That's so the clients won't notice when AcuQuist sends
Posted By: more of their work to India, (unbeknownst to on 2009-06-02
In Reply to: Apparently you missed the prior post. - AcusisMT
them, of course). It'll all look the same --- like it was dictated by a child, and transcribed by an orangutan.
I guess that's the tack their business model is taking: 'We're a player in the global game because we've lowered our standards to their level of mediocrity and ineptitude.'
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Thats a good one!!! AcuQuist!!!
 I just peed on myself.
What happens, is MTSOs coddle the clients and let the clients call all of the shots.
Then the MTs get stuck with account specs that are contradictory and confusing.
It should be simple. When an MTSO is wooing a client, the MTSO should present with a copy of the style guidelines they intend to follow or if it is the BOS, let the client know that. It should be made clear that with the exception of report format, the guidelines are not flexible. Either we use apostrophes or we don't. Don't do it one way for one client and the exact opposite for the other client and then hold the MT responsible when she gets confused as to what account she is typing that day!
Notice is a courtesy, not a rule and they don't give you notice when they fire you
Giving a 2-week notice is common courtesy, and in most all my jobs, I have given them that courtesy; however, a company never gives someone notice when they are firing them. In my opinion, if a company does not treat their employees right, they do not deserve to get any notice at all.
As a matter of fact, I just left a company without notice. I felt horrible about doing it to my team but not to the company. While they never messed up on my pay, I was under constant stress. They treated several other people horribly and also changed all the terms of my employment contract within months of hiring me, which was going to cost me $800 a paycheck. I am the major breadwinner for a family of five and couldn't hang around a second longer losing that kind of money.
The only reason you would not want to quit without notice is if you want to use them as a reference and/or want the chance to go back to them in the future. I was advised by a recruiter that you should never put anything on your resume that is less than a year, so you really don't want to use them as a reference anyway, and you certainly don't want to go back to them.
Messing with someone's money is a big NO-NO, especially when they are costing you $400 for a second time. Heck no, I wouldn't give these people notice. There are some great companies out there hiring right now.
Feel free to contact me by email if you would like some more detailed information about the companies I narrowed my search down to. I was very sceptical about trusting another company with the bad luck I've had (just as you have) in the last few years, but I think I finally found somewhere I can be happy at for a long, long time (of course only time will tell, but I'm feeling very optimistic).
:) Best of luck to you!
MQ definitely sends it out.
X
Yes, MQ definitely sends it out and
my prediction is that one of these days they will send it ALL out. I got out while the getting was good!
Another one, Interpro, sends a lot of theirs to India
as well as other locations outside the US
If STM sends e-mail to her 4 accounts
saying system is slow and then send another saying that if system freezes and we lose a report we can get paid for that, that isn't an ISP issue. It doesn't matter if it is just one account, it happens to be my account and that is enough of an issue to me.
My MTSO sends us normals for those few doctors
that you them. They are usually a fill in the blank type thing with the doctors only giving the blanks, so there isn't much to mess up. We do have a few normals that need to be modified and there are only a few MTs that get these dictators, because of the same issue your MTSO, that changes are not made, etc. I am allowed to create my own normals and do. If I have a doctor that needs to have the same normal, but occasionally does change things, I only have my normal including what is ALWAYS the same and then I have macros for statements that are frequently dictated that I can use to piece together the rest of the document.
I can't imagine my company forbiding us to use normals. My company wants the MTs to be productive, because if they are producing they are making money and if they are making good money they are happy and the MTSO will have good retention of MTs, which they have had. It also benefits the MTSO to have high producing MTs, so that they can have fewer MTs and less costs/hassle.
Spheris sends most work to India. SM
They are most certainly NOT a company to work for, if you are a single mom.
Does anyone know the name of a transcription company in Maryland that sends all of its work to
India. Just curious.
Any company who wants to stay in business sends work out
It is called a blended model. Hospitals are demanding a better price and US companies must offer offshore work that is edited by US MTs to compete. It is just like voice recognition, a company must offer this platform or lose the ability to bid on the work. It is not for every hospital and it is not for every situation. Therefore, if a company does not have the ability to offer a lower price with non-domestic labor plus have a voice rec option, they will find themselves unable to compete in tomorrow's marketplace. Those who cannot compete will lose market share and continue to run out of work. Those who can compete will continue to hire MTs and grow market share.
