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Serving Over 20,000 US Medical Transcriptionists

Agreed. What you train on is not necessarily what

Posted By: Former JLGer on 2005-11-30
In Reply to: JLG - textype

you'll end up with.  You'll never know what account you'll be on from day to day or hour to hour.  I agree with the 1 to 2 days for support, but that is too long IMHO if you have several similar reports back to back and have to leave blanks in all of them.

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Not necessarily going to ASR

All of a sudden, no work at ALL on my offices biggest ED account...no one seemed to know what happened

Well, MQ's ED templates is what happened.."over 70 different templates for 70 main chief complaints" is how it's billed...go to MQ's home page, look at the link for ER's.  Doc picks the form, circles his choices and voila..all done! Don't need no MT to take care of business with these.

So, you mean to tell me after a week. the office finally says.."well, unbeknownst to us.SOMEONE sold them on the template system..just amazing the answers they think we will believe.

Not necessarily ......sm
It could have the opposite affect too. The aircraft industry has tried that too and it just pushed more and more work offshore. We used to have 30,000 aircraft workers in my town and now we barely have 5000. My opinion is you train everybody you can to do transcription and take as much work as you can and that will leave less for them to do and evetually they will find out it is not the little pot of gold they once thought.
they are willing to train
The training is not so much.... if you can type medical ....... and typing is the MAIN thing with lawyers.... you are IN. If you will show up for work... you are IN. The legalese is based on latin and so knowing the medical terminology, it's a breeze of a transition. They don't have all that much legalese. It is mostly English and stuffy forms of English. They dictate usually on a dictaphone. CHECK IT OUT. I know lawyers are weird, but how do you get weirder than what has happened to this MT business???? This is horrendous. Lawyers aren't going to cut your pay! I had my pay cut in MT two, no THREE different times, for no good reason excpet the owner wants to keep more money. That is not the way to treat a hard worker.
Not necessarily
Some MTs who have posted this kind of income were working for a service - it's mostly a matter of getting on a good account, I think.
Not necessarily so
I work at Spheris and have an account I've been on since day 1 with plenty of work. I do have a secondary but really just work on 2 accounts. I have not found them to be inflexible at all -quite the contrary. It's a big company with lots of supervisors, several platforms, and different people have different experiences. There are MANY happy employees here, along with some that are unhappy. Sorry you had a bad experience - I have had a very good one.
Well...not necessarily, but it CAN

All you have to do is create a new folder each week that you save all of your work into.  At the end of the week, have Sylcount count all of the lines in that folder (the place where you saved all of your files for the week).

So, you would have a main folder called:

ABC Transcription (or whatever your company is called)

and inside that folder (after a year's time) you would have 52 folders (one for each week of the year).

Hope this helps,


Not necessarily
Just want decent pay, and to work with people I can respect, not people sticking daggers in my back. Managing people is really not my thing, I am more into QA, things like that.
Not so necessarily
Many high school grads are avoiding higher education in highly trained skills BECAUSE of the influx of foreign workers -- so yes, it is due, in part, to a reduced US skilled labor force not due to pay, but the realization of competition from outside countries. Even in the mid 1990s, software companies were bringing in foreign workers. I have a friend who works for one of those companies and while he has held onto his position, he recently told me that 90% of his coworkers from the 90s were laid off and have been replaced by foreign workers. The skill set of the foreign workers is higher than the ones let go and the work force is younger with fresher ideas, having grown up sucking their thumbs while surfing the net. They get an equal pay and performance bonus as he, while prorated for longevity.

If Silicon Valley employers can buy a retired cruise ship, import large numbers of foreign workers and float them in international waters for months at a time to work, bring them on shore for the government allotted time before returning them to sea, tell me where money is saved?

If our international MTSOs can spend millions of dollars on the construction from the ground up for the training of and employing of up to 5000 MTs (just for one company) in foreign countries, and those employees are now beginning to earn salaries and benefits close to what US MTs are getting, tell me where to find the savings, especially when you factor in lost profit due to power outages and riots over things we would never lose a day's work over.

It is a global economy, not just in the MT world, and will continue to filter down in every aspect of our daily lives.
Not necessarily.
I recently applied for a similar position. They did have a website, but it was very limited and didn't really have any info. No one had ever heard of this company. I was a little hesitant, but decided to accept the other anyway. It has turned out to be the best company I have ever worked for. The pay is much more than I was offered at any of the nationals. I had been there less than a month and received a raise as they said I was doing great and they appreciated all my hard work. There are good companies out there. I am very happy I took a chance.
Not necessarily - LOL (sm)

SM's platform is a horror.

Not necessarily..

Unless you don't mind working more than an 8-hour shift when the work is low to get your counts, or when there are problems with the platform, etc.   Not trying to discourage you but there are problems there.  And they quoted you 10 cpl?   

Not necessarily

I can do 2000 lines in a day - usually a 9 to 10 hour day, but still ....

