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Serving Over 20,000 US Medical Transcriptionists

Disagree, DSG pretty decent (SM)

Posted By: Former DSG on 2006-02-24
In Reply to: comments - Experienced MT

I never ran out of work. Uses DocQScribe but must do something different than MQ as I had no prob making 1500 lines/day on day 4. Exceptionally supportive to MTs -- encourages sharing of normals and other info. They offered me top line rate right at the start, plus weekend bonus (IC). Management was wonderful, responsive. I'd be there still, but I screwed up.


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Well I do earn a pretty decent salary
and I am not talking anything under $50,000. I have heard of some of you recruiters who earn $30,000. I would not do it at all for that. I know one woman who earns $58,000 as a recruiter. I know another who earns $42,000. I know another who is paid per head and I won't do it because that forces you to hire anyone.

For what I earn, yesI will keep an open phone line to an excellent potential employee.


My accounts were pretty decent today

I got almost all of my lines in by 1:00, which is quite a feat for hump day.  I would have finished them then but I promised my kids we'd go swimming.  My accounts were also pretty low the last few weeks, so I'm glad to see them finally picking up.  Maybe the docs really were on vacation.  Who knows?  I just hope it stays this way and I hope everyone else's work picks up soon. 


Of course, I'm not putting my blinders on just yet.


When I find decent people who know the value of decent wages, I will!
tyvm
Thanks. Can you make any decent pay with them and are the accounts decent. What is your feeling
that. Thank you.
What would you consider a decent (sm)
line pay? 8, 9, 12 (well, we can dream, right?)
What is a decent
hourly starting wage for QA anyhow, or are we allowed to talk about that here.  I have been doing transcription for 11 years, and like you all mentioned, Im starting to just ache.  I can do about two hours at a time, and then I have to take a break.  I had done some editing here and there, and was thinking this time about going to QA full time, but I get confused with all the pay rates.  Some are offering 3 to 4 cents a line, some are offering hourly rate, and I have no idea what a decent pay rate is for this position.
Decent cpl pay.

Does it seem like escription accounts want to pay less because you can produce more with the editing? 


Never take less than 4cpl for editing.  That's the highest I've seen.  I personally won't take less than 9/10 cpl for the straight typing with those accounts either.


Don't know about decent, but here are some

Accurate Typing of Suffolk, NY - use Word and Hyperterminal.  Dependable Transcription of Florida - use Word, FTP, DSS files.  Documed of NJ - Word and email of files.  EFD of Alabama, but you need a Lanier or Cphone. Use Word and PCAnywhere.  First Choice - use Word and FTP.  Heim's in Pennsylvania - use Word Perfect 9 or higher and FTP.  LML Transcription in Illinois - use Word with DocShuttle and FTP.  Medscribe in Pennsylvania - only 7 cpl, use Word with DocShuttle.  Metro in Georgia - use Word and FTP.  MRT Services in Georgia - use Word and FTP.  MTs in Mass. - 7 cpl, pay weekly, use Word and FTP.  PRN Transcription in New Mexico - use Word Perfect and email, 7 cpl.  Transcription Connection in Ohio - 8 cpl, use Word and maybe ExText. (posters don't have much good to say about them, though).  There may be others and some of this info may even have changed in the interim, but it's a place for you to start from. Good Luck! ... Wanderer


 


