I'm an MTSO with MTs who work on a hospital
Posted By: sm on 2008-09-11
In Reply to: IC productivity question HELP PLEASE - anon
system just like you do. The hospital also tried to do that with me - told me they'd email me the production stats at the end of the week for each of my MTs. I told them no, we wanted to figure our lines independently, and they said okay. Don't know what I would have done if they didn't. We work on a Dictaphone system but not doing SR. You say Powerscribe so I assume you are doing SR on a Dictaphone system. With transcribed reports you can choose the Sessions Statistics tab and get a line count (of course, it is based on what they have calculated as a line but I have checked it independently and it seems pretty accurate). I have also charged by the minute of dictation in the past.
The hospital we do work for, I don't think they would cheat us; I think they would give us the same production calculations they do for their employees. But we are NOT employees and we need to be able to determine our lines independently, not have the hospital tell us what our lines were. 
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Hospital to MTSO
I went from hospital from MTSO and have had the toughest time getting my line count. I am getting paid 65 charcter line including spaces, no headers and footers with the MTSO, same with the hospital. We are using the same platform. I even bought a new Expander program which helped but I am still not where I need to be. I qualify for PT but not FT and I need benefits. I can sit and work and do nothing else for hours and it seems that counter barely moves. I am doing clinic transcription not acute care anymore. With the hospital, I was getting 1200 to 1300 lines a day. With this MTSO I do good to get 800 to 900, and on real good days I do 1000 but I really really have to sit there the whole 8 hours, eat at my desk during lunch. I had been there 6 months and I am getting very discouraged. I thought about trying another MTSO but afraid I will probably jump from frying pan into the fire as most of them have VR. I am doing straight text, I have not experienced VR yet.
hospital to MTSO
I can assure you the line counts are not correct unless you are counting them yourself or have word count. I work for company which switched to their own platform. The work I do has several templates. I was getting 21 lines and now it is either 13 or 14. When I asked about it at a conference, I was informed it should be the same but never has been. I sent examples as requested and quess what - no response.
We are being had.
MTSO or hospital servers that are overloaded and
.
ATTENTION all MTSO and hospital...please get 1-800 numbers...UNLIMITED LONG DISTANCE is being canned
This is going to be a HUGE problem for everyone involved. The long distance companies are watching and they DO NOT LIKE what we do over their lines, so please, consider getting 1-800 numbers. You could possibly charge each MT a small amount each month to cover the bill. Seems like a logical way to go! What does everyone think?
Have a hospital I work for and they consistently change work types and do line counts. (sm)
Management just doesn't understand in order to crank out the work you need to be proficient by typing the same accounts. Go figure, they just don't get it ??
No (IC)....but I work for a small MTSO and have set deadline each day for my work
I will not be working on Thanksgiving day, though I will have 120 minutes waiting to be done and turned in by 8:00 a.m. on Monday morning.
the hospital I work for already has started to implement this and lessen our work
I see it every single day... they are going to EMR... meaning the doctors simply use a template already in the computer and check boxes or something... The doctor's office i GO TO actually does this too. This is why it creates tech jobs to create those templates and takes AWAY MT jobs because the doctor is no longer dictating, they are just pushing little buttons or checking boxes straight into the computer.
Personally I still think that is more time than the doc wants to take but whatever, i dont see how generic charts are good, what happened to detailed information...
But this is definitely how i see it going along. Maybe not everywhere, but plenty of places are going to go to this, it's all about saving money now isn't it???
If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
Yes, work for MTSO and plenty of work
Hi. I did work for local docs and got ditched by every last one of them for various reasons.....going to voice recognition, going to hospital MT service, etc. Now I work for a MTSO and absolutely love it. The work is there 90% of the time. The holidays are SLOW, but I am learning to try to prepare for that (savings). I don't know if mine needs more ICs (doubt it at the moment), but it is StatIQ Solutions in Albuquerque. They are wonderful to work with. Good luck.
Depends on what kind of hospital? Large urban hospital or small community hospital? SM
Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.
I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis. But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl.
I think I used to work for this same MTSO!
She sounds EXACTLY like the woman I used to work for until I finally had enough of her you-know-what and quit!!You deserve much, much better so keep looking. No need for that kind of aggravation. 
I work for an MTSO
and I just put it this way last week. I have been working for her for a little over 2 years and have not gotten any kind of a raise. I asked her at what point, if any, does she give raises. Her answer was no one has gotten a raise in quite a while as they had to lower their rates due to overseas outsourcing. I guess the threat of that?
Don't know who you work for, but at my MTSO
if that is what they say, we are told to put it, i.e.
cc: Dr. Smith
Miami, FL.
It is the facility's responsibility to figure that out, not ours.
I work as an IC and I let the MTSO know WHEN
I am available to work. If there is work, fine, if not then I don't work. That is a true IC.
The AAMT does not work for MTSO's...sm
The AAMT works for itself, for the few people who make money off of its training material and certifications, etc. and the people who glom on to it that sell MT equipment. They don't work for the MT's and they SURE DON'T work for the MTSO's!
