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Serving Over 20,000 US Medical Transcriptionists

Yes, he's from Pakistan. He didn't hire himself though.

Posted By: nm on 2008-03-04
In Reply to: Well that is real mature, calling me a rimrod. Why the name calling? - me

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    They answered. Said he was from Pakistan and that all MTs
    x
    ID being stolen in Pakistan
    There is probably less chance of your ID being stolen in Pakistan than the United States, where I had my stolen.
    I'm sure India, Pakistan, Philippines...
    and perhaps a few others.  But the WORLD...no....not even most healthcare providers in the U.S.A.  If you really believe what you said, you've have been misled.
    Aim the missles at India & Pakistan
    One way to get rid of some of our nuclear arsenal....
    Advertise in India & Pakistan, not the U.S.

    The quality I see coming out of Pakistan and Egypt still bites the big one.
    :+
    how do you know for certain that Sheri is not an honest person? and Dr. Ahmed is from Pakistan, the
    or is there any owner here. No one answers any of my questions. I have been posting all day.
    It is owned by Zeshan Ahmed from Pakistan. It is no longer
    xx
    Zeshan Ahmed from Pakistan. He posted it right here. I have zero comfort
    this website. I can't believe you would be.
    18,000+ have perished in Pakistan. A terrible tragedy has occured in the world, we should
    whether offshore services can't work.  Any way you look at it, people are people.  To the original poster, have some respect.
    Death toll in Pakistan rises up to 30,000. Whatever your belief system is please think of the
    t
    Six Cents is an excellent income if you live in India or Pakistan!
    If a client told me that was the rate of pay they're offering, you'd be amazed just how quickly that conversation would come to an abrupt end. 
    Strike in Pakistan slowing down offshored work here. Just another example of offshore
    :+
    Remember that Pakistan co who threatened to post medical records on the Net?

    REMEMBER WHEN THIS STORY BROKE? Finally, somebody is dealing with the issue. Check this out!


    http://www.gcn.com/online/vol1_no1/41035-1.html


    VA IT security gaps extend to contractors
    06/14/06 -- 04:15 PM
    By Mary Mosquera,



    Rep. Buyer: Department CIO needs IT security enforcement authority
     
    [b]The Veterans Affairs Department said today that it has been investigating allegations that an offshore medical transcription subcontractor last year threatened to expose 30,000 veterans’ electronic health records on the Internet in a payment dispute with a VA contractor. [/b]
    The VA assistant inspector general referred to the investigation during questioning in a congressional hearing on VA’s data security environment in the wake of the theft of sensitive data of 26.5 million veterans, active duty military and reserves officers.


    The medical transcription incident highlights how gaps in information security also extend to contractors, said Michael Staley, VA’s assistant inspector general for auditing. Some VA medical transcription contractors have used offshore subcontractors in India and Pakistan without VA’s approval and without adequate controls to ensure veterans’ health information was secure under the Health Insurance Portability and Accountability Act, according to an audit released today.


    “Contracts do not specify criteria for how to protect information,” Staley told the House Veterans Affairs Committee.


    Staley enumerated audits of information management security under the Federal Information Security Management Act, the Consolidated Financial Statement and Combined Assessment Program that revealed significant vulnerabilities. These include VA not controlling and monitoring employee access, not restricting users to only the data they need and not terminating accounts of departing employees in a timely manner.


    In last year’s FISMA review, the IG provided 16 recommendations, including addressing security vulnerabilities of unauthorized access and misuse of sensitive information and data throughout VA demonstrated during its field testing. All 16 recommendations remain open, he said.


    Audits also found instances where out-based employees send veterans’ medical information to the VA regional office through unencrypted e-mail; monitoring remote network access and usage does not routinely occur; and off-duty users’ access to VA computer systems and sensitive information is not restricted.


    “VA has implemented some recommendations for specific locations identified but has not made corrections VA-wide,” he said.


    From fiscal years 2000 to 2005, the IG identified IT and security deficiencies in 141, or 78 percent, of 181 Veterans Health Administration facilities reviewed, and 37, or 67 percent, of the 55 Veterans Benefits Administration facilities reviewed.


    “We recommended that VA pursue a more centralized approach, apply appropriate resources and establish a clear chain of command and accountability structure to implement and enforce IT internal controls,” Staley said.


    The underlying situation is the VA’s department CIO does not have authority to enforce compliance with data security and information management and recommendations from GAO, said Veterans Affairs Committee chairman Steve Buyer (R-Ind.).


    Buyer traced problems in security enforcement to a memo dated April 2004 from the general counsel that said the department CIO did not have enforcement authority.


