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Serving Over 20,000 US Medical Transcriptionists

Spheris sends most work to India. SM

Posted By: Sally Forth on 2009-06-03
In Reply to: Spheris a good company to work for or maybe - tabby

They are most certainly NOT a company to work for, if you are a single mom.


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Absolutely, sends work to India, Phillipines...sm
She's something alright, sending work offshore instead of paying someone in the US a workable wage. Name of company is Another Medical Must...owned by Renee Lella....look her up on Google and see how that's worked for her in the past, with a major leak of patient records due to dealing with the Indian company and their MTs. She trains her MTs most of the time using her cell phone in the car while doing errands or picking up kids...horrible. Bad, bad experience, never again. She looks at this board occasionally and still posts for job openings once in a while, but always under an alias or different name, sometimes maria...sometimes another name. Shifty.
Transcend sends all the good work to India and leaves all the
garbage for the MTs in the States so they can keep the indian slime working. n donkeys are that do the work. Transcend is not a good place to work
And you're okay with working for a company that sends most of its work to India and

whose workforce is predominantly Indian?  You're okay with the loss of American jobs, the falling recession we are in and the falling economy due in big part to the offshoring of American jobs?  How okay will you be when you lose your job to an Indian and you have to apply for food stamps and unemployment?


Sell-out MTs like you are the reason good MTs cannot make a decent wage anymore, why good MTs cannot find a good job anymore, and why sweats shops in third world countries are thriving.  How do you look at yourself in the mirror?


Focus Infomatics employs 800 American MTs and over 3000 Indian MTs.  Tech support is in India.  The company itself is still run by the same Indian man who started the company and sold out to Nuance.  He made a bundle when he sold and he is still making a bundle running the company while he pays his own countrymen and woman peanuts!  He's selling out his own people and you are selling out yours!  On second thought, I guess you belong at Focus with your own kind!


Another one, Interpro, sends a lot of theirs to India

as well as other locations outside the US


I know, I know Medquist sends work overseas....but there is always work :)
xxxx
Does anyone know the name of a transcription company in Maryland that sends all of its work to
India. Just curious.
Any company who wants to stay in business sends work out
It is called a blended model.  Hospitals are demanding a better price and US companies must offer offshore work that is edited by US MTs to compete.  It is just like voice recognition, a company must offer this platform or lose the ability to bid on the work.  It is not for every hospital and it is not for every situation.  Therefore, if a company does not have the ability to offer a lower price with non-domestic labor plus have a  voice rec option, they will find themselves unable to compete in tomorrow's marketplace.  Those who cannot compete will lose market share and continue to run out of work.  Those who can compete will continue to hire MTs and grow market share.
Medware not only sends work offshore, but has offices in Bangalore to train MTs there.nm
xxx
SPHERIS IS IN INDIA!!
Spheris is now offshoring to India for sure. They have an office there. I think it is a shame that they cannot treat the US MTs with the respect that they deserve, leaving us to wonder how to feed our family and pay the bills and the next thing you know...WHAM!! you find out they are in India!! WHAT A LOSER COMPANY!!!
Just went to look at Spheris India and it seems they

Spheris, India, etc. sm
They have really stepped up sending the work to India. I noted it slowly happening last year. At first, when you asked where a certain account went, they would lie to you and then find out later it went to India. As the year went on, they really became blatant with it. I quit in December because I couldn't make a living on the crap I was having to work on and sometimes, I was lucky to get the crap!

I'm sure the major changes will include a pay cut. They're good for that. Worked there for 6 years and there was at least 3 big pay cuts across the board, not including losing the good accounts.

I left them a scathing exit survey and they still sent me a letter wanting me to be rehired!
does this have something to do with Spheris India? nm
xxx
Please notice the OP was SPHERIS INDIA and NOT
On the US Spheris' web site for application of an MT position, notice this at the bottom of the page:

***Spheris adheres to the requirements above as we strive to maintain consistency and fair hiring practices***

If you bother loading in all the Flash players on Spheris India, you will see THAT is where the age restrictions are given.

