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Serving Over 20,000 US Medical Transcriptionists

yes, thanks in large part to AAMT/ADHI for

Posted By: bettering the work conditions, NOT (nm) on 2009-09-29
In Reply to: Pay cuts - bonnie


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I believe AAMT guidelines is 65 chars. with spaces. Maybe go to aamt.org and see if you can

ADHI turned their backs on us 4 years ago.  I am not a member, nor are any of the other Initiative Volunteers - ADHI supports offshore, VR, EMR, and they threw us under the bus - they are run by MTSO's and administrators - NOT MTS.

We have made it quite clear to them this week that we will be a completely separate entity, will not accept support in the form of monies, materials or advice, and that MTs ONLY will vote for our choices, goals and boundaries.

USMLSU will not discriminate against MTs who are AHDI members currently, however, we would ask that they become completely informed about who and what AHDI stands for at this time.  It's not your momma's AAMT.

All of our office space, equipment, and supplies are donated by non-biased, non-medical companies, office equipment suppliers who are quite accustomed to working with union personnel (shippers, etc.), and they are not intimidated by solidarity.

The Power of ADHI

IMO, is next to nil.  They are not who decides that certification is a requirement.  The industry would have to be on board with that.  Since the MT industry can't agree on what a line is, what an MT is, how payment should be rendered, etc, and since it's heavily impacted by the dollar, it's not likely that you will see mandatory certification any time soon.

Health Information Technology positions will often request certification by AHIMA.  It has taken AHIMA a long time to get where they are and ADHI is still years behind.

I have another profession and yes, for the most part, all fees including continuing education, as well as certifications fall to me.  There are some employers who will reimburse or pay up front, however.

Look at how many ads REQUIRE CMT.  And ask the question, who has not been hired because they didn't have it.

IMO, certification of offshore personnel is going to be designed to placate possible purchasers of those services by certifying legitimacy.  You are more likely to find offshore certification required well before you see it here. (Which is unfortunate because there are many US MTs whose skills are severely lacking just as much as some offshore MTs.)

ADHI endorses anything
that will put more money in their coffers. That is all they care about now and all they cared about in the past. A useless organization.
ADHI endorses anything
that will put more money in their coffers. That is all they care about now and all they cared about in the past. A useless organization.
No, but they are ADHI Nazis and will use them to
rip us off when convenient.
is it true that ADHI is credentialling
overseas transcriptionists in places like India.  I read this somewhere, but I cannot find where I read it.  Thanks.
ADHI endorses offshore, where you been? NM
Only problem is, ADHI would find some way to get into it
and then would sell us all down the river again. What a bunch of crooks.
ADHI pushes lots of things
IMHO, none of them are useful to the MT. Don't forget, this is the organization that supports offshoring.
MDI employees. I feel for you. One warning - you will get ADHI shoved down your throat
daily.  I am so sick of that organization that has done nothing but help send more work offshore.  But Transcend seems to love it.  I will not be surprised when we are all required to become CMTs, even though it will not change the quality of work being done.  It is just one more thing to have to buy, just to make the fat cat at the top fatter.  
OH - I thought part transcription, part escription, but don't know for sure
I can't tell you, sorry, but it is a LARGE one.
large comp

I agree.

They have taken on several new large accounts over
the past several months.
been with 2 large nationals; will never do that again.
Much better with the smaller companies.
I have 22 employees, which is not large, but had to do the same. sm
Our state unemployment division did an audit on me and determined that the ICs are actually employees. I had to pay unemployment on everyone who works for me or who did work for me back 5 years to present and make them all employees. I had to pay fines and penalties too.

The IRS has their list of 20 checklist items but the states can have a few of their own and they have the right to enforce them.

One from our state (Missouri) states that if you perform the same type of duties as employees at the company, even if you fit the 20 items from the IRS, you are an employee.

I appealed the decision and lost. It cost me $5000 for a lawyer but still have to pay the $218,000 to them (the total with the fees, penalties, interest and payments that should have been made). It is going to force me to close our doors.

If it is a large account
your email may be one of nearly 20+ she gets per day. When you are a lead you are getting many calls and emails daily. Address the issue with the head and go over his/her head if things don't improve.
these were supposedly large sm
companies that have been around awhile.  I am hearing a lot of MTs going through the same thing.  Its getting ridiculous!
It is hard to get a large
group of doctors at a hospital to ALL do VR and their own editing. Smaller clinics are more likely to completely do away with MTs, as they are more inclined to do their own editing; plus doctors in clinics do not go into as much detail as hospital dictators. Clinics usually stick to a fairly standard normal template, whereas doctors in hospitals dictate all kinds of ways...That is what I have seen..
They no longer hire part-time and may be eliminating part-time employees within the next 6 months.
They are going to have those that are PT go FT if possible. Some accounts require 1 weekend day, but not all. Most transcriptionists have 1 account with 1 back-up account. I know that they are hiring for hospital accounts in medical records and radiology right now.
I have found that large places
like hospitals, banks, insurance companies offer the best benefit packages to part-timers. In fact I once worked 10 hours a week at a bank just for the benefits package. PT MT at home with benefits, however, I don't think you will find. It's hard enough finding FT with benefits and the premium isn't $800 a month.
Yes, 2 large hospitals. Both accounts out. nm
When I worked for a large national, they
had a gal from New York using a steno machine.  She consistently turned out over 20,000 lines every 2 weeks/pay period.  So if you know the steno machine, you can make megabucks in transcription.  She always won awards at this biggest national.
The accounts are so large you get them some days
and other days none. I too have had days when that seems like all I get. Sometimes I will go 3 months before I get the same doctor. She should have asked them to route her a variety that day or try another account. There really is a break in period with any new account but Transtech really is the best company out there and they are willing to work with their MTs.
Um, not exactly - some of the VERY LARGE companies do the same thing!
Trust me. lol
I do a large number of ESLs and usually

don't have issues, but when I worked at SS their ESL dictators on at least 1 account were horrendous.  They were bad dictators on top of the sound quality being the worst I've encountered in my 20 years of MTing.  Management was a joke and you couldn't believe a word the CEO told you.   I worked in QA and the quality of the transcription was very bad.   Someone asked me if the work was done in India and I said it may very well be because it was so bad that it pretty much had to be done over.   I had some suggestions on how to better run things and was offered a management position to implement them, but I declined. 

