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Serving Over 20,000 US Medical Transcriptionists

Hard for me to give up 4K a month because the use tapes.

Posted By: Patti on 2006-06-06
In Reply to:

Thank you -- hard to give up 4 to 5K a month if they want to use tapes.  Also I have a lot of write off's that offsets the pick up and delivery, gets me out of the house, dressed and make-up on and pay less taxes. 


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I also have two offices w/mult physicians on tapes, but going digital this month (sm)
at my encouragement.  I am training them with a consulting fee by the hour.  They were resistant, very old fashioned, but after multiple problems with a few docs dictating over each other's tapes, and the cost of gas, paper, and everything else... I encouraged this.  In fact one service just added another physician and I told them I could not handle their transcription anymore, but they said whatever I can do to continue, so we are going digital and longer turn-around time.  It will be a time saver and more cost effective for me right away. I will still be going in to the offices probably twice a month because I feel the personal touch is really important.  I also work PT for a national, by my choice, as I feel it keeps me on my toes with different types of transcription.  Also the national is a guaranteed paycheck via direct deposit every 2 weeks, whereas my own customers, thought good money, well sometimes they are late. 
hard to hear tapes
My guess would be it is his recorder or the tape.  Old tapes or old machines that rewind them loose can cause this problem.  Could be battery issue too.  If happening with multiple doctors, and sure you have ruled out above, try seeing if there is upgrade to your sound card or software and windows media, etc. - whatever you are using.  And, yes, headphones do make a difference.  I picked up Sony ear buds for about $15.00 at Best Buy and they are way better than headsets we get with tape machines.  Hope this helps.
It's not hard to reach $4000 a month as
Someone with their own accounts can pull in more money than an MT working for a company or another service. In California, I know of an MTSO who charges 16 cpl and the clients pay that willingly. Where I live, I couldn't get away with charging that much. They just won't pay it here. However, I do have my own service and I bring in $3000-$3500 on average. Some months it's less, some a little more depending on the workload.

Also, when you have your own accounts, you become quite familiar with the doc's dictating styles, can build up a huge library of Expander entries, and create normals or templates for the physicians, which boosts your production rate quite a bit.

I know I make more money with my own accounts than I would working for someone else but trust me, there are plenty of headaches that go along with having your own service, too, so it can be a trade-off at times. There are lots of times I think I'd gladly take a lower line rate to get rid of the headaches!! The only thing that stops me is the flexibility since I can work any hours throughout my day as long as I meet the agreed TAT. Since I have two kids, that's pretty valuable to me!
I spent about a month in India and they do speak English but sometimes I had a hard time
understanding the way they pronounced the words so I would ask them to spell it.
Why should this MT give away her hard work? She should go after what is rightfully hers.
:+
Well, if you're willing to give up what you have worked hard
Oy....
I pay $35/month through Vonage for unlimited LD. Local phone co. charges $50/month. NM
x
If it rains hard, the wind blows hard and there are trees
nearby, it snows heavily it will mess up the signal.  The speed is not constant, sometimes as slow as dial-up, but at least still connected.  Many companies will not allow satellite. 
So, you think it is okay for hard-working MTs to earn 7-8 cpl for their hard work?? nm
:{
M-TEC has a Basic program (12 month) and a Premier program (18 month). To WAH, you should take the P
:)
The girl was 13, the rapist a distant relative they took in. Give money, give food and your time, b
you don't put your family at risk by taking in strangers. That's just plain foolish. There were over 3300 registered sex offenders in NO. Where are they now. In your community? Perhaps in your house? Good luck.
oh our lovely government does give illegals medicaid, foodstamps, and housing so in term we give tha
i have been through some rough times lately and had to apply for some help. there are signs, big signs, all over our offices saying "YOU DON'T HAVE TO BE LEGAL TO GET HELP". so we and our government do give them our benefits whether they are legal here or not. now that is messed up. i am helping to support them so they can take away my jobs and i can't even support my kids and yes i get benefits, wow $75 a month in food stamps which lasts not even a week in a household of 6. don't get me wrong, i am thankful for any help at the moment, but i get penalized for trying to work my tail off and still can't survive.

