Small MTSO here - 6 cpl -- ridiculous
Posted By: Patti on 2007-08-31
In Reply to: Anyone else offended or insulted to be offered 6-7 cpl? Or is it just me or finds this insulting. - Fourteen years of experience
I as a small MTSO would be so embarassed to offer 6 cpl to anyone. Could not believe what I read. At the most I take 20 - 25% of what I charge clients and pay the IC the 80%. I even do the pick up, QA, billing and delivery of finished products. But to offer 6 cpl is a slap in the face. Even newbies I offer 7.5 to 8 cpl and start them on the easiest accounts. Hopefully she can sleep at night and look at her face in the mirror.
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Any small MTSO need PT help? sm
Okay, I have tried the big nationals and that did not work out for me. I would like something for a few hours a day - would love to do family practice SOAP notes again or something where I can just type away and make some decent money. I promise a fast turn-a-round and I am willing to work hard, but no complicated platforms and no set hours.
I had a small MTSO ask that once. sm
As I was heading toward the exit door, she asked me to send her every single one of the normals I used.
So, I sent her the exact ones she had sent me in the beginning, before I refined them to a fine tune, which had taken me hours and hours to do. I'm telling you, I had most tests for every doctor where I could just hop around and fill in the blanks. No way was I giving those hours of work away!
Two small MTSO (nt)
xx
Thanks, Small MTSO
I knew it must be something like that. Thanks for your reply. Molly
Small MTSO
11.5 to 12.5 cpl, put in 30 to 32 hours per week myself now. Went down to part-time this summer to 22 to 24 hours. First time in 18 years and felt good. Just got two new accounts and so back up but will myself after paying IC's make 50K, down from last year but worked less. Next year will be up to 55K+ unless I go part-time again in the summer if my IC's want to make more. Will probably raise rates in January as have not done so in two years. Patti
Especially when the small MTSO
is worth. I'm done.
I did when I worked for a small MTSO sm
and boy, did I live to regret it!  She was, let's just say, um PSYCHO! In a nutshell, my nephew died and she didn't believe me when I asked for a few days off...she had to see the announcement in the paper first! Needless to say, I dumped her shortly after that incident. There were many, many more, but this was the final straw! 
This happened to me too. Small MTSO been with
them for 3 years. check was mailed, but post office put it in wrong box. This has happened 3 times in the last 3 months and every time it was the post office not them.
www.lts-inc.com is it a small MTSO in Richmond, VA-
I have been working PT for them since May 2002 except for a short leave of about 4 months. As far as I know still looking for a few more people, just lost 1 yesterday who could not get the hang of WP5.1 I guess(it's what the hospital they contract for uses). Oh well, their loss will be someone else's gain.
I'm a small MTSO. Here are my thoughts on it
I would determine how much per line the seasoned MT should get. Not sure how much you charge. But I, being a small MTSO, charge my clients 14 cpl and I pay my subcontractors 10. Ideally you would be a bigger MTSO and could pay truly seasoned MTs 12 cpl or something on that order. Otherwise, if they aren't able to make a decent line rate, and they are truly good MTs, they might as well go get their own accounts.
About the pay between the new MTs/mentoring MTs - I would decide what the total you were going to pay for those lines were, and then divide it between seasoned MT and newbie MT. Say it's 12 cpl - pay the newbie 8 cpl and the seasoned MT 4 cpl for the work that the newbie does that the seasoned MT is helping with.
My husband's company does something similar. He works with a partner, but the partner is less experienced. He is basically my DH's helper. DH uses his own truck and the helper doesn't have to use his truck. Each job pays a set amount, and DH gets 70% and his partner gets 30%.
As a small MTSO, I found you had to buy
all I really needed was a few. So I started filling them out online at www.filetaxes.com. It's much easier and they send out the 1099 for me! Price is very reasonable too.
I mean big as in Medquist, little as in small MTSO's
.
I also make 11 cpl as an IC. This also is a small MTSO. nm
nm
For me, a very small local MTSO
doing tapes/office notes.
I have worked for a small MTSO once and
was never afraid of not getting paid. Something in her voice told me I could trust her and just dove in. No contract, either. But I did have to give her my SSN for the 1099.
Never realized I would be setting myself up for trouble but every 2 weeks the check came in the mail.
Ask the MTSO. That's all you can do.
My opinion as a very small MTSO
I determine what my minimum charge is by figuring out what I would pay an IC to do the work and then add in enough left over to pay my expenses (TASP, insurance, QA, etc.) and then some for myself as account manager. If you get an account that you will be working on yourself, you will make both the salaries for the IC as well as the account manager (you are doing both jobs) and pay your overhead. If you get an account that is bigger than you can handle by yourself, you can easily sub all or some of it out and still pay yourself and your overhead. Sit down and at least do the financial part of a business plan in order to figure out what you need to charge.