A decent MT should be getting off QA sm
by the third full day of work, an excellent one sooner.  Congrats to you.  And yes everyone, I am saying that under most circumstances (unless the company has a strict QA time period of a week, 2 weeks) you should be off!
Decent job
Just changed jobs, went through a Med Tran headhunter type of service.  This has turned out to be a total disaster.  So, looking for new employment and am very interested in getting hooked up with a company that uses EditScrpt platform by eScription.  I have two years experience in that platform and love it.  Any suggestions?  Not willing to try this headhunter service again as they were less than truthful with me.  Actually just looking for a job with a decent company that pays more than slave wages.
Is there a decent IC job anywhere
Cannot find 1 IC job that pays decently with 24 hour turn around, and only 1 day on the weekend required. Scoured the ads left and right.  Any ideas? Not MDI-MD please (BTDT), anywhere else would be appreciated.  TIA 
very decent company
Everybody is great and helpful. Wish you the best..
First of all, have a decent attitude
Lets face it, working for a living sucks.  Unless you're doing whatever your passion is and getting big bucks to boot.  MT is not my passion, but I still put all I can into it, in order to get a paycheck and stay on the good side of my supervisors.  Simply a good attitude, work when i'm scheduled to do so, focus so the quality is above 98%.  I agree, its getting bad in this industry, you can complain all you want, but some of us are working hard to hold onto our positions...at least until we have something better to fall back on.  I don't have hubby to pick up my slack so I do what i'm told and collect my paycheck.
spell decent!
nm
I like it a lot. They are really decent people.

My first paycheck was in the bank ON TIME and for the correct amount too!


Is 8 cpl a decent rate for an IC who SM
just graduated from school in October, only my 2nd MT job and a fairly easy clinic account with no ESLs? Quite a bit of 'normals' info in our reports too.

Am I getting the shaft or about normal for a newbie?
The OP is saying she has no decent work, which
obviously seems lack of work. Your post sounds more like a confessional to clear your own guilt - apples and oranges! You have oodles of work, and the OP doesn't! Get it?
Decent living..

In short....the answer about Is it possible to make a decent living with them, without having to work 40 or 50 hours per week?.... NO 


All the decent docs have

TransTech did a big hiring blitz back in October last year for a new account, but the account almost immediately started going to VR, so the doable dictators left in a hurry!


The jobs that get sifted towards the MT's out of VR machine, thus, are the very difficult dictators that should be warned about their dictation habits.


The ExSpeech (editing platform) is very awkward and time consuming, so it is a catch 22 for the MT's. ExText has a good spell check and is easy platform to learn.


TransTech does not allow the MT's to check/verify our lines in the manner in which, in my opinion, we should be able to do. The CTRL I function does not give even a close line count and our pay stubs do not show it either -- just the word *piecework*. We can go to iChart; however, it does not show an immediate line count nor the jobs or line count per report -- only a total line count for a period of time per TransTech's counting method. It is a lot of trouble to go to iChart to get an immediate line count each time you choose to check your pace. We should be able to do this right from the platform/software that we are working in, IMO.


It seems our lines have been much harder to obtain in the past several months -- I suppose more to the dictators shuffled our way from VR, than anything that Transtech is doing with the line counts. I can't imagine them messing with our line counts in any form or fashion, as some companies have been accused of doing.


VR is the way of the future in order for the companies to be more profitable for themselves, so this is what we have to look forward to -- those of us who remain in the MT profession.


 


Well that's a decent amount of $
NOT to walk away from. Depending on how much you need it though I would still consider not taking it... and not signing.

Then you are completely free to do anything u want without any worry.

If you need the money, however, you appear to have little risk with this contract being prevailed upon in court.

I'd say you don't really need to 'panic' anymore - :) you'll be OK with either choice.

Good luck.




Looking for decent company

I'm looking for a decent national company. It's really important that they provide the computer since mine is ancient and they accept satellite internet because I live in rural Maine and that's all available here. I support a 4-person household and really need a company that's dependable. I was looking in Webmedx, Transcript USA, and Transcription Relief Services. Anyone know anything about any of those. Not interested in Diskriter, Transcend, JLG, Spheris, or Precyse. Oh also, are all the companies going to ASR now? Any suggestions would be greatly appreciated. Thanks.


She said she was looking for a DECENT company.
.
and maybe you'll get decent MTs!

The pay was decent and everything was good except
I never knew how much work I would have - sometimes too much and sometimes not enough. That was a while back, though.
Decent company

They are a decent compay with better than average pay and good benefits.  Pretty flexible as far as scheduling.  Platform is user friendly and easy to get lines with.  Team leads and supervisors are nice and helpful.


