From the MTSO's side, try to realize how difficult it is to maintain a perfectly even flow of--
Posted By: MTSO on 2006-05-30
In Reply to: Noncompliant MTSO - DNN
work for everybody. You might say you want ONLY XX minutes a day but what happens if a doc decides to get caught on his backlog? Or another MT wants off for the day because her daughter has a fever? Or another MT just has to take off a few hours to run her dad to the doctor's office? And then another account realizes it's almost the end of the month and they need to get all their reports in? Or if there is a chlorine spill at the edge of town and the ER account gets swamped? It is impossible as an MTSO to keep the work at an even keel. If you hire people just for overflow, then some days it's too slow. So your overflow person quits. Or it gets slow because it's February and everyone is avoiding deductibles and your MT's are b****ing about not enough work. Then August hits and work comp pours in along with weekend warriors, then the MT's are screaming that they are overloaded. There has to be a certain amount of flexibility in the MT's end or it just won't work. MT work is like LIFE, it comes at you in waves.
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- Noncompliant MTSO - DNN
- From the MTSO's side, try to realize how difficult it is to maintain a perfectly even flow of-- - MTSO
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Here is another side to look at. I am a transcription who is also an MTSO. sm
We constantly hear that MTs want to work for a company that does not offshore, yet they want to be employees, have insurance paid for, 401k match, paid holidays, PTO, etc. They want flexible schedules or no schedules. They want work available whenever they choose to work. They want 0.12 per line. Well, I wish I could, but it is not possible or a reality anymore in this business. Hospitals used to pay 0.18 to 0.26 per line, now they will not even talk to you unless you are 0.14 or below. The small hospitals or those that only want the companies to do overflow, do not have consistent work. The ones who do, want to pay next to nothing and demand a 2-hour TAT. This is not possible if all of your employees are flex hours. Benefits, workers comp insurance, unemployment, liability insurance, etc. add approximately 30% to a wage. If you are paid 0.10 per line, it costs the service 0.13. Add in overhead such as phones, postage, accountant to do taxes, a clerical person to help answer phones and questions, and there is not enough to even stay open. You want IT support? Add that in.
I am not whining, just stating facts. The entire industry has changed and not for the better. Yes, MTSOs used to make a lot of many and yes, the really big ones still do based on pure volume, but it is getting rough for us as well. Do you think we like knowing that we cannot give raises because our customers are lowering their rates each time their contract is up? Do you think we like knowing that we are at their mercy because if we do not lower them, there are 4 companies courting them with lower rates, better IT support, stronger workforce? My wish is that it all turns around and soon, or there are only going to be 5 or 6 companies left standing. I cannot compete with MQ, S, etc until I am that size because I cannot provide what they can, but I cannot get to their size without it. It is not easy anymore. We have to figure something out together.
Do you realize that most MTSO's don't charge .15 per line? How do you expect them to pay you
that if that is more than they are billing? Do you think it's fair for an MTSO to make a profit? Don't you think they should be compensated for all they do?
Didn't realize it was catty to realize that from 1/18 to 1/25 is a week and nothing happened. sm
Thanks for being supportive and kind.
To maintain the same paycheck, MTs now
have to increase their lines because the line rate has been cut. That's the BOTTOM LINE. You can put perfume on a skunk, but it still stinks.
It costs the CMT megabucks to maintain sm
that certification that the regular MT does not have to incur. (I'm an ex-CMT, too.) Believe me, that extra money helped pay a fraction of those expenses.
No. You have a line count to maintain per payperiod.
A proposed schedule is asked. Hours are not monitored for SEs.
Sorry meant they have quotas to maintain and they see the dictation. I guess that is a perk to bein
NA
You said it perfectly!!!!!
There is nothing I can add except that I used to love medical transcription. I wish it was like the old days.
THANK YOU.. PERFECTLY WORDED
STYLE ISSUE... That is what I was trying to say, but couldn't find the words!!!
Wasn't that company, but a large national and a newer QA person.
