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Need to check the with the client/MTSO about

Posted By: see message on 2008-04-16
In Reply to: style ? - elonmt

the preferred way to do dates. Most of them are specific on things like this.


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Client always rules over MTSO, QA,
You have to spell the way he wants it especially if he's adamant.  You are not the expert in his field, he is, and he signs your paycheck!!!  Think about it... 
Too, the MTSO is not earning extra from the client
The gains come from their paying out less to QA.
I know MTSO's that were TOLD by the client to charge less or
they would go offshore. So what is the MTSO supposed to do? You can't stick to your guns in that case. It's either swallow your pride and everyone takes a pay cut, or everyone gets no paycheck.
Yes - I have a contract that my client and/or MTSO signed.
I always have them sign a contract also - mutual agreement and we stick by it. No problems whatsoever so far. That is the only way to practice good business and protect yourself.


The going rate to charge a client for rad by an MTSO is in the $4.50 range.
Need to figure in what type of reports, etc. Never go below that - there is a lot of administrative work to do.
As long as the MTSO does not charge the client I don't have a problem with it - sm
its those that don't pay, but then charge the client (which I am sure most do in that scenario) that is not right.
I worked for a small MTSO who gave the client
the client changed to smaller and smaller font sizes, the MTSO let them know the rate would change so the MTSO never lost money just because of the font size. The clients always understood. The client simply wanted less bulk in their charts, not to short change the MTSO.
check out what MTSO's are saying about newbies...

it's a nightmare finding someone qualified and then all the training you have to do...


 


 


No check=MTSO fault. No savings or cushion=
x
Check at a local nursery/garden center for varieties that are bred for your area, then check online
s
Check the connections from where the cable originates to wear it comes into the house. Also check t
had a similar issue with TWC and they had done some upgrades and the modem I had was no longer compatible.  The tech knew what the problem was the minute he saw the modem, only it took me about 3 months and threatening to cancel for them to get out here. 
No brainer here. Stop payment on first check before you issue 2nd check.
:+
I have had a check bounce over a boo-boo in the check book...NOT A DEADBEAT!!
c
DID you check with Social Security& does your son receive a check???

Go to SSA.gov and research the payee options.  You may have to use the search engine, but your answer to this particular issue should be there.


I am disabled and while my kids were minors, I had to fill out a form each year on how I, as the payee spent each and every penny of the money they received.  I don't see how his mother can justify how she spent his money for things that you normally would pay.


That said, he is getting Social Security right?  Is your son receiving a dependent check?  Under law, if a parent is disabled and has minor children, each and every one of those children also receive a check until they turn 18 or graduate from high school, which ever comes first.


The check is a percentage of your husbands, so for 800.00, your son should receive at least 350.00.  If you have not been getting this, they would pro-rate it back to when your husbands disability started and that in itself, could solve a lot of your financial problems.  You can also find this out on their website,  HTH


no - don't check out wildblue. check out hughesnet. sm
i was on wildblue. i absolutely HATED it. i paid $400 for install and equipment and bill was $51.51 a month for smallest plan. no bills, had to be direct debit from credit card or bank. wasn't a lot faster than dial up and i frequently went over my download limit so i had to upgrade to the $80/mo plan. speed was no faster on their "fastest plan". they had a 1-yr contract and only 1-yr warranty. well 20 days (kid you not) out of warranty my tria (the eye on the dish) went out and it cost me a total of $275 for replacement and tech call (had to wait a week and a half before tech could come and then he no showed and rescheduled for the next day stating he didn't have the equipment he needed to fix me and the repair order had been in for over a week by that time. no call to say he wasn't coming either, just no showed). they TRIED to sell me the entire package all over again to get me locked into another 1-yr contract and i declined. it was best in their book so your warranty and equipment would be "new". i had to tell them for 5 months to change which credit card to debit from, never could get it right. had to tell them for 3 months when my phone number changed. i could not wait until the day my 1-yr contract was over. have heard really good things about hughesnet. i think it is a tad more a month, but supposedly a lot faster than wildblue and not near as many problems from what i have heard from others. wildblue was down for an entire week at one point throughout the year i was on it. always got lost signals and page cannot be found multiple, multiple times throughout the day. i used wildblue with VPN (with transtech) and could not keep a connection enough to get a decent line count as i was dropping signals too much and it did slow it way down. i finally got clinic work rather than acute care where time and speed wasn't a factor. research message boards for complaints about wildblue and hughesnet before deciding. also hughesnet i think told me a 2-yr warranty rather than only the 1-yr with wildblue.
Check the classified board here and check
E-bay.  Some companies will provide them for free or a small rental fee. 
FTP Client
I still don't know what an FTP client is that was asked in the original question? 
the client always wants a little something...sm
The client always wants a little something for nothing.....so I give them a free line if there is only one word on the line...I give them a 68-72 character line (spaces I do count).  I have never upped them in 9 years, but on my 10th anniversary I am upping them to 13 CPL.  I also give them their 5 line headings for nothing as it's only 2 Keystrokes for me.  They are good to me so I bake for the offices a couple of times a year and give the offices a gift during the winter holidays. 
I do for one client

