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I'm in total agreement with you.....sm

Posted By: most snakes are harmless....... on 2006-05-21
In Reply to: Odds are its a harmless snake, open up then vent but capture it - sm - XXX

Do not kill them....unless poisonous or unless they strike!  They can be caught and released or given to someone or some group who specializes in handling snakes.


Killing is the coward's way out...killing something that you are 10 to 100+ times bigger than......unless of course it's about to strike or is poisonous!




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total agreement with you - sm
I myself am in favor of trying to find out which hospitals outsource the work to India and then writing letters to the local newspapers as "letter to the editor" kind of thing to let the residents of the area know that their medical records are being sent out to India. But that's just my opinion.
I am in total agreement with
I also have many, many years of experience and find it hard to believe that the pay is only 7 cpl when in fact you must have a lot of experience and learn new platforms, accounts, etc.  Production suffers initially, and then all of a sudden these MTSOs want to switch you to another account, which makes it almost impossible to make a decent living at 7 cpl. 
I am in total agreement with what you have written
This job was quite enjoyable in my younger years and while it sounds like pay was low back in the 1980s, the cost of living was low as well.

Another 4-5 years of serious studying and I could have possibly obtained a degree in an area which had better job security, had a future I could count on and didn't require 50-60 hours of week of work to bring home 50G.

Plus, at 48, my hips, hands, hearing, have taken a beating that I am not really being compensated for, most jobs after 20 yrs, land a person into a supervisory position of some sort that allow the worker to teach what they know, and yes, to relax somehat and let the young and spunky ones keep up the grueling schedules.

So, in retrospect, I would have gotten student loans, applied for grants, did what I had to in order to acquire a higher education (I wanted to be a doctor).

I'm in TOTAL agreement with you, I just hope they don't retaliate.
x
In total agreement, Chris and ManDIVA rule, Taylor

I am in agreement with you. sm
I haven't seen the word type ever, either.  I use the hyphen non-Hodgkin lymphoma.
Am in 100% agreement with you...
this is what I have been talking about. This is a job and should be treated as such and not just a vehicle for you to be able to stay home. Thanks for the good post. Most of the MTs answering are really, really touchy about this because they are the ones trying to be supermom, wanting to put all else before their job and then wondering why falling short in pay, time to actually work, etc. I have never said not to love your family- you just really need to have a separation of work and family.
I am in agreement.
I doubt anyone is working for a national making that kind of money the OP asks about.  You need to cut out the middle man, take the initiative, and gain some accounts for yourself unless of course, you don't want to leave the house and don't want the responsibility of doing just that.  It does take more than just sitting at the computer to gain accounts.  JMO.  I have my own accounts, not large, and I'm not an MTSO, but I'm making $35,000.00 a year, and I don't work that hard, but I do have many, many years of experience.  The accounts I have were through the docs watching me transcribe on-site and being impressed and I'm not patting myself on the back, but I do believe being on-site for awhile can do wonders for your career. 
do NOT sign any such agreement
x
non-compete agreement
GA girl, where are you? Do you have experience with a n.c. agreement in GA?
non-compete agreement
I read the posts below about the n.c. agreement and wonder if you have any knowledge of them. Any info is appreciated. Thanks.
Exactly, a mutual agreement...sm
Where you find someone you can trust to do quality work and help each other out.

As I am preparing to go out on my own also, here's what I was thinking. (Now this is just a thought.)

You tell your prospect up front in the agreement stages of obtaining the account that on the rare occassion that you need to take time off - i.e., vacations, etc., that you will type the most important charts, up to a limited amount of charts, during that timeframe.

I thought I would take a laptop with me (yes, even on vacation) and type 1 hour or so.

Then, when you return, you will have the backlog typed in xxx amount of days at xxx discounted charge.

Just a thought. I'm also trying to network with local Independent Contractors to work out a mutually beneficial relationship with them.
You need to consider formalizing your agreement with them. sm

You don't sound like an IC to me but more like an employee. I would suggest that you clarify your status with this office by way of a contract that states the services you offer and what your charge is for your service. This should include the definition of a line and your per-line rate. Then, if they increase production, you increase your income, and it shouldn't really matter to you if it's thank-you letters or patient notes as long as you're getting paid. This also allows you to outline exactly what you are willing to do for this office. As a compromise, you may want to consider stating that you will supply a missing patient list at the end of each day. Then, stick to it.


This office sounds like it needs a REAL office manager and not  the doctor's wife who fills in or a manager who apparently doesn't know how to manage her own job.


