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Serving Over 20,000 US Medical Transcriptionists

Do you honestly think that you can get MTs to refuse to go to

Posted By: certain docs because of that? on 2006-10-12
In Reply to: Again, it doesn't have to be that way... - Melissa

People have enough problems getting to the physician of their choice due to insurance hurdles!

Your idea is very admirable but in today's economy (especially with all the moaning and groaning about NOT making enough money to live), you are more than unrealistic. Perhaps a handful, literally a handful, of those MTs who have husbands who provide very well might opt to do that but who/what is that going to serve? The well-supported MT club?! lol

You've waited too late. Besides, what are you going to use for your platform to reach the masses? These message boards where only God knows who visits (ID and numbers) -- eventually the owners will tire of your use of their services and probably charge you. Of course, you have television - a very, very expensive medium. Perhaps some trade magazines, again advertising costs. And what will the members who live far away get in return for their hard-earned dollars?

What product/service are you going to offer?

Everyone's just full of these ideas but no one is putting a reality in there anywhere.



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they don't REFUSE to hire new MT's. They REFUSE to hire them at 6-8 cents per line.

mostly because you can now hire experienced MT's at 6-8 cpl. In the near future, you will be able to hire experienced MT's at 5 cpl. Then people will start getting out of this business and new people will stop trying to get in. I had a job opening and asked people to bid what they wanted per line. One very smart young lady was a new grad and bid 3 cpl. I hired her a year and a half ago, she has been terrific! and I was willing to spend my time training her because a) time is money and she saved me money so I could spend my time and b) she had definite potential!. In another six months, she will be the MT with 2 years experience applying for jobs. AND she will get them because she will test well and essentially "bought" her experience. So use Economics 101...


 


I refuse
I have a second job and their information is on there as well. I could see it if it were company provided email, but to randomly want to look through email and files. I have medical information on my computer for my family and they have no business looking at anything. As a requirement of employment, we had to show we have antivirus and spybot protection or we had to download theirs. They delete work done about about 10 days, so no files remain and during that period of time, nobody could access those files without the proper log in as they are part of their own designed typing system. I don't believe for a minute this is regards to protecting their information as the statement mentioned sending out information about the company via email.
If we all would refuse to do bad dictators - what can they do about it?

Let them do them themselves or have their fair-haired Indians do them. 


Let the mush-mouthed doctors get back mush-typed dictation.  It would be fair.


Tonight I had so many questionable lab values it made me sick.  I also got a non-ending stack of bad, foreign, indistinct, unable to speak English doctors --- you know the guys who end up at the bottom on last day of the payperiod.


I have gotten to the point that I want them to say "This isn't right!" and stomp their feet, because I want to go nose-to-nose with these jerks.  Just mess with me suckers!  I'm ready.  I'm premenstrual and I'm ready.


If you have 25 years of exp and refuse SM

to be on the supervisory side of things, that's your problem and not your service's problem.  You sure think you are important if you expect the management to consult you on every supervisory hire they make to see if it meets your requirements.


 


Actually one now, but some people refuse to let go of the old way. SM
It took me forever to train myself! I finally made a macro.
You are wrong. An IC can refuse
someone else.  The OP should not have to make-up work.  Also, anyone who is committing to lines or hours should then be paid as an employee.  I don't get how these companies can force an IC to type a certain amount of lines.  That is wrong.  An IC has every right to do as much or as little as he/she wants to do.  I know these companies don't like that and some MTs allow it, but I for one am an IC and am not expected to transcribe any amount of lines and when there is no work, there's no work.  That's it.  If there's work, and I want to type, I type.  I can also refuse even the accounts I am so-called expected to be doing without any problem.  There are other ICs that work for the same company that are able to do the work if I cannot.  This is how it should be.  The OP is not wrong in her thinking and no she is not overloaded due to her own fault.  A contract that states a certain amount of lines in a certain amount of time is considered employee.  Check the IRS site if you think I'm wrong.  There should be no control in that form at all. 
Maybe if refuse to do bad dictators, they will
x
refuse to quit
I told him of some of the posts on this board, even the few that were leaning in favor of him, and he says I am not painting a true picure of his concerns. He said that I have given up a good job with benefits and healthcare to now be a contractor and have to pay more for benefits and not even have a retirement plan with the company to fall back on. His company does not offer much in the way of benefits to spouses, so I had to get my own. I admit, I did have better benefits in my old job and this business is not as stable. He feels he is only being concerned for my welfare and that I am misjudging him. We just do not agree on the situation. But even if I go back to my old field, I will still do MT on the side because I love it. I have worked too hard to give up now.
IF MQ LETS YOU GO, ARE YOU GOING TO REFUSE TO TAKE $$ FROM THEM?
Be honest.
REFUSE to do QA work for CPL
Notice to all greedy MTSOs out there: I will NOT work for cents per line in QA. You will not be making money off of my knowledge and painful hours I have put into this profession.

