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Serving Over 20,000 US Medical Transcriptionists

agree 300%--no argument here

Posted By: aa on 2008-09-01
In Reply to: They can take their idiotic 'CMT' and stick it - where the sun don't shine.....

it's just all about power and money


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That's a whole different argument...nm
x
Not to start a whole new argument, but sm
It seems awful strange that I know of at least 4 people that have left Transcend in the last 2 weeks or so from the same account because of lack of work all the time on either primary accounts or secondary accounts and now they don't have an ad posted, like they usually do to fill them back up fast.   Hmmmm, maybe they finally realized that they overhired!!!
Ad hominem argument -- sm
I'll admit I had to look that one up. I'm not too proud to say I've probably resorted to an ad hominem argument at some point and time, but now at least I'm more aware of it.
no argument here, I just wouldn't...
have called it TOTALLY IC.

I am totally IC--no schedule, no line requirement. But, I am not lazy, I need to eat and pay bills, and us ICs don't want our company to lose the accounts. Therefore, I commit myself to 1000-1200/lines per day whether it be split or straight shifts, and I try to commit myself to 4-5 days/wk.
You had an argument about her professionalism?

your bounds by discussing something like that with her?  I mean, after all, it's her company.  Is it really your place to talk to her about her professionalism when you work for her? 


And when you say she fired you - did she say you're fired?  Seems fishy to me that she'd email in an hour about work if she really did fire you.  And she doesn't have to fire you, she can just say she no longer needs your services.


That was the most well-spoken argument for
I agree 100%, as well. I know some people think that unions brought down the Big 3 automakers, but that's not so. Even their most well-paid line workers with the best bennies don't come anywhere close to what the Fat-Cats up in their designer-furniture-appointed, corner top-floor offices were (and still are) getting. For mismanagement. They aren't building the cars America wants, so they're buying Toyotas, Nissans and Hyundais instead.

When I tell people who are not in this business what an MT has to know before anyone will consider hiring her (or him), both medically and computer-literacy-wise, and then what they're expected to work for, their jaws hit the floor.

I was inhouse for many many years, but was eventually forced out, as although no one will admit to it yet, that office is job-by-job sending its work outside, and will most likely have nothing but a skeleton crew of workflow managers left before the end of next year. They couldnt be honest about it, either. They drove the top-rated, older MTs out with abusive treatment that actually made some workers physically ill. Others left an office that they realized to be a dead-end road.

So these days, many of us are working at home because that's all that's left of MT. Which is the best thing that could've happened to the most unscrupulous of the MTSO's, as not only do they not have the overhead of having to house a officeful of MTs, but they now have an 'invisible' workforce that has little to no contact with their coworkers, and often little to no contact with the office (unless of course, heaven forbid, they make an error).

I think lots of MTs know we need a spokesperson in our behalf, as we are basically an isolated bunch, swept under the rug by the healthcare industry and MTSOs alike. What unions have brought to workers like us in the past has been a VOICE. That's something few, if any MTs have these days.

I also think that after talking about this for years, thinking about it, being told it can't happen, but wishing that somehow MTs could be unionized, with our country's new leadership and thorough shaking-out of business-as-usual for the banking, stock, and auto industries, the time has finally come.

If ever an industry needed regulating, it's ours. And we're all but powerless to do anything as individuals; we have to join together for the strength to stand up to the unfair treatment we've endured for so long. We need a VOICE, and that's what unions are - they are the worker's VOICE.

We need more attention focused on the healthcare and insurance industries in this country, and that in turn may start the ball rolling in terms of bringing MT and substandard pay into public and legislative view.

I think people need to know that those of us interested in unionizing aren't talking about being over-paid, or over-compensated in any way, shape or form for what we do. All we want is a fair shake.... a decent day's pay for an honest day's work.

I'm willing to bet many of the nay-sayers on this board are possibly MTSO trolls. Those who are 'grateful' for their lousy 6 cpl jobs, or who say that it's all we deserve, are most likely the same types who think that when a woman is raped, it's her own fault.

And that's exactly what's happend to the MT industry. Gang-rape by AAMT in the beginning, and now by AHDI. By wealthy business-types who buy an MTSO not because they give a darn about healthcare, or their workers, or even know anything about medical transcription, but just because it's a good 'investment' -- to buy low and sell high, and make even more money.

