My change of view occured before Transcend mentioned anything
Posted By: Administrator (sm) on 2006-01-30
In Reply to: Has anyone else noticed that - Double what!
about piloting offshore. For me, it happened when I saw all 3 major credit bureaus outsourcing our financial information offshore and that was before Christmas. Do I like it? No. Do I embrace it? No. Do I accept it? Yes. You can argue about this til doomsday, but the facts are these:
1. Outsourcing offshore is not going away, it's growing.
2. While US transcription is being sent offshore more and more, it opens up US editing positions as offshore entities cannot provide the quality the client contracts for. To offer these jobs through the MTStars website to job seekers, we must include US MTSOs that offshore.
3. Since all 3 of our major credit bureaus are offshoring our financial information and the government is allowing it, then anything is up for grabs.
4. Political intervention has done nothing. Bills that manage to get passed, get slapped down before they can become law.
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Transcend - Positive View
I've read a lot of posts on here since last week about Transcend with quite a few of them being not so nice. I wanted to share some positive views about the company. I started with MDI-FL part-time back in 2001. I liked it so much that I wanted to go full-time so I did in 2003. It was a great company to work for. Then a few years later, we heard the news that the company was merging with Transcend. Did I have some apprehension? Yes, of course. We had a few changes to get used to -- payperiod with pay dates was the biggest -- though our pay rates stayed the same. It didn't take long to get accustomed to it and things have gone pretty well since then. I work in a region of other platforms that does not include BeyondTxt. Does that stop anyone in this region from working on a different platform such as BeyondTxt - No it does not. As Transcend continues to grow, it is opening up other opportunities for everyone. It makes your account possibilities just about endless. With BeyondTxt, once you learn it, you can work on almost any account there is. Do we have slow periods? Yes we do, but that is the way the transcription business is. If your account is slow, request a back up and if you're flexible, you can have multiple back up accounts on different platforms. There is a lot of flexibility at Transcend. All the TLs and ROMs are great people and will work with you. If you need time off for something or need to rearrange your schedule, that can be done. You may be asking - who is this person?. I started as an MLS, worked my way up to TL (team lead) and then into the ROM (manager) position for a few years and because of decisions of my own, am now a TL again. So as you can see, I've worked in different positions and have seen the company from multiple views. Everyone with MDI-MD, or anyone thinking of applying, should give it a chance. Don't go by all the negativity here. If you have any questions that you want to ask, feel free to contact me. My email address is ****** Have a great Monday!
Maybe Transcend should change
their hiring practices. I work for Transcend and a member of the self-limited club. It sounds like we should have been rejected in the hiring process. Oh, the shame of it all. To have at one time been a good MT and now to have fallen to the status of self-limited.
Too bad we can't be like the LG who is making over 400,000/year. Now that man should do seminars on how to be a success. You could call it how to be a success by offshoring and the obliteration of US MTs. I know I would sign up.
LOL, it has occured to me I had a brain fart!...
When the coordinator mentioned getting a copy of my license she probably was talking about my driver's license/ID. 
Read down the board. Mentioned just 2 posts below yours and mentioned
multiple times this week.
Why the view on QA?
I've seen some slamming of the QA dept of OSi here. I'm curious to know why the negative view of their QA? What is the reason that you think it's the worse QA department anywhere?
A different view
I'm not sure where the other poster's info regarding mostly verbatim accounts comes from. Not one of the 4 or 5 accounts I've worked on over the years have been verbatim. Ease of production of course depends a great deal on your individual account. I happen to have a good one, although challenging, and I don't have any problem getting my lines on it. Management has been great to me personally, and I have no problem with the company whatsoever.
Osi and another view
On the other side of the coin, yes, being a newbie there was difficult because they threw so much at me at once, so many specialties, over 100 physicians all at once on a verbatim account. Yes, I did get e-mails where I had to go back and point out to QA where they were contradicting the account specifics. They had too much to handle.
BUT -- and this is a HUGE BUT -- I left there knowing so many specialties precisely because I got it all dumped on me at once and it had better be right. It was not a job, it was more like a school and I was being paid a little bit for doing the work.
