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Serving Over 20,000 US Medical Transcriptionists

This is a gambit that won't work over the long term

Posted By: mtme on 2009-09-10
In Reply to: This is the trend for all companies now. sm - Oldie But A Goodie

I don't know many experienced MTs who are signing on for this VR for less pay. Before anybody chimes in who has a unique situation and loves it, save it. I've heard it before. But if you look at the job board, you will see that there are some MTSOs who use no VR as a sales pitch to attract good MTs. I also know of my local hospital where the MTs there are being forced achieve a minimum amount of minutes on VR or their pay gets docked. This stems from the bogus sales pitch that the dishonest vendors fed the management. That you can do VR faster so you can pay less. The MTs aren't happy and are looking for work elsewhere.


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What do you mean by no long-term QA

Do you want no QA department at all? Do you want to not have to have your work checked all the time? I'm not sure what you mean.


No, I think whatever it is, it's far more serious and long-term
I don't think it's just an overhiring spree, to be perfectly honest. I think there's something else going on.

Too many MTs on too many different accounts, all with no or minimal work, ICs suddenly having to chain themselves to their computers 24/7 hoping for work to show up, no explanation for the lack of work, total silence from the powers that be.

Scarily, it sounds very similar to what our fellow MTs at the Q went through.

I'm not saying they're offshoring but I am saying their lack of any explanation, lack of any response to emails from MTs, and that ludicrous email this morning all kind of point toward SOMETHING being askew.

I don't want to be a sitting duck so I'm applying elsewhere at this point. No matter how great they have been in the past, their behavior over the past month or so has left me VERY skeptical about the future with them.
Do it because it's the best thing for you both now and in the long term. SM
I agree that having the knowledge that you're not alone would be comforting, but the bottom line is all of us need to have the attitude of be willing to do what it takes regardless of whether others do or don't see the importance of taking action. Actually, I see that in your post. You have already made the decision that you have to move on. So take heart, because there are plenty of positions out there with companies who are not selling our profession out from under us, and the ones that don't put off doing what needs to be done are the ones that will fill all of the currently available positions. That's where we all need to concentrate on being, i.e., with companies that realize we are the ones that provide them with the service they market. Without us, they have nothing. For sure, it won't happen over night, but the accounts will eventually have to follow the work force. They will have to look to the companies that can provide them with the service they need. That's not wishful thinking, that's reality. Everyone needs to take the attitude of supporting the companies that support us and our profession regardless of how many others do or don't follow suit. It starts right here with me and with you.

True, if as a profession we don't stand together on this, what the few of us do will make no difference in the overall scheme of things, but it will make a difference to me and to everyone else that takes these necessary steps to know that we refused to help some company owner or corporate board get rich off of our skills while they were busy working behind our backs to do us in. If we're going to have to be looking for different work in the future, I see no reason to help make those that would put us in that position get rich in the process. They intend to eventually take our livelihoods away from us. I think we should take theirs now while we still can and give it to those who will support us.
The long-term MT world is so small

and we all (MTs, QAs, recruiters and other staff) move around so much that I know and have run into a bunch of the same people at different times/different companies.  There are many MTs I have never met but I know their work and I know who they are from board postings on other sites...there are more than a few bad ones and more than a few high-maintenance ones.  I know who they are and I assume that other people who have been doing this for a long time know who they are also.  When presented with one of these people, would you knowingly hire someone whose work you have seen previously (BAD) or who was a difficult/troublesome/undependable employee?  No.  So there is not an official list, but there are a few people out there in the world I recognize by email addy or name and won't deal with them because of previous experience.  I'm also sure they would never recognize themselves as difficult, troublesome or undependable.


I'm a long-term Precyse employee ...

In short, if you need to make a decent living, to use the words of other posters about some other MT services, run, run very far and fast in the opposite direction. 


Other employees may present another work experience, but I've found that despite the fact that they have great managers, good team spirit, and treat the MT's with courtesy and respect that for the most part the dictators are terrible, sound quality is poor, and I've yet to receive a stable primary.  I get bounced around all over the place due to low work volumes or accounts being transferred over to the offshoring side of the company for Indian MT's to work on. 


