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Serving Over 20,000 US Medical Transcriptionists

I beg to differ-EMR will take our jobs

Posted By: Long-Time MT-NY on 2009-03-05
In Reply to: Well put - shipwrecked

I beg to differ but I know from firsthand experience that EMR can take our jobs. I lost a really good acct about a year ago that went to EMR, yes it was clinic work but I still talk to the doctor and staff and he said the whole hospital is on it and they have no transcriptionists at all.  They even sent me a clipping of a story that was in their local news about it.  Also my own doctor and the hospital system that was my main account when I was MTSO has been using EMR without transcriptionists for 3 years. I've seen it in my doctor's office, the ER and my friend is a manager of a hospital department and says they had to let the transcriptionists go.  Sorry but hospital work can be done with EMR.  Also just because EMR starts with transcription does not mean it will stay there.  I have a friend in Texas who is going through that right now...they are phasing her out.  So girls be afraid, be very afraid.


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I beg to differ

When you do those awful dictators, do them consistently time after time, the supervisors see this.  Therefore, they assign you those jobs, knowing you will get them out.  They know its not good for the company to have newbies, lazies, greedies, getting these reports, because they will either guess and make tons of mistakes, or bypass them anyways.  So they figure, give em to the gals who can do them!  Therefore, they look good to their boss, everything is nice and tidy on their end, and we're all happy. 


Except those of us stuck with the horrible dictators.  No matter how good you are at them, if you get them over n over n over, it will reflect on the amount of lines you do because it takes time to not only decipher what they are saying, but also research on that one word which he "might" be saying but your not sure.  The cherrypickers and whiners and lazies are the smart ones, they're making the $$$$


I beg to differ
It that your reasoning behind your accusations of who Barney is and who she isn't.

That is pathetic.

It seems as though Barney has not responded lately and you know what, I don't blame her. I am outta here as well. Good day!
Beg to differ!
This board DOES allow this company to advertise here, although it admitted to offshoring once it got caught. There are ads here all the time posted by this company.

Is is this the email you are talking about from Mr. R?

"Whether we think offshore labor is right or wrong, it has become a fact we cannot escape from. XXX will not actively pursue offshore labor contracts, but we have made the decision to experiment with using some offshore labor to save this large XXX client from going elsewhere. We believe this is the best decision for our employees assigned to this account and the company because this account is growing and we can assign the offshore part to the future increases and not have to reassign any XXX MTs. XXX is committed to continue using US MTs for the majority of their work and we will continue to resist going offshore."


I do have to differ
My doggie DOES go to the bathroom in his crate.  I had always read that dogs won't go in their crate, but this one DOES and he just lays in it until we get get home.  That's why I stopped putting him into the crate, because every time we would leave him in it and then get home, he'd have to have a bath because he had "whizzed" all over the crate.  He's a little pill, but I love him so! :)
I beg to differ
I also was in court reporting school 15 years ago, and even I know that the court reporting machines automatically translate the ShortHand into English, so what you are saying about having to retranscribe it into English, you must be mistaken, and not to be mean, but I can't imagine going through a 3 year course that has an 85% drop out rate passing the exam and then saying you were burned out, unbelievable, but then I am not you, so I can't really know.
I beg to differ here about...

My dad and my husband's dad both make an excellent living driving a truck.  My parents raised 4 kids on a trucker's pay, and we lived very well. Now, as far as couples trucking, I don't think I could do that, just because I wouldn't like being stuck in a truck with my husband for days on end....although I love him passionately...enough is enough, know what I mean???


Good luck, though, with whatever you choose to do!


I beg to differ -
The labor board will get involved in certain situations, check your local office. Also, there are many other government offices that will support a independent contractor - and non payment of services, considered theft of services - I ask that you review the news regarding A&B fuel in PA, and look into what is happening with D&L Typing. The Transcriptionist is a business owner, independently just as a plumber, electrician, or other service professional - time that the transcription companies start remembering that. And time we start to treat ourselves that way too.
Beg to differ
I was paid by the minute of dictation - it's actually the fairest system - depending on of course the rate per minute...
Sorry but I beg to differ on this on
Phillychick was not bragging. Simply stating the way she lives. There are those of us out there who choose not to live beyond our means. Just because some of us do not have to work our fingers to the bone to pay the bills does not mean that we are bringing this industry down.

