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Serving Over 20,000 US Medical Transcriptionists

Huge question re Q and workflow

Posted By: Stargazer on 2009-10-08
In Reply to:

Can anyone explain a company being out of work and then Q-ing you work dated two weeks ago?  Is there somebody out there who is a seasoned MT (like me!) or somebody who has been on the administrative side of this business who can clue me in on how work is Q'd? 


I am so confused.  Do the long-timers get the work first?  I have been with this company three months and get work in spurts.  Last week, October 2 and 4, I was transcribing reports from September 15 and 18 !!!  I have asked for an explanation of how the work can be so sporadic but no answer.  It is very frustrating because I like what I do and want to stay busy and hate to change jobs again after twice removed from MedQuist.


Thanks in advance for any input someone may have.


 


 




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I think this could only be done with a huge client base, or a huge number of say only
s
how is the workflow at Cymed?...sm
especially the oncology account.  I am looking at accepting an offer there and have noticed some posts about low work and did not want to get into another job with no work.  Thanks. 
Of course managers can control workflow.
That is their job. The alternative would be to toss everything into one giant pool, and you would get whatever comes next regardless of account or work type. As far as deleting jobs, wouldn't a job deleted from Escription be deleted entirely thus not reaching the client and no being able to charge them for the job? That doesn't make sense at all.
Don't know about that DragonMT Workflow software they're using.
s
That was not a complaint - just a statement. Can't figure out the companies workflow problems.
x
If you want to make steady money then run away from FutureNet! Totally unstable workflow..nm
d
One would think if 5K was so huge ...
One would not let it accumulate to that.  Only gamble with what you can afford to lose, and letting it get that far was a gamble.  Though, sorry, you only wanted to hear how horrible the MTSO is (which it is horrible) and everything through rose-colored glasses about your friend. 
I know about TT's huge hem/onc
account but isn't it totally VR?  In fact I thought they had 2 big hem/onc accounts and both had gone to VR?  Am I wrong about that?
huge thank you from me, Have done it
and forwarded to all I know. Have already heard back from one senator, and I was the 49th person from Texas to sign that petition. Thanks again. Have you put it on the politics board?
Not small, not huge. When I was there it had 350+ MTs.
x
I think there are a huge number
who lie about their qualifications and experience. The company I contract with has hired MTs who claim to have 10 years experience. Their final product looks like they are recent graduates of IHA who failed high school English.
Because the accounts are huge
Yesterday was a holiday, so many docs took a long weekend. Transtech is not a company to jerk you around, if they promise work, you will have it.
There are HUGE variables
Formulas that MT companies give as average are usually based on average work that a MT is well versed in - which companies do not always make available to MTs then act surprised. Duh. Connections, software, familiarity, accents, account types, etc., etc. are huge variables for production and should be considered. Left on the same work for awhile I used to be capable of producing 2,000-2,500 lines, but that changes if my work is changed or if I'm put on a subspecialty I'm not familiar with. It's why companies that have people on a zillion accounts and are not rewarded for it have unhappy MTs. People making huge counts are usually people who are happily typing away at familiar work. Been there, not there now, and am miserable and burnt out.

It was a mistake and not a huge one...
GET OVER IT! The poster said they were sorry about the mistake twice now (I wouldn't have after the first time), and it's not that big of a deal anyway! What are you this guy's wife/mother/sister or something? I can't imagine getting so upset about a post about some guy you worked with that again was a MISTAKE?

Take a Valium or 12 and settle down, LOL You keep calling someone out for making a small mistake that's is not going to hurt anything or anyone and who already apologized twice! Plus, your getting yourself frazzled over nothing.
TT has just taken on several HUGE clients
That is the reason for the ad
huge insult!!

I agree!  This is such a huge insult to our profession.  I started out with Focus on Edit Script at .04 cpl also, and would recommend them to get a start.  The are other companies who pay a little more, but .04 is usually the norm.  Please, do not go any lower than this.  Focus is always hiring, as many people do start there and move on, but I still work for them part time and have never had a problem with them, despite the negatives I have read.


