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Serving Over 20,000 US Medical Transcriptionists

price of gas and daycare

Posted By: Chris Jurrians on 2006-11-27
In Reply to: I agree. The daycare and gas are - TM

I have a 30 mile round trip to my job. After being home for a few years on and off, it finally hit home that I needed bennies. So I bit the bullet and went to work at a hospital doing acute care. I take the bus every day. Much cheaper per week to ride the bus than putting gas in my car and my boss lets me flex my time as needed. I made a list of pros and cons and the bennies were the deciding factor as they are excellent. Much better than what I had which was zippo...Good luck in whatever you decide to do.


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The price of gasoline is reflected in the price of goods. Having said that, one item
higher, MOMENTARILY, than Walmart, does not really make a case against Walmart. You want to make Walmart a bad guy because they don't have a shopper out there matching the grocery stores' price so be it. But MOST people I know shop at Walmart for lower groceries prices AS A WHOLE, and that is what makes Walmart successful. So buy your cheaper Bounty towels at your grocery store if that makes you happy. Your grocery store HAS TO MAKE MONEY and they will get you on something else. It is the retail law. Walmart will not be successful with higher prices than the grocery store. They aim to succeed. They have been sucessful in undercutting other stores. Your Bounty towels will not bring down the Walmart empire but it may cause you to shop at your grocery store where they will charge you more on other items to stay in business. Quit the knee-jerk responses. If you don't like Walmart and don't want to shop there that's all well and good. If you don't shop there because of Bounty towels, well that's just crazy.
This isn't about daycare.
It's about taking a couple of years off full time work to raise your child - or maybe doing IC or very PT work. I am all for moms raising their own kids, just not working full time while doing it.
To daycare or not to daycare?!

I am a home-based Transcriptionist who worked VERY part time (2 hours a day or less) until my daughter was a little over 1 year old, and then my husband got promoted, I went back to school and quit my job.  Now my degree is almost finished, and I am getting ready to start back at home again on a full-time basis with my old company.  I cringe at the thought of sending my daughter to daycare, especially while I sit at home all day typing, but I am not sure I can get enough production done with a 19-month-old around all hours of the day.  Does anyone have any experience with YOUNG children at home and working full time?  I'm not going to push myself to produce the huge numbers I know I otherwise could, but I would just like to still be in the mix and have full-time status AND be with my daughter...I guess I want it all!


I agree. The daycare and gas are
probably more than the cost of insurance. This doesn't include the time you get back each day that you lose while commuting.
Also, by the time you pay daycare (sm)
If you add up the numbers, you may find like I did, that by the time you could pay day care, you might as well just work part-time when you can, because you end up with the same amount of money. Makes it not worth it to give up all that time with your child and spending more time working, if you don't even see any more money for it!
To HappyMomMT. Me again. LOL. I agree with you about daycare, I do. SM
I wish I didnt have to put my kids in daycare. But honestly I couldnt work at home with them. The ultimate option would be for me to stay at home with them and not have to work. But I cant do that. I so wish I could. Fortunately I went to every day care in the community and found the one that I thought would benefit them the best. It is more of a school atmosphere, not a place where they run around with all different age groups. It is very structured and they love it there. They do all different kinds of things there. They even go to the pool in the summertime, which they really enjoy. Because it is summer I have been trying to keep them home with me more, while I work of course, and they have been miserable. They would rather be playing with their friends.

It has worked out better for us. It allows mommy to work and then when they come home, all work is put aside and all attention is on them. It has worked out well for us. Although like I have said in my previous post there are a lot of issues I have to work out because of the "neglect" from the years of me trying to work with them home.

I will admit, I am anxious by nature, and I still get anxious thinking, how can I possible get this work done before they get home, etc. I guess if you are a calm person it might be possible to pull it off PT, although I still no not believe that FT would ever be possible.

