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Serving Over 20,000 US Medical Transcriptionists

Can you please give specifics? Need facts to make

Posted By: an informed decision. Thanks!nm on 2007-07-13
In Reply to: If MQ MTs are looking to that place, . - DO NOT.

nm


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"warned" by someone who won't give facts or sign her name. Give me a break! nm
x
Can you give me any specifics on this company?
Could you give me any specifics on this company?  I would like to know more.  Thanks.
Can you give specifics? Are the benefits at least any good? nm
nm
Give some specifics on how he's "loved by all" if you're going
to try to speak for everyone.
Can you give specifics about why I-chart is a rip-off? Not flaming,
nm
this person needs to give some specifics, Or not be believed. Nuff said.
x
Yes, but just don't give me a cryptic message, I need facts.
:o
It is hard to give Spheris facts, since there are multiple units to it. Leave
zz
Before you post something like this, you should make sure you know the facts. sm
The account was not lost. KS dropped the account due to several factors. The email that went to all the cardio MT's on the account was not correct. Only one portion of the account is not to be typed on, not all of it.

Once again, someone posts company information INCORRECTLY.

KS is going through all accounts and deciding to keep them or not, as some are not worth having. This has been going on for 3 months, and they have dropped 4 accounts that I personally know of as I was asked input on 2 of them.
Make sure you can prove your facts before posting, please.
This does nothing but create confusion. I talked to someone in management there today (I'm not with Webmedx) and if anyone knows what they're doing, this person does. They are NOT shipping their work out! Now they have clients who choose to share their work with India, but that's not something Webmedx can control, nor does it reflect on their business.

Chicken Little, make sure the sky is actually falling before you speak next time.
If your facts are true, make them public. You've nothing to lose and everything to gain.
How can you be putting your head on the chopping block when you are anonymous here?

Details have not been given in your posts. Please show us ALL the details.

Why would you be putting your head on the block by pointing out supposed anomalies in the raise structure?
Any recruiter can give out that information because it's the same for everyone. Any MLS can go to the website and see it. I have it here in front of me. I would like to see you defend your statements, because I'm not seeing the proof here.

Why would you be putting your head on the block regarding incentives?
Any recruiter can give out that information, if it exists. That information also can be seen in the job boards and on the website, as it's public knowledge. I sure don't see any out there, nor have I for months.

Why would you be putting your head on the block regarding enticements?
You say they are readily viewed on job boards, but yet you can't give details. Any recruiter can give that information, too, as they post the ads on the boards. They can also be seen on the website. However, looking back over a lot of weeks of posts on various boards, I don't see one "enticement," so we're going to need YOU to point them out to us.

If the enticement is the pay structure, then you're benefitting the same as everyone else. If the enticement is the ads, well, you get the same opportunity for shift differentials, the same CMT pay, the same benefits, the same production incentives, don't you? What don't you get that you deserve?

Also in regard to enticements, I've got to ask for clarification on a statement you made:

"...look at past and future ads on MT Jobs, etc."

Do you have details on what the company is offering in the future? If so, let us all in on it so people who don't work at Transcend know what to wait for.

Finally, no one should need to email you, because all of YOUR information should be made public IF IT EXISTS, and you shouldn't fear making it public, IF IT'S TRUE. Having people email simply allows you to privately promote your version without having to publically defend the truth of of your claims.

If you can't back up your claims, then please concentrate on making the best out of your own situation, okay? It's not right to make statements that can't be supported with facts. It doesn't help the company and it doesn't help you. If you're a loyal employee you should be trying to be part of the solution rather than part of the problem. Maybe you could offer your assistance on the quality council.
Did they give you your rate or are we to guess what we will make.
:
Make them give you the skinny before you go through the crap. (sm)
Their recruiters are probably the rudest you will meet, simply horrible and so unqualified or uneducated. They are a small company trying to look big. Probably have about 400-500 employes.
Wanna give the rest of us instructions on how to make a line count like that, aside from doing all
m
Transcend-The FACTS and only the FACTS

This comes straight from the SEC filing for year ending December 31, 2008, submitted March 11, 2009.  Yes, it is public information and anyone can look at it.  Keep in mind, all the narrative is from Transcend’s point of view and they are trying to keep and/or get people to buy their stock.  So you will have to read between the lines as far as if they will/can meet the needs/wishes of their MTs/Medical Language Specialists in the years to come, or if they will turn into another company too large to keep their employees happy. 


