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Serving Over 20,000 US Medical Transcriptionists

I have had zero problems with ESL/audio quality/whatever. TT is the best so far for me.

Posted By: TTMTer2 on 2007-01-09
In Reply to: transtech tale - giddiup

nm 


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How's the audio quality with TT? nm
x
Sick and tired of poor audio quality (sm)

that seems to get worse and worse as the days go by?  Remember when we were told that switching from tapes to digital would make all the difference in the world with regard to clarity and our production?   Remember when we were paid more and had plenty of work?  Remember when there was no working on Sundays or holidays? 


Why is EVERYTHING MT going to the dumpster?


Why do these MTSOs accept reports dictated on cell phones?  Can't they write in their contracts that cell phone dictation is not clear and it can also be intercepted by others and therefore unacceptable?  Why don't the QA personnel who read our flagged comments about awful audio pass this information on to the client so that it can be fixed?  It's getting worse and worse.


Back in the days when I had my own accounts, one of my dictators asked me to please tell him as soon as his equipment malfunctioned (in those days, it was batteries running low or a tape that needed to be tossed and replaced).  He said there was no need for the MT to suffer with poor audio reports when there is a simple fix.  So, what's the difference here when the idiots dictate on cell phones?  Or there is a hospital phone with a short in it?  Why can't these things be fixed?   


My plea:  If you are a QA person or MTSO getting repeated complaints about specific dictators' dictations being garbled or unclear, won't you please notify, and keep notifying the client until they are brought up to par.  How about sticking up for the MTs for a change rather than protecting the client all the time!?  In the end you are protecting everyone, including the poor patients whose reports are being dictated and transcribed. 


I'm tired of MTs taking all the blame for this industry's downfall.  If MTSOs and clients demand 2-hour turn-around time, how about improving the technology to make your unending demands more attainable?  It's 2006.  There is no excuse for the garbage I have to listen to day after day.  No excuse at all. 


 


Wasn't just fast, the audio quality (re-recording)
2
They offshore, sound quality not great, quality
of work coming back from India is bad and they don't pay enough for editing it. 
you spelled quality qualitily maybe that is why you have quality issues.
Sorry, but even spell check misses stuff. You have to at least be able to spell to do this job. Well, you don't have to know English if you are Indian, but us Americans have to spell!
audio
I just left them for the second and final time due to extremely bad audio files.  I was assured this second go-round that the problem had been corrected but was not.  I spent the biggest part of the first week - lasted about 3 days - trying to hear dictators, mainly ESL.  The people I dealt with were terrific; benefits are some of the best; audio extremely poor.  I figured no money could be made under those circumstances.
AUDIO HOURS
Can anyone give me any idea what to charge for an audio hour of transcription and how much time this equals out to? I was offered a freelance job of 30 hours of audio hours for TAT of 2 days and have never done this before.  It is television production work. Thanks for any help!!!!
There is no way to do 30 audio hours

I can usually transcribe 1 hour of dictation, my easy stuff, in 1-1/2 to 2 hours.  Even if you have really easy stuff to do, on the low end it would probably take at least 60 hours to transcribe, and mayve 90!  Geez..even if you could transcribe it in real time...taking only 30 hours to transcribe those 30 hours, you'd be putting in 2 15 hour days to do it.  Realistically, for 30 hours of dictation you would 60-90 hours of work.


