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Serving Over 20,000 US Medical Transcriptionists

making the public aware of outsourcing

Posted By: suggestion on 2009-02-06
In Reply to:

What if we all wrote to our local newspapers (letter to the editor) and let them know about this practice?  If people inquired of their physicians after reading the letter and found out their medical records are available outside of the country, maybe they might help in the fight by putting some pressure on the docs.  Just a thought.


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sure i was. i'm making fun of the people who are making a case for background checks, etc
to do medical transcription at home as if they may do something AWFUL with the info they receive. So if you want an invasion of privacy let's REALLY invade it and make sure fat chicks don't transcribe because they are so busy eating they can't get the work done, they mess up the keyboard with food and if they are provided health insurance they will raise the rates for the company sky high because their health risks are higher than others. Then there are the psychological issues overweight people bring to the table. After we eliminate fat people, we can go on to eliminate diabetic people who may have low blood sugar while typing and go into a spell and type the wrong thing. I could go on and on through the process of elimination. How about prescribed medications that may cloud your thinking? So you take Ambien to sleep but you have an Ambien groggy hangover when you are transcribing? Should they transcribe. How about your teens are on your last nerves and you take a Xanax? Should you be allowed to transcribe?
Ad-Aware SE
I have XP sp2 and have no problem using this.
What would you do if you are aware of a

already brought it to the Docs attention, but he doesn't care as long as he is making money (and he makes it hand over fist).  Without going into detail....should I report him?


Are any also aware that--sm
In doing my taxes this year with an electronic program, and a feature to find more deductions, I clicked on a few of these added deductions and I was extremely surprised to find one that actually gives a deduction for people with their own home businesses if they use India personnel to do business with. Now how many people would take advantage of a deduction on their taxes if they outsourced to India? Quite a few, I would say, if all they thought about was the bottom line! In my view, it is pretty sad when our own government is undermining its own American jobs and population to third world countries! JMO
Perhaps you are not aware sm

of how much grammar rules have changed over the years, particularly when it comes to punctuation. As I said, I learned this long ago. And you are right in saying that the method I was taught is British, although I grew up in a small town in the U.S.  Here is a quote from a British grammar site:


There are peculiar typographical reasons why the period and comma go inside the quotation mark in the United States. The following explanation comes from the "Frequently Asked Questions" file of alt.english.usage: "In the days when printing used raised bits of metal, "." and "," were the most delicate, and were in danger of damage (the face of the piece of type might break off from the body, or be bent or dented from above) if they had a '"' on one side and a blank space on the other. Hence the convention arose of always using '."' and ',"' rather than '".' and '",', regardless of logic." This seems to be an argument to return to something more logical, but there is little impetus to do so within the United States. 


 


Ad-Aware
Also my neighbor who is a computer whiz and qeek put Ad-Aware on my computer and I run it once a week.
I am aware of that. I even have
2 acute care accounts that do not follow JHACO recommendations. All of our accounts specs are essentially to BOS standards with exceptions for the facility or specific dictators requested noted.

I was simply curious what other companies that use the BOS as were doing and that is why I asked specifically about companies that use the BOS as a guide.
No not that I am aware of...sm
They are a small company. I don't think they have enough work to outsource.
Yes, I am aware...
that they are 2 different features.  I generally use AutoCorrect, sometimes AutoText.  My files are saved in a different location than normal for Word 2003.  I had an issue with this a long time ago when I was trying to move them to a different program, but I was able to find them eventually.  As I said above, adding entries directly into my main Word program saved them into EXText, maybe that will help OP as well.
I'm aware of that but - sm
wasn't aware that it wouldn't show up on the pay stub.  It was for this reason I wanted to verify that I was covered ... you never know with these companies, especially if you live in 1 state and the MTSO is located in another and the payroll office is in a third state. 
i know, i'm aware of these things, but don't you think too
that the aggressiveness, persistence of the family of the victim makes a HUGE difference as to the continued media play?
Something all MQers need to be aware of -- why

Here is a post buried deep down the page here. (I'm going to repost it here for us to re-read)


I too am refusing to move over to ASR.  and I too run out of work all the time


yet I can dial in and find work later - that was actually on the system for hours


before when I had dialed in earlier and been told NO JOBS! 


