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I wouldn't blame this nightmare

Posted By: SM on 2009-02-25
In Reply to: Simple as that then. - sm

on MTs who 'simply cannot make the transition'. VR is a rip-off. Yes, the companies make a bigger profit, but at what cost to the MTs. It's simply not possible to accurately VR three times as many lines as straight transcription. Period.


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The HMO nightmare - SM


I was surfing the web late one night and found these two, oh-so-true paragraphs that sum up managed health care in a nutshell, so I thought I'd share:


"Mangled care" was supposed to be the solution to rising health costs. HMOs would cut out the waste and keep an eye on doctors who ordered unnecessary tests and procedures, saving consumers big money. But it was the HMOs that made the big money--by restricting care.


Their philosophy was summed up by Richard Rainwater, cofounder of the for-profit HMO Columbia-HCA: "The day has come when somebody has to do in the hospital business what McDonald’s has done in the fast-food business and what Wal-Mart has done in the retailing business."


 


My HMO nightmare

That is so very true.  I just dealt with the Hellish Malpractice Organization this past week.  My kid had a thumb pointing toward his elbow after a football accident.  Well, the thumb wasn't fractured and we knew that meant ligament damage, but we didn't know if it was a complete tear or just a partial tear; therefore, we didn't know if he needed surgery or just a cast for six weeks.  The ortho ordered an MRI and my HMO absolutely refused.  They said to cast his hand for three weeks and then if the thumb ROM is not improved, they "might" approve the MRI at that time.  I am still furious over them practicing medicine on my kid without physically examining him.  The ortho told me it has become such a nightmare that he has considered changing professions (boy, did I tell him another nightmare or two about medical transcription). 


Well, just to be a butt, my son started having sharp pains shooting up his arm, so I called my lovely HMO and asked the representative what she thought the diagnosis might be.  She sounded totally shocked that I was asking her this and said there was no way she could tell me such.  I think I made my point to her when I said, "Well, you guys decided to treat my child, sight unseen, in spite of the professional opinion of his ortho, so I thought I'd just see if you could R/O a clot or other major complication via telephone."  Believe it or not, I got a call about forty minutes later telling me his MRI had been approved.


etranz nightmare

I just wanted to share my experience with etranz in the hope that no one else will be caught in their trap.  This company is very unprofessional in their business dealings.  The management will send out payroll checks sometimes as much as 2 weeks late.  There are several former MTs how have had checks bounce and are still holding the money.  Personally, I have had no checks bounce but I believe it is only because I am in the state of GA where the eTranz office is. I informed the owner that if my check bounced I would be coming to Gwinette County to file charges and lo and behold my check cleared.  When I tried to terminate my employment, I was told that if I did not work out my 14 day notice that half of my final paycheck would be held as per contract.  When I tried to get a guarantee from the owner that I would be paid for this work, all she could do was scream at me over the phone and she refused to answer my questions concerning payroll.  Finally, what I had to do was force her to lock me out of the system so that I could start  new contract that I had.  I kept calling her regarding payroll, leaving message after message.  If I did get her on the phone, she still refused to answer my question, yelled at me, and would hang up on me.


Please stay away from this company.  I have found out since resigning that this company has a track record for very unethical business practices. 


Interpro is a nightmare - don't even go there
.
Really a nightmare. How awful.
xx
Why is the book a nightmare?....sm
The content of the book is exactly the same as the electronic versiom.
You msut also be careful to download or buy the BOS third edition, 3rd, not 2nd. The latest, 3rd edition, was published in December 2008.
Wow, I woke up from a nightmare....sm
....in which I had been trying for months to find an MT job, and couldn't because I've been retired for several years. Was I glad to wake up! The good part is that with my back problems, I don't have to work sitting at a keyboard or standing on my feet (even worse for me) all day long. Praise the Lord!
OMG, that must have been a real nightmare!
I used to have these horrible nightmares that my MIL would come and visit me for lunch and I cooked in my dream the whole night, it was a terrible mess! and when I woke up the stove was cold and nothing on the table!
OMG, that must have been a real nightmare!
I used to have these horrible nightmares that my MIL would come and visit me for lunch and I cooked in my dream the whole night, it was a terrible mess! and when I woke up the stove was cold and nothing on the table!
My boss is a real nightmare, but at least there is always TOO much to do (sm)
I have "my" account of three docs and two PAs, which already kept me busy every day. Then she recently gave me another account to do three times a week in addition to that, so I have three days that are really busy to the point of stressing me out.

