Medical expenses
Posted By: Misha on 2005-12-27
In Reply to: DH tore his lateral meniscus, had MRI - Good Golly
January, 2000 - DH tore rotator cuff, needed MRI/arthrogram, followed by rotator cuff repair.
January, 2001 - I had foot surgery in podiatrist's office.
January, 2002 - DH had cervical MRI/myelogram, followed by anterior cervical diskectomy with fusion, two levels.
January, 2003 - DH had knee MRI, followed by arthroscopy.
January, 2004 - I had LASIK surgery.
OMYGOSH, it's almost January again! 
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I have no expenses except to buy my
computer, desk and chair, which after time becomes a wash and are nominal expenses. All my references are online paid for by the company (all Stedman electronic word books, my free personal subscription to Monthly Prescribing Reference, etc.)
Maybe you can cut your expenses? sm
If you are using telephones for dictation, maybe switch to handheld units? Or use a TASP to save money on calls? Use the Internet more to cut down on expenses. Hope this helps. If you can, keep your clients. They are hard to come by nowadays.
Remember that's $40 before all expenses. nm
x
Why not just add it to your business expenses? nm
x
You can still deduct your MT expenses if your and IC - sm
regardless of taking the standard deduction. Your write offs for MT are on the Schedule C (not B). My husband and I take the standard deduction as we don't have enough on our Sch. B; then I write off all my IC deductions and report my income on the Sch. C.; putting the bottom line (income minus IC write-offs) on the 1040 line 12. So I am not quite clear on what you are talking about but I know how I do it is how most of us (if not all) do our deductions. You may want to do an amended return.
Tax Deductible Expenses
We ran a business for years from our home. As far as I know, you can take the base rate of your telephone bill as an expense (which includes FCC taxes) and any long distance calls related directly to the business. As for Home Owners Insurance, you can take 7% of the insurance because you use 7% of your home for your business. Also, anything related to the business such as equipment, paper, tapes or special software programs can be taken as well. If you have to travel to deliver the finished reports, I believe the rate is 28 cents a mile. If you travel, you can also deduct any maintenance on your vehicle. Hope this helps. 
Taxes, Expenses
I would have internet anyway; now I get to write it off. I would have long distance anyway; now I get to write it off. Everyone pays taxes and insurance, it is just a matter of who is doing the bookkeeping. Walmart STARTS at $8/hour and then when they pay all that same stuff they are really making $5- $6. You can write off ALL your health insurance, a portion of your utilities and the area you work in, computer, software, and other supplies.....save on gas (this is HUGE right now), work clothes, make up, day care, and and and. There's always more than one way to view something.
Also, are these figures before tax/expenses or after? sm
Some ICs might be quoting their pay before taxes and expense deductions, which isn't their ACTUAL pay for the year. If someone has their own accounts and says they bring in $50K per year, that's possible, but probably not the amount they receive free and clear.
I find it hard to believe anyone makes that much free and clear unless they are working 12 hours a day, every day, and pulling in a significantly high per-line rate. I'm not saying it can't be done, but I base this opinion on the fact that I make a very good line rate, type over 100 wpm for easy accounts I've had for years, and still don't bring in that kind of money free and clear. I come close with my gross income, but after taxes and expenses, it's only about 65% of that! And I work 9-10 hours a day with only one week of vacation per year.
Come to think of it, that's pretty sad when I see it on paper. LOL I'm going to go look for a new line of work now.
What is the cost of your living expenses? sm
I would really like to know this as mine seem high. My cost for the bare minimum, not including insurance, medical costs or entertainment, is about $1,800.00 per month.
Is that high to most people? TIA.
$350 a month for my share of expenses.
z
get a credit card just for your IC expenses
it will keep all your expenses in one place and you won't need to keep receipts, just the credit card statements. Other than that, track mileage, though to be frank most people will just claim an average mileage and then create a mileage journal if audited. Also if you will take the home office deduction, you can claim percentage of heating, etc. but easy enough to do that. Might be worth your while to consult with a CPA if you take the IC job, and then the first year that you do your taxes. He can explain everything you need and then you can take it from there. Just one or two more forms to fill out, nothing earth-shattering.
