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Serving Over 20,000 US Medical Transcriptionists

From what I know the three hospitals are actually one big account with three facilities and then

Posted By: TTTyper on 2006-08-23
In Reply to: Does anyone know info about the accts that either Med-Tech or TransTech is currently - hiring for? nm/GaMT

the fourth is a cancer center. I have worked at Transtech for almost two years and it's the best job I've ever had. I think you will have a primary account and then a backup. I don't know of anyone here who has more than that.


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Some facilities or hospitals keep their own servers in-house sm
to store their medical records. eScription is a software program used to access those files.

It all depends on how each client handles their contracts with eScription. Not every client or hospital is the same.
They are up for a HUGE account in Chicago. I work for one of the hospitals sm
and would be offered a position to work with them if it happens. I am very worried now. The last hospital I worked for went with Medquist and we all lost our jobs. They did offer us jobs but not on the hospital we worked for. I went to this other one and now this :(
It is not the hospitals on a short TAT it is what MQ wants to make the hospitals very happy with

them. I would assume the accounts are on 12, 24 or 48 TAT but wouldnt they love having their work back no sooner than it is dictated.


I take it they are two different facilities? :)
xx
From above: they are giving you. I bet facilities are
x
Actually, I have heard of facilities
Okay, my apologies if I thought you were biting my head off. I'm so used to the negativity that usually runs rampant on these boards that (without my usual pot of coffee to start my morning), I thought you were discrediting my concerns. Again, my apologies :-).

Back on topic, I have recently heard that facilities now do push every dictator through onto VR, no matter how horrible they are (I guess they figure it's the MTs problem, as usual).

There are very odd things going on at MDI-MD, and with the new offshoring, etc., it makes sense that they would pull back the ones too difficult for the ILPs to understand and pass those on to the American MTs.

But I seriously would like some opinions on why work is disappearing for 3-4 days, then reappearing for transcription. The ONLY thing I can think of is this, too, is work that was routed to the ILPs but it was close to falling (or already had fallen) out of TAT and they needed the American MTs to pull it back in line. Like I said, I've been on this account for more than a year and this NEVER has happened, EVER. The work was somewhere...the question is, where?

IMO, I think the lack of work, the only remaining transcription being the dregs of the dictators, and work suddenly appearing (and large volumes of it) 3-4 days after it was dictated just all points to offshoring in progress.

Any thoughts on that?

And, yes, BTW, like you I do VR and love it. I think Escription is just about the greatest thing since sliced bread, lol!
Most doctors and facilities have never heard of . . .

CMT, or the AAMT.  Although they (AAMT) want to you to believe it matters, the CMT designation isn't really an important factor in the real working MT world.  Quality is what matters to the healthcare providers with which I work, and unfortunately having CMT after one's name doesn't guarantee that. 


The AAMT also is pushing for mandatory certification.  That will never happen.  I predict the AAMT will go broke within a couple years.


The bottom line is to do quality work.  That will keep an MT working and in demand.


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.
Facilities have to have employees vote
on whether to accept a union or not at their place of employment or not. If the majority of employees vote no, then a union does not go into that specific facility.
All those facilities amount to 1127 sm

actual beds (the size of 1 large teaching hospital), clinic work, a rehab center with 40 beds and an imaging center.


The list of facilities sounds impressive, but does not amount to the number of accounts we have lost and will lose over the next few months.


The way W overhires, this account will be like all others, everyone fighting for some work.


Depending on where you live, there are many facilities hiring.
Check with Radiologix. They had an ad running for MT, pay well with great benefits.

If you check around, there are many other facilities hiring in-house if that is what you prefer. Some are hiring at-home employees also with a better setup than what you describe.

Pick yourself up! Don't let it get you down. Life can be much much worse.

Really, if you were in a room full of people and everyone threw their problems into the middle of the floor, you will see you really have no problems at all!

Good luck to you!
Um, some facilities are getting back huge mistakes!
Depends where you work. If you have access to all reports, try looking up some that have gone to the facilities. Where I work, it is frightening!!!! ; 0
They will outsource and find out facilities are willing to accept
p
The suits and facilities often control dictation, not
x
Big facilities contract out MT through administration. Drs have no say, they dont pay the bill.
:+
We need to CALL THE FACILITIES and let them know what is going on! OR Class Action Lawsuit
...we need to all go out on strike! If we ALL stopped working tomorrow, called the facilities and let them know why, where would WebmedX be?
Our only hope lies in the facilities staffing MTs direct. SM
Win/win. They save a ton even if they pay us more per line which in turn puts us back in the bladk. We get affordable health coverage and labor laws.

