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Serving Over 20,000 US Medical Transcriptionists

The answer to a strong business...

Posted By: AnotherOldTimerMT on 2007-06-27
In Reply to:

Your comments regarding "happy" and "unhappy" MTs are chilling.  When I, as an MT, see my physician I always ask for a copy of my chart note just to make sure that everything is "in order."  About 10 years ago, I found on one of my physician's dictation, just by accident mind you, that my weight was listed as 417 pounds; I weighed 135 pounds.  While that may seen insignificant, it was nonetheless an error!


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going strong.
reunited after high school at a local night club. I married a former classmate 18 years ago.
The BBB is not as strong as some like to believe
Companies join it if they wish - it is not a requirement - if you are a member and someone complains then they might get involved if it is something they can do - but I seriously doubt they would get involved in $$$ issues.  As far as I know - if your business is a member they make record of the complaint and whether or not the issue was resolved..... I would file a claim in Small Claims Court for the amount owed you by this company.
Unfortunately it is legal..so yes it is business and they will continue with bad business practices
x
How strong is your ESL experience?
At least, in my area. But ESL? I don't care for ESL and I know I could not type ESL day in and day out. Something to think about??!
Be strong, but be careful. sm

He sounds like the type that knows better than to come to your house and violate a protection order, but you never, ever know and it's still early yet. Keep your doors locked.


My ex was "pre-protection order"  (i.e. many years back) and he got through the basement window and was sitting at my kitchen table in the pitch dark. I can still hear him sneer, "Did you have fun with your boyfriend?"


I was grocery shopping and my mother was watching the kids. I got lucky because he really didn't want to kill me, just control me.


He finally gave up on me when I found and eventually  married  a great guy that doesn't expect me to fold towels in high heels and "poofy hair".


Sad part of that story is that he also disowned his own kids. But, after 15 years, the kids have realized that it was neither my fault or theirs. Their "father" lives with me. Their "donor dad" is living 5 miles away, a recluse, and drinking himself to death.


I send him a case of vodka on his birthday every year. Just kidding! 


Keep strong. You can do this. Now, about the satellite,

you can move it with you.  If you move to a place where it isn't available, you're out of the contract easily.  My son actually moved to a place where when they tried to set the satellite they found that the neighbor's trees were an obstruction and you're obviously not going to ask a new neighbor to cut down or even into trees, so they let him off the hook, no problem.  The phone company should not be a problem as long as you're moving, again you can just move it with you, unless you're moving a long distance and then you'll just cancel this one and get another wherever you move to.


I do think you need to keep this in perspective with your kids.  They are losing their daddy (almost like he died to them) whether they feel good about it right now or not.  It really couldn't hurt for all of you to get into counseling.  Eventually it will be a problem for your kids when they "miss daddy" and they "forget" (and they will since they are of young age) how bad things were when you were together.  Of course, this is JMO and others might see things differently. 


You can do it, we'll all pulling for you and saying prayers for you and your children.


Stay strong!!
I started my son in preschool and he got so sick, that I decided to keep him home with me. I've been a Transcriptionist since before he was born and I figure I could teach him myself. I sent to the local educational store and got a few things. This worked out fine for the both of us. He became healthy and stayed healthy. I know you stated you didn't think you could do this but it's not that hard. On the other hand, when my son did start school I kept a close eye on his teachers. There was one teacher where him and her just didn't get along. He would come home totally unhappy almost every day of the week. I gave it about three weeks, then decided I would get him changed to another teacher. This worked perfectly. He is now in 4th grade and has been getting either honor roll or principal's honor roll every since. You are the master of your child's future, not the teachers. They are human and a few of them will not click with your child. I taught my son until he could start kindergarten. When he started kindergarten, on his first day he came home and stated "Mom I knew all the work in school. I did it all and it was easy." That was my shinning moment in life. Always remember you are the mother of your daughter and you have to make decisions for her, even though some people will tell you different. Your child's education is in your hands, not the teacher's. Now days we have too many children growing up too fast, especially the girls. She sounds like a real sweet child and is doing appropriate things for her age. One more note, every though you don't think you can teach her, you can. It is so much easier than you think. Even if you just get something for her to write her ABC's and her name would be a real plus. You can search online for things to give your daughter to do at home in her spare time. If she gets tired easily when writing then you can help her by giving her extra at home, just 30 minutes or less everyday to do. She will do just fine and will show that teacher one day that not only was she ready for school but look how far she has gone. STAY STRONG MOM, MANY PEOPLE HAVE BEEN THERE AND SURVIVED. YOU WILL TOO! Hugs to the both of you!!
yep!! VERY strong in numbers!!! nm

