Assign doctors and eliminate cp. I know, I know, it definitely would take some
Posted By: another anon on 2006-12-27
In Reply to: Cherry pickers. sm - anon
additional managerial involvement but IMHO it would be a w/w situation. Happy transcriptionists, more dollars, happy happy happy
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- Cherry pickers. sm - anon
- Assign doctors and eliminate cp. I know, I know, it definitely would take some - another anon
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Anyone know a company that works with small pool of doctors? Tired of so many doctors nm
nm
The coverage is perfect for me as all my doctors and my kids doctors are sm
in network. With WebMedx none of them were. The coverage is much better for me. My husband's company wanted to charge us $1470 per month for family coverage. There are three of us, so that would be $490 per month per person, which is insane.
VR won't eliminate the MT
As long as MTs continue to do the editing. I mean, why pay 12+ cpl for the MT to do it all, when you can pay less than that for one person do the typing (jab at overseas) and the US MT can handle the editing.
>>>In time, though, I believe it is totally possible that the software will become so efficient that even the VR jobs will be few.
As I said before, only if it is trained correctly. And I decide to log times and production this morning to show people what I'm talking about. I dictated and proofed between 4:15 and 5:45 a.m. I'm getting paid for 636 lines.
And that's with straight dictation. I never went beyond that point, although there is WAY MORE you can do with the product. There's nothing that can be done on the keyboard that I can't do with this product.
The more the system tries to eliminate MTs I think the more they (sm)
the more the system finds they really need the human touch in order to have a document worth the money for doctors to walk into court with.
However, I will say this. As we go into this depression -- and trust me we are there -- businesses have learned they don't have to CARE. They don't have to care about the health or well being of their employees -- and they are showing them the door rather than being decent about a work place.
So, they may find they need us humans in the chain of medicine - I think the courts will more and more not see law suits because nobody can afford to bring the charges. We will all be out here just struggling to keep body and soul together. Sad what has happened.
Are they going to eliminate the 12-hour
and going to a straight 8-hour shift or are they just requesting that you clock in and out as needed during the 12-hour window?
I think what they are doing is trying to eliminate QA jobs
I have been here for years and we have always had tons of work in QA. Lately, since they have become so hot and heavy with ISR (Intelligent? speech recognition - HARDLY!) that they are trying to get the MTs to stop using QA, there has been virtually no work in IQA. They want to make us all MT editors and pay us all peanuts.
I have seen the work that goes back to the clients and believe me, Webmedx is nowhere near good enough to send less than 7% of its work to IQA.
The clients are already complaining about quality. What do they think that bypassing IQA is going to accomplish? It just might get them a lawsuit because of some patient care error going through because an MT guessed at a medication or a dosage so that she didn't get dinged for sending the report to IQA.
I hope all companies who are trying this tactic get bit in the behind by this. Just one more way they are trying to take a penny out of our pockets to put in theirs!
I would immediately eliminate Focus.
It is Indian run, low pay, and constant turnover. I haven't heard much good about Diskriter either, though certainly better than Focus. KS is good for some, not for others. It wasn't a good fit for me. Axolotol pays better than any of them, better benefits. The account they are hiring for has a high percentage of very challenging ESL dictators. The company itself is great though.
Stated Goal: Eliminate MTs this decade
Most are already aware (it is pretty obvious), but because some still refuse to open their eyes, I am posting the below from the Nuance website. It is actually a timeline of the Dictaphone Corporation's history, which is pretty interesting and goes back to Alexander Graham Bell.
Still, I find it noteworthy that they state in no uncertain terms that they want to "eliminate most manual transcription for healthcare in North America this decade."
"A major development took place in February 2006 when Burlington-Massachusetts-based Nuance Communications announced that it would acquire Dictaphone in a cash deal worth $357 million. In a news release Nuance Chairman and CEO Paul Ricci commented on the acquisition, which was completed by the end of March, stating: 'The combined resources, experience and talents of Nuance and Dictaphone will help accelerate the adoption of speech recognition to eliminate most manual transcription for healthcare in North America this decade, delivering over $5 billion in savings to care facilities and transcription service organizations.'
