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Serving Over 20,000 US Medical Transcriptionists

Department outsourced

Posted By: MT on 2007-01-20
In Reply to: Is this in the KC area? - sm

After going through this 2 years ago I feel your pain. Though there are some positives to working at home it is a whole different ballgame. Personally I miss my coworkers and just the general atmosphere of the hospital. I keep hoping more hospitals will realize they still need some in-house staff, at the very least to do QA on what a lot of the services are turning out. It seems to me it has become nothing more than churn and burn with the emphasize on turn-around time, not quality. When I look up old reports in our system I am appalled at some of the stuff that goes out, and I am on accounts that require American MTs. It is really sad what this "profession" has become.



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I wonder why when a department is outsourced/offshored sm
the physicians never have a say in it even though most of them don't like it?  They are the ones who bring in the revenue, after all, so why shouldn't they have a say in what goes on as regards patient care? 
Our tax returns are outsourced. Our credit history is outsourced. Our employers know everything
our age, our residence, our credit (if they want it), any criminal activity, etc.  What is new here?  You apply for health insurance and your employee knows your health background.  What is new here?  Privacy is long gone.
outsourced for sure
nm
I was outsourced and went to VR
because it was the same place I have typed for for over 15 years now. I am retirement age and really do not have to work as much nor do I want to work as much as I did years ago on straight, VR or anything. Having said that, VR on the work I do is like taking candy from a baby. I average about $25 an hour and only work part-time with my having cut my hours back. I am happy camper.
Is it possible that teaching can be outsourced?
the date is 2014, It a nice day. You drop off your kids to public school to for them to watch a huge plasma screen that has a teacher in it. And guess what... Its via Satellite, from India. Im getting goosebumps.... Arg. Its also outsourced. Oh im having a nightmare. I hope its its just a nightmare.
Must be a outsourced Company
Is that for real? Thats still 1750 lines
being outsourced to TRINIDAD!! NM
.
How many of those outsourced MTs have even seen snow??
:=
Just because work is outsourced, unless
you have access to the entire medical record, not all personal info is available, only what the doctor chooses to include in his dictation. MTs do not necessarily have access to the entire record with the billing info and such.
hospital outsourced...
Believe me I didn't leave by choice! I had a great job with amazing benefits, however our hospital started outsourceing 5 years ago and slowly but surely all the work dried up and our department faded away...

I avoided Focus Infomatics due to their offshoring, but now, I don't know, they are sounding pretty good. I just want eScription back. Anyone hiring? :)
How big is the rad department?
I wonder if that makes a difference. My rad account is going to beta test VR and I am wondering if I should get out now.
You could try the Department
of Labor. There are many of us on this board who at one time or another have gotten the shaft by being an IC. Just wait.. you will get many suggestions. My case- there are at least nine of us owed close to $25,000.
They don't have in-house anymore - it's all outsourced.
I know because the service I work for does their work.  
An Outsourced Life -- anyone see that on MSNBC?

I didn't know whether to laugh or be disgusted, so I have decided to do both.


Just saw a story on MSNBC about some jerk (an American jerk, looks like the biggest geek in the world) who has outsourced all his worries to a Pakistan company and a young, pretty Pakistani girl named "Honey" takes care of answering all his emails for work, for home, for his family, etc.  Hired a second Pakistani woman, a middle-aged woman (forget her name) to handle his WIFE.  When his wife is upset with him or he with her, he emails this Pakistani woman and she handles it -- emails the wife and argues FOR this jerk.  Even picks out the gifts he gives his kids and wife.  OMG. 


What a stupidman for doing it and, I must say, a stupid woman for putting up with that. 


How's that for Americans outsourcing everything and sending it overseas?!



Is work continuously being outsourced?
I'm just starting on a medical transcription career. But it sounds like too many companies are firing American workers and outsourcing to other countries. Is this common? Maybe I shouldn't pay for my training and try something else. Thanks.

amelia
I suppose all the work that is outsourced
Makes no sense.  What do they expect for 7-10 cpl?
Can you go over both of their heads to the department
supervisor? Tell her that you're getting conflicting reports on your job performance. Do you have emails saying that you're doing great? Keep them, print them. Explain to the department head that you simply can't afford to pay for gas or daycare to work in-house. (Yeah, I've told my supervisors this before and their reply was that my daycare and gas expenses weren't their problem. I told them it was their problem and quit.) What is your production level? Eleven minutes or 130 lines per hour are about the average for direct hospital work. It's usually less than that in-house with all the interruptions and other tasks.

