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Serving Over 20,000 US Medical Transcriptionists

Scenario: No work. Docs not dictating. You are an employee. What does that do to your

Posted By: benes? your pay for "down pay" value? on 2005-10-02
In Reply to:

If you are doing no work, well, any formula to extrapolate your "down" rate of pay is still going to equal zip.


And if you go on vacation?  what does that do to your "down" rate of pay?  If you have no sick leave and you can't type, what does that do to you "down" rate of pay?


If you have no PTO yet and you are down for weather, computer problems, etc. if you are an employee, are you kicked to SE?  What happens to your insurance?


These are all questions you need to get hard answers to and get answers that are palatable.  And get them in writing.




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If it's that big, don't they keep dictating? Why would you be out of work?
I might be going on the same account with them. It is new for them. They are doing about 20% of the work right now, going up to 100% as they phase out the old company is what I was told. This is to happen over the next three weeks. I decided to go for it. It cannot be worse than no work at all and if it works out well for me, then I am ahead. Good luck to everyone. We need it in this business now. Who would have thought that we would be in this situation after they hyped it up that we were in such high demand. I blame the AAMT or whoever they are now.
A good mix. I don't mind ESL docs. I think that some U.S. docs are worse! nm
nm
sad part is, those decent docs likely have no idea their work is being sent overseas. nm
x
You can tell on some dictating systems how sm
many minutes are on the system, how many are backlogged, how old they are, and how many MTs are online working.
Can you say where you work if you get assigned docs/accts.? I'm tired of this pool garbage/left
s
Can anyone tell me how to change the dictating physician SM

in the gray field on the Spheris TWS screen. For example, if I need to change a dictating physician from a PA to the attending, the field is gray and I can't change those fields. 


Thanks  for the help.


...or when a nurse is dictating for doctor...

and he doesn't know how to pause dictation.  Last week I listened to four 30 minute dictations with only about 100 lines to show for it!  Finally the office taught him how to use the system!  Rookies ARGHHH!



Yeah, not too many ESL's dictating, but plenty of ESL's transcribing!
.
Is this scenario out there somewhere?

I know this is a tall order, but are there any MT jobs like any of these scenarios:


Mon through Friday?


Tuesday through Saturday, with Saturday being only 4 hours?


Tuesday through Friday?


Being able to take 2 weeks vacation per year with any of these above scenarios?


Decent pay per line? (more than 7.5 cpl)


I need to start looking again, but don't know where to start.


Thanks to all of you!


I think it is a little bit the first scenario and
I left a few months ago and there was a major exodus of people who had worked there for years, myself included.  We had weathered the changes there over the years, but the recent ones were too costly.  It's great when you first start there, but the honeymoon doesn't last long at all anymore.  At least it used to last a couple years, but those days at Transcend are long gone.
Okay, Here is the scenario...sm
What is your first thought when a physician all of a sudden spells out words that every Transcriptionist should know,when they have never spelled them out before. And when you receive a general e-mail stating what mistakes they have been finding, yet you KNOW you have not been making those errors.

Yet when you are hired, your cpl is based on the number of lines you can commit to and not the quality of work you produce.

Yes, you are a statutory employee.

Regarding having a backup account: Lets say that you have met your line count for the day, and you want/need to work extra. Are you going to stick with your primary? Or go to your secondary account to get those extra lines? Everyone knows that when you type on your secondary account, you lose money because you are not as proficient with that account. It just really irks me that when you are in a pool with other people, and the company asks for the number of lines you will do in a day, then someone goes over that count by 100%, do they not realize they are taking away from someone else's line count? There is a reason they ask for the number of lines you can do in a day - so they can hire the appropriate amount of people to cover those lines.
I got laid off too,. same scenario. sm
There were several of us that got the ax with no warning.
That very scenario played out for me last month.

Transcription Express was hiring ICs, but expected me to work every evening after 6pm and every weekend, both days.  They said that the owner might agree to giving me Sunday off, but nothing else.  Not exactly an IC position!!!