ASR takes up a significant portion of our transcription now.  Between ASR and the offshoring it's my perception (and it may just be a matter of perception) that most of the 'easier' dictators have been routed in this direction while those of us still doing straight transcription get a more concentrated pool of challenged dictators.  Because there's not a mix of the good and the bad it's very difficult to pull lines.  I haven't made my company minimum production in I don't know when and know of many other MT's who are in the same boat. 


The platform, though, is very user friendly and only rarely has glitches that prevent you from working (although glitches do occur). 


I hope this helps. 


P.S.  For some reason it's difficult to find recent info in the archives on Precyse.  I remember a week or two ago another poster saying that she too had done a search and couldn't come up with anything more recent than 2006, although I know that there have been more recent postings. 


I am also long-term happy here; nothing is perfect but sm
Webmedx is working for me, has worked for me about 8 yrs now; next best thing to my previous hospital job.
Haven't seen anything mentioned, but have any long-term MDI-MD SE's received anything for X-Ma
Just curious, as there was no mention that I could find on the boards.  As a SE and just recently being hired by MDI-MD, I didn't expect anything; however, I received a beautiful Thanksgiving, X-Mas and New Years e-mail card from my liaison.  Can't begin to tell you how much that was appreciated. Just remembering we're out here doing the work for them, and she in turn taking her time to chose a card to send us, has shown me more appreciation than I received in my past 12 yrs working for another National !   
I've had concerns for at least a year. I'm a long-term

QTer so I have seen lots of changes.  Not that I expect anything, but we've always gotten something for MT week and this year not even a card and the whole stink over Christmas.  The IRA thing doesn't have me really concerned.  From what I understand they only hire ICs now.  I know they've had some long-term people leave who might have been employees, so it might not be cost efficient to continue the program.   I haven't had a raise in several years and these days I'm just glad to have a paycheck.  I don't know how much of the work is being offshored, but you would think that would free up some $$, unless they have had to hire extra QA people.  I like not having lots of e-mails/phone calls, but I also would like to know what is going on.  I denied for months they were offshoring, but when I got proof it was a slap in the face and I felt like we should have been told about it.  There seems to be plenty of work on my account so the offshoring hasn't  affected me directly.  So far the checks are always on time and have never bounced. 


Things have definitely changed and I don't think for the better, though I've interviewed with several companies lately and haven't found one yet that is better than QT.  I just try to do my lines and be thankful for a paycheck and just accept the fact that the company will never be what it was. 


Question for long-term TransTech Transcriptionists

I have read so many wonderful things about this company, but no one seems to talk about cpl.  I know what they offered me is about average for nationals, but I also was told they do not give raises.  Is this really true.  Does that mean if you are an excellent transcriptionist, and more reliable than normal, they would never give you a raise?  That doesn't sound good to me.  Would anyone care to say if they have gotten a raise while working there.


Your help is much appreciated.


 


 


Any info, recent new hires, long-term employees? ..sm

How do you like it? Are you productive on the platform? How is the pooling? Can ShortHand work on the system? any info would be greatly appreciated.


Thanks


Not just this week, a long term problem. Nice people, good benefits, but
nm
I doubt any business will succeed that bases its profits on screwing their long-term employees. sm

You are not the only one who has worked hard for the company, but it doesn't matter if I like the people or not -- I have to make a living.  Your callous disregard for that fact (along with theirs), calling it something like an oversight or human error is a slap in the face to those of us who struggle alone to support a family on a measly 30-40 minutes of dictation a day, coupled with the fact that we were out and out lied to about the shortage of work.  How can there be mutual respect in a situation like that?


I am glad you support and care for them, and I hope they never leave you high and dry like they have done the rest of us.  I, for one, am done.  I don't need the lovey-dovey family talk when it is all a pack of lies.  That kind of family I do not need.


Opinion? its a legal labor term - not a generic term for quibbling.
x
How long ago did you work there?
 
