Many hospitals around here have tiered production pay scales. SM

• "twisting The Knob" - if each of us told just 1 person in medicine about how this is done - how long will nationals be around?
  • Hospital concerns for benefits. - IC for a hospital
  • twisting the knob..BRAVE ladies! - Nanna23
    • oops, long night should be BRAVO - Nanna23
  • RE: "twisting The Knob" - if each of us told just 1 person in medicine about how this is done - 121212
    • Beg your pardon. Not the minority. Hospitals are getting clued in. - Cost cutting is getting more
      • Totally deluded thinking! "bring transcription back in-house to gain control of the cost." - Let me tell you...
      • Wrong assumption - another observation
        • You are assuming - Cleveland
          • Because in a production environment, the MT will generally produce a significantly higher number of - no name
            • Many hospitals around here have tiered production pay scales. SM - Cleveland
              • Which hospital? Also in Cleveland, would love it. - no name
            • When a hospital gets fed up with going to court - with trashy notes, they will
              • That's odd, I never said anything about trashy notes. I said "significantly higher production. - no name
        • I have seen this first hand with my own BIL - you are soooo right on the money
          • Hospitals! and Clinics! I said are who will bring it back - under their own roofs. Not

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What I have found with 2-3 companies is that the number of years you have been an MT really does not matter.  Your pay is based on your skill level.  This means the number of specialties you are qualified to do as far as office visits, tests, procedures, and surgical reports, and how long you have done each of those specialties.  The list of these was absolutely unbelievable.  I would not be dishonest about it either.  You may end up on one and expected to be an expert.  So if you have been an MT for 10-15 years, but have only done cardiology, or 1-2 other specialties, your skill level may not be as good as what they are looking for. Some companies have 3 different skill levels and some have 4.  I have been an MT over 30 years, but my skill level is only in the middle, which is 9 cpl.  I'm pretty comfortable with that.  The extra pay is not worth learning all the other specialties to me as long as I can stick with the one I am best at because at 2000 lines a day I can turn that 9 cpl into $45,000 to $48,000 per year, which I am okay with. 

Some of you may want to look at it this way -  if you are low on work or no work,  isn't it better to make 7-8 cpl on an account/specialty you do well ($35,000 or $40,000) rather than 9 cpl on an account where there is little or no work ($20,000 to whatever).  I would think about that before demanding the higher pay.  You have to have that SKILL level to demand higher pay, not any given number of years transcribing.  Doesn't matter if you have been an MT for 40 years.  The employers are getting picky and demanding themselves these days.  To all of you MTs who have been around a while, don't let your age discourage you.  Your experience is now what the companies are looking for if they are going to pay those higher wages.  There are alot of us out there.  It will be very easy for you to land a job.  Hope everyone finds work and pay that makes them happy.  Good luck.

them. I would assume the accounts are on 12, 24 or 48 TAT but wouldnt they love having their work back no sooner than it is dictated.

wherein you are paid a benefit time rate according to how many lines you produce, i.e., 175-200 lph you make 9 cpl but benefit time for PTO purposes is $12/hr. and so on. 

Only they called it leveling.  They leveled everyone the same, whether you had 2 months or 20 years of experience, everyone got the same lousy pay.

Check out the following site - help save our profession!

http://www.ataus.org/

paid anywhere from $14-$16.50 per hour.  With present company making $16.50.

You will get along great with the MTs if you give them feedback in a positive constructive way and not come off as you are better than them.  No need to be arrogant and snotty when giving feedback.  When doing QA you also need to be willing to mentor.

offer transcriptionists the opportunity to work at home directly for them, with decent hourly pay that is at least consistent with the cost of living in the employee's particular region (and assuming that the MT would be working at home for a hospital that is in her/his region), with same employee benefits as the on-site employees?

i've been applying to the hospitals in the area about every 6 months, and no one is hiring.  i don't even think hospitals or doctors offices have MTs anymore...not my doctors office, and not another place i applied for a job...they have these little hand held things they dictate into that transcribe their words right there and then, they print it out, sign it, stick it in the chart, over and done. 

if i weren't 10 years away from retirement, there is no way i would get into this business.  having been doing this for over 20 years, its hard to find something else. 

i've got work today, but its crappy work, the national cesspool stuff, and my line count is going to be so far below the minimum requirement it won't be funny. but they shouldn't mind, since it means they won't have to pay too much at the holiday rate. 

but i keep applying and looking and applying and i know something good will hopefully come my way eventually.

in the meantime, i've had to get a 2nd job, part-time, another at home MT job, with a much smaller company, all IC employees, and i'd jump ship in a second and work for them full time if that wasn't the case because they are like night and day from the place i work for full-time now, but i need benefits, am single, own my own home, and will soon be one of those old ladies living out of shopping carts on the street, eating out of dumpsters, at this rate.

I am not taking my time with these documents.  The problem is that even when the system is trained, you have to read EVERY LITTLE WORD and fix really stupid things like the dictator said "are" but the VR typed "were"---that kind of stuff.  It's horrible with things like that.

Raises?  What are those?  Thank you?  What does that mean?  An answer?  The only one you will get is "I don't know".  Training?  Forget it. 

What also makes me almost ill is the careless/thoughtless dictators who are dictating in the ICU and all those bells going off, banging their pipe on the table, their cells phones ringing right in my ear, the overhead paging system louder than the dictator, and on and on. I will be so very intense on hearing/interpreting what this horrible dictator is saying and those MONSTROUS NOISES hit me in the ear so loud that it literally gives me a headache. It seems that every night I am working with a terrible headache caused from the dictators. I am totally in a stress wad during my entire shift. When working inhouse, the supervisors will go to the dictator and call them on the carpet, but not these nationals. They are SO afraid of losing an account or irritating someone at the hospital, that we MT's catch all the flack.

I know, I know, I am obviously in the wrong profession now. BUT when I started in this field, the profession was not like this -- and I have been in the field for many years now! Other suggestions welcome.

works?  Where are the breaks and how much per level?  Thanks. 

temporarily.  You might be lucky to get docs whose ROS and PE you can create as a normal, which will help, but with these other work types there are more headings, more hard returns, the dreaded labs.

I find that the terminology is different too.  Where we don't get lots of meds in Ops, we do in the other work types and we may have to look some up, and there may be other terminology that isn't used in Ops that may be unfamiliar.

I have done pretty much all Ops for years too and an occasional DS or ER note is okay, but I despise consults.

Of yea, with other work types lots of times they are dictated by a PA or NP, so you will have dictators that are new to you.  I have had accounts where the PA/NP had their own dictating number and other accounts where they dictated under their sponsoring physician, so you see Dr. Joe Smith come up and he is a wonderful dictator, but it is his fat-headed, *od's gift to women, speedy PA dictating.