Wanting to land my own local account

I am currently working part time IC for two different people, I have a little less than one year transcription exp, all in family practive or GI...I have been thinking about trying to get my own account locally but not sure about some of the "in's and out's".  Those of you who do this, do you have someone who covers for you when you have to leave town?  I have always had someone to QA my work, so if I do my own account and have a question(blank) do  you call the office and ask or do you leave it blank?  I am kinda back and forth w/ the idea, I know I would make more money, but not sure if I want ALL the responsibility. 

• Wanting to land my own local account - HR
  • SM - Connie
  • Vacation coverage - Patti
  • If you keep it digital, it will be much easier to find coverage (sm) - Tuesday
  • landing own account - bmt
    • more questions - HR
      • do a search - Patti

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I've gotten used to the fact that he'll do a 2 page report on an established who is being seen for a an earache.  He has to go through all of the other medical problems, review of systems, etc., instead of just saying something like medical history is in patient's chart.

The other doctor in the same practice will just do: Chief complaint: ear pain. Examination:  Left ear is red.  Assessment:  Otitis media.  Plan:  Amoxicillin.

The hospital and the practice have tried to get him to cut his notes down, but apparently he likes to hear himself talk.

No skin off my nose, I see that I have a tape for him and I sing, "I'm in the money!"

Has anyone ever tried sending a resume to local doctors to get some accounts of their own? If so how well did this work?

Thanks

Angie

I cannot believe that this happened to me today.  I went into one of my doctor's offices this afternoon to pick up his tape for today.   I was given a tape and told that his wife, who is the office manager, wanted to see me in her office.  I thought nothing of it because she sometimes has extra things that she wants me to type up for her and we talk quite often also.  

She tells me that she just has not gotten around to talking with me yet, but  "tomorrow we will start dictating through a company over the internet".  I was blown away!  She said she wanted to give me a break and that if it does not work out she will let me know.   The whole time she was tell me this she was writing me a check as I had just turned in an invoice.   

My first inclination was to throw that #@%$ tape at her and say "do it yourself", but I knew that wasn't the "professional thing" to do.  I was thinking how could she do this to me, not even a 24 hour notice.  She handed the check to me, I snatched it and walked out. 

I have had this account for five years exactly (began August 1, 2000).   I have never took a day off, never raised my rates, never asked anything of them, and my work has always been the best possible quality.  I have been the most dependable person they have could had.   I have passed up other accounts because of them, and I always put them first.   Thank goodness I have other accounts to fall back on.   In our town, there is only one other transcriptionist besides myself, and we both have more work than we can handle most of the time.

Just thought I'd remind all those other MTs out there that no matter how good we are and no matter how much we try to please everyone we are still not appreciated.  I will never be fooled again.  No one will ever receive the attention from me that I gave them.  

That is so funny as one year I had my aunt and uncle visit from NYC -- where I was born -- and they asked if I had power and sewer system, etc.  And we are the same as you are on land.  They about died when they walked to the walkway, looked down and saw 53 homes on the water, it is a awsome site when you are from a large city like NYC.  I have cable TV, Comcast internet, the wires are in the concrete walkways.  Before they built this new moorage we had wooden walkways and our power lines, etc. were overhead and they were dangerous.  But they come undergrown from the street above and through the concrete walkways.  Have natural gas heat.   Portland has one of the largest number of floating homes as Seattle now has a moratoreum on building anymore.  So our prices are rising finally.    We are safer than normal homes near a river during a flood as we only go up, up up as we are hooked onto pilings on three sides of our houses.   So we float upwards.    Thanks for asking. 

we're "refusing" to work? Rely on the kindness of strangers, or what? People really need to get a grip on reality here.

of DELUSION AND DENIAL (de Nile as in river *LOL*)

Women use both sides of their brains, a rarity for a man.......*wink*

Won't pretend I understand VOIP but I know its available with my broadband.

Hi!

I say wait to land the accounts first before you think about what equipment to get. You basically want to use what your client is using, not make the client switch around to your set-up. Maybe others will say differently. But I figure you save $ that way by not getting unnecessary stuff.

Good luck!

BTW, I was just reading that self-employed folks really need to increase their fees once a year just to keep up with inflation. I think a lot of times MTs who are ICs for services forget that the service is their client, not their boss. ICs need to negotiate for the right line rate because remember, you are paying for a lot out of your own pocket now.

