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I agree with you. Why would we give a discount for being paid what

Posted By: A/P, A/R bookkeeper on 2005-12-05
In Reply to: Well... - Donna

we're legitimately owed? Some businesses do it to encourage prompt payment, though.


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I do give a discount - some ideas
I do give a discount and my accounts pay usually the next day and in one account the doctor actually writes the check to me.  I would call back and talk again with her explaining that you are a small business and need to have a check by a certain time in order to pay your mortgage, etc.  Ask if you submit them the invoice by the 25th to 27th if you can count on a check by the 1st or if you submit on the 1st you can have a check by the 5th.  So if you need your  check by the 1st, I would give them the invoice by the 25th to 27th depending on what day of the week it is and put a note on it stating "per our conversation payment is due to me no later than the 30th."  or whatever date you agree upon.  I have found that offices do not like bi-monthly billings and like to pay only once a month.  I have 4 accounts for invoicing and payment by the 1st and 2 for the 15th and payment by the 18th so I have cash flow throughout the month.   But try talking to them as people and see if it works. 
Do you give a discount for standard procedure notes? SM

I have an account who asked me to provide them with a form that could use for standard outpatient procedure notes.  I personally feel that there are too many variations for them to use one paper form and offered for me to do it for them at a discount since almost the entire thing would be a standard that I don't have to type in its entirety.  This account is a great account and I figured it isn't a big deal say to chage 25 cents instead of a $1 (example) for the form since I only have to type a couple letters to pull up the form and insert any changes.


I really don't know the easiest way to keep track of this discount or what amount to discount.  Any ideas?  I'd rather see me getting a small amount for doing the form then to get nothing for them using a paper form.  Plus, the account is newer to me and I thought it might look like a plus for me to offer them a discount and to make their life easier by not having to dictate the entire note.


Thoughts...ideas???  TIA


 


 


I will agree to that, but when I give my
opinion and people come back to me with their nasty comments I will do what I have been doing. When I make a post defending MQ, most people tell me to get a real thought, that I am naive, stupid, etc. I am not going to take that.
Yes, I agree. Don't give up! sm
Many places have their tests right online, and you can just take them.  If you do really well, they might give you a shot!  Keep sending your resume, taking tests, and FOLLOWING UP.  If you don't hear from someone you applied with in 10 days, send another NICE reminder letter and resume.  Make calls.  You can DO this!  And now you DO have 7 months of work under your belt, which is better than none.
I agree with this, but get paid!
I do it both ways, some accounts that I get paid what I am worth and KNOW that I am the final check on my reports I absolutely read all of them, some even relisten in part with new dictators or procedures. But, when I do work for a place that I KNOW has QA read every report I do not. I would quit any job that did not fall into one or the other of those categories because you are right about patient care and that is the reason I transcribe. I have to be able to trust any MTSO to either pay ME to QA my own or pay someone else. If there is no QA then I do not work on a production basis and they pay me to do it. No one should send reports unchecked if they know there is nobody on the other end checking closely. I have to say though that I liked it better back in the olden days when ultimately the signature at the bottom of report indicated that the physician had read and approved his or her dictation. I still believe that they should all READ the reports they dictate and we type. Sigh.
I agree, don't give them info....
The school system does not need your family's health history to educate your child. Put N/A unless it is related to education...It's none of their business.
Totally agree...don't give up!

It sounds like you are being bombarded all at once with everything and it's overwhelming you.  First of all, I wouldn't quit MTing but I would find another job.  This job seems to be way too stressful.  There is no way it should take you 8 hours to do 400 lines.  I do clinic work and do 400 lines in less than 2 hours.  Look for something else.  You don't need any additional stress right now, so find some transcription that would be easy and less stressful.


As far as family is concerned, they will never understand what you go through, NEVER EVER.  My sister-in-law does factory work and told me one day that I wasn't as tired as her after working all day.  That really fumed me.  I may not have to do the physical work that she does but that doesn't mean I'm not tired after working also.  When she said that it made me realize that no one would ever see my job as a real job.  It has just been within the past couple of years that my husband has realized even just a little bit what my job is like. 