there was recently an article in our local newspaper where one of our local school districts tried to charge $1000 a year for each illegal student enrolled. it was bulked and the illegals got a lawyer to sue for discrimination. the school district merely stated that they had to HIRE extra teachers that could speak the foreign language just to teach these children and were trying to offset some of the expenses. ridicilous!! so again our taxpayers money is paying to educate illegals as well.
Aw come one give her a break. She said she was sorry and is willing to refund. Give her a chance to

do what is right.  If she fails to do what is right, then go about this in an adult way and not act like such a child.  "you suck"  That is so immature.


She is responding to you and you are eating her alive.  Why would she put herself out there to be treated like this if she didnt mean it. 


I am really astonished at how people can act on here.  Would you treat people like this in person?  If you do, I cant imagine you having very many friends. 


Remember we are all "HUMAN." 


 


A simple google search will give you your answer...I'd give you the answer,
but how would that help you learn to research on your own...and I'm in a rush to get to the next post. 
Tell him you'll give him your macros if he'll give you his Lexus, his ski cabin, and (nm)
;p
Tapes

Can you reuse the same tapes (standard size) over and over? I have been for a while and I was wondering if they eventually get bad.


Thanks!


Tapes
Tapes are great, they fly. Working for a national also, 50% of the time and tapes the other 50%. Enjoy the tapes much more, make much better money (gross line count, not 65 ch). Have always set my word expansions up in Word itself. That way, no matter who I work for I use my own version of Word and my expansions are always there. Enjoy the tapes. Hope this helps. PS. They print at the site for me.
This happens a lot with tapes too.
I have noticed that with digital there are more safeguards.  When the office downloads the files to their computer they usually save it on their computer.  Once they send it to you, you save it to your computer too.  Sometimes the doctor erases the file before all this happens, but when the doctor erased a part of a tape there was no backup then either.     
From below regarding tapes
Okay, I started typing today on tapes picked up yesterday.  (I deliver between 10 and noon)  So I could have done then yesterday but had graduation for nephew.  So I started today at 5 o'clock and it is now  close to 11.  I  have typed, printed, showered,  made deliveries and pick-ups, went to bank, know what I have to do tomorrow and made $201.  No sudden files sent, no sporadic files sent, have the complete day's dictation , and can schedule the rest of the day and tomorrow morning the way that I want.  So this works for me and I appreciate the input from Tikki and all, but will keep doing this if they want to continue to use tapes.   All my accounts are within a 4 mile radius from each other and the majority at one of the hospital medical buildings so it takes me 35 minutes to do the deliveries from walking out my front door and coming back through.  I respect everyone's opinion and hopefuly you respect mine.   I get exercise as it is half a mile from my car to home round trip.  -- Live on the river in a floating home.   Patti
I'm still doing tapes too!
Some docs don't like to change.  If you have a good relationship with the office staff, then they shouldn't have a problem using digital.  Most doctors do not want voice recognition because they want their reports edited.  If the doctor is a taper user, he very well may adjust to digital and just have his secretaries upload the dictation to send to you.  You may have to spend some time in the office instructing them on how to do it.  You may want to Google "FTP sites", and see where that leads.  Good luck!!!! 
sum tapes
Does anyone still use the Sum Tapes and Transcript keys for practice?  If so, what is the copyright date on them?  Mine are 1994.  They seem to be a little out dated.  Does anyone have any newer ones?
tapes
I agree, I do tape accounts, a small one, but they do treat me well. I also type straight from the doctors notes on a major account, nice people, too. We make a good living.
Tapes

I have had that happen a couple of times and I have a friend that just transfers the entire tape to a new casing and attachs that.  Only rarely have we lost any dictation or have it become so distorted that we can't hear it.  Perhaps a couple of sentences.  Guess I have been lucky.   But again, I would write to Maxwell and tell them that you got a bad batch or lot number.  Good luck.