Sue


HUGE APOLOGY DUE HERE
I APOLOGIZE sincerely about my comments regarding Transolutions out of Illinois. All these companies sound so much alike anymore these days that I confused Transolutions with another company (I would say which one, but I believe I've said quite enough)! I'm MORTIFIED to have said what I did above.

To my knowledge, Transolutions DOES NOT offshore. They're really good people, too. The company to which I was referring above is a different company altogether located out of Atlanta, GA.

I don't often post, but I'm zipping my lips for a while. Sorry to have caused this confusion.



That is a huge yes..no doubt about that one.
And since they got their new investors in the last what, year or so, the offshoring has increased. I look for more changes to come as well.
There's a huge difference

The abuse is far worse on-site.  I was pulled to do so many other things it was not even funny when I was on-site.  I'm finally home and glad to make the money I deserved for a lot of years.


E-mails - you can hit delete.  Meetings on-site you have to sit there while they drone on and on...  Boring!  I could get a load of clothes in or clean the litter box out and back to banging out some lines.


Yes the work needs to be done, but gosh it's easier not having to rush to get a shower, head out in the dark in the winter in the early a.m., fight the traffic (none of this is paid).  I'd rather spend that time seeing my children and hubs off to school and work - much more pleasurable...


IMO...  Happy Holidays!


MQ's huge losses
Maybe, as we Los Angelenos say, their karma is catching up with them. Hope so!
I never worked at the Q but TT is a huge
Good luck. You won't regret it and you will wonder why you didn't check out Transtech sooner than you did. Never too late...
no, that should have been a huge red flag,
that the pointed questions were never answered, which was uncharacteristic. Instead, they would answer about a new account request, or schedule change, but NEVER answered the important questions. I have not addressed the new e/m address for concerns, as I plan to jump ship anyway.
It is very possible to get huge lines on VR
but it all comes down to whether you have a good platform to work on. I have absolutely done 500-600 lph with my platform on some days and I could never straight type that much if my life depended on it. When I was put on VR, knowing my pay would be less, I figured up how many lines I would need per day to make the same money I had done with all straight and that is what I strived for. I do think some rules relaxed when VR came in but I read through each and every word. What I really dislike is we were told to leave ESLs reports as is and unable to clean up the reports there.
attitude. I also think it makes a HUGE
difference if you like the account your on. I hate my account and have requested to be moved on numerous occasions. I work my schedule. I work when they call for OT. I don't call in. So please don't preach to me, I have worked the worst accounts and the worst shifts without one complaint. However, I would like to be treated with some respect. The office I work out of has totally changed in the past 3 months and not for the better. I used to be just like you - all was good. I hope your good fortune with them continues. Just don't be so quick to judge others and say they suck as you really don't know the whole picture of their situation. And by the way, I don't have a husband to fall back on either, but I do have a child to feed. We are not bad people because we share a different opinion that you do - that is our right and as I said everyone is different situations.
The the huge size of MedQuist...
be used to once again make MQ a true leader in the medical transcriptin industry, realizing the value of all employees and the realization that a happy work force is a productive work force.
WHOA!!!HUGE RED FLAG --- SM
They would have known WELL AHEAD of time if they were upgrading the direct deposit. Something is going on with the finances of the company. Now, have they made any comments about paying people for bounced checks and such that will occur because of this lack of notice? If not, get the hell out and don't look back! Also, print out the email that says they were upgrading in case you need it for court documentation
Probably not a huge help to you as far as info, but I love it at MDI-FL
They have been really great to me. They let you do your job and do not bother you. I have a good account. I am sure you will hear a lot of different things and/or opinions, but for me, they are wonderful. I do have full benefits, which are not bad. The family insurance is spendy but for single coverage it is not bad for medical.
Huge Industry News

 Here's something for y'all to talk about...


 


 



Nuance to Acquire Dictaphone, Accelerating Strategy
to Eliminate Manual Transcription in Healthcare


 


Acquisition Greatly Expands Nuance Speech Solutions and Channels for Healthcare


 


BURLINGTON, Mass., and STRATFORD, Conn., February 8, 2006 – Nuance Communications, Inc. (Nasdaq: NUAN) and Dictaphone Corporation today announced a definitive agreement whereby Nuance will acquire Dictaphone, the leading provider of dictation and speech recognition solutions for the healthcare industry.  This acquisition significantly accelerates Nuance’s strategy to automate manual transcription in healthcare, where an estimated $15 billion is spent worldwide each year.  


