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Serving Over 20,000 US Medical Transcriptionists

Try off of the Advance Magazine web site, pasted inside. nm

Posted By: passing thru on 2005-08-04
In Reply to: Is there any place (website) where I can find - continuing education besides AAMT?

http://health-information.advanceweb.com/main.aspx


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did anyone see the article in Advance magazine

about how wonderful it is to train Indians to do our job.  OH YAAAYYY, LET'S HERE IT FOR SPHERIS AND HEALTHSCRIBE   Let's give a big whoopie and cheer them on while they continue to post for transcriptionists on this board and yet outsource and TRAIN Indians to do our job.  I guess I'm angry about the article on other levels, such as the fact that it seems that Advance magazine is constantly promoting offshore transcription.  This is not the first time they have printed articles like this. 


 


Our hospital used Spheris and Cbay and we spent hours up hours redoing the reports, yet these companies got paid in full.  Where is the logic in that?  Thank God, administration wised up and brought the work back in.  Now we can go back to doing what we've always done ... OUR OWN TRANSCRIPTION ACCURATELY!


 


I sent Advance magazine an email
I think if enough people did, then maybe they will stop glamourizing the overseas work. This is the third article in a year's time that they have done. A few months back Advance actually interviewed an Indian owner, picture and all, about his company!!!


Advance magazine? Anyone notice the letter to the editor?
It's on page 5 entitled Does Walmart or Home Depot pay better?......Gee, I wonder what company this person is talking about?  Okay, which one of you sent this in? hahaha!

 

Well, while everything the writer of this letter says is true about the company, I think we all know most of us make a bit more than 8 to 10 bux an hour.  For myself, it's about twice that.  If I really were only making that for what I'm doing, I WOULD head over the the Walmart or Target.  I would NOT do this for 10 bux an hour NO WAY in HE double toothpicks!

Idea in letter to Editor in Advance magazine (sm)
Just last night I read a letter in the Advance for Health Information Professionals from a former MR who is now a cancer registrar and loves it. I had looked into that myself a few years ago, although I chose to stay with MT. At the time there were on-line courses through community colleges.

What about coding? I have a friend who works now for a local hospital at home doing ambulatory coding.

Just some thoughts.

BTW, the letter to Advance can probably be found on-line at advanceweb.com/him. It's the Nov 5 issue.
There was an excellent letter to the editor in Advance Magazine last month sm

that spelled how why, but here are some of my reasons:


1. In all their years in existence, the AAMT has yet to make life easier for the AMERICAN MT.  In fact, the state of MT in this country is worse than I have seen it in a very long time. 


2.  The AAMT chose to align themselves with MTIA whose board of directors is largely composed of Indians.  They also support offshoring and have adopted the motto "work smarter" which to them means pay hundreds of dollars for a CMT that most companies will not even acknowledge and then hundreds more dollars to join AAMT yearly to get their crappy publications.


3.  They are now certifying offshore MTs.  Yes, nothing like opening the cover of the AMERICAN Association for Medical Transcription and seeing the names of the Indians who have received their CMT. 


4. I get less pay than I did 20 years ago and offshoring is the main reason.  So pardon me if I am a little testy that I just paid so much money to an organization who stabbed me in the back.


5. I certainly think they SHOULD change their name to something else.  How about the I SOLD THE AMERICAN MT DOWN THE RIVER ASSOCIATION FOR MEDICAL TRANSCRIPTION.  Bitter?  You bet.  Gosh, they made so many promises and all they did was take our money for a piece of paper rarely recognized by anyone at the same time extending a hand to the reason I am making less money than I did 20 years ago!  


6.  It's a bloated association full of lots of people who "do things."  Everything except stick up for the American MT. 


7. Oh yes, and the BOS is ridiculous.


In the back of Advance Magazine you see all the coding jobs. Can access it online, too.
s
Its pasted inside. The whole thing, not just the link,
My name is Dr. Zeshan Ahmed. The Domain MTStars.com was registered in my name since it's inception, in 2002. Sheri and Me know each other since 2003, I did help her in developing USAType, Inc. website (which she owned at that time) while I was in Pakistan. On my personal trip to US in Jan 2003, I met Sheri in AZ. She offered me a Job and I accepted it. She arranged my accommodation, etc. and I remained in US working with her (initially as MT and later as Web Developer/Tech for USAType) at USAType, Inc. office for next 5 months. For some odd personal reasons, I came back to Pakistan, May 2003.