 


YES you can fix the tapes yourself
see entry above; OPERATE ON THE TAPES.
tapes to wav/mp3
there is a program online - inexpensive - that you hook you tape player up to your computer, play the tape and have ability to modify the tape sounds, editing etc - play it as a wav or mp3. Polderbit is the one I use - you can Google - tape to wav and many will come up
tapes
I have been with them for 10 years and they have only asked for me to reprint twice, that's not bad.
You have tapes -- how do you log in
Guess I am a little slow.  You type from tapes, you deliver back on paper, how do they know when you log in???? You don't have to log in to retrieve the dictation nor send it so please explain to me.   Guess my old age is catching up with me as I don't understand. 
Tapes
This may be a sillyquestion, but I have always worked digital, so I don't know this. How are tapes played with a foot pedal? Thanks
Tapes.....

That sounds really HIPAA compliant. 


Tapes
You're right, this isn't very common anymore. However, people do still do it. Myself included. I charge by page. I charge $5 a page. This is how it works: I type everything in Word, then get the line count from the Word statistics. I divide this by 55 (55 lines per page) and multiply by 5. This is how I bill. I just make up a bill in Word and sent it to the clinic twice a month. You will have to get a machine with a foot pedal that plays cassettes though, and those are not cheap, but you can make pretty good money if you charge this way.

GOOD LUCK!
Erased tapes
They request that I erase the tapes and I have disabled my erase on my machine, I just accidentally somehow picked up two tapes that were not yet transcribed -- I have two bins -- two different colors  --but was in a hurry and picked up the wrong ones and pushed them right through the eraser.   Today when I went to transcribe I found two tapes that had already been done in the "To be transcribed" bin and had been delivered and the ones that I knew had to be done were nowhere found and so I am by process of elimination assuming that is what I did.  I remember erasing two tapes and it was the wrong two tapes.   I am so organized and have always had this fear and so after nearly 20 years it finally came true  -- one I could accept but both of them  -- that is the problem.  But can't fix it now.   Thanks for your input.
Erased tapes
Good for you!
Maxell Tapes

Just thought you would find this of interest. I know we don't use tapes too much, but all these years of trying to fix broken tapes - I contacted Maxell about a tape that blew off the spool on side B. They guarantee their tapes, just mail back to them at a N.J. address - link below - via regular mail from NV to N.J., and it was returned within  3 days - not only do they fix it for free - but send it back via Federal Express, at their expense + give you a free tape.  Wow!  Joyce


http://www.maxell-usa.com/Content/Pages/Page.asp?Section=maxellusa&department=aboutus&Line=maxellcorp&Product=contact


How about the docs that use the tapes sm
to dictate, then use the call in system, put the phone by the recorder and re-record the whole stinking tape via the call in. To me, that is the worst. It turns out to be 30-40 minutes of dictation and they sound like they are dictating from the grave. Yuk.
practice tapes sm
As usual, your answers are so much appreciated. I love this site, helping others is so important, I do it whenever I can as well. I believe in karma. Thanks again!
I was on my way to pick up tapes. nm
nm
Practice tapes from?
I have heard practice tapes some give out that are almost perfect dictation- definitely not what you run into when you transcribe. Are you doing the "goodie" tapes or are they the real McCoy? The practice ones I have heard put in their periods, paragraph. Ha, very seldom hear that in real. What kind of work will you do, speciality or the 4s? I have my equipment as fast as it can possibly go and my salary has gone down in the past 4 years 20,000$ from the constant outsourcing the companies are doing. My speed is between 130-140 wpm and I make good only because I have my nose to the grindstone most of the day. By the way, independent as well but my company asked me for certain hours and which days. I have seen numerous posts on here saying you do not have to do it -but I wanted to work for this particular place and I accept it.
practice tapes from...
Practice tapes are real; slurring run-on sentences, gurgling muffled words, you name it.  But, she gave me the printed reports to go with them, so if I really get stuck, i can look at them and find the answer.  If you don't mind my asking, how long have you been in this, and what's your cpl?  You work for an agency?  Yes, my speed is concerning me.  Thanks for your reply.
Maxell tapes
Just FYI - if they break, Maxell will repair, send back via FedEx and give you a new tape - beats Dr. having to redictate, if you are still working with tapes.  Joyce
I just had to comment on the tapes...sm
I've been MTing for 10+ years and just in the last 1-2 years the tapes the docs have used are coming off the spool at the end of the tape.  My doc got so mad and asked me to fix if I could.  I would take these things apart and Scotch tape the tape back onto the spool.  I have fixed about 10 of these now.  Some were Maxell and some Sony I think.  I wonder if any of you have had this happen.  That's all.  Just thought I'd share.
CAN'T UNSCREW SOME TAPES
Unfortunately, some of the newer tapes don't "unscrew" anymore, or at least there are no screws there. Last time I paid someone to fix one it was $85.00. I used to fix these myself, but wonder if anyone knows how open the newer tapes without screws?
copying tapes
We did that for awhile because I was trying to help a friend to start out in the business and I also gave work to other people on the internet, but it is a lot of work.  Thank God, my husband did most of the work, but thanks, but no thanks.
C-phone to tapes....

