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Serving Over 20,000 US Medical Transcriptionists

The quality of the Indian work is so poor, sm

Posted By: nm on 2007-08-14
In Reply to: I know, but some of these - SG

that the company will eventually lose the accounts, thereby the US MTs lose even more work!!

As soon as a company offshores, it creates its own doom. (A chink in the armor, so to speak.) It will eventually come back and bite the company where it hurts--unfortunately, it's the US MTs who get hurt the most.

Offshoring is putting US MTs out of work, plain and simple.

When you've been around this business a little longer, you'll understand.



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Anybody know about the quality of the work CBay out of Annapolis puts out with their totally Indian
based company. Just curious who does the proofing for them.
It is usually the ones with poor quality most likely.
x
If I had been fired for poor quality...sm
I certainly would have never gotten on the board and blamed the MTSO.   I'm not sure what this person expected.  We all make mistakes, but when we are called down for them (again and again) we should own them and fix them.  Until an MT can do that, she will never reach her  full potential. And... while we ALL go through some awful times in our lives, we must remember that the medical records we are typing also represent others who are experiencing misfortunes as well.   
Whose fault is poor quality?

And, why do we keep hearing that the welfare of the patient is a top priority?


I took the time to point out some errors in reports.  It seemed to me that the facility did not care about the body of the report.  The only part they seemed to care about was the demographic information, usually in the header, and the carbon copy designations, usually in the footer.  This was because their automated filing system did not work properly if the header was not correct.  Otherwise, they never even required the physicians to review and sign the reports.  So, how can it be said that they cared about the patient?  I truly believe that the patient's welfare was far down on their lists of priorities.  What really seemed to matter was getting the billing process correct and getting the reports on the chart in order to comply with privacy and JCAHO requirements.


I also continue to believe that, if facilities cared about the welfare of the patients, bad dictators would be required to improve or not allowed to dictate at all.


 


I left due to the poor sound quality. I don't know if it was just my
account or what, but I couldn't make lines and was stressed out.  I was told that they were going to upgrade their system within the year.  I don't know if that has happened and if it made a difference if it did. 
As to your generalizations about American MTs and poor quality, sm
Do NOT include ME.  I do ALL work types, work ANY shift, work ANY day and EVERY day, I transcribe whatever I get.  I am not a radiology or ops-only snob.  I bet I can transcribe circles around you and all your silly little QA friends and I can transcribe circles around the Indians.  There is NEVER a place for anyone but Americans to have American jobs and never will be. 
Sick and tired of poor audio quality (sm)

that seems to get worse and worse as the days go by?  Remember when we were told that switching from tapes to digital would make all the difference in the world with regard to clarity and our production?   Remember when we were paid more and had plenty of work?  Remember when there was no working on Sundays or holidays? 


Why is EVERYTHING MT going to the dumpster?


Why do these MTSOs accept reports dictated on cell phones?  Can't they write in their contracts that cell phone dictation is not clear and it can also be intercepted by others and therefore unacceptable?  Why don't the QA personnel who read our flagged comments about awful audio pass this information on to the client so that it can be fixed?  It's getting worse and worse.


Back in the days when I had my own accounts, one of my dictators asked me to please tell him as soon as his equipment malfunctioned (in those days, it was batteries running low or a tape that needed to be tossed and replaced).  He said there was no need for the MT to suffer with poor audio reports when there is a simple fix.  So, what's the difference here when the idiots dictate on cell phones?  Or there is a hospital phone with a short in it?  Why can't these things be fixed?   


My plea:  If you are a QA person or MTSO getting repeated complaints about specific dictators' dictations being garbled or unclear, won't you please notify, and keep notifying the client until they are brought up to par.  How about sticking up for the MTs for a change rather than protecting the client all the time!?  In the end you are protecting everyone, including the poor patients whose reports are being dictated and transcribed. 


I'm tired of MTs taking all the blame for this industry's downfall.  If MTSOs and clients demand 2-hour turn-around time, how about improving the technology to make your unending demands more attainable?  It's 2006.  There is no excuse for the garbage I have to listen to day after day.  No excuse at all. 