One of my clients requested that I charge this way.  We do 10 words = 1 line, so basically a penny per word.  From what I have figured, I'm doing okay when compared to the character count way of charging on this account.  I think they requested charges calculated this way because of being ripped off by their last MT.  Once I send their files, they can check the word count and keep a running tab to compare with my statement.  They're satisfied and I'm satisfied, so it works well. 


Have your client do it. SM
Call the office of your client and have them fax/e-mail to you samples of their prior surgeries.  There's certainly nothing wrong with asking for this.
the client does not have to have it-- sm
The client can unzip using WinZip or whatever program they have installed, but MP Tools is so easy, some clients may want to use it. I have a couple who are interested in purchasing it just for the printing function, which works really well.
I had a client ask me to look
They provided a patient list for the date of service, but if the patient was not on there, then I had to view on-line the past week of patient lists to look for the name.  Yeah right - that took 15 or 20 minutes sometimes uploading and viewing.  So now, they get an inaccurate spelling of the patient name with a comment when I send there report, pt. not on list.  Hello?  Like the low wage isn't bad enough, and then add in that kind of junk.  It is pathetic. 
What the client says is law, if that is what they want, then
that is what they expect and they have the right to tell an MTSO who can and cannot work on their accounts.
Even with this, the client is always
BOS is a style guide, which I do not own.  However, I aim to please the client.  So, if the doctor wants to spell something his own way, then so be it.  He went to medical school, not me!  A book of style means absolutely nothing to a client who wants things a certain way.  End of story. 
It is just according to what the client
wants. Most do I would think, but some want them in a paragraph form and not captialized. Need to check with your supervisor or client.
Oh my! Do you have your own client? sm
I don't know of any MTSOs who pay 13 cpl. If you found one please share.
I'm not sure, but if the client does not
get a cut for using ASR, they why would they care whether their physicians use it or not????

We would be a lot more valued if they all thought ASR was as good as originally touted and had no editors to fix the darn reports it spits out.
First off..there is no way the client is getting a
And ASR is NO WAY 3 times faster...that will never happen. Most transcriptionists type the speed of the dictator to begin with. ASR could be a great tool for those of us needing a break from transcription, but it does not warrant ripping off our cpl's..ESPECIALLY when the client is charged the same...the have NO WAY of knowing whether the report is goes to ASR or not. Lastly, an ASR Editor needs YEARS of transcription experience, becuase to insure a correct report
It would be according to what the client
wants. We just type the numbers if they are dictated that way.
Unless specified by the client, I only
expand in diagnoses, procedures, impression, etc. I always type what they say when it comes to drugs, you don't change things like two a day to b.i.d. unless directed to do so by the client specifically. Also, on my client we are not allowed to use slang, so if they say "sat" we expand to saturation, bili is changed to bilirubin etc. A good MT never takes it upon herself to change something that is dictated UNLESS they are specified to in certain instances by the client or it something is wrong--then if it is changed you flag it for your QA.
I think relistening to a certain client until you
are very used to them is a good idea. Just put it on high speed and go over it. That won't take near as much time. I am QA and I can most certainly tell the difference between those who relisten or at least reread and those who do not.
never a client from a national, but...sm

A client approached me AFTER both HE and I had quit working for this one particular MTSO...I worked for him, she found out and tried to sue ME for $20K.