EASTER 2003, SHERI and ME

On my way back to home, she offered me to continue working for USAType as work from home employ. I accepted it. Now back to MTStars.com, I had no Credit Card at that time for the yearly renewals of the domain. I asked Sheri about it and she said she will take care of it and kept the domain as solicitor and I came to Pakistan. I started working online, I did work for USAType, Inc., USATasp (Text Platform for MTs/QA, Where the USAType clients were shifted later on), FlashType, FlashCount, MTStars and many other commercial sites. Every single line of Software Code for MTStars is written by me. I did the marketing & software development and she handled the front end. Down the road, Sheri did outsource MT work to a couple of Pakistani MT companies in Karachi and Islamabad and I took care of that as well. She made money and I received regular monthly wire transfers, mainly from the earnings of MTStars.com and partly from other outsourcing MT activities for USAType. We worked together and made USAType & MTStars a success. USAType was her business and MTStars was mine when it came to splitting of income & ownership. She sold the USAType in 2006. Afterwards, She started a voice solution EZ-Voice but that was a failure. I never faced problems because I was receiving money from my site MTStars. No doubt money always going to her bank account from Google AdSense & Pay Pal etc. and then she deducted the server & MTStars marketing expenses etc and sent me the remaining amount. Money was going to her because sponsors etc paying to PayPal account. Paypal is still not available in Pakistan.

In 2006, I got my first Credit Card here in Pakistan and was able to pay for online transactions. I opened the account with GoDaddy and asked Sheri to shift the MTStars.com domain in my account. As banking rules are getting strict for money transfers from US to Pakistan everyday. I need to show authorities here, from where this money is coming from. I have to file my taxes etc. as well.

Finally, the domain was shifted to my account in August, 2007. She did it herself, with her own consent and there was no hijacking or cyber squatting etc. involved in this process. The rest of it can be verified from GoDaddy as they keep track of each transfer IPs etc. Just want to make my point here that the domain was never stolen, hijacked or transferred illegally (Otherwise, she would have taken it back by now). It came back to real owner after 5 years in August, 2007. Even after the domain transfer the money went to her as usual, but my share was diminishing everyday. She owed me $7000 in October, 2007, when I sold the domain (for $7000) to one of my friends with a promise that the domain will be sold back to me by Feb1st, 2008 and I will return his money and in the meantime, Sheri and me will keep running the site. Sheri knew everything and was involved in all this process. She promised that all of my debts will be cleared by that time and MTStars would be back with us. But money never arrived and as per promise, the new owner was free to sell it on Feb 1st. Neither me nor Sheri own this domain anymore. It has been sold and re-sold.

I have been requested by all the concerned parties to make my statement to keep the records clear. Sheri was more like a mother to me for last 5 years and I still respect her. I have no personal grudges or agendas against her. Me and She was the part of all this process and knew everyday happenings regarding the domain. The best we can say now is good luck to new owners.

P.S: Every single line above is true. I have all the documentary evidence (those who are interested, I can email them the scanned copies), 5 years bank statements showing wire transfers from Sheri's account, money grams, MT houses worked for USAType, employment letter & independent contractor agreements. Most of these documents even lie with US consulate in Pakistan, when I applied for US visa this year and I had to show my purpose/funds for visit etc.

Thanks,

Dr. Zeshan Ahmed

Multan, Pakistan
Cell: +92 300 8733779
Email: dr.zeshan@gmail.com

See site inside...sm

I have attached a link for the Olympus site.  There, she can download instructions on its operation, as well as the downloading of the files to the computer. 


http://www.olympusamerica.com/cpg_section/cpg_support_manuals.asp?id=859


 


Another cool site - see inside
I've been watching two baby eagles for quite some time on the following site.   The nest is empty a lot now, so they may have taken off but it's worth check out.   The site is: http://www.nwf.org/eaglecam/webcam.cfm. 
Googled and found web site inside. sm
http://www.mdx.ac.uk/WWW/STUDY/wp51.htm

Has all the commands on there. Hope this helps you!
Good HIV meds site inside....sm
http://www.thebody.com/content/art40488.html

For ID:
http://www.centerwatch.com/patient/drugs/area7.html
This site lists the medication for which it is used as treatment.

