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Serving Over 20,000 US Medical Transcriptionists

Nonprofit MTSOs! The new Wave!! LOL! nm

Posted By: Milton's Red Stapler on 2006-01-19
In Reply to: Okay, I'll start (sm) - Studying MT




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Yup ... smaller MTSOs, local MTSOs (sm)

local doctor's offices or clinics!  Don't get discouraged!!  :)


wave pedal

When I looked up wave pedal, I saw this ExpressScribe, so do I assume that is what this is all referring to?  I have been typing for one doctor on the side and he now wants to go tapeless. Someone suggested to him that I look into wave pedal.  Can anyone clue me in.  As of right now, I cannot get high speed internet or DSL where I live, only satellite.  Any other suggestions, please clue me in.  Thx. 


VR is definitely the wave of the future

Integris owns several large hospitals and numerous smaller clinics in Oklahoma City (near where I live) and they now do all their radiology transcription using VR. They only employ about five transcriptionists to do editing and what little transcription they need to have done. And their main hospital is the largest one in Oklahoma City. I don't know exactly how many radiology MTs they used to employ, but I do know they were staffed 24/7 and probably had at least 10 or more people working during peak times.


Actually, I think for a while this will work to the advantage of at-home transcriptionists, because it will be cheaper for smaller facilities to have a transcription company handle their work than for them to invest in a VR system. But eventually, yes, I think we will go the way of the dinosaurs.... 


I used their wave player when I had an
account with .dss files.  It worked fine. 
wave/dss files.
I click on the attachment then "save" to "My Documents". I use the Olympus player and can either import it into the player or just click on the file in documents and the player will come up.
All N One Wave Transcriber
Thanks for the advice. After using the 30-day free trial I found on a web site I've decided to stick with Digital Voice Editor (FS85USB). I don't like the pedal nearly as much but I guess I can live with it because the software is excellent. The All N One is okay, the other is just better. Thanks though. I appreciate it.
Wave Files?
Help!  I have a Dr who is trying to send me his dictation thru a wave file and he can't get it to go thru because it is too big (102 mb) Is there anything I can tell him to do to make it smaller, like compress the file?  Thanks!
Do you pay for the wave pedal and software? I don't.
I rent the computer with the pedal and everything for $50 a month.

I have never spent any money on the software -- MQ has provided it free.

They reimburse my DSL 100% every month. When I hooked up to it, it only cost me $12.95 and they reimbursed that as well.

I can makeup time I lost to bad weather. I don't like it, it's not my first choice, but I certainly don't expect them to PAY me just because there is a storm and it is safest not to have the system plugged into power. Even when I worked in a local hospital on an hourly basis, in bad weather we were off the computers...but I also was available for that hourly rate to file and do other things they wanted. I'm not doing that for MQ when I'm able to type for that reason so they don't owe me anything but the chance to make it up or forfeit any action if it caused me to miss my production.

I'm really surprised though, if you are having to pay extra for your pedal and software, etc. Sorry to hear that.

I have extra wave pedal
What is your email address? I have extra wave pedal.  You may have it - no charge.  ssc
It isn't the wave files that are the problem, it is the
program you are using to play them and an incompatibility problem with it and your foot pedal.   What program are you using to play the files and what foot pedal - meaning is it USB, game port, or serial port?
wave player woes
check your file type after you hit open on the wav player. Tell it to show you all files. Your first file may be a wav and the second a dvf or some other file type.
Question about wave pedals...please help
I know this may seem like a simple question to most but I have always worked through phone lines to receive dictation.  I did purchase a USB port pedal from Expresscribe a couple of years ago in hopes of finding part time work to go along with my full time but I never could get it to work.  My computer would not recognize that it was connected.  Anyway, I am will to try again but at $189 for a universal pedal, I do not want to get stuck with something I can't use.  So, if anyone has the time to fully explain this to me I would appreciate it.  How does it work?  Can I use my MP3 player on my computer?  If I can use my MP3 player, wouldn't any pedal work in the game port?  Sorry for the questions but I would appreciate some answers as I am really looking for something I could move around with, like on vacations or business trips with my husband.
Trying to download a wave file
I am having trouble downloading a PC-Dart dictation into express scribe... any suggestions?
New Logitech Wave Keyboard...anyone have this??
I am interested to see if anyone has used this keyboard yet...thanks...
No way. It's a huge wave that's just going to keep growing
s
I use the microsoft wave keyboard
I'm sorry I didn't go to that link but it sounds like my MS keyboard. I went to a wireless one a few months back b/c it was on sale and had bonus wireless mouse so I thought I would try it. I do like it; I tend to prefer a clacky keyboard (showin' my age!) and it clicks and clacks just enough to keep me happy without being too "hard." The positioning of the keys works for me. It's not as split as my old ergo keyboard, but those are hard to find in the stores anymore so I "made do."
Loading a wave file

Can someone help me?  I just got a Infinity pedal to play wave files and I just loaded Express Scribe's free download. 


