A community of 30,000 US Transcriptionist serving Medical Transcription Industry

Don't believe a legal medical document should be paid by production. - bap

Posted: Feb 01, 2011

How can something as important as someone's medical report be treated like a simple object that goes through a production line? I truly do not believe a legal medical document should be paid on a production basis, but rather a professional basis.

Ok. How are you goin to make that happen. Btw, MTSO - told me that the MT OS does not SM

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see pt info. They only have the dictation for the body of the report. It is OS editors and management that deal with pt info.

Whatever - bap

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Ever heard of hourly pay? Apparently not. And why are so many transcriptionists so arrogant and defensive?

I have heard of it but never been offered it. Wouldnt take it anyway. - No MTSO is going to pay me the $18 - SM

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$25 per hour I do on production. And when I want a little extra, I work a little more or a little harder and it benefits ME, not MTSO.

This is my point. - bap

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When you replied to this post I put up, you are thinking instantly of how much money you are going to make, not on the type of document - it is a person's medical record not an object. That is the whole point.

that's not a point! LOL! - long time MT

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In fact, I've NO CLUE what the point you're trying to make actually is.

Because I'm paid well, I can't or shouldn't be allowed to transcribe a medical record? As long as I'm providing an accurate confidential record - THAT IS ALL THAT MATTERS. If I can make decent money doing that, I fail to see your down side to that.

That is what is wrong with this country today. - bap

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me me me me me me me me me me me me me!

no, it's called food, food, food, food, food for my - children

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.

are you just having a bad day? not a lot of point to this! nm - having a good one!

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a;lsdkfj

Not me, me, me but my family, my family, my - family. nm

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So I shouldnt be allowed good pay to produce a perfect - document? Really? I should make SM

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a poverty wage cause I do my job well? lol

Yes - bap

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Yes, you should.

Thinkin bap is just posting to stir pot. Which is fine, but - dont think she is serios/credible. nm

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x

It was just an opinion. - bap

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If you have a problem with my post, that is your problem. Wasn't mean to stir pot. What makes you think I am a she?

B/c you post like a she. He would expect to be paid - well for a job well done. You dont. nm

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Ugh again. - bap

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This post wasn't about money...what do you not understand about that?

Yes, it is. You said dont think pay shoujld be cpl, - should be hourly. What about that SM

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is not about money??

Got me there. - bap

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I was thinking about the type of document when I posted that.

I agree, it should salary and I would like to start out at $50,000 a year please - nm

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Oh, you bad MT. Wanting to make a good pay on the - back of the sacred medical document. nm

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PPsssst. That is why we have QA and audits, to insure quality. - It does work. No message

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s

Exactly - bap

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That is why QAs should make $18.00 to $25.00 an hour, and MTs who can make that much should be QAs if they want to.

Dont hold your breath, bappy, never gonna happen. Would - be nice if it did, but not gonna happen. nm

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OK - bap

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You know everything so I believe you.

You are kidding, right? Are you for real. Are you an MT - Perplexed.

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Why would I want to be responsible for someone else's work? Why would I want to edit? Why would I want to make $18.00 an hour, when on production I can make much more most days?

In posting your opinions and questions, I am beginning to think you are not even an MT.

But that's not what you posted in your OP - anon

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In your OP you said something as important shouldn't be treated as a document. Then in numerous posts you kept saying that you are not talking about how much money a person gets paid, and how that's what's wrong with this country today me, me, me...., everyone "missed the point" that it's about the type of document, but now you really are talking about the money aspect and that it really is not about the type of document we produce. So which is it?

If, from your OP, you are talking about not getting paid per line because it's such an important document, then that would mean not hourly, but each individual report. When I first read the message I thought, okay, so the facility/hospital can set a price like $2 or $5 per report (which would really suck for the MT/Editor). But now I see you really don't care about the importance of the document, you are just talking about money.

Some days I make less than $18-20/hour, some days more. If you pay by the hour it does not give people incentive to work. About 10 years ago I worked with a girl. Loved her to death. She was the sweetest girl, but she worked at home and she produced hardly anything, yet she made her hourly wage...the same as the rest of us who produced 3 times as much as she did.

