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Serving Over 20,000 US Medical Transcriptionists

Well that's not true! Plenty of reasons

Posted By: Misha on 2006-07-04
In Reply to: mistakes in other's work - me2QA

to check other reports! Maybe you are typing a DS and you can't understand a drug. You suspect it will be listed on the H&P, so you check there. Not there? Check the consult report. Or say you are doing an OP report and the dictator is slurring. You suspect this means he always says the same thing, so you look at some of his other OP reports for a similar report. Sure enough, you find a report with the same wording, so now you can make a normal. No HIPAA violation for doing research.


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OK - how's that? I need to be healthy for ME (for several reasons) before I can be true to...
anything else in my life!  Thank you ALL for the words of encouragement!  It does help.  I need to do this for ME.  Once I see I can accomplish this goal I will have the encouragement, strength and faith that I can do anything!  And you know what, I really BELIEVE I will do it this time!  Thanks again!  Will keep you updated!
Too bad the writer didn't address the true reasons why this is not
an attractive field to enter.

Who in their right mind would spend time and money training in a dying profession? Can you say EMR, ASR?

Who in their right mind would spend time and money to train for a job which conceiveably could end up paying minimum wages, few benefits, little reward?

How many have spent time and money training only to find there are few companies who will hire newbies, few companies who offer flexible work schedules, few companies who work with you to make a living wage rather than to throw you into a pool of accounts guaranteed to keep your wages low?

How many expert MTs have left the profession due to reasons above?

CEOs need to wake up and take care of the excellent MTs they can manage to retain; quit messing with our paychecks with creative line counting, quit throwing multiple accounts at us and then expect 1000s of lines a day, quit basing our health insurance on production rather than hours worked; quit expecting us to be happy to work outside our scheduled hours because you provided no work within our scheduled hours with your too tight TATs, and on and on.

How often do I recommend this profession to young people? Never.
Give professional reasons why you deserve it, not personal reasons
x
I stayed for many reasons and while those reasons have changed - sm

I loved MT because I was good at it and it came naturally to me.  Typing, language, etc.  The perks of working from home and being able to raise my family were a huge plus.  I stayed because in the hayday of MT you could make really good money really fast (2500 lpd @ $0.15 cpl). 


I stayed while my children were young and I could be available for them.  I stayed so I could return to school and have that flexible schedule to juggle everything once the kids grew  older.  I stayed full-time and cut school back to half time so I could take care of my ailing parents and inlaws when the time arose.   


I continue to stay because I still need to finish school (3 semesters to go) and unfortunately my DH is ill and needs someone to care for him now.  I stay because it is convenient, but I do not plan to stay forever. 


I sure miss the big money days, but what money I make now is sufficient enough to pay my bills.  It is a means to an end so to speak and it has been a godsend along the way.  But I in no way plan to stay at it forever.  It served and continues to serve a purpose, but it is no longer what I "love" to do. 


Thank you ghost! So true! So true! More than one person!
xx
Yer crackin' me up! True, true, true! nm
x
just try to help him be sure its for the right reasons
You have to let kids this age make some decisions, even wrong ones, and live with the consequences. But i would just try to get the dialog going, find out why it isn't 'fun'...personally, i feel if the desire is gone -- he won't play well anyway. Ultimately, his is one decision i'd let him have.
Many many many reasons
Too many to type...just believe me...
My 2 reasons...

I love my husband because:


1.  He's thougtful...calls or emails me several times a day.


2.  After almost 20 years together, he still gives me chills when he walks in the door after work.


There are so many more reasons why, but you said 2...


 


my reasons
1. He knows me better than anyone else on the planet after knowing me for 27 years and being married for 23 and SILL loves and accepts me! :-)

2. I always feel that "everything will work out" if he tells me so.
there are many reasons - sm
I know of two hospitals that had decided to completely outsource their transcription to a well known large national service. Their reason was that they could not find transcriptionists in their area. Two years later, both hospitals let the service go and decided to go back with in house transcription. There were many reasons behind that decision.

I have a friend that works at a hospital in the midwest and says that the outsource service is costing the hospital more than if they had kept their staff. She had said that her hospital is in the process of hiring people to come back to work either at the hospital or, hopefully, at home.