Where I am now, no matter what they give me I can do it. I've had experience in almost every specialty, close to 30 or more. I've learned to push and push and not give up and take advantage of the overload to better myself. My Stedman's books are loose from the covers at this point. I don't think any school could be harder than OSi because of the pressure, the exposure to so much all at once, and you HAVE to do it as fast as you can because for me at least it was my only income. Sometimes the worst experiences pay off the best in the end. But as of the time that I left which was not that long ago, I would not advise a newbie to go there unless they had another source of income and could afford to get fired. They are VERY strict. I won't even go into the line counting debate.
To the one who has a different view
I agree with you. I think you have hit the nail right on the head. As to what will happen in 2 years, I will be happily retired (hopefully in Florida). Two years until retirement and I can hardly wait. If a child of mine ever wanted to become an MT, I would absolutely discourage them from doing it. Anyway, for what it is worth, I completely agree with your opinion and I have been an MT for a goodly long while!
another view
Hi all. I'm the original poster that caused so much backlash (ss# question). I am very happy to say that the replies to kitty and at the response I got for my seemingly simple minded question have changed my view. Just for the record, I understand HIPAA laws and have seen this before, just not as an IC with no background check, etc. To be honest, I never really paid attention, just did my job and did it well I might add. I'm one of those lucky ones who has never been without work and has had no trouble getting job offers with a respectable line rate. I was so happy to have found a place to communicate with others like me and I guess I kind of got knocked off my square a bit with some of the responses. I'm going to take the advice given and turn the other cheek and stick around. Those of you who are so helpful, pleasant and kind to one another have changed my mind. Thanks again to all of you for showing me the positive side of this site. 
Thanks for a different view
You could be so right about this, just was not thinking that way. I am very careful person and I really pick and choose carefuly when I try to do something. I thought she figured maybe I was on a scam which is far from the truth. My daughter tells me I cannot rescue the world (do animal rescuing also) but gosh, I can give a little of myself sometimes. Thanks for the insight!
curious about your view
Did she not break the law and was it not her own doing? You make it sound like she has had such a hard life. If she has because of this, it is her own fault. She made the choices and now suffers the consequences as we all do. Why are they bringing all this up now? Maybe she is into something she shouldn't be again?
My point of view
I don't think anyone is goint to find a perfect company. I have found OSi to be pretty good to work for, comparing to two other nationals I have worked for lately. THe work has been slow because of the holiday and hiring so many people, but I think they're moving people around and evening it out. I have plenty of work now. And I find my coordinator very knowledgeable and professional and very ready to help. There will always be things to gripe about, but I'm making my line count easily and can't complain.
Here's another point of view. SM
No benefits, no direct deposit, run out of work very very often with no compensation, HORRIBLE ESLs, all going to speech recognition and pay is very low for editing. If you can live with that, go for it. I sure couldn't. If you take wonderful money and subtract insurance, taxes, vacation, sick time, you are making about 5 cents a line.
Just a different point of view..
Maybe after questioning something QA did wrong, they're being more attentive to quality. For example, if I get a QA score that isn't acceptable to me as a personal goal, I'll make it a point to be even MORE attentive to my work and quality.
I'm not sure QA gets reprimanded for errors such as yours, but I'm sure they do. That would be an incentive for me to pay better attention, and now for you! :)
QA point of view
Giving feedback slows me down a lot. I try to give feedback to help but people take it as criticism. I get paid by the line, not by the feedback. It would be fine by me to give no feedback. Right now I have an MT who can't do basic 6th grade punctuations and writes me long emails in response to every bit of feedback. The work is so easy and she can't seem to get it. I get the MTs making the same mistakes over and over again. You shouldn't take QA personally. It's an awfully hard job.
QA point of view
Giving feedback slows me down a lot. I try to give feedback to help but people take it as criticism. I get paid by the line, not by the feedback. It would be fine by me to give no feedback. Right now I have an MT who can't do basic 6th grade punctuations and writes me long emails in response to every bit of feedback. The work is so easy and she can't seem to get it. I get the MTs making the same mistakes over and over again. You shouldn't take QA personally. It's an awfully hard job.
Can you view old reports on Beyond Txt?
Offered position with Transcend on this platform and forgot to ask.
A little more balanced view
It sounds to me like most of you are wanting to throw daggers and justify it by stating these are facts about companies, not just opinions. You feel that stating facts exempts you from wrongdoing. I don't see it that way at all.
All companies and all individuals make mistakes and errors. When even these so-called facts are presented in a way that give a bad light, disparage the character, of the person or company being talked about it, it is simply not okay at all.
