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MTSO usually also repeats benefit of padding

Posted By: in lines billed. They claim ignorance& make $. on 2008-01-01
In Reply to: Is it possible to pad line counts? - Curious

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Still repeats...sm
They will be moving Gray's to Thursday nights, as this will be its new time slot in the fall.  However, it will still be repeats until the new season starts in either September or October.  No new Gray yet!!!
From above: Repeats = reaps. Time for more
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line padding
Okay. I have doctors who dictate words like "toc" for tocolysis, "conj" for conjunctiva, and other shortened versions of words that are not proper. I call this sloppy dictating and I always spell out the word IF I know exactly what they mean. If I don't know what they mean, I flag it for QA. Would you call that line padding? My account doesn't give any specifics on this. I was also taught to NEVER use abbreviations in diagnoses even if dictated. Is that considered line padding? Just wondering.
Besides padding counts
I worked with someone who got into the Lanier system and moved jobs typed from other transcriptionists onto her number. We were all "judged" by how many minutes we could type per day besides lines and also judged for raises by difficulty of the dictators we typed. Everyone could not figure out how she did so "well" until we started logging by hand the job #s that we did each day and then checked on it later. Lots of them magically moved over to her number. Somehow she got the Admin password and was putting it to "good use." It was mind-boggling and eye-opening.
Yes, like why do MTSOs allow padding to
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I hardly think she was padding line counts.
There are a lot of doctors out there who are completely ignorant in regard to spelling, proper sentence construction, and grammar.  And with their grandiose and overly inflated egos, they don't like to be corrected by a peon transcriptionist.
Most of the Logitech ones seem to be less clacky. Put some padding under it, too, if
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Is that called padding lines, LOL?
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Could this be the reason padding allowed to
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I can see no benefit -
I have never had any problem getting or keeping an MT job. My work speaks for itself. A few companies offer a little more money if you are a CMT, but to me that does not offset the cost of keeping up those credentials. BTW, I used to QA several gals who had their CMT. One of them was a very marginal MT and the other was terrible and could not do anything other than simple clinic work. It has been my experience that the credentials really do not mean a whole lot. Some people may have a totally different experience.
LLC/INC - has no benefit to me

but, company wants that in place to do prn work.  Does anyone see the benefit of this???  It will cost me several hundred dollars to set it up, plus the separate income tax filing, etc.  Anyone with experience here?  I am one person, not a company and I don't understand the reasoning.


The benefit of being an IC is that

you are your own boss meaning that you can choose to work when you want.  Stay away from the companies hiring ICs with a set schedule as they are breaking the law and will abuse you.  Those companies need to hire employees, but don't to save money.


The other benefit to being an IC or self-employed (one in the same) is that you can write off tons of business expenses, i.e., tissues, paperclips, the area in which you work, utilities, staples, paper, ink for your printer, paper, computers, printers, hole punchers, scotch tape, mileage.... the list goes on and on; get a good tax person and not a fly-by-night.  You will get charged a penalty if you owe taxes at the end of the year unless you pay quarterly or have enough from an employee job withheld to cover your taxes.  If not, then I would suggest taking a portion of your income to pay quarterly taxes.


There are a lot of MTs who are ICs but will bend over backwards for their company they contact with because they need the money, but I, for one, will not.  As an IC, I am my own boss and I decide what work I will do and when.  The only requirement I have with the online MTSO I contract with is that I have what work I take from the pool back within 24 hours.  No line quota, no set schedule..  that's how it should be.  Also, as an IC, I have my own accounts; this is what an IC is about; not having all of your eggs in one basket.  There is no such thing as full-time part-time as an IC - it's just IC.  Full-time and part-time is for employees.  Check the site IRS.gov and you'll find examples of ICs and employees. 


Line padding is not using standard abbreviations and
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I agree, and it's also how they get more money out of their customers, too, by padding
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Discussion re padding counts. Anyone remember where it was?
nm
Excuse me -- that is called "line padding" and
one can be fired over that.
benefit ideas

This may be a little late as it takes some planning, but my great niece was in an "American Girl" (the popular dolls) Fashion show which raised close to 40,000 for a child who passed 2 years ago from brain cancer and this benefit went to the fund the parents kept up for research.


The American Girl company coordinates it, has a whole package thing and the girls modeling are dressed just like the American Girl doll they carry...it was the cutest thing and well worth the money for the ticket.


you're right, but it is a tax benefit...sm

It may very well be a tax benefit for me because I bought my place in 2005 and I think home improvements can be deducted to some extent - I find out tomorrow when I go bring in my taxes to the CPA!!! 