Sure, documents produced for medical records are important, but you cannot place a price tag on importance. Each industry pays what they do. Of course we will feel we deserve more pay. Everyone who has a job always feels they deserve more pay, but this is the economy and this is what the going rate for MT work is. I take pride in my work and I get a decent pay. Of course more money would be nice, but in today's economy I'm grateful to have a job.

So...either you are concerned about the "important of the type of work we do" or your just concerned about why you feel MTs should make more money. You started the post out as one thing and came back at anyone who didn't share your opinion, but now I see it's only about money and not the importance of the document. Your contradicting what yourself when you are telling other people "you don't get it".

Not always. See OH MY GOODNESS post on company board. nm - kitty

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X

Or ensure quality...yeah I know that is a no-no but highly appropriate. - QA

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I know! - ontop

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bap, I agree. There isn't always much room on this forum for an alternative point of view! Some angry people here! I get your point from your original post.

Thank you - bap

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Just like to see another's point of view, don't mean to start an argument.

Should the Dr who generates that report be paid less - for working on a human as compared SM

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to say, a veterinarian who works on dogs? It is scary how little thought some give to their posts.

scary is right - ontop

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It is scary how angy you are. Why so insulting.... We will be sure to check with you first the next time we think of something.

Difference of opinion makes a great board. Post,so what if - others dont like it, dont be afraid. nm

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x

His/her post was neither scary or angry...or insulting. - see message

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Have no idea where you even came up with that one. Maybe you just can't tolerate anyone with a difference of opinion than yours.

And he/she never said you need to check with him/her first before you think of something. That makes no sense whatsoever and reminds me of what Harry Potter said to Ron Weasley when Ron told him something that made no sense.

I don't know, - bap

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Does a doctor get paid production? The point is you still are focusing on what you are getting paid and not the type of document.

Wrong. We are focused on putting out perfect document, - which just accidently happens to pay SM

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a good wage. The good job brings good pay. Earning good pay is just a hazard of being on top of my game, I guess you could say.

We are not doctors and should not expect to get paid a doctors wage - see message

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Are you asking for $100-150/hour for work.

Of course a doctor doesn't get paid production rate, and I wouldn't want mine to. He's been through who knows how many years of schooling, continuing seminars, etc. He gets what he earned.

We are MTs. We are not doctors. The going rate for MTs is what we get paid. If you don't like it you certainly are in the wrong field. Maybe a job that pays hourly would be better for you.

If you don't like the pay time to find something else.

I get paid per line and I make a very good wage.

You keep telling people they are focusing on pay and not the type of document, yet that is exactly what you keep focusing on - the pay (not the type of document).

You should follow your own words and stop talking about the pay.

because sick of people with all the answer that have no clue at all. - nonewhatsoevah

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.

My opinion. - bap

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Everybody has an opinion.

What is that saying. Opinions are like anuses, everyone has - one. nm

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hey, don't knock my anus, it deserves better than bap - opps, i mean that! - anon

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Sung in a beautiful voice -- I hear you knockin but - you cant come in. nm

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x

Scratching my head - long time MT

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I'm a professional who is paid per... line.

Are you saying the records I produce are of lesser quality, professionalism, or accuracy because I'm not paid per....
hour?

That's just a ridiculous statement.

Scratching mine too. Bap is certainly in the wrong business. - Production worker.

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Don't even know where to start with this. There are so many reasons why we are paid on production, and actually it is to our benefit. I make more on production than I ever made by the hour, and yes, I am the same MT no matter how I get paid. The quality of work should be the same, without question, no matter how an MT is paid.

I think if companies started paying by the hour, you would see production slow to a crawl.

I think you are in the wrong business. - bap

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We are talking about someone's medical record. You like production, go pack cookies or something.

as my mother used to say - longtime MT

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what does that have to do with the price of tea in China?