The ONLY fair balance I see is this: It is okay for you to speak of every factual error and mistake about a company if the company can name you (you are, after all, naming these companies) and every error you make in your work and every time you are late to work, etc.
It is no more fair for you to sit here under the disguise of anonymity to name companies and attempt to set the world straight about them than it is for them to do the same about you.
I really truly believe in treating others as you would have them treat you. If companies came here and did the same, you'd all be filing into an attorney's office so fast it would make our heads spin.
Just sign me ...
Truth-n-Fair
Believer in the Golden Rule
My view of the VR situation...
Seems to me that the companys that talk the hospital into the VR programs can be slick talkers...basically the hospitals spend VERY BIG money for the system, to just cut our pay and have to use something we DON'T want to use in the first place... They should have forgotten about this new improved program Extext or whatever, and tell the MTs it is beyond their control to make a cut, but let us type, and save the money installing the program... and a smaller cut... most of us would have gone with that. !!! Again the big companies have to much influence on those that decide to buy the equipment...
My new system can't even count the lines... not set up to do that... unbelievable
A typical 'management' view of MTs. So sad. -nm
Personally my view is not that ignoring is
necessarily defending. However, cherry-picking is rampant because cherry-pickers know nothing will be done about it. Thanks to people like you. Cherry-picking is the thing that is pointless and wrong, NOT saying something about it.
Thanks so much for the realistic point of view.
I need some reality-based grounding and your post really helps a lot. I don't want to make any rash moves out of fear of the unknown. But it is so hard, as you know, when your bread and butter relies on the unknown (almost). I am sorry the stress is taking its toll on you. I hope that things get better for you. At least the pay has not dropped considerably because that would be really bad. With the econmony the way it is it is impossible to get credit and really it would not be good to live off of credit cards anyway. We have to keep a roof over our heads and it is really scary to try new things while needing the money. Thanks again for your point of view. It really does help.
If you can view your paycheck online, you might be able to print W2s. NM
x
Precyse in my rear-view mirror........................
No problem. Feels good to get is off my chest. Don't mind sharing the good, bad and ugly of the job search and its results. With a little luck, I will bag one by the weekend or first of next week. Will follow up on the company board.
I am placing high priority on an hourly wage + benefits position. So much of the pressure would be eliminated and to a certain extent I would accept slightly less $ to get it. They are rare to be sure but not impossible to find with a little persistence.
The jury is still out on the do they still exit query. Over the past 31 years the general progression from good-to-bad followed a gentle and gradual downward slope, punctuated with two major deep dives in my recollection. The first was in the late 80s to early 90s when MTSOs had been around for a few years but were still relatively young. They did not seem to comprehend the concept of employee benefits. IC was their answer and full-employee status all but vanished. This began to turn around in a noticeable way in the late 90s, a full DECADE later. The second and deepest dive is this ASR jolt. We will all end up squaring off with it sooner or later. Generally speaking, small-to-medium size organizations who are competitive in terms of benefit and wages seem to be the most likely place to find a little peace...but meticulous research on those is imperative. I will not rule out anything for the moment. I plan send resumes to as many MTSO companies as possible, even the ones with the bad reps posted on this board, in an attempt to get a phone call PRIOR to what can be the labor-intensive testing phase of the process. I am interested in comparing the various recruiting strategies and offers. I have a copy/fax/scanner on my desk so that really helps in being able to cover a lot of territory.
I also think I will try to edge on out into the general transcription scene just to see what it looks like. Government jobs may be a possiblity as well....they can't age discriminate.
During search, I have found it useful to keep daily notes, tracking the process, contact info, the substance of the conversations, my gut reaction and the time factors. Will post again in a day or 2. Thanks for your interest.
I view it as part of a well orchestrated plan
If you recall what happened to our software/IT people, the companies started offering less and less moneys so that they could say they couldn't find American workers.
The MTSOs are probably doing a similar thing. They can then go to the hospitals, and any that dare say they want American workers doing the work can be told with a straight face that the MTSO has unsuccessfully tried to hire American and there just aren't any to do the work. The hospitals, thinking they at least tried to do the right thing, then is forced to acquiesce to having their work sent overseas.
But I still don't know who was the 2nd shooter on the grassy knoll.
