You undercut yourself, which drives prices down industry-wide. sm
Posted By: MTSO on 2007-12-08
In Reply to: I posted a couple days ago about my contract negotiations with a hospital. SM - MyOwnMT
For a hospital, NEVER go under $0.16 per line to start. Most will want to negotiate and the lowest should be 0.14 per line.
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Undercut
I have been on both sides. An account was taken away and I have gotten a couple due to my lower cpl and they have stayed with me for over 10 years. It all depends on what you feel is a decent profit. To me because they are clinic notes, I type faster- have more normals, templates, etc. and so I am able to make $35 to $45 per hour at 11 to 12 cpl which I feel is very adequate. I would not sit around though and wait for the account to come back as there is a chance that they might not. Just because someone charges less does not mean that they are inadequate or poor quality. I am constantly being told on this board and by others that I don't charge enough but to me I do. You just have to push on and get another account. You are in a different location than I am so we can't really compare cpl's as I am out in Oregon and you are back east.
Undercut
When you speak to your client - nicely ask them if the other company will be charging on a 65-character line or lower? I have found that several companies never get that they are being charged at a lower rate per line based on a 50 or 55 character line count which when you do the math - means they are paying the same or more.......investigate and know what you charge for and then present that to them. Do you charge for spaces, headers, footers, bolding, etc.....
If they are smart - they will check - if they say that they do not care - you can always go to a 55-character line too.
You might check with valuationbroker. Don't undercut yourself
as that is what people who buy businesses regularly look for. They look for people who are not educated at selling businesses. See the link below.
Been undercut, after 4 years, losing account, I am sure.
I am a small MTSO and have had this physician group for 4 years since I started my service. I have always charged them just a flat rate per 65 character line, which in the North East I feel is reasonable - 14 cents per line. Never charged them extra for reprinting reports they have lost (which have been many over the years) and I always did the printing and delivering daily for them. Now some other vendor comes in and says they only charge 11 cents per line. This group comes back to me and says that their "final offer is 12 cents per line".... I told them, no way....MY final offer is 13 cents and NO PRINTING! Did I do the right thing?
MQ's "daddy" underwrites them so they can undercut competition. They aren't
And if you aren't MQ Rosie then I guess I'm not calling you stupid now am I?
She probably undercut your rate. Just like India MTs. Another reason for union.
dd
It is MQ-wide for DQS users?
Well, I sure would hope it would be for SE's too, as some of us also use DQS. I havent heard anything, nor gotten a letter or check..Im wondering is it MQ-wide? All of MQ that uses DQS? Or could it be just certain regional offices did not have the count of lines set up right?
What letter? And is it company wide
or just in a certain office?
I don't live in a double wide
Oh honey, you got it all wrong. I have the TRIPLE WIDE right next to YOUR DOUBLE WIDE.
Don't be jealous and all because you don't got the triple wide!!!
Usually, it is a system-wide choice SM
that was made and the hospital (one that is part of a greater health care system) must go with the vendor chosen by the system.
21 wide screen and I love it!! (nm)
s
My eyes are wide open. Believe me, I know his
faults better than anyone. I can't keep religion of it, though, because it is a huge part of my life. It's not a crutch, it's simply a way of life. I, too, wish you the best. I know we all have our opinions and may not always agree, but that's okay, too. I hope you have a happy 4th, too!
Now my momma used a 3" wide wooden cheeseboard on our
behinds. That puppy hurt!
The worst? pretty wide claim.
x
AsUtype ~ system wide expander
I LOVE my wide screen. I will never go back. That being said....
I had to do some tweaking of the settings. I went to START, display, and then the setting tab (far right hand side). I have my screen resolution set on the 2nd notch from the word "less" on the left hand side. That is my home monitor.
For work, I have the same resolution setting and then, because we use Chartscript.NET, I can set my resolution different than the default and I set it at 105. That seems to work best for me.
I have also tried maximizing and minimizing the window sizes too. Sometimes it helps, sometimes it doesn't. I think you need to tweak your settings until you find the one that works best.
