2 accts are direct hospital, 1 is a clinic and the 4th is a subcontractor position. nm
Posted By: I Work Hard! on 2006-02-04
In Reply to: And you have a company that pays this? or do you work on your own? - x
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So you are subcontractor, not contracting with doctor direct.
If that's the case, then you need to ask the MTSO you work for if they can provide schedules for the doctors. They may not have them, either, but they could ask the docs for them. So it was their staff and not the doctor's staff that couldn't verify his schedule? That would be different advice then. Sorry - thought you were contracting directly with the doctor as your client. Sounds like you were hired through an MT service instead.
Maybe they get the work from the doctor that way, but the MTSO should try to organize and work it out with the doctor to see that it's uploaded promptly. Not all offices will cooperate in that respect so it's on the MTSO to remedy that, unfortunately. Some just send when they please without regard to the MTs' schedules, and sometimes you can talk until you're blue in the face but they still do it "their" way, on their terms. The MTSO could hold their ground and request the doc to send on a more regular basis, but it's pretty much out of your hands, I'm afraid.
As an IC, you can say "this is when I'll be available to work," and let the MTSO schedule accordingly. Or you can always find other IC work to supplement so you can at least work while you are waiting, or just find another gig altogether if it gets really bad.
Acute care position with clinic experience???
Can anyone help or advise me? I have 3 years of clinic experience, but I would like to break in to acute care. It seems like I run into the same brick wall that I ran into with no experience. Does anyone have any leads or advice as to acquiring acute care employment with clinic experience only? What do I need to do? Thanks.
I forgot to say it's a part-time clinic position
Thank you both. I'll take all of this into consideration.
Was this Diskriter? They asked for pix, too, for hospital position. n/m
,
Depending on the hospital and specific position...CindiRI...sm
it can be actually great working in-hospital...I have done an equal amount of both, and I would be still be working in house if it were not that one of my children has been diagnosed with a disability and I need to stay close to home....here in New England, the experienced pay is in $19.64 and up per hour; if the position is NOT per diem, meaning you have a regular shift and are considered a regular employee, you just come in for your own hours (at the time I left I was working evenings and my husband was staying with 3 children), my hours were Tues, Wed., Thurs., & Sat., 4pm to 11pm, except for Sat, 6am to 2pm. Medical, dental, vision, life, long-term disability, 401k, 403 annuity, 2 weeks PTO first year and then it accrued, CMT and continuing ed reimbursement and scholarships, health club, and it was great to get to know all your doctors after a time, get really fast and productive on them, even the ESLs....it all was great EXCEPT for office politics, always plenty of that, but there were some great girls (and guys!) who became friends. It is all individual to the MT and to the specific hospital! Best of luck, e-mail me anytime if you just want to talk or question, okay?? :->
Hospital or Clinic? sm
Will you be doing one work type or several?
If you are to be doing one set work type for a hospital, I would say 14 cpl. More than two work types 16 cpl.
If you are to be doing clinic work I would say anywhere from 10 cpl to 12 cpl.
Let her know that your quote is negotiable based on the work. Don't undersell yourself.
Clinic vs Hospital
I have noticed that it does worse with clinic notes than hospital notes. If I sit still for an hour I can average 600+ lines an hour but I get bored. My line count for all my escription accounts together average around 3000 a day, with about 25% of that being straight typing.
I also found my thumbs got very sore using soley keys so I prefer to use my mouse some.
Well said! I went from clinic to hospital. sm
There's a learning curve, but I sure hope I don't ever have to type clinic notes again! ZZZZZZZZZZZzzzzzz!
Just curious, are there companies who just hire ER MT?? I just left my hospital position due to voi
x
anyone still work for hospital or clinic?
x
Check the Hospital/Clinic MT board right here. nm
s
that's what these companies do, outsource from clinic/hospital
nm
Do you do basic 4 for a hospital or clinic work?