The hospital I worked at could not find transcriptionists in the area, so they decided to outsource as well. Our boss didn't make it a secret that the service was charging them $45,000 MONTH. That was more than if our whole staff was working 10 hours of overtime a week/per transcriptionist. So our boss is looking into hiring transcriptionists that live within a 2 hour driving radius to work from home after a week of training in our hospital and paying for them to stay in a hotel.

Sometimes it is not cost effective to outsource. Sometimes the service is really bad and the hospital does not want to continue to pay for the errors. There could be other reasons, but those are ones that I can think of off the top of my head.
Which, among other reasons, is why I would -
;)
My reasons...
Well, Pattie, I have been doing this for 25 years. I am 50 years old. I am good at it. I want to work at home. I am reluctant to leave my chosen field at this stage in my life.

I could not have predicted, when I obtained my MT training, that this field would take such a nosedive in pay. Obviously I would have chosen another field had I known.

As you get older, you are more reluctant to train in a new field.
My reasons...

for stick with MT and even coming back after a couple of absences:


1. I love the work. It satisfies my need to be in the medical field (quit nursing school way back when - bonehead move on my part!) without having to go back to school or actually deal with people too much.
2. My husband is disabled and my boys are teenagers. If I worked outside the home in another field, I'd be spending everything I made on paying someone to take care of things at home.
3. I really like the company I'm with. Been with 'em now for about 4 years and have loved nearly every minute of it.
4. I'm too old (44) and set in my ways to retrain in a new field and get used to dealing with office politics again.
5. The money that maybe I'm NOT making, I'm also not spending on gas, clothes, lunches, etc. that are part of working outside the home.
6. Did I already say I love the field?


Well, 2 reasons. 3 really.

1)  That seemed to be what everyone was hiring for.


2)  I hoped to make more money that way.


3)  After being an MT for 14+ years, I had a lot of confidence in my abilities as a transcriptionist.  Honestly, I didn't realize how much I didn't know.  I feel like a dang newb again


Several reasons ... sm
1) May be checking to see if you have previous employment history with them under different name.

2) May be doing some type of credit/background check.

reasons
You know I will definitely pass these along. Some people just think you are being racist because you state the obvious and because you show such bitterness towards these people. Look at what they cost our country. Do you know how much crime these people bring here? The diseases? Do some research. They don't have proper vaccines over there. I mean think about it these are poor 3rd word people from an uncililized culture apparently. How can 3rd world culture merge into 1st world culture smoothly. It can't and it won't. They will never smoothly transition to the American culture because they do not want to.
And people can say well what about all the European immigrants many years ago? Well guess what? They wanted to be American so bad that they learned the English language and worked hard. They wanted to be AMERICAN. They did not expect Americans to transition for them they were willing to transition to our culture. These uncivilized vultures basically come here and they come here for one reason only: money and all they can get for nothing. They come here to work but they also abuse our social services to the utmost degree. I have seen on news programs where they will come over here and fly their Mexican flags. And you know how they fly the American flag? Upside down. Oh yes I have seen it on TV. I have seen them trying to burn the American flag. I don't care if it cost a trillion dollars this country needs to send every one of these people back to Mexico. Our country would be a whole lot better for it. We don't need this filth and crime in our nation. We are better than that. I am sorry if this offends some poeple but it is so true and sometimes the truth just hurts. That is what is wrong with our country today. Poeple tiptoe around the truth. Lets dont offend anyone! Well hey I say state the obvious. Tell it like it is.
Reasons

I answered your question above where you posted it as well.  I must have misunderstood your post, as it seemed that you were challenging me.  But, I was just trying to say that I don't want to debate the fact as to whether or not the queue is shuffled, cause I see it happen.  I don't know their reasons, but this new shuffling maneuver only happens on one account that I work on there, and it just began about 5 weeks ago.  It is really difficult for me to get a decent line count now, as all of the reports that I get are laborious since the reports that I find to be easiest are always being shuffled to the bottom of the pool.  I understand that it is not a prison and that my only option is to get out the kitchen if I can't stand the heat.


I would think that those reasons
are given as opposed to unexplained weight loss, disease process, etc. 
Three reasons...
1. It's good for a company to provide upward pathways for their people.

2. Some accounts can be very complex and require the QA to have prior experience with different special worktypes and/or exposure to certain dictators, etc.

3. There are many things you learn about an MT over the course of their employment that you will never learn from interviewing and even testing a new applicant, however experienced they may be. Unfortunately, our litigious society has rendered reference-checking practically useless, and you will never be able to test any applicant across the full range of dictation that you see coming in from your MT's every day.
There could be several reasons.