I'm a small MTSO - what platforms do MTs like?
Or do you prefer typing in your own Word program and emailing encrypted files? Do you prefer to use C-phone to access the dictation, or wav pedal? I'm seriously thinking it might be better to use a platform where MTs can go online to access the dictation and the platform to type into and I am looking for ones that MTs like and consider MT friendly. So...what have you used and which ones do you like best? I did do a search, but I'm asking again. Obviously, being a small MTSO some of the larger platforms might be beyond my reach, but I'm looking for opinions.
I assume she works for a small MTSO or something, not MQ
x
Re: Post way below about the small MTSO in Suffield, OH.
I posted that I worked for a company, though don't know if it is the same one. I'm just curious if it is. I've included by e-mail if you want to e-mail me.
MTSO needs to pay MTs on time, no matter how small sm
her business is, no matter when (or IF) the MTSO is paid by the client. I would NEVER contract with an MTSO that expected me to wait to be paid until they were paid by their client. Impossible way to do business, very unprofessional.
I used to work for a small MTSO that used gotomypc - sm
I would connect up to her computer and download the voice files to my computer. Then disconnect/log off. Then I would play the voice files on my player (Bytescribe) and go to work. When I was done, then I would just email the work to her. But if email was down for some reason I would just connect back to her computer with the gotomypc and upload the finished work to her that way. Your computer would probably run faster if don't stay connected via the gotomypc. I suppose you can do that of course, just doesn't seem much point to it though to me, unless you only get one voice file every now and then, so you just stay connected to see them come in on the remote computer.
Would be interested in working for small MTSo
I currently am working with a small co and I would like approx 15-20 more hours of work. I mainly do clinic. If you have anything please let me know. I love small MTSOs
I'm glad I work for a small MTSO....
I hope my boss never sells out like my last one did. My old company went down the tubes after that and I see lots and lots of posts about it here talking about how bad it is. These nationals sound awful.
No matter how small an MTSO is, their first obligation is to
nm
Costs for small MTSO equipment
This question is directed to our wonderful small MTSOs who participate in the site postings:
I have a question about what extent of expenses you incurred for equipment and related components for the physicians to dictate, i.e., FTP services, server, physician call-in phone services, physician digital dictation uploading/downloading services, and all that related equipment to send and receive dictations (voice files) and send/receive reports, all pertaining to internet and latest advances.
Considering a small MTSO venture of just three small doctor's office accounts, enough for 1-1/2 MTs, with a total physician dictator capacity of 5 physicians, not necessarily at the same time.
I would be also interested in not only cost figures (ballpark) but the types of equipment and software you elected to use (platform if any).
This information would be beneficial to me, and perhaps to other entrepreneurial MTs as well. Thank you in advance for your helpful information.
Just wait. I work for small MTSO and they have
dg
I work for a small MTSO about 25-30 hours a week
nm
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.
I only have dial-up, I work for a small local MTSO -sm
that uses a FTP site to send us our work, so dial-up is just fine for that (work is about a 20 hour TAT, so it does not matter how long it takes for me to download my work, and uploads are quick. So obviously a job that has no set hours, etc. is ideal for someone with dial-up. Also get your own accounts, then it doesn't matter does it as you are the boss. I have 1 account of my own and we transfer the files via the internet through an intermediary website (in place of a FTP). Just keep hunting there are dial-up jobs out there.
national/small MTSO are both on-line companies
there is PT and orthopedic work.
Or becuase of dropping rates, the small MTSO
fg
I make very good money at home with a small MTSO
looking for people that used to work for small MTSO in Suffield, OH a few years back.
ss
No (IC)....but I work for a small MTSO and have set deadline each day for my work
I will not be working on Thanksgiving day, though I will have 120 minutes waiting to be done and turned in by 8:00 a.m. on Monday morning.
small mentality usually means small pocketbook
Still make more than you and I but that is deserved. They've put the effort forward and educated themselves.
That is ridiculous
Sometimes people are not where they want to be but where they HAVE to be. If I didn't have to be sitting here listening to these idiot dictators, believe me I wouldn't be.
ridiculous? no ....
I don't think my complaint was 'ridiculous'. What is ridiculous is receiving pages of scribbles in the mail on a daily basis - half of which I can't even read. THe other MT's in the company warned me already about this QA dude - he's a bit of a nut case.
No, I never claimed to know everything; and I'm open to hearing specs of individual facilities; of course!. My gripe was the pettiness of it all ... but I thought that was obvious in my post, MS Busy MT'ing. Maybe you're the one that doesn't know it all !
That's just ridiculous. nm
nm
This is getting ridiculous.