I am sorry for any negative comments I directed toward you. I just felt a little hurt by your comments about careing and love, etc. because I do care for and love my kids.
OF COURSE we know what daycare is! Its anyone OTHER than Mom spending the majority of the day
course, just the way lots of you like it!! Dump and run!!  Unreal. The Govt monitors day care - oh, there's a relief!  Then the Govt monitors schools, which are your next dump off point for your kids! And of course you can't spend the day with your own kids - they grow AWAY from parents over the years, not closer.  You can't control your own kids, cause they're NOT your kids - they belong to daycare and their peer group friends.
keep daycare. you can't do everything and make money.
i know...tried it.
I run a home daycare and transcribe.
Have done so for 9 years now. Never had a problem with doing both and both jobs are done well, children are happy and I transcribe 98 to 100% accurate reports ALL the time.
Daycare costs have tripled between the time I had my
first and third children.  Yes, many of us do work at home and need flexible schedules to accommodate our kids.  It would cost $1,040 per month to put my three kids in daycare, and that's considered CHEAP!!!  You might as well work in the office if you're going to just put your kids into daycare anyways.  How much money do you think will be left of a mother's paycheck after daycare, gasoline, car expenses, wardrobe, and all other work-related costs?  Besides, I didn't have kids for someone else to raise them in a snot-infested daycare where the workers are underpaid and don't care for your kids as well as you can.  Times have changed since you raised your kids.
Unless you have small children and want save on daycare,
xx
My kids were out of control before daycare, when they were home with me while I worked all day.
Are you against school too?  I guess you are going to homeschool...... 
I got into this because it paid more money and I didn't have daycare expenses.
I have more time for a social life now that I work at home.  I go to lunch or coffee with family and friends.  I used to run errands on my lunch half-hour at my old job and either pay my bills or balance my checkbook on my breaks.  I know all the other parents at the school now, so we get together on weekends or chitchat at the school.  When I used to work outside the home, I was so exhausted from dealing with crabby people all day long that I just wanted to isolate myself at home on evenings and weekends.  Now that I work at home, I actually seek out friends to keep from getting isolated.
Have you thought about putting her in daycare only part time?
I don't know if you are able to set your own hours or not, but if you can put her in daycare for 4 or so hours a day and then work before she gets up in the morning and/or after she goes to bed at night that might be a viable option. She would get the benefit of socialization in daycare, you would get some solid, uninterrupted work time and you would still get to spend a good part of the day with her. Just a thought. When my daughter was 18 months old I began working part-time in the outside world and I truly felt I had the best of both worlds, because she really enjoyed daycare and got to socialize, and I enjoyed my time being productive away from the house and I didn't feel like I was away from her for too long. Best wishes to you and your family!
Keeping small children at home will cost you more than paying a daycare ... see message
If you are really committed to working, then transcription can be beneficial. It is not a job where you can attend to your children at the same time you work, you either work or you attend to your children. You make choices.

I would recommend this career field - I make 50,000 a year working 6 hours a day. It is still good if you work it.
No, it is NOT your price to pay SM

unless you continue to allow the "price" to be extracted from you.  There are companies out there who value what you have to offer.  Sounds like it is time for a heart-to-heart with your current company regarding at least being adequately compensated for doing all the crap dictation (believe me, they KNOW you are doing it) and if that fails...MOVE ON.


I feel for you and I hope this helps but if you continue to allow yourself to be used/abused to the point it is ruining your life...sorry but don't look to me for sympathy, you DO have options and working at Mickey D's is not the only option.


Not sure what that has to do with the price of tea, but I
still recommend them.  Better than paying a big bill.   I average 8000 minutes a month and they do not complain at all. 
Price
It's around 12 cents where I am. However, this is a red flag that they are looking and you should be looking for a new client and dump them. Believe me, they will dump you if they're thinking about it. Too bad, if you're good, good ones are hard to find but they have to find that out the hard way. The buck is top priority. Good luck to you.
Where did you get the price?
x
Sure am. The price of EVERYTHING is going up and
the taxes are through the roof, but my pay would go DOWN if I didn't work longer and harder to make the same amount. This really isn't good! but it's life, so we plug along and live (or at least WORK).
My price - PS

I know my prices sound low but it is gross line and a letter is counted from the date to the signature line and blank lines count.  That is the way that the company did  prior to me taking the account over, very upfront about it and I continue to do the same and everyone knows about it.  So that is why my rate to them in .115 per line but it adds up as they are surgeons.  They prefer looking at the lower rate per line.  I know it is the "old way" of counting lines -- use word and take the total amount of lines and that is my line count.  Now you know why I don't want to give up this account.  


 


Best was would be to price it out..sm
DHL, UPS, rental the smallest U-haul trailer and drive it home. Network with fellow MTs and see if anyone from that area is headed your way?
price

To me it seems a little low, depends on if you get a lot of consults or if it is just patient notes.  Psych consults can have a lot of tests that take a while to set up in a template but once set up, as long as the dictators dictate them the same way, you can use them.   My psych account I do for 11 cpl gross line and we have just converted over to digital.  Used to pick up and E-mail back.  But I do not have 24 TAT, I pick up on Th/Fri and have to have back by Weds night.  Also depends on how may dictators you have and if you can do normals, templates, etc.  Also each doc could want the same test set up differently.   But you have it now, see how it goes and go from there.  If you find it is too low, tell them and up it.  Again, depends on if it is chart notes or consults.   Sounds like you will be having your hands full to say the least.  Congrats and best of luck.   I do two psych, one for ADD children/adults and one that does a lot of consults for traumatic brain problems/cognitive and voc rehab.   


Patti


I think the price was too low.

somewhere around 11 would have been fair.  Of course they say, you only press a button and it pops up. I had a doc tell me about how he dictates the same paragraph with his normals and wanted a discount because of that. I told him he could just add in that part when he got the report back, since it was so easy.


In your presentations, keep talking quality when your clients are talking cheap. Show them how nice the finished product is and tell them you would be happy to work with the docs to help them make templates for redundant work so that --here's the kicker-- they don't have to dictate the same thing over and over again.  Sell that the technology is for their benefit to make their lives easier. And again, when they say the little "but you only have to" just smile and say, how about if your staff just adds that when it comes back then...


Don't feel bad about underbidding. Do a really, really good job - spend some time in the office developing a relationship so they know you are a real person. I like to take my kids with sometimes when I drop by so they know when they sign the check, it's not going to a corp but to a family.  Go high end on the service, get it set up so it works real good, then raise your rates. You asked about a fair rate and this rate is not fair to you.