Yuban. Strong! nm
nm
but mine is 12 years old and still going strong.
x
Yeah I did. 13 years and going strong. :)

We are so proud of you...now STAY STRONG!!!
He will be trying to worm his way back into the household. Be firm, be strong! Set a time limit (in your mind, but to him also should he start begging) that you WILL BE SEPARATED FOR A SET AMOUNT OF TIME no matter how much he begs or how much you might start to miss him. Maybe 6 months or thereabouts. By that time, I think you will be SOOOoo glad you booted him out!

Please let your community's support system know you need a little help. Get the word out that you need a car. I'll bet a car shows up! Probably not a real spiffy car, but transportation nonetheless! Let your neighbors (if you have any)know what the situation is so they can be on the lookout for him and watch over you.

Please accept help and counseling from whatever community support groups there are to help bolster you resolve!!! If you have a neighborhood patrol (depending on your area...here, we have senior citizens that patrol neighborhoods in police cars, checking homes for people on vacation, etc) have them swing by the house often just to make a statement that someone is watching out for you. Even the police might do this if you are not out in the boonies. BEST OF LUCK TO YOU AND KEEP US POSTED.
You just stay strong, he will try to wear you out.
x
STAY STRONG, YOU ARE WOMAN.
NM
people just have strong emotions on it...it seems to be
a healthy discussion to me, albeit controversial...
5 years and still going strong, I have a back up one though- sm
that I use for travel, that is about 4 years old but only gets used about 20 days out of a year if that. That one gets abused a bit and still works fine though.
You are coming across as being very strong armed
They are employees and they cannot just go in there and strong arm their way in and make demands.  They can sit and talk with them and tell them what they would like but if they accept the job as it is, that is what they took and must work with.  She never said, but if they are doing EMR's some of those programs will not work or read some of the word based commands or whatever you want to call them.  I have worked on three programs, two were semi compatible with Word and the other definitely not.  Could not cut and paste into it.  But I knew what I was getting into and if I did not like it, there was the door and I could leave.  Sounds to me as though the doctors have found out that they do not have time to do the charting and want them to catch them up.  They did not write the program to be transcription friendly probably.  Again, I agree that they should have some of these tools but you are coming across as though  you are pounding your fist and saying, just do this, this and this and it is the company's equipment and not theirs.  Sorry if I took you wrong but that is what I hear.  She does not have to take the job.   
probably heavy rains and strong winds
Your about the distance from the coast as I was in MS with Katrina and there was damage as far as 300 miles into MS..
Elliotts voice is not strong - Katherine is
inconsistent and forgets words -  So, I guess that leaves Taylor.  He certainly would be a "different" kind of winner.
Percocet is one form of OxyContin - just not as strong
I've been on these for five years now and don't look forward to the pain again, but I have got to get my head cleared.
My cure: Strong coffe with a No-Doz chaser.
.
I made my business your business by posting and...
I totally respect everyone's opinions. It is easier for others on the outside looking in. That's why I pushed the "post reply" button yesterday. I trust my fellow MTs and I know the more I read from you all, the more confident I am becoming. I just need that final push, not from him though. I also wanted to let you all know that the physical abuse while I was pregnant was documented by my doctor and the hospital. I only wish I had known then that it is a felony to abuse a pregnant woman. I also photographed my face from a couple of weeks ago and told several people in my circle. I had such high hopes for us. Now...not so much. I'm not saying that I won't try to get him to church, but I realize that God can only do so much for someone who isn't listening. j
Business is business. Internet forums are
.
They also hate us because we cannot stop telling them how rich and strong we are.
x
You are asking for trouble. Your marriage must come first as the foundation for a strong family. nm
nm
Strong java or melatonin depending on the position of the sun
dd
If you're nursing, get rid of all the gassy and strong-tasting
s
Encouragement for hard times - are you going to finish strong? sm
http://www.maniacworld.com/are-you-going-to-finish-strong.html  This is a very encouraging video.
Actually you need to use lacquer thinner - but be careful it has strong fumes - see inside
Pour it on generously and wear rubber gloves and watch your eyes. It will get most anything up, but might take the color too!

