You're right. Unfortunately, in some areas inhouse work is
Posted By: almost extinct. on 2008-08-18
In Reply to: not so.. - cj
I keep hoping some sort of changes in U.S. laws may come to the rescue before it's too late, and the whole industry becomes offshore and automated. Because if that happens, there will be less and less reason to want to entrust one's care to an HMO.
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inhouse work
I am thinking about going inhouse to work for a family practice group. What is the going rate per hour or per line? I have 10+ years experience. It would be working for 2 family practice physicians 25 or so hours per week. Because I have only done IC the last few years, I don't know what to charge when taxes are taken out.
Please advise what a reasonable hourly/line rate is . I am not sure at this point.
Thanks
Going to work inhouse again
Well, you would have someone to talk to besides your dogs and you might just enjoy the comaradie of other MTs. On the opposite side of the coin, it may just end up being a very competitive, cold and unfriendly place. You could try it and and prove yourself to to be a valuable MT and perhaps they would send you home to work like a lot of hospitals do now if in fact you would rather do that. If you find your home to be a comfort zone and enjoy your dogs, you may just not like working inhouse. It's your call and good luck
I am going to work inhouse again -
I just took a part time inhouse position to supplement my at home income because I am so short... and this is not the first pay period so I am in trouble.
The inhouse position is only part time, but at least I know it is enough to pay my house payment. It is also a lot less per hour, but I want some guarantees so I can stop worrying so much.
I would love to work inhouse, but...
those jobs are getting scarce. I would like to know how all us newbies are supposed to start in-house when those jobs have all been outsourced.
$18 an hour but I work inhouse in a hospital.
nm
I now work for an MTSO, but when I was inhouse we did tend
to send the difficult dictators out (our supervisor did this). That is just part of working for an outside service. We do not get to pick and choose we get what they choose to send.
If you cant get a job inhouse, go to a local company and work in their house.
A lot of people who I went to school (college) with ended up working for a local company to Jackson, MS, MidSouth Transcription. They worked with you and got you ....further trained shall we say. We had school, real college courses, so we were very well-trained (had to take an anatomy and physiology class that was the same as the premed students) - we knew a LOT but Ms. Torri got us employable. Try a local transcription company for a while. It will help, I promise.
my take is that she worked inhouse, not at home, and now wants to find out how to work at home. nm
x
Well, you're all complaining that accounts are current and work is low, so, gee, maybe they're
focusing on WORK, as in CLIENT and transcribing, as maybe half of you should be focusing on!!
I have it bad in a few areas. I use - sm
Aloe Vera 100% Gel from Fruit of the Earth. It works great and gets rid of it. I get it in the health food section at Hyvee (one of our local grocery stores).
I used to use Aloe-80, which also works great, that I got at GNC.
You're lucky they work for you. I've never gotten a refill to work right, ever.
x
Nope I don't live in one of "those" areas.
I live in a quiet little neighborhood with nice neighbors. Used to have a trailer in this same neighborhood until my family sold it. Nobody looked down on us either.
Hello..you cannot predict an earthquake, but you know areas that are prone to them. NM
NM
agree 100% when areas not predicted get hit; they can't prepare. sm
i am 280 miles inland and rita affected us here. we have NEVER been under a tropical storm warning as we were with rita but did get prepared. i stocked up for 2 weeks as they told us too and stocked up gas before it was gone. however, it turned and hit the unprepared areas due to forecasters.
where are you, in lufkin? i am in tyler.
Tell that to certain tribes in remote areas of the world
Body deorating has been around about as long as man has been around. Your opinion is just that, yours, and I'm glad not to know you in person.
Be sure to keep areas dry and free of all sugar composites.
nm
i wis i had that problem! sometimes that happens and we concentrate in the total wrong areas. so g
;
just some information for MTs in rural areas where high speed is not available
Hi all,
Was just on the Sprint website a little bit ago and checking out wireless cards for my laptop since I will be moving to an area that doesn't even have landline service available yet. Sprint is now offering a wireless card that is a USB card and apparently will work with both a laptop and a desktop as long as you have an available USB port on your computer. Might be something to think about 
You must live in a metro area because rural areas pay even less per hour.
Of course you can buy a big house for 130,000 in a smaller town and the same amount won't buy you a pot to pee in, in a place like San Diego or the D.C. area. It's all relative.
While AAMT does have a good QA program, they severely lack in other areas.
p
I would start with hospital websites in the surrounding areas to whatever facility you type for. SM
Hospital websites usually have a pretty good physician directory you can search through by name or by speciality, which is nice.
I also use the AMA website which has a sound alike search feature which is helpful. Here is URL for the AMA doctor finder.
http://webapps.ama-assn.org/doctorfinder/home.html
Also, some states have websites for the medical board licensing or professional licensing where you can look up doctors with licenses in that state. You might do a Google search for whatever state your facility is in.
Another good one that I use is the WebMD physician finder. Here's the URL for that one:
http://doctor.webmd.com/physician_finder/home.aspx?sponsor=core
Hope this helps you.