I've been an IC for 9 years and until recently have never had any time off.  I finally realized that my kids were growing up around me while I was working.  I had been grouchy and hateful to everyone around me, I've been close to divorce, and I have realized that it's not worth it.  I now do take time off sometimes, even if it's just for one day and since I have clinic work most of those times are when the offices are closed for holidays or such.  It seems as though things don't bother me as much now that I'm not stressed with working all the time and I'm not Oscar the Grouch any more. 


I wish you luck and hope you can find a solution for you soon!


I agree. Give yourself time
to learn their accents, the way they word things.... ask QA to give you feedback, if they are not, and report back on words or phrases that you didn't get. Hang in there. I'd give it 2 weeks and you will be done leaving blanks. Good luck with the new account.
I agree with you. I would never want to be paid by the hour.
I would be looking at a major paycut I believe. I average $28-$30/hr now and am paid by the line.
Think twice before you agree to be paid by the keystroke. sm
If you agree to be paid by the keystroke, you probably won't be being paid for any macros or IT entries. For example, if your IT entry for COPD is copdx, you'll only get paid for 5 Keystrokes and not the 37 that it would normally be if you're being paid by the character, like on a 65-character line, when the whole "chronic obstructive pulmonary disease" counts. From what I understand, you only get paid for the actual letters your fingers type in.
For QA consulting I'm paid per hour; QA instructing (college) paid salary, QA editing paid per li
I am an IC and work for two different MTSOs as well as instruct at a business college.
Agree! What about your hubs, kids, sex life, groceries? Something's gotta give if you're doing
s
Discount
Yeah, it is a discount plan, which means no pre-existing conditions, no claim forms. I didn't sign up for the medical part of it, which is available here in Tennessee. I just signed up to get the dental benefits. I needed a lot of work done on my teeth (3 crowns, 1 filling, a bridge, and a root canal) and it has saved me a ton of money using AmeriPlan.

I mainly just wanted to make people aware, especially Transcriptionist like myself, that if you don't have insurance, this could be an option. Or if you do have insurance, you could still use it and save even more money.
Discount
If you go to the link I posted it says in big letters that it is not insurance, that it is a discount program. I'm not trying to fool anyone. I signed up for it myself through my father-in-law. It may not be available in all states. You can go to www.ameriplanusa.com or www.ameriplanhealth.com to find a provider near you. I live in Tennesse and have a regular dentist that accepts it and my husband and son go to an eye doctor that accepts it.

Discount
You don't have to give me your email address.

Here's the website, go check it out for yourself. I am a member myself, but somebody has got to sell it, right? It really is a good benefit.

www.everyonebenefits.com/BradfordInc

Thanks.
Discount -from below
I charge a decent price, I make VERY good money, have had my accounts for 5 to 18+ years, have never had a bounced check, am always paid within 48 hours of receipt of invoice,they NEVER question my line counts so if it costs me 1% per month - to me it is worth it.  They also give me free medical care, medication samples which more than makes up for the small discount that I give.  So though many of you disagree - it works for me.  I can pay my bills on time because I can COUNT on the checks to pay them.  No hassle at all.  I get it back in different ways.  One antibotic prescription per year makes up for it.
I wouldn't discount sm
on-line dating but there are so many weirdos out there these days that I would be EXTREMELY careful and follow all the precautions that have ever been written on the subject.  In addition to meeting in a public place, hopefully with someone with you, I would be extremely careful that I wasn't being followed when I left the date.  From what I've read many, if not most, of the mass murderers came across as being very nice guys but then you really don't know anyone when you first meet them no matter where you meet them.  I recall at least one of the infamous mass murderers was well-educated, well-liked and apparently well-respected in his community.   I don't think I would ever go for the internet dating myself but apparently there are quite a few people who  have been successful in finding their mate that way; I just don't happen to know any personally.  I don't think probably it would be any worse than any other way of meeting people, you'd have probably a 50/50 chance of meeting someone you would want to spend your life with and a 50/50 chance is about the best we're gonna get in this life no matter what we're gambling on; we only have a 50/50 chance of making it through this day.
They probably got a discount since they are outdated.
 
CMT (Indian MTs have discount)
Sadly, I am slowly moving from lower middle class to poverty level since pay cuts as a full-time MT.

After numerous requests for some kind of help toward paying for the certification, I am told by AHDI (AAMT) discounts are not even being considered in the near future.

