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What is the best platform you've ever worked on

Posted By: YourOpinionPlease on 2009-03-16
In Reply to:

and why?  What do you like about it?  Also, what is the worst?

I really like EditScript 8 & although it isn't perfect, I like the fact that I can access other reports on the same patient/same dictator if I need to verify something (although I never trust it 100% lol)  One thing I don't like is that I can't use my Expanders (or maybe I can, but don't know how to go about it?)

I don't like ChartScript, as I don't think its very user friendly and those old DOS-based antiquated systems were for the birds!

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Empire platform - Has anybody worked on a radiology - sm
account that uses the Empire transcription platform.  I personally have never heard of it.  Any information would be greatly appreciated.  Thank you in advance.
I've heard its really an easy platform...
We use IDXRad and I'm told its easier than that - and IDXRad is really, really easy, so I think you'll like RadNet!
I've worked for both

I think there are two big differences.  (1) Benefits should be much better than the national, and (2) in working for the hospital, you will only be working on one account (which makes a BIG difference in my opinion).  I averaged about 225 lines per hour working for national on a main account plus a couple backups.  I am averaging 300+ with the hospital.

The only advantage with going with the national might be better job security.  If you lost the account, at least they could move you to another one.  But personally, I would take the hospital job in a second.   Good Luck! 


I've worked with one of their
products. It was an excellent transcription product; they basically bought another company and added the product to their line. I've read some about the owner of the company. He seems like a very above-board kind of guy. He values the special knowledge that MTs have, and we used the product without VR, BUT ... he won't be happy until his VR product is worked in to the transcription process. (I think they might focus on radiology only). He is just SURE it can improve turnaround time, but he admits that VR on its own is not very impressive and reports will always need to be tweaked by a knowledgeable MT. What he doesn't realize is that the transcription process is much more active and able to catch errors when the MT is immersed in transcribing the report. I don't believe 95% of MTs could in a time-efficient way get the complete gist of each report and catch as many dictator errors, history errors, as she could when her mind was completely involved in the transcription of every word. Doing radiology, how many times is there just the briefest pause from the dictator and the MT's mind is already filling in the next word or phrase, and then the dictator says something else, and you think - wha?? and then the radiologist realizes his blunder and corrects himself at some point. Or if he doesn't, the MT's mind is reasoning out what is right or wrong and can bring any problem up with that report. Because of noticing, that report will get corrected before it goes out to the referrer and causes a phone call from an angry referrer.

Radiology needs to go out at 100% accurate, and IMO, insisting on the use of VR will lower accuracy rates and won't improve turnaround time much at all. When I was doing radiology, the better radiologists could dictate a note in a quick and efficient manner and the MT would get on and do it within about 3 minutes. Every 20 minutes the good radiolgists would sign a batch and the reports would go out. So it was about a 30-minute turnaround time for those reports that didn't need a different radiologist to read them. Turnaround time had everything to do with which radiologist was reading and how many specialty reports there were and how efficiently the off-site radiolologists were getting on to dictate. It seems like the VR guys think the MT is the slow one, but IT'S NOT THE MT - SPEED IS UP TO THE RADIOLOGISTS.

I've worked for MQ for years and
have NEVER been given the opportunity for bonuses.  Those who have gotten them have been lucky.
I've worked for MQ over 4 years now and
I have never been told how many spaces to put or not put after a sentence; I have never been paid for spaces, by my count at least. I occasionally check my reports. I do not get spaces.

I'm not sure why, or actually by the anonymous stature of posters on this board, IF anyone has really been told to limit spaces to one after a sentence.

If MQ really isn't paying for spaces, it wouldn't make any difference monetarily so I cannot see that they would make a stipulation like that.
all the ones I've worked with (6) were gay. Go figure.

