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Serving Over 20,000 US Medical Transcriptionists

Not only bringing suit, but our profession's tendency - sm

Posted By: Kirsten on 2007-03-29
In Reply to: Terrible attitude - Irene

for it's members to behave like pirhanas towards one another whenever someone mentions something different. Yes, this topic IN GENERAL has been on the news before, but it needs to get more up-close and personal. To begin with, showing what MT really is, how it works, who does it and where, and how it integrates with their doctors, their insurance, and their healthcare, and just HOW MUCH of their personal, NON-MEDICAL information is really contained in their medical records. Then they might just START to care.

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    Just bringing up from below

    Many years ago, when I worked in house for a local clinic, we had a Transcriptionist who had just graduated from a medical transcription course (I believe it was through the local community college since this was back in the early 1990s), and everytime this gal came across something she didn't know, she would ask the other transcriptionist or I how to spell it.  I truly think sometimes one of the BIGGEST problems is the fact that nowadays, people are not taught the proper way to spell or even how to research for that matter; for example not realizing that a spelling with an f sound could be spelled with a ph or Pf et cetra.

    One classic example was a few years ago, and I was doing QA for a company and this company hired a friend of mine an older lady, who had decided to go into medical transcription and had completed a course.  Well, the company hired her on my recommendation and she called me one day, very upset and saying that she had received another email from a QA person, whom she felt was picking on her.  I asked her what the error was about and she stated that it was over the word chem as in chem-7 (which as an aside, I have NEVER abbreviated; always spelled it out as chemistry-7)  -- well anyway, my friend had typed it as Kem-7, so while I was on the phone with her I made her do a search, and what she came upon with the first hit was some rock band in a foreign country!!!!  This, is what I and older, more experienced transcriptionists get angry about is the fact that many people if they use the internet to do a search will use the first thing that comes to mind, rather than tryng to spell it several different ways to see if it fits in the PROPER context.  Sorry for this being too long.

    Thank you for bringing that to my attention. DONE! sm

    I am writing to request that you support the above bill. I am a medical Transcriptionist in Wyoming. I make an above-average income, which I spend in my community, but my job is at risk because so much of this work is being outsourced, particularly to India. More importantly, the health and privacy of the American public is being put at risk by this practice. First, Indian transcriptionists do their job poorly and inefficiently. The gross errors jeopardize health care. Every error has the potential to injure or poison an American citizen, including many young children for whom accurate diagnoses and medication administration can be a life and death issue. To add insult to injury, Indian transcriptionists are NOT required to honor HIPAA. Once a physician's dictation leaves this country, it is no longer private.

    I am a very hard working medical transcriptionist and I am still able to earn a decent living in this industry, but it is certainly not what it used to be. I am paid 9 cents for every 65 Keystrokes I type, whereas an Indian is paid 2 to 3 cents for the same work. This undercutting has hurt this industry and every woman (95% of us are female), many of whom are trying to support families on their own, has been dragged to the poverty line because our wages have not grown with the cost of living. I make 9 cents today and I made 9 cents in 1996, the year my career began.

    Please protect the healthcare and privacy of Americans, and help to protect yet another industry from moving to overseas. Support and sign S.810/H.R. 1653.

    Bringing to the top - wouldn't any of us in D's

    I worked for MDI.  I loved MDI.  I have always known D to be someone of yes, integrity.  I don't believe her integrity flew out the window.  There is surely a lot we don't know.  And of course, D would not have been at liberty to discuss the coming merger before it happened.

    D is a businesswoman.  The purpose of a business is to generate income.  She ran her company with honesty and integrity.  I can't say I wasn't suprised, shocked even, at what has happened.  But I have known D since the early 90s and I know she is a good person and truly cares about people.  I don't know how to reconcile that with what has happened other than to think there is more to the story than we know and that it is the decision that D needed to make at this time for whatever reason, whether it be to ensure a secure retirement, whether it was because she was no longer able to compete with offshoring and VR (I think this may be part of it because she had told me at one time they were having to cut line rates to compete with VR and offshoring) or whether she was just tired and ready to not be the one at the helm any longer.  Maybe it's her health, or her husband's health.  We just don't know. 