On top of that, I can go into three other accounts whenever I want to help out, because the MTs on those accounts are always behind.

When I am really extra frustrated (like I have been lately) with very late paychecks and my MTSOs ridiculous demands, I do try to focus on the fact that I love my docs and there is as much work as I want.
I thought of that being a nightmare oops. I know I'd have to
be careful. My one account the works trickles in and the new one is going to be more volume.
You have to be living a mother's worst nightmare.
God bless you, your baby, and Make-A-Wish. And tell your FIL to kiss your a** and just shut up if he can't say anything positive. Personally, that statement would have caused me to go for his throat. Hasn't the poor baby suffered enough to enjoy something fun?
It wouldn't load with my Office. Somehow it wouldn't "read" my 2003 Basic, although sm
technical couldn't find anything wrong with my software. They really tried hard. I see so many people that like Escription, I'm sorry not to be able to use it. Hopefully I can get Office Pro on my next machine, and maybe use it then. I could upgrade, but I'm still not sure it would work.
I keep wishing it was a nightmare and I could wake up and everyone in that area was just living and
nm
My WORST nightmare is broken English docs mumblingrealfast with food/gum in their mouths - and I do
Is it a conspiracy?
Wouldn't that mean that you simply wouldn't have to print out everything?

Don't blame QA!
If your quality is there, you don't need to worry.  If you are worried about your quality, don't blame it on QA people.  We are not "out to get you," just making sure that we send a quality product to our clients.  That is our job.  I have been in this business for 30 years.  I try to help our MTs by giving them good feedback.  It is insulting to me as a professional when an MT with poor quality whines about what QA "did to her."  You should see some of the garbage I have to fix daily....Some reports take an hour or more to QA - just one job!!  We have productivity quotas to meet, too, and this hurts us.  This is why the poor-quality MTs are being gigged in their pay.  If you are not a poor MT, no worries, right?
Don't blame QA

You go girl!!  My thoughts exactly....


i don't blame you there
now if others will do the same, we could actually have good debates/venting sessions; I appreciate your answer
I don't blame you at all. We did the same
for my nephew and I will get a list of music alternatives from my sister and post for you.

Keep up the good fight!
can't really blame them 100% either

I've learned to take a more pragmatic view of the problem rather than blindly placing all the blame on the doctors themseves.  Rather, I place the majority of the blame on the shoulders of the government and the insurance companies for driving up the costs not only to patients but to the providers.  Practices have found that they've got to cut back somewhere. Some have turned to EMR, some are using voice recognition, and some have resorted to going the cheapest way possible, offshoring, to create the documentation REQUIRED by insurance companies and the government in the first place.  Though we may debate the morality of sending American jobs overseas, they're not doing anything illegal.


The biggest problem I have with offshoring, as my friend once put so eloquently, is "I wouldn't want my medical records to go to some country we're going to be at war with in a few years." (thanks, AK!) We Americans are expected to abide by government-imposed HIPAA laws, but does that extend to offshore companies?  They say they are HIPAA compliant, but who really knows? Which "government" agency watchdog do we have to protect our privacy in these other countries?  Gee, we're having such a problem with identity theft, wonder why?


I've taken to asking any new physician that I go to who will be typing my medical record after this office visit.  If they say they sending it to some really cheesy company in India or even refuse to tell me who, I walk.  How many of you do the same thing?


Can't really blame them.
You are working for them actively IN their system.

I wouldn't bat an eye at it. I say kudos to the hospital for protecting patient information and upholding HIPAA appropriately.

I did not blame anything on anyone.
I simply stated a fact. Some MTs are incapable of making a successful transition to editing. I did not blame anything on anyone. Do I think that the measly pay rates offered by some companies for editing are fair? No. There are also companies that pay a reasonable, but not great, pay rate for editing.

I will reiterate what I said before. If you cannot make a living on what you make doing editing--then don't do it. Period. Bemoaning the fact you can't make decent money while your bills pile up accomplishes nothing.



So, you blame this on QA? How do you know

"Anonymous" and "Untouchable?" 


Don't speak for me.  You don't know me.  I have always wanted to deal directly with the MTs.  There are other QAs who agree with me, too.  But we have been told in may meetings that just will not happen.


