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Overseas MTs and US companies

Posted By: Overseas MT on 2006-01-08
In Reply to:

I was over joyed this past Friday when I landed an interview with a company in my area that called me out of the blue for an interview.  I do not even remember sending my resume to them, but I must have over a year ago.  Well, I was up for the interview and ready for whatever they wanted me to test on.  I was very anxious to quit the big national I worked for soon.  Well, I pressed my skirt out and as I drove, I a started singing all the way there.  Today was going to be my lucky day.  Well, boy was I wrong.  I met the lady that called me and it went down hill from there.  She told me that they only had 2 US MTs and the other 500 MTs they employed were over in India. UUUUUHHHH.  My heart sank.  She was calling because they needed to immediately set up a new account that was going live in 2 weeks, and they were caught with their pants down. The overseas MTs would not be able to catch on as quickly, so they needed at least to hire 2 more US MTS to get the ball rolling.  I knew right then and there I was the Guinney pig to help set this new account up for the MTs overseas.  My heart sank,and I could not even remember anything else she had said.  She gave me a writtent test and I told her I did not know the terms. I said that because I was trying to get the HELL out of there fast.  She said do not worry.  I want you anyway.  Then she gave me an OP note to transcribe. I sat there for about 2 minutes and told her I was sorry, but I could not get it.  I grabbed my coat and hussled out of there.  As I was leaving an Indian man was walking by, and she said he was the owner.  Is this the way our business is going?  He clearly was the owner and employed all the MTs from overseas.  Can we go over to their country and do the same? I don't think so.  I am sorry for venting,but I was so darned mad.  He learned the business, used the United States, and employed all from his country.  She also said that eventually, all work go over their, but some clients need to see the work first before sending it over there.  Translation, the US MTs do the initial work and it looks good.  Then, when the client thinks everything is good, they ship it over to the overseas MTs.  Did I handle this situation wrong?  I feel like a heel for not giving my best, but that is what I was feeling at the time.

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Most overseas companies doing business with the US
I know about the tax breaks, but what about taxes for overseas, .... I know companies don't pay t
I know companies don't pay taxes for them. So, is it also an advantage to overseas jobs for companies not to have to pay insurance, taxes, social security? Do you know how many American jobs are overseas with not one of them paying Social Security? I am also not for illegal immigrants per se but my heart goes out to people in a strange land who can't find anything but menial work trying to get out of a desperate situation in Mexico (it must be desperate to go to the extremes to get over here), and of course can't get a Social Security card, driver's license. Surely it is humanitarian to care for these people.

The thing is, even voting for the one who says they will stop it (and it is not Hillary Clinton, she has even gone overseas to promote jobs to countries), the businesses have the money for lobbying and big business is not going to go down without a HUGE fight.
In all fairness, MANY companies do business overseas sm
Car makers to name one, textiles, clothing, etc. I guess it's good for the global economy. Companies take jobs from American workers all the time and send work overseas, it's not just this line of business.

You can't fight it. I think you only hurt yourself thinking that way. A job is a job so be grateful you still have one.
I have no respect for companies that send work overseas
Don't you think we have enough people right here in the US without jobs? Instead of paying a decent wage for an MT, companies get greedy and undercut our workforce of extremely talented and hard working MTs of which a large percentage are single moms.
Why move all the work for Heartland overseas, are the MTs overseas that much better?
Why? Why do this.  It is my understanding that in time that work will be coming right back.  Are the overseas MT's in Banglador or wherever better.  Don't the companies that offshore worry about the quality of the work, HIPPA issues, patient's confidentiality, etc.  Why don't they care?  Mark my words, those MT's are not better than us, they have US editors, etc to help them out.  They cannot land a new account US-based and compete with any US mt's.  What a  sad day.  I pray for all the Heartland MTs.
I don't know about overseas, but I'd say if they
don't have a separate line for a business then it is probably a tiny company and I wouldn't feel comfortable working with them.   I'd at least get some history from Joanna about how long the company has been around, where they are located, etc. 
you must be from overseas.


They get what they pay for when they offshore.  period.

Thanks. Do you know if TT outsources overseas?
How much work is still going overseas. Anyone know.
Where is it going. Not overseas I hope.
Coding is being sent overseas as well
*overseas help* are not employees....
It'll NEVER all be sent overseas.

