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Serving Over 20,000 US Medical Transcriptionists

I honestly don't think most people care

Posted By: sm on 2009-08-21
In Reply to: They would have to pay a premium for STATs. - And everything else should -

Most health care providers don't care who is typing it as long as they can get it cheap. I don't think most people care either as long as it doesn't impact them in a financial sense.

So let's say you get all the ICs to download the hospital's platform. Fine. Now who is going to QA their work? Who is going to manage the work flow and the staffing so work is done consistently and on time? Hospitals don't want to deal with that. They want the MTSOs to handle it and do it for as cheap as possible.


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I honestly don't care what you think. Every heard of somebody being
How bout that, Steph?
While I agree with most of your post and honestly could care less,
by being the one posting what you do - posting your business - well, that's what brought the whole subject of you up!!  No one is sitting around here wondering what Busy MTing is doing!!  And, yes, you picked 2 companies who are in direct competition with each other - big time! I can't tell from your post cause I think you made a typo - I believe you're saying that MQ is not aware either, though I'm not sure.  Having worked for both at one time as well - BEEN THERE DONE THAT - literally, I assure you that both would be interested to know, though MQ might not act on it! Again, no threat, no worrying, and you already stated you don't care. But not one of us would have mentioned one single syllable about "your business" had you NOT been the one to post it!! Get it?
Honestly, people some people are lazy...
plain and simple, sad but true.
Keystrokes is wonderful!! They are the nicest people and care 150% about their people!!
Excellent company!!!!
Dont kid yourself that people dont know what is going on. Do you honestly think these office people
dont talk. Maybe you should make sure you know what you are talking about before you open your mouth.
Heartland - we take care of our people people
I meant in quotation marks, not parentheses.
I'm not sure if most people care...
or not, but what I do know is that when the facility gets work done for cheap, the savings is most definitely not passed on to the consumer (patient). If patients are going to be paying the same price regardless of where their reports are transcribed, they should demand that they are receiving accurate documentation of their encounter (regardless of where it is transcribed). After all, they are paying for it. Also, one patient right of HIPAA is the right to review and amend/correct your medical records.
Agree also. Take care of the people sm
who are already with you before taking care of brand new people.
All these people care about is getting rich, no

The TV people care about ratings s/m
Try mass letters and phone calls to your congress men/women.  An election year is coming up.  Mine took an acute interest in things that are  not right in the MT business.  Not to mention the fact that at the present time they are supposedly looking to trim the fat in health care.
But that is why she has people who work for her, to take care of other things when she has

mmmmm


Also acute care here and maybe the clinic people
should have learned how to branch out to acute rather than losing jobs to EMR if that is the case.
True, and it seems less people care. I get angry when I see the lying ad sm

but I am powerless to stop it, so I might as well give up.  I wonder if the clients even know what really happens to their dictation, that it goes to India first, then to the MTs.  The work IS done by american MTs, so that is a plus, although they even tried outsourcing to another Indian company and lied to the MTs that it was due to the holidays ... this was at the end of January, no holidays. 


If they want to be upfront and say they are an Indian-owned, Indian-operated company employing mostly American MTs, that's one thing -- people can make an informed decision -- but to say Kentucky based when the company HQ is in India is nothing other than deceit, and my fellow MTs deserve better than that. 


DSG - Really rude group of people, especially the acute care side.
Got tired of their snarky remarks and moved on. Make 25% more where I am now doing easier QA and really nice group of people. Good luck to you!
No, it isn't nice. Most people do acute care, rad, or clinics. Work
xxxxxxxxxxxxxxxxx
Didnt think of it cause I dont care. Wouldnt care if
x
I have to honestly say that if someone SM

needs a really flexible schedule or likes to jump on and off, TransHealth is probably not the company for them.  I am not saying that they are mean but I think that if someone has a lot going on in their life on a personal level there isn't going to be a lot of accommodation for that.


Honestly, none.
x
Honestly.....
I think we should form our own USAMT for US MTs only and that we disapprove of offshoring and no ridiculously high fees for anything.
I honestly don't know

Like I said before, I have never QA'd below a 99.2 and this 98.9 score is absolutely killing me to begin with.  Then to be put on full QA for the first time in my life after being taken off (never even had this as a newbie).  I seriously cried. 


I get that some of the mistakes that I made were stupid, but like you said, I am still maintaining their quality standard stated in my contract, so I don't understand.  My errors were .25 and .50 point errors.  So nothing terribly significant.  I am not making excuses for myself and maybe I deserved to be threatened, but maybe their standards should be stated differently. 