    This whole thing does make me afraid for the future of medical transcription, because another thought I had was that D saw the writing on the wall and knew it was either make the leap now and profit from all her years of hard work, or end up losing it all when transcription becomes obsolete for the most part, or at least for those who don't use VR or offshoring.

    Whatever the reasons, I choose to believe that D is still the person of integrity I have always known her to be.  I just choose to accept that there must be more to the story than I know.

    I wish the best to D and to all MDIers.  I feel like an era has come to a close and it will never be the same again.  But I feel lucky to have been a part of Signal and MDI and to have known D.

    I feel like we are on the Titanic and we just saw D either jump to safety or jump into shark-infested waters, we don't know which, and we don't know whether we should jump or cling to the boat - because MDI was the last lifeboat and now it's gone.

    Bringing up thread on Precyse sm

    I just got off the phone with someone from Precyse and they have terrible communication and no flexibility.  She kept IMing another lady to ask questions.  Had to check with another person to see if I could do Monday through Friday.  Made it sound like she would really have to do some fancy talking to get that.  I had put in my info that I wanted to work from 6 am to 12 pm and she just read that as she was talking to me and said there was no way.  Told her that I am capable of doing full time line requirement in those hours and she said there had to be the hourly coverage there.

    I was just not impressed at all.  She really did not seem like she knew what was going on, could have been a little more prepared for an interview.  I just wasted 10 minutes of my time! 

    bringing MTSO question below

    Sugestion - when MTs complain their account is too hard. Instead of giving them something easier and pushing hard work on more experience Mts, assign the complainer exclusively to hard account until they are competent. Only way to be fair to distribute. Everyplace I work the complainers get the easy accounts.


    Bringing up my question on ProScript below
    Didn't get any answers, so don't know if that's good or bad, maybe they're just a pretty small company and don't have many people working?  Anyone know anything about them recently?  Trying to update my notes for companies that may be interesting to check on.  Thanks!
    Bringing up "who's going to stand up for us" from below

    First, flamers, never mind, I'm not talking to you.

    So we are all spread out but all of us know other MTs whether we work for the same company or not.  If everyone communicates with those they know and asks them to do the same, word will spread like wildfire and something really CAN be done.  Sitting around complaining and doing nothing accomplishes NOTHING.  As near as I can figure one MTSO is as good (or bad) as the next so they could all use an attitude adjustment.

    Bringing to the top, re Transcend's platforms: How is Beyond Textl? SM

    Is it productive at all?  I think it is a VR and transcription mixture and may actually belong to MDI-FL.  Thanks! 

    No she's not. She's obviiously replying to a post by DB and bringing to top. nm
    Be sure to tell them bringing US jobs back home
    Some hospitals are actually bringing transcription back in house.
    I have heard of more and more hospitals bringing transcription back in house and using independent contractors as well as in-house staff to get the job done. So far, it is working out well for most hospitals and, believe it or not, saving the hospital more money then sending it to a service.

    Imagine that!!!

    Hopefully, 90% of the health services and facilities will bring it back in house and soon!!!!
    Just a little slower than DQS in bringing jobs up, filling out screen. (sm)
    Not a lot really, and the plus side of being able to research other documents by a particular physician or patient pretty much makes up for it.

    Just thought I had heard something and was hoping there was an even better system coming about.

    Ok, which suit are you?? Have you seen the bad
    He is not a suit...sm
    I worked at SS at the same time that Clifton worked there.  He was not a suit; he was an MT and what he has posted is true.  I remember the incident.
    No, I'm not a suit.
    I'm an MT with 30 years of experience like everyone else here who has just been sold down the river.
    Sten-Tel is bringing all of their offshore work back in to USA. Per the client's wishes! nm
    Discrimination suit

    I know there's that law that protects us from discrimination when we are between 40 and 70.  However, it would be difficult to prove that this was their reason for not hiring me.  I'm sure they would come up with some other excuse.  And, I doubt if the Labor Board would fight with them.  As a matter of fact, I am past the time limit on reporting that, as it happened more than 6 months ago (I think 6 months is the time limit for filing the complaint).  As for a separate civil suit, that would probably be more trouble than it's worth.  But, in the future, I will keep better notes and will create a paper trail just in case.



    Are you that hard up for a job? Maybe OSi will suit you.
    good luck
    Thank you, suit-wearer.

    Yes please - WMX follow suit!
    We need more work.
    Methingks this is a Suit.

