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Oh yeah, I'm sure that one of us will come up with some good letters to send the clients. nm

Posted By: Anonymous on 2006-05-09
In Reply to: Isn't there some way an "anonymous" letter - could be sent to all the accounts? SM


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Send out letters of introduction to local
physicians.  Doesn't guarantee you an account, but maybe someone is looking. 
What happens, is MTSOs coddle the clients and let the clients call all of the shots.

Then the MTs get stuck with account specs that are contradictory and confusing. 

It should be simple.  When an MTSO is wooing a client, the MTSO should present with a copy of the style guidelines they intend to follow or if it is the BOS, let the client know that.  It should be made clear that with the exception of report format, the guidelines are not flexible.  Either we use apostrophes or we don't.  Don't do it one way for one client and the exact opposite for the other client and then hold the MT responsible when she gets confused as to what account she is typing that day!

LOL! Good to see you on here! Yeah, I took it and

more at Spheris, I'm sure Scott Bozo would hire me back in an instant after I called him a humorless Nazi when I left.  We're out of work here, I mean NADA; even our friend in Ponte Vedra has nothing, this company is totally without.  That's one of the main considerations for getting out; WMX is screaming for OT from what I hear.  I'll keep ya posted! Good to talk to ya, GF!  Maybe you could take a trip to Biloxi for me.....

Yeah, good luck getting anything....
from most MTs.
yeah, it really doesn't look good at all
if they are as bad as a lot of people say they are, they really need to get it together before sending out them ads. scccaaaarrryy
yeah right. not good enough of a coverup SORRY
Stop making excuses for Softscript. All you did was show others including newbies WHERE NOT TO APPLY. So immature and unprofessional.
Yeah, and since when has it ever been good business
practice to repeatedly shuffle MTs around, off of accounts they're fast and accurate on, to ones they're going to be slow on until they learn? And once they DO learn, you yank 'em again.

Why do you think constant employee turnover is good business? No matter how much money you *think* you're saving, did it ever occur to you that the constant turnover means:
1 - There's something wrong with the way you're running the place, or with your pay, or your equipment, or all of the above.
2 - Crummy quality. Do you think your clients and prospective clients don't know that you change employees more often than most people change their underwear? Of course they do. It shows in the work they're getting back.

Oh. And BTW: Don't think for a minute that you're getting away with sneaking all that work off to India, thinking 'they'll never know'. And if they don't know, then all us MTs intend to tell them.
Yeah, you get to see how good or bad their voice quality is!! nm
Yeah it sure does feel good to vent here tho
Yeah, and the really sad thing is they will lose the GOOD MTs.

Yes, I too see a mass exodus of the good MTs as those who have no other choice but to stay at TT are stuck with VR. 

Very disappointing, TT, very disappointing... 

And does that company have the letters M & Q in it?

Resignation letters
Is it customary to give a 2-week notice for IC status?
Yeah, but the sound quality is horrible on all accounts. Good luck with that!
You mean copies of the letters of recommendation? If you
FYI - the orthopedic account is mostly letters
Just an FYI -
Some people need letters after their name just as a feeling of accomplishment
if for no other reason and nothing is wrong with that. No, it does not make you a better MT and it most likely will not reap you a lot more money. I know I made top line rate without mine but that's because I was an excellent MT. Sometimes we just want to do it to do it just for ourselves and there is no reason to knock someone down just because they have those initials behind their name.
Ditto! Also add that they ignore e-mails you send and send endless IMs!
Cover letters! Brings back memories!

I remember preparing my very first resume...fancy stock paper with watermark, with the obligatory short-n-sweet cover letter included, even a reference sheet if I was feeling ballsy, all mailed in a manilla envelope the same size as the paper so there were no creases!  Now everything is done electronic and it's SO impersonal!

I'm such an old fart.    

So you're sending out bogus INTEREST LETTERS?
As another MT who just got a we're very interested letter and questionairre, I have to say,


You've wasted my time.

So Webmedx is just another crock of bull MTSO lying to potential employees.

Why am I not surprised?