Before then, I couldn't do any home improvements.  The floor $ came from a life insurance policy someone left me in 2005, unexpected to say the very least.  Now, every time I look at the floors, I think about that person!   There IS no extra $$ in this life ever is the way I see it, unfortunately, and I'm very humble(d).


Benefit question
I have worked only in-house for years and am now beginning an at-home position.  For those who work for nationals who have benefits how do you work under the stress of having to keep your line counts at a certain amount or have your insurance dropped?  What if you do not make your required line count? 
Line padding is also adding little blank characters

like spaces throughout the report to get paid more.  I saw reports at MQ and Sp that had lines of spaces shown on reveal codes between paragraphs where someone either didn't know how to work their expander, was cutting and pasting, or was deliberately padding their lines.


As for typing out abbreviations, I work on an account that doesn't use abbreviations at all.  I use otcx for over-the-counter, etc.


Employee padding time-card = "unethical".
Employees get fired for padding their paychecks, but employers don't mind how much overtime you work, as long as they don't have to pay you for anything but the lines you typed.
Be glad they didn't ding you for padding your lines.
sm
The benefit of personal experience

  I was surgically menopaused at 35 after 4 major abdominal procedues starting at 18.   Prior to the removal of my uterus and remaining ovary, I've hemorrhaged multiple times, been critically anemic, etc., etc.   Early on I was deemed a high risk for gyn cancer, although the major scare came at 35 with a necrotic ovarian mass.  I made a conscious, informed decision early on not to have my remaining ovary and uterus removed until the threat of cancer could not be ruled out with testing. 


  Within days of the final procedure,  I became despondent and so hormonally challenged I was suicidal.  HRT took months to help.  I have never regained what was lost by having a cleanout done, despite the obvious need to have it done.  It does impact every woman differently.  Some sail through and others suffer.  I can tell you that in retrospect, the only thing that would move me to have this procedure is a life threatening risk if I didn't.  Think long and hard because there are more terrible things out there than the imposition of monthly cramps and excessive bleeding.   The quality of your life may improve or it may decrease. Please do not misunderstand me - If you are under a cancer threat or require transfusions, I would not hesitate to do it.   Good luck to you.


 


Is there any benefit to getting clients anymore? sm
Most clients where I live (Virginia Beach) want me to pick up tapes. They will call if the MT quit, and then they want to pay only 10 CPL. I can’t hire MTs at less than 8 CPL. Then, behind my back, they look for in-house personnel. Once they find it, I’m out of a job again. Dishonest OMs that just use me. Don’t know which way to go. Don’t need a lot of work, just trying not to work for nationals (f that’s possible anymore).

I’m thinking of getting work outside my state. Does anyone have any suggestions?

I would think a split shift would benefit them!

I know where I work they swoon over people who can pull a split shift...say early in the morning and then again late afternoon into evening.  I think it really helps get places out of TAT jams.  I once did 7am-11am and then 3pm-7pm for a while and it worked out great for me at the time and was equally beneficial to them.  Have you tried pointing out the potential benefits for them, to them?  Might be worth a shot if you haven't already.  Good luck! 



AlphaGrip mousing benefit

When I first began using the AlphaGrip my right forearm, wrist, hand, and shoulder were already in pretty bad shape from typing.  I noticed a new pain on the side of my hand, but I think this was due to trying to get used to using the AG, as I no longer have this pain now that typing flows more easily.  All of the other pains mentioned are much improved now, and it seems that the more I use the AG versus using the keyboard, the greater the reduction in pain has become.  I much prefer the AG and unless I am scrambling to meet a deadline I do not use the keyboard at all.  I cannot wait until the day that I feel I can throw it in the garbage can. 


 


You are right about the mouse.  I think that the pains I was having had a great deal to do with mousing, and that was the number one feature that sold me on the AG.  As I mentioned, I was looking for about two years, but purchased the AG in under a week after first seeing it.  This is exactly what I was looking for in a new keyboard . . . a way to mouse right there readily available, and the traditional mouse was the first thing to go when the AG arrived.  I haven’t looked back!


 


It actually was not strange to hold at all and fingers fall into place naturally, and a lot of the keys are struck with the same finger as one would use on a conventional keyboard, though not all, and it is a matter of getting used to the new positioning, which is the same reason that some of the ergo keyboards that have a normal key layout are awkward to learn to use and will slow one’s typing speed down. 


