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Serving Over 20,000 US Medical Transcriptionists

Oh, I do know the facts and the accounts

Posted By: I know of on 2007-10-02
In Reply to: They have tons of work, no low work volumes at all - sm - Laura

run out of work. Not clinic or ER work, so must be 2 different animals, or 2 different LTS.

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Facts? what FACTS?..MQ does not deal in Facts! Haven't you learned

they will be written in disappearing ink. 

Make up a theory and build on it.  That's the best fact you will have

from this joke of a corporation.  It is a non-business.  The more deep they get

into the world of transcription the more complicated and nonsensical it becomes.

We are so FAR removed at this point from what the job was originally designed to

do it's impossible to recognize the goal.

p.s. the original GOAL was:  Transcribe what an English speaking physician dictated in place of him having to write it out.  They were clear, distinct, and appreciative of the chance to get home to dinner on time instead of sitting writing notes for 2 hours after making rounds. 

A lot of legal-ese, mumbo, jumbo, useless lab values garbled in a nurse cackling station in the hallway was not where they dictated - nor were they doing it in a car, on a boat, in the men's bathroom, or in the doctor's lounge with one eye on the football game.  They were in the MR room in a soundproof cubby with their charts.

All a transcripionist did was put a tape in the machine, type the name of the patient as good as she could make out from the doctor's dictation - type the report - take the paper out of the typewriter, put a sticker on the bottom of the page HISTORY AND PHYSICAL and the like and put it in a stack for the MR clerk to put the Pat ID number and other info in the little box at bottom of the report.

If we couldn't make out what the doctor was saying, we could get up from our chair, go to the files 2 feet away, pull the chart, and look at the word, number, name of whatever we had question about.

We were not "bean counters", doing transcription as an after-thought.  Ever since the time they put MTs in front of a computer we have become DATA ENTRY first and foremost, collecting information, and along with that trying to still PRODUCE the same amount of reports as we used to squeezed into the same 8 hours - while trying to now understand illiterate people calling themselves doctors and who have lost every bit of respect for the person at the other end of the dictation line and who have become for the most part rude buffoons hardly due the title of human being much less physician.

And to top it all off, now with all the added functions companies want from an MT they want to pay less. 

He gave you FACTS, facts are no biased. GEEZ. nm
How about zillions of accounts. MQ has these accounts so overloaded even the new hires dont have any
work. I would love to read some of these reports and then they expect perfect QA and no blanks. Did they lose their minds completely.
Here are the facts
They have 5 pay levels. The top level, which is where I stay no matter what it takes, pays 0.085 per line for a minimum of 225 lines/hour with an additional 0.05 per line on weekends. You don't have to work harder for the new bonuses. If I stay right where I am now putting less than 20% of my work on hold (the amount I put on hold is WAY less than that), I will make nice bonuses with the new QA. I like the money I make because I'm a single mother and have no backup income.
The facts
YOU need to give it up. Trust me, I am NOT MQLOVER. We are two different people with one very strong similarity and that is that we both enjoy working for MQ - is that so hard to understand? When she gets flamed it is usually because she is commenting how happy she is at MQ and when that happens that rubs me the wrong way because I agree with her!


Get off the kick that we are the same person posting as two - because let the facts be told that is not true!
Just some facts sm
My original post is speaking of the definitions as we know them, not the terms themselves.

As a matter of fact, neither term is mentioned in the Bible. The only way we recognize what they are is from the way the Bible is describing the two.

Definition of astrology:

Divination using celestial bodies: the sun, moon, planets, and stars.

This description is mentioned in the Bible many times. One example:

"You are wearied with your many counsels; let them stand forth and save you, those who divide the heavens, who gaze at the stars, who at the new moons predict what shall befall you." Isaiah 47:13

Definition of astronomy:

The science of the celestial bodies: the Sun, the Moon, the planets, the stars and galaxies, and every other object in the universe.

The Hebrews were devout students of the wonders of the starry firmanent (Amos 5:8; Ps. 19). In the Book of Job, which is the oldest book of the Bible in all probability, the constellations are distinguished and named. Mention is made of the "morning star" (Rev. 2:28; comp. Isa. 14:12), the "seven stars" and "Pleiades," "Orion," "Arcturus," the "Great Bear" (Amos 5:8; Job 9:9; 38:31), "the crooked serpent," Draco (Job 26:13), the Dioscuri, or Gemini, "Castor and Pollux" (Acts 28:11). The stars were called "the host of heaven" (Isa. 40:26). (source: christianity.about.com)

When all is said and done, you have a free will to accept, disregard, believe, or disbelieve whatever you want to...granted by your Creator.