1.  A lot of companies are hiring and do overhire to get their backlog down.  Once their backlog is caught up, they weed out. They don't have to let people go, they can manipulate their queue until they quit.   And please don't say this isn't true because one of my ex-friends who was a production manager actually told me this.


2.  Benefits are based on production.  If management can hire a lot of people, they can produce a lot for their clients, they still get the same bottom dollar.  Yet, if the queues or servers are controlled, they can avoid overhead on benefits if production quotas are not met. 


3.  Why pay domestic employees 7 or 8 cpl when they can pay offshore MTs 3 or 4 cpl?  They still have the same amount of production and still make the bottom dollar, yet they can control where the reports are going and who is getting them. 


It all comes down to bottom dollar to management and owners.  They can control whatever and whomever to achieve their goals.  Not all companies are like this, but it is becoming more and more common.


There are plenty of
dummies out there with degrees and certificates.  You can do a halfbutt job all the way through and still get a degree with a C average.
they have plenty
I know 2 people who are relatively new and they are being recruited for it.  It looks like they are putting people on it with very little experience since they are making less anyway.
i'm sure there must be plenty of those
there are also those who routinely accept Medicare assignment, write off balances, work 16 hour days, on call 7 days a week. Certainly there are national corporate executives obviously who are makin' it off the backs of MTs and, furthermore, we all try to increase our line counts using macros. But I say if her profit is so "out there" that she's feeling guilty about it by all means don't contribute to part of the problem thats wrong with America today which is general lack of morality. People who are simply trying to be honest and worry about what is right deserve to be heroes
There are plenty
of people who have gone through the legal process of becoming a US Citizen who are not US born. Yes, there are many MTs in the US who were born in India and are now US citizens who do MT work. There were several in my MT classes. I only use India as an example. There are many from several other overseas location who are now US citizens.
Yes they did. And there are plenty of
So?

Same here. There are plenty of men
.
We have plenty here.
That is never going to happen. Ever. There will always be people here illegally. I'm just not going to hate them for it.
Not working out for a lot of reasons...
The platform they have me on is not user-friendly at all.

It seems simple enough. You have to enter the job # and date, and then press enter to get the template to download with the patient's name, etc.

But if the doc hasn't entered the patient ID correctly, you'll have to look it up.

This can take a minute or several minutes, depending on if the patient exists in the system, among other things.

You'll come out ok if the note is long, but they average about 30 seconds.

Also, the doc may not have entered the correct clinic note ID, or the correct dictator ID, so that's another story.

If all goes well, you'll download a template. If there's something typed in the template, you don't get paid for it...but, if the doc makes changes (which of course they do), you have to delete.

I know what I'm capable of doing, but for some reason, I just can't make any lines working for Spheris.

I gave it a shot, but I'm ready to move on...maybe even change careers.
First, be very sure of the reasons that you want to homeschool.

It is tougher beginning at such a late grade, but it can be done.  I started my son in 9th grade 9 years ago, so obviously I know a little bit about it.  I also had a great friend who homeschooled her high school kids, so she could get me started with a lot of support and encouragement.  Be sure you're ready to be with this child 24/7, because that's pretty much how it will feel.  We did have problems with the school but tried every avenue to solve them before saying, "We don't need to put up with this, we do have a choice," when the school counselor said that we didn't have a choice.  They thought they ruled my son's world;  they were WRONG.  I AM HIS PARENT, I believe I do have his best interests in mind when making choices for him.  We are a Christian family, so it was easy to start by investigating Abeka Books for materials;  bear in mind you'll have to buy all your own materials, nobody helps with that.  My son now has his degree and is IT manager at a bank, looking to make VP. 


You'll need to check out the homeschooling laws for your state, they vary.  Just do an internet search for homeschooling laws for your state.  Check around for homeschool groups, there are several out there.  But, the biggest thing is just to make sure that you and your child are committed to working together to do this.  It does take a lot of commitment and communication to do this and do it right.  BEST of luck to you whatever your choice.


So, PFFFT to the person who says kids need to be in school.  I know better and obvious hundreds or thousands of others do too.


