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Serving Over 20,000 US Medical Transcriptionists

The trend is passing of indian MTs as US

Posted By: mg on 2007-04-05
In Reply to: I'm not Management... (sm) - m.e.d.

I am not saying in this exact case and/or company, but many times over this has happened. Buy up the US based company and use the good US MTs to edit the crap and save big bucks on the Indian MTs. Clients don't know it is happening, but those that inadvertently find out will drop them...sometimes.

Again, not every company has done this but MANY have. I understand the fears, and i would never work for any organization that offshores or supports that in any way.


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I am just passing through
but this is the reason I don't come here much anymore. I can't take the ugliness. A bunch of you need to suck it up and get to work. Fluff up, baby. Join the human race. Get a job at Wal-Mart. I did. Makin' as much as when I was QA. Try it. You get all the candy you can eat when they ain't lookin'and the girls in the deli slip me a couple of chicken fingers every so often. Good living. Seizure.
Merely passing on the law

For those who have found themselves at a brick wall.


To Passing Through MT
No, he left in January of 2006!!
Agree with Passing Through
I was with TransHealth for one week and knew it was not for me!!  You are so right, sound quality was excruciating, did not get feedback in a timely manner on QA and when you start everything goes to QA.  I had so many reports that they did not have the time right then to get to them and told me to quit typing!!  Please, this was my livelihood.  I was always following up with things they should have been.  Was not getting anywhere with reports getting QA'd so went above them. I was out of there before I wasted any more of my time or...........theirs.  They made it sound like it was my computer, my headphones or maybe even me that the quality was so terrible.  It sounded like they had never had that problem before.  Get REAL!!  That was even with foreign docs in radiology..  Was about to pull my hair out and getting no where.  Hope this helps.
pssst .... keep passing through - something better
will come along. I used to work for them. Some people like it, it just depends on what accounts they have. But they also offshore a lot of the work if they can't fill the need for US transcriptionists
Are you passing out Koolaid?
You sound rather oracle-esque
Just passing along some wisdom

If any or all of you are really thinking about doing anything, I would get some kind of network going outside of all MT posts such as this.......since now that we all know that the suits are watching and listening.


It's a large company, Passing, SM
offering a variety of opportunities and mixed experiences. Different platforms, different managers, and different accounts all over the country. Transcend kept me happy with lots of good work for a long time before my account went offshore without notice. I was then switched to another very good and interesting account, where the way the lines were counted was adjusted down again without notice (by the same account manager). If that hadn't happened, I'd be there still, and I have no doubt that the many people who say it's a great company are honestly reflecting their own experiences.

Knowing what I do, if I were you I'd go ahead with the training but, as with any company, be firm up front that as a pro you expect to be assigned to good accounts with lots of work. Then call on them immediately (first 2 days) to correct the situation if they are not, and mean it. I've never been in MT personnel, but I imagine they hire a lot of people who don't pan out, engendering an attitude that adversely affects the way many others are treated before they have a chance to prove themselves. If they allow it. Best wishes.
Passing through--update when you decide on a company please. sm
I'm not too thrilled with Wx myself and would like to see what a fellow ex-Qer finds a good company. Thanks.
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. 
You DO get a line rate increase for passing the CMT at Webmedx. sm
Ask your supervisor.
It seems that this became a trend
with a lot of companies several years back, with companies beginning to give psychological/personality evaluations to help determine a candidate's suitability for a particular position/company setting, etc. I was not an MT at the time, and have not yet encountered this since becoming an MT. I think it is a bit costly, but for companies who do it, I believe their financial return is expected/gained in less employee turnover and finding a good fit for the company *family*. This began around the time a lot companies started throwing around all the Quality Assurance business (again, not MT/QA, but the whole customer service QA and considering colleagues within the same company as *customers*. The company that I was with at that time was a fairly small company, but they spent a pretty penny on having people come in to conduct several meetings regarding this.


