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Serving Over 20,000 US Medical Transcriptionists

MW has it's own training in facility in India, so offshoring is growing with them. nm

Posted By: find it on the web on 2007-05-09
In Reply to: E-mail loop says - Ex-MW

MW India

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Medware does. Has their own training facility over there. nm
India has one of the largest growing economies in
offshoring to India
if not the doctor, then the patient will not like it.
Companies offshoring to India

Why is it so wrong that human beings in India are doing something to lift their country out of poverty?  We are a developed country, so we can't possibly understand this aspect, but it really should be taken into consideration.  If you can truly say that your company outsourcing to other countries has brought you to extreme poverty, as they experience, then I will completely understand the worries.

I have not suffered at all financially in my 12 years of transcription.  In actuality, my income has increased slightly each year.  I have lived a poor life as a single mother until finally being able to put myself through school and getting into this field.  If there's an Indian mother or father who wants a better future for her family and be able to feed her kids, who am I as an American to say no to him/her?  It's not taking away from our families to the point of poverty that their country has to endure.

I used to be one to sit here and worry, but then I had the revelation of how thankful I am that I don't have to drive to work everyday with the gas prices on the rise, that I don't have to pay a babysitter and leave my children with people who may possibly be harmful to them, that I still can put a little money away each paycheck into my savings account towards retirement, that I'm not suffering hardship because of my pay but only because of the economy.

Yes, I am happy to imagine a mother or father and the joy in her/his eyes at the prospect of a real job to provide for her family in such a struggling country.  I am seeing from Someone else's perspective now.   

companies offshoring to India
What about the jeopardy of the medical reports with incorrect spellings, dosages, etc. that have been seen with the work produced by Indian labor; i.e. PORN instead of PRN - this is one example that I have heard about more than once.

What about the privacy of patient information and how this is not protected by Indian labor.

Furthermore the large companies are sending the work to India to save labor costs but I do not see them lower the price to their clients. I do see them lower their offer of wages to the US MTs however.

I am not sure about you but I do not want my medical records transcribed in India.
Offshoring to India may not be affecting you now...

but I can almost guarantee that you will be affected at some point in the near future.  I thought like you too.  I didn't understand what the big deal was about offshoring to India.  Then the hospital I worked decided to outsource the entire transcription department.  I went from an nice, secure hourly wage to being faced with finding a job with production pay.  I went from $16 an hour for my 10 years experience to 8 cpl!  I finally landed a job making 9 cpl, but had to do the dregs of dictation, the ESL dictators that barely spoke English.  I was barely making 1000 lines a day -- that's around $11 an hour!

Then I parlayed my years of experience into finding a QA job.  At 12 years of experience, I was making $15 an hour QA'ing.  Still making less than I was as an MT when I worked directly for the hospital, but getting closer.  Who cared that I was QA'ing work done by Indian MTs.  It was a steady, reliable paycheck.  Then the owner decided hey I could make more money if I paid my QA people per line and we don't have to pay them the same as MTs because they're not actually typing.  So now I'm expected to accept 5 cpl.

So I sell out AGAIN.  Take a job with another company I am absolutely certain offshores almost all of the work to India!  But again they are willing to pay me hourly and they make promises about bringing a lot of the work back to the U.S., building up a U.S. team and so I pretend I'm not selling out, I'm just taking care of my family and I gotta do what I gotta do.  Within six months of being hired, I am laid off.

Now, here I am, an American CMT with 20 years experience with no job, drawing unemployment, and the sad thing is I'm earning more on unemployment than I've earned on production in the last five years and it is a reliable check. 

I'm real happy for you, but let me tell you your contentment is short-lived.  The offshoring epidemic is going to affect us all one way or the other.  If you haven't been, you will be financially hit and hit hard.  The medical transcription industry already have been hit financially, some are just too ignorant to know any better.  You think 7 cpl is a decent wage.  Consider the education and knowledge base a medical Transcriptionist has to have to do her job well and tell me again how I should be happy with pennies per line and feel sorry for those poor Indians.