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I worked at a naval hospital outpatient clinic--sm
as a salaried employee $28. In 2002 had the opportunity to work at home as an IC for .12/line. In 2003 I was told had to become an employee and dropped to .11/line as the company woudl have to pay taxes/benefits. In 2004 had a raise to .1133. In 2005 that company merged with another and was dropped to .10/line and have had no raise since then. Am at top of pay level in both line rate and salary rate.
Just told the company is buying a new platform that could possibly doudle our production and in turn may affect our line rates even more by raising the daily line requirement. Will have to wait and see about that.
Try working inhouse at a local clinic or hospital.
That's what many MTs end up having to do to get their foot in the door & gain experience. IMO, that's the best way to start anyway since you have experienced people nearby to ask for help because those first few months can be very difficult. Good luck!
P.S. Agree with the other posters below that you need to specify you have your certificate in MT, not referring to yourself as a Certified MT which is a completely different thing and can only be obtained after a few years of experience & testing with AHDI. However, that brings up another topic... many MTs choose not to become certified now that AHDI has sold us out & encourages offshoring of our work. I've been doing this nearly 20 years and only once have ever been asked if I had my CMT, so it's pretty much irrelevant anyway. As long as you have experience & test well, that's what they care about.
When the kids started school I wanted a job in my home town. A hospital clerk position (sm)
came open. You started compiling charts, making copies, etc. Then I was promoted after a few months and began learning transcription and did that part of the day. Then a few months later they taught me coding and abstracting and I did that part of the day. It was a great learning experience to learn things from the bottom up. Needless to say, I am an old dog here who has been doing this more than 25 years now.
When the kids started school I wanted a job in my home town. A hospital clerk position (sm)
came open. You started compiling charts, making copies, etc. Then I was promoted after a few months and began learning transcription and did that part of the day. Then a few months later they taught me coding and abstracting and I did that part of the day. It was a great learning experience to learn things from the bottom up. Needless to say, I am an old dog here who has been doing this more than 25 years now.
Was offered 7.4-7.7 cpl for clinic work back in 2005 and 8 cpl for hospital. Is it still
s
Depends on what kind of hospital? Large urban hospital or small community hospital? SM
Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.
I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis. But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl.
clinic is not walk-in or ER notes; it is clinic
could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
Subcontractor
Yes pay her out of your business account. You should provide her with a 1099, can buy them or have the IRS send you some. Also some Quick Books or Turbo Tax help you prepare them. You deduct it as a expense on your schedule C. Since it is an expense deduct you won't have to pay taxes on it. Make sure that she/he realizes that you will be reporting it to the IRS as an expense. Under 600 you don't have to fill out a 1099 but I do. Make sure you have their SSN, etc. to fill it out. Good luck. I just keep everything separate business and personal - makes it easier even though my Quick Books tells me exactly what I have made, etec.
Any more questions let me know. Patti
subcontractor
not to sound dumb, but is this my responsibility? Thanks!
subcontractor
uggh! I have wondered about this myself in the past. this would be the hard part. I guess I would have to talk it over. thank you though for your help.
subcontractor
I think what you are doing is wonderful! More people like you should be so kind as to take a newbie under her wing. If I ever an fortunate enough to have my own FTP server and accounts I want to do the same just because I know from experience how hard it is to be a newbie. Hope it works out for you both.
Subcontractor
Get rid of her - nicely. Just tell her that you MUST meet your deadlines in order to keep your accounts. Your livelihood depends on this. Tell her since she is having some difficulties right now, you cannot send her more work. If you want, tell her to contact you in the future when things settle down for her.
You cannot give her any more chances. What will you tell your clients? "Sorry the work didn't get back, but this MT I really like had a personal crisis and couldn't type last night."
Hire someone less enthusiastic who will do the work on time. I'm not enthusiastic about this job anymore, but I do it because I'm enthusiastic about living indoors and eating every day.
Pay for subcontractor
Well, first let me say sorry you blew TAT, or it was blown for you - however, if a company holds your check because a TAT was blown, even a last check what would you do? Pay her the 100.00.