 


The acquisition of Dictaphone expands Nuance’s product portfolio, market reach and revenue streams within the large and rapidly growing healthcare vertical.  One of the most respected technology solutions vendors in the healthcare industry, Dictaphone has an installed base of dictation and transcription software systems serving over 4,000 hospital and outpatient facilities and approximately 400,000 physicians.


 


“Improvements in speech technology and pressures on the healthcare industry create a compelling opportunity for our companies to transform manual transcription through speech-enabled solutions,” said Paul Ricci, chairman and CEO at Nuance.  “The combined resources, experience and talents of Nuance and Dictaphone will help accelerate the adoption of speech recognition to eliminate most manual transcription for healthcare in North America this decade, delivering over $5 billion in savings to care facilities and transcription service organizations.”


 


Nuance expects the acquisition to add between $80 million and $85 million in revenue in fiscal year 2006 and between $180 million and $200 million in fiscal year 2007.  The transaction is expected to generate cost synergies between $20 million and $25 million per year.  The acquisition is expected to be dilutive to earnings on a GAAP basis by approximately $(0.12) to $(0.11) cents per share in fiscal year 2006 and $(0.05) to $(0.02) cents per share in fiscal year 2007.  On a non-GAAP basis, the acquisition is expected to be accretive to earnings, excluding amortization, acquisition-related costs and stock-based compensation, by approximately $0.02 to $0.03 cents per share in fiscal year 2006 and $0.06 to $0.09 cents per share in fiscal year 2007. 


 


Under the terms of the agreement, consideration for the transaction is $357 million in cash, subject to adjustments.  Nuance has obtained a commitment for a new senior secured credit facility from UBS Investment Bank, Credit Suisse, Citigroup and Bank of America to finance the transaction.  The facility comprises a $355 million term loan and a $75 million revolving credit facility.  Closing of this commitment is subject to customary conditions. 


 


“We are pleased that the strong cash flows we expect to generate from the synergies of the recent Nuance merger, as well as those from Dictaphone, allowed us to obtain an attractive financing package without issuing additional equity,” added Mr. Ricci.


 


The acquisition has been approved by both companies’ Boards of Directors and is expected to close by March 31, 2006 subject to regulatory approvals and customary conditions.  Nuance and Dictaphone were represented by Evercore Partners and UBS Investment Bank, respectively.


 


Dictaphone Brings Extensive Products, Penetration and Expertise for Healthcare


Through the companies’ strong partnerships with leading electronic medical records (EMR) vendors, systems integrators, medical transcription service organizations (MTSOs) and Nuance’s established network of Dragon Dictation Solutions VARs, the combined organization will be better positioned to effectively serve this market through an expansive portfolio of technologies and applications, and a deep set of services and capabilities.


 


“We share with Nuance the strong belief that speech recognition is not only at an inflection point in healthcare, it is also becoming an essential component of the industry’s drive toward cost reduction and clinical automation,” said Rob Schwager, chairman and CEO of Dictaphone.  “By combining Dictaphone’s software application skills, understanding of physician documentation needs and workflows, and substantial market presence with Nuance’s deep expertise and innovation in speech recognition technologies, the combined company is extremely well-positioned to lead the market.” 


 


Benefits of the transaction include:


         Enhanced Revenue Streams from Complementary Product Lines – Dictaphone adds significant and stable recurring revenue streams from many of its products and services, including ichart® Web-based speech recognition editing outsourcing service, PowerScribe® speech recognition system for radiology and pathology, EXSpeech® enterprise-level speech recognition platform, and Enterprise Express® voice/text workflow management solution.  Further, Dictaphone’s product portfolio complements Nuance’s Dragon Dictation Solutions, with a complete solution set for automating the capture and processing of patient data and clinical documentation.


