Been undercut, after 4 years, losing account, I am sure.

• Been undercut, after 4 years, losing account, I am sure. - MTSO
  • Undercut - NE MTSO
  • Keep that account @ .12 cpl - workinfool
    • re. 23 cpl, go to .11 if you have to sm - workinfool
      • .12 not .23 - oh brother, too early! - workin fool
  • Really.... - Kate
  • Same thing happened to me. I dumped them. - A service in CT did it to me.
  • Been there, done that... - K8
    • Very good advice from 'Been there done that.' - Lynn
  • Undercut - Another IC
  • Thanks everyone for the support. Makes feel a bit better. I have other accounts and - MTSO
    • When they come back to you, I think I'd be tempted to say my rates are a bit higher now. sm - MT
  • My experience was - Been in your shoes
  • If 13 is the lowest you can go and still make a profit, - you did the right thing.
  • i'm not an MTSO, - sm
    • We had an account that went overseas that when we lost it - not believing that
  • Yup, if you don't mind losing the account and/or - MT2U
    • The other will be cheaper but no quality - they will come back
      • I've told many accounts . . . - OTHMT

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I am so sorry about your situation.  I just recently lost my hospital job on Monday.  What a way to start a Monday.  They laid me off due to shortage of work.  I have only been there for 5 months.  I do not know what is happening with this industry.  They are always thinking they are going to find it for a cheaper rate and sacrifice quality.  It seems like the Docs do not care anymore and it is a shame because these are people's important documents and it should not be compromised.  I am calling all the Docs that I did at the hospital and see if they are in need of a transcriptionist.  I probably will run into your situation also.

Good Luck. When God closes a door, he opens a window and I believe everything is for a reason. You may not see it but we will down the road.

So I am losing 2 accounts to EMR December 1. Anyone know exactly HOW the EMR works.  I'm wondering is there still a way for the MT to be involved without losing the account?  I'm sure there are different EMR programs, but has anyone had experience with EMR?? 

I just saw your post from several days ago.  I hope you see this message.  It is not difficult at all to start transcribing .wav files, and you'll love it.  Express Scribe is a transcription program that plays many types of digital voice files, and it's a free download at http://www.nch.com.au/scribe/.  You'll only have to buy a foot pedal for it for around $75.  Digital voice files are so much clearer than tapes.  Once you change over to it, you'll wish you'd done it long ago. 

If you need any help or have questions, please feel free to post back here to email me.  I don't come here often, but I'll try to remember to check back often because of this thread.  In fact, I rarely ever came before, but I really like the new management/ownership and definitely will try to visit more often.  Let me know if I can help with this. 

When you speak to your client - nicely ask them if the other company will be charging on a 65-character line or lower?  I have found that several companies never get that they are being charged at a lower rate per line based on a 50 or 55 character line count which when you do the math - means they are paying the same or more.......investigate and know what you charge for and then present that to them.  Do you charge for spaces, headers, footers, bolding, etc.....

If they are smart - they will check - if they say that they do not care - you can always go to a 55-character line too.

I cannot believe that this happened to me today.  I went into one of my doctor's offices this afternoon to pick up his tape for today.   I was given a tape and told that his wife, who is the office manager, wanted to see me in her office.  I thought nothing of it because she sometimes has extra things that she wants me to type up for her and we talk quite often also.  

She tells me that she just has not gotten around to talking with me yet, but  "tomorrow we will start dictating through a company over the internet".  I was blown away!  She said she wanted to give me a break and that if it does not work out she will let me know.   The whole time she was tell me this she was writing me a check as I had just turned in an invoice.   

My first inclination was to throw that #@%$ tape at her and say "do it yourself", but I knew that wasn't the "professional thing" to do.  I was thinking how could she do this to me, not even a 24 hour notice.  She handed the check to me, I snatched it and walked out. 

I have had this account for five years exactly (began August 1, 2000).   I have never took a day off, never raised my rates, never asked anything of them, and my work has always been the best possible quality.  I have been the most dependable person they have could had.   I have passed up other accounts because of them, and I always put them first.   Thank goodness I have other accounts to fall back on.   In our town, there is only one other transcriptionist besides myself, and we both have more work than we can handle most of the time.

Just thought I'd remind all those other MTs out there that no matter how good we are and no matter how much we try to please everyone we are still not appreciated.  I will never be fooled again.  No one will ever receive the attention from me that I gave them.  