Anyhoo, my accuracy stays in the 98 to 99% range.  I have occasional blanks when I just can't make something out.  My company uses templates, too, for each doc (it's a clinic account) and I have them saved in Word with the modifications that are needed.  I type in Word and then cut and paste into the platform.

I use lots and lots of expanders.  That's how I can get 250 lph.  Everything that is more than two or three characters that can be made into two or three characters is or has been and I add to it constantly when something else comes up.

Not everyone is fast and sloppy. 

Not necessarily. When you have new MTs,
Indian MTs, or MTs who just really don't even try, it can slow you down DRASTICALLY & be very time-consuming. QAing is not something that should pay per line if you want it done right.
Not necessarily - sm
It is my belief that if the number of employees laid off is less than 50, then 29 USCS 2106 and 20 CFR 639.1 would still apply.

Good luck!

Not necessarily--probably just tell them --sm
to look in the *archives* or Google it. *This has been discussed here a thousand times. look it up* or some other such rude answer. Nobody on this board seems to want to help any longer.
Not necessarily...
Sometimes the bar is set so high that, even those who do meet it, can't do so for any length of time without suffering the consequences in terms of health, mentally and/or physically. Sometimes meeting the bar takes a toll. It doesn't necessarily mean a person can't meet it...simply that they won't. It all depends on each person's priorities. ;-)
Not necessarily.
Signing a nondisclosure agreement at the outset of your conversation with the company presents no onerous burden to you and allows them to discuss the position in greater (specific) detail with the knowledge that you have agreed not to disclose anything you learn during your conversation with them, such as who their clients are. This is reasonable for them to ask, especially since neither of you knows whether you will be offered or will accept a position with them.

Sign the forms and get yourself into the conversation. It's nothing you should worry about and it makes perfect legal sense.
Agreed, but

Respect and invite your opinion.  All sides should be heard.  That is my point.  Responsible journalism tells BOTH sides.  My belief is this was done by RBJ.  I'm not relishing in her problems, just satisfied that the whole story is available.  Period. 

This may have started 15 years ago, but as of 1999 charges and apeals were still pending when settled out of court. 

I agree with many points you made about our economic condition here, and changes need to be made by positive role model companies.  I recognize the fact that you had positive encounters with Execuscribe ---  by newspaper archives I believe you sold your transcription company to her in 2003 (per press release dated 5/1/03), correct?   You had a good outcome and business opportunity.  The rest of us have not had that opportunity and can only assess by other information available. 

All I am trying to point out is both sides of story is responsible reporting.  How can you make an informed decision without both sides?? 


I could not agree with you more. THEY are the problem for sure. I think you should move on. There is plenty of work and many other companies. Also, the person who said maybe she is sick, that's a cop out because certainly there is more than one person there who could answer you. Try Sten-Tel, they are very nice and reliable. Wish you luck!!
A client may have their own formula This has nothing to do with the way a company may count lines, something they don't have control over. As well, many accounts have normals that you simply insert. Who couldn't rack up the lines at that rate. I think the real answer here lies within the line rate that you contract for. Perhaps these people that are very happy are making more per line than others. We know that everyone is paid differently. I truly think this is where the descrepancy is. Just assume that line counts will not be what they were way back in the day and ask for a higher line rate and everyone will be happy. If its too low, say no thank you and go to the next one. I guarantee you, you will find someone to pay you what you are worth.
You are so right. Thank you for this enlightening post:)
Very much agreed!
This is not a private board for just strictly MTs. Anyone can come on here and post who is in this industry, management, recruiters, MTs, etc. Before someone accuses me of being management or a lead, I am not. I am just an MT who is very happy with my company. If you don't like what someone is saying on here, then IGNORE IT!!!

As far as fax machines, as the above poster stated, they are VERY inexpensive. I for one bought 2 brand new fax machines on ebay last year for a total of $30. If you are going to complain about something as stupid as spending a dollar or two to fax something, then that is just ridiculous, and that probably means that you will pick out any little thing to complain about at every company. Besides, who wants to wait for days for something to arrive in the mail when you can fax something instantaneously???
And then when you finally get all the weird rules straight in your head, they send a message not to do it that way any longer. !
Agreed. Well said. NM
I totally agree, it would be great to add this experience to my 15 years of clinical experience.  Do you have any suggestions for resources I could purchase such as Stedman Word Books etc. to learn surgery terminology and medical equipment names?  These are the things I struggle with the most - the terms used in surgical procedures and the names of all the clamps, instruments, sutures, etc.  I need some good reference material to help me out I think.  Any suggestions would be appreciated as to what I should buy or any online sources you know of.  Thanks!!
They are horrible, zero feedback, consistently change/add your accounts and do not pay well and somehow always manage to come out on top in the cpl/per report pay no matter what?
Agreed! However, she still needs to...sm

make sure the supervisor knows that this is how things are being handled. Again, forward all of the IMs or emails you get to the supervisor, let the co-worker know that you are doing it. You might just see a substantial drop in this type of lazy behavior.

