This is the very reason I am no longer a MTSO sm
Posted By: Was a MTSO sm on 2008-12-12
In Reply to: 30 day pay cycles.... - ImaMTSO
You need financial backing to survive in this manner.
Sometimes it took the hospital 3-6 months to pay one invoice. Needless to say, after 7 years of this, I could not survive any longer. Now I work as an IC and get paid every week.
All I can tell you is be very careful if you do not have any finances to fall back on. I started out very small and grew so very fast by word of mouth and with their delayed payment methods, it all fell apart. I did not have any financial backing.
If I were to do it again, which I am contemplating, I know what I need to do now.
I hope this information is helpful. Maybe talking to your accountant might help.
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I no longer work for a company just for that exact reason...had me questioning everything I typed.
nm
As an MTSO, the only reason I would
fire someone for doing too much work is if you were trying to do so much that your quality suffered. And in fact I'm at about that point with one MT now. At first I was thrilled that she was always ready and willing to take on as much work as I could give her, she would always take up the slack when someone else didn't do their share, etc. Now I realize she just wants to make as much money as possible and she will work long hours to get it - which isn't a bad thing in itself, but I noticed she makes mistakes when she tries to do that much work and it's just not worth it to me to ruin my service's reputation because she becomes careless when she's exhausted. She starts to misspell drugs and then apparently doesn't spellcheck or something, misnumbers pages, gets doctor addresses wrong, etc. But as long as the accuracy is there, I have no problem with someone who works a lot.
The longer
you are in the business and have more expanders, the less errors you tend to make. You are then able to do more scan proofing (mostly to make sure you typed the expansion properly and didn't cause something bizarre to pop into the report).
I am still pretty green. I try to notice what I can while I type and always go back through it (and find something more to correct).
Some reports are much easier to proof than others. The long detailed ones that are harder to type are more difficult to proof as well. I have a hard time keeping my mind from wandering to personal issues, etc. while proofing those.
Lots longer
I don't know - I've been an MT over 25 years, am a super fast typist, use expanders, and have a great platform and accounts, and it takes me a good 5-6 hours, with a 15 minute stretch break here and there, to make 1000 lines. Bad dictators - a good 8 hour shift to make 1000.
*a little longer than usual...
nm
then that vet would no longer be my VET!! unbelievable. NM
z
If her first initial was J, they are no longer in
business. She went into nursing, pediatric intensive care I believe.
Don't wait any longer...sm
contact an attorney. You don't have to pay the attorney until he gets your money, then it's a certain percentage. I know it's a killer to have to pay, but if you don't you're probably not going to ever be paid. I had to sue a client for 3K. I still walked away with a good hunk of the money and my pride. It was well worth what I had to give the attorney.
WC does not cover CPS any longer. They sm
have determined that it is not caused by typing. Can you believe that?????
oh goodie - we no longer have to see her!!
       
Working probably longer than you have
been on this earth. I have worked over 30 years in this. I do work for an agency as have been outsourced twice from hospital work, always at a lower rate than the hospital. The first hospital I made nearly 60 thousand a year, outsourced, dropped 20 thousand in the new hospital, outsourced and now my salary per year in the 20s. I do operative notes, discharge summaries, history and physicals, consultations and my pay is about yours, 7 cents a line- most of the time you are just expected to produce more- we used to have production (incentive)- some might still have but probably few and far between. If I had to raise a family now, would have to work more than 1 job to do. This is me- I am not speaking for others even though my speed is extremely high. I put my all into my job, have answering machine, no interference, have office set up in my home, have fax (because I need 1 just for my own use), printers, phones, my own computer and a backup in case this 1 goes. Your tapes definitely sound like the real McCoy. That is what we hear day in and day out. I started out with a hospital almost 70% ESL, oh, so hard, well even the English were also and even now after all these years still grit my teeth sometimes just to do a certain dictator. Good luck!
I no longer use satellite, but used
DirecWay when I had it. Service was about $70/mo. Download speed is not consistent. Most of the time it was fast, but sometimes as slow as dial-up. It depends on if it is raining, snowing, wind blowing and tree may be blowing in front of the dish, if it is real cloudy, etc. Upload speed is much slower than download, but upload files are usually much smaller so it doesn't take long. I had trouble with e-mail, though they have upgraded equipment and supposedly the equipment comes with the software installed and configured already so basically you just plug it in and you're ready. I paid $800 for my equipment years ago - that included dish and 2 modems. The newer modems are a lot more expensive.
Delete them.........esp if you no longer do them...
For private MDs, I only keep their diskettes 6 months, since ALL the work and an additional diskette has been provided when I returned the work.........
If you worked for a national, you need to send the diskettes to them I would think.........that is, IF you worked for a national MT company. If not, I'd just delete them..........keeping the floppies for myself.........for future....(yep, I still use floppy disks...*LOL*).........
they no longer pay for proofing
Just kidding.
I know, I know...
