Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues

Serving Over 20,000 US Medical Transcriptionists

Thanks for making these points.

Posted By: Always 2 sides.... nm on 2007-11-17
In Reply to: Why (Some) MTs have a bad name... - HD Wallen


Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu

Other related messages found in our database

Ok - here ya go. I went from making $1800 per pay period to making just under $900.
Is that significant enough for you? Believe us, we are not just being negative with a grudge or anything like that. This is real! A month later, I was gone from there fast!
some points right, but
hospitals want to pay less and less for the same service which makes it very difficult for the MTSO to pay experienced MTs the line rates they are looking for - - which makes it difficult to hire US based MTs, it's a nasty cycle
Two points SM
1. Where in the world did people get the idea that TT does not do audits once an MT is off full Q.A.????? They most certainly DO do audits. If you don't hear anything about it, well I guess that means you're okay. They aren't the first company to not give feedback on audits; both Medifax and MRC, for example, did audits but did not give feedback to MTs unless they fell below the required accuracy.

2. I probably do about as much looking at old reports as anyone and I have yet to see any glaring errors that would call into question the expertise of TT MTs. Now if I wanted to nitpick.........

Just as an aside note, I can easily do 2000 lines in a day. If I push it I can do up to 3000 but that's a pretty HARD day. This is acute care and various accounts, both extext and the ichart thingy.

If I had 1 complaint about TT it probably would be that communication isn't the best. On the other hand they give me a job to do and leave me alone to do it. So given a choice between great communication and being left alone to do a job, I'd take the latter any day of the week.
I see your points, but.....
As an MTSO, do I chance losing this large client, and need to layoff MTs? I believe I am doing more for MTs by keeping their wages as high as can be afforded by searching for off shore companies to fill in when the client is too penny-pinching to worry about anything else but cost.
Two points to add

1.  Do not be surprised to find out that many facilities already know that US records are being offshored and simply do not care.

2.  Speak for yourself about taking 1 cent less per line.  Many of these companies are already offering US MTs 6 and 7 CPL.  You think I am willing to work my tail off for 5 or 6 CPL?  No thanks!

Many good points, they just have to be right for you. sm
Good account for me. Took a bit to catch on to the second one, but I love it there. Treated fairly, tested at nite, and was contacted immediately the next day. Pay always on time, supervisors are nice, love IM's for questions or help, instead of phone tag and waiting forever for e mail.

All places have good and bad, you just have to find the right fit for you.
Good points. SM
Newbies are not necessarily careless or ignorant. Anyone can be a bad MT, experience or not.
They had a lot of good points--
but there was one bad point (I won't elaborate on it any further than that) and I'm wondering if it would be worth it to try again. 
Valid points! nm
All have good points,

Best thing about Medware is XXXX .  She will go overboard to make sure you are happy.  Best thing about Amphion, people are friendly and nice.  You won't make a lot money, though.  Best thing about Spheris... I'm still thinking. 

Please do not post names.  Thank you.  Goldbird

APT...All Points Transcribers......SM

Boss bought it from an MT.  Boss couldn't type, knew next to nothing about computers when we went over to computers...played all kinds of holiday/bonus games involving money and was EXTREMELY cheap and I expect nothing in the life and can still say just how cheap she was and to her 5 closest (most important and highest producers) people in her office.  I left first and then 4 others slowly followed (her 5 best people) and then her biz liquidated (completely went under) which was my plan from the moment I walked out. 

Payback is just SO GREAT, isn't it????  *ROFLMAO*

Now she is a miserable old lady today! 


I will give you a few points there.
It belongs on the comedy board, but I would hate to see our country become so PC that no one can say anything because it is too sensitive.
good points, but.........

Maggie had some very good points, but what about companies that you do work as scheduled and then no pay!  I am a very hard working MT and have worked for companies like that!  Also what about working for companies that ships the work to India and you have to sit in front of your computer almost all day and through the afternoon to hope you get enough work to pay your bills and sometimes things change so quickly (no heads-up) you are just caught.  Also with voice recognition, we are paid less, have to produce more and basically depending on the physician, some of the reports we have to type because voice recognition does not, recognize many of the words the physician is dictating.  Also what about the companies that lie straight out, just to get you to work with them.......and there is no work!  I work my but off, almost every holiday, and every weekend (I am making the sacrifices now) so I can pay my bills and I go to school full-time because this industry is going downhill fast and the fault lies with both sides, for the MT who slacks and to the jobs that don't pay on time, treat us like crap, lie, etc.......

