My inhouse incentive experience
Posted By: SM on 2007-03-19
In Reply to: MT production incentives - Janna
When I worked inhouse, our incentive was calculated quarterly. Our incentive was based on minutes of dictation transcribed, not lines.
We had a minimum number of minutes to average daily. Depending on how much we passed that minimum (on the quarterly average), we were assigned an hourly incentive to be paid for all regular hours worked for the next quarter.
Example: If my 1st quarter average production put me at 180 minutes of dictaiton, then I would receive an extra $8.50 an hour (in addition to my regular hourly wage) for all regular hours worked for the 2nd quarter. If I took paid time off, had a holiday off, or had overtime, it was not paid for those hours. Only for regular hours. So, if I worked my regular 40 hours weekly, I received an extra $340 a week in incentive.
Now, incentive started low, at $1.00 an hour and worked up to $10 an hour.
Last time I worked inhouse with per-line incentives, we literally got a daily line count and had a tiered set up with lines/hour average daily.
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My inhouse experience was almost identical! (nm)
.
Wait until we get a lower base rate and incentive and no work for incentive.Should prove interesting
because everyone will probably have a lower base rate than now. As I say, should prove interesting.
No, there's no pay incentive ... but there may be other incentive worth considering.
I'd give anything to have the radiation oncology department of a hospital I used to work at .. the reports were lovely 3 page affairs that, while not conforming to a "normal" conformed to a standard template that made the 3 pages fly by .. the dictator was a tediously slow (but clear) talking earnest young doctor .. and a small handful of his reports could rack up 500 lines with little agitation. ... a few sighs, but...
I think in the current state of the business, it is worth tackling a speciality or two ... OP's first, of course, but then whatever presents itself.
The two benefits will be seen in hiring and in work being available when the other easier stuff is all gone. Oncology patients generally are older and have more history to be documented, etc. While a great ER account is a truly wonderful thing ... when that's all gone, having some long winded, backedup accounts are a god-send, imho.
good luck. 
incentive
i've always had a problem with what they refer to as incentives! never logical and as you so precisely put it, INCREDIBLY CHEAP!!
What incentive does she have to tell?
Just curious. Afterall, they may never know.
I think an inhouse job would be the way to so
as you usually get paid hourly. Working at home is not that great. I found that out the hard way. I am just doing it until I can find an inhouse job, they are so rare. Going inhouse is better in every way. YOu do not have to deal with "Do it this way this day and do it another way the next" as is Amphion's practice, along with many others. Also, the inhouse job would give you valuable experience. You can always go back to working at home. You would only gain in experience by working inhouse. Good luck!
incentive
I call that incentive honesty. What do you call it?
Incentive
What will we make if we do 2,100 lines per day?
plus incentive....
.
incentive pay
I would like to know how icentives usually work. If your base rate was .10 per line up to 10,000 lines per pay period, your incentive was .15 above 10,000 and you typed 15,000 lines, would you be paid .15 for all 15,000 lines or just .15 for the 5,000 lines over the minimum and .10 for the first 10,000?
incentive
Same here no incentive when working in house. You got done what you got done. The only time I have really heard of an incentive is working as an IC at home and that is by the line.
Inhouse
she probably wouldn't be making $41 an hour.
And Inhouse
Inhouse you will type for 2 hours, then get a 15 minute break, then type for 2 hours, get a 30 minute lunch and then type for 2 hours then another 15 minute break, then type for 2 hours and go home. According to my friend who works inhouse they rarely get their 15 minute breaks more than once a day, so even working inhouse they only usually get about 45 minutes and they only make $16 an hour. Being at home on production you can decide how much to make if you use your Expanders and actually type instead of surfing the net, etc.
because of incentive pay
You start producing more line that is more per hour and they can slow you down to keep you from getting those extra lines. Every time I would get to my line count up, the slower it was to get the same type of work done. I even complained that it was too slow and I wanted another account and he said "I can set your speed up a little. We turn it down to keep from crashing the system." I worked third shift so how many are there working third?
Experience on top, current experience first. Education second. Leave out ALL fluff.
Recruiters don't need your life story. They need to know if you can do the job. If you want, put your current employer, then state "I have 20 years in the profession doing....." Keep it simple; keep it clean. If you want to go into more detail, do it during the interview. A HUGE red flag is to see that you've worked for 10 different companies, for months at a time. I know that someone who has worked for the same company for 2 years or more is going to have some degree of loyalty and will work through issues rather than cut and run.