Patti - about audio
Thanks for your input. I haven't taken the job yet, as I wanted to get some advice from others. Of course, the sample test he had me take was extremely clear! The calm before the storm! He said he would pay me $50 per audio hour. I'm thinking, if it takes me over 2 hours to do an audio hour, it probably isn't worth it. Maybe I'll just have to try it first and tell him up front what my plan is. Do you think $50 sounds fair?
Everything audio I was sent was horrible..
xx
Really bad audio and account--sm
Was a verbatim account and really bad dictators, lots of heavy ESL. So, yes.  Very hard to make good line counts under those working conditions.
medgarde audio
I was wondering if anyone else has ever applied to medgarde and had trouble playing the sound files?! I have been trying to get it to play for a day, and I updated the media player... I'm just curious if anyone else had this problem and what they did to fix it.
the audio is horrible on the new system....
I had my husband listen to a little bit of one of the doctors and even he said it sounded like mush. I bought an expensive pair of noise cancelling headphones and it is still terrible. I can handle the software, but the audio is another thing. I am ready to resign. Grrrrr.
Getting paid by audio hour
I have not gotten paid by audio hour before and just wondered if anyone has an idea what good pay per audio hour is? It's straight typing for seminars/speakers. Any opinions would be greatly appreciated!
Good luck with audio
I have done seminars/speakers, etc and never again unless I listen to the tapes or whatever first.   It all depends on where they put the microphone and their euipment. I got stuck doing a seminar and found out it was all about building a chip in a computer and had all orientals at the seminar  - worse nightmare that there was.  You would have to see how many lines you would get in an hour worth of the audio to figure out a fair price -- not in an hour of typing for you but the audio and the difficulty.   I had 10 tapes from a 2  day seminar  -- 60 minute tapes not all were filled on each side and their bill was well over 1200.  Had another on the use of animal with sexually abused children for therapy, 8 to 10 hours of audio and that one was also over $1000.  But I charged by line.  It took about 4 hours to do each hour of audio when it was good recordings and up to 5 to 6 when poor.  We did average about $25 per hour when typing but adding in the QA and listening again to make sure we did not miss anything brought it down to under $20.  So then it would be a charge of about $80 per audio hour -- rough estimate.  Again too many variables and I would not charge or be paid that way. 
Posts here say you need about $2 per audio minute to
p
You'd do better to bill by the audio minute; I'd bill $0.75 per minute of audio.
x
I agree on the audio. Not sure what causes their problems with this. nm
:
DocQ audio from keyboard
CTRL + SPACEBAR to toggle on and off for play, CTRL + comma and CTRL + period for rewind and fast forward. Once you've tried it for a half a shift, you'll never want to see your footpedal again!
Unless your audio can speed up more than mine
I would say the person (people) telling you 3x as much as straight are just outright lying. I think I mentioned my speed, high also but never have tripled on VR and I keep my audio at full speed, cannot do more than the audio allows. I am very satisfied in the long run with Escription. I had so many straight reports yesterday, usually do the op notes but mostly discharge summaries on the weekends sometimes and so many ESLs, I could have pulled my hair out. What is strange, sometimes a particular dictator on VR and sometimes not? Don’t get that but wish all were. Good luck!
A wav pedal for the audio transcription part....(sm)

I honestly don't know if you NEED one or not...there may have been manual 'play/pause' buttons you could click on with a mouse, but I cannot remember for sure, so don't quote me on that.  Reference books are definitely handy...I had to break open my AAMT rule book for a couple of things I wasn't 100% sure on, and even had to pull out my old dusty Dorland's that I've been using as a foot rest for some obsure thing I couldn't get a definitive answer off the 'net from. 


Like I said, I enjoyed taking the test because I've honestly never tested before.   I've only been doing transcription for 5 years now, and it was always with the same company, and still have oodles to learn.  The part I enjoyed most though was the actual sample transcriptions.  Fun to hear other voices and accents and type up material I never got exposed to before.


Just give it a shot!  After you finish a 'block' of testing, it asks you if you want to stop and come back to it later or keep going.  When you first sign up for the testing, it assigns you a log-in and password, solely for that purpose that if you need to take a break or plain ol' stop, you have that option. 


I shoulda asked the interviewer how I did.  No part of the test said anything like, 'Sorry, but you stink and you can go away now.'  I guess if you pass one part it feels you are good to go onto the next?  No idea honestly. 


Go on...just do it. 


The two ladies that I talked to, both before and after testing, were very nice and I'm sure it's a great company.  I just knew where I really wanted to be is all. 



