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Serving Over 20,000 US Medical Transcriptionists

Equates to sending our work offshore.

Posted By: NJMT on 2006-01-04
In Reply to: Did anyone watch Frontline last night? I will NEVER shop in Wal-Mart again. - You'll find me at Target

I NEVER shop at Walmart. Google their business practices, they are the pits!


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sending back work
I have made it a point to learn the *hard* doctors, cause they are sent to me quite a bit, cause MQ knows I can do the *hard* doctors..Its crummy having to learn them and knowing you are losing money in the process but once you learn the *hard* doctors, you know the ones who are ESL or English as third or fourth language (smile), you can do them and then it is no big deal.  Yesterday, I got a half transcribed report with at least seven blanks for Q/A..I was able to do the report with no blanks cause I have learned this doctor, who has what I think is a Middle Eastern French accent..He is quite hard but I can do him as I have learned him over the years (since 2000).  Practice makes perfect and the way transcription is going with voice recognition, I think the only transcriptionists who will be left in the end are the ones who can do the ESL, mumblers, speed talkers or speech impediment doctors, the ones who voice recognition cannot do.
are they sending you work to check
all of their work? I don't THINK the gal I work for checks all of my work. I send her a list daily of every job I've typed and which ones I had questions on or blanks and she checks those. I can't imagine not ever having a question whether it be from a bad connection, mumbling, whatever. I would think that is normal. If you never have questions or blanks, I would question what kind of work is being passed along to the client. Of course if I was having to check every report because of mistakes, I would definitely question why I still am paying the transcriptionist.
Speaking of offshoring MT work, who does not directly send work offshore?
Just curious.  Has anyone got a list of companies who do not send work offshore?  Precyse?  MQ?  Spheris? 
Technical Question regarding sending and recieving work

So many companies have different ways of sending and receiving work that I am a little confused.


I work for a local hospital. We used to send and recieve work via a DVT transcribe station and phone line downloading work from the Lanier system. Now we use Lanier VXP interface and player.


My question: Is the DVT transcribe station the same thing as a Lanier for Voice that some services state you need? Or is it completely different?


I had to pay mucho $$ for this station and don't want to see it gathering dust.


Does anyone know what the most popular program companies use for sending and receiving work? I notice ExText is mentioned quite often, but I seem to have conflicts all the time with that program shutting down on me for no reason when I'm in the middle of a document. I, nor tech support, have been able to figure out why.


I'm thinking of changing jobs as I am totally bored/sick of doing the same dictators  over and over again. I need something to perk me up. I'm also sick of ESL dictators, of which I seem to get more than my share during each day. Since I would rather give quality instead of quantity, I'm finding it harder and harder to get my line production every day.


Any suggestions? Thanks.


that should read "they ended up sending all the work"
x
Full audio relisten before sending in work
The hospital recently hired a new supervisor for the transcription department. The MTs were just informed that there are quality issues. They have requested that the MTs perform a full audio relisten to ALL reports before sending them in. Not a read over or proofreading on the fly, but a 100% relisten! I don't mind doing this on shorter reports but some reports are 10 minutes plus. This is going to be incredibly time consuming. I feel like speaking my mind, but I like the company I work with and Christmas is coming and this is not the time for me to be out of a job. Does anyone have any advice on how to handle this situation? Thanks!
You might be sending finished work back to an FTP site
s
huh? cc equates to mL........nm

Offshore Can Work
Dinosaur,

You are also making an assumption that this is a US/Asian thing while it is not. I am in fact an English-speaking South African. The fact is we do not run sweatshops, I earn more from my own doctors here than I do from the US clients I work for. There were various posts, I was not singling out yours, that inferred things like "pseudopsychologists", "sweatshops" and the like. In fact, there were posts that referred to the poor quality of work. I really do think that one of the big reasons offshore does work is because of the time zone difference - and that's not a bad thing if patient's can get back their reports timeously. Is it so foreign an idea that we could possibly work harmoniously together?