I've worked both production AND hourly. Hourly ticked me off because I came from a production environment, where the point of sitting in front of the computer was to WORK. Not talk about what time to take break, then take the break, then talk about what time to do lunch, then take lunch. Then discuss children's activities, or husband issues, or whatever. I was told by the supervisor that I had to slow down because I was making the rest look bad. I left.

Your premise that because we are doing medical records it somehow means it's less accurate or less professional or less important to those of us who ARE professionals in this business is ludicrous. I'd be doing a good job (production or not) whether I was transcribing a medical record or making the donuts.

HOW you are paid is NOT the issue. Crappy MTs is a much bigger issue.

I'm figuring BAP must be one of those MTs who can't transcribe 250-350 lph and make a great living at being an MT. I happen to be one of those MTs. And my work supports the claims I make on a resume.

You are so smart. - bap

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I think all the MTs who brag about how smart they are should teach, or get your degree and be a doctor. But from what is sounds like, you have issues with getting along with others since you hate the office so much.

Dont want teach, dont want to be doctor. Want to be - a stay home MT getting paid well.nm

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Was I bragging? I thought I was stating facts. - long time MT

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And I have a degree. But didn't want to be a doctor. Could have, chose not to so far. And I have taught until it made me want to pull my hair out and I kinda like having hair.

And getting along with others really isn't an issue. It doesn't add to my paycheck.

From what I gather, you are an under-qualified MT who can't make a living at MT because you're expected to do XX amount of work in an hour. What you would prefer is that if you are going to work on a medical document, you should work in an office, be paid (what did you say?) $18/25 an hour, be friendly with the others in the office, be able to do just a little amount of work and still make what you want/need at the end of the day.

Bottom line is, MTs and those like me, get paid well to do what sounds like you cannot-- Produce an accurate medical document in a timely fashion that is chart-ready. So sue us.

I do agree with Long Time MT. A fact is a fact here. - No insult intended. BOTTOM LINE

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If Long Time MT typed the minimum of 1,200 lines per day, 100% quality, and I typed 2,200 lines per day, 100% accurately, I do almost twice the work she does but we get the same pay. How is that fair? Obviously she has to do more research into account specs, spelling, medical words, or BOS, or she is just goofing off (sorry LT-MT, just an example) knowing that she is going to make the same $15 an hour that I am. Get it?

Cooties outbreak! Scratching away here, too, as - Pragmatist

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memories of chatting gossipy offices from the past cross my mind (lots of pleasant ones among them, BUT!). From my observations, production pay seems to be weeding out the nonpros. Like PW, I also make a lot more than anyone would pay me hourly and, yes, it's the same good product no matter how paid.

"Most people work just hard enough not to get fired and get paid just enough money not to quit." George Carlin

It really depends on experience. - bap

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You may make good money because you have lots of experience, but I bet in the beginning you started out hourly somewhere. There are people out there with not so much experience but expected to produce a report in the same amount of time as you and struggling to do so. This could cause quality issues.

THen those people - long time MT

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SHOULD NOT BE WORKING AS MTS!

I agree with Pragmatist that production is (FINALLY!!!!!) weeding out the wanna-be MTs.

I was paid production in the begining of my career-- 75c a page -- and I still made, even in the beginning more than I would have made working in a medical records department.

My work has ALWAYS been quality work. I have what I refer to as the MT Trifecta: SKILL, SPEED, KNOWLEDGE.

If you went to a school that leaves you ill-prepared for working as an MT, that's not a production problem- that's an EDUCATION problem.

If you type slowly, don't have the ear, can't coordinate hands/eyes/feet, then MT IS NOT FOR YOU.

If YOU are producing shoddy work because you have a deadline to meet, that's NOT a production issue - it's an issue with an UNQUALIFIED MT.

The changes we are seeing are going to make it so the really good MTs will always have work. Those that can't cut it, won't cut it, be it MTs with 30 years experience who only ever did a specialty or two, or new MTs who had a subpar education and can't their foot in the door.

The problem is not being paid production. Not by a long shot.

Dang - bap

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Wish there were more like you. I didn't know there was a perfect person. And you have never missed even 1 comma, or maybe left out a space or added 1 too many spaces? They need to clone you.

