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Serving Over 20,000 US Medical Transcriptionists

If they are only charging the client

Posted By: MTbird on 2006-02-23
In Reply to: 6 cents a line!?!?! - Jen

8 CPL, as you state below, then that is sad.  They are undercutting and the MT is the one that loses out because they will not get paid as much.The services keep dropping their prices and are only able to do that by paying less out to the MT.


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So are you charging them since you are using your
your second phone line?  What about the wear and tear on your c-phone?  No wonder you did not have to pay for anything, you are offering up your very own equipment.  I guess they thought that was great and are being super nice.  They have someone who is willing to pay their overhead...  hello?  Good luck though, but it sounds like they found an MT ready to offer up her OWN equipment instead of buying/renting equipment from them.  I just do not think that employee status should require any purchases at all.  Period.  The End.  Have a great day!!!     When you work on-site as employee (think of this way), the hospital/facility does not say in the interview bring your own computer would ya'? or bring your own c-phone or bring your own paper, pens, and paperclips....    
They do it by charging the doc 15-20 cpl, that's how. nm
.
charging sales tax
Does anyone know if you have to charge sales tax in Ohio to the physician offices or if you need a vendor's license to do transcription in Ohio? Can't seem to get a straight answer from any Ohio department. 
Since uncutting others by charging 10 cpl, they
x
What about charging a fee (employees)..sm
to rent their equipment, i.e, computer to do MT work as employee??  Doesn't seem fair, and I thought an employer  must provide work tools for the employee...not charge fees to rent PCs, foot pedals, etc. to do work.
That 9.9 cpl is what they are charging their clients
I clicked on that link.  It's completely an off-shore based company.  The 9.9 cents is what they are charging the health care providers.  That's only possible if they are paying 1 to 2 cpl for the workers.
Charging to use their software
Does anyone know why  a chartscript company would charge to use their software.  15.00 a month, not a huge amount but still why do they charge the MT? Have never had anyone do this before...
Charging for software
Yes I am an IC but this is the first time I have come across someone who charged to use their platform. I have my own foot pedal, computer..In order to get their work done you generally use the software /platform they use without a charge. I have worked in DocQscribe, Meditech, Emdat and others with no fee. Like you said, I guess just because they can or DO!
If they started charging you more so their US
would you still love them then? Or are you just in love with the rock-bottom price hospitals get to pay for MT, knowing full well what's happening most of the reports, and the MTs in America who used to type them?
How much you think these bigwigs are charging the hospitals?
And we get, what, 1/3 of this? 
I am in Kentucky,m never heard of charging
x
My MTSO who was charging 15 cpl lost acct to
x
The only accounts you lose in business by charging
No big loss there! It then frees up time and space in the schedule to land a better-paying account. Not only are we selling ourselves short, but the MTSO's are doing the same. They should concentrate less on what their competitors are doing pricewise, and more on producing the best product possible. The rest would take care of itself, and they'd ultimately be better off.
that's true. companies are STILL charging full rates using VR
nm
yeah and the MTSO still charging full price for the work
Most physicians/hospitals don't even know they're dictating into VR so still paying full-on transcription prices while the nationals/MTSOs cut the MT's salary in half. Nice huh?
client
Boston, Mass.
own client
Get this, I had my own client since Feb.  When i first started they were five weeks behind.  Got them all caught up.  REcently have been having trouble getting my paycheck.  Keep being told its in the mail.  I started putting a little bit of pressure on my boss yesterday and now tonight at 10:30 i got an email saying we should part ways.  I am so upset and do not know what to do.  All because i asked for my pay.  Uh may be they dont think over 2G is not a lot of money to them but I do.  They also were pushing me about TAT.  They gave me 4 days no problems as long as i get the files and everything i need in a timely manner, which lately i have not so i have been calling the manager because that is what i was told to do.  I really hate to go back to work for a big national but I guess now i have no other choice.  I wrote back a big reply to her email and waiting to see if i get a response and DH also told me i should call my manager and tell her thanks for the back stabbing?  What do you think?
client
Oh yeah, they did not even give me the decency of a phone call jsut a lousy email can you believe that?
its the client
Hey, it is usually the client that changes pay practices...why is everyone on this board out to badmouth one person after another....dishonesty is not always the path taken
I have (I am an IC). I had one client that
used cassette tapes and if I had to scan a tape I charged an extra 0.02 per line for that report. Not much, but it did cut down on the Stats. I also printed reports at home and if I had to reprint something because of their error or losing report, etc., I charged 0.05 just to reprint it.
The client usually never knows about VR sm
being used (big secret the larger companies keep), so they are getting full transcription rate and paying 1/2 rate to MTs to edit - more profit for the service!
No, you got the client because

you can hire MTs that will fall for it.   


only if the client allows it
is disengenuous and poor logic. It is also moral relativism, which in my book, is very, very wrong. I ain't gonna be working for them, either.
Meditech Client

I never used Meditech.  Hope it's easy to learn.  Hope these are not too many questions:


Does it slow you down? If it does, even with cable?


Are there a lot of steps or screens to go through before starting the report?


What does it mean that it is Word-based?  Can I use my own Word?


Is there a spell-checker?


How hard is it to use their canned text?


Does it black out my desktop when I'm signed in or can I still see it and go on line, etc?


Someone said sentences or paragraphs get strange when you try to go back to fix a mistake?


