I'll take your clients off your hands (sm)
Posted By: midwestMT on 2008-05-20
In Reply to: Good luck getting 10 cpl from a company - online.
Anytime you feel like getting rid of your pain in the butt clients, let me know. I don't mind dealing with office staff, going above and beyond and giving extra. I'm serious, I'd rather deal with the client's whims and wants than deal with the nationals anyday.
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
It'll be the most expensive magazine subscription you'll ever get! No point in joining. nm
s
I'll go! I'll go!! I won't take hormones and will be ready to defend your honor :) n/m
.
No. It'll be the most expensive magazine subscription you'll ever get, and it's unnecessary
s
You'll get used to it. It is keeping the right leg propped up at the same time that'll be the
When I broke my ankle, I was just grateful it wasn't the hands. Without our hands we'd be totally screwed.
I broke my right ankle slipping on ice and was lucky to have gloves on because the palm of the glove was totally torn up and my hand was okay.
Good luck and be sure to do your exercises when it is time.
hands down by the....
LINE!!
I am currently getting paid per report on one acct and per line on another and hands down...per line always adds up to more money.
From years of experience, there is at least one MT that will tend to skip the longer reports when being paid by the report - if this weren't the case then it might be about the same but just from years of experience it seems there is always one bad apple in the bunch that spoils it for the rest.
When being paid per line, at least when they skip reports they don't want to do - it just means more lines for me and more $$$.
Hands
Does anyone else have problems with puffy, stiff hands during the hot weather. Never bother me in the cold but this heat kills my speed and accuracy. Anybody have any home remedies that helps. I feel like the Pillsbury Dough boy with regards to my fingers and hands. Please don't tell me it is old age setting in. 
Thanks.
Hands
I tried Glucosamine with chondtritin and it did not help with any of my aches. But then I was told by a chiropractor to try MSM Glucosamine after I was T-boned and had terrible hip and buttock problems. Tried 2 to 4 did not help much and gave up -- I give up easily. But the past several months tried again at 2 twice a day and after a couple of days it helped not only with my hip but my hands have not ached all summer/fall now. Really helped and I now take only 2 or so and not every day. Vioxx also helped but they took that off the market. But this helps tremendously. But you should check to see if by chance you have Raynaud's or something in your hands or low thyroid. Good luck.
is there something i can use to help my hands....
to be smoother. i have been using baby powder, but have already went through 2 keyboards...is there a transcription something i can buy? also, how about my hands freezing....what can i do about that?
It'll happen. You'll find your fit.
You might have to kiss a few frogs first, though.
Oh she'll spice it up alright, she'll be
placing hidden cameras in the other ladies' dressing rooms! LOL!
continue your goal; he'll/they'll get used to it/over it
nm
I'll vent and I'll sign my name sm
I have two IC contracts right now. I recently went back to a job I had quit earlier in the year to work for the other company I am still working for.
The newer job has 80% ESLs. I transcribe OP notes primarily and I can fill in other work types as the opportunity arises. I am frustrated with this particular situation. After 6 months, I am making less money and working longer hours. I am past the learning curve and I should be doing better, at least in the number of hours I am spending doing the job. We have run out of work for 24 hrs at a time at least 5 or 6 times since December 1, and in November it was more than that. I have a friend who worked for this company as well and she was having similar difficulties. The only thing that we can figure is that they are shorting us line count some way, because after 6 months at it, it should be easier/faster/more money, but it is less and less every single pay period. It is not a nice thing to accuse a company of doing, but it SEEMS that way to us. I am fed up with being expected to type every single OP note that comes in 24/7 and meeting the 6 hr TAT for them on weekends, evenings, holidays, wee hours of the morning...
I took back a job I held for 2-1/2 yrs. The team leader has changed and this gal thinks that I should be on call 24/7 for whenever she has work. I might have some at 7 a.m., or perhaps not until 6 p.m. or later. I can't plan my personal life and between these two IC situations, I find that I am not eating on a daily basis, not showering on a daily basis and not sleeping more than 3 or 4 hours at a time. I have lost weight and I don't feel very well. I woke up today with a rip roaring head cold (my first in nearly 8 yrs) and it has already moved to bronchitis and I am expecting pneumonia by the weekend because I develop it very easily. I already have deep pain in my back.