AnnieK
Offshore can work? Obviously it can and does....sm
But once again you're missing my point. Yes, the time zone difference makes it advantageous to send work offshore! Yes, it is a good thing to get patient records in as expeditious a manner as possible! I'm glad your not running a sweatshop, however, I never said that offshore transcription companies were running sweatshops! Yes, I am guilty of assuming (based on previous responses to my postings that you were from an Asian country.) Mea Culpa! Sorry, just an incorrect assumption on my part.
But, you are missing my point! Americans cannot compete on an equal basis with countries whose economies make it possible to live well on what is well below the poverty level here in the US. Just a plain, unpalatable fact! As an American I am asking other American transcriptionists to make our Senators and Congressmen (and women) aware of the complexity of offshore outsourcing in all fields. While it has it's benefits it also creates unemployment. America cannot survive if all jobs that CAN BE done by professionals overseas are outsourced. Furthermore, other than the time zone difference, the only reason work is being outsourced is money. Money that is going back into the coffers - not to build up the company, not to expand, but, more and more often only to be placed into the hands of the CEO's. CEO's that get "golden parachutes", CEO's that get fired for mishandling the company and take their 100 million dollar "parachute" and leave - only to take another CEO job that may or may not be good for the company. There is no pre-requisite in their contract that the company make money or do well! That's why we're being nickeled and dimed to death here. Greed and avarice!
I don't believe in socialism, I am a firm believer in democracy. However, I believe in taking responsibility and doing what is not only good for "me" but what is good for the country. Old fashioned and out of date, maybe, but I think if America is to succeed in the 21st century we need to start thinking about what America and Americans need and not just "get mine while the getting is good".
So, I have no problem with working harmoniously with any group of professionals. But I do have a problem with the fact that Americans are losing jobs due to economics. Especially since I believe that the factors leading up to the economics is due to greed and mis-management.
Work is being sent offshore

Healthcare has expanded.  Offshoring is a way to have large volumes typed in a short amount of time.  Most offshoring is larger hospitals and institutions.  Your smaller practices stick with the smaller MTSOs or ICs.  Offshoring is not due to crappy MT work.  These posters with their greater than thou QA attitudes need to get over themselves.  QA is to assure the client receives an accurate document. 


I just heard of an institution that I worked for when with a company that offshores.  The reports are horrible with a lot of blanks being sent back to the client.  So tell me, how is their QA?  Notsogood!!!  LOL  QA is a short sell.  It sounds good in the contract.  Your reports will be QA'd, bunch a bologna.  Oh palleezzz!!  Get over it already.  I highly doubt there are physicians sitting around saying "Hmmm, this American MT really stinks and leaves a lot of blanks, I think I send my work to India..."  Yeah, I'm so sure! 


Too much work is sent offshore so if everyone
quit working for companies that offshore aren't going to be enough positions to provide jobs with companies who don't offshore. 
I say let them try to send all of their work offshore
I think they would end up with some unhappy clients.
Are any of you who "edit" offshore work

concerned that by doing this, you are helping yourself out of a job?  What if these companies hire nothing but Indian transcriptionists because they are so cheap.  Won't that put all of us out of jobs eventually?  or am I just being dense.  My company recently asked me if I would "edit"  (aka "train"), and I refused. 


Editing offshore work
Some of their work is better than the work I see by American MTs. Don't be so quick to judge. Yes, they do see editor's feedback and they learn from their mistakes quickly. I have said this before, there is plenty of work to go around. There is no need to worry unless you are one of the lazy American MTs who only want to work when it is convenient for your schedule.
Well, yes, but then the quality of the offshore work (sm)
would be worse than it is now, with not enough people to edit it, it would get way behind TAT, and eventually it will come back to us. 
But their work is NEVER allowed offshore, either....
?
To the poster below who equates the BIble Belt with political views
USING TWO COWS TO EXPLAIN. . .

A CHRISTIAN DEMOCRAT: You have two cows. You keep one and give one to your neighbor. Then you covet it.

A SOCIALIST: You have two cows. The government takes one and gives it to your neighbor. You form a cooperative to tell him how to manage his.

A DEMOCRAT: You have two cows. Your neighbor has none. You feel guilty for being successful. You vote people into office who tax your cows, forcing you to sell one to raise money to pay the tax. The people you voted for then take the tax money and buy a cow and give it to your neighbor. You feel righteous. Barbra Streisand sings for you.

A REPUBLICAN: You have two cows. Your neighbor has none. So?

A COMMUNIST: You have two cows. The government seizes both and provides you with milk. You wait in line for hours to get it. It is expensive and sour.

A FASCIST: You have two cows. The government seizes both and sells you the milk. You join the underground and start a campaign of sabotage which ultimately blows up the cows.