Might just do a good Google search for specific needs.
Inside is a great web site/message board
http://www.power-surge.com/php/forums/index.php?showtopic=8087
See inside web site. GREAT place for all equipment!
http://www.newegg.com
Try Edward Mendelsohn's Site - Link inside
Hi if you don't get a reply with your own instructions back, you could try Edward Mendelsohn's site, he gives all the steps, is very clear on how to use Smartype on an XP computer, lots more info as well. 
Have you tried the AMA Doctor Find site? Link inside.
http://webapps.ama-assn.org/doctorfinder/home.html
I just copied/pasted
My existing templates into a new document in the facility folder. With each facility you set up you create a template list. I don't think there is a limit on templates, but I may be wrong. There are already some there and I actually just pasted into those and renamed them. I only have a couple per doc though so it didn't take much time.
Still don't know what I did, but I copied and pasted into
a new document and it fixed it. 
I have copied and pasted from IRS

guidelines.  If URL does not work, the link is also included so you can paste and copy in your browser. 


If you hire an electrician, a painter, or a roofer (as examples of independent contractors), you do not tell them HOW to do their work or WHEN to do their work.  Just try doing so and see how many contractors you can obtain. 


Today, we have these large companies not only telling us how to do the work for which we have been trained, but when to do the work (specifically, what days of the week and what hours).  Certainly, the quality of the end product must meet the client's approval or the contract can be cancelled.  It cannot be cancelled on the grounds of not working specific days or hours each day to fulfill that contract.  If you sign a contract specifying you will produce 1000 or 1200 or 1600 lines per day and you meet that production, a client (the MTSO) cannot fault you if you produce the agreed upon lines in 4 hours, 6 hours, 3 days, 2 days, etc.  When requiring you to work a specified schedule of x number of hours producinig x number of lines, then it becomes employee-employer status, not one of client-independent contractor status. 


Also note the evalutation system below.  I would saying doing QA in evaluating a contractor's performance is an evaluation system.  Would you?  What about being  put on probation or fined (as some companies are now doing)?  Does that point to employee status?  Can you put a roofing contractor on probabtion or issue a fine?


And...just read the section on training.  An eyeopener for certain. 


Below are the guidelines.  I say we ICs start filling out the misclassified workers form.  If we are treated as employees, then we need tax relief.  If MTSOs provide employee status in some states and not others, AS WELL AS hiring ICs, then an IC cannot be required to adhere to the policies and procedures that their employees are required to adhere, and that includes WHEN the work will be performed and HOW it will be performed.  The guidelines are clear. 


I'm not afraid of broaching this subject for fear jobs will go to a third world country.  They are going there at a rate faster than the speed of lightning anyway, and nothing we as ICs or employees can do will stop it.  They are going there because it is a cheap, cheap way of doing business. 


***************


http://www.irs.gov/businesses/small/article/0,,id=99921,00.html


 


Independent Contractor


The general rule is that an individual is an independent contractor if (the person for whom the services are performed) has the right to control or direct only the result of the work, and not what will be done and how it will be done or method of accomplishing the result.


People such as lawyers, contractors, subcontractors, public stenographers, and auctioneers who follow an independent trade, business, or profession in which they offer their services to the public, are generally not employees. However, whether such people are employees or independent contractors depends on the facts in each case. The earnings of a person who is working as an independent contractor are subject to Self-Employment (SE) tax.


Evaluation System


If an evaluation system measures the details of how the work is performed, then these factors would point to an employee.


If the evaluation system measures just the end result, then this can point to either an independent contractor or an employee.


Training


If the business provides the worker with training on how to do the job, this indicates that the business wants the job done in a particular way.  This is strong evidence that the worker is an employee. Periodic or on-going training about procedures and methods is even stronger evidence of an employer-employee relationship. However, independent contractors ordinarily use their own methods.


Misclassified Workers Can File Social Security Tax Form
Workers who believe they have been improperly classified as independent contractors by an employer can use Form 8919, Uncollected Social Security and Medicare Tax on Wages to figure and report the employee’s share of uncollected Social Security and Medicare taxes due on their compensation. See the full article Misclassified Workers to File New Social Security Tax Form for more information.


 


 


 


I copied and pasted the reports
into Chartscript.net. I didn't even bother typing the original in Chartscipt, just typed everything in word and then copied over. I also use ShortHand and there were always missing letters in my shortcuts when I plugged them in. I no longer work on CS but am on one that is just about as bad.

We were told not to use the Expander in Chartscript at all and whenever I tried to change/save something in there it would not let me so it was usless anyway. I did have to turn off that expander and remember to turn it back on before pulling in the next template though as you stated.