 


Regarding the MDI-MD acquisition: 


TRANSCEND SERVICES, INC. (NASDAQ: TRCR), the third largest provider of medical transcription services to the U.S. healthcare market, announced today that it has entered into a definitive agreement to acquire Medical Dictation Services, Inc. (MDI) for $16.2 million.

Founded in 1981, and headquartered in Gaithersburg, Maryland, MDI is a leading medical transcription company with approximately 450 employees providing service to approximately
30 customers located predominantly in the mid-Atlantic region of the United States. For the fiscal year ended March 31, 2009, MDI had unaudited revenue of approximately $13.7 million, and currently has an annualized revenue run rate of approximately $14.3 million.


 


Below are SMALL excerpts of the 64-page SEC filing.  I chose sections which I thought would shed some light on where Transcend currently is and where they plan to go, so not only the new MDI-MD transcriptionists  but also the current Transcend Transcriptionists could possibly stop stressing about what their future holds. 


 


HOPE THIS IS OF SOME HELP TO YOU. 


 


TRANSCEND SERVICES, INC.


 





































 


Delaware


 


(State or other jurisdiction of incorporation or organization)


 


One Glenlake Parkway, Suite 1325,


Atlanta, GA   30328


 


 


Annual report pursuant to section 13 or 15(d) of the Securities Exchange Act of 1934 for the fiscal year ended December 31, 2008


 


 


Transcend Services, Inc. hereafter known as the Company


EMPLOYEES


As of December 31, 2008 the Company had 749 full-time and 423 part-time employees. These included 587 full-time and 418 part-time medical language specialists, virtually all of whom work from home. One hundred and twenty three full-time and three part-time employees work in operations to support and manage customers and medical language specialists. Thirty-nine full time employees and two part time employees work in sales, research and development, implementations, and general administrative functions. Neither the Company nor its employees are currently a party to any collective bargaining agreement. The Company has not experienced any strikes or work stoppages, and believes that relations with employees are good.


As of December, 2008, approximately 65% of the Company’s total volume was processed on the BeyondTXT platform and 35% was processed on other platforms.


 


Management plans to gradually increase the percentage of voice files processed through BeyondTXT speech recognition from 24% of total volume in the fourth quarter of 2007 and 35% in the fourth quarter of 2008 to approximately 40% by the end of 2009.


 


Speech recognition technology will allow us to produce the same volume of work with fewer medical language specialists due to the productivity improvements the Company is able to achieve, and may open the market to a new pool of professionals.


 


In mid-2006, a portion of work began to be processed offshore through partners in India. Volume processed offshore has gradually increased since then.


 


By the fourth quarter of 2008, the Company had increased the percentage of work processed in India to approximately 19% of total volume. Management plans to increase this percentage gradually over the next several years and believes that in the long-term (5-10 years), market demands could drive the mix closer to 50% domestic and 50% offshore, but in the intermediate term (2-5 years), the mix is expected to gradually grow to about 30% offshore and 70% domestic. At some point in the future, the Company may decide to establish a transcription operation offshore, but currently is relying on partnerships as the preferred solution.


 


The Company’s income before income taxes has improved in 2006, 2007 and 2008 due in large part to improved customer retention combined with new sales, increased use of speech recognition technology and increased use of offshore transcription partners.


 


 






BUSINESS


The Company provides medical transcription services to the healthcare industry. The Company’s mission is to provide accurate documentation of the patient / medical provider encounter on-time at a fair price. Transcend’s customers include hospitals, hospital systems, multi-specialty clinics and physician group practices in the United States. Transcription services consist of three primary phases:


 









 



 


Phase I: Dictation Capture. In this phase, a physician dictates the results of a patient encounter or procedure into a number of different voice capture systems, including hand-held devices, dictation capture systems at customer sites and telephone dictation capture systems located in Transcend’s data center in Atlanta, Georgia. The result is an electronic voice file that is ready for processing.


 









 



 


Phase II: Voice to Text. Using a workflow system, voice files are either routed directly to medical language specialists (MLS) to be transcribed (typed) or are routed through speech recognition and natural language processing systems which produce a draft which is routed to the MLS for editing. In certain cases, documents are routed through Quality Assurance teams as well. The result is a text-based report that is ready to be returned to the customer.


 









 



 


Phase III: Distribution. Completed reports are distributed to the customer electronically and are either interfaced to the customer’s electronic medical record and/or hospital information systems, printed at the customer’s site or faxed to the customer.