Absolutely, sends work to India, Phillipines...sm
She's something alright, sending work offshore instead of paying someone in the US a workable wage. Name of company is Another Medical Must...owned by Renee Lella....look her up on Google and see how that's worked for her in the past, with a major leak of patient records due to dealing with the Indian company and their MTs. She trains her MTs most of the time using her cell phone in the car while doing errands or picking up kids...horrible. Bad, bad experience, never again. She looks at this board occasionally and still posts for job openings once in a while, but always under an alias or different name, sometimes maria...sometimes another name. Shifty.
Agree with Patti. MTOS sends 1099 as courtesy,
x
Transcend sends all the good work to India and leaves all the
garbage for the MTs in the States so they can keep the indian slime working. n donkeys are that do the work. Transcend is not a good place to work
I dont answer the mass emails she sends out. What bothers me is we are not anywhere
near out of TAT and she just then sends out these mass emails and everyone piles on and runs the account out. Then when you get a few more reports she does it again. It just keeps going on like that. I have no idea what the problem is. I dont acknowledge the emails at all I just cant get a grip on why someone would function like that. It is almost like she isnt happy until she runs the account out and then expect all the ICs which we are to sit around until it comes back in and then be at her beck and call. It seems to be getting worse and worse lately with this. She has taken the word control to extremes especially with ICs. She expects you to let her know if you are going to move your butt of your computer for a half hour. I just dont get it but it gets extremely old I must say.
And you're okay with working for a company that sends most of its work to India and
whose workforce is predominantly Indian? You're okay with the loss of American jobs, the falling recession we are in and the falling economy due in big part to the offshoring of American jobs? How okay will you be when you lose your job to an Indian and you have to apply for food stamps and unemployment?
Sell-out MTs like you are the reason good MTs cannot make a decent wage anymore, why good MTs cannot find a good job anymore, and why sweats shops in third world countries are thriving. How do you look at yourself in the mirror?
Focus Infomatics employs 800 American MTs and over 3000 Indian MTs. Tech support is in India. The company itself is still run by the same Indian man who started the company and sold out to Nuance. He made a bundle when he sold and he is still making a bundle running the company while he pays his own countrymen and woman peanuts! He's selling out his own people and you are selling out yours! On second thought, I guess you belong at Focus with your own kind!
Medware not only sends work offshore, but has offices in Bangalore to train MTs there.nm
xxx
you get a form to put in your name, email, and paste your resume. MTSpot sends it to the recipient
b
Merry Christmas to you too! I think it is great that Transcend sends out gift cards to employees.
I wonder how many other companies do that. Let's see, with over 1000 transcriptionists that is 25,000.
Again, thank you Transcend!
Transcend pays 3 cents per line on holidays, plus sends a handwritten card to all
employees. I have worked for many companies and I have never seen a company that cares as much as Transcend.
E-mail me if you'd like more information.
the clients were in NY. nm
s
Maybe not your clients, but many are.
Your clients may be behind the times, but many are not. VR has gotten much, much better, and I've spoken with many, many MTSOs who are moving their accounts over.
The average seems to be about 60% to 80% VR and 20% to 40% transcription. There will always be those you cannot put on VR, but it is growing rapidly.
Not all clients DO know--that's just it!
Yes, some clients DO know, and the almighty dollar is the only thing they think of. But some clients DO care, and they don't know their records are going overseas. They would be apalled if they knew. Come to think of it, so would the patients.
not when the clients have the last say
Do not get me wrong. I do not care for it either, but somewhere down the line, the companies will have to suck it up and so will we. Otherwise, we move to a different field. Unfortunately, that is just the way it is.
