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Serving Over 20,000 US Medical Transcriptionists

As to your generalizations about American MTs and poor quality, sm

Posted By: MSMT on 2009-01-06
In Reply to: In fact you are right and wrong sm - There are shortages and then there are shortages

Do NOT include ME.  I do ALL work types, work ANY shift, work ANY day and EVERY day, I transcribe whatever I get.  I am not a radiology or ops-only snob.  I bet I can transcribe circles around you and all your silly little QA friends and I can transcribe circles around the Indians.  There is NEVER a place for anyone but Americans to have American jobs and never will be. 


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It is usually the ones with poor quality most likely.
x
If I had been fired for poor quality...sm
I certainly would have never gotten on the board and blamed the MTSO.   I'm not sure what this person expected.  We all make mistakes, but when we are called down for them (again and again) we should own them and fix them.  Until an MT can do that, she will never reach her  full potential. And... while we ALL go through some awful times in our lives, we must remember that the medical records we are typing also represent others who are experiencing misfortunes as well.   
Whose fault is poor quality?

And, why do we keep hearing that the welfare of the patient is a top priority?


I took the time to point out some errors in reports.  It seemed to me that the facility did not care about the body of the report.  The only part they seemed to care about was the demographic information, usually in the header, and the carbon copy designations, usually in the footer.  This was because their automated filing system did not work properly if the header was not correct.  Otherwise, they never even required the physicians to review and sign the reports.  So, how can it be said that they cared about the patient?  I truly believe that the patient's welfare was far down on their lists of priorities.  What really seemed to matter was getting the billing process correct and getting the reports on the chart in order to comply with privacy and JCAHO requirements.


I also continue to believe that, if facilities cared about the welfare of the patients, bad dictators would be required to improve or not allowed to dictate at all.


 


The quality of the Indian work is so poor, sm
that the company will eventually lose the accounts, thereby the US MTs lose even more work!!

As soon as a company offshores, it creates its own doom. (A chink in the armor, so to speak.) It will eventually come back and bite the company where it hurts--unfortunately, it's the US MTs who get hurt the most.

Offshoring is putting US MTs out of work, plain and simple.

When you've been around this business a little longer, you'll understand.

I left due to the poor sound quality. I don't know if it was just my
account or what, but I couldn't make lines and was stressed out.  I was told that they were going to upgrade their system within the year.  I don't know if that has happened and if it made a difference if it did. 
Sick and tired of poor audio quality (sm)

that seems to get worse and worse as the days go by?  Remember when we were told that switching from tapes to digital would make all the difference in the world with regard to clarity and our production?   Remember when we were paid more and had plenty of work?  Remember when there was no working on Sundays or holidays? 


Why is EVERYTHING MT going to the dumpster?


Why do these MTSOs accept reports dictated on cell phones?  Can't they write in their contracts that cell phone dictation is not clear and it can also be intercepted by others and therefore unacceptable?  Why don't the QA personnel who read our flagged comments about awful audio pass this information on to the client so that it can be fixed?  It's getting worse and worse.


Back in the days when I had my own accounts, one of my dictators asked me to please tell him as soon as his equipment malfunctioned (in those days, it was batteries running low or a tape that needed to be tossed and replaced).  He said there was no need for the MT to suffer with poor audio reports when there is a simple fix.  So, what's the difference here when the idiots dictate on cell phones?  Or there is a hospital phone with a short in it?  Why can't these things be fixed?   


My plea:  If you are a QA person or MTSO getting repeated complaints about specific dictators' dictations being garbled or unclear, won't you please notify, and keep notifying the client until they are brought up to par.  How about sticking up for the MTs for a change rather than protecting the client all the time!?  In the end you are protecting everyone, including the poor patients whose reports are being dictated and transcribed. 


I'm tired of MTs taking all the blame for this industry's downfall.  If MTSOs and clients demand 2-hour turn-around time, how about improving the technology to make your unending demands more attainable?  It's 2006.  There is no excuse for the garbage I have to listen to day after day.  No excuse at all. 


 


