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Serving Over 20,000 US Medical Transcriptionists

that's what these companies do, outsource from clinic/hospital

Posted By: if you mean offshore, that's different on 2007-07-06
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    Angry, this happened in our hospital with our outsource service - sm
    we had not been checking the outsource service's work for months. Well, it came back to bite us in the ass, because low and behold there was a Transcriptionist that worked for the outsource service that could not type whatsoever - in fact, we even suspected that it was being offshored without our knowledge - that's how bad it was.

    anyways, it came back to bite us in the ass because an outside doctor's office received a copy of a hospital dictation and it made us look stupid. So needless to say, we asked that this certain transcriptionist be taken off the account. It was our fault for not looking at the transcription services work, but then again, they guarantee accuracy and crap like that.

    Maybe this is what happened in your situation. That all of a sudden the hospital decided to do a QA or some doctor finally read his dictation.

    Don't be hard on yourself. You will get the hang of it.
    Not all companies outsource and Spheris shouldn't be (sm)
    your last hope for heaven sakes. By the way, your husband sounds like a real winner.
    Tax breaks to companies that outsource overseas... tic tic tic
    Apparently, the President has vowed to stop giving tax breaks to companies that outsource jobs overseas.  That is a GREAT thing for MT's!  Woohoo!  Can't happen soon enough. http://www.cnn.com/2009/POLITICS/04/15/obama.taxes/?iref=mpstoryview
    there are NOT plenty of companies who don't outsource, directly or indirectly.
    as for you calling others "idiots" your credibility is gone.  hope you are careful where you shop and what you buy regarding your loyalty to not participating in companies who offshore.  good luck.  hope you have plenty of time and plenty of money.
    It hasn't been allowed since HIPAA. MT companies who outsource...
    get away with it because they don't tell their clients, and internet wav file capabilities enable them to do so without anyone knowing. Some policy and investigation needs to be enforced to stop this. I say start slapping companies who outsource with huge fines and see how long we have to deal with outsourcing problems. What gets me most is "I can't even get a copy of my own medical record from my doc unless he has a release of medical records form signed by myself on file in my chart, but a doctor can dictate John Smith's medical history, send it to a company who in turns sends it out of the country and back here! Ridiculous.
    Trust me, there is no legislation in place allowing companies to outsource confidential ...sm
    patient records. Clothes, food, etc., yes, but not patient records. Start slapping the "biggies" with "big fines", and see how much lobbying pull they really have.
    Hospital or Clinic? sm
    Will you be doing one work type or several?

    If you are to be doing one set work type for a hospital, I would say 14 cpl. More than two work types 16 cpl.

    If you are to be doing clinic work I would say anywhere from 10 cpl to 12 cpl.

    Let her know that your quote is negotiable based on the work. Don't undersell yourself.
    Clinic vs Hospital

    I have noticed that it does worse with clinic notes than hospital notes.  If I sit still for an hour I can average 600+ lines an hour but I get bored.  My line count for all my escription accounts together average around 3000 a day, with about 25% of that being straight typing.

    I also found my thumbs got very sore using soley keys so I prefer to use my mouse some.

    Well said! I went from clinic to hospital. sm
    There's a learning curve, but I sure hope I don't ever have to type clinic notes again! ZZZZZZZZZZZzzzzzz!
    anyone still work for hospital or clinic?
    Check the Hospital/Clinic MT board right here. nm
    Do you do basic 4 for a hospital or clinic work?
    I worked at a naval hospital outpatient clinic--sm
    as a salaried employee $28. In 2002 had the opportunity to work at home as an IC for .12/line. In 2003 I was told had to become an employee and dropped to .11/line as the company woudl have to pay taxes/benefits. In 2004 had a raise to .1133. In 2005 that company merged with another and was dropped to .10/line and have had no raise since then. Am at top of pay level in both line rate and salary rate.