I did go through that with my last inhouse position ...
and after I quit and went home to work for my present employers, I realized what the most significant factor was for my burnout: Working with the absolutely rancid attitude of unhappy coworkers. True, I should not have allowed them to get to me but they were unhappy over ANYTHING. Nothing could make them happy and all they did was gripe and b****.
I eventually quit going to lunch and breaks with them because I just didn't want to hear anymore negative spin on whatever was going on. Of course, then I was Miss Goody-Two-Shoes because I wouldn't fraternize with them. There was already tension enough over production. I got to where I would drive around and around the block before parking...then I would be late a lot because I could hardly bring myself to drive to work. I felt sick at my stomach as I got up, knowing I was going to walk in that office where such emotional poison was.
On their own, I liked these women - they could be funny, were intelligent, had a lot on their plates. But as coworkers, they were unhappy about anything that happened and just could not leave any topic alone. At lunch and breaks, they so horribly bad-mouthed the superv, the QA person, the management, the hospital policies, the equipment, the software, the incentive plan, anyone who wasn't sitting there's production, other people's dress and how they handled their family life, etc. I mean it was HORRIBLE. When I started back to college, they were mad as h*** because I got "special treatment" in their eyes. They worked whatever schedules THEY set, but apparently I wasn't allowed to do the same. I see now that they were angry because I was doing something different and progressive in my life.
Then, when I announced I was leaving I thought they would cheer because, after all, I was the outsider. Instead, they got angry. They were angry because I was leaving and they were left behind. They emailed and left voice messages a few times after I had left, asking how I was, and talking trash still about that hospital. I never called any of them back.
I'm done with that attitude. I literally cannot take it. The same issues were happening to me but I chose to look at it differently.
Making a radical change of quitting and going home into a completely different setting and controlling my own environment, pay, etc., was the key to recovery for me.
I also know that I won't be doing this much longer...THAT HELPS A LOT...LOL.
I appreciate the advice.
OFF TO WORK...
I just was hired with the new SE pay/incentive!!!!!
I must say I am very happy and I think other SE's will be, as well!!
I hired in at 9 cpl and can earn up to 2 cpl in incentive on every line I type! I'm excited! I can hardly wait to get started!! Though I am only obligated to do 6000 lines in a payperiod, if I type 16,000 lines in the payperiod I get my extra 2 cpl and that makes for $1760 just for that! I think that is pretty good.
My training is next week and I hope to be able to reach that with my first check!!
If all would please be calm, I'm sure that the new SE pay/incentive plan will soon get out there!!! You'll be very pleased! 
actually - I was told what my pay would be, as well as the incentive - sm
it was a little bit of a decision for me to make. But I based it on a few things, one being the time spent on the phone with the recruiter, questions asked and answered, etc. I'm happy with the choice I made.
Prior to this I had been emailing my resume to companies and waiting, email some more, wait some more. Then I posted my resume and I had emails and phone calls within a two week period. I couldn't believe it! The exact opposite worked! Go figure.
Anyways, it's just my 2 cents
I had one when I was inhouse and loved it! sm
I just wish I could afford to get my own right now. It takes a little getting used to, but not too bad and it's soooooo comfortable.
Incentive plan?... sm
Curious how common it is to have an incentive plan at your company. Does it make a difference if you are an employee, SC, etc.? Currently, employee at 7.5 cpl with benefits (vacation, holiday, health insurance, etc.). No incentive plan. I have almost 20 years experience. Minimum requirement is 1200 lines per day, full time. Thanks for any info! 
I wouldn't do it without incentive
I make $30/hour now on lines
When I was in house there was no incentive.
You got done what you got done. No reward for pushing to get extra done.
Production incentive
The last hospital I worked at paid an hourly wage, no incentive, and had a minimum line requirement per day of 1200.
The problem with this scenario is that there is no incentive to produce more - thus the term * incentive *. If work became backed up, we were offered overtime.
When I worked in-house for a service, we had a line per day requirement of 1200 and anything over 1200 lines per day was paid at 6 cents per line.
The incentive should be for ALL lines sm
transcribed, not just the ones over 1100. That is cheapskate bonus.
inhouse work
I am thinking about going inhouse to work for a family practice group. What is the going rate per hour or per line? I have 10+ years experience. It would be working for 2 family practice physicians 25 or so hours per week. Because I have only done IC the last few years, I don't know what to charge when taxes are taken out.