LOL--I have to agree with you on all points
and you weren't rude at all. The system is a part of it but I am the remainder......
Great points!
Totally correct!
Good points
Those are good points. I never really thought about it, but I have worked for a couple of MTSOs and this is the first one where it is just so....quiet basically. I guess I should be thankful that no one bothers you unless you mess up or you are just called to be informed that if there is a lot of work they give you a message to let you know if you want OT you can have it. But, I feel almost isolated. It's not that I even want to contact any of the other MTs, but I think it would be neat to be noticed if someone's birthday or anniversary date at the company, and just some odds-and-ends info put in there. One company I worked for even had something called the 100 club or something like that, where if you made 100% QA score for either the month or could have been payperiod they put it on the newletter and you were paid a bonus. I missed it a couple of times with a 99.9 :( but it was just fun to see those.
Think you may be mishearing my points
AAMT has not elevated the profession EVER in my opinion. AHIMA did more for the MTs, again in my opinion, than AAMT ever has. AAMT has advocated for global transcription for decades now. I remember sitting in meetings with a couple of very high muckety mucks as they talked about how to cut out lines for the MT.

AHIMA has made HEALTH INFORMATION a profession and I see AAMT as having done or accomplished very little in 30 years.

Because MT is a telecommuting position for a portion of MTs, those are the MTs who will be affected by global economy.

And my comments regarding being single and supporting myself is that I do not have a supporting income from a signficant other, and I've learned what the field is like and know that working one gig as an employee doesn't usually meet the financial desires I have.

So i would say the requirements of a telecommuting MT is to acquire the best skills you can. Treat the work as a real job and draw healthy boundaries for yourself with your company. Ask questions if you think your line counts are off. Ask to be shown how lines are calculated and don't accept it's based on 65 char line as the answer.

If you are an IC, know how to run a business. Don't allow yourself to be called an IC for the sake of a company skirting the law. If you are not meeting the IRS criteria for an employee, know that. If you are, know that.

Know when the slow times are and that there will ALWAYS be slow times. Stay abreast of technology. Be PROACTIVE instead of retroactively bemoaning your plight.

There are many companies that do not run a good business. If you went to work at Home Depot and they said you had to work 2 hours extra a day for free, would you?

Mind set. Most of making it in this business is all about mind set.
They deduct points for that?

The company I worked for did not deduct for punctuation.  I believe in the AHDI guidelines there is no deduction for punctuation, unless of course it changes the meaning of a statement or something like that.  Alot of the commas are open to interpretation, but some QA people are really picky about the hyphens.

The companies do get paid by the lines, so if your accuracy is 98% they should not care that your line count has increased significantly.  I would say take note of what it is they are complaining about, and keep up the good work.  As far as running out of work, I would wait and see how often that happens.  Could it be another case of offshoring what is out of TAT?

You do have some valid points, but

there is a lot of misinformation also.   They will work with you to get your lines up and improve QA scores.  It doesn't take someone long to know if you have what it takes to do the work though and giving them another month isn't going to make much difference.  I made the minimum QA scores my first month.  I was on 100% QA less than a week.  They are NOT anal about punctuation.  If you are on 100% QA they are going to correct any error, including punctuation, but I have never been charged with an error for punctuation, though it may be corrected in a report.  

It sounds like things didn't work out for you so the company is at fault.  They aren't perfect.  I have issues with different aspects of the company on occasion, but what you have posted is a posting from a typical disgruntled employee.  I don't know you, don't know the details from either side, and I am not making any accusations, but your experience is not typical, as proof by the many MTs who have been there for years, myself included.  

Good points...
It's true that many facilities/MTSOs consider working at home and having a day shift perks. There are many people working in various industries who telecommute and many of them are treated much better than MTs. I think as MTs working from home the 'out of sight, out of mind' rule applies.

