Exactly. There are a lot of BAD MTs. I've been an MTSO
Posted By: and I was SO discouraged sm on 2005-12-19
In Reply to: No, what's sent work overseas is cheap schools that don't teach SM - Becky
that the people who answered my ads for help were people I would not have transcribing my work. I found very FEW good MTs over the years. The fact is, there are a few cream of the crop and a lot of duds. Computers/spellcheck/Google searches have made it easier for not so good MTs to be able to fudge and get by. You used to have to KNOW the stuff or it was abundantly evident.
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I use EXText with my current job and I've used at a couple of other jobs I've had. I've ne
used DocQscribe, but I have used Meditech, Cerner, Vianeta, the Precyse platform (I can't remember the name), Dolbey, and Lanier platform I think was called Cequence (?).
Out of all the different platforms I have typed on, I have liked EXText the best. In my opinion, it's very user friendly, easy to learn, and I really like ESP which is the built in abbreviation expander. Plus it is very easy to create your own normals which I love. My fingers literally never leave the keyboard because there are macro keys for everything. You can use your mouse if you prefer or learn the function macros. I love it. I think I'm more productive on EXText than with any other platform.
Spell as best you can or blank them and keep going. I've passed many tests when I've left blan
s
As you can already see, you've come to the wrong board! By using the word professional, you've
excluded about 99% of the population of "whatever" it is that hangs on these boards. Certainly not professional for sure! But you sure are doing a good thing for someone! Its the thought that counts. Sorry you met the dregs right at the start.
HELP! I've turned my screen sideways, I can't straighten it up. I know I've seen sm
this before, but I can't remember what it is. Do you realize how hard it is to read sideways? TIA.
I've lost track of how many people who've asked about it to NOT
.
I've always verified every line I've typed (I have my ways) -sm
If you're supposed to be paid a certain $/line, that's what you should be getting no matter how they do billing unless of course it's specified in YOUR contract with THEM.
BTW, I've never caught a company cheating me ever.
I've used it. It's the worst piece of crap I've ever seen.
seriously. I wouldn't wish them on my worst enemy, or their Vianeta program. Awful, just awful.
Wait until you've been there six months and if you've improved
quality and quantity, I'd say go ahead and ask. Otherwise I'd say annually... good luck
I've seen the same every place I've done acute care, and
pointing out dangerous or repeated errors (often in normals for goodness sakes!) never got the result I expected. When I would press the issue, supervisors said if the dictators didn't complain, then the mistakes must not matter!
It didn't matter if the MT changed what had been a cardiac med in the beginning of the report to an antifungal by the end - I kid you NOT! One poor girl used facial for fascial and fascial for facial!
I've used a few expanders, and of those I've used, all must be "coded" to get things lik
One thing I do to get around this, is to create a macro and then link the ShortHand command to the macro. It works for me, but I do the same five clients every day and only have about 20 or 30 macros/Shorthand commands that work like this. This may not work well for you if you have lots of formats and hundreds of docs.
I've been doing this doc for many years, so I've learned how to function with him. sm
I can tell what's a stutter, what's another word, what's just an "uh." Years of experience will get you through a lot.
Wouldn't want to do his charts all day, of course, but a few per day aren't bad. I haven't had to send his to review in a long time, but they do take a little longer to shuffle through.
I've worn contacts for 30 years. I've had both
hard and soft. My vision is much better with the soft ones than they were with the hard ones. When I first started trying contacts soft ones were still new and they couldn't get me to 20/20, so I went to hard. Hard were okay until my eyes started changing shape and then I could no longer wear hard ones. The soft should give you better vision as they conform more to the shape of your eye.
I've been a bully; I've been bullied.
I used to sell a lot on eBay. There are some people who buy high-priced items and play games with you. I've had to call them repeatedly, report them to different agencies. It's not fun. You put time and money into the business of selling, and there are people out there who live to manipulate the system and cause trouble.
And, I've been bullied by buyers who made unreasonable demands, insist that they pay by check when you clearly state you don't accept them. It's not fun, and is one of the reasons I don't sell anymore. People!
I've also bought from some sellers who I would not deal with again because of their unprofessional attitude.
But, overall, ebay can be a great place to be.
I've become the man I've always wanted to marry.
I live alone, am 46, never married, no kids, just dogs horses and chickens and just got done building a new house out in the boonies away from the rat race. (Used to live in Manhattan) Couldn't be happier. Selfish maybe, but never out of time, never stressed, and I don't take anything out on others. There's something to be said for being alone but not lonely. I'm not looking for a man to "make me complete." They only sap me of my time, energy and money (how little of it there is with MQ). I consider myself lucky getting to choose my time with friends, and not just stuck with a deadbeat partner. Ladies especially: Be strong and allow yourself to be independent. Any old man will not make you stronger!
what is MTSO?