The Company provides two primary medical transcription options for customers: (1) the provision of transcription services and technology using the Company’s proprietary BeyondTXT workflow platform or (2) the provision of transcription services using the customer’s proprietary or licensed third party transcription system. If the customer does not have its own transcription technology or no longer has the desire or resources to maintain and upgrade the technology they do have in place, the BeyondTXT platform provides a turnkey solution. If the customer has invested in their own transcription technology and wishes to keep their system in place, the Company’s transcriptionists access the system and perform all transcription services using the customer’s system. Management believes that our ability to serve a customer regardless of their use or non-use of our platform is an important factor in our success. As of December, 2008, approximately 65% of the Company’s total volume was processed on the BeyondTXT platform and 35% was processed on other platforms.


 


INDUSTRY OVERVIEW


Medical transcription is either performed in-house by hospital or clinic personnel or outsourced to local, regional, national or offshore vendors. Hospitals and clinics may choose to outsource for many reasons: (1) the shortage of qualified medical transcriptionists; (2) the unique and burdensome management challenges of managing a 24/7 operation that must deliver critical patient care information quickly; and (3) the high cost of equipping in-house personnel with the hardware, software and support necessary for their jobs. Successful transcription companies make use of technological advances in Internet access, speech recognition, security, software and hardware that allow remotely located, highly trained personnel to function as well as (or better than) in-house employees. Management believes that the principal historical competitive factors of price, accuracy and turnaround time are expanding to include other factors such as speech recognition capability, electronic security, hardware redundancy (to protect against data loss) and data integration. In addition, management believes that the ability to recruit, train and, most importantly, manage personnel nationally and internationally will lead to further outsourcing, and that only those companies prepared to compete using resources outside the customer’s local market will prosper.


The market for medical transcription services is sizable. The total annual market potential for medical transcription is estimated to be $12 billion, of which an estimated $5 billion is outsourced. These figures include not only hospitals, but also physicians’ offices and clinics. The Company focuses primarily on the hospital market. There are approximately 4,900 community-based hospitals in the U.S. (hospitals accessible by the general public) with approximately 800,000 beds that comprise the Company’s primary target market. If the average annual market value of transcription services per hospital is $400,000 (our estimate), the Company’s primary target market is approximately $2.0 billion. The market is highly competitive and fragmented, with several thousand transcription services companies nationally. Management believes only a dozen or so competitors have revenue in excess of $15 million.


Demand for medical transcription services is growing as the demand for healthcare services increases. Macro-economic trends such as the aging of the baby boomer generation are projected to have a major impact on the demand for healthcare services in general and should lead to a corresponding increase in the demand for medical transcription services.


HISTORY OF THE COMPANY


We were incorporated in California in 1976 as TriCare, Inc. (“TriCare”) and reorganized as a Delaware corporation in 1988. TriCare completed an initial public offering of its shares in 1990. In 1995, the Company acquired Transcend Services, Inc., then a Georgia corporation, by the merger of Transcend Services, Inc. into TriCare and changed the name to Transcend Services, Inc. The historical financial statements of the former Transcend Services, Inc. became the financial statements of the Company and include the businesses of both companies as of the effective date of the merger. Between 1993 and 1995, the Company acquired five medical transcription companies.


As a result of these transactions, the Company now operates in one reportable business segment as a provider of medical transcription services to the healthcare industry.


In 2004, the Company introduced the BeyondTXT transcription workflow platform.


On January 31, 2005, the Company acquired Medical Dictation, Inc., (MDI), a Florida-based medical transcription services company. During 2005, the Company’s field operations were reorganized to form customer-centric teams that are responsible for all aspects of production, quality and customer care. Effective December 30, 2005, certain assets of the transcription business unit of PracticeXpert were purchased.


By early 2006, the Company began processing significant volume through the Company’s speech recognition solution and, throughout 2006, 2007 and 2008, have steadily increased the percentage of work which is electronically converted and then edited versus transcribed (typed) from recorded speech. In mid-2006, a portion of work began to be processed offshore through partners in India. Volume processed offshore has gradually increased since then.


On January 16, 2007, the Company purchased certain assets of OTP Technologies, Inc. (OTP), a Chicago area medical transcription company, for a purchase price of $1,110,000.