 


You would be surprised how many MTs with 10, 15, 20 years of experience put out poor quality. sm
Unfortunately, based on this, testing saves everyone a lot of headache down the road. The company I used to work for did not test and they would go through the hassle of getting IDs, training the person, etc just find that they did not know the difference between an elbow and a knee :)
Horrendous dictators, poor sound quality, system
not user friendly, management issues, pay not on time, many complaints over line counting.  MTs who have asked for and no heeded advice have come back to apologize because everything that has been said repeatedly was true. 
They don't give a hoot - they'll take the poor quality for less money.
It is clear nobody is held responsible for poor quality medical transcription - do you often hear of lawsuits for errors on dictated reports? How about JCAHO failing a facility for errors on reports? Rare. And as an auditor I have seen what gets through. Either nobody checks or nobody cares. Part of the problem with MT rates. Very unfortunate.
My experience with quality/quantity with an Indian owned company




I worked for an offshore owned company where it was all about quantity.  Company even kept a HORRIBLE MT just because she cranked out the lines.  Didn't matter her quality was crap and was considered a joke by middle managment.  India did most typing but with US edit.  Typists changed regularly so it wasn't like they learned to do better.  Quality would improve slightly and then would notice, after couple of months, that quality was crap again so we knew we were dealing with a new batch of typists. Even so, the push was always on to get the jobs off US edit and send Indian work straight to client.  Of course, the clients never knew they were not getting US editing anymore, as they got no price reduction when they no longer had that level of work being done on their jobs.  The problem is the facilities accept the crap work so why should the companies change.  It took a while but I finally found a US owned company where quality matters.  Now one of the first questions I would ask a prospective employer is if they are US owned.

typos are one thing (inadvertent), but poor grammar is a poor reflection and demonstrates lack..
of knowledge. In this profession, if you lack proper grammar knowledge, you should expect to receive comments from those MTs who take pride in producing top quality work. Just my opinion, but I think it is quite embarrassing to see inproper use of the english command from those who profess to be MTs. There's a difference between typing a message here and having a slip of the finger and just not knowing proper word forms and spelling. I see grammer quite often, dependible etc. I truly do no believe these are simple typos, sorry.
I work for Webmedx and the communication is poor. sm
The MT managers are okay about answering email. However, questions to upper management go unanswered--or even worse are answered with a defensive attitude that you shouldn't be asking questions. I'm suspicious of any individual or company that gets uncomfortable with questions.
You say giving work to poor people in America is a
zz
FN is a good company. Work volume much too low. SR pay very poor.
X
Anyone presently working for DSG that can tell me do you have work and is the sound still so poor
or is that in DSG 2.  Would appreciate hearing from current people working there.
All of the Indian MT work I have
proofread is full of errors. I guess there are exceptions out there.
Most of their work is done in India by Indian MTs. sm
Tell your lead person you need more work and commit to it. They will work with you if you are good with a high accuracy rating.

Good luck - been there, done that, ain't going back ever!
I would rather work for an Indian-run company..just
nm
DTS NO WORK - INDIAN OWNED
I am in the same boat with DTS, no work for at least 3 hours of my shift, and I REFUSE to chase work when I am not scheduled and have to work 24/7 to get work, that's what these companies want us to do so they don't have to pay us overtime. If you are scheduled to work a shift, and are an employee not an IC, and you are at your desk during those hours legally they are requiredf to pay you because you are ready, and available to work as scheduled. And if you have to work outside of your shifts, they have to pay you overtime if you work over 40 hours, which DTS does.

I work for DTS and have a great account manager, and I am on 4 accounts, but what DTS does is if they see work on the system, regardless of whether it's out of TAT or not their policy is to call in the troops to clear off the system no matter if you are working on YOUR shift tying to get you lines or not, they FRANKLY DO NOT CARE!