I think Transcription Express is hiring again.  So, any of you who enjoy being called ICs but treated as employees, there's an opportunity for you.


I hope the IRS has Transcription Express on their list of companies to audit.


Yeah, the layoff scenario went thru my head, as well, especially (sm)
since I hear this co. has a branch in India.
So then, the waiting period for the first job would not count in that scenario.
But the next insurance would cover if there was no break if employee stayed at old company, kept that insurance and then had no lapse in insurance when going to the next job. Is that correct?

Sounds like my situation, same scenario, first monday, then wednesday, now???
I would quit with no notice. I have begged and pleaded with the company and I cannot continue to go unpaid. I have bills to pay and a family to support. It is unfair and unjust. Just my 2 cents.
Will this be for IC or employee work? nm
s
This is IC work, right, not employee? Thx. nm
s
I have 3 but I work as an employee
Dont you need benefits? That is the only difference between ic and employee.


I work as an employee........
so I work a set schedule, but my supervisor is VERY flexible when I need it, and I was able to choose my hours. I also found the insurance to be MORE THAN reasonable considering to get it on my own with my family of 6 it would cost us OVER $1350/month. I also believe you should give a position more than 2 to 3 months before stating you had a negative experience. It takes that long to get used to all the dictators, especially an acute care account, which I am on (Dictaphone), with hundreds of doctors. Again, I can ONLY speak of MY experience with Medware, and it has been an AWESOME one, and I plan on being there for YEARS to come! JMO
You can work FT as an IC. You need employee or SE
status. 
regarding hospital employee work - sm
again, as posted previously, it really depends on what state you live in. What state do you live in??? There are quite a few hospitals that although they do not advertise, they do hire transcriptionists from around the state.

As for Diskriter, and any company for that matter, please do not believe everything you read on this board. It reads like the National Enquirer for Transcription. For every good thing a poster might say about a company, there will be five people (or who knows, maybe it's the same poster over and over again), saying bad things.

Just because one company is not a good fit for a few transcriptionists, does not mean that every Transcriptionist should run. Sometimes these are really bad transcriptionists that were let go, or maybe they are great transcriptionists that were dealt a lousy deal by the transcription service.
Are you the same unhappy employee with no work?
What's up with all the slamming.. People say negative things but never back it up with any proof or clear up what they mean.
Wrong- employee only. No SE work at all
nm
Statutory employee. Work when you want
nm
Employee status does not work 4 me