You explained that perfectly! sm
Bingo! This job is very isolating and most of the jobs are found via Internet, so there is no personal (face to face) contact. This board helps network other MTs. Sorry that some people don't seem to understand.
Amphion would fit you perfectly. nm
nm
It works perfectly well.
xxx
I would think it is perfectly legal if it sm
is some kind of training you MUST learn in order to IC for the company. Don't see why it wouldn't be legal. I guess they can say that they no longer utilize ICs who haven't had this training.
I am perfectly satisifed there. I like it quiet. nm
xxxxxxxx
Oh, I understood your point perfectly.
Your statement was why call it a holiday if you don't get paid. To which, and I say again, it's a holiday whether YOU get paid or not, something you should have made a note of when you were hired.
And, BTW, individual beliefs and holidays and pay - and our attitudes to such - are all related to our human existence, existentially speaking.
Bravo! You stated that perfectly! $50K for me, too!
Then AHDI can call me and maybe we'll talk.
Oh. I use my own expander ShortHand and it works perfectly.
No problem getting my 275 to 300+ lines an hour either.
No, wrong again, it is in modern times perfectly acceptable to
start a sentence with 'But' and even with 'And,' especially when putting emphasis on a statement.
Would you please be so generous as to send your company gift to me since you are perfectly satisfied
with our job paying us for NO holidays, use PTO earned for sick, holiday pay, and everything else that may come at us in life! You better believe those inhouse clerks, etc./sups, leads, execs and on and on get their GIFT and a hefty one at that. Why are we at-home supposed to be satisfied with nothing, but a low-paying job, low work most of the time, requests from company to flex and flex for THEM, but no flexing when the MT needs off.
Yes, I am thankful for a job, and that is exactly what it is . . . . a job (almost). That is if you consider NO paid HOLIDAYS like all other types of companies give. Yes, these are hard times, but these hard times are hitting the MT harder and harder each and every year! It does not affect the office support staff, etc., etc., etc. They are paid for holidays and whether there is work for the MT or not. We are piecemeal workers only (similar to sweat shop workers). Yes, I am thankful that I have a paycheck coming home, BUT I have to WORK VERY HARD for every penny that comes home to me in the form of a paycheck -- without any paid breaks or holidays. The office staff are the lucky ones -- everything paid for them!
It is perfectly legal. You need to be FT to get benefits. You need 12000 lines to be full time. I
period so there is no issue. Why do some people here try to make everything ugly?
What the person did NOT say is that it is averaged by quarter. So if you do 12,000 lines one time, 15,000 the next and 10,000 the following, it will balance out. They also do not count it against you if your account is slow.
going with the flow?
That is a hollow apology. You were more than willing to start posting again to stir things up but then when apologies start being said and everyone tells you to drop the whole thing, THEN you apologize? 
going against the flow
 Bloody Monday--That is what CNN is calling it with 76000 people being laid off. Well, I guess I just like to go against the flow but I gave my 2 week notice to QUIT my job today. I have worked for Spheris for the last 9 years and finally had enough of the Out of Work situations. I made 7,000 dollars less last year than in 2007. This year looks even worse. There are worse things than being laid off, like taking a 50% pay cut.....which is what running out of work mid-shift does to you.
This company has outsourced their work to India and they may try to tell you that it is not going to cut your work but it isn't Rocket Science. When the only good week you have in 6 months is the week of Ramadan when they are on their HOLIDAY-------somethings up. Today was the India MTs day back and again by midshift I got the No JObs available message so I submitted my resignation.
