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Serving Over 20,000 US Medical Transcriptionists

Sorry, late here, outsourcing instead of offshore, same thing though. NM

Posted By: Well........ on 2009-06-14
In Reply to: They might be US based only but offshore like everything - Well......

s


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Offshore outsourcing
Go to Spheris's website where they brag about their India connection.
SOLUTION TO OFFSHORE OUTSOURCING
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.
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.
Sorry ... the pay late thing was meant for Proveros, and even then I have no sm

first-hand knowledge about Proveros paying late, just posts I read here.  I know nothing about TTS other than awhile back I applied and with over 30 years of experience, they sent me an email saying their pay scale was 6-something cpl, which is totally unacceptable to me.  However, it sounds like you and the other poster are quite happy there, and in the end, that's all that really matters.  I am happy for you.  :-)


Hope you and everyone else has a very happy holiday.  


Sten-Tel does the late first pay thing. Comments about Task have been negative. nm
s
Outsouce and offshore are not necessarily the same thing. The
hospital outsources to TT. 
The thing is, if we just "suck it up" and send the work offshore to lower sm
the rates, there will be no work for U.S. MT's. There are plenty of hospitals and doctors that do not want their work offshore to keep us all in shoes.
Too little, too late? It is never too late. I am one person, true, but together

Let me tell what this ONE person achieved on her own and then you can imagine what many of us can do if we stand together.


Two years ago, I was working as an MT for a local hospital.  One day, we were told that our overflow was going to be outsourced to one of the nationals, just the discharge summaries and not even all of those.  Two months after they told us that lie, they called is in one by one and fired us because they were outsourcing the entire dept because it was cost effective.  The service they were using was a very large national who I happened to know had a reputation of offshoring.  And I just knew because our little hospital had easy as pie dictators with maybe 4 out of a staff of 200 that were ESL, our work would most definitely be one of the accounts offshored.


I was angry!  Oh, they offered us jobs at the service and told us we would definitely be working on our hospital, but I'm no fool and I knew it would be a matter of time before we were forced to take secondary accounts which would eventually become our primary accounts and our little hospital would just disappear from our queues. 


I refused the job with the service on moral grounds.  I refused to work for a company that offshored.  And then I decided to channel my anger and outrage into something proactive.  I wrote letters to every newspaper in my area.  Every small farming community newspaper this hospital served, and the big city newspaper in the big city close by.  I never dreamed that anyone would pay attention at one woman's rantings.  But a funny thing happened.  My letter was printed in more than one of the papers I sent it to, and reporter from one of the larger newspapers called me and asked if I would do an interview.  I said absolutely.


Long story short, they did the interview and then interviewed the administrator of the hospital.  They put him in the hot seat and asked him about offshoring health information to India.  He had no definitive answers to give except that he would have to look at the contract and make sure that it was stipulated that his hospital's work was not sent over seas.


It was a small triumph, but I took some satisfaction in it.  Two weeks after that and just when I thought all the hoopla had died on my little letter, another letter appeared in the newspaper -- from an HIM director at another local hospital who said as a result of reading my letter and interview, that she had received a number of calls from concerned people asking if their medical information was being sent and transcribed overseas.  She wanted to write the letter just to set the record straight that her hospital employed their own MTs and did not outsource to a service nor did they offshore any of their work to third-world countries.


And I'm still not done.  Still a few weeks later another letter in the big city paper was printed from another HIM director assuring the community that her hospital employed its own American MTs and did not outsource or offshore.


Now, everything has quieted down since then, but I managed to ruffle some feathers and make a point, and if I (one person, one middle-aged work-at-home mother of two) can cause that much ruckus -- think what a whole bunch of us can do.


I think we, as a group, need to take control of our industry and our career destiny and do something.  Maybe march on Washington DC protesting the offshoring of American jobs -- not just ours, but ALL American jobs that are being offshored.  There are more Americans out of work and losing work to third-world countries and corporate greed than just MTs!  Our government needs to hear our voices!  We need to MAKE ourselves be heard! 


Instead of sitting back and pasting little smiley faces in our posts and saying good luck with that we need to come together.  There is no room for MTs willing to accept lower wages, no room for MTs whose hearts bleed for our third-world counterparts, and no room for MTs who want to sit back and do nothing, but reap the benefits when the strong win the battle.  We've reached a critical turning point and it's time to take up the cause and change the future. 


offshore overseas.... not outsource .... correct term is offshore.
nm
This seems to be pro-offshore board. Messages against offshore often just disappear.
:+
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........
outsourcing
MT is not the only thing outsourced. Consider this - your medical information is now seen all over the world, and confidentiality is out the window - they have no law like we do here. As an American I should be able to demand that my medical information be kept in the US. The government sends money - we do not need t send our work load - no matter what the job. and Venezuela can keep their oil too - have you seen the commercials - and then read up on who this guy is - Give me a break - USA only for me. And do not preach to me about how there is always a part of my American made car, clothing etc made overseas, I know, I do not like it at all - and if at all possible I do my best as an American to stay within our borders. Quality or not - my medical records should stay here, not overseas where they could be seen and posted where ever. Yes MTs should get the pay - yes MT should be qualified - and we should all do our best to be sure of it, but low pay or better quality aside - I am American and want my information to stay safe.

