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Serving Over 20,000 US Medical Transcriptionists

Fine, You try telling your clients that and let us

Posted By: . on 2006-01-08
In Reply to: To the MTSO who posted - C-msg

know just how long you stay in business. :)

In other words, you do it first and if you are still in business 5 years from now maybe others will do the same.

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What happens, is MTSOs coddle the clients and let the clients call all of the shots.

Then the MTs get stuck with account specs that are contradictory and confusing. 

It should be simple.  When an MTSO is wooing a client, the MTSO should present with a copy of the style guidelines they intend to follow or if it is the BOS, let the client know that.  It should be made clear that with the exception of report format, the guidelines are not flexible.  Either we use apostrophes or we don't.  Don't do it one way for one client and the exact opposite for the other client and then hold the MT responsible when she gets confused as to what account she is typing that day!

the clients were in NY. nm
Maybe not your clients, but many are.
Your clients may be behind the times, but many are not. VR has gotten much, much better, and I've spoken with many, many MTSOs who are moving their accounts over.

The average seems to be about 60% to 80% VR and 20% to 40% transcription. There will always be those you cannot put on VR, but it is growing rapidly.
Not all clients DO know--that's just it!
Yes, some clients DO know, and the almighty dollar is the only thing they think of. But some clients DO care, and they don't know their records are going overseas. They would be apalled if they knew. Come to think of it, so would the patients.
as you can see, no one else is telling theirs either-sm
and they don't want anybody jumping on their bandwagon's either. They were very quick to mention who they had bad experiences with, but no one is telling who they are happy with, other than for the sarcastic MQ and Diskriter.
You just don't know - I'm telling you ..........
they'll hate it.
keep telling yourself that
over and over until you really believe it; say it like a mantra. There is nothing wrong with talking about what is going on as this affects current MTs and could potentially affect many other MTs. I am willing to keep an open mind as well as it seems others who have posted are as well; however, one cannot just look at one side of the story. There are questionable things.
She might be telling it like it is but...
I am sure there is a much more polite way of saying it. I know I wouldnt appreciate be spoken to in that manner.
not when the clients have the last say
Do not get me wrong. I do not care for it either, but somewhere down the line, the companies will have to suck it up and so will we. Otherwise, we move to a different field. Unfortunately, that is just the way it is.
Always telling us at OSI they will do this
? Why are you telling us this?
I mean, good luck. I just do not understand your attitude and why you are making this huge statement about your big decision to stay and telling us when you plan to work, etc.

Maybe you are directing this to someone in particular and I didn't catch it.
Becoming an IC with own clients
How does a person become an IC with their own clients, not working for an MTSO? From what I have read on this board, it seems that is the way to make the most money per line/word/page, etc. so I am thinking about doing this after being an employee for 15 years (with things going downhill now). I would appreciate knowing several things:
1. How do you get the clients.
2. Are there certain types of docs that tend to prefer this situation rather than going to an MTSO?
3. How do you determine what to charge?
4. How can someone get the dictation, type it and return to the doctor without having to pick it up and drop it off?
5. Without QA other than yourself, how does an IC handle blanks? Do doctor's offices tend to get upset with blanks?
6. Is there a particular software system that is better to use when you have your own IC service and want to get work over the Internet and return it over the Internet?

This and any other advice greatly appreciated!
Thanks for telling me how to do this.
I do not have much experience doing zipped files.  Anyway I will try what you said.  Sounds easy enough.  Again thank you.  
Right. Just keep on telling yourself
Repeat it over and over again. I'm sure you can convince yourself with a little practice.
Why are they telling you they will be out
I would refer all of these to the supervisor. This is not part of your job.
But telling somebody to look for another job
is more or less avoiding to confront the issue all together, and throw out the bath with the child in it.
Telling you it was not a lie
Well, there is an old saying that if certain people's lips are moving, you know they are lying.....Just sayin'. If the shoe fits, wear it and if not, it plain old don't fit.
I'm sure they do tell their clients to sm
hide it from the MTSO, just like the MTSOs hide the fact that their clients' work is being generated by VR.
Do you think clients don't already KNOW about VR? That they are sm
being sold it at every AHIMA conference they go to? Being cold-called by companies doing VR already? That doc don't get info about it at their little retreats and conferences?

It's better to be proactive and have VR sold as part of an MTSO's offering (with MTs doing the editing) than being undercut by other VR-only companies.
would you mind telling me (sm)

this Cindy-person's last name. You can E/M me if you want, in fact, I'd prefer it that way. I worked for a Psycho Maniac named Cindy before, and wonder if they're the same person!


gapeachxx@yahoo.com...thanks a bunch!

