MTSO HOSPITAL CONTRACTS
Posted By: pabbyam on 2007-04-21
In Reply to:
What duration of time is a contract with a hospital, one year? It is now April, meaning 50+ transcriptionists needed a year ago, means 50+ now fighting for work. ??
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Yes, the hospital contracts out to the MTSO who is an IC...sm
and has to hire people to fullfill that contract. They have the option of hiring independent contractors with some sort of line quota in a period of time or hire employees who work a schedule enabling them to meet turnaround times more precisely but having to pay employment taxes and give benefits. A company can have of mix of these employees but there is definitely a difference by law. I myself prefer flexible part-time, but so far those jobs have been hard to find.
When the hospital contracts an MTSO they are abiding by contract
and the hospital CAN ask that the work be done at certain times. That does not make the MTSO an employee now does it?
They CAN contract a person out to do work at certain times with certain turn around times, and that is NOT called an employee. It is called CONTRACTING someone out to do the job they need done when they need it done.
I work right for the client.......not the MTSO. I am an IC for a hospital. nm
x
I work for MTSO and know the hospital acct
I work on is a big one, just do not know how many MTs that on this particular account. When you say you correct only erroneous text I am not really sure what you mean by this. I correct everything I see that is an error so can you explain further as far as erroneous. Do you read the entire report as it goes or ?
Actually, my local hospital offered me MUCH less than what I make at my MTSO
By 4 cpl.
contracts
Everyone should keep in mind contracts work both ways. If the company voids the contract in anyway - nonpayment, late pay if stated in the contract a date it is to be - then the entire contract is void. If you have a problem, go through the yellow pages for a free consult with an attorney - but the contract is not just for them it is for you too - so if it states you are to do 1000 lines a day and they do not offer it up, if the wording is proper - they voided the contract not you. If a company says the payday if Friday and you do not recieve it within a standard mail delivery date, they have voided the contract. So yes please everyone review what they sign to see if you can get what you deserve. So many of us just take it, I say get some legal advice - Lawyers hand it out like candy. If we dont - they will continue to bounce checks, pay late, decrease workloads, etc.
contracts
Tried to email you privately but it would not go through. can you send to my email and let me know company name you mean. I would like to know if it is the same one. thank you.
contracts
Anybody have this experience? I was just offered work from a company that sounded wonderful, just what I needed. No set schedule, work anytime, just set number of lines. Then I got the contract which stated basically paid on the 15th and 30th assuming payment received from client. What? I should do the work for their business and then they don't have to pay me until their client pays, if their client pays. I don't think so. The contract obviously precludes the MT from contacting the client so how do I know if the MTSO got paid or not or when they got paid. Just looking for other people's thoughts on this. Am I being paranoid? Have you ever been asked to sign such a contract? I have seen many postings on this board about people not being paid, and I do not want to be in that situation. I do the work for XXX Company. Doesn't XXX company owe me that money either way. I feel it is their responsibility to pay for work done for their company and THEN deal with the client for any nonpayment issues. What do you think? I politely told them I could not sign the contract with that statement included and asked them to reconsider their position, explaining my feelings on the subject.
contracts
Without reading the contracts, I would say that they need to give notice to change it, unless there is a clause in the original contract that they can change it at will. If you see a clause like that don't sign it.
RE: CONTRACTS
Right ... employees, IC or employee status, should have some type of contract with their employer. But who usually writes the contract? How many contracts presented by the MTSO actually allow for input from the MT? For the most part, they are WORTHLESS, often detrimental, to the MT, since they are almost always one-sided favoring you know who.
contracts
Do you then sign a contract you disagree with? I don't understand doing that.
When I'm given a contract, I surely do take my pen and cross out what I do not agree to, add in what I want agreed to, and sign it.
This at the very least opens the door to negotiation of what I see as issues I can't work with. I've turned down contracts where the MTSO wasnt willing to negotiate to meet my terms. And more often than not, the MTSOs have been willing to work with me.
contracts
You can give direction to a contractor. You can tell the plumber you work until noon so he needs to fix your bathtub between 1 and 5. You can tell him you can only have a plumber there on Monday.