How long do you have to get your work done as an IC? sm
Do you set your own schedule or have certain times they want you to work? I worked as an IC before and they made me work a 10 hour window every monday through friday. How is Medware?
And just how long ago did you work for them?
I have been there a year and the QA staff is great. No calls in the middle of the night for stats. This is a good company and they have constantly gotten better since I started and they weren't bad then!
How long ago did you work there?
Just curious as they are hiring I think.
How long ago did you work
For Transcend?  They no longer have a production team.  The team leaders and regional managers are transcriptionists.  QA is done by transcriptionists.  Also, even though your account may be on VR, that does not mean you will editing all reports. It all depends on which doctors are on editing.  There is still a lot of typing on VR accounts.
How long ago did you work for them?
Maybe it is better now. Could you elaborate further, please.
And how long have you been without work? Do you do VR? - nm
z
How long ago did you work there?
What other company names are associated with this company?
How long did you work there? sm
It took me a good week, week and a half to be comfortable with my account. My SIL also works for KS, and she did not like the account she was on and told them, and they moved her to another account, which she loves. She followed me there and they took great care to find her an account that was better for her. My neighbor, on the other hand, did not last. They let her go after a week for quality. I felt horrible as I was the one who got her into transcription many years ago and she is angry with me because they let her go.

how long ago did you work sm

there? Is it recently or in the distant past?


Thanks


 


I work here, but not for long...
All I can say is people are very unhappy and leaving left and right. They switched us all over the Turbo Speech program and we aren't nearly as productive as we were in EXText. Also, they do send some of their work to India and our supervisors are nonresponsive. You feel ignored. The benefits are good (lots of PTO, like 2 weeks plus sick, but paid at a base rate of just over $9/hour, paid holidays, 401k matching, and decent insurance) and we seem to have plenty of work now, but I'm leaving. I prefer text and responsive management. As far as lines go, it's VR now and you are lucky to get 300/hour.

Good luck!

Just how long have you been out of work?

We all know that with this industry the work is feast or famine.  Have you had times of feast, too, with Transcend?  Has it just been the summer months that have been bad for you with your accounts?  Or, has work just been dwindling down now for many months in a row on every single one of your accounts?


Do you do a variety of work types?  Do you do VR and straight transcription. 


Please understand that I am not trying to be a jerk.  I am an MDI-er and I really, really want to know what to expect.  I remember last summer at MDI I nearly had no work and I was infuriated.  Then, along around September or so, it started to pick up again.  Go figure.  Thanks in advance to your reply


How long did you guys below work there?
nm
I work for 2 nationals, and I think as long as you are an IC sm

no one really has a right to tell you that you cannot work for as many people as you want.  However, as someone pointed out, most companies nowadays have you sign a contract with a no-solicitation clause, stating that you cannot solicit work from any of the accounts you have worked on for them for 1-2 years.


Still, I do not broadcast to either company that I am working for someone else.  I simply let each company know the days I am available to work for them.  


Hope this helps.  Try not to let the nasty/negative posts get to you.  There are always those in every group who take more joy from tearing someone down than listening and possibly lending a helping hand.  Fortunately, they are NOT in the majority.


Good luck!


Okay - I probably didn't work long enough to get used to it. nm
xxx
How long you been at Webmedx? I currently work there and
think they are a great company except for slow issues. Where you going?
It has been little or no work for a long time now.
And the only thing I can get are those editing jobs that don't even come close to reimbursing you for the time spent trying to clean up the mess. I think making money at Transcend is a thing of the past. This company is definitely on my list of things to get rid when I do my summer housecleaning.
I would work also for as long as I could stand it...nm
xx
How long ago did you work for Focus?
Why would a company keep wasting their time posting ads if their intention is not to hire the people who apply?

I work there now and have every other MT who works on the account that I work on - listed on my IM. There is not a single Indian name.

I have an American team lead and they will soon replace any remaining Indian TLs with American TLs.

Obviously, a lot has changed since you worked there.
As long as anyone's work schedule is
approved by their supervisor, that is between them and their supervisor, not anyone else's business.
Thank you for replying...how long did you work for them?

Let me get this right...if you had typed the report, but it went to QA with a blank, then you didn't get paid for the entire report that you typed?  Is this the norm at most companies?  Doesn't seem fair to me.


