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Serving Over 20,000 US Medical Transcriptionists

Quality versus volume

Posted By: jomets on 2008-09-09
In Reply to: You are right - jomets

I feel the need to qualify my statement above. The MTSO makes their money on volume and QA is a necessary evil. The MT makes the bucks, not QA. They are required to have QA to avoid law suits for mistakes and to keep the client satisfied. Quality is something that is missing throughout the land ..everywhere you go, you see this. You can't even get a decent sandwich anymore at a fast-food because quality is not the point..no it is not...volume is the point. Quality be damned!


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If someone has the experience, the volume and the quality, whole package, they SHOULD be paid well.
Our employees, at 0.08-0.10 per line make $24-30 per hour. That is not peanuts.
MDI versus MedScribe versus SoftScript versus Transsolutions versus TransHealth. SM

I'm getting ready to start applying and these are the companies that I'm looking at.  So give me the low-down.  Good, bad, India?


Here are my criteria:


9 cpl or better


Does NOT send work to India


Good accounts with at least 50/50 of ESL versus American dictators


Consistent work flow - no downtime or time spent waiting for work


Upper management should be professional, positive, and encouraging.


Pay for lines WITH spaces.


Is there such a job out there or am I just dreaming?  If there are other companies other than the ones I listed that would fit the bill, please feel free to let me know. I tested with TransHealth and I felt like I tanked.  It was a hard test and I had to use the mouse to stop and start the dictation as it was online test and you couldn't download the voice files.  So that made it a lot more difficult.  One of the dictators was cutting himself off through the report and I had to leave some blanks.  I'm very frustrated with this whole process of looking and testing.  Are all the tests like that?  Or are there companies that allow you download the test files and transcribe them using your pedal and software?  Ugh!  I am just so frustrated and discouraged.


Thanks for any helpf.


They offshore, sound quality not great, quality
of work coming back from India is bad and they don't pay enough for editing it. 
you spelled quality qualitily maybe that is why you have quality issues.
Sorry, but even spell check misses stuff. You have to at least be able to spell to do this job. Well, you don't have to know English if you are Indian, but us Americans have to spell!
If KS needs a second recruiter to help with the volume
I would love to be a recruiter. If you guys are in need of another recruiter, please contact me.
Low volume work
Same company, probably. My butt is now shaped like my chair's seat.!!

What's with the low work volume. I know about the feast or famine crap, but this is ridiculous.

I'm getting worried about this company, well BEEN worried about this company.

There seems to be either a severe lack of communication between MTs and bosses, or they just don't care.

Ok, rant over. Thanks for listening.
work volume
That's a good point about time and work volume. I work the 11 p.m. to 6 a.m. shift and there is usually plenty of work I guess because less people are working at that time.
LOL ... Heaven help us if there is a volume II ... eek. nm

I like them but work volume has been very low.
I have a very hard time making my minimum lines and no matter how many times I ask, I can't get put on any other accounts. If their work load picked up, they'd be great.
Big Hospital usually pay less (volume). Maybe you

If you are really interested, you can do some of your own research.  Sites like those below have business profiles. 


manta dot com


linkedin dot com


 


For example (old information): 


MedQuist:  $340 Million Revenue – 7512 employees (claim only 25% are Medical Transcriptionists, 5% Editors)


WebMedx:  $38 Million Revenue – 800 employees (Average $47,500 per employee) (claim 29% are Medical Transcriptionists) 


 


or it could be the work volume is just still low BUT
now the MTs figure they can cherrypick since they were sold out.??  That could be the reason, e-mail your leader and ask for them to check for skipping on your account if you keep getting the hard dictators! 
once in a while when work volume is very high.nm
nm
I am on that account and it is not overflow. It is a set volume with sm
a set 2 sites. You really should ask the lead instead of posting on an anonymous site which makes it look bad. Especially when you know as well as I do that this account is one of the best out there. I make great money and great lines.