         Talented and Accomplished Employees – Dictaphone brings a dedicated, talented team of professionals whose healthcare knowledge and expertise has established Dictaphone as the premier provider of dictation and transcription solutions.  Part of this employee base includes more than 200 sales and professional services staff that have forged customer relationships with a majority of care facilities in North America.  The result is a robust, experienced sales, support and services organization focused on delivering highly accurate speech-enabled solutions to the healthcare industry.


         Strong Customer RelationshipsDictaphone has a track record of selling systems to a wide range of healthcare institutions and has an installed base of approximately 4,000 hospitals, clinics and physician groups, including virtually all of the Top 100 and honors-winning hospitals in the U.S.  In addition, Dictaphone’s solutions are currently used by approximately two out of every three physicians in North America. Following the acquisition, Nuance will have one of the industry’s most extensive rosters of IT system deployments.  


         Extensive Healthcare Research and Development Resources – Dictaphone has a rich history with more than 75 years of experience and a team of engineers and scientists with years of domain expertise in developing the most innovative and effective speech solutions for healthcare.  Following the transaction, Nuance will gain approximately 100 patents and patents pending from Dictaphone, expanding its portfolio of intellectual property to comprise approximately 500 patents protecting the investments made within its range of speech technologies and products.


         Strong Partner and Channel Networks – Nuance and Dictaphone intend to leverage a strong network of product and channel partners to rapidly deliver the benefits of speech recognition throughout the healthcare industry – from healthcare IT and EMR vendors and systems integrators to dictation workflow providers and MTSOs.  The combined organization will deliver the most widely used speech technology within healthcare, integrated with solutions from industry leaders such as Cerner, GE/IDX, McKesson, and Misys Healthcare Systems. 


 


Since 2004, Nuance has steadily increased its investments within healthcare, putting substantial resources in product development, sales, business development and marketing behind this effort.  The company has continually enhanced its medical version of Dragon NaturallySpeaking, formed a dedicated sales and business development organization and recently acquired MedRemote to broaden its solutions portfolio and expand its presence in healthcare.  These investments produced record dictation revenues for Nuance in 2005.  The success that Nuance has experienced through its healthcare initiatives further validates a compelling opportunity for growth and leadership.


Favorable Industry Environment



Today, the healthcare industry is under pressure to streamline operations and reduce costs while at the same time find new ways to improve patient care.  Analysts predict that clinical automation will become an essential component of healthcare delivery to address these mounting pressures.  Gartner, a leading independent research and advisory firm, believes that self-edit or “once and done” speech-based transcription will achieve mainstream market acceptance in two to five years, in which time the benefits of the technology will have been demonstrated.1   Gartner predicts that care delivery organizations that implement speech-to-text supplementation of transcriptions will save up to 30 percent or more on transcriptions, and in radiology and pathology departments, the savings could be in excess of 50 percent.2


 


To that end, Nuance sees a significant opportunity based on industry dynamics that include:


 


         Large Addressable Market – An estimated $10 billion per year in North America and $15 billion worldwide is spent by healthcare organizations to manually convert recorded dictation into electronic transcripts.  Unprecedented speech recognition accuracy achieved in recent years has proven the ability of speech-based solutions to generate significant productivity gains compared to manual processing of recorded dictation.  The company believes that speech-based transcription technology has penetrated only five to 10 percent of the healthcare market in North America.


         Increasing Electronic Patient Data – An estimated one billion patient records are created each year in North America alone, a volume that is expected to increase as the population ages.  The industry’s move to EMRs demands the creation of robust clinical data repositories of patient information.  Dictaphone’s natural language processing technology permits extraction of key data from the large volume of narrative medical reports produced every year, offering customers the ability to enrich their data repositories significantly.


         Accelerating Adoption – The ability of speech recognition to deliver real benefits in automating the processing of recorded dictation comes at an ideal time – when organizations have increasing patient reporting requirements, IT spending within healthcare is increasing, and the industry drivers for solutions that promote EMRs and patient safety are strong and growing.  In recent years, hospitals, clinics, medical groups, physicians’ offices, insurance providers and service organizations have increasingly turned to speech solutions to automate manual processes and accelerate the adoption of EMRs.


