Stay where you are. I'm with National and thinking about going in-house.
Posted By: DDwell on 2006-12-16
In Reply to: I have a question about making a change...sm - needing a change
a
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Thinking of in-house
You're right. I was thinking of hospitals or other in-house where I know some still make $8.75/hr in South but I have a sister who makes $19.50/hr in Calif., plus incentive.
Thinking about going back in-house
We are moving to a new town, and two of the hospitals there have job postings for transcriptionists. I'm trying to decide what to do. I know it would be easier to sit down and do the work without the distractions of home, but I would also lose the flexibility.
Has anyone else out there ever gone back to the hospital medical records department? and what was that like for you?
Totally deluded thinking! "bring transcription back in-house to gain control of the cost."
I just outsourced a hospital where the MTs across the board were making hourly wages that would shock you. My husband, who has a doctorate and makes well over $100 K a year, isn't making what some of them were! Hospitals are outsourcing because the MTs are making way too much money for what they do! Bring it back in house? Not unless they can make it fiscally feasible and pay someone do manage the deal.
Well, I was thinking I couldn't make enough $$ but I truly didn't stay long enough..SM
to really give it a chance. I know that now. I started but got cold feet and went back to my old job. I really liked their benefits, and I'd be willing to give it time, this time, to get more used to the account and system, etc.
I was just wondering if they ever hired anyone back. Thanks for asking and not flamning. :)
Do you work in-house here? I applied last August & was told in-house only and they weren't
s
Do what you think is best. I just left a major national, went to another national but after
6 weeks found it did not fit. Just happened to luck into another smaller national and things couldn't be better. There are other jobs out there.
At first I was thinking that you were being unrealistic, not thinking about taxes, benefits, etc. bu
surprised to find that you are not asking the moon. Let me clarify a few things: Rates charged are not as high as 0.25 per line, but no one that has U.S. employees goes as low as 0.115 or they would not be able to pay their bills. A more realistic range is 0.125-0.165, and that top end is hard to find, most falling at 0.14-0.15 per line.
The rates of pay you propose are very reasonable IF the following is true: These are seasoned MTs who do not need a lot of hand-holding, QA or blanks filled in, unless a very difficult/impossible doctor.
How about a scale based on experience and accuracy of 0.09 - 0.105 per line (acute care), and $1.15-$1.30 per report (radiology)?
The VR one is tough as everyone, MTs and MTSOs and facilities are still feeling their way on this. As an MTSO who was an MT, I feel that VR editing is as difficult to do as regular transcription. I don't think that it should be substantially less pay or charged less as the end product is still the same.
Funny thing here? My company already follows that scale. We should work together, not at odds, to reinforce this industry and bring it back to where it should be, right here in the U.S.A. with a decent paycheck.
I can't afford to stay with VR. If they paid more, I'd stay.
The situation sucks. I really liked this company when I started there. I know they read these forums, and they are aware that we are unhappy over VR line rates. They stroke us with cute emails and say we're the best, but I can't feed my family on praise. They're turning into another MedQuist, and so I'll be leaving.
Stay low and stay very, very quiet. Do not
ask questions, do not talk to the supervisors unless forced to. The answer will always be the same, that you are the only one who has an issue, everything else is perfect. Never mention anyone's name. This place has the mentality of the Borg, everyone has been assimilated, which means if your supervisor does not like you, or does not like your friend, you have no chance. You associate with so and so, so you are exactly like them. That quickly goes through the Borg network and every team lead, ROM, and person in management, including HR, is aware of it. You'll be labeled a trouble maker and your life will not be worth living. Any trial to clear your name will be done in the fashion of the trial of witches. You are in a dunking chair - if you drown you are innocent but it is too late by then.
Remember, a ROM never makes a mistake and never tells something that isn't true. They are perfect (and nastier than a pack of hiennas.)
If you run out of work, it is your fault. You are just lazy. Can't make enough to take care of your family? Too bad, you need to work harder.
And forget getting an answer from management. It doesn't
happen. So, as before, stay low and very quiet.
And do a good job? You can be assured that if you do a good job, do what you are supposed to do, and stay quiet, no one will even recognize your name. They have no idea where you work, what your schedule is, or that you even belong to Transcend.
9 cpl, national, 10 yrs exp.
Unless you are an I/C then 9 cpl is good.
Which national is that?
nm
You are less apt to do it with a national!
More apt to do it with your own accounts or land a great paying job with someone who is not using the internet MTSOs, the internet robbers!
They pay you crap and suck the life out of you! Go independent.
Can you get a job at a national
with going to a community college for your MT education? Thanks!!
Which national is the best for...
flexibility, clinic work and fair pay. I have about 17 years of experience, looking for STEADY part-time work for now. If it works out with a company, I would consider full time. Who is the favorite national here? TIA
at the BIG national I get 7.2 CPL for ASR
but I have been an MT for 26 years.......
