Pros of Digital
Posted By: AngieSAa on 2008-05-27
In Reply to: LOL .. folks ask me why I don't go digital - and I ask "why should I?"
When I was an MTSO I had to go digital because I couldn't find good MTs that were willing to drive. Pick up and delivery was a big issue. So the pros to going digital for me was: My MT pool opened up to include the entire nation, got the office to quit calling for lost reports because I sent them the files - they could look for it themselves, no more printing (the office did it), better sound quality, back up of voice file (no lost tapes), etc.
The key is to keep it simple and there are simple ways to do it - although with the electronic medical record and headers I'm not so sure how I would set that up.
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I do tapes and digital. And I was told if I'm not logged into the digital system, they assume I&
BUT she wants me logged into the system by 9:30 a.m. So I'm confused too. I've decided that I may come back to her and just say I'm not going to do the tapes anymore. I hate the tapes anyway. The voice quality is horrible, it fades in and out. It takes me twice as long to transcribe their tapes than the digital.
What pros
Doing the same work but making less?
What are the "pros" of IC?
Please elaborate.
pros and cons
Being an MT is like any job, it is what you are willing to put into it and what you are expecting to get out of it that matters. I have been an MT for 15+ years and have been home based for the last 8 and if I have my way I will never go back out of the house to work. Are there days - OH YES. But the rewards far outweight those days. When my children were at home, to hear them say "it is really great that you are at home" made it worthwhile for me. I may have been typing and had a pair of headphones on, but they had access to me and that made a difference. You have to learn what is important and for me, being there for my kids was. Yes, I work long hours, yes I sit in the same spot for hours, yes I type, type, type, (I sit in a big easy chair with pillows propped around me, and a foot stool at my feet, I am comfy) but that is not what I focus on. I have learned a lot about the medical field, which I love. I could set my hours around tennis, cheerleading, basketball games, football games, graduation, etc. I really believe that the bottom line is what you are willing to put into the profession. If you believe that you will be able to type on a so so schedule, you will recieve the equivalent of what you put into this profession. I do this because I love the medical field. It is the most fasinating thing in the world to me. I truly enjoy what I do. I would not do anything else. I would suggest that you really take a look at what you are willing to put into this after you take your training. If you are willing to put as much effort into working as it took into getting the education, then you are headed in the right direction.
there are pros and cons
Never once late on paycheck, reasonably good pay, leave you alone, keep you on same primary, inform you of updates, technicians are helpful for the most part, good equipment.
cons: More like a sweatshopt atmosphere, just shush and do work, hard to get raises, hard to get anything, definitely geared towards the client, not the MT, feel like a number.
For me the important things are being left alone and a good paycheck, so it works out for me.
Pros and cons
There are pros and cons to this. I have been doing this for almost 20 years. I have had some accounts for as long as 18 years. They do expect a LOT. The office staff is sometimes the hardest as they will sometimes treat you like the janitorial service. I do envelopes, printing, cutting apart chart notes, cc envelopes, 24 hour turn around is a MUST or else they really come down on you. Have had one vacation other than a long weekend during the past 4 years. They do not want me to get others to cover for me and one account has asked that I absoulutely do NOT subcontract any of their work. So it is waiting for me when I get back and they expect all of that within 48 hours. But that is just one account. Also when the doctor is gone, you do not get paid and that happens a lot during the summer time. I try to get a monthly schedule from my accounts but it is sometimes hard to do. If you pull on another account to cover for this you sometimes get overloaded and then behind. If they would all take off at once you could have a vacation. Usually have to work one day on the weekend to do the Friday dictation to get back on Monday.
So you ask what are the pros: They do pay me on time within usually 2 days receipt of invoice - never had to ask or had a bounced check. I do give a 1% discount though for payment within three days. I do get Christmas bonuses even from the one account that treats me a little like hired help. I do have templates, auto corrects set up, on one account I can make $45 to $50 an hour if they do a lot of consults/letters. On another I make $30 to $35 doing chart notes. Still not bad but that has to pay for all my benefits and putting some aside for when the docs are gone.
Sometimes it scares me as I am single, 58 years old and supporting myself towards retirement and one of my accounts could pull it and I would be out and looking and so guess that is why I try my best. They also expect 100% correct and when you have to proof your own work it is hard.