That seems to be the trend
Either payroll is correct and the management is bad, or management is great and payroll sucks. 
That seems to be the trend lately sm
However, at MDI, we only have set days that we are to work and we were given the choice of Sun-Thu or Tue-Sat.  No set hours, though, just a 24-hour window to get your counts in.  Gotta love it!!!!!
ANOTHER NEW TREND
One more thing that has not been mentioned here.  I would like to see dictating clinicians be given more mandatory training and subsequent responsibility for the quality of their dictations.  It is about time that we stop accepting bad dictation habits as status quo and something that we have to accept as normal.  I'm talking here about the usual bad habits, which include, but are not limited to, fast talking, slurred speech, eating while dictating, carrying on unrelated conversations with others while the tape is still running, talking while yawning, talking over background noises, etc., etc.   Oh, and one more thing.  Inform the dictating clinicians that many of us are long-distance and not familiar with their local geography, nicknames of local doctors, first names of which Dr. Smith or Jones that he or she is referring to, etc..
Disturbing trend
Ms. Shapin, I know nothing about your company, nor would I criticize you or your company since I don't work for you. I empathize with your responsiblities as a business owner having been one myself. What is gravely disturbing to me in your post is a glimpse of your mindset about the offshore worker. Your view of the offshore worker is similar to disturbing trends by many other business owners who flock to third world countries where there is no protection for the worker, where there are no labor laws, where there are no standard work ethics. Yes, these people in third world countries are hungry for work. They will work any hours, any days, and be extremely grateful for a few pennies. They have no protection, and until they become tired, and worn down, they will serve their bosses well. One day though, American companies will become so dependent on workers from third world countries. These workers will become more intelligently aware of human rights, that they too, will someday voice their concern for the same things we want here in America - decent pay, job security, the ability to take some reasonable time off from a very, very demanding occupation, benefits, etc. Ms. Shapin, I would be careful about praising a worker from a third world country who is so hungry to rise up from poverty. It serves you well now. You, me, and so many others, have the same human wants and needs. Think about it. If there was more decency from businesses and corporations about workers' rights, ethical practices from all sides, and a fair way to meet the same goal, perhaps you would not be attacked. The American Transcriptionist is just having to fight for every penny these days, fight to have benefits from a job, fight to work decent hours, fight to keep afloat. We all want the same thing. Decency.
Downhill trend
Not that many years ago, only ITs had to supply their own equipment.

It's sad that the large companies expect MTs to foot the bill for all the equipment, especially with the trend of giving MTs less and less of the profit pie.

I mean, when was the last time an MT got a cost of living increase? Or profit sharing payouts? Or any of the other perks of being part of a successful, profitable business?

A carpenter that is self-employed SHOULD pay for his own stuff. An MT who is an EMPLOYEE should not. Simple logic.

Do you think physicians have to buy their own MRI machines? Do you think police officers have to buy their own squad cars?

The transcription profession feels like a sinking ship. I pity people who are only now getting started. The hey day of this profession is long gone. (Sniff. Sigh.)
A trend beginning...
About 6 months ago, Keystrokes and Transtech were the 2 best companies going on...and now 6 months later, we are reading all negative about the both of them.  Go figure.  It all comes down to finding the right company for you. 
So maybe this is the beginning of a new trend - sm
in American Transcription? Turning it back into a REAL job again! If what this site says is true, I'd be surprised if this didn't become the best MT company and most sought-after employer in the Northeast. I know I'd rather have MY records transcribed at a place like that, and not in Bangalore or Manilla. I wish them every success, and that that other MTOSs will follow suit!
A trend emerges
So it seems that those who like VR are the ones who started out in-house and were there for a long time. Then they were switched to VR and made an easy transition. Well, good for them! But that's not most of us and if you jump into a VR account cold, it doesn't go so smooth. Plus you spend as much or more time on it than you would if you had transcribed it yourself. So if VR is the future, then pay me for my time. And not 3 cpl. Otherwise, I will and am finding something else to do and all of my years and expertise will not be utilized as they could have been.
This is the trend for all companies now. sm
Paying substantially less, 50% or so, for pre-transcribed (voice or speech recognition) jobs is now the trend.

