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let the MTSOs step in the MTs shoes - sm

Posted By: no name on 2009-03-17
In Reply to: The only thing you are doing is forcing the - Anon

If they cant pay a decent wage, them maybe it is time to let some of the clients go and work for yourself. It is just like MTs, if you accept a low rate of pay that is what you get. Stand up for yourself MTSOs and ask for more money. Get a back bone.


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I have put myself in her shoes.
If she does not feel she is cut out to roll with the punches, she needs to find a job with a company that offers a mentoring program. If she is a regular MT with Spheris, she is expected to meet the same QA scoring guidelines as everyone else or risk being terminated.

Most companies cannot baby newbies. They just don't have the staff to do this. She needs to find a company that offers mentoring for newbies and stop complaining...or she needs to bite the bullet and try to do the work.

I felt overwhelmed when I first started in acute care. I found that it was helpful to type a blank on parts where I was having trouble and transcribe the entire report and go back to the blanks and listen again a few times. I was often able to figure them out.

I had to work ten hour a day when I started out in order to meet my quota, but I did it and it has paid off for me.
you are not in my shoes, so .......
if you are not, how do you know what the situation is for me, personally? So, your experience has been good. Others have shared with me in private that it has not been so good for them, either. I am not alone in this, so please do not criticize my opinion, okay??
Been in your shoes
I too started out in clinics about 5 years ago and was managed to be hired by a local hospital. Well...5 years later I'm working at Diskriter in their QA department. You can do it, it will come. Don't give up, it's worth it in the end.
Been in your shoes
Sorry but I've been in your shoes and did not like it one bit.  I know this profession sucks but leaving the house for $10 an hour sucks too after taxes, gas, clothes, lunches, etc.  I choose to work for 3 services to never again run out of work.  I never work more than 10 hours a day (which is what it would amount to if I worked outside the house including driving there, being stuck in traffic, working and then driving home.) I was MTSO of my own company for 8 years until the hospitals kept taking longer and longer to pay and then suddenly there were all these woman who had taken the course and believed the hype and were willing to work for $.08 a line and then I was out of work.  It that time I made $.14 per line and paid my subs $.11.  I was good to them.  I even kept most of the crappy dictators and did them myself so I've been on both sides of this job. I've worked for the services who don't pay or won't pay, who have no work.  This job is not what it used to be but I've decided it is where I need to be right now so I will make the best of it. My family is coming off of 4 very lean years and I won't go there again.  I'm all for helping someone who is trying to help themselves but not for people who want a pity party...and if I made $3 a day at my job I'd be finding out why and doing something about it.
I was in your shoes!
Mine were exactly the same ages as yours. It is very difficult to manage a home, 3 babies and work. My hat is off to you. I was able to get most of my work done when my hubby was home at night and on the weekends, but when I got real backed up, I would hire one of the teens in my neighborhood to come sit for a couple of hours so I could work uninterrupted.

Good luck to you and God bless you. You have your hads full....BUT they grow up so fast, believe it or not, someday you will miss these times. :-)
Those are big shoes to fill

I guess you've never worked on the inside of an MTSO business, but you wouldn't believe how physicians and hospitals are chipping away at our pay by demanding lower rates from the MTSOs.  Some MTSOs that people on this site complain about offering offshored services to client did it to KEEP from losing their clients.  When it starts with the doctors and hospitals, what choice do the MTSOs have but to pass that on to the MTs?  It really is a vicious circle. 


Some MTSOs team up with schools and offer interships where an MT in training works for free for a period of time to gain experience.  Now trust me, THOSE savings are not passed on to the experienced MTs...that goes directly into the MTSO's pockets and those MTSO push their long-term, higher paid MTs out the door to save a few pennies with no trouble sleeping at night.


So what about a union?  You're right.  More jobs will be offshored.  More experienced MTs will lose their jobs.  Doesn't anyone remember what happened when the air traffic controllers went on strike and the president of our United States canned every single one of them and airports had to hire an entirely new staff of controllers?  Did you see airlines stop flying passengers?  Nope.  Managers worked triple shifts until restaffing occurred, oh, without extra pay since they were salarired.


