Not necessarily. Supply & demand...
Posted By: sickofit on 2008-02-08
In Reply to: Offshore knows when they start getting same - pay as US MTs, there is no use for them. nm
If prices are stable, quality will begin to count again. It's simply a cost vs benefit analysis. Just like some US MTs stink on the quality scale, I hear some Indian MTs are quite good. When the cost is stable enough that docs can't "settle" for poor quality (which many of them really don't care - it's just another requirement they must fulfill), then they'll look for quality again. Those of them who are quality MTs, will be able to compete, and with the increased competition based primarily on quality, the substandard MTs will go away, both Indian and US, but with cost being the sole driving factor, it's my belief that the quality of the average US MT is no longer much better that the average Indian MT.
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MT is just like any other business, - supply and demand -
if India is doing it at 8 cpl do you really think America is going to hold at 16? Yes, eight years ago, 16 cpl was not unheard of. Today, many MTSO's do not dare even raise rates. We have not raised rates for 3 years and don't intend to. Which means MT's don't get raises either. But you either deal with it or you get out and get into another field. "if wishes were horses, even poor men could ride"
I don't know about demand sm
I think is far more important to be good at whatever it is you do and enjoy it. The cream always rises to the top.
HBO on Demand works for me....
Sex and the City, Six Feet Under, Sopranos episodes over and over and over....I never get sick of them!
DEMAND FOR FAIR PAY
I think we all need to stage a walk out! It adds insult to injury to know these companies will still charge the same amount to these hospitals and they will pocket the money, while we see a decrease! RISE UP EVERYONE!
you go ahead and demand that $75K
That will leave your position open for another person who doesn't think they are the MT queen. That "level of expertise" has been achieved by many hard-working individuals. They are out there with excellent skills and might be happy to take your place. Then you can spend your time pursuing something that will make you happy and allow you to feel fulfilled. I feel sorry for you that you are so bitter about your choice of employment. You still do not need to go out insulting other people and calling someone stupid. You do owe her an apology.
naw - it's only the control freaks who demand....
and I cannot tolerate control freaks on any level anywhere in the life
been there, done that (control freaks in the life)....
Dud you send a demand payment letter? sm
You can find a sample one by Googling.
If you do win in small claims court, the judgement will give you legal ways to collect. For example, having the sheriff put liens on bank accounts, using a collection agency, etc.
Good luck to you. I have been in your shoes and, fortunately, the demand payment letter worked for me.
Tell him for demand jobs you charge .02 more a line - sm
maybe that will cool him off, or if he wants 12 hour TAT .01 more a line.
You certainly demand a lot and are so aggressive. Hope you cool down when you are with your family.
x
What future demand is there for higher-skilled MTs? Inquiring mind wants to know. SM
Seriously--with computers taking over the keyboarding and the electronic medical record replacing much (just HOW much?) of the currently dictated verbage, what need will healthcare providers have that we can train to fill at least the same remuneration if not better? What potential is there for remote work? I confess I'm very fond of my current commute down the hall to my office, and googling MT in England, which has had the EMR for some time now, suggests it's high time I figure out how I'm going to keep it. Any thoughtful or knowledgeable answers would be greatly appreciated.
Send a letter of demand payment (check Nolo Law websites) - sm
to find any legalese you may want to include on it), and send it via Registered Mail, so that she must sign for it and you will get a receipt proving she received it. If she doesn't pay by your demand date, file a claim at Small Claims Court. Very inexpensive, and if she doesn't pay, and doesn't show up at court (in your state), you win by default. If still no payment, you can return to Small Claims and put a lien on her car, her house, anything you want, which can be forcibly confiscated by the Sheriff and then you can sell it to recoup the money owed to you.
not only that, but most co's do not supply...sm
supply any of the equip, have 800 access (pay your own internet) etc, etc, very little financial help. AND the biz about "not enough MTs" is bull, the ones that know better, don't want to take the cut. This is all due to GREED, of the biggies, creating a ceiling price for us, but not for them, just bigger profits in their pockets for the deal when they leave... very well taken care of. CRUMMY deal for us.
its all about supply.
hahahahahahaha
furthermore, when companies as us to supply ULD....
they are in essence asking us to do something ILLEGAL because we are not allowed to use ULD from transcription.....PERIOD! I wonder if they even realize this? It's time they did!