On January 1, 2009, the Company purchased certain assets of DeVenture Global Health Partners (“DeVenture”), a Canton, Ohio based medical transcription company, for a base purchase price of $4,250,000 plus potential consideration based on results for the first six months of 2009. The Company does not currently expect to pay any additional potential consideration.


BUSINESS STRATEGY


Transcend’s sole focus is providing medical transcription services to the healthcare industry. The Company’s strategy is to succeed in the marketplace by successfully executing six key strategies.


 




























 


1.


Provide unparalleled service to customers


 


2.


Increase market penetration


 


3.


Sustain technological leadership


 


4.


Attract and retain talented professionals in the U.S.


 


5.


Increase utilization of offshore resources


 


6.


Successfully complete and integrate acquisitions.


 


Provide Unparalleled Service to Customers


The key to the Company’s success will always lie first and foremost in providing excellent service to customers. The Company retained 98% of customers in 2007 and 2008, which is believed to be superior to most of our competitors. Management believes that customers who are consistently receiving high quality documents on time at a fair price are likely to remain our customers year after year. Satisfied customers provide sales leads and referrals that help us drive new business. Accordingly, the Company has an ongoing program to monitor and improve customer satisfaction which includes continuous monitoring of transcription production statistics relative to contracted standards, periodic customer surveys and a dedicated regional operations support organization that maintains regular (often daily) contact with customers. Management believes that regional operations managers provide a competitive advantage in sustaining customer satisfaction. As our regional operations managers typically come from a Transcriptionist background, they possess the expertise to continuously improve quality. In addition, they provide customers a central contact person in the organization who is directly responsible for resource scheduling and quality control and can quickly resolve any issues that arise. The Company practices continuous quality improvement with the goal of improving the level of service over time.


Increase Market Penetration


The transcription industry is large and highly fragmented. In addition, it is currently estimated that 60% of transcription volume is still performed in-house. As a result, management believes that the Company is well-positioned to increase market share both by winning contracts with hospitals who are now actively considering an outsourced solution and by taking business from competitors. Management believes that the level of service provided by many of the Company’s competitors can be very inconsistent. As a result, the Company is often asked to submit proposals on new accounts where Transcend will replace a competitor. In addition, the Company believes that smaller competitors are increasingly unable to keep up with advances in technology and lack the capacity to give customers assurance that they can consistently meet turnaround time requirements. As a result, the Company frequently wins new customer accounts from customers who have outgrown the capabilities of their smaller providers. The Company’s tested and proven infrastructure enables it to serve substantially more customers without a significant increase in fixed costs. While continuing to focus on day-to-day customer satisfaction, the Company intends to add new accounts to the existing customer base to efficiently utilize the capacity of the infrastructure and established customer-oriented support organization.


The Company intends to grow by focusing the sales team on potential new accounts and utilizing the operations management team to increase services to the existing customer base. The Company’s target market is focused on community hospitals with over 100 beds. Based on experience, this target market can realize the most benefit from services while still allowing the Company to provide superior customer service at a reasonable profit. The Company targets new business from hospitals where there is not a current relationship as well as affiliated hospitals of existing customers. A telemarketing partner is utilized to help identify hospitals within the Company’s target market that are interested in transcription services. New business leads are also generated from regional operating managers, who receive referrals from the administrators they work with daily. Management anticipates continuing to add sales resources to help deliver revenue growth.


Many hospitals are members of group purchasing organizations (“GPOs”), which provide value to their members by pre-screening the best vendors for a particular product or service and pre-negotiating terms and conditions with the vendors. The Company signed an agreement in 2008 with one 1,400 member GPO and will attempt to secure additional GPO contracts in the future in order to increase market penetration and accelerate growth.


The Company also expects to continue to win new business by working with technology partners. Technology providers, such as Nuance and 3M, license their proprietary transcription platforms to hospitals across the country and refer the transcription work to preferred service providers like us. Management believes Transcend’s size and superior customer service make the Company a preferred provider to these partners.


Speech recognition technology represents a sea of change in the transcription industry. The Company has invested heavily in fully integrating speech recognition technology into the BeyondTXT platform. The Company licenses the speech recognition engine, natural language processor and various editing tools from MultiModal Technologies, a leader in the industry, under a September 2006 agreement that renews annually at Transcend’s sole option through September 2010, with the last such option period ending August 31, 2011, and thereafter if mutually agreed by both parties. The Company’s speech recognition solution requires no physician training or change in physician work habits. Voice files are collected in the same manner regardless of whether the job will be transcribed (typed) or edited using speech recognition technology. Once a physician’s voice profile is built that meets predicted quality criteria, future work from that physician is edited. When a medical language specialist is presented with a draft document, they listen to the voice file and edit the document as necessary. Their edits are fed back into the voice profile, which learns over time in order to continuously improve the quality of draft reports.