It wasn't a harsh e-mail.  It is just the point.  Getting your job threatened really scares the crap out of you.  Especially when you are still doing okay by the standards of a lot of companies. 


I would honestly like to know what you consider a
very high line rate. Your post is whatever it is - bottom line is - what do you consider a very high line rate? I, too, am a veteran of this field - have spent my entire adult life perfecting my skills - Not bragging, just factual, I know just about anything and everything one could need to know in the medical field, including drugs and dosages, etc. I can diagnosis any patient right along with the doctor - in fact, that's one of the few things that keeps me from dying of boredom some days - diagnosing in my mind as I transcribe symptoms, lab values, etc. I am an MT and also a QA specialist - My work is flawless, as is my work history as far as companies, etc. I can type anything and everything, and I love ESLs. I always pass testing with flying colors, having even been told that I was the only MT who ever got some obscure term on a transcription test - I am polite on interviews, and have been offered a job every single time I have ever applied to a company. Yet the average cents per line rate that I have been offered, even with 25 years of incredible experience under my belt, is 8 to 9 cpl, and the 9 cpl was only once as an IC. I have never ever gotten any company to offer me more than that, and only make 10 cpl at my current employer after getting tiny little .0025 cpl raises over 10 years. Years ago full time I made $80K and up, and part time when my kids were little I made $40K for a few hours a day. Now I run in the low $30K range working my behind off 6 to 7 days a week, 8+ hours a day. Its not me - I'm faster than I ever was and have more knowledge than I need. Again, what do you consider a high line rate, and where are these companies? Please answer, as it really should not be a guarded secret if you are honestly looking to help the industry.
Honestly, I'm not sure
But I would say if you haven't heard back in 4 or 5 days, it would probably be okay to call and check the status of your application. Better to do that than get lost in the shuffle.
Honestly? sm
If you have been around 16 years you are too sharp for their games and they just wanted to say no to you before you figured them out and said no to them. JMHO
Honestly, I do not know. sm

This would definitely be a tech question but SpeedType is a great program.  You can also use the AutoCorrect feature of Word.  I actually use both.  I use the AutoCorrect for my short entries and then my operative reports and longer stuff, I use SpeedType.  It all depends on the MTs preference though.


 


I honestly don't know
cuz I haven't gotten my Meditech set up yet.

Not to pry, but since your version doesn't have Expanders already built-in did Transcend help with the expense of getting InstantText? If I gotta pay for it myself I'll have to save up for it
Honestly, you should have done (sm)
your homework before selecting a name for your company.  The word Heartland is not carelessly tossed around on this site.  The company Heartland (not your company) has burned a lot of MTs.  Yes, I think you should spend the $500+ to change your company name.
Honestly...
Good luck getting any work! I'm on 5 different accounts and haven't met quota for nearly a year! The platform is very easy, it's getting the work that is very hard.
honestly just being there for him is a lot even if ..
you arent there holding his hand. Just tell him if he needs anything just to come to you whether it is a hug or not. I would still try to work as much and just take more breaks to check on him and hug him.

Really all you can do.


I honestly don't know, but I don't do ER . -sm
You could probably call the company or email them and ask... since they have quite a lot of different hospitals.
I have been both and honestly, even though
you have the flexibility of a 24-hour turnaround, which is what I believe MDI is, I would stay an employee. Health insurance is expensive for one thing. Plus, not sure if you have it now being an employee, but you also have to consider the other benefit of paid time off/vacation time. You will get no paid time off as an IC or SE. You are responsible for more of the tax burden, but as an SE you are not required to pay self-employment tax. Or, at least I don't think you do. I believe I read on the IRS website that as a SE you are not required to pay self-employment tax. Unless you are absolutely hating your current job I would really think twice (or thrice) about switching.
I honestly don't know what goes on
This morning when I signed on there seemed to be a good bit of work. For the first time in a long time I was typing discharge summaries from yesterday!! Then all of the sudden my primary account dried up in a matter of like 10 minutes. I don't really understand how one minute I'm typing work from yesterday at around 2:00 p.m. and then POOF it is all caught up. Can anyone else offer any insight on this issue? I'm cornfused.
I honestly don't know.....
but if any from my accounts have left, you can't tell. I don't understand where the work has gone. It has been low to nil and then this past Friday, there was a ton of work. Of course, may day off. I'm currently looking for something else. After reading all the posts, I'm definitely going to have a backup job.
I actually don't doubt it. Honestly. But still says
of sending medical records to countries with often much lower standards than ours in those terms, and who, if you ever did need to try to prosecute them or pursue them for a breach of privacy, would likely be beyond the long arm of the law ... or at least amazingly incredibly difficult to get cooperation from.
I honestly had the best job in the world one day and no job the next sm
and I found out I had no job via a non-personalized group form email saying Medware is reorganizing, if you have received this email we have eliminated your position, effective 2 days from now, please feel free to call us if you have any questions