Poll: Earnings vs Expenses
1. What are your monthly earnings -- just you (no spousal income) -- doesn't matter how many jobs....monthly earnings?
2. Do you work more than one job?
3. What is your base line rate? If you have more than 1 job, list all base rates.
4. Now what is the minimum bring-home pay you need to survive each month? This is your housing, energy, transportation, insurances, food -- what you have to have to make it.
5. What's the difference? Are you in the hole? Got surplus? Breaking even?
My answers:
1. About $3100 each month.
2. One job.
3. $0.095 cpl plus some incentive bonus each month.
4. $2287 gets everything paid. Savings and pocket money not included in that figure.
5. Surplus but not much. Trying to save as much as possible and have a few greenbacks in my wallet each week.
Was told could deduct pet expenses. sm.
If it is a dog and is over 50 pounds, you can claim its food, vet bills, pet insurance, vaccinations all that as long as your business is run from your home. It applies as a guard dog. It does not matter which breed the dog is either. This is the state of Missouri, not sure about other states.
I am gonna try it as we shelled out alot of money over a period of time for a dog that was poisoned. Luckily, he lived.
WORK-AT-HOME EXPENSES JUST AS MUCH - sm
as if I were working outside the home, if not more. The only thing I would spend money on an outside job would be the $4.00 daily bus fare. I have more than enough clothes for work, no problem there, maybe lunch or can brown-bag. The company pays the office space, light, electricity, internet, cable, AIR CONDITIONING in summer (imp.)
On the other hand, even as an employee, I am not reimbursed for my high-speed, HIGH-COST cable/DSL/telephone I need to make these few cents a line, electric costs, lights, AC BILL JUMPS WHEN SITTING AT PC ALL DAY IN SUMMER, buy my own office supplies, books, references.
Just another mind sc---ing they give you by telling you it's cheaper to work at home. (I have no kids).  
6 months of expenses "tucked/socked" away? No way. sm
I am the owner of a small transcription company. We have 50 transcriptionists. We invoice $150,000 per month. Our payroll, taxes, manager salaries, postage, bank fees, overhead, etc run approximately $140,000 per month. That means that we should have $840,000 tucked away somewhere. No way. We depend on our customers to pay. Our employees are paid on time and paid a decent rate. Our bills are paid. To say that someone needs 6 months of expenses put away is unrealistic and naive. Where did I attend school? For undergrad, University of Michigan, for graduate school, Northwestern University, with a master's degree in Business Management and a Bach degree in Finance. The rule of thumb is to have one payroll worth of cash on hand or a line of credit available equal to that amount.
It's really annoying that people can toss out comments like that, stating them as if they were fact, without any basis of fact. Most companies do not have close to a million dollars lying around. If they do, it is foolish.
I also took home office expenses as an employee, but --
You can only get any good out of it if you are also a homeowner with a lot of mortgage interest or have a lot of medical expenses, etc., that would make it higher than the standard deduction.
deducting home office expenses -
For the home office expense - You would measure the amount of space you actually use to work (your desk area) and figure the percentage of that square footage to your total square footage. Then you would use that percentage of your utilities costs, etc., to count on your taxes.
I got into this because it paid more money and I didn't have daycare expenses.
I have more time for a social life now that I work at home. I go to lunch or coffee with family and friends. I used to run errands on my lunch half-hour at my old job and either pay my bills or balance my checkbook on my breaks. I know all the other parents at the school now, so we get together on weekends or chitchat at the school. When I used to work outside the home, I was so exhausted from dealing with crabby people all day long that I just wanted to isolate myself at home on evenings and weekends. Now that I work at home, I actually seek out friends to keep from getting isolated.
You could take him to small claims to get expenses and pain and suffering.