The use of speech recognition technology in BeyondTXT results in a more efficient transcription process and leads to lower direct costs and higher gross margins while allowing the Company to offer competitive pricing. The Company’s medical language specialists earn less per line of text for editing, but their increased productivity generally allows their total compensation to remain unchanged or to increase. After the cost paid to MultiModal Technologies, the Company is still able to reduce the average cost per line of text. This is a key defensive strategy against pricing pressure in the industry.


Management plans to gradually increase the percentage of voice files processed through BeyondTXT speech recognition from 24% of total volume in the fourth quarter of 2007 and 35% in the fourth quarter of 2008 to approximately 40% by the end of 2009. Longer-term, the percentage of transcription volume that is edited using speech recognition technology is dependent on such factors as the mix of transcription volume that is processed on the Company’s platform versus customer platforms, the percentage of dictators for whom high quality voice profiles can be built, and the ability to hire, train, and retain editors.


Attract and Retain Professional Staff


One of the Company’s critical success factors is the recruitment and retention of the industry’s best knowledge workers, including medical language specialists, application developers and service professionals. The goal is to be the best company to work for in the industry. Management believes that there will be a shortage of qualified traditional medical language specialists in the future. There are two domestic solutions to this problem. First, workers will be attracted and retained by offering competitive pay and benefits, stable and responsive management, a predictable abundance of work, a stable and efficient platform, career development opportunities and the opportunity to work from home. Second, speech recognition technology will allow us to produce the same volume of work with fewer medical language specialists due to the productivity improvements the Company is able to achieve, and may open the market to a new pool of professionals.


Increase Utilization of Offshore Resources


The Company operates in a global economy in which medical transcription services can be performed efficiently and cost-effectively by offshore medical transcription service organizations. Customers have differing views of offshore production. Some believe it allows them to realize improved turnaround times and sometimes obtain a lower price without sacrificing quality or security of data. Others remain committed to domestic-only medical transcription. From management’s perspective, offshore production allows the Company to improve turnaround time by providing consistent staff at night and on weekends; alleviates the need to hire as many domestic medical language specialists in a tight labor market as would otherwise be needed; and reduces cost. Management plans to meet customers’ needs by providing services using a combination of domestic and offshore labor. In July 2006, the Company began subcontracting a portion of work to offshore medical transcription firms. By the fourth quarter of 2008, the Company had increased the percentage of work processed in India to approximately 19% of total volume. Management plans to increase this percentage gradually over the next several years and believes that in the long-term (5-10 years), market demands could drive the mix closer to 50% domestic and 50% offshore, but in the intermediate term (2-5 years), the mix is expected to gradually grow to about 30% offshore and 70% domestic. The growth in offshore volume is not expected to displace the domestic workforce, which the Company expects to grow over time. At some point in the future, the Company may decide to establish a transcription operation offshore, but currently is relying on partnerships as the preferred solution.


Successfully Complete and Integrate Acquisitions


The Company intends to increase market share through acquisitions and believes that the Company is the third largest of the more than several thousand medical transcription providers in the United States. Technological developments such as voice recognition technology and the need to provide customers with an off-shore solution are making it increasingly difficult for smaller medical transcription businesses to compete effectively. As a result, management believes that the Company will be able to make acquisitions on an opportunistic basis that will enable it to grow the business. When the Company acquires these businesses, it is often able to add the acquired companies’ customers to the BeyondTXT platform and to eliminate a substantial portion of their overhead. It is expected that acquisitions will be financed through a combination of cash on hand, debt, and shares of the Company’s common or preferred stock.


 


For customers who already have their own transcription workflow system, the Company provides outsourced transcription and/or editing services on the customer’s platform. For example, the Company has a partnership with Nuance to use their eScription platform, which is a popular hosted ASP solution that can be licensed by healthcare organizations. Customers contract directly with Nuance for the system implementation and contract with us for transcription services. eScription is speech recognition-enabled, allowing the Company to provide editing services to those clients in addition to traditional typing services. The primary advantage to this business model is simplicity—there is no proprietary workflow system to develop and maintain. There is, however, less opportunity for the Company to leverage technology to improve profitability. Some customers have legacy systems they have developed themselves. Over time, the Company expects to migrate customers with outdated legacy platforms off of their own systems and onto BeyondTXT. The Company provides services on numerous platforms: other notable examples include ChartScript (a 3M platform), Dictaphone (a Nuance platform) and Meditech.