If you work for MTSO, you usually dont have
x
If you are EMPLOYEE, you work for MTSO. If
x
MTSO just wants work done by fastest, most
x
The MTSO I work for on my own computer
block certain sites when I am connected per their system. The internet is not disabled, but I have to disconnect from them to check my e-mail. However, research sites are still allowed.
There's the difference, right there. I work for an MTSO who LOVES sm
for us to make money because then SHE makes money. I have been on the same accounts for five years.
I can't understand why people get switched around like they do in other places (I've worked for EDiX and another small MTSO and they switched people like mad).
I will quit my job with an MTSO outsourcer and come to work for you
I would be glad to make a parallel move in order to work for a U.S. work force loyal MT company.
I used to work for a small MTSO that used gotomypc - sm
I would connect up to her computer and download the voice files to my computer. Then disconnect/log off. Then I would play the voice files on my player (Bytescribe) and go to work. When I was done, then I would just email the work to her. But if email was down for some reason I would just connect back to her computer with the gotomypc and upload the finished work to her that way. Your computer would probably run faster if don't stay connected via the gotomypc. I suppose you can do that of course, just doesn't seem much point to it though to me, unless you only get one voice file every now and then, so you just stay connected to see them come in on the remote computer.
I'm glad I work for a small MTSO....
I hope my boss never sells out like my last one did. My old company went down the tubes after that and I see lots and lots of posts about it here talking about how bad it is. These nationals sound awful.
Before you work yourself into a tizzy of this, contact the MTSO.
For your own protection, contact them before doing any more work and ask for a contract. If they don't have one or want to use one, I would say "no thanks" and move on.
The best answer you will get to this question, however, is from the MTSO. It may just be an oversight as they are apparently busy enough to need your help and perhaps their organization is not what it could be at this point. Your contact will help remind them it needs to be taken care of and would also indicate that you're willing to conduct a professional relationship with them, not one that speculates on possibilities on this board.
I now work for an MTSO, but when I was inhouse we did tend
to send the difficult dictators out (our supervisor did this). That is just part of working for an outside service. We do not get to pick and choose we get what they choose to send.
MTSO I work for, get paid by the line.
x
If you work for a smaller MTSO, it is rare that
they offshore. I work for a small one FT and another one as an IC, and there has never been talk of them offshoring. A lot of the smaller MTSOs don't.
Just wait. I work for small MTSO and they have
dg
I work for a hospital and can do in less (sm)
than 8 hours (65-char line). Are you sure you mean per week?
Actually, I do work for a hospital now
and there are 8 of us who work from home. BUT, they have begun to do things the way the "services" do (NAMELY MQ). They stopped counting our spaces, and so forth, because it is "the trend".
Even the hospital MTs are not as safe as they used to be. We are the only hospital left in my area that has not outsourced yet, and anytime we complain about our pay being reduced (which has been several times in the past five years), we are threatened with outsourcing.
So, it probably is a good idea to start thinking of a change.
I do work for a hospital
that is the position that will be going fulltime. It is 28 hours a week now. I work at home for this very large Level 1 trauma hospital right now doing radiology. I have insurance, I have short term disability through them. I have one national as a sideline, and another local clinic as a sideline.
Well then don't come work for my hospital because...
if you type something for one of your co-workers, you have violated the confidentiality agreement signed when you were hired. I've typed celebrity reports too when I worked for a national, that's different. If it were the other way around would you like a casual acquaintance to know all your business? I wouldn't. I have the same respect that I would want. There's 23 other MTs in my hospital. I don't NEED to type a medical report on my children's elementary school principal (happened a few months ago). So, get off your attitude.
I work in a hospital and sometimes we have had - (s/m)
"blanket" messages on our blackboard - or in memos - meant for one or two, even those of us who work our tails off have to read it and feel chastised. It's very demoralizing. Next time I get one of those nasty memos or emails, I intend to tell the boss that if he thinks I'm so lazy, then he can just pry his fat arse out of his genuine leather easy-chair, turn off the computer games he plays all day long, and type the #*%<)!@% work himself.
I work in a hospital
in a city with a population of like 4000 people, it is only a 23-bed hospital and I started working here a year and 1/2 ago. I make a little over $12/hr. For this area, this is great pay for any kind of job if you don't have a bachelor's degree. My mom is an LPN/office manager in a clinic owned by the hopstial and she is only making like $4/hr more than I am.
The hospital I work for will
Well some people can get away with it, others get dropped. Why I am looking elsewhere.
I did work for a hospital that used one of those.
They called it a 'CryptoCard' and it was about the size of a credit card. You needed it to log onto their system--whatever number was displayed was the log-in number you were to use at that time. It always changed....security precautions. I never paid for it, but had to return it when the company lost that account....dumb bastids...was a great account.
the hospital I work for does that too.
