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All large co's are off-shoring and no one appreciates people with

Posted By: experience. Time to get out. on 2007-10-06
In Reply to: Quit Precyse. Work for someone who does not offshore. nm - ME

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While I'm sure MDI-MD appreciates your loyalty
appreciate your posting here, adding pokers to the fire of the already hurt/unhappy MTs. Give it a break, really. And you not only have to share that your experience is absolutely Mary Poppins material, perfect in every way, but you are compelled to discredit everyone else's negative experience. I'm not even involved, but it gets my dander up. Get over yourself. You're doing your beloved company more harm than good by inflaming an already inferno situation. I'm sure Carlotta agrees. In fact, I know she would agree with me.
No company appreciates your ability to

    makes lots of money by high production.  What they do appreciate is knowing they have a high producer and moving that MT wherever they have the need.  I thought I was the cat's meow being able to transcribe an average of 2000 quality lines per shift.   Yeah, right.   Three companies later and it is painfully clear that the only concern the companies have is what I can do for them. If I lose sleep, suffer financial loss, etc., it's my problem.  And before you wonder, 2 of these including the current are highly-rated companies on this site. This is what the last 23 years of dedication to this profession has earned me.  It is possible to be too good and too fast.   The only lesson learned is use them as they use you.


       You are stating $15 - I assume you are arriving at this figure because they quoted a reduction in line rate or something else specific?    Do you have an IC contract?   I can't advise what you should do, but I'll tell you what I'm about to do.  I am so sick, broke and distressed over this treatment that I'm going to simply stop the loyalty and divide and conquer.   I am going to use my speed to juggle multiple jobs (I have before).  If the company goal is to get more for less, they will find they get less for less from me.   I read a recent post where an MTSO was discussing how distressed he/she was because the quality of MTs was so poor overall.  To that I say there are awesome MTs out here who really need consistent work and fair treatment and who will bend over backwards to do a great job for your company.   Say what you mean, keep your promises, and stop treating us like pieces of meat to be graded on a production scale.  


    As for that wine, I'd like to toast you even though it's 10 a.m. EST - you are not alone!


Looking for company that appreciates and rewards CMT credential
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Off shoring
There are unfortunately very few companies that do not offshore anymore.  Most would rather not go on the record for doing it.  They are doing it to try to make ends meet and to meet 24-hour TAT demands.  It is really a shame.
off shoring

You speak garbage and BS.  It is corporate greed, is and always will be.  You are right about all the stuff we have in our homes that say Made in China but where did it start?  There is not one USA car maker that has its total car made in the USA.  All the cars components are made elsewhere.  The only true American car made entirely in the US is the Ford Excursion.  The rest are outsourced.  I  hate it and most MTs hate it.  I make sure that my own personal records from the doctors and hospitals only hire Americans, as I do not want my medical records transcribed anywhere but here.  I deplore NAFTA and CAFTA.  I think it is wrong.  Everything is one sided or leaning that way.  AHDI could not get enough members so that started teaching elsewhere to get the membership numbers they wanted.  Now they are getting more and more away from transcriptionists problems and they are a lot of the problem also. 


But then again, when I see some of the questions on the word board of people needing help, and in reading some of these posts, I am appalled that these are MTs.  Some of the most basic stuff coming off the word board should have been something that was taught in MT school.  Okay, now I am getting away from the real issue here and it is outsourcing. 


IMO, wrong, wrong, wrong!!!!


Off-shoring link
Isn't it funny that Heartland was named in this article, yet...considering that they are getting ready to send ALL of their work to India...it appears that they learned nothing from the experience.
Which are you against -- outsourcing, off-shoring, or both?? nm
xx
speaking of outsourcing/off-shoring
The news had a segment last night about medical identity theft becoming a big problem in the U.S. Hmm. Interesting. We've been trying to tell them this for years. All one need do is jot down numbers a doctor dictates, whether the software is secure or not. U.S. MTs are accountable and it is a felony. Unless they start extraditing off-shore MTs for felony charges, then they have absolutely no jurisdiction.

I have a feeling more and more legislation about off-shoring confidential information is in America's future.

MT companies and even AAMT like to say there are not enough qualified U.S. MTs. It's not true and we know it. There are simply just not enough U.S. MTs who will work for nothing.


OFF-SHORING issue/idea. sm

I have absolutely no clue how to do this and have never even been to the site,


but I heard on TV about teenagers getting Obama to listen to them through You-Tube.


Why cant we all do that?  If someone has more insight, Please Share!  This might also be a way to reach out to other MTs who don't know about this site and to the public about our medical records! 


What do you think?