SO WHERE HAD THAT JOB BEEN?  WHY DID I GET A MSG THAT THERE WAS NO WORK? ..


The work room has obviously been not truthful with me - and probably others.  Whitewashing it.


So, here it is.  And I agree - Ain't that a great thing for patient care - let the report sit there and "cook" while people decide whether they will do it or not on ASR - then if nobody is going to do it - throw the left-overs to those of us out here starving to death - dialing in for hours finding no work. 


___________________


>>>>>>>>>>>>>>>>>>>>


I don't know about that, but I do know that towards the end of pay period...





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Posted By: MQite (sm) on 2005-09-17
In Reply to: An MQ recruiter told me yesterday if work is low they "cut off" the work - to SEs. And don't tell the


when we run out of work, I have to call in and have them special-assign me the ASR reports that just sit there like a lump and can't come to me automatically anymore since I don't (and won't) do ASR.  Getting sick of it, too. 



 


At least I do know what's going on now, after researching it via various sources. I pity the others who don't know and just assume there's totally no more work on the account at that point without checking.  Those ASR reports do "turn over" at some point and go automatically to whoever's on, but they have to just sit there for awhile first, waiting for an ASR MT to come and do them.  Isn't that just GREAT for patient care, too? 



Post QUICK reply



 

i am sure you are aware that there are still hospitals out there
that have not yet adopted these rules. I type for one major hospital that still wants the patient's name typed in the report. Another still wants cc instead of mL. Had this person tested and changed it to the "correct" form, who is to say that she wouldn't have gotten marked off for changed verbatim. Nervous MT2, hang in there, and if you test again make sure you ask up front whether they want you to follow BOS or type it verbatim that way you know ahead of time.
Be aware that your benefits will SM
likely be less than what you are getting now and more importantly, THEY WILL BE TIED TO WHETHER YOU MAKE PRODUCTION QUOTAS OR NOT.  Spheris has a rule where if you are not making your production quota for whatever reason you are placed on PART-TIME status and are not eligible for full-time benefits for something like 3 months.
Yes, I am aware they are messy

My cockatiels were very messy with food, etc thrown everywhere.  I'm sure a bigger bird will make a bigger mess.  Are there problems with feather "dust" with Greys too?  Cockatiels give off this white dust constantly.  We kept them sprayed with water and that helped.  How often do Greys molt?    


 


its called being aware of where we are
Its just another point at which we are compromising our personal confidential information and opening ourselves up for identity theft, etc. I don't care if the government is spying on me - i'm sure that they would be bored to tears and giggle at my net worth if they care to see my tax return or other financial info. It is the HUGE possibility of hackers bleeding me dry that worries me - ya think theres no such thing as hackers or identity theft? Just the same, talk about lemmings running off a cliff-- saying everything George does is okay he has out nation's best interest at heart - we'll go where ever he leads without question and with utter blind willingness and trust. Sounds kinda like misplaced trust to me
I'm sure she's aware of that mistake! nm
.
People are already aware of this and

 people are starting to realize that it's not such a great idea to send certain kinds of work overseas. I just saw an article about this recently, here's a link:  


http://www.aamt.org/smf/index.php?topic=3342.0


You apparently are not aware of

in this business for 25 years.  Used to be able to charge higher rates, but partly because of offshoring, that is no longer possible.  Raise your rates, and the work will be sent offshore instead.  I see a lot of MTs on this board proclaiming what how much they should get and how much the MTSO should charge, but reality is different.  My accounts are all 14 and 15 cpl.  I pay my MTs 10, 11 and 12 cpl depending on the account. 


Even a hospital MT supervisor told me that their MT department was getting 18 cpl for their MTs to do clinic work for the doctors at the hospital and the doctors decided they didn't want to pay that much and went with a cheaper company rather than paying 18 cpl.


What you say sounds good; but it's not reality.


Be aware that this work is also
being sent to other countries, believe it or not.