You could always try doing a system-wide search for a patient you know is on the file and maybe
nm
She drives me insane!!!!!!!!!!!
/
What drives me nuts is
EVOO. I do not like that at all.
She says EVOO then says extra virgin olive oil????
It also drives me crazy when...
my kids send me e-mails with absolutely nothing capitalized and everything spelled phonetically. 
have to say really drives me crazy too
but when I used to do work for docs I knew more personally brought a smile to my face when one night the doc said "and for your listening pleasure my daughter Lilly on the piano" and she played a few bars of something (she was about 5 at the time) at the end of his dictation.
Drives me crazy
I have a new doc today and he says that he has a ton of reports to read, so to make it easier (I'm not sure for whom) he says NOT to type articles (is, are, of, etc.). It is actually HARDER for me not to type these words in than it would be to add them! It's making me nuts looking at these choppy reports. They should just be doctors and let us do our job!
THIS DRIVES ME NUTS
why are we so concerned with sending work overseas??
This nation is so concerned with fixing problems everywhere else in the world and not focusing on our own!
Why do we constantly send work, money, military, etc etc etc overseas when we have homeless, starving, children (and adults!) here in the USA? We have students who can't go to college because they can't afford it and the federal government won't help because they are not a minority! We have people who can't get jobs for the same reason!
How about this?! Why don't we stop looking at race, background, and gender, and start looking at qualifications? Why don't we stop judging what people need based on color?
But i'm getting off track...
This country has a serious issue, and it starts with companies like AHDI. Rather than lobby for "a standard" they need to lobby for our work staying right here. When there is such an over abundance of work here that no one goes hungry and everyone has a roof over there head, then we can send it over there. I know there is such a romanticism about helping foreign areas. We see it everywhere. Celebrities adopting foreign children, missionaries wanting to go to China but not bothering to minister to people in their own back yard. Yes, we need to help, but we need to take care of our own also!
There is something wrong when a basketball player makes millions and a teacher barely can get by on his or her salary. What kind of country have we become? We place more value on entertainment then on morals and education.
When will it stop? We are going to dig ourselves in to such a hole and we are going to pull down all of our greed, immorality, conceitedness and every other vile thing we have become down on our heads!
I'm sorry I just don't understand what is so great about our country anymore. It seems we've got it pretty twisted. It won't be long before we start to reap what we sow. And I promise you, in the healthcare world, if all of our transcription goes overseas, and the documentation process becomes sub par, next thing you know the lawsuits will quadruple, which will raise the cost of healthcare, which will mean absolutely no healthcare for some, and so on and so on.
But hey, all in pursuit of the almighty dollar, right???
you can expect 12.00 - 15.00 hour average, pretty much nation wide.
d
That totally drives me nuts....
they just keep talking right on through the yawn as if we can even remotely begin to understand what they are saying. Sheesh!
what absolutely drives me insane..
commas! I would like to tell the people who type for TV station "crawls" to PLEASE put a comma after the state name when city and state names are used in a sentence. As in Tulsa, Oklahoma, blah, blah, blah. Also NO comma between month and year, PLEASE! That absolutely drives me up a wall!!! Somebody please tell them! I know, I know.... crazy is not a long drive for me. lol
Thank you for clarifying. Drives me nuts
when people just read the first 2-3 lines and think they have the story. Although, sadly in the end would agree that he probably would not be the best motivational speaker - but I would have said that before his probs began - he just does not seem right for that kind of organization - but those are my personal feelings only. Thanks again
Today's hard drives...(sm)
...are perfectly adequate to hold not only a couple of hundred, but many times that without impacting computer performance.
i was taught opposite, lol, but then at another company they preferred all disc; wide varieties. n
;
Well, it is called the World Wide Web! Sorry, your post made me laugh! No offense... but duh! nm
Yes, we swapped cars. DH drives my 4 cyl his 13 mi to work and I keep
x
Absoluuuuuuutely abSOfreakinglutely drives me nuts.
dd
Yes, "myself" drives me nuts as well as "further" for sm
"farther" and "anxiousness" instead of "anxiety." TV newscasters are really getting bad. They're adding "ous" to everything!
leave them right there, no matter how much it drives you nuts!