Umm - decent insurance? - nm
x
MT should be getting these things PLUS a decent
x
Decent for PT work
I worked for them for several months.  It was OK.  The work was pretty difficult and I have a lot of experience with ESLs.  I always got paid, but not always on time.  QA is a b***h, but that was just my experience.  I'd personally keep looking.
R there any decent companies
I don't want to hear from anyone with Keystrokes. Any other companies? TIA
Spheris decent?
Spheris insurance is reasonably priced but horrifically poor coverage; up to $3000 annual deductible. Pay used to be excellent; you know what you would get according to level of account. If you wanted more cpl, you could transfer to a higher level account. No more. Pay is top secret (lower). No more account levels. Flexible schedule not likely but depends on your supervisor/account needs. Most accounts now transitioning to some/most SR (even lower pay). PTO only if FT. Incentive is decent and attainable if FT. Resources are excellent to do your job (help loops, desktop references, training modules, etc.). Direct deposit always on time. If you don't need good insurance and can work for what they offer you, you would probably do okay.
DECENT DICTATIONS...sm
It's known as electronic cherry-picking by the Leads .. as the company claims not to outsource work.  There have been 1 or 2 who are very adept at this.  After 3 years with the company, I know generally the makeup, percentage-wise, of good, mediocre, ESL and dictators who just plain s**ck.  So when I get almost a whole shift of crap that takes me 3 times longer to produce, well, figure it out.  There is 1 lead in particular who likes to pick out the good dictators right out of my queue and replace them with garbage.  I have actually called her attention to this on more than 1 occasion.  I'm no tattletale, but this is my living, and my next e-mail will be cc'd to mgmt and all the Suits I can think of.  The Leads are literally taking food out of our childrens' mouths.  
Do you know if they are decent to work for or anything about them?
Thanks
I disagree with you......sm
I've been working with them since July and have not had any problems with communication or having work available, and I'm an employee. 
Have to disagree

I am a hospital employee.  I like the platform, it is basically word.  I am making more lines here than I ever have anywhere else.  I only work on one account.  The equipment is fine, brand new Dell with flat screen.  No problems in particular with supervisors or QA.  Hospital can be picky about things, but it is the hospital, not DK.  Benefits are great through the hospital, very affordable.  


DK is no worse than anywhere else, you just have to find what is best for you.  They are working fine for me  


I disagree with you. sm

I have to say that the reason companies are offshoring is not completely their fault.  US MTs, over the  years, have gotten to where they want to make more and more money so that they have to produce less and less work every day. 


Any talented MT should be able to produce 1500 lines (accurately) in an 8-hour period.  At a rate of 0.075 cpl, this would total $112.50, which works out to 14.00 per hour.  If you want to earn more than that, you work extra to do so.  There are people coming out of college with degrees that do not start out at a wage like that and don't make that until they have many, many years experience in their field.  This would be though in an average area.


By asking for exorbitant wages, which you could also earn by increasing your line count and working just a bit harder, we are forcing companies to have to look at offshoring more and more work.  Yes they work cheaper over there.  However, they also don't mind working harder and doing everything possible to increase their line count.


Another issue bringing our wages down is the fact that now an Editor is used.  This has come about simply because the MTs that are coming into this business are not adequately trained.  Therefore, an extra cost associated with the higher wages.  The same editor can be used but editing India work and the company will make a better profit and turnaround times are much better.


I do feel that MTSOs should look at the cost of living of different areas and also pay MTs accordingly as any other job would.  For instance, an secretary in some parts of Texas start out at 6.50 per hour; however, a secretary in New York may start at 17 or more per hour.  This is an issue that has never been addressed by an MTSO and I am sure never will be.


Over the last several years, many schools have developed that teach MT.  However, they are not producing quality MTs.  To make it in this business and earn the big bucks, you have to have speed and accuracy.  You have to be able to remember medical terms.  Most of all, however, if you cannot produce 200-250 lines per hour minimum, you might should consider a new job.  This is a production job and if you can't produce, it is not the job for you. 


