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
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

All easy dictators are offshored

Posted By: used to be with Transcend on 2009-06-09
In Reply to: I've heard the same about them. - kath2210

I was part of a package that Transcend purchased. We were all assured there would be no changes, which was initially true for several months........then the massive offshoring became more and more noticable. One account would have hundreds of jobs in the evening; at 5 AM there was nothing left and if there were any jobs available they were  very difficult dictators. 


It got to a point where any audible dictator was offshored and there were no decent dictators left. You also had to be flexible waiting for work. Sometimes you would have to wait 4-5 hours for jobs to be available. Then your health insurance was revoked for not meeting your quota.


My advice is  that you have no choice, give them a try. Maybe your luck will be better. If you do have job currently, I would not consider changing.


Good luck!




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

All easy dictators are offshored

I was part of a package that Transcend purchased. We were all assured there would be no changes, which was initially true for several months........then the massive offshoring became more and more noticable. One account would have hundreds of jobs in the evening; at 5 AM there was nothing left and if there were any jobs available they were  very difficult dictators. 


It got to a point where any audible dictator was offshored and there were no decent dictators left. You also had to be flexible waiting for work. Sometimes you would have to wait 4-5 hours for jobs to be available. Then your health insurance was revoked for not meeting your quota.


My advice is  that you have no choice, give them a try. Maybe your luck will be better. If you do have job currently, I would not consider changing.


Good luck!


More offshoring of the easy dictators
nm
You said they claim easy dictators..

Are they easy with a significant amount of repetitiveness?  If there isn't...and all they do is talk then as an IC, 7 cents is not gonna pay the rent.  If the doc repeats things over and over...then you have a chance. 


I had an ESL once who others wouldn't do.  However, once I figured him out I found that he repeated 90% of the reports so it was great.


It also depends on platform.  If it's in MS Word with an FTP site...great.  If they use something like Emdat but don't have the demos and base information correct then your line count goes even lower.  Shop wisely....


Bait and switch? Hard dictators? Easy accounts?

Lets be reasonable here.


I see complaints because we get put on a difficult account when you know there are easier ones out there.  I see complaints because when you start working for a new company you are put on an easy account and then switched to a more difficult account. 


Face it.  Every company has hard accounts along with the easier accounts.  What should these companies do?  Start you out on the worst accounts so you cannot possibly get your line counts when you are starting and as nervous as a shaky leaf?  Start you on an easy account until you lose your fear and have passed QA to ensure you know the basics of transcription?  (That is what you are calling bait and switch.)


I just do not think these companies can win.  They certainly cannot meet your demands of easy accounts, especially those who are just starting for them and think you should get the cream of the crop.   Are they supposed to penalize their long term MLS and give them all the hard work just to accommodate your every wish?  Is this how you would want to be treated if you had worked for a company for 5+ years?   I don't think so.


 


 


 


Because people only want specific work types, easy dictators and certain hours...
That is why some people find a shortage of work, while others find an abundance. I cannot believe these last few threads and the vitriole of some of your responses. Any time a company is mentioned, any company, there are always a bunch of negative responses.

Maybe you all should check within yourselves to find out why you do not have enough work.

I happen to work for a company that is being negatively mentioned in these posts, and I am extremely happy. They may offshore, but they treat me very well, are communicative and I have never missed a paycheck. I also will do any work types, ESL, and will help out extra when asked. This is one of my first times on this board and I probably will not be back.
Anyone know of a company, easy clinic work, easy Word format, dependable pay? Help!
x
will be offshored.
x
I don't see how this could be offshored at this point
or in the future. It is really much more intricate than MT as you have to know coding assigned by individual states as allowed by Medicare, and you pretty much have to know all Medicare/Medicaid regulations and independent insurance company regulations. Because of the oath you take when you become certified and because you have to be physically available IF a monetary/or jail term penalty is issued, I don't think employers would take the chance with coding that they do with MT. See, when it comes to getting paid for services, employers aren't as willing to take chances.

Oh, other employers who need coders are insurance companies and medical office management companies.

good luck,
d~
LINK TO WHAT ELSE IS OFFSHORED

I have spent the last hour doing research on offshoring of medical transcription.  This is one of the sites that I found and now they do our taxes and legal stuff too?  Some of the ones I found also offshore to Russia and China!  Check this link out and look to the right of the page to see what else they are doing.  They even listed some of the MTSOs and will sell you articles and information on their plan of action or whatever they call it. 


