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Serving Over 20,000 US Medical Transcriptionists

hospitals?

Posted By: moonchild on 2008-07-04
In Reply to: employee status...sm - aa

i've been applying to the hospitals in the area about every 6 months, and no one is hiring.  i don't even think hospitals or doctors offices have MTs anymore...not my doctors office, and not another place i applied for a job...they have these little hand held things they dictate into that transcribe their words right there and then, they print it out, sign it, stick it in the chart, over and done. 


if i weren't 10 years away from retirement, there is no way i would get into this business.  having been doing this for over 20 years, its hard to find something else. 


i've got work today, but its crappy work, the national cesspool stuff, and my line count is going to be so far below the minimum requirement it won't be funny. but they shouldn't mind, since it means they won't have to pay too much at the holiday rate. 


but i keep applying and looking and applying and i know something good will hopefully come my way eventually.


in the meantime, i've had to get a 2nd job, part-time, another at home MT job, with a much smaller company, all IC employees, and i'd jump ship in a second and work for them full time if that wasn't the case because they are like night and day from the place i work for full-time now, but i need benefits, am single, own my own home, and will soon be one of those old ladies living out of shopping carts on the street, eating out of dumpsters, at this rate.


 




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It is not the hospitals on a short TAT it is what MQ wants to make the hospitals very happy with

them. I would assume the accounts are on 12, 24 or 48 TAT but wouldnt they love having their work back no sooner than it is dictated.


HOW DO YOU KNOW THEY ARE GETTING RID OF THE LITTLE HOSPITALS THAT WON'T DQS?
X
So does that mean that the hospitals (sm)
(their website indicates US-based hospitals) that use this company are okay with this level of quality that the QA in India provides?  Thank you.
Is there anyone else who would like to see hospitals (or more hospitals)

offer transcriptionists the opportunity to work at home directly for them, with decent hourly pay that is at least consistent with the cost of living in the employee's particular region (and assuming that the MT would be working at home for a hospital that is in her/his region), with same employee benefits as the on-site employees?


Yes, I have three hospitals too
and am very pleased. My liaison is awesome. She actually treats me like a human being.
CA Hospitals
I wondered the same thing. So many of the hospitals and clinics rely on MediCal, Medicaid payments. What is going to happen? Does the state have any safety net built into the system? What if the insurance companies go belly-up and quit paying as well? Domino effect!!! Ark!
Plus hospitals don't want to buy sm
the dictation or transcription equipment, just download the completed product into their electronic medical record. How would a bunch of ICs manage that?

Not to mention getting American MTs to all agree to be ICs - personally I wouldn't want to be one. I NEED INSURANCE and want a paid vacation, which I get through my company.
St. Louis Hospitals
Hi!! I, too, would love to chat with fellow STL MTs.  Feel free to e-mail me!
St. Louis Hospitals
Hi!! I, too, would love to chat with fellow STL MTs.  Feel free to e-mail me!
I'm not sure who the other university hospitals use but

I never see anything on their sites or on CareerBuilder about hiring in-house MT's so apparently they're all using an outside service of some type.  Most hospitals I've worked in-house for use Medquist and another service at the same time (without Medquist's knowledge).


The only Phila. area hospital I've ever seen advertising for in-house MT's is Cooper in Camden, NJ (across the river from Philly).


I emailed you with some hospitals to look into - sm
I really hope it helps. In the meantime, I will get in contact with a couple of people I know to see if they hire outside their state.