I don't pretend to know the answers as to how an MTSO should run its business but honest communication, good benefits and wages that have been lost in just a few short years (less than 10) would be nice.  It should stick to its gun and promote keeping jobs in the states for the patients' sakes.  And for the Indian physicians who have organized and created their own MTSO's to keep their families in India employed should be boycotted.  MTs should educate anyone they know who uses a doctor to ask the physician where his/her transcription is done or if s/he even knows and use only physicians with American-based transcription.


Boycotts worked in South Carlolinia and other states to take down the Rebel flag. Why can't we have a similar affect?  Mostly because we are not organized (I did NOT say unionized) and we do not generate the media coverage necessary to affect change.


d~


Walk in my shoes

I am very small MTSO and it still gets hairy with turn around time.  All it takes is for one I/C to say, today I don't want to work -- which they can -- like the one above said, I want to work when  I want to and do as much as I want -- and suddenly she decides not to work, well suddenly that leaves 1000 to 3000 lines to be spread around, times that by 2 and what a mess.  You cannot control what and how much the docs dictate.  I would not hire someone unless they were strictly for overflow without somewhat of a committment whether it be the lines or time that the could do on specific days.  Imagine having 15 people with this attitude.  Like I said walk in my shoes, it is a balancing act.  Too much work, they gripe -- too little they gripe.   But someone that wants to work when they want, how much they want could not budget accounts that way.  It would be strictly overflow and then if you weren't available when the work was you probably would not stick around nor again would I keep you around.   Sure an IC can set their own hours but I expect a certain amount of work done in a certain amount of time to meet my TAT and not be docked because we didn't. 


I have been in your shoes and perhaps worse sm
You don't need to explain yourself. You are here with a complaint about something a recruiter said to you, not so that others can pounce on you for not handling your personal difficulties! OF COURSE this didn't happen overnight and OF COURSE you have been working on it. I have had this very thing happen and it took many months to get ahead of it, but I did. I have faith that you can too.

I hang out here and I hope that like several others, I have a voice that is a voice of reason, maturity with more than a little heart in it. (Okay, so I am not the whiz kid of tech issues and some of you call me verbose and a braggart and I don't care.) Some days I come on here and think whew! Some of us need to go back to kindergarten and learn how to get along with others, learn to share, root for home team, share the ropes, hug our neighbors when they need it and understand that if we like our boo boos kissed better, then we need to do some boo boo kissin' too.

Now, I don't know about some of you with cold hearts and nasty fingers...but my mom told me several things growing up and I don't forget them even if I am olderer than dirt:
--if you can't say something nice, keep your mouth shut.
--you catch more flies with honey than with vinegar.
--if you want a friend, be a friend.
--if you hang your dirty laundry out to dry, it isn't going to get any cleaner.
--life gives you lemons, make lemonade.
--what goes around comes around.

I especially believe in that last one. I used to be a very angry, bitter person and I used to lash out and be nasty. Then I got sick. Then I came as close to dying as I want to get for a very long time yet. I don't have my health and I might not have much time left either. I have grown thin and frail though I am not yet 50. I woke up one morning while I was recuperating and decided that since my life was going to be shorter than I thought, so I had better shape up before I got shipped out for good. I changed my attitude and I changed my life.

Today, I have spent years sowing seeds of gladness, seeds of caring, seeds of friendship, seeds of understanding and I find my life incredibly rich and full.

I know that all of you who have to rip others apart have small, unhappy lives and you can't see that you have a major role in that, in fact, you have the STARRING ROLE. I feel sorry for you and you know who you are. I feel sorry for you because you are always going to have an unhappy, unfulfilled life because WHAT GOES AROUND COMES AROUND.

sorry, I had to rant and it is off topic, but not exactly.
I DID wear the same shoes as others..
HENCE, where I am now. So there.
I was in your shoes not that long ago

I had 3 under the age of 5 at home.  I've worked both statutory/IC (the only difference is that statutory means they take out the federal taxes and IC doesn't)and employee positions.  By far, the best for me was statutory.  Even now that my kids are all in school, statutory is still better because of summer vacations.


