SOLUTION TO OFFSHORE OUTSOURCING
Posted By: jaghead on 2007-11-16
In Reply to:
Since offshore outsourcing couldn't be stop why don't we just outsource the dictations coming from these freaking speaking doctors. We need to screen the accounts and all those accounts with difficult doctors to understand, we outsource them. I think we will be more productive, the only problem I can see is that most of the doctors here in America freaking dictators.
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Offshore solution sm
Why can't a company give the client a chose. Excellent client ready work at a higher price, and I realize this would exclude many US MTs, or work that has been offshored at bargain rates. This way everything is on the client. Either they are going to say no way do they want their records going off shore and pay the higher rate, or they agree to offshore. The good thing about this is the doctor cannot deny he did not know the work was being offshored if he agrees to that to get rock-bottom prices. If the client wants work done in US, he can have that but at a somewhat higher price. US MTs will be able to make a living wage at their profession. I think this idea needs some tweeking but I think it might be something to think about.
Offshore is not a good solution
These are people who come from a completely different culture. They have very little regard to human life and therefore it is hard for them to comprehend that we do and have it extrapolate out to providing a conscientious medical record. Please do not think that I am criticizing them for this. It is just a fact. I know a little of what I speak because I have seen the product that comes out of the offshore community and India and Pakistan to be specific. Did you see the movie Slumdog Millionaire. Did you see the screenwriter's analysis of life in India? He said everything is extreme over there. If it is sweet, it is very very sweet. If it is spicy, it is very very spicy. If it is poverty, it is grinding abject poverty, living underneath active outhouses. If you see the movie, there is a segment there where it portrays a call center and the lead character tells the customer that he is just down the street from her and he is looking at a map of her area. But then he messes up and says the wrong thing. This is the type of culture with which we are dealing. They think nothing of lying through their teeth just to keep their jobs. Do we actually think the clients here in the US even know that their precious heretofore confidential medical reports are even being sent overseas? I think maybe 20% of them know and the other 80% are blissfully unaware. That will change.
Offshore outsourcing
Go to Spheris's website where they brag about their India connection.
Sorry, late here, outsourcing instead of offshore, same thing though. NM
s
I am so hoping that TransTech has not begun to offshore. I do know that they were outsourcing
some work some time ago to another MTSO. There has ALWAYS been work during the evening hours and early, early a.m. hours, but NONE to be found anymore. Good time for the foreigners to be working 
I hope and pray that TT has not started offshoring our work. The work has definitelyl disappeared somewhere. I don't believe that even with VR our work would disappear so FAST and STAY GONE SO LONG. This LOW and NO WORK has been going on for the past year and more -- before TT began VR. It has been a struggle to get lines/hours in for a LONG TIME at TT.
Or maybe Dictaphone took away some of the work on the Dictaphone accounts and shared it with another MTSO.
If anyone has definitive proof that OSI is outsourcing offshore, please email the Administrator
and I would be most interested as the owners of OSi say differently. My email address is admin@mtstars.com. Your responses will be held in complete confidence. Thank you.
No solution is Precyse Solution
So sorry about what you had to go through. I truly feel for you. As good as we are, no one should stand for their crap. I certainly didn't. I could not get rid of their equipment fast enough. The day I quit is the day I boxed up their computer, called Fed-Ex and had it sent back, and then I got a new job the next day!
There is a solution to the what you think is
It is very simple. DON'T READ THE POST if it will upset you that much. If you already knew it would happen, don't pour oil on fire by telling people not to talk about it. This isn't the Transcend forum where people aren't allowed to talk about what bothers them. If you feel uncomfortable with the posts here, stick with the company forum and maybe you won't be in so much pain.
I think that was the solution they came up
with for keeping up with TAT. For years, I never had any problems - then new management steps in with new ideas such as overstaff every account so they not only keep all accounts current, they also don't have to pay bonuses or overtime.
MQ MANAGEMENT HOW LONG DO YOU THINK THIS JOYRIDE WILL LAST FOR YOU?