Most ICs do not ever bother SUBMITTING a contract to a service, which is just insanity. Instead, they kowtow to the demands of a service (treating them as employees), then kvetch when they aren't treated as ICs.
Education and knowing how to conduct BUSINESS is seemingly lost among way too many MTs.
You need to negotiate better contracts.
.
Depends on Contracts
I do not know whether the contract specifies only that the work be done in US, or that the provider not outsource at all. If so, that could void contracts. But at any rate, they will still need us US employees to do the work.
Some union contracts have more pay for certification. sm
At a facility I worked at for about 11 years, we had that benefit - $1.00 an hour for certification. You would have to find a unionized hospital and see how their contract reads.
Beware of contracts that state
you get paid when we do... run, run as fast as you can...! Do not sign it.
They don't go up b/c hospitals have contracts with MTSOs, sm
saying this is the rate for 2 yrs or whatever. The company may want to pay you more, but they aren't getting reimbursed a high rate from hospitals or clinics.
I'm an IC and I won't accept contracts that have line
IC. Those of you who agree to working a certain amount of lines are being taken advantage of, and you also make it harder for us true ICs who know that line quotas should not be enforced.
If these companies worry about keeping the client happy, then hire more people. The company I work for does just that. If I can't work for some reason, then someone else picks it up. If they can't work, then I pick up the slack.
Those of you who want steady work put up with the rules and accept IC status because you want to work every day. Well in response to your lazy post, then don't come on here crying when you run out of work because as an IC these companies do not have to promise you any work or provide it all.
So it doesn't work both ways. Most ICs, by definition, should really be employees especially with set schedules and set hours.
As soon I see that I have to work set days or type a certain amount of lines I bypass that crookery of a company. Sorry, that's how it is and I do fine in the salary and job department, and I am a true IC that makes my own rules. I am by no means lazy but I will not tolerate set rules when none should be set unless they want to offer me employee status.
P/S: You all cry when these companies run out of work and when you're an IC, they don't owe you any work; so the joke is on you for not looking out for yourself and instead trying to make excuses for these companies who are getting away with paying ICs and controlling ICs when it's against the law.
FUNNY THING ABOUT MT CONTRACTS - SM
They're about as LOPSIDED as a 3-legged dog/horse/donkey - take your pick. WHO GETS TO WRITE THESE CONTRACTS IN THE FIRST PLACE?? Who has the most to say on what does or doesn't go into it? Certainly not the MT. They're almost all written by THEM - with the help of their attorney or in-house legal department - and I can guarantee you they didn't miss a trick.
Case in point: Ever look at your apartment/house lease, for example - you know the tiny print on the back with about 200 clauses - favoring, guess whom?? IC status might have its merits for the MT - CERTAINLY for the MTSO - no taxes, no SS to pay for you ... no worry about lawsuit for wrongful termination or worry about you applying for Unemployment - but they STILL b---- and moan ALL THE WAY TO THE BANK. 
FUNNY THING ABOUT MT CONTRACTS - SM
They're about as LOPSIDED as a 3-legged dog/horse/donkey - take your pick. WHO GETS TO WRITE THESE CONTRACTS IN THE FIRST PLACE?? Who has the most to say on what does or doesn't go into it? Certainly not the MT. They're almost all written by THEM - with the help of their attorney or in-house legal department - and I can guarantee you they didn't miss a trick.
Case in point: Ever look at your apartment/house lease, for example - you know the tiny print on the back with about 200 clauses - favoring, guess whom?? IC status might have its merits for the MT - CERTAINLY for the MTSO - no taxes, no SS to pay for you ... no worry about lawsuit for wrongful termination or worry about you applying for Unemployment - but they STILL b---- and moan ALL THE WAY TO THE BANK.
Our contracts will expire at the end of 2009
at which point we will have to sign all that HIPAA confidentiality stuff and probably noncompete agreements with Transcend too. While the 2009 MDI contract says they have to pay us a certain line rate for 12 months (and this would be binding on Transcend as well) I bet what we signed says we cannot compete for at least couple of years (and this would be binding on us as it pertains to what would now be Transcend accounts.) Don't have time to hunt up and read my contract right now but I would be very surprised if the noncompete agreement expired at the end of 2009. Way to easy to walk off with accounts that way.
