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Serving Over 20,000 US Medical Transcriptionists

In 5 years there won't be any transcription departments in any hospital. All will be outsourced.

Posted By: my prediction on 2007-01-20
In Reply to: Well, what I feared would happen to my job, has happened. SM - MissouriMT

Same thing happened to me and if those HIM hags who control our destiny think it's a good thing they are so WRONG.  Life has been hard since having to work at a service, and I refused to work for the Monster MTSO that took my job as a matter of principle.  I think we should all write to Hillary Clinton, Nancy Pelosi, Amy Klobuchar (the MT in MN can write to her), etc., and express our strong needs to  have MT jobs and American information STAY in America with American MTs.   


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Lost account of 28 years to Dictaphone because hospital believes it will eliminate all transcription
Curious if any of you are working for Dictaphone or Infomatics and doing an account out of Miami with mainly ESL dictators?  I was convinced I would not lose the account after a few days with VR. However Dictaphone is not using VR right away and will transcribe reports the regular way until they have a database. I am certain this hospital will never be done by VR. I posted a job on here about a year ago offering 18 cents per line to help with this account and not one person  accepted after hearing the ESL doctors we have. They are that bad.  Anyone else have this happen to them? Losing to Dictaphone  And we have had to do most of the work for over a month since they supposedly took over because their system is not working.          
hospital outsourced...
Believe me I didn't leave by choice! I had a great job with amazing benefits, however our hospital started outsourceing 5 years ago and slowly but surely all the work dried up and our department faded away...

I avoided Focus Infomatics due to their offshoring, but now, I don't know, they are sounding pretty good. I just want eScription back. Anyone hiring? :)
I'm there with ya! I worked for a hospital that outsourced overflow to a very large, VERY SM

well-known service.  The quality of the work was shockingly bad.  There's no way to describe it except to say it was painfully obvious that the MTs on our account had no business being MTs.  They didn't even have the very basic skills for the job, let alone the medical terminology.


I had the opportunity to read through the contract, and there was a paragraph in the contract that clearly stated that not only did the service promise to adhere to a specific TAT, but also promised high quality, proofread reports.  Basically saying that they employed a highly qualified QA staff that insured nearly error free reports.  That's the OUT clause as far as I'm concerned.  I started a file of every report with errors from the service, every ridiculous error.


A new supervisor for our department was hired and her first order of business was to cut the flab out of department.  She told us that the service doing our overflow was being paid something like $60,000 a MONTH!  The hospital was paying the service 45 cpl.  Now do the math!  The service gets 45 cpl and pays you and me 7 to 8 cpl to transcribe for them or even worse pays 2 cpl for an India-based MT and 3 cpl for an American QA person to edit and correct it, so that's only 5 cpl they end up paying.  That's quite a profit.  I vowed the day I found all this out to NEVER work for a national service again and especially not THAT service.


The new supervisor was against outsourcing which was good news.  She set out to renegotiate the contract or drop the service all together.  I threatened her with breach of contract and that's where my little file came in handy.  Needless to say, the service backed off and we not outsource overflow to a service local to our area and a much more reasonable rate.


My advice to you is start your file and keep track of everything.  Tell your boss to reread the contract, especially those paragraphs that speak to what the service promises to provide for the inflated line rate!


Good Luck!


Our tax returns are outsourced. Our credit history is outsourced. Our employers know everything
our age, our residence, our credit (if they want it), any criminal activity, etc.  What is new here?  You apply for health insurance and your employee knows your health background.  What is new here?  Privacy is long gone.
58, AHP/self-taught, trained at hospital 5 years, now with 2 of my own accounts for 10 years, employ
Also worn out 2 keyboards in 4 years. I will never retire. DH will come home some day from work and I'll be slumped over my keyboard. I put in 14 hours a day 7 days a week.
Hospital transcription

A customer of mine called me the other day to let me know about a diagnostic imaging opening at a hospital and she told me the benefits are around 300.00 for child and spouse added.  I would rather pay something like that than to have to put up with this woman.  The pay starts out for bottom line 10.06 an hour, maxing out at 15.09 an hour.  I am really thinking about getting into coding too. 


Thank you all again for listening to me. 


