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Serving Over 20,000 US Medical Transcriptionists

The bigger picture sm

Posted By: soon to be exwebber on 2009-09-22
In Reply to: After reading all the Webmedx discussion below..sm - justme

I am an MT as well and have been in this business almost 20 years. There are some who have more years invested in this line of work than I do, but 20 years at one job is a long time, and for those of us who have worked at home in this business for that long, it is very difficult to reenter the public work world IF there is a job out there that we might qualify for.

I agree with you in that the entire industry is suffering and has been for the past few years, but when I see company after company not giving raises and, worse yet, cutting line rates, I think it is time to look for employment outside of the MT world. You won't find a better situation in another MT company. They are all swimming in the same murky water and circling the same drain.

No, it's not just MTs who are being impacted, but this is *MY* profession (or what's left of it) and *I* am being impacted with this company's decision to find another way for me to make even less in my paycheck while everything around me...utilities, groceries, gasoline, insurance, etc....is rising to the point that I simply cannot afford to live any more.

I'm a realist as well, and what I see is an entire industry crumbling under the weight of top-heavy management and slave wages for the ones how pay that management. It's time to move on down the road.


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Much bigger and better than TT
Advise you to stay where you are.
It seems to mostly be the bigger
corporations looking to make an even bigger profit off our backs, paying much less but charging the same - not so much the smaller MTSOs.
Bigger ain't necessarily better!

Just because someone works for a national doesn't mean their accounts aren't overstaffed, they don't have a terrible platform that breaks down virtually every day, (sometimes for 8 hours at a time), and they don't constantly run out of work. I simply can no longer afford to remain with my current employer, which is a national.


I'm a hard-working, loyal, dependable, dedicated person who takes pride in her work and doesn't like to switch jobs.  I'm not looking for my next job; I'm looking for my FINAL job.


All I want is an HONEST company with a dependable platform that actually works, an abundance of work (with no overstaffing/bait-and-switch games) and decent medical benefits.  If it's a small company, that's fine.  I just want to work for an ethical company that I can trust and respect, and one which is willing to pay a fair cpl rate.  (To actually receive respect and some loyalty in return would be the proverbial icing on the cake.)


Is there such an animal out there somewhere?


Bigger yes, better, NWIH.
nm
Once the kids are bigger sm
I'm going into EMS. I'm an EMT now and going to go to paramedic school. Each and every day you get a chance to make a difference in someone's life doing that. I've wanted to be a paramedic since I first watched Emergency! years ago on TV, and once my children are all in school, I'm going to do it!
VR is a much bigger threat to MTs than offshore
They will still need us, but pay diddly for the most boring, exasperating work you could ever imagine. I'd rather lick stamps and put them on envelopes than continue doing this crud. It's terrible - most of the dictation comes out as a word salad and you have to make some sense of it all. Terrible.
The account can get bigger if the hospital uses...sm
several services for their transcription. So, if they decide to start letting company B do what company A used to do, then yes, the account is getting bigger and bigger for company B. Also, Maybe the hospital is part of a large system and company A was only doing one location and the hospital is happy with the work so they start giving them more and more locations, guess what, the account is getting bigger and bigger. There are many ways for the account to get bigger, so she is not lying to you, as I work on one of the accounts she is talking about and that is what has happened. They now need double the amount of MTs they first needed for this account, as they are now outsourcing more work to Diskriter. Make sense?
You won't see some of the bigger ones here. I know for a fact that the owners of sm
KS do not come on here anymore. I went to one of them a few weeks ago, and she told me not to get worked up about the posts on here, that not every company is for every person, just just like every MT is not a good fit for every company.

I just emailed her with the request put here today, and she responded that she would not answer any posts on here; every time in the past that she did, things were twisted around and turned ugly, both with the bashers and the cheerleaders, that MTs with questions should contact the companies directly.

She also asked me if I needed more work as I seem to spend a lot of time obsessing about these posts, which really threw me for a few seconds. On thinking about it, she's right.


Oreilly is an even bigger media
hore. Yes, and so are the ones on the so-called 'left'. And if you think ANY of them give a flip about you or America, you are easily fooled.

The are full-time propagandists - all of them. And they are laughing all the way to the bank.
Sometimes the bigger they are, the harder they fall.
Lots of these big MTSO co's are in bed with AHDI, and I have a hunch the whole kit-n-kaboodle of 'em are ridin' for a fall. Or a public hangin'.
When my company merged with a bigger one,
cpl pay stayed the same for a while, but eventually they readjusted the 'tiers' that their MTs worked on. No matter what 'tier' we were on, our pay was lowered approximately 15%. QA took a harder hit; some of them were cut 30%. They have plenty of work, but it's impossible to make a living doing it, unless you work 7-day weeks, 365 days a year.

