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Serving Over 20,000 US Medical Transcriptionists

Sick of this us-versus-them mentality between MT and QA.

Posted By: We have enough problems in the industry. on 2006-11-28
In Reply to: Need to vent . . . - flying fingers

Everyone has a job to do, whether MTing or QAing. Each one is designed to participate in producing a high-quality product.

If you don't like the relationship between the 2 positions, you should probably find another career. Oh wait! There will be quality issues with ANY job!

Sorry. Guess you're out of luck!



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65 character line versus gross lines versus pay by word

I am checking into other options for transcription.  Can anyone tell me how to compare all of these types of lines & also payment per word?  I know companies use different scales, so I wondered how they compare.  I have been paid on a 65 character line with spaces, but I may be making a change in the future - don't want to get burned.


Thank you in advance!


I AM SICK, SICK, SICK AND TIRED

Of bad dictators and QA that takes up for them!!!!  I am sick to death of:


1.  Doc saying paragraph after every sentence.


2.  Docs never dictating the first name of doc they are writing to.


3.  QA asking us to insert certain sentences in certain places for certain doctors who do not dictate them.


4.  Docs wanting their own specific headings but not dictating them.


5.  Docs who ramble, never saying period.


6.  QA asking us to **fix** their grammer, mistakes, fragmented sentences, and verb tenses and sometimes when we do, we are docked points for **not transcribed as dictated.**


7.  QA not wanting anything sent to them, stating **researach medical terms and facilities you are not familiar with.**  If they are not there to help us out, what are they doing there????


8.  Docs, NPs, and PAs who do not know how to dictate, pronounce, or spell.


9.  QA asking us to use BOS, but not knowing it themselves.


10.  Doing work I do not get paid for.


Before QA became involved, in years gone by, if a doc's dictation was awful - then that is what he got for transcription and more times than not, they would straighten up and make a better effort.  Not now - we or QA has to almost do the dictation for them!!  They are the ones with the medical degree - not us.  What happened to us just transcribing what is dictated.  Why can't they be responsible for what prints out??  If someone could let them know how much trouble their dictation style causes, it would cut my transcription time in half.  My list could go on and on.  It is a terrible time to be thinking about getting out of the business, but if this crap keeps up - I have to give it some serious consideration.  The job just AIN'T what it used to be.


They still have the plantation mentality
They are waiting around for the Big Master to come take care of them.
It's just a symptom of our mentality... Let someone else take care of us so we can
s
Typical welfare mentality, just sit with
your hand out and do nothing to help yourself. Let the taxpayers take care of you. Never take any responsibility for your own welfare or the welfare of your family, just collect the welfare bounty that everyone else pays taxes to provide. Why shouldn't people be prepared?
Typical care about no one else mentality
Typical me..me..me, dont care about the rest of the people, lock me and my family await in a gated community and who cares about anyone else mentality.  God help you if you are ever the victim of a disaster and did not have the time or money to buy supplies.  I sure hope every one around you has your attitude and you feel the pain of hunger and thirst..Hello, America, where are you?
Tired of the victim mentality
I am so tired of the victim mentality in this country. We are supposed to make up for black people's ancestors being slaves-- well, that was over 100 years ago that they were freed and had plenty of time to do something about their situation. Other minorities have had things done to them, as have Caucasians. The idea is to GET OVER IT and get on to making a better life, not sitting in a woe is me attitude and wanting something for nothing. The people who are alive today had nothing to do with what happened in the past. It is true that only Caucasians are made out to be racist, but there are racists among every color, nationality, etc.
The "some day my prince will come" mentality
Soap opera thinking will get you every time.

When was the last time you saw a man think like this?

So middle school IMO.
I agree with you - but, I was once of the mentality that I could type sm
and therefore could do this job. I was lucky - I had a company willing to train me. When I look back, I still don't know how I made it through the first year, but I am so glad I stuck with it. I'm probably a "fluke" in this business with no training whatsoever before I started, but I was determined to work at home, and here I am.
It hurts me to see this 'us VS them' mentality......sm
As far as critical thinking in nursing, it means something completely different that it does in MT.