Some people are sensitive or allergic to it.


Yep. Sure is common. If I exercise regularly, the palps go away. Strong heart
s
Tip: Keep a nicotine 7 mg patch in your wallet at ALL times. If you get strong urge, stick it on an
dd
A simple google search will give you your answer...I'd give you the answer,
but how would that help you learn to research on your own...and I'm in a rush to get to the next post. 
For a business ad?! A business that deals
''Transcriptsis'' x2

''with good track record''

''serve our clients of all sizes'' (I know what they mean, but I just think the wording is funny)

''strive to achieve highest possible quality'' (once again, they never met an 'article' that they didn't hate)

''all departments including H&P...'' (or a comma, for that matter)

Is that really any of your business?
I would think that it would be very wrong of you to spread the information you found on Google while searching for the patient's name. Are you 100% certain that it is the exact same person you are transcribing? Even seemingly oddball names can be duplicated and how would you look spreading around gossip? Even if it is court-documented, it really is not your story to tell, IMO. I would love to know who is telling you to put it on the news. That is about the craziest thing I've heard in a while, although quite good for a laugh.
MT business
It depends on how large a business you want.  There are still some small accounts, (10,000 to 18,000 lines) per month that are still on tape that you can get.  Also the digital is not that hard but I will not pay for anyone to transfer my files, I can do that.   I do not have a phone in system but if someone were to ask I would probably start out with the ones that charge so much per minute and use their system until I knew for sure the account was staying.   Where are you located, have you networked with anyone in the area?  Are you set up for tapes as well as digital?  If you start out alone, you have no back-up, you have to do everything.  When you hire I/C's sometimes they are dependable and sometimes not.   You will not earn much off of them if you want to keep your accounts.   You will not be able to charge as high as the larger companies nor go after the larger accounts at first.   It is a fine line as to having enough help and enough work and that is why you hear the complaints all the time, "We have run out of work" as you have no control over how much or when a doctor dictates or if he takes time off.  But would I give it up, probably not as the money is good to me.   You can E-mail me with any specific questions, I have been doing my own small MTSO for over 20 years.   Been through it all, ups, downs, good times, bad times, and everyting in between.   My accounts have been with me from 6 years to 20 years so I feel that they are pretty stable. 
Well I am sorry that you are using this business as sm
your excuse, but hospitals pay their people for holidays and if by chance you have to work them, they pay you time and a half.

I do not know why a business owner cannot take these things into consideration when setting up a business. This is a business just like any other business and if you have employees, those employees need to be given the same consideration as any other business. IC status is different, but I find using the nature of this business as an excuse just a little weak.

A good business head would enable you to provide benefits for your employees and if you have already made up your mind it does not, then I think probably it is because maybe you need someone else to do that figuring for you.

I am not being mean in saying these things, but even small business owners I know are able to work it out that a holiday is a holiday (whether you have to work it or not) and an employee needs to be compensated in some manner. To me, there is no excuse for not doing so.
new business
My opinion would be to let them either work at home or at the company.  I prefer to work at home, but some people may not.  As far the pay issue--when I started doing transcription I made .06 cpl and I think that is a fair rate.  Hope I helped
This is really none of my business, and I know that,
but the more I read of your story, the more absurd it becomes to even think of staying with this man.  I'm truly sorry.  I know how hard it is to leave, as I had to that in my former life, and believe me I wanted my marriage to last "til death do us part," but that ain't always possible.  I too TRUST in the Lord with ALL of MY HEART and SOUL, and as I said, sometimes it just ain't possible.  The Lord will guide you through this.  Guess it is just that as an outsider it is easier to see the forest for the trees.
Been there on business
I used to work retail management and my company had a resort there. I have been there several times to meetings and we always had some time to do things. I always enjoyed it and would like to go some day just for pleasure. There is lots to do there.
New business
I have a small transcription company that kind of fell into my lap, luckily.  It has been a year now, we have five girls and are doing a really good job with one large account.  I had tons of experience as a transcriptionist, but never as a business manager, so I took my time.  Now I am looking to get more work.  Anybody have any thoughts as to how to reel them in?
I have been in this business for
always been cherrpickers and probably always will be, just like bad drivers,  you can't get away from it.  I have given up and just do what comes up.  Saying anything doesn't seem to help.
I would say the same - none of your business
nm
None of their business......sm
I am an IC for 3 companies, and pick up another prn. They just want the work done as agreed up front...none of their business how many or who else you work for.
own business