:+
Need help with calculating expenses for bid on large account. At the moment I do not know *sm*
how many lines they dictate per day/week. I am going to call the person who sent me the bid forms and ask. I do not have my own call-in system and would be using a TASP. Can someone tell me that currently uses a TASP how to go about figuring my costs in so that I do not under bid. I know that each dictator and the type of report is going to vary but on an average what would you say? Bottom line is I need to know how many cents per line I need to charge to cover the call-in system and my other expenses. Another thing they listed in the bid is that the vendor is to provide all other supplies including plain paper to complete each assignment. The hospital will provide any special letterhead, envelopes, etc. How do you provide the paper and probably the toner if you are doing this remotely? Would there be any other expenses that would fall under other supplies that you can think of other than toner and paper? How much toner and paper do I provide or should I ask the hospital what they use on a weekly basis? I would assume I have the right to ask questions as to how much paper, toner, how many lines they do each day or week on average. I want this account very much but I do not want to have to pay a cheap line rate and I need to make this worth my while. Thank you very much for you help.
One thing also - keep all your receipts of any business related expenses
I have a folder and everytime I buy anything related to work whether it be a pen, a printer ribbon, a book, a keyboard, etc. I put in that folder. Those things add up and they are all deductible which comes off of your gross. This is in addition to the home use of your office. A statutory IC is a great way to go because you don't have to pay the entire social security but you are still IC and can utilize the business deductions. If you pay your own health insurance and it is in your name that is also deductible. Keep good records...this is the most important I have learned being an IC. Also you will probably have to file quarterly if you make over a certain amount. If you don't you will be penalized by IRS and have to pay the penalty fee with your April 15th filing. And also remember to figure your state taxes for the year. However it does depend on your personal situation and if you file jointly with your husband that may change things. Good luck.
Personally I think IC is great but unless you have some really good deductions you can end up paying a lot in taxes . If you have to pay your own social security at 15% and you were taxed at 20% rate for federal and let's say 6% for state you would be paying 41% of your income in taxes which is no fun. But you only pay on your net income and not your gross so it sort of comes out in the wash.
home office expenses are still deductible if you are an employee - nm
x
I would buy new a Dorland's Medical Dictionary, Stedmans Medical and Surgical Equipment...SM
and Tessier's The Surgical Word Book, 3rd edition. Books you could buy used I would say would be Stedman's Pathology and Lab Medicine and Cardiology/Pulmonary word book. These are all the books I use the most during my day. You could buy other speciality word books as you need them and could probably go used with those.
I wouldn't bother with buying a drug book, new editions come out every year and I just stick to the FDA website and RXList as my drug references.
Also FYI, not a book, but I use my Stedman's Electronic Medical Dictationary a lot. It's easier to open the program than it is to pick up a huge 30-pound dictionary.
My cost of living expenses monthly is $2200/month
I'm self employed, so I'm killed in taxes AND I live in NY...but I wouldn't have it any other way
I LOVE NEW YORK!!!!
Any help on form 8829*Expenses for Business Use of your Home would be greatly
Hi All,
I was a statutory employee last year but not now. I usually do my own taxes but am having trouble with form 8829 and am not sure if the accountant can squeeze me in at this late date. Thought I would try here first for help. I use my den exclusively for work (almost) and am going to take this 7% of our home as a business expense.
Under Part II... Lines 10 and 11. Deductible mortgage interest and real estate taxes...I am going to take the entire amount on schedule A, so, hopefully, do not have to enter anything here.
line 17. Insurance. Are we allowed to take a portion of our homeowners insurance as a deduction? I have no separate business insurance.
Line 19. Utilities. I know I can take 7% of my electric, gas, water, garbage (I think), but what about phones? We have both cell and regular phone. When I call, I use the regular phone for toll free numbers, but the cell phone to my boss who does not have a toll free #.
Then, I need to find the value of my home for Part III. I guess I will check home sales in the neighborhood and go by that.
Geez..sorry for sounding like such a dummy. I can do all the other...capital gains, etc, just not sure what is allowed for home expenses.