Many of the errors that we see in reports these days are a product of VR. The push is on the MT to produce more and more reports for less and less compensation and unfortunately, some things get missed ----- and yes, they are sometimes hysterically funny. Being a former MT, I always let the person reading the report know that the account is being done by VR (which is true at the hospital where I work) and not a "for real" MT. Not one person that I have spoken to about VR had any inkling this was the case.

I worked as a trainer for a national and can tell you personally that I trained RNs who wanted to make the transition to MT. Some were excellent, some marginally OK, and some just terrible. I am sure that if the reverse were true, some MTs would make excellent nurses, some would be just marginal, and some would be just terrible.

There are different skill sets involved in these two jobs. If a patient were going bad, I wouldn't care if the nurse had good grammar and could spell, as long as she knew what to do clinically for the patient. By the same token, if an MT can produce an accurate, grammatically correct medical record (something that "verbatim" is making obsolete LOL) I wouldn't care if that MT couldn't insert a Foley catheter or start an IV.

I think it's just a case of not having a working understanding of each other's skill sets.

Just something to consider.
I agree with Hayseed! Don't go into it with the mentality that
you have been "cheated" but that an error was made and needs to be rectified. I don't know how long you have worked for the company you are speaking of, but if it has been awhile and this is the first time this has happened, it is more than likely an oversight.
EXACTLY - it'll never affect me mentality.
I signed, sent to everyone I know and asked them to send it to everyone they knew.  Start believing we can make a difference. 
This is the blame the victim mentality. You are not alone in this situation. sm
It isn't just you. The situation you're talking about is really tough. I don't know what the answer is but I know it is impossible to do a good quality, profitable job when you have zillions of different dictators.
This mentality is the very reason MTs will never unionize successfully.
nm
That "it's everyone's fault but mine" mentality.
x
Typical bleeding heart everybody is a victim mentality, except of course...
those who are smart enough to not get pregnant at 14, finish school, work hard, and pay for  and provide for themselves.  Then they are villified by YOU for not wanting to just give it all away to those who have NOT made good choices for themselves in this infinite land of opportunity that we live  in, the same country where  people around the world are knocking on the doors to get into, and HAVE  come here and taken advantage of the opportunity here.  Opportunity doesn't mean it's handed to you.  Sick, young, old, down on luck, or having a rough spell is one thing, but a lifetime of mooching is something else.  There IS a difference.  But that shades of gray world you live in doesn't allow you to see with any clarity.
Question versus gross lines versus 65-character lines....

I have always charged or been paid by 65 or 60 character lines or per letter or space typed, but have never been paid or charged per gross line.


What is the advantage of this?  If I were to charge 11 cents per 65-character line including spaces, what does this figure out to for an average line rate and how do you do this calculation? 


I'm wondering if it is financially beneficial for me to bill by gross line or to keep it the way I have it.  I do know some accounts will only pay per 65-character line, as this was the deal my first own account I recently acquired.  They were adamant on a 65-character line, but didn't specify with or without spaces and I personally would never not charge for spaces.


Thanks for explaining this.  I appreciate it and hope everyone has a speedy day.


small mentality usually means small pocketbook
Still make more than you and I but that is deserved. They've put the effort forward and educated themselves.


sorry you are sick
You should probably try something orally like Pepto or Imodium, doubt the other would work but if you call pharmacist they would know for sure
Yes, you do seem a bit sick. Maybe you should

Small talk is a bridge that connects us to people, and let in what might be a close relationship, whether it be friends, or mate, or whatever.  This is how people break the ice to see whats deeper. 


I, like you, became defensive and withdrawn being out of it for so long, and thought everyone was the enemy and out to get me.  Once you change your perspective, you'll realize its not them, its you, you're the one who needs to change to become happy. 


The world is not negative, dreary, and awful, that is just how you see it because you're isolated and scared.   