    Just told the company is buying a new platform that could possibly doudle our production and in turn may affect our line rates even more by raising the daily line requirement. Will have to wait and see about that.
    Try working inhouse at a local clinic or hospital.
    That's what many MTs end up having to do to get their foot in the door & gain experience. IMO, that's the best way to start anyway since you have experienced people nearby to ask for help because those first few months can be very difficult. Good luck!

    P.S. Agree with the other posters below that you need to specify you have your certificate in MT, not referring to yourself as a Certified MT which is a completely different thing and can only be obtained after a few years of experience & testing with AHDI. However, that brings up another topic... many MTs choose not to become certified now that AHDI has sold us out & encourages offshoring of our work. I've been doing this nearly 20 years and only once have ever been asked if I had my CMT, so it's pretty much irrelevant anyway. As long as you have experience & test well, that's what they care about.
    all clinic work companies pay 6.5-8/line.
    2 accts are direct hospital, 1 is a clinic and the 4th is a subcontractor position. nm
    Was offered 7.4-7.7 cpl for clinic work back in 2005 and 8 cpl for hospital. Is it still
    What companies provide computers? Hospital is outsourcing all transcription and I am out of a job..

    in about two months.  I lost my computer and reference books in a house fire and can't afford to replace the computer until I get my tax refund back or until my homeowners insurance co. gets their act together which ever comes first! 

    This is the second time I've lost an in-house hospital transcription job to outsourcing and have decided if you can't beat 'em, join 'em and so I want to go back to working at home.  What are the best companies to work for that provide equipment and are fair regarding line counts (i.e. count spaces and don't short MT's on lines) and have balanced accounts (accounts that have a fair ESL to EFL dictator ratio) to work on?

    I have 13 years experience as an MT and I am desparately looking for a company to call home for as long as they will have me!  I worked at home for a couple of years, but never could find that perfect fit.  My new year's resolution is find a job I love working from home, and forget all about last year!


    Just curious, are there companies who just hire ER MT?? I just left my hospital position due to voi
    VERY hard to get - a few companies have rad tied up pretty tight. The hospital I work for sm
    will not even look at a new company for radiology. The TAT is too tight, the IS issues complex, and the radiologists do not want to have to proof their reports. You would be better off with medical records or small offices to start to build your size and reputation.

    Depends on what kind of hospital? Large urban hospital or small community hospital? SM

    Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.

    I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 

    clinic is not walk-in or ER notes; it is clinic
    could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
    That THEY DO NOT outsource!
    NO MDI-MD does NOT outsource NM
    no outsource
    I honestly don't think they're going to go to outsourcing any time soon. Besides...I'm not going to be at this hospital for years and years. My husband is graduating from college in June and we may be relocating after that. I'm just wondering if I should ask for a raise for the extra work that I put in, or at least a bonus or some sort of recognition or compensation.
    and you will be begging for work. get ready to brown-nose to get enough money to live on.

    good luck. you could do much better.
    They outsource to India
    They are funded by George Soros (look him up-- he has big bucks, is very "global", and has bankrupted a lot of foreign countries). Look at the two articles on the MT News board about Spheris. If you like all the new MQ rules and regulations, you will love Spheris, as they have all the same ones. I checked into them about 6 months ago and said, "No, thanks".
    Transcend does NOT outsource!
    so who types it? they only way around that would be to outsource
    and that seems ridiculous.
    Pretty soon they will outsource THAT
    Nothing like a reminder that they outsource.
    Because if they don't outsource presently...sm
    they will do it some day. Is the bottom line the buck. Unfortunately!
    If you can't outsource, then bring them here

    Just stopping the flow of records overseas is not going to solve the problem.  There is a special class of visa that industry can turn to if they cannot find enough American workers to do a job.  This has been used for engineers, IT professionals and nurses among others.  It is not necessarily that there are not Americans that can do the job, but that they will not do it for a low wage.  We need to pay attention to the immigration debate as well.  It isn't simply about poorly educated, low-skilled workers being involved in a guest worker program. 

    hospitals outsource because
    they are sick of all the MT drama (as we can here on this board); therefore, there are not many in-house positions left ;)
    hospitals outsource because
    ooops...I meant "as we can SEE how much drama is going on here on this board"
    reversing OUTSOURCE trend ?
    that I will not make the money that the hospital pays me. But is it true - that outsourcing is being reversed? I'd love to hear that ... so many more options for decent employment would come our way.