All my docs supply their own
paper, letterhead, envelopes, etc. I did have one doc that wanted sticky paper, but the office supplied it to me at no charge. I would give them a copy of the receipt when you purchase it. Attach it to the bill with a small charge for having to go and buy it for them. Could you perhaps speak to the office manager who could maybe have their person who purchases supplies order it for you?
Car power supply.
I use a power converter that you can buy at Wal-Mart for about $35. I keep it in the car all the time.
When you want work they do not have to supply any
So, if they do not like the fact you jump as soon as it comes in, or if you get a headache and they get annoyed, for example, they do not have to supply you with work any longer. This leads to the IC jumping at the client's whims and rules, or flat out finding another client. These days, though, IMHO, it is hard to find a client which does not withdraw work if you don't meet their criteria. Guess it is part of the TAT, competition going on everywhere.
Go to Sally's Beauty Supply
I use the Wella color-- comes in a small bottle. Buy your own developer. It is professional quality stuff and the sales people are knowledgeable.
It's been maybe 4-5 years since I worked there, but no ... seems like they supply it to you. nm
x
Can you supply the link to read it? nm
n
Buy a bark breaker from pet supply catalog (sm)
PetEdge (they are also online) sells a couple of products for kennels that issue corrective noises for barking. You can install certain models outside aimed at the nuisance and it might train him not to bark.
A lot of the refineries that supply the south are in Louisiana.
x
No, she does not.She will be asking us "the govt" to supply her necessities
and we will do it. You and I, who carry Wal-Mart purses (speaking for myself, of course). Makes me mad too. I also noticed the Budweiser can. Jaundiced eye? I think not.
We keep a 2 week supply of canned food,
a Coleman stove, propane, water, etc., in our basement because we live in an area that is prone to heavy snow and blizzards, low temperatures, and we cannot always get out in wintertime, but I sure don't see any long lines of the politicians here pretending to help us. They would free their backsides so, thankfully, they stay out of our business and we stay safe. I have quit sympathizing with those who know they are in the path of storm and do nothing about it. The idiots in Cancun knew that area was directly in the path so now they moan and groan because they can't get out. Too bad!
As far as Florida goes, you go through this same thing several times a year, so you have been through the drill. If you don't like the weather, move somewhere else. Don't stand in lines with your hands out waiting for sympathy.
the supply slowly dwindles, and you give up and go elsewhere...sm
what is the point of making a high line rate, when there is so little work available, you have to find two, three and four services to make the same amount that you did at ONE! This is a very sad biz!!
Go to a beauty supply store in your area and ask them.
You can buy the professional stuff even if you're not a beautician. My SIL says not to use the box stuff. She buys tubes of coloring and uses two or three different shades to get more highlights and lowlights so it looks more natural instead of being unicolor. She's a licensed cosmetologist/beautician or whatever they're called nowadays.
I agree with medical supply company .../sm
I just finished staying with my uncle during his last few months of lung cancer. The motorized lift action was a godsend the last few weeks when he had trouble standing up to get into his walker and move around. We were fortunate in that one of the relatives had a relative who had a relative... etc... anyway, we were able to get a used lift chair in good condition for a lot less, but even if you have to pay full price at medical supply store, it is definitely the way to go if your mom has mobility problems or you think she will in the near future.
installing an uninterruptable power supply (UPS)
I am preparing for the worst and hoping for the best. What concerns me is a power outage causing me to be unable to work for long periods of time. I have just purchased a generator but also am wondering if anyone has any information on installing an uninterruptable power supply (UPS) to their computer which is apparently a battery that will run your computer. I work for a national and wonder if this is permitted?
Anyone?
Atlanta medical book supply store?
