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Serving Over 20,000 US Medical Transcriptionists

I understand your concerns

Posted By: current OSi'er on 2005-08-17
In Reply to: Sorry you will have to be creative - OSI

I have google'd myself to death, LOL. I did get an interesting email today, but I have a hunch it's not what you're talking about. I wish I could leave my email address, but I have the same problem as you do and my email would be too easy to track down. I guess I'll just have to wait .


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    My concerns
    First with the job application. They already have all this information on me. I am not giving out references again, and I am not agreeing to a credit/background check. Everytime someone pulls your credit file, it lowers your score slightly. Not going there. Plus, will they somehow use this against us in the future as far as our years of service and make it appear as we did not start with the company until September 15, 2007?

    Second, employment agreement. I have a problem with items 4 and 5. I don't plan on sticking around with this company forever. The only reason I stay is because I love my accounts. If they move on (very likely), then so will I. It is quite possibly that I might indirectly divert business from SPI if I go work for a company that has taken one of their accounts. Agreeing to $1000 sanction if that is the case? I don't think so.

    The whole arbitration agreement is just a complete farce. From everything I have read, the employee really suffers when matters are taken in front of an arbitrator rather than an actual court of law. SPI knows they have issues. What about the fact that they don't pay time and half for OT? I bet the DOL would love to hear about that one. I could see down the road a whole bunch of MTs trying to file a class action suit, and I think the legal team at SPI is really worried about the same thing, hence this agreement.

    Off my soapbox. And it's very early. Too early to worry about spelling or typos, so don't beat me up.
    none as far as it concerns me
    My point was only that MDI isn't taking on VR to pocket more for themselves. I'm well aware how this affects me personally.
    Concerns
    I understand your concerns. I am an employee and would not have it any other way. Every individual’s situation is different and the company is aware of that. I am sure they will work with you. Give them a chance, you might be surprised.
    I have my concerns too. This year not even a
    Christmas card.   There have been a couple other things that when added to this pot leaves me wondering what is going on.  
    I certainly have let D know my concerns but to no avail. nm
    nm
    Sorry..I meant THIS concerns their
    medical records
    What concerns me is that the rule is
    Unless you like being banned, then keep on having laughs over the job seeker's board posts.  It happened to me, so I like to tell people that I was instantly banned for pointing something out on a job post.  It is not acceptable no matter what the forum or nature of the job posting.  It is not really up to you or I to decide what is just having a laugh!  The moderator has posted this in the past.  NO MAKING FUN OF THE JOB POSTS.  Someone may want to apply, do you think that there are only American MTs in America?  Do you think only foreign MTs stay in their country?  Even if the job was foreign in nature, that doesn't give anyone the right to poke fun or have a laugh at someone else's expense especially someone who is offering jobs!!!!!!!!!   
    I know the feeling here and that is what concerns me. nm
    x
    I definitely share your concerns...

    In my previous post I was and am trying to stay hopeful, as I really enjoy working with MDI like you, when I talked about possibly changing to another account.  In reality, I feel as you do, that I just don't think there will be enough work on straight MT side to provide that.  I just don't understand why such a great company like MDI is offering such a pitance for VR when most other companies are offering 4-5????  Just don't get it.  Again, I'm trying to remain hopeful and would like to believe what the leaders at MDI told me about tripling the line count, but seriously, in reality I really KNOW it is just not possible. 


    Does anyone have any ideas about anything we can do?  Perhaps approach MDI/Dorothy as a group with our concerns??


    Hospital concerns for benefits.

    Many MTSO's are hiring only ICs now with no no benefits given.  Now given these are mostly smaller company's.  But why don't the hospitals form their own and contract out.  That's basically what some of the smaller MTSO's are.  They use the hospitals equipment.  I work for a small rural hospital as an independent contractor.  I worked inhouse for 2 years doing their Basic 4 and radiology reports.  For family reasons I was planning to leave but they offered to send me home to work.  Since my husband had medical benefits, I did not miss the benefits at the hospital.  But this situation worked out fine since I had a sick child that I was paying daycare for when he was not even there but home sick.  Ten years later, I am still working at home for the same hospital.  Hospital's work has grown and I am not willing to work so much now.  The hospital thought about hiring a MTSO but decided not to after they found out what they charged.  Which was about 3 times what I did.  They hired part-time Transcriptionist themselves to cover what I could not do.  So, to all those below who thinks it wound not benefit the hospitals, here's one story where everyone benefits. 