Now there's a job on the job seekers board looking for an IC MT to do acute care with ops for 7.5 cpl. IC!!! With ops!!!! Give me a break. That's equivalent to about 6.3 cpl after paying self-employment taxes, not to mention overhead. Their website says "HIPPA" instead of HIPAA, too.
That's ridiculous!
BUT! We are supposed to transcribe his work with a smile on our faces....GRRRR....... I swear they just don't THINK!!! Good luck with that one.
That is ridiculous. Don't come WHY?
Looks like at the very least he enjoys his peace and quiet away from family but then maybe there is more to this than meets the eye.
That's ridiculous
I also have a 4-year-old and the whole point of preschool at this age is the social interaction, then the academics come in to play. She still has another year of preschool before Kindergarten, doesn't she? Maybe you should consider looking into another preschool. Sounds like the teacher is the problem.
Oh please, how ridiculous!
It was her sister for crying out loud! And I can't even believe the OP was questioning this. Extremely odd! ;0
Ridiculous
That is really time consuming. But that is my opinon. What you could do is to by sylcount and save each patient as a file and then count them and they would list each file out by the patient name. You could do an extension or by their name do cn for chart note, lt for letter, etc. Then on your invoice if you do totals by doctor, Dr. Smith total lines, Dr. Jones total lines, etc. and attach the print out from Sylcount that would show each file by the patient's name and the line count. I thought it was bad when I was subcontracting and I had to break out chart notes from letters/consults/x-rays by date and doctor. This again makes me thank my accounts as I just keep an Excel monthly line count by doctor, highlight the docs, attach to an invoice that has total line counts done in Quick Books and hand it in and they pay. Some accounts don't even want the daily break down by doctor just each doctor and a total line count. Have never been questioned once over my line counts. If this is a sudden change then I would tell them that there would be an hourly rate to figure this out and keep track of the time it takes. But again, one of the simplest programs that would do this for you would be Sylcount. Good luck.
Really ridiculous especially when...
typing into the hospital system because all they have to do is type in a few things and get this information.
That's ridiculous.
Is it ridiculous
to list a Brainbench certification for medical transcription on your resume?
Ridiculous
Sometimes I wonder how much nicer this industry would be without all the control fanatics. I wish they could just be shipped out to some island to battle amongst themselves, play those control games that they enjoy so much, and leave us to complete the work in a rational time period without all these ridiculous rules.
Seems ridiculous
As much "fixing up" we do of what is actually dictated, I think it's pretty crappy if you get points off for simple punctuation.
Just think if we all left everything completely verbatum (especially those dictators who say coma every other word or say to put periods in the middle of a sentence)!
the start up $$ is ridiculous
That's what I think is so sinful. They sucker you in telling
you can be an employee, you can make 12,000 a pay period
easY!
None of that is true. And then you are left trying to figure out
how to pay the insurance, pay for the computer you sunk money
into buying and meeting their requirements, reference books,
the whole 9 yards.
And do they have a conscience about leaving a mom and her children
with no food? I really doubt it.
And NO a new MT is not then ready for the next job because
all over again he/she will have to INVEST in the new stuff that
THAT particular company to meet THEIR peculiarities.
I'm sick of transcription now. When they sent us home - that relinquised
the responsibility of these nationals from providing equipment and
turned all the $$ over to profit for them and ate $$ out of our income - not to
speak of the extra utilities run while home. This computer heats up
my house terribly in the summer - it helps in the winter but it still makes
a considerable dent in my bill compared to my neighbors who work during the
day.
Ridiculous complaint?
Busy, you should really try to be a little kinder.....or read her complaint a little more closely. I think her complaint was not about CONSTRUCTIVE feedback. If she gets hard copies she can't read, what good are they? Just how ridiculous this QA thing can get; one of the editors in a company I worked for corrected my "40-year-old black female" to 40-year-old Black female." No problem, if that's what they want, that's what they get. I corrected my Expander to "Black." Editor #2 comes along and corrects me saying "black or white" is never capitalized. I fired back a very disgruntled e-mail and said editor #1 had corrected me and that I KNEW black was never capitalized but if they wanted it capitalized, fine with me but somebody needed to get their sh*t together and figure out what they wanted from me. At least with that company, editor #2 had some sense, she sent back a very nice e-mail saying that to appease editor #1 to go ahead and capitalize it until I was off QA and then do it whichever way I wanted and in the meantime she would not count me off for it. At least editor #2 had some sense but ridiculous? YES, indeed.
Busy, if you're working for both MQ and Spheris, I assume your experience is about the same as mine. I worked for MQ and for Spheris when they were Edix. Once I was off full edit (in a very short time), I never heard anything from either company QA again so I assume they were happy and I went right ahead doing my best.
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