I did this for a week with my husband. Pretty soon his stuff was all over the house and come one Monday morning he about had a stroke trying to put together something to wear. Guess what? After that he started putting his things away like a "big boy" because mommy was not there to help him all the time. This is what my MIL should have done when he was living at home, not catering to his every need and constantly "helping him"!!!
and the doc spells "orientated." drives me nuts.
nm
I have a new female dictator who just drives me nuts.
She speeds through the entire physical exam in less than 10 seconds. She gets going really fast and doesn't swallow, so I can hear her spitting all over while she talks! If she can't be bothered to slow down and enunciate so that she can be understood, she deserves to have blanks in her reports. It's not auctioneer school, lady!
It's pretty much world wide that if you have no body you have no crime. Scott Peterson was arrested
Laci's body was found, NOT BEFORE. Not rocket science here. How to you prosecute someone w/o a dead body?
How true, I have one very crappy doc that drives me nuts, just got done 10 minutes of him that is-sm
riddled with blanks. I go through it once more, then the office mgr goes through it and fills in what I cannot get. We have an understanding that I do what I can then send it in luckily on him. It is an all-around non-money making account....I waste my time, she wastes her time then the owner proofs it. This doctor even has horrible residents who dictate for him. If there was not so much background noise I would do a lot better but they somehow manage to find the most horrible place to do their dictation and go to town with it........surprised I still have hair left. I told them that if we continue to do this guy (the doctor had decided to stop using the service but changed their mind recently) that I should be paid double (I get the bulk of this twit) and they should charge more to do him due to all the heck he puts us through. ------Can't wait to see what happens with that one!
I just said hello to "the paper boy." He is about 50, drives a nice car and seems happy.
dd
My hubby drives a long distance truck
thank goodness! He says the trucking business in dire need of truckers. Bet we don’t see folks punching those in.
A KVM switch will let you use 2 different hard drives on the same monitor. Saves much space
Check out KVM switch. I used my hospital computer provided to me when I first started with MQ. I used the KVM switch and that way I didn't have to invest in a monitor right off the bat. All I needed was a hard drive to dump the MQ program into. Then I could switch back and forth from one hard drive to the other. I don't know if this is what you are looking for but just thought I'd add this here as it has saved me much money and space.
Thank god for crock pots. 'cept the smell drives you crazy all day.
.
I am right there with you. It drives me crazy. A typo in a casual e-mail is one thing... sm
But work e-mails full of spelling and grammar mistakes, punctuation mistakes, capitalization errors... I see it and I can't help but think the person sending the e-mail is uneducated.
And I don't want to go into details, but my supervisor (I work for a national co.) is almost illiterate. I get long, rambling e-mails that have phrases and words that make no sense! I have no idea what this person means sometimes. It's so bad, I'm starting to think maybe he/she is dyslexic, which is sad, but I wonder how you get a job as an MT supervisor when you can't communicate effectively? (Over the phone is no better!) My gosh.
Gas prices
Last saw between $2.36 and $2.43 at the independent stations-- name brands a lot higher.
Gas prices. sm
Regular jumped from $2.58 to $3.19 per gallon today.
This is ridiculous!
Gas prices
Subject: Gas Prices
I went into the Shell gas station this morning and asked for five dollars
worth of gas.
The clerk farted and gave me a receipt.
Gas Prices
Wow, I need to come to Georgia. Her in NY they're still close to $3.00 a gallon, although I think the last time I checked it was down to the $2.50-$2.80 range.
Gas prices
Gas prices here are up over $4.13 a gallon. It is definitely times like these that I am glad I work from home.
Gas Prices
It is no mistake. I live in a little town called Carmi, IL which is 1 hour from Marion. All towns around us went up considerably last night. Carbondale IL was $5.29 a gallon and McLeansboro, IL was $4.89. I do not know how long they stayed that but I do know there went up there. ABSOLUTELY CRAZY
Our prices went from $2.55 to $2.99 this morning. nm
x
Gas Prices Shooting Up
Ours jumped 23 cents yesterday. Ouch!
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