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I don't see how this could be offshored at this point

Posted By: diddles on 2005-12-22
In Reply to: Not the OP, but I appreciate your info. I'm looking - into this, too.Is coding outsourcing a threat? nm

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~


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will be offshored.
x
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 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.
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!


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!


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!
"All kinds of industry is offshored" yep, & guess who started it early 1980s?
.
Excellent point, and point in case
look at the charlatan christian in the
Whitehouse who uses religion to push his agenda...

Christian IS as Christian DOES...
I understand your point, my point is why can't MTs and QA work together..
being QA doesn't mean you are above everyone else, you are just an extra set of ears...and why do so many MTs take offense to QA??? That is my point...you made have had bad experiences in the past with QA but not all QA are bad...
When they called me and I asked them if they offshored, they asked me why that was my business!
xx
Actually, I can see your point AND the opposing point
.
I do see your point. sm
I just don't know how bringing up old news affects the here and now. The article did say that Linda only referred to this time period as the "black hole."

From what I can tell from the article, a lot of court, attorney and ESI quotes were quoted, but no real fresh news, i.e., something present. If this article was never published, I would have never known.

I also understand and recognize your personal feelings. How do you think that this is going to impact you and/or the MT community? It could go both ways of gaining clients or very wary practice managers.
My point exactly, and....

Respectfully, if this story had not been published, you would not have known.  You would have not been fully informed of the business history of fraud.  What if, for example, instead of selling your business to her, you entered a partnership with her ??  And then found out this history in the newspaper?  If it were me, I know I would feel pretty ticked off and deceived.   That negative association could possibly last a business lifetime for you. 


Execuscribe (Linda) had awards locally, and has been in several news clippings and featured in Inc. magazine.  She is definitely in the public eye.  She has to take the praise along with the truthful reporting of fraud in her business.  She owns both.  Would you vote for a political candidate with this history???  Would you want your son/daughter to marry somebody with this history??


Her clients may jump ship -- I know of 2 MTSOs locally who have already received inquiries to change providers.  They may change, they may not.  Are they wary?  YOU BETCHA!  But, why is that?  Not for anything they have done, but because they may be lumped into the "Execuscribe" category simply by association of being MT.  Don't ya think that's a bit unfair?  From what I've been told about questions asked to these MTSOs, they have to go in with their defenses lined up about how they DON'T do business, before they can even present how they DO business. 


There was no "slant" to RBJ reporting.  Simply the facts taken from court records.  It's fresh news if it has not been disclosed previously.   I, for one, will be watching them closely. 


you do have a point! nm

That's my point
The "not saying more" poster said "Don't believe everything you hear about Transcend. The GOOD MTs like this company" and made it sound like if you didn't like Transcend, you weren't a GOOD transcriptionist. Those that left were there for years.  They must have been doing something GOOD with the strict QA to last there for years.  If they were that bad, why would Transcend expect them to sign a waiver not to sue when they leave? Transcend could always say that the MTs sucked, they were unreliable, their QA was terrible, etc.  Instead they want to clear themselves from future lawsuits.  That alone says a mouthful.  So "not saying more" is just plain wrong in assuming that it's the MTs at fault.
You have a point.
That would be the only drawback for me was the pay. I make 9 cpl now and at Amphion I would probably only make 7.5 to 8 cpl maybe. But I love the fact that I wouldn't have to work, weekends, evenings or holidays and I can spend that time with my family. I also am trying to consider the fact that if I get a good tax return this year I will pay my SUV off and that would save $300 a month. My baby is due any day now. The hospital I am working at has me working Labor Day (if I am not in labor), and Christmas. I worked Christmas last year and that was bad enough but this year will be my baby's first Christmas and mommy will be pounding away at the computer while dh, MIL and my other dd have the big family gathering.

OK I am not bitter.....lol. Probably just PG hormones.

I also see the point, however, sm
I meant no harm, just trying to offer help and/or encouragement to the original poster.  Most probably I could have done with just saying QA lest someone be offended.  I expect anyone who has ever been in the position of having that type of QA person would call that type of person the same, or worse, than I did.  Matter-of-fact, in real life I swore viciously at my monitor over that type QA person and called her everything but a good milk cow.  'Course no one saw or heard me and my email to the super was quite professional and simply referred to her by name. LOL
My point, exactly. Thanks. nm
:)
Yes I am, to the point I am looking for another job. nm
x
This is my point
MTSOs have to be willing to walk away. Yes, the facility can find someone to do it cheaper and more than likely, the quality will reflect this. A company I used to work for had a large hospital account with all overseas MTs on it. I did QA for this account. The MTSO was dumb enough to release several of these MTs from QA which allowed them to upload directly to the hospital. I'm laughing as I type this. Two weeks later, the hospital had bailed. Account gone...POOF!

I can only imagine what those reports looked like that the offshore MTs were uploading. QA is like life support for the offshore MTs. They will always need it 24/7. What company in their right mind would allow these people who understand nothing about the english language and proper grammar - to come off of QA? Unbelievable!
and your point is?