Paulette


New to hospital transcription
Hi,
I was wanting to get some advice from some people who have done hospital transcription before. I am new to it. I have done clinic transcription for 9 years mainly family practice and the doctors that I have done have been for the most part really easy going and are not too particular about grammar and so forth, but I have just gotten an IC position for a local hospital and was wondering how difficult it is. I have always heard that it is really hard to do. How much difference is there between hospital and clinic transcription and what is it that makes it so much more difficult. Any advice would be gladly appreciated. I am really nervous and I need this job and I want to be able to do it. Thanks in advance.
No more radiology transcription at my hospital
The medical center I worked for did away with radiology transcriptionists a few years back. They came up with "canned" reports and VR and have ZERO radiology transcriptionists. They also cut back on their xray lab/medical record clerks by installing a PAC (sp?) system as well.
Do you work in a hospital or a Transcription Service
Office? It is a hospital there should be a manager that you can go to or an administrator. Production is key in hospital work, and it is important you have the quiet you need to produce.
On-call transcription in a small hospital

I work for a very small rural hospital with only two full-time transcriptionists and one part-time transcriptionist.  We have recently been told that the administration of our hospital is entertaining the idea of on-call Transcriptionist for uncovered hours.  We already work alternating Saturdays (day shift only).  I wanted to know if any other hospitals out there do on-call transcription (Not from home and not outsourced).  They want us to physically drive in and be in the office to do this transcription.  Any information at all would be greatly appreciated.  Thanks. 


Call other HIM departments and find out what other hospitals are doing. nm
x
How do I find out if a local hospital's transcription is done in-house or not?
Can someone please give me some advice?  I am trying to find out if one of our local hospitals has in-house transcription or what company they use for their transcription.  I called the MR Dept. and the lady acted like she did not want to tell me anything.  She said some was done in-house but most of it was done electronically and would not elaborate as to what company they used.  How can I go about finding out who does their transcription for them.  I never see any actual job opening in the MR Dept. or for transcription for them, so I am assuming they outsource most to a transcription company.
I would like to get on with the hospital or possibly the company who handles their transcription.
I have been considering working locally instead of for a national or switching to another company from the company I currently work for. Since losing my initial primary account and having to switch to another account, my income has declined and it doesn't appear to be getting any better. Not sure why, it is not from my lack of working. I just can't seem to make the counts on this new account as I could on my previous account. I now do some editing on top of my transcription due to time restraints I cannot put in any more hours than I already do. Thanks for the input. My husband recently started working at this particular hospital. I am hoping he will be able to find out for me but no luck yet.
Take at home transcription job or unit secretary job at hospital?
I've been an MT for 12 years and have worked at home doing MT for 10 years. Recently got replaced by EMR so had to find work elsewhere. I took a job at a local hospital as a unit secretary working 3-11 now I have been offered a job with a national transcription company. I'm not sure if I should go back to transcribing since the line count/money making potential has me worried. I've been assured that I will never run out of work but I'm worried that I will actually be working longer than the 8 hour shift in order to make the amount of money I need. I would love to be back home with my kids typing again as I miss not seeing them as much as I used to and they want me to be home. I am just not sure if I should stay in a job at the hospital which has a guaranteed amount of money per pay period since I'm being paid by the hour and not by the line where my paycheck can vary. Any thoughts/suggestions/opinions, recommendations out there? Any and all would be greatly appreciated!!

Thanks!!
I wish customer service departments would stop hiring
these people who have this terrible nasal twang of those wannabe CSI Miami blonde bimbos (the so-callled  bullet expert).  You cannot understand a word they say, everything is nasal and words run together.  If doctors ever pick up this habit we are sunk.
What companies provide computers? Hospital is outsourcing all transcription and I am out of a job..

in about two months.  I lost my computer and reference books in a house fire and can't afford to replace the computer until I get my tax refund back or until my homeowners insurance co. gets their act together which ever comes first! 


This is the second time I've lost an in-house hospital transcription job to outsourcing and have decided if you can't beat 'em, join 'em and so I want to go back to working at home.  What are the best companies to work for that provide equipment and are fair regarding line counts (i.e. count spaces and don't short MT's on lines) and have balanced accounts (accounts that have a fair ESL to EFL dictator ratio) to work on?


I have 13 years experience as an MT and I am desparately looking for a company to call home for as long as they will have me!  I worked at home for a couple of years, but never could find that perfect fit.  My new year's resolution is find a job I love working from home, and forget all about last year!


