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Serving Over 20,000 US Medical Transcriptionists

I wonder if CS is ALSO teaching Coding to India & other countries?

Posted By: deb on 2009-06-20
In Reply to: Coding - NCaMT

I know they teach MT to India and other countries, the latest one being Jamaica.

Yet they still take money from US students, even though they are training overseas to help them take more jobs away.


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I should have specified, hospital inpatient coding and doc office coding are very different.
They follow different coding rules and an entirely different set of codes. I learned both while earning my B.S. in H.I.M., and both are challenging, though inpatient more so simply because there are more codes.
Honestly, you could get a job in a med rec dept without ANY certificate; some computer experience and your experience as an MT would get you in the door. It might just be doing chart assembly/completion, filing, etc., but there are certainly jobs in MR that don't require specific schooling. Then being in the dept you can really learn more about all the functions and pick the one you REALLY want to spend time, money, and effort on for additional schooling.
INDIA, INDIA, NEWBIE LOOKING FOR INDIAN-OWNED COMPANY-FORGET AMERICA COMPANIES HIRING NEWBIES!!!!
Our country sucks when it comes to teamwork.  My experience is in hospital transcription and 95% foreign dictators.  Most of my dictators are from India and surrounding countries.  Give up you all, India is already way ahead of us!
Used to think we were using India, but now realize India is using us for our med. info, jobs,
:{
I've thought about coding. My DH does medical coding and I think with an MT's medical termino

background and anatomy and physiology knowledge, a transition into coding wouldn't be hard at all.  From what I can tell by looking through my husband's books, an MT would have to learn insurance regulations and legalities.  We've basically got all the medical background down or we should be if we're worth our salt as an MT.


I even contacted AHIMA and found that the qualifications for taking the CCS or CCP coding exams are completion of the a coding program, RHIT program, or RHIA or related work experience.  Transcription is part of HIM, albeit the red-headed stepchild of the HIM department, but a part nonetheless and so satisfies the qualification of having work experience.


The test is tough though.  My husband didn't pass it his first time out and I think I read something like only 20% or so pass it the first time.  So it would probably be best to take some sort of formal coding class, in my opinion.


Anyone know if coding would pay as well as MT? Is coding being outsourced too?
xx
What about different countries
nm
You mean the countries of the "irrelevant" UN?
You mean "Old Europe"? You mean the country whose fine wine is poured down the gutters here? You mean that country whose democratically elected leader should be assassinated?

Pop Quiz: In what year did 14,000 French die in a heat wave?

Answer: 2003. Don't you remember all that news coverage we got here and how generous everybody was? Perhaps the freedom fries have affected your memory.
Selling the BOS to MTs in other countries?
Does the AAMT really sell the BOS to MTs in India and Pakistan?  Can MTs there belong to the AAMT?
I see the difference, but in other countries...
they consider dogs and cats as food consumption. They were in other countries killing birds over the bird flu which were their pets and some were for food consumption, but they have to kill them all because it travels. They are totally different than we are here in the states when it comes to dogs and cats. I gave up Chinese food for that reason and stick to only Loo mein and hope that it's really a noodle. lol
Outsourcing to other countries

We are the only ones who can do something about this.  I wanted to toss around some ideas. 


 


A.  We should research and get all the information we need, talk to lawyers and talk to anyone who can help us get started.


B.  We should have a new association.  American Medical Transcription Association – AMTA.  That is just an idea.


C.  Picket lines.  OFFSHORE NO MORE!!  Sorry, I borrowed the phrase from another poster.  I hope you don't mind.


D.  We should notify news papers, news stations, and talks shows that actually make a difference sometimes (Montel, Oprah……any other ideas for that?)


E.  We should notify all clinics, hospitals, doctors, and any/every place in the United States and Canada that need transcription services.


F.  We need to notify the general public…refer to D.


G.  A specific board, group, or chat room dedicated only to OFFSHORE NO MORE should be created and moderated accordingly.


H.  Union?  What do we need to do to get this started?


 


I don't know where to start, but we, collectively, need to do something.  I have been wondering we could possibly be (sp?) black balled if our identities are revealed?  If so, it won't last forever.  Maybe the beginning of all this needs to be the new association and that can be our steppingstone.  We can make this better for our future and future MTs.  The thing is that we need to do something.  We can't just talk about it and complain against it and hope that someone else will do something for us or that someone else will take a stand.  We have a voice if do this together.  The ball just needs to start rolling….


We might as well face it, we are being taken over by other countries, thanks to our

government.  You have got to read this article at


http://news.yahoo.com/s/ap/20080604/ap_on_re_us/domestic_workers_rights;_ylt=AuYJ4gKnmseAW_rqGopWh.FH2ocA


Domestic workers sue, lobby, organize for workplace rights -THESE ARE ILLEGAL IMMIGRANTS PEOPLE!


I just want to crawl in a hole and DIE!  I am so worried for my children.  Soon, the US of A will be owned, run and operated by other countries totally!