I'm 1 hour north of Sacramento but lived in Citrus Heights/Roseville areas for 10 years (sm)
and pretty much 'ditto' everything CAMT says... Kaiser very big in Sacramento but you could start applying to nationals and have a job by the time you got there!! Congratulations and good luck on your move!!
You're 100% right! And where we work - (sm)
(and what we wear!) should have NO bearing whatsoever on whether or not we're considered 'professionals'.
I think the reason the MT industry has gotten out of the hands of MTs and hospitals, and into the hands of plain old businessmen, is because, since we're a mostly 'invisible' workforce, they could see countless cracks and loopholes they could take advantage of when it came to cheating the workers (and the laws in this country) and making more profit for themselves.
I caught something on TV last night speaking about the "equal value" laws some states have, when it comes to the disparity between men's and women's pay. Certain jobs were awarded point systems to determine their worth to an employer. One example was secretaries (women) vs. the building's heating/AC/etc. maintenance workers (mostly men). They each were worth 100 points. Yet the men made twice what the women did, and worked fewer hours on average.
Considering what MTs are expected to know (especially according to AHDI/AAMT), I wonder what our point-value would be compared to, say - a paralegal, or a paramedic, or an executive secretary, etc. (Probably not the best comparisons, but all I can think of at the moment). The only difference between us and them is where we work. They're on-site & highly visible; we are off-site and totally invisible. (How many of us have ever even met our bosses or supervisors face-to-face? Very few, indeed). But does that make an MT worth less? NO. Only in the eyes of the tunnel-visioned doctors, dictating away and aware only of their own jobs, or the hospital CEOs trying to bolster their own worth to their institutions by cutting transcription costs (many of them don't even quite know what transcription even IS), and worst of all, the owners of large MTSO's, who in large part these days are simply businessmen or women who bought the company because they felt they could turn a huge profit with it by underpaying its workers, and most of whom have never been an MT a single day in their lives.
I think you're all wrong. It's all about getting the work done
for the hospital in the fastest time possible and my company doesn't care if I do it or if you do it (if you worked for us) or if someone else does it, just get it done for the client. So complain as you like, find somewhere else to work if you need, but get the work done. That's the bottom line.
Look at what you're using now as far as ports for work. sm
You'll need to get a laptop that has the same kinds of ports. If you're using all USB, you're in luck because most new computers only have USB. If you're using a serial foot pedal, consider buying an model just off lease that has that port. There has been such a problem where I work because they don't have USB capabilities in their software yet and so their serial foot pedal does not work with newer laptops even with adapters from serial to USB.
I just bought off lease a Dell and made sure it had all the ports I wanted, including a parallel port because that's the foot pedal I have. The laptop was built in 2002, has over 1 gig of RAM, all the updates for Windows XP and it works just fine for me.
I understand what you're going through. I work both myself. sm
I have been IC for several years, and thought I might go back to employee for benefits. But I found the insurance was so high, and the pay was not as good, so I work both part time now. The bottom line is, I can't give up the freedom I've had in the last several years. I am given so much work in the morning, and have all day to finish it, and I love this system. I tried to set a schedule for my part-time employee job, thinking I would like to go to full time if it worked out. But I had too much trouble making myself fit a schedule (they have offered to let me work when I can, so I'm still keeping the job, but if I can't do it right, I will quit). Unfortunately, when you get used to IC, it is hard to fit back in a "box." Maybe you could look for a company that would allow you some flexibility in your schedule, say an 8-hour window to work 6 hours. If you have the experience, some companies will work with you that way. I don't think IC is a dead end, it is just a little harder to manage. But the benefits did not pan out. I can get the insurance cheaper individually, the pay was lower so I could actually put a little back as an IC every pay period and take time off "paid." The only thing I miss is what they pay for taxes (I think 7% or so), and having someone else do these things for me. If you like IC as I do, try setting up your own retirement plan, getting your own insurance, and put a little back each pay period for some time off. Good luck with your decision.
You're RIGHT, & many of us *need* to work at home
:(
How does income tax work when you're IC?
I was offered a position from a company as an IC, and the contract had a clause about being responsible for your own tax deductions, etc. As I have only ever been an employee, I am not entirely sure how this works. If you are IC how do you pay taxes? Thanks!
You're lucky. I get lots of work but have
You're right! I wouldn't work for a company that SM
expected me to surf all over the world just because some prima donna didn't want to be bothered with proper dictation.
I work for a national, and we're allowed
.
Any program will work if you stick with it and it's NOT what you're doing right now. nm
s
Depends on where you work and how you're paid
kj
It depends on what kind of work you're doing..sm...
If you're doing clinic work, you would need the book that pertains to your clinic. I'd also recommend a Stedman's Abbreviations, acronyms & symbols. I'd also recommend Sander's Pharmaceutical Book. Other than that, I'd use Google and trustworthy websites.
I think an inhouse job would be the way to so
as you usually get paid hourly. Working at home is not that great. I found that out the hard way. I am just doing it until I can find an inhouse job, they are so rare. Going inhouse is better in every way. YOu do not have to deal with "Do it this way this day and do it another way the next" as is Amphion's practice, along with many others. Also, the inhouse job would give you valuable experience. You can always go back to working at home. You would only gain in experience by working inhouse. Good luck!