Those are the reasons I do shop SM
at Target. I have a huge problem with the Salvation Army's practices (be our religion, go to OUR church, adhere to OUR values, or stay cold), I think our government ought to be the ones supporting the military since they sent them where they are, and as for supporting gay and lesbian rights, I think that is a good thing. I'm not sure exactly how you phrased that.
QA can be very tedious for these reasons:
1. You get all the garbage someone else either could not or did not take the time to hear and understand.
2. You often have to fix all kinds of little errors that the MT had no idea they even missed.
3. If you also have to provide feedback, then you will type your fingers to the bone.

I decided after 5 years to go back to being just an MT! :-)
I like your idea for 2 reasons
The MT knows what they need to be taught.. and it would give MTs losing jobs to outsourcing something to do!  Great idea!
2 other reasons i've seen are
using the transcription area of the hospital for other things and not having to pay benefits.
There could be any of a number of reasons.
Some physicians have a God complex and freak at the slightest mistake. I have seen that happen many times even if it was something the MT could not control. You should have been given better instructions regarding format, but the powers that be may not have realized you were not. If the physician freaked, the office staff was not going to admit that they did not do their part.
I agree it's one of the reasons
I do this work...hard to get the work done with a baby or preschooler in the house but great once they go to school...no latchkey kid problem.  Now if I only had a separate room for my own office...
What are the reasons you want to do MTing?
NM
No, for all the reasons you mentioned.
for those same reasons, i refuse to be a member, though i too was originally. AKA AAMT is like congress today, self-serving, not representing "the people."
a couple of reasons
Canada has 2.1 physicians and 8.8 nurses for 1000 people in their population. Plus they are paid by the government. Approximately 12% of the Canadian physicians practice in the US because they are compensated better.

This was taken from a publication called "Health Care News."

In recent years, patients treated by the Canadian health care system have increasingly experienced lengthy waits to see providers. Treatment waiting times are now part of the public policy debate on the quality of the Canadian health care system.

In its 16th annual installment, the report titled "Waiting Your Turn" tracks how waiting times vary across Canadian provinces depending on the type of treatment needed. The report also documents waiting times for referral to specialists and the subsequent amount of time spent waiting for actual treatment from the specialist.

"Despite all of the promises made by Canada's provincial and federal governments, and despite the fact that Canadians are spending more on health care than ever before, the total wait time in Canada continues to hover near the 18-week mark as it has since 2003," coauthor Nadeen Esmail said in an interview for this article. "Equally troubling is the reality that the total wait time in 2006 is 91 percent longer than it was in 1993."

These findings should give pause to proponents of universal coverage, who often cite Canada as an example of a country where health care costs less than care in the United States and everyone has free health care at the point of service.

"While many proclaim Canada's Medicare program to be one of the best in the world, or suggest it should be the model for reform in the United States," Esmail said, "the reality is that health spending in Canada outpaces that in most other developed nations that, like Canada, guarantee access to care regardless of ability to pay, and yet access to health care in this country lags that available in most of these other nations."

The average amount of time spent waiting to receive treatment after referral by a general practitioner averaged 17.8 weeks across Canada. At 14.9 weeks, Ontario had the shortest waits. Prince Edward Island, Saskatchewan, and New Brunswick had average waits of 25.8 weeks, 28.5 weeks, and 31.9 weeks, respectively.

Patients referred to a neurosurgeon waited an average of 21 weeks just to see a specialist. Getting treatment required an additional 10.7 weeks.

Patients waited an average of 16.2 weeks to see an orthopedic surgeon, and another 24.2 weeks for treatment to be performed after the initial visit.

The number of people routinely waiting for services is staggering, according to the report. Approximately 1.1 million people had trouble accessing care on a timely basis.
About 201,000 had problems obtaining non-emergency services. An additional 607,000 had problems getting in to see a specialist, and about 301,000 patients experienced problems obtaining diagnostic procedures.
"So much for the myth of government-run health care being compassionate and fair," said David Gratzer, a Canadian doctor and senior fellow at the Manhattan Institute. "Canadians wait and wait and wait."

In Canada, waiting lists are considered a way of rationing medical care and holding down health care spending. Because health care in Canada is largely free at the point of service, demand is likely to exceed supply. In a typical market system, the price would adjust to the point where the quantity of services provided is equal to the amount patients are willing to buy. But in a system devoid of a market mechanism, scarce resources are rationed through means other than price.