Yes, I should call in sick tomorrow, but I really can't take the fallout. The job I took back I am covering for another gal who wanted vacation over the holidays and if I have to call in sick, the team leader will call me and pitch a fit about how this is my responsibility. It IS my responsibility, I did say I would do it, and I will do it, despite being quite ill. In the past, when I worked for this company, they would not allow me to call in sick for a "cold" without a doctor's note. I worked through many illnesses with them and only called in sick when I developed West Nile Fever and while I was sick for over a month, I only called for my last 12 reports one day when I could no longer see the computer screen because my head hurt.
The problem is that yes, many MTs lack work ethic. They don't take their responsibility seriously. This is not a work as you please career, not even for an IC. I can see the MTSO's point of view, I truly can. Like finding experienced, reliable and capable MTs, for the MTs who are these things, finding a company will treat you like a human being is equally difficult. I sit here, feeling lousy and like I am an utter slave labor with no consideration whatsoever. I know that my work needs to be done, but when I am this sick it is better that someone else do it for the sake of the work, for accuracy and for speed of getting it out. I know that I am needed, but to be the MT these companies need me to be, I also need to look after my own health.
I will also mention that when I have asked for vacation, I have been approved for the time, but the MTSO queues up my work and calls me then I am not on the system getting it done. I have told them I had been approved for time off, but the MTSO didn't schedule anyone to cover for me and I am told to get on work, vacation or no, if I want to keep my job.
Thus, I work 24/7/365 and have for years. I work sick, I work when I am in pain (I have an AI disorder), I work exhausted from staying up all night covering for others who are allowed to call in sick and have vacations when I can't have either. I work having no health insurance and not being able to afford the $125 a month to buy some with a high copay so I can see a doctor. I work without breaks for breakfast, lunch or dinner and I sometimes come close to having an accident because if I leave my desk to go to the little girls' room I get nasty calls about where I am at and what I am doing.
Many MTs are mistreated, and I am one of them.
To get own clients or not....
I have thought about getting my own clients, but working for a company, if I want time off, I can easily arrange that and know there will be co-workers to cover the accts. If I get sick, the company will find someone to cover the accts. I don't have to worry about the billing, tech support, trouble-shooting, complaints. Maybe someday I will chose to give up what life I have and get my own clients, but for now I like being an IC for a company. This way, I am a great employee and an even better boss.
My clients...
Consist of clinics. They all get 48-hour turnaround time guaranteed, and anything STAT (a TRUE emergent STAT) they need, it's done at no extra charge. Radiology gets four to eight-hour turnaround for obvious reasons. The rest of the clinics don't need a 24-hour turnaround time because let's face it, their staff basically sit on it, and I'm not going to break my neck so they can just sit on it....
Clients
Hello! I'm new to the board but not to MT. I've been working from home for my own clients for 10 years. I wondered if others who do the same have ever experienced a situation I just encountered and wondered what your thoughts were. I had a client whom I transcribed for for two years, then he moved and started back up in his practice and called me and I've worked for him for an additional year in that new practice. When I noticed recently that I hadn't received his dictation as usual, I questioned it, i.e. was he on vacation, did they lose a tape or what? The receptionist said he must not have dictated yet. I found this off as he usually dictates each day he's in the office. A week had gone by w/o work so I called and asked and the same girl said she'd have his wife (who works in the office) call me because she didn't know why there wasn't work, etc. At this point I got suspicious and had asked the recep. if there was something going on I should know about. She said they're working on this new software and maybe they just got behind. New software? I talked to his wife and "I" mentioned this software. She didn't. I asked if this affected my workload and she said 'yeah, probably quite a bit.' I asked if she would please let me know AHEAD of time if they were going to make this transition so I could prepare and plan (she had just made it sound like they were just looking into it and kind of testing it out, NOT that they'd by any means started using it full-time). She said oh certainly they would let me know ahead of time. Then I pressed a little more and finally she told me he'd already been using it for his patients and when I asked if I should replace his work, she said yeah, probably because he really seems to like it and will probably use it. I don't know what the software is but I hate it just because it took a big client from me. But I"m also wondering if this is common practice for a physician just to outright not tell an MT that they weren't going to use their services any more. I mean, not only did they not give me notice beforehand, but they hedged on admitting it when I came right out and asked. I find this incredibly rude and inconsiderate, especially when I've been a faithful MT for them for three years. I"m just dumbfounded at this behavior. Has anyone experienced this? So now that leaves me in the lurch with bills to pay with an already tight budget (hubby in college, two kids, high heat bills, blah, blah, etc.) and me looking for work to fill in the gap. Sorry I ranted and rambled. I'm just really upset by this and wondered if anybody experienced being treated this way and/or knows what this software might be and if it poses a threat to any of us. Thanks so much!
