I think she was leaving an inhouse job and of course would retire rather than lose her benefits by j
Posted By: Amanda on 2008-02-23
In Reply to: You really don’t get it, do you? - Lori
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Stand up and what get fired. Lose benefits and lose my house. Can't risk it.
I wish I could. That is why this business is as bad as it is. We can't afford to not work, so we settle for whatever gets thrown at us.
That was with full benefits, which are the same benefits as an in-office employee for the QA staff..
However, I hear that their current QA staff are being asked to reach numbers that are out of sight and goals are basically impossible.
I'm with you, ready to retire
but have a few years to go, like 20. My production hasn't gone up 25%, has yours? If anything it has gone down. Have you thought about Spheris? I had a job offer last year at 10 cpl, should have taken it probably.
I would like to retire in this profession too
but fear for my job's safety. I unfortunately think the bottom line for a lot of these hospitals and doctors is the $$ and nothing more. They want to save money and don't care about the quality of the reports any more. I hope I'm wrong but I don't think so.
If you retire and go on SS, there is a set limit--sm
you can earn per month, if you continue to work, or they will reduce your SS income per month by how much over the set amount you are allowed. NOT a pension retirement, SS retirement.
And you are correct. I have 6 yrs until I retire and
nm
They want a retirement that they don't even contribute to, they already retire at 55.
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I've been wishing I could retire since I was still
Sure don't see it in my future, though, unless I win the Lottery, and most times I can't afford to play.
Or smart enough to not retire if you cant afford
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When she took retire. she agreed to 900 limit.
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Many people retire to Belize.
I saw an ad once about how you can live really comfortably there and Americans are dual citizens. I visited Belize last year and it was gorgeous, but it is still rough around the edges. Very small, and remote. We here in the USA are used to creature comforts which would not be this way in other countries. Plus, we take liberty and freedom for granted and living in these other places, well I doubt they see things the way we do.
Quit working BEFORE retire, no income, no
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IC positions offer no benefits, employee positions off full benefits, so if you do not need
benefits, then IC would be best.
Retired or retarded? Anyone can retire if they set their life standards low enough
BUt if you think sitting on the couch pointing fingers at how bad the government is constitutes a wonderful successful life, good for you!
I'm not the one complaining about how bad things are, YOU are!
By the way, precious. I don't have to work, I want to, and am no longer an MT because I've gotten an education and moved on to a productive life with goals that stretch beyond the living room and the computer room.
Get over yourself. No one is impressed because your life certainly does not sound impressive in the least.
Do not cheat you chose to retire earlly deal with it
That is part of the problem everyone wants everything. If you took early retirement, stay retired. Do no try to go around the system or the rules. If everyone pays their full share it is fair. But when you try to cheat hopefully it will come back and bite you as we do not need this . Everyone needs to pay taxes on their income whether it is IC or employee. If everyone pays their share it is fair. You chose early retirement, deal with it.
I think an inhouse job would be the way to so
as you usually get paid hourly. Working at home is not that great. I found that out the hard way. I am just doing it until I can find an inhouse job, they are so rare. Going inhouse is better in every way. YOu do not have to deal with "Do it this way this day and do it another way the next" as is Amphion's practice, along with many others. Also, the inhouse job would give you valuable experience. You can always go back to working at home. You would only gain in experience by working inhouse. Good luck!
Inhouse
she probably wouldn't be making $41 an hour.
And Inhouse
Inhouse you will type for 2 hours, then get a 15 minute break, then type for 2 hours, get a 30 minute lunch and then type for 2 hours then another 15 minute break, then type for 2 hours and go home. According to my friend who works inhouse they rarely get their 15 minute breaks more than once a day, so even working inhouse they only usually get about 45 minutes and they only make $16 an hour. Being at home on production you can decide how much to make if you use your Expanders and actually type instead of surfing the net, etc.
I did go through that with my last inhouse position ...
and after I quit and went home to work for my present employers, I realized what the most significant factor was for my burnout: Working with the absolutely rancid attitude of unhappy coworkers. True, I should not have allowed them to get to me but they were unhappy over ANYTHING. Nothing could make them happy and all they did was gripe and b****.