For those of you experiencing out of work problems, easy solution... find another company to work for/with.  There are too many out there, so don't waste precious time.  Find one.


 


 


Well, I disagree with YOU !
Here is your statement -Over the last several years, many schools have developed that teach MT. However, they are not producing quality MTs. To make it in this business and earn the big bucks, you have to have speed and accuracy. You have to be able to remember medical terms. Most of all, however, if you cannot produce 200-250 lines per hour minimum, you might should consider a new job. This is a production job and if you can't produce, it is not the job for you.
___________________

Now, I am taking issue with this type of noncaring type attitude to those of us who are 50 and older, have a lot of physical problems, but you know what, I might not produce 220 lines/hour, but I do type 70-90 wpm, but I find I can only type for four hours, then have to stop, and then restart later on to finish up. Up to now, I have found employers out there who do understand this, and as long as I get my quota in for the day, they and I do not see anything wrong with doing the work this way. Well, you had your say, now, I had mine. Why don't YOU get to work, and stop chewing-out us other hard-working MTs, and there are quite a few of us left! I stack my medical terminology memory next to a doctor's, so there you have it, and I just could not sit by and read your comments without having some of my own to stick up for those us in my situation.
I disagree with you.

I disagree with you on a number of points.


 


First of all, as was pointed out by another poster, 1500 lines in 8 hours depends totally on the accounts and dictators you transcribe.  I have an (occasional) account where I can transcribe 400-500 lines an hour, and that, obviously, is due to the template.  I have another account on another job where I can only transcribe 120-140 lines an hour.  That isn’t due to my failings but due to the slowness of the company-provided computer and their platform.  When transcribing another dictator, I can usually transcribe 250-275 LPH.  The main reason I can do this is because I get this dictator all the time, have had the opportunity to become accustomed to his style of dictation and can make shortcuts based on his particular consistent phrasing of sentences.  If a person transcribes for more than 100 different dictators, the Transcriptionist never has the opportunity to become familiar with the dictator.  There are many variables in how many lines someone can transcribe per hour, and they don’t always involve the skill level or competency of the transcriptionist.


 


I also take issue with the fact that people coming out of college with degrees earning less.  Who cares?  Why should MTs who have been in this business for 20-30 years suffer just because kids who graduate from college make less money?  I’m sure most of these seasoned MTs would tell you that they made much more money 10 or even 15 years ago than they do today.  They are hanging in there with a deteriorating industry, just trying to make a living wage.


 


I especially disagree with paying transcriptionists different rates based on where they live.  Often that is the only recourse for those of us who have the ability to relocate to economically impoverished areas, just to keep up with steadily declining wages in the MT industry because we love this kind of work.


 


Although I agree that speed used to be a very important of a transcriptionist’s job, I also believe that with the evolution of VR, the need for typing speed in a transcriptionist is obviously going to diminish since it is no longer required.  Combine that lack of skill with the new graduates you mention who are basically clueless, and a whole new generation of incompetence is being created, leaving the more experienced, seasoned MTs out in the cold.


 


I personally am going to remain with the smaller companies, as I believe when it is all said and done, they are the ones that truly care about quality, and they may be the only ones left after all the big nationals outsource themselves into extinction through their new quantity versus quality standards.  They are also the ones who are less likely to cut the throats of their loyal, highly-skilled employees.


 


Disagree

Just because an MT is a production worker doesn't mean we never deserve a raise.  Basically, you expect the MT to do more, more, more, and never make anything more per hour, which isn't right or fair in general, and especially with the way the cost of living constantly goes up, health insurance, etc...


As far as editors go, editors have always been a part of the MT world as long as I can remember.  They aren't anything new.  I'm sure it's much easier for an Editor to edit jobs done by U.S. MTs than people in India who can't even speak English...That's just common sense.  Alot of their reports need to be totally redone because the quality is so bad, yet you'll send work to them??? LOL!!!


Amazing how you only harp on quality, speed and accuracy when it comes to U.S MTs; none of which you're getting from any MT in India, but you're okay with that because it's filling up your pockets. 