The reason there is a lot of work is because they can't keep MTs.   I agree not all companies, not matter how good they are, are a good fit for all MTs, but if a company has constant turnover there has to be a reason for it.  I work because I need the money and I don't see any reason to waste my time going with a company that has the reputation that SS does.  There have been a handful of MTs who despite all the negatives about SS decided to accept positions.  A couple of MTs have come back about a month layer apologizing for not believing us and said everything we said was true.  

I would not refer my worst enemy to this company. 

Would anyone work for a large national co, with a

I use the company provided computer.  They had a change in computers and I was sent a new one.  Since that time, the foot pedal provided has not worked.  I can hear reports, but I cannot backup or move ahead using the pedal.  To hear something again, I have to bang my foot on the pedal. To move ahead forward or go backward for any length, I must go to playback page and manually move the cursor to where I need to be. 

I have put up with this for five years. Yes, that is right, FIVE YEARS!!!! I have called our so-called Help Desk numerous times and I have been sent two more pedals, neither of which work, or, rather, work the same as the original pedal.  I have asked for help from countless people.  The Help Desk states I am the only one having the problem.  The supervisor says I am the only one having the problem. I know one other person on my team who is also having having the problem, but we are too  ashamed to really raise heck.  I am disgusted. 

By the way, it is the most commonly used foot pedal. Even their ad states it works with any computer.  I just had to vent. 

Large nationals don't like radiology because of TAT
I was offered a very large rate of pay, so you
I know they just got a large hospital account near me.
They have recently gotten a very large account. Probably
Large deductible and everything out of pocket.
A REALLY large system with several hospitals. nm

Is this a large hospital with MANY Hispanic
dictators, probably over 75%? I heard they only had 1 account on DQS, a new one they picked up in August. I am working on that account and would love to switch.
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.
Usually MANY battles, both large and small,
Food for thought.
All the large companies do the same thing.
I don't work for WMX. I'm amazed this is the first anyone has heard. I suppose Webber Inc. keeps things quiet.

Really, don't get upset. Just business as usual.
And what large hospital did they lose? (nm)
As someone who has worked for many large companies, sm
I've seen this many times before. Companies downsize or streamline or whatever they want to call it OFTEN, especially management level positions. I wouldn't blow this out of proportion.
Anyone currently working for DSG know if they have a large turnover of MTs there and how is it
to work there at the present time.  Just looking!
Yes it is, and ANY percentage is too large for my comfort
ANY percentage is too high. There's no excuse for it except profits for greedy American MTSOs.

There are literally HUNDREDS of US MTs more than willing to work these odd hours that Transcend and others claim they are 'forced' to offshore because they cannot get sufficient help here.

I strongly disagree. In fact, I disgree just short to calling it out as being a bald-faced LIE.

The purpose is nothing more to increase profits for the powers that be, while all of the time hammering down the pay of the American MT.

I hope I am not alone in my stand on this. I would rather somewhere else for less money who DOES NOT offshore and who respects their MTs. Respect is something MDI-MD obviously chose to cast aside when they began negotiating their moneymaking deal while we starved, lost sleep, wondered how we would pay our bills, and yet STILL tried to be loyal to these yahoos.

Nope, not happy and checking out before my work goes to India.

I've worked too hard and am too advanced in my career to be a sitting duck.
Unless she can provide large volumes of
eventually the big co's with their guerilla business tactics will stomp on her little business, too.
No PTO for part-time. Not sure if you can work part-time or not since recent rule change. sm
You do pay a deposit for their equipment.
13.5 to 20 cents is a large difference to pay. Naturally MQ would get 20.
Something told me that they got just as much as they used to and this shows they do. I hope all the smaller MTSOs would stop lowering their rates based on what they **think** are going down. If MQ can get 20, so can they.
Does anyone know of any large billing agencies that are for sale?
If you are aware of a large ($1million + annual revenue) medical billing/transcription agency/company that is for sale.  Please reply here or email me.
Is there a large cost associated with the Sten-Tel system? Thanks. nm
So all MTs that work for a large service are bad MTs compared to those sm
that work for a smaller company? That could not be further from the truth. Some of the larger companies can attract better MTs with benefits, higher pay, etc than a smaller company ever can.

I think it depends on the MTs, not the service, as to the quality of the work.

I work for one of the companies the OP mentioned and the QA standards are MUCH more strict than smaller companies I have worked for in the past.

Had someone tell me they do a teaching hospital with them, if you like large accts. Might want to
I make more than that working for large National, which SM
provides all equipment. I do not have to pay for long distance. I have benefits, paid time off, health insurance and a wonderful supervisor.

I am really glad you posted. I haven't felt this satisfied with my company for a long time. Now I know why I am still working for them.

And by the way, if you expect your MTs to paid 8 cpl and pay for their own LD, they must be starving and/or homeless.
Wow, the poor man. No, bud uses an enlarger program & very large