    The CIO, undersecretaries who lead VA’s benefits, health and burial administrations, and the VA secretary share responsibility for enforcement, said Gregory Wilshusen, director of information security issues for the Government Accountability Office.


    “Information security is a governmentwide problem, and we have talked with OMB about that,” said Linda Koontz, director of GAO’s information management issues.


    Buyer expressed frustration that there are no consequences for “recalcitrant” agencies that do not correct problems that GAO has repeatedly highlighted. He cited the Privacy Act, which has been strengthened with consequences.


    “If you have a bureaucracy so strong in the department that the secretary or political bodies are unable to act, don’t you think the president or vice president or OMB needs to know that because there are monetary consequences behind that inaction? I’m bothered that GAO doesn’t have the higher authority to which they can turn,” Buyer said after the hearing.


    After several more hearings this month, Buyer and his committee will make recommendations or craft legislation. He suggested that Congress consider looking at strengthening FISMA.


    “We can even come up with that in our language, but we’re not going to have jurisdiction over that. We’ll have to work with Mr. Davis [House Government Reform Committee chairman Tom Davis (R-Va.)] and his committee. I’d be more than happy to do that,” he said.



    © 1996-2006 Post-Newsweek Media, Inc. All Rights Reserved.


    they don't REFUSE to hire new MT's. They REFUSE to hire them at 6-8 cents per line.

    mostly because you can now hire experienced MT's at 6-8 cpl. In the near future, you will be able to hire experienced MT's at 5 cpl. Then people will start getting out of this business and new people will stop trying to get in. I had a job opening and asked people to bid what they wanted per line. One very smart young lady was a new grad and bid 3 cpl. I hired her a year and a half ago, she has been terrific! and I was willing to spend my time training her because a) time is money and she saved me money so I could spend my time and b) she had definite potential!. In another six months, she will be the MT with 2 years experience applying for jobs. AND she will get them because she will test well and essentially "bought" her experience. So use Economics 101...


     


    So then this board is now owned by Dr. Zeshan Ahmed from Pakistan? Do I understand you correctly?
    So this is NOT AN AMERICAN BOARD ANYMORE?
    Well of course we know that now. Back then we didn't because he didn't allow unfettered access.
    c
    right we children didn't tattle to the administrator did we. BTW, didn't you think we were &#
    because some half-witted idiot said everyone was jealous because some other anonymous poster said they were going to be a doctor. Didn't they call it doctor envy. Oh yeah, that was all about you wasn't it busy-body MT. You with your degree and premed but yet you still post here and acuse others of jealously. I dunno but you and dano seem so close, I can't put my finger on it but I would say you could be computer clones. Jealous indeed. Children indeed. I think you are blowing your covers) dano and busy body MT. This whole "jealously" thing makes me think that you may be one and the same poster.
    I didn't go into labor until 2.5 weeks later, so it didn't work. Sorry!...nm
    x
    sorry I didn't have time to thank you, but I didn't forget!!

    Didn't you tell me?!?!? No, Liza, you didn't tell me. Hooray for you! lol
    x
    I'm a new-hire MT. I don't know about
    the workload available; I was told there was lots of OT available b/c the accounts are behind. We will see.

    I'm sorry you have such a bad outlook with this company. Perhaps you should work somewhere else?

    Btw, were you trying to spell "carousel" in your post?

    oh, they want want to hire you,
    its just that they want to pay you less than minimum wage for the first couple years because you aren't *qualified.* I bet the school didn't mention that. None of them do. Good luck paying off that student loan.
    I don't know of anywhere that would hire...sm
    you with no school training or anything. I think even the local clinics and hospitals want you to have a course in it or something and if you have no job experience they may train.
    they don't hire IC but they have sm
    but they have some specific accounts in some specialties where you keep the same account, same doctors.
    I never said I hire Indian MTs
    ...but I can't wait to see you bleed to death by your own hand, either.

    Thanks for driving us away from American MTs though.

    I fought against offshore heavily. What did you do?

    Bitter, bitter, incompetent MTs.
    What companies hire....

    international/over seas MTs? I have been looking and looking for a decent job that hires MTs from Canada, are their any?