Here is my question:  I get my files via an email attachment, so how do I download it into Express Scribe.  Do I have to save the attachment somewhere else in a word file or something and then load it from there?  Hope this makes sense.  Again, I'm new at this so anything will help.  Thank you in advance for the help.


Wave pedal issues ...

Anyone ever had a wave pedal start to go bad? I have a USB pedal that is just three years old, and it's starting to flake on me. It will stop on it's own or jump in the audio without me propting it. Maybe there are loose wires?


I'm tempted to open the thing up and see what I can do (though I'm totally clueless). Just wondering if anyone knows about this stuff or has had the issue and fixed it. If nothing else, I'll buy a new one (or ebay one).


Aren't pedals supposed to last longer than three years?!



I have the Logitech Wave and I love it...
nm
Any opinions on All N One Wave Transcriber?
I am looking for a new transcriber software kit.  The All N One Wave Transcriber by Martel Electronics looks good but they don't have a free trial download.  I don't want to buy without knowing anything about it.  I need something that I can see all the files that have been downloaded to me and that I can listen to and name file by file.  I have a doctor that many times does not complete the dictation in one sitting - may continue it days later.  I need to be able to search through files to see if I have the continuations or not.  Most, from what I have found, don't have this option.  I have Sony's Digital Voice Editor and love it but really dislike the pedal so am trying to find something similar in another software. Does anyone out there have experience with this software and pedal (All N One)?  Thanks in advance for any advice.
I used their software/foot pedal. It is just a wave
file program. 
Love my Logitech Wave keyboard sm

It's not as split apart as the tons of other ones I've tried over the years, it's wireless and comes with a wireless mouse as well, smaller than most others, and not as high to fit on my keyboard drawer.  I saw it at Costco here in Washington the other day; not sure if they carry it at all Costcos or not. 


Anyone know of system that converts files to wave...help please

I am a small company and would like to know if anyone knows of a system that takes the dictation and converts it to wave files and these can then be sent to any number of medical transcriptionists?  I want a system that does nto require a lot of phone lines because of being a little remote, but would allow more than one doctor to dictate at a time and allow me to move files as need to each MT. I was hoping to find a dial in system like this rather than the hand helds because that is relying toooooooo much on them docking the thing, loading it etc.


any suggestions greatly appreciated.


Margo 


If you are talking about the Logitech Wave, I have that and love it...
very comfortable and there is not an adjustment period like you have with some of the others...
Have Bose surround system and the Wave Radio with
CD.  Have had the Bose surround sound system for at least 7 years, still going strong, and the radio/CD for about 5 years, still sounds as great as new.  There is no other stereo/sound system that has such rich sound, and you won't be disappointed!  Order directly from Bose and get the interest-free monthly payments, easier that way, but definitely worth every hard-earned penny.
Have my own ftp site for receiving wave files...return completed

reports to the doctor the same way... secure, safe, easy.  I purchase the space from startlogic for $90 a year. Hope this helps!


Looking for a machine or something that will convert micro tapes to wave files
Any suggestions?

Thank you!
check mark by advanced controls, WAVE and MIDI controls come up --nm
x
Does anyone know why the wave volume control on my master volume controls... SM

on my PC would turn itself all the way down?  It's driving me nuts!  It's like it resets itself to the low possible setting and when I go to work, I'm turning my speakers up full blast trying to hear and when I check my volume controls on my PC, the wave setting is turned all the way down.  I turn it back and everything is loud and clear and I have to turn my speakers back down and then I'll do something the internet and BOOM it resets itself!


I feel bad because I've been accusing my kids of messing with the controls and they have been swearing they didn't do it and I haven't exactly believed them, but it has happened twice to me this evening while I'm working and I know no one else has touched my PC but me.