There are more like her ----- ME! - nm

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And me too........ - anon (no message inside)

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Oh but you had to look anyway....LOL

In my 15 yrs, have always been production, never hourly. Guess that - makes me just a bad MT. nm

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x

I make more on production, too. What probably separates the - good from the good enough is the SM

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willingness to keep up your skills, try different/new ways, really working at making MT work for you. Wont stay with bad accts/MTSO where I can make no money. Btw, I have never been denied a new acct if I cannot make money with the old one. Maybe that is the exception but MTSO has to know she has a lot invested in me and it behooves her to do such a little thing to make me happy. Now, if I asked for a raise, I dont expect that will happen.

To be fair to new people, they're very much needed, - Pragmatist

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and entry systems have to make it possible for them to enter the field. The learning curve is VERY long to good production. Except for the initial basement-wage job, I've always been paid on production and could never have done it if we weren't supported back then by my now-retired husband's income.

Post above yours never said newbie not needed. Just it - takes work to be a great MT SM

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earning a decent wage.

But the rest of my message was: Pay has to be enough to - allow them to enter the field. NM

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Ouch! - ontop

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Why is she in the wrong business - because she has a different opinion than you? You make good points, but is it really necessary to hit low when someone says something you do not agree with?

Ouch, well think about it, really...... - production pay

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Any MT who does not like getting paid on production really IS in the wrong business. Working from home, that is certainly never going to change.

We all should certainly concentrate on 100% quality documents first (not even 98%). That should become a habit. It takes time to get there, but we have to "pay our dues" so to speak. Yes, the income is rather low for newbies who are not there or someone who starts a new account with new doctors and specifics, still striving and maintaining that 100% accuracy. The production takes care of itself. It increases over time to where most good MTs would not want to be paid hourly. Where is the incentive in that anyway?

I agree - ontop

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I agree with that, I do! I just think educating someone or finally agreeing to disagree is better than attacking someone.

And I agree with you too, ONTOP, but was she really attacked? - People just being honest.

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I do not see where Bap was "attacked" actually, just that many MTs disagree with her way of thinking and expressed their reasons why. I did not see any personal attack really. And BTW, maybe she should have known there would be strong disagreements to her most in the first place. As she said, everyone has the right to their opinion and they were stating theirs just as she did.

Signing off - bap

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Terrible MT signing off with, have a good evening.

Bye, bappy. Y'all come back now, ya hear? - nm

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One more thing. - bap

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I think you should all get out your Bible's (if you have one) and read it. God decides your destiny.

But he doesnt determine my pay. The quality of my work - does that. nm

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Another opinion - long time MT

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I could debate, but since you've called it an evening at (2:39 est) then I won't be elaborate in my reply.

God doesn't do medical records or make my destiny. *I* do.

Bap, everyone is entitled to an opinion but in all fairness - See message

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Maybe you do not realize how insulting your comments are to the seasoned MTs on this board. Everyone is entitled to their opinion and considering the content of your post, you will have many MTs disagree with you and I believe they have simply stated the reasons why.

For you to go on insinuating that we do not realize the importance of a medical document, telling us if we want to work in production to go work in a cookie factory, and to get out the Bible and read it is simply asking for the type of replies you have received. MTs who are pulling in $35,000, $45,000 or more per year would not still be here if they did not produce very accurate medical documents. QA makes sure of that and besides, they would have never reached that income in the first place if their work was not top notch.

Again, if 2 MTs work for $15 an hour, both producing 100% quality work, but one produces 1,200 lines and one produces 2,200 per day, how is that fair? One is doing almost twice the work as the other. What you are stating is that they should be paid the same, Why? Because that would benefit someone like you? Don't you see, that seems very unfair.

Yes, the production/money is very important to us, as it is to anyone with a job. We have earned it. That is why we are here. We are not volunteers. If you are a struggling MT because you work on production, all I can tell you is that you have to pay your dues just like the rest of us who have been in this business for decades. I did type medical records in-house for $14 an hour. Now I work at home on production for $25 per hour. Why not? I am the same MT. The medical documents are not compromised, and I make more money. This is my JOB, and I am actually capable of doing it.

