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Serving Over 20,000 US Medical Transcriptionists

My MTSO sends us normals for those few doctors

Posted By: me on 2006-04-30
In Reply to: Does your MTSO allow you to use your own - normals/standards? see message

that you them.  They are usually a fill in the blank type thing with the doctors only giving the blanks, so there isn't much to mess up.   We do have a few normals that need to be modified and there are only a few MTs that get these dictators, because of the same issue your MTSO, that changes are not made, etc.   I am allowed to create my own normals and do.   If I have a doctor that needs to have the same normal, but occasionally does change things, I only have my normal including what is ALWAYS the same and then I have macros for statements that are frequently dictated that I can use to piece together the rest of the document.


I can't imagine my company forbiding us to use normals.  My company wants the MTs to be productive, because if they are producing they are making money and if they are making good money they are happy and the MTSO will have good retention of MTs, which they have had.  It also benefits the MTSO to have high producing MTs, so that they can have fewer MTs and less costs/hassle.


 


 


 




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Anyone know a company that works with small pool of doctors? Tired of so many doctors nm
nm
The coverage is perfect for me as all my doctors and my kids doctors are sm
in network. With WebMedx none of them were. The coverage is much better for me. My husband's company wanted to charge us $1470 per month for family coverage. There are three of us, so that would be $490 per month per person, which is insane.
MQ definitely sends it out.
X
Yes, MQ definitely sends it out and
my prediction is that one of these days they will send it ALL out. I got out while the getting was good!
Normals
I have a lot of normals for my primary account but not as many for my secondary as it is a large teaching hospital with more dictators rotating in and out.
Normals
All accounts are verbatim.  What I mean is I have many, many macros set up for PEs, operative reports, etc where the dictators basically say the same thing every time and then I will edit as needed.  Both of my accounts do have a few normals set up in BayScribe by administration for some doctors.  Those are usually operative reports.
There are normals? Never saw one. nm)

can you still use normals?
thanks for your honest feedback.  i appreciate it.  More positions open on your side according to email this morning.  Guess you guys have a lot more work - I have gotten NSA 5 times already this morning! 
Another one, Interpro, sends a lot of theirs to India

as well as other locations outside the US


If STM sends e-mail to her 4 accounts
saying system is slow and then send another saying that if system freezes and we lose a report we can get paid for that, that isn't an ISP issue.   It doesn't matter if it is just one account, it happens to be my account and that is enough of an issue to me. 
Normals/templates
I let my IC's use them especially in my psych accounts.  However there was a time that one of the gals forgot to change the name on the header and I was gone and it went to the doctor directly with the incorrect name on the Header and big, big HIPAA violation and the doctor almost pulled the account since he did not catch it either.  So I understand where your MTSO is coming from but again, I would not keep the help that made these mistakes rather than make the other MT's pay for the incompetent ones and be unable to use their autorcorrect, ShortHand or whatever normals/expanders that they use.  The account stayed with me but we do watch the names closely now.   Why make all suffer for the mistakes of a few.
are they paying you for the normals?
 
Expanders/Normals sm
As the poster below states, the way this is possible is by working an account that uses many normals and that you can utilize your Expanders with.

Chances are whatever national MTSO you work for will begin to use VR technology sooner rather than later.

After all, if you can use your normals/expanders to make astronomical line counts due to the repetitous nature of the accounts, it will be much easier for those accounts to go to VR.

I wish Normals had what I needed.
Most the time, what I am looking for can't be found in Normals, Alt G, or even Echart. I have enough experience on my primary that I know the usual sayings, it is just that I struggle with the not normal sayings that a dictator rambles off so fast, while chewing, yawning, etc. These things can't be found in normals (trust me I look every time before I submit a blank) and so far consist of way more than just 7% of my monthly dictations.

Whatever. I should just quit complaining. I do really like it there other than this part. I know you are trying to help, but I just wanted to point out that I use ALL the resources I can and still send over 7% to QA.
One job I worked for did not pay for normals at all.
They had loads and loads of normals and the docs used them consistently. When I would check my line count it was not where I thought it should be. When I asked I was told they did not pay for normals. That was something they did not tell me before I was hired. It was a company in Florida.
That's so the clients won't notice when AcuQuist sends
them, of course). It'll all look the same --- like it was dictated by a child, and transcribed by an orangutan.

