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3-1/2 years experience, type cardio only on clinic account, and make 9 cpl nm

Posted By: anon on 2008-10-23
In Reply to: CPL rate averages - Amy

nm


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7 years clinic experience and cannot land a job

Any suggestions??  I have 7 years clinic experience and am looking for work.  Seems like I cannot get a response back to test or interview.  I need a company that offers TAT, not set hours.  I send in resumes and cover letters daily...What else could I do??? 


Also, in the meantime does anyone have suggestions on "practice files".  I want to expand my skills/specialties.  I have not done radiology and have always wanted to get into it...Thanks for any advice!


10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
Well I don't know anything with all my years experience because I only transcribe clinic work ..
Other than that, I see quite a few replies to your original message so hmmm
i have 19 years experience and still type 220+ lines/hour
without having to cherrypick. That's just what we do when we get into a backlog. That way, we never have to outsource ... thank God ... and we won't lose our jobs to India ... even BETTER!
Are you saying you have 2+ years experience and only make .04 cpl? -- if so you really need to look
for something a little better.  That is a total slave wage.......I make .085 now with 3+ years, and I started at .06 with 1 job, and .075 at another, and .085 at another (until they changed their pay tier then down to .07 which sucked).  My goal is .10 eventually......believe me you can do better, start looking if you are not already.
What I make with 22 years of experience
Here's my experience. I have been making around 10 cents per line since 1997. I was with ddi and then Medquist for a total of around 16 years. In 1997, I was given my last raise - mind you, I asked for ALL of them, no one ever offered them to me. After that, I was told I was in "highest tier" etc., etc. Even when I offered to work on more difficult account (back when that still mattered and we were offered extra) - I was told I already made higher than the difficult account offered. So, I have made the same cpl since 1997, yes, 11 years. I hit just over $40,000 one year out of the 22 years... otherwise, I range from 35,000 to 38,000 if it is a good year. I am dedicated, work full time, weekends as required, and holidays as when possible/the number required. When I started looking to leave MQ, I was offered 8 and 8.5 cpl - my experience was irrelevant, though all the companies seemed to be quite gleeful to be getting all the MTs out there with many years of experience for 8 cpl... One company offered to up the 8.5 to 9 cpl if I would work their night shift and only ops on their most difficult account. No thanks. I work days. I finally found a place that offered me a lateral move. Really like where I am now but if I think too hard about it, still blown away that something I love to do has led to making the same amount of money I was making 11 years ago... with really, no hopes of more, unless I live and breathe MT and become a workaholic. I'm 43, by the way, been doing this since I was 21. Because of my move to a new company a year ago though, I refound my love of MT. Good luck.
I have 17 years acute care experience and don't make 1200 lines in 6 hours. sm
I work for a company that is VERY picky about their work, 100% QA everything.  I have been with them over a year, and have to go back and listen to my work a second time while proofing.  I only make 160-170 lines an hour, but the pay is good for that, and I have learned so much in the year that I can go to work anywhere without problems.  For me it is worth the extra time to put in the few extra hours a week to have really top QA.  There is room for all types in this business, the really fast ones, and the slower ones who work differently, you just have to find your place.  Ideally, we should all type 200 lines an hour and have 99%+ QA, but I don't thank too many of us make it.  Good luck to you.
I type for cardio docs. EVERY patient has been a smoker or continues to smoke. Hope you'll quit
s
Do you need to have 2 years full time experience or just 2 years' experience? nm
..
I did a clinic account once and this one doctor was
majorly ADD (we diagnosed him - LOL).  He would lay the phone down and look through the filing cabinet or his desk drawers, dictating the whole time.   There were almost as many blanks in his report as words. 
I lost a clinic account
to EMR. I had lunch with an old friend who is an ER nurse in Colorado and the ER changed over to EMR recently. So far that is the only department in her hospital, but she expects the entire hospital will eventually.

This is the touch screen type of thing. She says there is a computer at every station or bed. When they chart, it also generates the billing so more revenue is captured.