I have 3 teenagers at home presently so I do understand how tough it has gotten just to buy the everyday necessities, but what we consider necessities has also changed with the economy.

If you cannot make a living doing MT, then you need to get a job that you can make a living at, plain and simple. It amazes me the bitterness that I hear come through this board regarding this profession. If its not right for you then find what is and stop blaming the rest of us who have made a go of it, and succeeded.


Ah, beg to differ
What you saw was very one-sided and probably paid for by WalMart. I was not a bad employee. Never missed a day of work, always on time, good reviews, etc. They pay minimum wage, always changing your schedule around so you do not get enough hours to qualify for benifits, poor management, when you ask for a raise they make things very difficult to get you to quit, etc. Employee discount was 10% where I worked. The worst employer I have ever worked for and thank God I was only there long enough to graduate from school to do MT.
I beg to differ

I would like to know where one of those jobs is.
I beg to differ.
I do operative notes only but for every single account in the company. I never know where the next report is coming from. Good dictators, great dictators, mediocre dictators, awful and absolutely horrid dictators.

Again, really sound experience and lots of investment in my expansions combined with a positive attitude allows me to be productive, steadily, even though I am working on so many different hospitals and dictators.

Everyone will have good days and bad days in this work but it happens with all other jobs, too.

Please don't try think and try to make others think that everyone in this line of work fits into that limited box. It isn't true.

I bet to differ
When I worked in house in several facilities our desks were lined up directly in front of the charts.  If the clerks were making a floor run, we had to answer the phones and pull charts, etc.  I've never seen a facility where the MT department was totally separate, except for one hospital.  They didn't have the room so they put all the MTs in a storage closet.
I beg to differ, OSi DOES offshore.
Or, trying to kid, it is a very well known fact that OSi offshores.
I beg to differ with you. An MT transcribes,
she/he should not have to translate/decipher what a rude person is trying to say. Doctors should realize, just as the MT does, how important that medical record is and that their dictation of that medical record is vitally important. Maybe they should be taught dictation and manners and grammar, etc.
I'm sorry, but I beg to differ -- my company would never
try to pull a fast one -- and, if that's the case, then there are tons of other companies out there doing the same thing, I see them every day on the Job Seeker's Board both here and on MT Daily.
I beg to differ Hayseed
Ebonics is a term coined, originally intended and sometimes used for the language of all people of African ancestry, or for that of Black North American and West African people, emphasizing the African roots of the former; since 1996 it has been largely used to refer to African American Vernacular English (distinctively nonstandard Black United States English), emphasizing the independence of the latter from (standard) English.


The original poster most definitely was referring to a particular race here in her commentary.

You missed the point entirely.




Beg to differ on Heinz
Kerry's wife has no involvement in Heinz Int'l. Never has. Neither did her late husband, who worked for his father's company for a short time just after college. He inherited the Heinz fortune, as did she when he died. She does, however, have much involvement in the philanthropic organization with the Heinz name, also not related to Heinz Int'l. This information can be found and is public to those who wish to find it. A lot of people have been blathering for years about how Heinz "outsources," etc, ad nauseum without actually checking the facts. Heinz Int'l is a multinational company. Not the same as "outsourcing" by a long shot.
Beg to differ - Schedule C with your sm
business expenses - 100% deductible. 
I beg to differ with your comment
When I worked in house MANY years ago, doc dictated in the "allergies" section that the patient was allergies to pencillin -- I then got to the "medication" section and lo and behold the patient was on GUESS what? PENICILLIN -- I went upstairs, pulled her chart looked through it and sure enough, the patient WAS allergic to penicillin -- I pointed out to the charge nurse who IMMEDIATELY called the doc and doc later came down and thanked me for saving the patient's life -- so yes, in a SMALL way we DO count!!!!
I beg to differ - I love my company!!

