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Serving Over 20,000 US Medical Transcriptionists

Terminations - closure continue in Heartland- no end

Posted By: Newman on 2008-04-03
In Reply to: I wrote this email and sent it to the Toledo Blade newspaper. - mamacarolina

March 31. 2008 - Heartland Information Services force resigned all their employees in Mumbai, Hyderabad and Coimbatore and closed their offices and operations in the above said cities. This is their first positive step towards the merger with Spryance.  Congratulations to Heartland.

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You will find that there are good and bad things with every company out there, but the bad certainly outweigh the good when it comes to MDI-FL.
I tried and continue to try with my own
kids, but sometimes just being out in the world today taints what I have tried to teach. I pray daily for this world, but it is sliding downhill quickly. It saddens me...all the hatred and intolerance of EVERYthing these days. Even trying to keep my own intolerance under control is an endless fight...but at least I try...more than I can say for most. Thanks for posting. I know I am not alone. Take care.
If you want to continue using WP5.1, sm
check out First Choice Medical in Florida. Great people.
Should you continue?
Not only NO, but H**** NO. Why enable someone to take advantage of you? You deserve the kind of treatment you will accept; that is an adage of the business world. Get out of here and go someplace where you are treated like a professional.
I'm sorry, but why would you continue
to work for someone after they owed you, say $500, much less $10,000??????????
Why did you continue to work for MDI...
for years then if you could make so much more elsewhere???? 
VR will continue to improve just like
everything else in the technology age.

Bubbye, MT world.

But it's a blessing in disguise. Maybe now we can find jobs where we're treated with respect and get paid better than the average janitor.
Without us, they would continue offshoring. sm
Very few MTs deserve 15 cpl. Take a look at the word boards! It's scary out there.

Should I continue to work if I do

not know what my line count is on a daily basis.  I have tried emailing the tech department, emailed the secretary, emailed the account supervisor, and get no to slow response.  All I get is we are working on it and then I hear absolutely nothing.  I am only inquiring because I want to know when I reach line count on a daily basis, but every time I try to check this function, it says I am not authorized to do so.  I keep asking why I am not authorized to see what my line count is and I get silence.  I am fed up?  Should I continue working for them and allow them just give me my line count when they see fit.  Also, my line count determines what I am paid by the tier program they have.  For example, if I type 6000 lines, I make 6 cpl, but if I type 12,000 lines, I get paid 9 cpl, but I am unable to verify what I am typing.  I just secured another position and have backup just in case.


Why continue working for them then?
The best thing we can do is continue to -
talk about it, write about it, and tell anyone who will listen about it. Our wages are the MT industry's dirty little secret. They get away with it because no one knows our type of work even exists. The hospitals get away with going with MTSOs who offshore because the doctors themselves have no clue who types their work. (Some don't even know their work leaves the hospital, let alone the country!) They live in a very cloistered little world.

The deals with the MTSOs are made by the suits upstairs in the corner office, who don't know much (if anything) about MT, either. All they know is that MT is an expenditure - red or black ink on their books. Many of these suits are overpaid, money-wasting jerks, just like the ones that Congress is grilling right now. The same hospitals that cry they don't have enough money to maintain an MT department, or pay the MTSO when their price per line goes up a lousy cent. (A CENT! When was the last time you even bothered to bend over to pick up one of those when you found it lying on the ground!?), are the same ones that hold huge, expensive bashes for their larger benefactors, and for themselves. They, too, spend hundreds of thousands of dollars on office furniture, when there wasn't anything wrong with what they already had. Or buy expensive original works of art to hang in their halls or put on display.

We know, and everyone else from the janitors in the basement to the top brass upstairs, knows what it takes to survive in this country, and they also know that what they pay for transcription doesn't even begin to be a fair wage for ANY worker, especially not for supposed 'white-collar' employees who, by the very nature of their work, are intelligent, well-read, articulate, and fairly well-educated.

They get away with that because for all these years, we've just sat there and LET them. We let them tell us we were 'lucky to have a job - ANY job'. We listened to them tell us that VR, or EMR, or India, would eventually replace us all. I doubt any Senator or Congressman in DC even has a clue about any of this. If it were happening to steel-workers, auto-workers, miners, CPA's, animators, nurses, teachers, etc., it would be all over the 6 o'clock news every night. But no one knows of our plight, or that we even exist, because we don't say anything. We just lie there and take it.

Calling a national MT sick-out for a day or two might get us some attention, but I seriously doubt many MTs are going to risk their jobs to do that, because we'[ve all bought into that 'lucky-to-have-a-job' myth. And during these uncertain, possibly pre-depression times, losing one's job is probably not the best idea.

I contine to believe that the best thing we can do, collectively and individually, is to start WRITING. It's what we do best, and we should be putting that skill to work for ourselves, for a change. We need to educate as many people in the US, and in our legislature, that their medical records are being sent offshore. That HIPAA does not protect them when their medical and personal records leave the US. That huge MT companies have been squeezing out smaller MTSOs by undercutting them, or by buying them out. That the huge MT companies are raking in the dough by claiming 'there aren't enough US MT's', and then paying hungry people in 3rd World countries a slave wage to produce the work. AND, that our government is not only letting them do that without any kind of a tax or fee for doing so (when millions of Americans are currently out of work?!?), but in some cases getting monetary INCENTIVES for offshoring.