She sounds like Elizabeth on "The View" !
Nothing will change unless we make it change..SM
As long as we accept the exploitation that this MT profession has reduced us to, it will keep going on. The top of this is the outsourcing.... well, get your legislators involved....better yet, the MEDIA. How many patients know their private medical information is being outsourced to halfway around the world? The squeeky wheel gets the grease. Do the patients know that their info won't be sold by some unscrupulous MT (halfway around the globe) to insurance companies, etc., making all this Medical records privacy a joke. It's not just our T-shirts being made in other countries; it's our most personal, private medical information, of which the public is not being made aware of. Not to speak of undercutting out profession to the bare bone. Granted, most US MTs are willing to work below market wage just to have a job, especially in economically-deprived areas, where outside jobs are scarce, and kids need to be fed and mortgages need to be paid. MTSOs know this. I'll bet they'll be the first to lobby against any action against outsourcing. (Wouldn't you be...if you got people to work for pennies while you're raking in the big $$$'s ? Still, notwithstanding the outsourcing problem, we're still going along with all the BS...working for pennies, whatever the client wants, he gets... ever notice how all of the MTSO flak seems to be re. unpaid work...mostly, demographic issues we're not even paid for... bec. It has to be done.. Part of the job... The client put the wrong info but we have to correct it...all unpaid work. Just give me a job with nothing but straight transcription, w/o the unpaid/demo. flak..I'll take it even at the present, absurd pennies-per-line state of the profession.
Unrealistic view that a lot of MTs do not understand. The offshore companies sm
have very deep pockets and make it attractive for companies here to use them. Even if every smaller MTSO refused to do it, do you think we would be able to compete with Spheris and C-Bay just to name two of the bigger companies that use the offshore transcriptionists?
Hospitals, unfortuneately, often care more about the bottom line than the perfection we expect from ourselves. Many doctors do not read the reports (most from what I understand) and just care that they have satisfied JACHO requirements by having a record in the charts.
Offshore transcription is not going anywhere. Sad but true. I do not support it but I am a small tree in a very, very, very big forest.
Different view: If we all went to hourly pay to make sure that we are paid during downtime, it wou
what we earn on production. I make upwards of $30 an hour on production. Most hospitals are under $20 an hour. I think we would lose money if hourly and if they pay us for downtime, I am sure that the money would have to come from somewhere, so they would lower rates.
Anyone work for Axolotl in Mountain View? (see mssg)
If so, what are the pros and cons? What is starting pay? Good accounts? Flexibility? How long in business? Large or small company? etc.....
I didn't view it as a forum to complain. I saw it more as a chance to get to know sm
others who work for the same company. Working at home can feel kind of isolating at times. I do not miss the commute to work, scraping ice off of my car in the winter, backstabbing, gossip, etc., but I sometimes do miss the social aspects of working in an office. I guess my viewpoint is, things are what you make them to be.
I love Transtech and have been a cheerleader for a long time, even to the point of being accused of being management. They have stuck with me through some bad times on my end, and I have no intention of dumping them through these bad times now, although I have gotten a couple of other jobs. With the holidays coming up, especially, it may take all 3 to make ends meet and maybe have a few extras, but that is just part of life.
Not true! I do not view all MTs as "low-down dirty scoundrels" at all...
I am a realist, however, and not everyone is a honest, trustworthy person. A lot of people out there want something for nothing and there are some who even feel entitled to get something for nothing! As a manager, I've seen my share of bad seeds and my share of the cream of the crop. If you don't have minimum requirements, you will always have a few who will abuse your generosity.
I've seen it happen. The supervisor before me wanted to be everybody's friend. The dept., under her tenure, had the highest rate of absenteeism throughout the hospital. Minutes of dictation on the system were out of control and nearly everything work type was 70% out of TAT!
Like us our not, managers are not here to be your friends. We are here to run a department. We want to care about our employees and for the most we do, but there has to be a line or else things fall apart.
And that point-of-view is why we're all suffering huge
They'll pay as little as people will accept, and too many of you will accept anything.
EXCELLENT post. Thank you for a balanced point of view. nm
You make us laff here, girl! Love your point of view! :) nm
s
Interjecting a point of view is fine, but if you find it offensive...sm
people bash their companies, how about people who bash other people and taunt them by posting ridiculous statements about dark evil forces and then give you the Tony Robbins about how they should live you life.