(As for norma rae below, who says 'It's not 1970'; well, actually in a lot of ways it IS 1970. Do you make much more than you did in 1970? (I sure don't). Less, perhaps? Are we in a recession? Yup. Are we fighting a pointless war abroad? Yup. And are women treated as less-than-human in the workplace? Yup.

Yeah, nowadays they can't legally make sexist comments to us, force us to sit in a cigarette-smoke-filled office all day, or ask us to make coffee. But they're still sticking it to us wage-wise. Why? Because they CAN. Because we LET them. Because even in the 21st Century, many woman still believe they're 'lucky to have a job - ANY job' - and will grovel and lick the feet of anyone who tosses them a few cents and a scrap of meat. Or rapes them and tells them they 'want it'.

If ever there was a ripe opportunity to get a medical transcription union going, it's NOW. As this dismal year finally draws to a close, I hope lots of you will reflect on how much you know, and how long and how much work it took you to learn it. Reflect on how many hours you sit in front of that computer. 10 hours? 12? 14? 18 hours a day? All so that you can make that line-quota you're expected to be able to produce in 8 hours? How much overtime SHOULD you have been earning, but didn't get paid? How many of you have a poor healthcare package, or no healthcare at all? How many of you lost any hope whatsoever of being to retire - not just later, like 70, 80, or 90, but EVER? If we're going to have to work the rest of our lives to pay for all our country's 'bailouts', it would be nice if there were half a chance that our jobs will:
a) Still be here 10-20 years from now, and
b) Pay enough to be able to live on.
good argument for doing away with
being paid by the line. There's no way you can get top speed and top quality...one of the two will have to suffer.

Yes, I've seen similar embarrassing work. It's awful, & yes, it was probably done by someone who racks up billions and billions of lines per pay period, which I certainly don't.

I'm not sure I've ever understood why we are paid by the line. I suppose the argument is that this would be abused & exploited by MTs who want something for nothing & that instead of seeing it as an opportunity to do research & whatever else is necessary to produce a quality document, it would be an opportunity to work as fast as possible and use the rest of the time to eat bonbons.

Is this realistic? Are there really MTs who would do this, or is this just the stock justification for cpl?

I can't think of another profession that is paid this way. It turns us into sweatshop garment workers, not educated professionals who are one of the strongest links in the chain of patient care.

Help me out here. What are your thoughts?
I understand both sides of the argument...
But I believe that a lot of the posts are from management.  They really should not disguise themselves as MTs and try to trick people.  Just let the truth be what it is, and if you do not like the truth, then do something at your company to change it.  All the effort that is being put into posting on this forum by management from various companies should be put into different programs, incentives, or maybe just a nice word or two to their transcriptionists to try and make the companies better.  I value this forum and believe that MTs need a place to communicate these things to one another to possibly prevent someone else from going through a bad situation.  I do believe that some MTs do need to let it go sometimes, but when you know that it is management posting to try and prove you are wrong, that just makes you more determined to prove you are right.  Just my opinion so don't jump all over me. 
I have to provide good argument here, though.
That is no different than the MTs (new or even experienced) who have poor medical terminology, poor grasp of the English language, etc.

For the newbies who don't know the difference -- maybe in a test they do but when transcribing they don't get it -- between a hemorrhage and a hemorrhoid in the brain. For the experienced MTs who have never understood that pleural is lung, plural means more than one.

I've seen great work by US MTs and by offshore MTs, alike. I have also seen the most horrifyingly low-quality work from US MTs and offshore MTs alike.


Your argument loses all steam when you get to
For Pete's sake! Simple - no problems, just don't sign it! You state they're likely to sign since they've been thru the trouble of testing? Sheesh! We all know that taking the test is the magic door to finding out what the job is all about.  Otherwise, all details are a big secret.  Only way in is if you know somebody first.  So, you take the test, find out the pay blows and you say NO THANKS and move on.  Glory, glory, glory - hallelujah!  Amen!
Some of these posts are revolting. No argument here.
*
Sorry, you're weakening your argument big-time. nm
for your lack of discipline in saving. But for legal purposes, they should be taking the taxes out.
Gees just mentioning arguring started an argument
Just not worth it. It's all about respect....and maturity.
No argument about AHDI sucking an egg, but I suppose it is just personal sm

preference.  When I started transcribing 35 years ago or so, I had never heard of AAMT or anything like it, but the people in the Medical Records Department (which of course his now referred to as HIM -- why keep things the same if you can change them constantly for no rason) who transcribed the reports were called transcriptionists.  The machine I used to access the dictation was called a transcriber. 