And if you aren't MQ Rosie then I guess I'm not calling you stupid now am I?

Thanks for being so blunt.  You're right, I haven't been respecting myself by staying in this situation and I only have myself to blame. Every day I feel more and more drained, physically, mentally and emotionally. It is a very unhealthy situation.  I was stupid and had those rose-colored glasses on when I made a hasty decision to marry him last year. I don't respect anyone who is content with just lounging around watching TV and the like, does not contribute to the responsibilities of the household or to society at large and sucks taxpayer's money dry by being on bogus disability.

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.

He's 4, but he's still our pup. Just a mutt, but he's a sweetie.

Tell your mom that a bunch of Mainers are sorry for her loss.

Well every year I think things can't be any worse than the last.  This year dealing with disturbing financial woes, working too much and a rebellious daughter. How do people some people go through all this and still keep their faith in God and life in general.  Sometimes I just want to throw my hands up in the air and just forget it. 

Sorry, just got more bad news and here alone working and needed to vent. 

I'm sorry to hear about you losing your job. One comment said that MTs are losing jobs all over the place. Could someone tell me more about this ... the loss of MT jobs. I'm new and I'm trying to decide whether to train as an MT or not. Thanks for all your help. I am soooooo undecided.

amelia 

Transcription jobs are becoming very slim in Central Minnesota.  One hospital outsourced to India, and two hospitals send to a service company.  Our hospital may end up going VR which will most likely put half of us out of work too.  Either way you look at it, it is a dying profession.  Like someone said, you have to work twice as many hours to make enough money to live on - so don't talk about those poor poverty stricken people overseas.  Without jobs here, we are going to be all poverty striken as well.  How do we make a house payment and pay our taxes so they can send the money to these countries! 

I was told that the clinic I MT for is considering an expensive VR program.  The person that told me works for them too and said that it is about 98% accurate.  She also said it might be something I should consider in order for my IC business to grow.  Hello?  Why would I invest in something I know the medical field would pay for in substitution for hiring an MT?  She told me that this VR program costs about $4,000 but she did not know the product make.  Is there really a VR product that accurate for that amount of money?  If so, then I think it is time for me to get out before I am no longer needed.       

Hello Patty,

I lost an acct about two yrs ago and it hurt, but I wasn't backing down.  The OM of one clinic knew the OM of another clinic I typed for and they mentioned to each other how much they were paying me per line.  The OM from the higher paying clinic called me and asked why I was charging her clinic more.  I told her first of all it wasn't really any of her business, but the other acct I had had for 10 yrs and I billed them 50,000 lines/mth, plus I picked up tapes every day.  Her particular clinic I only had about 6 mth., billed about 3000 - 5000 lines/mth, and didn't get tapes every day.  Needless to say, I never picked up another tape from that clinic, but that's the way it goes sometimes. 

Losing internet connection happened quite a bit for me.  I kept calling Comcast, they said to reboot.  I had a computer tech out to look at the computer and they deleted a bunch of junk and it ended up my cable modem was bad.  It was 3 years old.  I got a new one and it works great now.

NEW DELHI, India (AP) - Businesses and insurance companies are starting to eye the potential savings of outsourcing health care from the world's richest country to the developing world.

"It's just one of the many ways in which our world is flattening," said Arnold Milstein, chief physician at New York-based Mercer Health & Benefits, who's researching the feasibility of outsourcing medical care for three Fortune 500 corporations. "Many companies see it as a natural extension of the competition they've faced in other aspects of their business."

With an estimated 45 million uninsured Americans, some 500,000 trekked overseas last year for medical treatment, according to the National Coalition on Health Care. Asian hospitals in Thailand, India and Singapore have long been swarmed by medical tourists looking for tummy tucks and face lifts, but many glitzy, marble-floored facilities are now gaining reputations for big-ticket procedures including heart surgery, knee and back operations.

Some American hospitals already rely on places like India for X-ray readings and other diagnostics, while also importing foreign doctors and nurses. But the U.S. health care industry has been largely immune to overseas competition - just one reason behind soaring costs.

Premiums for employer-sponsored health coverage have surged 87 percent over the past six years, according to the Kaiser Family Foundation, putting a huge burden on both companies and employees. Family health coverage now runs about $11,500 annually, with workers themselves forking out nearly $3,000.

But just as shipping U.S. manufacturing to China and call centers