I have a parttime job with a company that hires only US MTs and I called them first to see if I could go fulltime and I got a YES< YES<YES from them! There is plenty of work out there for good MTs and Editors so I don't think any of us should take a backseat to India! I am going where I am appreciated. In my resignation I told them I was going with a company that values my experience and is willing to compensate me for it!!!!!!! Spheris has several accounts in jeopardy and if they continue to go with the $200 a week MTs........well, we will see!!! Hang in there all, what we do is IMPORTANT to the Health Field and they will come back to appreciate us in time........I do believe this
when docs give mtso a check, then mtso pays you?
nm
I am not sure that the work flow is low. sm
I think they have overhired again. At any rate, three and my friends and I are moving on. I haved stayed too long as it is. With no bennies and no DD and no employee status (oh, I know, SOME people get all that, but some people don't), and no work, there is no reason to stay!
Work flow
How's the work now? They have been running out for weeks.
work flow
So far I have not seen a reduction in work flow. It's been pretty nice. It does get low now and then, but nothing out of the ordinary.
How is the flow of work?
 Is it pretty steady or is there a lot of down time, specifically the escription accounts.
work flow
I have just been with TT a month or two. When I hired on, they told me the hours they had more work, so I work those hours. At one point, the doctors were slamming them with dictation after 3:00 PM. Of course, I started earlier than that, but still had plenty of work. When the docs are dictating is when we have work. That's true at the local hospital where I work as well as anyplace else. Like it or not, a Transcriptionist has to work when the doctors dictate. If you want to work day shift and 5 days, clinic work is good, but the reports are short.
MDI work flow
Let me weight. I have been with MDI about a year. Many positives. They leave you alone to do the work but the feedback is here if you need or want it. I never had a problem with workflow until this summer. Now work is constantly out or low particualry in the daytime. For a single parent this is a hardship because I need to get my hours in while kids are in school or daycamp in summertime. It's extremely difficult for me to be working in the evenings when children are at home. My paycheck as taken a hit or I am going on to work in the evenings and struggling and not supervising my kids because I have to work. The thing irks me is I have Op experience, I made this known when I was hired that not only do I have this experience But I also prefer Ops. I can see clearly every day they are begging for people to jump on do the Op notes. I have asked mutiple times (at least 4) to give me this worktype as I am not set up for it and that I would be happy to help with the backlog, pariculary because my clinic and other acute care work was dry. No response over and over. It's as if they are picking favorites to do this particular type of work and not allowing other peolple with the experience a shot at work that seems plentiful. It's very frustrating. I am never given an explanation as to why I cannot do this work type even though I have the experience. On only occasiona management said they would discuss it. So I do believe there is some favortism as to which employees get what type of work. I do not like this particulary when I am struggling to make a line count on the work types they will allow me to work on.
To be fair for the most part aside from the work type issue and slow work this summer my experience with MDI has been positive. I never ran out of work until this summer. They do not nitpick your work and harass you with contast emails and phone calls as some companies do. The people are generally nice and flexible.
However, I have started looking for other employment and I also need benefits, which MDI does not provide.
How is your work flow going? sm
I was just wondering how everyone was doing with respect to the amount of work you are getting. Is it slow? Are you inundated with a lot of reports?
I have never seen it this slow where I work. I am worried, unhappy, scared, etc. I called my MTSO and asked and was rudely told that it's because of the holiday and that I should know better. I did not start working there yesterday. I have been with this company as an IC since 2006, and even during the previous major holidays such as Xmas and Thanksgiving, it was never this bad. I was lucky to have gotten in 1000 lines this entire week! What's more is that The Holiday which was Memorial Day just passed; and Memorial Day is NOT a major holiday!
I am posting to just get a feel of what others might be experiencing.
at least they have steady flow of work -
nm
No...I'm not one that lets work flow through.
I do take the time to correct my reports and research terms, physicans' names and addresses, correct facility names, etc. That is exactly WHY I take offense at your post. It is getting harder and harder to maintain quality while still being able to do this job at 99% accuracy along with all the additional nonpaid responsibilities some of these MTSOs require without having additional stress added to it with punitive compensation policies.
