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For your own client, that sounds pretty average.

Posted By: tigger on 2005-09-19
In Reply to: Client just told me my price is too high - For Alabama

Based on what I know some outsourcing companies charge, you are definitely in the ball park. Sounds to me the area might be underpaying, which in the long run, hurts all of us.


If they only pay an outsourcing company say .13 cpl, will that same company turn around and pay a transcriptionist .08 to .09 ?  Don't know.





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1.20 is pretty much average
links is ok, since you're getting the same amount of pay for joining two exams into one. the only problem is i've noticed most hospitals are using one exam instead of two like they did in the past (pelvic ultrasound with transvaginal scanning is now one exam at one of my accounts).
you can expect 12.00 - 15.00 hour average, pretty much nation wide.
d
sounds about average

Sounds pretty sad.
I think the little girl needs a lot of prayer.
LOL. Although, your job sounds pretty
interesting on coming across Hollywood celebs. Who do you work for?
Sounds pretty close to
thinly veiled age discrimination to me!
the game sounds pretty disgusting...

It all sounds pretty okay, as long as you're not - sm
being paid by the line, but by the hour. (I assume you're currently paid per hour as an inhouse employee, right?) If you can still make your previous inhouse salary, rather than the paltry cents-per-line most at-homes make, you should be sitting pretty.

Double check and be sure the inhouse people have to maintain the same line count as you! There is no reason why at-homes should be 'penalized' with higher line counts than in-house people, especially if you're doing the same work, using the same equipment, etc.

If you're paid per-line, and it's not as much as you'd be making per-hour inhouse, what could happen is that you'll find yourself working longer hours for less money, which isn't fair. It's hard to maintain quality work when you're depressed about what you're making, or about never being able to leave the house!

Depending on your hospital's software, they may be able to clock you in and out. I worked at a place where they could see the time you started a report, and the time you sent it, but that wasn't always accurate if you were halfway through a report and then got up to use the restroom, and then had to wait in line for a stall, etc.

Even if you can't get worker's comp for getting hurt at home (though if you got something like carpal tunnel, you might be able to dispute that!), you would probably still be able to get Disability.

For the most part, it sounds like a deal that would work. You're better off being at at-home employee of an inhouse MT department than you are working for a large national. You probably already have better benefits, too.

And, at some point in the future, if you decide working at home isn't for you, you probably would have the option of going back inhouse without much change in anything, but if you left and worked elsewhere, it would not only be harder to come back if you wanted to, but they'd probably add insult to it all by offering you a lower 'starting' wage.

Good luck, and let us know how it all works out!
10 cents a line, 350 lph sounds pretty good to me!
I've got 30 years experience and I've not found to setup you have..Be very careful about changing. I've been looking for over a year and not found anything close to what you say you have. I've also worked for a company for over a year now and still get doctors whom I have never transcribed before.. almost on a nightly basis!
Well that sounds pretty bizzare and stupid. Is mgmt trying to get everyone to quit?-sm
A sure-fire way to get everyone to quit is to totally disrupt things. Maybe they plan to outsource but don't want to tell anyone. If they can get everyone to quit on their own, no unemployment to pay. It certainly sounds very counter-productive, and undoubtedly will make those with families very unhappy. They should fire the person who came up with this hairbrained idea!
The line rate sounds pretty good compared to other places - by "punch the clock", you mean
it really is not a flexible schedule, even for an IC? That's what I need the most.
What average line count do you type per pay period. what is considered above average and how long