I will be a Wal-Mart greeter before I let you make another dime off of my back and I hope all experienced QA people do the same.

This is ridiculous and insulting!!
I refuse to do it. I have research papers, etc.
get in the habit of doing INCORRECT things just to please AAMT.  If it means I can't be an MT after 25 years of MTing, then so be it.  But I learned English many years ago and every other facet of my life still requires PROPER English/punctuation and I'm not going to learn a bastardized version for AAMT.  AAMT can kiss my hiney!
If I were married, my husband would not refuse to let me do anything
of this nature. I had a husband like that. I got rid of him very quickly. I am who I am and if I want to go back to school, I would tell him I am going back, which is what I did. He demanded I stay home with the kids at all hours of the day and night. I told him bye.
I agree and I refuse to do any sort of
make up time because I feel if the work is not there, they cannot expect me to work the hours I said I was unavailable. They better not say a darned word about my not getting my lines in this pay period due to no work situations constantly.
And when the US MTs refuse to work for that guess
where the work will go? 
I refuse to do tapes but have a possible solution for you.

I have eliminated tapes completely--just not worth the aggravation, gas, time, etc. I only do digital and the docs have two options. One, buy their own recorder and pay a lower line rate or have me supply the recorder and they pay $0.02 more per line. The digital recorders are as easy to use as the tapes recorders.Stress that improved quality of recording will allow you to hear what they're saying more clearly and will result in fewer blanks. Also, they will experience an improved TAT and there will be no more broken tapes. You may find that they are willing to give it a try when you stress the benefits.


Let the next MT refuse him also. Be open bout
I dont consider this cherrypicking.  Just straight up refusing to do a doctor who has no regard for me or his pts if he is going to dictate in a manner that is indecipherable.  Again, I am in this for the money just like MTSO.  I am not here to work for mere pennies an hour.  There are plenty of jobs out there.  The MTSO can get rid of me over 1 crappy doctor or keep me, knowing I know the platform, etc.  If MTSO would rather have 1 crappy doctor or a darn good MT, whatever.  Again, it is hard to find a good MT, crappy dictators are a dime a dozen.  Let the next MT refuse him or not. It is here decision.  Mine is to ask to be taken off so I can make money just like the MTSO.
no and I would refuse to work for that company. nm
nm
If experirenced MTs refuse to do VR, then the services will not
find enough workers, and perhaps will decide to go back to straight transcription. Hard to make any money off VR. You do not get paid for inputting demographics. Are you typing one space or two spaces between sentences? Some VR programs are set to add only one space, so you are being short-changed there also. No extra for bolding or underlining. No numbering allowed. No tabs allowed. The signature line is not being counted toward your line count. The only way to make money with VR if you have taking a 50% cut in pay is to crank up the speed as fast as possible, let it play, and basically read and not have to fill in too many blanks. Otherwise, you will not make enough money to survive.
When US MTs refuse to edit their garbage
xx
Actually, I can REFUSE to have a breast exam done on
me by a doctor, and I always did. For me this procedure is much too intimate.

I guess you can refuse and be fired and then
be making no money.
If we all refuse to do VR at low rates, we may see an increase in pay.

I refuse to validate the idiot Cruise
or to enrich him with one penny of my hard-earned money. I will not be seeing his movie or any other project in which he is involved. I feel the same way about Johnny Depp since the horrible, hateful statements he has made about America and Americans. They are free to speak their minds, but I am also free to choose not to reward their hatefulness.
Training on secondary accounts. Can you refuse?
I have a great primary account. I realize I need a secondary for slow times but the secondary account blows big time. It is laborious (many fields, special requirements that are tedious, etc.). Can I say, "No, but thanks." I reach my required line count with what I have on the primary account even though I am not working a full eight hours. I have taken on a PT job and just fill in empty space by turning around and typing on the other computer when it gets slow.

Any feedback or advice would be appreciated. Thanks!