I'm not posting contracts. You're insane!
I don't care if they don't believe me. I'm the one getting paid. What do I care if they don't believe me? I can understand the problem with others getting hired in at higher rates, but truly that is their situation, not mine.
You're real sharp but not I'm not dull enough to bite that! LMAO
Good Point, But Contracts One-Sided
Sorry for duplication, I now see both your posts. You bring up a good point, though sometimes these contracts are one-sided and allow a lot of manipulation of job pool by client. But fact remains that US-only work remains and someone has to do it, preferably those of us already trained. Hopefully one way or another we will remain working for those clients. ???
when docs give mtso a check, then mtso pays you?
nm
Diskriter off off offshores - and on some hospital accounts - they have not informed the hospital
x
Jewish is the main hospital, St. Mary's is another hospital under their management. (nm)
x
Sten-Tel contract, anyone with any info on their contracts? more inside
I received their contract and had my attorney look at it and some red flags came up. One of the things that is in it is an indemnity clause stating that I an as an IC hold them harmless for ANY liability even if it's THEIR fault. And there is no guarantee of any certain amount of work or amount of hours in it. Please help and advise if you can. I would like to hear from any previous Sten-Tel workers or present ones. Thanks.
As a service, I do not carry liability insurance...on contracts,
I line out that clause. The liability for MT work is extremely low. I personally have never heard of any MT being brought into court on a transcription. Has anyone else? Therefore, liability insurance is either a) not necessary or b) if purchased, would be really really cheap as the liability is practically nonexistent. None of my clients has ever been offended that I don't carry liability. I simply tell 'em that no body does.
Non-compete clauses in contracts. Has anyone refused to sign this and still got the job? nm
nm
Companies close old and gain new contracts all the time. (SM)
Stop rumoring.
If you have information, share with the Administrator or myself. Otherwise, leave rumoring off the board.
Goldbird
I've got a question about contracts. How legally binding are they?
I was reading the MDI discussion below and a couple of ex-MDI MTs have said that their contracts were changed while they were still employed forcing them to work different days, different schedules, etc. I worked for JLG not too long ago and they basically did the same thing. I signed a contract stating a certain wage and then they basically breached the contract and completely changed my wage.
So what are the deal with contracts anyway?!?!??!?!?! Why do we bother to sign them if the companies aren't honoring their side of it? And shouldn't the MT be able to take legal action against an MTSO that has breached their contract? Shouldn't there be legal ramifications? The MTSOs make sure to put in noncompete clauses in the contracts so we don't steal any of their clients and try to scare us into believing that if we try to steal their clients, they'll sue, but then they completely disregard the fact that they signed the contract and they could be sued for not meeting their end of the deal!
I HAVE HAD IT!!!! These MTSOs are getting away with too much! I have a file folder the size of a freaking PDR with nothing but contracts I've received throughout my career as an MT and I'd bet that if I sit down and go through them, not one of the MTSOs honored them.
Most contracts said either party can quit or fire at any time. Would be unusual to get locked into
s
Isn't she an MTSO owner - which MTSO ? Just curious. n/mnn
nnnn
First for hospital, then outsourced still on same hospital work
and believe it or not, the hospital was so much easier. Had worked at the hospital for 11 years before they outsourced and then worked another 3+ years for the company they outsourced to. What a difference! The company had so many rules and regulations you could hardly keep up with them all, thousands of them, on the same account, mind you. The higher ups would not leave you alone, constant IMs about any and all. I have gotten to the age where I do not need all that and walked the other week. Have scheduled testing with another hospital for this month. Hope I make the cut, love the hospital work 1000 times more than a company.
MTSO
New here. What does MTSO stand for? Thanks
Looking for an MTSO where I can do mostly ops.nm
nm
Better MTSO
I would contribute myself. Sorry to sound conceited, but I'm really good at my job - and I want to work with other people who are good at it, too.
I think that the MTSO can
anonymously or pseudonymously respond with line rate range info to provide general info to the posters.