You also have the knowledge and the means to search out for yourself what is displeasing/incompatible with God and His Word. He will be the ultimate judge.

But don't be fooled, scripture does tell us that putting our faith and trust in the alignment of the planets and stars is divination, sorcery.

God said it, not me.
Thank you for these facts...
The facts....

During the "season," the weather's great - the lines are long, and the prices are shooting through the roof.


During the summer, it's just the opposite, but the weather's so hot and humid you'd swear you've got steam coming out your ears. 

Facts are facts . . . The AMA does not . . .

recognize the BOS as an authoritative guide for medical writing.  Fact.  No "personal feelings" are involved. 

Now, my PERSONAL FEELINGS are that I hate to see people waste their money.  Way too many MTSOs and MTs have been duped into believing the BOS is an authority. 


And the facts....
do show that CMTs DO earn more money so someone is paying for it. That even showed up in the annual survey done by Advance. It just is. And sure many don't have that, and yet for each and every one of us, it is about CHOICE, and we do choose where we work.
Get the facts
I have been doing transcription for 3 years plus; in my past life I did hospital quality management. Something is missing in this industry, nobody manages anything objectively except how fast we get a report to the customer. I can't figure out how the MT world missed out on the whole QA thing when it is the biggest deal in how hospitals function. I guess as QA was becoming a very big deal from the standpoint of accreditation, the MTs were sneaking out the back door or there became so many variations on managing transcription, JCAHO just didn't feel like opening that can of worms. But, from my experience, background, and 20 years of forcing people to do it, I have concluded that it is the very reason the MT industry is in such chaos. This work is never managed by anything factual. Everyone is guessing at it. I even have to laugh at times wondering if anyone ever bothered to ask a physician if they even LIKE VR; all this time, effort, science, and and.. I rarely hear anything positive. It saves money? Does it? Based on what? Nobody evaluates my work in any detail that tells me anything. No other business involved in the written word sends off final products without it being edited, not spot checked, edited.. like the newspaper. They want perfection newpapers and novels, but we can send information off that has to do with life and death after we double check our work; everyone knows you can't proof your own work. That makes me crazy.

Well, I could do volumes on this. You just flat can't effect change by trying to talk people into it. Which, by the way, would be poor managing. If offshoring is so bad for all the reasons noted, we have to show them the money.

I'm a believer in walk the talk, so in my spare NOT time...I have put this website together so that we can begin to collect data, so we can begin to prove our points. I have one survey there now, but I'm just getting started. There will be many many. When there is some powerful information available, I'm going to start knocking on the doors of some entities who can make something happen (who probably should have been). Go have a look (and do a survey)!!

We have to dig deep about offshoring, really explore it, and get facts about it. I'd be interested in forcing the "big savings" issue into data because I keep wondering if the bean counters are counting in the USA hours spent fixing their work? No, that still shows up on our expense account.

Back to work.
Those are not facts. Those are your opinions.
The fact is that most people here who own trailers, whether the trailer is in a park or not, OWN their trailer.  It has nothing to do with education level or skills.  The real scuzzy part of town is the lower south side with all the decrepit apartment buildings and homeless people wandering around from the shelter.  Sorry, but the "facts" and "statistics" you are spouting simply do not hold water.
I'd be interested to know if you have the facts on this
Not flaming at all, just would like to know what goes on, what they're not telling us.  I've seen documentaries on how humanely they do it, by injection for cows and they give pain relievers to chickens.  Am I being naive here?
I have my facts straight.
Comments by people on message boards don't matter.  It's the BBB complaints and lawsuits that back up my facts.  Of course, people are going to say good things about a product or service in order to sell, sell, sell.  It's called damage control.
Get your facts straight

Anything else you care to complain about?
Facts and stats
Facts and stats are always interesting but fail to include things like the absolute lack of respect for what we do.  When the medical records industry needed more MTs, the only innovative thing they have tried is sending the work offshore.  No one in the industry has figured out that in order to attract and retain good MTs, you need to respect them, pay them what their worth and stop telling them they are a profession when their pay is based on piecework. 
Um, yes, you can. Check your facts. nm
The REAL facts on EMR

This is in response to a post made earlier to the MT who wanted to know if EMR is doing away with MTs. 

To answer your question, I would only direct you to the "job's wanted" board here, as well as to various other MT boards around.  Seeing the vast number of companies who are screaming for qualified MTs should answer your question and put your fears to rest.

EMR is too expensive and cumbersome for the vast majority of docs to use.  They will either have to pay big bucks for it and spend their time playing secretary or hire someone to do the input, which equals employee - benefits - paid vacation time - paid personal time, yada, yada, yada.  WHERE'S THE SAVINGS?  There is none. 