I'm an MTSO. I can tell you....
We don't hire *anyone* unless they have successfully completed a college education, meaning an associate's degree, in medical transcription. It doesn't matter if they learned on the job, learned in their garage, learned on their patio, learned it on their own 25 years ago or 25 months ago, taught themselves or taught the next door neighbor, or if they used to be a nurse, doctor or janitor. The short and simple of it is: No formal college training in MT, no job! (And that includes the "make-$40,000.00-a-year-correspondence-courses, too!). We've seen the handiwork of those who say they're self-taught, and it's not pretty! 
mtso
Amen!
I'm an MTSO
and trust me I believe in paying above average for an above average job, but when you can't get the docs to cough it up because you've got third-world countries and VR breathing down your neck, not to mention newbies fresh out of school who will do it for even less, well, what do you expect...the MTSO to pull it out of her pocket to pay for you to work. Never forget ....MTSOs have to make a profit. They're entitled to that dear....If not, there's no reason to be in business. If you don't like what you're being offered, you're always free to get brave, strike out and get your own accounts.
When I was an IC I sent my MTSO
Christmas lottery tickets, which he loved. Nothing compared to the $500 bonus he gave me. Now that I am working for a large national, I'm just another number lost in the shuffle. I probably won't send them anything, don't expect anything from them and probably will receive nothing, though a full day's work would be nice once in a while.
I am a MTSO
I am a small MTSO and also IC'd for another company a couple of years ago and something similar happened to me. However it was probably a little different as I did the pick-up and deliveries although I was an IC for the company. When she did not bill the clinics so that I could not get paid, I knew the clinics and so I went to them and told them that after a certain date I would not be doing their sevice because I was not being paid -- a little different than your story but you can also let the clinics know how that service is being run. Again, only after you write your calm, fact filled letter. But if someone threatened my business with anything like that - going to my accounts -- they would be paid within 24 hours. Reputation is what counts in this business. But again, just write to them calmly and with the facts asking them to prove that you had signed a contract, then giving them 48 hours to produce such contract or send you a check for your services or you will see them in court. Again, I would threaten to go to their accounts to let them know how they run their business but only as a last resort. But just do it, write them you deserve your money. Was there problems prior to quitting and that is why you just left suddenly -- I know this leaves them in a lurch but if they were a crummy company they probably deserved it. Also if you did not sign a contract stating you would not go after any account you worked on for two years go for the accounts.
I'm not a MTSO, but
my hospital's TAT is between 24 and 48 hours depending on type of report. When I worked in-house, it was from 2 to 48 hours, with Op notes/HP having a 2 hour TAT. I think it varies a bit between hospitals, but as a general rule most reports are no greater than 24 hours. Sometimes discharge summaries have a longer TAT, such as 48 hours. I don't have any experience with VA hospitals, but they probably aren't much different.
What would you do re this MTSO?
I am an IC for a small MTSO. I have a deduction taken from my invoice every pay period for renting Transnet equipment. My foot pedal broke and I asked urgently Monday morning for a replacement foot pedal to be Fed Exed to me - work was on the system and needed to get done. Well, after many many phone calls and e-mails I got the replacement foot pedal via Fed Ex (they shipped on Friday) on Saturday morning. So I worked all weekend to get caught up on a whole week's worth of work. Got my invoice yesterday (late - the MTSO has rescheduled their payment schedule as they are not getting promptly paid by their clients - the ICs had to accept the new payment schedule or quit). There was a deduction for $40.13 for delivery fee for the foot pedal. The Accounts manager says that "many memos" have been sent out that ICs are responsible for delivery fees. Huh? I looked over the memo I received about Transnet rentals and it said our invoice deduction covers maintenance costs for faulty equipment, etc. (the MTSO had originally said I would be billed for a new foot pedal - then I brought up the memo on rentals that covers faulty equipment and that got dropped pretty quickly). I told the Accts manager that postage is the MTSOs expense, just like it is my IC expense to return the faulty equipment to the MTSO. I also mentioned that the MTSO pays for phone charges to fax stuff to ICs; likewise the ICs pay for their phone charges for faxing to the MTSO.
What would you do? I am so fed up with this MTSO...I don't make that much money on Transnet anyway (most of my lines are from microtapes) that I am tempted to just tell her to take all of my doctors on Transnet and quit doing these willy nilly deductions without my approval or knowledge. This is the third time the Accts manager has taken "deductions" from my invoice without telling me - the last time was for Chicago taxes on rental equipment (totally illegal according to Cook County govn't) - that took 2 weeks to get straightened out! Arrggghhh!!!
i'm not an MTSO,
but i think you did right and my guess is that within 6 months to a year, they'll come back to you.