 


There is a lot of information available on their web site for learning to use and customizing the AlphaGrip.  While I’m sure it’s not for everyone, I am very happy with mine and glad I found it.  


Line padding is also adding extra words. See inside.

Doc says:  "General. Alert and oriented, no distress. HEENT:  Eyes clear. Lungs:  Clear."


MT types: GENERAL EXAMINATION:  In general, the patient is alert and oriented. The patient is in no distress. HEENT EXAMINATION:  The patient's eyes are clear.  LUNG EXAMINATION:  The patient's lungs are clear.


I kid you not. And there are companies out there that will defend the MT's right to do so. But, would the client's approve of it? I seriously think not.


 


MQ letter/comprehensive benefit package
 I really did not make much of it.  It would be GREAT,especially if they can offer something for the part timers, but I'm not holding my breath to hear the news.  It's been promised/talked about for forever, sure would be nice to finally hear.
Give them the benefit of the doubt the first time.
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I'd give them the benefit of the doubt....especially since it has never been a problem - sm
It could have gotten lost in the mail, it does happen, or mislaid by the P.O. (that happens to). My checks had been a big late recently myself but it was the fault of the mailer, she was not too responsible in getting them to the mailbox....the office has since corrected the problem since 15+ MTs kept wondering why their checks were 5-7 days later than usual. --If you don't have it by the time you invoice for your next check, ask them to cancel the missing one and either cut you another and mail with the current check due or just combine them into one check.
by hour definitely $15-- I am not super fast so this would benefit
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Yep, see what our work looks like without the benefit of an American MT making 3 cpl
to edit!  All you MTs out there working for peanuts just so you can say you're an editor, realize you are making the Indians look good and taking away OUR paychecks!
That is a wonderful benefit...and I am sure your daughter appreciated you being there...
nm
there a note on the company board from QA regarding cherrypicking and they mention "line padding&
This is a new one on me.  I've heard of cherrypicking but what constitutes line padding?  Isn't everybody typing what the doctor dictates?  How can you possibly add extra????
What did you make of the comprehensive benefit package they talked about

For decades, a company benefit has been health insurance
along with retirement plans, paid holidays, PTO, etc. Only in the world of MT (and maybe Wal-Mart) are many companies not paying for these benefits.
some people benefit from making a list, all the plusses and minuses, and

Sheila, saving one from "Micky Mouth" mistakes is actually a big benefit. SM
I make few typos as I go along these days, compared to without an expander. Although some peculiar things can get inserted into a report when the typo turns into an unintended expansion.

But as Shipaddict says, there's just no comparison.
what is MTSO?

I'm an MTSO. I can tell you....
We don't hire *anyone* unless they have successfully completed a college education, meaning an associate's degree, in medical transcription.  It doesn't matter if they learned on the job, learned in their garage, learned on their patio, learned it on their own 25 years ago or 25 months ago, taught themselves or  taught the next door neighbor, or if they used to be a nurse, doctor or janitor.  The short and simple of it is:  No formal college training in MT, no job!  (And that includes the "make-$40,000.00-a-year-correspondence-courses, too!).  We've seen the handiwork of those who say they're self-taught, and it's not pretty! 
mtso
Amen!
I'm an MTSO
and trust me I believe in paying above average for an above average job, but when you can't get the docs to cough it up because you've got third-world countries and VR breathing down your neck, not to mention newbies fresh out of school who will do it for even less, well, what do you expect...the MTSO to pull it out of her pocket to pay for you to work.  Never forget ....MTSOs have to make a profit.  They're entitled to that dear....If not, there's no reason to be in business. If you don't like what you're being offered, you're always free to get brave, strike out and get your own accounts. 
When I was an IC I sent my MTSO
Christmas lottery tickets, which he loved. Nothing compared to the $500 bonus he gave me. Now that I am working for a large national, I'm just another number lost in the shuffle. I probably won't send them anything, don't expect anything from them and probably will receive nothing, though a full day's work would be nice once in a while.
I am a MTSO

I am a small MTSO and also IC'd for another company a couple of years ago and something similar happened to me.  However it was probably a little different as I did the pick-up and deliveries although I was an IC for the company.  When she did not bill the clinics so that I could not get paid, I knew the clinics and so I went to them and told them that after a certain date I would not be doing their sevice because I was not being paid -- a little different than your story but you can also let the clinics know how that service is being run.  Again, only after you write your calm, fact filled letter.  But if someone threatened my business with anything like that - going to my accounts -- they would be paid within 24 hours.   Reputation is what counts in this business.   But again, just write to them calmly and with the facts asking them to prove that you had signed a contract, then giving them 48 hours to produce such contract or send you a check for your services or you will see them in court.   Again, I would threaten to go to their accounts to let them know how they run their business but only as a last resort.  But just do it, write them you deserve your money.   Was there problems prior to quitting and that is why you just left suddenly -- I know this leaves them in a lurch but if they were a crummy company they probably deserved it.  Also if you did not sign a contract stating you would not go after any account you worked on for two years go for the accounts. 


