Most facilities don't know their work is offshored
Posted By: unless it's like you said on 2007-10-29
In Reply to: The way to find out might be to - sm - The 'Invisible' MT
the MT dept. head knows about it and nobody else. That's pretty evil. Hadn't thought about that.
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They only offshore if the client wants it. Most accounts do not want their work offshored. NM
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I take it they are two different facilities? :)
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From above: they are giving you. I bet facilities are
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Actually, I have heard of facilities
Okay, my apologies if I thought you were biting my head off. I'm so used to the negativity that usually runs rampant on these boards that (without my usual pot of coffee to start my morning), I thought you were discrediting my concerns. Again, my apologies :-).
Back on topic, I have recently heard that facilities now do push every dictator through onto VR, no matter how horrible they are (I guess they figure it's the MTs problem, as usual).
There are very odd things going on at MDI-MD, and with the new offshoring, etc., it makes sense that they would pull back the ones too difficult for the ILPs to understand and pass those on to the American MTs.
But I seriously would like some opinions on why work is disappearing for 3-4 days, then reappearing for transcription. The ONLY thing I can think of is this, too, is work that was routed to the ILPs but it was close to falling (or already had fallen) out of TAT and they needed the American MTs to pull it back in line. Like I said, I've been on this account for more than a year and this NEVER has happened, EVER. The work was somewhere...the question is, where?
IMO, I think the lack of work, the only remaining transcription being the dregs of the dictators, and work suddenly appearing (and large volumes of it) 3-4 days after it was dictated just all points to offshoring in progress.
Any thoughts on that?
And, yes, BTW, like you I do VR and love it. I think Escription is just about the greatest thing since sliced bread, lol!
will be offshored.
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Most doctors and facilities have never heard of . . .
CMT, or the AAMT. Although they (AAMT) want to you to believe it matters, the CMT designation isn't really an important factor in the real working MT world. Quality is what matters to the healthcare providers with which I work, and unfortunately having CMT after one's name doesn't guarantee that.
The AAMT also is pushing for mandatory certification. That will never happen. I predict the AAMT will go broke within a couple years.
The bottom line is to do quality work. That will keep an MT working and in demand.
From what I know the three hospitals are actually one big account with three facilities and then
the fourth is a cancer center. I have worked at Transtech for almost two years and it's the best job I've ever had. I think you will have a primary account and then a backup. I don't know of anyone here who has more than that.
Facilities have to have employees vote
on whether to accept a union or not at their place of employment or not. If the majority of employees vote no, then a union does not go into that specific facility.
All those facilities amount to 1127 sm
actual beds (the size of 1 large teaching hospital), clinic work, a rehab center with 40 beds and an imaging center.
The list of facilities sounds impressive, but does not amount to the number of accounts we have lost and will lose over the next few months.
The way W overhires, this account will be like all others, everyone fighting for some work.
I don't see how this could be offshored at this point
or in the future. It is really much more intricate than MT as you have to know coding assigned by individual states as allowed by Medicare, and you pretty much have to know all Medicare/Medicaid regulations and independent insurance company regulations. Because of the oath you take when you become certified and because you have to be physically available IF a monetary/or jail term penalty is issued, I don't think employers would take the chance with coding that they do with MT. See, when it comes to getting paid for services, employers aren't as willing to take chances.
Oh, other employers who need coders are insurance companies and medical office management companies.
good luck,
d~
LINK TO WHAT ELSE IS OFFSHORED
I have spent the last hour doing research on offshoring of medical transcription. This is one of the sites that I found and now they do our taxes and legal stuff too? Some of the ones I found also offshore to Russia and China! Check this link out and look to the right of the page to see what else they are doing. They even listed some of the MTSOs and will sell you articles and information on their plan of action or whatever they call it.
LINK:
http://www.valuenotes.biz/bpo/vnbiz_mti.asp
VA accounts cannot be offshored
- so that could not have been the excuse given by the previous company/employer I mentioned. I know this is a huge factor for most companies providing quality work from quality MTs. Really is a sad situation all around. Sure don't see my medical bills decreasing and I prefer someone qualified and, because they are, hopefully adequately paid to type my medical records.
offshored to India.....
