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Serving Over 20,000 US Medical Transcriptionists

I think you're the one who needs to get out of the business.

Posted By: sm on 2006-01-14
In Reply to: And she should be.... - Kate

or at least get out of the house and make some friends in the real world. You're losing it fast.


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If you're not a business, but an IC...sm
you can use your SSN.  If you do have a business license, it's how you set it up in the beginning...I have a business, but it is not incorporated or anything like that and I use my SSN. 
you are still an IC when you're a business, you stop being an IC when...sm
you incorporate. Then you become an employee of your corporation. Most home based businesses don't require a business license. Since you aren't having customers traipse in and out, nobody really cares. No advantage to getting a tax free ID since you aren't collecting sales tax. The only thing you really should do when you get your own account is to set up a business checking account with a credit card attached to it. The physician office should make the invoice check out to your business, not you. The separate account simplifies bookkeeping and keeps the IRS happy. No need to really incorporate until you are making about $50K a year. Then you might want to think about it to save on the SS taxes.  If you do get your own account, find a CPA that you can talk to (i.e. approachable). There are self employment IRA's etc that you will want to take advantage of. As far as getting up enough nerve to walk into the office, I call it "the $10,000 question." All you need is one acccount on your own to make an additional profit of $10,000 over what you are making now. But the only people who get paid that are the ones who get up enough nerve to walk into the doctors' offices. Are you one of them?
It's none of their business why you're leaving.
**
Yup, they're about to lose my business. NM
nm
If you don't know what a typo is, you're in the wrong business.
This is a message board, not a paid document.
No matter what type of business you're in, there does -
come a time when you have to draw the line somewhere. It seems like a no-brainer that if the price for transcription was X amount of dollars with letterhead provided by the client, then it would be X amount MORE with letterhead provided by the service. Still I would imagine she panicked a little, fearing she'd lose the account if she stood her ground about a separate rate for providing the paper. Knowing how expensive paper is, I still have trouble seeing how she could just let it slide in the beginning.

In her position, having allowed him to cheat her for a certain amount of time, what I would do next is give him notice that next month (or next week, or whatever), due to the overhead costs of supplying paper for the account, she could no longer do it at the old price, and then quote the new price.

If she gets 'replaced', she'd have to figure that it was going to happen sooner or later anyway, and if he was that cheap, there were probably other 'surprises' down the pike, as well. So probably good riddance. It might seem like a better deal to keep that account and let the guy keep cheating her like that, but then again, a better account is probably just around the corner. OR --- he could start to take her seriously when she sticks to her guns and says she has to raise her price. She has to make a living, too, right? OR --- he could go with someone else for a while, realize he had a good thing when he was using her service, and come crawling back. At that point, she could probably charge him almost anything she wanted, within reason of course, and he'd gladly pay it.

I had a non-MT, service-type business a number of years ago, and some of my BEST clients were the ones who left in a huff when I had the 'audacity' to raise my prices along with the rise in overhead, only to come back on their hands and knees a few weeks or months later. Some of them became the most generous tippers, too. It was funny how male colleagues of mine in the exact same business were rarely, if ever, questioned when it came to their charges for services rendered. Yet as a female, it was almost expected that if the client tried to get me to provide the same service for less, that I wouldn't stand up for myself and would just accept it because I was a female.

Until there is an equal double-standard to go along with the perception that women's work is worth less than men's, and we can pay half what men pay at the gas pumps and in the grocery stores due to our gender, then we shouldn't have to simply settle for less than they would get for the same job, either. And you just KNOW that if medical transcription had evolved into a 'men's' profession instead of a 'women's' profession, it would most likely be a good, high-paying white-collar job that they would have fought long and hard to prevent from being offshored. We just stood there and allowed the hospitals to reduce it to about the same level as janitorial work, or lower.