I would so appreciate some help. I just started an IC job. I wasn't told I would need a word Expander and medical spellcheck. Every other place I have worked for provided these. I need to get something fast, i.e., in person now if possible!, as I am already working and not very productive without these two items. There was a store I went to years ago in downtown Atlanta where I got some medical books near the Fox theater. Does anyone know if it is still there and the name of it? I don't have any yellow pages and I have not been able to pinpoint anything on Google. Thanks so much!
It is useless to supply facts because they don't matter, only emotion. NM
x
With mail order I paid $15 for a 3 month supply,
the same as I would pay in my local phamarcy for a 1 month supply, so saved $30.00 going through the mail versus buying locally. It was with ExpressScripts (sp), which is the drug program that comes with our insurance.
Your company should supply you the pedal or the adapter. I've
s
Not necessarily! If she's an IC, she's just like SM
the electric company - no "payday" but waiting for the bills to be paid that they mailed out.
Not necessarily
Let's say the MT types 200 lines per hour at 8 cpl, that would be 16.00 an hour. If you can do VR at 400 lines per hour (I currently edit at 500 lph), at 4 cpl, you would make the exact same thing without the wear and tear on the hands.
I was mainly curious as to why so many openings and if people were leaving.
Not necessarily. (see m)
This only counts if you deduct a portion of the mortgage or monthly maintenance or common charge payment. If you are just buying equipment like computers and office supplies it has nothing to do with your house. Even deducting a portion of the utilities has nothing to do with selling your house.
Please consult an accountant for the most accurate information for your situation!
not necessarily
A lot of us use those types of emails because spammers cruise the hiring sites as do the foreign MT companies. Every time I place an ad, even though I put continental US only, I get loaded up with emails from India, Pakistan, etc. I don't want that mess in my regular email so I use yahoo or hotmail.
Not necessarily
Gross lines are not a good way to go if everything is typed in - say - Times New Roman 12, and the client wants the left and right margins set at - say - one inch each. You would have a LOT of characters per line, so if that is the case, you might come out ahead and better by charging for a 50 or 55 character line instead of a gross line. What do you think?
Not necessarily.
I have been job hunting recently. I have now accepted a position, but I was offered better pay as an employee than what I was offered as an IC. I obviously took the employee position because of the better pay and the tax advantage, not to mention the benefits and continuing education that was offered. I love the flexibility that being a subcontractor gives me, but not at 6.5 cpl!
But.... are they getting what they pay for??? not necessarily
I would take an MT with 20 plus years of hard and fast experience over a paper tested MT any day.
not necessarily....
I had a 3-doctor specialty practice on the west coast and I was the only one that did them. I only charged 12 cents a line for 7 years and just lost the account two months ago to women that underbid me by 2 cents. depends on what clinic or hospital... im struggling right now with my hospital account to get enough lines during the day.... What may be the case is they wont give her that much.
Not necessarily. - sm
I know that if you use ADP for your payroll for lack of a better word, depending on how many people ICs you have an opportunity to be included in their benefits program. At least this was how it was a couple of years ago.
I would just supply one digital copy, either send the work back
via an FTP site or email attachment or whatever, or keep addending to a CD, but let them keep their own archives. And why can't they print when you deliver the CD or the work in digital format? I don't do any printing at all. Everything goes back digital and they keep their own copies. Once I bill for the month, everything gets deleted, as it should be under HIPAA.
Any tattoo shop mostly, hot topic, sally's beauty supply...SM
Any place that pierces, head shop, etc. Hope that helps. 
that's not necessarily true
My mother told me I had a bottomless pit for a stomach when I was growing up. I was constantly eating, especially junk food. That was pretty much the way it was straight through high school. Then again, I was kind hyper as a kid. I wouldn't sit still for anything.
I think weight problems are rooted more in lack of exercise than food intake. In my day, we were always outside playing. Now, kids spend their lives vegetating in front of TVs and video games.
It has always been and will always be an issue of burning more calories than you consume.
