Well, that all depends on the contract between the vendor and hospital. sm
Posted By: TAT on 2005-08-05
In Reply to: when an account goes out of turn around time, what does that cost - curious
Some MTSO's and hospitals have a clause regarding penalties if account is out of TAT and some do not. That is a negotiated point in a contract.
Hope this helps.
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Depends on what kind of hospital? Large urban hospital or small community hospital? SM
Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.
I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis. But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl.
depends on the contract you had with them.
If you agreed to pay them a certain rate, then you have to abide by that unless you haven't renewed their contract.
If there is no contract, then you can do whatever you want. I would give them notice that you are decreasing their line rate if you have to continue to proof everything.
It depends on what the agreed contract between
the company and the client defines.
I know of 2 companies that provided all work out of TAT for free to the client (so, of course it cost the company considerably because they were paying out money but not taking in money).
Regardless of what it costs financially, it costs in reputation and that is just as expensive and devastating.
I posted a couple days ago about my contract negotiations with a hospital. SM
Now, we have negotiated 12 cpl and that I only need to deliver work three times a week. We've also decided that radiology will be a whole separate contract and that next week I will do a sample of dictation to see if the dictators are going to be difficult. And then the negotiations start again.
How am I doing so far?
It depends on where your hospital is...sm
Many warmer areas of the country have big snow-bird seasons in the winter with a major influx of older people who leave in droves over the hot summer months. Since seniors have more medical problems than young folks, places like this have a big decrease in hospital visits (ER & IP alike) during the summer months. I'm in Phoenix, and it happens here every year. I imagine the same thing happens in reverse in some colder climates or winter resort areas, like ski resort towns. Might also be slow if it's a smaller college town because all the students go home for the summer. Anyway, yes, it happens. Yes, it goes back to normal as the seasons change again.
Well, it depends on the hospital...
In the hospital I worked at they should have called it basic five, then. It was OPs, discharges, H&Ps, ER, and consults.
This board just cracks me up sometimes! Can't we just tell the poster what she wants to know? Why belittle someone by questioning someone's education, etc.?
I would bet a lot of us here with 20 plus years in this field never even attended a transcription school or course dedicated to transcription. It used to be lumped in medical secretary. Get a grip people....
What difference does not it make? Basic Four is hospital work and can include OPs and/or ER.
There are MTs that ask about platforms, equipment, etc., and no one is bashing them or questioning their education! Why on Earth are people so nasty?! 
It really depends how much you make at hospital. If
zz
Depends upon size of hospital. If it's a large teaching
nm
If you're an overseas vendor here's how to market....sm
Go by medical offices and talk to them in your native tongue. They just LOVE hearing it. When visiting in places like Florida be sure to ask about the last snow storm they had last winter - that's very impressive! In the northern states talk about the warm sunny 70 degrees in February in their state and ask if they're ready for that this year.
Be sure to take brochures showing the fabulous quality of work you do. Be sure you include impressive sentences such as: "Dr. Jones said he would eat ketchup with the patient to review his lab work." After all they don't find it cute to type it like it was dictated.... "Dr. Jones said he would catch up with the patient to review his lab work."
Lastly don't forget to give them laminated card including all 25 digits they will have to use to call your native country. Be sure they're aware that all of your employees in your native country have new names.... Ben, Mary, Thomas and Amy are of course popular choices. Potential clients like getting a warm fuzzy feeling by talking to "Mary" who has a very heavy accent to the point that they can't understand her talking. But hey - she has an American name (woo-hoo!) so all is forgiven!
it basically is matter of what the client has asked the vendor
to do. We have actually had the floors call and ask what Kay Ciel is (yes, they have, so please don't comment on that). And the bottom line is isn't what the client wants? If you hire a painter to paint your house bright purple and pink polka dots, shouldn't the painter just paint the house bright purple with pink polka dots???
I think is called preferred vendor? Facility gets certain monetary breaks to only use one
:+
Google contract samples, basic contract examples, etc.
:+
Contract/no contract -- same rights
You do not have to have a written contract to take them to court. All you have to do is to prove you have been providing work to him, past statements/invoice will do that, you just fill out the small claims forms and go to court. But first of all I would personally go in and talk with someone about it. Could be the office manager/bookkeeper and not the doctor that is not paying you. He may not know anything about it. And please do not make the "joke" as above mentioned, that is very LOW class, tacky and not professional at all. Especially if you are in a small area -- you need to conduct like a professional. But call and make an "appointment" to talk with the doctor either in person or through a phone call. Some doctors do not know what is going on in their office and perhaps the office manager wants to be paid first. If the doctor does know, then in person or over the telephone inform him that you have no other choice but to pursue the debt just as they would if someone did not pay their bill and if that involves going to small claims court, then that is the route you must take. Good luck. I did take one to court without a contract and won.