UNBELIEVABLE!


 


As one of the richest countries in the WORLD, it's not odd
that other countries think we can help ourselves. Makes absolute sense to me that no one is offering help.
Reports are going to third world countries, often with out SS#. nm
:+
unfortunately they send work to other countries

they offshore to other countries from the usa because what's important to most dictators, and again unfortunately, is the cheapest price they will get for transcription......now, I didn't say they would receive good quality MT work back - but they will only be paying 3, 4 or 5 cpl for that offshore work.....so they have chosen to COMPROMISE QUALITY!!!!  Blechhhhhhhhhhhh!!!



USA has safeguards that 3rd World Countries DO NOT!
Like your MTSO or ISP company being subpoened to give up your name and address.

Like a city, county, state or federal Attorney General's office who will proceed to charge, prosecute and imprison you for divulging, or worse, blackmailing an institution, like a Pakistani transcriber did, in 2003.

At least we know the American Criminal Justice System can and will prosecute, but what can an American Institution or patient do about violation of privacy or blackmail in India or Pakistan?--VERY LITTLE.
Hey, bombing other countries defeated Hitler.
x
Background checks on MTs fro third world countries?? LoL. Are you serious? nm
:+
All other countries expect newcomers to learn
x
donations for the relief coming from 50+ countries, including

-- India is making a $5 million donation to the American Red Cross, Ambassador Ronen Sen said Saturday. In addition, Sen said India was willing to donate essential medicines to the relief effort, noting that India has the largest number of Food and Drug Administration-recognized pharmaceutical companies outside the United States.


 


 


 


You are worried about your home? Most of these records go to third world countries. I would rather
:{
Sadly, I agree that more and more jobs are going to go to 3rd world countries. However, that is not
:+
Ppl are so concerned about HIPAA. Most records, including SS#, go to 3rd world countries!
:+
Dogs are a huge carrier of rabies in developing countries.
x
I will never work for another company that supports offshoring to overseas countries
As posted above, I have worked for a foreign company.  The company had some US MTs working for them and IMO, they were using us to cover up.  I think we should personally stick together and stop the nonsense of our US reports going overseas.  I do have one question for those who support the Indian companies and any company that offshore overseas...where is your medical information going?  Have you thought for one minute that maybe your own SSN and address, etc, might be going overseas?
Maybe nationalist. Everyone else is listing countries of origin. White english speakers at the wor
They like to show off, play with the language. At least the ESLs learn to say it, and always say it the same way, every time. The Caucasian English-speakers are the worst, arrogant, effusive with the language.
Thats why im getting into the teaching GIG
I FEEL YOUR PAIN.......
I am not currently teaching.

Perhaps I will teach again someday, but as I stated, I am now at home with my children and would like to do something at home.  The grass is always greener on the other side.  Teaching can be great, but it can also be horribly exhausting and emotionally draining.  Also, the schedule is inflexible to the extreme, and I am just not ready to jump back into that right now. 


I appreciate any advice about how to get back into transcription, as that is what I have decided to do. 


 


HIPAA is a joke, The majority of reports go to 3rd world countries, for pete's sake. nm
:+
RE: Teaching Hospital
I am the transcription supervisor at a teaching hospital and the residents are so long, especially family practice docs. They can go on and on and they are foreign, all of them. This makes it especially hard, but that is all we get. The Americans are going into specialty services such as Surgery, GYN, etc..
Teaching hospital

I'm on a teaching hospital account it is THE most interesting, challenging work I have ever had.  Maybe ask if you can be on a different account?  


I'd say stick with teaching.
This is not an industry I'd recommend anyone to enter anew for so many reasons:

1. Inconsistent pay and work available.

2. No respect from employers who lie to us and treat us like second class citizens. Slavery went out in the Lincoln administration, people.

3. No respect from people whom I tell what I do for a living.

4. No future in this job. Voice recognition and outsourcing are putting it in the same category of obsolete occupations as the blacksmith.

Be glad you have a career to fall back on in case the MT one doesn't pan out, but I sure wouldn't put any money into learning how to do something that's going to cease to exist in the next decade.
Former MTs Teaching English
I heard that too. its in the newpaper last week, they will be looking for teacher. Man, this board is really updated.
Is it possible that teaching can be outsourced?
the date is 2014, It a nice day. You drop off your kids to public school to for them to watch a huge plasma screen that has a teacher in it. And guess what... Its via Satellite, from India. Im getting goosebumps.... Arg. Its also outsourced. Oh im having a nightmare. I hope its its just a nightmare.
Just 1 in 12 yrs. 1 other was teaching hosp, I was
one department's Transcriptionist for 2 years.
Going into QA, getting a supervisor job or MT teaching job... SM

is easier said than done.  A lot of times, transcription supervisors at a hospital are required to be an RHIT, in the old days it was an ART.  Took me forever to break into QA.  A lot of companies hire you as an MT and tell you they promote from within.  And teaching jobs are even tougher to find, they are few and far between.


