AHDI- HUGE SUPPORTER OF
Posted By: EmmaMT on 2009-03-15
In Reply to: I am really surprised - sm - OkayEveryone
offshore. So I'm curious why ANY US MT would be willing to support them.
Years ago, I sat in meetings listening to people who had high positions in AHDI (then AAMT) discussing how to cut the production of MTs.
You might want to make sure you are aligning yourself with someone who TRULY has the best interest of the US MT at heart, and sorry, no one will ever convince me that ADHI reflects that.
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I'm not some crazy SUPPORTER or
anything, but I think it's gotten a little bit out of hand. I've worked at OSi for 2-1/2 years and while everything is not all rosy, it's not the worst place in the world. They pay on time ALWAYS. I think the insurance is high, but I came from a before MT job where I thought that was high too...not much to compare it to. The whole holiday pay thing - on a conference call last week, they STRESSED that they were putting in place some guidelines for those MTs who abuse the system to get the holiday pay but assured everyone that it would not be held against them if there was no work before/after a holiday. They do offshore, so if that's a concern, then there's nothing more to say about that.
I've had a steady account there, as well as a back up that I've hardly had to use because I've hardly run out of work. I'm pretty much left alone to do my work and have never had trouble making lines.
Almost every company mentioned has pros AND cons...you do what's best for you and if it doesn't work, then try again.
CARDIOSCRIBES SUPPORTER
Wow. Guess what? As far as I can tell, humans still run this company. Sometimes unpopular decisions are made, and sometimes there is human error involved. On behalf of Cardioscribes, I am sorry if anybody was lied to or felt slighted by something said or done by any member of Cardioscribes.
Cardioscribes' biggest fault is the fact that this company is completely transparent. Sometimes what you see is not a pretty picture. But it's a work in progress. Sit tight. We'll grow from this, and continue to try to learn and do the right thing.
I still love this company and the people I work for. It would take a lot more than a few missteps and human error to change that.
I think this could only be done with a huge client base, or a huge number of say only
s
AHDI
see your worst enemy under Outsourcing thread, below:
http://forum.mtstars.com/company/v/1/51190.html
Not about AHDI! yes! Thank you! - sm
First of all, I would like to say that it is obvious that I messed up royally with my original post. I should have copied the pertinent links for government contacts and never let AHDI be mentioned. I do not support AHDI, have never been a member. I did not have a clue that there was such animosity. I do not have any proof that they are an honest organization, nor do I have proof that they are an evil entity as many here seem to believe. I have seen no evidence of either.
My intent was to rally. Everyone has an opinion whether it can be backed up or not, and everyone has a right to express it. Please express it to the proper folks in a letter. Send a letter! Write VIA US MAIL on the outside. Have it registered, return receipt requested. We cannot predict an outcome, but one thing is sure. If you do not act, you are not trying to help yourself.
Yes. the AHDI needs us just like they
needed us when they sold us down the river in the MQ settlement. Wake up, people.
AHDI
GAWD, well be a good little sheep/CMT and keep giving the all-knowing AHDI your money and believe everything they tell you. The AHDI is all for the MTSO, not you, thus their scare tactics. They could care less about you, other than how much money you give them. It sickens me to see the pictures of the WMX employees at the AHDI convention. Get a clue, people, they are helping the MTSO's give your work to India and YOU are helping them by continuing to fund their BULLSH*@.
Question about AHDI
I haven't been on here in a long time and rarely have time to linger, but with the holiday I've had time to read some old threads. I read a post regarding AHDI and how they support offshore outsourcing and am extremely disappointed, as were many other MTs who posted on that thread. So why don't some of us serious, experiened MTs get together and form our own legitimate organization offering credentialing and supporting U.S. MT/QA? Would anyone like to get in on the ground floor of a project like this? We could start out having some meetings and develop a board of directors, etc. Whomever is interested in this, please drop me an email.
AHDI/MTIA
is not nearly as powerful or influential as it likes to think it is. It is a legend in its own mind.
Not only that, but AHDI's "certification" has been
No Thanks, will not support anything AHDI is doing.
They haven't been worried about the American MT in years. I used to be a member and a CMT, and was on the State Board of Directors of AAMT in my state. Almost all the folks at the national level work for companies that offshore and most are Indian owned. In fact, to be politically correct, most of them welcome the Indian MTs with open arms. I saw this with my own eyes at several AAMT Annual Conferences. They must be worried about losing their own jobs. That's the only thing that could spark an interest of AHDI to suddenly try to save American jobs. Sorry if I'm cynical, but I've been with 2 companies that were bought up by Indians and then I was out a job. AAMT/AHDI didn't care then and I really doubt they care now.
