That is an ignorant statement

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what do you mean do not over committ, be conservative, but they appreciate when you go over your lines?  Thanks! 

I'd like to correct the statement about ICs working for other people and not owning their own business.

I own my own business.  I work as an IC for the clients I transcribe for.  I filled out a 1099 and do the same work any other MT does with the exception that I don't work for an MTSO who is making money off me while I'm doing all the work.

I wouldn't dream of trying to acquire a client and then have them hold my hand.  That's why I waited as long as I did to finally go out and get my own accounts. 

My check this time was smaller than I anticipated.  On the old system my weekend bonus lines were included under the bonus heading, this time the only thing there were the NS hour bonuses. 

Before I call payroll I thought I had better find out if this bonus is now included somewhere else.  Maybe we aren't even getting weekend differentials anymore.  Any input before I call and make a fool of myself would be appreciated.

The dictated H&P, CS, OP, DS reports are not so the hospital can be paid.  It is to provide continuity of care - aside from being a Joint Commission requirement upholding quality patient care.  JC decides the time lines these reports must be dictated and transcribed within.  It is NOT just so the coders can code or the hospital can get paid.  I transcribed a lot of reports from victims of 9/11.  They needed their transfer reports to go with them to their rehab or long-term facilities so the second facility would know the facts of their medical needs and how to care for them secondarily.

I don't know if you were around a few years back when many ER departments switched to a checklist to eliminate transcribed reports.  When the hospitals were audited and failed documentation requirements, the checklists were abandoned and a return was made to dictated reports.  The only checklists left in ERs now are for visits considered to be very low level triage patient not seen by a physician or PA.

Yes, there are rules about what must be included in all those reports, but that is a different topic and not linked to continuity of care.

Hope this clarifies some issues for you.

when we get paid was a big STOP sign for me. All I know.

credentialing.

programs are dependent. For that reason, MTIA strongly supports the

development of a credentialed workforce, whose entry-to-practice and level II

Moderator: This might belong on the Company Board. 

I had occasion to look at the 10-K form that Spheris files with the government and noticed that the company has reported net losses every year since 2004, starting with $3 million that year and accelerating to $19+ million in 2008 for a total of $57 million.  In other words, it would appear that the company wouldn't have paid any US federal income taxes since it was formed. 

At the same time, the company employs 4500 transcriptionists, of whom 2000 are in India.  Last I heard, transcription companies in India receive very favorable financing and tax treatment from that government. 

At the moment I'm not exactly sure how or why, but it's interesting to consider these two facts together.   You can read the 10-K yourself at the link below.

It seems MTs are in denial about what is happening to this industry.  Anyone who has done transcription for a while has seen the changes and the writing on the wall.  It is always the people that the technology is replacing who are the one who claim it can't happen or that the technology isn't good enough... again, denial!

I wonder if all those workers in the auto factories claimed machines couldn't do their jobs?  Surprise .. they can.  All the problems with VR only give someone a reason to fix it and make it better.  It may not be soon and it may be a gradual process, but we are being replaced, slowly but surely.