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Paid by the dictated minute? sm

Posted By: mtmtmtmtmtmt on 2006-12-08
In Reply to:

Is anyone paid by the dictated minute and if so what is a fair rate?  I was offered what I think is a great rate, however, this is my first experience and I would like to compare.  Thanks!


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They pay per minute dictated. Sux.
Especially when they assign the work. It's not fun when all your work is less than 1 minute, two line reports, ESL docs, etc.
Dictated Minute
There is/was a transcription service called Alert and Oriented that pays by the dictated/recorded minute.  You might try doing a search on that company to see if any MTs posted their experiences being paid by time using this method.
$2 per dictated minute would be around
$40 per hour. Very nice....
Pretty sure it's $2 per dictated minute
Humongous bucks if you ask me.  That would make me extremely happy.
Paid by the minute... new to me... does $1.14/minute sound reasonable?
x
pay per dictated minute versus per line
which is better being paid per dictated minute or paid per line? 
How long should it take to type a 36 minute dictated report?
I was just wondering as I talked to a woman that said it took her a really long time to type this report the other day.. I have never actually timed myself, but thought I'd see what you all thought or what it really should take to do a report that length? 
anyone paid by the amount of time dictated?

I am being paid by the line right now, but my office is switching to a completely new system that counting lines would be a nightmare.


The doc has suggested maybe paying me by the amount of time dictated.


Has anyone done this before, and if so what are the pros and cons, and what is a reasonable rate??? I have NO idea!


Thanks so much for any info.


I have been with them for seven years this September and never raised my rates, which I brought up to him while speaking about the new system saying I would hope whatever we decide is more than I make now!


Paid by minute
I get paid by the minute but I do Basic four and radiology.  Fast/Slow dictators usually balance each other.  Now, if I did just radiology, I would get paid more by the line or report because of the very fast dictation.
paid by the minute
That's why I think it's better to pay by the word or characters, really--pay for what you actually type. I have clients that do the same thing clhmt said--I have one who can do 30 reports in 10 minutes. Other who can't do 1 report in 30 minutes!
If only you were getting paid by the minute instead of cpl! nm
x
I Used to get paid by the minute and
loved those type of reports then. Now I hate them.
Paid by the minute?
Does anybody know how getting paid per dictated minute works?  Thanks!
You are paid so much per minute of
dictation. However, remember that the rule of thumb is that for every minute of dictation it takes 3 to 5 minutes of transcription time. In some instances you could work all day for not a lot of money, depending on the dictator.
I don't get paid by the minute....sm
I am paid by the line, but my rule is 3 minutes. If I can't find it in 3 minutes, then it goes to QA. I would take more time if I was paid by the hour, but I am not.
I am paid 1.20 per minute (NM)

NM


I am paid by the minute....
It averages to be approximately $15 and hour (a little more or less depending on the dictators.)  I primarily do op reports. I find those dictators tend to get right to the point as many of their reports are basically the same.  Some of them have "standards" we can use which also helps.  Sorry, guess that really doesn't answer your question as much depends on the type of dictators you have, type of reports, etc.
It paid for me! I made $1.15/minute (sm)

Hospital account....it didn't pay good in the beginning because I was just learning to docs, but as I got faster and made my normals, I made good money....very good money....


This, btw, was working 5 1/2-6 hours a day, 5 to 7 days a week. I miss it but needed a job with bennies. I'm no spring chicken, but if I was asked to quit my normal job and come back to them, I'd do it in a minute...if DH would get a real job...(he's self-employed too).


Paid per minute postings
Something rarely seen.  Paid per minute of dictation.  There are two rad jobs listed on MT Jobs board.  I have always gotten paid by minute by my primary account.  After working part-time for a few nationals this past year, I have learned getting paid per minute for radiology is not really worth it.  For normal reports you have to process the report for pennies which in some systems (such as Meditech) takes time going through the different screens.  For anyone applying for these positions, I would be interested in learning how much they are paying per minute.
ICs at our hospital were paid $1.50/minute for the first
Does that help?
I've always been paid by minute so....