Good luck!


another voice in agreement with yours...
I've been doing this 13 years, some of it as a QA Editor (the only time I've ever heard of being promoted to a "higher position" yet making significantly less money...)and I agree with all of the above. My favorite is when you put in for a raise and get ignored, time and again, even though you are called a high producer and put on difficult accounts because you "do so well on them". Also, voice recognition is going to destroy this profession entirely probably sooner than later. It's all changing completely. I finally decided I'd had enough and went back to college a couple years ago to change professions entirely. In a year and a half, I'll have my new degree and be done with MT forever and it will probably be the happiest day of my life.
Here's a wry smile of agreement instead. NM
NM
Confidentiality Agreement
Does anyone have a generic confidentiality agreement that they use for their clients.  I have new doc, and I don't have any agreement in my file.  I have signed theirs, but do not have one to offer the new doc.  Anybody have one or know where I can find one?  Thanks so much.
Confidentiality Agreement
There was an Agreement of Confidentialty that was posted on 05/20/09 by DeeAnn. that was really good. Hope this helps.
I just checked my employment agreement and...
it only says you have to return the equipment, it doesn't say who pays for it.  Should I just shut my mouth and pay for it so they don't hold my last check for ransom?
The scope of the agreement is much broader
It gives them the right to look at ANY document on your computer, any email you have sent.  They want to see who you communicate with, what you say to whom.  They want to manage what information about the company is sent out on message boards or anywhere on the internet.  They want to restrict any negative comment about the company from being posted anywhere on the internet or in private email.
You should have signed a confidentiality agreement which allows you to type this unless-
you do not feel comfortable typing it, in which case I would ask my supe to reassign it.
part of the agreement is to not portray the company in a
.
This is not illegal in most states. Sometimes it's in the divorce agreement.
nm
Try calling back about a payment agreement.

deal with compared to my state department of revenue!  I owed taxes over $10,000 in taxes two years in a row to the IRS, so over $20,000, and they let me make payments on it and I got it paid off.  I also got the INTENT TO LEVY notices, but when I called and set up a payment agreement they stopped with the threats.


Right now I owe the IRS about $5000 and when I called to set up payments I asked them if I could make payments of $150 a month and they accepted that without question.  I was a little afraid to suggest such a small amount, but they took it.


Now my state department of revenue is much meaner than the IRS.  They told me to pay what I owe them in six months or else.  They put a lien on my house.  They will only accept payments if I take the total and divide by 6 and pay that amount each month (impossible for me to pay that much) so I am just in a holding pattern seeing if they are bluffing or if they really are going to do something.


I'd say if you really have nothing of value the IRS can get, then it is to their advantage to work with you.  I think you just got a bad agent.  Call back and try to get another one that will work with you. 


Despite having just read the Subscriber Agreement, Section #10...
Re: Limited warranty on Equipment (stars); their legal people pretty much covered their ass. However, based on my experience with IPs, if you keep plugging away (it may takes months), eventually they will tire, thus removing said charges. Again, be prepared for a long battle and make sure to document everything, and I do mean everything. Please keep me posted.
Our agreement with our clients regarding referring physician names
When we accept a new client, we request a listing of all referring physicians and their addresses. We enter those names and addresses into our address database which can be accessed by the MT at any time while transcribing the report. They can search by first name, last name, partial name, city or state. We also instruct the physicians/dictators (and their staff) to SPELL physician names if they have not been provided on the initial list. If the dictator dictates a name not found in the database or does not spell a name, the MT has permission to leave a blank (or spell phonetically with a flag for the dictators staff). Our clients print their own work and can make changes/corrections to documents at their end. Therefore, it is THEIR responsibility to fill in the blanks if the dictator uses a name not provided or if he/she does not spell the name. QA staff does not have TIME to look up addresses, and in my opinion, doing so would be a huge waste of our skill. We edit hundreds of reports daily and if we had to research names and addresses in each report, we would never meet our turn-around time agreement. Additionally, we have a customer service department at our home office who can assist MTs with issues such as this. Check with your supervisor/QA staff to confirm what your company policy is regarding names and addresses. Perhaps blanks are acceptable for physician names. As we all know, even if the dictator dictates John Smith, it's possible the name is spelled Jon Smythe. There is no possible way for you to know that; therefore, it should be the CLIENT'S responsibility to confirm the spelling and add the address.
when you work for a national, you sign a confidentiality agreement...?
the same rules would apply, and you must have signed a confidentiality agreement with whomever you work for. you can be fired, if breached.

my opinion, as a professional, you transcribe it and mums the word...

when I worked in a hospital, someone was caught 'sharing' information about the CEO from a transcription report, and was fired on the spot.
It's a written rule in some companies confidentiality agreement.
I know my company has it as a written rule so it just is not good business. I would think an MT would know this
Does this mean you don't have a business associate contract/agreement in place with your doctors
nm
STAPLES is now carrying Dell PCs, laptops, exclusive retail agreement. nm
Paradox
TOTAL RIP OFF
This is the most outrageous thing I have ever heard - VERY BAD SITUATION!!
I have 4 total - not 5.
nm
Total BS.