I guess that's the tack their business model is taking: 'We're a player in the global game because we've lowered our standards to their level of mediocrity and ineptitude.'
Spheris sends most work to India. SM
They are most certainly NOT a company to work for, if you are a single mom.
We DO get paid for expanders & normals
nm
I bet they billed the client for normals
You can make alot of reports nothing but normals if the patient has a normal exam.  I bet that company bills for those normals too.  That is like asking a waitress to work for low wages, and she can't keep the tip!!!!!  What will they think of next?
Yes, their normals, not yours. Not all places are like this apparently. nm
xxx
Does anyone know the name of a transcription company in Maryland that sends all of its work to
India. Just curious.
Any company who wants to stay in business sends work out
It is called a blended model.  Hospitals are demanding a better price and US companies must offer offshore work that is edited by US MTs to compete.  It is just like voice recognition, a company must offer this platform or lose the ability to bid on the work.  It is not for every hospital and it is not for every situation.  Therefore, if a company does not have the ability to offer a lower price with non-domestic labor plus have a  voice rec option, they will find themselves unable to compete in tomorrow's marketplace.  Those who cannot compete will lose market share and continue to run out of work.  Those who can compete will continue to hire MTs and grow market share.
Absolutely, sends work to India, Phillipines...sm
She's something alright, sending work offshore instead of paying someone in the US a workable wage. Name of company is Another Medical Must...owned by Renee Lella....look her up on Google and see how that's worked for her in the past, with a major leak of patient records due to dealing with the Indian company and their MTs. She trains her MTs most of the time using her cell phone in the car while doing errands or picking up kids...horrible. Bad, bad experience, never again. She looks at this board occasionally and still posts for job openings once in a while, but always under an alias or different name, sometimes maria...sometimes another name. Shifty.
Do you get enough repetition so that one could create/utilize normals? Nm
nm
All accounts are VERBATIM, so there couldn't be any normals.
x
I used to be a supervisor and we allowed all MTs to make their own normals, BUT...

it was the responsibility of the MT to listen to the dictation and make sure that the normal reflected exactly what the physician dictated.  And any QA issues specifically attributed to an MT's personal normal resulted in a three-phase disciplinary action, i.e. written up for the first offense, written up and forced to come in-house to work for a determined period of time for the second, and finally termination for the third.  Also any incentive money the MT may have earned for the day of the infraction was forfeited.  It seems extreme, but we had such a problem with QA issues and many complaints from physicians especially with radiology normals that we really had no choice.  We needed to make it clear how vital quality was over quantity.


Now that I work as an IC MT, I create and use my own normals, but I listen to every single dictation and if there is even one tiny, seemingly insignificant change such as the physician says the instead of a, I change it in the report.


I think a company forbidding their MTs from using personal normals will end up costing themselves money in the end.  The solution is to institute very strict policies regarding the use of personal normals and enforce them.  Let the client know that these policies are now being enforced and if they see any mistakes whatsoever, to please let the MTSO know.  It's hard being an MTSO, I'm sure.  Assuring the client that their concerns are your concerns and making the MT's feel respected and appreciated for their hard work is like walking a tightrope sometimes.  The sad fact is that you can't make everyone happy all of the time and in the business world, you have to schmooze the one who writes your paycheck - that goes for MTSO's and MT's alike.


Keystrokes makes you count out for normals.
nm
Agree with Patti. MTOS sends 1099 as courtesy,
x
Transcend sends all the good work to India and leaves all the
garbage for the MTs in the States so they can keep the indian slime working. n donkeys are that do the work. Transcend is not a good place to work
I dont answer the mass emails she sends out. What bothers me is we are not anywhere
near out of TAT and she just then sends out these mass emails and everyone piles on and runs the account out.  Then when you get a few more reports she does it again.  It just keeps going on like that.  I have no idea what the problem is.  I dont acknowledge the emails at all I just cant get a grip on why someone would function like that.  It is almost like she isnt happy until she runs the account out and then expect all the ICs which we are to sit around until it comes back in and then be at her beck and call.  It seems to be getting worse and worse lately with this.  She has taken the word control to extremes especially with ICs.  She expects you to let her know if you are going to move your butt of your computer for a half hour.  I just dont get it but it gets extremely old I must say.
And you're okay with working for a company that sends most of its work to India and

whose workforce is predominantly Indian?  You're okay with the loss of American jobs, the falling recession we are in and the falling economy due in big part to the offshoring of American jobs?  How okay will you be when you lose your job to an Indian and you have to apply for food stamps and unemployment?