Anyway, would I work for a company, doubt it. Am going digital by the 1st of the year and will be looking for more accounts and maybe add on some subs. Have 2 part-timers now. I do work in a clinic doing their EMR's and that gives me the best of both worlds. For my business I bring in around $55,000 with probably 6,000 out to subs and my clinic work brings in 12,000. I put in 40+ hours a week including your unbillable time. But I have write-offs and pay taxes on less than half, usually abour 20K or less. Any more questions ask.
Pros and cons of IC.
Is it more beneficial to be an IC? Any personal pros and cons on this subject would be extremely helpful and appreciated.
Thanks.
Pros and cons
It's not that there's necessarily anything wrong with giving consumers the option to self checkout and bag their own groceries--it's the fact that you are doing it for free. It's great that you think it helps to keep prices down, but everyone, even those that use the full service checkout, benefit from you doing the work of the absent cashiers if you use that logic. The stores should offer a small discount (even 1-2% would be something) for those who wish to use the self checkout stations.
pros/cons
Pro is it is "easier" but con is you don't make as much as MT (or at least I don't...) at 5c a line as opposed to 10c for MT.
My pros and cons
I recently left an in house hospital position to work from home full time. I had worked from home part time for a national also, before going full time with a different company. My main reason for making this change is that I wanted to get paid by production and not hourly. I am now grossing double or more what I made at the in house job. Benefits are about the same as far as quality, but cost me about $100 more a month (which I make up for many times over).
If you are not a high producer, as far as money goes, might be better to take an hourly position. Benefits generally also are more affordable than with a national at home.
I do miss though the company of the other girls at the hospital and sometimes feel a little isolated. But given that I am making twice as much at home, I don't think I will be going back any time soon.
Hello I have a question for the MT Pros out there
 I am finishing school with M-Tec and I am afraid of what is next. I know for a test it takes me a very long time to search and spell and make sure I'm correct on some terms. So how do you make money at this? I know experience and time will bring you speed but WOW how do you do it? Any secrets to share for a newbie coming out soon?
There are pros and cons to everything
I have typed clinic notes paid by page and made a ton of money with small MTSOs but they run out of work a lot and have little if any benefits.
A question for the pros
I was taught years ago that generic medications were to be in "lower case." However, I then worked for a facility (for 14 years) who wanted all medications capitalized. I am now back to at-home transcription and back to having to transcribe generic medications the correct way, but I am having to look almost all medications up, not for the actual spelling, but to see if it is a generic medication or not. Any suggestions on how I can streamline this process? It is really slowing down my production. TIA
Let us know how you like them and the pros and cons of each. nm
nm
Any op report MT pros out there? (sm)
What books, websites, etc., do you recommend for someone with lots of MT experience but just starting out with op reports? I have the latest Stedman's Med & Surgical Equipment Words and Stedman's Abbrevations, Acronyms and Symbols books but a previous edition of Stedman's Surgery. I also have the AHDI/AAMT op report practice modules. TIA!
agree there are many pros .. I just don't
in the digital environment and platform systems. I had one account that I did in Word with an expander; I just could never achieved the same lph.
Really wish I could. I love the retreival aspect. But on a personal level, I haven't seen the personal benefits of investing the money to set up a digital system.
I'm in a me, myself and I situation. And, as weird as it sounds, I enjoy delivering and picking up. It's my non-kid contact with the outside world (besides church). Although if gas keeps going up, I may change my mind on that .. LOL
:P
The pros and cons...
If you decide to drop the cable internet completely in favor of a USB broadband connection, you should know:
1) Speeds on the broadband USB are slower than cable. This is especially noticeable if you are in a less than full-signal area. This will NOT impact your WORK, but it will most definitely impact your recreational browsing, especially things like Netflix and youtube and downloading.
2) There are ways to hook that USB thingie up to a router and gain access from more than one computer at a time, but again, speed suffers, and it's a technological issue that I haven't attempted to figure out yet, so I can't help you there.
3) PRO: YES, you can switch back and forth between computers at will, and quite easily I might add.
4) PRO: YES, you can travel to places and work in places that you would never have been able to before. Especially if you're part-time or an IC, this is useful when you want to go visit relatives and not take vacation time for it. I would think it would be a little bit harder to pull off if you're full-time, just because it really wouldn't feel like a vacation then, but I have successfully worked part-time while visiting and traveling. It's really nice to know that my next paycheck will still be there when I get home.