Of course, I would imagine the anal ones who should not have their QA jobs would not like to do that, because they could not back-up their corrections.  But I stand behind mine.  I would rather talk directly to the MTs -- lack of communication is good for nothing but misunderstandings and bitterness. 


I am not out to get any MT.  I will not make a change in your report unless it is an outright blatant medical terminology mistake or a formatting error.


Why are you so mean?  You don't know me.  I wouldn't be nasty to you.  I have never done anything to you. 


Bitterness is not good for anyone.  Why don't you place your anger towards the QA who is giving you troubles?  Turn that QA in.  Keep doing it.  If more MTs would speak up, then the ones who should not have jobs will be held accountable.


I know what you are talking about.  I understand.  I see it myself when I look at completed reports and I see what some QA are doing.  It is wrong.  But not all of us are the same way with our jobs.  I have always tried to be professional and helpful to the MTs.  I leave notes with info that they might need concerning the particular report, and even thank them for their hard work. 


I am sorry you feel so hateful towards someone who never did a thing to you. 


How can you blame the landscaper for
what the wind did? Any tree will uproot or break unless it is a palm tree if the wind is bad enough.
No blame placed on anyone. Surely you have
limits in your life, don't you? I would hope so. Those are the lines I have drawn. I have had to change accounts before and change employers before. I may have to again, who knows?

It doesn't cost me anything whether you take that as blaming MTs or not.

Not anywhere in that post did I blame MTs. I took responsibility for what I wanted to do and I am ALLOWED to make those decisions for myself. Perhaps you should do the same for you.

Enjoy your day!
Blame the names
on the 911 system. To help keep dispatchers from having to deal with sound alike names and sending emergency services to the wrong street the 911 center in most areas gets the final say so on whether a street name is okay or not.

When a small rural county I lived in went with the 911 system those of us who lived in the small cities had to rename some of the existing streets since there were streets in the rural areas of the county over 50 miles away with the same names.
I don't blame the merchants for doing that


actually, he said he didn't blame me..nm
x
Who else would you blame this on? You did the work. SM

it didn't cut the mustard and you want to blame somebody else? You know, one report will not get you canned.


I do feel sorry for you, again.


Your management is to blame, not the MT.
Your management allows it to happen.

Talk to them.

It is isn't up to you nor me nor anyone else not in management to regulate who gets what work and when and how much.

you can't blame them for killing themselves to get here,
and adding further insult to injury, we put everything in their language. however, thanks to our system of welfare, too many US citizens refuse to work the hard labor jobs, so we "need" the illegals.
blame game..........sm

As for the *blame game* - most states and MOST judges don't care....they don't care if your spouse is caught in bed with people.  Hopefully the OP's state is like that.  Many states today are *no contest* states.  If you want a divorce, you can get a divorce in most states with no contesting.  If the OP's state is not like this - is not a *no contest* state, the OP needs to file for a divorce in another state, where the OP would need to get residency status in that particular state (using someone's address who you know real well). 


 


I blame it on trying to remember too much sm
all the time. My brain goes on overload and then shorts out. LOL
I didn't blame her
If you read my post, you would know that I said I am guilty of that, not Misha. As I said, I was curious if that might have been the problem, because if a dog's nails are properly trimmed I have never seen this problem. That's not even saying that it doesn't happen, just that I personally have never seen it. If it is the case, however, should I blame the dog?
Take a look at who their parents are. Where's the blame now? nm
v
I blame my employer...

...for taking another transcriptionist's word over mine regarding a situation involving only the two of us. I blame my employer for overlooking the fact that another Transcriptionist was 15 minutes late EVERY SINGLE DAY for five years, had temper tantrums at work (even the employer said she needed anger management classes), and antagonized the radiologists - and yet still, somehow, I was the "bad guy" and that employee was the golden child. I blame my supervisor for being IN THE SAME ROOM and witnessing the cold and cruel way the other transcriptionists treated me, when I had nothing but pleasant things to say to and about them, and still allowing the manager to "let me go" when it finally came down to a choice.


No, I didn't fit in. I don't lose my temper at work. I don't try to turn people against other employees. When there is a problem at work, I have the courage to address it and calmly try to work it out. I treat other people with respect and dignity.


You're absolutely right. I didn't fit in. But I should mention - I left there August 28, 2005, and they STILL have not filled my position, nor have they filled the position of another employee who left at the end of December 2005. What does that say about who "fits in" at that department?