I beg to differ - not all kids need medication....sm
Many with ADD/ADHD can learn just fine without medication as long as you break the tasks into smaller segments and implement visual aides.

No drug is completely safe. They all have chemicals in them. Ritalin, which you mentioned, caused my nephew to have growth retardation while he was on it and it was only after he came off that stuff that he started growing.

It's not the media afraid of drugging kids. There are many of us out there that don't believe that drugging a child is the correct answer. Sure there are kids that really need it if they can't stay focused at all, but asking a child to stay focused for an hour or more without a break when they're say 7 years old is extreme, especially if they're able to learn the same information if it's broken down into 3 20 minute sessions in the day.

Kids are now being pushed to learn more at a rate that for some of them taxes where their maturity levels are, and this can aggravate things like ADD/ADHD, especially when they don't have the recess breaks at school to give them a diversion from the classroom for a while. I'm glad that in my state some of the school systems have started mandating recess again - and those schools test scores have improved.
Beg to differ with the adding of words
to report if not necessary. That is commonly known as "line padding," especially adding "the patient" when it is not said. I know MTs who have been let go for doings things like that.
I beg to differ. That is what the companies want you to believe. Not all clients are paying Less!
The companies are lining their pockets more and more. AccuStat-Carolinas is not a "good" company to work for anyway. Read the archives!
I beg to differ. I work 35-40 hours a week
FT and have an IC job I work maybe 3 evenings a week for 3-4 hours. I easily make over 50K a year. There are good jobs out there that pay wages one can live on.
Accounts, companies, platforms differ...sm
To my mind, the only true barometer of compensation (aside from benefits) is one single number: What do you make, on average, per hour of labor? By "on average", I mean, for instance, as measured over a period of time such as a week or more.

Think about it: This one number takes into account all of the variances that we see between accounts, companies and platforms when it comes to nonproductive "clerical" demands, dictator variances, quirky site specifics, technical level of the content, sound quality, the usability of the platform, and even work availability.

I've found that those who wish to be paid by the hour are often being overburdened by nonproduction requirements, challenging site specifics (for instance, in one case, over 100 different worktypes with the need to listen to the first part of the report before you knew which template to choose!), or by platforms that are not "transcription-friendly", while those who are happy with production pay are more fortunate in one or more of these regards.

It is so difficult to compare the variables among accounts, companies and platforms individually that you need a single number like this to bring things into focus. That means that an essential question to ask any prospective employer is this:

"On average, how much are people in your company who have my level of experience earning per hour once they learn your system?"

You'll get one of three answers:

1. One that sounds knowledgeable and frank.

2. One that sounds "hedged" or questionable. Probe further. "How sure are you of that number?"...etc.

3. "I don't know." I would run very far and very fast from any company that is so poorly managed that they do not know how their production numbers relate to hours of employee transcription time. Such companies are likely to overhire and to make errors in creating their client teams, and they don't have a handle on the basic business metrics that apply to this industry.
supposed to be, after people lose their jobs, they are forced to take part-time, lower-paying jobs..
with little to no benefits. service jobs. where are you going to work in a few years, when Medical Transcription is replaced by technology? McDonald's, Walmart? you really going to like that?
Several jobs on Monster & CareerBuilder for inhouse office jobs down there through an
s
I did 3 jobs for a while about 3 years ago, you burn out quick, I was doing 3 MT jobs though...after
10 months I cut down to 2 as I don't like to have all my eggs in one basket.  But I am considering going down to 1 in September for my sanity, its a good steady job so financally it should not be an issue.  I have 2 right but have not worked the 1 in about 3 weeks due to some problems at their end, supposed to learn a VA account but not sure if I want to pursue it right now or not, they are waiting to hear from me at this point. I still have a lot going on with chemo, etc. so am mulling things over.  But if you have a full-time day job, then I would just go with 1 part-time MT job at night, unless 1 is during the week, and the other weekends only, then of course you will be working 7 days a week, very tiring I know.  I have been working 7 days a week for 3 years now but I do slack off now and then of course to recharge and get sleep etc. But burnout happens fast and I doubt you want to lose your day job so be careful. Good luck.
Two jobs very common, 3 jobs not unheard of.
x
Yup! Not only short jobs, but also jobs from
extremely difficult dictators, bad sound files, jobs that need lots of ADT info added, and anything else that is not "easy" to do. I also questioned them about this and was told the same - they do not allow cherrypicking. Definitely not true!
MQ R jobs
the R stands for Reserved.  My office will call me to tell me they are reserving a job for me, for instance, if a doc calls them asking where a report is that he needs asap (don't they always) or if a doc forgot to make it STAT.  The coordinator can then reserve the job for you, used to be just simply assign in the good ol days
other jobs
I think that if you were unhappy at your job and you weren't making money then it was a wise decision to get another job. I wish you well.
Where are the $20-$30/hr jobs?
Just wondering if they are out there.  So far I make $10/hour or LESS and it's not going to pay bills. thanks.
no. of jobs
take some 20 files in the begining for working for 8 hours.

that is sufficient.

regards
aroun2000@gmail.com
Jobs
Like you, I've worked over 30 years in the medical field. Seems a shame to waste that knowledge sliding groceries across a scanner but what the hey, why not? At least you are working, getting paid and have some benefits. It "ain't" all that bad, is it? Our so-called "profession" is becoming a joke! I'm still working here and there but got dumped by my own group of doctors after 26 years--I think the bottom line is they didn't want to pay me big bucks any longer--even though I knew the ropes, obviously, knew more than the girls they hired, etc. Bottom line. . . money! They want to keep it all for themselves. I didn't even have sick leave for years until I screamed loud and clear! I did get a huge pension and profit sharing, though, for my grief so I guess it was worth it. I just didn't like being "dumped" so unceremoniously when I came to their rescue years ago because their Transcriptionist quit. Oh well, such is life, I guess.
Other jobs can be the same too...
I agree it is stressful to always be watching the line counts, but other jobs have stress too. I worked as a physical therapist assistant for 7 years before becoming an MT and it was all about numbers and paperwork at most places. Even had to keep a number chart at some places with how many patients seen and how many hours worked doing patient care, etc. The director wanted us to double up on patients, seeing 2 to 3 at a time. I feel lucky now to work for a supervisor who puts quality above quantity. We get paid by the hour, so lines per hour is not in the forefront, but we get bonuses if we go above what is expected. This job is much less stressful for me and easier on my back as I was lifting patients and injured my back in the process doing the physical therapy job. I also love working from home, so that is a wonderful benefit too.
Second jobs
I tried that for awhile myself.  The first job picked up and I had to stop.  The important thing is that you meet turnaround times for both jobs.  I made it clear up front with the second job that it was a second job, and that I could not take on as much work for them, since I was full-time with the other company.  However, whatever work I agreed to do, I was expected to get finished on time.  It got to the point that I was not going to be able to do both and meet deadlines, so I had to give the second job up.  I have worked a second job several times for various lengths of time.  You just have to make sure you can realistically do both. 
I'm going to try two jobs and see what happens...sm

I have always had my eggs in one basket.  I recently picked up a second job and so far I really like it.  When one job had no work, I just started my other job early.  My first job has a set schedule, but my second has a 24 TAT, so this is beneficial to me.  Originally, I was going to quit my first job after a couple weeks, but I'm going to keep both just to be safe.  I have to make a certain amount in order to pay bills and I can't have my account running out of work (which happened three times last week).  I just can't risk it.


Just an idea.  I might actually pick up a very very part time third job too.