The only way I have found to accomplish any production at all with the last 3 platforms I have been on is to type in Word then copy over to the platform. And that works until the system totally freezes, or you get kicked off........*sigh*

If companies are going to expect a certain amount of production each day I sure wish they had platforms that would help us accomplish that!
I have pasted the list from my training on my C-phone

I am not sure if they are all the same, but here is what I have


Enter: 6 – for routed work – while on full QA



5 – by work pool – once off full QA


4 – by job # – use this Enter mode to relisten to (QA) jobs that have been signed off/deleted from the work pool into the transcribed pool.


8 – by open report


3 – for specific work


1 – for priority work


2 – for non-priority work


7 – for autologous-routing



9 – for review marked work


"AT START" – press the foot pedal or press 0.


OTHER FEATURES:


9 Toggle – returns you to the above Enter work options


*5 Job #, Dictator ID#, Subject # (MR#), work type #, dept. #, job length, authored on date


2 Bypass a dictation


7 Sign off/delete – puts job into transcribed pool x14 days. (Must hear "AT END" to delete)


*7 Puts dictation in OPEN STATUS**see below


#6 Places a Book Mark at flags you have – lift foot off foot pedal and hit #6


#7 For QA to jump to every book marked flag


#1 Go to the beginning of the dictation


3 Go to the end of the dictation


#4 Slows down dictation*see below


#5 Speeds up dictation*see below


0 Play the dictation


1 Stop the dictation


4 Increase rewind


#2 Decrease volume*see below


#3 Increase volume*see below


#9 Time left of report


 


I copied and pasted, hope you do not mind but this is really good (NM)
xx
Vianeta had bad spell check. Copy & pasted
x
Pasted info from their website. York Hospital is part of Wellspan.









York Hospital
1001 South George Street
P.O. Box 15198
York, PA 17405-7198
Main number: (717) 851-2345
Registration/Admissions: (717) 851-2231
Billing Inquiry: (717) 851-2102
Care Line: (717) 851-2273

What magazine did this come out of?
Cults 'R Us?
the magazine
I've always found them to be a very good source of information.  They are fair and unbiased.  I have no reason NOT to believe their statistics, do you?
Big rip off for a magazine!!!!
If you want to support a dying organizations final gasps for survival, buy it. Otherwise, save your hard earned money! I was a member for the first 3 yrs of MTing (where they magazine was included with membership) and then dropped them. They are still aggressively sending me info stating I can renew my membership or even buy their magazine without being a member. How generous of them! LOL!!
magazine
I agree about Advance Magazine. I know it's important to flag some errors, but agree that is out of my expertise.  
medical magazine ads sm
I did this once in a small town, New England. Only one reply all year and it was from a doc who later got arrested for child molestation. True story! For me it was a waste of time and thank goodness, I did not take his dictation because he had really old equipment and I had no transcriber for it. Perhaps you'll get a more positive response, but this was truly my experience and it was costly to do this.
magazine article
I'm sorry, but I have a very difficult time believing this. I believe that there was an article written, but the content is ridiculous. If we went to medical school, I'd want the same pay as a physician, wouldn't you all ? For us "old-timers" in medical transcription and having been a CMT for 15 years, we were never, ever told that and I'm certain that as strict as AAMT used to be, we would never be certified to transcribe.
She's now "published in PC Magazine." Who needs friends?
x
Advance
I too saw it and was as angry as you are! I'm canceling my subscription, how 'bout you?
Thank you in advance it should be !! nm
TYIF -- something like Thank goodness it's Friday, but not that either. OOOPS !
thanks in advance..................nm
x
Advance is another one.
x
The magazine is free. no subscription fee. Advertisers pay
x
No magazine. It's from me. You're first on the prayer list though!
:)
I guess you know more than PC Magazine, CNET, and Newsweek :) sm
You and your unspeakable qualifications are the reasons you're a technical pro with more knowledge than the folks that write the articles and why're you're hanging out on an MT bulletin board! Yes!