Companies will not stop off-shoring. I'm worried about my job
z
That is talking about outsourcing not off-shoring work. NM
NM
I can't tell you, sorry, but it is a LARGE one.
,
large comp

I agree.


They have taken on several new large accounts over
the past several months.
been with 2 large nationals; will never do that again.
Much better with the smaller companies.
I have 22 employees, which is not large, but had to do the same. sm
Our state unemployment division did an audit on me and determined that the ICs are actually employees. I had to pay unemployment on everyone who works for me or who did work for me back 5 years to present and make them all employees. I had to pay fines and penalties too.

The IRS has their list of 20 checklist items but the states can have a few of their own and they have the right to enforce them.

One from our state (Missouri) states that if you perform the same type of duties as employees at the company, even if you fit the 20 items from the IRS, you are an employee.

I appealed the decision and lost. It cost me $5000 for a lawyer but still have to pay the $218,000 to them (the total with the fees, penalties, interest and payments that should have been made). It is going to force me to close our doors.


If it is a large account
your email may be one of nearly 20+ she gets per day. When you are a lead you are getting many calls and emails daily. Address the issue with the head and go over his/her head if things don't improve.
these were supposedly large sm
companies that have been around awhile.  I am hearing a lot of MTs going through the same thing.  Its getting ridiculous!
It is hard to get a large
group of doctors at a hospital to ALL do VR and their own editing. Smaller clinics are more likely to completely do away with MTs, as they are more inclined to do their own editing; plus doctors in clinics do not go into as much detail as hospital dictators. Clinics usually stick to a fairly standard normal template, whereas doctors in hospitals dictate all kinds of ways...That is what I have seen..
I have found that large places
like hospitals, banks, insurance companies offer the best benefit packages to part-timers. In fact I once worked 10 hours a week at a bank just for the benefits package. PT MT at home with benefits, however, I don't think you will find. It's hard enough finding FT with benefits and the premium isn't $800 a month.
Yes, 2 large hospitals. Both accounts out. nm
nm
When I worked for a large national, they
had a gal from New York using a steno machine.  She consistently turned out over 20,000 lines every 2 weeks/pay period.  So if you know the steno machine, you can make megabucks in transcription.  She always won awards at this biggest national.
The accounts are so large you get them some days
and other days none. I too have had days when that seems like all I get. Sometimes I will go 3 months before I get the same doctor. She should have asked them to route her a variety that day or try another account. There really is a break in period with any new account but Transtech really is the best company out there and they are willing to work with their MTs.
Um, not exactly - some of the VERY LARGE companies do the same thing!
Trust me. lol
I do a large number of ESLs and usually

don't have issues, but when I worked at SS their ESL dictators on at least 1 account were horrendous.  They were bad dictators on top of the sound quality being the worst I've encountered in my 20 years of MTing.  Management was a joke and you couldn't believe a word the CEO told you.   I worked in QA and the quality of the transcription was very bad.   Someone asked me if the work was done in India and I said it may very well be because it was so bad that it pretty much had to be done over.   I had some suggestions on how to better run things and was offered a management position to implement them, but I declined. 


The reason there is a lot of work is because they can't keep MTs.   I agree not all companies, not matter how good they are, are a good fit for all MTs, but if a company has constant turnover there has to be a reason for it.  I work because I need the money and I don't see any reason to waste my time going with a company that has the reputation that SS does.  There have been a handful of MTs who despite all the negatives about SS decided to accept positions.  A couple of MTs have come back about a month layer apologizing for not believing us and said everything we said was true.  


I would not refer my worst enemy to this company. 


Would anyone work for a large national co, with a

I use the company provided computer.  They had a change in computers and I was sent a new one.  Since that time, the foot pedal provided has not worked.  I can hear reports, but I cannot backup or move ahead using the pedal.  To hear something again, I have to bang my foot on the pedal. To move ahead forward or go backward for any length, I must go to playback page and manually move the cursor to where I need to be. 


I have put up with this for five years. Yes, that is right, FIVE YEARS!!!! I have called our so-called Help Desk numerous times and I have been sent two more pedals, neither of which work, or, rather, work the same as the original pedal.  I have asked for help from countless people.  The Help Desk states I am the only one having the problem.  The supervisor says I am the only one having the problem. I know one other person on my team who is also having having the problem, but we are too  ashamed to really raise heck.  I am disgusted. 


By the way, it is the most commonly used foot pedal. Even their ad states it works with any computer.  I just had to vent. 