With the future so bleak for the future of MT, I am not sure why I should put out all that money. I am bringing home less than $300/week after taxes and health care...? How do I justify the $287 or so cost, when I have my utilities threatened to be shut off every other month for simply just not having the money...

For me, I do not have a partner who supports me. Am I the only one in this boat?
go with a discount plan, sm
you can use YOUR dentist, not just anyone on a list - ask at your dentist's office what discount plans they accept and look them up on the web. just like insurance, they all cover differently. Similar, tho.

the main reason I went this way is because there is no hot-shot company of office workers on the other side of the country playing doctor and denying claims. They are doing that more often in these days. I was shocked when it happened to me with a cracked tooth - then EVERYONE told me they went through the same thing with their companies.

you don't need any suprises like that - to the tune of thousands of dollars.
Don't discount ops. That's how I make my big production. SM
There are SO many phrases you can shortcut. They're all the same! I insist on working where I only type ops.
So do you think gas stations should discount gas for us pumping our own gas?
I'd rather scan and bag items I am purchasing, folding them the way I want to and separating them then pump gas out in the cold with the smell of gasoline on my hands.
Not to discount your fear right now, but didn't her doc

advise her that the risks involved with surgery would include perforation of organs, and other complications, including death. Medicine is unfortunately an inexact science, and doctors are, after all, only human. May not be a clear cut case of malpractice, may "merely" be an unfortunate complication.


I've seen many people rush into a lawsuit, only to have their lives and money consumed by them, to find out they don't understand legal concept of malpractice and even if malpractice, if the insurance company has a better lawyer, you can lose anyway.


For now, I would focus my energy on praying rather than suing...


 


 


Students get a hefty discount
If you're in continuing education, could you still call yourself a student?  I don't know, but when I bought it, I just had to tell them I was a student and I got a discount.
Discount - sorry long message
I do offer my docs a 1% discount if they pay within 3 days and especially if their account does go over $1000 I get my check the next day.  One of my newest accounts did not apply their discount to their second bill and I was told "You work hard,  the work is returned on time, good quality, Dr. C______ is not the easiest person to work for and I did not take off your discount because you deserve every penny of your invoice."   He is a dermatologist, has lots of Op notes, good gross line count and he is really not that hard to do, lots of shortcuts but he does have an irritating habit of clearing his throat about every 5th line but you get used to it.  But again I have been luck, all accounts pay within 3 days at the longest, never a bounced check and never a question on my line counts.  But along my 15 to 18 years of doing this, I have had my share of poor ones but for the past 7-8 years I cannot complain.  I have older docs who will probably retire in the next 10 years but then so will I.  They are stand alone, 1-2 in a practice and so don't know if they will ever go EMR or even digital but will continue as I have.   The accounts are out there you just have to look and perhaps go through several before you find one that appreciates you. 
Your personal creditors may not discount amounts due, but
commercial entities often do. In doing the books for numerous local businesses, I was required to pay ASAP to take advantage of discounts. For example, "terms 2/10 net 30" means you get a 2% discount if you pay within 10 days, otherwise, it's the full (net) amount due within 30 days to avoid a late charge.
U.S. offers them medical school at a discount
if they remain in the country and practice in out of the way places for a period of time before returning to their country or to a higher wage earning position within the medical establishment.
J &R Electronics discount 83.00 with free shipping. sm
Not a bad deal.  just wondering about quality with just voice and not music. 
I have a 100% discount for you. Don't take the test! It's worthless as is the association be

Check with college, sometimes you can get a student discount for a laptop....nm
xx
I would not offer a discount. You have to create and then edit each report--sm
to make it patient-specific and that will take time. It will also be hard to keep separate which reports were edited and which one was not.

Once you start lowering your cost, this will not be the only thing they will want a discount for. I do not think it will be a plus for you and in the end you could be doing yourself a disservice in the future when you need to raise your rate.
I must comment: You do know Indian MTs get a huge discount on the cost, right? Do
you think that is going to come up and bite us some day. The association seems intent on making this a standard, that everyone should have the certification, and they are certifying foreign MTs way more than American...