Becoming an IC with own clients
How does a person become an IC with their own clients, not working for an MTSO? From what I have read on this board, it seems that is the way to make the most money per line/word/page, etc. so I am thinking about doing this after being an employee for 15 years (with things going downhill now). I would appreciate knowing several things:
1. How do you get the clients.
2. Are there certain types of docs that tend to prefer this situation rather than going to an MTSO?
3. How do you determine what to charge?
4. How can someone get the dictation, type it and return to the doctor without having to pick it up and drop it off?
5. Without QA other than yourself, how does an IC handle blanks? Do doctor's offices tend to get upset with blanks?
6. Is there a particular software system that is better to use when you have your own IC service and want to get work over the Internet and return it over the Internet?
This and any other advice greatly appreciated!
I'm sure they do tell their clients to sm
hide it from the MTSO, just like the MTSOs hide the fact that their clients' work is being generated by VR.
Do you think clients don't already KNOW about VR? That they are sm
being sold it at every AHIMA conference they go to? Being cold-called by companies doing VR already? That doc don't get info about it at their little retreats and conferences?
It's better to be proactive and have VR sold as part of an MTSO's offering (with MTs doing the editing) than being undercut by other VR-only companies.
Transcend always sends a nice handwritten card and a gift card
I just got my card today, and it is still five days before Christmas.
You really cannot please all the people all of the time, even when it comes to gift giving. I am so surprised at some of these comments.
Merry Christmas to all!
Transcend bought MDI, so if Transcend sends work offshore, so does MDI. nm
nm
do not forget the clients -
They also deserve to be billed correctly. Sad, sad, sad.
IC - FINDING CLIENTS
Do you have to pick up tapes and deliver the hard copies with your accounts? I used to have an account where they would dictate into my Sony system (a special system that allowed docs to dictate from their phones, pause, rewind, make changes, etc), and then I would just e-mail the completed work back at the end of the day for them to print out in the office.
I wonder if the clients are leaving
because they are being sold and that is why I have no work? I can't wait until they make the announcement - then I will know if I need to pack up and leave.
If you are seeking clients, there is not
NM
Are their clients aware?
If I were a client of theirs, I would look for someone else to do my transcription. If I were a patient of this client and if I found out that the client knowingly supports this sort of crap, I'd look for healthcare elsewhere. Heck, docs come a dime a dozen!!!
It all comes down to the customers--that's US!!! The American citizens who trust that our medical records are (1) kept confidential and (2) are done correctly IN THE USA!!!
There should be a way to inform the customers of HIS's clients. First and foremost, we, as customers, as Americans, need to boycott the physicians first--the ones who are sending American money overseas!!! There are PLENTY of other docs out there who support the USA and want to keep the work at home. They'll gladly take my money!
Persnonally, I don't want my medical record entrusted to overseas folks who, for the most part, hate us to begin with. They barely speak a word of English and they certainly do a pathetic job at trascribing. I've seen the damage these folks can do to medical records.
I think that we should boycott MDs who are paying HIS to transcribe for them.
If we don't stand up for ourselves now, what's next????
Too bad they mislead their clients about it
That is what is so rotten about the whole thing, the hospitals think the work is all being done in the US when it is not.
RE Acusis Buy-Out, What About US-Only Clients?
Something does not add up here, because many of the bought-out company's current clients vehemently refuse to work with anyone who outsources. Won't they drop new company outright and have to look for a new MT provider?
But your own clients bring many of your own
x
*Stealing* clients
You can steal things, but you can't *steal* a sentinent being (client) who chooses to go with you because you offer better service/better price or any combination of the two. Said client can walk away from you, too, if you don't deliver. What company does not try to lure clients from a competitor?
If the severance is minimal, you can easily get another job, and you really believe the company would come after you, then maybe foregoing the severance would let you rest easier even if the clause wouldn't stand up in court. If you really believe the company would come after you, do you want to spend time and money in court, even if you win?
stealing clients
I partially agree, but when a person uses insider information about a client's setup, preferences, etc. IMO that is stealing. You're using privileged information in an inappropriate way. So strictly speaking, a person hasn't stolen the client, but they stole the information they needed to get the client's business.
Clients at fault?
I really think it varies from client to client what is expected as far as unpaid fussing. Some expect the moon and the stars (looking up the ordering physicians on huge databases instead of passing us that demographic). I don't understand why a company would agree to contracts like these with the clients - they know no production will result from it!
