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Transcend has taken on new clients and Spheris offshores so they are not allowed to

Posted By: post here. Administrator nm on 2005-08-01
In Reply to: Same companies posting... - Renee

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Read the post again, it says Transcend is taking new clients. SPHERIS offshores therefore they are

Transcend does not offshore and they are sponsors of MTStars.


Administrator


Spheris offshores - they are not allowed to advertise on this site - sm
I hope that helps in your decision making.
Transcend does not send work offshores...sm
and continues to fight against offshoring. 
SPHERIS offshores
They told the hospital I was working in that they didn't but low and behold, they do. They joined up with Healthscribe, who makes no bones about the fact that they have a company in India. COUNT YOUR BLESSINGS THAT THEY HAVEN'T CALLED BACK.
Spheris also offshores to India. Shameful.

Transcend is taking on new clients
But they are also experiencing a high rate of turnover due to their new platform that has a lot of problems and a lot of downtime.  It seems like they're always adding new clients, but the work load has been chronically low for months. Manager said that they have had to overstaff in anticipation of the new accounts, but with getting new accounts often, they have to overstaff often.  Even with the turnover because of the new not-so-user-friendly platform and voice recognition the work is still low and the turnover just keeps increasing because new ones can't afford to wait 3, 4, or sometimes 5 pay periods for it to pick up, and a lot with seniority are getting sick of it and moving on. It will all even out eventually, but who can afford to wait these days, especially when paid at 55% of regular rate for voice recognition.  It don't matter how fast you can edit if there isn't any work and you're only getting 55% of your pay.  Their suggestion:  Take some time off or work shifts that may not be so convenient for you or your family (that's what everyone is doing anyway - so there still is no work).  When my mortgage and car payment is due, I'll be sure to tell the bank that my employer told me to take some time off so I can't pay it this month.  Think they'll be as understanding as Transcend expects us to be? 
Spheris Indian MTs are allowed to work
xx
Little snow globe from Spheris with "All around the world, Spheris
aa
Whoah! I did not know OSi offshores-how do you know this? (sm)

I've only been there 9 months. One of the reasons I applied to OSi was that I heard they did NOT offshore.


I have enjoyed 'almost' every minute of working for them. I have only run out of work twice and then they switched me to another account so I could keep going.  In fact, lately,  I've put in extra time because the workload is so heavy.


I am not fresh out of school, either, been an MT for 11 years, but this is my first national. They pay on time and direct deposit. Bennies are decent. QA are nice to work with, and they all are willing to answer questions anytime. They don't bug you either. No whips are cracked over my head. If I have a problem with my service at home... which I had power failures twice (just my luck-never had any in 15 years), no problem. I made up the hours later.


I'm sorry, but I don't agree with the posts against OSi. They've been good to me, but if they offshore, I'll be thinking differently. Maybe I'll suggest they offshore the ESL work to them.


I really want to know where you got your info on outsourcing. TIA.


 


The offshores should be charging more, too....
... even though lots of their work is cr@p.
company that offshores. sm
http://www.imedx.com/
I won't work for a company that offshores.

Do you care if your company offshores? ...
It really chaps my buns, and I will not work for any company that sends work out of the U.S.  How do you feel about it???
I always ask if the company offshores. I have turned down

multiple positions because the companies offshore.  I'm now in a dilemma as my company has started offshoring.   They are not taking work from me to offshore, but they could not find enough qualified MTs to keep TAT where it needed to be and we were having to work like dogs.  They knew they had to do something so they went offshore.  I'm still not sure what the difference is - if they have to proof 100% of the offshore work, why can't you proof 100% of U.S MTs and train them trained, even getting a newbie, someone who didn't have the attitude that this is they way I've always done it, etc.  I've seen the work that comes back from India and it is not client ready.


I have several years invested with this company.  They pay better than anything I have been able to find thus far, I'm comfortable with my accounts, the platform is easy, etc.   So what do I do now?   There are very few companies that don't offshore, either to India or another country, and they are currently training women in Trinidad, so more work will eventually follow.  If I do find a company that doesn't offshore, how long will it be before they do start offshoring.   I honestly never thought I would be in the position that I am. 


don't work for a company that offshores
The only chance we have, since our president obviously doesn't care, is to NOT work for any company that offshores. Hang up your headphones and walk out.

Otherwise, all is lost. You may have a job today, but it will be gone tomorrow - just as soon as they can get those offshore jerks trained enough to spell "dokter."
But the problem is, as long as the offshores
sell themselves so cheaply, even those workers in the US who have not been displaced will still have trouble eking out a living on such a low wage.
Not true. I work for a company that offshores.
Good grief.