You would be surprised how many MTs with 10, 15, 20 years of experience put out poor quality. sm
Unfortunately, based on this, testing saves everyone a lot of headache down the road. The company I used to work for did not test and they would go through the hassle of getting IDs, training the person, etc just find that they did not know the difference between an elbow and a knee :)
Horrendous dictators, poor sound quality, system
not user friendly, management issues, pay not on time, many complaints over line counting.  MTs who have asked for and no heeded advice have come back to apologize because everything that has been said repeatedly was true. 
They don't give a hoot - they'll take the poor quality for less money.
It is clear nobody is held responsible for poor quality medical transcription - do you often hear of lawsuits for errors on dictated reports? How about JCAHO failing a facility for errors on reports? Rare. And as an auditor I have seen what gets through. Either nobody checks or nobody cares. Part of the problem with MT rates. Very unfortunate.
but if the american quality were better..sm
Do you understand?
If they are going to pay transcriptionists and they are equal, then price is an issue. If americans were sooo much better, indians wouldn't be able to compete.
correction: Full of assumptions and generalizations nm
nm
typos are one thing (inadvertent), but poor grammar is a poor reflection and demonstrates lack..
of knowledge. In this profession, if you lack proper grammar knowledge, you should expect to receive comments from those MTs who take pride in producing top quality work. Just my opinion, but I think it is quite embarrassing to see inproper use of the english command from those who profess to be MTs. There's a difference between typing a message here and having a slip of the finger and just not knowing proper word forms and spelling. I see grammer quite often, dependible etc. I truly do no believe these are simple typos, sorry.
They offshore, sound quality not great, quality
of work coming back from India is bad and they don't pay enough for editing it. 
you spelled quality qualitily maybe that is why you have quality issues.
Sorry, but even spell check misses stuff. You have to at least be able to spell to do this job. Well, you don't have to know English if you are Indian, but us Americans have to spell!
Quality is quality, and really should have nothing to do with getting new accounts.
MQ isn't scheming against the MTs regarding QA. They just want a quality finished product.  Heck, half the slams on this board about MQ are the garbage work the MTs put out.  Talk about a no win situation! Getting used to a new account should not lower your quality by any real degree if you are a good MT.  Even getting used to new dictators or ESLs. Good MTs still produce quality work, and should not have to fret over QA. 
Poor me?? Really now!
I have seen only one post that you could possibly misconstrue as a "poor me" attitude, and that was from a very close friend of mine who lost her home to a hurricane. She wanted me to go to work for OSi because she thought they had been very considerate of her circumstances (plus she wanted the referral bonus). I will say right now that she is THE strongest woman I know. She does not kiss butt at work or here on this board. She told the truth about her experience with the company. She has not said a word about anything other than OSi's support. She has never met any of the managers and does not participate in garbage gossip of any type on either "side." Does she gush over OSi all the time? No, absolutely not, but she voices her concerns and opinions with them, not on a public board, particularly in order to humiliate another person. I am highly offended that she has been attacked without cause. I used to work with her at a local hospital, and she is a joy to be around and doesn't go around with a hang dog "poor me" demeanor. There is never a dull moment because you never know what she is going to say next. "Poor me" - you don't even know who or what you are talking about. It is time to write something productive on this board instead of jamming it with bulls**t.
Yes, they do, but very poor IT
x
Some poor MT will take it though.
That's pretty bad.
LOL!!! Poor pud! ....nm
s
Poor pay

I got paid per line during QA but had to submit 10 reports at a time for review and then had to wait around for approval of each set before I was allowed to type again.  Sometimes I was idle for 1 to 1-1/2 hours after each set waiting for the go ahead.  Needless to say, I lost a lot of money that way. 


Not OP either. Just another poor

sap who hired on.  I think the statement is correct in that they only do overflow work, too. The account I was on was behind on discharge summaries for 15 days. 


 


 


It's too bad that you have had such a poor experience - sm

I have never worked for another national so I have had nothing to compare Transcend to but I am happy with my choice and I am not a newbie.


The size of the company is comfortable and the people I work with are great. If I were truly being a cheerleader for the company, I would post my name too.  I'm not trying to recruit anyone. I just stated my own personal opinion based on my experience and was curious to know how you came to yours since you posted it.


I just don't understand why the negative posters have to be so nasty.  If I was unhappy with a company, I would say why but not bash.  That's not my style and I think its playing dirty.


Have I always been happy with them?  No.  There have been times when I wanted to just give it up but I didn't. I saw it through and have been glad I did every time.


It's my fit though.  It obviously wasn't a good fit for you and that's fine too. 


 


poor management
I think someone should write a letter to the corporate office, they really have bad management at MQ, all over the board!
They offshore, they lie to you, very poor
communication, some very difficult acounts, and pay is so-so. 
They are a very poor company - NM
NM
Poor dictations
Many companies seem to be going to voice recognition. The only reports they have to send to us, then, are the poor dictators, the ESL's, etc. Time for a new career.
My experience was poor
No one should take anonymous comments without a huge grain of salt, but this board is great for getting general feeling for a company... Biggest red flag for me is late payment and/or some of the chronic management problems some of the larger services seem to have.

It's a reference tool, no more and no less.

Your poor grammar
You are not using proper sentence rules by using a lower case letter to begin a sentence. I truly do not believe you have a simple typo, sorry.
not surprised about the poor
communication and the jumping the gun. I think someone there likes to blame all the unreliable transcriptionists for the problem rather than taking responsibility for poor pay and poor management.
poor and struggling
I feel for you; I am right there with you. BTW, my name, Fatcat, has to do with the fact that I am fat, not an allusion to being rich, ha ha. We live mostly on lentils and rice, sometimes hamburger once in a while if it is on sale. Please do not feel that you are alone. There are many of us in this same boat. I recently took on a second job just to be sure I always had work to support my family. God bless you. Hang in there.
Poor thing

Poor MT!  Must be hard to be the lone TTD employee with no MT friends. 