MTSOs
You are not wrong but in my opinion, you are giving them too much credit. The reason why they don't do what you ask is because most of them are not concerned with making your life easier; rather, they are more concerned with figuring out more ways to cheat you and to make your life more difficult. Then when you get disgusted and quit, they will just get somebody else in a very short time to replace you because you are very expendable. And it goes on and on in the same vicious cycle.
MTSOs
You know, there has to be a market between the dastardly corporate MTSOs and small transcription companies. It seems to me that if a talented, aggressive MT with a good business sense could find a way to create a "team" approach to the transcription business, perhaps one could find that niche and sell "team transcription" to good accounts that the MTSOs screw up and have cheated. After all, you have to believe that with the scandals in the transcription corporations - over billing, sending work over seas without informing the client, a lot of trust is lost by some of these unsatisfied accounts. I say, find a way to market to those clients in a "team group" and find the right price, somewhere a little lower than the MTSO charges and go after those accounts aggressively in a group. There is a market there you know.
more than most other MTSOs pay.
it is not kosher to share on public forums what a company pays.
I would not think many MTSOs would want to
x
No, it's not just the MTSOs (sm)

The actual doctors don't want to pay more than minimum wage for transcription either.  As an independent, I've had doctors balk at 12 cpl (which is BELOW what the MTSOs are getting, believe me) and I've lost business because I wouldn't take $6 an hour or what equated to 7 cents a line. 


So where am I at?  Making peanuts working for MTSOs who are getting 15+ cents per line as a middleman for these same kinds of physician while I'm making a paltry 7-8 cpl.  It's a no-win situation.


 


Help for new MTSOs? sm
I have questions about proposals, equipment, and what to charge in order to get started. Are there any web sites out there to help me in this? I have books that I have read, but they go over the basics of start-up MT services.

You should run this by the MTSOs and
see what they think.
This is why the MTSOs have gone so low
single mom, does not want to work away from home. I bet they love reading postings like yours. They have women where they want them, just lower the rates because these people are saying they cannot leave the house.
When MTSOs overhire, this is what happens:
There are actually MTs who work to support their family or supplement their income to meet the customary lifestyle. When MTSOs overhire, leaving the MT with very little work, I have observed this - Jobs are done hurriedly. When extra foot work is required (due to discrepancy in report, incomplete info provided, etc.), the MT who is desperately trying to meet their bills will skip the job or disregard the need to research and go on to the next job. This is extremely dangerous for everyone concerned. At times, it is weeks before the incomplete report is realized.

I do not fault the MT entirely. When the MTSO overhires, they are setting themselves up for this. I do believe 98% of us want to do a really good job, especially those who have been at this for years. But, I have noticed this more and more, and it will, MTSOs, come back and bite YOU.

When you have a dependable employee who can be counted on for production of a certain amount of work, provide that to them.

MTSO - When you get a new account and hire top shelf MTs initially to get the ball rolling and make a splashing impression, do not replace them with lower rate MTs afterwards - it is obvious when the company is hiring nonstop and they already have MTs sitting at home idle for hours at a time. And this creates, MTSO, the "disgruntled employee" who may make every attempt to ruin your reputation each time they can.

I have just come home after being in house for a few years and after three months, I see this happening with my company and, according to the board, it is widespread. It is an issue that needs addressed before someone, namely the patient, is hurt by it.




Unfortunately MTSOs now do good if....sm
they collect 15 cpl.  With the pressures from overseas vendors the pricing has dropped to 12-14 cpl.  In the "old" days (prior to say 5 years ago) the going rate was 20-25 cpl and of course companies could afford to pay 10-12 cpl easily. 
Wellll, I don't know about MTSOs, but JLG -- Please SM
was helping with our hospital transcription.

We got paid $1.50 a minute if we did 2500 minutes a month ($1.75 a minute for all minutes over 2500).

JLG got $3.25 a minute. I saw the bill. I saw it with my own eyes. I nearly fell over. And to boot, it was horrible transcription, FULL of ridiculous errors, blanks. And we had to convert the text files. It was such a bunged up mess.

I lost all my trust at all in the hospital since they were paying us HALF of what they paid a service. I even contacted JLG to see if I could hired to work on MY hospital's account. They were going to pay me 7 cpl. What a joke.
Any Medikin using MTSOs out there?
I am in the process of opening my own mid-sized transcription company.  I am still in the process of deciding what TASP to go with as I do not want the hassle of maintaining my own equipment.  I have been looking at Medikin's website and am very impressed with what they have to offer for the price.  If anyone is currently using or has used them in the past, could you please post your experience here. 
Good MTSOs are even
more difficult to find than good MTs.  Many of them have negative attitudes and expect indentured servitude in exchange for peanut wages.  Many of them have limited, at best, technical or MT knowledge.  We get tired of the ranting emails that don't even apply to us from a PMSing or menopausal females.  Disorganized, poor communication skills, cheap, selfish, zero management skills, lack of a formal education, lousy platform, personal life issues conflicting with job performance.  You'd be able to find good MTs if you were a good MTSO.
From an MTSOs standpoint

no, I'm not one ... just throwing a coin into the playing field ...