You best bet, if you choose to stay in the MT business, is to strike out on your own.  Start your own online school and charge MTs $1200 or more a pop.  Or start your own MT business, but it's hard to do that with the monster services out there buying up every little guy they can sink their claws into.


I've decided coding is the best avenue for me and that's what I've been studying on my own, but it's taking forever because their so much to absorb, not to mention up to date books are MUST in coding and the books are $100 (ICD-9-CM and CPT) and that doesn't include HCPCS book.  And if you don't buy the new books every year, you can't pass the test.  So I'm trying to do it on my own without paying another school for another education that might end up outsourced overseas anyway.


 


You said have experience in teaching
transcription and medical terms but have you actually done the transcription yourself, not just the teaching part?
IMO, BOS made as teaching aid for when they
x
Why work for a co who is teaching sm
people in Barbados how to do MT so they can compete with us too?  No thanks.
Whatever they're teaching them
So far as I know the term "basic four" didn't come along until the advent of MTSOs.  I think it is far more important that students learn how to actually DO history/physicals, ops, discharge summaries and consults than to know that they are sometimes called "basic four" or they might be labeled as "acute care" which is the same thing.  I have personally never been asked if I could do "basic four"  or "acute care" in an interview.  They have always asked me what experience I have.    My standard answer, "send it to me and I can do it," whereupon I expound as appropriate regarding my experience and answer questions as asked.  Again, I have never been asked anything about "basic four."
Teaching hospitals & residents...
I work for a very large university hospital account and hate how long-winded some of these residents can be! Argh! Especially 1st year - just a plain chest xray turns into a thesis! And the attendings aren't much better - they love to "teach" on my time! What is your preference - teaching hospitals (which admittedly are great teaching grounds for MT's) or regular, plain old boring regular hospitals? These residents make me want to........
RE: Teaching hospitals & residents...
Teaching hospitals.
How funny; I'm going from transcription to teaching soon!
I already have my teaching certificate, just need to get out there and teach.  Been doing MT for about 10 years now, so I can stay home with my kids.  It's been nice, but I really need the retirement and other bennies that teaching will provide. 
Teaching MT at an unethical school....sm

It was a private school that once students enrolled for any programs they would basically lie to them and never would fail anyone.  If a student failed a test the instructors were told to give them the same test again, after reviewing the test questions and answers prior to giving them the 2nd test.  Honest to goodness 1st graders have it harder than that!  The icing on the cake was when I told my students the reality of what to expect for pay scales after graduation.  The school had enrolled everyone with the "you'll be making $60-80k after graduation" crap.  I lasted exactly 2 weeks there before I quit over their unethical behavior. 


Depends on which grade you will be teaching, but
z
Another thing about teaching hospitals
is that you will see things there that you might not see at your 90-bed facilities.

These hospitals do everything and if I were you, I would just wait and see. I think you will find that the experience alone will be invaluable to you.

I know MTs who have been MTs forever that have never had the experience of a teaching hospital and are limited in the surgeries that they have transcribed.

Congratulations on your new job.
This has jumped from "mentoring" to teaching....sm
Starting a school would be the last thing I would want to do.  I have thought about simple "mentoring," not all the other hassels.  I think the original poster means that also but maybe as an employee.  I would want to do it on my own just for a few people at a time.  As I said before....not big bucks.....
I think teaching pre-teens how to do laundry

I think 10-12 year olds can help do some laundry - it helps them develop a work ethic and shows them that if they go out on their own, what they will have to do....well, the ones who don't continually bring their laundry back to their mothers.  *LOL*  AND they love eaning $$$ - it's a great way, instead of *tossing* allowances at them.....chores/laundry/etc. = few dollars in their little pockets *S*


It's all about deals and contracts w/kids I think....and I'm a pro...on the subject, as I have some....*lol*


Your exactly correct, schools are teaching (sm)
My 8th grader has to do 1 space after periods in all typed reports for school, that is what they teach for formatting typed documents now.

Also, I am in nursing school and we follow APA format, which also specifies 1 space after a period.

2 is definitely not the way things will be soon, so hold onto it if you can for now.

I still do 2 spaces for work because I get paid for spaces and those spaces do add up to $$.
I would advise you to continue teaching! nm
x
teaching dictators to dictate better
Exactly! But where is the motivation for them to do so? Yes, if you point out to them that they could be spending less time dictating and more efficiently whereby freeing them up to do patient care, maybe they'd listen. Certainly, if it hit them in the pocket there would be motivation to improve. For instance, if really, really, notoriously bad dictators were charged higher rates there would be big incentive to get/teach the providers how to use the equipment and how to dictate better. Money is a strong motivator!

I think about how there is going to be greater and greater emphasis on reducing costs of providing medical care. There's a huge opportunity for clinics/doctors/hospitals to improve and become much more efficient with transcribing. And who better to train them than us!!
I have one now where we CAP, bold and underline them (teaching hospital) -
and on one I used to only capa and bold. Everyone is different.