CUSTOMERS


As of December 31, 2008, the Company delivers dictation and transcription services to approximately 154 hospitals and clinics with recurring revenue generally under long-term contracts or other arrangements. The average level of annual revenue generated by each customer was approximately $316,000 in 2008. The top 10 customers accounted for approximately 27% of 2008 transcription revenue, averaging $1.3 million of revenue each.


Revenue attributable to one contract with Providence Health System—Washington for four hospitals totaled $3,728,000 $3,269,000 and $3,017,000 or 8 %, 8% and 9% of total revenue for 2008, 2007 and 2006, respectively. As of December 31, 2008, the Company had separate agreements with approximately 44 customers who are owned by Health Management Associates, Inc., a single healthcare enterprise. Revenue attributable to members of Health Management Associates, Inc. comprised $10,267,000, $9,611,000 and $8,473,000 or 21%, 23% and 26% of the Company’s total revenue for 2008, 2007 and 2006, respectively.


On January 1, 2009, the Company purchased certain assets of DeVenture Global Partners, Inc. and acquired approximately 30 customers with this transaction.


COMPETITION


The Company experiences competition from many local, regional and national businesses. The medical trans


If I cant make QA, dont give me work. Dont dock
x
specifics
I was interested in learning what experiences other transcriptionists may have had with this company, i.e. rate of pay, platform, problems anyone may have had. I've been with another company and I need to find something that I am not working so many different accounts that I can't make decent money.
What specifics do you want to know? sm

There is plenty for work right now.  Pay is direct deposit for IC and employee.  Line count pay varies according to account and type of work you type as well as time of day.  Can't remember the specifics.


I work as an IC, and for now I need whatever income I can get.  It suits my needs just fine. 


 


Specifics
Okay, I was hired twice by this company. The first time she wanted someone to start yesterday and offered me 9 cpl and spent time loading their program onto my computer, and then......nothing for several days. No files, no response to my emails, nothing. This went on for a week and I was offered a full-time position at the company I was with at the time. I took that and emailed the owner of VS,LLC and was told they made promises based off of my commitment and they had been waiting for me to contact them and let them know when I could get started. They were wondering why they had never heard from me. Well I am not an idiot I had emailed them and been very specific on the phone with them about wanting to start immediately. I had even emailed them with outlook and attached a read reciept and had been notified that they had read it. When I pointed this out to her, she suddenly had all my emails that she supposedly never got and kept emailing me begging me to work starting right then. When I explained that I had already started full-time with my current company I got a somewhat nasty email that I just thought was more frustration than anything. Well fast forward a year and a half.... I was used to my full-time now and looking to add part-time for savings and extra. I saw VS's ad and thought it might be worth a try again. Well the pay had gone down to 8 cpl. Not what I was looking for, but better than average anymore. Went through all the steps again. Emailed about setting up training again with read reciepts, everything this time was with read reciepts. Well again with the we need someone to get started right away so hurry up and wait. 4 days I waited and emailed and waited. Well, I had also applied for other positions and the 4th day I had been offered one of the other positions I had applied for. I email the owner of VS this and that if she cannot get me trained and started then I must move on as she had told me she would start me immediately. I had in fact cancelled a weekend out of town with my family because I was supposed to train immediately. I heard nothing for a day and a half and had received the read reciept, so I know she got it. Then I get an email saying they had not received any of my emails. I send back that I had read reciepts on everyone of my emails. All of a sudden she is sending replies to me from the emails that she supposedly had never received. Then she tells me how she had tried, and tried all day Saturday trying to call me and never answered and asking me if I knew how to even use the telephone! Seriously! I told her nice try as I had been at home all weekend waiting for her call and still had the calls on my caller ID from the whole week before and not one call from her, imagine that. Well I told her that obviously it was not meant for us to work together and that I could not work like this. I mean if this was the way it was before I got started imagine how it would be after I got started. I received several more extremely rude emails from her before I finally had to email her telling her to stop and that I was blocking her email. I mean how unprofessional! I was here and more than ready and willing and able to get started and even sacrificed a weekend with my family to get started/going right away.

