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Serving Over 20,000 US Medical Transcriptionists

The competition is in the price NOT quality.

Posted By: uhhh on 2007-03-29
In Reply to: Americans are bad too - Silvie

Editors clean up American MTs and Indian MTs. Bottom line is COST!!! DUH! It is just like everything else being made overseas in China, Mexico...IT IS CHEAPER THERE!


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Just what MQ did, buy up all the competition sm
and make a monopoly, set the prices, standards etc. Been there. Not that long ago Transcend bought up anotherd company, 137 or 140 employees, now they have no work. She posted on MTDaily. Really sad for sure.
am i detecting competition? nm.
/
Competition is the Name of the Game!

What we have always seen happen within the U.S. between U.S. workers in the job market , competition , is expanding to the global marketplace. U.S. workers now not only have to compete with each other in the arena of  marketable skills , they must also compete with those in other countries who not only possess the same marketable skills , but do so at lower prices. Naturally , a company which can get the same production out of a worker for a smaller price is going to choose that worker, as the savings in labor costs will increase the bottom line.We lost our manufacturing base on just this scenario...a fatal blow to the soundness of our economy , IMO. That left us with a service sector base , which is also facing the same threat , with the likelihood of the same result , suffered by our manufacturing base.


One solution is as Obama has suggested. The feds take away any tax breaks companies which outsource get to the deteriment of U.S. workers. Will the U.S. government do something like that? I doubt it. Look at what is happening right now over the issue of illegal immigration into the U.S. We were attacked on 9/11 ; drugs and criminal are being brought across our borders ; our law enforcement officials and citizens are under attack ON OUR OWN SOIL from those coming across the border ; and in the economic arena , companies are hiring illegals and undercutting U.S. workers' wages.


The People have demanded the border be secured and the Congress passed a bill calling for U.S. border security. But , what has actually been done? NOTHING!!! Why? Because the feds don't want to secure the borders. If they did , the borders would be secured , or at least a serious attempt would have been made. So , why haven't they secured the border? Because U.S. companies want to employ illegals and pay them lower wages , thus increasing company profits. The dirty little secret , that isn't really a secret , is that our legislators and president are all about serving their masters...and that isn't We the People ; that is the corporate and banking classes who fund their campaigns and give them lucrative positions in their compamies when they leave office.


So , unfortunately there it is.


 


 


Maybe that's how offshore co's are dealing with the competition -
.
i am not in this for competition, just to make a living and feed my family you
insensitive b*****
Caught that. Thx! Something about competition clauses at the time kept them from hiring in NY state.
s
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!
for that price?
so if they were to pay you what you thought would be worth it, you would write an MT training program for people in India? That's nice. Don't complain that we are being treated as professionals and that our career has gone downhill when people like you are contributing factors to all of it.
we need to set our price

Upon looking at the job boards, I notice they want us to have 10 years' experience but want to pay only 7-8 cents a line. 


It's time we decide on OUR bottom line. 


What is the least we will accept as a group for transcription and ASR? 


I say no LESS than 8.5 cents a line for transcription and no LESS than 5.5 cents for voice.  We do not need to go any lower than that, if maybe that it even too low for some of you out there?   I want to hear from you.


We MUST follow this up with action, or nonaction as it were, by not accepting any job for less than our bottom line. 


Let's set a new standard for ourselves.


Where did she mention a price?
I didn't see a line rate posted.  Usually a rate like 7 cpl is a temporary rate just to see if the person has the experience they claim (9 times out of 10 they don't) or it's temporary rate to offset the cost of editing of new hires.
Price fixing
It seems that ever since AAMT suggested that the line count should be characters divided by 65 (which cut our gross line pay by 1/3), clients have been insisting that we count that way. So now Escription comes along and tells the client the same thing and they want us to change the way we count. It seems to be there are some antitrust issues lurking here to be plumbed. Isn't that called price fixing? And wouldn't one think that we should check on it like with the attorney general?
price point?
Is that a nice way of saying cheap?
I think you are wrong. Everyone has a price. I think she would be sick of all of this by now. xx
xx
This is the price of doing business. If there weren't
something in it for you, you wouldn't be doing it - whether it be money, ego, prestinge, etc.  
she didn't mention a price, i said
If you send a professional resume, go through the trouble of testing, passing it with flying colors, 7 cpl should not be anywhere in the offer.  Pay a professional what a profession is worth from day one.
You can make more -- negotiate your price. sm

Dorothy is one of the few that pays MTs for their experience and quality.


 


Good luck!