4 CPL??? Unheard of in my world....actually....sorry
I used to be AC at a national for $32,000
//
Pay with National
I made 41K last year with very little overtime, and this included incentive pay. My account is going to SR shortly, though, and this kind of money will be a thing of the past. For that reason, I will be moving on soon to a company where I can do straight transcription and be paid a decent wage for it.
The national I work for does not do that. sm
If low on work, they do not take away benefits. 
you work for a national....nm
x
Forgot to say that was with a national. NM
x
National Certification for MTs
Can someone refer me to a website or something so I can get certified. Finished my course with a college and they don't of course deal with the National Certification. Anyone out there done the certification part. Please help. Thanks
When is National MT Week? TIA
They were the first national I worked for, and sm
Giselle had a wonderful personal touch with the employees, and swore they would never outsource their work overseas, and it was pasted proudly over their website. The accounts I had were sucky and I left, but with no hard feelings. Now, I see their web site no longer says anything about them not keeping everything in the US -- sad.
Small national
Try - www.milnertranscriptionservices.com
No other national beginning with "M"...
I worked for Cymed and stayed with SPi. I hate it. Absolutely. TAT is so tightly controlled that there is almost never any work. It totally sucks. And they don't give a damn about us MTs. Just in it for the money. A HORRIBLE company.
in my first year of MT at a national
I was making $130 a day with my main account...then the rug was pulled out from underneath me and my company lost the account (would not say why). I have not made that money since and that was 7 years ago.
national company
I have been with a national for about a year - was on one account for about 6 months - then all of a sudden the work load dropped and then was told the hospital went another direction. I waited it out for a month, as they told us that they would place us on other accounts - they finally did - now some of us are being moved to another account - which I don't mind - other than the downtime in learning it - and this is supposed to be helping out another service. I learned today that the reason they lost the first account that I transcribed was because they outsourced it to India and the hospital had specifically had in their contract that their work was not to be outsourced. Why would a company take that kind of risk - and then lose a very large account? Plus lose good transcriptionists who could not wait a month to be reassigned to another account? I now have spoken with the company who has my original account and hopefully will be hired. They know I worked the account for 6 months, so I could just pick up where I left off. How many nationals do this, though, contract for US work and then outsource? I also heard of a company who is hiring only editors to QA and edit work coming back directly from India - now that is a job I want nothing to do with.
Pay is much much much lower than any other national
/
TT is my favorite national so far
NM
Is it possible to make 35K/yr with a national?
employee status
The national that starts with an S.
I am wondering if the message regarding Spheris, stating that should they want an MT to go, sabotage of their work may take place, could be elaborated on.
It is important that I stay with this job. I have BC and ins. is an issue and honestly, I love it. But, it is very stressful for me to work under these conditions.
If I thought that there was a possibility that the more hostile arm of my management team could retype my work to include an error that would place the patient in jeopardy, just so they could get rid of me, I would take action now.
I would like to know if ex employees who left with heavy hearts would e-mail me confidentially and anonymously to let me know how they came to the conclusion that the sups were brutal and ruthless.
I work FT for a national,
and a few hours a week as an IC for a local doc, whose transcription I have done for nearly 11 years now. The full-time job is 32 or more hours per week, and includes benefits. The IC gig might take 3 hours a week, but the line rate is a LOT more than for the national, and in fact is keeping me alive.
Is this normal for a national?
In my 12 years, this is my first IC position with a national and I'm spinning my wheels. Just wondering if this is normal stuff I need to get used to?
Things like, their field codes sometimes are there and sometimes are not, so if not, I have to go back and put in say the patient's name or DOB by hand. Ok, so that's not too big deal. But most of the referrring doc addresses are not in their system. So I have to look up in their info or search internet, enter into their system, but if there are no codes, have to go put all that in each document by hand. Their templates are mess, IMO. They don't have necessary spaces and some even have grammatical errors. But the worst...sometimes at the end of a report that has a lengthy template where I've had to delete some of it because it wasn't what he said (for example, they have a limited number of templates so maybe I have to use a stress echo template for a nuclear test, so I have to delete much of doc's canned words), it gives me a NEGATIVE LINE COUNT for that report. They have told me they can't fix this, that all in all I'm doing better in the course of my shift by getting paid for the templates, i.e., that it all equals out.
Their system is very slow, bogs down, all this click and point stuff I'm not used to, and I can't produce more than about 150 lines an hour. It's just a part-time gig for me, trying to make some extra money in these crappy times, but it's getting frustrating. Have I just been pampered with awesome MTSOs and docs all these years? Or should I jump ship? Sorry so long, thanks for your input.
National Disgrace?