The only male MT I've worked with is now ...
one of the MDs I transcribe for now. He worked as an MT for the same small service I did while he was going to school.
I should add, I don't know how they are to work for as I've never worked for them, just saw th
I've worked for several companies using this VR
I make on average $20-$26 an hour with the editing at 4cpl/straight typing 9-10 cpl 65 char with headers and footers and templates. I've been using it for several years though. There are several job ads for this software.
I've worked the same one account...sm
for over 10 years. They know I'm reliable and I know what those docs are going to say before they say it ;0) Seriously, though, I've tried other short term assignments or on-call situations through the years but always come back to my bread and butter. Like anyone, I could of course be let go tomorrow, but in the meantime I'm making good money and doing work that comes second nature by now. Less stress too!
No, not gullible. I've worked in
years and not just in MT.  You need to unwrap your mind from around the state of MT of 25 years ago.  Those days are long gone.  Another unfortunate issue that we're faced with today - new MT graduates.  The quality just is not there as it was back in the day.  Well, enough said - we obviously will need to agree to disagree.  I see it every day the negotiations with major hospitals and offshore.  They know what their pennies are getting them and they don't care as long as it's cheap.   
I've worked and traveled with (sm)
A Verizon Broadband USB device on a 5GB/month plan for $60/month. Anywhere that I can get a Verizon phone signal, I can work. Working on the DQS platform, I could work 24/7 and never approach the 5 GB limit per month, but I'm not sure how other platforms work in that regard.

Europe in general is more sophisticated in their cell phone plans than the US (the majority in Europe use prepaid as opposed to 2-year contract plans). I would think that you could get a USB device over there that is compatible with the cell phone frequencies they use over there.

Hope this helps!
I've worked in-house and at home ....
I find that even when you're in-house, with the nature of the job, there's no time for chit-chat.  When I worked in-house we had production minimums and there was incentive to earn if you produced, so who has time to talk?  I'm with you.  I'm happy being here in my comfy clothing without all that aggravation.  Let is snow, I don't have to drive in it!
I don't think so. It sounds like you've never worked for a national.
Nationals DO check references.  That's the job of the HR department.  They DO run credit reports when you accept a job, and they tell you so on the piece of paper you have to sign giving them permission to do so.  They DO prosecute and report to collections against people who don't return equipment.  They DO keep deposits on unreturned equipment.  They DO get the equipment super cheap anyways in bulk deals through major technology suppliers.  Equipment, losses, and shipping are all tax deductible anyway.  They DO use QA so that lazy or inexperienced MTs aren't sending garbage straight through to the clients.  Most national MTs don't have any contact whatsoever with the clients.  In addition, the majority will let you use your own equipment or charge rental fees so it's not coming out of their pocket.
That goes both ways. I can tell you out of all the MTSOs I've worked for,
only a small percentage of them worked out. It's as if they'll tell you anything to get you hired, then reality hits. You tell them when you're available. Oh, OK, no problem. Then the work doesn't show up until your shift is over, but they still expect it done by TAT. Sorry, but I don't work on-call for free 24/7. I'm not sitting around doing nothing all day long waiting for work to come in. I'm not staying up all night without sleep and blowing off my family because the MTSO is in a bind. We're expected to work more than 8 hours a day without overtime or incentive pay.
I've worked for two services that had VA contracts.
It was horrible. Lots of ESLs. High stress MTSOs. No samples or QA feedback.
I've worked on a laptop only for going on 7 years.
I do use an external keyboard the majority of the time though.   The USB WiFi does not accept a card, it is small, plugs into a USB port and acts like your card does, you don't use a card.    Go to  a website like best buy and search for Wireless USB adapters and you'll see what I'm talking about. 
I've traveled and worked many times

To try to answer your questions.. Whether your foot pedal will work in your laptop depends on the laptop that you buy. When you're looking to buy one, try to find one with the correct kind of port for your pedal.  The one I recently bought doesn't have a serial port, so I bought an adapter at Circuit City that plugs into my USB port, and then I can plug my ergo keyboard and mouse into that.  In any case, your laptop will definitely come with at least a couple USB ports, so you could always buy a USB pedal to use with it if you have to.   As far as the headphones, every laptop I've ever used has had a place to plug in a pair of headphones so that should be no problem. The thing is...if you're going to buy a laptop specifically for this, then look at the ports on the laptops and make sure it has what you need.  I would say if you don't mind buying a USB foot pedal, though, you're not going to have problems because every new laptop will have USB ports, and I'm sure a place for your headphones.