I think MQ used to have them right. I guess they still have a lot of hospitals in the
Philly area.
hospitals hiring again?
Does anyone know if the east coast transcription scene is any better than other parts of the country, i.e., work?  Are east coast hospitals starting to hire in-house once again?  I am moving back to the east coast mid 2006 and wonder if I will still be working out of my home or can look to applying for an in-house position.  I was gonna post this on the state board of NY but it seems to be quite inactive.  Any information is truly appreciated!
Not that I know of. More likely to find hospitals that do. nm
x
No work on four hospitals
I'd like to know how it happens that four hospitals can suddenly just stop dictating, and work suddenly just get slow, on all of them at the same time, and them not even in the same group.  I think the company has hired too many transcriptionists and can't keep them busy, or is offshoring most everything, but telling us a different story.  Is there any way to find out what's the real case?  XXXXX  It has happened several times like this over the past five years, and I am getting fed up.  Are all companies like this or is this the only one where this sort of thing happens? People get sick and have operations every day of the year.  They don't suddenly stop going to the hospital.  Are they playing on our stupidity, or could this be legitimate? I find it very hard to believe.  I'm a seasoned MT with 15 years' experience, and provide excellent work. What' up? 
Hospitals outsourcing?
Anyone know of any hospitals directly outsourcing to MTs?  My local hospital does - but not hiring now.  I'm w/a great company other than running out of work consistently even on three accounts for months on end ....
Started several new hospitals

is starting at the end of August.  4th was a little slow but only for a few days.  Work is fine and nothing much has changed so all's well.


What I have found is that the hospitals SM
will usually try that as a last resort to get their own transcriptionists to produce more.  When they find out that the production increase isn't that big (or production actually decreases), then they outsource the whole thing and say that they tried everything to keep their own people.
hospitals vs. companies



I am applying at both a hospital for a prn position and with an MT company for part time work. I have the option to work in-house with the hospital, which I may do because I have to drive 25 miles to the city to bring my kids to their preschool anyway.  My question is, what are some of the differences between working for a hospital and working for a company?  (Pros and cons for each)  I have less than 2 years experience, and some of that time was spent doing chiropractic transcription, so I am concerned that I might need more experience or training for the hospital work.  Thanks in advance for any comments.  


hospitals vs. companies
Thanks so much for the input!
Except that the doctors & hospitals - sm
are being swallowed up one by one by the big mega-institutions: Tenet, Sutter Health, Catholic Healthcare, etc. The docs & hospitals have less and less say over who does their transcription (if they even have a clue who does), just like they have less and less control over what procedures they can recommend, and what drugs they can prescribe.

It's all come down to the fat-cats in the 3-piece suits sitting in their high-rise corner offices, dictating what healthcare will be meted out to those of use who need it, and how much the hospitals should pay for 'ancillary' costs such as transcription.

If ever there was a group of people the goverment should be investigating and putting a short leash on, it's the HMOs and the Health Management Corporations, which have ruined almost every corner of the American healthcare industry.
Maybe it should be shared with the hospitals and
clinics that trust AHDI. Show them what a load of ___ that organization really is.
ATLANTA HOSPITALS

I am not sure about St. Joseph, Grady or Atlanta Medical, but my husband used to work at Emory and they have outsourced everything they can..he was laid off during all the change about 3 years ago.


A new nonprofit board just took over running Grady, so no telling what is going on there....


I live south of Atlanta (Griffin area) and all hospitals in this area outsource. 


I heard through the grapevine that Southern Regional (Riverdale) let their radiology transcriptionists go not too long ago, but don't know about HIM. 


But, if you happen to find a hospital that still has in-house, please let me know!!!!


Worked at 2 different hospitals and...
the only thing they ever required were a form that gave our medical history, drug screen, and criminal background.  I am really fine with that.  Its the physical and credit check. Only God, my own doctor, my accountant, and my husband get that information.
if you're doing 2 hospitals...
it's gonna take time, but you can do it. Of course, it's gonna take longer if you're typing for more than 2.

If you're doing more than just DSs, then this will take some time also, but it can be done.

If you're typing for residents (ugh), they come and go and you will be learning new ones all the time.

Your plus is that you can look back. Just do the same process for each doc. Take your time, get your flow going, and don't worry. :)
Texas Hospitals
I am currently working for a Texas Hospital as well. They are not even open as they do not have power and are not sure WHEN they will be back. So my work has been NONE since about the same time frame.

