I started in 1995

Wasn't even done with schooling yet, but picked up a doctor for $.12 a line, clinic work.

Then went to a hospital in house to get more experience at ? wages (don't remember) and at the same time, picked up my second account for ENT employee w/o benefits for $200 a month (yeah, that's cheap) but it gave me experience.

Family member got sick, had to quit the hospital after 4 months, but they asked me to be the guinea pig for on-line transcribing. It worked and they kept me for 9-1/2 years at $3500 a month (no line rate, MINUTE rate- their choice). I also worked for the ENT service for 5 years and my own doc... well I'm still with him. He forced me to up my rates (yeah, that's right). He yelled at me for not charging more. He is now charged $16.5/65 cpl and he is happy. Huh? Where do you find a doctor like that?

I tried to quit the hospital to go with a national service but the hospital wanted me to stay, so I still worked for them part time for another 2 years. Then I had it with everybody and quit all of them except my own doc. It's been 15 years with him and I don't intend to give him up.

Have I been lucky? You bet!!! I have to say, for all those that don't want to work in house, there are lots of opportunities to go on your own. I got the ENT job and could have had a job with urology, orthopedics, gastroenterology and/or physical therapy had I not been only one person. FYI, when a doctor needs a Transcriptionist to do their work, they look to hospital MTs first. All my co-workers at the hospital had jobs on the side.

I could have stayed an IC but needed medical insurance, so went with the national service. Private medical insurance was absolutely kiling me.

• open question to all, regarding line rate - Snow Bunny
  • Wow! This must be the only line of work where the wages - keep decreasing. Tragic to say the least.
  • I started in 1980 - Longtime MT
  • Here are my stats - BrainDeadMT
    • Definite relationship here... - TurboFingers
  • Started in-house at a hospital, medical records department, on a typewriter in - old timer here . . .
  • Pay rate - Long-Time MT-NY
  • When I first started out 10 years ago, - yes indeedy
  • line rates - Nancy
  • Remember incentives? - hiya
    • sounds like back in the sm - MT 30+ years
      • Yeah, comp time! - i remember!
  • I started in 1995 - Backwards typist
    • Yes you are absolutely correct.... - subbing
  • I worked at a naval hospital outpatient clinic--sm - DeaAnn
  • line rates... - sm
    • How do you... - LoriMT
      • This is how it worked for me (sm) - subbing
  • My info... - MT

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Wasn't even done with schooling yet, but picked up a doctor for $.12 a line, clinic work.

Then went to a hospital in house to get more experience at ? wages (don't remember) and at the same time, picked up my second account for ENT employee w/o benefits for $200 a month (yeah, that's cheap) but it gave me experience.

Family member got sick, had to quit the hospital after 4 months, but they asked me to be the guinea pig for on-line transcribing. It worked and they kept me for 9-1/2 years at $3500 a month (no line rate, MINUTE rate- their choice). I also worked for the ENT service for 5 years and my own doc... well I'm still with him. He forced me to up my rates (yeah, that's right). He yelled at me for not charging more. He is now charged $16.5/65 cpl and he is happy. Huh? Where do you find a doctor like that?

I tried to quit the hospital to go with a national service but the hospital wanted me to stay, so I still worked for them part time for another 2 years. Then I had it with everybody and quit all of them except my own doc. It's been 15 years with him and I don't intend to give him up.

Have I been lucky? You bet!!! I have to say, for all those that don't want to work in house, there are lots of opportunities to go on your own. I got the ENT job and could have had a job with urology, orthopedics, gastroenterology and/or physical therapy had I not been only one person. 

I could have stayed an IC but needed medical insurance, so went with the national service. Private medical insurance was absolutely kiling me.

At that time, I charged $3 a page. I had no trouble getting that amount, and most books would be around 200-300 pages. I was a lot faster back then and could crank out a book in a couple days.

After I would type it, I would have the author check everything out and would make changes for an editing charge. If the error was mine, then no charge, but if he wanted changes, I charged editing.

