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The IRS quit using the 20-questions a long time ago. They have categorized their description to three basic categories - Behavioral Control, Financial control, Relationship.
The downside to that is that according to the IRS worker I spoke with, it's 80% subjective. You and I might work for the same company as ICs. We call the IRS at the same time to ask if we are misclassified. You get IRS worker A, I get IRS worker B. We share the same script and one of us will be misclassified and the other not.
The other thing is to realize the onus does not just lie with the MTSO. If you are an IC, then it's up to YOU to make sure you are in compliance. If you are working for a company who treats you like an employee but calls you an IC, you have to remember you are there by choice.
I would encourage all contractors to really review what being an IC means and to make sure you are treating yourself like an IC as well as having any MTSO you associate with treat you that way as well.
I agree with you 100%. ICs do shoulder some risk...sm - me
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when they work in a position as a pseudo IC when they should really be classified as an employee. In the future they could actually suffer from the "trickle-down" effect when/if MTSOs are prosecuted and fined.
As far as the 20 questions go, I do now see that they are outdated but they still are a more understandable list of questions to ask yourself if you are an IC.
So, our CCM sent out an e-mail that she has received a directive that if we are not working our exact schedule, we are going to receive an oral warning and then be performance managed.
If there is no work, we have to put in a Q-Care ticket or we will be performance managed.
Remember when we first were pitched the idea of working at home? One of the points was that we could be flexible in our schedule. Now we are just slave wages on an assembly line with no deviation in schedule. Just anot ...
Has anyone on here ever been written up for not following schedule? I know its important to follow but they out of the blue last summer called me up and said I had to change my schedule and I now have more evening hours. I was already working on Sundays but anyway I used to work 2 hours in the eveings and would somehow like to get back to that instead of 4 hours. CCm in my group sent out an email a short while ago stating if she found out people were not working schedule ...
What is with the compliance and audits and the threatening cloud above us to perform so many reports and lines in an hour and then have to be perfect in trying to accomplish goals that are unrealistic and unreasonable. It would be so nice to get an appreciation email or bonus once in a while instead of all this looming gloom. ...
If you have your own personal business or contract with a doctor's office, not working for an established company, what kind of things do you have to do to be HIPPA compliant? Do they actually go and inspect and/or question your business practices? Does your work get questioned through the doctor's office?
Does HIPPA give certifications and/or anything to tell a perspective client that you practice HIPPA compliance?
Are there any other legal things that someone should worry about whe ...
My company is making all ICs draw up their own to detailed HIPAA compliance processes and security protocols, provide proof of HIPAA and insurance compliance and have a signed Business Associate Agreement in place. They are also requiring that we have more than 1 company that we work for, to be considered an IC.
Has anyone ever done this before? Any suggestions on where to start for drawing up the HIPPA protocols, etc? ...
My sister has recently taken on the task of medical record compliance at her husband's dental office. They are electronic (just going that way), and she is trying to be HIPAA compliant. I know this doesn't concern transcription, but I though maybe someone has an MR person in their office who could direct her to a blog, or website where she could get information. Thanks! ...
Just googled my former TSM ("former" because I got laid off in August) and on her Facebook page she is down as Compliance Program Director at MModal. This was/is the North region. To those of you so inclined......PLEASE spare me the "you don't have a life..." or whatever just because for a moment while on the computer I became curious and her name popped into my head. I have a life, just fine. Thanks. ...
Just a few years ago I was making 50K plus doing the same exact thing I am now getting paid 10-12 dollars an hour for. Does anybody know the real reason for this dramatic change? the details? ...
When will you MTSOs wise up and realize that pages and pages and pages and pages and pages and pages and pages and pages and pages and pages and pages and pages and pages of account specs for nitpicky docs SLOW DOWN YOUR MTs?
If you had any sense, you would use standardized headings in all reports and then turn that into a positive by telling prospective clients that it expedites turnaround of their reports. That is *exactly* what I did back when I owned my company, and it worked!&n ...
If you want experienced qualified MTs who have been doing this for years and years & can do any WT, any accent, any specialty, adapt to any software quickly.... quit requiring them to include a weekend day. Save those for part-timers or newbies. The experienced "oldies" have done their graveyard and weekend time. There are actually some companies who "get" that. If you're wondering why you can't find good experienced MTs, maybe that's why... ...
Hello! I'm a small MTSO who had lost some clients due to EMR. I'm not yet ready to give up as of yet because I love this profession very much being in the MT business for the past 11 years. I have heard stories about more and more doctors getting frustrated with EMR and would still want to dictate parts of the medical reports but somehow needed the transcribed dictation interfaced with their own EMR system. I'm very interested to learn how this is done so I can o ...