Like anything, it depends on various things.  My regular account on average I do 20-30 minutes of dictation an hour.  But on a new account it could be 10 minutes an hour.  Guidelines for hospital was 120 minutes in an 8 hour day.


paid by minute dictation
It is not a rip off. I work in-house in a hospital and that is what we use to count time, lines, and jobs. It is also used to tie in our production bonus. We have what we call "weighted" dictators - ESLs if you will. The docs are weighted as 1.1, 1.3, 1.5 with 1.5 being the bad dictators. You know the ones, they yawn, chew, and talk at the same time, they have a really thick accent, and talk and chew at the same time. They have more minutes than clear-speaking docs. Multiply your your hours worked (8) X 12.5 that equals 100. You then divide your minutes typed into that number. That gives you your production. Where I work you have to have 85% to be eligble for production bonus. It is not a rip off, it works quite well.
Shuffle Away - I'm paid by the minute !...nm
.
Years ago I was paid $1 per minute.
x
I was paid by the dictation minute for almost 3 years. sm
Most general transcription is paid that way, but only a few MT. Some dictators are fast, others waste a lot of time hemming and hawing and shuffling papers. I though it evens out in the end.

I definitely wouldn't do it for less than $1.00/minute, a bit more if you have lots of experience.
For QA consulting I'm paid per hour; QA instructing (college) paid salary, QA editing paid per li
I am an IC and work for two different MTSOs as well as instruct at a business college.
if mt paid 9, editor paid 4 or 5...how can company charge 14 and make it..sm

I know the going rate in our area is 14 cents per line.  As MTs most companies here pay us 8 or 9 cents a line.  Now add in the Editor rate at 4 or 5 per line..you are paying OUT more than you can charge a line.  How would companies stay in biz?


Unless all work is sent by the company overseas at pennies per line, this would not pay for a company.


just curious how this works out


and think, the Dr. may have dictated that
At least you ARE concerned about it. Many wouldn't be. Hang in there!
Has she ever actually dictated a sm
report in the format that she is required to do.  I do forms for a cardiologist in this manner, but when I first started working for him, he actually dictated the letters.  I think all physicians need to include certain things for a new patient, and then can do follow-up letters without including past medical history, allergies, etc.  I wonder if she has any colleagues that would be willing to share samples of their reports, but that specialize in the same field.
But how much are the US EDs gonna be paid? Typically this work is paid at 2-3 cpl. nm
:+
You don't get paid an hourly rate you get paid by line - sm
so because of how you are paid (not an hourly rate) you don't get OT, especially if you are an IC.
I would move on. I think it is so unfair not to be paid for spaces! I think we should get paid

per keystroke, but that'll never happen.  I just think that these national companies are going to keep finding ways to cheat us.  I found a job working for a hospital as an employee, paid hourly plus incentive, and they let us expand everything!  Somebody's gonna have to kill me to make me give up this job.  I will never go back to the national's again.


I feel for you though.  I know that for us MTs those good jobs are few and far between and some have little choice but to work for the nationals.  I just happened to luck into the job I have now.  I just applied at the right time. 


Good luck to you whatever you decide.


If those companies paid a fair wage, and paid more
all came out equal, people wouldn't feel the need to try to make up the deficit by going for the good stuff. I actually prefer the harder, juicier reports. But I can't make a living doing only that, because the pay is not commensurate with the difficulty. So even though I prefer not to, sometimes I have to pick up some of the easier, more boring 'line-o-matic' reports just to make ends meet. Tell your MTSO to make it work their while, and MTs will stop taking all the easy work away that you obviously would prefer to keep for yourself.
You wont show UE being paid because it is employer paid -
the employee will never have to pay this.
ROFL at what this MD just dictated...sm
NEUROLOGIC:  He does have diminished memory.  I did start him on Aricept for this last year, but he has forgotten to take it. 
dictated, not read
I'd take it as a compliment.
If the docs dictated like that, they would never get anything done, lol
nn
H&Ps dictated by a very thorough dictator. nm