It's also a MYSTERY who owns this company, and with mysteries like this, that smells like an Indian company owns this company and they just do not want to own up to it because they know how most of us feel about the Indians and other offshores. I can't pay my mortgage or my internet this month, and I am tried of calling my creditors and telling them that I work for a company that has DTS AMERICA in back of their name but is most likely Indian owned. They have an Indian IT Department that you cannot understand (what's new) that can hardly speak English and when you call them, all they do is just repeat what you told them! I finally told my AM to tell them NOT TO CALL ME because (1) you can't understand them. (2) they are beyond rude.

I WILL not work for a company that offshores, and so far I have found 2 that do not, one that has been in business a while and is looking for good MTs for a new account Southern Transcription and another one that is looking for clinic MTs for a new account neither are voice or have any presence offshore. The second is eTransportal, and that owner was EXTREMELY nice, test very easy. The test for Southern is a PITA by Horizon, but they are a GREAT company according to all posts. I have been offered a position with both companies and will probably work for both and decide which one is for me. We all should be compensated for changing companies and learning all these new accounts and software platforms! That's another thing about these companies imagine how much money they make not having to house us inhouse. They require all this equipment, internet, more and more state of the art computers, but yet out pay is still in the dark ages... I know of NO PROFESSION where the pay has gone down and not up! I am making less than what I made working in the broom closet in a hospital transcribing radiology reports 15 years ago than I am now! That's just too sad..........if I could I'd leave this profession but I am not in a position to do so. Why anyone would pay thousands of dollars for training and those schools that are just a scam, I have not idea, what to make below min. wage? Hopefully, working for a company that does not offshore might make a difference.

DTS could care less about their MTS, they have an add, and I would encourage people not to apply because they overhire, and most of us are out of work every single day, why they don't train all of us on other accounts instead of hiring more people makes no sense to me, but then again nothing does anymore in this industry.
Quality and quantity of work is always there
with the exception of the first couple of hours after a holiday. Pay is like clock work. Never late. Direct deposit. Still on my 90 days probation with them and got production bonus already. Highly recommend. Very nice people, great communication, easy platform to learn.
NO, NO - if your work is whatever % quality - can't remember the %
nm
Your work stands for your quality. If your
work is fine, you have nothing to worry about. If your work is below 98, you have something to worry about. You cannot score below 98% because of commas. Sounds like you are in a bit of denial. Your work is your proof. If QA is out to get you, then your errors are not errors, and that is all the proof you need. Only major critical errors bring scores down that low. You might be under the eye of QA, but I doubt its a vendetta. QA's job is to assure quality. Don't take it personally, take it professionally and aim to improve - for the patient's sake.
I did, but it has been awhile. The quality of the work was

horrendous and it would have been easier to retype reports than to correct them.  The MTs kept making the same mistakes over and over again.  They also had some accounts that ESL didn't come close to describing them.  I am very good with ESL and routinely transcribe 85-90% ESLs, but these were some of the worst I've every come across, plus the sound quality was pitiful. 


If you open your original post and towards the bottom click on related posts you'll find lots of info about SS as a company, that would be enough to help you decide if you want to work there at all.


 


Sound quality and now, no work
I just love it when I get up early to work my required sch'd hours and see 0 reports on all my accounts. The DQS system had horrible sound quality even when I worked at MedQuist, so I don't believe it's much to do with any given company but more due to the platform of choice.
Yes, they are Indian-based and not nice to work for/with. nm
x
I edit Indian work and it's pretty bad
it is still cheaper for the company to pay me an american person.... to edit i suppose...but let me tell you, if i did not, they would not be able to print any of the stuff i edit