 


I'm not a MTSO, but

my hospital's TAT is between 24 and 48 hours depending on type of report.  When I worked in-house, it was from 2 to 48 hours, with Op notes/HP having a 2 hour TAT.   I think it varies a bit between hospitals, but as a general rule most reports are no greater than 24 hours. Sometimes discharge summaries have a longer TAT, such as 48 hours.   I don't have any experience with VA hospitals, but they probably aren't much different.  


What would you do re this MTSO?

I am an IC for a small MTSO.  I have a deduction taken from my invoice every pay period for renting Transnet equipment.  My foot pedal broke and I asked urgently Monday morning for a replacement foot pedal to be Fed Exed to me - work was on the system and needed to get done.  Well, after many many phone calls and e-mails I got the replacement foot pedal via Fed Ex (they shipped on Friday) on Saturday morning.  So I worked all weekend to get caught up on a whole week's worth of work.  Got my invoice yesterday (late - the MTSO has rescheduled their payment schedule as they are not getting promptly paid by their clients - the ICs had to accept the new payment schedule or quit).  There was a deduction for $40.13 for delivery fee for the foot pedal.  The Accounts manager says that "many memos" have been sent out that ICs are responsible for delivery fees.  Huh?  I looked over the memo I received about Transnet rentals and it said our invoice deduction covers maintenance costs for faulty equipment, etc. (the MTSO had originally said I would be billed for a new foot pedal - then I brought up the memo on rentals that covers faulty equipment and that got dropped pretty quickly).  I told the Accts manager that postage is the MTSOs expense, just like it is my IC expense to return the faulty equipment to the MTSO.  I also mentioned that the MTSO pays for phone charges to fax stuff to ICs; likewise the ICs pay for their phone charges for faxing to the MTSO.


What would you do?  I am so fed up with this MTSO...I don't make that much money on Transnet anyway (most of my lines are from microtapes) that I am tempted to just tell her to take all of my doctors on Transnet and quit doing these willy nilly deductions without my approval or knowledge.  This is the third time the Accts manager has taken "deductions" from my invoice without telling me - the last time was for Chicago taxes on rental equipment (totally illegal according to Cook County govn't) - that took 2 weeks to get straightened out!  Arrggghhh!!!


i'm not an MTSO,
but i think you did right and my guess is that within 6 months to a year, they'll come back to you.
MTSO
I have checked the labor sites and just could not find anything. In the beginning, my accountant told me I would need to either collect sales tax or get a wholesale exemption from my client, but after calling the local and state sales tax offices and being told I didn't need one, she changed her mind too. The problem with offices is you don't always get the right answer but you are still responsible for the results. I just thought if nobody else charged, then I could be pretty safe in not charging as well. Thanks for replying anyway!
MTSO??
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MTSO
I am just starting with an MTSO and looking foward to many, many happy years with them; locally based to my area. Can't wait. Start training tomorrow.
Everyone should be IC/MTSO at least once
it gives you a great prespective on where your money goes and how much goes to taxes... people think that when you are an employee the employer is "giving" them benefits, paying their share of the employee's SS taxes, etc. but actually the employee is paying indirectly, reflected in their wage amount, cpl, etc. They just don't have to write the check for the taxes, it's taken from them before they can see it. The problem with being in this business and being IC is that you need to make a better line rate than an employee and people do not realize that until the tax bill comes. I had to go with a national last year as my large physician group went to an EMR, so I switched to employee status. They were only going to pay the same line rate either way, so it works out better for me now to be an employee. As an IC/MTSO I had alot of deductions, kept every reciept, took depreciation, mileage (a big ded for me as I live in the country), etc. but now with my national position everything is internet, no printing documents, etc. so it only made sense for me to switch to employee. I have another sideline business which provides plenty of deductions right now and not much income. Planning is key whenever taxes are involved, check out the IRS publications or home business books, etc. Some great information to avoid the same tax problems next year.