Own clients
This has been discussed many times with many different opinions/ideas. You might do a search as there was quite a heated debate on this about two months ago. I have a brochure that I send out with my card. For those I am very interested in I do stop by in person or if anyone calls inquiring I stop by in person. You have to be prepared with equipment to do tapes or digital and some may inquire about a call in system. You may have to pick up and deliver, provide your own paper. Be prepared to do any type accounts. Your rate will depend on the area you are in and can be anywhere from 11 to 16 cpl from what people say on this board. You have to be prepared to have some back up if you get very sick or have an accident and for vacations. You will not get any benefits, will not getpaid when the doctor takes a month off to go to Spain. It will be a tough go at first until you esablish a rapport with the office staff. But I like it and have been doing it for 18 years. Just did a report and have made 4K more this year than I did last year so things are looking up for me. Good luck. Patti
One of my clients for whom I have done only
tapes for has given me a CD to load onto my computer. I haven't put it on yet but I'm wondering if you all can help. It's an Olympus CD and looks like it's for .wav files which is what he intends. He says I should be able to load this onto my computer and then after that, he can email me voice files. Now, is this correct and what will I need to have in order to play and transcribe his voice files? I have a Bytescribe pedal. Please tell me I won't have to buy a different pedal for this! Thanks in advance for any help!
want to get own clients
Hi Everyone,
I have over 2 years’ experience in medical transcription and really want to get my own client(s). I feel that I am finally ready to take that leap. The question I have is – how do you go about talking to potential clients? What is the best way? Mailings, calling, just going in? Should I make business cards? Unfortunately all of my doctors offices (family, ob/gyn) husband's GI doc and daughter's pediatrician are all EMR. Ugh. So that's no help.
I’m not really afraid of what to charge or contracts, the rest is what has me stressed the most. Should I buy a program like DocShuttle or will they basically tell me what they want? I have been with nationals and small MTSOs alike and just am not sure how to go about everything myself.
You can feel free to e-mail me with any advice also.
I really appreciate the suggestions/help!!!
Getting own clients
I am currently transcribing for GI docs who are using the EMR system, I love it. There is barely any paper for me to handle, I fax everything right from their system to the referring physicians, once in a while I will get a physician who doesn't have a fax and so I need to mail. The final copy goes right into their system. I am currently working from home through my business. They had the equipment installed at my house, fortunately for me, I was with them for four years before I went on maternity leave and have been doing it from home for the past two years.
I also transcribe for ENT docs in my area, before I went on maternity leave I asked them to use my digital phone in system (really didn't expect them to since they were 'set in their ways' but they agreed).
As far as getting new clients, I would get some business cards printed out, and some fliers stating what equipment you will use, i.e. tapes, digital; will you be dropping the finished work off, and also turn-around-time. Then if it were me, I would take these to local doctors, speak with the office manager and offer your services, may be you can start off by offering to cover vacations (I know how hard it is to get coverage for yourself on vacation. You might have to start small and work your way up, but at least it is a start.
Well that is all I can think of, I hope this is helpful to you. Good luck!!
Best way to get clients? sm
I want to market my service in my area. I have gone to offices before in the past, but they sometimes get annoyed. I have also done mailings and get no response. Is there another way to get the OM's attention that maybe I overlooked? Any suggestions would be appreciated.