Doesn't have to be dictated...but he does
xx
Exams Dictated But Not Done
I transcribe for a local multispecialty clinic and have seen many of my own reports. It just gripes my butt when the doctor dictates a standard physical exam and I know for a fact that he/she hasn't even touched me. Did not check my heart, lungs, abdomen, neuro, extremities, etc. The only things that are legit are the vital signs. It's like if I come in for a sore throat he looks at my throat but nothing else. My fibromyalgia clinic NP only talks to me - no exam at all - yet she dictates an exam, review of systems (that we didn't even talk about). She will say conjunctivae and lids are clear; PERLA, etc., and she hasn't even gotten within 6 feet of my eyes. This just doesn't seem right. And when you have labs or other tests, they NEVER call you back with the results. My PCP never suggests any preventive testing - I have to ask for it myself. I know they're not all like that but my eyes are opened much wider than they used to be. It's all about getting it done in under 15 minutes and on to the patient in the next room. 
I always leave these as dictated.

Let's say you're Asian and have a doc who seems to possibily have a bit of an ''attitude'' about your ethnicity.  In perusing your own medical records, you see that this doc uses the term Oriental instead of Asian.  There's some confirmation that your suspicions were correct, allowing you to make a more informed decision about your medical care and who you want providing it.  Especially true with the word Negro, IMO, which I haven't heard in quite some time but have actually had dictated and left as is, even if I had the leeway to change it.


IOW, I think it's a patient's right to know if a doc is using words like that, so I don't change them.


Doctor who dictated during the PE sm
I had a doc I used to do who treated a lot of brain injuries and strokes. He always dictated during the interview and PE. He would say, in front of the patient...the pt is completely obtunded...the pt is befuddled...the pt is extremely obese, just enormous...the pt's mom is once again out of touch with the pt's needs...and so it went.

The noise was sometimes out of hand, he was a grumbling gravely dictator and that IS all part of the job. It is the thought of being his patient and having him be so brutally honest, well it smacked of unprofessional behavior.

I had a podiatrist who was "too busy" to dictate the day of service, so he would dictate on Sundays. One weekend, he dictated 8 reports...from the bathroom...in the span of about 20 minutes. I got to hear the toilet flush no fewer than 6 times in 5 dictated reports. He kept pausing to concentrate and it wasn't on the report he was dictating!

If the noise is too bad, it gets a blank. I don't care what they say and I don't care where they are when the dictate, but please don't make me know that you have the crap$ while you are on the phone with me. Plainly, I don't want to know.
I would type it as dictated. nm
nm
type as dictated

The word lesbian, unless used in a derrogatory manner, is simply stating the patient's sexual orientation, which could be quite relevant in a psych report.  It's the same as describing a patient as a heterosexual female.  Not intended to "label" someone, simply stating a fact.  I see no problem with typing it as dictated. 


I transcribe just what is dictated.
x
I do think, if the doctor dictated this
you should put it in the report.
transcribe as dictated...(sm)
Transcribe as dictated: "Patent shotty veins." This is perfectly acceptable as is and does not require rewording.
dictated / typed
Doctor says "jiddo, jiddo, jiddo" - what does this mean"  Why.... 0-0-0 - OMG. The things we put up with for no money.
But they are not dictated when the IC has to work.
They are alerting the potential contractor to when the work is available. If the contractor does not wish to work when the contractee requires the work done, the the contractor should not seek that position.

Now if the contractor accepted the position and signed a contract committing to working those hours, and the company attempted to force a change in the agreed upon hours to make the contractor work a different schedule, that would be a violation.
My dictated funny for the day
Dictated: He lives with his third wife. First wife was a widow, second wife divorced.
He just dictated she has lots of poop in the
GI tract.  Would you type that or change to feces????