Is there anyone out there kind of enough to point me in the right direction of starting my own MT business.  I have been doing a lot of research but found some outdated books online.  I need to know how to write up the contract. Can I do this myself or do I need it done legally?  the choice of software and line counting software.  It would mean so much to me.  I know a lot of you have done everything on your own, but don't I need to have a good starting point?  If someone could e-mail me with some or little info, it would be greatly appreciated.   Thank you again.


As if anyone's business
I was on my way out the door for an appt and no, not for an interview with someone else and prior to that was working. It came about because we are not getting paid for specials on an acct that included interventionals but yet are in the pool and wanted to know what constituted a special or interventional for you all. Plain and simple to answer.  With coding changes through the years things have changed. Obviously gave some pea-sized brains something to "not" think about. It is funny how so many can read something into nothing.  Nice bunch that answered though.  Trying to stir up a pot.  Not any more.  So for all of you other there that thought otherwise, oh well.  You all look like fools.  Tee-Hee.
as an IC you are a business
Rates are lower now than before, but as a company for yourself you need to make adjustments. If you treat this status as a job you will never be satisfied.

I hear a lot of people talking about how much they make - I would love to know where they work for that - they have to be employees. The nationals and smaller companies are not paying it most times to IC, and private clients for the most part aren't putting out 14.00 an hour to start.

This is my business, and like any business I do what I have to - work long hours, have other US MT's to back me up and take a lap top with me when I am on vacation.

Not like the manager of my grocery store goes on vacation and the store closes, or my doctor and no on-call. I am a professional business woman and work as such. I want more money and give them the quality so I get it. But I never run out of work either. Does not matter how much you make if there is no work.

Can't get more when they do not want to pay - you negotiate like any other business and if you want to work, you will.

If you want to be an employee - then you can demand the benefits, pay etc, and they can decide someone else can do the work - lets just hope that person is an American.

Either way - good luck to all - it is a challange
We have business name and tax ID #
and same companies do have a problem especially since HIPAA.... some have wanted me to become a SE and others have refused to pay me under company name - claiming I need to sign the confidentiality paperwork under my name and if I use my name and then a dba - it opens me up to being able to subcontract out my work....it has gotten much more complicated since HIPAA.  In the eyes of the IRS you should have a dba and advertise and work for more than one MTSO and be independent - both for your sake and your MT company... not sure it is necessary to incorporate but that is your decision.
POV IS EVERYTHING IN THE MT BUSINESS

I empathize with all of you.  The MT industry is definitely going downhill.  What makes me especially angry is that it seems that the hospital HIM departments are responsible for a lot of what goes on, especially the misunderstandings between doctors and MTs.  During my very short time of working at a hospital, I noted that the department manager was too chicken to actually communicate with the doctors.  All she did was speak softly and flatter them whenever they would call to complain, and she would go in to that familiar rhetoric about being so sorry and having a talk with the offender, etc., etc.  It made me sick to listen to it. 


In a few short years, I will attain the label of geriatric.  I guess I lived my life backwards.  I was an RN first.  I really wanted to be a psychiatric nurse, but was stuck in Med Surg.  Just couldn't find the right opportunity, though I did get to work on one temporary assignment at the jail with the alcoholics and drug addicts.  Then, I did word processing.  Twenty years ago, I was commuting via subway and bus 2 hours in the morning and 2 hours in the evening, earning about $10 per hour as a word processor.  I made more money then than I do now, but I also had expenses for transportation and wardrobe, and I was not paid for those 4 hours a day of commuting.