I work at Focus and still have an Indian manager
.
Focus is Indian run and you'll be editing Indian
work, so seriously doubt you'll make a bunch of $$ on editing.  99% of the MTs love KS.  If you'll just scroll down the page you'll see dozens of posts about them. 
Yes, experience does not always equal quality work!
nm
Yep, all the work is in India now. I bet the quality is great! sm
They'll get theirs in the end. They should be ashamed of themselves. What a crappy way to tell us too. The supervisors didn't even have the balls to tell us, they made HR do it. We should file a lawsuit.
When the quality/quantity of work digresses
then the company should get rid of the Editor - they should hire them on probationary terms to begin with if this has been a problem in the past.   I stupidly agreed to 3 cpl and another time 4 cpl and could work a straight 8 hour shift and be lucky to do 300 lines.  The quality of the dictation/work/system was so poor.  I'm sure we have all had experiences good and bad.
if your take home is $6.50/hour and your doing quality MT work...sm
sweetness, it's time for you to find another profession. You can go flip burgers with bennies for that pay. This is an example of why our pay scale is so low. There are those MTs who are willing to work for peanuts. One should never make this low wage in this profession. You must either have to do a lot of researching because you lack medical terminology knowledge, or the company you are working for is putting the screws to you. I truly feel sorry that you find are willing to do this. Good luck to you.
Why is it hard to produce quality work?
You are either good at your job or not. If not, then find another line of work. If you don't think you are paid enough to take the time to produce quality work, then find another company to work for.
I work for DSG now and the sound quality is just fine sm
now that they are not doing MQ subcontracting.

However, I'm wondering why they are hiring. Of course all companies want their reports back in the right TAT but why do they always have to over hire? I am sure they want weekend and night coverage. That's a problem I think with any company. Even at MQ we are being asked to change our working hours to afternoon, evenings and weekends.
Americans edit Indian work, never Indians
I was asked to sign something that said I would not tell that I edited Indian work. I would not sign that. Indians cannot edit Indian work.
duh
Americans have to do it.
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!
Can anyone comment on the sound quality and JLG and work availability? nm
,
DRC if you're capable of high quality work.
DRC (Digital Records Corp.) is a top-of-the line company to work for, if you are capable of doing top-of-the-line work. 
Thank you Jennifer - in turn - I think you get better quality work - less blanks! nm
nm
Does anyone have actual experience in the quality of off-shore work?
A physical therapist in my area said they kept a file of the funniest errors they received from the off-shore work. I do believe that most of the hospital staff that get the work back care diddly-squat about quality -- it's probably not read, only filed.
I wonder what the quality of the work is like adding all those people to accounts. I agree. They
will lose accounts this way and MTs will move on. No one is going to sit around and make no money and then have QA breathing down your neck when you are thrown into all these accounts. So no one listens in New York. What is the problem with them.
The same thing happened to me 2 years ago. That Indian creep gets people to work

for him. He gives this scale of how you are supposed to be paid, but it NEVER, EVER is the high range that you KNOW you are owed and deserve.  So, then your production and earning come up and they are WAY off base.  On top of that, he either pays you late or not at all.  This is fair warning...DO NOT WORK FOR CALLSTREET! 


Probably not - I believe they are Indian run or Indian based company. nm
x
Go to their Indian website or other Indian websites
xx
Let's see...lousy sound quality, dictators with no skill, unavailable QA, running out of work.nm
s
CBay transcribes all work in India. Has some US editors but also has Indian editors.
nm
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. 
Poor me?? Really now!
I have seen only one post that you could possibly misconstrue as a "poor me" attitude, and that was from a very close friend of mine who lost her home to a hurricane. She wanted me to go to work for OSi because she thought they had been very considerate of her circumstances (plus she wanted the referral bonus). I will say right now that she is THE strongest woman I know. She does not kiss butt at work or here on this board. She told the truth about her experience with the company. She has not said a word about anything other than OSi's support. She has never met any of the managers and does not participate in garbage gossip of any type on either "side." Does she gush over OSi all the time? No, absolutely not, but she voices her concerns and opinions with them, not on a public board, particularly in order to humiliate another person. I am highly offended that she has been attacked without cause. I used to work with her at a local hospital, and she is a joy to be around and doesn't go around with a hang dog "poor me" demeanor. There is never a dull moment because you never know what she is going to say next. "Poor me" - you don't even know who or what you are talking about. It is time to write something productive on this board instead of jamming it with bulls**t.
Yes, they do, but very poor IT
x