She's telling the truth about this one. It is
terrible, no work, system is out of order a few times a day, and they just hire more and more people when the accounts have no work on them. 
Well, they are not telling the truth! sm
I was offered an incentive package to stay with them and that was on eScription! I turned it down and left anyway. Prefer working for Americans!
do not forget the clients -
They also deserve to be billed correctly. Sad, sad, sad.
Do you have to pick up tapes and deliver the hard copies with your accounts? I used to have an account where they would dictate into my Sony system (a special system that allowed docs to dictate from their phones, pause, rewind, make changes, etc), and then I would just e-mail the completed work back at the end of the day for them to print out in the office.
I wonder if the clients are leaving
because they are being sold and that is why I have no work? I can't wait until they make the announcement - then I will know if I need to pack up and leave.
Not to flame but telling me I don't

Thank you for mentioning things in your latest post that you left out of your first.  See how easily one can jump to conclusions?

For what it is worth, I ran my own daycare for 10 years.  I know EXACTLY what it is like to be the one responsible for every aspect of running a business day in and day out, when people don't show up or go to lunch and don't come back, having to meet laws from varies state agencies that are contrary to one another and smile the whole time.  I've started work at 5 in the morning and finished at 9 at night (while trying to raise my own two young children).  I know what it is like to cook for 95 kids EVERY day for a year because I couldn't keep good help.  I know that until I converted all my private investment into a nonprofit organization, I could not achieve the success with my business that I was able to do.  Imagine working for 10 years and having NOTHING left of it but a good reputation, no retirement plan, no assests, nada, because the effects you left on people and the benefits you offered were worth all of it.  Would you be willing to do that?  Not many would, I bet.

When you want to yell at me some more and show your true colors, you will turn away the good MTs whom you were trying to entice in your original post.  See how easy it was to fly off the handle.

I do wish your business well, but I stand by what I said.  I save you money by working from home and doing what I do.  Every year I get devalued by the onslaught of forces I cannot control.  If you want to toot your own horn, I would suggest a marketing consultation next time.


Are you telling me that they only have the one account?
If you are seeking clients, there is not
Are their clients aware?
If I were a client of theirs, I would look for someone else to do my transcription. If I were a patient of this client and if I found out that the client knowingly supports this sort of crap, I'd look for healthcare elsewhere. Heck, docs come a dime a dozen!!!

It all comes down to the customers--that's US!!! The American citizens who trust that our medical records are (1) kept confidential and (2) are done correctly IN THE USA!!!

There should be a way to inform the customers of HIS's clients. First and foremost, we, as customers, as Americans, need to boycott the physicians first--the ones who are sending American money overseas!!! There are PLENTY of other docs out there who support the USA and want to keep the work at home. They'll gladly take my money!

Persnonally, I don't want my medical record entrusted to overseas folks who, for the most part, hate us to begin with. They barely speak a word of English and they certainly do a pathetic job at trascribing. I've seen the damage these folks can do to medical records.

I think that we should boycott MDs who are paying HIS to transcribe for them.

If we don't stand up for ourselves now, what's next????

Too bad they mislead their clients about it
That is what is so rotten about the whole thing, the hospitals think the work is all being done in the US when it is not.
Good for you for telling it like it is (sm)

I work for a smaller MT company who, like the employer of the previous poster, seems to want to keep their MTs in the dark about what's going on behind the scenes. However, reading between the lines and according to the grapevine our company recently was apparently outsourcing some work to the Philippines, and apparently, when the hospital found out, they were livid! The MTs were also upset, as this was one of our best accounts, the kind that make the other slog work worthwhile - and they handed it over to the Philippines...well, recently, we all of a sudden had a whole lot of this account's work available once again - my guess is, no more Philippines! I hope this means the hospital issued an ultimatum - and this means they appreciate our work and understand that you get what you pay for.

RE Acusis Buy-Out, What About US-Only Clients?
Something does not add up here, because many of the bought-out company's current clients vehemently refuse to work with anyone who outsources.  Won't they drop new company outright and have to look for a new MT provider? 
moving on is telling it like it is
I too have had horrible experiences. I think we both were previously working for the same company, a company highly recommended on this board. It was a huge disappointment as far as lines. It was impossible, too many foreign dictators and something funny going on with the line count. You wrote me and told me about Keystrokes. As well, I read your many posts about KS. I took a chance with your advice and accepted a job with them. You were speaking the truth and not just another recruiter. Thank you so much for recommending them and posting your experience with them:)
But your own clients bring many of your own
*Stealing* clients

You can steal things, but you can't *steal* a sentinent being (client) who chooses to go with you because you offer better service/better price or any combination of the two.  Said client can walk away from you, too, if you don't deliver.  What company does not try to lure clients from a competitor?