So you'll excuse me, if my heart doesn't bleed for all those poor Indians trying to earn a meager wage.  Cause that's all I'm trying to do, but the deck is being stacked against me.  There are companies out there crying that there is a shortage of experienced American MTs and so they are willing to train Indians to do OUR job for a third of what they are willing to pay an American MT and those same damn companies are telling me my 20 years worth of experience, knowledge, and education are only worth 8 cpl!

There's no shortage.  Companies simply do not want to pay for the experienced MT.

As if offshoring to India wasn't bad enough - sm
the mention of a school starting in the Carribean is even worse! Think about how much ID theft and how many internet scams originate in the Caribbean. And they think we want our personal ID info. & medical records to to there? They better think again!
stop "complaining about offshoring to india?? NEVER sorry.. sm
Why in the world would it EVER be OK to OFFSHORE AMERICAN MEDICAL RECORDS to INDIA or any other country?

I want my records transcribed in my own country, thank you very much.

As far as companies selling the MT out.. and offshoring, if you really think that is OK.. and you are an MT.. I don't get it honestly. Maybe you could explain your OKness with this.

Thanks for your insight.
They are growing, growing, growing! The best MT company I have ever worked for!
Give them a try. 
When people refer to offshoring, don't they mean the Phillippines as well as India?
Who did your training? When I worked there, I was trained from someone in India, very hard to
understand what he was saying. Communication is less than ideal as there seems to a language barrier and comprehensive. I used to think NO was a universal language but to them it just means keep asking until the other person is so frustrated they are ready to reach in through the phone lines or IM and tear out your vocal cords LOL. Joking aside. Awful experience. I worked too hard, made too little and the HR person was the worst EVER.. real airhead.
Their training schedule kind of got backed up and so far the only training..(sm)
I've had is one short Bayscribe session. But I extended my 2 week notice at Medquist and I have until July 17 now to get some training in at MDI and do some reports to get familiar with the platforms. I'm looking forward to it! 
There is at least 1 facility that requires US MTs only.
It is actually their largest account. I worked for them a few years ago and worked another service that did this same hospital. This hospital is very picky and absolutely will not allow any offshore work. I guess they will have to keep all US MTs on that particular account in order to keep it.

I would invite all DRC MTs to come on over to TransTech, you will find a home here.
Facility at fault?
If the facility has in-house MTs, they often outsource the crap work to the MTSO. It's another good reason why working inhouse might be better, if the jobs were available, and if we really wanted to go outside our homes, that is.
Contact the facility...
I don't think people are supposed to be sharing that information here.
I would call the HR for each facility and ask.
If it isn't done in-house or by their own home transcriptionists, they will usually tell you which company has the account.
I do not agree with what the facility...
is doing, either, and if you bothered to read my post above you would see that I said exactly that. But we cannot control what the facility does, we can only control what we do. Two wrongs don't make one right. That means, the MT either negotiates higher pay, finds a new job or gets out of the industry completely. By continuing to work the way she is, she is putting patients at risk.

All right, I've made my point here. We will have to agree to disagree. Have a nice day.
I can't say enough about their training team. Excellent training!
The people at Medware are all just great. I wish I would have joined the Medware family sooner! They are very flexible and caring!
do you mean company training or med transcription itself training?
Any acute care facility. sm
That's the thing about hospitals - they run 24/7 - 365. 
Regarding no work - if a facility is running
low on work and they have an inhouse staff, they will withhold work from MTSOs to keep their own employees busy. Just makes common sense.
P.S....or if facility is closing and provided that
Which they almost certainly would in most cases. This law has NOT proven to provide the protection for laid off workers that you seem to imagine.
In what state is the facility located?

Anyone ever hear of Spine One Medical Facility?



More than 1/2 the time you don't get actual facility samples, tho, just
Or to work in an outside facility. Good luck to ya! :) nm
Depends on how long it takes to get your ID from the facility. SM
Once that happens, they get you installed and going pretty quickly.

You can probably call them about the Lanier unit to see if they have any to rent to own.