LINK:


http://www.valuenotes.biz/bpo/vnbiz_mti.asp


VA accounts cannot be offshored
- so that could not have been the excuse given by the previous company/employer I mentioned.  I know this is a huge factor for most companies providing quality work from quality MTs.  Really is a sad situation all around.  Sure don't see my medical bills decreasing and I prefer someone qualified and, because they are, hopefully adequately paid to type my medical records. 
offshored to India.....
Why do you automatically assume that an Indian or any foreign employer will be hostile?
By not accepting to work for a foreign employer, you shoot youtself into your foot; because if you don't accept as an US MT the work, then they will be forced to offshore. It is the other way around, so much work is outsourced, because many US MTs refuse to work for 'hostile', foreign employers.

On top of this, there is literally no middle class in India; the gap between rich and poor is immense. The poor people who manage to get a good education are struggling for jobs, and they are good. There are IT experts who cannot find a job, students who studied a
couple of semesters of medicine, cannot work as a physician, start a career in medical transcription. And they are good, hardworking and very cheap; they are happy to survive.

Mexican do the work US citizen do not want to do, it is too 'low' for them.
Reading all these negative comments from US MTs, make me wonder if the profession of MT will go down the same road and will be given to people who are ready and 'eager' to take this kind of work.
What does scoping pay? And does it get offshored?

Perhaps recruiting has been offshored?
amn
I want to add: An US MT newbie would know, an offshored MT probably not..nm
nm
I love it. It is fast, easy to learn and easy to use.

I thought AllType offshored?
nm
They might be offshored BUT they drove down prices when they were sm
able to be sent offshore, prior to the VA system getting wise. Until 15 months ago, keeping the work in the USA was not a requirement for VA accounts. You had to be a US company but could have anyone do the work.


Most facilities don't know their work is offshored
the MT dept. head knows about it and nobody else. That's pretty evil. Hadn't thought about that.
so, you know for sure this account agrees to be offshored? (some do not agree).
nm
and they dont care is offshored. Bottom line to them
x
They only offshore if the client wants it. Most accounts do not want their work offshored. NM
x
My 1 cent (keeping it low so opinion doesn't get offshored).
I agree with a lot of the other people. I will say, though, that I would be A-OK just working on Word since I'm assuming getting a the DocQScribe set up for a bunch of people might be cost prohibitive, at least at first.

Also, since you are talking hospital transcription, that is going to mean 7 day a week coverage. If the need arises, I would rather see rotating weekend coverage rather than requiring everybody to work every weekend.

Also, while cross-training is great for vacations, sick days, heavy work, it would be terrific to be able to get an account and not have to chase the work across 6 different accounts in a crazy MT version of musical chairs. I guess that would mean not over-hiring.

It may be unpopular, and it's probably easy for me to say because I've been at this for so long, but since we don't really establish seniority at a company, I would love to see some sort of reward for years on the job. I think I bring more to the table than someone with 2 years, and it would be great to be rewarded for that.

I'm sure I'll think of more...it's been so long since anybody asked what could make my job great that I had given up even thinking about it!
Platform very easy and quick - easy to get used to. :)
.
"All kinds of industry is offshored" yep, & guess who started it early 1980s?
.
When they called me and I asked them if they offshored, they asked me why that was my business!
xx
Dictators
Actually, yes. The dictators are very good and the variety was also a good mix.
How many dictators a day do you do who
speak clearly, enunciate each word, isn't eating, chewing gum, or flipping through the chart while they are trying to dictate, who does umm, umm, umm every third word?   I don't think VR will be a threat any time soon, if ever. 
dictators
The majority are good. After a few times of transcribing them and with sample reports, not a problem
You must be getting my **not so bad** ones, then ! Let me have some of those dictators ! n/m
b
Hispanic Dictators
Hopefully its not De Tar Navarro. That's an awful account.  They have quite a few of "mush mouth" RN's who dictate for the doctors.  You don't get samples, so you pretty much wing it.  At least you don't get the defy's (QA markers at MQ) counted against you!!  De Tar is all progress notes and a few discharge summaries.  You're lucky if you can get 3/4 of your required line count!! Other than that account, the others were pretty easy (with the exception of those bad quality sound files that is).
They are in a folder as are they for a ton of dictators.
Unfortunately, there are TONS of them that I have to scroll through. Even though they are alphabetized by dictators last name, it is very time consuming.
Difficult dictators?
So MDI-FL and WebMedx both have decent health insurance for a decent price? And what do we have to do to get that? Are they all ESL? Or do they truly have decent dictators where you can make some money.  I have done very few ESL. What typing speed are they looking for?
Been there . . . this is actually a step up on dictators for me!!! NM
NM
Depends on who the dictators will be.
At Spheris, I got paid 0.09 for acute care but only 0.075 for ER work.