So I would venture a guess that for the time being, things for you will stay as they are. They can't change everything at once, even if they wanted to. Physically impossible. But after the initial 'shake-out' of MTs who leave immediately, and those who stay for a while until they find other jobs, and those who stay to give the new company a chance, get disenchanted and leave later on, has finally occurred, and some of the other nuts and bolts of merging 2 companies are finally in position, eventually they will start to scrutinize MT pay. Those at the higher end of the pay scale will undoubtedly either find themselves re-tiered at a lower cpl rate, or else with horrendous accounts that cut the lines they're able to produce, and thus their pay.

Having just spent $16M to purchase MDI, you can bet they're going to want to start seeing some returns on their investment, and of course, the suits are going to want to see some extra cash for themselves for all the 'good work' they've been doing. [snort!] So when they start looking for places to cut their costs, guess whose pocket it's going to come out of?

The big companies are ALL this way. I believe the best chance for a decent-paying job is to find a small or medium-sized MTSO to work for. Only problem is, that's what I did a few years ago. A great company, decent pay, good accounts. And they were gobbled up by one of the current 'Axis-of-Evil' MT giants.

I wouldn't be surprised if in the future there are NO small MTSOs -- only 3 or 4 of the mega-large 'McMTSOs'. My company makes it no secret that they want absolute domination of the industry. I'm sure the other biggies have the same aspirations. Then it'll all boil down to cutthroat competition, price wars and back-stabbing, all the while flinging U.S. workers aside, and sending EVERYTHING offshore, because if hospitals no longer have a CHOICE whether they offshore or not, that paves the way for MT to become a 100% foreign affair.

I do believe, however, that if a company reaches a point where it has all or most of its workers offshore, they should no longer be allowed to have their offices on U.S. soil. They should be forced to move to India completely, corporate offices, CEOs, and all. It's about time the Suits developed a taste for curry, themselves.
Look at the big picture
I know what you mean.  I left a hospital situation because of some of what you describe .. no newbies playing though ;-)  You will have no PTO or seniority at home and it is hard to work with family underfoot.  Ask to have your place changed and get yourself some of those soundproofing earsets that are available out there so that the noise is muffled and you can block out the rest of the world.  I can still get lost in a room full of people if I am concentrating .. a blessing to be sure.  You will miss the things you are now taking for granted such as PTO and seeing people .. even some of the ones who drive you nuts.  Health benefits are not easily available or very good at home either!
No picture
I went to affiliates, but it does not list Medscribe???
You are right to look at the big picture, and
you seem very mature. Unfortunately, a lot of us (at least me) who work at home can get paranoid or feelings hurt even though we are professionals. I was a manager in this biz years ago, and upmost in my mind was that my team supported me, kept me in a job and if I had to discipline I did it sparingly and with full research first. I also went about it and ended up usually getting a more loyal employee, because if there were problems, it rarely had to do with the stated issue. As a manager, rather than jumping, it is important to weigh carefully, watch the situation and consider long-term repercussions to being nasty in any sense of the word. So, I agree you are a very professional person and have a high self esteem and you have the right approach. However, not everyone is as lucky as you, and some seek some positive contact, being so isolated working at home. I would say midground is always best. But big picture idealism best for everyone involved. If I had just kept my mouth shut instead of leaving and then talked to the higher up person how there was a miscommunication initially on the interview regarding scheduling, I am sure I would be there for the rest of my career. That is my personal experience. But, at the time, and even now since I have become strictly IC, I never ever want to be put down or disrespected by anyone most especially the person who is supposed to be supporting me as part of a profitable and mutually beneficial business relationship. Just IMHO.
How big is Transheath and now does this make Webmedex bigger than MQ? nm

The big picture of the SCAMMER
nm
The big picture of the SCAMMER
nm
If you go to her website, that picture is there with her...
name below the paragraph describing her company. Think she would use a model for that? Lighten up - sounds like you're cooking, too!

Amen to that. I SO get the picture.
javascript:editor_insertHTML('text','');
javascript:editor_insertHTML('text','');
I picture them morphing into
sr
You can google it to get a picture of it, but it looks like a
phone and you use it to dial into the a system directly.  Usually you are dialing directly into the hospital's dictation system.  It has a foot pedal attached.  Depending on the company you will need unlimited long distance, unless they have a local number of 800#. 
For anyone who doesn't get the big picture

I feel sorry for you.


An IC has expenses that are tax deductible and includes all business expenses. 