If a woman running an independent MT business such as this woman is STILL doesn't want to do things like give clients the bad news when a price hike is in order, why not simply borrow a strong male voice to make those calls? And to have a little spiel on the voicemail system, so that it SOUNDS like the system is owned and run by a man? If the client believed a man owned the business and was making those kinds of decisions, I bet she'd be able to command a higher price for her services all around, not just when supplying the letterhead. Something to think about!
Heh ... twice the price cuz they're an AAMT business partner! - nm

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.
Even with a salary you're kind of a small business owner!
Even if you're paid a salary you are your own agent, so to speak. Why not hire a part-time helper and pay them a subcontractor rate. That's what a service owner does. You are no hero for not getting some help. MTs who have their own accounts have responsibility for 7 days a week coverage, but not all of us type 7 days a week. Put an ad in the job seekers board and pay someone to take up the overflow. You will burn out and not be able to work at all eventually. Good luck to you.
In general business're running slower than usual but running. NM
nm
Unfortunately it is legal..so yes it is business and they will continue with bad business practices
x
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
.
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)

For Pete's sake, you're not terminating a pregnancy, you're just typing a report after the
It's already been done before you even hear about it, and NOTHING changes regardless of whether you or someone else types it. Sheesh.
It's not funny when you're on a board where language is one skill you're selling.
.
Hope you're gonna have a glass of wine while you're relaxing

in your spa goodies. Congrats!


Well, you're all complaining that accounts are current and work is low, so, gee, maybe they're
focusing on WORK, as in CLIENT and transcribing, as maybe half of you should be focusing on!!
If you're experienced, try for 9cpl or higher, and you're lucky to get that! nm
s
Skip it. No one cares. Either you're good on the test or you're not.
x
You're probably right. Plus we're losing our percentage of good people by .... (sm)
allowing every loser from every 3rd world country on the planet to just stroll on into our country, some legally, most illegally, and take advantage of the social services all us hard working little gerbils pay for by having money taken out of our pay every month. But I don't think we're all lazy. Just the ones on permanent welfare driving around town in brand-new Cadillac Escalades. Saw one just today on the Bayshore Fwy. Brand-new black Escalade with expensive spinner wheels, with 5 or 6 Mexicans in it. Well, who knows - maybe they stole it and it was on its way to a chop-shop. Smart-and-hungry people aren't always hard-working and honest.
You're not going to find a word expander for free. You're going to have to pay
g
You're forgetting all the stuff you can't buy when you're UNEMPLOYED!
Unemployed people have a hard time buying anything, including cheaply made offshore products. How many will have to end up depending on public assistance? That means more tax dollars being eaten up - besides the taxes NOT being collected from the overseas workers. In the long run, are you really enjoying a lower price?
If you're on the job, ask for samples to do it how they want it. If you're testing, separate o
s
You're not losing it, you're burned out on your main job.
I feel for you... I am having my own "version" ;-) of these kinds of struggles. Lots of recent changes at the admin level have made my job do a 180, going from a really great one to a really crappy one.

For me, it's a struggle to get through the day with a shred of motivation. I get distracted in the way you discuss as well.

I just try to make my environment as comfortable as possible and make the best of it while I decide what the best way is to deal with the burnout... I figure if I can't change my inner brain workings so that I still like this job, I need to find another one, or this feeling will possibly get worse!

I hope it works out for you. Wish I had some better advice for you, but this really does look like burnout and extreme job dissatisfaction to me. We all wear it differently. Try to be good to yourself while you figure out a solution.


Don't know what you're complaint you're making with this post. sm

You stated in your original post that you don't want to work weekends or odd shifts. What is your definition of an odd shift?  Second shift?  Third shift?  Sounds like you want to work M-F on days.  Sounds kind of rigid to me. 


Personally I like second shift, so everyone working days means more work for me! 


You're not under a rock, you're just like me... an adult with more to
s
It's not because you're beautiful, it's because you're an IDIOT!
Does that make it any clearer for you??
YOU'RE A SACK OF CRAP!! YOU'RE NOT

THE ADMINISTRATOR.  WHAT DO YOU THINK WE ARE IDIOTS??? 