Why do you automatically assume that an Indian or any foreign employer will be hostile?
By not accepting to work for a foreign employer, you shoot youtself into your foot; because if you don't accept as an US MT the work, then they will be forced to offshore. It is the other way around, so much work is outsourced, because many US MTs refuse to work for 'hostile', foreign employers.
On top of this, there is literally no middle class in India; the gap between rich and poor is immense. The poor people who manage to get a good education are struggling for jobs, and they are good. There are IT experts who cannot find a job, students who studied a
couple of semesters of medicine, cannot work as a physician, start a career in medical transcription. And they are good, hardworking and very cheap; they are happy to survive.
Mexican do the work US citizen do not want to do, it is too 'low' for them.
Reading all these negative comments from US MTs, make me wonder if the profession of MT will go down the same road and will be given to people who are ready and 'eager' to take this kind of work.
What does scoping pay? And does it get offshored?
Perhaps recruiting has been offshored?
amn
I want to add: An US MT newbie would know, an offshored MT probably not..nm
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Depending on where you live, there are many facilities hiring.
Check with Radiologix. They had an ad running for MT, pay well with great benefits.
If you check around, there are many other facilities hiring in-house if that is what you prefer. Some are hiring at-home employees also with a better setup than what you describe.
Pick yourself up! Don't let it get you down. Life can be much much worse.
Really, if you were in a room full of people and everyone threw their problems into the middle of the floor, you will see you really have no problems at all!
Good luck to you!
Um, some facilities are getting back huge mistakes!
Depends where you work. If you have access to all reports, try looking up some that have gone to the facilities. Where I work, it is frightening!!!! ; 0
They will outsource and find out facilities are willing to accept
p
The suits and facilities often control dictation, not
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Some facilities or hospitals keep their own servers in-house sm
to store their medical records. eScription is a software program used to access those files.
It all depends on how each client handles their contracts with eScription. Not every client or hospital is the same.
I thought AllType offshored?
nm
They might be offshored BUT they drove down prices when they were sm
able to be sent offshore, prior to the VA system getting wise. Until 15 months ago, keeping the work in the USA was not a requirement for VA accounts. You had to be a US company but could have anyone do the work.
All easy dictators are offshored
I was part of a package that Transcend purchased. We were all assured there would be no changes, which was initially true for several months........then the massive offshoring became more and more noticable. One account would have hundreds of jobs in the evening; at 5 AM there was nothing left and if there were any jobs available they were very difficult dictators.
It got to a point where any audible dictator was offshored and there were no decent dictators left. You also had to be flexible waiting for work. Sometimes you would have to wait 4-5 hours for jobs to be available. Then your health insurance was revoked for not meeting your quota.
My advice is that you have no choice, give them a try. Maybe your luck will be better. If you do have job currently, I would not consider changing.
Good luck!
All easy dictators are offshored
I was part of a package that Transcend purchased. We were all assured there would be no changes, which was initially true for several months........then the massive offshoring became more and more noticable. One account would have hundreds of jobs in the evening; at 5 AM there was nothing left and if there were any jobs available they were very difficult dictators.
It got to a point where any audible dictator was offshored and there were no decent dictators left. You also had to be flexible waiting for work. Sometimes you would have to wait 4-5 hours for jobs to be available. Then your health insurance was revoked for not meeting your quota.
My advice is that you have no choice, give them a try. Maybe your luck will be better. If you do have job currently, I would not consider changing.
Good luck!
Big facilities contract out MT through administration. Drs have no say, they dont pay the bill.
:+
We need to CALL THE FACILITIES and let them know what is going on! OR Class Action Lawsuit
...we need to all go out on strike! If we ALL stopped working tomorrow, called the facilities and let them know why, where would WebmedX be?
Our only hope lies in the facilities staffing MTs direct. SM
Win/win. They save a ton even if they pay us more per line which in turn puts us back in the bladk. We get affordable health coverage and labor laws.
SIMPLE AS THAT
so, you know for sure this account agrees to be offshored? (some do not agree).
nm
Could you be confusing "using the facilities own MTs" with "sending to India" mayhaps?