Please advise what a reasonable hourly/line rate is . I am not sure at this point.
Thanks
i used to be a coder inhouse. sm
my schooling was actually a combination of MT/coding so i had the option of either. i started out coding at a local doc office. i didn't have much of a problem with it. the cons i would say was dealing with people b*tching about the bills and medicaid pain in the *ss, but other than that was fine. i slowly picked up MT work on the side to do in the evenings part time, realized how much money i was making and eventually quit the inhouse job to go full time at home as an MT and tripled my money. not sure about coding at home so i can't help you there.
You actually WANT to go back inhouse and having to
?
I have worked inhouse at
made anywhere from the $11.00 range up to $26.00 (counting production bonuses). There is a wide range. The benefits are usually much better than working at home, but I much prefer working at home and will never return to inhouse again.
I think I would stay with the inhouse job, have the
baby and take your maternity leave. While on leave, you can be looking for an at-home job, and maybe even start with them while on leave. Then, after your paid leave turn in your resignation.
Going to work inhouse again
Well, you would have someone to talk to besides your dogs and you might just enjoy the comaradie of other MTs. On the opposite side of the coin, it may just end up being a very competitive, cold and unfriendly place. You could try it and and prove yourself to to be a valuable MT and perhaps they would send you home to work like a lot of hospitals do now if in fact you would rather do that. If you find your home to be a comfort zone and enjoy your dogs, you may just not like working inhouse. It's your call and good luck
Oh, joy, yet another incentive weekend. . .
and there's not even any work in my BOB. Why, oh, why, are all the people that run everything are the ones with no common sense?!
pay for inhouse position??
I have an interview in the morning for a part-time inhouse position. What is the pay looking like working by the hour with no incentives? I don't know what a fair offer would be and don't want to sell myself short.
I am going to work inhouse again -
I just took a part time inhouse position to supplement my at home income because I am so short... and this is not the first pay period so I am in trouble.
The inhouse position is only part time, but at least I know it is enough to pay my house payment. It is also a lot less per hour, but I want some guarantees so I can stop worrying so much.
Sorry but I am not going back inhouse.
I do well at this work. I always have. Though my income has varied a bit over the last couple of years, I am still doing very well and I don't plan to join a union or go back inhouse.
It costs hospitals more money to payroll you inhouse because of the capital expense. More and more hospitals will contract their work out as the economy squeezes on them, too.
I agree that those who are new should try to work 1-2 years inhouse first. But to say that going back inhouse is going to "save" this work? No. Completely disagree. It won't even be an option soon for the greatest majority of facility MTs.
do you have 6 years of inhouse sm
doing acute care or doctors office MTing? If you have gone from strictly office stuff to hospital acute care, that is a big transition and one that you are not gonna make a ton of money at starting out. Experience as an IC is not the thing, do you have the 6 years experience doing the same thing inhouse that you are now trying to do at home?
There is little or no incentive to learn and use
all these shortcuts, when one knows that the cpl will maximum be 4 cents.
$19 an hour and incentive too?
Sounds like what I used to make before I got outsourced 4 years ago. My pay has never been as much since -- it's been about $10,000 a year less and going down. I never have been able to do twice as much editing as typing, but they cut your pay in half. I am really tired of MTSOs getting all the money and cutting our pay. There are very few hospitals in this area that have not outsourced.
Try Piedmont - they have inhouse staff nm
x
the worst incentive I got offered
Yes, yes... some incentive is better than none offered (to anyone who is ready to say, "At least you get one!"), but the worst incentive I was ever offered was when I worked for HealthScribe years back and they offered a 1/4 cent on lines typed for a certain day. Doing 1000 lines, that worked out to $2.50 tagged onto my regular rate. That wasn't even worth thinking about let alone spoiling my weekend for.
Incentive by minutes with Cerner
Hi -
The hospital I work for went with Cerner a year or so ago. Their software is so bad, our required minutes were lowered to 80 minutes/8hr. Incentive starts at 91.3 min/8hr.
What would you make in incentive doing 1200 lpd?
With MQ's new plan in January: $0 incentive on 1200 lines/day.
Spheris: 1200 lines a day = $24 a week incentive.