Since the industry giants/leaders do it, I don't see it ever changing.

And why should it? Everyone accepts it and does it. Therefore, they don't have to pay more.

It is sad.

Probably not - I believe they are Indian run or Indian based company. nm
x
Go to their Indian website or other Indian websites
xx
It seems to be the new trend - many companies hiring
inexperienced people or clerks (if you will) to manage MTs. It's definitely now all about money, folks. Never thought I'd see the day where folks would take approximately 10 bucks an hour, be paid salary, and work 60 hrs a week, but they are! You have to hand it to them though, this will definitely build up their resumes for the future. Can you imagine who will be managing the industry in say ten years? For once I AM GLAD I'm old. lol
Their trend is to keep their posts on top over weekends
Their pay is low, so people with a lot of experience never get replies to their applications. They want fresh meat, thus the multiple posts. I think people are figuring out that they aren't all that in the MTSO world. Personally, I would applaud this site for asking them to limit their posts to no more than twice per month, but that would be taking money out of the mouth of the board owners (no offense intended here - business is business and I understand that). It is just getting to the point that seeing these ads are making me stay away from that board and look at jobs on other sites.
I'm with you and hoping this is not gonna be the next trend...
I'm a confirmed second shifter for many years and for many reasons and recently started at a different company, doing Sun-Thurs evenings. Long story short, have been there 2 months and frequently run out of work on my Sunday night, and I'm infuriated (and maybe naive, have rarely in 30-odd years run out of work and especially not the first day of my week). Of course that means I have to make the work up, so I do that on my Friday off, though I take care to do it after 3:30. Needless to say, I deeply resent working on my day off. Like you, I say this is sacred and my wrists need it, and I'm a good employee. I'm biding my time to see how this all pans out; I may see if I can negotiate something different if possible. I was one of five new people hired on this account, (hopefully not an overhire, things are fine other than this). Anyway, NO, it just ain't right to in effect force us to compete for jobs in this way.
EHR Deinstallation Trend Hits Phoenix

Publish Date: 7/30/09 - By Allison Tsai


Source: Medical Economics


Though the Phoenix area has seen a high adoption rate for electronic health records, it also is the first region to experience a “deinstallation” trend, according to a HealthLeaders-InterStudy report.


The trend to cancel EHR contracts, especially prevalent among smaller physician groups, is a result of training, functionality or affordability issues, and highlights the need for an affordable solution, according to the Phoenix Market Overview report.


The rapid adoption of EHR technology in Arizona stems from a 2005 executive order by then-Gov. Janet Napolitano, requiring that all healthcare providers install an EHR by 2010. The top hospital systems in the area, Banner Health and Catholic Healthcare West, along with several others, have installed EHRs, but are struggling with the same financial constraints as the small physician groups. EHRs require a significant financial investment in addition to expensive upgrades, according to the report. 


Long-term benefits of the technology include reduced transcription costs, lower chart and file storage expenses and the potential for reduced premiums on malpractice insurance, but in areas like Miami, where the recession is threatening the profitability of hospitals, EHR installation has been slow due to lack of funding for such projects.


Chris Clancy, a market analyst with HealthLeaders-InterStudy, says Phoenix may be the first area to experience the deinstallation trend due to its aggressive adoption of the technology, but will likely not be the last. In addition, physician shortages in Phoenix make it difficult for doctors and staff to carve out time for EHR training, Clancy says.


In response to Disturbing Trend posted by MTness
Bravo! Where I have no opinion either way about Ms. Shapin or her company, this attitude is what is killing America. Our daily needs cost more because of our hungry politicians and situations created by these type of businesses who feel that off-shore people are grateful for the opportunity to work for an American company who they know is taking advantage of them. I do not know if any of you recall, but a few years ago in a hospital local to our area, one of the Indian doctors shared what the American MTs were making compared to what a relative was making in India. This MT was enraged and threatened to release countless numbers of medical records of American patients on to the internet if her needs were not met. Not much information was given in followup and probably compressed by foreign diplomats. This is one of the major issues of outsourcing.