As far as the online company, can you work part-time or as-needed for them for a while? Is there any way you could do both jobs until after you get the bonus? You applied Friday and got called back Monday. That tells me that they're interested and you're a decent MT. How much research have you done into this company? Are you sure it's the best company for you? Honestly, if you're good, you'll get more offers. Sometimes it's nice to have the security net of a hospital job and a regular paycheck, especially with Christmas and bonuses coming up. Your production will probably drop by starting a new account, and it's not the best time of year to be taking a pay cut.
police department right behind us
Funny thing is the police department is right behind us--they probably hear her--just kidding. Her ex-husband workes on the volunteer fire department housed in the same building as police. He has probably already told them all she is crazy!
Can your company's IT department not
I bet they have all the information necessary and even suggestions.

One of my accounts is a PT department...
they invite me to their Christmas party every year. One year they had a huge bouquet delivered to me at home on Medical Transcription week!  That was a nice surprise.
Our QA department is much too busy
to give us feedback like that. They are very complimentary of my work ... probably because I do take the time to look up other reports to make sure I fill in all the tough spots I possibly can. I've done acute care before, but got away from it for a few years. I only had one ESL at my last job. I sure got good at Korean though! With this job it's pretty typical, with many different dictators and accents, but it's just heavy on certain "Asian" (happy now?) dictators instead of Indian. At least there aren't many of the certain Spanish ones I have trouble with. What the ones I have trouble with have in common is that their language uses more percussive sounds and fewer vowel tones. It doesn't matter if the vowel tones are different; I can adapt. But when it records as whispery percussive sounds, I struggle.
Department of Labor
Were you awarded a judgment in your favor and how long it takes?
Department of health
According to my doctor, Hillary Clinton was the main one involved in the HIPPA. Don't know if it is true or not, just what he said.
Try the Department of Labor and Industry.
You can turn them into the State Attorney General's office, BBB, FTC, as well.  And small claims court.  I would send a certified letter demanding payment first with the threat that if they do not pay by XX date, you will pursue further legal action against them.
Turn them in to the BBB and the Department of Labor.
They're scamming people.  Somebody needs to stop them before they hose over any other new MTs.  Parents magazine even had an article about TranScam.
Call the MR department at the hospital and ask sm
simply "who does your transcription". May not work every time, but they gave me the name of the service, and the phone number. I called the service and asked if they were hiring. She said, "we are always hiring", and I was working for them 3 days later.
With our QA department, blanks count against us..sm
If we have more than 1 blank per report, other than for dictation that is cut off or something like that, it counts against our percentage, which isn't very high given the difficulty factor associated with a lot of the dictators. Once the percentage reaches a certain point (and again it don't take much to reach that point) we start losing bonuses that we would otherwise be entitled to and even getting deductions from our pay. So, to say the MT doesn't get blamed is not true for everyone. We shouldn't get blamed, but a lot of us do.
That's because Dell's customer service is outsourced to India. sm

The guy probably answered yes, yes, yes to all your quesions and didn't understand a single word.


Sorry to hear that. All the hospitals that outsourced on me went with US-based companies and we were
nm
I'm there with ya! I worked for a hospital that outsourced overflow to a very large, VERY SM

well-known service.  The quality of the work was shockingly bad.  There's no way to describe it except to say it was painfully obvious that the MTs on our account had no business being MTs.  They didn't even have the very basic skills for the job, let alone the medical terminology.


I had the opportunity to read through the contract, and there was a paragraph in the contract that clearly stated that not only did the service promise to adhere to a specific TAT, but also promised high quality, proofread reports.  Basically saying that they employed a highly qualified QA staff that insured nearly error free reports.  That's the OUT clause as far as I'm concerned.  I started a file of every report with errors from the service, every ridiculous error.


A new supervisor for our department was hired and her first order of business was to cut the flab out of department.  She told us that the service doing our overflow was being paid something like $60,000 a MONTH!  The hospital was paying the service 45 cpl.  Now do the math!  The service gets 45 cpl and pays you and me 7 to 8 cpl to transcribe for them or even worse pays 2 cpl for an India-based MT and 3 cpl for an American QA person to edit and correct it, so that's only 5 cpl they end up paying.  That's quite a profit.  I vowed the day I found all this out to NEVER work for a national service again and especially not THAT service.


The new supervisor was against outsourcing which was good news.  She set out to renegotiate the contract or drop the service all together.  I threatened her with breach of contract and that's where my little file came in handy.  Needless to say, the service backed off and we not outsource overflow to a service local to our area and a much more reasonable rate.