What about where YOU work?!!
Around here, it's $9.99 per hour with inhouse for the first 6-12 months.
I'd still take it, but I'm not sure how the cost of living is where you are.
Sure takes any incentive out of trying to do a good job.
That is what happens when you put people in charge that have no experience other than raising a couple of loud mouthed brats that always make sure they scream when supervisor calls you.
i used to but quit it to go inhouse and now am home again without it. sm
i got 2 weeks PTO a year and got paid equivalent to my production for the hourly rate, which at that time was $15.75/hr for my vacation time. had insurance too but can't recall the details. boy, i regret that now as i feel like i am working 24/7 as IC and can't afford to take time off. take off = lose money and get behind. i'm stuck, lol. gotta look for large nationals, acute care, and about 75% ESLs to get it nowadays is what i am seeing. hard choice between clinics/gravy work or PTO/insurance/ESLs/busting tail, lol.
Because of my competitive nature, I would use it as incentive to
produce more and make more money.
I always like to know where I fall compared to other MTs - am I in the middle of the pack, on the bottom or on top. If I am not on top, than I would do my best to get there. That is just my nature. I strive to be the best that I can be, although sometimes we all fall short. No biggy!! Just do your best and produce what you physically can, and that will have to be enough for that particular day.
Just use the daily information as an incentive for yourself!
Good luck to you.
Incentive Production Bonus
I have worked several in-house transcription jobs in my 20 plus years as a medical transcriptionist. I have been paid hourly for each one. I have never received a production bonus. In fact, I had never heard of such a thing until I started working for a national at home. I did get overtime at time and a half for working over 40 hours a week, which is more than a production bonus would ever be. Good luck with your project!
I would love to work inhouse, but...
those jobs are getting scarce. I would like to know how all us newbies are supposed to start in-house when those jobs have all been outsourced.
...maybe incentive pay like OT or payment for bonus
s
Perhaps, but there will also be no incentive to go into medicine for US docs, SM
when they get out of med school they have debt, will have to set up a practice, pay their staff, etc. What is the incentive if you can earn a limited income.
I say let the free market decide.
WORKING INHOUSE NOT ALWAYS SO WONDERFUL, EITHER.
I worked in house for the only hospital corporation available in my rural area. I expected to learn a lot. I actually learned very little with regards to transcription. I learned a lot about hospital politics. They had some of the worst dictators there, and the HIM director did not like confrontation. Also, the main task given to me was to accomplish a line rate equal to 1200 per day with spaces, at which time they would set me up to work at home. Unfortunately, I only had 6 months in which to accomplish this. I was flatly told that if I did not accomplish this production rate, I would be fired. Before that happened, I found a job online, and will never return inhouse again. I also have to say that I don't miss driving 300+ miles per week in order to do that inhouse job. Also, I wasn't thrilled with the prospect of the hospital's tech person visiting me ad lib at home.
Now, I can't say that I'm thrilled with this profession. I have the same concerns/complaints as the original poster of this thread. However, comparing inhouse, with inhome, I do believe that I've learned more and gained more valuable experience through the inhome process. Yes, I have worked many hours and more than 1 job at a time. When I research previous jobs by a doctor, I also notice that previous jobs have been submitted with lots of errors in them. I have shared my concerns with my manager and believe that nothing was done. I have also complained about poor dictators and why, oh why, are these doctors still allowed to conduct themselves so poorly? When I worked in the hospital, I noticed that the HIM director let the doctors do whatever they wished because she was afraid to confront them, like they were Gods or something. It is my opinion that this is a major problem in our industry with regards to the people who are the liaison between the MT and the doctor. Somewhere, a doctor has a supervisor, office manager, director, hospital administrator, etc. If a doctor is in private practice, he may care more about the quality of his product. But, if a doctor is affiliated with a hospital or other facility, he might just be doing a job and as long as he/she can get away with it, he/she will be as sloppy as he/she wants to be.
It is also really frustrating to be told that you have to do 150 lines/hour or more, or lose benefits or be fired or whatever. At the same time, it takes time to really produce a good report, given the deficiencies in the dictations. I panicked about this in the beginning, as I was doing about 50 lines per hour. I'm happy to report that it does get better. I also quit the job with the production quota.
Okay, I'll shut up now.
Wahh Don't give up your inhouse job! sm
They are so few and far between these days... it makes me sad :(
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