Just like MT, the quality isn't as high, but it is cheaper. That's not to say there aren't still jobs available, but they pay could have gone down quite a bit. We know how that goes!
If the patients were aware of that, they could
nm
You probably have more than you're aware of.
You are permitted to take a percentage of your utilities if you work from a home office. The percentage is determined by dividing the square footage of your home by the square footage of your office. If you don't have an office, make one, even if it is just a closet.

Education costs associated with your business, advertising, and travel are just a few more areas where you'll find deductions. You should talk with a tax professional for a better overall picture of your situation, both pros and cons.
I always assumed they were aware
They know they're a PITA and I'd bet if cherrypicking is possible on their account, their reports get typed last because nobody wants to do them.  So by making their reports stat they shove themselves to the front of the line to ensure their reports get typed within a certain time frame.  That's the feeling I always got about it, they get tired of waiting around for their reports to get typed so they can sign them off and go home, so this is their way of ensuring they get typed.  I have several that make anything they do stat, and have complained to no avail.  It stinks because they ruin the TAT for everyone else and you're forced to type their crap first while the good jobs sit and wait for hours.
OMG - now THAT is something the public - nm
.
Public
does not know.

I mentioned to my personal physician that transcription was being sent to India. He was surprised and concerned that this was happening.

Maybe we just need to educate the docs who mostly just dictate and don't know where it goes.

I'm well aware we edit..but someone on here stated

Thank you, but I'm quite aware what HIPAA stands for.
That's why it bothers me is because so many people have it wrong. Obviously, the MTSO doesn't care about quality if she can't even get it right. What's the skin off your nose if it bothers me? Why does it bother you that it bothers me? I don't need to get over it. I'm quite happy being bothered by it. Bother, bother, bother.
Yes, I am aware but there are other places he expresses himself
on this board. I could be wrong, though, it wouldn't be the first time.
Be aware before you purchase online sm
I've never ordered any of my pets' meds online but my friend has. One of her dogs was found to have heart worms and the guarantee was not honored because the product was purchased from a website which does not guarantee its products. I can't remember which site it was; you may want to inquire before you purchase. (She ended up paying $700 for treatment.)

Please overlook any typos, it's been a LONG day.
Being aware of level of concentration
Have learned to be sort of aware of when not really paying attention, rechecking those more carefully. When I'm at my best, just a 10/20 second scroll down page eyeballing it. On the medications/dosages though, I try to get it right the first time/pay attention. Problem area used to be putting off researching something til the end & forgetting, now either do right away or in some cases mark out a bolded section to go back to if waiting for question to become clear later on, so will catch bolded area on 10-second proof scroll.
I try to be aware of this kind of thing...
and make sure to attend all family functions of this sort, just so no one can say the same thing about me!  But, I agree with you, I wouldn't go to the shower either. Just curious, is your mom going? How about your sister? (Yes, I'm nosy!)
Lou Dobbs should be made aware of this - it's exactly
what he describes in one of his TV videos where he's talking about American workers' wages going down, and the fact that all these H1B'ers entering the country working for much less, even though they live here. This whole situation is a travesty, and I think all MTs, not just MQ-MTs, should be screaming loudly about this.
Yes, Ad-Aware is a good one, and so is SpyBot
Below is a link to the Kim Komando site with free downloads for antivirus software and all kinds of security software. If you haven't listened to her radio show (it's usually on during the weekend), check it out. And check out her site. She's always up on the latest developments in electronics - not just computers, but digital cameras, televisions, etc.
I am very well aware of the differences between the 2. As I stated below
in my post, I use GuildFTP server software. It is on my computer and the files are stored on my computer. It is completely secure. I pay absolutely no fees, because if I did I would have to pay them to myself. The files are sent from the physician's offices to my server which is in my living room. It does not go through anyone else to get to me. I have a static IP address which their FTP software (usually cuteFTP) uses to connect to it.
The only injection for calcium that I am aware of --sm
BONIVA. He may be simply be saying ---calcium, DayQuil??
I'm aware of where this degree could lead - sm

I worked in the HIM dept of a hospital at the beginning of my 10 years in this field, so I know what position this degree could put me in.  I also know that just the fact of having a degree is more than just being an MT and it will give me advantages than I currently have. 