I've been an MT for almost 2 years.  I went into it blindly.  AS has been my pattern in life, I always believe the good reports and think that a situation is going to be wonderful; I am often disappointed.  I've been waiting for my supposedly dream job, for a company that, one year ago when I took their tests and scored 97, required 2 years of experience.  Now that I have 2 years of experience, I see that they are requiring 3 years of experience. 


I live in a rural area.  The local jobs are mostly all just a bit over minimum wage.  So, I am thankful that I can work at something at home.  I just could not afford to earn minimum wage, while still needing to provide gas and wardrobe, not to mention the commuting time. 


I did work as an MT at a local hospital; not so local, as it is 60 miles round trip.  Talk about office politics, it was awful.  The manager had no clue what medical transcription was all about.  She was not a very good leader, and her top priority was to make herself look good.  The health insurance benefits were wonderful.  But, I couldn't stand working there.  Working at home is so much better in my case, in my opinion, at this time.


I feel lucky that I bought a home a few years ago and now my mortgage is a little less than the rent for a local one bedroom apartment.  I realize that, if I have to work another 10 years or more, I should change professions, too.  I figure that I could become a psychiatrist if I wanted to go through medical school.  I guess I might try for a PHD in psychology and become a therapist or something.  Unfortunately, I am now spoiled and don't want to commute to work.  I know of no way to be a psychologist from home unless I move to a home that is set up for seeing patients; this one will not work for that.  


I think that I am going to become a professional nutritional consultant.  That way, I can be a nurse and a psychologist all at the same time, without having to stick needles into anyone.  Blood tests have their place, but I am not one that ever was good at drawing blood or starting IVs.  I might have to consult with someone's MD, but not all of them are bad.  They can often be trained to treat you with respect.  I never allowed a doctor to talk down to me when I was a practicing nurse, and I certainly will not allow it now.  It makes me seeth when a doctor spells easy words for me.  This morning, a doctor spelled FLATUS, as if he thought I wouldn't be able to figure that one out!! 


Also, one of my pet peeves is that people take way too many prescription drugs for chronic diseases that could be corrected nutritionally.  So, this is probably going to me my next profession.


I've often wondered how a person gets a audience in front of the US Congress?  Do you submit a request or do you have to be invited?  I think I know how to send out press releases, and I bet we could find the email addresses of major newspapers and start submitting.  Remember that big report that one of the major morning shows had about how great it is to work at home as an MT?  Well, I wonder if they would like to hear the rest of the story?  Actually, I realize that many of their feature stories are promoted by the advertisers.  So, unless some big group backs us up, it is not likely we will get that type of coverage.  I guess we will have to contact some news journalist who covers stories regarding the underdogs of the world.  Did anyone contact Oprah yet?  I think this is not just an MT issue, but a woman's issue, since most of us are women, and as such, seem to have less respect in this country.  


I usually edit my postings, but decided to just let this one go through as written.  Recently, I read a story about life decisions and the theme was that, whenver we make decisions, we must be aware of how our decisions will affect the next 7 generations.  I really wish that the last 7 generations would have considered that.  And, as MTs and as mostly women, we must stand up for our rights to be treated with respect.  Consider the impact on the next 7 generations.  


Thank you for reading my message.      


 


From a business POV...

Employees are most costly in terms of benefits, taxes and equipment. As IC is personally responsible for all of the above but not at your beck and call, either. Personally, as an IC, I prefer it that way, but I have the luxury of a hubby whose company can provide medical/dental benefits. You may find that when you notify your employees that they are now ICs some will find other work because they need the benefits (if offered).


Hope this helps in your decision-making process.


Most likely. Or else gotten out of the MT business
=
I am looking to get out of this business for the
can't afford to take a day off because of "no work, no pay", and I don't exactly have a shift that allows me to have time with my husband. Our son is grown and I want my evenings with my hubby, is that so wrong? Anyway, I can make more money doing data entry and the position is close enough to home that I can walk to work and get exercise.