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Serving Over 20,000 US Medical Transcriptionists

They offshore, frequently change their

Posted By: me on 2006-03-23
In Reply to: Workload? - Lorie

pay scale so it s/l you are getting big bucks but are actually getting less, dictators difficult (at least on acute care), sound quality not so great.  Lots of posts about how disorganized they are and many unhappy MTs.  S/l there would be lots of work because many are leaving.  Company used to be called Transcription Solutions (I think). 


A few years ago, when I had 15 years' experience in acute care, they asked me to send a resume.  I'm not sure how they got my info, but I did send resume.  They were looking for at least 5 years' experience.  The recruiter then told me I didn't have enough experience.  I had not even tested.  They contacted me because of my experience, so not sure what that was about.


Recently the MTSO contacted me, I tested, and aced the test.  The MTSO was very anxious to hire me, but I wasn't interested after their offer and hearing the quality of the sound files.   At that time they were not offshoring, but they are now.  I was again offered a position to QA the offshore work, which I was told was "surprising good"  - NOT. 


 




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Please post offshore topics on Offshore Concerns board. (NM)

Thank you. 


Goldbird


Not this many, this frequently,
..
I think the FREQUENTLY mentioned ones
if you'll check are the ones who are talked about on this board quite often. The good ones are only talked about infrequently, that's the only point I got out of this whole thing. Can anyone name 1 company that called them after a month and offered them ANY raise at all. I'm interested if anyone can. I only know from my own experience that I only get raises when asked and have only had 2 in almost 10 years and they weren't more than 1/2 cent, so I think the author of that is correct in their viewpoint.
I've been getting this frequently
I assume they've been getting a bunch of blanks lately (due to their slurring/mumbling/chopping off words in mid syllable) and assume we don't understand the particular words that were blanked, instead of listening to their blanks and realizing they were incomprehensible.
Even 4.5 is too low. doctors do not change - they still hem and haw, change, change stuff along wit
It is just not enough for the work. Speech is great on the wrists but you are not just reading what is typed, you are making a lot of changes. I have a hard time doubling a lot of days with all the changes I have to make. Just my opinion.
I drink hot cider frequently and it doesn't keep me
awake.  Apple juice is a stimulant, but stimulates the other end.  
'and it certainly does not seem to be any of the companies who are mentioned frequently on these
boards.'  This statement is not necessarily true.  I know of a number of companies mentioned right here on this site that treat their employees/ICs quite well.  I know because I maintain informed.  I have friends who work for different services and they tell me of their experiences.  The poster should have researched a little further before making that statement. That is that one posters opinion, but not the opinion of everyone. 
I travel frequently and I have not found this to be a problem.

You can either search on-line or go to store like Office Depot and look at keyboard trays.  They have them that will clip on.  You can clip one to a table.  Many times I've propped a pillow against a table and put the keyboard tray on the pillow.   I've worked at a picnic table with a folded towel on the edge of the table.   The height isn't the best and the towel kept the hard edge from pressing into my wrists.   I've used a bed tray and put my laptop on top of that and placed the keyboard underneath. 


I'd try a few things now before you go.   I found that if I had to work I found a way to get the job done.   I've even typed on the laptop keyboard with the laptop on my lap as we are going down the road. 


You aren't alone. I am frequently mortified and embarrassed by commercials.
Pepto-Bismol's little song, Charmin, that Tampax commercial..ugh!

When I was a child I used to wonder what Preparation H was for because the advertisements never really said. I wish that was still the case!
I'll give it a go. Fortunately I don't have to punch in and out so getting up frequently won&
be a major issue and will probably be better for me in the long run anyway.  My feet swell horribly and my rear hurts after about an hour and being more mobile will probably help those too. 
I think people with higher IQs actually frequently feel insecure,
and people who razz them or put them down. It's not hard to get a complex about something that personal when people get down on you for something you can't help, and had nothing to do with creating. God-given gift. And then when people FLAME you for it, it hurts. And you go back into "turtle" mode and get a job as a Transcriptionist because machines don't bite.
Go to frequently asked questions at bottom of site..sm
it will tell you how to spread the word with other locations to post the link.
Don't change. I had to change back to cable. SuddenLink DSL stinks! nm

nm


Change provider vs change to business plan

In your place, I would seriously consider changing providers if there were others available in your area, but I'd ask around about their service quality first.  It may not be any better.  If there are no other providers, then consider changing your service package to a business account rather than residential.  They're usually more expensive, but they also tend to get faster service if there's a problem.