how long, on average, average a knee replacement would one be on Oxycontin?(sm)
My DH recently had knee replacement surgery a month and a half ago.  The doctor has been prescribing oxycontin 30 mg this entire time.  Husband has been trying to wean off of it and is down to 10 mg.  He asked the doctor if he could come off it completely and the doc said to "just keep taking it."  His next visit is in two months.  With all the discussion lately about pain medication addiction, is it normal to be on this medication for this long and for the doctor to say "just keep taking it?"  How long should one be on this med?
I think I'm pretty bright and pretty good, too, but
I am not a CMT. I am a medical transcriptionist who enjoys her job very much (most days). I have chosen not to pursue certification simply because I cannot afford to do so. I believe the certification is a nice thing to have, but I don't believe it is necessary for employment or for excellence in my job. If you can afford it, go for it. If you can't, don't feel too bad. You can still take pride in and do a very good job without it.
FTP Client
I still don't know what an FTP client is that was asked in the original question? 
the client always wants a little something...sm
The client always wants a little something for nothing.....so I give them a free line if there is only one word on the line...I give them a 68-72 character line (spaces I do count).  I have never upped them in 9 years, but on my 10th anniversary I am upping them to 13 CPL.  I also give them their 5 line headings for nothing as it's only 2 Keystrokes for me.  They are good to me so I bake for the offices a couple of times a year and give the offices a gift during the winter holidays. 
I do for one client

One of my clients requested that I charge this way.  We do 10 words = 1 line, so basically a penny per word.  From what I have figured, I'm doing okay when compared to the character count way of charging on this account.  I think they requested charges calculated this way because of being ripped off by their last MT.  Once I send their files, they can check the word count and keep a running tab to compare with my statement.  They're satisfied and I'm satisfied, so it works well. 


Have your client do it. SM
Call the office of your client and have them fax/e-mail to you samples of their prior surgeries.  There's certainly nothing wrong with asking for this.
the client does not have to have it-- sm
The client can unzip using WinZip or whatever program they have installed, but MP Tools is so easy, some clients may want to use it. I have a couple who are interested in purchasing it just for the printing function, which works really well.
I had a client ask me to look
They provided a patient list for the date of service, but if the patient was not on there, then I had to view on-line the past week of patient lists to look for the name.  Yeah right - that took 15 or 20 minutes sometimes uploading and viewing.  So now, they get an inaccurate spelling of the patient name with a comment when I send there report, pt. not on list.  Hello?  Like the low wage isn't bad enough, and then add in that kind of junk.  It is pathetic. 
What the client says is law, if that is what they want, then
that is what they expect and they have the right to tell an MTSO who can and cannot work on their accounts.
Even with this, the client is always
BOS is a style guide, which I do not own.  However, I aim to please the client.  So, if the doctor wants to spell something his own way, then so be it.  He went to medical school, not me!  A book of style means absolutely nothing to a client who wants things a certain way.  End of story. 
It is just according to what the client
wants. Most do I would think, but some want them in a paragraph form and not captialized. Need to check with your supervisor or client.
Oh my! Do you have your own client? sm
I don't know of any MTSOs who pay 13 cpl. If you found one please share.
I'm not sure, but if the client does not
get a cut for using ASR, they why would they care whether their physicians use it or not????

We would be a lot more valued if they all thought ASR was as good as originally touted and had no editors to fix the darn reports it spits out.
First off..there is no way the client is getting a
And ASR is NO WAY 3 times faster...that will never happen. Most transcriptionists type the speed of the dictator to begin with. ASR could be a great tool for those of us needing a break from transcription, but it does not warrant ripping off our cpl's..ESPECIALLY when the client is charged the same...the have NO WAY of knowing whether the report is goes to ASR or not. Lastly, an ASR Editor needs YEARS of transcription experience, becuase to insure a correct report
It would be according to what the client
wants. We just type the numbers if they are dictated that way.
Unless specified by the client, I only
expand in diagnoses, procedures, impression, etc. I always type what they say when it comes to drugs, you don't change things like two a day to b.i.d. unless directed to do so by the client specifically. Also, on my client we are not allowed to use slang, so if they say "sat" we expand to saturation, bili is changed to bilirubin etc. A good MT never takes it upon herself to change something that is dictated UNLESS they are specified to in certain instances by the client or it something is wrong--then if it is changed you flag it for your QA.
I think relistening to a certain client until you
are very used to them is a good idea. Just put it on high speed and go over it. That won't take near as much time. I am QA and I can most certainly tell the difference between those who relisten or at least reread and those who do not.
never a client from a national, but...sm

A client approached me AFTER both HE and I had quit working for this one particular MTSO...I worked for him, she found out and tried to sue ME for $20K.


I sent her back a play $20K bill and told her that was about as much as her "lawsuit" was worth. Never heard another word from her.