Last point - the majority of identify theft arises overseas, so what do we do - given them even more information to steal that too.

No thanks
Outsourcing
I worry about the outsouring and SS# going outside of the US too. Why make it easy for someone to steal your ID? What are these people thinking? I have spoken to a lawyer friend about it. He and his wife had no idea this was happening. I think we need legal people to put the pressure on the people currently in office. Most of them do not even realize this is going on.
Yep, me too before outsourcing
am doing exactly the same work now as I did in the 90s for the same place, only difference is no pay plus incentive at the hospital and VR. This was the 2nd time I have been outsourced doing this work and just did not want to start all over again. My choice really because now I can work the part-time and not have to live on my salary alone.
Outsourcing
You guys started it. This has been bugging me for the last month or so. How do we get it out to the public that their information is probably being sent to India. There is no HIPPA and the Homeland Security aspect is a joke. I stopped going to my physical therapist when she started telling me the junk they get back from India. I explained my side and my particular therapist now transcribes her own reports, faster, and now correct. I always ask my doctors who transcribes for them, most agree with me on the Homeland Security violation and use local companies. I bet the general public would have a heart attack if they knew in whose hands their personal information is.... Ideas we need to get this out there. Would help professionalize our careers and maybe we could get a decent wage in return.
outsourcing
something similar to this happened in calif. when someone received a ticket (I think) the info was sent out of the country to be processed for court. When the public found out, it was a big deal, was even on the news and in the papers. there was such an outcry that that policy was changed and info is no longer being sent out of the country.
Outsourcing
As scary as outsourcing of medical records is, I have a way bigger problem with all of our financial information floating all over the place to other countries. The reality is we have put all of our private information (SS#, bank account #, etc.) into the hands of people whom we have no legal recourse against if they chose to steal our identity. I think it is a major trainwreck waiting to happen. Of course, the CEOs who are getting big bonuses and rewarded for all the American jobs they have cut think otherwise.
Outsourcing
So, what steps could we take as employees to get help on the lack of work because it is going to India.  Should we call our senators.  This does not seem right,  It is against HIPPA laws.  I bet those people are not signing anything about privacy.  And also they dont care.  Remember when some government agency's SSN were lost because some employee took them home on a disk and they supposedly got stolen.  Anything could happen with some of this information.   
Outsourcing
I was thinking of trying to get it onto AM conservative radio but the little time I have to call I can never get through. Someone also told me about the tax returns being sent overseas. What the heck is that about don't we pay enough to the IRS. I'm a big believer in the Fair Tax. No income tax just a 23% on what you spend would cut the IRS out entirely. Some jobs need to be outsourced but nothing that has personal information like that. I don't want my information going overseas, working on getting rid of the credit cards now for the same reason someone mentioned every time I call I get an foreigner, my hearing is not as great as it used to be so it makes it twice as hard to understand. My banking is at an employee credit union so I think they are relatively safe. What is happening to the good ole USA and English
outsourcing
You might feel differently when you're booted out of a job because your accounts are outsourced overseas. 
or outsourcing
The hospital could be outsourcing directly to India or trying another company on the side and your company is clueless as to what is going on and is just hoping it's all about deductibles.
OUTSOURCING!

Please see Medquist board.  If you are tired of having work outsourced, follow the lead - Contact Lou Dobbs at CNN.  Send an Email to them to investigate how our profession is dwindling.  They say they can't get enough US MTs, but we all know that is bunk.  It is all about the bottom line.  If enough people let the public know what is going on with their medical records being sent to foreign countries, just maybe we can save our profession.  PLEASE KEEP IT GOING.  Write your senator, congressman, and LOU DOBBS to get an investigation going if you want to keep our jobs in this country. 