No intelligent person could ever believe the US side would blantly violate US hiring laws as to put such a restriction on the US company's web site.

I have nothing to do with the company. I am just amazed at what people will contrive others into believing by not paying attention or investigating the issue at hand.
cbay is spheris' India company...
claim they have over 4000 employees, but the MTs are in India...

that was reported in the advance health magazine.
Spheris India. See Message Inside.





Coimbatore has the potential to become one of the largest Medical Transcription (MT) centres outside the US due to the advantages of a large number of student population and health care knowledge available in the city, according to Mr Suresh Nair, CEO and Managing Director, Spheris India Pvt Ltd, Bangalore, and President, the Indian Medical Transcription Industry Association (IMTIA).

The Industry, which now largely depends on business from the health care institutions in the US, could also expect to secure greater business from the hospitals in India in the coming years as the health insurance business that drives the growth of the MT industry is set to gain greater acceptance among the people here, he said.

Addressing the media here, he said the MT industry in India currently employs around 20,000 people and compared with other BPO activities such as call centre jobs, the attrition rate in MT sector was less. The size of the business generated by the MT industry annually in India was estimated at $250 million that was a fraction of the global MT industry's business volume of $12 billion. In India, Bangalore, Hyderabad and Delhi were prominent centres for the MT industry but now the business is seen shifting to smaller cities such as Pune, Kochi and Coimbatore. The industry is witnessing a 50 per cent annual growth in the country.

He said though the US health care sector generated the largest volume of business for the MT industry in India, other countries such as Australia, the UK, West Asia and Singapore offered good potential. He said more than 50 per cent of the medical transcription work was done inhouse by hospitals in the US and this offered more opportunity for growth.

Mr Nair clarified that the medical transcription work was moving from the US to India not because of any cost advantage but because of the growing shortage in the availability of medical transcription personnel in the US. There was an estimated 10 per cent annual decline in transcriptionists capacity every year in the US because of retirement and inadequate number of new recruits joining the profession there.

He said it was estimated that India requires addition of 10,000 transcriptionists every year to cope with the demand. Apart from the Philippines that had traditionally competed with India for this work, others such as Sri Lanka, Bangladesh and Pakistan have joined the race to get their share of the outsourcing pie. There are signs of South American nations and countries in the West Indies setting up capabilities in this field.






He said there has been a gradual migration of companies in the industry from larger cities such as Delhi, Bangalore and Hyderabad to smaller cities such as Pune, Coimbatore and Kochi in the last two or three years. In the last twelve months, three or four MT companies have moved to Coimbatore from Bangalore. Powered by the growth in broadband connectivity, there was also growing trend of transcriptionists working from home that offered tremendous employment potential to women.

Mr Nair expected Coimbatore to have 5,000 medical transciptionists in the next 18 months. Asked about the safeguards the MT companies have put in place to get their fee for the work done from clients abroad and to pay their employees here promptly, Mr T.P. Prabhakaran, CEO of Pradot Technologies Private Ltd, Bangalore, which also has a unit here, said the companies entered into contracts directly with the hospitals and also obtained part of the payment in advance. The MT companies have established their presence in the business and have strong relationship with their clients.

Mr Nair said a trained MT could earn up to Rs 10,000-Rs 12,000 a month, and this could go up to Rs 15,000-Rs 20,000 after two years of experience.




© Copyright 2000 - 2006 The Hindu Business Line


if I remember correctly, isn't that Spheris' India department?
Supposedly over 4000 employees, JUST for that India account, according to Advance Health Magazine...
Article in local paper about Spheris and outsourcing to India
Franklin-based Spheris Near Top of Medical Transcription Business
BY SHARON H. FITZGERALD

In today’s world of Palm Pilots and voice-recognition software, you might think the need for medical transcriptionists is waning. You would be wrong. Franklin-based Spheris employs more than 5,000 medical transcriptionists worldwide and is looking to hire more as its service to more than 200,000 physicians at health systems, hospitals and doctor groups continues to grow.

