But your own clients bring many of your own
Posted By: headaches that usually MTSO deals with nm on 2007-08-31
In Reply to: I don't think it's awful in this day and age, but if you had your own accounts, you'd be ma - Jack of All Trades
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What happens, is MTSOs coddle the clients and let the clients call all of the shots.
Then the MTs get stuck with account specs that are contradictory and confusing.
It should be simple. When an MTSO is wooing a client, the MTSO should present with a copy of the style guidelines they intend to follow or if it is the BOS, let the client know that. It should be made clear that with the exception of report format, the guidelines are not flexible. Either we use apostrophes or we don't. Don't do it one way for one client and the exact opposite for the other client and then hold the MT responsible when she gets confused as to what account she is typing that day!
*bring* down
x
I would definitely bring it to their
attention...I have had similar problems in the past, and I had to really stick to my guns and let the person know...Afterall, it goes through with our initials, employee ID or however your particular company does it...so ultimately, if the doc or whomever gets the report and thinks that it's wrong, your company is going to come back to you. That's what I worry about...although, I'm pretty sure (at least I hope) when it's QA'd, the QA persons initials or ID goes on their as well. Be we all makes mistakes, and even the QA person could be making a mistake and not really realizing it...so it may be helpful to them to get some feedback from us! 
Why do you bring it up then?
.
thought I would just bring this to the top!
 I don't know who posted this, but I wholeheartedly AGREE! Tell you one thing, if MY employer ever thinks of short-changing me for my work, they will be in trouble with my bank.
(I think the time has come for these companies to be named. I know there are more than one but seems to me that we owe it to each other to name the companies who do not pay on time or who get the pay wrong each and every pay day. We work for a living and we do it to get paid. Even if we just put the first initial of the company, that is fair warning for others who are looking to make a change to be aware that certain companies are dangerous as far as their paying practices.
Recently I was talking to an MT who worked for one of these companies and said to me that she hated to quit because the pay was so good. That is just wrong. What pay is so good if you have to pay bank fees and overdraft charges because the money is not there. Something is wrong with that statement and wrong with that picture.
If there are any owners who are reading this that make the practice of paying late or wrong then read away. If you are doing this you don't know how to manage the company anyhow and it is my guess your days are numbered as a business but if you think we are going to sit down and take this treatment any longer without reporting to the proper authorities then you are sadly mistaken. You can throw posts in the faces of the posters all you want but when someone does not get paid for their work ON TIME, they have every right to demand that they be paid).
 
That way they can bring our wages down
even further. I think some company suits must get on here and use this as their forum as an excuse as to why they rip us off. Come on people, this is what they think of us? Yeh I would say getting our own accounts or better yet just stop working for the asses that rip off. I say lets list every company on this board that cheats MTs and everyone stop working for them. Thats the only way things might change is to unite in our efforts.
Not trying to bring down a company..
but, it seems that since I posted there are many MTs out there that have been treated similarly and worse. NOW, it seems that maybe my posts are not representative of one but of many.
If there are major issues like this, why doesn't she get on, respond respectfully, and show us how great MDI really CAN be and not IS, because right now it is hurting a lot families.
Show us how we TOGETHER can get back on track and make a living.
1. Is there a way to keep working for MDI without the threats of being put down to a lower wage when work is so slow?
2. Is there a way for MDI to be more understanding about committments? For example when work is slow, don't come back and say I don't want to hear it because there was plenty of work on your back up accounts when there are tons of MTs already doing that work and it runs out in a flash....also understanding the learning curve we have to go through to refamiliarize ourselves with the account, therefore, still causing a major difficulty in living up to our committments.
3. Is it possible for MDI to let us in on one what is going on with the accounts, i.e. if they are in process of being lost to another service or EMR? Thereby, giving us a heads up so we know what to do to keep supporting ourselves or give us suggestions on moving to a new primary.
4. It is possible for Carlotta to treat us like fellow professionals when she addresses us and not as inferiors?
I think these are questions that we could all use answers to and not in a private e-mail. I think there is a healing that could happen for ALL to see. Please, show us that MDI is not the reincarnation of MQ.
