MTSO and client responsible here.
Posted By: Older-n-dirt on 2007-10-24
In Reply to: ExText is notorious for this. Will depend on exactly what the company - counts, too, footers, headers, spaces, etc. nm
As a former transcription manager I can tell you without even thinking about it that ExText does what it is programmed to do. Your MTSO signs a contract with their clients and all of these things are negotiated. Remember that the new ethics takes the consideration out of whether or not the MT can make a living. It is,however, all about cutting the cost of transcription and I would say it is about time MTs made it their business to be informed about how they are paid and then not rushing to work for companies that do not respect their talents. Why validate people who have no respect for what you do to help their business each day.
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As an employee, the MTSO is responsible.
It is their responsibility to make sure their employees are performing to standards. As a good MT, you try to do the best you can with each and every report, but the responsibility ultimately rests on the MTSO.
No, the MTSO is responsible for the final product,
and when they give you a garbage platform and force you to fly through reports to make minimum wage, it's too easy to make mistakes. They know this & don't care, and THEY are responsible for the product they are selling. If your brand new Toyota explodes, you don't sue the assembly guy, you sue Toyota... so bwahaha to the MTSO.
I work right for the client.......not the MTSO. I am an IC for a hospital. nm
x
As an IC you are responsible
for all of your taxes, including the employer match portion to social security. As an SE, taxes are taken out and the employer pays their portion of SS. SE is like being an employee without any benefits.
WE are responsible
Nobody is responsible for how we invest our 401K's but US! If you have a 401K and can't tolerate investment risk, don't put your 401K money in the stock market, put it in a fixed investment. The investment company has nothing to do with how we choose to allocate our 401K investments. If you have a 401K and don't understand how it works, learn! This is vital to your personal financial survival!
I am only responsible for me
If others are so against what the companies are doing, then they need to do something as far as turning them in, etc. I hear a lot of complaining on this board but to tell you the truth, I do not think it is going anywhere with actions.
YOU and YOU alone are responsible for
letting people take advantage of you. Who else is to blame? People sit here talking about not being able to go out of the home, sitting waiting on work. Do you think the MTSOs do not read here. I know they do because 1 day I got an email from 1 replying to a posting I made. As long as you allow someone to make a door mat out of you, it will continue. I know exactly what I am saying. I would make suggestion but it might be construed as being ignorant.
ICs are responsible for taxes... sm
and insurance and all withholdings (1099 status). A statutory employee has FICA withheld and usually Social Security (W2 status). Both have to turn in schedules to their companies, but ICs have a little more flexibility. Also, ICs supply their own equipment. Statutories have the option of company supplied (with a rental fee taken from their check, which is waived a lot of times for high production) or use their own equipment. No bennies for either. An IC just usually needs to meet client turnaround times and can stop and start a lot more than a statutory or full employee status person does.
Not sure if company responsible
for this way of counting or not. They don't pay for headers that you have to look up info for which takes time. I would say about a 30% reduction in line count per report disappears. Where it is going? Right back in their pockets I suppose. Im definitely looking elsewhere
Are you responsible for your own taxes?
Do you have benefits? How fast do you type?
Transcend is responsible for this.
That company has some of the worst managers in this business. They do not care about anything but themselves and think if they just slam the accounts with a lot of MLS to keep them current that is called good management. Some of the good managers take the time to balance out the work so everyone has enough but the lazy ones do not care whether or not we can keep our benefits or pay our bills. But you can't do a thing about it, these are the big boss's pets. You can do what I did - find a second company to work for so you do not rely on them for all your income.
Ultimately, doc is responsible.... sm
Ultimately, it comes down to the responsibility of the physician. I used to have physicians that would put things on the reports like, dictated, but not read. and they would think that got them off the hook, but ultimately, it is their responsibility to review the report for accuracy.
You are so right, I stand chastised, we are responsible!
nm
reflect how responsible you are in other things.
x
Don't jump to conclusions about Wbx being responsible here - sm
you never know what is true in advertising. I'd be questioning the integrity of the J&J recruiters, rather than Webmedx!
who is made responsible for the mistakes
that slip through into a patient's report?
Do you think that all transcribed or VR reports are 100% error free?
This is no reason to stop the ongoing change to EMR.
Same thing.
I would always hope that a responsible intelligent MT...
typed my medical records. However, why should an MT be the ONLY ONE to take the perpetual pay cuts and the increased reponsibilities that should belong to in-house employees...you know those people who get raises and good benefits...such as researching demographics, CCs, etc.
This business is really different than when I got into it almost 10 years ago. I really, really feel for the people who have been in it for longer and have few options for a career change.
Ideally, yes, every member of the team, from those running MTSOs to those in hospital administration, would have patient care uppermost in their minds...but you know without it being said it is all dollars and cents to them.
MTs are just collateral damage, and professional people should not have to take a pay cut for trying to be more professional than the other people on the TEAM.
I shudder at some of the reports that I see, too, but I cannot lay a guilt trip at the feet of MTs trying to make a living when the deck keeps perpetually getting stacked against them.
The last job I went into was exactly this way...if you have a foot pedal and knew speech recognition, you got the job because speech was new to them. Their tech support was also the human resources person, chief salesperson, and CEO, so when my footpedal did not work, I had to figure it out. My QA trial was 3 reports and then off. The office manager sent me the account specifics - updated in 2007, but I had no supervisor. I could e-mail her with questions, do not call please, and she would try to find an answer and e-mail me back. There is no weekend and evening coverage for anything...call Dictaphone if you absolutely cannot work. Otherwise, five blanks is acceptable to send to the client.
To me, these are the people who should be told to buck up, not the MTs. How can you possibly expect to have a quality MT if that is all the time and information you give them? Inferior MTs are being created by the industry and accepted by hospitals so they can pinch a penny.
To ask MTs to switch professions if they cannot cut it is ridiculous, because they will just be replaced by MTs who know less than they do or more work sent overseas because there truly aren't enough American MTs to do the work.
I agree with the OP ... the MT or editor is responsible.
No, just someone who is not an accountant. Responsible for 200+ employees, ICs in several states. No
nm
They take out for FICA. You are responsible for state and fed taxes. nm
Lawsuits? YOU are responsible for final product, sm
VR doesn't claim to put out a perfect product and never will.
when docs give mtso a check, then mtso pays you?
nm
Isn't she an MTSO owner - which MTSO ? Just curious. n/mnn
nnnn
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.
If they are only charging the client
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.
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
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