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My account has decided to go with EMR. please sm

Posted By: looking for advice on 2006-12-12
In Reply to:

I charge them 12 cpgl and have for 8 years.  They are still going to need me through their transition (who knows how long) and will need me for overflow to type letters, narratives etc. 


 


I am wondering if anyone has had an experience like this and how they would do their contract.  Im thinking of charging them 1-2 cpl higher, but with a shorter Turn Around Time for the overflow work since I am losing the majority of the work. Any opinions or suggestions?  Thanks so much!




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I think it is decided, and you can kiss this account goodbye. I would present the sm
finished work, along with a bill, and when you expect payment.

Meanwhile, get real busy looking for something else to make it up.
I once decided to not go with a Co due to
The recruiter simply said she was the team leader, that there were two others, one which was leaving and the other that she "did not like and hoped that she would leave, too" and that made a shuddering sound.

I thought this was in bad taste and did not have a good feeling about her. But, I certainly never reported her. It isn't my job and I am not a watchdog group looking out for the companies who hire MTs.

I just think you have way too much time on your hands.
well, so far i have decided...

to just keep pursuing ideas and options until I hit a dead end.  A very nice MT did email me and told me how she got into mentoring.  She seemed to really have a handle on it. 


It seems that I would need my own accounts and then subcontract the work to newbies.  I just cannot seem to figure out how I would have the time to provide service to a client AND mentor someone just out of school.


Thank you for your input.  It does seem that newbies should have a better option that just "luck" when trying to gain experience.


I decided to let her go...sm
to the funeral and I'm glad that I did. She handled it extremely well and I am very proud of her. They had an open casket and she decided against going up to view the body. When it was over we talked again and she asked several questions. She seemed more concerned about how to treat her friend now that she had gone through this, than the actual funeral itself. Her friend went back to school yesterday and my daughter said that she simply started by giving her hug and telling the little girl that she was so glad that she was her friend.

That was actually the second time that she had shown more concern with ones left behind that whoever had died. In her only other encounter with death she had done something similar. When she was in 1st grade one of our dogs came down w/acute kidney failure. She got to the point where there was nothing the vet could do and we made the decision to put her to sleep. I went and got my daughter out of school and ran her up to the vet so she could say goodbye to the dog, which she did. We ran her home and then went back and stayed with the dog while they put her to sleep. We also own the mother of the dog that died. When my husband and I got back from the vet a while later we found my daughter in the backyard with the other dog. She was on the grass holding the mama dog and letting her lick my daughters face and hands. When we asked her what she was doing, she said that she was letting mama dog say goodbye to the dog we had just put to sleep. She knew that our older dog could smell Molly on her hands and clothes from her petting the sick dog and giving her hugs at the vet.

I am very, very proud of her.
Just for fun, I decided to sit down and try to remember... SM

how many services I have worked for since I started working from home back in the mid 90s.  And the grand total is 16!  Isn't that just sad?  Of course, I left for various reasons from no work, bad dictators, late or no pay checks, laid off because work went to India, etc.


I've realized over the years that it's best to work for yourself and if you have to work for somebody else, work directly for the hospital or doctor's office.  Benefits are way more affordable that way.  I have a dermatology account of my own and I work full-time for a hospital for the benefits.  I also cover for a friend of mine when she needs time off, I take over her account and she does the same for me.


It's a really sad statement when it seems not one MT has ever found satisfying work with at least one of the many services out there!


I do QA also and I've decided
not to change capitalization anymore - just for that reason.  It explains it in the BOS but still confusing to me.  I feel badly now for the times I did change knowing it could have been scored against the MT - not sure my company does that tho.  Interested to see what others say here.  Good question!
I have decided not to test for them...sm
I googled "transrx in Canada" and it has a website with a forum from Canada called Canscribe and someone was asking about them and it says they don't pay on time. That is enough for me to say forget it.
You know, you are correct... I have decided
I am not going to have any part of working for a company which is not 100% USA. I was wavering about going elsewhere for a job, but I have a great job right here with one of the best medium MTSOs and why get an IC job which operates overseas just for extra money. I think that we need to keep the money and labor here in our industry. Thanks for your input, it really did help. :)
Okay, I decided to try mobile

wireless internet through Verizon.  I currently have a Verizon cell and have no problem with reception in my home, so I'm hoping this is a go.  I also have a 30-day trial period, so I'll know for sure if I have any glitches. 