Under new parentage, Dictaphone was named a division of Nuance--the Dictaphone Healthcare Solutions division--and Schwager was named its president.
I think you are right. Eliminate cost. Be more competitive. Save profit margin.
x
assign jobs as in....?
Is this the person that assigns all the crappy stuff to the more skilled MTs and gives less skilled ones the gravy? Hope its not my company.
At OSi, we don't actually assign out work
We only reassign a job that someone has started and lost, sign off a job that's been completed but the voice didn't sign off propertly, etc. We do not assign jobs to people. They have certain work types in their profile which is set by the coordinator, and then these work types download automatically, in order of target turnaround time, to the MTs, including to us. We cannot assign all the good jobs to ourself or to any buddies we might have. It is easy to tell jobs that are specifically assigned and we would be questioned as to why we are assigning out jobs if we tried to pull something like that.
Does DRC assign specific worktypes or do you sm
get a regular account like with the big nationals? TIA
at osi we assign jobs based on tat
.
Spheris will most likely assign you another account.
nm
Can you apply and ask for 1 particular office or does MQ assign you per the need at the time? Used
,
Any companies out there who assign a specific group of
dictators instead of accounts with hundreds of dictators? TIA. 
for me it was show me the platform, then assign 2 esl and 1 neuro.
nm
Are there any companies that assign a certain amount of work per day
Instead of having to pull from pool? PLEASE - PLEASE - TELL ME! 
companies that assign a certain amount of work
Princeton Transcription out of New Jersey assigns work according to how many minutes of dictation you want a day.
then that account will disappear and they'll assign another.
nm
Is it usual for company to assign specific jobs?
I'm just so frustrated right now. I've had some jobs assigned to me that are from one of my backup accounts, not just one but many, and many ESLs, which has really brought my line count down. I know I have to just deal with it, but I'm wondering if this is a normal occurrence. I got hired under the idea that I was on a low ESL account, which my main account is, but not the backup accounts. This doesn't happen all the time, but it is happening more frequently now. Do I have a reason to be frustrated with this, or should I just get over it and accept it?
doctors are way more $$ than MTs and
get a grip
Many of the doctors do this.
It wouldn't be a problem if it was just one doc. Sorry I didn't make that clear in my first post. There are several docs who dictate 'my normal' and it takes lots of time to do this on each report.
That took my doctors. I say KEEP IT IN THE US
PLEASE!
ESL doctors
It might be because most of the doctors that work in the hospitals in MI are ESL.
You get 400+ new doctors and you
can't possibly start producing high lines right away, especially when the account is at least 40% ESL if not higher.
It doesn't matter what company you go to you're going to have a period of adjustment, no matter how simple the platform may be.
Where are the doctors? (sm)
So I've been a Transcriptionist for many, many years, working as an employee and as an IC for my own account. I've been recruited lately by several places who want to pay 7-8 cpl for ICs. Now I'm an educated adult, I know darn well that no MTSO in the world would charge a client 7-8 cpl so there have to be doctors willing to pay more than that wouldn't you think? Why are they so hard to find?
Can someone tell me where I can find a nice doctor that is willing to pay 12-14 cpl and give me the same no benefits I'm being recruited for?
Am I in an alternate universe? I just don't see how MTSOs can command and get 14-20 cpl but the rest of us who offer just as much can't seem to get our feet in the door.
doctors may think they don't need us but
I have a client who does work comp evaluations and when he does a record review, there are at least 2 or 3 records that are unreadable because they are handwritten. Sometimes 20 or so pages. So he just says unreadable. That does not help him in his evaluation and it won't help the patient either.
ESL Doctors
I read and SAW on television just a couple of weeks ago a report that said the U.S. now has 55% ESL doctors. Doesn't surprise me one bit. So no, transcription companies do not take accounts with a bunch of ESL doctors, that is just about all there is anymore.