I think that once it was caught up, which was a backlog created by the in-house staff, that they needed to make sure that everyone has the work they need but that the account is kept in TAT. Obviously there will not be as much work as it was unlimited while behind, but my understanding is that it will still be very busy as we are 100% responsible for the 2 sites.
BREITNER WORK VOLUME?
I'm wondering if the low volume of work mentioned by other posters here is for all shifts or just daytime?  The recruiter recently told me that there is plenty of work and she offered me a full-time position.  Might it be just to have me around when and if they get more work in the future?  Would I be a fool to expect full-time volume NOW if I would be working late second shift?
What makes you think recruiters are paid on volume?
Most that I know are paid salary. Only a few pay on commission.
Had to leave FN due to neverending low work volume. SM
Almost everyone has to work IC if you don't live in California. Liked working there, though.
Why would mgmt contact employees to explain the low volume,
if everyone is able to make as many lines as you do? BTW, I'm NOT the OP, just another employee sitting here waiting for work. Your statement was extremely condescending and rude to those of us who CAN'T make 20K lines because of low volume.
FN is a good company. Work volume much too low. SR pay very poor.
X
Yes, but their internet accounts at the moment are high volume ESLs nm
m
I wouldn't quit a decent company for seasonal low work volume.
I'd hang around and see what the New Year brings. I wouldn't say that if you were working for MQ, but I would for a company with a decent reputation. If it is still slow in January, I'd talk to my supervisor and find out what her take is on the situation.
Their new pay plan brought me back to newbie wages since I don't do high volume. And the work loa
s
Thanks. I've only been there 3 months and was wondering. Asked for a high-volume backup. No reply
*
Quality is quality, and really should have nothing to do with getting new accounts.
MQ isn't scheming against the MTs regarding QA. They just want a quality finished product.  Heck, half the slams on this board about MQ are the garbage work the MTs put out.  Talk about a no win situation! Getting used to a new account should not lower your quality by any real degree if you are a good MT.  Even getting used to new dictators or ESLs. Good MTs still produce quality work, and should not have to fret over QA. 
Phoenix MedCom biweekly! volume Bonus biweekly too!!
..
MQ versus others
Neither do I......
SE versus IC
I thought they were the same, so I guess I am the one with the missing brain cell!
IC versus SE

I know the SS differences between the 2 but can anyone tell me is there any real advantage of being an SE versus an IC?  Why did MQ do away with SE?  Do you think this will be growing trend with companies?


RN versus MT
Take the R.N. course. I wish I had taken it at an earlier age. You will have a job that you can depend on with good salary. Don't make the same mistake I made.

Good luck.
RN versus MT
So true!!!
SE versus IC - sm
If you got 8 cents as an SE, what do you think this would calculate to in line rate as an IC - 9 cents?  By this, I mean SE helps with your taxes but by how much would you estimate?  Anyone know? 
QA versus MT?

I was just offered a QA position.  If I accept the position, it will be my first QA job.  According to my calculations, I would only make about a dollar more an hour on average by staying a production MT than I would as QA with this particular company, who pays their QA staff by the hour.  I am wondering, is being offered QA anything like a promotion in the industry, or is it more of a lateral move/matter of preference?  Would love to hear opinions on pros and cons of QA  Thanks!


BS versus DQS
I have used them both and produce about 150 more lph on Bayscribe.
MDI versus MDI-MD
Would appreciate clarification - Are these the same company, the one located in Gaithersburg, Maryland? Thanks in advance.
MDI versus MDI-MD
Thank you for your response. Do you happen to know if the one in Maryland is the one that people generally refer to as a good company to work for and one that and does not send work out of the US?
MQ versus Webmedx
Been and done MQ...now at Webmedx and enjoying my job again. Nice to feel valued.
SE versus IC. I know there is s simple

but I'm a math retard.  If an SE made 10 cpl and an IC also made 10 cpl, and everything else were equal, then the SE is actually making more because half of the 15% social security tax is paid by the employer.  So the SE makes 7.5% more than the IC, correct?


Now here's where I'm a math retard.  If you take that 7.5% into account, what is the SE's *real* line rate?  Sure, it's still cpl but when you figure the employer is paying 7.5% of the taxes then does that make the line rate actually more like 10.75 cpl?  Or am I off on my math?


MT VERSUS MTSO
I have to agree with you that job hopping can look unprofessional. I have a bit of dilemma though: I am on my second job and either I stay and continue to be unhappy or risk a third try that may put me in a similar/worse situation. Here's the kicker though - My problem is not the company...it is my coworkers. I am discouraged by a lot of my fellow MTs' work ethic and the every-man-for-himself attitude. I don't mind sharing my normals with everyone. If it means they are more productive, helps them get more lines in and our account is in turn, why wouldn't I want to share? We have all been new to an account...why not be helpful and supportive? Here is the resume I would love to send out:

MT with 3 years experience in acute care; ESLs not a problem; reliable, will work the schedule YOU need, will be on time and stay for entire shift(imagine that); no children to bring to doctor/football practice/exhusbands house/school play; actually does research, has an extensive library of research books, and does not just toss a job to Quality dept for them to finish; NEVER cherrypicks or skips jobs; will not poach, working outside my schedule trying to get extra lines to pay for Xmas/kids braces/second mortgage, taking work from others; does not mind working over/extra when needed; does not have a endless stream of mysterious health problems - in fact, has only called in sick once in 3 years; recognizes the Quality department's value and that they are an essential part of the job I do; does not whine about hard dictators/OPS/ESLs/short reports/long reports; have taken Anatomy and Physiology courses in addition to initial training and still taking continuing education courses; sitting for CMT next month; helpful and supportive of my TEAM (for those of you who do not know, that is my coworkers and my employer); does not have constant, vague-sounding internet/phone/electricity problems that prevent me from working.