Inhouse
she probably wouldn't be making $41 an hour.
And Inhouse
Inhouse you will type for 2 hours, then get a 15 minute break, then type for 2 hours, get a 30 minute lunch and then type for 2 hours then another 15 minute break, then type for 2 hours and go home. According to my friend who works inhouse they rarely get their 15 minute breaks more than once a day, so even working inhouse they only usually get about 45 minutes and they only make $16 an hour. Being at home on production you can decide how much to make if you use your Expanders and actually type instead of surfing the net, etc.
True. So then don't work. We're talking CHOICES here. nm
x
No! And boy do I know where you're coming from! I tried to get the Olympus pedal to work, but..
wound up pulling my hair out instead. They don't make it easy on us, do they?!?!? 
If you're so brilliant then, why aren't you in a better line of work?
1. Surgeon.
2. Attorney.
3. College professor.
oh, and yes, my brilliant one - what year exactly did you graduate with your Ph.D. from Harvard?
LMBO
So you use MCI for unlimited LD for work and they're fine with it? About how many minutes do you
use per month, do you think?
You're right about the "prehistoric" part! The place I used to work (sm)
uses Lanier, and it's a mess. It's WORSE than prehistoric. It was down more than it was up. It was also not at all friendly for at-home MTs, either.
They're not thrown to the dogs when they had no work to begin with!
nm
For Pete's sake, if you're too sick to work,
call in sick!!
This past week I've had chronic sinus drainage and a nagging,constant cough that has kept me up most of the night. Felt okay during the day,(although typing speed decreased significantly).Was able to take cat naps off and on during the day to make up for lack of sleep, otherwise,I wouldn't have hesitated to take a day or two off.
If I'm "really" sick,I call in for a sick day without hesitation!!
I did go through that with my last inhouse position ...
and after I quit and went home to work for my present employers, I realized what the most significant factor was for my burnout: Working with the absolutely rancid attitude of unhappy coworkers. True, I should not have allowed them to get to me but they were unhappy over ANYTHING. Nothing could make them happy and all they did was gripe and b****.
I eventually quit going to lunch and breaks with them because I just didn't want to hear anymore negative spin on whatever was going on. Of course, then I was Miss Goody-Two-Shoes because I wouldn't fraternize with them. There was already tension enough over production. I got to where I would drive around and around the block before parking...then I would be late a lot because I could hardly bring myself to drive to work. I felt sick at my stomach as I got up, knowing I was going to walk in that office where such emotional poison was.
On their own, I liked these women - they could be funny, were intelligent, had a lot on their plates. But as coworkers, they were unhappy about anything that happened and just could not leave any topic alone. At lunch and breaks, they so horribly bad-mouthed the superv, the QA person, the management, the hospital policies, the equipment, the software, the incentive plan, anyone who wasn't sitting there's production, other people's dress and how they handled their family life, etc. I mean it was HORRIBLE. When I started back to college, they were mad as h*** because I got "special treatment" in their eyes. They worked whatever schedules THEY set, but apparently I wasn't allowed to do the same. I see now that they were angry because I was doing something different and progressive in my life.
Then, when I announced I was leaving I thought they would cheer because, after all, I was the outsider. Instead, they got angry. They were angry because I was leaving and they were left behind. They emailed and left voice messages a few times after I had left, asking how I was, and talking trash still about that hospital. I never called any of them back.
I'm done with that attitude. I literally cannot take it. The same issues were happening to me but I chose to look at it differently.
Making a radical change of quitting and going home into a completely different setting and controlling my own environment, pay, etc., was the key to recovery for me.
I also know that I won't be doing this much longer...THAT HELPS A LOT...LOL.
I appreciate the advice.
OFF TO WORK...
I had one when I was inhouse and loved it! sm
I just wish I could afford to get my own right now. It takes a little getting used to, but not too bad and it's soooooo comfortable.
i used to be a coder inhouse. sm
my schooling was actually a combination of MT/coding so i had the option of either. i started out coding at a local doc office. i didn't have much of a problem with it. the cons i would say was dealing with people b*tching about the bills and medicaid pain in the *ss, but other than that was fine. i slowly picked up MT work on the side to do in the evenings part time, realized how much money i was making and eventually quit the inhouse job to go full time at home as an MT and tripled my money. not sure about coding at home so i can't help you there.
You actually WANT to go back inhouse and having to
?
I have worked inhouse at
made anywhere from the $11.00 range up to $26.00 (counting production bonuses). There is a wide range. The benefits are usually much better than working at home, but I much prefer working at home and will never return to inhouse again.
I think I would stay with the inhouse job, have the
baby and take your maternity leave. While on leave, you can be looking for an at-home job, and maybe even start with them while on leave. Then, after your paid leave turn in your resignation.
pay for inhouse position??
I have an interview in the morning for a part-time inhouse position. What is the pay looking like working by the hour with no incentives? I don't know what a fair offer would be and don't want to sell myself short.
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