I work for the DSG-2 side. One account has some bad audio sm
some of the time-not all.  Otherwise I am happy where I am.  I cannot speak for the other side which has different accounts. 
DocQ, hmmm, how to play audio from keyboard??
Can you share.  Didn't know, worked on platform twice and nobody ever said this.???  Can you share?
Quality is quality, and really should have nothing to do with getting new accounts.
MQ isn't scheming against the MTs regarding QA. They just want a quality finished product.  Heck, half the slams on this board about MQ are the garbage work the MTs put out.  Talk about a no win situation! Getting used to a new account should not lower your quality by any real degree if you are a good MT.  Even getting used to new dictators or ESLs. Good MTs still produce quality work, and should not have to fret over QA. 
Of course quality is quality sm
but all this bouncing has slowed me down so much that I cannot make a good wage. I would never cut corners, but I can see where work quality will suffer in this scenario. I am sick and tired of bouncing around to all kinds of accounts!
quality
They give you a 60-day probation and pay you a guaranteed rate of $10 an hour to give you the chance to learn your account, the preferences, and get your speed up. They are sticklers on grammar, AAMT BOS rules, etc. They mentor you to the degree they have time, then if it is just not a good fit, they let you go. It is acute care. Some people have learned some very bad habits working for small companies on clinic notes, etc., and it's hard to re-learn the correct way of doing things. I think the company is very fair and almost everyone is very family-oriented and willing to help each other out. In the end, they have a company to run and do look for the cream of the crop or at least people who learn quickly enough and don't keep making the same mistakes over and over. The only other thing I could guess is it was just a personality conflict, degree of professionalism, or something. The company has approximately 400 MTs working from home, some who have been there for 10+ years, so they are doing something right!
Quality
Also was outsourced and work went to CBay. Our facility had to bring most of it back in house after less than 3 months. What I don't get is how they continue to get positive press without anyone telling the other side of the story. For our facility it was a disaster. The same old story, they got what they paid for and in the end it cost them a bundle.
Don't you want quality?
$14/hour is just not enough to live comfortably these days, in my opinion.  It's esp. not enough for a hardworking transcriptionist/editor like me.  If you truly want quality editors, compensate them according to current standard-of-living - I'd say at least $20/hr.
Nothing to do with quality.

 


This had nothing to do with quality or job performance...it was simply a way to move out those QAs hired at a rate they currently no longer want to pay and fill those slots with those who will work for a wage that is barely livable, forgetting that they ultimately will get what they pay for..  This is happening a lot these days and I believe it will come back to haunt them, but for now it seems to me that is what is happening. 


I think it was probably due to quality.
x
Quality?
Yeah --- the company I work for cares a lot about qualit; but they care more about the bottom line. To solve both problems, they strip off all of the easiest work to send to vendors, sticking the the Americans with worst of the worst; they try to make us feel good about this by telling us that we should feel honored and it is a privilege for them to trust us with the crap work that cuts our income in half. And it is not necessity, we are frequently out of work; but they saved money by screwing us over in order to pay less to the foreigners.

Some of these companies just always have an angle.
Quality???
None of us were born with good qualities, but we deleveop it through education and experience! Quality can be achieved by hardwork.

Perhaps, if the output was that bad, as you feel, then companies like nuance, spheris, spi would not have opened their branches in our country.


quality
It's very sad, but in today's world, everything is about the almighty dollar. We don't get paid 1/100th of what we're worth to the hospitals and the docs. Without us, they'd be a really big world of hurt. In fact, aside from having our hands directly on the patient's, we may as well be physicians... we have to know everything they know just to transcribe a report. That just frosts my cookies. How about yours? Don't get me wrong.. I love, love, love what I do, but just want to know for a moment that we are appreciated for bringing in the majority of ALL the revenue in the medical field. As I have said many times before on this post, I have 25+ years experience and still make starting pay of .0825 cents a line. That, to me, stinks. Having owned my own business, I know what the MTSOs charge the hospitals. We are being ripped off royally every day.
you get what you pay for and quality
Yes, it frosts my cookies!!  Remember the days when MTs didn't just THINK they were prima donnas, they WERE prima donnas?  We've gone from prima donnas to typing monkeys.  It isn't just MTs.  I posted above about the nurses who were demonstrating outside the local hospital because they had been fired to make way for new graduate nurses who would work for lower wages? They weren't old hags either, most appeared to be between mid 30s and mid 40s.  It isn't just  MTs, it's all workers in every field.  Employers don't want experience, they want cheap!  Not getting into politics here but no matter which candidates are elected in November, it is only going to get worse.  News flash:  There is no change going to Washington D.C.  Well, maybe worse change.  Nothing will change until the American people wake up and say ENOUGH. 
How is the quality for the MTs. I am not sure about getting a job with them. I
would appreciate if you would elaborate a little further if you wouldnt mind.  I was just also wondering if the accounts are loaded with ESLs.
The quality is not here, either...
When was the last time you looked at the American MTs' final document?  Many times, it is not a pretty picture.  Just ask on this site alone how many MTs proofread all of their work before sending to the client?
Quality and VR
I would love to know where you work.  It would be great to find a company that was not quite so particular with VR.  I have only been doing VR for a short while, but QA catches everything, word-for-word.  Cannot leave out a single a, an, or the, or for that matter put one in that is not there.  There is so much to correct, I cannot even make line count that matched my norm on regular transcription most of the time.
Quality
Who said my quality had anything to do with Dorothy's decision to sell her company? Do you think Transcend would have offered to buy her company if the hospitals had said the quality they received from MDI was poor?