At this point, I am paying for BOTH cable and USB broadband. Cricket stops short of where I live, so I had to sign a contract to get the USB thing going. Since I so enjoy Netflix, I haven't had the heart to cancel the cable yet.
Oh yeah, one more thing: The USB broadband usually has a 5GB limit per month. With ONLY using it for work, you won't come close to using even 1GB probably. However, those Netflix videos add up REALLY quick! Overage charges are insane, too!
i would definitely do a pros-cons list
but for me personally, having to go back in to an office environment, the politics, the dressing up, the high gas prices and traffic plus having a direct boss again would be my absolute last resort. could you work out a part time position to get you out of the house a couple of days a week. that might help you mentally but still give you a lot of freedom plus give you and your husband a little time to adjust to you working outside of the house? i know working at home isn't for everyone, but i wouldn't trade it for anything. i've made a lot of cut backs to compensate too-but it's been worth it for me. good luck
No pros, just cons. Do a search on any
Stay away!
you don't need pros and cons- what you need is numbers.
Run the numbers on leasing, adding what you put down and what you get back. Then call a dealership and see what you can buy the car new for. Then subtract off what you can sell the car for in three years. You will see it costs at least $12000 to lease the same car. Of course, if it's worth $12000 for you to drive a "new" car every 3 years...
Vonage has pros and cons, for sure...
I just spent 2 months with Vonage (have broadband internet) and my understanding is you can use it with cable or DSL or satellite (high speed). But I had a lot of issues where I had to reboot and sometimes there was so much static/poor quality audio that I could not get cleared up by re-booting. The real kicker is when I went to cancel my service, they charged me $97! To cancel it! They told me its all there in the agreement I signed, and it probably is, in very small print. It is indeed the cheapest ULLD out there, I think, but for me it wasn't worth the frustrations. My audio issues may have had to do with satellite, they may not crop up with cable/DSL, maybe somebody using it with cable can give you more info.
pros and cons for own service?
I was hoping that someone out that has been running their own accounts that they could give me pros and cons for running their own service for local accounts or just doing 1 account, I have been seriously thinking of doing this get kind of worried sometimes of being on my own instead of with a company. Any insight on this would be so greatly appreciated. 
Anyone using Vista yet? Pros/cons over XP?nm
nm
Untion pros/cons
I wrote a long post, and it disappared. So I will try again. I am for a union, if it protects the "good" MTs, and not the ones who only "think" they are MTs who continue to harm the profession. I think if we all, and I mean ALL of us working for MTSO chose a day to strike, everybody call in sick, it would OPEN their eyes greatly. I'm tired of every year losing something else. Been doing this for nearly 15 years now, 8 of which was with a very LARGE top 3 MTSO. I have written Obama's transition team 3 times now regarding NAFTA, fair trade, and our medical records being in other countries unprotected from terrorists and HIPAA regulations. What if the terrorists in Mumbai were getting information for credit card fraud off the med records. There are reports in India which includes SSN, DOB, addresses, EVERYTHING required for fraud )and we wonder why it has tripled in so few years!!). The Indian Institute of Medical Transcription is in Mumbai along with numerous MTSO transription companies (most of whom have ties in the US and are branches off our US MTSOs). If the American people really knew where their records were created and maintained, there would be an uproar. First priority, in my line of thinking, would be to educate the public so they can demand their American records be kept in America. Sounds simple really, but not as easy as it should be I know, as they are oblivious as to how/when/where/why a record is created. And I believe every single clinic/hospital/rehab facility, whatever it may be, be required to post in their waiting rooms EXACTLY WHO there MTSO is, and whether or not they are offshored! I would discontinue seeing a particular physician if I knew he/she was promoting offshoring, as I bleieve a good number of our citizens would. Again, I'm for the day strike, everybody sick all across the US at ALL MTSO....talk about puting a screatching halt to production! And to whomever stated the profit margin is low...is in lala land (no offense, but I've seen the proof and know better). Look at the EIC filings for the big MTSOs, their profit margin is in the billions. Spheris alone brags on their profit margin increasing due to their push to "cheaper wager" offshore! Hello, wake up, and smell the offshore poop! I have chosen to keep or not keep doctors for me and my family based on they way "I think" they might transcribe. I actually care about my record being neat, tidy, CORRECT; and transcribed in our own country!
I don't think so, but if the pros outweigh the cons, I guess you
x
What are the pros/cons of FlashType, IT, Shorthand
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Is anyone familiar with SwiftText? Pros and cons? TIA nm
:}
How do you move from MT to QA in this business...and what are the pros and cons for this.