2 jobs?
Has anyone ever successfully worked 2 FT jobs?
2 jobs
Been doing this since 1976. Never had two jobs, but my first work-at-home job in the mid-1980s offered endless transcription. I, too, was a single partent. Before I knew it, I was working 12 hours daily (sometimes longer) 6-days-a-week on an IBM Selectric. I would work at times until midnight or beyond.

After my shift, every single day, I would pack up my reports and make about a 12-mild round trip to deliver them to the company which at the time was being run out of a residential home. I shopped cooked, cleaned and gardened in between. I would go months and months at-a-time with my only human contact outside of my home being with cashiers in the store. The only voices I ever heard (except for my son's) were electronic, from dictation and the TV.

Five years passed without a vacation. Can't remember too many holidays when I wasn't typing. It didn't seem to take much time at all before back pain was making it take longer to type the same amount of work, thus stretching my work day from 12 to 16 hours. By the time I was 34, I was diagnosed with DJD at multiple levels in my back. At age 42, I had a physical (and mental) collapse, and for the next 7 years I could not do transcription. I lost my home and my car. My son went back to live with his dad and I had to move in with my elderly mother. When unemployment ran out, I ended up on food stamps and at the door of the Texas Rehabilitation Commission. They told me I wasn't "handicapped enough" to warrant assistance or job skills retraining.

I had to figure out my own physical therapy because of the public health care system was such an abdomination. That was a long and painful process. I learned how to take care of myself again and how to restore balance back into my life.

Ultimately I ended up back behind the computer cranking out medical reports again. I work 5 days, not six, and I type 8 hours over a 10-hour window, allowing for plenty of "stretch" breaks and time out for lunch. When my shift is over, it's OVER


2 jobs
Been doing this since 1976. Never had two jobs, but my first work-at-home job in the mid-1980s offered endless transcription. I, too, was a single parent. Before I knew it, I was working 12 hours daily (sometimes longer) 6-days-a-week on an IBM Selectric. I would work at times until midnight or beyond.

After my shift, every single day, I would pack up my reports and make about a 12-mild round trip to deliver them to the company which, at the time, was being run out of a residential home. I shopped, cooked, cleaned and gardened in between. I would go months and months at-a-time with my only human contact outside of my home being the cashiers in the grocery store. The only voices I ever heard (except for my son's) were electronic, from dictation and the TV.

Five years passed without a vacation. Can't remember too many holidays when I wasn't typing. It didn't seem to take much time at all before back pain was making it take longer to type the same amount of work, thus stretching my work day from 12 to 16 hours. By the time I was 34, I was diagnosed with DJD at multiple levels in my back. At age 42, I had a physical (and mental) collapse, and for the next 7 years I could not do transcription. I lost my home and my car. My son went back to live with his dad and I had to move in with my elderly mother. When unemployment ran out, I ended up on food stamps and at the door of the Texas Rehabilitation Commission. They told me I wasn't "handicapped enough" to warrant assistance or job skills retraining.

I had to figure out my own physical therapy because the public health care system was such an abdomination. That was a long and painful process. I learned how to take care of myself again and how to restore balance back into my life.

Ultimately I ended up back behind the computer cranking out medical reports . I work 5 days, not 6, and I type 8 hours over a 10-hour window, allowing for plenty of "stretch" breaks and time out for lunch. When my shift is over, it's OVER. I have a life now.

I can tell you this much. When I look back on those years, my regrets are not because of what happened to my house, my car or even my body. I was able to get all those things back eventually. But I never figured out how to have a second chance to be there for my son more when he needed me. I was usually too exhausted to help him with his school work. Missed a bunch of soccer games. The TV and video games were his babysitter when he was younger. He was a latch-key kid and during his junior high and high school years, he and his friends (usually other latch-key kids of workaholic parents) virtually ended up raising themselves.

I was lucky. He turned out just fine. But I can say without hesitation that the extra money, the good house and the new cars were most definitely not worth the price I paid to get them and I am a whole lot happier (and better off) without them. I indulge myself in simple pleasures that money can't buy and live a full and satisfying life now.

If I had it to do over again.......


