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Rapid Outsource Imaging (ROI) - Shirl


Posted: May 19, 2011

I can sign on with them, but they're strictly BOS 3. I'm still in the dark ages with BOS 1. How much time am I going to spend with my head in the book? What things should I focus on (re)learning first?

Also, what kind of paperwork do I need to take care of, line counts, billing?  Do they take care of that? All I do with my current company is submit my online line count at the end of the pay period, and two weeks later I get a deposit in the bank.

This is the only IC position I've ever had, so I don't know what to expect.

Wrong board. It should be in Main. Sorry. - Shirl

[ In Reply To ..]
x

IC - SS

[ In Reply To ..]
Well, firstly congratulations on passing the test, which from what I have read has been failed by MT’s with 20 or 30 years’ experience.

If you go to the "AAMT" Web site, you can pre-view the BOS 3.

What I do know about BOS 3 is, there will be a BOS 4. I wonder why those folks weren't able to get it right the first time, because it's possible that what I did wrong during the BOS 1 phase is now right, which means I didn't do anything wrong in the first place (ha!). At this point in the post, I have resisted the urge to embark on a full-blown tirade about a rock in my stiletto: the AAMT/AHDI.

The IRS uses a 20-point system and Form SS-8 to determine employee status or independent-contractor status. It's my understanding that all U.S. workers are employee status unless proven otherwise; and the IRS is the absolute, ultimate authority to determine status. Form SS-8 can be filed by the worker; Form SS-8 also can be filed by the employer. If you're willing to wait approximately six months for a response from the IRS, you will then know what your status is. Some MTSO's honor IC status more closely than others, though I don’t understand how it is possible for an MTSO MT to be a bona-fide independent contractor. Maybe the IRS should create a classification specifically for MTSO MT’s: Hybrid, part IC/part employee.

Have you asked about error charges, general professional liability insurance, and deposits on software that you will be downloading? As a true IC-status worker, you are required to purchase the "how" of performing the work. So, paying the deposit might be a more charitable option than incurring the full expense of true-blue IC status.

If the MTSO requested professional references from you, did you request professional references from them? As an IC, you are no longer under the protective wing of your state’s department of labor regarding late receipt of your paycheck; you are no longer under the DOL’s protective wing if you are not paid at all. There are other protections that IC’s forfeit.

As an IC, you are required to abide by all the financial rules as established by the IRS for independent contractors (including a small-business tax), even if you are, in practice, a “hybrid”: part IC/part employee. However, you won't be truly afforded all the independence to which you are entitled as an IC: the "when" and the "how" of the work that you perform. But, perhaps this independence is a price that you can't afford or aren’t willing to pay, anyway, e.g., paying a deposit to use client equipment versus purchasing the equipment.

Set yourself up with an accountant whose expertise is small-business taxes (you’ll be filing taxes quarterly and annually) and consult a small-business attorney to educate yourself about your obligations, about what “rights” you now have, about what “rights” you have forfeited.

Only believe what you read in the contract, and don't make any decisions until you have signed your name.

Wishing you success not only as a radiology transcriptionist but, also, as a New Businesswoman.

BOS versions has nothing to do with "getting it right" but - about making more money and (sm)

[ In Reply To ..]
squeezing more lines from MTs.

How? By reducing the # of characters accepted by those who use the BOS with each version. Those character losses add up.

It's just another money-making mechanism of the AHDI. Has nothing to do with not getting it "right" the first time, lol.

BOS - SS
[ In Reply To ..]
I was referring to changing style rules. However, your assumption is well-taken.
You are 100% correct! - MT
[ In Reply To ..]
You are spot on, lady!!
BOS versions - Nick
[ In Reply To ..]
You are right! In fact, I call them the BS versions and just leave out the O because the BOS, like most everything else to come out of that organization is BS. (Baloney sausage, for those who wonder.) It has become a huge money-making machine for the powers that be behind AHDI, who have by now had several decades of practice in exploiting and throwing under the bus the American MT.