I agree that transcription is an important part of health care as a whole. I read that some 159 end-users rely on our transcribed documents for anything from patient care, to statistics, to reimbursement and funding. Can you imagine the cost at all levels when these documents are riddled with mistakes? Not only does it affect patient care, but it affects all of the above uses of these documents.
Some good points...
But the bottom line is that each person is responsible for themselves. We cannot change how the facility operates or what management is paid. If the consumers (patients) rallied together and demanded quality, then, and only then, would change take place. But MTs do not have to be a part of that cycle by creating low-quality documents. It is never okay for any MT to decide to personally let quality slide because they don't like how the facility is run or because they are unhappy with their rate of pay. If they are unhappy, then they need to find a different job. The patient does not deserve to suffer because of this. Should the way the facilities operate change? Yes, but that will never justify producing bad documents. Our entire healthcare system needs reform, but that still doesn't justify an MT sitting somewhere not doing his/her job correctly.
Good points
I've been in the business a very long time myself and with many of the things you described above.

When the SUITS figured out there was $ in transcription, the industry started its slow spiral downward. Not to say good service is a thing of the past, but there is no doubt that it has suffered, because as usual in a capitalist society, a corporation is INTENT on making as much $ as it can - in profit.

The balance started to shift AGAINST MTs when the bigger companies forced the smaller ones out - limiting opportunities. At the same time schools were churning out half baked (and sometimes fully baked) MTs, and the VR machine was constantly being tweaked.

So it comes back to the old supply and demand model: to some degree we have to realize that MT work is certainly not the first job description to be affected by changes/progress in technology

OK I am tired so this likely makes NO sense so I stop now.
You make good points. SM
I agree with you. Just experience does not make a good MT and some newbies are excellent and careful. If you have 20 years of experience with no mentoring and substandard training, you probably make dumb mistakes and are not aware of it. Everyone makes mistakes but some seasoned MTs make way too many. Keep up the good work.
all companies have good points and all have bad

I have been with DSG for over a year.  I have worked for other companies as well.  Every company had their good points and their bad.  I think it is just what you are looking for in a company.  DSG pays on time, their line rate is decent, there is plenty of work (except during the slow times, but everyone goes through those) communication is always open.  I have never had sound issues.  There are good dictators and bad dictators, along with ESL dictators.  Overall, they are decent and the MT Supervisor for DSG is the best I have ever met.

All those are Negative points in my book! Keep looking, please! nm
you make some good points but may I just ask
what is the point of posting all this information? Most companies post upfront at their sites how much they pay, and there are always those who make more for some reason or another than others. What is the data for, just curious...
Careful now. These were precisely the points
one of the posts under the TTD thread below that now seems to have the reply option blocked. Not 5 minutes after that post appeared, describing exactly the scenario you have here, the poster was attacked for being a miserable, complete and utter failure as an MT for such transgressions as riding the roller coaster of outsourcing, working with no sick time, no vacation time, no holiday pay, loss of benefits, job hopping to get pay raises, working 48 to 60 hour work weeks, training herself in new technologies over and over, buying and replacing her own equipment multiple times, having her marriage cave in after being outsourced again to home where she stayed holed up behind closed doors (unavailable to her family) trying to make mortgage payments and the like.

The ultimate failure (at least according to the mean-spirited responder) was that she had the utter gall to lose her health during the 10-plus-year absence of health care benefits and end up with chronic medical conditions that culminated in a physical and mental collapse and a 7 year hiatus from MTing. She was accused of blaming MTing for her collosal failures and looking for sympathy, which of course, the superior, self-righteous, sanctimonious more successful MT was mocking and belittling and who also forbade the MT failure to criticize the subcontracting practice and instead, suggested she needed to be banished from the profession AL together since it didn't seem to suit her.

It is heatening indeed to see that the sentiments expressed in that post below are recognized and shared back here in the real world. Thanks for your post.
You made some great points here.
MTs do not have to work all night just to have a job. There's nothing wrong with wanting to work certain hours or certain shifts. Besides, my favorite shift is 6 a.m. to 3 p.m., which translates to 4 a.m. to 1 p.m. for the MTSO I work for. There's no need to work 12-15 hour shifts if I can get my required lines plus bonus done in 6-8 hours.

I think the OP is just unhappy and trying to feel superior by dogging other people.
You make some very good points.