Oh, please, can't you bring in those little cheer
That would so complete me.
Actually, I made more in the mid 80s than I do now, so bring it on, I say ...LOL. nm
Don't have to bring them down -- they are doing a good job on their own. sm
And thank you for the job advice. I AM actively looking, and the minute I find something they can kiss where I can't. I notice you ignore all of the things I have pointed out. You see like Marie Antoinette when told of the starving masses, If they have no bread, then let them eat cake.
Don't have to bring them down -- they are doing a good job on their own. sm
And thank you for the job advice. I AM actively looking, and the minute I find something they can kiss where I can't. I notice you ignore all of the things I have pointed out. You seem like Marie Antoinette when told of the starving masses, If they have no bread, then let them eat cake.
Is there nothing you won't do to find a way to bring up TT
And start another flame war? The WMX rate was brought up in a thread yesterday, you know what they pay. And there's no reason to post what company you're currently with. I see righ thru what you're doing...Just trying to stir everything up again.
I'm reporting your post to the moderator.
Wanted to bring this to the top--UE
I was reading a post on another page where somebody mentioned being eligible to apply for benefits if your hours are cut, etc. Does anybody know if it's possible to be eligible for UE if your hours aren't formally cut by your company but your work is low where you can't get your scheduled 40 hours in on a consistent basis?
Can't bring up the article - could you cut and paste - sm
it so that we could read it??
Thanks
Why can they not bring on acute care MTs?
Cannot get them or do not want them?
Funny you should bring this up as it reminds
The work was done in Word but I received progress notes where I had to line it up. The office would give me the last progress note, and then I had to add to that so it was just an ongoing chart note for each visit with the new date. In other words, this doc drove me to drink. So, I charged him $5.00 per page. He called me into his office to talk about this, and he said to me: I know I can afford to pay more than $3.00 for a pack of cigarettes, but I won't. He wanted to know why I was charging him so much because I guess he thought his wealth was the reason. Right then and there, I said I can certainly be replaced if you prefer not to pay what my services are worth. AND I NEVER LOOKED BACK. Just thought I'd share...  Come to find out, he still does not have a steady transcriptionist. They are still LOOOOKING. One girl lasted one day, one girl took one tape and never came back.... Need I say more? If that is truly the case that the transcriptionists in another country cannot afford the fee, then Americans should be given the same option since our wages are not what they used to be. Maybe it should be based on income especially since it is such an incentive....  YEAH RIGHT!!! 
Bring your own foot pedal...
SPi just told us former Cymed emps that, from now on, everyone has to provide their own foot pedal. (CyMed provided software and foot pedal; we've always had to use our own computers...but I'd rather do that and keep some modicum of my privacy instead of using a CO computer where big-boss-brother can watch my every move) :S
Then why don't you bring this to them??? A big problem in this industry is that sm
if someone has a problem, they vent on here rather than to the source. If you are unhappy there, why do you still work there? There are other companies to work for. If you think they are cheating you, let them know. Give them a chance to fix it before you assume that they know what you are working and how many hours.
Are you HIM or radiology? I am in radiology and have a set schedule. My friend is in HIM and is flex hours.
bring MT jobs home
With the economy tanked probably a great time to contact your local senator/representative and ask that all of the jobs which were shipped overseas be brought back home. We can no longer afford to subsidize foreign countries when we were are broke here at home.
Can't bring up anything on MD-IT. Does anyone work there or have information
regarding this company? I am thinking of applying.
Why not just bring up another topic to discuss sm
and let them bicker amongst themelves in the their own threads? Seems a whole lot easier just to start a totally new thread. No one is obligated to read their posts.
Sorry to hear GP....try to ignore NM and others who try to bring you down ;-)
xxx
Hospitals! and Clinics! I said are who will bring it back
individual practitioners.
I have to bring this Psych Eval topic to the top. sm
Personally, it is a waste of money and time to have psych evals for prospective MTs. I have seen many postings by MTSOs on this board who are so unprofessional and sounded "crazy", that it made my eyes pop out!