Firefox absolutely is relevant. Your choice of browser does increase or decrease the likelihood of your acquiring a virus. I've never heard anyone say that because they use Firefox they're protected from all viruses. But you're the pro with more knowledge than anyone else, including those in the industry who write the articles, so let the rest of us tread lightly around you and your ego.
yes! i used Consumer's magazine to make my choice,
and love mine - Eureka the Boss, SmartVac (an upright) -- less than $150 at Walmart -- very quiet, picks up very well. Only drawback i see is the cord is not retractable. If upright is not your style, or you want particular features, i'd still suggest using Consumer Reports suggestions. Neighbor just bought a Kirby for $800 -- bet this one would outclean that. Its even advertized as outcleaning a Dyson by 60%.
Has anyone ever advertised their business in a medical magazine?.. sm

I am a small MTSO (just me) and have been trying to drum up business with postcards and letters.  It has been about 6 months and nothing!  I found a medical magazine for my State and was thinking about placing a classified ad.  Wondered if any of you have tried this, and if so, were successful.  Thanks!


Since ADVANCE is free, there would
be little immediate impact if we cancel our subscriptions. Contact the advertisers and express your displeasure. They're the ones who provide the income stream for ADVANCE. They need to know that the people they're trying to reach are displeased and that their companies are associated with an extremely unpopular position.
how to advance in the MT field ...

I am wondering what it takes to advance to another position in the MT field.  I've been an MT for about 13 years, acute care for 12 of those years.  I'm tired of typing and have done QA as well, but the pay is horrible.  What does it take to move up the ladder to another position, such as MT supervisor or account manager?  I'm just curious. I know there are probably many more qualified people than I out there for any such position, but curiosity has got me as to the general qualifications and average salaries of each.  Anyone know?  Thanks....


Article in Advance
Did anyone read the article in Advance: Is Mandatory Credentialing Next?

The article says: "we have more and more companies paying premium for credentialed MTs." Is that true? The author is president-elect of AHDI. You all know what that is? Never heard of em. Or is it that new organization that used to be called something else, what was it... I think it had the words Medical Transcription in it. Maybe we should write a letter to tell about the reality of working out here.


how is Advance irrelevant?
nm
Advance article
Thanks for sharing this article in Advance - don't get magazine anymore since I dropped my AHDI membership. Proud to be part of ATA - we MTs deserve an assocation that will advocate for us.
Check out Nov. issue of Plexus Magazine from AAMT
and from whence they came.
Get the April 2006 Consumer Reports magazine...sm
It gives you a rundown on all vehicles as well as which ones have held up well and which ones haven't over the years. It's in the stores now or your local library should have a copy you can look at for free. :o)
HPI publishes a good magazine called Perspectives.
x
Isnt there a transcription paper/magazine that comes out monthly??
I remember years ago when I was working at a transcription agency that there was a monthly subscription of a magazine/newspaper-type that came out monthly that I read.  It was always sitting around.  I cant remember the name of it.  Can anyone tell me the name of this??  And do they still publish it monthly?  Thanks!
Yes, I read your post, and I just re-read it, and I've copied and pasted for you in case

you've forgotten your own words! Your post above is 100% different "flavor" to it, now all positive and cheery! Your first post was 100% doom and gloom every which way, including "raining on your parade", and "if you want to go forward"...God, sounds like she's talking about jumping into oncoming traffic! Here is your quote:


My first boss (the one who hired me as a new grad) gave me some words of wisdom that I haven't forgotten. She said that transcribing at home with small children NEVER works under any circumstance. Either the work will suffer or the parenting will suffer.


****


How can the word "NEVER" in caps be interpreted in any positive way? You took about 8 paragraphs to cover every aspect and completely dash this poor woman's dream.  I'm not blind, I'm not talking about day care at all, I'm talking about the total negativity of your original post! You know exactly what I'm talking about, cause you added some sugar to your second version! And that's much nicer than the first!


If we cancel our subscriptions, Advance won't be able to
sell as much advertising.  THAT is where they make their money, not by promoting offshoring.  If they can't distribute XX numbers of copies per month, the advertisers will go elsewhere.  Boycott ADVANCE and spread the word.  Shut the traitors down.
Great article about this in Advance (sm)
early this summer -- explained the 3-prong test (instead of the old 20+ questions).

If the service insists you use their software, if the service tells you when you can invoice them (instead of the 2 of you deciding together), if the service, not the client, decides turnaround time and quality, and if the service says you can't subcontract the work and insists on a noncompete clause, then you are an employee.

You can file a form with the IRS if you want your status clarified. Also contact Dept of Labor office in your state.

If you don't have an attorney and accountant on retainer, then you aren't professional enough to be an IC.

Also check the Nolo Press site as they have some excellent reference books regarding IC/employment issues.