Last summer, I had no electricity for 3 days due to severe storms, but there were some 600,000 in the same boat with me.  We just had to wait it out.  It's a downside of working at home.


change attitude, change life
The first thing you need to change is that defeatist attitude! I know that's hard at times like this, but that's when you need to most.
I won't go into detail, but my financial situation is also at an all-time low, we couldn't even exchange gifts., daughter in hospital twice, & no med insurance)..but then I heard about how much worse things were for others around me this season. Now I'm thankful instead!
Get out while you can. Things will *never* change unless you change them. (nt)

You do know that they offshore, right?? Despite what they tell you -
about the hospitals asking, other hospitals have no idea that the accounts are being transcribed offshore!
They offshore and looking to do more. I have
nearly 20 years' experience in acute care, can do even the most difficult ESLs and they offered me 8 cpl, 8.5 cpl over 18,000 lines/pay period. 
does not offshore
AccuStat Carolinas does not for any of their clients
They offshore. nm
 
Try not to offshore.
They might get it done faster/cheaper, but it is going to look like crap. How happy would your clients be then?
All About Offshore

Sending the work offshore can and does work for a couple of reasons.


Firstly the time zone difference, while the US sleeps we are transcribing and the reports back on the specialists' desks, so to speak, when they arrive at work the next morning.


I do not take issue with the fact that you want to keep the work on your shores, but I do take issue with the fact that you think the rest of the world is Third World and incapable of producing work of a high standard. Believe me, there is a world out there and its name is not the US, contrary to what you might think.


A.


 


Even if they never offshore....sm
when their contracts renew they will be competing against the offshoring companies and the companies offshore already who will bid them under the table and they'll lose the account.

There are several interesting threads, articles, and blogs across the internet concerning the dying industry of the small MTSOs because of not having the capital to keep up with the technology and equipment needed and the decreasing line rates and increasing turnaround times that the facilities are demanding - and big national companies can offer them these things, so they can blow the small MTSOs out of the water.

There is no such thing as security in any job, but the MT industry is on even shakier ground. When your small MTSO has to sell out or loses their contracts and you lose your $36/hour client, you will find that very hard to replace when you go out into the new world of MT and try to find a comparable job today... there just aren't many out there and those that are have hundreds of MTs applying for them.

Now that's getting real...
Offshore
This is sooooooo not true. I work an afternoon shift and have friends/coworkers who work the midnight shift. Despite, this, even during the day shifts, the company we work for is sending all of the easy work offshore, leaving us domestic suckers to do ALL of the ESLs and otherwise hard work. This work was being stripped off daily, in ever increasing amounts --- now it is gone completely. Most of us do not mind doing all of the work as it comes --- but it absolutely sucks that we are being treated this way.
Offshore VR (sm)
I would think so. Personally, I think VR is better suited to newbie MT's and non-English-speaking transcriptionists because VR has a tendency to get the medical words right while totally mangling sentence structure, grammar, proper nouns, and other nuances of transcription that are more easily picked up by novices. Since the medical words have a better track record in VR, it thus becomes easier to bring in low-paid trainees.
Are you offshore?
Your grammer is soooooo bad,  I can't take you seriously.
Oh, I have too, for offshore ads. But not U.S.

Oh so you are another offshore supporter?
Sounds like YOU may be the creep.
Offshore Ad on this site?
I was just over on the State Boards forum and saw an Ad for AAAMT saying they charge 5.9 cents per line.  Unless they have monkeys working for bananas, they must have offshore workers because we could not put bread on the table for what they would have to pay after Charging 5.9 cents per line.  They offer everything that the big MTSOs offer at 1/3rd to 1/4th the price so I think we can be sure they are not hiring US MTs.   I believe MTSOs usually pay the MT around one-third what they charge so at 5.9 cents per line, we would be making around 2 cents a line.  Ads like this make me question this site's loyalty to US MTs. 
You are offshore and got caught.
/
Nope, even more would end up offshore.
//
They also offshore to Trinidad.
y
Transcend does not offshore
but they are going to voice recognition which has a lot of bugs along with a paycut to about 4 cents a line. There are some other posts on this page about good companies because somebody else asked about them and they made a decision about it. It is probably your best answer. Sorry about the job loss. Why do things always happen around the holidays? Good luck to you.
Don't they offshore big time?
I've never worked there, but I've heard they will undercut American MTs just to send the work overseas.
I beg to differ, OSi DOES offshore.
Or, trying to kid, it is a very well known fact that OSi offshores.
They OFFSHORE and are wanting to do even more.
Pay not that good.  I have 20 years' experience in acute care, can do ESLs and was only offered 8 cpl. 
Which companies do we know do NOT offshore?
x
re: Which companies do we know do NOT offshore?
Transcend.
Amphion Does Not Offshore
www.amphionmedical.com
They offshore, pay is average. nm
 
Cymed-offshore

 


Well, thank you!  You just answered a question I asked Cymed.....and they never answered! 


offshore crap
P
If all they had was the offshore companies
to transcribe, do you know how unhappy the M.D.'s would be.  They are already complaining.  There would be enough jobs if no one worked for the offshoring ones.  Idealistic?  Yes, but.............
Offshore concerns

They are smart , and that is why the jobs are going to them! Jobs don't make people smarter; smart people do their jobs well. If you don't believe this then you must question the wisdom of the American MTSOs and companies that outsource. As I have said before, all Indian MTs are not bad and all US MTs are not good. I've seen excellent quality from India and poor quality from the US - that's the other side of the story which none of you wants to see, let alone admit.


