I've noticed a lot of business owners
Posted By: sm on 2007-06-25
In Reply to: Is it just me... - Anonymous
have their own way of doing things - sometimes too extreme for me. They either have done so long their way - they don't realize things have changed since they started - or they go by the BOS down to the letter - each and every single letter - and possibly your accounts have not followed that closely in the past - or they are just picky as all get out and have a huge ego and want to make you feel inferior. There is also the possibility you may be doing some things 'wrong' - but if you have been in the business for 20 years - cannot be that serious - and obviously you know what you are doing!! I have run into absolutely crazy things in the last year with different MTSOs.... you dont' even want to know!!
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Any small MT business owners in CA out there? I need advice!!
I'm looking start up my own small bus., just a couple accounts, but I need to know if there are any HIPAA contracts or anything else that I should be providing for the doctor and myself to sign. Any advice would be truly appreciated!!
Thnx, Rachel
the people who really make BIG BUCKS are business owners
especially when they go into...say- window washing or something right away, instead of into debt. In general, I'm for college - plan to push my kids to get their master's right away as that seems entry level nowadays - but where I made really good money was owning my own service. Make(made) more as an MTSO than I ever will as a nurse-practitioner.
You may have noticed I did not say anything about the MT business
We are talking in excess of 30 MILLION U.S. jobs here. Yes, I am an MT and I have gotten another job. I was basically speaking for anyone who has lost a job to offshoring. That is how we come to the 30 million figure - it is not just MTs at MQ. It is bigger than that. I don't think enough has been said and to the right people to address this HUGE stimulant potential to our economy. I think if someone could possibly speak in total figures (unnamed by the government at this point) it probably would make a difference, especially when you look at the big picture. The MT business is only a part of this.
I've noticed this, as well. sm
I have cats and dogs. Very expensive. Vets have so much more in their arsenal now to help animals with. The supposed reason for doing the twice a year blood tests on cats/dogs over 10 is that their conditions change so quickly at that age. We have discovered thyroid, diabetic, kidney, and arthritic conditions in our older pets that have been controlled or minimized with medications and/or special prescription diets and we have been able to improve the quality and length of our pets' lives. Not to mention heart conditions that can show up and need medication. It all depends on how much you can afford to spend. It is truly amazing all that can be done to help our pets these days. Dental care is important for pets as periodontal disease can lead to serious conditions elsewhere in their bodies, just like people. Twice a year seems a bit much though, unless the pet has a really bad dental condition. One thing I have stopped is vaccinations (other than state-mandated rabies) on a yearly basis for cats over the age of 10 that are indoor pets. They really don't need it after many years of vaccine buildup in their systems and it can be too much for the aging systems to take. Best to consult with vet about that option.
i've noticed it as well - nastiness... nm
nm
Yes, I've noticed that over the years...sm
With my dogs - how similar vet and human medicine are as far as the terms, meds, etc.
The vet I was talking to didn't seem to think it would be a problem for me to learn. She said, off the top of her head, that one difference is that they tend to call drugs by their generic name rather than brand name, and they use the terms ventral/dorsal rather than anterior/posterier. Just little things like that.
I've noticed the "dumbing down" of MT, myself. We
highest-quality documents possible, not only accurate, but also as grammatically correct as possible (without changing meaning or dictator's personal style), punctuation and ease of reading.
Now, thanks to software that can't import any punctuation other than periods and commas, and which wraps around on its own and makes the document you so carefully typed look like a 3-year-old did it, the reports look like cr@p.
Then QA gets in there and makes 'corrections', and suddenly words you spelled right are now spelled wrong, or in some cases missing altogether.
My line counts are low, too. It seems like lately, all the docs are dictating brief, bare-bones report 'skeletons', and then they say, 'The rest of the report is in the EMR' (which I suppose must be the gibberish, complete with wrong MR numbers, names and dates, that they entered into the record themselves during the office visit, all the while mostly ignoring the patient sitting there in a drafty hospital gown.
'McMEDICINE' at its worst.
I've noticed that myself - if he said the oceans were blue, you'd all believe him
haha
I've noticed that whenever I start to get dialed-in to a
certain account or specialty, and the line counts and pay start to increase a little so that I don't have to work 11-12 hour days in order to do '8 hours' worth of work, then suddenly the specialty or the doctors change, I'm sent something harder or of poorer quality, and then the pay goes back down again. I think what you feel isn't paranoia, I think it's real.