MTSO's are now rushing to jump on the USA bandwagon.  Hospital administrators have had to deal with lawsuits and redundant protection (QA'ing every overseas report), and they want the work back in the US. 

Outsourcing overseas has made more work and ultimately cost more than having had on-site MTs. 

The work will NEVER be sent, en masse, overseas. 

What we're also trying to point out to you is that even without a full-out union organization if, one by one, we begin refusing the 0.057 VR jobs, we an make a difference in numbers.  We're not suggesting ANYONE quit their job, no matter how low the pay rate, but begin emailing/mailing/calling members of congress, senators and service owners, urging return of our precious medical records to the US, and level our pay out to pre-offshore standards. 

It is clear by the mistakes edited daily, that VR is not the answer across the board, and may not be for many years.  EMR is not comprehensive for all facility scenarios.  OUR SKILLS ARE STILL NECESSARY AND WE DESERVE A FAIR WAGE, AND THE RESPECT THAT OUR KNOWLEDGE COMMANDS.  I know many people with bachelors' degrees who could not perform our jobs.  We are skilled, dedicated (in most cases), and well worth what little we are seeking.

overseas work
I agree - these companies and hospitals supporting to send work overseas make it sound so wonderful - cheaper rates and fast TAT.   BUT have you ever read some of the work that domestic/US MTs and QAs have to repair?   So the hospital gets a break on the costs from the MT Companies but who has to fix the mess?   I frankly do not want my medical records going off to India to be incorrect when it comes back.   I remember one in particular where the overseas MT put PORN instead of PRN.  How would that patient like to see that in their record?    I hope the new administration imposes fines to heavily that it will stop these companies from supporting overseas companies and give the work back to the US MTs - we need jobs here too and we should be taking care of us first !   Remember those cheap rates - you get what you pay for !  I remember getting a good salary and even Christmas bonuses 10 years ago but those days are LONG gone now.  

Merry Christmas to all and let's hope the New Year brings much happiness with jobs and decent wages.
jobs did not go overseas did they?
No union in the U.S. would have let their jobs go overseas. Because we had no unions, our jobs left. As much as I hate to admit it, because we are in a female-dominated field, we did not band together in a union...and our jobs left. The only chance of retrieving them now is because unemployment is going to rise....and we may have a shot of saying the country needs as many jobs as we can muster up....
All I know is that they send work overseas. nm
outsource overseas a percentage, which could go up...(nm)
Does anyone know of DocuMed outsources overseas? nm
saw they were hiring for an overseas position
in which someone would be going to various locations and training them to become MTs. I suppose that is the same as offshoring, but even worse since they are offering the training!!!!
Your moniker is Overseas MT, which is very confusing.

Your post was fraught with errors.  You didn't even get the gender of the owner right. 

I realize this is a message board, people write quickly and are bound to make typos.  Many of your errors simply weren't typos, though.

If I were an MTSO reading your post, I don't think I'd invite you to work for me.  Sorry. 

saw they were hiring for an overseas position
Not too long ago on some employment web site for MTs. How nice, another company going outside our borders to train people for their workforce.
I believe I believe Cymed outsources overseas also...sm
Unfortunately, we are going to continue to be in this same boat as long as medical transcription is outsourced to overseas countries. I used to think it wasn't a big deal (outsourcing), but I can see now that our jobs (and pay) are going to continue to deteriorate as long as outsourcing overseas is in the picture....and it is going to be in the picture for a very, very long time. :-(
IBM hires overseas accountants
They pay $60,000 to Americans and the same job is done for $3,000 in India. Only difference is that in India you can live well on $3,000.
We are all screwed.

MDI does NOT send work overseas.
even if they send work overseas...
Please help me find a company to work for that has WORK and pays on time. That is all I ask at this point.
working from overseas - Not offshore!

Can a medical Transcriptionist travel overseas and still work for a U.S. transcription company, as long as he/she maintains a U.S. residence and pays U.S. taxes?  Is there any legal reason why they could not do so?  Are any of you transcriptionists presently doing this, and which companies do you work for?