Proofing is very important. Patient care is at stake.
And so are our jobs.
I have been MTing longer than you and get this
When starting VR was also told I should be using the function keys. My "new"(outsourced) job of years even went so far as to show us where we were using the mouse as opposed to the keys. I have never used the function keys and do over 3000 per day, my lines have increased since VR and have worked NOT using the function keys now for several years and it works ok for me. Did they threaten you with not using the function keys???
No longer confused
Now, that makes sense to me!
No longer so frustrated..
I've been reading with interest the comments my venting inspired.. both here and in my email .. and some of the assumptions are amusing.
I've been a Transcriptionist for 36 years, an MTSO a couple of times during those year, a manager with a national company or two, transcription manager, QA manager - basically just about every job possible in this field. I know how important it is for a transcriptionist to be respected for our skills and to be paid for the work we do.
We actually flew to a central location in California to train transcriptionists within a 10 mile radius of the central location, so there was no cost to the transcriptionist. We wouldn't have made the trip had we received only one or two applicants. It isn't that difficult to train someone remotely, but since we had several positions to fill and several applicants, we decided it would be beneficial to make the trip and meet the new ICs.
We have 35 very good transcriptionists, all on IC status, working at different levels of competence, on different accounts, with all of the flexibility they can use. Some started as trainees right out of school, others came to us experienced with one or more specialty. All have been cross-trained to some degree to cover each other when someone has a family emergency or just wants to take a vacation.
We have work, plenty of it, and our pay scale is competitive with other services. We've even done work share programs with other services for short term.
My plea is simply on behalf of other service owners - don't apply if you aren't serious about work. It is a waste of time, both yours and theirs.
Thanks for all of your comments. I'm getting back involved on the board a little more and find how much I've missed the exchange of opinions and ideas.
T.
Where have you been, this board is no longer -sm
***Removed by Moderator***
Hi. I no longer use this program...
also the job I worked using this program couldn't help me. So I guess I would have to hire someone.
Can't imagine what would be in conflict with it. I just want to remove it from my computer.
Thanks for suggestions.
I no longer use one, but on the back where the
cord comes in is a cover that I believe has screws. Unscrew it and see if the plug has come unplugged from the machine. If that doesn't work I don't have any idea.
In NYS I was told they no longer have
that particular program (I was lucky enough in the early 1990s to go to school for 6 months totally 100% FREE for MT, books paid for, gas mileage, everything) because I was laid my medical record clerk position at the hospital.
In checking now I find no such help at all because of funding being so low.
you would think is this great, rich country there should be plenty of money for those of us who put a huge percent of our earnings into the government for times like this when our jobs disappear yet alas I could find no such help. Displaced homemaker only applies to a specific group of people now, like those with children who are single I believe. Maybe other states are different...
Even losing your job to overseas outsourcing, pretty much only a few professions can claim that, and I think it was airline employees and tech type jobs.
Again, if we are all rich and educated, we probably could get some kind of help/benefits...but then who would need the help right?
sometimes I feel I am in debtors prison because my credit is falling because of the economic times and the company I work for just keeps somehow lowering my pay all the time as my bills are skyrocketing.
In my state anyway there are a lot of jobs you cannot even get without good credit (?) so I guess you have to not need to job in order to get one.
Funny I don't remember this growing up...I always believed if I just worked hard I would be okay...
not so much now
I have done this longer that 35 years now
and have a job, thanks anyway, what makes you think people are kept out of this field by the way we think or believe? I have paid my dues and others. You, my younger peer, get a grip.
Have been with this profession probably longer
that most of you have been on this earth. I, too, have paid my so called dues. I care not if the retired person hangs out with foreigners, that is her life. I do not have to have tea with someone that I would have to grit my teeth to listen to and that would be the case with me. I specifically tell any dealer I call if someone from another country trying to speak to me there is a language barrier and I would like to have someone who speaks not broken English. Having said that, I do not like to listen all day long to foreigners. I did not start out this way, hardly any in fact and now we are completely up to our necks in people who cannot speak correct English. I care less what people think about me, I can be politically incorrect if I like, try not to even have a PCP of my own, hear too much of that every day. Just the way I feel and my previous husband said if you think it, might as well say it.
Having just had a large pay cut, I no longer do
x
Have done this years longer than you and
when I first started in the 70s of course some then. I am still working but I get fed up, has nothing to do with whether you like or dislike doing this work, with ESLs dictating who cannot pronounce words, I really think more than VR that ESLs really compromise this profession. There are much more now than in the 80s, by the way and they are not getting any better, just worst. No one takes up for the MTers here, not being asked to spell a person they want a CC to, cannot ask to spell physician's name attending who is out of state, things are not good.
Why do some MTs try and cause problems when they are no longer with a company?
I just don't get it.
it would take WAY longer than 6 weeks for mine! nm
nm
Me, too, but getting pregnant is no longer an option.
I wish I'd never started up again after 8 years without smoking.