I eventually quit going to lunch and breaks with them because I just didn't want to hear anymore negative spin on whatever was going on. Of course, then I was Miss Goody-Two-Shoes because I wouldn't fraternize with them. There was already tension enough over production. I got to where I would drive around and around the block before parking...then I would be late a lot because I could hardly bring myself to drive to work. I felt sick at my stomach as I got up, knowing I was going to walk in that office where such emotional poison was.
On their own, I liked these women - they could be funny, were intelligent, had a lot on their plates. But as coworkers, they were unhappy about anything that happened and just could not leave any topic alone. At lunch and breaks, they so horribly bad-mouthed the superv, the QA person, the management, the hospital policies, the equipment, the software, the incentive plan, anyone who wasn't sitting there's production, other people's dress and how they handled their family life, etc. I mean it was HORRIBLE. When I started back to college, they were mad as h*** because I got "special treatment" in their eyes. They worked whatever schedules THEY set, but apparently I wasn't allowed to do the same. I see now that they were angry because I was doing something different and progressive in my life.
Then, when I announced I was leaving I thought they would cheer because, after all, I was the outsider. Instead, they got angry. They were angry because I was leaving and they were left behind. They emailed and left voice messages a few times after I had left, asking how I was, and talking trash still about that hospital. I never called any of them back.
I'm done with that attitude. I literally cannot take it. The same issues were happening to me but I chose to look at it differently.
Making a radical change of quitting and going home into a completely different setting and controlling my own environment, pay, etc., was the key to recovery for me.
I also know that I won't be doing this much longer...THAT HELPS A LOT...LOL.
I appreciate the advice.
OFF TO WORK...
I had one when I was inhouse and loved it! sm
I just wish I could afford to get my own right now. It takes a little getting used to, but not too bad and it's soooooo comfortable.
inhouse work
I am thinking about going inhouse to work for a family practice group. What is the going rate per hour or per line? I have 10+ years experience. It would be working for 2 family practice physicians 25 or so hours per week. Because I have only done IC the last few years, I don't know what to charge when taxes are taken out.
Please advise what a reasonable hourly/line rate is . I am not sure at this point.
Thanks
i used to be a coder inhouse. sm
my schooling was actually a combination of MT/coding so i had the option of either. i started out coding at a local doc office. i didn't have much of a problem with it. the cons i would say was dealing with people b*tching about the bills and medicaid pain in the *ss, but other than that was fine. i slowly picked up MT work on the side to do in the evenings part time, realized how much money i was making and eventually quit the inhouse job to go full time at home as an MT and tripled my money. not sure about coding at home so i can't help you there.
You actually WANT to go back inhouse and having to
?
I have worked inhouse at
made anywhere from the $11.00 range up to $26.00 (counting production bonuses). There is a wide range. The benefits are usually much better than working at home, but I much prefer working at home and will never return to inhouse again.
I think I would stay with the inhouse job, have the
baby and take your maternity leave. While on leave, you can be looking for an at-home job, and maybe even start with them while on leave. Then, after your paid leave turn in your resignation.
Going to work inhouse again
Well, you would have someone to talk to besides your dogs and you might just enjoy the comaradie of other MTs. On the opposite side of the coin, it may just end up being a very competitive, cold and unfriendly place. You could try it and and prove yourself to to be a valuable MT and perhaps they would send you home to work like a lot of hospitals do now if in fact you would rather do that. If you find your home to be a comfort zone and enjoy your dogs, you may just not like working inhouse. It's your call and good luck
pay for inhouse position??
I have an interview in the morning for a part-time inhouse position. What is the pay looking like working by the hour with no incentives? I don't know what a fair offer would be and don't want to sell myself short.
I am going to work inhouse again -
I just took a part time inhouse position to supplement my at home income because I am so short... and this is not the first pay period so I am in trouble.
The inhouse position is only part time, but at least I know it is enough to pay my house payment. It is also a lot less per hour, but I want some guarantees so I can stop worrying so much.
Sorry but I am not going back inhouse.
I do well at this work. I always have. Though my income has varied a bit over the last couple of years, I am still doing very well and I don't plan to join a union or go back inhouse.
It costs hospitals more money to payroll you inhouse because of the capital expense. More and more hospitals will contract their work out as the economy squeezes on them, too.