Some things to remember:  Most employee positions require you to punch a timeclock.  Some companies let you get your work done in a 12-hour window, others require you to work just the shift your scheduled for.  The employee position I had did not give you the window. 


My employee position also required me to produce so many lines per hour, even though I was paid by production not hourly.  Therefore, if you are scheduled 6 hours and had to produce 100 lines per hour, you needed to have 600 lines in by the time you clocked out.  If you got interrupted by 1 of your kids, you had to either clock out and make the time up at the end of your shift (which no one feels like doing) or stay clocked in, try to handle the problem in a few minutes, and hope you make your 100 lines per hour.  Of course, the line requirement was averaged over the week or payperiod (can't remember which now), so I always went with the second option of staying clocked in rather than having to make up time at the end of my shift.  But, anything that took more than a few minutes to handle, you'd better clock out or else Big Brother will report you for stealing from the company.


There are some downsides to statutory.  You do not get benefits.  If you want a day off, you take it, but you don't get paid for it.  You also don't get time and a half.  You work what you work and get paid the same amount, unless you're with a company that pays incentives/bonuses for anything over a certain amount. 


I honestly can't say much else about statutory.  It's my favorite.  The flexibility is just too good to pass by when you have little ones at home. 


I won't comment on companies to work for.  Too many people like to argue when you try to post something positive about a company.  Read the archives, decide on 2 or 3 companies, then ask about those companies.  It's just too broad otherwise.


Having worn your shoes,

I feel your pain.  I've worked for a couple of companies that went offshore, also.  In one I was transcribing Social Security disability evaluations.  Those went to the Philippines. 


Picture this:  Your full name, DOB and SSN, as well as details of all your physical and mental disabilities, going to another  country,  potentially to be stolen and used by identity thieves.  The US government contracting to have its work done by a company that sends the work to a foreign country. 


Inconceivable to me at the time.  Still makes no sense, but then I'm obviously not management material. 


Great post! In the same shoes you are! sm
I'm not worried anymore, though. I made it through my probationary period with lots of ups and downs, a lot of tough dictators, one that I STILL cannot understand and I do this guy EVERY DAY!  But I like the job, like the QA people I have and have finally made it up to line count and I've been there since December. Now, to stay there....  Nice group of people. I like it a lot.  Don't know what account you are on but I logged off just a while ago and the stats were still coming in. LOL 
I've been in your shoes, with 3 kids, but (sm)
there is a very fine line to walk between hiring enough people for a new account and putting them somewhere until it actually starts, and overhiring.  You want enough people, not too many, not too few.  Try walking that line sometime. I have, and you usually get flak from both sides.  Hang in there.
But what if the shoes doesn't fit? What then? What about TT getting unfairly
bashed here from some anonymous poster who can come on here and say anything?
Do not judge unless you have been in their shoes. I worked for another sm
company that went through the exact same thing for 2 years. They were too big for small company insurance and do not have enough people that want insurance to qualify for large group. They would get all the way to the final contract and the insurance company would double the rate.

Keystrokes has been trying to get this resolved for a year. The reason for the information is because each company wants different things.

I spoke with someone very high up in the company about this. She told me that they get close and then something happens to change it, like the insurance company backs out due to too many health issues or that they decide that the group is not diverse enough. Keystrokes employs mostly women. The insurance companies do like this because women tend to go to the doctor more.

I do know that they are going to pay a portion though.