Diane

I moved and I can't get a land line for (perhaps) another week.  I've already lost a week's income because of the promblem (THANK YOU, CHARTER!!).  I need a quick fix.  I am open to any and all suggestions to getting set up on Friday with a land line or VoIP, even if it is with Vonage for a week until I get my land line phone to work with my DAC phone.  I just moved into this apartment on Monday, but I let Charter know on 1/4 that the previous tenant had turned in her keys, but until she pays the outstanding balance -- heck, she probably hasn't even gotten her final bill yet!!!), they put a "freeze" on phone service. I got that unfrozen yesterday by going into their main local office with my lease agreement, but I have already lost a weeks' pay because of this and I need a quick fix.  They installed my ISP and TV today. I REALLY need to work this weekend.

I am probably in real jeopordy of losing my job.

On top of this, when my son and his roommate came over last weekend to help me pack, they told me they had both lost their jobs to a family of Indians who had come in and bought out their store's owner.  By our State's examination, only one passed the English literacy exam so she is the only only who can answer the phone.  Since the 4 Indian brothers need the managers' positions and they bought 4 stores, 4 managers (my son any his roommate and 2 others) are out of jobs and another 25 or so have left because of the new managers' incompetence. 

Please offer help in getting a land line so I can work.  I am feeling so overwhelmed and it is hard to think with this kind of pressure.  I'm thinking of installing Vonage's VoIP for a week until Charter can get their act together and I get their service.  It's hard to reach other services like ATT when I don't have a phone to contact them.  Charter changed their protocol for getting land lines last week (just my luck) and did not tell my installer/sales rep of the changes.  They are telling the independent distributers it is because of having to reset 911.  I call that baloney.

Can I get a cell phone? How would that connection fit together? OMG, I am so in panic mode.  Please kick around some ideas so I don't have to start job hunting after 1 week after moving. 

Any suggestions??  I have 7 years clinic experience and am looking for work.  Seems like I cannot get a response back to test or interview.  I need a company that offers TAT, not set hours.  I send in resumes and cover letters daily...What else could I do??? 

Also, in the meantime does anyone have suggestions on "practice files".  I want to expand my skills/specialties.  I have not done radiology and have always wanted to get into it...Thanks for any advice!

I recently looked into this subject myself.  If you have Verizon available in your area, you can purchase a plan at about $55.00 per month with a two-year contract.  You will receive a card that you can insert into your laptop, which will provide you with unlimited Internet access at the speed of DSL.  As far as I know, there are no other cell service providers that have come up with this type of card yet, but I'm sure it's bound to happen in the future.  Another option is to purchase a satellite telephone and phone cards as you go along, but the cards are really outrageous in price.  One last thing that I would suggest is that you phone cell providers in your area to see if they have any technical gadgets you could attach to the cell phone for Internet access.  Many of the satellite phone companies have separate packages you can buy, which can be attached to laptops or PDAs.  I also have a TracPhone, so I know it does not come with hardware that will do the trick.

Good luck to you in setting everything up.  With the way that technology is moving, I'm sure there must be a way to accomplish what you want. 

I have been curious about them as well because I have thought of applying to work for them.  I am with a company now but feel I need to make a change for the better.  It is a small company and I feel I need to be somewhere else.  I just was not sure about the company.  I would welcome any input on this matter

Kebra 

and I am totally clueless!  Had a call from a cardio group today and they want to send me transcription via WAV files, guessing I need a WAV pedal??  HELP

Also, I am tired of the old tapes and want to "go digital"  I have heard of 800#'s for a call in system, but dont know of any websites.  Any help is much appreciated!!

TIA,

sunnyMT

would care to share tips on getting started with Instant Text, especially the best way to go about customizing the glossaries . . . just received my IT and I'm anxious to get going, but it does seem that there is a learning curve and takes some getting used to.

Thanks to all!

I have had my own transcription service for several years now.  All of my doctors are local and everything is dictated on microcassettes.  I am looking into going digital and I have heard that there are phone in services that you can go through for a charge every month.  Does anyone know who would be a good service to use or how this works?  If anyone has any info on this I would greatly appreciate it.

Thanks!