THAT's what needs to stop first. The free-for-all in the MTSO industry where they can just shove the work offshore, thanks to the digital age and the internet, and not have any repercussions for doing so.

Currently offshoring work is many MTSO's FIRST CHOICE of workers, and Americans are their SECOND. We need to turn that around, so that it makes more economic sense for the employer to pay Americans a fair wage than it does to steal their work from them and support another country's middle class. OUR middle-class needs support now, and the US should no longer be subsidizing India's, Pakistan's, Mexico's, or the Philippine's middle class by sacrificing us.
Yes, you can definitely continue to learn, but -
why throw away perfectly good money on a USELESS 'certification'? You won't get paid more money, and you'll have to pay every time you take it if you fail the first time. AND pay to continue to renew it. Biggest ripoff in medical transcription history. AND, all this by a company that gives Indian MTs a better price to take the test, and who openly promotes offshoring american jobs.

You'd do better to spend the money on a comfortable work-chair, an ergonomic keyboard, a better computer, or some new reference books. Getting a bogus 'CMT' cert. just helps to fund AHDI's selling of the American Transcriptionist downriver.
They continue to hire because...
it looks good to the client for all the work to be caught up all the time, so companies over hire. It doesn't matter that MTs sit all day and wait for work to trickle in. They are looking at the client's side. They can hire as many transcriptionists as IC as they want and do not have to pay out anything if there is no work, so what do the MTSOs have to lose by over hiring?
The beatings will continue
Pathetic, isn't it?
As I don't have time to continue messing
with you, this will be my last post. I have 5 accounts, so you have one more than I do, wow! That doesn't make you a better MLS. I didn't post on here to get referral bonuses and my attitude about the company is what makes me a better MLS. Good day!
It does not continue. No one will ever give initials or
let us know, so it is safe to assume that it is the same person every time.
Why would a company continue to keep slackers?

Continue to turn down work.
That's okay, limit yourself. It leaves more work for people like me who can walk into a job and transcribe most anything. I don't understand folks that don't want to learn and then complain that they can't find a job. Go figure.
They'll definitely do it some time. You know they won't continue...sm
to pay us such a good rate when all the other companies are paying 3-5 cpl. If they all set their rates so low, there is nothing we can do about it if we want to continue to work. Their Town Hall meetings are always a pep talk followed by something that cuts your pay in the couple of years I've been there.
They will continue to lose good MTs
if they don't straighten up. Once the labor board gets on their casse, they will have no choice in straightening up.
Why are they allowed to continue to post here when they are known not to pay?..nm
So, listen to this, you would rather continue to retype
a VR report for only 4 cents a line rather than train it where you could hopefully just zip through it? It will never improve as long as being deleted. Does that really make sense to you? You are paid 8 cents a line if straight, 4 cents if VR and yet you would continue to retype time after time?? Again, this is making sense to you?
Supposedly starts 10/06 and will continue
into the 3rd quarter of next year. I would hope they would let us know, at the very least, which accounts are going first and a time frame for the rest of this year.
Should be too! Went to continue the sentence and didn't.
I hate when I am rushing and can't correct my mistake fast enough before I hit the send button! LOL
Okay, guess I will continue. Was hoping I was being anal. (sm)
Kept a log with MQ for years then finally just stopped with DQS after I felt comfortable it wasn't cheating me. Now with new company and they want you to log everything. I feel like it is taking up a bunch of time, but... sounds like I better continue.

While I wait to win the lottery, I need to continue to work....
Does anybody have any information on this company out of NJ? I've done a thorough search and absolutely no information is available. HelP?? TIA
No, you'll be allowed to continue working for well below what
you're worth with crappy benes, working holidays without holiday pay, getting cheated out of your lines, getting paid less and less every year, etc.
This will be the downfall of MQ if they continue this bouncing people around. Whoever thought up
this way for MTs to work is so entirely wrong that there is no way they have ever ever done this job. They are totally to the wind doing this. Anyone who has ever done MT work will say that the best way to get the best lines and best quality is to keep MTs with what they know and what they do best. One main and one backup is all anyone should ever have to do. We have constant complaining in my office from the hospitals about things that are done wrong and it is ABSOLUTELY because of people not used to the account hopping in when they run out. Bad bad business.
Well I think they would just continue to hire SEs and then give them an option, just my opinion. I
HOPE I am wrong believe me. MQ will do whatever it takes to get where they need to go and that is a fact. I just wish I knew the game so I could play it too. You know the saying, you name the game and I will play it too and better than you do. Why do you think they are so sneaky about everything. They dont want us to get a hands up on them. This is a true cat and mouse game. Just like any corporation. Get them with their pants down. Use them while we need them and then move them out. See it all the time. BUT better to keep everyone in the dark before the end comes for sure so employees dont rock the boat.
I did not continue to work for them, but have not recieved a check and it has been 2 months already.