Here is to hoping there are better times ahead for our Texas Hospitals and for all the Texas Hospital Transcriptionists.
Is this a combo of 3 hospitals? nm
.
CA County Hospitals . . .
I don't know about UC but the company I work for has a county hospital and payment was 3 months late. No IOU yet.
In California hospitals
things are especially tense. The unemployment rate in California is 12.5% and the state is ready to go bankrupt. I am just ashamed and disgusted that such a beautiful state has gone the way it has.
You must have some tiny hospitals, then.
A few docs shouldn't make that big of a difference. Plus if you've been reviewing the Community Page over the last several weeks, you should realize that there is more going on than vaca time for docs. Management just isn't letting us in on it.
What else is new **small hospitals** sm
I'd like to know who the salespeople are at this company.  All these small accounts with their picky instructions.  Why don't we have even one huge medical facility? 
Our two local hospitals do just that.

Management is at the hospital.  MTs have a choice to work at their medical records departments or work remotely from home.  Benefits are excellent.  Health insurance rates are very reasonable.  Pay is hourly - guess what, always on time.  They are always offering CPR classes free, movie tickets and group travel plans at discounts.  ACTUALLY GIVE RAISES. 


I would love to see all hospitals go back to this.  More personal employment, keep it local, smaller group of docs that we actually might know, not as much BS as working for an MTSO.  I think this gives the MT back their feeling of being a professional and  the hospitals treat us fairly, like an employee and no BS about OT and line rates.  Enough already with the greedy MTSOs who can't seem to get their act together with their overhiring, then low work, no work, then begging for help if you stay and most everyone else leaves. 


currently only 1 group of MDI hospitals is VR
x
No the hospitals would not have a clue
how could the hospitals know why MTs abandoned their jobs?

Do you have any contact with hospitals now?

Take a more practical and rational approach- beat the MTSOs at their own game. I am NOT anti-MTSO, I am just saying if you really feel abused by these companies - BE THEIR COMPETITION!
How many hospitals are paying the same for VR
I've heard this same thing from a few different people now.  Either some hospitals realize that quality is important and will pay for it...or MTSOs are really ripping off the MTs.
I think one of the hospitals is onto them about offshoring their work
x
There are quite a few hospitals in NY that are hiring inhouse and
also at home. What part of NY do you plan on moving to?
I know of 6 hospitals in the state of NY that are hiring
but they are not advertising. It depends on where in NY you are moving to.
Anyone know any NJ hospitals who hire MTs from home? nm
X
Try Virtua Healthcare. They have a few hospitals -
Marlton and Voorhees, and I'm not sure if there is another one. I know that Diskriter is currently doing their account, but the hospital is also looking to hire transcriptionists.
Does anyone know of any of the Philadelphia, PA hospitals that hire their own MTs.
:
Yes, 2 large hospitals. Both accounts out. nm
nm
Yes. Hospitals, and maybe OSI. Slim pickin's. nm
x
How much you think these bigwigs are charging the hospitals?
And we get, what, 1/3 of this? 
Agree, but all the more reason for these hospitals (sm)
to clean up their acts wherever they can, i.e., banning cell phone dictating!

The hospitals take a long time with IDs sometimes. I know that the sm
account I am lead on takes anywhere from 2 days to 3 weeks. It is a source of frustration for the management team as HR hires because of a need and then the hospital takes forever. Not all accounts though. Some are same day.
There are many hospitals now hiring for at home MTs.
You just need to search for them. One, I know of, is in Georgia. Some are hiring employee status, you must live in the state the hospital is located, and others are hiring as IC, you can live anywhere in the US.

What state do you live in and are you looking for employee or IC?
From what I know the three hospitals are actually one big account with three facilities and then
the fourth is a cancer center. I have worked at Transtech for almost two years and it's the best job I've ever had. I think you will have a primary account and then a backup. I don't know of anyone here who has more than that.
Me too - the hospitals haven't shut down
nm
I think they are 4 hospitals in Broward County
if I recall correctly what the recruiter told me. 
Do most of the hospitals have slow schedules
nm