Soon, U.S. medical records will have to remain in the U.S., which is the way it should be.  You'll see.


I have to disagree (sm)

I used to be an MTSO.  There is a very fine line to walk between overstaffing and adequate staffing.  With the TATs being what they are today, it is even worse.  You have to keep the clients happy or they will go elsewhere.  I don't believe that is a problem at TT like it is at many other companies.  I also never ran out of work during slow times, just adjusted my schedule.


disagree

SirPercy - please don't denigrate yourself with such names.  No one is garbage, maybe a little trashy, but certainly not garbage.  I just left D and L typing a few weeks back.  They were fab-u-lous. Challenging (in a good way -- not too hard to comprehend) work, wonderful software, very nice staff. Always was paid as promised, on time. I didn't want to leave, but had other committments. I give them 5 stars.


 


I have to disagree with you.....sm
on that explanation.  I do NOT work for Keystrokes, but I did try them out very briefly awhile back and they put me on an account that had horrid ESL dictators that I could not even begin to understand.  I tried telling them in a round about way, but they never would give me anything different and there was NO WAY I could have stayed there with that mess.  If they had anything better than that, I wouldn't know, but I have heard that most of the accounts or horrible.  Besides that, they weren't too bad, but nothing out of the norm. Not every company is good for every person. 
I disagree.
Great company small company to work with. Plenty of work and payroll is DD and always on time. There are a lot of ESLs, but if you're an MLS that's great. Let's face it their here and they're not going anywhere. Their only downfall is that are no benefits so if you need paid vacations and insurance don't go there. They do not treat you like you don't exist. You are in constant communication through IM which stays up all day and there's always phone or email if needed. As for previous post you do look up a lot of addresses, however those are provided for you for each account. If you do not have it you don't search you leave a blank. No guessing. No internet searching. Can't find a word - they don't dock you for blanks. They would rather you leave a blank than guess. Daily feedback. You can have DSL to work with them, you dowload several voice files at a time and then can up load at same time or individually so second line would probably help but not necessary. They do not have much in the way of flexible hours, pretty much wanting you to work 8 hours straight but what job doesn't. They are not strict though, very easy to work with. As I said though if you are needing insurance coverage and vacation/sick time they currently do not offer, although have been working changing this.
I disagree
We work long hours (often longer than reported) on a job that is physically demanding (people don't realize how much so until they do it a few years and people who have never done it have absolutely no clue). You cannot socialize at all when you work, your right foot, both hands, ears and eyes are 100% on task for many hours. Because we work from home I think most people don't realize how hard we do work. In fact, most of us work harder from home. Yet, we get vacation time that is like a carrot dangling in front of a horse to get and you'd better be careful how you use it, unrealistic demands that we would have told any hospital to shove it (well, most hospitals don't treat their employees like that to begin with). We work holidays, weekends, nights, days, you name it. Our work is changed and thus our incomes, we're asked to be on call without pay. I could go on but I won't.

No, it's not that attitude that is harming the MT field. It's the attitude toward the MT field that is harming the MT field. It's become a nuthouse.

I disagree

I'm sorry, but I think we most certainly are different from assembly line workers or a pharmacy tech, etc.  Our job involves a whole lot more than those professions and I feel proud that it does.  I would say an experienced multi-specialty MT might be on the level of having a bachelor's, and what would be wrong with that?  How many of you with years of experience can diagnose a patient after hearing the H&P and know not only what meds to prescribe but their proper dosage along with a treatment plan?    


We still do patient care but in a different way.  We work with the written record as opposed to hands-on patient care.  Why should this mean we don't need as much knowledge?   We're the patient's safety net, as I recently heard a medical professional say.  Especially with the EMR and electronic signatures, we've got to be darn sure all the bases are covered and covered correctly.  The next time that patient is treated, what we have transcribed will be what the treating physician refers to.  How else can we know what the mumblers, speed demons, ESLs are saying if we don't know what they are supposed to be saying!  This is where the years of experience really pay off.