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and they dont care is offshored. Bottom line to them
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My 1 cent (keeping it low so opinion doesn't get offshored).
I agree with a lot of the other people. I will say, though, that I would be A-OK just working on Word since I'm assuming getting a the DocQScribe set up for a bunch of people might be cost prohibitive, at least at first.
Also, since you are talking hospital transcription, that is going to mean 7 day a week coverage. If the need arises, I would rather see rotating weekend coverage rather than requiring everybody to work every weekend.
Also, while cross-training is great for vacations, sick days, heavy work, it would be terrific to be able to get an account and not have to chase the work across 6 different accounts in a crazy MT version of musical chairs. I guess that would mean not over-hiring.
It may be unpopular, and it's probably easy for me to say because I've been at this for so long, but since we don't really establish seniority at a company, I would love to see some sort of reward for years on the job. I think I bring more to the table than someone with 2 years, and it would be great to be rewarded for that.
I'm sure I'll think of more...it's been so long since anybody asked what could make my job great that I had given up even thinking about it!
"All kinds of industry is offshored" yep, & guess who started it early 1980s?
.
When they called me and I asked them if they offshored, they asked me why that was my business!
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As a whole.. nice people to work for, decent benefits but the get off/on the system, work/no work,
is maddening. I couldnt pay my bills or even work the schedule I was assigned. They would ask us not to work until work built up in the evenings and I specifically wanted to work days as I have kids etc. It just didnt work out for me but to each his own. It just seems there has to be a better balance in this business that what is happening.
I did speak with my manager. Work was promised. No work there when I needed to work.
I see the reports everyday too, but when I get work it is of bad quality, then there is no work unless I work diffrent shifts. Thank you.
My liaison always says to work on secondary when primary is low on work/no work. n/m
n/m
That's going to be nuts...I do ASR work too, plus work split shifts. We'll NEED a spread shee
NT
Work is easy, very nice owner, pays weekly, work in Word.
A majority of at-home MT is overflow work with in-house getting the bulk of the work. If they clean
s
Pay is always on time, direct deposit, very nice management to work with, and DQS platform, work
load normally busy, but low now because of the summer slow down on my accounts. Sound an issue on some accounts, but not others. Overall, wonderful company.
That is a BIG problem at TransTech is leads assigning work, rather than letting the work flow
This TT MT just admitted to that fact. It has been very obvious, as so easy to tell how work comes into our que and then gets pulled out as fast as it came in and replaced with YUKKY dictators. VERY frustrating to us other TT MT's who take the JUNK that is NOT assigned to other MT's, such as this poster.
Ever thought of a home health care aide? Usually paid training and start work right away. Can work
m
Absolutely not! I work for the best MTSO. I am have been so blessed to work for the small company I
I will share this about the MTSO I work for. I called her late last Wednesday night after Church and told her I was compelled to help out with Hurricaine Katrina in some way and an opportunity arose for a small group from my Church to go to Louisianna this coming week. Would she be able to cover my work. She told me no problem without any hesitation and even donated money for the trip.
And I am sure there are plenty of good companies out there to work for. To compare us to migrant workers is just not right.
It does work, you do not need to "make" it work.. it works in all word based programs.
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I did some overflow work for Landmark.. they are wonderful to work for.. very nice people.. pay was
.
They have to be flexibility because of the erratic work flow. No sense in a schedule if no work..
nm
I was told Escription would not work with Vista. Turned out it wouldn't work with my sm
Office Basic Edition 2003 either, but no one could figure out why, it was supposed to.
There is actually a section on the Dell website that offers Windows XP. I haven't checked it out as I'm not in the market, so I don't know if it costs extra. I have a Dell and it's been fine for me. I hate the ESL tech department, but it seems like most of them have that now.
Yes they do send work overseas and do not hide this fact. There is plenty of work and they do pay
well. Overall, I like having work as I have been at places where you had to fight to keep busy so this works for me.
There is NO work at Transtech. Maybe they just choose special people to send work to
df
Are you required to work major holdays at KS. I know nature of biz to work them. Thanks for info. nm
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