Wonderful company, but you type letters and look up addresses and you do not get paid for spaces nm
Funny some of us were written letters by company attorney when we posted our concerns here
I can't tell you how often I've considered sending anonymous letters to hospitals/docs! nm
lmao!! yeah maybe I'm the recruiter...suggesting that my co-worker is the problem. yeah that make
Yeah, yeah, I spelled health wrong -
I am very angry right now and my fingers are taking it out on the keyboard.
the clients were in NY. nm
Maybe not your clients, but many are.
Your clients may be behind the times, but many are not. VR has gotten much, much better, and I've spoken with many, many MTSOs who are moving their accounts over.

The average seems to be about 60% to 80% VR and 20% to 40% transcription. There will always be those you cannot put on VR, but it is growing rapidly.
Not all clients DO know--that's just it!
Yes, some clients DO know, and the almighty dollar is the only thing they think of. But some clients DO care, and they don't know their records are going overseas. They would be apalled if they knew. Come to think of it, so would the patients.
not when the clients have the last say
Do not get me wrong. I do not care for it either, but somewhere down the line, the companies will have to suck it up and so will we. Otherwise, we move to a different field. Unfortunately, that is just the way it is.
Becoming an IC with own clients
How does a person become an IC with their own clients, not working for an MTSO? From what I have read on this board, it seems that is the way to make the most money per line/word/page, etc. so I am thinking about doing this after being an employee for 15 years (with things going downhill now). I would appreciate knowing several things:
1. How do you get the clients.
2. Are there certain types of docs that tend to prefer this situation rather than going to an MTSO?
3. How do you determine what to charge?
4. How can someone get the dictation, type it and return to the doctor without having to pick it up and drop it off?
5. Without QA other than yourself, how does an IC handle blanks? Do doctor's offices tend to get upset with blanks?
6. Is there a particular software system that is better to use when you have your own IC service and want to get work over the Internet and return it over the Internet?

This and any other advice greatly appreciated!
I'm sure they do tell their clients to sm
hide it from the MTSO, just like the MTSOs hide the fact that their clients' work is being generated by VR.
Do you think clients don't already KNOW about VR? That they are sm
being sold it at every AHIMA conference they go to? Being cold-called by companies doing VR already? That doc don't get info about it at their little retreats and conferences?

It's better to be proactive and have VR sold as part of an MTSO's offering (with MTs doing the editing) than being undercut by other VR-only companies.
do not forget the clients -
They also deserve to be billed correctly. Sad, sad, sad.
Do you have to pick up tapes and deliver the hard copies with your accounts? I used to have an account where they would dictate into my Sony system (a special system that allowed docs to dictate from their phones, pause, rewind, make changes, etc), and then I would just e-mail the completed work back at the end of the day for them to print out in the office.
I wonder if the clients are leaving
because they are being sold and that is why I have no work? I can't wait until they make the announcement - then I will know if I need to pack up and leave.
If you are seeking clients, there is not
Are their clients aware?
If I were a client of theirs, I would look for someone else to do my transcription. If I were a patient of this client and if I found out that the client knowingly supports this sort of crap, I'd look for healthcare elsewhere. Heck, docs come a dime a dozen!!!

It all comes down to the customers--that's US!!! The American citizens who trust that our medical records are (1) kept confidential and (2) are done correctly IN THE USA!!!

There should be a way to inform the customers of HIS's clients. First and foremost, we, as customers, as Americans, need to boycott the physicians first--the ones who are sending American money overseas!!! There are PLENTY of other docs out there who support the USA and want to keep the work at home. They'll gladly take my money!

Persnonally, I don't want my medical record entrusted to overseas folks who, for the most part, hate us to begin with. They barely speak a word of English and they certainly do a pathetic job at trascribing. I've seen the damage these folks can do to medical records.

I think that we should boycott MDs who are paying HIS to transcribe for them.

If we don't stand up for ourselves now, what's next????

Too bad they mislead their clients about it
That is what is so rotten about the whole thing, the hospitals think the work is all being done in the US when it is not.
RE Acusis Buy-Out, What About US-Only Clients?
Something does not add up here, because many of the bought-out company's current clients vehemently refuse to work with anyone who outsources.  Won't they drop new company outright and have to look for a new MT provider? 
But your own clients bring many of your own
*Stealing* clients

You can steal things, but you can't *steal* a sentinent being (client) who chooses to go with you because you offer better service/better price or any combination of the two.  Said client can walk away from you, too, if you don't deliver.  What company does not try to lure clients from a competitor?