I have been told and read that Medware offshores. I think you can do better.
There are many American companies that do not offshore. Please steer clear of any offshoring companies at any cost.
I just saw another MT site advertising a service that offshores that boasts the company as

transcription companies in the US!  Of course, it doesn't surprise this long time MT considering the owner of the site highly promotes offshore transcription.  I am disgusted and have canceled their newsletter.


Marilyn Richardson


And is QA allowed to let her know
about these errors? Or is the company afraid she'll be offended if errors are pointed out? Some people get very upset when they are corrected, so I always wonder if anybody has the courage to pass on corrections to good producers who might go elsewhere if they get offended.
And is QA allowed to let her know...

I've been reading with much interest all the debate going on about QA but this particular post really caught my eye.


As a former MT/supervisor/QA employee in a major MTSO and having differences in the amount of MT training of my staff, which would determine how I would mark a QA error, I also used the "how would I feel" quotient.  Were the remarks I might make be taken the wrong way; after all, I was just trying to "educate!"


I still feel passionately that all employees, MTs and all, should be treated fairly and with dignity without taking into account whether a person might or might not leave.  In today's MT market, sometimes we "step on toes" because we're human, but I would like to think that most MTs just continue to love what they're doing---even in the bad times.  When compassion and yes sheer joy for the job dissipates, then it's time to move on! 


To get own clients or not....
I have thought about getting my own clients, but working for a company, if I want time off, I can easily arrange that and know there will be co-workers to cover the accts.  If I get sick, the company will find someone to cover the accts.  I don't have to worry about the billing, tech support, trouble-shooting, complaints.  Maybe someday I will chose to give up what life I have and get my own clients, but for now I like being an IC for a company.  This way, I am a great employee and an even better boss. 
My clients...
Consist of clinics.  They all get 48-hour turnaround time guaranteed, and anything STAT (a TRUE emergent STAT) they need, it's done at no extra charge.  Radiology gets four to eight-hour turnaround for obvious reasons.  The rest of the clinics don't need a 24-hour turnaround time because let's face it, their staff basically sit on it, and I'm not going to break my neck so they can just sit on it....
Clients
Hello!  I'm new to the board but not to MT.  I've been working from home for my own clients for 10 years.  I wondered if others who do the same have ever experienced a situation I just encountered and wondered what your thoughts were.  I had a client whom I transcribed for for two years, then he moved and started back up in his practice and called me and I've worked for him for an additional year in that new practice.  When I noticed recently that I hadn't received his dictation as usual, I questioned it, i.e. was he on vacation, did they lose a tape or what?  The receptionist said he must not have dictated yet.  I found this off as he usually dictates each day he's in the office.  A week had gone by w/o work so I called and asked and the same girl said she'd have his wife (who works in the office) call me because she didn't know why there wasn't work, etc.  At this point I got suspicious and had asked the recep. if there was something going on I should know about. She said they're working on this new software and maybe they just got behind.  New software? I talked to his wife and "I" mentioned this software.  She didn't.  I asked if this affected my workload and she said 'yeah, probably quite a bit.'  I asked if she would please let me know AHEAD of time if they were going to make this transition so I could prepare and plan (she had just made it sound like they were just looking into it and kind of testing it out, NOT that they'd by any means started using it full-time).  She said oh certainly they would let me know ahead of time.  Then I pressed a little more and finally she told me he'd already been using it for his patients and when I asked if I should replace his work, she said yeah, probably because he really seems to like it and will probably use it.  I don't know what the software is but I hate it just because it took a big client from me.  But I"m also wondering if this is common practice for a physician just to outright not tell an MT that they weren't going to use their services any more.  I mean, not only did they not give me notice beforehand, but they hedged on admitting it when I came right out and asked.  I find this incredibly rude and inconsiderate, especially when I've been a faithful MT for them for three years.  I"m just dumbfounded at this behavior.  Has anyone experienced this?  So now that leaves me in the lurch with bills to pay with an already tight budget (hubby in college, two kids, high heat bills, blah, blah, etc.) and me looking for work to fill in the gap.  Sorry I ranted and rambled.  I'm just really upset by this and wondered if anybody experienced being treated this way and/or knows what this software might be and if it poses a threat to any of us.  Thanks so much!
Own clients
This has been discussed many times with many different opinions/ideas.  You might do a search as there was quite a heated debate on this about two months ago.  I have a brochure that I send out with my card.  For those I am very interested in I do stop by in person or if anyone calls inquiring I stop by in person.  You have to be prepared with equipment to do tapes or digital and some may inquire about a call in system.   You may have to pick up and deliver, provide your own paper.  Be prepared to do any type accounts.  Your rate will depend on the area you are in and can be anywhere from 11 to 16 cpl from what people say on this board.  You have to be prepared to have some back up if you get very sick or have an accident and for vacations.   You will not get any benefits, will not getpaid when the doctor takes a month off to go to Spain.  It will be a tough go at first until you esablish a rapport with the office staff.  But I like it and have been doing it for 18 years.  Just did a report and have made 4K more this year than I did last year so things are looking up for me.  Good luck.   Patti 
One of my clients for whom I have done only
tapes for has given me a CD to load onto my computer.  I haven't put it on yet but I'm wondering if you all can help.  It's an Olympus CD and looks like it's for .wav files which is what he intends.  He says I should be able to load this onto my computer and then after that, he can email me voice files.  Now, is this correct and what will I need to have in order to play and transcribe his voice files?  I have a Bytescribe pedal. Please tell me I won't have to buy a different pedal for this! Thanks in advance for any help!
want to get own clients