"The long waits for needed care in Canada show the danger of abandoning markets in favor of central planning," explained Sean Parnell, vice president of external relations at The Heartland Institute, an Illinois-based think tank. "Just as there were long lines for food and other basic necessities in the old Soviet Union because planners couldn't accurately match supply with demand, the politicians and bureaucrats who run health care in Canada can't provide enough health care to meet the citizens' needs."
"It's like the old Soviet system," Gratzer said. "Everything is free, but nothing is readily available. Except that we're not talking about lining up for toilet paper in Russia in 1976, but queuing for surgery in Canada in 2006."

Economists generally agree such "non-price" rationing of resources is less efficient than a system that uses prices. One reason is that productivity is lost when people are unable to work due to treatment delays. Also, the risk of death while waiting is higher for serious conditions such as cardiac care.

Waiting lists are consequences of the way the Canadian health care system is structured, not a lack of money, critics say.

"The fact that this is the 16th annual report on wait lists for needed care should be enough to prove that the problem isn't a temporary one that can be fixed with just a little more money, as defenders of Canada's government-run system have claimed for years," Parnell said. "Long waits and widespread denial of needed care are a permanent and necessary part of government-run systems," Parnell noted.

According to the study, Canadian provinces with higher spending per capita did not experience shorter wait times than provinces that spent less. In fact, increased spending was associated with longer waits, unless the increased spending was targeted to physicians and pharmaceuticals.

"The current health care model simply does not deliver to Canadians the access to care they should expect for the amount of money their governments are spending," Esmail said.

I can have plenty of fun without that freakshow.
x
I have plenty to say, such as, Take It To A Blog. nm
:)
Plenty of work there.....
There is PLENTY of work at Amphion.  I'm not sure who has been saying that they overstaff, but there is more than enough work to go around.  In fact, right now there is overtime available, and they are in need of many more transcriptionists for new accounts.  
Oh I "got" PLENTY. LOL. nm
x
I would think you should give them plenty of
...to find a replacement. Probably a couple of months. If they seem to be dragging their feet though, I would give them about four weeks. Just my thinking.... :)
There are plenty other companies out there...sm
You don't have to put up with this.  Read the boards closely and check out the Jobs Forum.  Best of luck to you.
I have plenty of friends...sm

that I know from different places, clubs included, but that doesn't mean that I'm having an affair with any of them...male or female! Before I was married my best friend and I went to a particular club to dance...it was great exercise and more fun than going to a gym. I made several friends there who are strictly friends. We were all single, enjoyed each other's company, and liked to dance...nothing nasty ever went on. In fact, many times my male friends made it easy to shake men whose attention I didn't want. Sometimes people go out just because it is more fun than watching TV. Hubby and I went to the club a couple of weeks ago and I introduced him to people that I knew there. I would hate to think that because I introduced him to people that he would think I'm having an affair. I don't know if I'd be more hurt because he didn't trust me, or because he thought I was dumb enough to take him someplace and introduce him to someone I would have an affair with!


I would also hate to think that my husband would search my cell phone and check the numbers he didn't recognize. My son is in the military and at times his friends have called because they consider me a second mom or are trying to get in touch with my son. Nevermind that just about everyone has had someone call their phone and it has been a wrong number!


If someone gave me a real reason to check up on them, I probably would, but to check up on someone 'just to be sure' is insulting. If someone I care about can't come to me and talk rationally about their fears, then we don't have much of a relationship!


and plenty want everything spoonfed to them...

no, plenty of jobs out there that
plus benefits. Keep looking.
I have plenty of bills to pay...
Hubby had open heart surgery and was off work during the busiest season last year. I now handle ALL the bills except his truck insurance and truck payment to the tune of at least $5000 a month and that doesn't include the $75,000 hospital bill that the insurance doesn't pay. I couldn't do that if I didn't stick to my guns. Sure, we're not in the best of shape right now, but we are scraping by with a little ingenuity and things will get better for us...but I surely will not work for peanuts,never have, and never will...and neither should you.

You have to prove you're worth it that extra $.01 or so,(ahem), but in reality, we really need to stick together. Fighting amongst ourselves doesn't solve the problem.
There are plenty of free ones out there.
You probably have some Spyware that has gotten on your computer. I run AVG constantly and then also run SUPERAntispyware Free Edition (Google it) and also Spybot Search and Destroy, each once a week. Between these 3, I seem to catch just about everything.
There are still plenty of companies
that value patient safety more than their greed and don't use that awful VR. Find a better company.