I agree with you, all we want is the right to survive in OUR OWN COUNTRY.
This seems to be the trend now. I have had to change jobs 3 times this year
due to this very fact.  I'm at my third one now, and it is still happening.  I've decided to just work 2 jobs. One part time and the other supposedly full time, but it is like a part time.  The only reason I am staying at the third is because, I need the insurance, and changing between jobs before the 90 day probation has landed me without insurance, as I have had to change jobs before the 90 days are up.
Transcend's positive posts stay here cause negatives are deleted! That's the trend!
You cannot rely on honest referrals on this board, especially the archives.  They are edited and deleted forever.  Just as the negative posts on the Transcend forum "magically" disappear once discovered...Don't be so naive, unless you're the one "editing"!
I did notice that one job posting stating exactly that, haven't followed the trend closely, thoug

Indian ran?
ugggggg
They ARE Indian!!!
If you want to take a chance and not believe what you read, you will see for yourself that they are ALL Indian RUN!!!! Some people are so hardheaded....they are a horrible company and Bobbi is a real MEAN person to deal with as well....NO WAY FOR FOCUS!!!
CMT for Indian MTs
As an Editor who worked an account for several years transcribed 100% by an Indian company, I am surprised to hear they are able to pass the CMT certification exam. Their transcription was comical at best and sheer nonsense at worst.
HIS has been Indian since day one.
It has not one whit to do with AAMT.  This company tried to recruit me years ago when they were first started and they were Indian then and still have their heavy ties.  You lost your jobs because Manor Care will not be deep pockets to a dying entity any longer and can't even sell the damned thing!!  Blaming AAMT is easy.  I think the letter you got may have been from the executive director and not the President.  Each of us, has to take responsibility for the choices we make with employment and having been through a lay off with HIS I had to blame myself ultimately for making a choice to be lied to and believe it because it suited me at the time.  Offshoring is over 15 years in existence and I guess here to stay so the next time you make an employment choice be sure you pick a company that does not offshore .. in the meantime, put the blame where is squarely belongs at your own doorstep and not AAMT.
...that should be Indian MTs. nm
nm
Indian MTs
There are always exceptions.  I emailed often with one of the Indian MTs at one time.  His English was probably better than my own.  I think he was starting up his own transcription company and he was kind enough to ask me to work for him. (I was already working, but I considered it nice of him to ask).  Really, I do think he was the exception, he was a great fellow.  He was supporting his mom, his father had just passed away.  Now he has gotten married.  I do not exchange emails with him anymore but, if there were others like him, they would do pretty good.  I do not really think that there are others like him though.  Honestly, my primary account probably has 80% of his nationality.  Wish they could type those. 
Indian.
x
indian
Didn't you know this board is run by Indians??
I wonder what they pay the Indian MTs? ..sm
I guess it is now equal, we are paid the same as the Indian.
did you mean by chance Indian
.
So is that why the new US MT supervisor is Indian?
?!?!?!?!
I was doing some research on Indian
MT companies and from what I can tell probably all work is done in India.  They do hire U.S. editors, or at least they used to.  
So, are your editors Indian?
I highly doubt it.
Indian company (nm)
x
That is correct! I don't! Obviously if you can tell they are Indian....
x
indian company
i bet it's an Indian company
Sounds like an Indian to me...nm
nm
They are not an Indian company - they are in NY
but they were offshoring A LOT of their transcription work. In fact, they lost quite a few clients about a year ago because the quality of the transcripts was just AWFUL!
Indian and Philippine.
yes.
I don't know name of company, but there is an Indian
company with at least a store front in MA.  Tech people could possibly be in MA, but are probably in India.