As for calling your client, why would you give her this information. When i sub out They get the voice file only and a patient list that has been blacked out on the information. And always sign a confidentiality agreement. If she did call - which I doubt, do not try to confirm with them - they may not like the idea you sub'd out, and why bring it up if they do not. Apparently you are still getting their work so they must like something about it.
Lastly - be careful next time. But also keep in mind - if you were not paid you would have a fit - she just took it one step further and has a hissy fit.
I have a subcontractor......
I have had an account for a couple years and just recently hired on a subcontractor. This account pays me 14 cpl and I pay the subcontractor 7 cpl. This is an easy account and all the sub has to do is type what I send them and I do the rest. Granted, I took a 50% cut on the work by hiring a sub, but now I know that even if I'm not working I have 7 cpl coming in. I don't understand why anyone should feel guilty if they are paying their subs a decent amount for what the work requires. Just last pay period she did 1000.00 worth of work (based on my 14 cpl) and I collected 500.00 of that (based on her pay of 7 cpl). As an IC, I just see it as a benefit to me, not sure why anyone would feel guilty.
I am a subcontractor.
I make 12 cpl with one company full-time acute care and 11 cpl part-time in pediatric subspecialties (neurology and oncology mainly) with another company. The FT does offer a daily production bonus.
Subcontractor Pay
Does $2.00/report for MRI, CTs and ultrasound reports sound reasonable for an MT with 20+ years experience? I know some reports can be long, some short. Any insight would be helpful. Thanks
Subcontractor pay
I do some subcontracting for an IC. My checks are usually different from the amount on my invoice by a little. Sometimes a little more and sometimes a little less. Shouldn't my check be the total on my invoice?
It depends....are you an IC or a subcontractor?
10 cpl is not unreasonable as a subcontractor
I have had several subcontracting positions that pay 10 cpl and now working as subcontractor for 11 cpl. You do not have to accept the first thing they offer. Naturally, they are going to offer you a lower rate. If they offer say 9 cpl, then ask for 10 cpl. If they offer 10 cpl then ask for 11 cpl. It has worked for me. Now as an employee with good benefits, I will accept 9 cpl with an incentive plan.
Subcontractor..help with various issues
I need some advice on how to handle having a subcontractor. I have a subcontractor now helping with one of my accounts. My process is that I have a separate checking account and separate savings account for business. All of my checks from work as an IC go into this business checking account. I then transfer to the business savings account a certain percentage for taxes. We'll then transfer most of the remainder to our household checking accounts. That way, I can look at the business checking account and see my deposits and know exactly what my income is. Anyway, now that I have a subcontrator, I don't know exactly how to handle everything. Do I just keep track of what I pay her and then claim it as an expense at the end of the year? Will I have to give her a 1099? I guess I should only hold back for taxes on the percentage of the money I keep now. I'm just confused on the whole process. I could use any advice...or a point in the right direction for where to find information on this. Thanks!
Most hire a subcontractor
I think it it is wise to establish a relationship prior to needing them so they are already familiar with the account(s) and can do it with very little instruction.
Lisa - subcontractor
There have been people here who would like just a little extra. If you get the account and once you are settled, why don't you put your need on the board. You might find some bites. Some people like to do a little extra. Of course if it is something digital you could even go away from your state. Just a thought. I happen to enjoy helping others when on vacation. It has worked for me in the past as well when I needed a vacation . 
Paying a subcontractor
I am going to take in a subcontractor in an on-the-job training program. I want to know your input on paying them and paying yourself for the training. I an setting up an on-the-job training program. As an independent contractor, I receive 8 cents/line. I am going to have the subcontractor work with me in my office at my other work station, and I will teach her everything and QA all of her work closely until she is up to speed. I was thinking of paying her 6 cents/line and me 2 cents/line. What is your input on a suitable division of payments?
Diff between IC & subcontractor
What is the diff between these two? And do most of you have set hours that work as a subcontractor or do you pretty much have flexible hours? Thanks!
I agree, but if I have a subcontractor come
into my home to remodel or something, I certainly can tell them not to come at midnight or early in the morning because that does not work for me. He does not have to abide by that and can turn the job down, but I can certainly suggest it.