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Anyone lease their vehicle? Need pros and cons please - sm
Am considering trading vehicle, and was advised because of the low miles I put on vehicles (under 25,000 miles in 5 years), that I would be better off leasing than buying. Would appreciate any and all thoughts and things to watch out for when leasing from those of you that have gone this route. TIA.
mega search site for med pros
this website can be searched by just a partial last name and wild card and the state. any medical professional MD, DO, NP, psych ... anyone who gets paid for medical services has to have a provider number from the gov. so their name is here. Also can search by group, i.e. clinic name, etc.
MediTech Pros & Cons- Can you make any $$?
I have researched Meditech on this board and mainly found references to spell check software and MediTech. What are the pros and cons? Can you type 3,000+ lines in an 8 hour shift with MediTech and a lot of shortcuts?
Need specific pros/cons on IT, Flash Type,
nm
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Does this work pretty well? (I have Word 2002) I'd like not to have to buy any software. Any opinions on ESP? Any other Word-compatible programs that work well, also?
Make a pros and cons list for each "position" -sm
Also, can your husband get a job where he carries the benefits so you don't have to kill yourself to ensure them. I am sure there will be weeks you won't meet your quota and say bye-bye benefits for a while. Also do you absolutely depend on the salary you make now? The odds are you will make less than you make now and have to pay SE taxes on that to boot. What was/is your cpl? How many hours of working did it take you to meet your daily requirement? Factor 80% ESL into that amount too if you are going to work for a national. Factor in interruptions from family since you would be at home, getting kids ready for school, meeting them at the bus (if you would do that), people calling, etc. Just remember you might be physically home but not available to "see" your family. I know my kids aren't thrilled that I always seem to be working, but part of that is my lack of discipline (which I am getting better bit by bit) and getting side-tracked because I don't want to work or I hate who I am transcribing so it takes me twice as long to do so I procrastinate (I type 10-20 minutes of dictation an hour normally depending on the doc). Yes, there are a lot of pluses to working at home, no gas (big+), no dressing up if you don't want to, possibly flexible hours (I don't work on a schedule), though you may have to work a schedule and STICK to it depends on who you are working for of course, my downside is getting side-tracked by this site, surfing the web, taking care of the animals (we have a 2 dogs, cat, hamster and 10 chickens), laundry, trying to clean, phone calls from the DH, trying to execise if I ever get motivated, burnout and not wanting to work. I am glad that I work at home, and we don't have to have the money I make so that makes it hard for me to stay motivated but I do like the work and keeping my brain active. I really think a list is the best way to go and be honest on it and think of every scenario you can of good and bad. Good luck.
Emachines anyone? Thinking of buying one just for MT/wordprocessing. Pros? Cons? Don't want to p
nm
Pros and cons on SOAP transcription versus MediVoxx? nm
s
INMO, pros and cons to both -- easier on the hands but harder for me mentally.
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Any Stedman SmartType users? Pros & Cons? Will it retain bold formatting without using DOS command
DOS commands like ShortHand does?
Digital
I am brain dead also, since I've been away from the "job" due to husband's illness. I do not see any replies on here. Please forward any good info to my E-mail. Appreciate it. Turn your back around here and technology changes, zap!
Going digital
Hi,
I read your post and was wondering if I could get in this thread? I don't have my own accts yet, I work for a small national and a large national. However, I am seriously thinking about getting my own accts. Before I go looking, I thought it would be good idea to have a digital system in mind and ready to set up.
One idea that I have seen that I found really interesting was in the Transcription Gear Catalog. There is a 2 page spread about their idigital system. This is a toll free dictation ASP, very similar to what the nationals have, I would think. With this system, you pay for the minutes that you will use during the month. Has anyone else used this type of system? Any thoughts about it?
digital
I have two different setups for digital. I have an internet based call in system, which allows me to set up Transcriptionist to receive the work directly to their systems using Express scribe and I also have a doctor who uses a handheld digital recorder that he uploads in the evenings and sends the work to me through Magic Vortex......There are several great companies for you to check out. RTKING, JAY VANCE, START STOP TRANSCRIPTION are a few good places to start with. There are also other options for sending and receiving work, such as FTP sites, Hypersend, Magic Vortex and many more.