I sent her back a play $20K bill and told her that was about as much as her "lawsuit" was worth. Never heard another word from her.


Own client question
Those of you with your own clients.  What do you do when you want to go away for the weekend, or get sick?  I can see this as being about the only reason to stay with a company.  The ability to get someone else to pick up your accounts for a few days is appealing.
Depends on the client.....sm
At any rate you have too many commas, imho.

"I told him to clean the area with hydrogen peroxide and after that he can apply the Neosporin ointment." Works just as well.
It just depends on what the client wants.
I have some that still use tapes and some that I do through a TASP. So for the TASP, I have a wav pedal for the computer, Express Scribe, and that's it. For the tapes, I have the usual trancriber setup.
Maybe the client requested the
x
Pleeeez help. What is an FTP client?

I was asked that when applying for a job. I know it means file transfer protocol, but how the heck am I supposed to know how my audio files get transferred?


And I thought I was pretty gosh durn smart.


Client rate

It depends on the rate in your area, but I would charge no less than .12 per 65 char line.  I think this rate is not too high and not too low.  You have be careful about charging too much as someone will undercut you.  Practicount is a line count program that will allow you to charge for headers, footers, bolded areas, underlines, and so on.  This way if you have to drop your price in order to get the client you can charge for other things that will make up the difference.


Good luck!!!


it's really client preference......NM
x
In general no, but your client may need you to
nm
Well, if that's how she's billing the client SM
then that's how you should be billing her (just characters and spaces).  I'm sorry you're going to be losing money.  I'd be unhappy too.  Maybe you can work on your shortcuts/macros more so that you are typing less for the same amount.  No real words of wisdom for you...sorry.
Maybe so, but ultimately it is the client
x
The needs of the client have changed.
They can say they need the work whenever the fancy strikes them. You can either provide it or not. That is just the way this business works.
I lost a big client and a new one to EMR
My own doctor hired me after losing my account to EMR. I sat around for two months waiting for him to start only to be told on an office visit that he too has gone EMR. Good luck.
Losing a client
You have my empathy.
This happens with the big companies too. The MT is the last to know that client whose account they have worked on will not renew a contract. I worked 60 days in a row on an account to help catch it up not knowing the Co. was losing the account. I felt betrayed because during that time I could have been trained for something else. I was on a C-phone at the time, and others had already been trained on newer systems. Things really can be quite thoughtless/heartless when regarding the MTs feelings. Makes one feel like just a number. Or as they say a "Human Resource" I that that word..... it sounds like an entity that uses-up, wads-up, and then discards. What ever happened to personnel? Once again, you have my empathy.
Of course, forewarn the client.
Let him/her know that should you continue to be required to provide service over the weekend there will be an additional charge for doing it. Your work week is M-F and if you must provide service over the weekend you will have to charge a higher rate. I have had clients do this before and most of the time after talking with them they would change their mind about the ASAP timeframe. If you are getting slammed with a week's worth of dictation on one or two days then you should be allowed a longer TAT or charge a higher rate.
One client wants it, the other doesn't. :) nm
nm
ICs work for more than one client, always.
x
How do I set up a digital client??

Hi,


I just got an offer to do transcription for a doctor about 20 miles away.  Only problem is this is a pick up tape deal and I do not want to have to travel especially with winter/snow coming on.   I'm sure this isn't a big money maker account, but I would like to be able to have the voice files come to me encrypted and deliver the work that way too.  I am not very good at things that are overly complicated, so any help as to what to suggest for a recorder and such would be greatly appreciated.   I am hoping they will go along with buying digital, but if need be, I suppose I could provide it just to save driving.  Help please.  Thank you.


I have a PS client, and he does put pt's together when asked...sm
Lots of times he has new patient's talk with other patients.  Not sure how, probably has current patient call the new one or something.  You should ask.  Wouldn't have plastic surgery without talking to someone who has used him, actually more than one and would want to see pictures too.
DocShuttle Client
Does use DocShuttle Client?  Can I use Express Scribe or do I have to use the Wav player by Bytescribe?  I really like Express Scribe.  Does not matter either way, just wondering . . . . Thanks!