They dont outsource...THEY ARE AN OVERSEAS COMPANY
check out www.spi-bpo.com  you will see that they are 100% owned by the Philippine Telephone Company now.   The US venture holder sold them.   I know they have lost many accounts over the last year or so.   I know they also have a lot of turnover in management.   I'd steer clear of these folks.
Business Acquisitions and Overseas Work
When you are trying to be one of the top 3 International MTSO's you buy every company that you can buy that makes sense financially after due diligence has taken place. Believe me - if a purchase is in the works, you won't hear any corporate announcement until the ink is dry on the paper (or the paper is torn up), which will be way after the word is leaked to the street. If SPI is trying to acquire other MTSO's to get into the ring with the big boys - so be it. There isn't anything any one of you can do about it except keep your head down and your line counts and quality up. Quit fretting that your work is going overseas. Transcription is going global. It's a fact, not a fear. A great MT is a great MT wherever his/her chair happens to be.
Not uncommon to have U.S. address and be based overseas.
Cannot speak for this company though. It's amazing when you speak to companies who advertise as U.S. based and given an Indian name as a contact, only to speak to this person at an 800 or 888 number, and quickly know that they have an extremely heavy accent and are likely with an overseas company.
I bet Vandy doesnt know all their stuff is done overseas now.
wonder if they would pull out if they knew.  i know for a fact spi is lying to them
Would cost too many $$ to give bonus to the overseas help
and the US citizens who pay taxes, so they probably sent it to just overseas help along with all the work.
Precyse QA does not edit the overseas work. QA


I really wonder how much cheaper it is to send work overseas. When you
think about it, IC here gets about 4 cpl for VR and about 8 or 9 for straight typing.  Overseas they have to go through a middle man or whoever owns the services and you cant tell me they arent getting a decent cut of the cpl and paying 3 cpl or so to their people.  Just my thoughts.  I bet the cost is very close anymore to what we earn.  I see Delta is bringing its reservation call service back here from India because of all the complaints from US customers. I would expect it is the benefits here for employees that causes a problem costwise for MTs.
They're overseas so stay away if you support US-labor.
hope you got knee pads! LOL outsource overseas...NM
I'd bet my boots it's work that is going overseas to India or Pakistan. nm
HP has overseas support. Couldn't understand a word of it. nm
I would agree. Another case for sending work overseas (sm)
Those MTs work their schedules. Ask any MTSO or management of a national transcription company, and you'll find out it's like pulling teeth to get MTs with good work ethic to actually work the hours they are contracted to work. This is another reason that overseas transcription is used.

You may not believe me, but this *is* a growing trend in the MT industry. MTs that are both skilled and have a good work ethic are a rare find. I don't understand why - perhaps it is so many new MTs expecting working at home to be a walk in the park. I've definitely seen a downward spiral in the past 10 years.
Even if VR quality does improve, if we refuse to edit overseas dictation, they will still... SM
have no choice but to keep the work here. Once again, we hold the key. Our destiny resides with us on this issue as well.
Has anyone ever found out their account went overseas and were you asked to proof it. Just curious
since it seems like a lot of them are sailing across the ocean.
lots of good technical things, but they outsource overseas
and a lot of their managers are from the old Edix, which is not a good thing, if you want to be treated with respect.

if you do not mind how you are treated, you can do okay. hard getting lines consistently.

my opinion. maybe things have changed, but I have read a lot of negative on here lately.
probably because they OUTSOURCE OVERSEAS...perhaps that number is reserved for the India account...?
Good luck to you...
sad part is, those decent docs likely have no idea their work is being sent overseas. nm
Our medical records are private. They should not be sent overseas. The language barrier can sm
cause a lot of very serious errors in a medical record, and I, for one, want my work kept here.

There are a lot of services that do not send work overseas and will not because they believe in keeping everything in the U.S. It was the deciding factor for me when weighing between two companies. One company was very vague when asked, but the other, Keystrokes, was adamant about staying U.S. only.

I started with them 2 years ago and will retire with this company, as long as it keeps the same ownership (had to clarify that as if the ownership changes, I would probably leave). I have not heard of them selling out, so I am hoping to stay!
Such a lame excuse too - I'm so sure the CLIENT ASKED to have their work outsourced overseas!
They do think we're idiots, don't they?
Heartland will sell accounts, because when it is done overseas the cost for the client is cheaper
Yes they do send work overseas and do not hide this fact. There is plenty of work and they do pay
well. Overall, I like having work as I have been at places where you had to fight to keep busy so this works for me.
offshore overseas.... not outsource .... correct term is offshore.
That means they do outsource. One division is here and one division overseas,

I know, I know Medquist sends work overseas....but there is always work :)