What I don't understand is this lingo about voice files, etc.  I'm on the Bayscribe platform, so any info would be greatly appreciated.  Please "dumb it down" for me, as I am not a PC person.  The lady that signed me up told me that the limit is 5 GB and that that generally means about 35,000 web pages a month.  How does this correlate to voice files?  Do I even use voice files on Bayscribe?  I'm assuming so since I have an audio player. 


At least I know if this doesn't work out, I can cancel and not lose anything.  Then I'll have to sign up for satellite, which is about $300 upfront and $60 to $90 per month for service.  I'm keeping my fingers crossed that Verizon will work for me.


Thanks for any info.


I've already decided to quit.
I'm just waiting for the phone call to tell me what my MT/ME reward plan will be. Then I will tell them to take a flip flying hike.

I can't handle my base pay being lowered to 7 cents per line for ASR reports.
We decided to simplify! We ditched

the new cars and trucks and ditched the big,expensive house in the burbs.  We bought a little place in the woods (1000 square feet - only two of us) and have it paid off now - pretty easy since it was only about 40K when we bought it.  We live on a canal with access to a big river and have all kinds of wildlife.  Matter of fact, I just chased a big raccoon away from my birdfeeder!  I drive a 22-year-old Mercedes and my husband drives a 10-year-old PU truck. We don't totally live like the Waltons - have DSL, DirecTV with Tivo, etc. - but by simplifying we have so much less stress.  We don't have kids at home any more so that definitely makes it easier.  


 It just got so old toiling and toiling just to pay for expensive "STUFF".   Just a thought - It's probably not for everybody, but it sure works for me.


Thanks for the suggestions, I've decided on....sm
ordering a couples massage (waiting to hear back from our honeymoon destination on setting that up) and found on line a really neat engravable key chain that let me put the title of the song I wrote for him for our wedding on it as well as a bride and groom monogram.
Yes, absolutely. My sister and I have already decided we
were going to take them in, a few months at her house, a few at mine. Our Dad is retired and our Mom will retire in two years from nursing.

I do have one other sibling, a brother, but he's knee-deep in debt and is already taking care of his in-laws so he probably can't help much.
I had one who decided lunch time ....sm
would be a good time to dictate.  Opening wrappers, eating, drinking, etc.  I was so repulsed by the eating sounds, I was ready to give them up.  I called my contact person about 3 x and asked her  to ask him to stop.  Finally, I called the manager.  When she approached him about it, HE DENIED IT!!!  Said he didn't eat while dictating.  Of course, she believed him and was dumbfounded at what I could be hearing!  I told her I knew what I was hearing and  it had to stop.  Anyone who has ever heard that sound while transcribing KNOWS they are eating.  What a jerk.  Interestingly, the eating stopped, and I still have the account.
Yes, I lost a client because they decided to go with them.
h
The BOS is just a bunch of "rules" decided on
x
Because BOS are rules decided on by ladies
x
I've already decided on Obama ----- sm
His opponents and detractors keep saying he's "inexperienced". Yeah, and look what "experienced" politicians have brought to the table in the last few decades.

New ideas are good.
Youth is good.

I think it's time for a new way of doing things in this country, not the same ol'. It's a new world, with new problems (such as the plight of American MTs and other workers), and maybe he'll bring some relief (or at least some new ideas on how to get it) for the dwindling middle class, which has been carrying the weight and finances of this country on its shoulders for too many years.

Time to stop letting our country get s*****d by India, Mexico, Asia, and others. And I think he has the ability to say "no" to these countries without starting a war with them.

Sometimes "inexperience" is a refreshing change.

