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Serving Over 20,000 US Medical Transcriptionists

Followup for AHDI and Indian transcription

Posted By: cj on 2008-08-25
In Reply to:

As promised, this is the new response I got from AHDI regarding the special pricing for certification exam from AHDI.

EVERYTHING BELOW IS A QUOTE FROM AHDI

I believe that information comes from a dated press release that was sent out by our testing company, Prometric, when the exam went live in India. That is the correct price being offered on the exam there. However, we also offer that very same rate here in the US when we run promotions like our current Credentialing Cup. In addition, at least quarterly we offer this discount on our exam to individuals who do not want to participate in the Credentialing Cup. (If you're interested, you can read more about the Credentialing Cup at http://www.ahdionline.org/scriptcontent/CredentialingCup08.cfm. This promotion is our attempt to engage US transcriptionists and encourage them to become credentialed. In India, transcriptionists sit for this exam because they WANT to earn the credential - not because it necessarily pays them more money. We simply don't see this attitude often here in the US. MTs here only seem interested in certification if it is going to directly impact their wallets. I can understand that - having worked for many years as a production MT and watching my line rate slowly erode - but someone needs to take the first step toward professionalizing this industry. MTs need to learn to speak with their feet. If they get credentialed and they engage in continuing education, then there is no reason why they should settle for working for an employer that does not recognize the value they bring to their position. There ARE companies paying more for CMTs. We add them to a growing list every time an MT reports one to us. Check out: http://www.ahdionline.org/scriptcontent/whocarescert.cfm.

I don't blame the transcriptionists in India for our falling wages here in the US. Linda Kloss, CEO of AHIMA, gave a presentation at our annual conference a few weeks ago. She showed us a graph that detailed the profit margins for hospitals over the last several years. It was shocking to see how financially stable hospitals have been pushed out of business. Hospitals that once had huge profit margins are now operating in the red. The rising cost of healthcare and shrinking reimbursements from insurance companies are, in my opinion, the primary drivers behind the drop in wages for MTs. Hospital CFOs see medical transcription as a COST. They don't understand that documentation is the beginning of the revenue cycle, and that medical transcriptionists are the first line of defense for risk management. Many CFOs fall prey to technology vendors who promise that their widget will eliminate transcription, so they buy into expensive technology solutions like templates and speech recognition only to find that it costs them even more in the long run, and their documentation is now substandard. Hospitals aren't making money, transcription services are no longer making money, and, therefore, medical transcriptionists are also struggling.

One of our primary goals at AHDI is to raise awareness about the vital role that medical transcriptionists provide to healthcare. We are lobbying (literally, in Washington DC) to bring attention to the need for accurate, timely, efficient documentation. We are making the case for keeping a human professional involved in the documentation process in order to ensure quality record keeping and impact patient safety.

It's unfortunate that people misunderstand the goals of our association and automatically assume that we do not support US MTs, or that we only want to make money off of MTs. That is so completely far off from the truth. One-fourth of the staff at AHDI have worked as medical transcriptionists. We are passionate individuals who are extremely devoted to our profession and our colleagues in this industry. And we need the help and support of every single MT in this country if we're going to turn this industry around.




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AHDA and Indian Transcription
After seeing a lot of posts here about how MTs in India get a "better deal" from AHDI than those us here in America do, I went ahead and wrote to them asking about this. This is what I received back from them. I thought many of you might like to see it.

Transcriptionists in India do not receive any special pricing or privileges that our American members don't receive. In fact, Indian MTs who wish to be practitioner members of AHDI pay exactly the same price - $135 per year - but DO NOT receive our publications, Matrix or Plexus, in the mail like our American MTs do. Because of the exorbitant cost of shipping outside of the US, those members only receive our magazines electronically. We also do not ship complimentary certificates or CMT lapel pins to the individuals who pass our exam in India. If they want a lapel pin, they must pay for the pin as well as the shipping fee. This is not because we intend to discriminate against them in any way - it is purely due to the economics of enduring the International mail system.