Thanks!


Keep applying at jobs is my opinion. Find out where your local hospital transcription is done
dd
3 years for hospital sm
but it was from home and they don't really know me.... i've been working IC from home for over 12 years and so it's not likely I will go to a hospital at this point to work
7 years, last 5 at the same hospital. nm.
x
At my hospital, even 25+ years ago, you were required SM

to type 1100 per day. That was with NO spell check, NO expanders. Nothing. Everybody typed a lot more than that.


I think the trouble that you describe must have something to do with working on some company's lame platform. I work in Word, I make my own expanders, my own everything, and work 5 hours a day, if I have 150 minutes to do. That is about 2000-2200 lpd. It is not a problem, because I do what's fastest for ME. The people at the hospital do some kind of merge thing and put everything in their system.


Working on a platform that is designed for anything other than MT will only cost you money. They make these systems to help coding, discharge, everybody but us. I'll never, ever do it again. I'd rather work at Wendy's -- Just kidding! Just kidding! Don't get THAT started.


 


29 years, 16 at hospital, 4 as IC, 9 w/national
with the most lucrative income as an IC, although it sucked having to be responsible for accounts 7 days/week with no reliable backup subcontractor(s) for 2 of those years as an IC.
I worked for a hospital at home for 4 years. sm
We had to work set hours. My advice is allow youself 1/2 hour for lunch, and at least two 15-minute break periods. Work 2 hours, take a break, work 2 hours, take a lunch break, etc. Otherwise, you may find yourself having back, shoulder and hand problems. Working 9 hours may seem like a drag, but not being able to work at all is even worse. Remember, if you were working on site, you would not only have to work 8-1/2 hours, but would have travel time on top of it. Just my experience.
Aeron chair - never would use any other. About eight years ago my hospital

bought all of the transcriptionists Herman Miller chairs and we always say we are taking them when we leave.  Yea right, BUT, I would buy one even if I had to pay for it over time. It is so worth it considering we sit all day.   It is made of some kind of a nylon mesh that gives to your body weight and is always comfortable.  There is tons on line about it.  I love my chair, I love my chair, I love my chair.


24 years MT, 7.5 years with the same hospital nm.
x
28 years, 9 years at 1 hospital..sm

9 years at one hospital, 8 years with 2 services, then went out on my own (11 years ago) and got a bunch of surgeons and I moonlight on weekends for a national (9 years with national). 


If I knew what I know today, with how the MT business has gone down $$-wise for us over 20+ years, if I had my druthers and could start over again, I would have stayed with CODING/BILLING instead of MT work (though I love MT work) as billing/coding is still lucrative in this country....


just my 3 cents


32 years, 18 years at hospital...
7 at Medquist, 7 at Spheris. Starting at Transtech Medical tomorrow.
In the 17 years I have been doing transcription...
I have never just sat and waited on work. If my shift starts with no work, then I check it later and if I am still out of work, then I do what I want to. If I have not typed a single word during my scheduled shift due to their being no work, then I don't worry about it. If they blow the lines up after my scheduled quitting time, then that is not my problem. If I want to make up my work, I do, and if I don't, then I don't. And I have never been an IC, always an employee, and have never had a problem doing it like that.
Years ago, I used to get a $25 gift card from the hospital I worked for.
I haven't gotten so much as a card in recent years.
I've been in MT for 20 years. Started out in the office at a hospital.

Switched to working for services from home for a while and now I work for the same hospital I started out at, but I work from home now.  So I guess you can say I've come full circle and now I'm back where I started.  I much prefer being an employee of a hospital versus an IC or employee of an MTSO.


It may be that your user profile in EXText is not set up to allow you to add normals.  I've found with services they don't give their MTs a whole lot of freedom with their software.   


I did legal transcription for about 10 years. The

divorce or something like that).  I just finished CareerStep's course in February, and I already have a job.  I do recommend taking some kind of medica transcription course.  While you may have developed your "ear" for transcription in general, there's a LOT you need to learn about medical language and procedures.


Good luck to you!


Well, let's see 15 years ago I completed a transcription...SM

program.  Not an "online" program.  I actually went to a college and attended classes which include A&P I and II, Medical Terminology Greek and Latin, and Pharmacology in addition to a number of computer courses.  That's in addition to my Bachelor's degree in English.