I'm most definitely NOT advocating that MTs should hurry through their work, I'm taking the side of the MTs that have enough stress as it is without having more garbage piled on top of our backs. I'm appalled at the fact that you have such a high and mighty attitude against your fellow workers at the same time bragging about your situation, yet admitting that you're scared you may end up in the same situation. Hey...at least your honest about not having qualms sticking the knife in your colleagues' backs. Like you say...it would be stoopid for you to give up the name of where you work to help others out because then you would end up in the same boat. Things are a lot different than they were in the 70s and 80s, but your attitude shows that you could care less about what your colleagues are going through NOW because you're done with it and set to retire.
What's the work flow situation at TransHealth these
nm
How is the work flow at Precyse these days? Is it
nm
Work flow depends on the shift
Less work available during the day because that is when most people want to work.
On that score, you are 100% correct, just slow with the flow.
nm
Diskriter ? about work flow and VR pay rate
Tired of hopping around and trying to find a place with enough work to keep everyone busy and not overhire for future use  So just wanting to check out work flow, and was also wondering basic range for VR.
NO FAIR-WORK SHOULD FLOW NATURALLY - sm
As bad as things were at the Q, we got 1 job at a time, detmined via automation, to whatever MT was free was the next to get that job - no one to pick the best work for herself and give MTs the garbage. All this BS about TAT - best work gets taken first, MTs get squat. And how many people do we have to answer to, anyhow? You have top supe, account supe, supe of transcription, and leads like Carter's has pills. No wonder we get all ESLs and garbage - done by those who have the power to dictate who does what work. In the next life, just make me a Lead -- they can even keep the hourly/weekly salary -- just let me have first grab at the available dictation!
I can only speak for myself, but my work flow is fine.
nm
As far as I know, IC only. Very steady work flow. Pay is good and on time.
 Great lady to work for.
Pay on time and accurate, work flow steady.
nm
The work flow is pretty good. It gets low around the end of the pay period. sm
I work on the DSG-2 side and the sound is pretty good. Rumor has it we will be getting a new account soon but I don't know that for sure.
Anyone know of a place that hires for over-flow work (besides people in India!!)
 Just a few hours a week?
If your impressed by bad communication and erractic work flow then it's the place for you..
I know a lot of people who have been there longer than a few weeks that have a lot better insight on MDI-FL and it's not a great review. Yes, the people are nice but is about it.. Nice unfortunately does not pay the bills or stop you from being frustrated because no one answers your emails, well I should say, in a timely manner, and if it is a money-related question like raises etc.. FORGET IT.. you will NOT be getting an email back on that one but you do get one telling you that you need to train on another system, which requires a C-phone, and one in which you had no desire to be placed on, or you lose your benefits. When people sign up to do accounts that are internet-based, it is for a reason. C-phones are a pain in the you-know-what..and then you find out that the account you were hired for is dried up most days, then you are told that you need to do another account that requires the C-phone or you will lose benefits. Thanks but no thanks..getting old.. but truly best of luck to you in whatever you decide.
Overhire, inconsistent work flow..Been there doing that. Cant afford to stay.
Need I say more..
Thank you. The recruiter was very informative. I specifically asked about work flow
as the company I am at now runs out almost daily, in part, I believe, as a result of being a mix of straight typing and VRE. I prefer straight typing over VRE anyway. TT is offering more per line and offers incentive and shift differential, which is something I don't get currently. Im excited to start working with them.
Northeast Transcription, any info? Platform? Work flow? Anything?
x
Now I hear this company plays games with the work flow when you
start getting a higher line count. This is not surprising. I have BTDT and don't want to go through it again. There are enough posts now for me to say I am just done with the whole thing altogether and I am not a happy camper! Thanks for your feedback here and below. Saved me some headaches!
Is the work flow pretty steady on the evening shift
n
Isn't she an MTSO owner - which MTSO ? Just curious. n/mnn
nnnn
I totally agree. I also wonder if they increase the work flow to our "overseas partners" so th
gets done by them thus not many US MTs are getting the incentive. I just find it strange that we can have a lot of work before the holiday that no one seems to be working on but then on the holiday we run out of work. Something is up with that.
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