There is a bit of a difference with books (unless it changed now). You would have to follow a manuscript style of writing so the book could go straight to the publishing company without the publishing company setting it up, which would cost the author more bucks.

I had worked for a publishing company that generated university textbooks back in the late 80s and that was really profitable. On those books, I was paid by the character! Sadly, my computer crashed and had to give it up. Computers back then ran around $2500 and there weren't too many gurus around to fix them. It was buy another one or do without. I had to do without since I had young'uns at that time and just couldn't spare the cash.

Hope this helps....and, BTW, if I could get back into this type of work again, I'd jump in really quick, especially the textbooks. You also get "a college education" for free.

Like you and so many others, I have watched my wages as both an IC and an employee go down, down, down.  I worked for a company owned by an MT.  She paid very good wages but sold the company to an Indian company, who got rid of all the Americans except for a few who would accept very low pay.  It's funny...clients want 100% accuracy but they don't want to pay for it.  They agree that they can't just randomly pluck people off the street to do MT, that they have to hire experienced or trained people.  But they don't want to pay us for our experience or our training.  I am doing my last MT job. I have my bachelor degree almost completed and I'm outta here.  The lack of respect for MTs, from employers, other MTs, from offshore companies, from clients, from AAMT, is so disheartening.

Changes were gradual.  First, we were allowed to start working at home at 12 cpl, instead of the hourly wage.  We still were employees and had the same benefits.  This saved the hospital money in overhead and we were all happy.  Then they started using outsourcing services for holidays and weekends.  Gradually, the whole MT dept was phased out and we had the option of going with the service handling the hospital transcription or finding another job.  The service kept us at this rate of pay for a short time and then gradually started implementing "incentive bonuses" and lowering the line rate of pay.  It evolved over the years to what it is today.  Starting line rates were lower and incentive bonuses done away with.  Health insurance is contingent on production, but their platforms crash regularly (as do many, many others) and we either have to work extra to make up the loss or just eat the financial loss altogether.  The services overhire to make sure that their TAT is met, which means unstable availability of work, which in turn affects production, in turn affecting benefits. 

The logic today behind all the changes is the "lack of experienced MTs in the U.S.", thus the need to hire people outside the country, who have even LESS experience with the English language and slang medical terms, at half the price of hiring American MTs.  The MT field in general has to be able to compete and so must lower their rates to keep clients from going offshore at half price.  And now with the advent of VR, the MTSOs using it try to justify the cut in line rate to the fact that we're no longer "typing", we're "just editing."  It's been a gradual evolution, but not in a positive direction.

And in all of this, AAMT has not come to the aid of the transcriptionist.  It has furthered the promotion of offshoring and has developed ways to enhance the MTs adjustment to VR instead of enhancing the MTs value and amount of worked involved in VR.  When the AAMT doesn't step up for the very ones it says it represents, why would the ones using the services respect, understand, or value the MT either?  

If you live in southern CA, on the job seeker board Chronicle Transcripts is hiring newbies.  I used to be a lead transcriptionist for them when they were located in my town.  Nice people and you will get very good training from them.  What I have found is the smaller trans companies usually are willing to take in trainees or medical trans school graduates.  Also, the federal govt and state govt have medical transcriptionists..You can check about testing with the govt.  Good luck!

/

Delivered newspapers, did MT for 4 hours, went out for a few last minute things, went grocery shopping, finished wrapping presents, finished crocheting my new grandson's baby blanket, cleaned the kitchen did the dishes and looked after my 2-year-old terror twin granddaughters for 2 hours before I finally called my daughter at 6:00 p.m. and said, "COME AND GET THEM."

I love them dearly, but they are 175% wired with the whole Christmas thing and I am just getting over the flu.

I know, I know. . . .I'm TYPE A all the way.

I can't believe I've made it this late. I'm going night night.

$450 bucks will get you everything you need to get started. Here is the item:

Transcription Kit.

That transcription kit comes with the digital recorder you can give to your client, and for you-all the software, foot pedal and the headset. That will be enough to get you on your feet on your own.