Of course, it is no big deal and I shouldn't get so hung up with labels.  I worked briefly for an Indian company (felt like I was sleeping with the enemy but that's another story), and they called us transcribers … ugh.


I agree, absolutely agree
and I might say, this is keeping updated in ALLLL specialities and subspecialities, drugs, instruments, and on and on. It is not a good profession for sure and sadly it is the MTs who are being very definitely HAD
Agree 100%
STAY away!
Nobody is going to agree anyway. LOL
And nobody has worked for every company in the U.S. to be able to offer an informed opinion.
Agree

I agree also.  I do think that each company has its MTs that have not one thing good to say about the company and on the flip side, there are many that love it.  I have worked at a few different companies in my time and find through experience on this forum to be true.  I absolutely love Transcend.  There are a few things that aren't perfect in my book, but the good far outweighs the bad.  The thing that I hate, though, is if you have anything good at all to say about your company, you are either management, lying, or a cheerleader.  I think that people love to believe the worst. 


I also have found out through my travels that things can vary greatly from one employee to another even though they may work at the same company.  There may be a rule for you that does not apply to another, example - below one says Spheris would not allow someone to work at MQ also but there is an MT who is doing it with permission.  An MT can get on here and argue all day long that this or that doesn't happen at their company but it may very well happen for another MT.  It is so humerous to me to see that we believe that being employed at a company, in our remote homes, that we think we know everything about that company and how it operates with the other remote MTs - MTs that more than likely we don't even know. 


 


I agree 100%.
I agree 100%
I don't agree entirely.

When offshore outsourcing first began many clients began jumping on that bandwagon thinking they were going to be able to save money.  That resulted in a great number of clinics and hospitals eliminating their in-house transcription departments because of 1) reduction in overhead expense by outsourcing a whole department and 2) realizing an even greater reduction in expenses by using foreign labor at less cost than domestic transcription wages.  The trend is beginning to come full circle now and because of quality issues and the higher cost of risk management more clients are demanding that their medical records information stay in the United States.  A lot of MTSOs now advertising are stating right in their ads NO OFFSHORE MTs NEED APPLY.  Clients are beginning to see that it wasn't as cost effective as they thought it would be because it actually ends up costing more in the long run either in quality or risk management. Some hospitals and clinics are actually bringing work back in house again and only using domestic vendors for overflow work.  I think sooner or later unless the quality of VR improves it will have the same result. 


i agree
I also had a similar experience last year and did not like it at all. It was a total mistake.
Yes, I agree

Thank you for posting this!  I am also very happy with Amphion.  It is nice to hear a positive experience for a change.  I hope your post will help other MTs searching for work realize that there really are some good companies out there!



I agree--
They will make your life miserable with every nit picking thing they can think of to get you to quit. Again, this was my experience, no one has to agree with me.
Agree
but I thought that she was referring to simply putting it in a diagnosis, not coding.
Agree
LOL......I understood that she was just transcribing the numbers as they're dictated. And, we all know the docs don't always give the "dash" (-) or "slash" (/) word when it needs to be typed in.

I wasn't trying to help code, been a while since I did that, just trying to help make sure her question was answered. (No offense intended.) :)
I agree with QT
QT EASY platform -- a few mushmouths -- mainly PAs very few ESLs -- also FutureNet is a good company  -- direct deposit as statutory by they will express mail checks and good cpl rate -- sorry for the typos  -- just got done for the night and no fingers left
I agree..
I left after sitting for five hours and getting 2 reports, this was Transcend who bought MDI. Then, there was the sound issues.