I could do nearly twice the lines of ER work, though, because of better dictators.

So, I pushed to do as much ER work as possible and made considerably more money.


Yep REALLY low job #'s from dictators from hell

slow dictators
but can't you speed them up with ExText so they sound like chipmunks, hahaha....
Some of these cesspool dictators would not...........sm
actually be so bad if there wasn't so much background noise and you could hear what they were actually saying!
Awful dictators

Awful dictators.  They cannot keep people on this ortho account.  The sound is so muffled, you cannot understand even an otherwise very clear dictator.  They do not have a website.


We could say the same thing about their ESL dictators...sm
who are making a 6-figure fortune off of our backs...while they pay us pennies.  Learn the language, at least!
definitely horrid dictators...
and the account specifics would make you nuts. specifically, they wanted tables edited that would take about 15 mins/per @ 4 cpl. also we kept running out of work, so yea, at $7/hour I quit and am doing just fine now back on clinic work.
Stuttering dictators

Just wondering what you all think about this:  Should a doctor who obviously has a terrible problem with ssssstuttering be dictating?  Seems like it might be an invitation for errors on the poor patient's medical record.  What do you think?


 


but if the company has dictators sm

who dictate like this then YES it is fair to test you on those.  It does no good to give you a good dictator (whatever you deem to be good) and then most of the dictators of of the caliber you had on the test.  It is very fair and honest to the potential employee.  What happens if you test on a dictator that is good and then your account has the really bad ones?  Is that fair to you or the company?


It use to be that folks in the MT profession accepted this as part of the profession and none of this was ever a point.  Seems now MT has come down to lines, spaces, cpl and all the rest and forget the real reason behind this profession, THE PATIENTS!


Dictators getting worse all over.
More and more ESLs. Many younger doctors not as 'literary' as older (retiring) doctors, may have opted out of language and literature courses in school in favor of science courses. In some cases good dictators requiring less proficiency to transcribe may be sent offshore or routed to VR. Seems to me that some younger doctors don't care much about documenting their work and don't spend any time preparing a dictation in advance, then fly through it just to get it over with.
Thanks. They told me it was mainly Hispanic dictators..??
I'm curious if it is mainly acute care (OPs, HPs, Dis, Con, etc.) or clinic...??

I didn't think they paid overtime..? If I'm an IC, and they don't keep up with hours, should I have to put up a schedule? THanks.
If you like getting docked pay for lousy dictators, go for it. nm
adf
Was the test really difficult? How bad are their ESL dictators?
x
Your dictators are clear, and there's *no guessing at all*??

So if you get one that isn't so clear, does that mean you *guess*?? 


A fair share of ESL dictators.sm
Platform easy to learn, I think it is a good place to work.
FutureNet ... Very very difficult dictators

The people at FutureNet are nice and for the most part easy to work with.  Their platform is easy to use.  The accounts are the bottom of the barrel as far as dictators with thick accents, fast talkers, slurred speech.  QA is nice but can't help you get used to these awful dictators.  The quality of dictation just stopped me in my tracks, it was so terrible.  Again, the staff are pleasant, but they aren't the ones who have to try to decipher the dictation to make a decent line count. 


If you have the experience, the pay is higher than most nationals, and if you have an extremely good ear for accents, you can do very well.  The dictation is internet based so you don't have to scratch around for your own unlimited long distance.  The pay comes on time in my experience, but there's no Direct Deposit.  The line counter is always accurate, I have checked against my own, and never any discrepancies. 


The editors always seem able to fill in the blanks, so it is proof that some people can understand these dictators, but even though the folks at FutureNet were some of the nicest I have worked with, I could never get a handle on the accents, so regretfully I had to move on.  Don't be fooled by the test reports, the actual dictation is much worse. 


Lower rate/better dictators
Again I agree with you!   The MTSO, hospitals should go to dictators that are bad or hard to understand and ask them politely to clean it up.  How are we supposed to do our jobs 100%  when we get crap to deal with? You give clean dictation you get clean reports.  Any fool can figure that out . . . . well maybe not.
I see no problem with yawning dictators. I'm sure if I
worked a 16-hour day, I'd be yawning too.