Here's a thought (not for the original poster, but for those the shoe fits) - how about thinking about what you have to offer a company instead of what you can get out of them? What do you bring to the table? Selfishness? Laziness? A baby hanging off of your hip, a slew of pathetic excuses, and a victim's attitude? No wonder you are not happy anywhere...you get what you give.

I will not send out that resume, obviously. Why? Because those types of MTs are everywhere. I cannot hope to find a place where none of that exists, not with the pool MTSOs have to pull from. Plus, it is not professional. The reason I did it here was to illustrate a point. People do not always job hop with the hope of improving their situation, many do it for bonuses or to find a place where they get the most and can do the least.

Want change? The responsibility for change and growth within this industry lies with the individual MTs.
IC versus Employee
As an IC, you can deduct at 100% all of your expenses.  An an employee, you can only deduct the amount that exceeds 2% of your gross income (if you are married and filing jointly, it is yours and your sponse's combined gross income).  In other words, if your joint combined gross income is $100,000, you can only deduct your expensed over $2000.  That is a huge amount to have to not include.  Check with any tax accountant or IRS regarding this.
Holidays versus PTO

I think it all depends on the amount of PTO that you accrue per pay period.  Some companies allow you to accrue more, but then you are expected to use your PTO for holidays.  Some may pay for holidays separately, but then you don't accrue as much PTO; it basically all balances out in the end.


IC versus employee

This is a muliple-part question--hoping someone here can help with some or all of them! 


1.  Does anyone have experience working for Shriners' Children's Hospital inhouse in Norcross, GA?  Many ESLs, how are working conditions, etc?


2.  I've been recently sent home from my small office practice (didn't volunteer!) and changed from transcription/med records clerk employee to IC; lost benefits. I think a little further on I'll have to get another inhouse job--remains to be seen if I can afford to live on this reduced income.  Does anyone have solutions regarding health insurance for self-employed, single people?  In my state an individual BCBS premium for someone my age is $300.00/month w/$250.00 deductible. (Yikes!)


3.  How to tweak my (hopefully) next interview to reflect that in my last job I was told basically I wasn't a good "fit" for the office, even though they were happy with my work quality and quantity?  In their opinion I didn't pitch in and answer phones quickly enough, schedule patients and take on copying duties cheerfully enough--in short, lacked a positive attitude, even though I DID do these extra duties politely. I'm nearly 60 years old--and don't do perky very well.  Should I just explain this last job didn't suit my skills and personality? 


Thanks for reading thus far--will appreciate your suggestions or input!


 


 


VR versus straight
Oh, I get pain 4cpl for VR.
VR versus typing
Do you make more money with straight typing or VR?  Just a poll.  I do both and seem to make more straight typing.  You would think VR would be quicker.
VR versus typing
I make WAYYYYYYYY more money typing that VR. There is no question about that at all. On one particular account that I do I can type almost as fast as he speaks so that is a great moneymaker, but even on my fast talking doctors there is no comparison to doing them in VR.


SPI versus MedQuist
I tested with SPI yesterday -- no word yet on the results, but keeping fingers crossed very tightly!  Anyway, got an E-mail from Medquist today but I see I lot of MTs complaining about running out of work and a high ESL range of doctors.  Is MedQuist a place I should avoid?  I haven't tested or applied yet -- just looking to get out of where I am working now.  Not enough lines and just generally unhappy there. Thanks for all of your input!  Was offered a job with DocuMed -- called to accept and was asked to type a few more files only to never hear from that company again.  I guess I did some free work as I heard that I was not alone.
MQ versus Webmedx
Can anyone compare the hourly line rates between MQ and Webmedx for me?  I'm usually around 250 and 300 per hour at MQ but want to find a company with a better reputation.  Just want to know an average of what anyone can type at Wedmedx per hour.
OSi versus DeVenture

Hi.  There used to be a lot of negative posts on here about OSi.  What are you guys' current opinion on it?


Here's what I'm really contemplating:  contacting DeVenture, who had offered me a job at around the same time that OSi did.  Here's why:  I got put in a program that would advance me to acute care kind of transcription.  It did, but now I have to type for about 10 hospitals, thus I never can get good--or a good line count--at any ONE hospital's transcription.  So--my cents-per-line rate in theory has gone up but there's no way I can make the kind of line counts I made when I was just doing clinic transcription.


Theoretically, I have a primary account, but there is never enough work on it.  That's why I get work from 9 other difficult accounts instead.


Anyone else having this type experience?


Thanks a lot-


CC


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Anybody left MQ for Webmedx?  Just curious about how they treat MTs as compared to the Q.  I was also told they do not offshore - can anybody clarify?
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Made the change and can't believe the difference.  I knew there had to be a better company, couldn't have been worse, and boy am I glad I made this change!
hospital versus IC
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MQ versus Webmedx
I am wondering if anyone has left MQ for webmedx.  Is it any better there.  Another question, webmedx does not supply an Expander with their program, or am I confused.  Just looking for anyone that might have switched and how they are doing with webmedx.  Thanks!