I am far from a know it all, just sick of MTs like you who cannot think.
I have some great MTs that take feedback, get their scores up, and go completely off QA. But then there are the ones like you who think your own low scores are the editors fault..you couldn't be at fault oh no!! LEARN YOUR JOB! You are on here arguing with people when you should be figuring out how to be a transcriptionist or better yet, a manager at McDonalds!
I used to do that, cause I was so sick of it, but
supposedly now our company started where they will deduct from your paychecks any reports that are sent back, so I just do them.   A lot are still being sent back though, so I doubt if they are enforcing this.
I know what you mean. This is so sick.
How about we discuss too when the world is going to end.
sick cat
Help. Our cat stopped eating about 5 days ago. She will eat maybe 1 bite a day, does drink water.  No upper respiratory signs, no vomiting/diarrhea, she just sits very still for long periods.  Can't get her into vet for a couple more days.  She is getting very thin, not grooming herself.  Tried fancy food, things she likes, not interested. Any suggestions?
sick cat
Please see your vet ASAP! My cat, recently deceased, exhibited these same signs and it turned out she had pneumonia. I was lucky and she ended up living for another year and a half. Yes, if your vet will not see you on an emergency basis, get another vet! Good luck to you and Boo!
If you think I'm sick
then why are you on my site.  Go elsewhere.
If you think this is sick
you should read my journal.
sick son

Emetrol for nausea.  Always worked for me.


Bo sick?
What's wrong with him?  I love him.  He was my pick on the last AI.
sick of it?
I don't think I will ever get sick of it, and I have been at it for over 20 years!   The only thing I regret vocation wise is not sticking with my nursing school.  You know the story... got married young... decided I wanted big $ instead of nursing school and there it went!  So i guess i get my nursing vicariously through transcription!  I do love being at home and being my own boss though!
I am so sick of this!!!!!!!!!!!

I can't help but vent. I was at a family picnic last weekend and YET AGAIN someone approached me about "doing what you do at home".  Uh, you mean my JOB?!?!?!?!?!?!


She said she is trying to get some family member of hers to "do what you do at home". I gave her a bit of a blank stare at first and then as NICELY AS I COULD I explained to her that it is a great job but anyone considering it should know that working from home isn't as easy as the advertisements make it sound. (this is someone who I don't know well, picnic was at my sister-in-laws and she had her side of the family there as well). Anyway, I explained to this lady that I have been doing this for 20 years and I went to school first, then worked in doc office 6 years, then hospital 4 years, then home.  I told her that companies want people to have at least 2 years hospital experience before working at home.  AND, most hospitals want someone to have some MT experience before hiring them.  So I told her not to think that it is easy for someone to just starting ~typing at home~ right away


She then *explained* to me that her sister lives near Cleveland (we are from a small town) and that she would probably have a better chance to work from home being from a bigger city.  I then tried to explain that I work for a national company and that is the standard for the entire country.  She didn't say a word.


HONESTLY I think people really think that we have a nonskilled job, like anyone can put a desk and computer in their home and sit down and start doing this.  UGHHHHHHHHHHHHHHHHHHHHHHHHHHHHH.  I just wish people would understand that it is a real job!!!!!!


 


sick of MT
Totally. The people who run these companies are total scam artists, and their QA and staff are a bunch of brainwashed illiterate idiots who believe they are "wonderful". I hate these people so much, I will collect welfare before I submit to slave wages and condesencion from perky housewives with GEDs screwing honest skilled workers out of money and loving themselves for it.
Everyone needs to take a sick day now and then!
It truly sounds as if you are sick to me. You might feel better sooner if you rest more and actually need to take less time off in the long run. I have to say that I have typed many times when sick and always thought I could, but the one time I had strep I was so ill I actually had to take off three days AND the weekend in order to begin feeling better. Do what you feel you need to do! :-) Hope you feel better soon.
When you are really sick, take someone with you.

This is one reason that I advise anyone who goes to a doctor when he/she is seriously ill, to take someone with you.  I mean, bring your own advocate right into the examining room, if possible.


Twenty-five years ago I was working at a nursing home on the night shift.  Part of my job was to recopy the doctors' order sheets each month.  They were then mailed to each doctor, who would sign and return them.  Part of this page was provided to Medicare as PROOF that the patient had been seen during the required time period of 60-90 days.  Without the required visits by the doctors, the nursing home did not receive the money from Medicare.  I reported this situation to a long-term care advocate/ombudsman.  Nowadays, I understand that there is a main physician at the facility who may or may not actually see the patient, but he signs the papers.   


 


OH MY GOD! SICK!