SIMPLE AS THAT


Could you be confusing "using the facilities own MTs" with "sending to India" mayhaps?
x
That account in Texas was not a MQ account. They did not use DQS on that account until KS started.
They are moving 3 other accounts to DQS between now and January 1st. I asked. The MQ accounts they have gotten in the past did not go to DQS. I followed my old account, which is how I know, and it was Meditech. The account is still run by KS and is a big account too.
Repeatedly told another new account would come soon, but it never did. In fact, our slow account is.
everyone else's backup account. What a disorganized mess.
HOW DO YOU KNOW THEY ARE GETTING RID OF THE LITTLE HOSPITALS THAT WON'T DQS?
X
So does that mean that the hospitals (sm)
(their website indicates US-based hospitals) that use this company are okay with this level of quality that the QA in India provides?  Thank you.
Is there anyone else who would like to see hospitals (or more hospitals)

offer transcriptionists the opportunity to work at home directly for them, with decent hourly pay that is at least consistent with the cost of living in the employee's particular region (and assuming that the MT would be working at home for a hospital that is in her/his region), with same employee benefits as the on-site employees?


hospitals?

i've been applying to the hospitals in the area about every 6 months, and no one is hiring.  i don't even think hospitals or doctors offices have MTs anymore...not my doctors office, and not another place i applied for a job...they have these little hand held things they dictate into that transcribe their words right there and then, they print it out, sign it, stick it in the chart, over and done. 


if i weren't 10 years away from retirement, there is no way i would get into this business.  having been doing this for over 20 years, its hard to find something else. 


i've got work today, but its crappy work, the national cesspool stuff, and my line count is going to be so far below the minimum requirement it won't be funny. but they shouldn't mind, since it means they won't have to pay too much at the holiday rate. 


but i keep applying and looking and applying and i know something good will hopefully come my way eventually.


in the meantime, i've had to get a 2nd job, part-time, another at home MT job, with a much smaller company, all IC employees, and i'd jump ship in a second and work for them full time if that wasn't the case because they are like night and day from the place i work for full-time now, but i need benefits, am single, own my own home, and will soon be one of those old ladies living out of shopping carts on the street, eating out of dumpsters, at this rate.


 


Yes, I have three hospitals too
and am very pleased. My liaison is awesome. She actually treats me like a human being.
CA Hospitals
I wondered the same thing. So many of the hospitals and clinics rely on MediCal, Medicaid payments. What is going to happen? Does the state have any safety net built into the system? What if the insurance companies go belly-up and quit paying as well? Domino effect!!! Ark!
Plus hospitals don't want to buy sm
the dictation or transcription equipment, just download the completed product into their electronic medical record. How would a bunch of ICs manage that?

Not to mention getting American MTs to all agree to be ICs - personally I wouldn't want to be one. I NEED INSURANCE and want a paid vacation, which I get through my company.
St. Louis Hospitals
Hi!! I, too, would love to chat with fellow STL MTs.  Feel free to e-mail me!
St. Louis Hospitals
Hi!! I, too, would love to chat with fellow STL MTs.  Feel free to e-mail me!
I'm not sure who the other university hospitals use but

I never see anything on their sites or on CareerBuilder about hiring in-house MT's so apparently they're all using an outside service of some type.  Most hospitals I've worked in-house for use Medquist and another service at the same time (without Medquist's knowledge).


The only Phila. area hospital I've ever seen advertising for in-house MT's is Cooper in Camden, NJ (across the river from Philly).


I emailed you with some hospitals to look into - sm
I really hope it helps. In the meantime, I will get in contact with a couple of people I know to see if they hire outside their state.


I think MQ used to have them right. I guess they still have a lot of hospitals in the
Philly area.
hospitals hiring again?
Does anyone know if the east coast transcription scene is any better than other parts of the country, i.e., work?  Are east coast hospitals starting to hire in-house once again?  I am moving back to the east coast mid 2006 and wonder if I will still be working out of my home or can look to applying for an in-house position.  I was gonna post this on the state board of NY but it seems to be quite inactive.  Any information is truly appreciated!
Not that I know of. More likely to find hospitals that do. nm
x
No work on four hospitals
I'd like to know how it happens that four hospitals can suddenly just stop dictating, and work suddenly just get slow, on all of them at the same time, and them not even in the same group.  I think the company has hired too many transcriptionists and can't keep them busy, or is offshoring most everything, but telling us a different story.  Is there any way to find out what's the real case?  XXXXX  It has happened several times like this over the past five years, and I am getting fed up.  Are all companies like this or is this the only one where this sort of thing happens? People get sick and have operations every day of the year.  They don't suddenly stop going to the hospital.  Are they playing on our stupidity, or could this be legitimate? I find it very hard to believe.  I'm a seasoned MT with 15 years' experience, and provide excellent work. What' up? 
Hospitals outsourcing?
Anyone know of any hospitals directly outsourcing to MTs?  My local hospital does - but not hiring now.  I'm w/a great company other than running out of work consistently even on three accounts for months on end ....
Started several new hospitals