If you're staying in hotels, try to stay in places that have free high speed internet which so many of them have now.  You can plug right into that and work.  If not, I know Verizon has a wireless broadband service now for around $60 a month you could check into.

I hope this helps some.


They aren't that rare. I've worked with SM
bunches of them.  Unfortunately, my experience with them boils down to this:  The men who do this usually are the men who can't get along in a work environment with a lot of other men. 
I've had this problem and the only thing that worked for me....sm
was to slow down turnaround.  They called within a couple of days.  Told them I had to take on extra work to meet my own bills by paying customers which slowed down their turnaround.  I had my check the next day.  Don't know how they managed that, but they did.  Since then, there have been a couple of times that it was a week or so late, but not like they used to do.  I honestly think as long as they can get away with it, they will.  I wonder how long they would last if their paychecks were 2-3 weeks late.  Really irks me. 
I've worked with much programs that were much worse.
I don't find ExText so bad.

Because I've done radiology, I've been stuck using software that didn't come with a medical spell-checker and was not compatible with any medical spell-checker. It had an English word checker, so we had to add every single medical term manually.

I once had management actually move us BACKWARDS in technology, from Medrite (which was a fine program back then), to the one previous to it. It may have been called MTS, but I can't remember. This was done because of a company merger and the "alpha" company managers were too lazy to learn the Medrite program. Did it matter to them that they were not paid on production and we were? NO! Of course not. So we all stood around as we were trained on this program my jaw dropped to my knees because it was so inefficient. And the spell checker was worse than useless with that program. Say you misspelled Levaquin as Leviquin. Here is a list of the suggestions it offered, and I am not exaggerating:


As far as ExText, what I would want fixed would be the ability to speed up or slow the dictation rate with the keyboard. The multi-mouse moves required are a waste of significant time IMO because of the long pauses so many acute care dictators inconsiderately leave in dictations.
I've worked with MTs who work diligently
...to find a way to cherry pick.

The system that you and the poster above you are describing sounds like the one used where I used to work.

One MT fiddled around and wasted who knows how much company time until she figured out how to manipulate the filters component of the system, and set the filters to only route to her jobs from her 3 preferred dictators.

If only these MTs put as much time into actually transcribing as they put into getting around the system they could probably make even more money than they do with the cherry picking.

I've worked for companies that needed people
specifically to do certain reports.  I have been hired to exclusively do ERs and discharge summaries before.  It wasn't cherry picking either.  They needed someone to catch up their backlog and keep the reports within TAT permanently.  Evidently, other people were cherry picking and bypassing these report types because they're not as good of money makers as Ops or H&Ps.
No, I've worked in doctor's business office.
That is what the insurance company allows, not what they dictate.  Who is to tell the doctor how long he can sit and talk with his patient.  It is up to him.  True insurance companies get together to decide what is the appropriate amount for the doctor to "charge" for a service but I've literally seen where the doctor sees the patient all of 2 minutes after patient is worked up by techs, but they still get paid for that visit.
We supposedly have Labor Day, but I've worked it for years.

I do respect those that have serious religious holidays though and only hope that the company that they work for understand.

At first I kicked myself for picking Mondays as one of my scheduled work days, as most of our holidays fall on a Monday. But  the kids sleep in because they have no school, so it always works, as I only have a 3 hour shift and I'm done before they get up.

I do. I've worked closely with these people for years,
I've tried Vivarin and the 1st two days it worked great
But after that they put me to sleep like anesthesia. Go figure.
I've worked for attorneys and doctors in the past and ...
I can tell you that attorneys have way more heart.  Docs are stone cold.  Personally, I can't stand working for them.....
I've worked at home for years and mothered sm
4 babies during that time. Buy a battery-operated swing and put it right beside your desk. I breastfed all of mine, too. They would swing and sleep, then when they woke up I'd take a break and nurse and then put the baby back in the swing. Get one that reclines and the baby will be very comfortable. That battery-operated swing allowed me to continue working. It was worth every penny I paid for it, and then some! Good luck and enjoy your little sweetie. She will grow up much too fast.
And I disagree with that. I've worked home and in-house,
Everyone is different and some people don't rely on jobs to provide social interaction. When it comes to my job, I prefer being at home working independently without a lot of interruptions and enjoy the freedom of working from home. If I were stuck in an office with rigid hours, then I'd be resentful. Personally, I loathe being stuck in an office full of catty backstabbers and love the solitude of home. When I want to socialize, I call one of my friends.