Maybe it would work with deadbeat ex-spouses who refuse
to pay child support.
Good advice but some people refuse to
split "amicably." I know for a fact in my case it would be a blame game and a huge mess. Been there many times and resorted to other ways of handling it. I wonder if what you suggested would still work for me?

Not the OP but helped by your advice.

Thanks,
me
This is getting ridiculous. I REFUSE to buy yet another edition of the BS of Style.

Those broads at the AHDI or whatever it is called now have too much time on their hands!  They need to get real jobs.  Get back out there in the trenches, have someone QA the crap out their work, and see how they like every changing quicksand of MT.


I refuse to go to Imail...I've gotten a virus from there and so have many other people. nm
,,
Geesh! What's up with you people who refuse to work holidays?
Don't you think people get sick, have accidents, etc on holidays too? What about the doctors and nurses that have to work holidays? Did you forget about them too?

How about police officers, firemen, paramedics...

Do you think you are the ONLY people out there with family and would like to spend time with them during holidays? We would all love to do that but this chosen career requires some sacrifices.

If you can't give a little you should have never started doing this kind of work.
I refuse to work for a company who outsources. Period.
nm
True. Just as I refuse to deal with cust. service
x
Should've held out for the candy bar and refuse to leave till you get it!

I think I would refuse too. I've seen some pretty silly names here, including Why Worry Lane and
x
I honestly don't know - but I will try
You have raised a lot of good points and I appreciate your post.

Of all the comments today, you have the very best post. I don't want to agree with you, but you are right.

Jason is gone from MDI. I did read some of the responses on the questionnaire that he sent out and wondered the same thing myself. Nothing ever came of it.

I spoke to Sue about your post and we agreed about several of your comments.

I do not agree with you that our Team Leaders are not available, etc. They also work at night, weekends and holidays when necessary.

Why don't you express some of this to your TL?

I will take your very good advice and continue emailing our employees about positions that are available from within our comapny.

You will be getting more mass e-amils from me, telling you what is going on with MDI. I promise.

Thanks,
Liz



Honestly
A brand new MT shouldn't be working at home. That's just my opinion.

Congrats about the baby. Good luck!

Honestly, I just don't see it.
Private doctor offices are cheap. Why would they send coding/billing out when it all needs to be done through local clearinghouses and there is no access to the patient's charts.  Hospitals have too much for the doctors to do with charts/coding/records etc to send them out, but you know what, I guess anything is possible these days. I didn't think I'd see the day when Indians would be doing our work either.
Honestly, I think you can use either (sm)
I personally use okay.  I think OK looks tacky in a medical report, as if it were slang, but that's just my opinion.  If your employer prefers okay, then you should spell it that way.
No but honestly...
Profanity or not, judgemental or not, 4 abortions by the age of 23 is extremely sad, and let's not judge the doctor who was probably sick at heart with it. But still, profanity doesn't belong in records and I would leave a blank for the doc to sort out.
Honestly

There is certainly no need to take that tone.  Developmentally delayed is the preferred term among physicians.  The American Association on Mental Retardation changed its name as a consequence.  The DSM-IV is slow to change because the people in charge don't want to go through all the time and expense to publish a fifth version.  Again, the doctor said "he is retarded."  Not a medical term, not appropriate.  As far as autism, case in point on DSM-IV.  Depending on where you look up the DSM-IV some publishing sites still have it on the wrong axis.


As far as getting over it, if people had that attitude we'd still be calling black people the N-word and neither they nor women would be allowed to vote.  The term retarded is as offensive as the N-word or any other racial slur.  So beg your pardon but as long as people, especially doctors who are supposed to be well-educated, continue to be ignorant enough to use that word to describe someone with a disability, I will continue to have something to say about it. 


And oh btw, if the doctor wasn't so ignorant, he would know that saying oh well I want to do a bone marrow biopsy but it would be too hard to explain to this patient, is just wrong.  He should know about conservatorships and health care proxies.  Because if this patient is truly disabled, then he was declared incompetent by the courts on his 18th birthday and he is not the one who makes the medical decisions.