To Sad MT: I've noticed your moniker on a couple of boards. Why are you sad?
x
If you've been in the business
26 years you ought to know how the game is played. The out of work situation isn't exactly something that's just suddenly come up. Those who insist on "sticking to a schedule" are only fooling themselves. One minute out of TAT and up goes the recruiting ads, more fingers are hired and poof, the work is gone. If anyone expects to make a living in MT, then you grab the work when it's there; if you don't someone else will. Sorry, that's just a cold, hard fact of life. No sympathy from here. I don't like having to rearrange my schedule either but I do like getting a decent paycheck.
I've had a few service-oriented business of my own, though (sm)
they were not in the MT field. I dealt with the rude, hostile and nasty clients by having TWO sets of prices: One, lower set for the easy-to-deal-with people, and another, HIGHER set of prices for the hard-to-deal-with ones. And if they were REALLY negative, they weren't worth working for at ANY price, and I simply referred them to a competitor who did a lousy job, and that I didn't like.
No, I've worked in doctor's business office.
That is what the insurance company allows, not what they dictate. Who is to tell the doctor how long he can sit and talk with his patient. It is up to him. True insurance companies get together to decide what is the appropriate amount for the doctor to "charge" for a service but I've literally seen where the doctor sees the patient all of 2 minutes after patient is worked up by techs, but they still get paid for that visit.
I've heard with Dell if you tell them you're a business,
you'll get someone from the US. I already have two HPs but tried it anyway. I used to say home or home office but said I use it for business and still got someone from India but he spoke very, very good English compared to some I've spoken to in the past.
I've been screwed over by the big phone companies too, but once you switch to a business line,
a lot more options are opened up to you. Talk America has an unlimited long distance business line for $49.95. I've been with them for over a year now. I also tried calling cards, which are an even bigger rip off.
and it's mostly owners now but....sm
I have lived under 3 different families with children, all children being in the MASTER bedroom above mine. I have had to wait for TWO sets of kids to grow up. It's the noise from the kids from the first 2 families. Ok, this current family, has toddlers - little toddlers of which the older one (5) is a little terror....
I transcribe in both bedrooms, the master for private MDs (as the 2nd BR used to be my daughter's but she's married now and out of here), and the 2nd BR for a national. With this 3rd family, besides the children, this bruja (Spanish for witch) decides every now and then to BLAST her music at 3 PM so loud that my walls shake (it's the bass that bothers me the most). I have complained at the concierge desk, has been documented for one year, and then a few weeks ago I decided to introduce myself, big smile on face, while her music was blasting, and tell her that I live under her.
HUGE MISTAKE!!! This bruja says *oh, YOU'RE the one (who had been complaining)* and pointed her finger at me, and I said *NO, YOU'RE the one, the one who is totally inconsiderate of those above you, below you, to each side of you, and across from you* to which she said *take it up with the concierge* who met with her and said *you can take action* -
an hour later, the police came to my door, BECAUSE I RANG HER DOORBELL - can you imagine - well imagine the courts today, how they worry about the rights of the criminals and what about the victims. While I wasn't a *victim* - the years' worth of documentation with the concierge AND security, should've been enough. Nope, they told me not to ring her doorbell anymore and if her nose level gets that bad to avoid the concierge and CALL THEM. I hate bothering the police for things like this.....but I WILL.
S. Florida is where I live in case you might be wondering where they could possibly be THAT inconsiderate.......yep, S. Florida......
Welcome new owners, but please let us know
or if our posts or information are shared with anyone.
Irresponsible pet owners
This is similar to thread on the spotted board about irresponsible owners. The posters there had sympathy for people who were careless with their pets.
This IS the owners board to do with as....nm
owners trying to compete
The companies are trying to keep their profits high, be competitive with India and the doctors want to pay next to nothing. It's a tough business right now. I would look to other options or really push for more money. I wouldn't work for less than 9 cents. On the other hand, there are MTs out there who think they are very good, but they are honestly terrible. I think if you push for a quality company and sell yourself and you truly are worth the money, you will get it.
I don't get it....the owners, the advertisers....
nm
Owners set the tone
Owners can indeed be nice, but they also need to set the tone, or the corporate culture, for *nice*. Polite and respectful has to be the clearly stated expectation for behavior by everyone. *It goes without saying* does, indeed, need to be said and reiterated every so often. The idea that everyone in the firm is a client of every other employee needs to be stressed. Some of these things are fairly easy for the owners to check. Ever call your own business as a potential new hire and see how you're treated? Ever call Technical with a problem and describe yourself as a worker instead of a boss? It can be a real eye opener, and it's something owners need to know.