The world is changing because the demand for electronic medical records … is very high. Certainly there are some technologies being tried and adopted, such as speech-recognition technology or systems where the physician is required to key in his or her own information. Those are still in their infancy and hold some promise in the distant future. But for right now the work-flow habits of physicians and hospitals and the need to see many more patients and process them more efficiently is driving the demand for what we do to its highest levels, explains Harry Shaw, Spheris investor relations.

In July, Spheris was named No. 7 among the nation’s fastest-growing healthcare information technology companies. The designation was by the publication Healthcare Informatics, which also ranked Spheris 28th for total revenue. The company is the second largest in the medical transcription industry.

Spheris’ growth is in no small measure due to its December 2004 acquisition of HealthScribe (also known briefly as Avicis), which was No. 3 in the field. While terms of the deal were not disclosed, Spheris gained a workforce of more than 1,800 transcriptionists. About 1,500 of those employees work at a centralized facility in Bangalore, India. Thus, says Shaw, the transaction gave Spheris a much-needed global perspective.

To service this increased demand that’s out there, having enough medical transcriptionists to do the work is a real challenge to the industry in general. One way to tackle that increased demand is to tap the resources that are available globally, he says. One of the neat things about having an operation based in India is that a lot of dictation is done at the end of the day after hours. So we get a lot of volume that comes in late in the evening, and if you follow the sun, that’s the morning time for India. They’re just starting their business day, so we can route a lot of volume that we get late in the day to India when transcriptionists are just coming to work.

Shaw says the fact that Spheris owns its international facility and employs its workers rather than subcontracting differentiates the company from similar businesses. In addition, all Spheris’ medical transcriptionists in the United States are either full-time or part-time employees of the company.

With more than 3,500 employees and additional sites in St. Petersburg, Fla., and Sterling, Va., Spheris depends on high-tech global systems to quickly turnaround client transcription. Here’s how the technology works: Spheris provides clients with a server and whatever voice-capture system the client prefers. That might be a hand-held device or it might be a phone number the client calls. Shaw says fulfillment shops ensure that the client — as well as transcriptionists — have the hardware and software necessary to do the job. Following a patient encounter, physicians and other healthcare providers dictate details such as patient history, diagnosis and medications prescribed. The voice files are sent to a data center in either Franklin, St. Petersburg or Sterling, then passed out to transcriptionists.

The technology play is critical for a company of our size, and it’s one of the advantages that we offer in terms of cost savings, he says. He acknowledges, however, the continued existence of sneaker net, with some physicians continuing to speak into a tape recorder; then tapes are picked up at the office for delivery to Spheris.

Most of Spheris’ U.S. transcriptionists work out of their homes, where they usually receive digitized voice files over the Internet. Spheris offers the client a variety of templates, or the client may have its own format. Turnaround time is 12 to 24 hours, Shaw says, although stat service is available.

As it is known today, Spheris is the result of a small Franklin company called Total eMed, which purchased the much larger EDiX from IDX Systems in June 2003. The resulting company was branded as Spheris. In November 2004, the company completed a recapitalization in which two private equity investors, Warburg Pincus and Soros Private Equity (now known as TowerBrook Capital Partners), acquired ownership. The management team, led by President and CEO Steven E. Simpson, also invested and continues to lead company operations.

Asked if an IPO is in Spheris’ future, Shaw says the company will take a cautious approach to that. We want to make sure that we stay disciplined around the acquisition of HealthScribe, making sure that we’re fully integrating all aspects of that. … We do have a growth strategy in mind, and that certainly is an option down the road.
LOL, I have to laugh, as I just lost my acct to Spheris Global (India). nm
xxx
I hated it there, they sent good accts to India (spheris global). nm
xxx
how horrible but Acusis/DRC outsources to India, just what Spheris will do with that easy account. n
,
Transcend bought MDI, so if Transcend sends work offshore, so does MDI. nm
nm
Much good work going to India. Bad work left
xx
Now most of the work is done in India.
aa
MQ definitely sends it out.
X
Yes, MQ definitely sends it out and
my prediction is that one of these days they will send it ALL out. I got out while the getting was good!
To say the work that comes in from India is awful...