However some attorneys are ''of counsel'' to firms while not actually on staff.  Maybe they are brought in on a case that needs their particular expertise.  So while they work with the firm on specific legal cases, they are not actually employees of the firm, but are paid much like contractors.

Just noodling some ideas here:

My neighbor is a painting contractor who hires subcontractors.  He finds the clients, signs the contracts, arranges for the subs and has overall responsibility for seeing that jobs are done satisfactorily and dealing with the client.  He collects the money and pays the subs, who are are providing services that are a key aspect of his painting business.  (Though maybe we could say his business is actually a sort of broker, selling the jobs and providing the crews). 

He has used the same subs for years, so there is an ''ongoing relationship,'' though these guys can and do work for other contractors.  He loosely supervises these crews as far as maintaining quality and terms of the contract, making sure they use proper materials, don't do damage, etc.  The subs provide their own equipment. Through him, the client specifies the color and type of paint to be applied.   So in a way he does tell the subs ''how to do the work.''  And in a way he tells them ''when to work'' because the contract loosely specifies when it is to be done - not an hour-by-hour schedule, but a time frame in which it must be finished.  When something goes wrong - a sub screws up in any way,  the buck stops with my neighbor.   He has to make it right with the client, then take the problem up with the sub. 

Ruling that these painting crews must be employees of a single company would be unworkable, since the flexibility of hiring them when/as needed is crucial to the process. 

Now compare this to a typical MTSO.  They find client hospitals and sign them to contracts.  They hire enough subs (us) to do the actual work.  They specify format, maintain quality and TAT.  We provide out own computer and reference materials. Our computers must have the proper technical specifications in order to handle their work, but they do not tell us what brand to use or where to buy it.  Our software must be compatible with their system, but in many cases we just sign onto their server and use their program.  They collect the money and pay their subcontractors. 

Seem to be pretty similar scenarios to me.  The whole construction industry is based on contractors hiring subcontractors in various trades for specific work, only when there is work. 

revolts, change, etc, will NOT happen unless there is momentum created by mass involvement. Scattered about, in our homes and various facilities, many MTs do not even know of this board, would make it very unlikely for us to organize to effect a change. Have you ever tried to get people to take a stand? Many years ago I did. I went out on a limb, got everyone in the jobplace behind me (and that was all in one physical place mind you!!) and soon as the top brass got a bit serious sounding, they all, repeat, ALL, ran backwards. There I stood looking like a fool, and almost lost my job. Its very hard to organize, nevermind maintain other's courage to pursue the goal.
Give me the good points on your MQ offices - sm

No flames!  Give me the good points on your MQ office that you work for i.e. leave you alone, great platform, no schedule necessary, nice people, easy to learn, nice work, etc.


Why do so many of you recommend Amphion? Good points, please? Thx. nm
I think the points you raise here are valid, and perhaps even accurate, but...SM
I also think reasonable rebuttals to these arguments have already been posted. I am no longer willing to buy into the idea that nothing can be done and that there is nothing left to do but go down with the ship or just go wherever it happens to take us.

My decision has already been made. Maybe it's a losing battle, maybe it's not. But it's a battle that I am at least willing to fight. In this battle, I see the sword coming at me, and I for one intend to at least try to get out of the way.

Our jobs don't have to be as different as all that. I don't care what everyone else is going to do. I take the stand I do because I refuse to just lay down and be run over by the "wheels of progress," especially when it doesn't have to be that way. If everyone will stand together, we still have the ability to have a significant impact on what our collective future will be. If, on the other hand, everyone buys into the idea that it's "a losing battle," then your right, we're all just along for the ride in whatever direction the vehicle chooses to take us.

With an it-can't-be-done attitude, you know what we are? We're the elephant chained to the stake that's hammered only a few inches into the ground. We have the power to pull it up and move at will, but because we have been trained to believe that the anchor is stronger than we are, we eventually quit trying because we're convinced it's "a losing battle." Again, maybe it is and maybe it isn't, but I think we should all give the chain a good, healthy tug and find out for sure. It can't hurt.

By the way, I'm not saying stop working. I'm just advocating we become more particular about who we work for.
Good points, I agree completely.
You have very valid points, and I'm going to try to work more on the positives. nm
What difference does it make who it is? He/she has some valid points. sm

While we are hashing through our own problems and such, sometimes (myself definitely included), we many times forget to consider what the other person is going through.   