    THanks !
    Does Transcend outsource overseas?
    Thinking of applying with them as an IC.  Anybody with any input?
    They probably just outsource their tech work to there.
    There was a discussion not long ago that they outsource
    I was checking into them, but when I read all the controversy over their outsourcing (one person said the owner was from India, I believe), I changed my mind. I can't remember what all was said, but maybe you can go back about a month or so ago and find the conversation. Good luck with your search!
    HP/Quicken/Norton outsource
    I agree.  My printer/fax machine died and had to get a new one.  There was a piece in the way so that I could not get the ink in, so had to call Customer Service.  Two hours later, with understanding only 1/3 of what he said, I finally got the information I needed.  My computer crashed on me (not a good year), had to call HP and Norton, both of which use India for their Customer Service - finally went and bought a new computer as got no help.  Couldn't get my Quicken loaded, so called the help desk, and guess what!  He was not understanding my question/problem at all.  It's like I cannot get into that part or I would not be asking for help!  Finally, a friend of mine helped me and got into it so I could do a backup to restore my data.  I am sick of this so-called "service", and sure hope American companies, hospitals in particular catch on soon before our whole world crashes down on us.
    we were told how much the outsource service
    gets paid every month from our overflow work - they get paid $48,000/month!!! A MONTH!!!! In the beginning, some of us were so mad that were coming in early and grabbing all the easy work and typing it as fast as we could just so it wouldn't get picked up by the outsource service. With our staff of 14 transcriptionists, plus the outsourcing, is it any wonder these hospitals are getting sick of having inhouse transcriptionists!

    Check this out - it seems that the outsourcing is growing and growing.  Now the DMV in Orange County, California is outsourcing to Mexico.  It seems they are blaming the media for publicizing this, but not admitting to the potential for danger that this poses.  See the link below:


    They outsource to India... go figure
    We all lost our jobs a few years back when Dell made the decision to close all the call centers and send the work over to India. They are "programmed" not to fix the problem, but to get you off the phone as quickly as possible. Their answer to everything is to format and reinstall. I was with them for over 2 years before we got the ax. If anybody ever needs help with their Dell, just "yell."

    On a side note, I had to laugh when I saw an article in Reader's Digest about Mr. Dell and all the "great things he is doing for the US." If people only knew....
    Lawyer tells you how to outsource

    Please don't send this to the gab board as this pertains to US, the US MQ employees:


    Nationals who outsource to India

    Will the nationals in this country face financial hardship if the Obama/Biden administration cuts tax incentives to companies who outsource their MT work to India?

    I know of one company who outsources and they are not doing too well financially and their CEO resigned not to long ago, no reason given. I know a lot of MTs refuse to work for companies that outsource but many domestic MTs do work for them and maybe now is a time to bail out. Any thoughts???

    Looking into nursing. I figure you can't outsource the..sm
    people you take care of. I did billing for a hospital before I got into transcription. At this point I don't think it would pay enough for most of us, it was considered an entry level position where I worked. I don't know if that has changed or not.
    US to outsource obesity to India....

    With our jobs, come our problems.....very interesting article.


    TransTech Medical does not outsource offshore.
    It's a service in the USA, but I hear they outsource to India.
    So I'm not too hopeful about it.  I'm going to at least talk to them, but like I said, I'm not too optimistic.
    This is very true. None of our local hospitals outsource their pathology, as far as I know. But...sm
    I work for MQ's Seattle office and for a time was assigned to a pathology account there. I was always curious how/why they outsourced their pathology. Anyway, I quickly found it BORING (especially the gross dictations) and asked to be taken off the account because I made NO money (very short jobs + software slower than molasses = no money).

    Hope this helps some.

    I cant figure out why she is so upset if she has such a perfect job that doesn't outsource??