Hospital. I wish I'd never left my hospital job.
They'll only take me back if I start off working nights and weekends again at the bottom of the totem pole.
If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
Hence, the need for a contract
and put it in writing that they have to give at least 2 wks notice or pay up! Wouldn't that be right? Business is business. I bet they wouldn't want someone doing them that way!
No contract
Actually I do not have a contract and usually do work whenever I want, just received an e-mail about the holidays and was not sure if I was actually "required". Have worked for them for 3-1/2 or 4 years but have never received an e-mail about holidays.
My contract
gives me a 72-hour turnaround time. I'm a contracted employee; therefore, responsible for my own taxes. I download the reports on a disk and do not print them out.
This may have been around for a while, but I have never heard of it before. Also, I would think it would be more of a local jurisdiction situation than state jurisdiction if you are working for the local police department. I do not see what the problem would be ... you have a confidentiality agreement, just the same as with medical. I will say, he went through the city attorney and others before proceeding.
If you have more questions, please feel free to email me.
Contract
I've got one I've used for years,just fill blanks with all the necessary info. I could e-mail or fax it to you.
contract
I have been doing this nearly 20 years and have only used a "contract or agreement" once and have never had a problem with any of my accounts with payment, etc. Guess I have been lucky but it has always worked for me. The one time that I did one, they did not adhere to it and we still parted ways. Now a days contracts are easy to break and expensive to fight.
contract
I wonder if you would mind sending me a copy of your contract at radtrans@comcast.net
Thanks much!
If you did have a contract
with this doctor, then you should enforce it. You should not just sit idly by and LET him do this to you. It isn't right and it isn't fair. Doctors thinking that most people don't have the money or the time to take them to court is the exact reason that they do things like this. You have to stand up for yourself. Don't be a doormat!!
IC contract
I recently received my yearly contract in the mail. I am to sign and return it. They have the amount per line filled in. I was a bit disappointed to see that the rate did not change. In other words, no raise.
I will probably just sign it and return it but for future reference how can I ask for more money and how much of an increase would be reasonable? I am lousy at speaking up for myself!
contract
I have only had one contract in the 18 yers of doing this on my own and all that did was state what I provided and gave us a 30 day notice if either were to wishing to get out of using the service or providing the service. And my accounts have been with me for 6 to 18 years so guess I am doing okay.
What's an oil contract for?
I've never heard of such a thing.
Oil contract
We heat by propane and our bill, too, was going to go through the roof. I pay a little more for "will call" but we installed a wall propane ventless heater and it heats almost our whole house (one floor plan). The rooms that are cold get an electric heater; our little storage building has a wood burner. Like you, where does it stop???
Oil contract
This is a contract for a year's worth of fuel and the company locks you into a certain price, guaranteed. Otherwise, you usually have to pay more if you just call the company to fill up your oil or propane tank whenever you need it. However, you can beat this somewhat if you conserve and don't take their high priced budget deals. My budget was $80 last year; this year it was going to be $165 a month--for only ten months! I said no and we were very conservative here in Ohio, had a mild winter, though, and only used less than half of what we did the year before due to use of a ventless wall heater, electric zone heaters.
Contract
I don't understand your question about the contract ? ? I had to ask for a copy. They kept promising me a copy and promising me a copy. Finally I got one.
As far as their divorce...they were not married very long when the show was taped. I have no clue if the show aided in their divorce or not. Kym and I are friends, but not that close of friends.
No Contract
I never signed anything when I started the job.
I do have a contract
I do have a contract that says I will be paid on the 1st and 15th. I agree that where they go and when they go on vacation is not really my business, other than the fact that I personally feel if they can't pay their bills, they have their priorities out of order. When they cannot pay their bill as contracted, their lack of priorities becomes my business. Yes, my obligations and financial commitments are my problem -- but it would not be a problem if they upheld their end of the contract. But, I agree that I will return the work in a normal timely manner so the monkey is on their back, so to speak.
Contract
A contract may or may not help you much. I have worked both ways and all in all if the business goes belly up even with a contract you are basically out of the money. When I have done a contract I simply state what I will and will not provide, time in which it is provided (TAT), etc. I state what I expect from the company, what they will provide (paper, etc.) and make it very simple. Again basically there is always an out if they don't wish to abide by the contract or want to break it or just not use your services anymore. And in order to enforce the contract you will be in court just like you would be without a contract. But it does make some feel better working with a contract - but again I have been lucky with my accounts and my IC's and we all work togeter and get the job done. I always pay my IC's before myself and if there ever would be a problem they would know about it immediately even if the check is just one day late. But just state what you want in the contract and you really don't need all that legal language a simple contract will hold up in court if it ends up there. Only you know what you expect from your MTSO. Good luck. Patti
What contract?