My advice to you is start your file and keep track of everything.  Tell your boss to reread the contract, especially those paragraphs that speak to what the service promises to provide for the inflated line rate!


Good Luck!


In 5 years there won't be any transcription departments in any hospital. All will be outsourced.
Same thing happened to me and if those HIM hags who control our destiny think it's a good thing they are so WRONG.  Life has been hard since having to work at a service, and I refused to work for the Monster MTSO that took my job as a matter of principle.  I think we should all write to Hillary Clinton, Nancy Pelosi, Amy Klobuchar (the MT in MN can write to her), etc., and express our strong needs to  have MT jobs and American information STAY in America with American MTs.   
If it were me I'd do some house cleaning in the friendship department.

Make some new friends.  It's time. 


Report them to the Department of Labor and Industry and the BBB, too.
I can't stand it when pay is not received in a timely manner. It shows a complete lack of professionalism and inability to manage a business.
Health department here said straight mayo. SM
Slathered it on, put on a shower cap and left it for hours.  Not only were the lice gone, but our hair was so soft and shiny and conditioned!
Turn them in immediately to the Department of Labor and
Industry, the BBB, the FTC, small claims court and anybody else that will listen. Contract or no contract, they CANNOT withhold pay due to giving no notice. ICs do not have to give notice. It was even on Judge Judy that you can't stiff somebody their pay for walking off the job.
Or maybe check with your state's labor department?
?
Frederick Police Department - 580-335-7503 (sm)
Tell them Kristen is at it again - they know all about her.
It took the fire department to get her out of the house! My GAWD!!!!

Department of Labor worked for me in my state
Also contact the Attorney General in your state; but the final result for some was to file a complaint with the magistrate in that company's district.  Good luck
YES, it's true, funding for schooling to replace outsourced jobs...sm
my husband is a machinist (was a machinist) in Illinois where manufacturing took a hard hit. They sent home a piece of paper with his pink slip about getting funding for schooling if the company was identified as having lost jobs due to overseas outsourcing. His company was too small to qualify but I went on the list and found many companies in the Chicago area that qualified. I even posted the info on the boards here about six months ago.
Total # of outsourced jobs? More less the population of 3 entire states!
Try to calculate that economic nightmare!!!
I hear they the Education Department Needs 2M teachers by 2015
I think thats a great idea. English teacher... Hmmm.. What are the requirements?
you need to contact the police Department in Frederick, Oklahoma sm

If you call them and make a complaint against her, they will help you take care of it.  She's afraid to go to jail, if she's not there already


Our department does 1200+ reports a day. They average 11 lines. nm
This is for 2-3 line normal chests to MRIs. They look longer, but if you take 65 characters with spaces, you will be surpised. Here's an example:

CHEST:

INDICATION: Chest pain.

FINDINGS: Heart size within normal limits. Lungs are clear.

IMPRESSION: Normal chest.

This is 116 characters with spaces, which is 3 lines (if you round up - actually 2.55 lines). If by the line, you would make $0.30.

Something to think about.

Do the same with an MRI of the knee. Copy and paste it into word and count it. A very long one I had was only 15 lines.
simply ask HR if it's common practice to hire for a department -
nm
I was told that Healthscribe outsourced and when acquired, that Spheris would be bringing work
And this is information came to me from the inside, given to me when I was hired and in training.
Check all the brands in other stores. It's all outsourced. Nike, Rebok, Liz Claiborne.
It leaves our country in the hands of the politicians who sold us out in the first place.
What an ugly thing to post. Your job could be outsourced tomorrow, sweetie. FYI...Job security
x
Are you kidding? After reading the health department's annual review, I NEVER eat out.
Especially at a fast food place. They always have long lists of violations, plus, after a look at the fingernails and hair on some of those people, I wouldn't feed my dog there.

They do list restaurants that maintain high standards of cleanliness with no violations, so if I'm in the mood for a long drive, I'll go to one of those.

I do miss eating out.


Here is part of the email my husband received from his IT department at work..sm
It has been widely reported that a newly discovered Windows flaw will result in several new computer viruses over the next few days.

This new virus is launched by visiting web sites that are infected with this virus or by receiving infected e-mails. You will not be able to know if the web site is infected.

The anti-virus software vendors are working on a system update to fix this issue, but as of now, it has not been provided. Also, Microsoft is working on a patch that will fix the root cause of this problem.

Makes me very nervous also!
I live in Washington state and the health department posted it on the internet.
Here is the link to the information for this state, but every state probably has the same thing.

http://www.doh.wa.gov/ehp/sf/food/restaurant-inspections.htm