That's not the point...sm
Word Expanders have NOTHING to do with being paid for spaces.
That was my point :)
.
Yes they do... but I think the point is that it is not always right.
NM
And your point is.....
LOL.... Having postings proves nothing. And you cannot follow directions obviously.
the point is . .
I've been in this field almost 25 yrs. and even back when things were so much better, there were the catty, whiny people who chose to be unhappy no matter what. At least here we don't have to click on their posts, now do we? I hope as I get older, I won't have one of those permanent frowns I see people like that acquire. Such unpleasantness is such a turnoff. This is the first time I've come to this site in 3 mos. because I got so fed up with the petty nastiness. Sorry to see nothing's changed. :0)
And your point is what? I said
it had been at least that long, so if you are correct that there has only been 1 male supervisor, guess that's who we're talking about. 
Exactly my point...
As long as this is the way we look at things, it is the way it will be. Once again, you have a couple of people who have had a bad experience, therefore ALL employers are bad.

With this kind of attitude, it's no wonder that many employers think of MTs as a group of whiners. We make that bed for ourselves.
Just want to point out...
This is NOT about ethniticity or race or anything like that. I was a marketing executive before I opted to do this and stay home with my daughter and worked with many, many foreign countries and people. The work is just as good and some cases better. HOWEVER, this whole situation is not good for anyone involved us as US-based transcription and the transcriptionists in India. They aren't being paid fairly and the AAMT has made things sound quite a bit better to them than it ever will be as many of us know from experience. As far as the horror being turned out by US MTs, in your particular situation or not, there are, in every profession, the bad apples. While unfortunate, I know that most of us care about our work quality and strive every day to put in 100% to make sure each and every sentence, word, note, dosage and spelling are perfect and correct. I have also found that those companies that treat there transcriptionists as people and with a lot of respect and awesome, noninsulting QA tend to be those high-rated professionals who are confident, hardworking and 110% more dedicated, in my particular situation.
At what point
did we resign ourselves to just being paid on time being enough from a company?  There are good companies out there that pay on time but are fair and honest.  Focus just ain't one of 'em.  If anyone has worked for Focus full-time for any length of time and still think they are a good company, I got some ocean front property in Arizona and a couple bridges for sale. 
Can't do that at this point. SM
I'm still in the honeymoon phase and wouldn't feel comfortable singing the praises of another company until I have at least given them 90 days.
Point well taken - but here's what I did
Due to being very poor working as an MT (LOL) I have had to stop buying the better grades for a time. As soon as I heard the recall, that was the day I started making my dogs food (anyone with recipes for cats?)

My reseach - and the dogs reaction!! shows the following to be safe and nutrious. Don't know if it contains everything needed in the right quantities, but you can Google recipes for dogs and choose/design your own... I baked bunch of baking potatoes till very done. Roughly chop in bowl. Add broccoli, carrots, some cheese, and your choice of meat (doesn't have to be a lot). They (3 large dogs) STAND AT THE GATE waiting to be fed and NEVER leave anything in their bowl.

Moral of the story? We don't have to make FOR PROFIT corporations richer at the expense of our beloved animals. It literally takes just a few minutes to make their food - and I don't freak out that I am unintentionally poisoning them.

This is the whole point of MT...
All of the below goes with the job. Where they mess up grammatically or terminology wise, we are educated to be the one to catch it. They are educated to be the ones to save lives and are owed that due respect. Be thankful we have these physicians for our families and children regardless of their annoyances and that you have a good job instead of complaining about it. Complaining = foolishness
On-point mts?
Anyone know anything about this company?
On-Point
I don't know anything about them, I asked the same last week and no one replied.  I received an e-mail from them last week.  She sent me four op notes to transcribe.  I told her I didn't have experience with op  notes.   She sent me an e-mail back and said she had a clinic account also and it looked like I had enough experience and didn't need to test and if I was interested to let her know.  I e-mailed back and asked about turn around time, cpl and I never heard back from her again. 
On-point
It could be a totally different person, for all I know, but the QA/trainer for Alphamed last year had the same first name as this one for On-point.  As I recall, she was very disorganized.  She sent me corrected reports that were transcribed by someone else.  She forgot that I had answered questions and would ask the same question over and over.  Again, it could be a totally different person, but how many people are there with that first name?  Also, that position was as a subcontractor for a subcontractor, which of course means that you get less cents per line than if you worked for the main company directly.  So, if you think about it, ask her where the work comes from and if she is contracting with another national company.
On-Point
My thought is, if you want to do the work from Focus Infomatics, you might want to apply directly to Focus instead of getting it through a middle person like On-Point.
On-Point MTS
Any info on On-Point MTs out of Wisconsin?
If it is On -Point
Stay far away from it.  On-Point does not pay their MTs and many are now considering law suits against the company.
My point was not about $$$...
you are not a slave to your company...you make it sound like companies keep us chained 24/7 to our computers. It is YOUR choice who you work for. If there is downtime and no work/no pay, ASK for another account, or find another company to work for where downtime is not going to happen..good luck! Our companies are not REQURIED to keep us in work...there is such a thing as TAT and you have to expect some days of no work/downtime.
Point taken but you don't see any...
I love OSi on here now. You would really have to know what goes on inside OSI to learn why there are so many derogatory comments on here which usually means all the whole posts will be deleted. Amazing how no I love OSI troopers are here now. Not paying for holidays when you are actually working on the holidays is the final slap in the face and the old OSI defenders are leaving along with the rest of us. The holiday thing is not the only reason- it is just the final reason.