like I said, sad
Honestly, that is just not true. I could not have done
my work better. I am an excellent MT, but was devoured by my devious jealous coworkers, ignored by the incompetent supervisors, and had the proverbial bait and switch played on me big time once I got on production. I was trusting and got the short end of the stick. Please don't be so broad in your assesment of things. I tried to mind my business and transcribe, but that didn't work. I have heard identical stories from several MTs I have been lucky enough to meet on this board. Be wise, my friend.
Do these companies honestly

think that we can earn a living at 6-7/cpl?!!!   What are they thinking?  Could they earn a living making that low a rate?   They place their ads on various boards and then in capital letters state that they DO NOT HIRE OFFSHORE, but they are paying as if they do!!      For that kind of money,  I hope that they get what they pay for!!


Okay, thanks.  Had to get that off my chest. Off the soapbox now. 


I honestly don't know...It may depend on (sm)
what work you are applying for, because I see on this board here they have several different positions.  I've been practically begging for M-F work for years now, as the stuff I do (hospital, acute care) has always required me to work at least one weekend day.  I always work holidays though, but that is my choice because I can't pass up the chance to earn the extra cash, so I've never asked about those.  Again, I think it all depends on what type of work you do there. 
Honestly, don't believe everything you read
xx
Honestly, I'm not 100% sure but someone told me you could and so I'm going to be trying it out
next week. I will update you or let me know if you find out before then.
Honestly, you have a bad attitude...

The company offered to pay you after 1 week's worth of work.  You should be grateful.  They even offered to wire transfer the money to you, yet you are complaining about *the bank's fee*.  I surely hope the name you posted is not your real name.  If it is, everyone will now know your true nature.


Honestly, I think you're doing MDI a
disservice by carrying on. Your reviews really are backfiring. They don't mess around with stuff like this at MDI, so good luck.  Its getting old.
Honestly, don't you think any company would be
better than the Q? I was so afraid and now could kick myself that I let myself work there for so long struggling financially and really feeling sick and depressed daily. Check the job seeker's board and make lots of calls, you will be amazed how you feel when you get out of that awful place!!! By the way, I've heard many good things about Landmark and the no ASR is a definite plus! Good luck to you, and remember that you are not a prisoner!!!
It honestly sucks... but

you are going to have to learn it.  At some point, the companies that do not do it will be forced to because these other companies can offer a lower rate.


I hate it too.  But there are things you can do to build speed and earn close to what you were.  Give it time, first of all, but ask for help... get a mentor, learn that program inside and out.  It has become part of our job description.


Nah, she just loves VR, as do I, quite honestly
I think it just depends on the individual and the account to which one is assigned.

I do about 2.5 times as much editing as I do straight transcription (and I'm NOT slow at transcription, I'm quite fast). Therefore, I make a bit more editing than I do with straight transcription.

I'd like to point out, however, that I'm on an overall excellent account with very good dictators. The only time I encounter the 'it would be quicker to just retype it' is if the dictator has a bad/staticky/muffled connection and the VR can't recognize exactly what is being dictated.

I can see where it's not for everyone but I always thought it would be interesting to be a book editor; perhaps my love of VR stems from that early-in-life career goal, lol!
You honestly never saw this coming?
Seriously, in all your years of MT work and witnessing the inception of VR, you honestly remained in denial that this day would come?

VR does not invite lawsuits unless the MT is asleep at the wheel. It's no different than standard transcription regarding the finished product that goes into the patient's chart. If you're a good MT and carefully proofreading as you edit, there's no excuse for something potentially life-threatening to the patient to go into their permanent medical record. The fault is with the MT, not the VR system.

My account is 95% VR on Escription, and I love it. I took no cut in pay; I doubled my production on VR and bring home an almost identical amount as I did doing straight transcription, without the exacerbation of carpal tunnel symptoms.

Feel free to remain closed-minded and sign up for disability; however, if it's a cut in pay you're concerned about, having you considered how much of a cut you'd take going on disabiity versus doing VR work?

I love TT and I love VR. It's a perfect match for me. The other MTSOs that do not implement VR as part of their services will slowly find themselves being forced out of the business.