    RE: What companies hire
    Spheris.
    No, even the hospitals don't want to hire new MTs.
    Doctors don't want to hire newbies.  In office, at home, it doesn't matter.  It's not about being a stay at home mommy, as you are so assuming and generalizing yourself.  Everyone wants to hire experienced workers, but nobody is willing to train them.  As I said, every other industry in the country trains their workers.  MT seems to be the only one where people are expected to walk into it knowing everything.  It's not an assumption; it's an observation.  Just because my experience and observations are different than yours does not make me wrong.  You're not the know all, end all to the MT world.  I do have business management experience and education, so don't dismiss my observation as lacking just because it doesn't match yours.
    hire time
    I think it took a few days after the recruiter emailed me initially b/c she was busy or something, but after that everything went faster. Maybe you should just call, I don't think they would mind. I don't think you should worry.
    I won't hire anyone without them first being willing to test.
    p
    Does anyone know of companies who hire
    I currently transcribe but miss medical billing. I would love to find a job working from home. Please post response or email me.

    thanks
    I don't think DW is not looking to hire anyone but is looking for work herself - nm
    x
    Any companies out there still hire
    /
    You say you need the benefits, so I would definitely hire in
    I did transcription at home, bought my own insurance, got depressed and gained weight and lost almost all my social contacts. It really changed my personality for the worse. But for another person with stronger family ties, or real involvement in the community, it might not turn out that way.

    In the past 5 years I've had to have some medical attention(comes with my age group) and I have been SO thankful for paid time off and for health insurance. I now also have some hope of having a decent retirement income so I don't burden my children when i get to that age.

    It's such an individual thing. Best of luck in making the decision that is a great fit for you and yours.
    I would hire you in a heartbeat...

    for all of the reasons mentioned in your post, and then some. 


    Sorry, not require but WILL HIRE
    I'm sorry. I meant hospitals that will hire remote MTs, not require! :o)
    Most hire a subcontractor
    I think it it is wise to establish a relationship prior to needing them so they are already familiar with the account(s) and can do it with very little instruction.
    Who's going to hire a 60 year old except

    the fast food places and Wal-Mart. And they don't pay that much either. I already checked into it.


    I don't like being around people that much either. I left an office job because of office politics...not once...but 4 times in my lifetime of working. Just couldn't take the crap.  In today's world, the people out there aren't very nice. In fact, some of them are downright nasty. I've seen them treat service personnel as if THEY owned the place.


    Also, there aren't many jobs or decent wages in my area. Most jobs around here pay minimum wage. For me to get a good job, I would have to go 40 miles from home into another county without the benefit of a 4 lane highway. Only 2 lanes and mostly through small towns with low speed limits. It would take me about an hour to get to a decent paying, so you're spending 10 hours a week on the road.


    I stay in MT because I love the challenge, because I can work at home. I drive my car about 5 miles a week. That's it. A tank of gas lasts me more than a month.


    You get your own clients, then you hire them...sm
    MTSOs are paid on production, too, so most simply cannot take on the task of training a newbie. If you think that's a good business plan, get some clients and give it a whirl. It's just not realistic to expect MTSOs to train inexperienced MTs and still have enough hours in the day to handle other aspects of the business, as well - and still make a small profit of some sort.

    When I see suggestions like this, I have to assume they come from someone who has never even run a business before. It's easy to sit on the sidelines and make suggestions when you have no idea what is involved. The MTSO doesn't just sit on his/her tush and eat bon-bons while the MTs type their fingers to the bone. There is a LOT that goes into running a successful service (key word successful). The lucky MTSOs find enough help to where they don't have to transcribe and can handle just the business aspect, but many aren't that fortunate and still do a good deal of transcribing along with that.

    Besides training those inexperienced MTs - and that's a full-time job in itself, believe me - you will have to proof their work very thoroughly (which will mean a full listen on all sound files to ensure accuracy or risk losing your clients altogether). You will also be responsible for tracking and assigning work to the MTs, scurrying to find help when someone decides they'd rather go shopping than work that day (happens more often than you might think), handle payroll and tax documentation for each individual client and each individual MT, invoicing and billing your clients and tracking payments, maintenance of equipment and supplies, handling client phone calls and concerns including next-to-impossible "tech support" questions from clients that really just don't understand the equipment, etc., etc. The list goes on.

    Keep in mind, while you are training the inexperienced MTs, you will also need to do a LOT of transcription yourself. Most inexperienced MTs will take all day to finish one 25-minute file, so you will have to transcribe many lines yourself to meet the client's TAT if you want to keep the clients. Since it takes most people at least a year to finish MT school, you can count on keeping up this pace for about that long. And it would probably be more like indefinitely since everyone learns at a different pace.

    You will be putting in at least 12-hour days, assuming you are fast and efficient, and you will rarely get time off. If you do take time off, it will be without pay and when you return, you will have so much work piled up that you'll spend the next 2 weeks working around the clock to get caught up.

    I'm all for keeping it in the USA, but you cannot seriously expect companies that are also paid on production to train newbies. Would you expect to be trained from the bottom up to be a plumber? Doctor? Dentist? Lawyer? Why do so many MTs think they deserve to be hired without any skills?