Honestly, you are about...
a decade too late.  US citizens' private information is already overseas, be it medical records or bank records.  The whole country knows about it.  What has been done?  Now that MTs are in fear of losing their jobs, then we begin to see concern about privacy.  Sorry, but it's too late.  The damage has already been done.  If we really cared, we should have acted a long time ago.
Honestly, 300 lph is not much for VR.
I don't know anyone though doing 500-600 lph doing straight transcription. You may just have a crappy account, but there are those that are getting great line rates with VR. As you said though, the pay rate does suck, so it is definitely not the MT benefiting from VR.
In all honestly, I will not...
spend time on it.  This issue should have been addressed 10 or more years ago.  It saddens me, but I have come to the conclussion that MTs are basically clueless when it comes to the industry as a whole.  Sure, we know how to transcribe, but we do not understand the HIM industry and how it operates.  If we did understand it, we would realize that we are way late in the game.  In other words, we have been left behind.
Honestly...
I have no problem taking criticism.  I am also not trying to gather people to send letters to the government, yet I do not know anything about the issue at hand.  It's embarassing for the entire industry.  I am sorry you are offended by it, but it's embarrassing.
no, it won't. honestly.
the daughter isn't the one earning the grade. an AA is NOT a big deal at all. it's NOT something you put after your name like a credential.
honestly this could be me! I also sm
have an odd last name and can't do anything without somebody knowing about it at that da*@* hospital! I would, at the very least, put a note on the chart. The state I live in has a law that if there are errors in your record, you have a right to sit down with a MR person and get it straightened out.

Hubby has been there 18 years. If they ever scr** him over, I swear I will first sue them and then I will go in and demand every chart, all 64 of them be gone through and all the mistakes retyped. If he didn't work there, I would have already done it!
Honestly, they need to be trained.
Mine had the same mentality when we first got together.  I refused to do it.  If he scattered dirty laundry, I left it there.  If he didn't put his dishes in the sink, they sat out.  I'm not anyone's slave.  Also, if they expect the woment to work, they need to share in the housework, child care, and finances.
You honestly believe that? Wow, naive.
i
Honestly, the MQ speculation is

getting so bad about the what if's with the new packages coming out in October and all the speculation, I had this comic flash of all the suits sitting in NJ with headphones on, plugged in,to the big PC's in corporate land just listening to all the "chatter" on the boards...sorta like the CIA supposedly was...can you imagine all the chatter traffic going on until October?


We just need to take a deep breath, try to relax a bit, really nothing we can do until October, then who knows what part of the month we'll all get our packages? 


Believe me, it has worried me to no end, single mom, can't afford much more change, but also can't do a darn thing about it till then.


Oh, am sorry to hear that. I honestly don't
know what to tell you on that...DSG was a good company until these recent weeks, pretty much, but they are making all these changes, and I don't think they're being honest about why. I could be wrong, but if things don't change soon, I will be looking for another job. When they don't answer your emails, etc., you kind of get suspicious.
Thank you. He could tutor :) I honestly think

he could do it on his own with the materials. I have never, ever had to help him with his homework and he still gets honors. Oh. . . to be THAT lucky!  I struggled through high school and college to make honors.  He's what I refer to as an "open and shut student."


He opens the book, reads the assignment, shuts the book and brings home an "A" or "B" on his test.


I'm no slouch in the brain department, but I've never had to help him so I was thinking with some materials, guidance, and putting him on a schedule, it might work. If that ends up being what he would like to do for now until he regroups.


I honestly could have written that....sm

back when I was in high school in the late 70s!  The first high school I went to was just like that.... there was a large snob/bully society  (the snobs were basically verbal bullies because they'd put down people that weren't in the  "clique", and I had some idiot teachers.  My algebra 2 teacher was so stupid that she would write a problem out on the board, stop, look at it and say  "oh that's not right" and then erase it, doing this 2-3 times per problem,... then wondered why no one had a clue what to do on tests.  


I was grateful when we moved to another town and the high school in the next town was much smaller.  The teachers cared about the students and teaching, and the students generally cared about each other.  There weren't snobs there because the area was economically depressed and no one had a lot of anything.  I was able to participate in a program with a local college where during my senior year I went to high school 1/2 day and college 1/2 day, so the 10 of us that did this (out of a graduating class of  99) graduated from high school with 30 hours of college credits completed.  We were also able to do this because the local college gave us discounts to participate in this program. 


When I've asked on classmates.com about some of the snob/ bullies from the 1st high school not a single one of them has had a great life.  One of the ones that was in the "it" girl group has been divorced 4 times now and is a heavy partier, and I've been told that she looks like crap from the years of partying.    One of the guys who was the most "it" for the males died from AIDS which he ended up getting after he moved to New York to get into acting, turned to a life of male prostitution and picked it up there.    The successful people are those who hung around with people like I did.  Out of the group I hung around with 1 is a pediatrician, another a dentist, another is an architect, another is a software engineer and every one of us has stayed in contact throughout the years and get together occasionally.