You make me sick!  You are obvious.  "A few" are legal. "Good luck finding a decent, well groomed, good hygiene one who is illegal. Alot of them are thieves also"  - how dare you.  I live in South Texas and have lived in California and in Chicago, where the populations of Mexicans and Mexican-Americans are dense, and I probably more than you have had my fair share of contact with "those people" becauase I am one of them - so I guess I'll send myself back to Mexico because my ancesters 125 years ago came across illegally, right?  You mask it well under the pretenses of "oh, my taxes," blah, blah, blah.  Yes, we have a problem with illegal immigration, but sorry, honey, you will not send them all back; yes, they need to be stopped; but because you've had bad experiences with some Mexican nationals, does not give you expertise in all things illegal immigrant - and STOP CALLING THEM A FREAKIN ALIEN!  If you'll notice even the media has stopped that nonsence!  Peace!


 


I'm sick of it 2...
It's not like we're salaried workers who get paid the same amount of money whether we sit around and eat bonbons or work ourselves into the ground. I can't AFFORD to be lazy and try to "get away with" something - if I don't produce much I don't get paid much - why don't they "get" that concept? THEY are the ones who get paid a set annual salary no matter what they do. One day very soon it will all come back to bite these CEOs who sit around thinking of ways to nickle and dime us while insulting our intelligence and skills, which are considerable - and I personally cannot wait until that day.
Car sick
I'm out of town 3 days a week working as a nurse and do MT from my motel room. I just know I couldn't do this from a moving vehicle. I've always been prone to car sickness and it's gotten worse over the years, especially if I try to read or look down at something. UGH. I'm thinking working on a plane or train or maybe an RV would be different since the smaller the vehicle the worse it affects me. Ooh, and I can't ride in the back seat at all anymore. Let me know if it works for you!
I'm sure they get sick
but I doubt that Indiastanippines really requires (for their own patients) the degree of documentation that is demanded in the US by insurance companies, the  malpractice system, etc.
I am so sick of all of this.

This has to be the most underhanded, greedy, bold-faced attack on our salaries that I have seen in my lifetime.  It is just a ploy to keep more money in the MTSOs grubby hands. 


Our fingers are still hitting that spacebar.  Our fingers are still hitting the tab key. 


How about this -- we don't touch any keystroke we are not paid for!


But people will stay and people will take it until all the work is eventually offshored to some other stinking country. 


I can't wait to finish school.  I have had it.  I already left my MT job with a national for a smaller local hospital that still pays an hourly rate.  But I am just keeping this job until I get through school.  And it is not related to medical or typing or transcribing or anything close. 


This industry has become one big scam!


Most of us are just sick of talking about it
x
I am so sick of ESL dictators!

What a lousy day!  I am sick to death of getting 100 different doctors a day and maybe one of them speak English.  Makes for a very long frustrating day.


What are you sick of, the truth?
Someone finally not letting you trash MQ? If you can't take the heat, get out of the kitchen, seriously.
What makes me sick is all of you big
digusting MTs trying to make people see things your way and if people don't, you jump all over them. So, here is a dose of your own medicine. If you don't like it, don't read my posts! See ya!
What a SICK outlook! Why would she need to...

"suck up," as you so graciously put it???  She likes the software.  She said so.  Why would you think you are in a position to judge HER????? 


Perhaps you have done some sucking up yourself, so you are thinking EVERYONE is not sincere with a compliment????  Not everyone is as transparent as you are.    Do you feel better when you slam someone when you think they might be exhibiting a trait you possess???  Counseling may help you.


sick cat reply
Sandy --

Take your cat to the vet and get its teeth checked. My mom's 1 cat recently started acting the same way and when they took her to the vet, she had an infection towards the back. My mom got her on antibiotics and since then the cat has been eating and drinking like crazy and is back to her normal self.
YOU ARE A SICK FREAK!!!!!!!!!!!!!!!
x
LOLOL, sick.
x
Or did somebody or on vacation, or did somebody get sick, or
x
Ok, are ya sick of turkey about now?

Sick of no work
In the past 9 hours, I have been able to get 300 lines.  I have been out of work all day.  Every new job I get, same problem.  Where does it end?  How does one pay bills like this? 
I am so sick of transcription!

After 24 years I am just so thoroughly BORED with it!  It is all I can do to sit here all day and do this.  I have stayed with it all these years because where else can I make this kind of money?  But I wish I had learned to do something else.  Does anyone else feel this way?