AHDI's letter
No, thanks. AHDI has a long history of selling out the American transcriptionist. If they told me the sun was shining, I would walk outside and look at the sky to be sure. I refuse to support AHDI in any way whatsoever.
Oh so now the Mightly AHDI needs US??
Once again, AHDI has an agenda to push, but this time they need US?
Where were they when we needed them?
Where were they when our jobs started being shipped overseas for peanuts?
Where where they when our wages started declining instead of keeping pace with inflation?
Where was AHDI when we, the MTs they claim to represent, needed them?
They only want our numbers to bombard Congress so that they don't lose their cushy roles in all of this.
The AHDI never has and never will have the best interest of the American MTs in mind.
If there was another group that truly represented the American MTs (please notice that AHDI completely removed the word American from their title - that says a LOT), then I might be more inclined to help out but I am not going to any extraordinary lengths to help this group. I don't believe them or trust them.
Fool me once, shame on you...fool me twice....
Another thing to thank AHDI for...
Thanks to AHDI and the MTIA for finding new and better ways of screwing skilled labor out of the money it deserves. Way to go.
Anyone wonder why I don't support this group of crooks?
No one says the MTSOs have to go along with AHDI's
nonsense anymore. I think they've proven themselves useless, inept, unsupporting of American MT, and their only purpose being to further the offshoring of our work. MTSOs, just say no! I'm not overly worried about this one, though, because it serves absolutely no purpose.
AHDI/ofshoring
I guess if they were so against it, they wouldn't be taking the Indian's money and allowing them to test for the grossly over-rated title of CMT, at a cheaper rate BTW than Americans have to pay. And I guess if they were so against it, they would not be promoting and enticing the Indians to become certified and join AHDI so they can use that as a selling point for pushing their way cheap and oh so very smart CMT Indians.
Conversation with AHDI, or War is Peace
This is a conversation I had with Karen Fox of AHDI via e-mail back in September of 2007, back when I still (naively) thought that AAMT/AHDI was on my side. (I didn't know they were giving special discounts to Indian CMT test-takers!) This is verbatim other than to reverse the order, so you don't have to read it from the bottom up, & the elimination of a couple of names in order to protect my employer.
****
ME: I'm looking for a position statement on offshoring somewhere on the site & not seeing it. Can you direct me? What is AHDI doing to protect MTs from this?
***
KF: Hi. Where are you from? Do you have a phone number where you can be reached? I have class today so I must focus on transcribing right now but I would be happy to discuss the international transcription topic at a time that is convenient for you.
***
ME: I live in California. Offshoring is such a huge issue, one that is affecting every MT & has recently affected me directly. I'm not seeing how AAMT is intervening in any way. Is there something AAMT, or I guess it's AHDI now, has published that will tell me how the dues that are paid in are going toward remedying this? It's funny. When I first started investigating becoming an MT I thought VR would the biggest threat to continuing a career as a transcriptionist. I thought I was way ahead of the game by knowing about this trend & decided that if I thought it was threatening me in any way I would sign on with a company that used it & become an editor. Once I saw how reluctant doctors are to make any sort of change (evidenced by the number still using cassette tapes) I figured I would be out of danger for the time I expected to be working as an MT. But now there's an even bigger threat, one that I did not see or know about until I was already working as an MT: offshore MTs lined up around the world willing to do my job for 2 or 3 cents a line. I can't compete with that & am working my way out of transcription altogether. I work for an MTSO and am paid relatively well by MT standards, but recently the account I work on decided they wanted to have the work done more cheaply & so gave over a huge chunk of the work to ..... who offshores to India. In order to keep her share of the work my boss, the MTSO owner, had to try to underbid them. She has managed to keep her staff by basically eating the difference, but it's only a matter of time before she can't do this & will have to pass the pay cut on to us, & I don't want to be around when that happens.
I'd like to know, though, what AHDI thinks about all this & what kind of lobbying they are doing, especially with the UCSF debacle a few years back having made HIPAA something of a household word. I'm looking at the AHDI website & any reference to any of this is glaringly absent, unless I'm just missing something obvious or am not looking in the right place. If you could send me the link to a position statement I'd be happy to read it.
I do see:
- Patient safety and continuity of care through documentation standards designed to ensure and protect the integrity of patient health data.