The decision to change the name of the organization from AAMT to AHDI was made by the members of the House of Delegates (HOD). These are volunteers elected by the membership. The HOD felt it was important to broaden the name of the organization to include anyone working in healthcare documentation - as many transcriptionists are working in peripheral roles as editors, QA personnel, supervisory and management positions, educators, etc. Speaking for myself, I haven't transcribed a medical report for pay in at least 5 years, so calling me a medical Transcriptionist no longer encompasses my role. Nonetheless, I am passionate about the integrity of healthcare documentation - and I developed this passion as an MT. For me, AHDI is a better representation of where I fit in.

I can assure you that this organization is absolutely committed to protecting the integrity, quality, and safety of our American citizens' healthcare records. But please don't be naive about the risks that exist right here in our own country. We both know there are plenty of "imposters" calling themselves transcriptionists here in the US. These are people who are not properly trained in this field but who have access to medical records. As a patient, I worry less about WHERE my records are being transcribed, and more about WHO is doing the transcription. I would opt for a qualified CMT in India handling my records over an unqualified individual transcribing from their dining room table with little experience and no security - where anyone could walk into their "home office" and access my information.

In 2005 we launched a campaign called "Have you Read Your Medical Record." This was our first attempt to educate the public about the importance of accurate information in their medical records. You will likely hear about further efforts coming from AHDI along these same lines - as we truly believe that not enough attention is being paid to the QUALITY of the information going into our records. In fact, we believe so strongly in this issue of integrity that we incorporated it into our new name - the Association for Healthcare Documentation Integrity.

Indian Association for Medical Transcription?
I hear you. It is to bizarre to see that the only way AAMT can continue to exist is because of their financial support from the Indians - HELL-O - last I checked wasn't it American Association for Medical Transcription? Ok, let's see, maybe if I transcribe work for France I can get certified there even though I live here, no I think the Australia sound better, oh wait... I like Thailand, maybe I can .....
followup
I do short cuts to remember
nfup= noun = followup
afup=adjective=follow-up
vfup=verb=follow up

Followup in two weeks.

A follow-up exam is recommended.

He will follow up with onc/rad in three days.
followup
I am an MT from Canada. Why would you send your work to India when you co uld be sending your work to CANADA, where we have a lower dollar, have the highest educated people in the world, we have fibreoptic telephone lines, we dont get storms, and we have the highest internet usage of any cou ntry in the world!!!

As for sending work to India, that is outrageous. When did slavery start?? At least in the old days, slaves were paid enough for rent and food and clothing!!The money you people pay MTs is not much more than this!! ANd what do you know about medicla transcription, I bet you couldnt type one medical word under production levels if you life depended on it!!! MTs are the brains and cheap asses make money off of OUR brains and talent!!
followup
I have decided against the company. Thank you all who responded, for looking out for me. Now I have another question. Have any of you heard of, or had experience with, VLC? Virtual Learning Center?

http://www.thevlc.com/
Followup
Okay - so I will check with my attorney or my state about the license thing... but what is the going rate for ICs to charge?? Is it by report or by the line or by the hour?? I know it probably varies, but I would just really like to have an idea of what to tell these 2 doctors if they ask me to set my rate.... don't want to sell myself short.
No followup
Yes this has happened to me too. They loved my resume, I told them I could test the following Monday. I sat around all day waiting for nothing. I E-mailed this company three times since with no response.
If you can put a in front of it, it is followup..sm
For example he had a followup visit scheduled. OR He is to come in for followup in 2 weeks.

He will follow up in 2 weeks. OR

He is going to follow up with me in 2 weeks.

Hope that helps
Maybe it's time for them to do a followup on -nm
.
quick followup
You make some very valid points, and I thank you for your input. Speficially, in my case, I have no platforms to work with -- all docs use 1-800 or digital handhelds and exchange is done on FTP site - very simple copy/paste procedure. Work is done in Word. There isn't a doc on my service I haven't done MYSELF for at least 2 weeks when I took them on and asked myself are they worth keeping? Are they good dictators? (I have virtually no ESL dictators). Did I make money? Even those specialties I didn't know and was slow at, I could refrence to find out what I didn't know --critical in our work. I don't care when MTs work and I don't try to contact them until their work is OUT of TAT - and then often get "i got busy with other stuff" reply. Shouldn't it be ME you tell when you get busy so I can still accommodate the client as I agreed to? I know life happens, and things come up, but tell ME instead of hiding. That's just being responsible. If the work I've given you isn't a good fit, then tell ME and give me a day or two to replace you.. don't just say the heck with it and walk away. But then again, if everyone was responsible in that way, I wouldn't be sitting here on Christmas day catching up work from Friday because yet another new hire just "disappeared" on
Thursday and didn't tell me till yesterday. Maybe I'm just getting old, but seems common courtesy went out somewhere in the mid 90's. HA. Thanks for listening.
Thanks for posting a followup...