Large nationals don't like radiology because of TAT
xx
I was offered a very large rate of pay, so you
z
I know they just got a large hospital account near me.
xx
They have recently gotten a very large account. Probably
xx
Large deductible and everything out of pocket.
xx
A REALLY large system with several hospitals. nm

Is this a large hospital with MANY Hispanic
dictators, probably over 75%? I heard they only had 1 account on DQS, a new one they picked up in August. I am working on that account and would love to switch.
It's a large company, Passing, SM
offering a variety of opportunities and mixed experiences. Different platforms, different managers, and different accounts all over the country. Transcend kept me happy with lots of good work for a long time before my account went offshore without notice. I was then switched to another very good and interesting account, where the way the lines were counted was adjusted down again without notice (by the same account manager). If that hadn't happened, I'd be there still, and I have no doubt that the many people who say it's a great company are honestly reflecting their own experiences.

Knowing what I do, if I were you I'd go ahead with the training but, as with any company, be firm up front that as a pro you expect to be assigned to good accounts with lots of work. Then call on them immediately (first 2 days) to correct the situation if they are not, and mean it. I've never been in MT personnel, but I imagine they hire a lot of people who don't pan out, engendering an attitude that adversely affects the way many others are treated before they have a chance to prove themselves. If they allow it. Best wishes.
Usually MANY battles, both large and small,
Food for thought.
All the large companies do the same thing.
I don't work for WMX. I'm amazed this is the first anyone has heard. I suppose Webber Inc. keeps things quiet.

Really, don't get upset. Just business as usual.
And what large hospital did they lose? (nm)
.
As someone who has worked for many large companies, sm
I've seen this many times before. Companies downsize or streamline or whatever they want to call it OFTEN, especially management level positions. I wouldn't blow this out of proportion.
Anyone currently working for DSG know if they have a large turnover of MTs there and how is it
to work there at the present time.  Just looking!
Yes it is, and ANY percentage is too large for my comfort
ANY percentage is too high. There's no excuse for it except profits for greedy American MTSOs.

There are literally HUNDREDS of US MTs more than willing to work these odd hours that Transcend and others claim they are 'forced' to offshore because they cannot get sufficient help here.

I strongly disagree. In fact, I disgree just short to calling it out as being a bald-faced LIE.

The purpose is nothing more to increase profits for the powers that be, while all of the time hammering down the pay of the American MT.

I hope I am not alone in my stand on this. I would rather somewhere else for less money who DOES NOT offshore and who respects their MTs. Respect is something MDI-MD obviously chose to cast aside when they began negotiating their moneymaking deal while we starved, lost sleep, wondered how we would pay our bills, and yet STILL tried to be loyal to these yahoos.

Nope, not happy and checking out before my work goes to India.

I've worked too hard and am too advanced in my career to be a sitting duck.
Unless she can provide large volumes of
eventually the big co's with their guerilla business tactics will stomp on her little business, too.
13.5 to 20 cents is a large difference to pay. Naturally MQ would get 20.
Something told me that they got just as much as they used to and this shows they do. I hope all the smaller MTSOs would stop lowering their rates based on what they **think** are going down. If MQ can get 20, so can they.
Does anyone know of any large billing agencies that are for sale?
If you are aware of a large ($1million + annual revenue) medical billing/transcription agency/company that is for sale.  Please reply here or email me.
Is there a large cost associated with the Sten-Tel system? Thanks. nm
x
So all MTs that work for a large service are bad MTs compared to those sm
that work for a smaller company? That could not be further from the truth. Some of the larger companies can attract better MTs with benefits, higher pay, etc than a smaller company ever can.

I think it depends on the MTs, not the service, as to the quality of the work.

I work for one of the companies the OP mentioned and the QA standards are MUCH more strict than smaller companies I have worked for in the past.

Had someone tell me they do a teaching hospital with them, if you like large accts. Might want to
s
I make more than that working for large National, which SM
provides all equipment. I do not have to pay for long distance. I have benefits, paid time off, health insurance and a wonderful supervisor.

I am really glad you posted. I haven't felt this satisfied with my company for a long time. Now I know why I am still working for them.

And by the way, if you expect your MTs to paid 8 cpl and pay for their own LD, they must be starving and/or homeless.
Wow, the poor man. No, bud uses an enlarger program & very large
s
Did you get the note from Debby? New large account (sm)
coming on in stages.
Lost job to outsourcing through a large hospital
Just found out my job is over at the end of August.  Have worked for MeritCare Hospital in Fargo, ND, for 2 years and they decided to outsource everything.  Any great ideas for me?
On accounts they are losing, one isn't a large hospital in LA? (sm
I figured if they ever lost this one we would be notified in advance. (or at least hoped) This one they got when they bought YOG out, large, large facility. E-mail if you wish.