is starting at the end of August.  4th was a little slow but only for a few days.  Work is fine and nothing much has changed so all's well.


What I have found is that the hospitals SM
will usually try that as a last resort to get their own transcriptionists to produce more.  When they find out that the production increase isn't that big (or production actually decreases), then they outsource the whole thing and say that they tried everything to keep their own people.
hospitals vs. companies



I am applying at both a hospital for a prn position and with an MT company for part time work. I have the option to work in-house with the hospital, which I may do because I have to drive 25 miles to the city to bring my kids to their preschool anyway.  My question is, what are some of the differences between working for a hospital and working for a company?  (Pros and cons for each)  I have less than 2 years experience, and some of that time was spent doing chiropractic transcription, so I am concerned that I might need more experience or training for the hospital work.  Thanks in advance for any comments.  


hospitals vs. companies
Thanks so much for the input!
Except that the doctors & hospitals - sm
are being swallowed up one by one by the big mega-institutions: Tenet, Sutter Health, Catholic Healthcare, etc. The docs & hospitals have less and less say over who does their transcription (if they even have a clue who does), just like they have less and less control over what procedures they can recommend, and what drugs they can prescribe.

It's all come down to the fat-cats in the 3-piece suits sitting in their high-rise corner offices, dictating what healthcare will be meted out to those of use who need it, and how much the hospitals should pay for 'ancillary' costs such as transcription.

If ever there was a group of people the goverment should be investigating and putting a short leash on, it's the HMOs and the Health Management Corporations, which have ruined almost every corner of the American healthcare industry.
Maybe it should be shared with the hospitals and
clinics that trust AHDI. Show them what a load of ___ that organization really is.
ATLANTA HOSPITALS

I am not sure about St. Joseph, Grady or Atlanta Medical, but my husband used to work at Emory and they have outsourced everything they can..he was laid off during all the change about 3 years ago.


A new nonprofit board just took over running Grady, so no telling what is going on there....


I live south of Atlanta (Griffin area) and all hospitals in this area outsource. 


I heard through the grapevine that Southern Regional (Riverdale) let their radiology transcriptionists go not too long ago, but don't know about HIM. 


But, if you happen to find a hospital that still has in-house, please let me know!!!!


Worked at 2 different hospitals and...
the only thing they ever required were a form that gave our medical history, drug screen, and criminal background.  I am really fine with that.  Its the physical and credit check. Only God, my own doctor, my accountant, and my husband get that information.
if you're doing 2 hospitals...
it's gonna take time, but you can do it. Of course, it's gonna take longer if you're typing for more than 2.

If you're doing more than just DSs, then this will take some time also, but it can be done.

If you're typing for residents (ugh), they come and go and you will be learning new ones all the time.

Your plus is that you can look back. Just do the same process for each doc. Take your time, get your flow going, and don't worry. :)
Texas Hospitals
I am currently working for a Texas Hospital as well. They are not even open as they do not have power and are not sure WHEN they will be back. So my work has been NONE since about the same time frame.

Here is to hoping there are better times ahead for our Texas Hospitals and for all the Texas Hospital Transcriptionists.
Is this a combo of 3 hospitals? nm
.
CA County Hospitals . . .
I don't know about UC but the company I work for has a county hospital and payment was 3 months late. No IOU yet.
In California hospitals
things are especially tense. The unemployment rate in California is 12.5% and the state is ready to go bankrupt. I am just ashamed and disgusted that such a beautiful state has gone the way it has.
You must have some tiny hospitals, then.
A few docs shouldn't make that big of a difference. Plus if you've been reviewing the Community Page over the last several weeks, you should realize that there is more going on than vaca time for docs. Management just isn't letting us in on it.
What else is new **small hospitals** sm
I'd like to know who the salespeople are at this company.  All these small accounts with their picky instructions.  Why don't we have even one huge medical facility?