My sister has just recently been doing some acute care work after doing straight clinic work for 3 years, and she notices the difference, especially labs and x-rays.
Agreed! SM
MQ MT, you've led a truly charmed life if you've sat in on a conference call involving 100+ people and NO ONE'S call-waiting beeped, NO ONE'S dog barked, NO ONE'S doorbell rang.

When Acusis does all-associates quarterly meetings online, the background noise is not a problem, there are visual aids and graphs, and it's easy to ask the moderator a question thru IM... (just not anonymously).
Especially when some of the 'backup' accounts do not even sufficient work to pull 5 reports for training purposes.

Of course, in order to train for backup on an account, one would have to actually be acknowledged or get a response from one of the liaisons, who are strangely and uncharacteristically nonresponsive this past month.

Very sad.

I'd encourage everyone to read the thread just above this one. It's very informative.

There is reference to Rs (rupees) on their website. My guess is they are giving the work to India. Can't imagine how they would find any US MT to work for the rate they would have to pay when they are only getting 6 cpl.
Weekends and holidays also!  But that is never the case, always have to work holidays and weekends, so I don't understand the use of India I guess. 
I agreed 110% with what you have said. sm
I do VR AND traditional, make lovely money and have a happy little life. I can't complain one bit.
Not necessarily - there are 2 systems....sm
Transcend's and eScription used by MDI-Florida.
Bigger ain't necessarily better!

Just because someone works for a national doesn't mean their accounts aren't overstaffed, they don't have a terrible platform that breaks down virtually every day, (sometimes for 8 hours at a time), and they don't constantly run out of work. I simply can no longer afford to remain with my current employer, which is a national.

I'm a hard-working, loyal, dependable, dedicated person who takes pride in her work and doesn't like to switch jobs.  I'm not looking for my next job; I'm looking for my FINAL job.

All I want is an HONEST company with a dependable platform that actually works, an abundance of work (with no overstaffing/bait-and-switch games) and decent medical benefits.  If it's a small company, that's fine.  I just want to work for an ethical company that I can trust and respect, and one which is willing to pay a fair cpl rate.  (To actually receive respect and some loyalty in return would be the proverbial icing on the cake.)

Is there such an animal out there somewhere?

But ... you travel to train to CA ... what's not to like about that/ :-) sm
You can take it as a business expense.  Of course, I have no family to consider and love to travel, so obviously I am not like a lot of people (in many ways! ha).
Don't you have to go to NJ to train? And pay was only 1.75 per page. nm
Not necessarily 2 weeks (sm)
It depends on how fast you pick up their excellent system. Your reimbursed after so many months for your expenses out of pocket. No charge for the use of their computer which they maintain excellently. No one looking over your shoulder. What more could a happy MT ask for. Excelent work environment.
I only know that you have to train in their office
in NJ for a few days. I live in NJ, but the other end of the state, and it just is not feasible for me to travel 3 or 4 hours each way for a few days. Too bad, though, as they missed out on an awesome MT!
Not necessarily. I was a CS grad...
Any companies that will train...
on radiology until one is up to speed. I have 6 years experience with ER, clinic, discharge summaries, acute care, pathology and podiatry. I was looking to gain radiology experience. Thanks!
Let them train all their new hires on
My problem is that I cannot see why should I be moved to another account when my account is going to the new MT's they keep training?  Problem lies in overhiring and not enough accounts!
Sounds like you may have to train twice

No, they are still using ExText - don't see why you would have to train twice.
Not necessarily-if you get a bad dictator -- sm

your production is hurt whether you are experienced or not.  Fast production not only depends on the MT's ability but the quality of the dictator and how fast or slow they speak or how clear the speak.

A person with more experience will leave far less blanks but will still be limited on how fast she/he is.  Thus they deserve to be paid more than 7 cpl.

Sorry not interview, train M-F. nm
It isn't necessarily overscheduling. My
account is fairly new.  They may get 800 minutes one day and get 1500 the next day.  The TAT on my account is very short.  If they staff for 800 minutes and there is 1500 they can't stay within TAT.  If they staff for 1500 and only get 800 then obviously there isn't going to be enough work to go around.

If you've had an account a while and can see the trend in dictation, or have a longer TAT, then you can better staff so that everyone has plenty of work.

I agree there are companies that overhire.  There are horrible companies that constantly have ads running because they can't keep people, but there are also companies that frequently have ads running because they have getting new accounts.  My company has gotten 4 large accounts within the past 6 weeks and have had to hire probably 100 new MTs. 
Let's just move on! Remember emails are often misunderstood as we cannot see or hear those speaking. Who cares anymore about the ridiculousness of this thread! BYE BYE
That is not necessarily true...
The company has a right to control the end result, but they cannot control the means to the end result.  As I understand it, they can require a certain number of lines each week, but cannot tell the IC how to complete those lines (which hours or how many hours).