Honestly, I hate change but I am ready to jump.
I don't ask too much, just to know if I get audited by QA the intent is not to take money off me.
From what I can see, both the two big 2 - Nuance and MModal - use QA punitively financially, and while I have no objection to QA, when it is used to pick off MT pay I find that reprehensible and not an incentive to work your heart out, if you get what I mean.
If anyone cares to share their company's policies, especially if they don't ...
That would make things much easier for us to plan ahead the rest of our shift; whether to sit there and wait for work, or if we only will be working part of a shift and the work runs out, or if we can sign out and do other things in our personal life that need to be done.
I can't see that it's that big a problem or inconvenience for you to simply send an email to all on the account, or instant message, or whatever. You do it when you're begging for he ...
I could be wrong, but it appears to me that the VR came about as an answer to the problem of offshoring. I am sure many clients prefer to keep their dictation/transcription right here in the USA and request that from the companies they use. Maybe we should not be so adverse to it, as it could be the only means of keeping the work here affordably. ...
How do you handle using subcontractors (IC's) and still be HIPAA and HITECH compliant? I guess what I'm getting at is after I did some reading on IRS rules for employee versus IC, it sounds almost impossible to have IC and be HIPAA/HITECH compliant.
One says I have to provide training/education on HIPAA, yet the other ones says I can't provide training/education otherwise they are an "employee." One says I can't dictate how the work station is set up, etc., but t ...
Is this just a scam so that employers don't have to pay benefits and employer taxes? I bet if there was an audit, most ICs and MTSOs would be in trouble for using that classification improperly, especially for the full-time positions.
I even applied for a full-time secretarial job in a small law office recently, and was told I would be hired as a contractor with no benefits. I was stunned and declined. I need to check with the labor department to see if some of my concern ...
I have finally been offered 2 jobs after working for a company that required experienced MTs but only pays 24,000 a year - that's right, I am eligible for poverty-level discounts on my utilities while working fulltime as a seasoned MT, making the highest line count on my account.
So, I wonder how I can ask: How much money can I expect to make? I want to make 40 grand a year at least. ...
Let me introduce myself. I am a full time MT with 25 years experience in this business, averaging typing 2000 lines per day, audit scores 98% and above, who willingly works OT when requested, and I have never taken a sick day. I consider my job a serious employment commitment. I am the bread-winner in my family. I don't say this to indicate I make the most money. This means I PAY THE BILLS. You know, mortgage, car payments, insurance, light bill, food on the ta ...
I am just curious at what point you stop looking at resumes that have been emailed to you after posting a job. Is it 50? 100? More or less?
If I have been away from the board for a bit and come back to find a job that has been posted that I am interested in, if there are more than 200 views to it I generally move on and do not bother with applying. I figured that with that many viewing probably half or more have applied and sending my resume at that point would be ...
I'm not an MTSO, never was, and never would be if I could help it. In one of the threads below someone mentioned that some larger MTSOs hold it against someone if they post something on a forum like this. I put myself in the position of the MTSO for a moment. What would I do if someone contacted me and told me that one of the MTs that was working for me was trashing me on a public forum. I would go look at it. If I knew who they were, I wouldn't send them any additional work. It wouldn ...
Let's get to the point here on why most MTSOs are greedy. It is not because the MT makes mistakes or should make mistakes. That is not the issue. The real issue is that MTSOs don't pay what a quality MT is worth! That's where the "greedy" comes in. It also shows that the MTSO obviously doesn't really care about the transcriptionist at all. If an MTSO pays really low, this says to me they are treating the MTs as robot "worker bees" work ...
I have worked for a company for almost two years now (MT for 11 years) and am wondering why, all of the sudden, for about a week now I have been getting nothing but dictators that I am not familiar with. They are part of my pool and I have had dictations from them in the past, but never exclusively. I have only gotten two dictations in this time period from the dictators for whom I normally transcribe. I understand wanting everyone on the team to be familiar with all ...
for all MTs it has forced into poverty or joblessness because of offshoring, VR, and crummy wages to be able to return to school or job retraining FREE OF CHARGE, so we can remain gainfully employed. Most of us who've been in this biz for longer than 4 or 5 years have no hope of being able to afford to go to school. And those of us who've been MTs longer than 20 years need help and advocacy when it comes to job placement, because currently I seriously doubt many companies would h ...
Don't let the threats by MTSOs scare you. It is true that in most state employment is "at will" but if they fire people for calling in sick, equipment problems, ill child, power failure, etc. they WILL be paying unemployment for all those people which will be a big financial hit. They are the ones that are scared. Why do you think there are so many "suit" posts on this board trying to discourage this organized demonstration? As far as MTSOs and ICs go, ICs are on the ...