- Consistent, secure and confidential capture of, management of, and access to patient health data
- Workforce development in allied health that will ensure resource longevity in healthcare documentation
- Establishment of a national health technology infrastructure to address patient safety, continuity of care, and healthcare delivery costs.
*...address healthcare delivery costs???????????* The entire focus of these 4 bullets seems to be protection of the medical documents, protection of the public, protection of the doctors. I'm not really seeing how the MT is being protected in all this, & it leaves me wondering whose side AHDI is actually on.
******
KF: You make some very valid observations and echo what other transcriptionists around the country have experienced. Right now, the real numbers are showing that international transcription is absorbing no more than 5% of the total dictation volume generated by the US healthcare system.
******
ME: How do you arrive at this?
******
KF: The position that AHDI has taken is to endorse that international transcriptionists must meet the same high expectations of transcription accuracy and standards as we expect and get from a vast portion of our domestic workforce.
****
ME: This is ridiculous. All it says is that doctors will now get Pakistani transcription equal in quality to that of a US Transcriptionist and still pay 3 cents a line. If the yearly cost of living for someone in a 3rd-world country is something around what I make in a month, there is no way I am going to be able to compete, & if all you do is raise their standards, you still have not raised their cost of living. They still have an incredible margin with which to outbid American companies.
*****
KF: Another reality is that international transcription has created a huge market for transcription editors and higher QA expectations much like speech recognition has. We have also discussed international transcription in our legislative interactions as many of our state and national policy makers have no clue we have international transcriptionists. I have attached a joint statement made back in 2004 when the UCSF transcription issue made headlines. At that time, Senator Figeroa wanted to close down the California border and not allow any transcription to be performed outside of the state. This was not a practical response. The fact is – we are a global economy. Add to that, if you want to limit international transcription so must you limit outsourcing transcription,...
*****
ME: why? Why is it necessary to limit outsourcing within the US as well? I'm not seeing the connection.
*****
KF: ...outsourcing being a primary source of transcription employment for a huge portion of our members, either as a home-based employees or as independent contractors, some using subcontractors.
*****
ME: I don't see how these are related. Outsourcing within the US should be fine for anyone. Outsourcing outside the US should not be. You seem to be throwing the baby out with the bathwater.
*****
KF: What we can ask for is full disclosure of where the transcription is being performed – we have those rules in place; they just need to be enforced. What we can ask for is for our domestic MTs to raise the bar and become credentialed to meet the work force need.
*****
ME: I became a CMT but did not renew, for quite a few reasons. My MS in physiology means more to my employer than a CMT. I can teach most of the courses required to renew, & I am so busy living from paycheck to paycheck, I don't have time to write down the literally hundreds of pages of surgical technique on equipment manufacturers' websites that I have read cover to cover, or the e-Medicine account I maintain to read in-depth accounts on every medical condition I come across, or even the MS Word users' websites I frequent in order to become ultra-skilled at MS word. Besides which, at this point I don't really want to support AAMT. I really do feel that your position is completely lukewarm and not representative of your actual constituency, the MTs.
*****
KF: We may not be able to compete on price or on Turn Around Time but we can compete in the arenas of skill and knowledge and show how that skill and knowledge can actually save companies money in the long run.
A bigger threat to our industry and most importantly patient care (after all, that is the business we are in is to provide the highest quality documentation that affords excellent patient safety and care and lower risk management issues) ...
*****
ME: That's the business I am in, definitely. And as an MT it's the business you are in. But as an AAMT representative, it's not the business you are in...
*****
KF: ...besides international transcription is the input from point-and-click technologies, clinician data input with no editing prior to finals being signed, speech recognition reports with no editing before finals, the merged electronic health record that may exponentially repeat a medical error that is now currently housed in one institution in one paper document, an EHR that contains no narrative that affects clinical decision making – these things are a focus of our association and its leaders as far as how to secure a place for the knowledge-based transcriptionist in the healthcare documentation domain.
*****
ME: AAMT's business was, or so I thought, to represent MTs. Liability-wise, it's the doctor's responsibility to ensure the quality of the document in terms of whether s/he chooses to use a point-and-click technology. If they have made an informed decision as to the limitations, there's nothing you or I or anyone else should be able to do about it. If you mean helping them to make an informed decision, then great, but again, it sounds like you have jumped some sort of fence. You are trying to satisfy too many factions & in the end will satisfy no one. I know many, many MTs who have nothing but negative things to say about AAMT specifically because of the lukewarm stances it takes on the issues MTs are most concerned with.