         Government Investments and Mandates – Facing rising healthcare costs and aging populations, government agencies worldwide are increasing their investments in healthcare technology, including HealthConnect in Australia, the National Programme for IT in the NHS within the United Kingdom, and the United States National Health Information Infrastructure initiative.


 


Investor Conference Call Information


In conjunction with this announcement Nuance will broadcast a conference call over the Internet today at 8:30 a.m. ET.  Those who wish to listen to the live broadcast should visit the Investor Relations section of the Nuance Web site (www.nuance.com) at least 15 minutes prior to the event and follow the instructions provided to ensure that the necessary audio applications are downloaded and installed.  The conference call can be heard live by dialing (800) 230-1092 or (651) 224-7558, five minutes prior to the call and reference conference code 818371. A replay of the call will be available within 24 hours of the announcement. To access the replay, dial (800) 475-6701 or (320) 365-3844 and refer to access code 818371.


                                   


About Dictaphone


Dictaphone, ranked 31st in Healthcare Informatics ranking of top 100 companies by healthcare revenue, is the leading provider of dictation, transcription, speech recognition and natural language processing systems in the healthcare market.  Dictaphone’s Integrated Voice Systems division is the leading provider of highly scalable dictation systems focused upon the public safety and legal markets.  Dictaphone is headquartered in Stratford, Connecticut, and has worldwide marketing, sales, service and support organizations throughout United States, the United Kingdom, Canada and Europe.


 


Nuance Communications, Inc.


Nuance (Nasdaq: NUAN) is the leading provider of speech and imaging solutions for businesses and consumers around the world.  Its technologies, applications and services make the user experience more compelling by transforming the way people interact with information and how they create, share and use documents.  Every day, millions of users and thousands of businesses experience Nuance's proven applications.  For more information, please visit nuance.com.


 


Nuance, the Nuance logo, Dragon and NaturallySpeaking are trademarks or registered trademarks of Nuance Communications, Inc. or its affiliates in the United States and/or other countries. All other company names or product names may be the trademarks of their respective owners.


 


# # #


 


[1] Gartner Research, “Hype Cycle for Healthcare Provider Technologies,” by Barry Runyon, James Gabler, Thomas J. Handler, M.D., Barry R. Hieb, M.D., John-David Lovelock, Wes Rishel, Vi Shaffer.   July 14, 2005.


 


2 Gartner Research, “Underlying Information Technologies in Healthcare in 2004,” by Joanne Galimi, Cynthia E. Burghard, Janice Young. April 16, 2004.


 



SAFE HARBOR FOR FORWARD-LOOKING STATEMENTS


Statements in this document regarding the proposed transaction between Nuance and Dictaphone, amounts spent on manual transcription in the North American healthcare industry, benefits and synergies of the transaction, the expected timetable for completing the transaction, future financial and operating results, expectations that the merger will be accretive to Nuance’s results, the method for financing the transaction, future opportunities for the combined company, the product portfolio of the combined company, the intellectual property portfolio of the combined company, the opportunity for automated speech solutions in the healthcare industry, and any other statements about Nuance or Dictaphone managements' future expectations, beliefs, goals, plans or prospects constitute forward looking statements within the meaning of the Private Securities Litigation Reform Act of 1995.  Any statements that are not statements of historical fact (including statements containing the words believes, plans, anticipates, expects, estimates and similar expressions) should also be considered to be forward looking statements. There are a number of important factors that could cause actual results or events to differ materially from those indicated by such forward looking statements, including: the ability to consummate the transaction; the ability of Nuance to successfully integrate Dictaphone’s operations and employees; the ability to realize anticipated synergies and cost savings; the failure to retain customers; and the other factors described in Nuance’s Annual Report on Form 10 K/A for the year ended September 30, 2005.  Nuance disclaims any intention or obligation to update any forward looking statements as a result of developments occurring after the date of this document.