I think you're selling yourself and this profession short to compare it to those others.   To do our job well and make the most money, we can't spend time looking things up.  We have to KNOW it.  We have to know anatomy and physiology, disease pathology, pharmacology, procedures, maneuvers, signs, surgical equipment, the world of nuclear medicine, etc.  not to mention knowing how to make the best use of our computer's software, and the Internet, and tricks of the trade with our platforms, and skills with the English language such that we can edit where necessary all the while following account specifics which change depending on which account you are on.   Yee gads, it's amazing what we do!   If this weren't the case, why would the companies be so insistent on wanting people with years and years of experience?  They don't want errors and they want high production from us.  That's why newbies have such a hard time finding employment -- they don't know enough yet.  It takes years, as you all know, to incorporate the booklearning with excellence in the job performance.   It all has to come together and this takes time and effort on our part and the end result (our pay) should be worth the effort just like with any other job. 


 


I, too, disagree.
I feel obligated to use my expert grammatical and punctuation skills to make my work look professional. Typing verbatim makes the following look bad: the dictator, my company, and me! Of course, we would never change the meaning of the sentence - goes without saying. I have a problem with making everyone look dumb, though.
I disagree, as well..sm
medical transcription is SO different from anything you described, such as court reporter or closed captioning writer. When I was in MT school, we were TAUGHT to make the doctors dictations more correct with respect to grammer, punctuation, spelling, etc. This verbatim junk just came out recently as a way of cutting lines for the Transcriptionist and is sooo wrong. but as the other poster stated, we can all disagree and each to their own opinions.
some will disagree...but SM
many companies will offer their top quality MTs an abundance of work on a continual basis, but often offer less work for the less talented MT. I'm not saying one is harder working than the other, but as a previous MTSO, it does not take long to figure out which MTs will produce the quality work that requires little to no editing, making the service operate overall more efficiently. I will be the first to admit when I operated a small service of 5-10 MTs over ten years ago, the top quality producers (not quantity) received more work than the less skilled. Both had the proper education and training, some are just naturally better MTs than others. I would imagine this is how many large companies operate (not saying all). So when you don't have adequate work and you feel you are a top-notch MT, either move on. On the other hand, consider your work and don't always be quick to blame the company you work for.
I disagree with you
I have a great background with ESLs but seems like I got a good bit of them. I couldn't make a decent line count with short reports and these dictators. Sadly this happens everywhere especially where work is farmed out from the hospital. Do you think they are gonna assign you the butter reports. Heck no, they assign out the ones they cannot do or don't want to do. Its no different anywhere else. If you wanna survive in this business these days you have to learn to do these and then find a place that pays you what you want and has the right balance of reports to add up to the check you want.
Disagree. sm
Well, I just don't know about you guys.  The level-1 acute care center I work for is up and running 24/7.  Hope no one I care about is at your facility on the weekends, waiting for discharge , consult ,  transfer, surgery, whatever.   P.S.  Been chugging along here 20 years, not a prima donna.
Disagree
I disagree. RC starts at 5 cents a line. MedEDocs starts at 7.5. BIG difference.
I disagree
The company should mail the paperwork to the employee and provide an overnight or 2 day prepaid means for the employee to return the paperwork. Some people cannot afford to pay $25 for a fax machine. BTW, the cheapest I've seen is $50.

I feel that an employee should NEVER have to spend a dime in order to obtain a job.

If you interviewed at a local hospital for an inhouse job and they asked you to do something that required you to spend $50 before you could take the job, what would your response be???? This situation is no different.

It is not a matter of complaining, it is a matter of not being able to afford to purchase a fax or pay $25 to have papers faxed back to an employer. There are plenty of companies who overnight the paperwork and provide a means for the employee to overnight it back. I have worked for 3 such companies.

To the person who stated that if you work from home, you should have a fax machine: These people are MTs. It should not be assumed by an employer that all MTs have fax machines at home as a fax is not pertinent to their jobs.