Email me with any other questions. We can talk over some of your options and do some trouble shooting.


 


Not for that price
$18+/hour. I make more as an MT, but I would not consider anything less. I took a cheapy $14/hr QA job and the owner treated me like dirt. No way.
Seems to me for the price of the
book that AAMT should have used spell check before sending it to the publisher. After all, they are the ones who make all the rules, or are they exempt?
price is $30, not $70....
She is saying she can download the e-book for $30. The paper book is over twice that much. The e-book is worth that, in my opinion. With the book, you are going to look something up in it twice a year and it will collect dust the rest of the time. The e-book, being right on the computer, *might* get used more often.
I repeat, the price of everything, the value of nothing.nm
nm
Often I think they lie about price, thinking they can
.
Fair price?
I just picked up a new account today but was so unsure of what to tell them in regards to price.  It is a psych account, PHP program, and they said they dictate on a total of 150 patients per week at 2 facilities.  They said if all goes well, they have 6 more facilities they can add.  I was really scared of giving too high of a price and not getting the account, but I also don't want to get ripped off either.  I have quoted prices that were too low in the past and really suffered for it.  Anyway, I ended up quoting them 0.08 a gross line, which I think is totally fair.  They will be using digital recorders and they will be printing the work.  What do y'all think??  I want to feel confident about this.... 
price per page

We may be going to a per page in paying our at home typists.  However, it has been a long time since I did this.  What is the current rate per page (the employer) to pay for imaging transcription??


price per page

 I may have to outsource some work to ICs  what is the going rate for a company to pay for radiology reports, I was told 1.75 to 2.00 does that sound right.  I hate doing line counts.  Any thing will help. 


Thanks


Give them to him for a price.
Calculate how much time and energy went into making those and charge accordingly.  You deserve your money.
price per page
What would you charge per page for radiology reports?  You know some are a few lines for hands, feet, etc. and others (CT, MRI) are lengthy.  sk
Great price ... does it come in
colors other than white? Laser printer quality? Or just ink jet quality? My client used to use sticky paper but decided after a couple of years it was not cost effective and switched to regular paper. They might be interested in switching back at this price. Thanks in advance!
Price per hour...sm
Depending upon the complexity of the dictation it can take anywhere from three to six hours.  If there are multiple speakers it would be on the high end.  The question should be can I work for 4 to 6 hours for $60?  That works out to $15 ph for 4 hours and only $10 ph for 6 hours work.  Definitely expect to spend more time than you think on any given dictation as the contractor will always tell you it's "easy". If they are paying by the "hour" instead of by the line or page you will be the one taken advantage of!  I, for one, cannot work for less than $20 ph.  Nor should we.  We're educated medical language specialists. 
Yay, a new one! Might get a good price, too, with
s
are these always $15, this is not a sale price?
Radio Shack rocks for the stuff I need. Especially when I can get memory chips for my digital camera dirt cheap. MERRY CHRISTMAS TO ALL AND TO ALL GOOD NIGHT.
Great price if you have a Mac
but I have XP. I wonder if it's the same program for both. Thanks for the update though! I used it last night and it's a pretty nice program. Again, thanks!
That the price of the barrel has gone DOWN a lot! nm
nm
PRICE RANGE

I think you would be very ambitious and over-reaching if you charged 15 cents a line to think that you were competing with the nationals.  It sounds like she is new to transcription and has no way to gauge what she should charge.  If she is by herself, she is not going to be able to handle a clinic account or a hospital account by herself.  They will give her over 5000 lines a day.  She needs to be realistic on what she can handle before she thinks about what she can charge them.


This is a price for me to have the account myself...sm
I was going to give them a price and I was wondering if this was about right. It is family practice clinic work. They may not go for it. I am just going to give them a price and see what they think. My husband's cousin is really good friends with one of the nurse practioners in the office and I was going to let him put in a good word for me.
No ONE should do VR for that ridiculous price.
Mine is 4 cpl and with straight intermixed you can make a decent salary.
The price of hay and oats would probably skyrocket.
s
Thanks - can you tell me which one you use and the best place (i.e., price!) to order it from?
Thanks for your help.
I would just ask for it -- unless you have a contract with them for a specific price and is due to
expire on a certain date, otherwise you may have to wait until then to renegotiate a new line rate. 
I actually had a doc's "girl" call me for a price...and
when I asked why they were shopping around, she told me they weren't really happy with the service they had. I asked what they were paying and she said, 7 cents per line...They are paying 7 cpl and they are still shopping for a lower price?! Not someone I want to take on as a client.
Price that house to SELL and NOW!
You need cash flow and cannot afford to wait around for your big profit. I have also flipped houses. This is a prime example of exactly what happens when one thing goes awry in your plan. You need to be more prepared to weather a storm in the future, but for right now you need to unload that house. Best of luck to you. :-)
Tell them "an IC sets her own price"
and 7 cents won't cut it.  The first word in IC is independent.
Best price for Instant Text...$189...
x
Remind her your overhead has gone up, i.e., the price
x