 


                  


Honey you're not being a shrew, you're being a
I don't get it when husbands and wives *allow* the other to have money that THEY work for...just don't get it.  Go buy the flippin' keyboard and tell him to take a hike! (To put it sweetly!) 
Why is it the only expander you're permitted to use? How would any know what you're using?

xx


They think they're smart to accept it, but they're
m
If they're withholding taxes, you're not an IC.
As an IC, you should already be paying taxes. That said, the only benefit having them withhold FICA is that your Social Security/Medicare share will be less. Social Security is 15%; if you're an employee, you pay 7.5% and your employer pays 7.5%. As an IC, you pay 15%. Doing the math, 0.0925 would be your 0.10 minus 7.5%--the 0.0924 is just a tad less than you're making now.
We're out here (good MTs) but we're busy! sm
I don't recall ever taking an employment test where I wasn't offered a job. My MTSO does not even look at my work unless I happen to have a question or a blank, which happens maybe once in every 30 or so reports with an ESL. If you find a really good MT, how much training would be involved? Certainly you would save time in the long run once they're trained and you don't have to check all their work.
If you're one of the MTDesk clan then you're ok
wersdffa
You're right if you're single it's tough.

I am an IC as well, but I have a husband with benefits and makes a fair buck.  I am fortunate after 20 years to able to work from home.  I worked on site for 17 years with a "chocolate cake" the day I left.  Nothing more...  The loyalty in any profession is gone, gone, and gone again. 


Most companies want new employees/ICs that will take low pay and that won't cost much in the way of paying vacation time.


I do take every Friday off and try only to get on to check e-mail, etc. 


However, I wouldn't trade being here for my kids at this point.


There are headaches no matter what profession you are in.  It seems if it isn't one thing it's another. 


Raises?  Out of the question in this profession since most are afraid they will lose the account including myself.  I also underbid my last account because I wanted the account so bad.  I should be charging more. 


It is a neverending cycle really.


But, I still enjoy the work, so I guess that's the difference.  It does take will power to sit and type.  Some people need that boss hanging around to keep the production up and the incentive of a nice paycheck is just not good enough.


Good luck with your new job!  Sounds great! 


If you're new, good - if you're not a newbie, not so hot
Would need to know how long you have been an MT. For a newbie, this is a pretty good rate of speed.

However, if you have anything over a couple years of experience, then this is not too hot.

Also, what are the dictators like? Is it a "United Nations" account??

If you ARE capable of 200 lph or more and you can't seem to get it, then the problem has got to be with the platform you are using. In my experience, the platform into which you transcribe can make or break your paycheck - so if the platform stinks, then I hate to tell you, but there is no way you will be able to improve your line rate. I have quit jobs because of awful platforms more than once.
Is that really any of your business?
I would think that it would be very wrong of you to spread the information you found on Google while searching for the patient's name. Are you 100% certain that it is the exact same person you are transcribing? Even seemingly oddball names can be duplicated and how would you look spreading around gossip? Even if it is court-documented, it really is not your story to tell, IMO. I would love to know who is telling you to put it on the news. That is about the craziest thing I've heard in a while, although quite good for a laugh.
MT business
It depends on how large a business you want.  There are still some small accounts, (10,000 to 18,000 lines) per month that are still on tape that you can get.  Also the digital is not that hard but I will not pay for anyone to transfer my files, I can do that.   I do not have a phone in system but if someone were to ask I would probably start out with the ones that charge so much per minute and use their system until I knew for sure the account was staying.   Where are you located, have you networked with anyone in the area?  Are you set up for tapes as well as digital?  If you start out alone, you have no back-up, you have to do everything.  When you hire I/C's sometimes they are dependable and sometimes not.   You will not earn much off of them if you want to keep your accounts.   You will not be able to charge as high as the larger companies nor go after the larger accounts at first.   It is a fine line as to having enough help and enough work and that is why you hear the complaints all the time, "We have run out of work" as you have no control over how much or when a doctor dictates or if he takes time off.  But would I give it up, probably not as the money is good to me.   You can E-mail me with any specific questions, I have been doing my own small MTSO for over 20 years.   Been through it all, ups, downs, good times, bad times, and everyting in between.   My accounts have been with me from 6 years to 20 years so I feel that they are pretty stable. 
Well I am sorry that you are using this business as sm
your excuse, but hospitals pay their people for holidays and if by chance you have to work them, they pay you time and a half.

I do not know why a business owner cannot take these things into consideration when setting up a business. This is a business just like any other business and if you have employees, those employees need to be given the same consideration as any other business. IC status is different, but I find using the nature of this business as an excuse just a little weak.