I would be worried if I was younger, but should be okay until retirement hopefully??
Is 13 cpl a good rate for clinic account?...nm
ss
My experience with expanders and clinic sm
work has been that they usually want things verbatim and nothing expanded so my Expander actually sometimes is more trouble than it's worth on this particular work type.  Of course, it depends on your account specifics.  It's probably good for physical exams and consistent phrases for particular dictators?
For me it isn't an account type but a dictator type ...
and that would be oriental. An oriental dictator (hahaha, that kind of sounds funny...hahaha) is the most challenging for me.
I typed both Rad and Clinic, just asked to be put on when a Rad account came open.
nm
Clinic tends to type much faster...
so with your word Expander you could easily get up to 175 to 200 lines per hour, probably, a few months after starting work.  You may be able to get 2500 lines done in 15 hours or so.  Typically if you're working with a clinic you're going to have fewer docs to become familiar with and you're going to be able to create pretty decent templates for each one in your expander to save you lots of time.  Hard to say, though, exactly.  Good luck!
You really need the experience of being with people in a classroom and doing clinic in hospitals sm
etc. to see if it's really want you want to do. Book learning is such a small part of a nursing education or any other medical training where you're going to be around people, blood, guts, mucus, and family situations. You get to know very early on if nursing is for you when you're actually there in a classroom and then doing some kind of clinic or lab experiences. Could save you money down the road, too, if you decide that nursing isn't right for you. ....even the online programs have you do your clinic at a local hospital and then you'll have to do a "challenge" weekend at a hospital that might not be close by in order to get the credits. Good luck with whatever you decide!
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.
depends on what type of clinic you were transcribing

if they were basic SOAP notes, then i would guess the basic 4 hospital reports will be quite a bit harder. 


if you had an intense multispecialty clinic, then you could probably do H&Ps and consults.


but I would suggest you give it a try. being able to do hospital acute care can only help your resume, and possibly up your income after a learning curve.


JMO


I type radiology, but have done some clinic work
I briefly tried acute care, but felt that was a little too hard to do working from home. I have done some clinic work, which worked out fine. The hardest part of that was learning lab values, specific tests, etc. I feel your pain, as it is very difficult to transition. I've done cardiology, internal medicine, and nephrology clinic notes and have done well with them. Things like wound care can get a little tricky because of all of the terminology with bandages, sutures, etc. My advice would be to get some reference books and maybe try to find a part time job, where your livelihood would not depend on the account, and give it a try! With this job, you won't know if you can do it until you try! I know it's hard with the national companies. They don't like to take time to help you learn. I learned my clinic stuff from local doctor's offices, where they gave me sample reports and I could take as much time as I needed to look stuff up. I wish you luck!
For this account, I charge 0.12 cpl. It is very easy clinic stuff with good dictators, but ...

I also do tapes which are horrible so I'm considering upping my line rate especially if all this aggravation keeps up.  When I first took the work, I thought I was being fair because the work was so easy, but then they asked me to do tapes and then work specific hours, print and deliver work three times a week.  I wish I would have addressed more than TAT and line rate in the original contract.  I do charge them a $5 per delivery fee because of gas prices, but still I think I'm getting the shaft.


Oh well, live and learn.  I am negotiating for a local doctor's office here in my hometown, small one doctor office, and I'm here to tell you I will be negotiated every little detail right down to paper and toner charges!


Lazy is what they are. I just turned down a request to type for one at the clinic.
dd
Same with the account I type for
They use full names and also use the name of their employer.
I tried to make the switch from clinic to home
and I've got 30 years experience. I guess it all depends on the company you work for at home, i.e., what type accounts and dictators. The company I work for has a good mixture of good and bad, but due to having to look for addresses of referring doctors, account specifics and doctor specifics, it's hard to make any money. Some days, I make much less per hour than I did in the clinic. Of course, this is just my 2 cents. Also, to consider, I don't have any kids at home distracting me either.
Just over 8 years. Orthopedics, ER, clinic. nm
 x
I took A&P/terminology course through my clinic 16 years ago
nm
IC Clinic average pay 3 years ago . . .
I started at 9 cpl 3 years ago on a clinic/psychology account (one account) for a local hospital with only 3 months experience, but I also worked full-time as an employee for that hospital during the day and the IC stuff was at night when they needed extra coverage.
On my account, have to type what they say, slang or not.
The correct way I've been told is satting.
whatever the account specifics are, is how you to have type it...
regardless of whether or not you agree with it...just how some companies/accounts are...
no problem..they just talk about your experience and such..seeing which account you'll fit in..sm
great people to work for. 
Acute Care or Clinic????? Which is easier? Where can I make more
I have been transcribing clinic reports for the past 3-1/2 years (not for the same clinic).  My company does have some acute care accounts and occasionally asks for someone to switch.  I was just curious if anyone had any opinions on which is easier.  I mean where can I be faster and a better lph.. clinic or acute care?  TIA
16 years, 1 radiology, 7 clinic, 8 acute
.
It may your experience versus the type
of jobs you are applying for. Do you have acute care with all specialities or just clinic.
I was getting $3 a page 12 years ago. But $2 might not be bad for VERY short clinic notes.