Hi Everyone,


 


I have over 2 years’ experience in medical transcription and really want to get my own client(s).  I feel that I am finally ready to take that leap.  The question I have is – how do you go about talking to potential clients?  What is the best way?  Mailings, calling, just going in?  Should I make business cards?  Unfortunately all of my doctors offices (family, ob/gyn) husband's GI doc and daughter's pediatrician are all EMR.  Ugh.  So that's no help. 


 


I’m not really afraid of what to charge or contracts, the rest is what has me stressed the most.  Should I buy a program like DocShuttle or will they basically tell me what they want?  I have been with nationals and small  MTSOs alike and just am not sure how to go about everything myself. 


 


You can feel free to e-mail me with any advice also.


 


I really appreciate the suggestions/help!!!


Getting own clients
I am currently transcribing for GI docs who are using the EMR system, I love it. There is barely any paper for me to handle, I fax everything right from their system to the referring physicians, once in a while I will get a physician who doesn't have a fax and so I need to mail. The final copy goes right into their system. I am currently working from home through my business. They had the equipment installed at my house, fortunately for me, I was with them for four years before I went on maternity leave and have been doing it from home for the past two years.

I also transcribe for ENT docs in my area, before I went on maternity leave I asked them to use my digital phone in system (really didn't expect them to since they were 'set in their ways' but they agreed).

As far as getting new clients, I would get some business cards printed out, and some fliers stating what equipment you will use, i.e. tapes, digital; will you be dropping the finished work off, and also turn-around-time. Then if it were me, I would take these to local doctors, speak with the office manager and offer your services, may be you can start off by offering to cover vacations (I know how hard it is to get coverage for yourself on vacation. You might have to start small and work your way up, but at least it is a start.

Well that is all I can think of, I hope this is helpful to you. Good luck!!
Best way to get clients? sm
I want to market my service in my area. I have gone to offices before in the past, but they sometimes get annoyed. I have also done mailings and get no response. Is there another way to get the OM's attention that maybe I overlooked? Any suggestions would be appreciated.
Some clients won't go there
Some doctors have such rotten dictating habits they know running their reports through ASR will result in utter garbage; they have TAT to meet and they know if they take the time to have those reports extensively edited post ASR its just an extra step.  Some clients know for them it will be a time and money waster; it is the MTSOs that are pushing for all ASR, not the clients.  Many hospitals have tried ASR inhouse and end up scrapping it and going back to MTs.  Its a lot like outsourcing in that many people are on the bandwagon, but there'll always be some that refuse to ride it.
Clients have the right to not have an
MT transcribing that reports if that MT continually makes mistakes. Not talking about the ones QA catches, but the reports that are sent straight through without QA and they catch the mistakes on their end and have to send it back. The client I am assigned at my MTSO has said that certain mistakes will not be tolerated and those that make those will not work on their account. They have the right to pull the account from the MTSO if their wishes are not followed by the MTSO.
getting own clients

Does anyone have a sample letter that I can look at to try to get my own accounts?  I would really appreciate the help if there is anyone willing.  I just need something to get an idea of what to cover in a letter just to get my foot in the door.


Thanks in advance.


I don't have any of my own clients...sm
so I have never had this problem. They said you were no longer transcribing his letters. Does that mean you are still transcribing other types of reports for him or is that the only type of report you did for him?
If the secretary called you before and asked questions about "How often ARE you coming to get work" or something to that effect, then it leads me to believe he was not happy with you for some reason. Sounds like he found someone else to do his work. He could have found someone to do it cheaper, who knows? I hate to hear you lost this client. I know money is tight.
Why not just get your own clients?
Just curious why you would rather subcontract when you could just get your own clients and make more money instead of paying a middle man.
This is not allowed at our school.

They used to have volunteers, but these volunteers were given assignments in various areas.  Now the parents have to drop the kids off outside and drive on.  If a parent needs to come inside, he goes to the office, not to the student's room.


Not allowed at our schools either. sm

You can volunteer and go in and do reading with the kids, etc., but all visitors need to check in with the office and any "in class" volunteering needs to be approved by the teacher and the principal.