I don't think I would take it that far, but I do understand. The way things are getting outsourced, some news media would certainly get more physicians and groups to start hiring local ICs instead of making use of the big name companies. I talked to one physician a couple of days ago (Tuesday I think) when I took my son in and she said she has to call in her dictation to the medical group's line and then one of the big companies takes it to transcribe. The last year or so she gets the files back and they still need a lot of editing by her because neither the Transcriptionist nor the QA person could understand her. Now, I've done per diem for her when they get backed up or she needed something back that day, her dictation is very clear as are most physicians in her group. They speak slowly – but not overly – and they enunciate very well. She will even pause and say: instruction - put that in bold: or something like that so you know it doesn't need typed, just done. There is really no reason for this much QA to be done by her.
She is working with many other physicians in the group and they are trying to get approval to hire in house instead of this stuff. I think that if attention is drawn to the fact that physicians are paying the same amount per report, and the reports are being outsourced with very poor quality, that more CEO's of these major groups will pay more attention and hopefully get their heads out of their rears and stop outsourcing. CEO's only see the bottom line and that is very bad for patient care!
Bottom line, when a company is screwing their employees most people immediately think union - but that is kind of hard to have in this field. I have printed some of the posts from this site and taken them to her. They are gathering for a meeting the first of May to discuss this with the group’s CEO and CFO and VPs. I am hoping they succeed. They hire their billing and coding in house so why not their transcriptionists. After all, they had to setup the dictation system, so they could use IC’s as well as in house to do their dictation without much change in the structure that the physicians use! Yea, it would be a bit more expensive to start, but the end reward would be significantly improved! Let’s cross our fingers that this works out and that other groups (Kaiser Permenente, etc.) follow suit!!
The national out of GA, cannot find anything on the
the other one. At least that is the one I am talking about, and from the other posts on here, it seems that everyone else is too, the over-kill with emails, low work, changing time sheets. I would steer clear of them.
10.75 cpl National; 11 cpl smaller MTSO. 25 yrs exp. nm
x
14.5 cpl National, 16.0 cpl small MTSO
Happy, both accounts are California accounts which is a higher pay!!!!
cascas: what national is offering 11 CPL?
thanks 
Yes - it's the 2nd largest national, begins with S. :) NM
x
Medquist. No other national compared that I sm
worked at Transcend, Spheris, MDI-FL, Webmedx. I work for local doctors and get paid by the hour.
I have never worked as an employee for a national. Can someone tell me what you do at MQ when you
have no work and obviously if you get a huge report at the end of your hours you dont dump the report to make sure you dont go over your set hours so I dont see how set hours can be set in stone.
National Transcription Services - SM
Disorganized is an understatement. The company is run by people who have absolutely no experience or understanding of the transcription business. They work on ChartScript.net, SoftMed's web based platform. There are numerous complaints on this site in regards to this platform.
Not necessarily, I'm paid better by the national right now. -nm
x
When I worked for a large national, they
had a gal from New York using a steno machine. She consistently turned out over 20,000 lines every 2 weeks/pay period. So if you know the steno machine, you can make megabucks in transcription. She always won awards at this biggest national.
Would a national company hire me?
I have several years experience working for a very prominent healthcare institution doing acute care, clinic, and hospital dictation in every specialty and subspecialty imaginable. We were never assigned accounts, so my exposure to all of the specialties and dictation by hundreds of physicians at our institution was extensive throughout the years.
Over two years ago I had to take employer-paid disability and have yet to return to work. I have hope with my latest treatment that I will be able to return to work soon and have contacted my MT department head, but did not hear back. Although my reviews were always exemplary, my attendance did suffer slightly prior to my taking disability. I say slightly only because I still attempted to work a portion of each day even while ill and the actual amount of days absent was not that high; however, working at a healthcare institution our attendance requirements are necessarily strict.
If my department head is unwilling to take me back into the department, I don't know what I'll do. I love MT, have great skills, am highly accurate, and don't want to give up on this career. If worse comes to worse and a position will not be available for me when I return to work, do you think a national company would hire me with over a two-year lapse in my work record?
Does anyone have any advice or ideas in this regard? I desire to stay with my current employer, but don't want to leave medical transcription. Thank you.
Is Keystrokes owned by a big national? How many MTs do they have? sm
The information I can find seems to be from just a few nay-sayers and cheerleaders and realy offset each other. Anything new? Who are they owned by?
The biggest national MT company....nm
Is this the big national in Florida with hundreds of MTs? nm
nm
Surely they pay incentive as well if it's a national.
Doubt they are responsible for your every event such acct assignment, workload. I would imagine they have mgmt do that.
Lighten up. She was just trying to give helpful advice to some.
Ever tried counseling? lol
Experiences With National Companies
Can anyone tell me their experience with national companies? I have been in the transcription business for a long time, but I have never been so confused by vague instructions by national companies! I thought it would be as simple as going to a site and picking up my work and then E-mailing it back! Is there any company that works like that? I'm spending so much time trying to fit into a format, going to different places, loading the work, etc., that I'm actually losing money! Is this just from being inexperienced with a long distance company or do they all operate that way? Please e-mail me with your opinions.
You're not workin for a National, are ya? :) nm
nm
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