... is an understatement. I would pull some of those jobs that had beentranscribed in India and there were some that had entire sections crossed out and retyped because they were wrong (and scary wrong too - wrong medications...). The hospital I used to work for uses them and when I still worked at HealthScribe India was doing this hospitals discharge  summaries. I refuse to use that hospital because I know the transcription will be of very poor quality andI refuse to play games with my health and the health of my loves ones.


 


Work is going to India or some other country. nm
 
All of CBays work goes to India. nm
:
Most of their work is done in India by Indian MTs. sm
Tell your lead person you need more work and commit to it. They will work with you if you are good with a high accuracy rating.

Good luck - been there, done that, ain't going back ever!
Thank NAFTA for work going to India
AAMT cannot discriminate because of this law (I asked them years ago).  I think 50% of new MTs being from India shows their determination and pursuit of excellence; perhaps American MTs need to follow their example and compete! I challenge MTs to be the best they can, and that is at this pont determined by their ability to pass the CMT exam. Go, girls!
Exactly. India work stinks.
x
You are a fool to think US work won't go to India
Happened to a group of us. We had a US force and India force, and guess what, it was more cost efficient to send ALL work overseas, hence all US employees laid off. You really are naive to think they won't do that someday, but I hope you drain their pockets dry before they do.
What has sending work to India done?
We have upset the economy of India, creating an even larger rift and making the poor even poorer because we have inflated the economy in the cities and of those who have had a chance to be educated. The poor have lost even more footing.

We have lost job opportunities for our own Americans, but the companies continue charge the hospitals the same amount for transciption, however their overhead continues to drop, corporate salaries continue to increase and our rate of pay stays the same or drops.

India is a country that allows very very little importing of anything made in the US, so it is a 1 way deal for them.

The individuals from other companies do not pay taxes, so we continue to pay to support those in our country who have gone on the public roles for aid and assistance.
Wouldn't it be nicer to have some of these people working again?

Yes they do send work to India
I know because they told someone I know who is a facility that they would if they wanted their work sent over there.
go to India and work with those people sm
you support so well.
I wonder why they don't send a lot or all of their work to India? That's where a lot of work&
nm
I *do* work at Precyse and most of the work is going to India
 
Yes that is the company MQ uses to send work to India.
:
I edit the work that comes back from India. (sm)
Not sure why they did not tell you the truth. That REALLY bothers me.
Anyone know anything about Cbay out of Maryland and if all their work goes to India. Do they use any
American MTs or what is the deal.
Yep, all the work is in India now. I bet the quality is great! sm
They'll get theirs in the end. They should be ashamed of themselves. What a crappy way to tell us too. The supervisors didn't even have the balls to tell us, they made HR do it. We should file a lawsuit.
MDI-FL has India contact they supply work to. nm
nm
Yeah..they are dishonest. They most certainly are in India. Do you really want to work for someone
that is dishonest?? not me..
Check the archives. Most work done in India, they
have office in India.  I have never seen anything good about them. 
Webmedx does NOT send work to India.
.
Transcend most certainly does send work to India.
And they are proud to have these partners
Plenty of work if you live in India
.
Correct --did NOT off-shore work to India sm
The rest of the post was **...SENT WORK TO INDIA A FEW MONTHS AGO** making it sound like MTs were laid off BECAUSE their work went to India.

If you have any familiarity with this company, you know that the none of the DRC/Acusis accounts are allowed by the clients to be typed outside of the US.

So YES, there was a lay-off, but NO it didn't have anything to do with India.

PS: Offshore and outsource are not the same thing. But you know that, too, right? ;-)
It's not just overhiring. They are sending the best work to India.
They have always sent work there but I believe they have geared up these efforts in the past six months, and the easiet work (ER). That is when I noticed there was not consistent work.  I had to move on and so will others.
No India? Most of the work goes there. I quit last August SM
could not make any money there.
Does Transtech send work to India? nm
nm