My GYN and GP doctors were using
this technology LONG before Obama even was nominated to run for office -- cant blame him for everything
Yep, that;'s what our doctors are doing - NM
NM
About those doctors
You were certainly more tolerant of this so-called doctor than I would have been. I would never tolerate a doctor telling me I'm the doctor, I'll make the diagnosis. HE would have been in for a tongue lashing he would not soon have forgotten. So long as you are paying his fee, IMO you have every right to question his diagnosis and/or treatment. I've been told by several doctors that they are amazed at how many times a patient who is an MT makes an accurate diagnosis.
With that being said, I can't help but add what a shame I think it is that we are suppose to be as technically knowledgeable as a physician, most of whom have many more years of education than we do, yet we (or now-a-days you who are still working MTs) are reduced pay-wise to little more, if even as much, as ordinary clerk/typists. I know that all of you spend years perfecting your skills. Even though I worked in the field for nearly half a century I was still learning the day I quit. So....it pains me greatly to see what has become of an occupation that used to command great respect to the point where we (you) are disrespected in so many ways. It seems that many MTSOs are he!! bent on reducing your pride and self-confidence to a pile of rubble so you will be happy to accept the mere pittance they are willing to pay while expecting that you be even more knowlegeable. Some have people doing Q.A. who it seems their only purpose is to cut MTs down to groveling pieces of humanity begging for a crumb of work. Empathy is why I continue to hang out here. I may be only a party of one but I vow to do all I can to bring the deplorable state of the MT industry to the attention of as many people as I can. I have talked to several physicians and they are horrified at the situation. Several have told me that they don't know how you girls do it and proceed to tell about some ESL that they can't even understand. Many of them have also said that they are going to go directly to the hospital administration and address these issues with them and see that their dictation will never be sent off-shore. Each and every one I have talked to has been absolutely horrified to think their medical records might be going out of this country. Physicians DO care about their patient records and if enough of them are educated about what is going on, they will confront the bean counters and things WILL change. So while it is a fact that hospitals will not even take up the matter of their poor dictating habits with physicians lest they offend them, you can also bet that if enough of them demand a change in how their records are handled, they are going to pay attention to them on that too. It's really up to all of you who are still working. Do you want to DO something to make changes to your lot in life or do you just want to cry and complain??? VR is not necessarily a BAD thing, perhaps even a good thing as long as there are people qualified to edit and fix things like patient with a fx of the hip due to tripping over a garden horse.
Kudos to cj and friends for taking action. When MTSOs were mom and pop operations they served a purpose and they appreciated their MTs. The giants have crushed most of them. I don't want to work any more but if I did I would not work for these mega-MTSOs at their puny 6-7-8 cpl but I would work to help a small MTSO get off the ground even if it meant (by my volunteering) to work for 5 cpl to help them get up and running. I hope those of you who are applying to cj et AL will consider giving them a hand up. Working for a lesser cpl with better things on the horizon and plenty of work would make sense rather than getting 10-11-12 cpl and spending 24/7 staring at a blank screen with no work available.
I am making a lot of noise about this issue because well...there is just something about the situation of people being hired to do work when no work exists that just p**ses me off!!
Doctors don't appreciate us....
They just appreciate not having to do the work and having someone else type it! Duh!
ESL doctors
If I had my way and I ran a hospital or was the person in charge of hiring doctors at a hospital, every foreign dictator would have to pass an English-speaking test to be hired. If they did not measure up I would not hire them. What good is a foreign doctor who the patients, nurses, and other doctors cannot understand? In my opinion this is a lawsuit in the making. My mom had some foreign doctor once and she called me on the phone, I never understood a word she said. I just kept saying I would be in later. So misunderstanding foreign doctors, would be foremost on my mind if I was hiring a doctor. Misunderstandings leads to malpractice lawsuits, something the doctors are always complaining about. 
I do some NPs who dictate for doctors
Just seem to have a little trouble pronouncing some words..It's kinda funny, but I always know what they are trying to say.
Transcription Doctors, Inc.
Has anyone heard of Transcription Doctors, Inc. nm
Transcription Doctors
They have an ad on MT Stars, but I cannot find their website and I was just wondering if anyone knew if they are a good company to work for and if they pay on time. nm
Doctors who say next paragraph...
after each and every sentence!
assigned doctors
nm
Can you talk to your doctors and let them know the
sf
Doctors helper?