What company do you work for?  Give me a name! 


Total gym, etc. - sm

I am being very careful. The videos online are very instructional and I am going slow and easy at first. I also have a Tony Little "gazelle" and do 1/2 hour at a time and at a good pace now that I have used it for more than 1 year. Hope to do Pilates once a day and the "gazelle" later in the day, but will pace myself.


Thank you for your concern. I did also consider the Total Gym, but went to our local Play It Again Sports store and found this Pilates for $59 so thought I would start here. If I really, really use it and like it I will possibly invest in a better one, but for now this is where I am.


p.s. Most any exercise equipment is available "used" so you might shop around before investing too much money, see how it works for you, and then think about perhaps spending your money on something either better or new.


Total Burn Out
Well, I've tried everything to change my attitude & outlook & always feel I've succeeded until I log on every morning & encounter the worst of the worst ESL or American Doc on a cell phone dictating 50 feet away from the mouthpiece with every extraneous background noise imaginable! I can handle a few of those in a row, but that seems to be the majority of what I now get, with dictation times varying from 3-4 hrs or more apart to minutes - depending on who the doctor is.

I'm seriously questioning why I'm doing this to myself on a daily basis as I, too, have only seen my income decline, my hours increase, & am mentally wiped out at the end of the day. I'm doing good to fix something for dinner, let alone anything else that needs to be done! I just seem to sit here in a daze and/or stupor every evening - telling myself tomorrow will be better!

And, Whining Wendy, you're not alone. I thought the days of crying out of total frustration & despair ended in the 60s when I was a "Newbie". Wrong!! During the last 2-3 yrs, this has & is being encountered by me almost on a daily basis - & I'm an "Oldie". In years past, once you mastered deciphering an accent, doc, etc., your days of frustration were over. Now, working for a National, I have found that every day is filled with different, new doc's, new accents, etc. Problem arises when after you finally master an "impossible" dictator, you find that in 6 months or more, since you were so "good" - you get all of his horrible, undecipherable dictation again - none of which is consistent nor repetitive of prior dictations. Back to frustration level 1.

I hate to say it, but my love for this profession has totally been annhilated. Really wish I could offer words of encouragement or suggestions but, at the moment, I have none. I'm just really saddened to see how many of us feel this way & what has happened to a once highly regarded, elite, "profession."

Never in my life have I ever pictured myself working at "Bob Evans" (Geez - could just picture it all now - dumping trays of food, etc.); however, went to dinner there the other evening & they had an Ad posted in their window for help wanted. Jokingly, told hubby I thought I'd apply for the job. Sad thing is, his reply was that I'd probably make more money & be less stressed!

I don't know where we're all headed & wish I had answers & a magic wand - but I regretfully don't. I do know I'm seriously looking into what other options are available to me.

Sorry all - just venting after a very, very bad week, on top of my normal very bad weeks, only now with a Bonus offered until the end of the pay period. Just another stark realization that with the dictators in my pool, that is an impossible, unattainable bonus to achieve unless I want to work 24/7 trying to decipher such. My price to pay for being an experienced, good, at-home, Oldie?
That would be a total ripoff - s/m
Works out to 5,500 characters per $5 - or $0.0009 cpl.

Just say NO.
I have a total of 9 accounts.
x
We had maybe four kids total.
When we used to live in the "suburbia" neighborhood by the schools, we went through hundreds of pieces of candy.
I use Total Assistant Pro
and it works great for me. You can download the trial version and then purchase after 30 days if you like. It does all the work for you. I love it.
total cost
Total cost of $60 for two phone lines, which includes taxes, etc. It also includes call waiting and voice mail. But my C-phone line has nothing on it, no call waiting, etc. by my choice. First month on my residential phone is free because they are just starting up in my area.
Does anyone know what the estimated total # of MTs in the US is? nm
nm
Yes, that's it. Total concentration...
PLEASE let that be it.
I think 6 seasons total.
I too did not watch from the start - but began to watch the reruns on HBO on Demand from the beginning - and have now seen them all, around 3 times each!!! If anyone hasn't seen it - do yourself a favor and watch on Demand or rent the DVDs beginning with Season 1 and enjoy - you're in for a great ride! The most cleverly written women show ever - hysterical AND poignant! It will make you laugh out loud and sometimes cry. I am in love with all four of those women - Samantha, Carrie, Miranda and especially Charlotte - and I'm straight! LOL!
About $125 in PA - total electric, about
Pretty happy here, bill runs about the same in winter and includes heat :)
Agree - Total RIP OFF!!
Curious me wants to know -- which trans co.?
re billing - am I being a total *ash*?