'Tain't necessarily so
If the docs spoke clearly and in orderly fashion, it would still require an extensive knowledge of medical language, procedures, and of course grammar, to do this job. It would just make that knowledge more important.
P.S. I would suggest kindergarten, not high school, for most of them.
You do not necessarily need to take coding....
courses, although they would be helpful. I have been a Cancer Registrar as well as a Coder and am now doing transcription at home. I have an RHIT (certification after two-year degree in Health Information) from AHIMA. I actually have a hospital pursuing me to take a Cancer Registry position and am trying to decide what to do. You do not have to have a degree to be a Cancer Registrar, although it does seem that most places aren't as willing to train as they used to be, but some do. It does help to have a background in Coding, but again it is not necessary. AHIMA (American Health Information Association) just started an online Cancer Registry self-study program that will most certainly get you going in the right direction. Also, Santa Barbara Community College in CA has an online degree and certificate program for Cancer Registry as well. I hear it is an excellent program. You will take the necessary basic courses like pathophysiology, pharmacology, and medical terminology, oh and computer basics before beginning the core courses. I would definitely look into that. Also, study the NCRA website (National Cancer Registry Association). You will find tons of information on the profession there, as well as credentialing information. (www.ncra-usa.org). Cancer Registry is an extremely rewarding profession in my opinion, although the salaries have not caught up to the complexity of the position. Registrars may start as low as 30k in some areas, with an average being in the high 30-mid 40k. Of course, managers and program coordinator will make more. I don't know where the other poster got 100k from, but that is totally off the map for working in hospitals. Now maybe doing consulting after getting many years under your belt, but still that is a stretch...maybe 70-80k. I'd be happy to answer any specific questions you have to the best of my ability. Blessings!
You won't necessarily lose your job,
but you will get the absolute worst dictators and dictation possible. All the good stuff goes offshore and we get what's left. And make sure the account you're offered pays for headers and footers to make up for them not paying for spaces. No all accounts pay for headers and footers, and that really makes a difference.
It's not necessarily being a martyr (sm)
The way I see it, it's payback time for the ones who brought you into the world. My mother was there for me as a child, of course. She was also there for me as an adult. There were several times when I went to her for help and she was always there. I saw the sacrifices she made for me, to help me without batting an eye. In her dying months, she needed help getting to appointments 3 times a week. She was afraid to stay in the hospital at night by herself -- me and some of my siblings took turns being there for her, holding her hand and trying to sooth her when she was in so much pain. I cringe to think of the lack of TLC she would have received had we said she belonged in a nursing home. I couldn't imagine letting her lie in agony alone, nor die alone. As much stress as I went through at the time, in looking back, I would have done it all again. You do that for the ones you love, unconditionally.
Not necessarily true
I have been doing medical transcription officially for 18 years, and unofficially much longer than that - I'm second-generation, with a mother who taught me as a teenager to transcribe for her at-home business.
I have managed several departments in hospitals with 600+ beds; managed small MTSOs, much of that in my 20s with less than 10 yrs of experience. I now own my own company - I'm 36.
My experience with most seasoned MTs was positive - never once did anyone question if I had enough experience to be the manager or do their QA. I made mistakes sometimes, which they didn't hesitate to point out to me. The difference is how the manager deals with that - I am one who happily admits that I am not all-knowing or all-seeing, and certainly not perfect.
The reality is that sometimes a "superstar" MT makes a terrible manager. The manager's job is to keep the big picture in view, not be the most knowledgeable MT in the department.
Everyone's entitled to their opinion - but sm, by having such a narrow view of who is "qualified" to be your supervisor, you could miss out on a truly inspired and empowering leader/supervisor.
At least you've got your own business and don't have to worry about that at this point in your life....
Not necessarily true. (see m)
It is possible to get student loans discharged in a Chapter 7 filing. It is not the norm, they say it is very difficult, but it is not impossible. It can be done.
not related necessarily
but I need a part-time job and would love to find one in DQS. Actually, at this point, would like to find anything I can do. Would it be too much to ask to e-mail me with any leads? TIA.
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