CAPITALISM, AMERICAN STYLE: You have two cows. You sell one, buy a bull, and build a herd of cows.

DEMOCRACY, AMERICAN STYLE: You have two cows. The government taxes you to the point you have to sell both to support a man in a foreign country who has only one cow, which was a gift from your government.

BUREAUCRACY, AMERICAN STYLE: You have two cows. The government takes them both, shoots one, milks the other, pays you for the milk, then pours the milk down the drain.

AN AMERICAN CORPORATION: You have two cows. You sell one, lease it back to yourself and do an IPO on the 2nd one. You force the two cows to produce the milk of four cows. You are surprised when one cow drops dead. You spin an announcement to the analysts that you have reduced your expenses. Your stock goes up.

A FRENCH CORPORATION: You have two cows. You go on strike because you want three cows. You go to lunch. Life is good.

A JAPANESE CORPORATION: You have two cows. You redesign them so they are one-tenth the size of an ordinary cow and produce twenty times the milk. They learn to travel on unbelievably crowded trains. Most are at the top of their class at cow school.

A GERMAN CORPORATION: You have two cows. You re-engineer them so they are all blond, drink lots of beer, give excellent quality milk, and run a hundred miles an hour. Unfortunately they also demand 13 weeks of vacation per year.

AN ITALIAN CORPORATION: You have two cows but you don't know where they are. While ambling around, you see a beautiful woman. You break for lunch. Life is good.

A RUSSIAN CORPORATION: You have two cows. You count them and learn you have five cows. You have some more vodka. You count them again and learn you have 42 cows. You count them again and learn you have 12 cows. You stop counting cows and open another bottle of vodka. You produce your 10th, 5-year plan in the last 3 months. The Mafia shows up and takes over however many cows you really have.

A SWISS CORPORATION: You have 5000 cows, none of which belong to you. You charge for storing them for others. If they give milk, you tell no one.

A BRAZILIAN CORPORATION: You have two cows. You enter into a partnership with an American corporation. Soon you have 1000 cows. You expropriate them. The American corporation goes chapter 11.

AN INDIAN CORPORATION: You have two cows. You worship them.

:D

Is it possible some of the account work is going overseas. MQ does offshore you know.
:
Their own website says they offshore work to the Phillipines. nm
 
As editor, I have yet to see offshore work with correct
df
Today is different and you cannot fight companies who LEGALLY can offshore work.
So all Americans refuse to buy goods, shop at stores, or work for companies who offshore.  That leaves a mess.  Do you realize a lot of American companies are actually owned by foreigners?  Get real and move into 2005.  You are going to spend a lot of time boycotting once you do the research.  I doubt you will be able to shop or work at all.
Overloaded with work - MY company doesn't offshore, so no problem for me

Strike in Pakistan slowing down offshored work here. Just another example of offshore
:+
Offshore work is rarely client ready. Who is going to edit
p p
Please post offshore topics on Offshore Concerns board. (NM)

Thank you. 


Goldbird


Offshore typed hamster release instead of hamstring release. As long as work is offshored,
:P
Sending ES?

I have .DSS files being sent to me via email.  If I want to send them to another person's computer so that when I go there I can pull it up and transcribe from their house - is this a possibility?  I can't seem to get ES to forward the actual .DSS file.  I am so confused.


What has that got to do with sending
the work there.  What about 911?  That was a much, much, much larger scale event.  Besides it seems like the target were American and British tourists. 
They are all sending more to India
nm
But don't you get grief for sending
too much to QA? I know I am only allowed a certain percentage, so I am still going back over the audio 2 or 3 times to try to stay within my allowed percentage (and why I have crap for production). However, I think it stinks that one could easily get a whole batch of dictations by the same nasty dictator and your sending-stuff-to-QA stats go down the dumper. And of course, the worse the dictator, the more he/she dictates and the longer they are, according to the MT Murphy's law!
Looking for suggestions on sending out
letters to local doctor offices looking for work. I have tried using flyers with no response and want to try a more professional letter letting them know that I'm available. Any suggestions would be greatly appreciated.
What is she sending you in the packages?
I know after I turned Focus down it took several months for them to leave me alone, but they never snail mailed me anything.

I agree with putting return to sender on whatever she is sending you and just add her emails to your spam mail.
I think I will be sending it back.