You also have to be able to let QA remarks roll off your back a little, but that only works if you don't have the threat of being docked or terminated as a result of those QA remarks. Find an MTSO that doesn't hold those things over your head (yes, they do exist).

I do think the key IS where you work, but not home versus office - it's finding a company that values MTs, not sees them as mere production machines. They are few and far between, but they're out there. I lived through my share of bad apples in this biz before finding the good ones, so I speak from experience.
I've worked weekends for 10 years, now I want to move onto a company
that does not require at least one weekend day.  I realize hospitals are open 24/7 but you would think that companies seeking good MTs would be more willing to offer a M-F shift.   
How funny - I've worked in Thibodeaux, Houma, NOLA, =
and almost had a brief spot out in the backwoods town that still uses tapes for their hospital dictation.

I've worked for other nationals. I make more money at Amphion.
The difference in dictation quality, work availability, system stability, and easy platform more than makes up for the lower line rate. They don't micromanage or bully either.
I've had people tell me that I would need to wait to have my questions answered until I worked...

for them.  What???  How would I know if I want to work for them if they don't answer my questions.

Go figure.

I've worked on a Dell Inspiron 8600 for 3 years
I've heard they're not as good as they used to be, but so far (knock on wood), I haven't had any problem except last week my AC power pack died. They mailed me a new one within 3-4 days (I was under 4 years parts warranty). I use a USB keyboard and mouse and don't bother to try to use the scrunched up laptop keyboard.

I've always worked for nationals and had direct deposit so I have not experienced this.
I understand your plight, but like you, I have bills to meet and they would not understand for cut me slack if I was late on my payments.  So, the first time a check was late, I would just excuse it as an oversight, but if it happened again, I'd politely walk away and neer look back. I think it's rude and unnecessary to treat others that way. Unfortunately too many small MTSO seem to have this problem balancing the checkbook from the sounds of thing on here.
I've worked for svl places that said to change it back to 100% before sending, so it must affect
Yeah, cant hurt to ask. I've worked in a similiar situation and I have never been turned down for
Just give him what you have told us..increase in work and wonder if your salary could be adjusted accordingly. Getting a raise from a private doctor is way easier than a national transcription company, let me tell you. Good luck.
Two of the best companies I've worked for didn't make me test. Makes you wonder if...sm
these MTSOs that mandate so many "tests" aren't just trying to see how many actual reports they can get transcribed for free. I could understand maybe a written test and one very in-depth transcription test, but 6 is utterly ridiculous. I would have definitely passed on that too and then told the MTSO exactly why.
MTSO with platform versus no platform (big message)

If a MTSO advertises that the MT works in MS Word and sends dictation by FTP, does this usually mean there will be no demographic/doctor database and the demographics will not be autopopulated?


I got into a mess with a small company (got out real quickly too).  I was required to print out daily email copies of the doctors' office patient schedules (which were barely legible) and type in all information.  I spent more time hunting for the correct patient through pages and pages of these schedules.  Then I had about 25 pages worth of doctor's names that I would have to go through to find the attending, referring, etc.  A total waste of time as I didn’t get paid for that. 


I wish MTSO would give more information as to what platform they use (if any).  Proprietary software is such a generic, totally useless description.  Would they buy a new car that listed, "Car has gasoline operated motor?" 


And for Pete's sakes, why so secretive about the pay?  Give a ballpark figure.  Just say, pay is between 7-12 cpl depending on skill, testing, etc. Tell me if you pay for spaces, headers, etc.  It would save them time because I wouldn’t even apply for a 7 cpl job. 


Before I spend an hour or two testing, I need more information from a company to be sure it is compatible for my needs.  If the MTSO would spend a little time on their website detailing their platform, how they send/receive files, pay rates,  how line rate is determined (spaces/no spaces) employee/IC/SE status, minimal line count, whether work pools consist of 100s of doctors, or smaller pools with 25-50 doctors etc.   Having all this information on their website would save them time and the MTs time.   Phoenix Medcom has a really good layout describing pretty much everything an MT would want to know before testing with them.  I am just tired of testing with a company and then finding out the job wasn’t exactly suited to my needs. 