I have plenty of clients, no shortage of work. Recently I started picking up some extra legal transcription from a company who is swamped & always begging for help. It's not something I've had much opportunity to do and it's fun to do something different. But they're totally out of the technological loop. I bill all my clients by an Excel spreadsheet attached to an email, and I have a master spreadsheet set up that keeps track of all my invoices for me. They are the only ones who can't open it. I know they can because someone who used to work there could, but now they have a new person and no one there can open it. Of course they can probably right click and "open with" some kind of viewer, but why is it my problem to teach them that? (here's where the "am I being a total a$$ question comes in!)  I'm tired of their clueless clerk emailing me five times every time I send her an invoice asking me to resend it and having to respond "If you can't open it, it's not going to help to resend it."  Sure I can mail it, but why should I when I have plenty of other clients?  Do you think I'd be an a$$ for unceremoniously dumping them? would you do it in a quieter way and leave the door open for further work? 


They are so technologically out of the loop, it's not even funny. I asked them for an electronic copy of one of their style guides for easy searching, and they said they don't do that and they "don't keep" things.  They just have one hard copy they are xeroxing over and over.  I knew it was somewhere, it had obviously been typed it on a computer. It's a .pdf file on the web! Someone had downloaded it directly from the court's web site. They are supposed to provide me with the names of judges and attorneys on the tapes but they don't and I have to struggle to hear names and spell them phonetically or designate unidentified voices somehow so I can tell them apart and then go back and globally replace them when I hear the name or I'm sure of the spelling. This adds countless time to transcribing their cases AND THEY HAVE THAT INFORMATION. I've asked them for lists or links for judge's/attorney names so I can at least search when they don't give them to me.  No dice. I have since found good links on the web, of course.


I'm worried about getting in deeper with them, I'm not overly familiar with legal work and I'm just going to keep coming up against their not being able to provide me with the tools I need. Every time I have to find something for myself it's costing me money, obviously, being paid on production.  They annoy me and I seem to have a very low threshold for that.  But it's valuable experience and they are desperate, the owner won't be happy.  But she's as clueless as her staff.


As a total aside to this thread here...

about dentists in Maine...I haven't been to a dentist since I was a kid, strictly out of fear factor.  I tried to find one yesterday because I think it's time I see someone whether I like it or not.  Of the 4 I could find, only 1 is accepting new patient's and where I don't have insurance and would be be a self-pay, they don't cut any breaks....just the initial visit and cleaning is going to run $310 buckaroos!  I asked if that price included a happy ending and the voice on the other end just went dead.  (No sense of humor apparently.)


No wonder why people are losing their teef up heyah!  


Total fluke
I happened to hear of this endocrinologist who was looking for someone and willing to train. I got the job, was completely hooked and never looked back. This was 16 years ago. I have no formal training but read and researched everything I could get my hands on. I eventually picked up a few more clients over the ensuing years but then 8 years ago decided to try for an acute care position with a national. I passed the test and loved it.
Total frustration
I'm doing the worst report I have ever run across, it's brain surgery and I've never done one before and I don't know the anatomy, it's cold in Ohio, I killed my back last week on OT and I can't walk and I feel totally unloved and I can't get a break on my line count and I'm miserable.  Please don't correct my grammar or spelling, I'm not up to it right now.
I use Total Assistant and like it. nm
xx
I think Tom Cruise is a total whacko- sm
I actually thought it years ago but then he was kind of reclusive and didn't speak out so much.  Now that he's opened his mouth again and by his actions, he is showing his stupidity.  If you saw him on the Today show with Matt Lauer and the things he said, he was unbelievably pompous and arrogant about things he obviously knows nothing about.  Why do these "stars" think we want to hear what their opinions are?  Who cares?  All they are are paid ACTORS.  Tom Cruise only has a high school education and he acts like he is the most brilliant person in the world.  Look at Nicole Kidman - she got out while she could.  I pity Katie Holmes.
The biggest pro for me is the TOTAL flexibility...

As long as I get the work done, I can do it when I want to without being chained to my computer. 


Plus, I don't know why you think ICs net 50% less than if they work on an employee basis.  I've worked as both an IC and employee and, although I don't have benefits, I make much more as an IC.