I agree that those who are new should try to work 1-2 years inhouse first. But to say that going back inhouse is going to "save" this work? No. Completely disagree. It won't even be an option soon for the greatest majority of facility MTs.
do you have 6 years of inhouse sm
doing acute care or doctors office MTing? If you have gone from strictly office stuff to hospital acute care, that is a big transition and one that you are not gonna make a ton of money at starting out. Experience as an IC is not the thing, do you have the 6 years experience doing the same thing inhouse that you are now trying to do at home?
It's the only place I have ever lived.. Great place to retire or raise a family. Low crime rate e
living is pretty easy here. Low stress..
Try Piedmont - they have inhouse staff nm
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Around here, it's $9.99 per hour with inhouse for the first 6-12 months.
I'd still take it, but I'm not sure how the cost of living is where you are.
i used to but quit it to go inhouse and now am home again without it. sm
i got 2 weeks PTO a year and got paid equivalent to my production for the hourly rate, which at that time was $15.75/hr for my vacation time. had insurance too but can't recall the details. boy, i regret that now as i feel like i am working 24/7 as IC and can't afford to take time off. take off = lose money and get behind. i'm stuck, lol. gotta look for large nationals, acute care, and about 75% ESLs to get it nowadays is what i am seeing. hard choice between clinics/gravy work or PTO/insurance/ESLs/busting tail, lol.
My inhouse incentive experience
When I worked inhouse, our incentive was calculated quarterly. Our incentive was based on minutes of dictation transcribed, not lines.
We had a minimum number of minutes to average daily. Depending on how much we passed that minimum (on the quarterly average), we were assigned an hourly incentive to be paid for all regular hours worked for the next quarter.
Example: If my 1st quarter average production put me at 180 minutes of dictaiton, then I would receive an extra $8.50 an hour (in addition to my regular hourly wage) for all regular hours worked for the 2nd quarter. If I took paid time off, had a holiday off, or had overtime, it was not paid for those hours. Only for regular hours. So, if I worked my regular 40 hours weekly, I received an extra $340 a week in incentive.
Now, incentive started low, at $1.00 an hour and worked up to $10 an hour.
Last time I worked inhouse with per-line incentives, we literally got a daily line count and had a tiered set up with lines/hour average daily.
My inhouse experience was almost identical! (nm)
.
I would love to work inhouse, but...
those jobs are getting scarce. I would like to know how all us newbies are supposed to start in-house when those jobs have all been outsourced.
WORKING INHOUSE NOT ALWAYS SO WONDERFUL, EITHER.
I worked in house for the only hospital corporation available in my rural area. I expected to learn a lot. I actually learned very little with regards to transcription. I learned a lot about hospital politics. They had some of the worst dictators there, and the HIM director did not like confrontation. Also, the main task given to me was to accomplish a line rate equal to 1200 per day with spaces, at which time they would set me up to work at home. Unfortunately, I only had 6 months in which to accomplish this. I was flatly told that if I did not accomplish this production rate, I would be fired. Before that happened, I found a job online, and will never return inhouse again. I also have to say that I don't miss driving 300+ miles per week in order to do that inhouse job. Also, I wasn't thrilled with the prospect of the hospital's tech person visiting me ad lib at home.
Now, I can't say that I'm thrilled with this profession. I have the same concerns/complaints as the original poster of this thread. However, comparing inhouse, with inhome, I do believe that I've learned more and gained more valuable experience through the inhome process. Yes, I have worked many hours and more than 1 job at a time. When I research previous jobs by a doctor, I also notice that previous jobs have been submitted with lots of errors in them. I have shared my concerns with my manager and believe that nothing was done. I have also complained about poor dictators and why, oh why, are these doctors still allowed to conduct themselves so poorly? When I worked in the hospital, I noticed that the HIM director let the doctors do whatever they wished because she was afraid to confront them, like they were Gods or something. It is my opinion that this is a major problem in our industry with regards to the people who are the liaison between the MT and the doctor. Somewhere, a doctor has a supervisor, office manager, director, hospital administrator, etc. If a doctor is in private practice, he may care more about the quality of his product. But, if a doctor is affiliated with a hospital or other facility, he might just be doing a job and as long as he/she can get away with it, he/she will be as sloppy as he/she wants to be.
It is also really frustrating to be told that you have to do 150 lines/hour or more, or lose benefits or be fired or whatever. At the same time, it takes time to really produce a good report, given the deficiencies in the dictations. I panicked about this in the beginning, as I was doing about 50 lines per hour. I'm happy to report that it does get better. I also quit the job with the production quota.
