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Serving Over 20,000 US Medical Transcriptionists

cherry-picked routing to VR and offshore

Posted By: M on 2005-07-11
In Reply to: Chill in that you're all complaining and whining here, which is getting you NO where fast! Plus i - MT

Ethical to route the work in a systematic way according to the documented processes of your company. Unethical to route work "as you see fit" if "as you see fit" is defined based on who you like and who you don't, as you described above. Tired of hearing the complaining? Get over it and get used to it, because it isn't going to stop and it is only going to get worse.

On what basis to you know that the "paranoid" plotting and speculation about dictation being cherry picked to go to India or VR is unfounded? I notice the natural variation in who is dictating, etc., the true "roll of the dice" as you describe it, and that doesn't bother me.

It isn't that it "has" to be more than just fate. It is more than just fate.

VR and offshore transcriptionists can't handle the tough dictation, yet we know they are being used. Do you think what is being routed to VR and offshore is random, the luck of the draw? I don't.

So I don't know why I shouldn't suspect that if on the average, in an ongoing trend, dictation is getting worse for domestic transcriptionists to a degree that could not be a cooincidence, it means that for reasons other than coincidence, easier work is being routed somewhere else.

I can tell you are comfortable with "the way things have always been," and change makes you nervous, but get used to the fact that whether it has always been this way or not, it is not going to continue to be that way.

Get used to the ideas of MTs standing up for their rights and fighting back or quit reading the complaints and type away in your happy, sheltered world. The status quo is not going to continue.


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    They offshore so you get the cherry picked leftovers.
    Sound quality is lousy. Totally rigid on their schedule. They have the attitude that you should be grateful to work for them.
    Routing isn't cherry picking. :)
    Routing is business...it all has to get done, the good, the bad, the ugly.

    I'm not worried about getting the bad reports, either.

    Sooner or later, you'll be out of a job and I won't because I can REALLY do the work. I've already seen that happen. I usually get rewarded for my extra effort as well...a few particular jobs or dictators if I do some really ugly ones. Is that cherry picking? I don't think so. It's called business. It's called getting a reward for doing something that others cannot. It's why I'm given a little leeway. :)

    Happy typing.
    my supervisor cherry picked the normal
    cataract surgeries, normal any other type of surgeries she could using the same illogical reasoning that you have used. That is because she is too incompetent to do transcription.
    I respectfully disagree. The BEST is CHERRY cake with cherry drizzle. YUMboooooooooooooooyyyy!

    Routing of work... sm
    Currently working for a small national.  I'm curious as to how other companies route the dictation to the MTs.  For example, are you expected to transcribe pretty much all the dictation (300 providers/teaching hospital & clinic), or do you have certain specialties you transcribe, or just a certain amount of providers?  Do you do only acute-care work or only clinic work?  Of course, every provider and/or specialty has their own set of rules to follow, thus making it difficult to be productive when constantly researching the rules.  TIA!   
    Routing or reserving, agree with you MQ
    It's the coordinators in my office who do the reserving of jobs, again for a various of reasons. Some tell me they are not allowed to, only the TC can, but then others just go ahead and do it, NONE are MT's, just "customer service coordinators"...the one on 2nd shift in my office is a college student, who has nooooooooo clue about anything to do with MT'ng
    Is there any danger putting bank acct# and routing# on federal tax (sm)
    tax form so as to get your refund by direct deposit? Can someone use this info to their advantage?
    Please post offshore topics on Offshore Concerns board. (NM)

    Thank you. 


    Goldbird


    After about age 35-40 everything's picked over anyway.
    All that's left are:

    1. Some loser that his wife threw out. If someone else didn't want him, there had to be a good reason. I don't either.

    2. Some mommy's boy who's lived at home decades beyond what is appropriate. Total head-case here. Cheap, immature, incapable of making a decision without Mom's involvement and approval. No thanks.

    3. The fat, the bald, the lazy, the angry and anything else that the rest of the female population considers undesirable.