That sure is odd! I wonder if they meant the OWNERS of
nm
Unfortunately it is legal..so yes it is business and they will continue with bad business practices
x
OSi owners can do transcription...lmao
For the board owners, just a note to say
nm
I would!!! I get so irritated at irresponsible dog owners (sm)
I hope you file a complaint. As someone else said, at least it will be on file.
I second the pepper spray!!! We have dogs in our neighborhood whose owners let them use others yards at their litter boxes, so to speak. I don't have dogs but have a yard full of dog doo. With kids who like to play outside, or even when MOWING! that is nasty!!!
Question for MTSO owners/ICs
After years of working for others, I am looking to start up my own service.
Can anyone tell me what is the average going rate to charge for a hospital/acute-care account ? I have no idea of where to start my offers out at.
Previous owners were jerks....dog got hit by a car, by the time they took it - sm
to the vet it had gangrene. They told the vet to put the dog down (a year old)...vet called a Husky rescue organization who "rescued" him and had the necessary surgery done. My family adopted him about 2 years ago....great dog, keeps our lab company too. He can run like the wind which is pretty amazing.
Service owners/cherry pickers
Why do service owners never seem to notice cherry pickers? Even going to great lengths to deny there are any in their group?
Because owners, managers, and CEOs are all trying to cut costs
so they can make as much moolah as possible. EVERY OTHER JOB I have ever had provided on the job training, EVEN the salaried professional white collar positions. Going to school or college does NOT train a person to automatically step into a position knowing everything. Nurses, doctors, lawyers, managers, HR directors, personal bankers, vice presidents, all of them had apprenticeships, internships, training, or worked their way up. MT is the only field I know of where nobody is willing to train or mentor newbies. The training at my last MT job consisted of an emailed two-page explanation of how to pull up their jobs. That's it. No account specs, nothing. Go live on day one.
The owners of both Andrews and M-Tec very accessible and can help you with your decision.
Best of luck. :)
Why do you assume the names here are made up? Could it be the new owners
just posting to post? I have always been here (ss) and I have seen Hayseed, TRose, Country MT and many others that I no longer see anymore. If everyone would keep using their same names, initials we would know who is who.
The owners of the companies I work for certainly could increase my cpl rate. nm
:}
And will you admit there are plenty of wannabe service owners also?
nn
I made my business your business by posting and...
I totally respect everyone's opinions. It is easier for others on the outside looking in. That's why I pushed the "post reply" button yesterday. I trust my fellow MTs and I know the more I read from you all, the more confident I am becoming. I just need that final push, not from him though. I also wanted to let you all know that the physical abuse while I was pregnant was documented by my doctor and the hospital. I only wish I had known then that it is a felony to abuse a pregnant woman. I also photographed my face from a couple of weeks ago and told several people in my circle. I had such high hopes for us. Now...not so much. I'm not saying that I won't try to get him to church, but I realize that God can only do so much for someone who isn't listening. j
Business is business. Internet forums are
.
American Association of Medical Transcription Service Owners
They do not represent the rights of the individual Transcriptionist it seems but rather promote their organization in order to continue to exist and to continue to survive, they seem to think they should stand up for the service owner and not the MT.
You'd think they would be giving information on how to get more production since our wages have stood still and unless speed engines are used, we make much less than what one would think.
Solid company, nice owners, LOTS of ESLs nm
Wow..I'm so shocked. I didnt know this happened. I know the clients pay the MTSO owners so why ca
the MTs who do the work. Is this the same person. It sounds like she is a nice person but nice does not pay the bills. Anyone care to give initials of the company as I have been looking for a IC job and obviously with these people having a huge turnover due to nonpayment, I do not want to fall into that trap. How awful!!!
Dogs dying from 'miracle drug'. Heads up, doggie owners
Marketed as a miracle drug for man's best friend, Rimadyl is one of the most popular painkillers available for dogs. And it's killing dogs by the thousands.
Vince Sharkey was faced with the decision every pet owner dreads, whether to euthanize his beloved dog King Billy.
Arthritis and deteriorating bones made it too painful for the 8-year-old golden retriever to walk.
His veterinarian recommended putting the dog down.
"He had so much life in him. I said, 'I just can't do that'."
Then Sharkey discovered Rimadyl, a prescription anti-inflammatory drug heavily marketed to owners of older dogs. Sharkey says Rimadyl saved his dog's life.