I do feel like this is almost a lost cause and that the MT industry is reaching the point of no return (or has already).  I currently work for a fairly small transcription company and I am very thankful for the work that I have, even though I don't get paid what I would like, but I do have plenty of work and it is getting me by.  I chose to go back to school because I don't want everything to turn upside down and I have nothing to fall back on.  I wish all the best for the MT industry and if things do turn around I would never leave it, but I don't think that will be the case.


You realize by doing that they're making more money & you're making less? You should reconsid

Public TV is getting to be just as bad as cable.
Good old evening family sitcoms are just smut and garbage.  We have a Netflix membership, so I fill up the queue with kids or family movies that I've researched and approved.  The kids have been watching those all summer when they feel the need to watch TV at all.
MQ is a public company
under plenty of scrutiny right now. Are you saying they would tell a select group of employees before making the info available to shareholders? That is a violation of SEC rules. Your story is not credible. Unless your source is on the BOD, they know nothing.
No, public school in the U.S.
They had a MENSA group at the school, and we even got to CLEP college coursework.
Yes, but those pay more than public schoolteachers.
Our local college easily pays adjunct faculty twice ($30 hour) what public schoolteachers make.
When you are working with the public (sm)

there are always people who are sarcastic.  Yes, sarcastic will be among us, just like the poor.


By the way, what is your point besides needing to lash out at someone today?


I think in most USA public schools....nm
x
Maybe in public VIEW! lol
Article I read said it was Barbara who decided to suggest firing Star because Rosie had said the only way she would join the View was if there was no Star! That and she was annoyed by her antics over the past year. So, yeah, real class that Babs! Maybe she's been hanging out with white-trash-with-money-Rosie a little too much? Maybe next they'll ask Britney Spears to join the show. LOL!
informing the public

That's why I want my friend mentioned in my above post to go to the TV stations about this and expose it if it is not resolved -- NOT the particular MT in question, but the working conditions that make this kind of mistake possible.  This hospital is HUGE, one of the most well-known in the country.  I want TV there. 


 


You mean you would actually do MT-ing in a public place?
If your at-home cable goes down.....dear Lord, I pray you never type my medical records in a public place. Geez Louise, how could you not know this is wrong???
Public record
http://www.fbodaily.com/archive/2009/05-May/30-May-2009/FBO-01829906.htm

http://www.fbodaily.com/archive/2009/05-May/30-May-2009/FBO-01829905.htm

These 2 companies were just awarded all of VISN 7. Not sure exactly where the split is. Look on VA website for hospitals make up VISN 7.
As you may or may not be aware, some people prefer to CHANGE
the company that is corrupt than change jobs. Changing jobs does not make quite as big and impact on the company's bottom line or get the attention of the CEOS as a lawsuit. We are going forward with the lawsuit and we will change the company with a little help from the judicial system and the SEC.
You need to make us aware of this on the Monitor's Board. sm
We need a link to delete the post. We can't and don't control everything that happens here as we hope that people respect the rules and act like adults. That doesn't always happen. Your post is extremely rude in questioning our loyalty to the American.

Take this to the Monitor's Board. You didn't mention which state board and gave me no information whatsoever.
Why is this so upsetting to you? He sounds very responsible and aware to me. sm
I don't think he is "throwing away opportunity" by quitting football, he's just venturing in another direction....his academics! I can't believe you're not happy about him WANTING to focus on his academics, which he obviously already has since he has a 4.0. He's extremely likely to get scholarships for that.  I would be proud that he was mature enough to not only know himself well enough to know when something is not satisfying to him anymore, but to quit it in a responsible way, by telling you about it, by going to his coach about it.  I understand the team mentality, and the importance of being responsible to your team, etc., but you shouldn't be forced to be loyal to something you don't believe in anymore, and certainly not guilted into it. Let the boy concentrate on math and physics! He can be smart for a lifetime, he can only play football for a limited number of years. Academics never gave anyone a concussion.
I'd make fellow VLC students aware, to
nm