*a focus of our association and its leaders.* What does this mean? That you think about it a lot? I'm not sure how these ideas are translating into action. Do you lobby the AMA? What is the action associated with these ideas?
*****
KF: You mention a focus on the profession versus a focus on the MT needs. This is intentional and while it may feel unfair to the working MT,...
*****
ME: It does indeed. It feels like a form of bait & switch, & it's the reason I & so many others don't really want to be associated with AAMT anymore. Did you ever read Orwell's Animal Farm? AAMT reminds me of the pig. (I'm not saying that to be mean, I'm talking about the actual character.) The pig started out representing the masses & got enough power to rise above & became part of the very thing the masses needed help overcoming. This feels exactly like what has happened to the original organization.
*****
KF: ...another vision includes the broader picture of where MTs fall in the stream of the healthcare client (institutions and the patient) and providing patient care; ensuring we have a place at the table of decision makers and a hook to hang our industry hat on and continue performing our craft. The Association for Healthcare Documentation Integrity (AHDI) – Capturing America's Healthcare Story is committed to development of a professional association poised to impact heath data technology and patient safety and risk management and ensure our industry is a part of the transition into the next age of healthcare and health information exchange.
All of those things may not solve your individual circumstance and I understand that is very frustrating. I truly believe there will be a pendulum swing in the advent of international transcription when companies start really looking at how many times the report must be touched in order for it to be a final product and I think the cost factors will eventually blur. We are going to see a continued increase in documentation and an even higher demand from the client/consumer for accurate and complete records – hopefully with a human interface. We are already seeing some backlash from some the technology in place, point and click and doctor-input narratives, as the physicians are reading the final reports 3 months later upon patient followup and realizing the mistakes and gross medical errors that are contained within that any transcriptionist worth their salt would have caught and changed. We have made MDs look good for a long, long period of time. The pendulum may need to swing around a bit before it comes back to our court but I think in many instances, this is already happening.
I empathize with the plight of your account and the company you work through. You are not alone in losing accounts to international or just larger MTSOs or technology such as speech recognition or electronic input mechanisms. Hopefully you will continue to see value in what the association does on your behalf.
*****
ME: Continue is not the right word to use here, Karen. I really have not seen what the association does on my behalf for some time, & although I really appreciate the time you have taken to lay all this out, I'm not seeing it now.
*****
KF: While it may not be the blatant denouncement of internal transcription you were hoping for, perhaps I have given you some other ideas to consider and you will support me and your California and AHDI leaders in the cause.
*****
ME: Actually, no. What I think, (& I'm saying this in the most fervent, democratic, question-authority voice possible) is that I'm hearing a lot of political double-talk, the likes of which would make anyone in Washington proud, & I don't mean that in a good way.
*****
KF: In California my primary goal is to build an apprenticeship program in this state so that we can provide a real answer to our workforce need; providing qualified domestic MTs to include those in our military spouse program via the community colleges in California. As Legislative Issues Group chair, another primary purpose I try to achieve is to educate our members nationally so they can tell their unique stories, such as the one you have shared with me, with their elected officials so that ultimately we can have educational programs that invest in this viable career option in allied health much like the international countries are doing and so much more.
*****
ME: It actually feels like not only are you not denouncing international transcription, it seems like the organization now sees itself as some kind of Peace Corps of transcription. I'm not getting where you think an *answer to a workforce need* is any kind of issue. The MT schools are pouring out newbies. Supply is not the problem; in fact, it's quite the opposite, which is the exact reason it's so hard for MTs to make a living. It's because the supply is so abundant that companies can bid each other down to 4, 5, 6 cents a line & still get resumes.
*****
KF: I hope some day to meet you. I live in San Diego but I travel extensively throughout California so maybe we can visit face to face one day. Please let me know if you have further questions and I will be happy to try and answer them.
*****
ME: I think, in truth, that I feel utterly betrayed by AAMT & I'm on my way out of this profession. If you want an earful on what prompted me to write this letter to you in the first place, go to http://forum.mtstars.com/main/v/1/88501.html.
Thanks for your time, Karen.
******
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I agree with credentialing, but NOT via AHDI
They have too much control over the industry as it is. And, just out of curiosity, has anyone ever failed that CMT test? I took it in August, didn't prepare, spent 2.5 hrs doing it (as opposed to the 6 they say it takes), KNOW I missed a lot of items (ALL the radiology) and still got it. It's too pointless to be the be-all-end-all of MT credentialing.