SIGNED,
FRUSTRATED CHICAGO FULL-TIME MT
P.S. COMPLAINING ONLY GETS YOU MORE BACK-UP ACCOUNTS. I MADE MY LINE COUNT WITH NO PROBLEMS WITH ONE ACCOUNT FOR A LONG TIME AND NOW I HAVE 3 ACCTS ON 3 DIFFERENT PLATFORMS!! AND HAVE TO WORK 12 HOURS TO GET IN 8 HOURS OF WORK. I ACTUALLY HAVE 5 ACCTS BUT I REFUSE TO WORK ON MORE THAN 3. IT'S NOT WORTH IT...
WHAT'S A GAL GOT TO DO TO GET A STABLE ACCOUNT AGAIN?
THANKS FOR LETTING ME VENT NOW OFF TO SCROUNGE AROUND FOR MORE LINES.
My solution........sm
I had almost 100 dictators who used normals. As you know, it could drive you crazy not to mention put you in the poor house. I finally decided to make separate folders for each doc and used MS Word to make a separate document for every normal exam. It took me over a week of my own time, but well worth it in the long run.
And here's another solution
I work for a hospital who pays up to double the lines for the difficult docs. People seem to like to get those docs (I sure do), especially when they've invested the time to get good at doing them.
If you never learn them, and never get proficient enough to do them independently, you don't get the pot of gold at the end of the rainbow.
It's a win-win situation, I think.
no - and the solution to this
is in the voting booth not the company board.
SOLUTION
Keep the computer and/or other equipment until they call you for it. Then, explain kindly how you kept it back because you heard that there was a problem with the company reimbursement and wanted to avoid that problem for yourself. Then let them know that you will return it in PERSON if at all possible and expect a check that same day. You could write any trip expenses off on your taxes and be sure you are reimbursed at the same time. Once I did this a few years ago for the same reasons, different company. I did receive my equipment deposit back on the spot.
I may have a solution for you ...
Please EM me.
So, the solution is... SM
Just don't answer our phones???
First I was paranoid about getting a pay cut. Now I'm paranoid about NOT receiving a phone call from The Power that Be. Maybe some of us fell through a crack... or maybe the fierce anti-Acusis posting of the last couple of days changed someone's mind about delivering bad news to all MTs at the same time. After all, if we all quit at the same time, who'll be around to learn the CDFIZ or whatever the heck the new program is.
so your solution would be?
If you're an IC *YOU* should be calling the shots, not someone you work for.
Everybody here has options.
The MT can acquiesce and work the hours her EMPLOYER is requiring her to.
The EMPLOYER could be human and work with the MT or NOT.
The MT COULD take action against the EMPLOYER for a) offering medical advice, b) treating an employer situation as a contractor situation and not paying taxes.
So it's not a matter of being in this MT's shoes. It's a matter of being a savvy MT and knowing how to run your CONTRACTING BUSINESS or sucking up being paid like an IC and treated like an employee.
offshore overseas.... not outsource .... correct term is offshore.
nm
There is an AAMT solution.
you could report this to AAMT, but it would take weeks to process the complaint. Also report the website to them. But its a great thing that you have posted the red flags. great work.
Simple solution
As long as Cymed can continue to find MTs who will put up with this crap and accept their positions that don't pay for spaces, they will continue to do what they're doing.
Why would a quality MT accept a job that doesn't pay for spaces. Why would a quality MT stay there?
Low to no MT work is all over.... Here is my solution!
I have been working as an employee with a company and for the past 4 months the work has been low, with the last 1-2 months ridiculously low to no work at all. There is a 1000 line requirement for benefits.... and I need benefits. I work a part-time IC position, and guess what, it's low to virtually nothing also. So this week, I took on a 3rd IC job, so where I normally would transcribe 1600 lines with the employee position, I only give them 1000 lines, just to keep the bennies. I will do 1000 with the third IC position, and continue to do the 600 lines with the 2nd IC position. Thank goodness, there is no hourly requirement with any of these positions. It takes me 3-1/2 to 4 to get 1000 lines on employee position, 2 hours to get 600 lines on 2nd IC position, and about 4 hours to get 1000 lines on 3rd IC position. I have purposed this year to not work over 10 hours in a given day, give or take an hour or two. So far, the past 2 days it has worked.