Had poor experience also
I just remember a lot of 'tude' and not the professional kind ;) A lot of changes with regard to supervisor/lead ... would not recommend but to be fair - that was then! don't know if they have improved.
You poor dear!! s/m
How in the world do you manage it?  You must be supermom as well as superwoman.  When I first started working at home my 4 were early teens and still there were days (nearly every day) when I thought surely I would totally melt down.  I could not have done what you are doing.  I might have been able to do it by juggling another type of job but not MT.
Poor old Calif
It can sink into the ocean like Atlantis - and take the Terminator with it. He is the source of their money problems.
Poor business sense
...Precisely. I know a radiologist who offshores his transcription to India. He kept his inhouse transcriptionist. She edits their work all day. THIS HAS BEEN GOING ON FOR TWO YEARS!!! He's paying India $2,500.00 a month for transcription and pays her, her regular salary!! It absolutely amazes me how frenzied a doctor gets when he has it in his head that he's going to get a better deal this way!!! INSANITY!!
There's no law against that, goodness. Poor ethics but
??
Transcend is really a poor excuse
I worked for them for quite awhile when they got this huge new account. I was independent contractor, but working my butt off for them with all of their quirky system problems, turnover, etc. All of a sudden, one day - I could not log in to work. I tried e-mailing and calling EVERYONE; yet, no one could have the decency to respond. A few weeks later, there was a job posting stating the specifics of the account, demanding only employee status, no IC. I have no problem with that - it was the way in which it was handled. VERY, VERY unprofessional. I wouldn't hit a dog in the rear-end with Transcend, and in the end, I hope they get what they deserve.
In a poor house in Houston
XXX
Poor excuse for a company

I am the husband of an IC who has worked for D & L for years and of course I have seen the insufficient funds checks, multiple banks and seen my wife go through tremendous stress listening to the lies from the Marino's.  My wife is a trusting soul and I begged her to quit but she likes to give people the benefit of the doubt but lets face it when something smells, it usually rotten.  To you younger generation of individuals who are thinking of working for the Marino's (John or Donna) who most likely will start another company under another incorporated company be aware of who owns the company.  I have seen my wife work all day and night go to bed a three in the morning and get back up at eight and start all over again for a company who could care less about her.


A company that writes checks, knowing that there is not enough funds to cover these checks is guilty of fraud.  The new one now is sending out a check to an IC with no signature.  I can understand someone accidentally not signing a check but when you had a insufficient funds check two weeks prior which was made good a week later, and now a check with no signature then this is no accident.  Due to the insufficient funds check and slow pays from D & L I never counted my wifes checks in our budget since you could not depend on D & L to pay.  I feel sorry for those who have to buy groceries and pay the mortgages working for D & L


sounds like poor management...sm
sometimes you have to be alert that cherry picking may also be taking place. Maybe you are getting left overs from all of the specialties that no one else wants. If you are new with this company, it is not unheard of to happen. The best approach is to question why you get so many miscellaneous reports from so many specialties. D
on't make an accusation, but let them know that you find it strange, and not a very good way for you to master a few accounts.
That may be well and good, but she used poor judgment
with the verbiage used in her job ad post.  While some may think it's funny, it's demoralizing to our industry and is not condoned by MTStars.
Just my experience but extremely poor mgt

 


no holiday pay of any kind,  overhire, expensive poor quality benefits, did I say overhire? way way way overhire which always to me shows concern for company and not the working stiffs...Good Luck and you will make sense of it all...it just is a little overwhelming at times.. 


Worst job I ever had. Poor communication,
Horrible platform. After 24 years in this business, I knew they were not a good fit for me.
Poor choice of words. sm
see my post above. I personally wasn't calling their gifts cheesy, they were. It is the thought that counts. Diskriter has proven over the years that they are a company who rewards their employees and shares the profit during the holidays.
The communicatin at TransTech seems poor. They
xxxxx
OMG! This cracked me up! Poor thing.
That just struck me so funny. With some of these companies these days, I'll bet a line count, especially a correct one, is a bell and whistle category.  Good luck to you.  I applied at Silent Type and never heard 1 word back. Guess that was good luck in the long run. 
All I can say is please check the archives for the poor SM
reviews on this company before you worry about the schedule. I worked there, it was a nightmare, or more of a joke, really. Most poorly managed company I have ever had the displeasure of working for.

That being said, if I recall correctly, I had a set number of lines to get in per day. No real set hours or schedule. Just had to get the lines in. That was hard, though, because they always seemed to come up with fewer lines....
Why is communication at Spheris so poor? sm
Are managers threatened with beheadings or something?  The secrecy is unreal.  What is going on there?  Is it for sale or something?  I know I won't get any answers.  It is the most bizarre place I have ever worked.
I like to transcribe, but I HATE being poor.

Poor company communication I would say.
I think it is best to avoid gossips/fears is to keep all abreast of company doings on. What can it hurt, sure hurts when there is misinformation (from fear factors)
Oh Poor MTSO - must cost them
Excuse me if I have no sympathy...