BTW, yes doctors do work on production also. Some facilities are making them see a patient every 20 minutes, unless it is a new patient, then it is 40 minutes. The more patients they see, the more the practice makes. More often that not, the MTs are better at producing an accurate medical document than they are. This is the way of the world now.

You have to be willing to put in your time and experience will increase your production. If you do not see the fairness in this or you are not willing to do that, then you probably are in the wrong profession. That is not an insult, just an explanation as to why it benefits the companies, MTs, clients, and medical facilities to have MTs work on production. It is not for everyone but many of us have spent years perfecting it. Just food for thought.

Believing in god is your opinion - sm

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And if there is one he certainly is not deciding anything for me.

Production pay is a good thing. - LK

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I happen to like being paid for what I accomplish. If I can produce more than another MT, why shouldn't I be paid more? I'm in control of what I make, and I like that. I agree with the posters who stated that the current environment in MT is weeding out those that can't cut it, for whatever reason. I find it a challenge to always be finding ways to increase my paycheck. In how many jobs can you increase the pay you bring home by working smarter? Not many. Yes, I am thinking about me, me, me because this is my job and my paycheck!

I only know that I make more on production - sm

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than I would hourly. Like another poster said, no one is going to pay me $20-$25 an hour to do this. When I was working onsite years ago we were paid hourly, but also had a bonus. When paid hourly, some employers have found that not as much work gets done, and no way is an MTSO going to pay hourly for someone to work off site. No incentive whatsoever for the MT to get work done.

I woul'd be worried that the MT companies would set - shortcake

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unrealistic production goals to be met in order to be paid the hourly rate. With most of us working at home, they could get very demanding and paranoid about making sure we are producing every second of the hour they are paying us. Unlike being in an office and seeing that we are there at our desk typing. I just think that not having someone over your shoulder is probably one of the only advantages anymore working at home. I guess I just don't trust that these MTSOs would pay fairly per hour and would really be on our tails during our shifts.

Medical Legal Documents - Broke

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While I am not sure of the answer, I agree that some reports should be paid at a higher rate.

The main dictator I have is actually quite clear.

However, greater than 90% of the work is doing medical/legal examinations for workmenâ��s' comp, lawsuits etc. This requires multiple file numbers, dates of injury etc, and quotations. These exams have to be done in order by date (military) although they are not dictated that way. ... that is done by transcriber. Each radiologist, physical therapist, PA etc (more looking up) is mentioned by name. Each facility and the location has to be verified. There is also special formatting required on each of these exams. Some reports are quite lengthy ...up to 30 minutes.

This is a clear, polite dictator and he sometimes does spell out names, streets etc. although not often. He always says thank you and apolozises when you have to make corrections.

There are always names, addresses etc., as well as claim numbers, law firm addresses, insurance company addresses etc. Expansion use is a rarity.

I must admit this is interesting work and I do appreciate his manners.

I have been told "he is a clear dictator" but to me that is not the point. His work is very time consuming and legal/insurance documents can result in malpractice suits against the dictator and/or transcriptionist ) if they are not accurate

For 2010 my hourly rate averaged $4.75 hourly. Other obligations have prevented me from leaving until now.

Incidentally this is for one of the "better" companies.

Email if would like to know more-I am hesitant to mention the company since comments have led to retribution in the past.

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I'm fairly new to shorthand and not good at making macros either. I work in Microsoft Word 2010. I have a bunch of (*) in my document - like for Vital Signs: Temperature *, pulse *, etc. What are the codes to search for the first (*) in the document? Thanks for any help! ...

Jun 06, 2014

Just getting a chance to finally get hired!!! A requirement is to electronically sign documents swearing to confidentiality and another stating that "Additionally, as part of our contract with the Florida Department of Children and Families, we must ensure that each of our Independent Contractors meets the department's internal security and HIPAA confidentiality requirements. Are these normal to be signed by companies? ...

May 03, 2015

and this has to do this twice! Hope it speeds up or there goes my count for the day. Will try to reboot, see if that helps. ...