I decided to stop working two MT jobs and just keep the one - sm
but I work at another job totally unrelated to the medical field. I was getting too burnt out doing transcription and the taxes were killing me.
I have decided to quit my job. I hate this company.
It's worse than ANYWHERE I have ever worked before.  The problem is that I don't have another job yet.  However, I know I can easily find another job.  I just don't know if I should hang on to do the responsible thing and find another job first. ~ OR ~ If I should take some time off for Christmas with the kids instead of busting my chops for this company when I know I'm not going to stay anyway.  I wonder if they give Christmas presents or bonuses.  LOL  I can take my $7 an hour from their lousy ESLs and crummy platform and go buy lottery tickets and a bottle of cheap wine!  Hooey!  McDonald's, here I come!!!!
Was gonna post, then decided not to. Opened
my door, went outside to water my petunias. Went to turn on the water and uncoil the black hose, and there was A HUGE SNAKE COILED IN WITH THE HOSE!! AGGGGGGGGGGGGGGGGGHHHHHHHHHHHHHHHHHHHHH!!! It did not move - it had a fly walking on its back, and I PRAISED THE LORD THAT IT WAS DEAD!! DEAD SNAKE!!!!!!!!!!!!!!!!!!!!!!!!!! Not as bad as a living snake. As I was going to poke it with a stick to fling it, my daughter screamed - ITS NOT DEAD!!!! ITS JUST SUN BATHING.  I looked and looked, and it sure looked dead. IT WAS NOT.................................. It was about 3 feet long, which will probably morph into 8 feet by the end of the week as I tell my tale!! It was HORRIBLE. I live in NJ, and moved to a new area a few years back. Never saw a snake, a tick, or a black widow spider in my LIFE. Now they are everywhere. I laughed at the posts to call animal control. If you live in an area with snakes and the like, they LAUGH at you. Believe me, I know. I actually called the POLICE when I found my first bonafide black widow spider guarding her nest. She ATTACKED US!! They are actually aggressive when by an egg sac. Turns out they are everywhere in this 1 section of NJ - brought in via immigrants, per the Health Dept. So, I feel your pain!!  I wouldn't kill them either. Killed a 2 foot rat about a year ago, and still feel bad. The thing lived under my fridge.  HORRIBLE. One night the thing ate a 12 pack of English Muffins. Anyhoooooooooooooooooooooooooo....I can relate!! My only advice - RUN!!!!!!!!!!!!!!!!!!!!
My DH has decided to become a Pampered Chef demonstrator.

Does anyone have any info on this?  Is it a good way to make some extra money?  I said NO, he decided to do it anyway.


That's one of the reasons I decided to give up my IC status
and become an employee. There's no way I'd work when I'm on vacation. When I'm on vacation that last thing I think about and would want to do is work. I know that IC status does have advantages, but for me the disadvantages outweigh them. Good luck with whatever you decide.
What is the difference between an acute care account and a multispecialty account??..nm
nm
I was teaching, and Katrina hit, and I decided I needed a job that could move with me if need be.
I have a friend who was an MT (actually, she and 2 of her sisters are MTs). When I asked her what she did, it was like a light going off in my mind--it sounded really interesting, since I loved typing and grammar and had good ears (I thought). When Katrina hit, I took time during our enforced semester off to take an online course, loved it, and began working as an MT. I discovered quickly that having good musical ears is not the same thing as having good MT ears!

What I love about MT work is that it is so interesting. I get to learn every day without having to actually be there to see/smell/hear. I am fascinated by the human machine and enjoy learning about it in detail.

Eventually, I'd like to move into a mentoring/teaching position with young or new MTs, but I need more years of experience before that happens. I totally admire those of you who have been doing this for a long time-- you guys have amazing ears and I'm always impressed by the knowledge you have picked up by working! That's what I aspire to, as well.

I decided I did not want to be a file clerk for the rest of my life.....
I was hired in a 5 doc urology practice as a file clerk. And we all know that the file room is a toxic waste dump from people who have no idea what to do with whatever piece of paper they have. After working in the file room, the docs asked me if I would help out the other transcriptionist. (She was the only one at the time). Since I KNEW I wasn't cut out to be a file clerk, I said sure. So I filed part time, helped with transcription overload. We got a new peds urologist fresh from a Fellowship at Mayo Clinic so he was a really wordy type.