 


Discussion of non-GAAP Financial Measures


Management utilizes a number of different financial measures, both GAAP and non-GAAP, in analyzing and assessing the overall performance of our business, for making operating decisions and for forecasting and planning for future periods.  We consider the use of non-GAAP earnings per share particularly helpful in assessing the organic performance of our business from a cash perspective.  While our management uses this non-GAAP financial measure as a tool to enhance their understanding of certain aspects of our financial performance and prospects for the future, our management does not consider this measure to be a substitute for, or superior to, the information provided by GAAP earnings per share.  When evaluating the prospects of a transaction, one factor our management considers is the impact on, accretion or dilution of, our GAAP and non-GAAP earnings per share.  Consistent with this approach, we believe that disclosing Accretion/Dilution of non-GAAP earnings per share provides useful supplemental data that, while not a substitute for Accretion/Dilution of GAAP earnings per share, allows for greater transparency in the review of our prospective financial and operational performance.  In assessing the impact of the Dictaphone acquisition, our management has excluded certain acquisition related expenses, each of which are described below.


 


We excluded certain expense items resulting from acquisitions to allow more accurate comparisons of our financial results to our historical operations, forward looking guidance and the financial results of our peer companies.  These items include the following: (i) amortization of intangible assets associated with the acquisition; (ii) acquisition-related costs; and (iii) stock-based compensation.  The acquisition of Dictaphone will result in non-continuing operating expenses which would not otherwise have been incurred.  We believe that providing non-GAAP information for certain expenses related to this acquisition allows the users of our financial statements to review both the impact of this transaction from a GAAP perspective, as well as from a non-GAAP perspective, thus providing for enhanced understanding of our future financial results.  Additionally, had we internally developed the products acquired from Dictaphone, the amortization of intangible assets would have been expensed historically, and we believe the assessment of our operations excluding these costs is relevant to our assessment of internal operations and comparisons to industry performance.


 


The non-GAAP financial measures described above, and used in this press release, should not be considered in isolation from, or as a substitute for, measures of financial performance prepared in accordance with GAAP.  Further, investors are cautioned that there are material limitations associated with the use of non-GAAP financial measures as an analytical tool.  In particular, many of the adjustments to the Company’s GAAP financial measures reflect the exclusion of items that are recurring and will be reflected in the Company’s financial results for the foreseeable future.  In addition, other companies, including other companies in the Company’s industry, may calculate non-GAAP net income (loss) differently than the Company, limiting its usefulness as a comparative tool.  Management compensates for these limitations by providing specific information regarding the GAAP amounts excluded from the non-GAAP financial measures.  In addition, as noted above, the Company’s management evaluates the non-GAAP financial measures together with the most directly comparable GAAP financial information.


 


 


Nuance Communications, Inc.


Reconciliation of Supplemental Financial Information


(in 000’s, except per share amounts)


Unaudited


 


Estimated Per Share Impact of Dictaphone Acquisition


 





 








Contacts:


 


Erica Hill


Nuance Communications, Inc.


Tel: (781) 565-5218


Email: erica.hill@nuance.com


 


 


Don Fallati


Dictaphone Corporation


Tel: (203) 381-7218


Email: don.fallati@dictaphone.com


The companies are making a huge
profit.  They are paying the Transcriptionist half their line rate to work a VR program that is junk and doesnt really work that well.  Think about how great it is for them.  They get the same exact work from the transcriptionists while only paying them half the money for it.  They say you can double your money working on VR.  What a joke.  The one doubling their money is the transcription company.
How would we know that they lost a huge account? sm
They never communicate with their MTs. 
Not to be gloomy, but the LD is a HUGE issue.
Did you not see the posts on the main board over recent weeks on how the LD companies are cracking down on MTs who use LD for work? They can tell and the MTs are getting hit with HUGE bills and penalties. You absolutely have to sign on for business LD account, and that is MAJOR BUCKS. LD was the #1 reason why I turned down my offer from MDI-MD. It is a major issue and could really cost you in the long run. Of course, they down-play it, but times are changing and the LD companies are NOT putting up with MTs anymore using normal LD plans. I certainly did not have $500 to $700 a month as quoted to me for business LD.
Don't know for sure but it is HUGE - so they must have an oncology dept.
nm
They have a huge turnover in office as sm
well as MTs. Someone gets fired at least every 3 months. Big into power game playing. Do it this way or else. Yes, very disorganized and someone is talking behind your back all the time.
identity theft is huge
and always on my mind with these things.
They lost the huge TN disability sm

account to the Philippines.  Guess TN wanted cheap labor.  I won't be surprised if ALL of the accounts go there.