    If you're over 40, get a pet. They love you nomatter what, they're always happy to see you and they're not in need of therapy and/or medication.
    it can be picked up and what you are
    transmitting or receiving can be monitored by others. hipaa, you know.
    They could have at least picked a guy with
    nice white teeth, not yellow! Yuck!
    eat them now, they were picked eons ago.
    why wait?
    She picked Steve.
    xx
    You know, she could have picked better songs

    Sure they were done by Elvis, but she could have picked better songs, and she could have done better with the ones she picked.  People complain that the guys should have done a Bette Midler week, but I could just see Elliott doing Wind Beneath My Wings, or Taylor doing The Rose...they would just have to pick songs that best suited them from that artist and then just do a great job. She should have tried Love Me Tender.


    I think you have picked wisely
    because the field for nursing is unbelievable. Having worked at hospitals, doctor offices, etc. I heard from nurses not only the $$$$ salary but the perks that go along with it. One nurse told me about how she got her living expenses covered by 2 doctors vying for her working for them. I have been here for 30+ years so I am not in the same boat trying to raise children, etc. but if I had to do that now I would never be able to live off the salary handed to the MTs now. Good luck!
    I picked up the Homedics Shiatsu
    neck massager at Walgreen's last month, and it's so relaxing! Eight or ten minutes at bedtime and I fall asleep immediately. For anyone with tense neck muscles, this is a must-have. I've tried the seat cushion too-- nice!
    The signal cannot be picked up on wireless if you
    even if you DON'T, they can only pick up and use  your SIGNAL for access - not YOUR actual online activity.  How this fallacy began is beyond me.  If your activity could be monitored just because you use wireless then satellite internet would not exist and Linksys would be out of business.  Many MAJOR corporations, banks and government entities use satellite internet on laptops for salesmen, traveling employees and others who work out of the office in the USA and overseas.  Do you think they would risk it if there were an actual problem?  Your Keystrokes are more likely be picked up by spyware, adware, viruses and worms which are prevalent on ALL internet connections.  If any MTSO had a problem in the past it is because their own site was not properly secure - it had nothing to do with the type of internet connection.  The MTSOs are denying employment to a lot of good MTs just because they live where DSL and cable are not available.  All based on what is, in my book, an OLD WIVE'S TALE. 
    Is there a reason you picked Colorado or was it
    nm
    I picked up a brochure and it stated that --sm
    the student version did not come with outlook 2007, which I happen to like. Guess it will be the next up version for me. sigh.
    I have not picked up a book in forever
    I go to the Internet for everything I need to know. Keep in mind that you need to find reference sites that are legit, then the Internet is the way to go. In fact, my books are packed in a box and I have no clue where that box is. The exception to that is my Book of Style, and it is a rare use item, as well.
    I'm sorry you feel picked on. Yours was the post I responded too because SM
    yours was the one I found to be most unbelievable and in case you didn't notice, I wasn't the only one who found it unbelievable.
    Maybe you picked the wrong week to stop
    x
    First , I am a seasoned MT, no need to train, tapes are picked up, i type 'em. and that is about it.
    dd
    Yeah, that is why he picked Condi Rice as Sec of State. nm
    KIK
    Nope, my hubby picked mine up last year and
    hopefully his deductions will clear out mine this year.
    I can relate.....I took on extra work and now my DH just picked a fight with me, and is also winding
    the kids up massively as I type this. Totally off your subject but he just dropped on me that he is cutting all contact off from my dad since he recently remarried and intimated that he was leaving me and my brothers nothing in his will......DH also said the kids were not allowed to have any contact with him either.  I can get around that and just leave with the kids when he is at work if I have to resort to that.  But this is bullsh*t.....I fear if it keeps up I am headed for divorce court.  He is getting weirder and weirder about money, though he professes not to care or want it.  Then he dropped that when his dad (75) dies his mom (70) was moving in with us.......WHAT!  So right now I am hoping that his mom goes first as he will never live with his dad, or that his dad lives another 15 years at least....We had promised my mom she could live with us, but now that she is dead, he says it will be his mother as he has to protect his interests (and the kids....as supposedely all his parent's money is to go to them.....he plans not to touch it). So needless to say I am LIVID, don't want to work right now, am not talking to him though he keeps coming in and ranting more....he has calmed down some but still driving me nuts.  He has to stop drinking, that is what it comes down to....much more rational then.  But I really think the writing is on the wall and it's scary as I have no where to go now.
    I just picked up a UK account. I need a spellcheck for british medical. Any suggestions?
    tia
    That is what I'm trying to do. I've picked up some smaller accounts, dropped the national, an
    very hard to cut my hours. It takes time learning the new docs and systems, but I'm sure soon I'll be working less (I pray).