Going Digital
I switched to my 5 accounts to digital using Jay Vance with Vance Digital in March. I absolutely LOVE it! Wish I would have done this 5 years ago! e-mail me with any questions.
digital sm
How on earth do you print to the docs? Do you both have to have the same WP program and do you supply them with a printer? The offices I worked with were too lazy to even take the tape out of the tape recorder, "not their job" so I gave up on asking them to do "anything at all" as they were so lazy. By the way, thanks for sharing, not too many are willing to do this; would rather play their hand close to their chest. You are a wonder! Thank you!
digital
I'm doing digital for my client and it's wonderful--no more traffic jams. They use Olympus handheld dictation devices. We use hushmail to upload the dictation and transcribed reports so they are encrypted and HIPPA compliant. It's fairly inexpensive -- I believe $30 a year. One nice thing about that you can be anyway to pick up your files as long as you have internet access. I've often taken my laptop with me on vacation to cover emergency work. Not that I want to work on vacation, but it makes the client feel better knowing you can access the work.
If you want to go digital this is what I did
Purchased DocShuttle Admin ($300) and DocShuttle Client for myself ($99), had doctor purchase DocShuttle Dictator ($99) and an Olympus recorder ($129). Rented FTP site (about $45/yr). Set up DocShuttle so once dictator docks the recorder, it takes file from recorder and erases recorder, imports into DocShuttle, goes to ftp site, posts new dictation, pulls off old. You may want to go to Bytescribe's site though and see if the program they have for doing it by email would work for you. If you are the only MT and they are the only client, then do it by email. Email me if you need any further clarifications.
digital
i went with transcriptiongear.com and have been very happy. you can email me with questions.
for those new to digital...
FTP stands for file transfer protocol. An FTP program transfers files (uploads and downloads) from a virtual warehouse on the Internet, called an FTP site. FTP sites are rented by size. FTP programs are free or cost a fee. You can post ANYTHING to an FTP site. You can put your's kid's first grade picture there. You can put your resume there. You can put your back up data from your Quicken there. You can put a love letter there. You can put a .wav file there. You can put a MSWord document there. You can create folders there. You can password protect your ftp site and some software allows encryption, different levels of user permissions, etc. Once it is there, anyone who has the password to your FTP site can then go and pull it off. i.e. TRANSFER the FILE. So if your doctor dictates on a digital recorder, downloads the voice file into his PC, then uploads the .wav file to the FTP site, you can go to the FTP site, download the .wav file, transcribe it, post a .doc back to the FTP site wherein your doc can then go to the FTP site, pull the .doc off. Voila!
Going Digital
Hello
My doctors use Olympus recorders. One doctor does well with the DS-10. The other uses the DS-330 (No longer in production). The DS-330 has the advantage of overwriting. For instance, if the doctor makes a mistake, he can back up and record over what he has already taped; however, this was a disadvantage for my other doctor, who taped over his entire morning of dictation by accident by hitting a wrong button. It depends on the doctor. With the DS-10, you cannot tape over anything. If you are sending the audio files over e-mail, you should consider first encrypting the file for confidentiality reasons before sending. I use e-mail, because it is free, and it was easiest to train the office staff to use. There is a free software program, ZipGenius that will encrypt your files. Yes it is free. When getting a handheld, you want to consider the types of files also. A .dss file is much smaller than a .wav file or a mp3 file. That is also why I went to Olympus recorders, because they record in .dss format, which makes for much faster upload and download times. If you have other questions, please e-mail me. Also as one poster has already said, the express scribe software is great and free as well. I bought the recorders. They have already paid for themselves in gas and time.
Lynn 
You would have go go digital
If you are doing digital for a national you already have the foot pedal if not then you will need to get one that would transcribe the type of files that will be sent to you, wav or dds. I don't do digital just the tapes but from what I have read you would need to get an FTP set up going so that you can transfer the documents and then if you have your pedal, you should be set to go. So just send out flyers/brochures giving your experience and stating what you will provide and go for it. But you will be a little limited since you only are available for digital and don't pick up and deliver back printed material. You might be able to do overflow for some local large clinics. Some might require a C-phone to dial into their equipment. Good luck.
Digital
I have a couple of accounts that I go daily and pick up tapes/deliver. One of the docs wants to start sending me dictation via computer but does not know how to go about it. I must admit I have no clue. Can anybody point me in the right direction? Thanks in advance.
digital
 What about encryption when sending through an email?
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