I am so glad I quit working there!!!


There is a huge forum on page 2
on this company. It does not seem good at all. Many people are leaving.
can't force a huge boulder to

move unless you have a good lever system, if you know what I mean...  Anyway, the company doesn't have a good explanation, which is the main reason behind the research.


 


You would be making a huge mistake....sm
...by even wasting one second of your time with OSi. There's plenty on these boards to back up my opinion.

But, if you are seeking that first year experience, I suppose OSi should be considered.

Good luck!
I know of two huge accounts local to me

One is a huge hospital system and the other is an ortho practice that I used to contract for and left due to the physician retiring, but they have 10 physicians.  They are very unhappy with the quality of reports from C-Bay.  Not surprising that they are not needing as many MTs these days since their reputation is very poor.


Yes, they are hiring because they just got a HUGE account.
Ops and cardiology right now but all kinds of work. I am loving every second of it! :)
that's because Webmedx took over a huge account they used to have. nm
.
HUGE 2nd on that one! I see errors that really scare me.
x
Transtech has 2 huge hem/onc accts
NM.
AHDI- HUGE SUPPORTER OF
offshore. So I'm curious why ANY US MT would be willing to support them.

Years ago, I sat in meetings listening to people who had high positions in AHDI (then AAMT) discussing how to cut the production of MTs.

You might want to make sure you are aligning yourself with someone who TRULY has the best interest of the US MT at heart, and sorry, no one will ever convince me that ADHI reflects that.
Transtech has a huge hem/onc account
.
I am doing a huge hospital system sm
and just ran out of work tonight! Can't believe it.
I'm on a huge teaching hospital with..
eTransPlus. Surprisingly very few ESL dictators. I probably would do better with a smaller hospital but the work is interesting for sure. Good company to work for too, IMO. They do not do VR at all.
Enterprise. I really think there's a huge difference
in STM expectations and management styles. I find my STM fairly unreasonable and to be completely lacking in empathy/understanding. Even though I average 19-20,000 lines a pay period and have 98.9% QA, she is unreasonable in many ways. Oh well. Wonder if I can change STMs?
Do you know who the other huge universities down there deal with. I was just curious because there
are just huge universities in the Philadelphia area and I just wondered what service they use or do they have off site MTs or are any planning on having off site MTs instead of using a service.
They lost a huge account in Alabama
to work it.  It was probably one of their biggest accounts and they didn't keep it long.  Beware.
I was thinking about the huge industry news below

This is just my conjecture based on the hospitals and clinics that I have worked for in the past. 


1.  The up-front expense for the highest quality VR would almost seem to be out of reach for the independent physician or even very small clinics, say for example in a small, rural town.  I just can't see every single physician purchasing this high-end technology, especially new physicians trying to establish their own practices along with paying all their student loans, etc. 


2.  Working with several national MTSOs over the past 16 years, I have worked on close to 100 different hospitals and clinics around the country and quite a few of them were large teaching hospitals.  I can see the technology developing to the point that it would be able to put out a fair-quality (maybe even occasionally good quality) back-end report.  But, no matter how excellent the technology is, I cannot see it being able to correct the mistakes these dictators make that are not related to grammar or spelling.  I can't see the computers picking up medication errors, dosage errors, incorrect dates, new operative equipment, being able to correctly flag right/left, or correct spelling of cc'd physicians' names.  With all the times I've had residents, PAs, or NPs dictate sentences, erase them, start again, erase them, and then end up saying go back to where I said [fill in the blank] and put [such and such] instead, I can't see a machine being able to correctly interpret all that. 


For these reasons, I can't see the total elimination of manual transcription without a drastic rise in the cost of risk prevention, malpractice insurance, etc.  It may be the wave of the future, but I don't see it completely eliminating the need for human transcriptionists.  I do, however, see it creating a need for certified, licensed transcriptionists completing the work the computers won't be able to.   But again, this is all JMO and my thoughts regarding it.   Any other thoughts on this?