"Before I had him on the Rimadyl he was not even able to walk. He would drag his back half of his body. The moment we got him on Rimadyl, he was back to being his normal self again.
But Lynne Bradburn tells a very different story.
Her Saint Bernard, Honor, was just 22 months old when he died after taking Rimadyl for a sprained knee.
"He'd been sitting in my lap. And he looked up at me, and he died," Bradburn said.
Honor died after taking just four doses of the drug.
"They tell you it's as safe as aspirin. But it's not. And yes, I'm angry. And I will always be angry," Bradburn said.
The FDA reports some 12,516 complaints about Rimadyl dating back to 1997, including more than 2,300 cases where the dog died or had to be euthanized. The largest number of cases involve liver or kidney failure or internal bleeding.
Rimadyl's manufacturer, Pfizer, maintains the drug is safe, saying some 10 million dogs have taken over a billion doses of the drug, with less than 1 percent of them experiencing any negative side effects.
"There are side effects just as there are benefits with all medicines, with all medical procedures and certainly with Rimadyl. The good news about Rimadyl is that for the overwhelming majority of those 10 million dogs, plus, it has provided safe and effective pain relief," said Pfizer spokesman Robert Fauteux.
But the FDA approved Rimadyl after it was tested on just 549 dogs, raising the question, were the rest of the dogs that took the drug acting as guinea pigs?
Retired veterinarian turned attorney Paul Mabrey says a drug for humans would never be allowed on the market with such a small sample.
In response to continued concerns about the drug, Pfizer sent a letter to veterinarians across the country warning them that some side effects may "occur without warning" and, in rare situations may result in "hospitalization or even death."
Still, veterinarians continue prescribing Rimadyl more than any other drug in its class. But they're careful to warn dog owners looking for a miracle cure.
"There's a lot of people that want the medication not fully aware of everything that's entailed with that but we make sure to do everything we can to educate before they go on the medication," said Dr. Deborah Feltz, a the Elliott Bay Animal Hospital.
It's a warning echoed by those who know first hand what happens when a miracle drug proves imperfect.
I use EXText with my current job and I've used at a couple of other jobs I've had. I've ne
used DocQscribe, but I have used Meditech, Cerner, Vianeta, the Precyse platform (I can't remember the name), Dolbey, and Lanier platform I think was called Cequence (?).
Out of all the different platforms I have typed on, I have liked EXText the best. In my opinion, it's very user friendly, easy to learn, and I really like ESP which is the built in abbreviation expander. Plus it is very easy to create your own normals which I love. My fingers literally never leave the keyboard because there are macro keys for everything. You can use your mouse if you prefer or learn the function macros. I love it. I think I'm more productive on EXText than with any other platform.
For a business ad?! A business that deals
''Transcriptsis'' x2
''with good track record''
''serve our clients of all sizes'' (I know what they mean, but I just think the wording is funny)
''strive to achieve highest possible quality'' (once again, they never met an 'article' that they didn't hate)
''all departments including H&P...'' (or a comma, for that matter)
I noticed that..
If it was the one that started out at 5 cents. What terrible pay.
well I have noticed......sm
that 2 of them are being XTRA XTRA careful when dictating risks and benefits (the plasticsmen) of late......being more lengthy about the risks and benefits....looks like they are CVTA (covering their a**es*) *lol*
I just noticed something....SM
I entered 3 entries into the Shorthand and expanded them and noticed that my autocorrect works as well. I am able to use both of them together. Does anyone use both of these at the same time???
Has anyone noticed...
that the Job Seeker's Board is all lit up in yellow! It looks like its on fire! I wonder why...hmm...
I noticed that too
I ended up returning mine to the store. Love the layout of the keyboard, and all those features are great; they just need to work on getting a better touch to it. The MS natural was stiff too.
Have you noticed?
Have you noticed how they are down to 3 girls and 3 guys? Last year it came down to a guy/girl, year before that 2 girls, and the year before that 2 guys. I didn't watch the first year with Kelly Clarkson so I don't know who the other contestant was in the final 2 that year. Will the pattern start over this year?
have you noticed that
Taylor hasn't been in the bottom 3 at all yet? Gotta love him! I know, I know, not everybody does but I love him enough to make up for it.
On PAs - has anyone noticed (sm)
that more and more PAs are dictating for the physicians, and they are just awful! They can't pronounce things, go 90 miles an hour, and I'm not impressed with their yawning, laughing, and various other things they do that are aggravating. I am sick of them - even the ESLs are better than some of them. JMO
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