That is basically what I thought your reasoning was based on your original post.  There is nothing wrong with questioning anything you are unsure of.  No one will hold it against you.


followup - 3 rules
#1. Follow up (verb): I will follow up with the patient next week.
#2. Followup (noun): The patient will come in for followup next week.
#3. Follow-up (adjective): The patient will have a follow-up appointment next week. I disagree mildly with the post about BOS2 on this.
Grammar good info in BOS/AAMT. Also any good grammar textbook from a bookstore would be good to review/read/study. I tried out Whitesmoke grammar program and hated it. Hope this helps!
Followup on comments

Hi, everyone.


I recently had an applicant inform me that my help-wanted ad was being badmouthed at this site, and I have since read elsewhere that I am apparently an overbearing/pushy, basically obnoxious person to work with (I have also posted responses at the other places I could find, in the hopes that the remarks do not keep potential applicants from applying).  There is a reason my help-wanted ad is so detailed.  One reason is to answer all possible questions that anyone interested in the position might have.  Over the years, I have amended my ad due to circumstances that have come up with transcriptionists I have worked with.  The information in the ad regarding "the work is to be typed until it is finished, not a set amount of lines per day," is because I had a Transcriptionist that thought she could type a very small amount whenever she felt like it, leaving the remainder to be typed by someone else later.  As I am sure you know, many large MTSOs only require that so many lines per day be typed.  In my situation, the transcriptionist essentially gets assigned doctors/clinics, so all of the work needs to be typed and returned the following day (the transcriptionists choose their workload when they are hired).  At any rate, I am sure many people will find flaws with my help-wanted ad, but I did the best that I could to fully inform everyone what the job actually entails.  BTW, as the ad states, the .07 cpl is only for one or two weeks, which covers my time for being on call to help out while the transcriptionist is getting comfortable with how the Macros function.  In the beginning, the new transcriptionists only type a few small reports per day, so if you deduct 1¢ per line from the reports they have typed, I am getting paid very little.


jhwm, I would like to say "thank you" for the kind words.  I have read a lot of really vicious things about myself and my company, none of which I feel is deserved.  I understand that I might not have time to chat with everyone who applies, but I do not feel I have done anything to justify the horrible things that have been said about me.  LOL--You're right, there is a lot of information coming at each new person in the beginning.  I am not sure when you worked with me, but these days, I forewarn anyone new about the information coming their way and that they do not need to memorize it.  Some of the information that has been compiled is on things that are not related to the job, such as how to do certain things in Word (basically everything I learned when first switching over from WP.1 to Word).  The pictures of the animal's eye, lab forms, terminology list, medication list, etc. are supposed to be helpful so that the transcriptionist who is learning does not need to look all over the place whenever an answer is needed quickly.  Sorry, I am in defensive mode and keep finding myself trying to explain everything!  Again, thank you for saying something nice about me.  I hope others see your post and realize I am not a total ogre! 


And here's the followup article to that one...
See link below:
Followup to resume

Maybe someone can help me!


I have always been advised to follow up after an interview/test etc.


Is that possible after taking a standard computerized MT test?


Any opinions appreciated!


Thanks!


Followup to resume

Maybe someone can help me!


I have always been advised to follow up after an interview/test etc.


Is that possible after taking a standard computerized MT test?


Any opinions appreciated!


Thanks!


Please post a followup when/if you hear anything about this...

Starting to talk to supervisor (and then probably payroll) myself about this, as I'd also like an explanation as to how this figure was derived (so I can hopefully double-check to be sure it doesn't occur again).


I feel somewhat like a stupid unpaid shill for MQ now, having defended the line counts on DQS on several MT boards a couple of times now, because I have occasionally randomly copied and pasted my reports into Word and "seemingly" confirmed that the line counts in DQS were accurate. 