I think that the shame should be on you. Do you think that you are helping by complaining on a public board? There are 500 happy employees and just a handful who come to the boards to bash them. This is worse than high school.
We're all moody at times. I would never want to be in the shoes of one of the sm
big service owners. I imagine I would be postal, not just moody. I could never run a service of that size and be in a good mood all the time, could you? Have you tried? Didn't think so.
We have work. I've been in your shoes though with other jobs
They are screaming desperately, I get the job, and the second day of the job, there is no work so I sat there all afternoon twiddling my thumbs. By day 3, when I was told there was only 3 reports to do, I quit. Life's too short to waste my time and energy.
We should go one step further than that!
We should stop buying products made in other countries if at all possible (Wal*Mart comes to mind). Don't forget: Every time you buy a foreign product, an American somewhere at some point lost her/his job to offshoring because of that product. MTs represent ONE segment in a loooooooong line of people who are losing/have lost their jobs to offshoring.
One step further
You got one step further than myself.  I sent my resume but didn't even hear back from them...so I am guessing they were probably inundated with resumes.  Doggone it anyway!
Maybe Transcend needs to step up
to the plate and fix these issues before their investimate goes down the drain.
Yes but Transcend needs to step up
They are loosing a lot of their money by allowing MDI to continue to operate they way they do. I personally would love to see them merge MDI into Transcend and be one company. I'm holding out hope this happens, if it does not then I'm leaving MDI.
Been there . . . this is actually a step up on dictators for me!!! NM
NM
You don't have to go to Career Step
I smell something a little fishy here.  Are you advertising for Career Step?  I repeat if you are already a transcriptionist, then you can apply for online jobs.  It does not take a certificate from Career Step.  I have been offered many jobs online, and I do not have a certificate from Career Step or any other training program.  
Career Step
Just to clarify about Career Step, the cost is nowhere near $5000. It is in fact, between $1500 and $2000 the last I knew. I do not work for them, but graduated a year ago and they did prepare me for acute care MT work. (After 9 months I am making about $20,000 a year, working 2 IC jobs for a total of about 40 hours a week).
Career Step
CS has been a dream for me. With their training, I had 7 offers for at-home MT employment within 2 weeks of graduation. It is a hard course, and the final exam has a 50% fail rate, but it really prepares you for the real world of MT. If it wasn't that hard I think I would be dead in the water. If you want to learn more, they have a forum for people who have questions about joining at http://careerstep.groupee.net/eve/forums/a/frm/f/6960008433
and their website is www.careerstep.com. Before joinging, I checked them out with the BBB and called them probably 20 times with questions. They were very helpful and have a shiny record with the BBB. Also, they are one of the few schools approved by the AAMT, as you can see from the AAMT website. They are also a lot cheaper than most places. Hope that helps!
Career Step
Career Step is legit (and I don't get any $$ for recommending them). The course is self-paced and allowed me to work from home right after graduation. The website has all the cost info. on it. 
Career Step
If I knew then what I know now, I would not have attended Career Step.  I would have attended MTEC or Andrews.
Does feel like the new Q. This is step 1...
Beware.
Career Step
My sister took this course 3 years ago and was hired as a graduate. I was able to view this course and was very impressed with it and how it prepared the students. There is a lot of practice dictation starting from beginner to advanced, working your way up. Another good school is M-TEC. When I helped my sister research what companies were looking for in graduates, these were the 2 schools that always popped up as being recognized by companies that hire graduates.

I went to a local business school and worked on site at a hospital/clinic for 5 years before working from home.
I agree, but it's a step up from
and I don't care to the Nth power.
Hold on there! Now I must step in.

Don't be putting down people who like to do VR. I did straight typing for over 15 years and I am making the same, if not more, doing VR now. I was not a very slow typist, and quality is my first priority. I've been doing VR for almost a year now and love it. What makes it easy for me is I never really relied on Expanders to up my line rate since my hospital didn't really allow them, except for autocorrect. I didn't have an Expander until 6 years ago. Doing VR, I can't use the expander I did finally learn, but it's no big deal.


Like some other posters stated, it depends on who else is doing the reports whether or not VR is easy or hard.  Some days, my reports are easy, other days tough. It's the same when doing straight typing. Some dictators are easy, other are tough.


I don't think VR is really made for large companies with hundreds of transcriptionists. It's made for the smaller companies that all conform to the same verbiage.


If you're good/fast/quality-oriented with straight typing without expanders, then VR would be good for you. If you rely on an expander to get those lines, you will have a problem in the beginning, but if you're flexible, it will pan out.