A good business head would enable you to provide benefits for your employees and if you have already made up your mind it does not, then I think probably it is because maybe you need someone else to do that figuring for you.

I am not being mean in saying these things, but even small business owners I know are able to work it out that a holiday is a holiday (whether you have to work it or not) and an employee needs to be compensated in some manner. To me, there is no excuse for not doing so.
new business
My opinion would be to let them either work at home or at the company.  I prefer to work at home, but some people may not.  As far the pay issue--when I started doing transcription I made .06 cpl and I think that is a fair rate.  Hope I helped
This is really none of my business, and I know that,
but the more I read of your story, the more absurd it becomes to even think of staying with this man.  I'm truly sorry.  I know how hard it is to leave, as I had to that in my former life, and believe me I wanted my marriage to last "til death do us part," but that ain't always possible.  I too TRUST in the Lord with ALL of MY HEART and SOUL, and as I said, sometimes it just ain't possible.  The Lord will guide you through this.  Guess it is just that as an outsider it is easier to see the forest for the trees.
Been there on business
I used to work retail management and my company had a resort there. I have been there several times to meetings and we always had some time to do things. I always enjoyed it and would like to go some day just for pleasure. There is lots to do there.
New business
I have a small transcription company that kind of fell into my lap, luckily.  It has been a year now, we have five girls and are doing a really good job with one large account.  I had tons of experience as a transcriptionist, but never as a business manager, so I took my time.  Now I am looking to get more work.  Anybody have any thoughts as to how to reel them in?
I have been in this business for
always been cherrpickers and probably always will be, just like bad drivers,  you can't get away from it.  I have given up and just do what comes up.  Saying anything doesn't seem to help.
I would say the same - none of your business
nm
None of their business......sm
I am an IC for 3 companies, and pick up another prn. They just want the work done as agreed up front...none of their business how many or who else you work for.
own business

Is there anyone out there kind of enough to point me in the right direction of starting my own MT business.  I have been doing a lot of research but found some outdated books online.  I need to know how to write up the contract. Can I do this myself or do I need it done legally?  the choice of software and line counting software.  It would mean so much to me.  I know a lot of you have done everything on your own, but don't I need to have a good starting point?  If someone could e-mail me with some or little info, it would be greatly appreciated.   Thank you again.


As if anyone's business
I was on my way out the door for an appt and no, not for an interview with someone else and prior to that was working. It came about because we are not getting paid for specials on an acct that included interventionals but yet are in the pool and wanted to know what constituted a special or interventional for you all. Plain and simple to answer.  With coding changes through the years things have changed. Obviously gave some pea-sized brains something to "not" think about. It is funny how so many can read something into nothing.  Nice bunch that answered though.  Trying to stir up a pot.  Not any more.  So for all of you other there that thought otherwise, oh well.  You all look like fools.  Tee-Hee.
as an IC you are a business
Rates are lower now than before, but as a company for yourself you need to make adjustments. If you treat this status as a job you will never be satisfied.

I hear a lot of people talking about how much they make - I would love to know where they work for that - they have to be employees. The nationals and smaller companies are not paying it most times to IC, and private clients for the most part aren't putting out 14.00 an hour to start.

This is my business, and like any business I do what I have to - work long hours, have other US MT's to back me up and take a lap top with me when I am on vacation.

Not like the manager of my grocery store goes on vacation and the store closes, or my doctor and no on-call. I am a professional business woman and work as such. I want more money and give them the quality so I get it. But I never run out of work either. Does not matter how much you make if there is no work.

Can't get more when they do not want to pay - you negotiate like any other business and if you want to work, you will.

If you want to be an employee - then you can demand the benefits, pay etc, and they can decide someone else can do the work - lets just hope that person is an American.

Either way - good luck to all - it is a challange
We have business name and tax ID #
and same companies do have a problem especially since HIPAA.... some have wanted me to become a SE and others have refused to pay me under company name - claiming I need to sign the confidentiality paperwork under my name and if I use my name and then a dba - it opens me up to being able to subcontract out my work....it has gotten much more complicated since HIPAA.  In the eyes of the IRS you should have a dba and advertise and work for more than one MTSO and be independent - both for your sake and your MT company... not sure it is necessary to incorporate but that is your decision.