Another MTSO here
Feeling just like you. Look at the ones who complain about working weekends - how many medical professionals do you know that don't have to work weekends? Why are they in this field if they don't want to work weekends? It's a pity trip. How about working in retail or restaurants?? You want a 9-5 job, go get it, away from home of course.
Would like to talk privately but I don't spend much time on this board and don't really know how to do so. Let me know if you do!
To MTSO - sm
I don't fish, so I don't know what you are smelling, but perhaps something from your personality? I have posted this before, and will continue to do so, as IT DID HAPPEN to me, IT IS THE TRUTH, and I have no reason whatsoever to lie. I want the original poster to know what can happen if she gets
hired by Keystrokes. I want others to benefit from my hiring experience so they don't have to go through what I went through. If my posts are so distasteful to you, do not read them. Your attitude in your posts leaves much to be desired as MTSO...wish I knew your company so that I never cross your path. Perhaps someone posted the truth about your company once too often?
MTSO
Not all MTs are employees. There are ICs and there is a difference.
To: MTSO
Many of the MTs who send that great looking resume' with what appears to be a solid work history...are totally bogus. They may have worked for company x, x, x, x, and x in the last five years, yet they condense and fudge to make it looks like they only worked for company x, and x in the last five years. Many MTSOs don't take the time to check. If the MT passes the test...the MTSO is usually so desperate to get somebody in to work, they hire them without checking.
Also, many claim that they job hop because a company runs out of work....guess what? This happens at almost every MTSO, so instead of quitting only to find yourself in the same situation a few months later, get a second part time IC job to fill in the gaps.
MDI, anybody know how big this MTSO
is and how many MTs they have? Does any body know if it is IC or employee status?
Any info is greatly appreciated.
Does your MTSO allow you to use your own
I'm torn on this issue. My company has just strictly forbidden us to use normals unless they were created by the client, since apparently some MT's have left text in the document in error by not editing correctly. I can see how this causes a serious QA issue, but I can also see that my pay just got cut seriously yet again by not being able to use them.
So, what' s the answer here? How does your MTSO handle normals/standards, and what happens if you make an error with one?
To MTSO
At the risk of causing a stir, I am curious about your comment that no serious MTSO would hire a PCDI grad. I am the poster titled Another PCDI grad right below this post. Again, I state that I do not believe it is all about the school, I believe the person and the determination has a lot to do with how far you can go. I feel very comfortable with the 2 jobs I have. I also know that I am not the only PCDI grad with a job. I truly wish that more people would stop looking at just the school, and start looking at the person, because there are all types.
mtso
If I may ask, what does MTSO stand for? Thank you!
What is MTSO?
nth
Well, that's why you are the MTSO and we are the
MTs!! Its your responsibility to divide up the work, and sorry, but most MTSOs I have dealt with have asked me to commit to XX amount of work. They know full well that is all I can handle due to MY other commitments, yet the MTSOs are more than happy to have me at my commitment of XX. That is OUR agreement. I am an IC and on my own. So it is not my problem if Sally has an earache or Dr. Jones has extra work. That is YOUR problem. MTSOs should ASK if we can handle more due to the above situation, but when MTs get dumped on with 2 or 3 times the amount of the agreement, it is WRONG, and very frustrating for the MTs. Thus why most quit and move on to a MTSO who will keep the agreement. Its only common sense, really. Which seems to be a lot to ask for in this day and age.
Top 5 MTSO
Cymed advertises as the 3rd largest for domestic MTs. Not sure how you would verify that though.
Of course....but where are you and are you an MTSO?
It is just hard to give up all my info all the time only to never find out who an MTSO is or if they are legitimate. All of my info, address, etc. is usually on a resume which we submit via e-mail, but if a supposed MTSO never e-mails back, how do we know who we just sent OUR info to?
TO the MTSO
You are not being 'bashed.' People are merely using a public forum to forewarn fellow MTs of poor experiences. If you are truly concerned about your reputation, you will re-examine your business practices and make some needed changes.
Bashing implies an 'unfair' attack - that's not what is going on here.
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