I noticed that the CD seems to "skip" over some questions or items that it used to ask. Since I do a lot of searching on the 'net, I guess I will call this one a "not needed" item anymore.  I just thought it would be a bit easier instead of going to the 'net to do a search...you know "information at your finger tips" type of deal.


Thanks for the input. I'm a little dissapointed in this version to say the least. I have no idea why they took a great product and ruined it.


 


re-sending reports
The company I work for has this problem.  They came up with the following policy:  We send you the work.  You lose it, we resend it.  We also bill you again for it.  It has cut down on a lot of calls.
I think other way, for receiving not sending
x
Looks like that's only for sending, not receiving?
xx
RE: sending files
filesanywhere.net
Why are we getting punished for sending things to QA?
We are paid by the line, it seems logical that if we cannot understand something, we shouldn't have to take the time as QA personnel because it affects OUR paycheck, not theirs! Otherwise, pay us by the hour, minutes tick tock away and so do our dollars and cents!
promptness of sending a check
you should know by now the only reason they're doing it is because of the MTs who are filing the lawsuit --- if no one was questioning it they would continue along their merry way miscalculating away!!
MQ doesn't know what THEY are sending out. They even call you to

It's all very dumb.  I'd like to have the money for my paycheck they have wasted on this production. 


It just is another dig to show MTs they have the power and we sit out here like hogs at the trough waiting for more scraps.  I'm tired of it.  I'm a professional or at least I used to be.  My profession used to be respected.  They do tricks like this and jerk us around and think it's cute.  Well, here's a news flash - It Isn't Cute.  And it certainly is not professional.


Absolutely, sending prayers their way.
x
What do you think about sending out Christmas cards with
a business card inside to solicit for local accounts?  Tacky?  Different?  Original?  I've got a list of small locals I'd like to solicit but was waiting until after the new year.  Then I found a couple of boxes of Christmas cards that I bought on clearance last year.  Why not kill two birds with one stone?  Unclutter the Christmas box and send holiday greetings to potential clients?
Anyone being penalized for sending reports to QA?
I guess I have it all wrong when it comes to QA.  I thought it stood for quality assurance.  I send reports to QA when I have a blank.  I put a blank when I am not 100% sure of what I heard, including the spelling of the patient's name.  I want to make sure the patient gets their report typed up accurately.  I want to turn in the best work I can do.  Why is it that wanting a second set of ears to confirm what you thought you heard a bad thing ending up in being penalized or terminated if it goes beyond a certain %?  I am very confused.  I refuse to "guess" just to fill in blanks even if it means I will be fired. 
No, at this co. QA is good about sending back

that's the usual process so that we can listen to our errors. How do you ever learn if you don't see your errors?


sending/receiving dictation
I am looking at taking on another account.  My account I currently have I did not have to set up the send/receive aspect because it was already done for me.  My first client uses a software called Send-It.  They upload the handheld recorder tapes onto the computer on thier end and it transfers to my FTP site.  Now they do not make this software because it is not compatible with XP.  Is there any software out there like this that is compatible with XP so I can let my new client know where to get it?  He wants to do a call in situation, but I know nothing about this and would like to keep both clients the same.  Thanks for any information!!
I don't agree w/ sending our jobs over there BUT
to me your logic makes no sense; we had the world trade center bombings here but that didn't mean that we weren't secure enough to handle transcription.....???
I am sending cheers your way - I am jealous -
always wanted to write - but thrilled for you.  Best of luck.
Understood. Sending a smile your way for a better day. nm
x
Sending their MT's home could substantially - sm
lower the hospital's overhead, without having to lower the MTs' pay. It would also keep higher-quality work with seasoned employees, rather than have people who are out of the area (or out of the country) struggling with details. They'd also have less sick-time, to deal with, as it's easier to work at home than inhouse if you have a cold or some other fairly minor ailment.
I read my reports before sending
I read my reports word-for-word before sending (not my posts though! LOL). I started off a little slow at first, but like anything, once I got used to the account my speed increased. Nothing was ever said to me about my counts (which were slightly below the requirement). When I mentioned it to my supervisors just to cover my behind, they told me that they much preferred my 99-100% accuracy on QA checks. I would never put my name on a report without making sure that it was as accurate as possible. These are patient's lives here. If I could not produce accurate reports fairly quickly, I would get out of this business. For me, accuracy comes first and speed second.