The staff was just great though!
I agree with everything you said....
It just seems like Transcend is the company to bash this month, but I am extremely happy
I Agree.....
There are so many "cherry-pickers" on the account(s) I work on, it makes me crazy. Some of us get stuck doing the hardest jobs and the others breeze through.
I agree 100%. (sm)
Someone here had a bad experience and has made it her goal in life to run this company down. Maybe she didn't come up to par....actually you can tell that by her messages. I have only been with OSi about 6 months, but will be staying till I retire.
I agree!

Definately the meanest on this board.  Always has something to say, whether it pertains or not...


I agree
the swearing on the boards and making fun of other people, pathetic.  I thought we were all grown ups here.  I can't believe that some of these grown women sound more immature than my 11 year old. 
Agree! LOL (nm)
.
I agree
No I don't work out of the Amherst office -- have heard so much about them on this board.... I work out of the Orange CA office and last week except for 1 day -- it was like pulling teeth to get enough work to keep me busy during the day. Now, I am face today with either sitting babysitting my computer all day just waiting for work or taking the day off either unpaid or burn some PTO. Can't really afford either, but this is just stupid. If I get my butt out of bed and "at my job" by my start time.... I should get paid whether there is anything to do or not.
Agree, besides, what one co does, the others will
zz
I agree. sm
Not a very good place to work. Communication was horrible when I was there.
Agree with above
Yes, they pay for downtime.  The only time they do not is if is due to something on your end like electric failure or internet failure.  If there is no work or if their computer breaks or system is down, they pay $12/hr downtime.  In my experience, there is also the option of making up the time if only a few hours or so (which equates to more than $12/hr for me, so I have always made time up if I could).      
I agree with aa
Here are the good points: They do apparently pay for spaces now. I would confirm this if you apply.

They seem to have plenty of work - you definitely won't be sitting around for days without work.

They pay approximately 5 days after the end of the pay period, which is actually pretty fast as payroll goes.

They do seem to have some interesting accounts, although I wouldn't know how you get on them.

If you can ignore the goofy emails that get sent out on a regular basis and try to ignore the inconsistent QA, they pretty much leave you alone. If you need benefits, though, look elsewhere.
Have to agree
I quit two weeks after training.
I agree
I am dealing with the same thing right now. It is frustrating to my family life. They call me at night a lot to work.
I agree..
Get rid of the middle man, the MTSO, if you can!

I just landed a fantastic opportunity with a clinic who has done exactly this and can afford to pay me twice the highest rate of the online companies, and I still work from home with a super flexible schedule. I also didn't need 10 years to land this job. I am closing in on two.

I suggest searching the ads for clinics and hospitals who are looking to hire you directly. That, or land your own account locally. Most of these online companies are really taking us for a ride!

I will never go back to 8 cpl knowing what I know now while the MTSOs are vacationing on the other half of what should be my pay


I agree!
Who would want 2 work 4 someone like that? Is this where MT is heading??? Sheesh.
I have to agree with you.
This is getting old. There are tens of thousands of MTs, many of which have the same thoughts. You need to get a grip on reality. Enough already.

I will agree with you there.
x
I would have to agree
The Indian typists work extremely hard. They work with rare breaks. I also found the managers to be very kind people. What I don't get is it's okay to work HERE for a foreign company, like Toyota, but how DARE anybody work for a foreign transcription company! What about Sony? Hyundai?
I have to agree...
I'm also disgruntled with this steady diet of acute care. I wouldn't mind a mix of acute care IF there were some easy stuff like chart notes and ER to blend in.  I sometimes regret having listed all my experience, since I think the lesser qualified MTs could be making much more money! 
I agree
f
Agree
NM
Would agree .. most especially if
If Proscript runs the way DDI did then it surely is a very good place to work.  Years of working with DDI were the best years I have had in transcription and had I a clue that Proscript would have been purchased by the present owner I would have considered them very seriously when I made a move.  The move was a bit too early and the purchase a bit too late .. for me!
I SO agree.
Many ESL docs are wonderful dictators, and organized.  They really put a lot of effort into their reports, and I'll take them any day over the inconsiderate ENL mumblers. 
I agree ....
I wish there is just one test we could take and pass the results on to everyone! Every test is just about the same, just shifted around a bit - but I am so tired of testing. I did take one very challenging test, can't remember with who, but my brain was really fried after that one. Felt like I was taking state boards to become an MD.