Don't blame you - I refused also.
nm
I AGREE, if you put up with it, you are to blame but sm
If you put up with that for five years they probably think you have accepted them!  That shouldn't go on for more than 3 months.  Here is the serious deal though.. you have to pay well to get someone who takes pride in their work.  Nine cents a line will get you someone good.
Blame it on ExText...
It is a glitch that I have encountered...and have always been told that it is a glitch and I just have to learn to live with it.
Every doc is different and you should not blame the specialty. sm
I do dictation for a podiatric surgeon and he is the most perfect dictationist one could ever hope for. He is a perfectionist about every thing, spells other doctor's names, spells other city names, spells out the claim numbers, etc. I would trade all my 11 docs for one more like him. it is not the specialty..it is the doctor.
I don't blame you. I have the same problems, only
"Faster, faster, faster! And oh, by the way - NO mistakes... EVER!"

No normals for me, either. I wouldn't mind it if I got paid a decent rate for full, word-for-word typing.

I hate proof reading. I'm not good at it. (Also, there is a neurological phenomenon that makes it particularly difficult to proof your own work, because you tend to only see what your mind wants to see on the page.)

Never any positive feedback, and pay that is downright embarrassing. Thank goodness my pay is at least direct-deposited, and I don't have to look a teller in the eye while depositing a check.
Then I don't blame you for venting.
Nobody should cherry pick. I never do it. I take all the junk that comes down the pike now. I hate a certain work type, but when I get it, I just curse under my breath and do it.
blame the victim, geez
You people crack me up.  Blame the victim and her family.  For pete sake.  You sound like the type of person who would blame a rape victim cause she was wearing a short skirt.  The Aruban Govt thinks that boy is guilty, that is why they are holding him.  He is guilty, IMHO.  His story has changed several times.  If you are innocent, you have one story.  He left her on the beach, come on, who would leave a young girl, not familiar with the area, on a beach at 2-3 in the morning?  The person at fault?  The person who murdered her or kidnapped her and I think it is that obviously well off son of a high ranking lawyer.  Instead of pointing fingers at her family, we should be sending prayers and hope.
blame the victim, geez
Sorry, but if you dont' want to get picked up and treated as such, don't go to places like that p. e. r. i. o. d. And yes, some women ask for it maybe not intentionally, but it happens. People need to start taking reponsibility for their stupid decisions.
I don't blame you for your rant, but here's how I feel about it. SM

Consider the source, laugh, and enjoy your home and your family. You don't have to defend yourself to anybody.


Please, stop the Blame Game
Again, aren't we all in the same boat here - FT, PT, IC, SE, we are all MTs... isn't the point here that those of us who are having a difficult time with the co. we work for (specifically, for me, MQ) that we are all trying to validate, encourage, and hopefully figure out a way to hold the COMPANY responsible??? I don't know the answer, but I DO KNOW that blaming each other, ICs, SEs, FT employees, whatever, is NOT the answer. Geez.
Seems likely it is fashionable to blame Bush for everything now. nm
xxx
My kind? The blame goes far beyond our president.
He should have finished his first battle before he started another. He has done nothing to ensure that our safety is any better than it was pre-911. If anything, it is worse.
I dont blame for feeling like that, I would too

All these ladies are giving great advice.  It seems like you're mind is racing and you're frazzled.  Your situation is stressful, so of course you're in this state of mind.  Get your mind organized, get calm, then you can think your way through this.  I've got HIGH anxiety, and I need to stop and reorganize every so often or else things will fly off the handle bars.  Take a bath with candles, nice music, a glass of something calming and slow down.  Once you have slowed down, and can think logically your kids will see you are in more control and you can formulate a plan for them, and they will listen.  They see you're out of control, so they take advantage of it.  These are stressful times with no money and rising expenses,  but like other posts have stated, don't forget whats really important, and put it into perspective by first taking care of yourself.


She's asking for advice, not someone to assign blame...

I really don't see how your post is going to help her find a solution to her problem.  It is easy to stand up on a pedistal and point out other people's mistakes, but we've all made them.  She needs advice on how to fix her situation, and "assigning blame" is just rediculous.  I can't believe this thread even went in that direction. 


I also don't think that it is right to blame someone for their spouse's actions.  It is his fault for acting that way, not hers for marrying him.