If the doc wants to play secretary and input the info himself, he's cutting his own throat doing it as he's earning secretarial wages instead of M.D. wages. 

EMR will not and never will wipe out our industry.  

This is a crock - here are the facts about IQ

Okay, here are the facts for those who care (like me).

There are many standardized IQ  tests.  Some only go to 140.  Some tests can go up to 180.  So basically it depends on what IQ test was given just how relatively smart these people are.  I seriously doubt any of these folks actually published something as personal as an IQ score and even if they did, I would question the validity.   You cannot make a blanket statement when comparing IQs.  One more time (for those who didn't read my last post) -- think about high IQs like this -- it is simply processing speed, just like your computer.  Many IQ tests are auditory memory and/or processing skills -- i.e. you have $1.75 and three of the coins are dimes -- what are the other coins and how many of each. ..that type of thing.  I stress that while IQ is important -- what is more important are other qualities such as character, learning from experience, attitude, resiliency, etc.    I would also add that unfortunately research shows neurocognitive diseases such AD, etc. are very unkind to the extremely intelligent.

I have been a member of American Mensa for years....and find it to be a very valuable wealth of information -- ESPECIALLY  in regard to the testing and studies they have done on gifted children.  Very interesting research and publishing in their magazines of information on smart kiddos (like yours I am sure.) 

: I left Houston and moved to Chicago increasing the average IQ of both places :)

AND if you are going to dis MENSA -- there is another organization called Intertel of which I am also a member whose IQ requirement is 99.9.   What we actually do is covert -- but I am at last relieved that they can no longer harvest my eggs :)


Some interesting facts...

In 1960 the average yearly income was 4,743 dollars.

I'm looking in my 1960 Sears catalog right now:

Console television 23 inches  - 429.00

Reel to reel tape player - 279.95

Gas range 289.00

13.8 cu ft (can you say SMALL?) refrigerator - 369.95

Can you see how expensive these things were back then in comparison to income?  You can buy a really good sized refrigerator now for about 700 dollars on sale.  That's not the fancy schmancy one, but it's very cheap compared to our average income.  Same with everything else.

In my 1973 Sears catalog we have a microwave oven for 500 DOLLARS! 

My point is, many things are very cheap now if you take a historical look at it.

Here's 2 facts- the Lap-Band.....sm

The risks of the Roux-en-Y include organ failure and death.

The risks of the Lap-Band do not include organ failure and death.

I type this everyday for 2 years now so the facts come from the professionals and not me. 


Opinions as facts
I know what my job is - but I also know what the doctors job is and that is to provide adequate patient care, for which this particular doctor often does not do. I just hate having my initials on the reports. There are many times that I have thought of turning her in, but with doctors patrolling themselves it is unlikely that anything would ever become of it. One of her colleagues has a double-digit infection rate for knees, hips and backs - and somehow he is still in practice. At first I thought maybe these patients were seeking him as a second opinion or already had the infection until I looked further into their records - he works with the same group in the same OR and that is where the infection is coming from. I wish they would just shut them down. It is heartbreaking when a 20-something loses his leg due to an infection - and then the next three reports are also infected patients of his. Maybe I should just get out of this business. I think it has taken its toll.
your facts. not mine. nm
Get your facts straight
"This whole mess" as you put it started long before Clinton became president. Also, remember he was dealing with a Republican congress, which is where NAFTA originated. Reagan was the culprit - it was during his decade of greed that America put itself up for the highest bid - like a lady of the night.
Get your facts straight
I cannot believe how ignorant some of the comments in this section are. Physicians from other countries go to medical school in their own country. When they come to the United States, they must pass a Foreign Medical Graduate examination. In addition, they must complete their residency here in the U.S. They also must pass the test to obtain their medical license in the state in which they wish to practice. You don't just go to a mediocre school in another country and then come here and set up practice.
my facts to back it up are...
I have been doing this now for 16 years. I am not a newbie. And you all made my point. You are working when your children are napping, or when they are in school, or when your husband it home, or after they go to sleep at night - exactly what I said - you have to work the job - you are not attending to your children and working at the same time. Okay, you are willing to work from morning to night to make your money and if that is what you want to do, then that is great...

My facts to back this up are that I had 2 young children when I started transcription and I had to work 3rd shift because if I was on 1st or 2nd shift they wanted to know why I "played on the computer all day" or "why won't you play with me".