Contact me for good price
$60.00 plus shipping for StartStop foot pedal. I got it when I worked for SoftScript before, so know it works well with their program.
Just remember.....everything/anything is for sale for the right price sm
No matter what, everything and anything has a price tag. Good luck to all KS MTs.
Price fixing does not need to be accepted and should not
I see, 5, 6, 7, 8 and should not be accepted. Get your calculater out. Figure out what that would be per hour. Com'on this is a highly highly skilled profession, not just anybody can do it, takes year YEARS and you never know it all, never.
It seems like price fixing in t this industry.
They all pay the same unlivable wages. Anybody know a lawyer? Ask about a price-fixing lawsuit.
I'm beginning to believe its price fixing
Seems like reps from all the major MTSOs sat down, came up with a so-called competitive rate, and decided to all cut wages at approximately the same time - so there's really nowhere else to go when MTs want to leave!  Greed!  Plain and simple!
How can you compete with the big-company price-wars? - nm
?
Forgot to say that I value accuracy over speed...sure I could go fasther but at what price? NM
xx
You're forgetting the Consumer Price Index has gone up 30% since the 90s
And as for doing well in VR, see this old post about why some people do well and some do not...just because you lucked out doesn't mean others didn't get screwed, and they DO have a right to complain.


http://forum.mtstars.com/main/v/1/131001.html

To quote: *In any of these usually extensive discussions about VR, most complain about how broke they are, and there are always one or two who say they're doing well with VR.

Well, the reason is not that one group is exaggerating or the other group is lying. It's because there are good systems and bad systems, and it's a crapshoot as to which one any of us ends up with.*

So enjoy your $16/hour. With your dearth of sympathy for those less fortunate than you, I'm guessing you'd also step over a homeless man in the street without a second thought.
yeah and the MTSO still charging full price for the work
Most physicians/hospitals don't even know they're dictating into VR so still paying full-on transcription prices while the nationals/MTSOs cut the MT's salary in half. Nice huh?
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. 
ALSO, the plumber sets the price. So this plumber/MT analogy
x
Of course quality is quality sm
but all this bouncing has slowed me down so much that I cannot make a good wage. I would never cut corners, but I can see where work quality will suffer in this scenario. I am sick and tired of bouncing around to all kinds of accounts!
quality
They give you a 60-day probation and pay you a guaranteed rate of $10 an hour to give you the chance to learn your account, the preferences, and get your speed up. They are sticklers on grammar, AAMT BOS rules, etc. They mentor you to the degree they have time, then if it is just not a good fit, they let you go. It is acute care. Some people have learned some very bad habits working for small companies on clinic notes, etc., and it's hard to re-learn the correct way of doing things. I think the company is very fair and almost everyone is very family-oriented and willing to help each other out. In the end, they have a company to run and do look for the cream of the crop or at least people who learn quickly enough and don't keep making the same mistakes over and over. The only other thing I could guess is it was just a personality conflict, degree of professionalism, or something. The company has approximately 400 MTs working from home, some who have been there for 10+ years, so they are doing something right!
Quality
Also was outsourced and work went to CBay. Our facility had to bring most of it back in house after less than 3 months. What I don't get is how they continue to get positive press without anyone telling the other side of the story. For our facility it was a disaster. The same old story, they got what they paid for and in the end it cost them a bundle.
Don't you want quality?
$14/hour is just not enough to live comfortably these days, in my opinion.  It's esp. not enough for a hardworking transcriptionist/editor like me.  If you truly want quality editors, compensate them according to current standard-of-living - I'd say at least $20/hr.
Nothing to do with quality.

 


This had nothing to do with quality or job performance...it was simply a way to move out those QAs hired at a rate they currently no longer want to pay and fill those slots with those who will work for a wage that is barely livable, forgetting that they ultimately will get what they pay for..  This is happening a lot these days and I believe it will come back to haunt them, but for now it seems to me that is what is happening. 


I think it was probably due to quality.
x
Quality?
Yeah --- the company I work for cares a lot about qualit; but they care more about the bottom line. To solve both problems, they strip off all of the easiest work to send to vendors, sticking the the Americans with worst of the worst; they try to make us feel good about this by telling us that we should feel honored and it is a privilege for them to trust us with the crap work that cuts our income in half. And it is not necessity, we are frequently out of work; but they saved money by screwing us over in order to pay less to the foreigners.

Some of these companies just always have an angle.
Quality???
None of us were born with good qualities, but we deleveop it through education and experience! Quality can be achieved by hardwork.