Get hold of some practice dictations, and then dive in!  If you have the proper references and good skills to begin with, you'll do fine.  Go for it! 

I'm not going to get into it.......that's for sure.  Suffice to say he idolizes his dad who emphatically states in his late 80s that the holocaust never happened.  

Yeah, right.....don't get me started......I'll hush for now!

1568 so far and two tapes left to do before noon. 

Can any one give me advice on how to get started doing medical transcription on-line?  I have been working for a group of local physicians and have decided to change the way the keep their charts.  They are actually going back to hand writting some of their abnormals.  They have a 2 sided form with review of systems, physical exam, assessment/plan and they just check the approrpiate boxes and write in the abnromal findings.  I see a lot of companies offering transcription being done on-line, but I have no idea how to do this since I have always used a micro cassette recorder.

Thank you,

Cheryl

When you say a background in English, are you referring to something more than high school and college english, writing classes?  I always did very well in English.  I also took medical terminology, of course, got an A, and am certified as a nurse's aide.  I worked in surgery for four years as a medical secretary typing surgical reports and entering them into the computer, as well as scheduling and typing the surgical schedule daily.  I've worked in a psychiatrist office as well.  The Medical Transcription agency here tested all of the applicants, and I was the only one with no experience that they hired, because I aced the test.  So I guess that I thought that starting out with an agency that is willing to train me is worth the trade off of the low pay.  I will be an IC, so after a while, can branch out and make more $.  Do you still think I have no business getting started in this business?  I do appreciate your advice!

One of the doctors - American MD - I transcribe for regularly says "tender to palpitation."  I used to have an ARNP who said "libidio."  And I just LOVE it when they do me the favor of spelling something -- I've already typed it, doc, thanks so much -- and then they wildly MISspell it. 

Did one 13-minute (but only 40-line) dictation today from this ESL doc who had the hardest time pronounding "fluoxetine."  Can't tell you how long it took me to figure out that's what he was saying... but I finally did... then on about the 5th or 6th time he's struggling thru this word, he says "just go back and change those all to Prozac, it's easier."

Any advice on how to get started on this online transcription? I just finished my externship at surgeons office, mostly gastroenterology and do not have a clue as to how to get noticed for a job.

Any suggestions will help, thanks.

Anna M.

Hello everyone, I have been an MT for about 7 years now, and I just kind of fell into the job at a local hospital.  Once I worked there for about 3 years, I had the experience required to work from home and had no trouble finding jobs.  However, I have friends that are asking me how to do what I do, and I honestly have no idea where to tell them to start.  Some of them have enrolled in college courses, some are trying to take them online, but it seems none of these companies will hire you without any experience.  So, if anyone has any advice of a legitimate way to start a home MT career, I would much appreciate anything you can tell me.  I know there are a lot of scams out there that promise you jobs and then take all your money, and I am not about to send anyone to them.   Anyways, thanks everyone for any information you can give me.  I really appreciate it.

~Meg

I've been in this business for 20 years.  QA?  Never heard of it!  We took it straight to the dictator.  These were the old days of working on-site.  People didn't have computers.

Now with all the digital components and can work from anywhere on your PC, there needs to be QA before the document can go the client so the company looks good.  We usually had each other when we were on-site to help with a s/l, and if we couldn't figure it out, then it went to the dictating physician.  Never had a problem.

QA is highly over-rated in my opinion.  You can probably thank AHDI for that fiasco.  Who else should know the answer but the dictator?????  JMO.

supervisor told me if I was uncomfortable doing a certain type of work to leave it until I was more comfortable. Same with dictators. I didn't do it long, just a week and would try the odd work I never did before in between the good stuff.

Could this be the case with your company?

I would really appreciate any advice you can offer.  I took an online course for Medical Transcription and finished last November but haven't been able to find any work.  All the places I can find only consider hiring people with at least a year of experience.  How can I get my foot in the door?  Thank you for your ideas!