Any successful business person knows, good judgement is the key to success. If can not rely on your good judgement, than you should not be in business. Why would any MTSO waste the money and time for such a screening? That is demoralizing to our transcriptionists. They are not applying for a job at the pentagon!
Now, there are some people who have major "issues"; however, that should become apparent during the interview process if you interview properly.
I do believe this company is way off base in doing this; however, if you the MT feel its okay and the company meets your needs and pays well, than go for it.
I think what happens is the MTSO's company gets so busy and the MTSO gets so stressed out about meeting TAT, they hire anybody with working fingers. There lies the problems. If the MTs have the experience needed to do the job, they pass the transcription test with flying colors, and you are satisfied with the personal interview, they should be hired. Maybe the MTSO needs to replace whoever it is they hired to screen the candidates and the MTSO needs to be in on the interview process. That sounds like more of a solution to weed out the unstable individuals then a battery of psych evaluations for prospective MTs. Good Grief! Where is the common sense in this?
That is all I have on this subject. I feel bad for those of you who need a job! Good luck.
I have realized that many recruiters will say ANYthing to bring you on. Then you find out they are
nm
so what does 500 VR bring 4cent/line $20. pooh!!
or maybe even less per line. I tried it with Transcend and quit, can't make a living and was totally worn out totally redoing the pages.
good for you, considering that they want to bring us down to Indian clp!. (I am being sarcastic!)nm
nm
So I would expect to bring home around $1000 every two weeks
give or take
Oh, Transtech wouldn't be able to bring all those people into the office
IF they weren't paying us MT's one-half or more for doing ASR work. It's P:USH, PUSH, PUSH to do ASR.
Why do you think they want so much ASR -- money in their pockets -- definitely not in the MT's pockets.
Just what I was thinking. They'll bring in the newbies to replace
the higher paid MTs. The writing is on the wall.
The date is September last year. Why bring it up now that it is being dismissed? sm
Companies get sued by ex-employees for things that are not true all the time. Ask any lawyer, look at the # of dockets in a court every day. The percentage of suits that are true is less than 8%.
This is someone trying to stir up trouble.
Keystrokes does not have ICs.
Monthly, I bring in $3500-4000, about $1800 every 2 weeks.
I work about 5-6 hours a day, Monday through Friday. Sometimes I work a little extra if I didn't get the line count I wanted that day due to dictators, etc. Consistently, I bring in this much as an IC. It hasn't always been this way, you need to get to know your accounts and then it will come. I have the same accounts and dictators every day working for a national.
Agree with this. And bring in your own noise-cancelling phones so you don't have to hear her. nm
s
Bring up again - companies that allow small pool of doctors versus
nm
Egads. You're the type who bring working conditions and
pay down for the rest of us because you're soooo willing to be treated badly & thank them for it.
Wow-40%! No wonder we're short on work. Let's bring those billions back to the U.S.!
The Medical Transcription Market
Market size
$12 billion total market (includes hospitals, clinics, physicians offices)
Approximately 40%, or $5 billion, is outsourced
Transcend target market: 4,900 community-based hospitals in the U.S.
Estimated target market size: $2.5 billion
Fragmentation
Several thousand companies – mostly with revenue in the $1 million range
© 2009 Transcend Services, Inc., all rights reserved
Few with revenue greater than $20 million
Competitive Landscape
1. MedQuist (MEDQ) $277M transcription revenue, 11% share of target market
2. Spheris $167M revenue, 7% share of target market
3. Transcend $67M run rate at 4/1/09, 3% share of target market
4. Others Nuance (NUAN), CBay, Webmedx, Heartland…
the clients were in NY. nm
s
Maybe not your clients, but many are.
Your clients may be behind the times, but many are not. VR has gotten much, much better, and I've spoken with many, many MTSOs who are moving their accounts over.
The average seems to be about 60% to 80% VR and 20% to 40% transcription. There will always be those you cannot put on VR, but it is growing rapidly.