    Do you really think owners have time to come on this board to know there are any concerns? sm
    If you really and truly believe they are offshoring, ask them. Tell them you have concerns and that you have heard they were outsourcing!. I know for a fact that L is still quite involved in the company and believe me, they have hired new people; people who just couldn't cut it and were not good enough to put out quality work; QT has always, always prided themselves in quality! If an MT can't do quality work, why keep them? It's a waste of time and money! I just know one thing, I will do my all this week to help get us back in TAT. You do what you have to do!
    I don't think there would be any greater conflict concerns than there would be with any kind
    ;+
    I'm not saying you don't have valid concerns but I sincerely feel...
    You all should be entitled to have your own board. I've done the Transtech thing a few years ago. This is all old news. Same as most of the companies on here, you either love them or hate them but I feel there is a ton of people that work there or people who want to work there and you should have your own board to discuss this.
    well I sure didn't I was fired for voicing my concerns
    Would they take me back?
    Transcend Line Count Concerns - SM

    Any fellow Transcenders have knowledge of how the company handles not meeting line requirements, especially if low to no work on your account.  Are there warnings given or do they just pink slip you immediately?  Anyone had ANY experience whatsoever with this....Thanks so much.  Am worried. 


     


     


    Do Not Fear Retribution for Sharing Concerns
    Denise:

    Thanks for the kind words about my post. It is my sincere attempt to ensure that every team member feel valued and empowered to be successful. It is regrettable to hear your concerns for simply sharing your feelings and yet I can understand because I do know that these types of passive/aggressive response have been taken by managers of our organization and virtually all others.

    Denise, it is my job and responsibility to make sure each team member has a voice and that their concerns are heard. While I can't always provide everyone with exactly what they want I am typically able to help. I hope you will feel comfortable sharing your concerns with me.

    Thanks again for the reply and sentiments.

    Jeff E. McNeese
    SVP, Operations
    DTS America, Inc.
    T: (877) 387-6876 ext. 115
    F: (615) 329-2298
    jeff.mcneese@dtsam.com

    yourvoice@dtsam.com




    Once upon a time, a surgeon responded to my concerns
    The girls were tearing up the 3 surgeons up one side and down the other. And OMG, what they had to say about the office manager!!! I felt they were betraying the man who fed them. So...I went into his office and said, Dr., the morale is very low, the office staff are very upset, threatening to find new jobs and I thought it should be addressed during a staff meeting.

    His response was: Do not pay attention to what they say. Venting is a necessary part of being a part of the work force (when you are an employee). The doctor brushed it off,did not want to hear the details and he did not really care who was the instigator. He felt that as long as they showed up on time, held up their end of the load and were pleasant with the patients (anorectal surgeons - ouch).

    That office staff who whined and complained and ridiculed was with the surgical team for over 10 years - An RN, 2 front office, insurance cler and med Records gal.

    Huge Bonuses (which say THANK YOU!) at Christmas brought momentary pleasantness but come mid January, they'd start again, feeding off each other, like a bunch of women at a Sewing Circle (have you seen the pic on this website depicting us as women in a sewing circle, dear?)

    Bottom line - it is harmless. If money is there and then not there, without warning, a person who is not complaining about it is the one I'd be curious about.
    I've had concerns for at least a year. I'm a long-term

    QTer so I have seen lots of changes.  Not that I expect anything, but we've always gotten something for MT week and this year not even a card and the whole stink over Christmas.  The IRA thing doesn't have me really concerned.  From what I understand they only hire ICs now.  I know they've had some long-term people leave who might have been employees, so it might not be cost efficient to continue the program.   I haven't had a raise in several years and these days I'm just glad to have a paycheck.  I don't know how much of the work is being offshored, but you would think that would free up some $$, unless they have had to hire extra QA people.  I like not having lots of e-mails/phone calls, but I also would like to know what is going on.  I denied for months they were offshoring, but when I got proof it was a slap in the face and I felt like we should have been told about it.  There seems to be plenty of work on my account so the offshoring hasn't  affected me directly.  So far the checks are always on time and have never bounced. 