If TT lets wrong line counts continue, regardless of
well then isn't that QA's job to send feedback so that doesn't continue to happen?
Has she posted anything to that effect, or is she letting testing continue?
I dunno, this whole situation sounds a bit peculiar to me. I like to give everyone the benefit of a doubt, but this one just seems peculiar for some reason (or for several reasons).

I hope whoever bothered to test for this and landed it posts how their experience goes.
2 choices: Continue to call/write repeatedly or move on. nm
You are wasting your words on this or any site letting it bother you. The bashers will continue
to bash because they get pleasure from doing so.

What you need to do is do not read the threads. Bashers love to bash.

If you choose to read the threads, take it with a grain of salt and just let it go over your head.

You know the truth and an intelligent MT will go to the company for questions particularly when that company makes it clear in their ads that they can.

I just would not sweat it. Know that intelligence prevails in this industry and the smart ones will find out for themselves rather than read sour grapes or anything that resembles it.

Go relax and don't worry about it. Enjoy your day.
Has anyone heard of a company called Heartland Transcription out of Toledo?  A friend of mine has been talking to them and wondered about it, so I told her that since I was online right now I would ask.  Thanks! 
You MUST be their recruiter.


WOW! What paper was this printed in, the post doesn't mention it. Also age discriminations is llegal folks, and just fort he record HIS hired me and I am 58...make me wonder..................nola
I myslef cannot help but wonder what is going on with Heartland. I currently work for them and scared I will end up without a job.
Heartland does.
Does anyone have info or updates on what is going on at/with Heartland? I've heard about quite a few layoffs in the recent days. Thanks.


sometime back, there was a post in this forum regarding heartland's sale status. it refers to spi backing out of acquisition of heartland...

Medical transcription business booming
Anshuman Daga

Bangalore, February 20
Medical transcription firm HealthScribe India, which uses India’s large pool of English-speaking graduates to enter medical data on US patients, expects its revenue to nearly double annually over coming years.

“I expect our turnover to grow at 80 percent compounded annual growth rate for the next few years,” HealthScribe’s Chief Executive Officer Tony Hales told Reuters in an interview.

The company, a joint venture between Max India and Healthscribe Inc of the United States, currently does $6 million in business a year.

The booming medical transcription business has become a $ 6 billion industry in the USA.

Transcription professionals key in medical data such as patient histories or treatment into computers after doctors in the USA phone the transcription centre and verbally record their observations. Once keyed into computers the data is transferred back to US hospitals via e-mail.

Global Centre

India has become a global hub for medical record transcription business with the establishment of high-speed telecom links and its large number of English-speaking graduates.

The fact that wages in this field in India are only 15 percent of US salaries is the biggest draw for firms such as HealthScribe to set up shop in India, Hales said.

“Our (HealthScribe’s) only limitation for growth has been time and experience,” Hales said. The company was not adding more than 75 to 100 employees a month to ensure that the quality of work is maintained, he explained.

Hales said it takes about four years for a local employee to match the quality of work done by his counterpart in the USA.

Other foreign companies in the same industry with operations in India include US-based HeartLand Information Systems and CBay Systems (India).

The growth of such services has been fuelled by rising demand to maintain basic hospital data and records and use these as legally recognised documents for US doctors to support medical decisions. Reuters

Who is spi? Thank you.
Heartland... now what do we do?

So... what do we do now guys?

So sorry to hear about what happened.  They will lose their clients.  Are any of you from MS, AR or TN???
I'll bet the we take care of our people people have even them beat dirtwise.
Very sad, well-written. Please, please, forward this to former Senator John Edwards at OneAmericaCommittee.com. Please browse the site and familiarize yourselves with the work the Senator has been doing. I believe HE REALLY CARES. Please anyone who has the time, browse the One America site. You can sign up for updates from them and help by signing petitions and just spreading the word. It's time for Americans to take back America, don't you think? Thanks all. God bless you all who have been treated in this fashion by Heartland, but consider that some way, in some fashion, the ones who did this to you WILL get their just rewards.

The we take care of our people was supposed to be in parentheses but didn't show up in my post. 

I am sorry for all of you. I had the miserable experience of working for Heartland a few years ago. I stayed only 6 months so I didn't have to reimburse them $2000 for their flying me to Toledo for training (what a joke that was) me. For those of you who want to write their clients, be careful. It technically could be a violation of HIPAA. Instead, write the newspapers where the client is located. You can bet that their staff members read the letters to the editors. A letter to the client could just get buried by the administration. I know of at least 2 instances where a client was outsourcing to India, but their staff was unaware of it. Do not, of course, mention the name of the client. Call it a local medical facility or a medical facility located in this state or area if there is only one medical facility in that particular town... something like that. It has been a few years since I worked for Heartland, but while with the company, I edited reports typed in India. If any of you want to E-mail me with the city and state (no other information) where a client is located, I will be happy to write a letter to an Editor too. Best of luck to all of you.