Don't down people because they like VR. You know what they say......try it. You may like it.


 


Let's take a step back

Okay.  I think we can agree that in this industry, like every other, there are some bad apples.  There are some bad MTSOs, some bad MTs and even some bad clients.  And there are some good apples, too. 


Unfortunately, even the best MTSOs have to deal with a lot of new realities in this business that limit their options.  Over the past 15 to 20 years, the business has become much more competitive, clients are now being run by bean-counters who squeeze every penny out of contracts that they can, and the investment that an MTSO has to make in technology today has simply skyrocketed - not only the initial investment, but the ongoing investment in tech people, etc. to keep it running.  On top of that, there's been the deteriorating business climate that has actually been going on since 2007, although it didn't attract significant notice until late in 2008. 


And now comes speech rec.  There's a lot of MTSOs who haven't been thrilled about this because it's a huge investment and because they know how crummy SR really is - but clients become sold on the exaggerations in savings that the SR missionaries preach, and start insisting on it.  So you'll do SR or they'll find someone else.


The costs to every business in America for what we call compliance (to all of the jillions of laws that affect business) have also skyrocketed.  You can find plenty of information about this yourself.  These costs include all sorts of insurance and a lot of costs in terms of your operation just to keep yourself out of court or an administrative hearing of some kind.


MTSO's don't run the industry like some people here seem to think.  Clients run the industry.   Technology runs the industry.  Congress and various administrative agencies at every level of government run the industry.  Lawyers run the industry. 


There is one thing that I do criticize many MTSOs for, however, and that is the crappy line rate that many of them are paying for SR editing.  The typical scenario is that they promise you'll be able to edit jillions more lines per hour than you can transcribe,  so you shouldn't mind going from 9 or 10 cpl to 3 or 4 cpl.  Unfortunately, you buy into this and then discover that if you do your editing job properly, you really can't do all that many more lines per hour.  So your next paycheck sucks.  You give it a little longer...and your paycheck still sucks.  A couple more paychecks that suck, and now YOU are the one who is out of options. 


It's no good telling people who get caught in this trap Well, then, get into another field! because by this time they have no money to be trained in anything else.  Their kids are already fighting with the dog to see who gets the food in his bowl. So my criticism is the shameful way that many MTSOs have dealt with their people.


What bothers me the most about this is that every line of an SR document gets edited - even if it doesn't need to be changed.  In other words, there's really no difference in the KNOWLEDGE that an Editor has to bring to a line whether she declares the line to be correct or decides that it needs correction.  That line is correct is PRECISELY THE SAME SORT OF JUDGMENT as saying That line is wrong. 


This is a knowledge business, not a typing business.  There is absolutely no excuse for reducing the line rates so drastically (and little experience to show that people can still earn the same living).  This means, then, that the MTSO is buying knowledge on the cheap - and that's one thing that I can't forgive them for.  That, and the way they sucker people into accepting editing jobs in the first place.


 


 


 


its true, but wish WMX would take the first step
been here for awhile and I am not an underperformer by any means.  Yet i still get the NSA message dozens of times a day for the past month.  So while I think that waiting it out is the right move for me and that those who can't will go someplace else and create more work, I do wish mgmt would evaluate who is not performing up to par and cut them loose.  Sorry if that sound harsh, but i consistently do over 200 lph straight and close to 300 ASR and I think those that perform better should have some kind of preference over those that are at 125 to 150 lph, which i believe is below what mgmt expects each day.  don't mean to be offensive to anyone personally, but this is what the industry has come down to. 
okay, your first step would be to find out...
What the sale or merger involved, if the sale involved assets only or if it included ALL contracts. If the sale was assets only (meaning accounts) you SHOULD be free of the contract. This would mean they could not have included employees as an asset. If the terms of the sale included existing employee contracts or included the employees as assets, you would be bound by the noncompete clause. Sounds confusing but makes sense. In other words, you need to know if they sold you guys along with the company. That is what happened to me in the past (this was way long ago, 1970s). The new company paid $1000 per employee. We got no notice. one day they told us at 2 p.m. today you no longer work for _____ but are an employee of _____. I walked right then and there. I was not then nor will I ever be for sale! Fortunately for me, at that time we had no noncompete clause in place so we just went and recruited the old clients and started our own service.
Anyone hear of Future Step?
I received an email from Future Step telling me about a job.  Never heard of them.  Never applied with them?????
QA is not a step up. They make less than the MTs and are on quota.
x
but of course, people in the 10-step program
.
They do get a fee for all who actually enroll in career step.