Simple solution -
email me.
The Best Solution to the 30 days
TYVM for such great input. I believe here is the problem. Any MTSO has the obligation to (if they have one sub or 3 dozen) to negotiate a contract the right way with their account to be able to offer their subs a decent arrangement. There isn't one business (hospital, doc, etc.,) on earth that can't cut checks to a vendor at will, or at least set up a unique situation if they really want the vendor to work for their company (vendor being the MTSO). As it turns out, this company I considered is a subcontracted company to an MTSO who actually has the hospital account. This subcontracted vendor has virtually no negotiating position with the account. They are at the mercy of the MTSO. I believe there's a time that a big or small service has the obligation to the MT team to not take on a crummy contract unless they get a pre-signing commitment from their MT subs that they can live with long-term payments. I don't think it should be done the other way around. Though at this time I was just looking for some part-time filler work, I too have hired subs for overflow work in the past. I made sure whatever the account was that was paying me did so within a time frame in which people could work and survive with money--including myself. I don't have a husband or other type of income. That's neither here nor there. It's in the contract negotiations, and having enough courage to sometimes say No to an account, to pass on the deal for the sake of what's right and not roll over all the time. That puts it in a true underdog position from the onset of the contract. Needless to say, I'm not going to take them up on their offer. But very interesting what's going on, what everyone thinks, and how it's still kind of the short end of the stick on the real production end -- the MTs that do all the work. Thanks to all who replied.
A simple solution...
get a fake email address. go to hotmail or yahoo and just make something up. i will never know who you are. :) I do understand your hesitation. I wouldn't email me either. LOL I'm safe, I don't work there anymore.
Line counts?! Um, yeah. Encouraged to be dishonest to the MTs regarding that also went against my grain.
My solution to low work
I (thankfully) left MQ and found I had low work at the company I picked, which I liked otherwise. So I took on a second job. When there is no work at company one I just switch to company two and back and forth and I am never out of work. In talking to several of my long-time MQ friends, they ALL do this. Sure, it's sad to have to do it (and it ticks me off royally) but I have a family to feed and this is how I am doing it.
Simple solution:
Don't work for them.
Simple solution:
Don't work for them. I don't.
a simple solution
Next time it happens ... just invite the person over to your home and give them a shot at actual transcription. Try to give them a dictator who is midway between fantastic and a nightmare. Don't leave any medical books around for reference. Tell them they have 15 minutes to do as much as they can.
And then post the results here. Should be good for a laugh.
This seems to be pro-offshore board. Messages against offshore often just disappear.
:+
well please let me know if you find a solution since i haven't. sm
have spent 2 days with tech support with dictaphone and still not fixed. i don't have the time to spend now cuz i gotta bring in some money, LOL.
Solution for their ILLEGAL activities
The next time they call me to work on my day off I will do so and I will record my hours knowing it will put me in OT. When they yell about it and say OT was not approved in advance I will document by email or phone call that I was asked to work and if they refuse to pay me OT I will definitely report them. They have already been reported by at least 2 other people with documentation. They will either cut the BS about not paying OT or they will see the feds.
I'd still contact the solution center
I got the email from my STM this week as well (bet we have the same one!), but I have not been experiencing any problems. It is still very possible that the reason you are having so many difficulties is something to do with your router (if you have one) or ISP. I know how frustrating it is when the platform keeps freezing up on you. I was having so much trouble until I changed the settings on my router and now it is smooth sailing. Definitely contact the Solution Center and see what they can do to help you. There's no reason to suffer through it if there is a fix out there.
information on Transcription solution of SC.
any information on Transcription Solution out of South Carolina? TIA
It isn't a solution after you've already returned
the computer. I was glad to get rid of it, but I want my money.