Not all clients DO know--that's just it!
Yes, some clients DO know, and the almighty dollar is the only thing they think of. But some clients DO care, and they don't know their records are going overseas. They would be apalled if they knew. Come to think of it, so would the patients.
not when the clients have the last say
Do not get me wrong. I do not care for it either, but somewhere down the line, the companies will have to suck it up and so will we. Otherwise, we move to a different field. Unfortunately, that is just the way it is.
Becoming an IC with own clients
How does a person become an IC with their own clients, not working for an MTSO? From what I have read on this board, it seems that is the way to make the most money per line/word/page, etc. so I am thinking about doing this after being an employee for 15 years (with things going downhill now). I would appreciate knowing several things:
1. How do you get the clients.
2. Are there certain types of docs that tend to prefer this situation rather than going to an MTSO?
3. How do you determine what to charge?
4. How can someone get the dictation, type it and return to the doctor without having to pick it up and drop it off?
5. Without QA other than yourself, how does an IC handle blanks? Do doctor's offices tend to get upset with blanks?
6. Is there a particular software system that is better to use when you have your own IC service and want to get work over the Internet and return it over the Internet?
This and any other advice greatly appreciated!
I'm sure they do tell their clients to sm
hide it from the MTSO, just like the MTSOs hide the fact that their clients' work is being generated by VR.
Do you think clients don't already KNOW about VR? That they are sm
being sold it at every AHIMA conference they go to? Being cold-called by companies doing VR already? That doc don't get info about it at their little retreats and conferences?
It's better to be proactive and have VR sold as part of an MTSO's offering (with MTs doing the editing) than being undercut by other VR-only companies.
do not forget the clients -
They also deserve to be billed correctly. Sad, sad, sad.
IC - FINDING CLIENTS
Do you have to pick up tapes and deliver the hard copies with your accounts? I used to have an account where they would dictate into my Sony system (a special system that allowed docs to dictate from their phones, pause, rewind, make changes, etc), and then I would just e-mail the completed work back at the end of the day for them to print out in the office.
I wonder if the clients are leaving
because they are being sold and that is why I have no work? I can't wait until they make the announcement - then I will know if I need to pack up and leave.
If you are seeking clients, there is not
NM
Are their clients aware?
If I were a client of theirs, I would look for someone else to do my transcription. If I were a patient of this client and if I found out that the client knowingly supports this sort of crap, I'd look for healthcare elsewhere. Heck, docs come a dime a dozen!!!
It all comes down to the customers--that's US!!! The American citizens who trust that our medical records are (1) kept confidential and (2) are done correctly IN THE USA!!!
There should be a way to inform the customers of HIS's clients. First and foremost, we, as customers, as Americans, need to boycott the physicians first--the ones who are sending American money overseas!!! There are PLENTY of other docs out there who support the USA and want to keep the work at home. They'll gladly take my money!
Persnonally, I don't want my medical record entrusted to overseas folks who, for the most part, hate us to begin with. They barely speak a word of English and they certainly do a pathetic job at trascribing. I've seen the damage these folks can do to medical records.
I think that we should boycott MDs who are paying HIS to transcribe for them.
If we don't stand up for ourselves now, what's next????
Too bad they mislead their clients about it
That is what is so rotten about the whole thing, the hospitals think the work is all being done in the US when it is not.
RE Acusis Buy-Out, What About US-Only Clients?
Something does not add up here, because many of the bought-out company's current clients vehemently refuse to work with anyone who outsources. Won't they drop new company outright and have to look for a new MT provider?
*Stealing* clients
You can steal things, but you can't *steal* a sentinent being (client) who chooses to go with you because you offer better service/better price or any combination of the two. Said client can walk away from you, too, if you don't deliver. What company does not try to lure clients from a competitor?
If the severance is minimal, you can easily get another job, and you really believe the company would come after you, then maybe foregoing the severance would let you rest easier even if the clause wouldn't stand up in court. If you really believe the company would come after you, do you want to spend time and money in court, even if you win?
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