Platform versus non-platform (templates)?

I've been working for MTSOs for years now, using their templates which sometimes cause productivity problems (macro issues, etc). I'm wondering if productivity is increased when working on a structured platform, such as one that a national company provides for its transcriptionists?  I've never used a platform, but it would seem that all one needs to do is straight type onto the screen and the platform program takes care of margins, page breaks, etc?

Any thoughts (as well as companies who are hiring who use platforms) would be appreciated.  Thanks

I use EXText with my current job and I've used at a couple of other jobs I've had. I've ne

used DocQscribe, but I have used Meditech, Cerner, Vianeta, the Precyse platform (I can't remember the name), Dolbey, and  Lanier platform I think was called Cequence (?). 

Out of all the different platforms I have typed on, I have liked EXText the best.  In my opinion, it's very user friendly, easy to learn, and I really like ESP which is the built in abbreviation expander.  Plus it is very easy to create your own normals which I love.  My fingers literally never leave the keyboard because there are macro keys for everything.  You can use your mouse if you prefer or learn the function macros.  I love it.  I think I'm more productive on EXText than with any other platform.

Every company is different -- I worked FT for one as an employee but worked a split shift - sm
So I never took breaks. I would work 5 hours, break for about 4 hours then do another 3. Another company I worked for did not care what hours you worked (IC) but wanted a min. amount of work each day, 500 for PT and 1000 for FT-- BUT they paid you by how many lines an hour you put out, the higher the lph the higher up the scale you made per line in pay; they have since changed everyone to a flat rate with incentive. But bottom line, if you are an IC it does not matter what hours you work, though many ask for a schedule and ask you to stick to it, they just want you to meet line requirements daily, i.e. 1000 per day, 1200 per day, whatever it is.
I got up early, worked during naps, and worked when DH got home.

You have to be disciplined to make yourself work when baby is napping instead of maybe watching TV or doing housework, etc.   

I might also go the route of having a teen come into your home, or either trying a mother's morning out program at a local church/daycare.   I've been home since my youngest was born and he has never been in all-day daycare, but I did have him in a mother's morning out program 15 hours a week at a local church.   It didn't help a lot with my work schedule because I had an older son in school and was a room mom and tutored other kids, but that might be an option.  The only problem with the mother's morning out program is they are around other kids and tend to pick up every germ.  I finally took my DS out of the program because he stayed sick.  You were supposed to keep them off if they had green nasal discharge and I did, but no one else did.  Every time I got him well after 2 to 3 days back he would be sick again.  Other than that it was very good for him because he would not have had a chance to be around kids his age otherwise. 

Spell as best you can or blank them and keep going. I've passed many tests when I've left blan
I worked on that system when I worked there...
The thing that chapped my hide about that TWS was that they designed it so that all the headers of each section of the report were canned and thus you were not paid for them, even though you had to take your hand off the keyboard and mouse down a list of paragraph headers to chose the one you needed.  Just racking up more profits for themselves.  Ticks me off.
that is what is being worked out, and has been worked on for the last few years already...only
why are we just hearing this now? I know voice recog has been around, but this is entirely different. This will also make coding and billing obsolete.

Don't know why, but it just bothers me that one of our 'own' is the one pushing this...and she is also connected with AAMT. Do they support this, and if so, what is their advice I wonder to the MT?

Perhaps that is one question for their website (I do not subscribe to their mag or credentials...)

Thanks, for the input!
As you can already see, you've come to the wrong board! By using the word professional, you've
excluded about 99% of the population of "whatever" it is that hangs on these boards. Certainly not professional for sure! But you sure are doing a good thing for someone! Its the thought that counts. Sorry you met the dregs right at the start.
HELP! I've turned my screen sideways, I can't straighten it up. I know I've seen sm
this before, but I can't remember what it is.  Do you realize how hard it is to read sideways?  TIA.
I've lost track of how many people who've asked about it to NOT