Simple solution: Notify the IRS.
x
Time to find, my solution
will be to have two companies on board. My current work (a small mom and pop that has managed not to be eaten by a big company) frequently runs out of work, so I decided that since I am the breadwinner in my family, I will take on another job as well. Of course, my original company won't like this because I will not be available for extra when it is needed but I will do what my contract says I am to do and no more. I am tired of sitting here looking at a blank screen.
There's a very simple solution to MTs that don't improve
You put them on warning after so many same mistakes and then if they continue to make the same mistakes, you follow through and LET THEM GO. End of sob story. As QA, part of the job is weeding out the inept. Why any MTSO would keep an MT that continually made the same mistakes and compromised quality to that degree is beyond me. Highly nonproductive and bad business practices, IMO.
Solution: Shut down hospitals on weekends.
nm
My solution to the feast or famine syndrome
I work part-time with a daily number of lines to complete, no set schedule. My work is usually pretty steady, but over the holiadys when things slowed down, I decided to get another part-time job. I ended up in direct home sales. I make more money at it than I do MTing and I get to set my own schedule. I usually do 2 shows a week, averaging about $150 to $200 per show. The shows take about 3 hours in total and the computer work is about an hour or less.
It also gets me out of the house and gives me a break from my kids. I will say that I'm pretty fortunate that my husband has a M-F 8-4 job, so he's able to be home with the kids on the evenings I do these.
I keep a separate checking account for my business and it's really neat to watch it grow. I'm saving the money for a rainy day (or famine) and when I get to a certain amount, we're putting in a pool. I'm halfway there already.
No way would I stay attached to my computer. If things are slow, I put that time into my new business and work on getting new shows booked or party games or invitations. There's always something productive to do.
The solution center's memo of an upgrade to the system SM
in the next couple of weeks (not on company computer right now so don't remember exact date) includes release notes that says the issue of the platform freezing will be corrected. I hope this fixes some of my own problems.
Just marry a guy who has a great income, that was my solution, who wants to work that hard!!
//
offshore to India, it's OFFSHORE (off shore), not outsource to India.
nm
what do mean outsourcing?
TT does not outsource??? I am not sure what you mean? They are awesome to work for, I second everything the prior poster posted. Nothing venture, nothing gained. TransTech is AWESOME!
Outsourcing
Amen to that! I say--American jobs for American workers!
IF they are outsourcing, where is there
so much work. I don't know 100% that they aren't but am 99.9% sure they aren't. Money $$ don't make sense either. Most MTs are IC, so no benefits, tons of work and if they are outsourcing money should be more.
What about outsourcing?
I work in a very large medical center, and our institution is going to complete outsourcing with EMR, bypassing VR technology altogether. That way, they get rid of all in-house transcription (including academic and research), save costs on benefits, salaries, etc., and supposedly streamline the whole process. Quality, sadly, does not matter. Typos do not matter. If the document looks like a second grader typed it, it does not matter. From my experience, the outsourced dictation reads like someone from another country transcribed it, but they do get all of the medical words right; it's the English that suffers. The bottom line, though, is physicians don't care. They really don't.
Outsourcing? how do you know
How can an MT know if a company outsources? Does anyone know if MDI-Florida does? Thanks.
If you are serious about Outsourcing
I am ready to do your job. contact transonica@transonica.com
Outsourcing
I know that Cymed used to outsource, supposedly only a small amount to the Philippines. The work load seems to have really dropped in the last 6 months on the accounts I work on. I can't help but wonder if SR or more outsourcing is responsible. Does anyone actually know what is going on with them?
Outsourcing
I have worked with docs in a very large city since I was 18, and I am well into my 40s. I know most all of them. I have had many discussions with physicians about outsourcing. I have even convinced a couple to drop the companies that did the work because of the outsourcing. I for one am proud of the American MTs. Those who do not do their job should not have the jobs. There is a simple solution.
outsourcing
Not unrealistic at all. If you don't do your job well you should not have that job.
Outsourcing
Yes, wait until you wake up one morning and your account is low on work, and then you discover that the nice reports you formely had are sent outside the US. They won't tell you that, but all you have to do is do a little research and you will find out for yourself. Doesn't take a dummy........
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