Considering the amounts of these checks in general, being dependent on how long one's been on DQS (mine is less than $8, but I've only been on DQS for six months or so), I suspect it's something like them incorrectly rounding up (like maybe not crediting 64.5 as 65 but as 64?) or some little arithmetical folderol like that. 


Anyway, I'd be very interested to hear what the discrepancy is all about, from anyone who hears anything.  I sure do feel that we were owed an explanation in the letter along with the check, regardless. 


Followup poll regarding bifocals....SM
It just so happens that I went to the eye doc last month, and he recommended bifocals! Yikes! (I'm 44.) I was leery of the progressive bifocals (and their cost) so I ordered some old-fashioned lined bifocals. I have to wait 10 days for them (obviously not Lenscrafters) so I'm really curious how I'll do.

Bifocal people, what kind do you have, and do you like them?
Followup poll regarding bifocals
I have had both bifocals with line and without. It takes some getting used to, but after a day or two, no lines are what I went with. I now wear progressives trifocals, have beginning of cataract in each eye, but I tried one pair for transcription and one for driving and chain around the neck, pain in the neck. My pair cost me 285.00 and I am very happy with them, just got a new prescription for the progressive trifocals. Good luck in your decision.
FOLLOWUP: We are now only $75.00 away from reaching our goal.

You generous donations are amazing and truly appreciated.  Once the goal is reached, I will be walking into Walmart to speak to the store manager about getting a gift card to this family back east and know that the MTs children WILL have Christmas this year!


THANK YOU!


FOLLOWUP: We now only need $15.00 and we will have reached our goal
and I will be on my way to Walmart.  You are all fantastic people to be so giving.  I know that it's hard to scrape bucks together working in this industry and at this time of the year, so again THANK YOU for your emergency donations!
Late Payers Followup
These are all very good responses. As a usually-paid-late IC for a small MTSO, I am learning from your ideas. I hope more folks will add in their comments as well.
Frustrated with SmartLines--Followup
Well done! You have stated the problem perfectly; more clearly than my original statement of the problem.

I have been using Smartype for 6 or 7 years, I think. I have been transcribing for 20+ years. At one point I actually solved this problem, although I don't remember how! I don't remember what I did to solve it, and now it has recurred.

This multiple-SmartLines problem has happened with MS Word 2000, 2002, and 2003 (which I dumped in favor of going back to 2002 because it had too many problems, even with the updated version).

I have used Windows 98 all the way through 2003 while using Smartype.

I believe that I have experienced the SmartLine problem whether in MS Word by itself or in a number of MT programs. I have quit a number of companies because of various incompatibility issues with SmarType, since I have THOUSANDS of entries (both single words and SmartBlocks), and I didn't like the idea of doing the equivalent of rewriting an entire dictionary.

At this point, I am ready to "bite the bullet" and switch to ShortHand or something else, even if it means the equivalent of dictionary-rewriting, just so I can get some work done and some income coming in again!

I saw somebody's post about having put Smartype entries into ShortHand. Did this work, even for all the SmartBlocks? If so, could you please tell me how you did it? I'm sure many of us would like to know. (I will also post this last bit as a reply to that post.)

Thank you all for any help you can give.
Followup story linked below
http://www.gcn.com/online/vol1_no1/41036-1.html
Exanders to the Recycle Bin Followup
Right. There is still straight typing out there.

The point is that once one agency says, "We have ASR and now we are paying our transcriptionists 5 cents/line" what do the other agencies do? Eventually they have to do the same thing and eventually we will all have VR or ASR and eventually all be paid 5 cents per line. That's the way it works. One company can drive the entire business down.
Followup on the foot pedal
I was told by EMDAT support that there is nothing I can do, except buy one of their footpedals!  I smell a scam.  They can program this complex software, but cannot figure out how to make all footpedals compatible?  Oh well, complaining won't solve my problem, Just had to vent a bit.  Thanks to everyone for all your input.  I am off to spend even more money before I can make any.....
Depressing News followup

My PT job was at a hospital that used Meditech so I do have that training on that software, but I have worked via the Internet for years with a couple of diff hospitals so thank God I did have that experience in other software programs and knowledge of Internet.  


Meditech is not a MT friendly  program either but I did make good money so now I am going to have to find another PT job to help the gap.  I sure am going to miss that account.   I have been so lost since I lost my hourly paying hospital job and going back to working by the line for my total paycheck and I hate it.  I really have thought about going back to school at age 58 and doing medical billing maybe.  Hope it improves for all but I really do not think it will for a long long time. 