    Methinks this is another Suit.
    How original, Ms. Suit!

    Dude. Yer a SUIT.
    Funny but your own comments seem to suit YOU to a T lol
    (Middle-management Suit.)

    Spoken like a true suit.
    Please don't jump ship, it's scary out there, and be grateful we didn't cut your pay even more! I think anyone unhappy about receiving a pay cut & having to do more lines on this horrible VR to make up for it deserves to be upset right now. Many of the smaller companies have tried VR and decided to do away with it, so I don't agree that's it's going to be an across-the-board thing of the future. The quality it spits out is horrible, which in turn endangers the patients, just like offshoring.
    Is "indigo" the color of your SUIT?

    Alltype changes the rules as they go to suit them.

    IMO, they'll tell you one thing when interviewed, but the numbers just don't add up and definitely show in your pay.  They love to send reminder emails regarding working holidays unless scheduled off, and when you do there is no work.  Then, as you sit isolated from your family on the holidays, you get the peppy little emails saying check with your team leader to see if you can take off an hour here and there, and work them later in the day as you are not allowed to take ANY time off without pay (even if there is no work).  Their TAT is more important that your time with your family, also IMO.  If you don't/can't meet your required line count for full-time, they put you on part-time status.  If you're already part-time and don't/can't meet your line count, they put you on IC status (and expect you to work their schedule with minimum line count requirement of 600 lines per day).

    Management is demeaning, curt, and unprofessional, and human resources person is worse, also IMO.  Check archives about email resignation that may or may not  have been initiated by human resources...and be very cautious about what they (management) tell you.  The term snakes comes to mind...but, of course, that is just my opinion.  They used to be a nice place to work years ago when G ran it.

    Now I ain't sayin she a suit-kisser, but she ain't (nm)
    A suit actually called MQ MTs typing monkeys?
    OMG that's unbelievable.  That's what this biz is coming to, no respect at all except from one another.  How did he get caught with his big ole stinky foot in his mouth?
    I think everyone should file a class-action suit

    She sounds like future SUIT material, to me.
    Flames? Putting on my flame retardant suit. sm
    So what if some are happy and express their feelings about a company.  If given the companies and the reasons, each of us can use this info as we need to.  The remarks that just say Stay away don't help anyone.  In fact, makes me wonder what the poster did that contributed to the bad remark.  If someone disagrees with your reaction to a company and flames you or if you get flamed for giving reasons, seems to me you are getting flamed one way of the other.  Might as well give reasons and help educate the rest of us.  And no one knows who you are, what do you care about the flames?  Actually, when I get flamed, I have to smile a little to think about how I got everyone excited for a few minutes. 
    Glad for you! Let's hope Webmedx will follow suit.
    You are in a profession
    of people who really are scrambling for work. It's not like you are a doctor or lawyer. You are a typist and so stop being so uppity about it. your profession. I thought you had friends and that you are a mother, sister, niece.... get lost
    Thanks everyone! Due to this profession and
    all the garbage that goes along with it, I have accepted a position outside of transcription.  Pay is better and bennies to boot!  It's sad to see what this profession has lead to .  The ungratefulness from MTSOs is growing by leaps and bounds.  Please no replies that.... the grass is not always greener, etc.  Been there, done that.... I'm very comfy with my decision.  I can always fall back on transcription -we are a dime a dozen whether we are seasoned or newbie (unfortuantely)!
    This profession... SM

    can be a rewarding profession, but definitely not an easy one.  There are waves of workflow, waves of pay, waves of anger, waves of joy, waves of guilt, waves of happiness, waves of sadness, waves with a shark lurking (like an ocean).  hehe

    So what do we do in the ocean?  Go with the waves!  Surf's Up!!! 

    MT isn't the only profession
    As a coder, we often work around and in spite of. Their written documentation is just as bad as their dictation. One visit the patient has metastatic cancer, the next visit they have cancer in situ, then they have a history of cancer, etc., etc., etc. One visit HIV positive, next visit AIDS, next visit HIV positive. There is no consistency at all. They come in with a visit diagnosis of Diabetes type 1 but their office note says type 2. MTs have it rough but we're not the only one. I think anything in the HIM field meets these challenges. They're just in such a big hurry to whip through it that they don't pay attention. Most docs consider doing their documentation just too big a bother and scr__ the consequences.
    And I think that anyone in this profession that has

    in this year 2009, should automatically be a CMT; no test; no money; just grandmothered into a CMT.  I am only 38, but I've been transcribing for almost 20 years now and used to have to look every word up in a dictionary and didn't have Google or electronic spell checks to help me do my job.  I feel like I should already be a CMT and not have to take the test.