If the severance is minimal, you can easily get another job, and you really believe the company would come after you, then maybe foregoing the severance would let you rest easier even if the clause wouldn't stand up in court.  If you really believe the company would come after you, do you want to spend time and money in court, even if you win?

stealing clients
I partially agree, but when a person uses insider information about a client's setup, preferences, etc. IMO that is stealing. You're using privileged information in an inappropriate way. So strictly speaking, a person hasn't stolen the client, but they stole the information they needed to get the client's business.
Clients at fault?
I really think it varies from client to client what is expected as far as unpaid fussing.  Some expect the moon and the stars (looking up the ordering physicians on huge databases instead of passing us that demographic).  I don't understand why a company would agree to contracts like these with the clients - they know no production will result from it!
TT has just taken on several HUGE clients
That is the reason for the ad
You are actually in the "I'm telling" mood?
You're going to tell?  What do they care?  They should know where they stand on this board... Why do you think they keep hiring from here? 
I would say Monday should be the telling SM
day.  If there is no pay and no indication of when you'll be paid, I'd get out of there FAST and also post the name of the company.  They've had plenty of time to correct their supposed **error*** cough...with the payroll company.
They can't sue you for telling the truth...nm
Would you mind telling me....
where you've gone.  I, too, work for MQ as a flex PT, but would LOVE to get out.  I used to be a SE too!  All these changes are making me nuts, but I've been with them for 13 years now, and I'm afraid to make that move.  I have 4 kids at home, and would love to have that scheduling flexibility!  Feel free to email me if you want!  Thanks for your help!
What goes around will come around and eventually your clients
They see that all the other doctors are hardly paying anything per line for it and they'll expect you to adjust your rates accordingly. This is precisely what happened in my area. All the doctors started thinking they should get bargain-basement prices because they could use the threat to send it offshore. So wallow in the green while you have it, at the expense of your offshore workers (and hey, if they're truly so great, why not pay them US rates and really do something really noble to improve their lives?)

You might be helping the economy in third-world countries (they'd starve w/o you?! Get over yourself!) but you are INDEED helping to lower ours here. You can justify and deny that all you want, and frankly, I don't care that you sleep at night. The fact that you are here defending your stance so vehemently tells me you know deep down.

You can also claim there are no good workers here, but you're wrong. We just don't work for MTSOs with your attitude. And guess what? There ARE plenty of doctors that DO care where their work is being done. You might have found a few who don't care (if you truly told them), but that's not par for the course in most places, my dear. Most ESL clients are the most adamant that the work be done here because the US MTs are the only ones who could clean up their grammar!
I can name 5 more on that list who are NOT clients of theirs. nm
Most of the clients don't allow their work
to be sent offshore because of privacy issues, Americanism, etc. The CLIENT decides.
some clients want those apostrophes
The two docs I edit for want those apostrophes there and you can find just as many reference materials that DO include them as don't.

I agree this is nothing that is going to affect patient care, but bottom line - you have to give the client what they want.
keep telling yourself that while I tell you a story
Main job $23/h plus incentive (which is very easy to make). Full benes. 20 weeks PTO/yr.

Second job REAL IC 11 cpl including headers/spaces.

So go ahead and laugh your way to the bank while I strut down to the credit union, which by the way, is better than a bank LOL

I don't mind telling you
My clients tell me they receive bids for anywhere between 12 and 16 cpl. I won't say what I charge but that is what is out there.
MTSOs cannot pay more than they get from clients
If the clients are only paying 10-12 cpl, you cannot expect them to pay you more than 8 or 9.

The only way to get decent pay is to get our own accounts and cut out the MTSO.
Then your MTSO would have NO clients
Overrated you say? If you saw some of the hair-raising mistakes we have to clean up on a daily basis you wouldn't even THINK about doing away with QA because the people you work for wouldn't stay in business.

How about the MTs who are too lazy to look things up and use QA as a reference source. I know I send feedback to the same MT over and over again without seeing any improvement. That is frustrating and a waste of my time.

I was an MT for 35 years before I became a QA person. I had a lot of experience and a lot of knowledge and felt, (very naively I realize now) that I could actually HELP people. But the MTs don't appreciate the help. They just want us to clean up their work and be quiet. If we send feedback we get blasted by the MT instead of being thanked.

I personally got into QA to help people. Boy, have I been disappointed. This is the most thankless and difficult job in the transcription business. Thank you for reinforcing that point.

I am so glad that I have wasted 38 years of my life trying to help people who just want to use me as their whipping boy.

So yeah, do us a favor, get rid of QA. What a waste we are trying to educate and help people. How dare we?

I personally give up. Do your own research and find your own answers. Don't bother me anymore!
Thank you for telling this experience.
I've worked for companies before where the powers that be have no transcription experience and it wasn't a great experience.  With this information I will take them off my list of possibilities.  If a long time employee shared all of this I think the writing was on the wall.