    Things have definitely changed and I don't think for the better, though I've interviewed with several companies lately and haven't found one yet that is better than QT.  I just try to do my lines and be thankful for a paycheck and just accept the fact that the company will never be what it was. 


    This is the thing that concerns me about this field. Pay is staying the same not increasing!

    Every OTHER medical field, nursing, therapists, techs, etc. are all experiencing the yearly salaries going up.  Transcription compensation is not increasing. 


    While they may increase the RATES the ability to make the more money is not there because of VR, taking away the header allowances, more difficult accounts, more ESLs, stricter QA, etc., etc. slow platforms that require information inserted that you don't get paid for and anything else that lowers your salary.  If hospitals are looking to slash their transcription budget, they are going to pass that onto the service and the service will pass that onto to the employee. 


    I know transcriptionists that were making 45-50K in 1987 working 40 hours and now they are making 35K and often times working more than 40 hours to make that lower amount.  Or I hear people say I can make the same money but I must work much harder and longer hours.  I think wow...you have to work harder and longer to make what you made in the 1980s. 


    Other occupations have gotten consistent raises without the need for more hours and I don't think employees would put with up it.  Imagine a well qualified R.N. being offered a 1987 salary?  The hospital would have a hard time hiring nurses.  But the transcription service environment is so competative if they can offer the work cheaper and cheaper while guaranting accuracy they will get that contract.  So in order to stay in business they have to find a way to pay the Transcriptionist the least amount of money to see their profits which they need to stay in business. 


    Of course if transcription is all you know and you don't to work in an office or get a job at Starbucks you keep going and accept the pay because we really have no control.  You have to work with what they offer you. 


    I've never had a problem with checks or insurance before so that is what concerns me.
    But, I will be following up on Monday. I was just hoping that anyone who had this happen could confirm that is the way it is done. Thus far, no one has really confirmed this so that is a good sign.
    Funny some of us were written letters by company attorney when we posted our concerns here
    :(
    What I don't understand is this-

    But I still don't understand

    They never have anything positive to say, except about themselves.  I guess we don't need to ask anymore questions after we come to that conclusion.


    So, let me understand (sm)
    That this is your first career/job out of high school and you are getting 8.5 cpl for clinics and they are mentoring you?  Did you hire in at that?  How long have you been there to be offered QA with such little background in MT? (no offense)  I have 10 years experience and they are talking 8 cpl to me.  Hmmm.....
    I think we can all understand
    The typo police don't have to come out every time.  Get a life.  We all work with words all day long and when you get on here, you might be a little tired.  Give 'em a break.
    I don't understand it, either. sm
    It'd be great if MTs came here and supported each other. This is NOT a great field to be in, IMO. We should be banding together as sisters (and brothers) in the same boat.