Some clients won't go there
Some doctors have such rotten dictating habits they know running their reports through ASR will result in utter garbage; they have TAT to meet and they know if they take the time to have those reports extensively edited post ASR its just an extra step. Some clients know for them it will be a time and money waster; it is the MTSOs that are pushing for all ASR, not the clients. Many hospitals have tried ASR inhouse and end up scrapping it and going back to MTs. Its a lot like outsourcing in that many people are on the bandwagon, but there'll always be some that refuse to ride it.
Clients have the right to not have an
MT transcribing that reports if that MT continually makes mistakes. Not talking about the ones QA catches, but the reports that are sent straight through without QA and they catch the mistakes on their end and have to send it back. The client I am assigned at my MTSO has said that certain mistakes will not be tolerated and those that make those will not work on their account. They have the right to pull the account from the MTSO if their wishes are not followed by the MTSO.
getting own clients
Does anyone have a sample letter that I can look at to try to get my own accounts? I would really appreciate the help if there is anyone willing. I just need something to get an idea of what to cover in a letter just to get my foot in the door.
Thanks in advance.
I don't have any of my own clients...sm
so I have never had this problem. They said you were no longer transcribing his letters. Does that mean you are still transcribing other types of reports for him or is that the only type of report you did for him?
If the secretary called you before and asked questions about "How often ARE you coming to get work" or something to that effect, then it leads me to believe he was not happy with you for some reason. Sounds like he found someone else to do his work. He could have found someone to do it cheaper, who knows? I hate to hear you lost this client. I know money is tight.
Why not just get your own clients?
Just curious why you would rather subcontract when you could just get your own clients and make more money instead of paying a middle man.
Female..hands down !
I swear, every account I've ever worked had one problem dictator.. always female ! One REFUSED to use macros, even on normals.. and she would always make sure she made every report unique, so that we couldn't sneak away with using a macro for her. Another one spoke a hundred miles a minute. I remember my first day with her. She said something several times in her reports and I went crazy trying to figure it out.... lumbar spine ?? supine ?? Turns out she was saying "skip a line" !!
Obviously not for his face, but maybe his hands?
x
Hands On Transcription
Does anyone have any info on Hands On Transcription? They say they pay daily. Thanks
not sure what you are looking for exactly but for my aching hands sm
i have a mixture i make. it leaves your hands for soft and smooth and feels great too. take table salt and mix in essential oil. i love to use peppermint as it leaves a "cooling sensation" afterwards. just mix it until the salt is moist, not drowned. rub it is (preferably over the sink as it will make a mess), rub deeply or massage and it feels great. then rinse hands with warm water and it leaves your hands so soft and feeling great as the oil is left on your hands.
hang on with both hands - and don't let go
some swear by, but I think my hands are too big.
Voc. Rehab. let me try one out when they were helping me get my ergonomics together, and I knew right away I could never get used to it. I have rather "fat" fingers, though, and I think that was part of it. If you have longer, thinner fingers, it might be right up your alley.
You can rent one (which can then be applied to the purchase price, I think?) for awhile from this site to try it out, rather than outright buying it.
http://www.sforh.com/keyboards/kinesis.html
http://www.keyalt.com/kkeybrdp.htm
hands down..hourly
Hands down, if I had to pick one, my best
resource for medical terms is The Surgical Word Book. Boy that book is awesome. For meds, Quick Look Drug Book is The One! Online, the only site I really frequent is Dr. 411. Now, most of my coworkers are going to know who I am, as I am always singing the praises of these!! Oh well. It won't be any surprise to them how miserable I am at work - we all are. 
I am MT/ME and ME is easier on the hands...
I love ASR (automated speech recognition) aka editing as it's easier on the hands for some (me!!). It does pay 20% less per line but I'm very fast with editing. I like it a lot but to each his/her own opinion on it.
Good luck!!
Insuring hands??
I apologize if this sounds foolish but has anyone ever heard of a Transcriptionist insuring their hands in case they were in an auto accident, etc?? Is it even possible??