 


I have a problem with followup versus follow up

Which is correct.


Followup in the office tomorrow or follow up in the office tomorrow?


He was told to followup   or he was told to follow up?


he presents for followup or he presents for follow up?


Thanks so much for any help. 


 


 


 


 


 


My daughter will followup at MCV Pediatric Hem/Onc. for the rest of her life - sm
They said that is the norm there, granted this is cancer followup and not normal yearly physicals for an adult.....she is only 5 now so she still has a long way to go. But as for their normal pediatrician, I will take them their until they graduate high school (I did the same), then onto a regular family/adult doctor.
Agree, verbatim transcription equals poor quality transcription.
x
AHDI
I had been a member of AHDI, but when I had a problem with a MTSO not paying I contacted them. The reason I contacted them was to ask in their assistance, not in my instance, but to protect their membership from this type of company. They completely ignored the context of my letter and referred me to local agencies. My thought was that with this industry being so new and unprotected online, that they should take an interest in have legislation passed... went right over their heads. Thus, I did not renew my membership.
SO well-said! I think AHDI should be
nm
what is AHDI and sm
why are only 1/4th of them medical transcriptionists?

Wouldn't you think they all would be?


AHDI

I started a thread below about the government stepping in and making the MTSO companies step up to the plate and conform to a standard form of counting lines for US based medical transcriptionists and to perhaps have a baseline pay so that MTs are not sitting all day long waiting on one more report to try to make a count that is making the MTSOs richer. While not everybody agreed with my points, let me say that there are probably far more MTs in this country who are not independent contractors and who are trying to support themselves than not. ICs would almost be classified as (mini) MTSOs. Not everybody has the luxury of negotiating what they will work for. That whole conversation is moot when we are talking about the industry as a whole. ADHI has spoken for years that they support standardization but when they were recently asked about "policing" the MTSOs methods of counting lines, they dropped the ball. This is just my opinion, but there definitely needs to be an accountability to the U.S. worker concerning this industry. While on one hand we are described as highly skilled workers with a wide base of knowledge, we are then described as home-based, bunny-slippered, pajama mamas.  It cannot be both ways. We are highly skilled and do have a wide base of knowledge and we need to band together. I do like the name United States Medical Transcription Association. Works for me. 


AHDI

I am not sure it matters who is behind ADHI or their corporate sponsors. The reality is that the U.S. based MTs need to quit taking a knee jerk reaction to them. ADHI started small. Your comment about the displaced workers just proves my point that the government and the Dept of Labor do need to be involved in the restructuring of the MT Industry.  When a major MTSO company can initiate a program whereby it cuts the salaries of thousands of it's employees for its own gain, there is a problem there. In the area where I work, there was an article in the newspaper about the outsourcing of the radiology dept on weekends to Australia so that coverage was 24/7. This is a U.S. owned company who employs radiologists from Australia. I am betting those doctors over there do not make less than their counterparts over here. So, it is up to us, the MTs of the U.S. to start to organize in order to reinstate the true value of the work we are entrusted to perform day in and day out.


AHDI
Completely with you. making almost minimum wage for over 30 years of work. mostly because of account specifics, slow platform, always blaming it on the Internet, awful audio.
AHDI: BOS...............
Yes, it is:
For instance:

AHDI tells us:

5cc's was injected.

????

1. Why has there to be an apostrophe cc's? It is just only the plural of cc, css is right, like MTs, the 70s, etc.....

Why 'was' injected; ccs is plural, consequently 'were', this is the right grammar.

But, AHDI says:
'NO, you have to look at it as a UNIT, 5ccs, is a UNIT, so you have to type 'was'. BS!

And there are a lot of these examples.

Yes, but AHDI is quite the
wishy-washy change horses in midstream type - maybe they will smell conflict coming and hop on the no-outsourcing bandwagon if too many MTs lose interest in AHDI membership.  At any rate, it will be fun to see what happens.
ahdi

I have been reading the posts here for many months and I agree with everything said above regarding AHDI.  I resigned as treasurer of a student chapter after realizing they seemed to care more about foreign MTs than us here in the US.