Watch that first step off the horse. NM
nm
To follow that logic one step further,

then why is Transcend trying so hard on this board to convince everyone they are not the anti-Christ?  If they were that good, everyone would be beating a path to their door and they wouldn't have to be defending themselves to the degree we are seeing...


but correct me if I'm wrong...


Career Step is $1320 or $1560
x
If they use MTTEST by Career Step - Don't bother...
...just like Career Step's program, MTtest is GREATLY flawed. And the potential employers don't bother to review this or your testing. If an employer lazily uses MTTest (and is recruiting people to buy Career Step's scam terrible training program), I don't bother. Even if you get it right, the module is flawed and will likely say you got it wrong. Don't waste your time being insulted by same.

Companies that actually send you dictation to transcribe are the best to test with. They test your true knowledge/ability, not through a flawed and inadequate multiple choice module that's sole purpose is to recruit people to Career Step.

Just my 2 cents... :O)
Each journey begins with one small step.
If one hospital/MTSO sees the folly of VR, the lawsuits, etc., they will stop this NONSENSE.  Thank you for your validation of my efforts. 
Ouch. This hurts but it's so true. It might be time to step
I think it might be time to give up some benefits in exchange for someone who knows what I look like and treats me mostly like I'm a human being. I'm so discouraged.
Yes...Career Step has a referral program where you receive something like sm
50.00 for every person who signs up for Career Step through you. I BET they are affiliated. How unprofessional can one co. be?
For seasoned, fast transcriptionists, hourly would be a step down ...
I agree with your post. I've given a lot of thought lately to whether hourly would be more fair (given the extras that we have to do), and I've come to the conclusion that it is not. In the spirit of honesty, if I were to take an hourly position, my production would suffer for it.

As an experienced and fast transcriptionist, the amount of time I spend looking up unfamiliar terms is negligible, and I've reached a point of knowing what mush-mouthed blanks I won't get, after listening six or seven times.

The only thing I ask for is pay commensurate to my experience and knowledge. With a decent line rate, I could accept that there are other things that go into my job and that my line rate doesn't just pay for my production - it pays for the emails, and the instant messages, and figuring out line counts, and spending ten minutes every so often looking for a doctor's address.

As it is, at 8 cpl, those things are not worth the amount of money that I'm making. They seem superfluous and cut into my real life.

So, in answer to the first question, with 12 years of experience, an ingrained attention to detail, and all the knowledge of this profession that 12 years can bring, I believe my worth is 13-14 cpl. That's roughly $47,000 a year at 1500 lines a day. I think, given the intensity of our work hours (and the fact that, unlike other jobs, we don't get to spend an hour talking to coworkers or daydreaming or resting for any reason), that's a very, very fair wage in this day and age.
I think the voice file is the next step. As far as the copy typing, sm
I didn't do as well as I thought I would either.  That not being able to back up more than a word kinda sucks.  Still, it was fun.  I guess I need to get out more - ha.
Hoorah! I'm still a step ahead of a gas station clerk. n/m
f
Spheris - is it true they will hire Career Step grads without
making them take employment test? It is so stated on New MT board.
Anyone heard of Career Step program?..cost?..legit?
I checked out the Spheris website and I don't have enough experience to apply...but they directed me to Career Step kind of as a prerequisite to get your foot in the door for employment....there's gotta be a some kind of cost, but I didn't stick around to find out....link, after link, after link..yada yada...anyone have any comments on this setup?
Spheris will hire you. They have lots of Career Step people.
As long as you do not need health insurance, they are fine for a new grad.