Now having said all that, I know a lot of people have a lot of negative things to say about DSG and I had an absolutely wonderful, and I mean wonderful experience with DSG for 4 years. I only left due to health reasons and lack of ability to be dependable until I could get my health taken care of, which I did and am all better now and have been for a couple of years. So maybe if you get started with VS, LLC it is good. Maybe you will not have the experience I had. There are previous posts about VS,LLC not paying and I had decided in for myself to try anyway, so it is up to you. Just go in prepared for anything (as you should with any company) if you decide to go ahead. Good luck in your choice it sure is hard these days to sift through everything. I would not have taken the chance based off of old posts with VS,LLC if it had not always been a part-time thing for me. I mean if I was looking for a bread and butter company I could not afford to take the chance of not being paid. I hope this helps:)
Yes they do although each account has its own specifics.
*
Keystrokes specifics....SM
Per Keystrokes employee handbook:
FT = 15,000 lines/pay period
Adjusted FT = 10,000 lines/PP

Line rate will vary depending on experience and any shift differential.
Anyone got specifics on working with the
nm
I sent her an email asking for more specifics.

Did you think to ask about acct specifics?
What you think might look better and what the client requires are two different things.  Often when a client receives expansions that they specifically ask NOT to be done, they go back to the client and yell and in some instances ask for a credit.  The transcription company isn't going to take the chance if the specifics are that rigid.  As for the name of the facility - I'd think you could just ask?
MDI QA question- can QA see specifics about
the jobs that are on the WAV system of Bayscribe?  Because one of the QA on my accounts magically appears out of nowhere to help out when there are standard operative reports available.  I think it is very unfair and rude, but she wants 'em so she takes 'em.  If she is getting paid to QA I think she should keep her mitts off the transcription.  JMHO.  Maybe other QAs are doing the same thing and picking off lines that should be left available for us to fulfill our commitments.
Not knowing the specifics
I can think of a lot of reasons why, although I'm not involved in any way in this specific circumstance. If the client has become too difficult to work with- impossible turn-around times, dictators with too my individualized preferences, nit-picking (yes, they do it on the hospital end, too), and an unwillingness to pay the requested rate, I can see where it would be just as easy to not renew the contract. If the MTSO knows it has new account(s) coming on or that it has enough work for the staff it has, it could easily let a difficult account go. Much the same way some transcriptionists will take easier accounts that pay less but they can type more, I would assume MTSOs make the same choices.
All Type - anything good or bad? specifics
 
I think E-MTS does. Don't remember specifics. Check them out. nm
x
I'm looking for specifics. Well aware of job board.
thanks for nothing. why even take the time to reply like that????
Account specifics are different, but they changed
6 times last week, and I'm sure they'll change again.   No one seems to know what is going on.  

The transition is difficult for me too.   I was a diehard WP5.1 fan and  I DO NOT like Shorthand.  I'm still using my mouse way too much and trying to use my WP commands.  I've lost a couple of reports and done some other strange things because I've tried to use my WP commands/macros. 

I probably only got 40 minutes of dictation tops yesterday and I hope things start picking up soon. 
Are their account specifics complicated?
What about vacation time? Thanks for any info!
Got my answers, they posted an ad with specifics.
nm
Don't worry. The account specifics, etc (sm)
are all just a hot key away from your platform.  You can pull it up at any time you are in the report.  It is broken down very simple (only a page) and gives you exactly what you need as far as formatting, do's, don'ts etc.  I was up and running within an hour after training.  You'll be okay, you really will
Nightmare account specifics
As someone else has already stated here, the account specifics generally come from the client, not the service you work for (though they certainly can interject their own hoops to jump through and other insanities via their QA guidelines). I once started a new client with a new service and was presented with account specifics that totaled well over 120 pages, and the account supervisors forwarded me 75 helpful e-mails in my first couple of hours there, all of which detailed additional specifics for that one account. That's just nuts. I feel your pain.
Confused about account specifics
I won't say the name of the company but I have worked for a certain company for several years with very specific account specifics. They are putting everyone on speech rec. but they have another set of account specifics for speech. In other words if you type regular transcription you must abide by the AS to a T but if you type speech rec. on this account you can just leave it as is. This makes no sense to me to have 2 different AS according to whether or not you type speech rec. That means they will get reports with no specific guidelines at all on their end. Is this true for all MTSOs nowadays or just the one I work at and again I will not state the name just because.
Kim, the recruiter, will happily e-mail you specifics
nm
Several posts recently on mtjobs.com for Rad. Don't know specifics. nm
.
They can't route you to where you need to be unless you know company and location specifics, sm
which obviously she does not know because she isn't an employee there yet. She stated she is just wanting an idea. How many insurance companies have you called? I used to do billing and I can tell you we had to have the insurance card and/or EOB in hand to know all the correct numbers to call based on the patient's specific policy details.
Posts below don't discuss platform specifics...nm

did you read them? 