Long story short, he was so busy I was out of the file room for good, typing just for him as he saw lots of kids, and loving every minute of it. He moved to Arizona in the early 2000's, called me in 2006, and the rest, as they say, is history. He is still a peds urologist and I am still working for him. Everything is done over the Internet. No paper anywhere except what his office prints out.

He is one of the reasons I LOVE MY JOB.
I've never had a problem switching from account to account.
The problem I had was being switched too soon. If I don't get one account spec solidly in my memory with QA feedback on mistakes before starting another, I get confused. The other problem I had with former jobs was inconsistent QA. One person tells you one thing, another person tells you another.

Lately, I don't have a problem with it. Right now, my binder has 8 account specs (some I've never had to use) and I'm picking up a new weekend job for a while. The terminology and report formats stay basically the same. It's just all those little preferences. LOL
My puppies have decided a fun place to play is on my foot pedal. sm
The bring one Nylabone in particular, shaped like a wishbone, and chew on it under my feet.  The more I shoo them, the more they come back.  Negative attention. 
The national I worked for refused to pay mine when I decided to move on for better pay.
Hope it works out for you!
I guess Ms. Flip decided not answer my question. I am sure MedQuist would love to have...sm.
many more MTs with such an attitude.
what is your account and specialty on the account?
no one is watching. tell us all about osi.
We have decided to add this to our current service not have a new service. It will be easier to sm

keep track of and will just be a different department. 


It looks like we will work out details over the next 6 months, talking with community college program directors as well as a few of the distance-learning course leaders to work on the recruiting end.


We will train current staff to mentor if they would like to do so and want to work in the office.


We are still working on production requirements, goals to set, pay, benefits and other fine details but we have 6 months to get it all in place with three months to pull it together after that with a tentative start date of 09/01/06.  We need to build the building as well, although that is already at the blueprint stage in a spot next to our current office. 


We did not want to cause flames and bashing by listing the company name as there are always so many negative people on this site, but we are national with over 200 transcriptionists, located outside of Chicago (40 miles west) and have the best team of transcriptionists around!


We will have an "official" announcement after the first of the new year. 


Thank you for all of your feedback and suggestions!


Look, if I were on an account that
kept me sending more blanks to QA than was allowed to qualify for an incentive program, I would ask for another account or get with a different company.

I've bid off accounts before; I've also changed employers because of this problem.

I've been there. It's not what I wanted so I fished until I got the catch I wanted.

As well, if your dictators are dictating on cell phones, that can be a real source of contention with HIPAA guidelines and they should be reported. I report that when I run across it; I also tell my supervisor I won't do that physician again if he is dictating on a cell phone. I've never been given a problem with that.
Second account........sm
Does your company base full-time status on line count or on hours?  If line count, it doesn't matter if you do the work in less than 8 hours.  You're still holding up your side of the bargain and you have every right to refuse to work on a crappy second account.  Just tell them you've decided that your one account is enough and keep your second job.  Same goes for the post below stating co-worker is avoiding taking on second account.  Unfair?  I give her credit.  She's a survivor.  We're not the ones who started the game.  But many of us are quickly learning how to play. 
If your account uses the BOS ...>>>

you use numerals for all numbers (and the old way is to spell out numbers UNDER 10).  The BOS says to use numerals for ordinals; 10th, 2nd, etc.  BUT, many accounts have their own preferences, so why don't you check to see what yours wants?


 


My own account

My own accounts been doing them for over 4 years, it is just one office person that says anything.  I think that she was having a bad day last week and we about went on a minor screaming match with each other not only over this but some other things.   So will let things calm down, check and double check to see if I can figure things out but without showing me, I am in the dark like I explained to her.  When nothing comes back you think all is great.  


 


 


I don't do any of that. I have each account in a SM

separate folder on Word and I just click on the appropriate folder. I do 4 hospitals in one state and two more, plus a local.


I never have gotten anything mixed up that I know of.