2 jobs
Whoops! Sent this incomplete message by accident. Completed message posted abov.
2 jobs sm
I did not lose anything, but for the grace of God, but you told my story work-wise. I had to "retire" because of the back pain and each day that goes by, I think of returning to the same work because that's all I know after all these years of 100 hour work weeks. However, the posts on this board are very discouraging as to who to work for, etc. If I had it to do over, I probably would not have "killed" myself the way I did, but then again, my son would never have gotten his master's degree. Can't win. I am using a laptop and can't do much else for too long without wicked back pain. Paying the price for being an over-achiever but still have high hopes "repairing the damage"  myself once again and doing this again soon. I thank God to still be here but pray the back pain will go away. Tried PT, heat packs, all kinds of gadgets, but the damage is done - overuse to say the least. A rheumatologist had the brass ones to say he sees "nothing wrong" with me. Good God, I wish he could feel the way I do just for one day. I sure am relating to others today. My gift, I guess, there's always someone worse off. Take care of yourself. We all need to share to help others not make the same mistakes we did. Don't overdo it and do it ergonomically correct or the damage will be permanent. Thanks for sharing your story today.
That would be 2 FT jobs....nm
s
jobs
Check online on MT Jobs...there are quite a few services on there that are hiring, most of which are asking for only 5+ yrs experience. I've been applying past couple weeks. I have 24 yrs experience, & got the definite impression that they're nearly desperate for us seasoned pros!
JOBS.

I hear people complaining from the big companies that they hate their jobs or that they are low on work and etc.  So, it brings me to this question; I have been working for a small MTSO and was thinking about trying to get on with a big company, but then I read all of the bad posts about them.  What do you think is better?  Dont the Big Nationals offer benefits? 


Thanks tonz for all then INFO!!


 


jobs
Hi,  I apologize in advance if this is posted in the wrong spot.  I live in Grand Rapids, MI, and my husband has been looking for a job since September, to no avail.  If anyone knows of anything open around our area, could you please send me an email?  I would greatly appreciate it.  My husband has 10+ years experience in customer experience.  We aren't even getting any unemployment, so it's been very difficult.  Thanks so much just for reading this, and God bless you.
Some of the new jobs are second and third
jobs obtained by people whose primary job doesn't pay enough to take care of basic needs - thanks to corporate greed and the government's complicity in absolutely ruining the middle class little by little!!
There might be MT jobs but only 1 for every 10...sm

I've been in the field for 25 years and been watching very closely what is happening with outsourcing, VR and EMR. I bought a VR program and became proficient with it to see if it can be done. I went to the hospital in the next town when I heard they had a VR program that in 30 days, had the docs doing their own radiology transcription, without proofing. I went to the EMR conferences to see what the programs can and cannot do. If you think you have 30 years of MT work left until you retire, you will be in for a big surprise...There is a huge push to automate. The only work left will be crappy ESL's that the machine can't understand. Oh, there might be jobs, but 1 job for every 10. Wages will fall, and it will be cutthroat. Only the most shrewdest MT's will survive. Dictaphone is a million dollar company that will only exist if they can convince doctors to keep dictating. Yet they know the cost has to be competitive. Solution: Speech recognition. They put their smartest engineers on task to find a way to make it work. They consulted with MT's to find out how to make it efficient for editing. And guess what? They were successful. As far as India taking the work, in a few years, there will be experienced MT's that can do the work.


Best advice I can give is to at least get a bachelor's. It will get you in the door somewhere doing something you like.  I'm getting mine in a field that is growing and can't be outsourced...nursing. I LOVE working from home  but I don't have my head in the sand.


VA jobs
I did VA overflow for a while and I did NOT like it.  Talk about poor dictators, bad reports, etc.  Also the government does not want to pay much.  Very frustrating to me and gave up after a month or so.  This was a couple of years back but it was way worse than any teaching hopsital that I have done.   Of course I did to a lot of psych posttraumatic reports that were really weird.  But that is just my opinion.