Count me in, too. How many of the heads at AHDI are
That sure sounds like AHDI wrote it. It sure is
Or maybe even FBI - one never knows how deep their dishonesty runs.........
Indeed they are and funny the AHDI does not give a rip about us.
Go figure. I am getting out. I have had it.
Hot darn it is in the Ahdi book.
The only time QA makes me pound my head is when they are correct and it can be seen in print.
Also, the new Nuance 7.5 VR is so smart. . .it remembers corrections you make. The whole page(s). Start planning. . .this one is top notch. . .better than the first. No more overtime. No more parttimers.
Another paycut courtesy of AHDI...
the blows to our industry keep coming.
Link is from AHDI site:
Anyone here belong to the Webmedx AHDI Chapter?
I'd like to talk to you, please.
I wouldn't trust AHDI with any information! That
They're in bed with Medquist, and they're most definitely in bed with India, Pakistan, China, Philippines, etc. All they care about is money - NOT the medical transcriber/transcriptionist. Filling out THEIR survey will only help THEM, it will never help US.
I'll write, but not on AHDI's behalf - (sm)
Instead, I'll write on behalf of myself, and the American medical transcriber. I will ask them to bring at least part of the American MT's work back home by imposing a financial penalty PER JOB for each American MT job that is offshored. And I'll also give them an earful about how ADHI has sold not just the MTs downriver - people whom they led to believe that ADHI was their voice and their advocate - but the American public as well, whose private medical and personal information are at increased risk by being offshored, not to mention the quality of the record itself.
'transcriptionist' is an ahdi-generated term.
nm
Doesn't AHDI also push E&O insurance?
Sounds to me like they are just trying to make more money off the MTs.
I agree with the other poster that it is the corporations that get sued, not the employees. Why spend a lot of money suing someone that doesn't have a dime to their name (the MT)? You don't. You go after the corporation with the large pockets.
The day the first MT gets sued over something like this is the day I get out. Why would any of us risk our financial future for a job that pays squat?
I can't remember where I first heard this line, but with regard to AHDI.... sm
Remember, the court-appointed psychiatrist is not your friend.
No argument about AHDI sucking an egg, but I suppose it is just personal sm
preference. When I started transcribing 35 years ago or so, I had never heard of AAMT or anything like it, but the people in the Medical Records Department (which of course his now referred to as HIM -- why keep things the same if you can change them constantly for no rason) who transcribed the reports were called transcriptionists. The machine I used to access the dictation was called a transcriber.
Of course, it is no big deal and I shouldn't get so hung up with labels. I worked briefly for an Indian company (felt like I was sleeping with the enemy but that's another story), and they called us transcribers … ugh.
Forget AHDI, just follow the instructions for how to write proper authorities use your own words-sm
I'm afraid folks are not acting. Maybe it won't do any good, but certainly if we don't raise our voices, the chances are not good for us.
One would think if 5K was so huge ...
One would not let it accumulate to that. Only gamble with what you can afford to lose, and letting it get that far was a gamble. Though, sorry, you only wanted to hear how horrible the MTSO is (which it is horrible) and everything through rose-colored glasses about your friend.
I know about TT's huge hem/onc
account but isn't it totally VR? In fact I thought they had 2 big hem/onc accounts and both had gone to VR? Am I wrong about that?
huge thank you from me, Have done it
and forwarded to all I know. Have already heard back from one senator, and I was the 49th person from Texas to sign that petition. Thanks again. Have you put it on the politics board?
Not small, not huge. When I was there it had 350+ MTs.
x
I think there are a huge number
who lie about their qualifications and experience. The company I contract with has hired MTs who claim to have 10 years experience. Their final product looks like they are recent graduates of IHA who failed high school English.
Because the accounts are huge
Yesterday was a holiday, so many docs took a long weekend. Transtech is not a company to jerk you around, if they promise work, you will have it.
There are HUGE variables
Formulas that MT companies give as average are usually based on average work that a MT is well versed in - which companies do not always make available to MTs then act surprised. Duh. Connections, software, familiarity, accents, account types, etc., etc. are huge variables for production and should be considered. Left on the same work for awhile I used to be capable of producing 2,000-2,500 lines, but that changes if my work is changed or if I'm put on a subspecialty I'm not familiar with. It's why companies that have people on a zillion accounts and are not rewarded for it have unhappy MTs. People making huge counts are usually people who are happily typing away at familiar work. Been there, not there now, and am miserable and burnt out.