Do not have contract....
I don't have a contract
x
Contract
After working for a small practice for about 2 months, I was abruptly told one afternoon I wasn't a team player, they were letting me go, but gave me the transcription to do at home--I was and am grateful for the work. I did have presence of mind to ask if I would have a contract, as this is all new to me--have mostly worked in-house, except for a short part-time job. The office manager's reply was, "Oh....we trust you--I don't think we need a contract," which really irritated me--what about my trusting them?! Now I wonder just what category I'm in. IC or what?? I suppose I just don't want this office to think I'm a dummy and of course, need to protect my interests--this is my bread and butter--not a sideline job.
I started looking for a sample contract here on MT Stars, but I suppose the required wording varies from state to state. Does one have to have more than one client to be considered IC?
Appreciate any help!
I
My contract
My contract tells my docs that I am off on all holidays, including Christmas Eve and the day after Thanksgiving. It also says if those holidays fall on a weekend, I will take either the Friday before or the Monday after as a holiday. If they request transcription on those holidays, I charge double per line. I've never had them complain to me on this at all. I once had a STAT dictation on a holiday and the doc included a $100 bill in my envelope "for me being a pain in the butt," as he wrote on the note.
? about an IC contract
I am signing a contract for work as an IC. It says Executed by Contractor at _____________, on ____________, 2006.
I get the date part but what goes int the first blank? My address?
If you are an IC then the contract
you signed should stipulate how much notice to give. If not, I would ask. You may want to use them on your resume for future jobs. 
Need an IC Contract example...
Anyone have or know a website with IC Contract examples. I need to type one up by tomorrow, and I am at a complete loss.
Thanks again! This forum is awesome!
Need an IC Contract
Hi. Anyone know a good contract form to use for Indepedent contractor status using line count or hourly?
Thanks,
Terry
What does your contract say? If no contract
x
contract
I have never signed a contract as an employee that I can remember, contracts are for independent contractors, thus a contract.
Contract
Even with a contract if they find your work "unsatisfactory" they can nulify the contract. Even with a contract there is no reassurance that they will keep you and should they fire you unjustly do you have the money to go to court and what will you put in the contract to offset the fact that the "let you go before the expiratioin of the contract." Even with a contract the one doctor might still "pick" as it seems like it is his nature so why take that with less money and still no reassurance that they will keep you. I used to work with contracts but each time it came up for renewal there were negotiations, etc. and several times it prompted them to look elsewhere. Now for the past 15 years have worked without one and barely lost an account to someone else, only death and retirement. If this doc mainly picks at the bill just document all the work and stick by it. Good luck
contract
Its a shame what these so-called companies do. I really hope you are able to get the money you worked for! I don't see how they sleep at night, but I guess they are okay with it as long as it does not effect their paycheck. I recently had one lady hire me as an IC, but when I asked about a contract, she kept saying, "I'll get it to you in the morning, in the evening, sometime this week, etc." She wanted me to start working without a contract! Then got angry with me when I refused to starting working without a contract! I can't wait to get out of transcription full-time. I still love the transcription itself, but I hate these companies with the bait and hook, practically begging for a raise, the broken promises, etc. Sorry to go but its just really old.......................and you guys are the only ones who understand how it is.
In your contract, specify exactly
what you are going to charge them. If you would like the client to pay for the phone charges, then by all means, add it to their contract. Everything and anything is negotiable. Do not devalue your worth.
contract
Did you sign a contract with the first service stating you were not allowed to work for anyone else while working for her?
Contract age?
The only thing I can think of is if you are an Independent Contractor you may need to be 18. In most states, contracts are not binding with minors.
contract
Hello
Can you please send me a copy of the contract that you use? I am also interested in obtaining more clients. I would appreciate it -
Lisa
contract
I found when I had clients, especially private physicians, they were NOT agreeable to any contract. They usually feel like they are giving you a gift by just allowing you to type for them. Honestly..
Then I would get a new contract.
x
What does your contract say???? If
it specifies which line count you are to use, then that is the one you use. Also, does it say you will have deductions for blanks? Read your contract.
What exactly does your contract say?
Usually there's an out clause that describes how either party needs to handle it if one wants out of the relationship. You have a non compete? That's the first I've heard of one in this business. Go back to your source - your contract. I've had some experience with non competes in the insurance industry, so feel free to e mail me if you want. I may be able to answer some generic questions.
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