    Thanks for your thoughts. I should have never gotten used to the bonus $$.
    Picked up tapes for years for a clinic. Finally splurged
    Drs wanted to try the phone system so I found a used one and it's much easier. Still drop off printed reports but have dictation instantly, especially nice for stat reports. Don't have to wait to pick up tapes anymore. I could see some of my older clients never moving away from tapes, but if you have one that's receptive to it, you might give it a shot. With gas prices now, it's easier to have a few scheduled dropoff days a week and you can always fax urgent documents to staff. I find that the local drs are usually quite loyal to good MTs so that is nice job security. They like the personal touch from someone they trust, not some big chain. My clients even offered to pay for phone system but I bought it so I could write it off.
    Yes, a year or so ago. Got picked. Child molester case/Guilty! nm
    x
    I feel left out! Nobody picked on my errant comma that shoulda been a semi colon.
    x
    cherry
    This is unbelievable. You should have really complained
    your boss.
    what's a cherry picker?
    I'm new at this, so please excuse my ignorance.  What is a "cherry picker" and what does "ESL" stand for?
    cherry picking
    Your boss WANTS you spy on each other AND rat them out? so much for ethics and morals..I'm too busy doing my own work to worry what others are doing.
    CHERRY PICKER
    I just started for a new company and the transcriptionists there seem to talk about cherry pickers all of the time.  It sounds to me like the people who have been there a while do not welcome the new employees coming in.  Could someone explain to me exactly what they mean by a cherry picker???? TIA
    Cherry Picking

    A cherry picker is someone who manipulates the dictation system to give her or himself the better, longer reports or the known good dictators. I am not sure how people do this with at-home and internet based transcription, but when I worked at a hospital people used to check what was coming up on the big Lanier machines and take a break if they saw something bad on the horizon. If you are in a position to assign yourself work, such as a system administrator, you could take the best dictators for yourself, but it is likely if you are new you are not in this position yet.


    My advice:  Stay on the good side of your coworkers and do the work that is lined up for you.  


    How can you cherry pick on MQ DQS?
    How do you get info on whether hospital complains or not about cherry picking?  How do you figure an office is closed because of cherry picking.  My office is far away from where I live.  My managers are just names.  I don't know them.  They live in other parts of the country also, far away from the home office.  I know nothing about who is doing what nor correspondence from the hospital to the manager or why MQ closes offices (I was told this is an economical measure since most managers are working out of their homes as well.) How do you come across all of your information regarding the inner workings of MQ and who is cherry picking and how?
    cherry picking on DQS
    The people working in the room than handles the work flow..the room that controls the dictation put the easier dictation on your track.  They will do that when transcriptionists complain they cant do the **hard** doctors.  They are able to put you on whatever track they want to..You have no control but the office does.
    cherry picking
    Which is worse, cherry pickers or greedy hogs who take all the work? That's the case where I am desperately trying to get away from. These people overhire as well as have a lot of job hogs.
    cherry picking

    not all the managers of the closed MQ offices are working from home, my office manager lost her job and so did everyone else that worked in that office, (when you think about it how many managers do you really need it everything is done via email) we were told by our office that the hospital could track who was skipping reports but nothing was ever done about it, everyone was told not to do it which stopped it for awhile but then it would start up again, we also had managers that would assign certain work types to certain transcriptionists or certain drs to certain transcriptionists, that's how it was in my old office


    Cherry picking

    I don't like cherry pickers for whatever reason, but I do know this.  If you hang in with the worst dictators on your account, transcribe them each time they come up, guess what - you get the hang of them and learn them, no matter how difficult they are.  That is what is ignorant about cherry picking to me, taking on the most difficult dictators just gives you an opportunity to learn and conquer no matter how slow going it is at the beginning.  I think if die-hard cherry pickers looked at it as an opportunity to learn, it would stop - I don't like anything or anybody to "whip me", so I do jobs at my company that have been kicked around all over the US for two or three hours, but the cherry picking stops here.