Wouldn't having only ICs working "for" a company mean less liability. IOW, if MQ phased out the SE status, could that take a potential monkey off their back?

OTOH, they can hire all the ICs they want, but if those ICs only work for MQ, they're still considered SEs ... correct?


small MTSOs

There's a great online resource for MTSOs of all sizes, varying benefits and pay, and variety of work.  It's called www.MTJobs.com.  Sign up to be on their mailing list.  There are usually at least 50 companies listed on each newsletter, which comes out twice a month.  Good luck in your search, and prayers for God's healing of your medical problems.  :)


To MTSOs or QA Managers
I recently took over QA for a small company just purchased.  Previously there had been essentially no QA rules.   If any of you could send me examples of how your QA is set up, the percentages you deduct for errors - common, critical, etc., it would be most appreciated.  Any rewards given for high QA or deductions would be appreciated as well.
Patti or other MTSOs...

Hi,


Need to get my own account/s instead of relying solely on the national (guess who).  Getting a client in my area is probably the easy part.  The hard part is the logistics of software, paper, etc.  Not having dealt with this stuff working with a national, it is the *simple* things that are a mystery to me (and others, I suppose).  I hate to even inquire about transcribing for someone, not knowing what equipment I will need, what software, kinds of paper.  I am sure I would come across as an idiot (like right now, maybe?) 


OKay, well, I looked online at Dictaphone and it looks like there are mini, micro, and standard cassette units (not to mention digital online programs), so I guess you WOULD have to find out which the client prefers before investing in one, and I know you can get them on EBay, but what else? Does the software come with the transcriber? I don't suppose you can type them out in Word?  I suppose one can buy a medical spellchecker.  Then you need paper if you are going to print them out...what kind?  Anything else? There are so many variables.  I suppose I should first contact the two MTSOs that I know locally and ask for overflow work.  That way, they could help me learn about this stuff. 


No slamming, please. Very sensitive tonight as I just received a call from my Supervisor, very nicely hinting that I need to bring my line count up but, as we talked and now, hours later, I have *no jobs* on my screen.  Pretty hard to get that line count up with no jobs!


Thanks for any tutoring and/or advice. 


 


MTSOs AND RESUMES
As a recruiter, it is nice to have the references already listed in the resume.
To all MTSOs. please help with answer..sm

I have been a Transcriptionist for 14 years and I am looking to become an Editor.  I have experience in many specialties.  The problem I have is most places want an experienced Editor to fill their positions - how do I get a chance to become an Editor without any experience.  I have asked my company that I work with now about a position but they too want an experienced Editor.  Please help!  My poor hands need a break. I love transcription field and want to stay in it.  I am just wondering how long my hands will hold out.  I have every resource that I need for the position - last year I bought the COMPLETE set of Stedman's reference materials because I know how important it is to have good, reliable reference materials. 


Any and all information would GREATLY be appreciated!  I am just looking for a company that will be honest with me as I will be with him.  I am easy to get along with but would really like a chance to go in this direction.


Thanks and hope you all are having a great weekend! 


don't feel sorry for MTSOs sm
the person I work for is making hundreds of thousands profit off all of us and I'm being paid higher than 8 cpl. Don't feel sorry for MTSOs
MTSOs...What, if any, TASP do you use?
I don't like the one I'm currently with and am looking for some other options. What do you like about yours? You may email me if you prefer.
Ungrateful MTSOs
I know how you feel. I worked this way for years. Just Friday night as I was at the end of a report, I got a call that my son had been in an accident and was being transported by ambulance to the hospital. I signed off the report and shot a quick email to my supervisor that I had to leave to go to the ER. I had a nice email the next day from both my supervisor, as well as our QA person inquiring as to how he was doing and not asking at all - "when are you going to be able to work again" that note was so very appreciated, as most that I have worked for would have only inquired as to when I would be up and running on "their" work again - their only thought being on how I wasn't producing during a bad personal time and how they couldn't afford for me to take too much time off. I appreciate you, for what that is worth, and I hope that you will one day find a compassionate MTSO to work with. There are some out there, but they are very few and far between. By the way - my son is going to have to have surgery, but his life is intact and we will get through this setback.