I also have a sister who is a medical Transcriptionist at home and she takes her child to a daycare everyday because she does not want to make her feel neglected if she has to work while the child is wanting to be paid attention to and she does not want to get fired when she cannot produce what she is required to, and she does not want to be homeless when she cannot pay her bills. And she takes a vacation whenever the child cannot go to daycare because it is just not profitable for her to work with the child there.

I also have a good friend who is a transcriptionist and she hired a babysitter to come into her home 5 days a week and keep the children in another part of the house while she worked because she could not devote her attention to the child and work at the same time.

I never said you could not benefit from keeping your child at home, but you cannot give your child 100% and give your job 100% at the same time. At any point in a day, you have to choose one or the other.

And those are my facts to back up what I am saying...
Please don't speculate. Can we stick to facts?(sm)

Speculating gets us nowhere.  Does anyone have any facts yet?

Not angry, just stating facts. Look around.
lol, just stating the facts ma'am.
You'd like to hit a nerve, I'd like to stick to facts
My comments weren't made to bicker back and forth with someone who wants to have a personal war and claim touche' afterwards. They were made of my observations of what I saw with smooth transcription flow. I have no control of your choice to twist them. You know nothing of me, only that you did not like my observations. Call it whatever you will.
not flaming you, just stating facts. sm
no one can clean up enough themselves, but Christ can clean them up. Maybe you would want to discuss on the faith board? I assumed by the tone of your posts over there you were a Christian but I assume not now. Didn't flame, but will pray for you.

I too have been to h*ll and back by the Grace of Christ he brought me out of it.

Just reading your posts on this side of the boards you sound like a miserable sad person. Christ can change that if you let him.
The accounts are old and she keeps her accounts TRUSTING she hired the right MTs
who if in doubt will ask questions regarding reports. No one can find all mistakes in all reports and that is human to have a report with perhaps a typo. You think anyone reads through all the reports of a national company before they get to the hospital? Not a chance. Some random QA is supposed to correct all mistakes? Not hardly. Doctors/dictators make mistakes too. We all do. So do QA people. So the thing is this person hires good people who are trustworthy, the hospital likes the way she does their account and life goes on quite nicely w/o hovering editors/QA people. BTW, who QAs the QA people on your accounts. Ever wonder?
Also, if buying an analog TV, get the facts if it will be compatible or not...(nm)
He's stating statistics and facts. You're LOL-ing
for lack of any facts, stats or intelligent statements. You are showing your ignorance and lack of education and class, as well as your resentment and jealousy of those who have successful lives because they got off their butts and did something - like go to college and control the direction fo their lives instead of blaming other people for everything.

Typical loser.
Give them REAL facts and sources to

LOL, Commie News Network? Facts? LOL

You get your news from CNN?  Well, that explains a lot.  As far as being ready for kids...Plenty of people have only as many kids as they can support themselves, AND buy their own house, AND provide for their own retirements.  It's called planning, not reproducing to the extreme under the umbrella of being a "good Catholic" and then being unable to provide.

And I was stating facts based on my experience..nm
I would do research on eating disorders and get some facts.
and not in an accusing way. Also Tyra, Oprah, Dr. Phil, they all have had and will continue to have shows on this issue. If you catch one, tape it and watch it with your husband and then get her to watch it. She may have a low self-esteem from being overweight and needs some encouragement and love. Spend time with her and show interest in things she is interested. I am sure Dr. Phil's web site addresses this issue and gives advice. Is her mother in the picture, and can the two of you talk? If so, I would talk to her. You need everybody on the same page IMO.
Good Luck
Facts and statistics from the Medical Records Institute

Medical Transcriptionists

Well above 90% female with an average age of 49

Most were on-the-job trained for years prior to the development of formal transcription curricula

Majority of new entrants receiving too little education and/or training

Retiring faster than qualified transcriptionists are entering the market

The vast majority resides in the US; however, increasing quantities of entrants are from offshore including

India , Pakistan , Philippines , the Caribbean , etc.


It is useless to supply facts because they don't matter, only emotion. NM
no facts. rumor from an MT poster. really reliable huh? who would have access to this info
bet Frank doesn't even know.
Back up your posts with facts. Do not make vague comments.
Not all accounts are good accounts. One
That should not be the case. Sounds like you need new accountant with strong knowledge of IC deduction.  We save a several thousand on what we pay in taxes based on what I can deduct as at home IC, $2000 off the top for what I pay my child to help with office chores, as an example.  The measly 7.xx% I pay that an employer would pay is well worth my independence in being my own boss.  
How many accounts?

My national employer has 19 accounts in my queue, though I rarely work in all of them in a week or a month.  Still its too many.  I'll often work 5 or 6 accounts in a single shift, despite the promise of a limit of 2 or 3. 