It's the 21st century, ladies. Wake up and smell the coffee.
Honestly, you have misunderstood something
I have no employees, beloved or otherwise. I just think that this person, whoever he or she is, has turned this whole thing into an online version of the Jerry Springer show. It belittles the dignity of our profession to settle disagreements in the public square. If she didn't like her place of employment, there are plenty of others out there. And integrity demands that she handle internal matters internally, that is, with whomever she feels wronged her. The people on this board have no power whatsoever to help her. I truly hope she can find another position that meets her needs. Perhaps if she spent as much time looking for one as she has slinging the hash here, she would find something good for herself. I hope she does, and can.
I am not an MTSO, but honestly it is none of your

business what they charge.  Your paycheck isn't going to get bigger because you know how much they make.  You also don't know figures such as rent, phone bill, worker's comp, equipment, software, unemployment taxes, etc. they pay.  Sure they are making a profit, but not like they used to, or the small to medium-sized companies wouldn't be selling out to companies like MQ. 


You also don't have to be concerned with making sure you have coverage for the work, making sure you keep up with all the government mandates, making sure you meet payroll, soliciting new accounts when you lose one, etc.  


Difference? Honestly, I don't know!
I can only say again that I am a TRS transplant, we continue to work our same accounts as before the merger, and our previous recruiter apparent did not over-hire.... Usually, we have so much work we can do extra if we want or need to. Only the last couple of days my team has actually run out of work. I can't even remember the last time that happened. (Might have been Christmas.) I wonder if a bunch of the docs are taking last-minute summer vacations...? (Even with that, though, there are still 3 days until the end of the pay period, and even with the anemic workload I have already passed the $900 mark.)

Of course, accounts come and go; one of the old TRS accounts went to point-and-click EMR (at least they didn't go overseas) so a whole lot of MTs had to be shuffled around....

If the people who don't have enough work are doing anything 'wrong' (and I have no knowledge one way or the other of this) it could be that they're not yelling loud enough....? Or in the right places? Again I really don't know.

I have been told by three different 'suits' at Transcend that anyone with not enough work needs to talk to their supervisor, and if their supervisor isn't doing enough to help, then they need to chew their way higher. Because there are accounts out there with not enough coverage, and in fact the company often has to pay TAT penalties because the work isn't getting done on time. Not being a 'suit' myself, I have no direct knowledge of this and am only repeating what I have been told.

Now, if my own accounts ever drop off and I'm not getting enough work, I will talk to my supervisor first, and if that doesn't work, I know people I can call.... And I am willing to work any account, any work type, any platform (although I really, really do prefer straight typing, because I'm good at it and I'm very fast). And I'll keep chewing my way up the ladder until I get as much work as I need.

And if after taking all of those steps (including going straight to the CEO if I have to, and don't think I wouldn't do that!) I still can't make a living, then and only then will I start believing that Transcend is not the company I think it is after all....

So what's the difference? Again, I really don't know....

I do know that at least one of the 'suits' has been trying to contact some of the people who are posting here that they don't have enough work. I wish someone who has been contacted would post and let us know how that went, and if it helped them. Also, Debbie Marlow (who posted her e-mail address here) told me that anybody who comes to her for anything at all will likely get put to work, whether what was what they wanted or not, 'cause she always needs people.... Also, yesterday for a while there was a post from Laurie Leiker, who is a regional manager, but the post vanished later in the day. She had also posted her e-mail address in that post with the invitation for anyone with concerns to contact her directly.

The one other difference I can think of is that I am very, very fast (at least, I am when I put my head down and go for it, and I'm not playing around on the boards!). So I may be able to make up a certain amount of ground just by sheer volume and speed.... How did I get so fast? With decades of doctors screaming down your back that they need their reports yesterday, nevermind that they didn't even dictate them until today, and somewhere back then I coined my favorite job description:

'There are only two kinds of medical transcriptionists, the quick and the dead. If you're not quick, you're dead!'

Now, having said that, I had better get back to work!
Since you are answering honestly, I am
asking honestly why your company has to deal with offshore support/upload team. I have never really heard an honest answer from a company. Is the bottom line price? I am very interested in honestly knowing what goes on behind the doors of these MTSOs. Thanks for your honesty.
It really honestly proves to me

waste their time doing what someone making an average of 15 dollars an hour doing; it's just below this physician to do his own documentation.


Sorry, but that is evolution.  I guess he'd also not be bothered emptying his own trash can either.  His comment of spending his time doing a task that someone else can do it really cheap does not mean he valued his transcriptionist, per se.  It just simply means he'd rather spend his time doing something else. 


honestly if you have nothing nice to say
why dont you just hold back..

what is your point in making someone feel worse... to make yourself look better adjusted somehow? everybody, including you, has had or will have a low point in this profession.. it seems this is a new concept for you.... and at your age, you should already understand this... if you didn't, then here's your clue. :)