Still hoping for some information on platform from someone who works there.  Thanks.


Need specifics, not just "be very careful." I recently
x
They do provide the PC, and account specifics vary. SM
I have emailed you just now.  Thanks!
When acct specifics state you MUST send it to QA

I'm darned if I do OR don't send it to QA.  My supe was on me last year about my high QA utilization.


So I started documenting EVERYTHING I send to QA - well guess what - 99% of it I'm REQUIRED to send per the account specifics, and 99% of it is errors on the client end - blank dictations, abandoned dictations, incomplete dictations, no demos where they refuse to identify the patient and it can't be matched, wrong patient, duplicate dictations out the wazoo!  Turns out I'm only sending 1 or 2 reports a week for blanks - always such bad ESL that QA can't even understand them and send the blanks on to the client.  So if I have 500+ reports a week and send only 5-10 reports due to MY error, how am I OVERUTILIZING QA?


I had one retarded doc yesterday - the report had already been dictated by another doc and typed - Doctard attempts to dictate this report 3 extra times - first time got cut off, second time 2:35 minutes got cut off again, third time 3:56 minutes finally got the whole thing dictated.  So Doctard's account specifics force me to send all 3 of his duplicates to QA - how the heck is that MY fault?


Supe says she WISHES we could change the account specifics so that we don't have to send so much to QA, especially things THEY can't do squat about - like doc errors on their end.  Well, honey, until they change the rules to not force us to send so much to QA, I'm continuing to document why I send what I send, and they can get OFF my case about the quantity of crud that passes through my hands!


A good recruiter asks all the specifics and can hope they are given
all the information. You are right too about good recruiters being MTs because they know what to really do and how an MT thinks.
I have 4 accounts with VERY different specifics that I switch back and forth from all day long -
Gone are the days of primary and secondary. They just seem to lump everyone onto every account they have. I hear you about worrying about messing something up. Some of the account specifics are VERY different from one another. Sigh...
Nationals give at least a week to learn program. Give
xx
I know it's a production-based incentive and tiered but I cannot remember the specifics, get with
your recruiter and she can go over it in detail.  There is no shift differential or weekend differential of which I am aware, it is all based on production.
DSG - Nasty superviser, endless account specifics changes, no support - nm
/
I have 2 so-called primaries but type on 5 accounts every single day with all different specifics -
nm
The archives are full of specifics. Lots of details that should take care of your "need". NM
xx
They used to give out $25 Amex cheques -- give them time. :-) nm

Facts

Once again, you do NOT have your facts straight.  I never said the doctors were not providing wonderful healthcare to their patients, just not wonderful dictation to MTs.  I'm a damn good MT and I do more than my share of ESLs, but if any MT gets those dictators for 8 hours a day, 98% of the reports, we all know their line count is going to suffer, just of sheer frustration.  Of course, you get any ESLs with any company, but there are better accounts, and any good MT knows they can get better line counts with better dictators.  My point, once again, is if any MT has the skills and experience to get a job where you have better accounts w/better dictators (notice I said dictators this time, not doctors since you seem to be so picky about my wording), then why should anyone have to put up with terrible dictation all the time when you can make a better line rate and get more lines with a different company.  And just so you know, these dictators can't even fill in their own blanks.  I personally played back one particular ESL dictator's report to him and asked him what the blank was.  His reponse was, "I don't have a clue.  Just do the best you can with it."  So, how can they expect us to be able to figure it out without compromising quality? I sent the report with a blank and let him fill it in with whatever he felt should go there.  My attitude is the attitude of any MT out there who is trying to make a decent check, especially if they're single and trying to support a family.  My atttitude is what landed me the job I have now where I make 2 cents more per line than TransHealth, get better benefits, have plenty of opportunity for advancement if I so choose, and have much more flexibility than the job I had with TransHealth.  If you like transcribe ESLs so much, why don't you just move your ESL-loving butt to India?  You will have no problem getting plenty of ESLs there.