Shirl, regarding the style guide, you can put most changes in - your expander, with the previous short forms.

[ In Reply To ..]
Then when they change again, you can just do the same again.

Curious about ROI too - Seeker

[ In Reply To ..]
I am also wondering about ROI.

For example, as an IC they're not obligated to keep you busy your entire shift. Anyone here doing work for ROI? Do you stay busy or are you sitting there with nothing to do?

ROI - BUSY - ROIMT

[ In Reply To ..]
I stay busy the entire time I am working except for occasionally running out of work for a few minutes. ROI is respectful and appreciates the MTs that work for them. They let me do my job, and I make a very good living working for them. They are very strict about quality so if you do not have a good grasp of the BOS 3 guidelines you will struggle. They pay me on time, twice a month. They supply invoices and the system keeps track of my lines. They pay a gross line too so you get a higher than normal line count because of this and can make really good money. If I were Shirl, I would sign up with them.

"if you do not have a good grasp of the BOS 3 guidelines you will struggle" - Shirl

[ In Reply To ..]
That's what I'm worried about.

I don't know how I managed to pass when the majority of the people here are saying they didn't, with years of rad experience under their belts no less.

I was going off BOS 1. I can say, though, that some of those questions came straight out of the book, word for word.

I really hate to put the BOS 3 on what little available credit I have left (all of $200), but if it's the difference between continuing with Lofin and their insane contract or going someplace decent with a pay scale that makes working weekends and holidays more appealing, I guess it's worth the $60-some investment. Unless someone on here is selling one for less and accepts PayPal.
Book of Style 3rd Edition and 2nd Edition options - Unpublished
[ In Reply To ..]

Ok, I am probably going to get reamed for suggesting this.  Whether it is illegal or not (copyright issues), in my mind, is debatable.  I just think that if you buy a book for $60 or more, it should last more than 6 years before the information is obsolete.


So, here goes. 


There are textbook rental sites that you can go to.  Right now, you can rent the Book of Style 3rd Edition for $22.98 (zero shipping charge) for 90 days.    


It is my understanding (and please someone who currently has the hard copy book of the Book of Style 3rd Edition, please correct me if I am wrong), that the only changes between the editions are listed in the Preface. 



This is from an ad announcing the 3rd edition:



  • A "What's New in This Edition" preface that provides a detailed list of all changes in standards of style addressed in the text for ease of reference



So, you can either


1.   Rent the book and read it cover-to-cover in 90 days. 


2.   Photocopy the Preface page and make note of those changes in the Edition you currently own. 


The reason why I do not think it is totally illegal is because I found the entire (562 pages) of the Book of Style 2nd Edition on-line.  So AAMT/AHDI can’t be too concerned about copyright infringement.  (By the way, for those of you whose company still uses only the 2nd Edition and not the 3rd Edition, even if you have the hard copy book of the 2nd Edition, this pfd file is great for a quick search.  Also, if there is something you constantly are confused about, you can print off just the pages that are most important to you and keep them in a separate folder for quick reference later, instead of having to find it in the book over and over again.) 


By the way, in researching the current prices and availability for the Book of Style 3rd Edition, I kept running across the following statement:


This text refers to an out of print or unavailable edition of this title.


Makes me wonder if AHDI is in the process of publishing a new edition, so everyone who takes the “mandatory” CMT examination (anticipating that it will become mandatory in the next couple of years) has to buy one in order to pass the test. 



  • First Edition:  1995

  • 2nd Edition:  Publisher: American Association for Medical Transcription; Second edition (July 15, 2002)

  • 3rd Edition:  Publisher: Association for Healthcare Documentation Integrity; 3 edition (June 15, 2008)


And YES, I am totally skeptical and cynical when it comes to AHDI. 


If you have any questions, please feel free to contact me by Email.


Good luck. 


 



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