Okay, I'll shut up now.
Wahh Don't give up your inhouse job! sm
They are so few and far between these days... it makes me sad :(
Trained inhouse 25 years ago. LOL :)
Never been without a great work situation. Job changes to meet new circumstances in my life.
When working inhouse I had a supv
that one time told me in a French term (had to ask for explanation) that meant I did not join in with the others there. Hmm, transcription seems to be like a 1 person job and how can you socalize and still make your incentive. Always got terrible evaluations and on ongoing eval after 10 years there she gave me an acceptable for attendance. I brought to her attention I had not missed 1 day during the entire year and I wanted an excellent for that if nothing else. She said she had not noticed. Yeh, right! The next job so much different. Very good evals but by this time I was very shy of ever getting them again.
I worked for over a year inhouse
and my boss corrected all my work, every day from the time I started until I had less than 3 errors on a page and then I was ready to be doing transcribing. It was a good learning experience.
Input wanted re inhouse clinic job
I responded to an ad in my local paper for a PT poss. FT Transcriptionist for GI group. I've been MTing for about 4 mos now with a smaller national (not one of the better ones). My accuracy is good but I find it hard to get any decent lines with the crap dictation I always get, not to mention the crappy newbie cpl I make. Have also been hired by a big national but have been in limbo in their onboarding process for way too long. While I don't need big money to survive, I'm going broke pretty fast between low cpl and crap work. Forget about benefits.
I do need benefits (was hoping to get them with the big national). While I love working at home, it seems like it's always going to be the chasing lines game and also having your benefits contingent on making lines. This may all be moot once I call the GI practice back and see what the deal is, but does anyone have anyone have any pointers as to what to look out for in a practice? I'm just wondering if there would be too much work for 1 person or if the job would seque into some kind of secretarial thing, which I really don't want.
On the other hand, I'm also thinking if I took an inhouse job now, that would ruin me for future acute care work for nationals, if I really needed to work at home again.
Comments and advice appreciated. Thanks.
We not only got the "hate-mail", but as inhouse employees, (sm)
we got hateful face-to-face confrontations, reviews, and meetings. Pay was good, but the horrid atmosphere is killing all the great people that worked there. I left in order to save my sanity. No worker deserves to be treated that way. If a job is worth paying a person to do, it is worth treating them with respect for doing, as well.
$18 an hour but I work inhouse in a hospital.
nm
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.
Try an inhouse position for more intensive mentoring
I typed my first 3 years as an MT at a hospital and I found the mentoring I received from seasoned MTs, and being able to talk to the doctors and other staff, a really big plus. I also found it better when you're at the beginning of the learning curve to have an hourly position vs a production position.
You might want to consider inhouse as well to help you see the big picture as to why the doctors won't dictate more clearly, why nobody has the manpower to scruitinze every report, how sometimes the mistakes found in reports have been edited and put in there BY the doctors, and the low respect in general MTs get compared to the rest of the health professionals out there. This might help you gain some perspective as to some of the "whys".
You might ponder that MTSO's are not going to scold their clients to learn better dictation habits in order to make the MT's job easier - that would just alienate the client. Inhouse, should you personally want to scold the offending dictator, they will often laugh in your face and tell you to deal with it. In general, doctors do as they please and our jobs exist for their convenience, not the other way around.
You're right. Unfortunately, in some areas inhouse work is
I keep hoping some sort of changes in U.S. laws may come to the rescue before it's too late, and the whole industry becomes offshore and automated. Because if that happens, there will be less and less reason to want to entrust one's care to an HMO.
Inhouse only lasts sooo long...
I bet if you asked around, the outsourcing rate is moving faster than we think.
There is always the nationals to go back to in case the inhouse job sends ya' packin'....
I always got up every now and then when I worked inhouse. When the manager complained, I just told
nm
Anyone CURRENTLY working inhouse in the Atlanta area that can tell me the going rate of pay? SM
I'm really just interested in people who are actually working NOW and what they're making NOW - not speculation from service managers as to what they think they might be making.
I am considering going back in house for the benefits but if there is just absolutely no comparison to what I make now as far as pay, I don't even want to start wasting my time. Thanks to those who can help!!
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