MTSO
I have checked the labor sites and just could not find anything. In the beginning, my accountant told me I would need to either collect sales tax or get a wholesale exemption from my client, but after calling the local and state sales tax offices and being told I didn't need one, she changed her mind too. The problem with offices is you don't always get the right answer but you are still responsible for the results. I just thought if nobody else charged, then I could be pretty safe in not charging as well. Thanks for replying anyway!
MTSO??
x
MTSO
I am just starting with an MTSO and looking foward to many, many happy years with them; locally based to my area. Can't wait. Start training tomorrow.
Everyone should be IC/MTSO at least once
it gives you a great prespective on where your money goes and how much goes to taxes... people think that when you are an employee the employer is "giving" them benefits, paying their share of the employee's SS taxes, etc. but actually the employee is paying indirectly, reflected in their wage amount, cpl, etc. They just don't have to write the check for the taxes, it's taken from them before they can see it. The problem with being in this business and being IC is that you need to make a better line rate than an employee and people do not realize that until the tax bill comes. I had to go with a national last year as my large physician group went to an EMR, so I switched to employee status. They were only going to pay the same line rate either way, so it works out better for me now to be an employee. As an IC/MTSO I had alot of deductions, kept every reciept, took depreciation, mileage (a big ded for me as I live in the country), etc. but now with my national position everything is internet, no printing documents, etc. so it only made sense for me to switch to employee. I have another sideline business which provides plenty of deductions right now and not much income. Planning is key whenever taxes are involved, check out the IRS publications or home business books, etc. Some great information to avoid the same tax problems next year.
MTSO
I loved your comment about the outhouse!! :) (And some of the matchbook schools could well BE outhouses for all we know.)
mtso, who?
or stirring up trouble?
As an MTSO, I would want to know
if an MT is directly contacting my client and I would appreciate the tip that I could follow up on. A good MTSO will be able to handle the situation in a way that would not result in you being in the middle. Perhaps the MTSO could approach the MT and simply say that the client said that they were contacted by one of the staff about whatever the topic may have been and to no longer make direct contact with the client.
I wouldn't necessarily say it's none of your business considering that the job you hold is your bread and butter and if your coworker says something to the MTSOs client that could jeapordize the MTSO/client relationship, that COULD affect you, so I believe you have grounds to speak up.
Bad MTSO
I worked for someone like that as well. I bet it was the same company/person. She expected you to work 24/7 so if she needed you all she had to do was IM or email. I wasn't supposed to have a life. I have 2 children and a disabled husband. I did my own accounts -- always on time and when my work was done I had other things to do. Well if your work was caught up you weren't suppose to have a life or rest you were supposed to do more work for her. The paychecks starting coming later and later until one day I had one returned for NSF. I quit at that point. You have every right to vent. Your family comes first. I have had a number of job offers since and I am currently working again with yet another offer on the table. Good Luck!
MTSO here
I am a small MTSO that has two part-time IC's and can only pay them 0.85 cpl to 0.9 but because of the account they can make $45 an hour. Again, I stress to me it is what I can make an hour. But it is a psych account, I pick up tapes, meet the gals, and then they have 3 days to do the reports which are long, 10-12 pages but I developed so many templates that they can do them about 60 to 75 minutes. They E-mail to me and I E-mail the reports to the docs. We pick up on Thurs, and they have to have to me by 10 on Tues. My other accounts they sometimes help me with but again I can only pay .85 to 9. Again though they can make $25 an hour which I don't feel is bad pay. I just cannot charge the docs more than I do at 11.5 to 12 cpl. They pay on time, never a bounced check and appreciate what we do so I feel we all benefit. Also they have been loyal to me and my psych account has been with me for over 16 years. See what you make per hour.
That is my Saturday 2 cents worth for the day. If any typo's cannot find my glasses so sorry if there are. Patti
That must be one of my MTSO...sm
I know the feeling ALL too well. I have one I help out prn, only if I have the time. I never have any idea when she will need me...a week could go by and I hear nothing, sometimes 2 weeks. I have other large accounts, plenty to stay busy. I check my e-mail in the am, see what needs to be done and get busy.
Well, when she realizes she is in over her head and needs help, she thinks I am sitting on my e-mail and should reply ASAP! I sign off at night, the next morning she has a nasty message in ALL CAPS wanting to know why she hasn't heard from me. Well, for one thing, you sent the e-mail at 10 pm...I am NOT sitting on my e-mail at 10 pm. She then rants and raves about how she is short some MTs, and this account, which she has taken on to help someone else out, is putting her in over her head. She is very short tempered and nasty when she gets herself in these holes and then thinks we should bail her out... and if we are not available, it's somehow our fault.
She preaches on and on about how late she sat up getting the work done, as if it is somehow OUR fault she dug herself in this hole. As I told her, just because you do not want to turn down ANY work, do not expect everyone else to be free to help you out when you get in over your head. And I remind her that IC means just that. After 2 years helping her out, she does not want to pay any more than before. So, when she starts a tantrum, I just remind her that I am working on clients that pay me 2 to 3 cpl MORE than she does, and they are my priority.