What are they up to with that?
I got a discount by joining a study group...I think they still offer that. nm
;)
that doesn't sound like insurance, sounds like a discount plan:
x
The girl was 13, the rapist a distant relative they took in. Give money, give food and your time, b
you don't put your family at risk by taking in strangers. That's just plain foolish. There were over 3300 registered sex offenders in NO. Where are they now. In your community? Perhaps in your house? Good luck.
oh our lovely government does give illegals medicaid, foodstamps, and housing so in term we give tha
i have been through some rough times lately and had to apply for some help. there are signs, big signs, all over our offices saying "YOU DON'T HAVE TO BE LEGAL TO GET HELP". so we and our government do give them our benefits whether they are legal here or not. now that is messed up. i am helping to support them so they can take away my jobs and i can't even support my kids and yes i get benefits, wow $75 a month in food stamps which lasts not even a week in a household of 6. don't get me wrong, i am thankful for any help at the moment, but i get penalized for trying to work my tail off and still can't survive.

there was recently an article in our local newspaper where one of our local school districts tried to charge $1000 a year for each illegal student enrolled. it was bulked and the illegals got a lawyer to sue for discrimination. the school district merely stated that they had to HIRE extra teachers that could speak the foreign language just to teach these children and were trying to offset some of the expenses. ridicilous!! so again our taxpayers money is paying to educate illegals as well.
if mt paid 9, editor paid 4 or 5...how can company charge 14 and make it..sm

I know the going rate in our area is 14 cents per line.  As MTs most companies here pay us 8 or 9 cents a line.  Now add in the Editor rate at 4 or 5 per line..you are paying OUT more than you can charge a line.  How would companies stay in biz?


Unless all work is sent by the company overseas at pennies per line, this would not pay for a company.


just curious how this works out


Aw come one give her a break. She said she was sorry and is willing to refund. Give her a chance to

do what is right.  If she fails to do what is right, then go about this in an adult way and not act like such a child.  "you suck"  That is so immature.


She is responding to you and you are eating her alive.  Why would she put herself out there to be treated like this if she didnt mean it. 


I am really astonished at how people can act on here.  Would you treat people like this in person?  If you do, I cant imagine you having very many friends. 


Remember we are all "HUMAN." 


 


But how much are the US EDs gonna be paid? Typically this work is paid at 2-3 cpl. nm
:+
You don't get paid an hourly rate you get paid by line - sm
so because of how you are paid (not an hourly rate) you don't get OT, especially if you are an IC.
I would move on. I think it is so unfair not to be paid for spaces! I think we should get paid

per keystroke, but that'll never happen.  I just think that these national companies are going to keep finding ways to cheat us.  I found a job working for a hospital as an employee, paid hourly plus incentive, and they let us expand everything!  Somebody's gonna have to kill me to make me give up this job.  I will never go back to the national's again.


I feel for you though.  I know that for us MTs those good jobs are few and far between and some have little choice but to work for the nationals.  I just happened to luck into the job I have now.  I just applied at the right time. 


Good luck to you whatever you decide.


If those companies paid a fair wage, and paid more
all came out equal, people wouldn't feel the need to try to make up the deficit by going for the good stuff. I actually prefer the harder, juicier reports. But I can't make a living doing only that, because the pay is not commensurate with the difficulty. So even though I prefer not to, sometimes I have to pick up some of the easier, more boring 'line-o-matic' reports just to make ends meet. Tell your MTSO to make it work their while, and MTs will stop taking all the easy work away that you obviously would prefer to keep for yourself.
You wont show UE being paid because it is employer paid -
the employee will never have to pay this.
What you "should" be paid and what you "are" paid

sadly are two very different things.  Good luck on demanding more..because someone else will just come along and take it for what they offer and they know it. 


10$ late if invoice is not paid within 10 days. At day 15 work stops until invoice is paid. Hardly
xx
A simple google search will give you your answer...I'd give you the answer,
but how would that help you learn to research on your own...and I'm in a rush to get to the next post. 
Tell him you'll give him your macros if he'll give you his Lexus, his ski cabin, and (nm)
;p
Agree, agree, agree! Just listen to Benny Hinn..

he speaks perfect English, especially when asking for money!  Also, in my opinion, blanks should be left in the doc's dictation if not able to be transcribed, maybe then they will know that are NOT understood.  With QA fixing them, what need is there for them to care if we understand them or not? 


Thanks, I will give that a try:) nm
xx
Give them whatever you
would give them at the "fairy tale" wedding.  The honeymoon may be over by next year.
hum, I might have to give it a try, then...