 This is why I call US MTs insular. If you will only look outside of your own town/state/country you will see how the world has changed and the so-called developing countries have advanced in many ways. 


The problem with the US is it has been functioning too long in a  cocoon, sheltered and protected. But with the coming of the global age, competiton has become fierce and jobs are moving overseas and it is now finding it difficult to cope in this new business climate.


You say "sadly" because it affects you but have you ever wondered how Indians like it when American companies dump poor quality goods on them and Indian businesses have to shut shop because they can't bear the  competition? Of course most of you would not have heard that pesticides were found in  bottles of a premier American brand of soft drink sold in India!


Instead of treating "offshoring" as some terrible phenomenon, it is high time US MTs learned to accept the situation because this is the New Age Economy where everything is decided in competition.


 


if they use the BOS on offshore sites.
If so, the AAMT must be making a killing.
Offshore telemarketers
I had one call for Direct TV. I answered the phone and he was having a conversation with his buddy in their native language. I said hello about 3 times before he said hello. I said hello again and he hung up. I called the number on the caller ID back and another foreigner answered, asking if he could help me. I told him I didn't know, they called me. "Well your number has been selected to receive a free system. How many TVs do you have?" I told him I wasn't interested. "Is it because you have cable?" I told him no. Then he asked if there was any particular reason. I paused a minute and said no, not wanting to be mean. But I think the next time, I will be getting the number for the corporate HQ and contacting the company directly and filing a complaint.
And you wonder why people offshore...
"As soon as company has to place these kind of restrictions they will need to bite the bullet and hire employees"... when people get to be too much a pain in the a--, they WON'T bite the bullet and hire employees, they'll hire Indian MT's. Do you know what a PAIN it is to do the government forms that come with employee status? YIKE.
I never heard of that! For a while, offshore
companies weren't welcome to advertise, but I have never heard of MTs not being welcome here, no matter where they are from. Perhaps you are thinking of companies and advertising, but that was a while ago.
Offshore Can Work
Dinosaur,

You are also making an assumption that this is a US/Asian thing while it is not. I am in fact an English-speaking South African. The fact is we do not run sweatshops, I earn more from my own doctors here than I do from the US clients I work for. There were various posts, I was not singling out yours, that inferred things like "pseudopsychologists", "sweatshops" and the like. In fact, there were posts that referred to the poor quality of work. I really do think that one of the big reasons offshore does work is because of the time zone difference - and that's not a bad thing if patient's can get back their reports timeously. Is it so foreign an idea that we could possibly work harmoniously together?

AnnieK
Offshore can work? Obviously it can and does....sm
But once again you're missing my point. Yes, the time zone difference makes it advantageous to send work offshore! Yes, it is a good thing to get patient records in as expeditious a manner as possible! I'm glad your not running a sweatshop, however, I never said that offshore transcription companies were running sweatshops! Yes, I am guilty of assuming (based on previous responses to my postings that you were from an Asian country.) Mea Culpa! Sorry, just an incorrect assumption on my part.
But, you are missing my point! Americans cannot compete on an equal basis with countries whose economies make it possible to live well on what is well below the poverty level here in the US. Just a plain, unpalatable fact! As an American I am asking other American transcriptionists to make our Senators and Congressmen (and women) aware of the complexity of offshore outsourcing in all fields. While it has it's benefits it also creates unemployment. America cannot survive if all jobs that CAN BE done by professionals overseas are outsourced. Furthermore, other than the time zone difference, the only reason work is being outsourced is money. Money that is going back into the coffers - not to build up the company, not to expand, but, more and more often only to be placed into the hands of the CEO's. CEO's that get "golden parachutes", CEO's that get fired for mishandling the company and take their 100 million dollar "parachute" and leave - only to take another CEO job that may or may not be good for the company. There is no pre-requisite in their contract that the company make money or do well! That's why we're being nickeled and dimed to death here. Greed and avarice!
I don't believe in socialism, I am a firm believer in democracy. However, I believe in taking responsibility and doing what is not only good for "me" but what is good for the country. Old fashioned and out of date, maybe, but I think if America is to succeed in the 21st century we need to start thinking about what America and Americans need and not just "get mine while the getting is good".
So, I have no problem with working harmoniously with any group of professionals. But I do have a problem with the fact that Americans are losing jobs due to economics. Especially since I believe that the factors leading up to the economics is due to greed and mis-management.
Keystrokes does not offshore
x