As long as you have work and are not running out, why worry? sm
I know exactly what company you are referring to and they HAD to do it to be able to keep within TAT. There were not enough MTs and not enough QUALIFIED MTs applying. I have not heard of many people being out of work. Are you running out? I was also disappointed, but I have to pay my bills and the rest of the companies out there are far worse than ours. Trying to find a company that doesn't offshore and pays well and has decent dictators is extremely, extremely difficult. Hang in there!!
Any long-time QTers here? Do they have enough work to go around? Thx. nm
s
I work for KS and not in Meditech. I do not need long distance either. sm
I think it depends on the account. I have never been this happy anywhere until Keystrokes.
Agree! Been around a long time, and the work I see SM
coming in from overseas (in general,any foreign country)needs extensive editing. The medical terminology is not so much the issue, but rather the poor grasp of our language. The reports produced from my experience are quite an embarrassment to those in this profession who have worked very hard over the years. I can decipher a report typed by an ILP vs. an American MT the second I look at it. I have quit editing and refuse to edit reports typed by overseas MTs in the future. I decided that I will not be an enabler to fix the mess that comes in so a company can come out smelling like a rose. Give the work to those of us who have the years of experience and education in MT at a fair wage, and in the long run it will be cheaper, with little to no editing would be necessary. Hello? It does not take a rocket scientist to figure this out. I know, it never will be like the good old days, but we can only hope that some form of restriction will be implemented to keep companies from outsourcing our citizens' personal medical information overseas. We can only hope!
I DO keep track, and work long hours, but only
If I say I can't do the minimum line count in 8 hours, they say I'm too slow. But if I eliminate quality (by not proofing or not correcting grammar, and just typing verbatim) then I hear about that, too. They just say to work harder, work faster.

The MTSO's only care about their precious TAT and volume. What we have to do to ourselves in order to accomplish THEIR goals is of no importance to them.

The only way it ever will be is if someday they happen to get put under a microscope like other fraudulent US businesses have, lately.

What I wouldn't give to see the fat-cats at AHDI up in front of Congress trying to explain themselves some fine day. Could happen.
Meant to say, I would not work for that company. A long day and still going!!
nm
Maybe I should not even use the term ESL

Maybe I should have said horrible dictators, because some of the ESL guys are not that bad honestly.  It just happens that they used a horrible dictator with bad audio for the transcribing portion of the test.  You do have to think $$ these days, no matter who you transcribe for.  If you are on let's say an Ortho account, and there are horrible dictators there (ESLs and all) that it interferes with your income.  You are making $30,000/year - while on a previous Ortho account you know you were making over $40,000/year.  Honestly, aren't you going to look for a more profitable account??  You can be the best MT in the world, but it is still the dictator's responsibility for what prints out, isn't it.  Accurate garbage is still accurate garbage.  Is it profitable?  We really do work for the paychecks - not the doctor, the company, or even the patient for that matter.  If not, then you should be volunteering.


Also, when I lived in Manhattan during 9/11 was down for a LONG TIME - no work
and my pay had dropped to almost $14/hour from $25/hour. No phone lines, no work coming in, no way to transcribe.

Gosh, I definitely pick all the wrong places to live!
Beyond Text doesn't work long enough to allow you to get any lines. nm
nm
internet work or long distance plan? -nm
nm
You must not have been with Transtech long enough to see the lack of work periods. nm
y
I also vote for Webmedx - used to work for the Q, left long ago sm
Have not worked for Transcend or SoftScript so can't judge. I agree with the above poster; pay good, shift diff, PTO, decent bennies. Lots of work. Keep in mind there are two parts of Webmedx - the one on Enterprise platform and ChartMatrix; the ChartMatrix side seems to have more negative reviews.
there was a lot of 'out of work' comments long before and leading up to any - sm
negativity, which, I might add, seem to excalate as the baren dayes turned into months.

my experience on this site.
medical term

"Palpation over the muscular tissues reveals mild tenderness in the bilateral paraspinals (s/l: clavatus or quivatus, and spiro-glineal) region."  I can't figure it out and am hoping someone out there will give it a shot!  The words in parentheses aren't words I know, they just sound like what he's saying.  TIA.


medical term
It could be gluteal. I thought of that too, but just can't figure out what he's saying before that if it is gluteal. S/l spiro or could be superior......don't hear left or right unfortunately. thanks very much.
Difficulty with a term
This s/l D-timer and is a test done to r/o pulmonary embolus.
Any help appreciated.
ESL is a relative term.
Just because they have an accent doesn't make them any more difficult to do than the average Joe.  JMHO.