Then, of course, there is my 13 years experience as an MT before I decided to move into QA.


30 years' experience of transcription
Have transcribed for 30+ years in internal medicine, cardiology, orthopedics and pulmonary
I meant hospital for 8 years (not months)...going on 15th year.
x
Quit after 2 years. If I wanted to work 8 hours a day, I would have stayed in the hospital. Seemed
to be working all day long just to make a decent living.  Although, I wanted to be home with my kids until the baby was at least 5, had to breakdown and return to working outside the home, to make ends meet. Just to stressfull trying to make a good living with the rates they are paying now. 
I did legal transcription for 10 years befor MT. sm

I like them both.  Depends on what part of legal you do.  For example, I hated doing probate work. Booring!  Loved civil, criminal and domestic stuff though.


But court reports sound really great. That's something I could really enjoy.  Good luck.


Great!! I have years of experience as a transcription
x
Depends on what kind of hospital? Large urban hospital or small community hospital? SM

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.


I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 


I have 13 years experience and just started a hospital job working from home making $16 an hour

and with a really good incentive plan.  I live in the Kansas City area.  $10 seems like a low starting point even with only two years experience which is the usual benchmark for hospital MT jobs. 


It's been my experience that the low end of the pay scale for hospital employed MTs was around $12 an hour.  Also, it's been my experience that the pay offered is usually based on years of experience and how well you perform on the transcription test.


I would say if their pay is that low, they should at least be making it up with incentive and it doesn't sound like they are.


JMO


Sounds line 11 years of no transcription that you might start with
some refresher tapes that you buy to help you get readjusted. It's like riding a bike, right? Then I wouldn't buy anything else until you get a job. You could spend tons of money on things that you might not need. I bought Microsoft Word, spellchecker, expander, etc, just to find out that company supplied and I didn't need.
outsourced for sure
nm
I was outsourced and went to VR
because it was the same place I have typed for for over 15 years now. I am retirement age and really do not have to work as much nor do I want to work as much as I did years ago on straight, VR or anything. Having said that, VR on the work I do is like taking candy from a baby. I average about $25 an hour and only work part-time with my having cut my hours back. I am happy camper.
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.
Must be a outsourced Company
Is that for real? Thats still 1750 lines
being outsourced to TRINIDAD!! NM
.
How many of those outsourced MTs have even seen snow??
:=
Department outsourced
After going through this 2 years ago I feel your pain. Though there are some positives to working at home it is a whole different ballgame. Personally I miss my coworkers and just the general atmosphere of the hospital. I keep hoping more hospitals will realize they still need some in-house staff, at the very least to do QA on what a lot of the services are turning out. It seems to me it has become nothing more than churn and burn with the emphasize on turn-around time, not quality. When I look up old reports in our system I am appalled at some of the stuff that goes out, and I am on accounts that require American MTs. It is really sad what this "profession" has become.

Just because work is outsourced, unless
you have access to the entire medical record, not all personal info is available, only what the doctor chooses to include in his dictation. MTs do not necessarily have access to the entire record with the billing info and such.
They don't have in-house anymore - it's all outsourced.
I know because the service I work for does their work.  
An Outsourced Life -- anyone see that on MSNBC?

I didn't know whether to laugh or be disgusted, so I have decided to do both.


Just saw a story on MSNBC about some jerk (an American jerk, looks like the biggest geek in the world) who has outsourced all his worries to a Pakistan company and a young, pretty Pakistani girl named "Honey" takes care of answering all his emails for work, for home, for his family, etc.  Hired a second Pakistani woman, a middle-aged woman (forget her name) to handle his WIFE.  When his wife is upset with him or he with her, he emails this Pakistani woman and she handles it -- emails the wife and argues FOR this jerk.  Even picks out the gifts he gives his kids and wife.  OMG. 


What a stupidman for doing it and, I must say, a stupid woman for putting up with that. 


How's that for Americans outsourcing everything and sending it overseas?!



Is work continuously being outsourced?
I'm just starting on a medical transcription career. But it sounds like too many companies are firing American workers and outsourcing to other countries. Is this common? Maybe I shouldn't pay for my training and try something else. Thanks.

amelia
I suppose all the work that is outsourced
Makes no sense.  What do they expect for 7-10 cpl?