Cold hands
Does anyone else have freezing hands as they type? It's worse of course in the colder weather. Are there any gloves or similar products out there that we can wear while we type? Any ideas are appreciated! I freeze all the time, in warm weather or cold, but my hands are what I need to be warm to keep transcribing. I need a space heater that doesn't cause my electric bill to go sky high, but haven't found one of those either.
My hands are always cold too.
I have seen gloves with the fingertips cut out, but do not know how comfy they would be to type with.
I sit with a heating pad on my back cause I have arthritis in my hip and when my hands get cold I just put them behind my back to warm them up.
There are also those heat packs you can squeeze or rub together to warm up your hands.
You would think after typing and typing our hands would stay warm with all this exercise, but NO.
Keep Warm.
Warm Hands
Or how about a heated wrist pad for in front of your keyboard?
http://www.raynauds.org/offers/ThermalRest.cfm
Vonage the best hands down! I never
have trouble with them, either service or billing. No hidden charges, no monthly surprises. My bill is $32 every month for unlimited LD, plus I love their voice mail features, being able to access calls and messagers on line, their privacy settings - all calls can go right to voice mail if you want, etc. They are a miracle to me. Verizon, on the other hand, were skunks to me - my bill was always a nightmare each month, and though I had every Freedom Plan available, it was always a 3-digit bill. Service was great - billing was not.
When your hands feel like they are
going to fall off and your arms are killing you, what do you do/use to keep them going full speed for another 8 hours? 
Nothing pill-wise though...that has already been done.
I'd like them for when I have cold hands
wonder if they would work for that...
I have had cold hands lately
and I tried buying some little stretch gloves and cut the fingers out, but I found in the Sunday paper an add for Miracle Therapy Gloves that supposedly reflect body heat. I was going to order them and try them. They do have a web site it's called www.DreamProductsCatalog.com
cold hands
My hands get so cold in my office that it's difficult to type. They're stiff from being cold. Any suggestions for a type of warming glove that wouldn't be cumbersome while typing?
what I did for my cold hands
I bought a duel-headed lamp with adjustable necks (kind of like the 50's space-age atomic style). I have it on my desk in front of the keyboard with a lamp head bent over and trained on each hand as I type. The warmth is wonderful, and it doesn't get in my way at all. And you can move them up a little if your hands get too warm. No cumbersome gloves that will slow your speed and accuracy down.
stiffness in hands
At 40, you could be premenopausal. I know it sounds early but some women are. You might try getting some progesterone cream OTC and rubbing it into your hands. It's touted to help just about all that ails bones, joints, tiredness or anxiety. Just a thought.
Radiology, hands down.
x
I just heard clients are now
very interesting, indeed.
Finding Clients
I had gotten my previous clients when I worked in a hospital Medical Records Department as an MT. The docs just came to me and asked me to do their work at home. I am going to have a professional letter and business cards made up now to send to local doctors, just anyone in the phone book who looks good, but mostly cardiology, neurology, neurosurgery and orthopedic docs. They seem to have the most consultation letters.
Contracting own clients
It's actually two units attached and working together: A Sony BM-890 microcassette dictator/transcriber and a DTI-800 phone interface. I bought the unit (years ago) for about $1,300.00. The top unit (BM-890) is where you put the tapes in and is like a regular Sony transcriber. (I transcribed the tapes on a separate transcriber, though). The unit gives the doctors the option of pausing and backing up to listen to their dictation and make changes if needed.
Contracting own clients
I agree - to make good money, you need to get your own accounts. My long-time cardiology group account just got EMR with VR, however, so I need to find a new account now. This one was really nice in that the doctors dictated over their phones to my Sony answering system, and then I would just e-mail the completed work back at the end of the day for the office to print it all out there; I never had to do any pickups of tapes or delivery of hard copies. Just wondering now, is this very unusual, or do others here have similar arrangements? Thanks.
None of my clients have no idea what a CMT is...
Seems like they should spend more time/money educating doctors about the mere existence of CMTs instead of rolling out another level of certification.
|