I am a little tired of people saying blowing sunshine out my a$$ is going to pay my bills when work is sparse, wages are being cut by 1/3 to 1/2, and insurance is eating up almost half my paycheck.
I am an adult, I don't need to grow up and look on the bright side, and I don't need to bend over and take it anymore. I need to stand up to the CEOs, COOs, CFOs, department managers, supervisors, recruiters, and company acquisition specialists and tell them that my job is every bit as valuable and technical as theirs is.
They're not sitting in meetings all day groveling about how bad the economy is and how lucky they are to have jobs. They are capitalizing on a bunch of people by forcing their wages down and then saying it is their own fault because there was a typo in a report or transcriptionists in VietNam can do their job just as well and for less.
That is the truth.
When they "link" multiple job numbers for one report, like Four View Of The Feet And Ankles.&#
It's the big O not the one you mentioned
.
Yes, it was mentioned... SM
and explained. Transition to new MTSO not going smoothly -- acct could come back at some point but DO NOT hold your breath! Bottom Line: Same-old, same-old -- Onward and upward, think positive, etc. No dramatic announcements other than big push to get everyone on same platform. :-))
EMR...should have mentioned
Our EMR system did cut down on some things for us typists. The medications and allergies were already in the patient's chart and therefore pulled through into the document (office visit letter) that the doctor created himself the day of the visit. If there were changes to those meds, he would dictate the changes. If there were no changes, he would state that. That was one less thing for us to type. It didn't change things for us greatly because we got paid hourly, but I'm sure that would cut lines out of someone who gets paid production. It was a very new concept for our office at the time. We had 21 physicians and 7 NP's so I can safely say half hated it and half loved it. Some doctor's refused to go completely paperless and would always ask us to print hard copies of the latest test results and that allowed them to not have their faces glued to a laptop and actually pay attention to the patient. I have not yet experienced the EMR/EHR system as an actual patient. I'm sure I would be really alarmed at not getting to spend time with my doctor and instead only see the top of their head as they are clicking around in my virtual chart. There are definitely pros and cons and I can see both. As for it completely wiping out transcriptionists -- I have my doubts. Dragon software years ago was supposed to have wiped us out as a profession and look what happened to that. I know VR is a huge thing, but that too is still creating jobs. I tend to be more optimistic. The only thing constant in this world is change and we have 2 choices -- embrace that change and roll with the punches or sit and complain about it and make things worse. Nothing is ever certain so I guess we will just have to wait and see. No one can predict the future.
It has been mentioned that some
companies have increased the cpl when the client requires VBC.
The companies you mentioned
Company 1: Good company if you like ESLs. They have lots of accounts in areas that teem with ESLs. For them, I would choose QA.
Company 2: This company has had more conflicts than Carter's liver pills, and the turnover is outrageous. The problem is that they are always out of work. They overhire, then nobody has any work. Lots of big wheels. Public company and making millions but the MLS's as they call them don't get the money. They promote from within. They are going to speech recognition and cutting pay in half. Forget them totally.
Company 3 outsources like crazy and hires people who don't know what they are doing. Just started decent benefits. Moving to speech recognition. They do not stay in "touch" with the real workers who keep them afloat. If you are not an insider you will go nowhere with them. Forget them.
Company 4: I would shoot for a QA or editing job since you have the experience. There is some pettiness but you don't have to be that way and the managers don't expect you to be. Good benefits and stable company.
Even with some of the problems mentioned here,
nm
It was mentioned on this board that they -sm
never pay on time, so I wasn't in the least surprised when they told me about their payment method.
No one has mentioned my company yet
LOL!!! Sad, but true... Don't like my company either.
Several people have mentioned that they have
been hired for the account. I have also been hired for the account.
P.S. You mentioned archives
when you searched. I believe that will give you only older info. Try searching without going into the archives - you'll find some more recent posts, some negative, some positive. Just confirming again, though, that my experience has been very positive.
Do you have to use their computer still? Mentioned somewhere in
s
The ESL load has been mentioned as being a very
s
Me too - Transtech was never mentioned by OP
NM
Here's a few places that have been mentioned..sm..
Accuscribe, DSG, Echo Sten-Tel, Execuscribe (just started using it recently), InTouchMI, MQ, and VanBelkum.
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