Taxes as IC or subcontractor?
Does anyone know about filing taxes as a subcontractor or IC? Do taxes work the same for both? Is it the self employed tax form? Any info is helpful thanks.
When I use a subcontractor, I pay them as soon as their invoice is turned in to me.
I consider it a good business practice to pay the sub as soon as their invoice is submitted. After all, don't you expect the client your contract with to do the same for you. You really should have paid this $100 invoice long before now. You have no recourse and should consider this a lesson learned.
Personally, I don't think you have any business subbing out work if you're no more prepared to pay and, apparently, are careless with the information that your sub receives from you. You could also be considered breeching confidentiality if you're not having the sub sign some sort of understanding regarding the confidential nature of the work you're sending out. 
You have to have your own accts SM
and you definitely cannot be only getting 7 cpl. I have always been an employee of nationals and in-house hospital, have never ever reached $40,000, more like 36, and I have 15 years' exp.
Flooding accts-MQ
I agree totally with what you said, I have an account that is going nuts because of the new MT's that the Amherst office threw in there and now the hospital is doing a lot of their own work but the only people that get hurt by this are the experience MT's that have had the misfortune of being transfered to Amherst. But yet the hiring continues and we are still running out of work. Hopefully there are not too many more offices that they will be closing, we do not need any more MT's sent to Amherst. I hope the statement about the Ohio office closing is not true and if it is, that they are not being transferred to Amherst, not to be mean, but we do not have enough work as it is and any of the accounts that are at the Foxboro office will be going up on DQS soon, which will add accounts but will also add more MT's. Even the accounts that are in Foxboro that are on MTs have all been flooded and those MT's are in the same situation, no work. I just don't understand why these 2 offices are run like they are--I know other MT's from other offices that always have work andcan make their lines every pay period and they are only in one account. Again and again as it has been stated here, why are all the offices not run the same???
Are they losing accts? Do
The work has dried up. Again I won't make a full paycheck. Others are saying the same thing. I think you may be right. Especially if you are an employee. But wasn't that their plan from the start?
I can't imagine what this package is they are sending out.
Unless they are going to offer to provide equipment, sufficient work/or a plan to give me lines (like on-call pay) for sitting with nothing to do IN WRITING, and a raise of 5 cents a line, the package will probably go in the round file right here beside me.
So is it just DQS accts that are out of Amherst?
Wondering. Trying to piece things together here.
You have new accts--give them to the NE
I was told not to ask for any other accts, we have to do with what we have for now---that the work is low nationwide for MQ--and here you are telling me that you are getting new accts
Again is this MQ lies--if you have new accts and work--send it to the NE--we need it
no, but try to get more local accts....sm
makes one a whole less dependent than the companies using DQscribe (but again I do like the DQScribe program but would NEVER choose it for my private local accounts). My local accounts still like the personal touch, still dictating into dictaphones, and they just like it this way.....they are not all that interested in getting more techy and they are all 35-48 in age............
Get your own accts. When approach Dr with
x
I live in VA and accts
that we were able to get didn't want to pay as much as I make now. Sounds like you've got a good thing going for you. I may start looking into this again as it's been a couple of years now since we did this.
Thanks for all the great info!
Anyone know the process for getting accts...
directly from Nuance (Dictaphone) to work on that are set up on their Enterprise system?
Have asked to be taken off 3 accts cause cant
x
I make between $14 and $20 but good accts. sm
Been at it for almost 20 years too. Lots of templates, shortcuts, etc. Depends on who I'm transcribing. With some ESLs I would only make about $7 an hour if I had to do them all day. My average is right around $17. With some of my local work (on tapes) my templates are so huge, and I'm so used to what they are going to say, I've made $23. But that's onlywith certain dictators. It all varies and some dictators are sooooooo bad, you just lose money.
For example, if I had the $23 dollar an hour guy from my local and then did the $7 ESL from my national and combined 8 hours of work for both, I'm down to $15 an hour. If I get stupid dicators all day from both sides, sometimes I can only average $12. I guess it's the luck of the draw, if you know what I mean.
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