They call it a Biometric Screening. When you enroll you have all the lab work done that you need.Glucose, lipids, TSH, triglycerides, etc. You also get a reduction in your health insurance premiums per pay period. Depending on what you participate in, you can also get up to $300 back at the end of the program.They have smoking cessation incentives, exercise incentives, etc. It runs from September to September. Pays usually in January, or midway through. You also get discounts on different classes that are offered, ie pilates, yoga, circuit, etc. For a reduction in my health insurance, I think it is well worth it. And I haven't heard of anybody being popped for drugs of abuse or anything like that.
When I used to work for the hospital, the ones of
us with equipment at home contracted with the hospital and worked our "second job" for the hospital to do the work when we were behind. You might ask them about that.
Hospital work
From someone who worked in a hospital first and then worked at home, sometimes in a hospital you end up doing other duties like correcting someone's else's reports because they are not there that day, or are working another shift, re-printing reports, sometimes the nursing floors or even physician calls with problems with the report (usually they are irate and blame any and every problem on transcription). You have meetings which interfere with your ability to transcribe. You have to be on alert for Department of Health visits. I could go on and on. Your line count sufferes. Unless you get paid by the hour and get paid well, it is more trouble than it is worth.
hospital work
I got most of my first work experience at a hospital when i had no idea what i was doing. They never gave me any feedback or nothing and was there 2 and a half years. And I got paid for not knowing what i was doing. I had only had a few courses of medical terminology and they hired me in. It was a stepping stone to bigger and better things. Hospitals today though are more competitive, (my experience was over 25 years ago). So you might learn more stepping stones by working at the hospital. (i drove over 55 miles to that hospital job just to get experience in the field).
going to the hospital won't work sm
thought because we as MTs sign contracts etc etc when we work for these companies. If we go behind the company back and approach the hospitals/facilities, we can be in all kinds of legal troubles with the company itself. The rest I agree with but people have got to stick together.
Kind of goes back to 30 years ago and the big unions huh? People stuck together they got things done and working conditions improved. People busted the unions and you see what has happened over the years.
Coming from a HUGE union state (Michigan---that ought to get a few riled), I have seen what has happened when the unions are "busted." I also now live in a southern state and see what goes on here when there are no unions and folks don't stick together.
There has got to be a solution for this and I for one am willing to sign on to whatever it takes to get the job done.
As in hospital work,
discharge summaries, operative reports, consultations and history and physical.
That's the problem. I work for clinic in day... MTSO at night...
The doctors where I work love my work. They have no complaints and do come in from time to time, so why am I letting this MTSO thing get to me so? I realize working in the office where I work, the scope of the transcription is not as vast as when I work for the MTSO at night, but it is still pretty intensive. I guess I'm just trying to do too much and I'm totally exhausted. Maybe time for a change, but just trying to make ends meet. Thanks again for your input!
I work for a small MTSO about 25-30 hours a week
nm
I have my own accounts and I work as an employee, but we are not talking about BEING an MTSO, we are
the MTSO's offer. If you are a well-trained, knowledgeable medical Transcriptionist with experience and you are looking for an IC job or an employee position with an MTSO, then you are worth more than 8 or 9 cpl. If all you do is sit and transcribe all day long, you are worth more than 8 or 9 cpl.
I really don't know what you're getting at. Not everyone has the capabilities, time, or money to start their own service. Not everyone is good at pounding the pavement and finding their own accounts. I'm not a salesperson to say the least. I lucked into my own personal accounts and if I hadn't, I'd be working for one of the MTSOs, but I'm not. My full-time employee status job is with a hospital for the benefits only and it pays hourly with incentive. Right now, that's the only employee status job worth taking is through an actual hospital, NOT an MTSO. At least at the hospital, you get a decent wage and get great benefits. Oh, there are a few good MTSOs out there, but they are very few and far between.
I only have dial-up, I work for a small local MTSO -sm
that uses a FTP site to send us our work, so dial-up is just fine for that (work is about a 20 hour TAT, so it does not matter how long it takes for me to download my work, and uploads are quick. So obviously a job that has no set hours, etc. is ideal for someone with dial-up. Also get your own accounts, then it doesn't matter does it as you are the boss. I have 1 account of my own and we transfer the files via the internet through an intermediary website (in place of a FTP). Just keep hunting there are dial-up jobs out there.
Oh no kidding! Needless to say, I did not work for that particular MTSO for long!
x
It means one MTSO offering to pay you 3, 4 or 5 cents/line less for the same work you do at another!
I work for a hospital 6 states away. SM
I have a physician list and I have a website to look for other doctors. But how can they expect me to know how to spell patients' names? They can't. I have a disclaimer at the top of my log sheet that says common or phonetic spellings will be used where patient name spellings are not provided.
That was the thing that held me up when I worked "live" from home for a hospital. All that diddling around finding out whether it was "Kathy" or "Cathy" -- I don't do that any longer and you're right, it makes a HUGE difference.
i work in-house for a hospital and they
did. the bonus was the first to go, then outsource our work so that the 'chosen few' would be the only one to qualify for what little bonus was left. doubled the lines to qualify for bonus but also cut the pay per line of the bonus. they cant keep emps now except the ones that are too close to retirement.
I work for a local hospital,
not a company. I know to stay away from Transcend.
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