    I wish the monitors would institute a zero-tolerance policy toward people who deliberately harass someone here like this person or people were doing to Metrochick.
    Don't understand
    I couldn't afford to stay in business if I paid people for NOT working.  I can understand if the computer is down or if there is a problem, but just because there is no work, a company would go broke.  Can I bill the doctors if they do not dictate a day?  How can I pay you if I cannot bill a customer for work?  This work has always been up and down -- feast or famine my father used to say.  But through the years -- now over 20 -- I have learned to save for the lean times.   Like I said if the problem was on my end due to machinery malfunction but if docs don't send in the dication how can I pay you for something I cannot bill out to them?  
    I Understand more now
    I understand more now of what you are saying.  I agree with you more than when I first read your post.  It is so hard to juggle in this job market.  There are so many pieces that fit into the cpl you charge the client,  the transcriptionist, supplies, QA time, software, etc. that is it very hard for an owner to make much and when an account is down for the day to pay those people that should be on it while it generates no income is double hard.   It is really hard to strike that balance of being staffed correctly for both the busy and slow times of the year.  A lot of it is out of my control.   You are probably with a larger company that can afford to pay you for 8 hours of work and generating income from only one.   They count that into their overhead.  I have only 5 accounts of 2-3 docs, have 2 part-times and am the QA, owner, Transcriptionist also.  But on those accounts that my gals type, I make only 25 to 30% max on what they type which a lot of times generates out to only $7 to $9 an hour for doing pick-up, pick-up, delivery, printing, etc.  That is why in 2006 I am going to  probably cut back to doing only what will keep me with a decent income to pay my bills and I do not have to worry about having enough work for the gals, doing the running, etc.  My guilt is high when the docs are on vacation or it is a slow time and the gals have no work but I cannot cut myself short either.   Enough rambling on,  - I do understand more and I think that if your company is not paying you for the time, they know they have overstaffed themselves to cover those times when the need is heavy and thus I would probably look for another company that staffs more evenly.   Sorry I rambled on so much.     
    The way I understand it . . .
    they are instituting what they're calling a pilot program to sort of test the waters of offshoring work by starting to send a small percentage of work overseas in order to be competetive with their contract fees. No, I don't think they're doing it yet, but it is obviously going to happen at least to a small extent in the near future. We have to accept this as the trend of the future because it's happening everywhere, like it or not.
    What does this mean for MTs? I don't understand.
    ?
    Understand. Thank you!
    x
    I understand!
    That is why I love it when they post unqualified applicants need not apply!
    I can understand...
    I worked for an Iranian doc in office and there was a woman there that'd worked for him for about 13 years. He would call her at 3 am because he thought of something he wanted to tell her (she was also an MT). He did this all the time. As far as I know she's still there because he pays so well.
    I understand all that.
    The point is that besides the tons of different work types there are VERY different account specifics from hospitals all over the country. I am well versed in different work types; that was not the issue. The issue was all the different account specifics that changed on a weekly basis to boot. It became where we had no primary account. How is that productive for them or for me?
    I understand that...
    That is my exact point that the PTO accrues so slowly that how do they expect you to use this for your maternity leave!! Actually right now I earn less than 4 hours every two weeks and I can't accrue any because I have to use it for holidays and when there is no work unless I want to work all through the night after I have just sat all day waiting for work!! Do this make more sense... I was just told I wanted to be a maternity rider when that is not the case. All I came on here to do was to try to find a better job with more PTO then maybe when I do have a baby I can take two weeks off with it at least...at this rate I will have to come right back to work like two days after I pop a kid out! I never wanted to get into a XXXX match with anyone over maternity leave, but that is what it has turned out to be!!!
    I know, don't understand it either!
    there really is no proofing while you type. Proofing is going back and proofreading a document after it's done. Doesn't everyone technically read the words as they type??? And with all that going on at once, you miss things. On the other hand, I do not blame MTs who do not proofread the documents at the end, definitely less production and hence less money. I'm going to tell you a secret...lol..I just started skimping a bit on that myself. If I have a small mistake, oh well. I need to make a living here! :)
    No, you don't understand.
    My account with them DID pay for headers and footers and I always randomly check my line count against the ESCRIPTION (not Editscript) metrics of the company.  This week it is off consistently and in talking with the company was told the client does not want to pay for headers any longer ???? so without letting us know, we are suddenly not paid for completing demographics.  I simply wanted to make sure others were aware of this as this evidently can happen anywhere at anytime and no one at the company may feel compelled to share this info with the MTs. 
    I understand what you are trying to say, or what
    is bothering you. I have been in this industry my entire adult life - a LONG time - and I agree that most companies have changed in that they just don't share info that is really pertinent - like not getting paid for headers anymore. Its sneaky to me, or underhanded, and just breeds contempt or suspicion in the MTs. Or, the company can have an uppity attitude, like why on earth is it the MTs business what they are getting paid for or not? Which also makes me feel bitter. I remember the old days of honest communication - the news might not have been good, but I handled it well. They treated me with respect, and I felt like a professional. Gone are those days, and it is a shame.
    This is what I don't understand........
    Wouldn't it have been more beneficial to everyone involved to sell the company rather than just let it die a painful death?
    I don't understand...
    why they yell at the MTs when it is not their fault? The MTs get blamed for everything!!!!!!!!! Grrrrr
    I don't understand
    how you can say they ALWAYS pay on time when just this past Friday they were late with direct deposit
    I don't understand something sm
    How do you have any contact with anyone in upper management? I work there; I never even hear from upper management. I talk to my manager and that's it. What morale problems are your referring to, because I couldn't be happier here?
    I really don't understand all of what you just said
    but I do know that not everyone has had a bad experience with OSi. I never run out of work, have great coordinators, am always paid on time, am making more than I did when I first started, and have expanded my abilities greatly. All of the things that are important to me in a company, I have at OSi, and I've had them for the past 3 years. I understand some people didn't have a good experience there, and that this is their place to hang out and vent. I just think it's too bad when OSi has been a good fit for many people, and then there are these people who hang out at this board who have made it their life's mission to carp on OSi. It doesn't really affect me at all...it's just very, very tiring.
    Don't really understand what she is doing.
    I tested for her last year and was hired for this account.  Immediately she wanted me on a psych account that I was not interested in.  She then tried to give me ANOTHER account.  I explained that I would be more than happy to take on the other account AFTER I was established on the one I was hired for.  She came back and told me they shifted things around internally and had it covered now.  Not sure what kind of game that was but I know it is one I want no parts of.  Hope this helps. 
    What I don't understand is (sm)
    If a company does not pay for headers and footers, fine.  I get that.  But what advantage is it for them to disable the feature so that we can't see the counts of individual reports?  I have worked at places not on Ex-Text where some reports just mysteriously never made it to the hospital.  No one was cheating, it was just a software glitch.  Had to send again and it counted. So what would prevent that from happening with this?  I agree, we should be able to verify that every single report is counting, if for no other reason than this one.
    I just can't understand why you are saying you need