I know this has probably been discussed before, but can someone explain to me the process and equipment needed to record transcription for a C-phone to cassette tapes?  I have a Dictaphone C-phone and Lanier microcassette player.  Thanks for any help. 


 


copying tapes
it is a lot of work and you lose the quality of the tape, if that is possible with some of the doctors.
C-phone to tapes
I have a Dictaphone C-phone Model 0421 with connected standard cassette transcriber that you can re-record your work to.  It is all one unit if interested.  I am selling for $275.00.  I have a picture of the unit also.  It is in brand new condition.
tapes breaking sm
I would like to know how to repair a tape without sending it to someone to do it professionally. I have had this happen in the past and the owner of the dictation had it fixed. However, should I need to do it myself one day, I would not know how. Can you really splice a tape with scotch tape? I would really like to know. I know tapes are gone the way of the dinosaur but you never know! Thanks!
Maxell tapes
I did a quick Google search yesterday and came up with a review on Amazon for this particular brand of tapes, where someone wrote that the tapes becamed detached from the spool and wound up inside the casing and were unusable. It must be the brand. I guess we will try another brand for now, and hopefully this will be a push in the digital direction.
I should say that my doc fixes his own tapes!!! sm
He takes them apart, rewinds, and then tapes back up.   Of course, he tells me to throw away when I am done transcribing. 
OPERATE ON THE TAPES!
May sound silly but I did this a couple of times - to which was greatly appreciated by the doctor who would have had to redictate!

I just chipped hole in cassette where the tape passes through to the spool, put a tiny piece of scotch tape on the end of the tape, tapped it down onto the spool and carefully rewound the tape onto the spool. And of course threw out the tape when done transcribing it...

Since this is happening to you a lot though, a better solution would be to tell the docs NOT to dictate to the end of the spool, but of course that would REQUIRE COOPERATION on the part of the dictator, so probably nevermind. :)
My account uses tapes.
Good luck.
60 minute tapes

Are they 60 minutes from the same doctor, 20 minutes from 6 docs or what?  If you are doing these doctors on a daily basis, you should have a lot of Expanders or auto corrects so that you are typing about 2/3 of what they say.  Are they chart notes, long reports or what.   What I do is I set up a goal of doing an hour or typing and then take a 15 to 20 minute break.  If an hour is too long, then start out at 30 minutes and take a 10 minute break and slowly over the week increase it to 60 minutes.   Of typing not dictation.  Also check over your work and be sure you are using your expanders/auto corrects to do the work for you part of the time.   Between my 6 docs, I do approximately 120 to 150 minutes of dictation a day and it takes me between 4 to 5 hours typing, then an hour to print and deliver.  And it is 1800 to 2000 lines I have done.   But again,I break mine up in smaller incriments, and set the goals and it is much easier to sit down knowing you are only going to type for an hour with a break or reward and that hour goes by fast.  As an IC you can do this.  Again, I make my computer work for me -- if it can type it for me that is money in my pocket.  Again, you said that you had the same doctors each day so you should be able to do inserts, auto corrects, or use of an Expander if that is your way of doing things.    Good luck.    Patti