TT has just taken on several HUGE clients
That is the reason for the ad
What goes around will come around and eventually your clients
They see that all the other doctors are hardly paying anything per line for it and they'll expect you to adjust your rates accordingly. This is precisely what happened in my area. All the doctors started thinking they should get bargain-basement prices because they could use the threat to send it offshore. So wallow in the green while you have it, at the expense of your offshore workers (and hey, if they're truly so great, why not pay them US rates and really do something really noble to improve their lives?)
You might be helping the economy in third-world countries (they'd starve w/o you?! Get over yourself!) but you are INDEED helping to lower ours here. You can justify and deny that all you want, and frankly, I don't care that you sleep at night. The fact that you are here defending your stance so vehemently tells me you know deep down.
You can also claim there are no good workers here, but you're wrong. We just don't work for MTSOs with your attitude. And guess what? There ARE plenty of doctors that DO care where their work is being done. You might have found a few who don't care (if you truly told them), but that's not par for the course in most places, my dear. Most ESL clients are the most adamant that the work be done here because the US MTs are the only ones who could clean up their grammar!
I can name 5 more on that list who are NOT clients of theirs. nm
nm
Most of the clients don't allow their work
to be sent offshore because of privacy issues, Americanism, etc. The CLIENT decides.
some clients want those apostrophes
The two docs I edit for want those apostrophes there and you can find just as many reference materials that DO include them as don't.
I agree this is nothing that is going to affect patient care, but bottom line - you have to give the client what they want.
MTSOs cannot pay more than they get from clients
If the clients are only paying 10-12 cpl, you cannot expect them to pay you more than 8 or 9.
The only way to get decent pay is to get our own accounts and cut out the MTSO.
Then your MTSO would have NO clients
Overrated you say? If you saw some of the hair-raising mistakes we have to clean up on a daily basis you wouldn't even THINK about doing away with QA because the people you work for wouldn't stay in business.
How about the MTs who are too lazy to look things up and use QA as a reference source. I know I send feedback to the same MT over and over again without seeing any improvement. That is frustrating and a waste of my time.
I was an MT for 35 years before I became a QA person. I had a lot of experience and a lot of knowledge and felt, (very naively I realize now) that I could actually HELP people. But the MTs don't appreciate the help. They just want us to clean up their work and be quiet. If we send feedback we get blasted by the MT instead of being thanked.
I personally got into QA to help people. Boy, have I been disappointed. This is the most thankless and difficult job in the transcription business. Thank you for reinforcing that point.
I am so glad that I have wasted 38 years of my life trying to help people who just want to use me as their whipping boy.
So yeah, do us a favor, get rid of QA. What a waste we are trying to educate and help people. How dare we?
I personally give up. Do your own research and find your own answers. Don't bother me anymore!
It's not KS's VR. It is the clients and they have had that account for sm
several years. The lines are all counted and the rate is the same as my normal rate. The reason is that it takes a lot to edit these reports and they know that. This is not new for KS.
For those that said they do not do VR, they must not in their department or accounts, but there is VR with KS. They have a lot of Powerscribe accounts for radiology and a few VR accounts for HIM already and have for a while now. The pay is good and has not gone down. I am at 9cpl and happy but the VR editing does take as long as straight transcribing.
That 9.9 cpl is what they are charging their clients
I clicked on that link. It's completely an off-shore based company. The 9.9 cents is what they are charging the health care providers. That's only possible if they are paying 1 to 2 cpl for the workers.
So what are you going to do when "your clients" (sm)
So what are you going to do when your clients decide that they want to pay you anymore and go with someone cheaper? It will happen to you, too!
To any visiting clients
The opinions expressed on this board represent only a fraction of the MTs that may be servicing your accounts. As an MT who is proud of the MTSO for which she works, I apologize for the appalling Jerry Springer-like antics of this chat board and wish to assure that most MTs that I work with are thoughtful, hard-working professionals who do know the difference between venting a frustration and turning into an ugly mob of pitchfork-carrying villagers. Though I defend their right to an opinion no matter how churlish and embarrassing it is, I also assure you that there are still MTs working on your dictation who realize that there are live patients who depend upon us. I just thought you needed to hear this.
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