Whew! I just left clinic notes after 4 years..sm.
and got back into acute care. My momentum is back and I feel like I'm part of the medical process again. I guess I just like acute care better. I can never go back to clinic notes. I can't deal with those 20-second charts. Took me longer to get in the chart than to type it. The company I WAS with had such a screwed up demo screen if you made 1 mistake you got put on probation. Just toooooo much for me.

IMO, that is.
After working 2 years, I average 220-250 lph for clinic work.
nm
I should have added to type it as "corneals" if verbatim account.
.
I'm sorry you are having trouble. They are often looking for a specific type of experience. (sm
Maybe they need somebody with a different work experience, such as acute care or more OPs or more ESL dictators. Just keep at it until you find a match. I've been doing this for 17 years, and not every company I look into and test for turns out to be a good match. Just keep plugging at it. Even testing is probably good experience for us, LOL.
Picked up tapes for years for a clinic. Finally splurged
Drs wanted to try the phone system so I found a used one and it's much easier. Still drop off printed reports but have dictation instantly, especially nice for stat reports. Don't have to wait to pick up tapes anymore. I could see some of my older clients never moving away from tapes, but if you have one that's receptive to it, you might give it a shot. With gas prices now, it's easier to have a few scheduled dropoff days a week and you can always fax urgent documents to staff. I find that the local drs are usually quite loyal to good MTs so that is nice job security. They like the personal touch from someone they trust, not some big chain. My clients even offered to pay for phone system but I bought it so I could write it off.
Fresh out of school 13 years ago I made 8 cents gross/clinic/no ESL

x


Make sure it's okay with your account first,
off that they aren't going to get back right away.  Usually as soon as it's signed off, they consider it transcribed!
I make that much, but with my own account(s). sm
When I worked for a service, the most I could make gross was 45K a year. Now, I triple that with my own accounts. I am not sure what their secret is either, but mine is having my own accounts.
My mistake, I am not thinking tonight, I actually make 11.5 cpl, clinic notes. I earn my money thou
nm
Thirteen years ago made 9 cents gross/clinic straight out of school

lines produced also depends on type of account, doctors, specifics, platforms.
nm
It is possible. I make more than that a month, my own account. nm
x
I have had the same account for six years - sm
One of the doctors hates using tapes ... so he decided that he would dictate over the internet. Guess what? He hated it.

Then he decided that the whole office should use a transcription service. Guess what? He found out with each transcription service that if you wanted a stat letter done it cost him about $35!! $35 for a two page letter!! And he was angry because none of the companies would print the letters. They wanted to send them back by email and have his staff print them out! They also charged various line rates for various letters, which was totally ridiculous.

I charge $5.00/page to transcribe the doctors letters, they fed ex me my tapes no matter where I am (and they pay for the fed ex). Guess what? I'm still more cost effective than the transcription services. I manage a same day to 48 hour turnaround time. My bill averages around $600-800 month and I have never worked more than 20 hours a month for the group.

Don't fret it. I have found over the years that doctors will always try to find a cheaper alternative to getting things done, but I have never ever been let go because of bad transcription, and whenever this has happened, I can guarantee you this .... they will call you back!!! I can almost promise you that!

My doctors have come to rely on the fact that they have been able to call me on my cell phone and ask me if I could call them back before the end of the day because they have a stat letter that needs to be done. I tell them what time I will call, transcribe the letter, email it to them, or print it from where I am and mail it to where it needs to go. Now keep in mind that they don't do this all the time, but I would probably say on the average of about 4-5 times a day. They will never find that with a transcription service.

I have never raised my rates. I take my time off around the main doctor's schedule. I have even tried to find a replacement a couple of times for them for when I really needed the time off - and it all comes back to this - I am a perfect fit for my doctors, and they now know that.

So cheer up. You'll be surprised - they will call you back.
The key here is 1 account for many, many years.
How many dictators? I made that good before DQS, and of course, MQ lost the accounts. Now on an account that you never get the same dictator twice in a shift. Makes it extremely difficult. Happy for you, hope it continues.
I had my own account years ago
transcribing for an office of 4 docs. They all admitted they were were terrible at grammar and such and it was my job to make them look good on paper, but they were paying me very well for this at $25 an hour. Just a few years ago another account I had with 2 docs it was the same thing at 15 cents per line. Unfortunately, all these accounts went to an MTSO at less than half of what they paid me.

Now I am with one of the major companies as employee and it is the same as you are saying, QA inconsistent and always getting dinged for fixing things and dinged if you don't, at slave wages compared to what it used to be.
Depends - one account I make 40 an hour, other - s/m

I grunt it out to make 10 bucks an hour.  If I worked just the ER account, I would definitely make full time money for part time hours.


Durn second account.  :}