Proscript does not offshore - one of their selling points. nm
That is crazy!! I do QA too - how unfair to be docked points!
Excellent points. I totally agree.
Interesting points, but not necessarily correct...

So, an IC has the right to not take a voice file. 

These contracts that state certain lines per week are for employees not ICs.  An IC has the right to pick and choose work just like any other profession. 

Of course, any MT has a right to refuse work.  That is not the point.  The point is that the company the MT contracts with has the right to control the end result.  The end result may be a certain number of voice files (jobs), a certain number of minutes, a certain number of tapes.  That is the project.  You honestly believe that the company has no right to determine what their project is that needs to be completed?  That makes no sense.

Also, painters do not sign contracts ahead of time.  Yes, actually there are many who do.  You sign a receipt when the work is complete.  This is also true in some cases.  Another thing is when you find a painter that agrees to a timeframe and sticks to it, let me know.  Now you are putting all painters into one basket.  Actually, I know quite a few who complete work in a timely manner.  E-mail your phone number and I'll pass on their information.  They are contractors just like us where things come up and they cannot complete the work.  Of course, there are always instances when things come up.  This is life...  Again, that is not the point.  It is all part of being a contractor and being self-employed.  Yes, it is all part of being responsible.  If a company presents you with a contract stating their requirements, or project that they need completed, and you are not satisified with the terms, then do not sign it. 

Just wanted to give some validity to your points.
This indeed happens. I was the victim of misrepresentation.  I was contacted by email and had this company praised to me by an MT who had also gone on the forum and just raved up and down about the company.  When the good samaritan MT took our conversation to email and put me in contact with her supervisor, it was the same email address. Is that bizarre or what?? Did she think I was stupid and wouldn't notice who I was writing to.  That did it for me and I was really shocked because up to that point I was naive that someone would stoop so low to misrepresent their company. If someone is that desperate, I want no part in it.  It is NOT a good sign....
Excellent points. I think some MTs take the word "independent" as in IC waaay too seriously.
Over the years, I've often considered starting a company on my own as I personally know several real MTs I'd love to have on staff. Then I think of all the headaches involved with that. My hat is off to the MTSOs who consistently get positive reports on this board for being able to handle us difficult people, the accounts, and keep everyone happy.

To Ticked Off, regarding your MTs who make $100K per year, I hope someone is listening to the reports they transcribe while QAing them. They might be inserting their own normals rather than transcribing the actual dictation. (I've seen that firsthand, so don't blast me.)
You make a lot of good points. Listen up, MTSOs.
Ah, Michelle's a little tattle-tale!! Trying to earn some brownie points!

they are making a lot of changes....
This is the first I heard of it also and I found out by logging on and all the sudden have all new work types. When I inquired as to why this happened and was told it was part of the "MQ compliance team" (whatever!). Later on that morning, I received an email stating that the first change made was to rank the MTs by classification: Level 1 - ER/clinic notes, Level 2 - ER, Clinic, Progress notes, H&Ps, DS, Consults, Cardiac notes, PT notes (everything except radiologys and OPs), Level 3 -everything including radiology and OPs.
how much are you making, cpl

what are you making, cpl. ect.

It is b/c OSi is making changes
Positive changes...and that scares the daylights out of everyone else.  Yes, they have made a few mistakes, but who hasn't?  I am with you here.  I never had a single problem with OSi until I came to this board and then I found out just how sucky my job really is.  So, why wasn't my job bad before?  It is a pitty that I had to come here to find out that OSi employs only the worst.  I make a lot of money and I don't leave my home.  I have a wonderful AC too and I love the people that I have actually gotten to talk to on a day-to-day basis.  What more could I ask for?
I'm currently making more than that, but have been
looking around, testing the waters.  I ace the tests, they call 2 and 3 times offering me different things, but never enough money.   I have even been offered 7 cpl as an IC.  My point was that experience doesn't necessarily count for anything these days as no one wants to pay you for it. 
Where are you making $120 a day, can I ask?
That's pretty good.
I will be making 9.5 cpl
They offered me 9.5 cpl right off when I was hired last week for an ER account.