to write notes and hi-light anything that is mumbled through. It takes me anywhere from 3-5 jobs with that doc to become use to their voice and style of dictation. I feel for you though, it has got to be tough correcting the same thing over and over again.

It will depend on what is available.
There aren't set shifts necessarily. When I was hired, there were only evening shifts available, but I got to choose my start time. I was required to work 1 weekend day. I know others who had a wide variety of shifts offered to them including 12-hour windows. Just depends on what they need filled at the time.
Because it would depend on the
x
I think it would depend
on your employment status.  Are you an intern?  Were you hired as an experienced MT?  Generally speaking when a seasoned MT is hired there is an understanding, as with any job,  that there is a probationary period.  My experience with multiple, multiple employers has been that for a few days, often a few hours, one sends everything through Q.A.  Assuming one knows their stuff and has a grasp of the account specs they move off full Q.A. 
Would depend on the job.
No amount of money is worth it if I am doing a job I dislike. Also, I am making over $40,000 a year doing MT, so I would need to earn at least that if I was to switch jobs. Would not switch if it meant dropping back down to $30K as I coudln't afford to live off that in my current situation. So the pay would have to be in the higher range of that scale to make it worth a switch.
They depend on complacency. sm
It's working so far.
That will depend on your company, of course. nm
nm
I honestly don't know...It may depend on (sm)
what work you are applying for, because I see on this board here they have several different positions.  I've been practically begging for M-F work for years now, as the stuff I do (hospital, acute care) has always required me to work at least one weekend day.  I always work holidays though, but that is my choice because I can't pass up the chance to earn the extra cash, so I've never asked about those.  Again, I think it all depends on what type of work you do there. 
I think it would depend on the account...
I've heard they have lots of accounts on the Lanier system, which requires the unlimited long distance, but I have never asked. Not sure on the satellite part.
That must depend on the account
I have made more with them than any other company and I have tried a lot of other companies.
I think that would depend if you're
employee status or IC/SE status.  The IC/SE status would probably be able to work as much as you want, but the employee status has to watch overtime.
It does depend on where you live.
In fact, I didn't realize about the city license until on of the city investigators came out to investigate my neighbor and her business.
It may depend on your account
I was told when I was hired a few months back that I needed to work either Sun-Thu or Tue-Sat, thereby working 1 weekend day every week.  But that could be dependent upon the account you are assigned.
That would certainly depend if she is an IC or employee. nm
x
It does depend on the account
Just make sure you get more than one account. Some have more work than others. If you want to email me which account your getting put on then I can tell you what that account has been looking like.
I would think it would depend on the account.
Not all accounts require weekend coverage.
I think it would depend on the reason.
If there was no work that would be one thing. If there was work and you weren't doing it or consistently not getting your lines, then I think they would take a look at the reason why.

I had a friend who was IC who never got the required lines, refused to take on anymore accounts (she only had one) and they finally let her go.
Must depend on account at OSI
I've worked there for 6 months and love it.  No problems.  I don't feel micromanaged.  I have plenty of work and it seems to me like they basically just leave you alone and let you work. 
May depend on account, but no 12
hour window, and again depending on account and shift worked there may be some flexibility, but if I was 15 minutes late for my shift they were calling me.  It only happened once.  All the times I was early or worked OT without OT pay didn't count for anything. 
Must depend on the account
I've never had a problem making the line count for the pay period, whether VR or straight transcription, working an 8-hour day.

Guess it must depend on the account.


It's going to depend on your account

My account is pretty busy all the time, except for the holiday periods, when everyone is slow.  Doctors take time off, too.  I've only had it be busy at Christmas and then this past July 4th.  The rest of the time, the work is really steady.  They have a variety of accounts, though.  The accounts they are hiring for, I believe, are for full time, so I am going to assume (!) that they have full time work to offer someone.


 


MTs who depend on a paycheck will just love you.
There's a reason for everyone doing their fair share, and only more when asked. Clearly you don't care who you take money from.

Try finding private accounts where you aren't robbing a single mother of formula for her baby, will you?
I think e-mail might depend on what account you do. SM

I got eight last Friday and 6 on Saturday.  That's a lot as far as I am concerned and they all same the same thing. 


It probably would depend on the specific software.
In my case, I have no problem.  My IC position is done strictly in Word with downloading and uploading files to FTP, so it really does not require any particular software.  
That would depend on your client base -
meaning if you have hospital accounts - the platform will have to interface with the hospital system.

If it is physician practices, that would be much easier.

You would probably need to sell your platform to your clients. Not quite sure what you are in need of; however, see what your clients are using and go from there. It can be very tricky and very costly.

Good luck!
guess it would depend on what they are offering to
pay.  I am paid with spaces and only get 7.5 cents...so,,...just say the highest you think you are worth and see what they offer.
As far as PT scheduling, it would depend on the account, but SM
with regard to the PT incentive plan, there is a certain number of lines that have to be done on a weekend day. I don't have it all in front of me right now to be more specific than that. Maybe someone else can help with that... Sorry :-/
Would depend on how lines are determined--sm
if gross line multiply total lines x 0.6.

If 65 character line, divide lines by 65, multiply by 0.6.

You need to find out how the lines are determined.
I'd say that would depend on what your regular line
is what I've seen posted on here.  If you read fast you'll do fine, if you type faster than you read, well, it's iffy.  If you have lots of formatting, i.e., ROS/PE flush left margin and ASR doesn't do it, screw it; use macros/shortcuts because you should have ROS/PE in macros/shortcuts for most dictators.  I ignore the company's advice on how to do Keystrokes with it, turned off that hideous hiliter, and never waste time on tab plus whatever the other key combination is, it's too far away from home position and I'm a lefty and it's totally inconvenient for me to use it.  I use the ctl/arrow keys to move forward or backward and ctl/shift/arrow to both navigate and hilite, then all ya gotta do is hit delete.  All that also depends on how the ASR is set up.  I hated it at first and I'm still not fond of it, but it's better than sitting with nothing.
It's going to depend on the dictators/accounts you
have, so there's really no reason to worry in the meantime. You just have to wait and see how your pay will be affected. Everyone's is different. VR paid lower for me. If it's too much of a cut in pay, you can always find a company that either doesn't force you to do VR or has better pay for it or better accounts, etc. Free will, baby! :)
It would depend on the "career" being offered
'
As I said, it is going to depend on the dictator's style.
My doctors dictate a lot of lines like:

MEDICATIONS: None.

ALLERGIES: No known drug allergies.

That is why I was saying it would be good if you have a lot of short lines. It also would depend on the page format. With the page format we use, each line is approximately 65 characters, so if the doctor dictated a lot in paragraph form versus the short lines, then it would indeed be a paycut. All I was suggesting was that you really can't judge the pay rate as there are so many variables that go into it. It ould be decent pay with the right conditions. As I said, with just the one report, I would have made $3 more. Times that by the 20 reports I do a day and that is a huge difference.

I agree though about the software. Not going to take the chance of buying expensive software only to find out that the job isn't going to work out in the end a month or two down the road.
Amphion use ExText or does it depend on the account?
Thanks. 
They can give you what you like, but it'll depend on what Their need is at the moment. nm
s
Well, that would depend on whether you are talking company or hospital. sm
Companies are low paying; however, clients of your own is where the $$$$ is.

VR editing 10 cpl with client
3 cpl with company.