As I say, I will try to get in to the accountant, but any advise for any of this form would be greatly appreciated. I cannot complete schedule A until I have my Profit or Loss done, which I cannot complete until I do this form.
Thanks.
I too question you overhead expenses. I work for a company that only gets 11-12 cpl and pays us 8-8.
/
True but that is to cover the expenses like rent, office supplies, sm
manager salaries. That does not include payroll that is based on service.
A good example woould be this: You are starting a book store. You need to plan the original inventory and six months worth of expenses. If you sell that inventory, you use the money from that to buy more books. If you do not sell any at first, you can stay in business for six months while you get noticed.
With transcription or any service business, you need enough in the bank to cover the same expenses, those that can keep you afloat while building your client base. However, you only hire more people as you get more customers. The payroll does not figure into the 6 months as it is based on what you provide, whereas the 6 months takes into account what it takes to get it going even if you do not have 1 employee.
Very, very few companies can have $800,000 lying around. If they did, they probably would need to invest it in equipment or spend it in other ways or the IRS would consider it profit and tax the heck out of it!
I figure income minus expenses, send 23% for federal and 7.5% to state--sm
quarterly. The state probably differs state to state, but that is the percentile my accountant came up with. Have never had to pay and additional.
Medical Transcription In The Era Of Electronic Medical Records
EMR has revolutionized the healthcare industry in recent times. Many experts felt that EMR & Voice Recognition would totally replace Medical Transcription - however; the industry soon realized that transcription has certain advantages over point & click charting and many physicians preferred to dictate notes rather than document the data at the point of care themselves.
I deduct all expenses that relate to my home office-% of utilities, taxes, repairs to that room, --s
mortgage (we do not plan to sell our house so this deduction will not affect us)as my office is used only for that purpose, internet, phone, I print out a daily schedule so paper/ink, computer repairs, pens, pencils, tape, staples, file cabinets, storge bins for tax recepts/tax returns,file folders. Anything/everything I use to do my job.
I was using mileage for another account where I pick up tapes every day, but found for me the time it took to keep track of the mileage, write it down, add it up was not worth the effort so I quit doing it this year.
At ease, soldier! This isn't a medical document. I repeat, this isn't a medical document. nm
x
I've thought about coding. My DH does medical coding and I think with an MT's medical termino
background and anatomy and physiology knowledge, a transition into coding wouldn't be hard at all. From what I can tell by looking through my husband's books, an MT would have to learn insurance regulations and legalities. We've basically got all the medical background down or we should be if we're worth our salt as an MT.
I even contacted AHIMA and found that the qualifications for taking the CCS or CCP coding exams are completion of the a coding program, RHIT program, or RHIA or related work experience. Transcription is part of HIM, albeit the red-headed stepchild of the HIM department, but a part nonetheless and so satisfies the qualification of having work experience.
The test is tough though. My husband didn't pass it his first time out and I think I read something like only 20% or so pass it the first time. So it would probably be best to take some sort of formal coding class, in my opinion.
medical abbreviation list and medical drug list
Hi,
Anyone there who could help me out finding the latest abbreviations list.
I even want the latest drug list because my current program does not have many drugs.
So if anyone could suggest anything which is available online for informationd quick look purposes.
any help for medical abbreviation list and medical drug list would be very helpful.
Your English teacher does not do medical reports. This is for medical reports.
.
It's not a MEDICAL spellchecker. You have to convince them to add the medical spellchecker.
unless you feel like adding 10,000 medical terms on your own time LOL
QT Medical does not. nm
medical ins
Thanks for the info. Did you like working for them?
IC but not medical
From what I understand there are online "marketplaces" where a Transcriptionist (medical, legal, or other) can bid on jobs. If you don't want to work for a week you simply do not bid that week.
One is called Guru. I can't remember the name of the other one.
B. S. in Medical Technology
I worked in a hospital laboratory for 33 years and retired in 2001. I found out about a year later that my husband was losing his medical insurance after he retired on disability and so I had to go back to work. I had dabbled with transcription in the pathology department and so I decided to make it my second career and I just love it. I get to work from home and don't have to deal with the office politics and all the bureaucratic red tape that comes with working at a hospital.