Internet? ULD phone expense? Office space? Fax? ad nau... Honestly, when did we become a group of elitetist, sefl-serving, uneducated group of independent contractors?


I could go on.  Instead I will log off. Entitlism is just not something I can stomach on the 4th of July.


or the small ones do not draw attention. It seems to be the bigger companies. sm
They are the ones mentioned the most, at least the ones that are growing.
Don't forget voice recognition. Bigger threat than too many MTs and
nm
Any bigger companies out there that do 10+ hours flex time?
I'm looking for a job to supplement my income on top of my full-time MT job, but really need one that allows me to log on at any time throughout the week and do, say, 2,000 lines a week or 10 hours a week or something like that.

Are there any companies out there that still offer this or is it too much to hope for? Anyone have a company they would like to recommend? Thanks.
LET THEM KNOW IT IS BIGGER THAN MT BUSINESS - Make them want to do the research and dig deeper

Give them facts that will blow their mind.  MT business and otherwise.  According to the web site for the Population Reference Bureau, they claim you can not get an accurate figure on offshored jobs (all jobs).  In 2008 they said they could only estimate it to be about 30 MILLION.  That is the equivalent to the total population in 3 U.S. states.  No concrete and credible figures are documented anywhere.  Wonder why?  Make the reporter want to start with the MT business and branch out.  See if they can come up with a figure cutting Uncle Sam's pay and our jobs.


Do not let anyone tell you this will not do any good.  Even if some do not wish to participate, enough voices want to be heard.  I myself sent a letter to President Obama.  This is posted on the main board.  Read it.  I sent it to the major newspapers, NY Times, whitehouse.com, Washington Post, 60 Minutes, Forbes Magazine, USA today, etc.  Make your guy want to do some investigation into this.  Ask him to contact credible sources he may have.  Ask for feedback.


Whether this works or not - pat yourself on the back!!!  Thank you for 30 Million Plus U.S. Jobs and all the upcoming college graduates.  We're all behind you.  Share your results.


ALL YOU MTs, GET INVOLVED!!  You're not working that much right now anyway.  Just send 1 letter to a major newspaper near you.  Share it with us.


A month is not long enough to get the big picture
I've been on the VR for almost a year and started with it on eScription and then went to the new platform about 4-1/2 to 5 months ago.  It starts out slow and then you gradually pick up and start thinking that it's getting better.  But you reach a point when no matter how hard you try you don't get any faster.  That's when you realize that you've already achieved the fastest you can go in editing.  After about a year, there has been about a 28% increase in line production and even that's not consistent because it depends on the dictators you get.  Every day is different.  The maximum line increase is nowhere near the 40% cut in pay. 
Yes, always good to have full picture.
xx
Is that your own piggy in the picture? It's precious! :) nm
s
After reading below, seeing your picture, still lauging!
Love it.
then you haven't been in the picture long enough..
Yeah people let loose everyday, but do nothing but whine like little puppies. This person is actually gonna do something about it even if it's for her friend. Wrong is wrong.

It doesnt matter how long her MT friend stayed. I don't care if it was for $300.

Oh, you can SPEAK all you want, have you ever been in a situtation where you had to fight to get your money whether it be $300 or $5000? I rest my case.
Where on the site is the picture located?

I always get a mental picture of that poster
Not to be mean, but I always picture that poster clawing at her face and pulling her own hair whenever I read her posts. All the unnecessary capitalization, the countless exclamation points...I just picture her in my mind having this massive meltdown and screaming at the top of her lungs while ripping out her hair and clawing her face. I don't even try to envision, it just strikes me as being a mini-meltdown and I can't take the post seriously. I write it off to overly dramatic, sigh and move on.
Not arguing, haven't started yet. Just trying to get the whole picture here.
nm
You have to show a picture proving you have a door?? sm
Man, that is really getting picky. I would fail that requirement, I'm sure a lot of us would! Sounds like they are TRYING to make it impossible for you to continue with them.
Big discussion a few weeks ago about them wanting a 3 x 5 picture of you sm
and your work space. They are a major outsourcer, as well.
Do the 30 minutes and leave the rest, then she'll get the picture.
ll
A picture/website speaks a thousand words.
Thanks for this input. It is definitely a wake up call.
As opposed to what sort of "panties" she wears normally? Thanks for that mental picture!

typos on this board are to be forgiven, but new company's numerous errors and the picture they

painted for our first impression of someone in whom we are required to put practically our entire life details in an email back to them left much to be desired in my opinion (by this MT).


Amherst so we make less money and they get more money for MQ and bigger bonuses. Our guidelines came
from Amherst.
those bonus checks aren't extra money...you would just get tw bigger checks rather than 3 checks

don't kid yourself