When you can no longer handle what life gives you
you get on your knees and pray. Just surrender every care to God and ask Him to help because you can't do any more. Just saw something on Oprah when she had Faith Hill as a guest and she said she was depressed and fat and wanted a role in a movie and she just fell on the ground and remembered the words to a hymm, I surrender all. Faith Hill sang it and it brought tears to my eyes. (Oprah got the role she wanted in Deep Purple.) Anyway, I was in the same position and literally didn't want to go on and suddenly after my prayer things started happening for the good which I really believed was an answer to my desperate prayer.
PS: Hope this post doesn't get dinged or offend anyone.
Maybe this will help.
Yup, and Paula is no longer clapping like
Thankfully on both!
I will no longer continue to bicker with you...
I mentioned one word being misspelled, as I stated above, not the typos. It was the most important word of the post N-I-E-C-E. Relax.
some of your credits may no longer count...sm
some places will require you to take A&P over because it is more than 10 years old.
I rarely use books any longer....sm
However, I would get Vera Pyle's Med. Term book, Ellen Drake Sloane's Medical Word Book, and Claudia Tessier's Surgical Word Book. Also Quik-Look Drug Book. This is only if you are still using books 24/7/365. The web has faster access in my opinion.
No, that was my thought about u. No longer perplexed. nm
x
Better but it really isn't a good show any longer
.
Nope! No longer consider too young. sm
Early spay or neuter (also known as "pediatric" spay/neuter) is pretty common now for shelters. It's been studied and found to be safe, and it helps keep shelters from inadvertantly contributing to the pet overpopulation proplem that they're trying to help solve. Not all vets offer it though.
Lots of websites and info. about it if you go to Google and type in "early spay neuter" but here's one:
http://www.tracylanddvm.com/html/why.html
You don't have to wait until 6 months old any more. For dogs, my vet (who is very cautious and took a long time to change his stance that they needed to be 6 months old first) likes to spay or neuter at 4 months of age, because it's after they've had all their shots, yet it's before (with females) they've gone into heat/estrus for the first time (health benefit to that - see above website - don't wait with your female dogs! ;O) For cats, I don't know if they get this same benefit from being spayed before their first heat cycle. One reason my vet changed it to 4 months is because he said he's seeing more dogs go into heat earlier than they used to. (Good diet = maturing earlier, like people? His theory, anyway.)
BTW, and I mean this is the nicest way (not trying to be the spelling police! LOL) it's spelled "spayed" rather than "spade" in this instance. :o)
it's not AAMT any longer, rather AIHD...nm
MP Count no longer free. (nm)
x
but I can get longer notes just not with escription?
I can download 10 minute dictations from one company, but on escription i can only get about 2 to 3 minute dictations before the download times out. Its very frustrating. I wanted the escription QA job because my hands bother me so much after 10 years of typing.
I travel quite a bit. I used to have satellite, but no longer
do. Wireless is only good if you are in a place that has wireless service or you can get WiFi. Most of the chain hotels now have free WiFi and there are lots of other places that have free WiFi if you are on the road. It's always good to have a plan B too, just in case.
I think it takes longer to edit VR.
When you type, you start with a blank page. Excellent and taught that way. Editing can cause the eyes to get lazy - medical words tend to start looking like medical words. I think it takes more of an eye to find errors. I have done VR and did not like using hot keys. I guess I'm from the old school.
Thank you. Not taking it personal any longer
x
LOL! Housekeepers are no longer for the rich
Hope you're okay with the train tracks. Wouldn't want you to have to transcribe your own visit note? or 
Anyway, if me and hubby's workload keeps increasing, we'll have to call back that housekeeper. We have more time (a little :) without having kids - so I can just imagine - but still...so much to do, so little time.
Well..have a good evening...uh...morning!
I'm not trying to discourage you, but this is no longer the profession to get in. IMO. nm
nm
Same position longer time
Hi I am in the same position. I have about 10 years experience, but it was 14 years ago. Now coming back I am finding if I do o.k. on a test I get hired. Some things have changed for sure and the job is lower paid, but somewhat easier than doing it on a typewriter and having a doc say "oh go back and change such and such" meaning you had to type the whole thing over. Computers are much easier. Although we were paid by the hour then, this is my first time paid by the line.
I especially like the part about "no longer uses (sm)
international contractors."
The doctors no longer run things
The doctors no longer run things that is why...the pencil pushers and stockholders are in control of the health system now.
? It would take longer to make a macro
Argh. Can't. Listen. To. This. Doctor. Any. Longer.
No, wait, back up. Change that. Nurse? Did you find the chart? Oh, really. Ok. Yeah. Sigh. Hang up. Scratch that. Start over.
He adds extraneous Rs and Ls throughout his pronunciation, but he's American.
me too - I figured it must be the lawsuit as I am not an employee any longer nm
....
One has longer lines and shorter reports
Really comes out equal.
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