If the severance is minimal, you can easily get another job, and you really believe the company would come after you, then maybe foregoing the severance would let you rest easier even if the clause wouldn't stand up in court.  If you really believe the company would come after you, do you want to spend time and money in court, even if you win?

stealing clients
I partially agree, but when a person uses insider information about a client's setup, preferences, etc. IMO that is stealing. You're using privileged information in an inappropriate way. So strictly speaking, a person hasn't stolen the client, but they stole the information they needed to get the client's business.
Clients at fault?
I really think it varies from client to client what is expected as far as unpaid fussing.  Some expect the moon and the stars (looking up the ordering physicians on huge databases instead of passing us that demographic).  I don't understand why a company would agree to contracts like these with the clients - they know no production will result from it!
TT has just taken on several HUGE clients
That is the reason for the ad
What goes around will come around and eventually your clients
They see that all the other doctors are hardly paying anything per line for it and they'll expect you to adjust your rates accordingly. This is precisely what happened in my area. All the doctors started thinking they should get bargain-basement prices because they could use the threat to send it offshore. So wallow in the green while you have it, at the expense of your offshore workers (and hey, if they're truly so great, why not pay them US rates and really do something really noble to improve their lives?)

You might be helping the economy in third-world countries (they'd starve w/o you?! Get over yourself!) but you are INDEED helping to lower ours here. You can justify and deny that all you want, and frankly, I don't care that you sleep at night. The fact that you are here defending your stance so vehemently tells me you know deep down.

You can also claim there are no good workers here, but you're wrong. We just don't work for MTSOs with your attitude. And guess what? There ARE plenty of doctors that DO care where their work is being done. You might have found a few who don't care (if you truly told them), but that's not par for the course in most places, my dear. Most ESL clients are the most adamant that the work be done here because the US MTs are the only ones who could clean up their grammar!
I can name 5 more on that list who are NOT clients of theirs. nm
Most of the clients don't allow their work
to be sent offshore because of privacy issues, Americanism, etc. The CLIENT decides.
some clients want those apostrophes
The two docs I edit for want those apostrophes there and you can find just as many reference materials that DO include them as don't.

I agree this is nothing that is going to affect patient care, but bottom line - you have to give the client what they want.
MTSOs cannot pay more than they get from clients
If the clients are only paying 10-12 cpl, you cannot expect them to pay you more than 8 or 9.

The only way to get decent pay is to get our own accounts and cut out the MTSO.
Then your MTSO would have NO clients
Overrated you say? If you saw some of the hair-raising mistakes we have to clean up on a daily basis you wouldn't even THINK about doing away with QA because the people you work for wouldn't stay in business.

How about the MTs who are too lazy to look things up and use QA as a reference source. I know I send feedback to the same MT over and over again without seeing any improvement. That is frustrating and a waste of my time.

I was an MT for 35 years before I became a QA person. I had a lot of experience and a lot of knowledge and felt, (very naively I realize now) that I could actually HELP people. But the MTs don't appreciate the help. They just want us to clean up their work and be quiet. If we send feedback we get blasted by the MT instead of being thanked.

I personally got into QA to help people. Boy, have I been disappointed. This is the most thankless and difficult job in the transcription business. Thank you for reinforcing that point.

I am so glad that I have wasted 38 years of my life trying to help people who just want to use me as their whipping boy.

So yeah, do us a favor, get rid of QA. What a waste we are trying to educate and help people. How dare we?

I personally give up. Do your own research and find your own answers. Don't bother me anymore!
It's not KS's VR. It is the clients and they have had that account for sm
several years. The lines are all counted and the rate is the same as my normal rate. The reason is that it takes a lot to edit these reports and they know that. This is not new for KS.

For those that said they do not do VR, they must not in their department or accounts, but there is VR with KS. They have a lot of Powerscribe accounts for radiology and a few VR accounts for HIM already and have for a while now. The pay is good and has not gone down. I am at 9cpl and happy but the VR editing does take as long as straight transcribing.
That 9.9 cpl is what they are charging their clients
I clicked on that link.  It's completely an off-shore based company.  The 9.9 cents is what they are charging the health care providers.  That's only possible if they are paying 1 to 2 cpl for the workers.