MTSO
ok, i give up, what does MTSO mean? i been reading this for months and i can't figure it out. "My Tired Sore Ohhhhhhh...." lol
She's not an MTSO
But if she wants to train MTs for free I am sure nobody is complaining.
LOL you must be an MTSO
It's not dangerous OR hateful advice and it's worked for me in the past.
The OP *should* hire an attorney if needed, BUT BEFORE she/he spends one nickle on an attorney to collect HER money! she/he should give the MTSO one last chance to get it right - and that would be a with a warning about what is likely to occur if she sues.
If the MTSO has a LEGITIMATE reason for a delay they can speak up about and negotiate. But ignoring a contractor who is owed $ is NOT acceptable.
which MTSO are you?
nm
Not MTSO, but
I have used ibackup for a couple of my clients with a need for multiple people to access files.
http://www.ibackup.com/
It's secure. You just send them your directory link and viola.
What is the MTSO
What is their name?
what does MTSO mean?
not trying to sound dumb but new to the boards and keep seeing MTSO, just curious what it stands for
I think you are an MTSO. nm
x
MTSO vs. IC?
I'm a student MT, and I'm curious as to what the difference is between a MTSO and a Sole Proprietor working as an IC from home? Right now I am writing a business plan as part of my MT Program, and I am trying to sort this all out.
Also, I saw a post below talking about digital dictation and paying for FTP site service, is this an expense necessary for ICs or only MTSOs with employees? How does an IC usually download digital files from the client?
MTSO can set TAT but cant specify certain hrs.
x
My MTSO is going to use it. *nm*
Does anyone know what a MTSO
charges their clients (hospitals) for medical editing?
I know the average MT pay for transcribing is 7-10 cpl per 65-characters plus spaces, and the average MT pay for editing is 3.5-6 cpl per 65-character plus spaces, but I was wondering what the MTSO would charge the hospital for primarily an editing account.
Does anyone know?
The above is most definitely an MTSO's
I'm not an MTSO - sm
I've been a Transcriptionist since 1990, starting out transcribing tapes into my IBM Selectric from home so I could raise my then 4-year-old daughter as a single parent. The industry has been very good to me and I'm very proud of the fact that I was able to make a good living in as an MT all these years. And as I said, I used to be opposed to outsourcing - at least until I really started looking at it, asking around, talking with people.
Outsourcing transcription work isn't any different from bringing in people from Belize and Honduras to clean hotel rooms - Americans don't want to clean toilets either, not any more than they want to work overnight typing. The companies who do not outsource will go out of business for several reasons, all of which are OUR fault -
1. People don't want to work overnight or weekends but it's a 24/7 business.
2. The quality of new transcriptionists coming out of school is, for the most part, horrendous as is their work ethic. In order for it to be cost-effective to train newbies, companies will have to make sure they're up to speed quickly and most trainees aren't willing to do that because the schools have told them they can make a ton of money right out of school, even though they aren't qualified to type a prescription, let alone a legal document.
3. MTSOs still have to provide quality work for a lower price than the next guy to their hospitals; it's not that they don't care about the quality, it's that the hospitals are squeezing them for lower costs, just like everybody else, wanting to get more for less.
4. The offshore folks are willing to work and work hard. Yes, the MTSOs have to spend more time reviewing the work, but at least the work is getting done within turnaround.
Now, we all have a decision to make. Me? My decision is to work when the work is there, not when it's convenient for me and do my very best to make sure my quality is better than anyone else so the company won't be able to say that I didn't do what I had to do to stop the need for offshoring.
What about you? I don't post to these forums often because I'm too busy working. Seems like you all have a lot of idle time with your hands to post here - maybe you should work more and then there'd be less to offshore.
not with MTSO
It's with Aurora itself, but thanks
what is MTSO?
because I am an IC and I'm "supposed" to generally make more than an employee. how does that save them money? I suppose I'd jump on the chance to be paid vacation pay. Didn't know it was against IRS rules
Former MTSO
I used to be MTSO of my own company and in my best year I made almost 6 figures (gross). I had 6 MTs subcontracting for me. I paid them 2/3 of what I made as I felt they were worth it but I still worked 7 days a week, 12 hours a day with no vacations and worked every holiday. When we did our taxes that year I made $30,000, divide that by the number of hours I worked and it was minimum wage. For that money I could have stayed in corporate America, had paid time off and weekends off. I should have gone back to school then. It ruined my health, I had to have surgery, closed the business. 8 years later, I keep making less and less. The company I work for just lost our acct to someone cheaper and the hospital did not even give her notice. We are done tomorrow. I go back to college in January. I've had enough.
According to how CS is set up. My MTSO
counts spaces and we use CS.
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