Now all US transcriptionists have an option.  There is a new organization "American Transcription Association", ATA.  The mission of this organization is to bring to the forefront the situation here for out MTs and all the off shoring to India and elsewhere.  This organization will only accept US transcriptionists.


Check it out at www.ataus.org


Maybe we can make a difference!


 


Indian?
What does him being indian have to do with anything?
Indian MT
I don't believe you for 1 second. Indian work is NOT SUPERIOR to what is done here. A few of them are doctors, but most are not. They get the medical terminology, but their American English is horrific. Very few of the Indians who do MT trained over here or in Europe. They completed medical school here in India, which is a very abbreviated compared to US or Europe training.

The Indians are enticing American companies to invest and train MTs over there, working at next to nothing, so that when they have captured a significant percentage of the market, they will jack up their rates and the hospitals and clinics here will have to pay because they have driven out all the US MTs by not paying us living wages or giving us decent paid time off, benefits, etc.

People like you are cutting your own throats in the long run.

I am an excellent MT, QA 100% for 15 years, never miss work unless there is a death in the family. My income has gone down steadily over the past 3 years because of the greed of MTSOs. I am leaving this job shortly. I look forward to the day when you bleed to death from the Indian MTSO who will put you out of business.
Indian pay
I am not privy to a lot of info about this, but I can tell you my experience. When I lost my contracted work to a couple of small hospitals that went with India, the  administrator told me they went with India because they were doing away with lines. India took 6 of my last invoices and averaged the pay and gave the hospital 2/3rds off!! Mind you, I was only charging them 11.5 cents per line!! She then told me that the offshore company would pay their Indian transcriptionists $2.00 an hour.
Indian......
I am an Indian MT working from home and I read your post. Indian MTs are not bad, they are best. The only thing you need to do is get to a real good one rather than just these newbies who just want to make some quick money and do not have enough experience. Get in touch with some experienced one and you will them superior when compared to other MTs. I myself have been working for 8 years now and i know what it takes to be an MT to prdduce a good accuracy consistently.
Indian......
I am an Indian MT working from home and I read your post. Indian MTs are not bad, they are best. The only thing you need to do is get to a real good one rather than just these newbies who just want to make some quick money and do not have enough experience. Get in touch with some experienced one and you will find them superior when compared to other MTs. I myself have been working for 8 years now and i know what it takes to be an MT to produce a good accuracy consistently.
Indian MTs
From what I have heard, you are on the money and it is so ironic because as American MTs we are not allowed to make any mistakes at all. We have to have this impeccable quality of 98% and above to stay employed. We have to abide by these high standards painstakingly so patient care is not compromised by an inaccurate medical record. Is this a double standard (no pun intended)? Are they not lowering the bar when an MT is paid considerably less money and their profits are thus enhanced in the process?
This is a no brainer and we all know it is about the almighty dollar and not just about patient care.
Indian.
Indian English is not the same as American or British English. Somebody please tell that to the Indians!
Are you Indian?................nm
nm
You are Indian
You Are Indian
I'm hardly Indian...
...and hardly a troll...I'm pure born-and-bred Texan through and through.

As I said, take my advice or leave it. In the meantime, keep putting money into the pockets of all those money-grubbing MTSOs. I sure won't contribute to them...nor do I have to do so.

You SHOULD be able to tell by my writing style that I am certainly not Indian or foreign in any way, shape or form.
This has nothing to do with AAMT/AHDI.
This has to do with a gal going out and taking a difficult test and passing it and wanting a tiny bit of validation from her peers. I am a nurse and lived through globalization with nurses coming into our country from everywhere .. transcription has been left alone for a long time and because it is us, we all scream like crazy. Did you care when it was nurses, or auto workers or garment workers or is it all about you? I am a nurse who came into this grind by choice .. can hear the grass grow and know how to punctuate and create a sentence. I read my account specifics and I follow the rules and make a very good living. Let your politicians fix what they have destroyed. Exercise your arm and vote for people who will not solicit money and gain off the backs of the constituency and turn their backs. Don't beat up a gal who is proud of an accomplishment .. this is part of the reason our industry is a mess, we cannot support each other first and throw out even a crumb of kindness. Stop feeling entitled .. nobody owes us a bloody thing.
AHDI is the new name for the AAMT.
nm