Sell-out MTs like you are the reason good MTs cannot make a decent wage anymore, why good MTs cannot find a good job anymore, and why sweats shops in third world countries are thriving.  How do you look at yourself in the mirror?


Focus Infomatics employs 800 American MTs and over 3000 Indian MTs.  Tech support is in India.  The company itself is still run by the same Indian man who started the company and sold out to Nuance.  He made a bundle when he sold and he is still making a bundle running the company while he pays his own countrymen and woman peanuts!  He's selling out his own people and you are selling out yours!  On second thought, I guess you belong at Focus with your own kind!


Why do MTs who are paid by the hour cherrypick the normals off accounts.

Line counts shouldn't be that important to them. 


Employee. 0.09 cpl, 100s of normals, and downtime paid.
x
Co I work for, large national, allows normals. Of course, you must listen
zz
I have normals, lots and a huge expander glossary sm

I also have 20 years in this business, which helps.  I am not a fast typist really and I can't type at all without the expander, not anymore.  I have a photographic memory for terms and how they are spelled...see it once, know it forever. 


There are exceptional MTs and there are very good MTs, there are good ones and ones who can just about pass muster.  Don't beat yourself up trying to be exceptional.  I think exceptional MTs are born, but very good ones can be built from scratch.  There are MANY MANY facets to success as an MT.  You have to have quite an ear for voices and even the very best of us can't do every accent.  You have to either be a great typist and/or Expander user, and you have to know it well (I have used my same one most of my career).  You have to know your terminology inside and out.  You need to know how to properly organize your normals so that they are consistent and easy to use.  You have to have an excellent platform to work on, preferrably a Word client.  You also have to have a company who stands behind you and makes sure you have enough work with QA people who can and will take the time to teach you what you don't know.  My favorite QA gal is a font of knowledge, a BOS2 expert and she even corrects my emails for grammar.  I have learned a lot from her.  It helps to have someone on an IM who can answer questions on the fly for you.  I have had those in the past and now I am one of those who does the answering. 


Most importantly, do your very best at whatever mode of work you are doing.  Show up every day, give it your all.  Don't worry about what the rest of us are doing, be the best you, you can be.  Things fall into place when you do that, I know because this is how I had to approach the early stages of my career.  Persistance pays off.


Medware not only sends work offshore, but has offices in Bangalore to train MTs there.nm
xxx
you get a form to put in your name, email, and paste your resume. MTSpot sends it to the recipient
b
when docs give mtso a check, then mtso pays you?
nm
I get paid per gross line. I utilize normals and macros
as much as possible, though I could do more than I do.   I also type 100+ wpm.  I don' t have demographics to fill in, just patient's name and I type in straight WP5.1, so no cumbersome formats.  I download via FTP and I batch my work insteading of having save each individual report.   I make 8 cpl per gross line.  
Sorry to hear that because that was a good account with great normals. Hope
you find a new home where you will be appreciated and with good line counts!
Disagree with this. Every company I've worked for paid for normals.
x
Merry Christmas to you too! I think it is great that Transcend sends out gift cards to employees.
I wonder how many other companies do that. Let's see, with over 1000 transcriptionists that is 25,000.

Again, thank you Transcend!
Transcend pays 3 cents per line on holidays, plus sends a handwritten card to all
employees. I have worked for many companies and I have never seen a company that cares as much as Transcend.

E-mail me if you'd like more information.
Isn't she an MTSO owner - which MTSO ? Just curious. n/mnn
nnnn
Transcend always sends a nice handwritten card and a gift card
I just got my card today, and it is still five days before Christmas.

You really cannot please all the people all of the time, even when it comes to gift giving. I am so surprised at some of these comments.

Merry Christmas to all!
Transcend bought MDI, so if Transcend sends work offshore, so does MDI. nm
nm
I know, I know Medquist sends work overseas....but there is always work :)
xxxx
doctors are way more $$ than MTs and
get a grip
Many of the doctors do this.
It wouldn't be a problem if it was just one doc. Sorry I didn't make that clear in my first post. There are several docs who dictate 'my normal' and it takes lots of time to do this on each report.
That took my doctors. I say KEEP IT IN THE US
PLEASE!
ESL doctors
It might be because most of the doctors that work in the hospitals in MI are ESL.