Thanks for any answers and anything you can add that might help.  I'm worried. 


Client does not pay for no report, so...
you aren't paid for a no report. No reports take about 5 nanoseconds to generate and send through, and you can go days before you get one...on all other reports, you are paid for the demographics.
Magic or Client? nm
nm
Its not AccuStat..its the client

I have worked with AccuStat many years now and they always pay as soon as the client pays the invoice.  If you are going to complain, become an employee instead of an IC.  It's so nice that you put something negative about a good company without the explanation behind it!!  Read the laws on paying ICs!!!  


Again to all, the company is a good company; been with them 6 years and they pay always!!! 


I am an independent and I cannot get client to pay
Anybody have any options for me how to go about getting paid?
No company will put an MT before a client, it's the
nm
Just like I had a client request
each day.  I said absolutely not as I am an IC and I am not available sometimes before 4 p.m. and also may not have the work complete.  Once the doctor found out, he was definitely agreeable to my take on this situation as opposed to his office staff.  You see, sometimes, the office staff whether it be for your own private client or for a company will try to get over.  I also informed this office staff that I would have to be an employee for that as well as paid an hourly rate in order to be on call.  I work by production at my own leisure.  I give them the turnaround they would like, but that includes delivery.  The physician has not and will never have a problem with that; it's the office staff that wants to see me sweat because remember they think we have it made.  Without benefits, I call my own shots.  Like or not, the client/MTSO contracting with you must give you that right OR make you an employee if they'd like to demand things.   All in a day's work! 
FYI, MDI has NEVER lost a client.
x
It is not that every client is questioned,
they usually come in with their list of preferences and if it is not done their way, BOS or no BOS, they will leave very quick.
How do you KNOW what the client pays?
Gottcha, because you are an MTSO !

Do you really think that clients pay 5-8 cpl? Go and fly a kite, toodle-loo, they pay at least 12-15 cpl.
All well and good, but if the client is only
willing to pay 15 cpl, the MTSO cannot afford to pay the MT 10 cpl.
In this case the client knows EXACTLY what is going on
In this case the client was the one who bought the eScription program and forced MDI's hand. They told MDI either you can be our service at this new VR at a reduced rate or we will get someone else. If MDI had said no I'd probably already be out of a job since the account is a large-volume group of hospitals and there is no way the other MDI accounts could absorb that many MTs.
Just because "the client wants it", does NOT
And going along with what a morally bankrupt client wants doesn't make it 'right', either.

I used to have a business of my own once. Service-related, but not MT. Sometimes clients asked for things that were just WRONG. As small as my business was, I still had the backbone to say 'NO'. It's sad that these big MTSOs, with oh, so much money backing them up, don't have the same backbone.

They seem to have forgotten:
'TWO WRONGS DON'T MAKE A RIGHT'.
Hey, I don't make the rules - the client does! SM
This is what the CLIENT has told us. They don't want us "padding" with "This is" or adding extra words to make complete sentences. I'm as bound by these rules as the MTs!

CorT is a client of Focus actually. sm
Focus subcontracts work to CorT as well as a few other companies.
Not sure how it works, but maybe the client just released (as they do on sm

Fridays) lots of dictation from the 21st, thereby putting the crunch on us.  QT probably didn't want to ask us to work extra over Christmas weekend.  In past experiences with other companies, it is the client who will sandbag the work and send it over in a huge lump that really dumps on the transcription company and its MTs. 


So, let's do extra and make extra.  It's not like we were asked to do it for free.


Stop worrying.  I think we're really okay.  We have to pitch in and help. 


 


 


I just recently obtained a client... sm

Last week I typed for our local cardiologist office.  I started out by fixing up a flier with information such as pricing, resources available to me...  I also made up a business card and included a copy of my resume'.  I was offering p.r.n. service, which worked out well for the Christmas holidays.  I figure this got my foot in the door.  I just sent out about four, but I plan to send out more this upcoming year.  All I needed to type for the cardiologist was a micro-cassette transcription machine. 


Hope this helps!


They asked for client not employer
Told them employer. She asked 3 times for the hospital I transcribe for on behalf of the employer. Thanks for confirmation. Glad I didn't get hired...shame on them...they offshore anyway...
maybe not over hiring, maybe no work being given to them from the client

Isn't it the client's responsibilty to investigate
where their transcription will be going when they hire an MT company?  If they hire indiscriminately then shame on them.
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!
I think Hippo is FTP client software
.
My client couldn't wait to get rid of MQ
They would send them 150 minutes and it would take them 4 days to return it and 4 people to do it. We do 600 minutes a day and return in 24 hours. Quality was bad and customer service was terrible. FYI.
I use Client for one account and Magic for another. sm
On Magic, I average 18 an hour. On Client, I average 21 an hour. That is an average though as some hours are definitely better than others and some days are better than others. I like Magic better because I have used it for many years.
Any Keystrokers using Meditech Client
I read some posts below that stated some were getting 15 while othere were getting 25 reports an hour. Can anyone specifically tell me what they get an hour using Meditech Client? TIA.
Any RAD MTs work on Client Server
TIA!
They do offshore, but only at the request of the client. nm
x
we did x3 but told client x4 to take the heat off
When we did quotes for clients we often told them multiply by 4 or more, but internally when handing out work we often figured x3.