When I worked with them, the insurance was very expensive and not very good. They have promised to get better, but that has been going on for a long, long time.
General Facility with a cast of TTers.
Does any facility hire MT directly as IC or employee for eScription? sm

I do not want to work through a service again.  I am tired of running out of work. If anybody knows of any leads, even if they aren't hiring right now, please e-mail me privately.  All responses will be confidential.  I am looking for something for myself, not to be posted to others.

Thank you in advance.

I looked facility up on line - checked careers and found they had a current opening for MT there. (
That pretty much told me they did have inhouse. It was an MT position for acute care, not just one of the ancillary departments.

what training? no training for me, first day they Tried to give me 2 ESL....
they did not come up first. An hour of training is not really training.
AccuStat now has voice recognition to their software and has a lot of new clients.  I run an MD office that uses AccuStat and we have had no problems ever with this company.  They have been on the ball with all of our needs, no matter how complicated!!  We have over 50 MDs and they all love the company and their flexibility!  The owner is a great lady as well....ignore the bad things you see as they are simply not true about this company!!
I don't do Rad so I am not sure if they have any or not. They are growing like crazy though, so
call them and ask. They are usually always hiring. Right now I think they are hiring for Med Rec, Oncology and maybe Rad. Call them and talk to Debbie, my supervisor. She's great.
Yes, it does, it means we are growing! :)
Why can't anyone ever see that with a service? Advertising doesn't necessarily mean something negative,it can simply mean there is an increased need for qualified MTs!
Growing business? nm