It was a mistake and not a huge one...
GET OVER IT! The poster said they were sorry about the mistake twice now (I wouldn't have after the first time), and it's not that big of a deal anyway! What are you this guy's wife/mother/sister or something? I can't imagine getting so upset about a post about some guy you worked with that again was a MISTAKE?
Take a Valium or 12 and settle down, LOL You keep calling someone out for making a small mistake that's is not going to hurt anything or anyone and who already apologized twice! Plus, your getting yourself frazzled over nothing.
TT has just taken on several HUGE clients
That is the reason for the ad
huge insult!!
I agree! This is such a huge insult to our profession. I started out with Focus on Edit Script at .04 cpl also, and would recommend them to get a start. The are other companies who pay a little more, but .04 is usually the norm. Please, do not go any lower than this. Focus is always hiring, as many people do start there and move on, but I still work for them part time and have never had a problem with them, despite the negatives I have read.
Sue
HUGE APOLOGY DUE HERE
I APOLOGIZE sincerely about my comments regarding Transolutions out of Illinois. All these companies sound so much alike anymore these days that I confused Transolutions with another company (I would say which one, but I believe I've said quite enough)! I'm MORTIFIED to have said what I did above.
To my knowledge, Transolutions DOES NOT offshore. They're really good people, too. The company to which I was referring above is a different company altogether located out of Atlanta, GA.
I don't often post, but I'm zipping my lips for a while. Sorry to have caused this confusion.
That is a huge yes..no doubt about that one.
And since they got their new investors in the last what, year or so, the offshoring has increased. I look for more changes to come as well.
There's a huge difference
The abuse is far worse on-site. I was pulled to do so many other things it was not even funny when I was on-site. I'm finally home and glad to make the money I deserved for a lot of years.
E-mails - you can hit delete. Meetings on-site you have to sit there while they drone on and on... Boring! I could get a load of clothes in or clean the litter box out and back to banging out some lines.
Yes the work needs to be done, but gosh it's easier not having to rush to get a shower, head out in the dark in the winter in the early a.m., fight the traffic (none of this is paid). I'd rather spend that time seeing my children and hubs off to school and work - much more pleasurable...
IMO... Happy Holidays!
MQ's huge losses
Maybe, as we Los Angelenos say, their karma is catching up with them. Hope so!
I never worked at the Q but TT is a huge
Good luck. You won't regret it and you will wonder why you didn't check out Transtech sooner than you did. Never too late...
no, that should have been a huge red flag,
that the pointed questions were never answered, which was uncharacteristic. Instead, they would answer about a new account request, or schedule change, but NEVER answered the important questions. I have not addressed the new e/m address for concerns, as I plan to jump ship anyway.
It is very possible to get huge lines on VR
but it all comes down to whether you have a good platform to work on. I have absolutely done 500-600 lph with my platform on some days and I could never straight type that much if my life depended on it. When I was put on VR, knowing my pay would be less, I figured up how many lines I would need per day to make the same money I had done with all straight and that is what I strived for. I do think some rules relaxed when VR came in but I read through each and every word. What I really dislike is we were told to leave ESLs reports as is and unable to clean up the reports there.
attitude. I also think it makes a HUGE
difference if you like the account your on. I hate my account and have requested to be moved on numerous occasions. I work my schedule. I work when they call for OT. I don't call in. So please don't preach to me, I have worked the worst accounts and the worst shifts without one complaint. However, I would like to be treated with some respect. The office I work out of has totally changed in the past 3 months and not for the better. I used to be just like you - all was good. I hope your good fortune with them continues. Just don't be so quick to judge others and say they suck as you really don't know the whole picture of their situation. And by the way, I don't have a husband to fall back on either, but I do have a child to feed. We are not bad people because we share a different opinion that you do - that is our right and as I said everyone is different situations.
The the huge size of MedQuist...
be used to once again make MQ a true leader in the medical transcriptin industry, realizing the value of all employees and the realization that a happy work force is a productive work force. 
WHOA!!!HUGE RED FLAG --- SM
They would have known WELL AHEAD of time if they were upgrading the direct deposit. Something is going on with the finances of the company. Now, have they made any comments about paying people for bounced checks and such that will occur because of this lack of notice? If not, get the hell out and don't look back! Also, print out the email that says they were upgrading in case you need it for court documentation
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