Honestly, you could have a little more compassion for those people whose lives and livelihood just changed. Your comments were rude and out of line.
OSI's quality supervisor probably can't
I also suspect that she's been posting all kinds of crap on this board because that's the kind of lunatic she is.
But isn't quality a noun
I just noticed this post because I always have to debate with myself on this . I thought if it was a noun, then hyphen between.
If you do NOT care about quality then OSi will
Their motto is just get it out I couldn't deal with that attitude with medical records so went with a company where quality does count and comes first!

Was once OSi QA!
THIS quality MT did NOT stay there!
I am going to start for 2 others shortly after the holidays, which gives me a little time for my family during the holiday season. When I did work for them, I did have a BIG notion to hand in one day's work with NO SPACES, just to see what they would do!
Sound quality
The sound is great. That has been resolved and it was not the system but the phone lines from the facilities. No need for technical support, but I have never had any problems reaching someone and had an immediate response.
Quality not QUANTITY is......

WAY WAY MORE IMPORTANT.  Yes we have to be able to type (I hate the use of that word).  We must be able to transcribe the dictation.  BUT, we must also know WHAT we are transcribing and if we are using the correct terms and what those terms mean (again so we can make sure that we are putting out accurate work).  Yes, we have reference books (or we better at least).  However, some things just have to be committed (? sp - it is late )  to memory.  People like you bring the industry down.... unfortunately without realizing it.  I really do wish you the best, but please give some thought into not bashing the company for a harsh test and give more thought into spending the time actually learning medical terminology.  Also remember, there is the Word Board here for questions!!


 


QA is quality assurance
QA is Quality Assurance of an MTs work, it could be an editor. Editor is also commonly used in the VR (voice recognition) editing, as they do not transcribe standardly, they edit.
Control and quality
You know, MTs can't have it both ways. On one hand, we seem to want recognition that what we does can impact patient care and thus is very important. On the other hand, we don't want to be held accountable for the errors we make. When a patient's chart has a major error in it, that can impact patient care. And unfortunately sometimes the only way to get people to wake up and pay attention is by  penalizing them for those errors and for going so fast they simply are not paying attention. I've never had a deduction for those kind of things so perhaps can't really speak to it, but the way I understand that policy it seems to be quite fair to me.
Anyone else having quality issues because of too
I'm a long-time MT and I pride myself on my high QA, but in the last couple of months I've made several serious errors.  I can't believe how sloppy I was.  I know a good part of it is because I'm so tired and distracted constantly about not having enough work at TWO services.  I have 9 accounts between my 2 jobs, and it's also very hard to keep up with all the different account specs.  (FWIW, all three errors were made at one of the services.)  Before this, I had received one call about QA in seven years, and now I've received three in two months.  I feel like the worst MT in the world .
How is the quality of VR these days?
:+
Sound quality
I was wondering about the sound quality.  Have you found it to be pretty good?  TIA!
The quality only became an issue when

the offshoring began.   I don't understand why they wouldn't QA 100% of the work knowing there were quality issues.


I know we're not the only MTs to go through this, but many of us have a long history with QT and unless you've been on the inside you don't truly understand all the emotions we're going through.    I feel like my best friend has just stabbed me in the back. 


Has anyone listened to the quality of sm
the recording? It seems so echoey, or is it my system making it that way? Just wondered if anyone else had trouble with the sound quality. Thanks!