Own client question
Those of you with your own clients.  What do you do when you want to go away for the weekend, or get sick?  I can see this as being about the only reason to stay with a company.  The ability to get someone else to pick up your accounts for a few days is appealing.
Depends on the client.....sm
At any rate you have too many commas, imho.

"I told him to clean the area with hydrogen peroxide and after that he can apply the Neosporin ointment." Works just as well.
It just depends on what the client wants.
I have some that still use tapes and some that I do through a TASP. So for the TASP, I have a wav pedal for the computer, Express Scribe, and that's it. For the tapes, I have the usual trancriber setup.
Maybe the client requested the
x
Pleeeez help. What is an FTP client?

I was asked that when applying for a job. I know it means file transfer protocol, but how the heck am I supposed to know how my audio files get transferred?


And I thought I was pretty gosh durn smart.


Client rate

It depends on the rate in your area, but I would charge no less than .12 per 65 char line.  I think this rate is not too high and not too low.  You have be careful about charging too much as someone will undercut you.  Practicount is a line count program that will allow you to charge for headers, footers, bolded areas, underlines, and so on.  This way if you have to drop your price in order to get the client you can charge for other things that will make up the difference.


Good luck!!!


it's really client preference......NM
x
In general no, but your client may need you to
nm
Well, if that's how she's billing the client SM
then that's how you should be billing her (just characters and spaces).  I'm sorry you're going to be losing money.  I'd be unhappy too.  Maybe you can work on your shortcuts/macros more so that you are typing less for the same amount.  No real words of wisdom for you...sorry.
Maybe so, but ultimately it is the client
x
The needs of the client have changed.
They can say they need the work whenever the fancy strikes them. You can either provide it or not. That is just the way this business works.
I lost a big client and a new one to EMR
My own doctor hired me after losing my account to EMR. I sat around for two months waiting for him to start only to be told on an office visit that he too has gone EMR. Good luck.
Losing a client
You have my empathy.
This happens with the big companies too. The MT is the last to know that client whose account they have worked on will not renew a contract. I worked 60 days in a row on an account to help catch it up not knowing the Co. was losing the account. I felt betrayed because during that time I could have been trained for something else. I was on a C-phone at the time, and others had already been trained on newer systems. Things really can be quite thoughtless/heartless when regarding the MTs feelings. Makes one feel like just a number. Or as they say a "Human Resource" I that that word..... it sounds like an entity that uses-up, wads-up, and then discards. What ever happened to personnel? Once again, you have my empathy.
Of course, forewarn the client.
Let him/her know that should you continue to be required to provide service over the weekend there will be an additional charge for doing it. Your work week is M-F and if you must provide service over the weekend you will have to charge a higher rate. I have had clients do this before and most of the time after talking with them they would change their mind about the ASAP timeframe. If you are getting slammed with a week's worth of dictation on one or two days then you should be allowed a longer TAT or charge a higher rate.
One client wants it, the other doesn't. :) nm
nm
ICs work for more than one client, always.
x
How do I set up a digital client??

Hi,


I just got an offer to do transcription for a doctor about 20 miles away.  Only problem is this is a pick up tape deal and I do not want to have to travel especially with winter/snow coming on.   I'm sure this isn't a big money maker account, but I would like to be able to have the voice files come to me encrypted and deliver the work that way too.  I am not very good at things that are overly complicated, so any help as to what to suggest for a recorder and such would be greatly appreciated.   I am hoping they will go along with buying digital, but if need be, I suppose I could provide it just to save driving.  Help please.  Thank you.


I have a PS client, and he does put pt's together when asked...sm
Lots of times he has new patient's talk with other patients.  Not sure how, probably has current patient call the new one or something.  You should ask.  Wouldn't have plastic surgery without talking to someone who has used him, actually more than one and would want to see pictures too.
DocShuttle Client
Does use DocShuttle Client?  Can I use Express Scribe or do I have to use the Wav player by Bytescribe?  I really like Express Scribe.  Does not matter either way, just wondering . . . . Thanks!
DocShuttle Client
Thanks!  Good to know!
Meditech Client (sm)
How many of you are using Meditech Client and like it?  Is it something you get used to?