    Cherry Picking!
    YES,so true and now the hardest dictators seem to easy and you meet the challenge! That is what keeps the job interesting as well. Yes, love the easy reports here and there to give me a break but the challenge is what keeps me going.
    it's CHERRY PICKING and she could not get away with it at MQ
    You get a report and call wawawa I have a cell phone dictation and I REFUSE to do it you would be laughed out of a job.
    Not for us, but for the cherry-picking
    management person who did 4600 lines in 1 day- that had to be done by picking out all the normal reports on the system and them getting her sweet little bonus. What a cheat!!!!!!!!!!!!!!!!!!!!!
    you can't cherry pick....

    Well you see, you stated right in your post that you can't possibly cherry pick...so what do you know about what is going on with the rest of us out here who DO have to deal with cherry pickers. 


    Don't know what you make per line but getting about 666 lines per hour is quite astounding.  I'm sure you must be quite happy where you are and with no cherry pickers!  Good for you.  I've been an acute care MT for over 30 years and am rated as one of the best as far as QA and quantity and have NEVER, EVER in my life been able to come close to your line count.  Maybe you are from another planet and have powers beyond us or maybe you have some special secret you could share.  Or maybe, we should just ignore your statement of getting that kind of line count, especially when you are not dealing with cherry pickers.  


    Cherry picking....

    I do know exactly what you are talking about.  And to you other posters who ask, "how do you know"....believe me with some accounts it is very, very obvious unless you live in lallah land!!  I've been going through this cherry picking routine now for about 5 months.  Company hired one new girl who tried for several months but couldn't do the "bad" guys so she was terminated.  Now we have a new "seasoned" MT who is skipping over the same dictators.  The really SAD news is that QA doesn't want her to even try to do those docs because they can't understand them either.  So they are left for me and one other person as we seem to be the only two who can do their work!! 


    I've let the "powers that be" know that this really should not be tolerated; they agree but will give her a little more time to "adjust".  Wish I could "adjust" my bills!!!!!  Anyway, smile....things will get better.     


    Yes, I do cherry pick...
    but very infrequently and only if I think somebody else would do a better job of transcribing a particular dictator - all of us on my account do it to a minimal extent and no one is bothered by it - sometimes U feel like a nut, sometimes U don't...
    cherry juice
    I used to drink cherry juice on a regular basis for stiffness in my knees. I researched it and there was much positive research done by Michigan State Univ.  Info is on the web if you're interested.  For me, I drank it for several months.  In the beginning it was palatable but as the days went on it got to be awful to get down.  And , as someone else pointed out, it cleans out your system better than a stick of dynamite!  If you decide to use it, be sure it's the right kind-usually sells in concentrate and is sour cherry juice and ranges in price from $14-18.00 depending on where you get it.  Good luck if you decide to try it.
    what is CHERRY PICKING ?
    ??
    Sometimes I wish I could cherry pick

    I work with a program that will not allow you to cherry pick. If you try to dump the job, it comes right back to you.


    It's a good thing though. I have learned a lot of foreign accents and have put up with mumblers, pausers, stutterers and horrid background noises, but I can do it all.


    When the companies the cherry pickers work for downsize or go to VR (voice recognition) the good MTs will be working and the cherry pickers will be saying, "Do you want fries with that?


    I am not cherry picking. sm
    If I was cherry picking I would refuse to do the account. I have 2 other accounts. I am hoping that by doing this account it will come to be something that isn't so hard for me anymore. I learn everyday. But that account is very hard to make lines on. If I could choose I would like to work on an acute care that wasn't a learning hospital, but I know I am gaining great experience with this account. I don't mean to sound like I am a cherry picker but some say why stay where you don't like the account. When you are a newbie you don't have that luxury if you wanted it. I know some MTs who work for the same company I do with many years exp. who refuse to do acute care. I know that is their preference but I understand what you are saying. It does get annoying when some pick and choose. I have never told them I won't do it. I don't like it but if I wasn't going to do it I would find another company. I wouldn't stay at a company and refuse to do the work I was offered because then other MTs have to do it and it isn't fair to cherry pick and make others do what you don't want to do. And I have that where I work. I have people that work there and have many, many years exp. and refuse to do the hard acute care accounts. I used to get so fustrated. As a result that is more of the hard account I have to do because they don't want to but like you say that is part of the job so I will just have to deal with other cherry pickers.