    I also think the line rates are very low here lately especially for acute care work that requires evenings and weekends.  I know this profession is 24/7, but all MTs deserve more than 7 cpl to work nights and weekends as in any other profession, there is a shift diff that pays.

    As far as the ist at the end of my title, I don't mind.  A transcriber, in my opinion, sounds more like the name of a machine or office equipment.  The ist I feel is derived from the term specialist, so add what you like before the ist and that's what you get; it is not belittling and definitely not feminine when you consider how many male physicians there are in society today.  Furthermore, I'd take a male dictator over a female any day of the week. 

    Okay, I'm done...  for whoever cares... 

    This is the only profession ......
    that the longer you are in it and the more experienced you are, the less you get paid.
    If you are in this profession you have to
    accept them, they are part of it whether you like it or not, or as you say - get out.
    MTs getting out of the profession
    I agree with that assessment. My local technical college is discontinuing their MT program because of the changes being made. So what is going to happen is that there is going to be a huge paucity of qualified people who can accurately transcribe and edit the few remaining necessary functions that they now perform and they will then be at a premium and the price will go up. Then once the medical providers figure out that the way they keep records (EMR point and click and VR), while they may be expedient and cheap, are not living up to the hype and hence will get them into trouble legally (due to sloppy entries and slipshod data entry by the physicians themselves), they will reassess the need for those in our profession and go looking for us again. Perhaps we will be there but probably not.
    to have a real profession
    So before you going calling anyone dumb.... think about just how skilled you aren't. MQ'ER move along.
    Don't let this sour you on this profession. sm
    There are great companies out there and horrible ones. What was horrible for you might be a good fit for someone else.
    the problem with this profession..

    is..... it is very ill defined.  nothing is measured, nothing is objective, at least consistently.  7 cpl is equal to 10 cpl somewhere else.  a few examples.  people don't say they are acute care MTs to annoy you, there are a million different scenarios and a whole lot of jargon being thrown around, and i guess i'd be wondering what a person is called that does acute care but no ops.  a whole half a company where i work are like that.  so.. uh...see.  every scenario is different... which is a major part of the problem.

    but, in response to your note, i disagree with a whole lot of it, and it's due mainly to what i say above.  i chose to work at home because i dont want to work at an office so i am sure as heck not interested in turning this environment into the very thing i left.

    any, may i submit to you, and many others speaking in these forums.... it's fine to express opinions; it's not heard with much regard when it is touted as fact.  you see divas.  i see an industry of people who have been taken advantage of like no other.  there is no accountability from the doctor, the hospital, or the MTSO... it all runs down hill to the MT.  laws are blatantly ignored and policies rarely written with any definition.  if you want to compare the way we work to traditional offices, when was the last time you worked at an office where you worked 10 hours to get in 8, and you only got paid for some of the work, but not all.  it's come to be the norm here.

    some heavy duty revamping needs to take place... and i'm working on it.  everyone put their thinking caps on about what's really at the root of these problems, and stop arguing for crying out loud. never seen so many arguers in my life.  it's apples and oranges that everyone is arguing over.... little bites of fact taken out of context.  no big picture.

    i will be back over the next few months to hear them.  let's get down and serious and fix this chaos. look underneath what got you ramped up.. the ramping isn't valuable, but figuring out what is driving it is.  i say we start a revolution.

    You are a traitor to this profession.
    What you are doing is the reason why MTs are in the fix they're in.  You are selling US out for profit.  Pray tell, how do you plan to ensure patient confidentiality in the jungle? 
    I would! This profession is all but dead
    If we were men, I seriously doubt our profession
    that is why the profession is swirling sm
    around the toilet bowl because no one will stand up and tell the truth about these companies AND the ones who do stand up and tell the truth get blasted. Hey, if no one wants to list and wants to sit back and watch it happen without a fight, then don't gripe when its over!
    The nosedive this profession took was because
    meaningless little spats and email wars between MTs.