Color me happy!!!! 
Ellen S.
Medical experience
I guess I should have worded that different...I've been in the medical field for a total of eight years (medical assistant, medical secretary/admin. assistant, EEG Tech), but only being doing MT work full time for 4 years. I've also taken A LOT of extra classes on terminology and anatomy/physiology. Plus, MT is just one of those things that came naturally for me, it's been really easy to pick up the "language." So I guess I'll stay with this company then, if that pay is not bad. Thanks.
Medical Dictionary
Does anyone know if there is a place to download a free medical dictionary?
Medical Dictionary
MT Mom
Hey thanks guys for the suggestions. I am going to be doing transcription at home for they physician I work for and am using Word perfect 12. It has a spell check on it but was looking for a medical spell check I could download and use along with a general spell check.
Dragon-Medical 7
Got mine on e-bay for half of Softscan.
An MT is a Medical Transcriptionist...sm
Here is a link and some helpful information on desertion in the military. http://www.nationmaster.com/encyclopedia/Desertion
Good luck!
ME = Medical Editor. nm.
nm.
You ARE a medical transcriptionist, right?!
Geez, how idiotic can you be?!
It addresses ALL medical transcriptionists. Again, the new definitions for two classes of their transcriptionists have apparently been updated. That does NOT exclude SEs! LOLOLOL
Ya can't see the forrest for the trees can ya?! LOLOLOL
Medical Insurance??
I am looking at moving back to working from home, I am currently 'in-house' working for a hospital clinic but I need more flexibility for my children's schedules.
I have a decent lead on an IC position, but I am trying to figure out if I can find/afford health care. I really only need catastrophic type care and plan to pay for my own routine care.
Does anyone know of a decent insurance company??
Thanks VT_MT
It is a Medical Transcriptionist
and Medical Editor. I was confused at first too but you can do both. They never had ME's before.
medical trancriptionist
I am looking for a medical transcrioptionist job in the following area: Clarksville or Nashville TN. I have experience in medical transcription work and would like to work from my home. I am eager to hear from anyone in this area. Thyank you Nancy Seymour
Sorry, don't know about Cort Medical,
are they in Wisconsin also? Also, do you do SLMC ER for Accustat?
OMG! I think I worked there, too! Except it was a medical
insurance company. We had to be at our desks 10 minutes before our shift started. Then my coworkers turned the company in to the Department of Labor and Industry for unpaid overtime to the tune of approximately 40 hours per year. So the company changed it to 5 minutes and rewrote their OT policy. We had to give blood to earn time off. The same thing for personal phone calls. They actually had recorders on our desk phones for beneficiary purposes, but that didn't stop them from using it to monitor our personal calls, too. I found out that the recorders were recording us while we weren't on the phone as well, so any nonbusiness discussions between workers were recorded and listened to. That's how they targeted who would be fired next. Our Internet usage was tracked, even though we were allowed to use it on our breaks. They were firing people with 15+ years or more with the company because they could get younger college grads for a fraction of the wages the "older" workers earned. When I was hired, it was to replace someone they fired, so I had zero training and had to figure it all out myself. The boss' pet got special treatment and was recruiting people for her Internet business by bypassing the proxy server on her work computer during business hours. We got in trouble for snacking at our desks, but the pet took long lunches to run errands and then ate her lunch at her desk when she was supposed to be working. I got in trouble for taking too many bathroom breaks (I have kidney problems) even though I skipped my regularly scheduled breaks to make up for it. There were so many "unwritten" rules that I didn't know, so my coworkers backstabbed me for not following along. What, being psychic was a job requirement? I could go on and on, but my blood pressure's going up just thinking about it. I quit and even gave a statement to the fired older workers to sue. I think they dropped the suit because most of them got hired by a competitor. I vowed to never again work for a big corporation after that.
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