What type of work and IC or employee? nm
nm
How does assigned work = employee?
I have my own clients. All that work would be considered assigned work; there is no one else to do it but me. And as for the MTSO I work for (and the individual docs, for that matter,) it does not matter what they assign me to do, they just cannot dictate how I get it done or the hours I work, right? I want to be totally clear on my understanding of this. Thanks.
I should say that this is for ER work, employee, Merit system. nm
x
I work as a hospital employee at home
//
For IC work? 8 cpl is OK if you are an employee and getting benefits, but for an IC it's awful!
s
Are you ever able to get OT or work more days or hours if you want if employee.
Thanks for the input
Never would. BUT I am not an MTSO. I work as an employee for a company and I see everything sm
that I mentioned in my first post routinely. I don't mean to include all by no means, but don't try to make this out as a dream job. It has already been done and that is just one of of the reasons we are in the sad state we are in.
anyone work as hospital employee for/through Diskriter?
Was wondering how that works out, if that setup is better than working for a service. Better benefits, workload?
Ahhhh! Okay...work as an employee at home with
very good work habits. I have a great schedule and very rarely interrupted. I use the expansions in Word and do have many. I've been doing this for 10 years and leave few blanks but I do think I spend too much time on referencing. Maybe I just don't type fast enough but my hands sure do seem to fly on my keyboard! I just thought that maybe there was a secret I did not know about how to format expansions or something on that line. Thanks so much for responding:)
Anyone work for Archivus? Do they have employee status or IC? (sm)
Good pay, steady accounts, benefits?  TIA.
Anybody work for TransHealth as an employee and how do you like it? Is the insurance affordable?
nm
Can someone tell me the difference between IC and employee and what hours are you expected to work
as an IC. Are your hours flexible as an IC.
Only if you work directly for their hospitals, not as a Diskriter employee. nm
nm
I'm sorry, I should have said I work as an employee for a local nephrology office
I tried working for a National, but it wasn't a good fit for me because I didn't like the fact that I had to work holidays and weekends. And yes, I know that sick people don't take vacation days and there's work 24/7, but it just wasn't the job for me. I love my 9-5 job. I guess that's probably the only way that MT's don't have to work weekends and holidays, by working for local doctors.
Not a KS employee just amazed at the conclusions that people on here jump to. I work for a
small MTSO and hope that they are never mentioned here. I would hate to see someone I know attacked so constantly. I feel sorry for service owners that are not MQ or that big.
I work for a nat'l as an employee, and my PTO rate is now HALF of what I actually earn working. S
nm
What is your present line rate? I gather you want to work as an employee and not as an
IC because you want PTO and the FICA, but would you work as an IC?
Could be because all they can get from the docs is 11 cpl....nm
x
ESL docs
Im having a very hard time with all the discussion that I see on the boards regarding ESL doctors  -- I have been in this business 20+ years and it takes time to develop an ear to be able to understand ESL doctors  -- if you have a friend who is an MT, have her on instant message and ASK what the doctor might be saying  -- there have been times too, with her and my experience where she has played her stuck spot back and I heard as clear as a bell what the doctor was saying  -- unfortunately, the schools with their training don't do ESL doctors and this is the reason that 99.9% of the companies wont hire without experience - PLEASE resign yourselves that ESL docs are going away unfortunately
with ESL docs, you just never know..sm
You could have great ESL dictators, and at .09/line, you would be paid at least close to what a good Transcriptionist is worth (still not enough as our wages are pitiful now). On the other hand, if you have really terrible ESL dictators, that .09 could easily become comparable to making .05/line if you have to slow down to understand the doctor. With ESL's, you really don't know until after you have made that commitment. However, as a previous MTSO, I would never give one person all of the crappy dictators. Rather, I tried to distribute the work evenly to give everyone a fair shot at a decent line count. Good luck in your decision. Try bargaining. Tell them you feel ESL doctors are worth the extra compensation because often times your hourly production is decreased because they do not dictate proper English sentences, mispronounce words etc, and tell them you believe the work is worth .10/line and you will strongly consider the position.
Docs
who eat, slurp, roll hard candy or lozenges in their mouth, sniffing their nose constantly all while speaking....especially the eating while dictating drives me CRAZY!  It is just like having a rude person standing right next to your ear eating smacking his food.  GRRRRRRRR 
the docs may not NEED it but its sm
not for you to decide. If thats what they want and you do their work, then you do it or you don't work. I don't like it either, but they don't dictate their reports to suit the lifestyle of your or me. I don't understand why people can't see its the profession, you aren't going to change it. you need to get a new profession.

As far as the grocery clerks and weekends, etc. etc. They don't all call in sick and not work. Years ago when some of these supermarket chains were union, they made good money and those people worked their hind ends off, weekends, nights, holidays the whole bit. I know because my hubby is now drawing retirement from one of the chains. Seems to me we have a whole generation of younger folks that don't want to work but like the other poster said, they just want to p*ss and moan!
It depends on your account, employee status, amount of work agreed, etc. NM
x
You'll work as an employee, not IC. Need your own C-phone and pay for your own long distance line
s
Rotten docs

Dear Doctor:


While I have a great deal of respect for what you do, you aggravate me.


Please, when you are addressing a letter be courteous enough to include the CITY and the STATE, and if you spell something don't spell ROAD for me, because, trust me, I learned how to spell road in the second grade!


Don't make me search for 15 minutes to find something your lazy ### could have read off the chart, because I only made 14 cents to type that letter, and my time and skill is worth more than 60 cents an hour. 


And while I am venting, how about you say pheochromatoma, instead of feo, if that is what you mean.  Don't be so lazy my job is 100 times harder.