    You can go to whatever school you like and still be considered a newbie in a lot of company's eyes.  It all depends on what you want to do as far as your career.  Whatever floats your boat.  


    What I really don't understand...

    is that the account I'm supposed to do has a ton of work, and they are giving incentives. 


    Seems to me they are really, really disorganized. 


    Sorry you are facing this.  My other job has run out of work this weekend too.  All the companies want full-time, but when you do that, you end up short on pay.  I'm on my own.  Can't afford that.


    Lord, I just depressed myself....didn't mean to do that to you too....



    As I understand it, it's
    because they can only make money if they can get work, and a lot of American companies won't subcontract work to them. Therefore the Indians have to come here to set up their own shop to be able to say they are an American company and be able to get their own work. So then they are based here but can still send all or most of their work back home. Now you would think at least America is getting some tax money for the business, but no. They are probably here on one of those special visas and they get huge tax breaks. Uncle Sam is paying them to come here and do this to us.

    Grrr.


    i don't understand that...

    WHY doesn't control I work?  I've used ExText before with different companies, each time using control I to monitor my production accurately.  The last report takes a minute or two to be counted, but, sheesh, that's nothing.  I KNOW there's nothing fishy going on, btw.  I just would like to know WHY control I doesn't work at TT. Is it just program goblins?  Now, THAT I understand.  LOL! But, as expensive as Dictaphone is, I would think they'd make it right, no matter how they have to do it. I'm just not getting that part of it.


     


    I understand
    I feel for all of you, as I said. A paycheck is a paycheck for me. The company was the best company that I have ever worked for, and I am truly sorry things turned out the way they did for so many. I will just look at the cup half full on the positive side and hope that maybe they can be again. I wish you both well and I hope you find another greener pasture. They are out there. Take care.
    I Understand
    So, you're actually working 7.5 hours during your 8-hour shift, but your company is basing your benefit rate on how much you did during the 8 hours instead of during the actual 7.5 hours worked. Right?