Perhaps, if the output was that bad, as you feel, then companies like nuance, spheris, spi would not have opened their branches in our country.


quality
It's very sad, but in today's world, everything is about the almighty dollar. We don't get paid 1/100th of what we're worth to the hospitals and the docs. Without us, they'd be a really big world of hurt. In fact, aside from having our hands directly on the patient's, we may as well be physicians... we have to know everything they know just to transcribe a report. That just frosts my cookies. How about yours? Don't get me wrong.. I love, love, love what I do, but just want to know for a moment that we are appreciated for bringing in the majority of ALL the revenue in the medical field. As I have said many times before on this post, I have 25+ years experience and still make starting pay of .0825 cents a line. That, to me, stinks. Having owned my own business, I know what the MTSOs charge the hospitals. We are being ripped off royally every day.
you get what you pay for and quality
Yes, it frosts my cookies!!  Remember the days when MTs didn't just THINK they were prima donnas, they WERE prima donnas?  We've gone from prima donnas to typing monkeys.  It isn't just MTs.  I posted above about the nurses who were demonstrating outside the local hospital because they had been fired to make way for new graduate nurses who would work for lower wages? They weren't old hags either, most appeared to be between mid 30s and mid 40s.  It isn't just  MTs, it's all workers in every field.  Employers don't want experience, they want cheap!  Not getting into politics here but no matter which candidates are elected in November, it is only going to get worse.  News flash:  There is no change going to Washington D.C.  Well, maybe worse change.  Nothing will change until the American people wake up and say ENOUGH. 
How is the quality for the MTs. I am not sure about getting a job with them. I
would appreciate if you would elaborate a little further if you wouldnt mind.  I was just also wondering if the accounts are loaded with ESLs.
The quality is not here, either...
When was the last time you looked at the American MTs' final document?  Many times, it is not a pretty picture.  Just ask on this site alone how many MTs proofread all of their work before sending to the client?
Quality and VR
I would love to know where you work.  It would be great to find a company that was not quite so particular with VR.  I have only been doing VR for a short while, but QA catches everything, word-for-word.  Cannot leave out a single a, an, or the, or for that matter put one in that is not there.  There is so much to correct, I cannot even make line count that matched my norm on regular transcription most of the time.
Quality
Who said my quality had anything to do with Dorothy's decision to sell her company? Do you think Transcend would have offered to buy her company if the hospitals had said the quality they received from MDI was poor?

Honestly, you could have a little more compassion for those people whose lives and livelihood just changed. Your comments were rude and out of line.
OSI's quality supervisor probably can't
I also suspect that she's been posting all kinds of crap on this board because that's the kind of lunatic she is.
But isn't quality a noun
I just noticed this post because I always have to debate with myself on this . I thought if it was a noun, then hyphen between.
If you do NOT care about quality then OSi will
Their motto is just get it out I couldn't deal with that attitude with medical records so went with a company where quality does count and comes first!

Was once OSi QA!
THIS quality MT did NOT stay there!
I am going to start for 2 others shortly after the holidays, which gives me a little time for my family during the holiday season. When I did work for them, I did have a BIG notion to hand in one day's work with NO SPACES, just to see what they would do!
Sound quality
The sound is great. That has been resolved and it was not the system but the phone lines from the facilities. No need for technical support, but I have never had any problems reaching someone and had an immediate response.
Quality not QUANTITY is......

WAY WAY MORE IMPORTANT.  Yes we have to be able to type (I hate the use of that word).  We must be able to transcribe the dictation.  BUT, we must also know WHAT we are transcribing and if we are using the correct terms and what those terms mean (again so we can make sure that we are putting out accurate work).  Yes, we have reference books (or we better at least).  However, some things just have to be committed (? sp - it is late )  to memory.  People like you bring the industry down.... unfortunately without realizing it.  I really do wish you the best, but please give some thought into not bashing the company for a harsh test and give more thought into spending the time actually learning medical terminology.  Also remember, there is the Word Board here for questions!!


 


QA is quality assurance
QA is Quality Assurance of an MTs work, it could be an editor. Editor is also commonly used in the VR (voice recognition) editing, as they do not transcribe standardly, they edit.
Control and quality
You know, MTs can't have it both ways. On one hand, we seem to want recognition that what we does can impact patient care and thus is very important. On the other hand, we don't want to be held accountable for the errors we make. When a patient's chart has a major error in it, that can impact patient care. And unfortunately sometimes the only way to get people to wake up and pay attention is by  penalizing them for those errors and for going so fast they simply are not paying attention. I've never had a deduction for those kind of things so perhaps can't really speak to it, but the way I understand that policy it seems to be quite fair to me.
Anyone else having quality issues because of too
I'm a long-time MT and I pride myself on my high QA, but in the last couple of months I've made several serious errors.  I can't believe how sloppy I was.  I know a good part of it is because I'm so tired and distracted constantly about not having enough work at TWO services.  I have 9 accounts between my 2 jobs, and it's also very hard to keep up with all the different account specs.  (FWIW, all three errors were made at one of the services.)  Before this, I had received one call about QA in seven years, and now I've received three in two months.  I feel like the worst MT in the world .