I have found this a good thing in light of the world changing.  Fathers have shown up in the past to get their child when a protection order had been filed and they were not allowed to have unsupervised visitation. Of course the mom would forget to inform the school and the kids would always run to daddy.


I have one child left in the elementary school, my older two have graduated and one will be a freshman in high school starting day after tomorrow. (Yay! can't wait to see that bus! :)) I have seen a lot of changes, both with parents and with policies.  The staff at the elementary school know me by name, but I would never dream of picking up my child without checking with the office first.  Every time I check in, the office staff says, "Oh hi!  Go on up to the classroom."  I still check in after 18 years. 


These parents that interfere should be told to sign up for when volunteer help is needed in the classroom or other areas of the school. And only then.  They need to stay out of it.  If they're so worried about "little Bobby" and have so much time on their hands, they should home school and leave the teachers to do what they do best. I've been through 25 elementary school teachers and only had a problem with one who was finally fired. 


No way is my dog allowed in my office.

I'm working in here, not entertaining my pet.  I love him to death, but this is my workplace, not a hangout for my dog, my cats or my kids.


But I know what you mean.  I miss my pup when I'm working.  It was just too hard to deal with so he was banished from my office along with the 2 cats.  Too much fur on the carpet for one thing and, like you, every time I got up, my dog thought it was time to play or go for a walk.


My only other suggestion is a "porta potty"?


You are not allowed to work
more than 40 hours in a week; Sunday through Saturday; that is considered overtime and they will not pay you for overtime; you will get a WARNING.

If you work 40.5 hours one week and 39.5 hours the next, which equals 80 hours for the pay period, you are over and that is a NO NO.

Gladly would add a little here and there but you cannot without permission and after 40 hours for the week we are wiped out from switching from account to account to account, etc., etc.
No cherrypicking allowed here, but....

I know some reports do get shot back into the pool now and then.  Luckily for me, they're nearly always LONG reports by my favorite dictators (ESLs are my specialty), so I don't complain at all.   However, the rule here, which is hard to enforce, is that any skipped jobs or cherrypicking is grounds for being severely chastised for the first offense and immediate termination for the second. 


IMO, why not just type it and be done with it????   Doing that takes less time than anything else, and time is $.


Are you allowed to work outside your sm
schedule to get in your line count if you can't get it done in 8 hours or do you automatically lose your benefits?
Sorry - did not realize I was not allowed to do that. Really, sorry..nm
nm
Not a mom, but mine allowed me when I was

My cats were allowed outside until...
I got tired of all the medical bills due to things they were picking up from other animals that were outside and were not being taken care of. The last straw was the last episode of worms, which were roundworms. Having kids, I cannot take the chance of them getting sick due to this. Also, I had a stray cat I fed all the time and took care of because the neighbor just left it when she moved, not to mention the fact that she didn't care for it while she lived there. We were moving and found someone who would take the cat, but only if he was fixed. We were going to fix him, but noticed his glands were very swollen. Turns out he had feline leukemia. I put him down, cried the whole time, and came home and buried him by myself while the kids were gone. I was soooooo angry. While my cats have their shots, that is a chance I am not willing to take. I have had my oldest cat for 11 years now and he is like a kid to me. I am very much for animal rights and go above and beyond to help animals in need, much to my husband's dismay, but there are times when not letting your animals outside is justified. My dogs are inside/outside dogs, but they cannot get over the fence....the cats can.
Venting is allowed. :o}
You go right ahead. I had a sweet ESL lady today. I actually liked her accent because she at least said all the syllables for me, but I could tell she was putting in an extra effort with certain words to help. It was so sweet of her. Wish the spanish accent dictators would do that for me, LOL.
We are not allowed to keep any patient sm
records on our computers, at all.  They should be stored in the provider's files if they want to keep them for access. 
I was not allowed to have both MQ and Precyse on my
nm
Are we allowed to swear? I can't believe that!
If that is the quality of the transcription they are getting back, how on earth are they passing audits with hospitals?

I just do not get it.
We are not allowed to put the patient's
name in a record and only "the patient" if dictated.
US should have never allowed it in the first place
for our records to be handled outside of the US. I think the terrorism thing is everywhere; as another poster said, we have had them here. This issue is about the US taking money out of our hands, then expecting us to work for beans AND improve a failing economy? Impossible. Hopefully at some point the people who can do anything about outsourcing (government) will realize this and bring MT and many other industries back where they belong.
is b.i.d. allowed anymore? sm
I'm not trying to be a smart a@@ but that BOS has me nuts, I thought they only allowed once a day, twice a day, etc., I'm confused. Do all companies go by the BOS or do they allow verbatim?
Where I work, we are not allowed to put
in patient names, but we do put in relatives' names. Sometimes it is important to know which relative is POA, contact, etc. and those are included.