I'm a small MTSO. Here are my thoughts on it

I would determine how much per line the seasoned MT should get.  Not sure how much you charge.  But I, being a small MTSO, charge my clients 14 cpl and I pay my subcontractors 10.  Ideally you would be a bigger MTSO and could pay truly seasoned MTs 12 cpl or something on that order.  Otherwise, if they aren't able to make a decent line rate, and they are truly good MTs, they might as well go get their own accounts.

About the pay between the new MTs/mentoring MTs - I would decide what the total you were going to pay for those lines were, and then divide it between seasoned MT and newbie MT.  Say it's 12 cpl - pay the newbie 8 cpl and the seasoned MT 4 cpl for the work that the newbie does that the seasoned MT is helping with.

My husband's company does something similar.  He works with a partner, but the partner is less experienced.  He is basically my DH's helper.  DH uses his own truck and the helper doesn't have to use his truck.  Each job pays a set amount, and DH gets 70% and his partner gets 30%.

• Idea for a new transcription service. We are looking for some ideas to firm things up. TIA. sm - Still in Thinking Stage
  • I sure would not leave the house to work - not for anybody. SM - Becky
    • I went back in house and love it. I love not being - Opposite
  • We have decided to add this to our current service not have a new service. It will be easier to sm - Still in Thinking Stage
  • new company - typnqueen
    • Update - we have asked a few of our MTs if they would be sm - OP
  • I will quit my job with an MTSO outsourcer and come to work for you - Keep us informed, please.
  • I believe Diskriter in Pittsburgh did this..nm - Former Diskriter
  • I'm a small MTSO. Here are my thoughts on it - sm
  • sm - moneymaker
    • new business - tlm
      • I worded it wrong - should have said new idea for transcription service. sm - Original Poster
        • Good ideas - but most want to be at home! sm - IC-MT
          • We have a lot of seasoned MTs interested; it is the newbie crowd that wants to be - OP
            • I certainly hopes it all works out for you! Best of luck! nm - IC-MT

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is worth.  I'm done.   

was never afraid of not getting paid. Something in her voice told me I could trust her and just dove in. No contract, either. But I did have to give her my SSN for the 1099.

Never realized I would be setting myself up for trouble but every 2 weeks the check came in the mail.

Ask the MTSO. That's all you can do.

I as a small MTSO would be so embarassed to offer 6 cpl to anyone.  Could not believe what I read.   At the most I take  20 - 25% of what I charge clients and pay the IC the 80%.  I even do the pick up, QA, billing and delivery of finished products.  But to offer 6 cpl is a slap in the face.  Even newbies I offer 7.5 to 8 cpl and start them on the easiest accounts.   Hopefully she can sleep at night and look at her face in the mirror.  

Or do you prefer typing in your own Word program and emailing encrypted files?  Do you prefer to use C-phone to access the dictation, or wav pedal?  I'm seriously thinking it might be better to use a platform where MTs can go online to access the dictation and the platform to type into and I am looking for ones that MTs like and consider MT friendly.  So...what have you used and which ones do you like best?  I did do a search, but I'm asking again.  Obviously, being a small MTSO some of the larger platforms might be beyond my reach, but I'm looking for opinions.

her business is, no matter when (or IF) the MTSO is paid by the client.  I would NEVER contract with an MTSO that expected me to wait to be paid until they were paid by their client.  Impossible way to do business, very unprofessional. 

While I feel empathy for her family wondering what happened and wanting closure, frankly I'm tired of hearing about the case on the news, and that we have tied up FBI and even the military resources to look for her.  We have people that go missing in the US every day... and people visiting countries disappear - and you only hear about the ones who have families that are rich or well connected with the media. 

In my town there's a college girl who has been missing for over a week and it finally made the newspaper in a small blurb today.  This girl missed a flight to visit her family for a vacation and hasn't been seen or heard from since then, and her family says this isn't like her and that she was excited about the vacation.  Are they getting the attention this chick in Aruba is getting?  No.... because they're an average middle classed family.

I do know how you feel.  There are a few things I've done to cut that type of sress down...