Outsourcing
You said it well! Now experienced American MTs have to edit those outsourced reports for a degradintg, substandard rate before they go back to the clients. Pay the oppressed 3 cents a line, pay the disenfranchised American MTs 3 cents to edit these reports, and the contractor gets 2 cents, which makes only 8 cents out of pocket for the clients. A sweet deal for them, as if they are not making enough money already. I can just see them slurping at the trough in those hospital board rooms greedily raking in mega profits off the sweat of the rest of us. What next? They are even running the doctors and nurses ragged. Speech recognition is a disaster. Somebody still has to edit those reports as well. Time for us to go clean toilets for $10 an hour.
Outsourcing
I work at a local hospital that has 1 Transcriptionist and in house and if she doesn't clear all the lines by the end of the day, the rest is outsourced. I have never been anywhere else that the lines are cleared every single day. TAT on everything is less than an average of 2 hours. Crazy huh? I am not the transcriptionist there. I code; however, I do work for a company from home.
Outsourcing
I have read through the various posts here. What they are doing to us transcriptionists is the SAME thing they are doing to clothing manufacturers. The cheaper something is to produce, the more money the business will make when they re-sell that product. It is just a cop out excuse that there are not enough transcriptionists here. AND...I do not know about you other transcriptionists out there, but I have not gotten ANY line rate pay raises for the past probably 10 years now, and when searching for jobs I have not found any higher pay. Cost of living is rising for us, but our pay is NOT. Instead, our work is being sent offshore which allows our U.S. employers to either oursouce or pay us well below what we SHOULD be getting paid. It makes me very SICK and I also will NOT knowingly seek employment with a company that does this. Although, the one I presently work for DOES outsource their help desk, and this is also unfair. The help desk could employee Americans at minimum wage....no hard job in answering phones, routing calls, and fixing minor technical issues....but instead, they would rather leave our Americans on the unemployment line and hire the Indians instead who, as others have said, are getting paid WELL BELOW minimum wage. (The Indians at our help desk seem to be wonderful people and I do not mean to direct any hostility directly at them - it is not their fault.) I am actually glad I am in my 40s in that hopefully I will never see the day that it is ALL oursourced...but it DOES seem that the economy is heading in this direction. MONEY IS THE ROOT OF ALL EVIL!!!!! GREED is why our work is being outsourced overseas. And most of you guys voted for Obama who wants to SPREAD THE WEALTH. I do NOT feel sorry for anyone who voted for him, as he is NOT for the small business and therefore his financial plan of spreading the wealth will HURT US!!! But, I know the naive will stand their ground until we lose our country completely. WAKE UP PEOPLE!!! Four years from now, we can come back and talk about how much he has helped us, huh? Fat chance. I personally will be crying my eyes out on inauguration day - may be doing to India myself one day....to STAY!!! LOL!
DTS outsourcing
It's not only transcription they outsource.  Their help desk people are entirely in India and you talk to them a lot.
Outsourcing
I know there are 2 sides to every story. I appreciate your candor.

It is a scary time for the American worker in more ways than one. We are supposed to remain competitive with people all over the world whose standard of living is so much less than ours. Yet, I would feel a lot better doing this if the company CEO (and I mean this generically) did not have a private jet and multiple luxury vehicles and houses all over the world. It is a kinda Let them eat cake kind of deal. There has to be a balance. There is definitely a struggle going on, and if owners/CEO attitudes do not change, there will be a labor war in this country that made the early 20th century labor union developement look like childs play. It is all up to the guys in the corner office.

P.
outsourcing?
In the following statement Liz made :

It might be safe to say that I don't think there is a transcription service around that does not outsource.

If the outsourcing she refers to is sending work overseas, then that is not safe to say. I work for a company that only hires US MTs and keeps all work in the US. Who is it? MTSO that does solely work for the VA. Who better to understand the needs of American workers than the men and women who have fought for us, lost their lives for us, etc.

I applaud all who stand tall and refuse to work for anyone that outsources overseas! We need all US MTs to make a stand! I know it is hard to do when you need a job, but if we don't make our voices heard there will be no change.

That is why I am glad ATA was started. It supports the US MTs. Hopefully it will give us a fighting chance to improve the outsourcing situation.

To all of you enduring this change, my prayers are with you.

Anita
Never late, not even once. (sm)
I have direct deposit and Precyse has never ever been late depositing my check, not even once. How long ago did your friend work there?
Yu are a bit late...
oh boy.. i have to chuckle at this, this woman's trying to drum up business for her husband..
Too late.

They were never late with my pay.
Their accounts were super easy, too. I just could not get enough lines there to make it worthwhile.
OK. So why were they late?
Was it an error on their part? Did it only happen once? Did you forget to fill out your timecard? Was it the first paycheck on direct deposit that always comes as a check instead? You can't just say a company pays late or doesn't pay PTO without explaining WHY.
Late Pay
I am another ExBreitner. You are absolutely correct in everything you said about Breitner.  Not only were they late but the amounts were incorrect.  For the happy employee of 2 1/2 years ---- I know for a fact that you don't even check your line count and compare it to your paycheck.  When I worked there, the only happy employees were the ones who didn't need to work for a living, so whatever pay they received they were happy ------- whether it was correct or not.  Glad I'm outta there!
They certainly DO pay late!
I've been shorted twice and finally quit after NOT receiving a paycheck at all!!!
sometimes pay is late. nm
nm
Never late here
I've been using direct deposit for years and have never had a problem. In fact, my checks are always deposited the night before payday. I love DD.
TTS and late pay

I have the posts about late pay from TTS (not TransTech).  Could someone currently working for them tell me how many times in the past 2 to 3 months the pay has been late.  Me personally, if I am to get paid on Friday and it does not show up until Monday that 2 to 3 days is not horrible, not great, but not horrible considering some companies I have worked for have been late by weeks and not a few days.  Am not trying to stir anyone up just trying to get a fair time span to go by.  Thanks.


Might be too late, but please sm.

I am new to MDI-MD, but have been wondering if people are cherrypicking or not. Sometimes I get a bit frustrated, but I can't prove it. How the heck do they do that on a Lanier system?? Would QA or liason do anything about it if I complained?


Late as well

No timesheet, no pay.