Does anyone have any information?
I love it there. Most of the doctors
are really very good. You have the ones that like telling stories for every patient and others that uh uh through every report but other than that the doctors are really very good. We are always busy it seems. We did have one or two slow weeks back at the beginning of the year but we are busier than ever (more like out of control with work). The pay is kind of low to start but when you add in the shift differential along with the line count differential it can add up and is comparable to Medware, especially for ER work. Direct deposit every 2 weeks. Benefits through Aetna. As for the learning curve, I was up to speed within a month. Hope this helps you!
The Transcription Doctors, Inc.
The owner of TTD, Inc. is extremely nice and very easygoing. I worked for them for a year as an IC and was very happy. I only left because I wanted to become a W2 employee with PTO and benefits. Feel free to email me if you have more questions
The doctors are paying 12-20 cpl, but
and never an interruption in service. Can you as an IC promise that? I have my own accounts, and I can't promise that. hello? I need a vacation once in a while. I don't have back-up because I just don't, plus it's tapes. Now I get 12 cpl and it's easy work, but I have to pick up and deliver or else hire someone to do that for me, hence, loss of money even though I can write it off.
The companies are hiring at 7-8 cpl to cover their QA and also to make some money. No company is going to pay us what they charge, but 7-8 cpl is the going rate for ICs working for MTSOs.
Now, you can offer what you'd like for what rate you'd like, but be ready when you need a vacation or just want a break because they'll get their panties in a bunch wanting you to find coverage, and then who do you trust to work for you and not try to take your account? Believe me, it happens. 
Doctors paying about 11-12 cpl here, no more. 20 cpl?
Maybe in bigger cities, but I don't live in the smallest town and the doctors around here pay 11-12 cents tops. Making even 12 cpl, it's hardly worth it when you factor in all the crap you have to do for them plus find time to transcribe, or pay someone else to do it for you and either QA all reports yourself or hire someone to do that, taking phone calls and meetings, etc. Now if I found one paying 20 cpl, that makes it tolerable at least. But let's face it, if an MT or MTSO has clients paying 20 cpl or anywhere close to that, they sure as heck aren't going to be letting them go anytime soon, so it'd be real hard to get your foot in that door. It's kinda like the saying, all the good ones are taken.
To that end, there are also MTSOs that pay better than 7-8 cpl, but they aren't going to be the ones always advertising for help and the MTs working there are likely going to stay put, so you might have to be patient and look a little harder for the diamonds in the rough. ;)
Except that the doctors & hospitals - sm
are being swallowed up one by one by the big mega-institutions: Tenet, Sutter Health, Catholic Healthcare, etc. The docs & hospitals have less and less say over who does their transcription (if they even have a clue who does), just like they have less and less control over what procedures they can recommend, and what drugs they can prescribe.
It's all come down to the fat-cats in the 3-piece suits sitting in their high-rise corner offices, dictating what healthcare will be meted out to those of use who need it, and how much the hospitals should pay for 'ancillary' costs such as transcription.
If ever there was a group of people the goverment should be investigating and putting a short leash on, it's the HMOs and the Health Management Corporations, which have ruined almost every corner of the American healthcare industry.
Transcription Doctors
I worked as an IC for a year w/TTD, Inc. and had a very positive experience. Small company, very nice owner. Email me if you have any specific questions. :)
The Transcription Doctors, Inc
I was just wondering if anyone has worked for The Transcription Doctors, Inc. on the escription platform and how it was. TIA
Transcription Doctors
Didn't work on eScription but worked for TTD, Inc. as an IC a little over a year ago and had a good experience. Email me for details if you'd like.
Many doctors' offices have something else
Maybe they don't call it transcription or VR, but my doctors use a laptop on a rolling cart that they take from room to room. It's a point and click system, though they may enter vital signs and drug names manually. They tell me that it produces reports so that there is no need for any transcriptionists or editors.
Where I currently work, less than 3% of the reports are standard transcription; everything else is VR.
ARe TTD Inc & Transcription Doctors the same co. or 2 different..
companies? Any info on TTD? I couldn't find much in the archives. Thanks!
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