Take the account and run!
You really need to ask? 
I don't know anything about the account
I am considering an IC position and want to know what is an average rate. I have 9 years experience as an MT and have only wored in a hospital.
Keep that account @ .12 cpl
Keep that account (tell them you will meet or beat the competition). Don't say another word, just keep sending out advertising brochures, etc., until another higher rate really needs you, then tell these cheapskates that your accountant has informed you that not only are you losing money but it isn't fair to those others who do not question your charges nor would they ask you to "cut your rate." I've been in this situation and it has made me very depressed but that's the way these others work, they will undercut you for 1/4 cent, done to me by "friends". Just go along to get along and then you have every right to be the "dumper" instead of the "dumpee." Treat them like a bad boyfriend, until a better one comes along. Had this done to me many times and my only regret is that I let it affect me financially, I used to take the "moral high road" and now I take the "me" high road. If they are thinking only of their wallet, then you should as well if you need the money. Hope this makes sense. Most likely it isn't the docs, just someone in the office trying to say, "See, I saved you some money, so how about a raise?" Don't let them spoil your business accounts receivable, just hang in there and smile a lot.
You must be the OM at this PIA account. (nt)

I am getting .08 on one account and ..sm
.085 for the other acount I work on.
One account, can get only...
250-300 because they are obnoxious.  The other account, can get sometimes over 500 lph.
Usually, each account has a
prescribed method of formatting and if you work for a service you should get all of the specifications for formatting in a document when you start working a new account.  Inhouse, asking the manager will get you the information you need.  It is purely a subjective matter with each and every account; however, AAMT and ASTM are working on best practices in dictation and these of course would include a standardized formatting for all medical records .. making it eaiser for all of us to do our jobs and then ultimately find information in a chart.
I have been on my account
with 15 doctors for the past two years, but I am sure someone else had it before I did. We are about to get a new one in August, as well. I am sure you have just about everyone else beat though.
Pay Pal Account
I have a dumb question regarding my pay pal account.  My new employer pays through Pay Pal.  I do have an account that I've used only for ebay transactions. She's asking for my account number.  I can't find any information in my account as to what my account number is?  Does anyone know what that would be?  Does she want my bank account number associated with my Pay Pal account?  Sorry, I told you this was a dumb question.  TIA.
I have a second account sm

You should never work for only 1 company.  I learned this the hard way.  It's always good to have a backup.


Come take my account
First I get "Mrs. Ed" who talks just like Mister Ed and now I've got a dictator that sounds just like Granny from Looney Tunes.  Gives me a little laugh now and then, guess you gotta look at the little things in life, or you'll become a looney tune! :)  I pray next week is better for you.
If you want an account,
go out and honestly bid for it.....don't "steal" it from your MTSO!!!!! That is just wrong. Bidding on accounts that you don't know the MTSO is a different story. When you take an account from the MTSO you are an IC for, that is "stealing" and you'll get yours when you get to the pearly gates...if you get there!
Nothing really if you want to keep your account. sm
sometimes as an IC and in business, you must compromise. Looks like they are dictating the way they pay. Hey, it would be worse, you could invoice and not be paid for 60 days or longer. So, you will just have to adjust.

own account

I took a small account a few months ago. 3 docs, I do 2 and 1 has his own MT. She is an employee but we cover for each other for vacations. It is lucky they have that other person and they are flexible when I go away (rarely). Some accounts might expect you to find your own coverage. I have had problems with them not paying on time. It's not their fault, they have a large institutional accounting office over them. But MT is my only income so it has been a problem. Make sure you have a cushion in your checking account or whatever that you can live off of if you don't get paid for a while.


Another option might be an IC position if you can find the right one. I also have an outside contractor position with a local hospital that has employees, but I charge them like a service and they make no demands on my time.


Something to consider is how much time you will spend doing administrative things like billing, recordkeeping, marketing, answering emails, picking up tapes if applicable, traveling for interviews or training if you will be working on their system. I find that stuff eats up a lot of my time.


You might want to consider a 30-day trial period in case you dont like them. My account turned out to have a crappy dial-in system, they expected me to fax every report 1-4 times, and they eat up my time with emails and phone calls - each doc has his own secretary and they have another MT and they all tend to call me for things they don't need to bother me with like I'm an employee. Instead of telling them to find one person to deal with me we agreed I would charge by the hour instead.  I have no problem telling a secretary who calls me at 7p I will take down the info and call her back during business hours unless it is an emergency. It is hard to anticipate those things hence the trial period.