This is a terrible business practice. If you are a dedicated MT, it requires extensive time to review account-specific instructions, not to mention being unfamiliar with place and people names associated with the different regions.  It is unfair to "quality patient care" to bounce MTs into unfamiliar territory.  After all, how quickly and accurately can one transcribe a record when you are overwhelmed with studying your fifth or sixth different set of instructions in less than 4 hours?  I believe the substantial amount of MT shuffling is to slow us down--they have overstaffed and its to their benefit to force familiarity with odd accounts so they can do it again next time.  They do phase people out of primaries and secondaries and even tertiary accounts once they become proficient.  We hear the work is low due to summer slow down, yet they keep sending their "please welcome our newest recruits" memos.

And, yes, I will definitely be searching for a new company very soon. 

I have 8 accounts and seriously,
they do run out of work, but I change my work hours. I know if I get on at 6:30 a.m., I will get a decent amount of lines done in about 2 hours time with the normal interruptions of kids. I usually do get back on in the afternoon to try to finish up and there usually is work for me at that time too. I was transferred to Amherst when our office closed. I have been with MQ for 4 years. It just stresses me out that people complain so much about Medquist and it is always the same people. Why not get another job????? Why do they continue to come here and complain about the same thing over and over and over again????? It is the most annoying thing I have ever seen. I agree that we all need to vent, I do too. But why remain at MQ if you are all so unhappy? Maybe finding another job with a different company will make you happy, although it seems like people from every other company are complaining, as well.
15 accounts......
Yes, but it is important that we post this information. I believe, or at least I hope, that the people at the top need to hear this.

The people at the top management levels read this board regularly. They are concerned about the bottom line. Three things affect the bottom line: production, TAT, and quality.

If you have 2-3 accounts, you will have much higher production, much better quality and TAT will be better controlled. You will make more money because you are not wasting time jumping from account to account.

I believe the problem is in middle management. They are the ones putting us on 15 accounts at a time. (I actually had a supervisor who told me she had asked the manager while she was throwing me at every problem account and her answer was...."Tough S---" Unbelievable.
These are only for MT's/accounts that are on DQS
If your account has never been switched to DQS, I don't believe you would receive a check. This somehow pertains to DQS. It appears that the longer your account has been on DQS, the larger your check would be. But this is all a mystery to us MT's. It may also pertain to certain accounts/clients that MQ had misbilled, per the law suits against them. At this point, MQ upper mgmt is keeping very quiet about this check, so can't help but think that it pertains to the overbilling that they had done to some MQ clients -- possibly we were the MT's who were worked on those accounts. BUT YOUR GUESS IS AS GOOD AS MINE about the purpose of the check, other than they had to pay back some monies FOR ONE REASON OR ANOTHER. Will we MT's ever know ????
Don't forget to call Human Resources and follow up with a written Employee Complaint with ALL these complaints. They think the complaining is only from an isolated few and won't even take things seriously until the written complaints start to mount up.
Try for your own accounts - How did
Those of you that have your own accounts, what's the

best way of getting your own accounts?  I have one small local account that I got from a newspaper services ad eight years ago.  If I had two or three more like this one, I'd be a happy camper.  I've mailed postcards and made cold calls with no luck whatsoever.  I've even done intro letters with business cards to new providers on the city business license list and in response to help wanted ads.  No nibbles there either.

It doesn't even necessarily have to be a local account.  It could even be Internet based or via mail/UPS.  One guy used to priority mail tapes to me from New York back when I had my virtual assistant/secretarial business.

Any positive suggestions are welcome.  Thank you.

New accounts

It is like selling a house or anything, it takes a large volume of people to get one buyer.  Even if I am not looking hard,  I send out flyers every year or so to keep my name out there -- have a lot of people that are willing to subcontract for me.  I also hit the smaller ones sometimes and do the rounds in the medical office buildings by the hospitals.   Send flyers out to smaller cities/towns if you are set up for digital as those are the ones that are sometimes looking.   Do networking with other MTSO's in your area. I know many in mine and we all network together.  A lot of it is being at the right place at the right time as they often just throw our flyers out and that is why you have to keep sending them out.  Offer something unique -- I cut apart chart notes and that helped with a couple of accounts.   Stupid but they love it.   Also accounts that use transcription services -- take them a flyer personally with some cookies -- it does work to get it to the manager's/doctor's desk it really does.   I have also offered my own accounts a "finder's fee" if I get an account.  Anything works.   I have gotten a few through the yellow pages.  But it takes time and persistence.  One mailing does not usually do it as there are a lot that start up and stop so if they see it once or twice, they remember it.   Good luck.   Keep your prices fair and offer a good service.   Patti