not sure if they're growing but...
i was with them not long ago and they were wonderful and i never ever ran out of work. staff was all very supportive and friendly, system was nice, line count was awesome, paid on time and accurately, no complaints at all, just couldn't squeeze in enough time to work for them with the other job. great place to work, though, highly recommend.
They are growing like MAD! This is an awesome
company. Definitely not overhiring. I have been here almost two months now and I have never been happier with my job. The accounts are good, the people are amazing, from management to tech support and even the general office staff. They treat me incredibly well and many, many others on here say the same.
Growing with a new group of
They started a group of hospitals based in TN, and are adding them one at a time during the year.  Lots of ER and acute care positions, we get emails noting the new accounts and added positions. 
the growing company?
see details inside, only provides an email response.
She's still there. They are just growing so fast, they need more (sm)
many times in office works well for other reasons.
I am growing tired of this sm
So I am going to try to end it, here and now. I am sick to death of hearing I am selling myself cheap working for TT. I can sell my services for wherever I care to, for whatever benefits I need/want and for any line rate I want to. Since I am no longer firm enough to sell my body, I can be a flabby MT making what I feel good about making and the job I am doing to get said income. It is not your business to come on here and tell me that I am selling myself cheap, nor to brag about the line rate you get. When asked about whom you work for, suddenly you can't tell, it is all so hush hush. One has to wonder...if you told, would your supervisor get on here and contradict you? Given your grammar and spelling, I can't think you are worth the money you supposedly get paid. Contrary to what others may think, this is job is NOT about getting higher and higher line rates! I have been in this way too long to be talked to like I have fallen off a turnip truck and I don't know a certain orifice from a hole in the ground. PAY DOES NOT INDICATE THE QUALITY OF MT WORK YOU PRODUCE any more than report cards are an indication of learning. I read a lot on here (note the TWO words there). I listen to complaining about QA people and how obnoxious they are, about MTSOs who don't care about their MTs, about running out of work, about unusable platforms, difficult ESLs, falling line rates and lack of benefits. These are the difficulties of being an MT in a marketplace that doesn't value the people element in any job, and in an industry that is rapidly changing. To come to this particular board is to be bombarded not only by all this complaining, but also by constant gloating over a line rate that may or may not exist in reality. The fact is, unless we are all MTSOs with well paying clients, none of us are going to get rich doing this. We are going to pay our bills and we are going to work hard. Line rates are the same as they were 10 years ago and 12 years ago and 15 years ago. If you find a job with 10 cents or better a line, I'll show you a job where the work stinks, the platform is impossible and the person in charge has more psychological issues than an inpatient on a 72-hour hold. I know, because I have worked for a lot of them. Now, I have recently gone to work for TransTech. Sure, I took 8.5 cpl, MY CHOICE, MY DECISION. When I quickly understood that medical benefits would not total $100 a month, and that as an employee, they will cover part of my FICA taxes and that there is PTO that is figured the way it ought to be figured...8.5 cents was looking good to me. I have made 11 cpl and recently (see above). Even simply talking money, that 2.5 cents will not buy me medical insurance on my own. It hardly covered my taxes last year and I had to work a second job. I had West Nile and it didn't pay for the 3 days I missed from work because of it. I ran out of work frequently too. I am concerned about what the rest of you are concerned about. I don't like running out of work. I detest snotty QA people. I, for one, cannot abide the whining from my MTSO that greets me every time I have a technical problem or if I am sick. I don't like that I can't afford to go the doctor without insurance. I'd like to be respected for my experience and hard work too. If I am going to work extra hard, I'd like extra money for it. We who work for Transtech are bragging these past couple of weeks. Why? Because we have joyfully found a place where we can't complain about all of the above issues. We have seen that money, as in higher line rates, isn't the entire picture. We are finding that we are rapidly more productive, lines are easier to get and we have our job satisfaction back. The 10, 11, 12 cents you get, can't buy love. It can't buy satisfaction. It can't buy THE BEST QA team in the business. It can't buy the most gentle, understanding and patient manager I have ever come across XXXX. It can't buy you the thank you for your hard work that I find on EVERY report returned from QA. It can't buy you technical assistance that is on a problem as fast as a duck on junebug. It can't buy the pat on the back that I have gotten from all the QA people every time I have cleared QA on another new account. Now, 10+ cpl can't buy you love, but 8.5 got it for me!
Not sure what the deal is but the ad said they were growing or something..
and it also stated in the LOOOOOOOOONG AD that they get someone trained and then start training another person and so on. Almost sounded like they ran an assembly line where they get one MT put together  and scoot her down the line and then get another ready and so forth. Unfortunately, I do not buy that. I think this employer has come up before in discussions and it was not favorable. Also, if you read the ad, you can tell there is a little chip on the shoulders on what she expects from an MT, leaving me to believe she has been less than happy with whom she has hired in the past. In any event, I do love animals but I have NO interest in applying there.
India, Michael. The MT world is going to India. Wonder why? nm
You are kidding yourself. OSi is not growing. You cannot grow without
OSi wants to be big, but that will never happen because they will not listen to anyone about giving the MTs more instead of putting all the profits into their own pockets. All you get at OSi is your base line rate...that is it. Nothing extra for nights, weekends, holidays. They make you pay for the foot pedal and even the cheap spell checker.

You pretty much said it all when you said that OSi is choosy about who they invite to their parties!! How awful! When most companies have company parties, all employees are invited. That is pretty sad and pretty much says it all about OSi.
I figured they were growing, hadn't
ever seen them advertise until fairly recently.  Makes sense to me, usually if a company grows they have to hire more workers.  Haven't heard of anyone complaining of not having work.
Gee, could it be they are getting new accounts and growing? Geez
We are growing. You are a person not a number.
We have employees in 18 states and have full bennies. Other states ICs and SEs. Pay is decent with incentives. Good team work. Direct deposit every other Friday. Pay is correct and on time.
They have a couple hundred and are still growing. You are right about it
feeling like a small company. EVen though they are pretty big I think they really make an effort to not lose what makes them special.
And the reason the list keeps growing is because...
these companies know they can get MTs here to correct the poor quality before it gets sent to the client. Talk about cutting our own throats!
No, that is because Transcend is growing like wildfire!
We are adding two new accounts a month, and converting others. I am one of the ones that usually helps out on new accounts, so I know.

Hope everyone on the board had a happy Thanksgiving. I am thankful that I have a place to go to share ideas.