I'm not sure what your company is like, but for mine, we have a primary account, and many people also have secondaries (mine is so busy that I don't usually need back-up work, so I have one major account).  It pulls from several clinics, but with a pool of about 20 or 30 dictators, after awhile, you get the hang of even the hardest ones.  There are some dictators that are just really bad, and I struggle with.  When I can't figure something out, rather than spending 10 hours searching and struggling, I use blanks.  I give it a good faith effort, as best as I can, and then I move on.  Since I usually clip along at a good pace and am pretty confident in 99% of the work I do, I don't let myself feel bad for sending something to an editor, if I truly don't know what it is.  Of course, I do the research, but if I'm looking for something for more than a few minutes, it's been too long.

You may need to look for a different account/specialty or even a new company, if you think that is the problem.  I know that, at one point, I ended up moving from a difficult but high-paying account to an account that paid less, but I was more comfortable with.  I ended up making more with the lower-paying account, because I wasn't having to stop every 2 seconds, and I wasn't tearing my hair out, and ending up in tears at the end of the day.  Of course, people should move up as they feel ready for that, but perhaps you need a workload that doesn't create so much extra work for you.

Those are just some thoughts, but you CAN do it.  Be proactive in finding a situation that works for you.  You are more of an asset to your job when you are comfortable and not stressing and struggling.

Hang in there!

 I would want to know what type of docs run the clinic - whether anesthesiologists, physiatrists, ortho, neurology, etc, as this will guide the typical direction of the dictation.   Because pain med Rx writing is always under scrutiny, there will probably be a fair amount of repetition for every pt on medicolegal issues.  Most, but not all, of my experience is with neuro/physiatry-based pain management.   For both these, I found the doc more likely to do further workup, which leads to much longer and involved reports. In the middle would be those docs who do extensive review of the patient's history and only minimal further testing.   The extreme other side of the coin are those, what I call, in/out pain clinics where the pt shows up every 30 days, re-signs their drug contract, has their BP checked and leaves with a new Rx.   I would always expect the initial H/P to be extensive and the f/u notes relatively brief.  Typically lots of phone call documentation and referral/followup letters or information.   Anesthesiologists lean more toward a lot of injectable therapies, blocks, epidurals, etc., at least initially, putting more of an op bent on their practices. 

As far as interesting, pain patients are very repetitive in their complaints and their needs.  Typically,  by the time a pt gets to a pain management practice, the cause of their pain has already been extensively worked up.  There are true chronic pain sufferers and those who are drug-seeking only.  Things do get interesting with the latter because they are very creative when it comes to trying to con or manipulate the docs.   If I were in your shoes, my first question would be what speciality of docs run the clinic.  As far as job security, it is way up there for legit practices.  More often than not, the average family doc is not willing to prescribe pain meds beyond a certain amount of time/quantity and feel forced to refer the pt to a pain  management practice in order to protect themselves from the medicolegal aspects of the business.    Hope something here helps - best of luck to you. 

Homosexuals as well as other "minorites" have been treated as second class citizens for so long now.  Let them be proud of it!  Do I think they go a bit far sometimes?  I sure do!  But I don't have a problem with it.  If a same sex couple wants to hold hands on the street then let them.  We don't need to stare in disgust and shield our eyes.  They are just trying to have the same freedoms as we have.  Discrimination is alive and well even today.  I know this because I have gay friends and hear about it all the time.  I feel that as long as you are happy and living your own lives then then let them be.  I know many "straight" people who are living in dead-end marriages,  completely unhappy and not doing a darn thing about it.  But their union is so much more sacred?  I think it's hogwash.  We are all different.  Let's celebrate those differences, not put others down because they aren't "fitting the mold" of what's acceptable.

I'm looking forward to Rosie being on The View.  I don't think she'll slam her sexual orientation down our throats at all.  She has very precise views, yes.  And she will talk about them.  She's VERY political and I feel that has nothing to do with her orientation.  SHe's given and helped raise MILLIONS for children and others who are less fortunate than her.  So why is it any time Rosie comes up people automatically make fun of her being gay?  Get over it people.  SHe's a person just like you and me.  jeesh!!!