    If you are up to training inexperienced MTs on top of all that, knowing full well that you will make next to nothing in pay yourself after you pay said MTs at least 7-8 cpl, then knock yourself out and be sure to let us know how it goes!

    If I wanted to train inexperienced MTs, I'd start an MT school. Yes, we were all new and inexperienced at some point, but since MT has gone to production pay and offsite, most are not trained OTJ anymore. It's just not feasible, no matter how good your intentions. Even the "experienced" MTs require some training on account specs, so most MTSOs lose money in the first month or so of hiring, but there's no way any smart businessperson would agree to that indefinitely.

    If you want to keep jobs in the USA, get adequate training and act professional. Don't accept rotten line rates, even if it's just "for now," and don't turn in work with careless mistakes. Don't say you'll work but then call off because you'd rather take Little Mary and Johnny swimming because it's a nice day. Don't expect special treatment just because you're a mom - many MTSOs are moms, too, and are working long hours and sacrificing time with their own families in order to make sure the clients are happy!! There is no option for MTSOs to just blow work off for the day, because if they do, they probably won't have clients come the next day. Clients won't put up with it since they can just get online and find another service willing to do the work (and more often than not, they don't even have to do that becuase services are marketing to them regularly).

    It's not even about offshore competition. It's about changing the way MTs are viewed on the whole. Act professional and you will be treated as a professional. It really is that simple the majority of the time.
    Plumber is IC. When you hire him, do you
    x
    then you need to hire employees ... sm
    If you need someone to adhere to a strict schedule then you need to hire employees and pay their SS.  I am finding that more and more employers want the best of both world.  They want to pay like an IC and treat like an employee.  Why MTs are putting up with this is beyond me.  If they report the "employers" to the IRS they can be held liable for back taxes. 
    would you hire an MT to be a dentist
    without any formal training???? I get very frustrated with people who ask me to get them a job because, after all, how hard can just sitting there typing be?

    This is a serious job. You can change a patients past, present and future by one mistake on a report. You do not "travel this avenue" for fun.

    If you want to be an MT, and can be serious about it, then you will take an MT course and learn what you need to know. If you are not willing to do that then you need to find another avenue.
    And how about that AGE DISCRIMINATION! Only hire
    .
    TTS, NH - do they hire newbies

    TTS, NH - do they hire newbies?  I have a whole 6 weeks of experience and am looking for a good company.  Not fond of the big nationals.


    If you have any additional suggestions for good companies I am open.


    Looking for employee position, but realize that initially this is almost impossible to find. Will definitely settle for IC status.


    If you hire an attorney (sm)
    you an also request reimbursement for your expenses, court costs and attorney fees. I would mention this in my letter to the MTSO also. If this MTSO does this to you I guarantee you are not the only person they are doing it to.

    Good luck
    Yes, they could like hire an employee
    of choice and complying with IRS guidelines.  However, since ICs will "agree" to work certain hours, the company gets away with it very, very easily even though it is against the guidelines set forth by the IRS. 
    WHY do companies say they hire QA from within? Do
    they not understand that MT and QA are two completely different positions, and that if an MT wanted a QA position, she would've applied for it in the first place?  This has got to be the most ridiculous thing I've ever heard of.  Rather than hire someone with 10+ years of QA experience, you'd rather 'promote' an MT to become a newbie QA & have to train them from scratch how to QA? Or make someone who's been a professional QA for years become an MT again, when the reason they became a QA in the first place probably had to do with their hands giving out?!  Again, it's not a promotion -- it's a COMPLETELY DIFFERENT JOB.  Sometimes I wonder if the people in charge of making these decisions have any MT experience at all.  <end of rant>
    Sometimes companies hire ICs for
    overflow, sometimes permanently. As an IC you do have to purchase your own insurance and you get no vacation time. Some places will pay extra for holidays even as an IC, but you will not get "holiday pay" if you do not work. You set your own hours, if the MTSO is willing for you to work those fine. They cannot set in stone your hours, but they CAN say when they have work available if it is not 24/7 and you can choose to work or not.
    Be thankful. If they hire more you will
    stare at nothing on the screen.
    Did MQ hire supes to be cheerleaders?

    Rah, rah, sis, boom, bah ! Almost makes me regurgitate when I get those imails. Also when upper mgmt sends those intro imails over and over about a new "high dollar" CEO/manager that they have hired with our monies, rather than giving us a raise and better benefits.


    MQ supe is definitely not the asset it was to the MT's in the past. It is all about pleasing the upper management now -- using Excel to send those much needed reports back and forth. 


    I miss the supe of yesteryear!