That's why we need to push HARD to tax offshoring.
Posted By: (As well as get rid of AHDI). -NM on 2008-12-27
In Reply to: The Power of ADHI - EmmaMT
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Escription - Push push push then.....nothing
I am becoming increasingly frustrated at how these companies that do Escription or any other VR program for that matter, take on new accounts that are backlogged and they push and push you to get on there and get it caught up. Then when everyone is humming along, all of a sudden, no work. How can anybody make a living with this kind of abuse?
There's not a push for VBC.
Phoenix MedCom I believe was one of the companies that tried it, and they're back to paying a regular 65-character line. The only reason anyone would change to VBC at this point is to try to weasel a bigger profit. We are on computers with line counting software, so all you do is enter your parameters. It's not beneficial in anyway to set it up to NOT count spaces. This whole thing is just silly and yet another way MTSOs are trying to pull one over. Luckily, the reputable ones are not even DISCUSSING this horrible idea.
Please don't try to push transcription for MW.
First of all, you must be new. It is impossible to get the lines because the work does run out each day. Now, why would I want to transcribe for MW at 8-1/4 cents per line? Do you think MW is the only place there is to work? There are still companies out there where quality does still matter!
I have enjoyed working for MW up to this point and I have one of the best supervisors going, but I have more respect for myself then to continue to stay here and work for $8 per hour, cleaning up trash, and running out of work so that it is impossible to get the incentive.
Just push tab instead of using mouse. NM
q
Exactly. Why the sudden push to VR?
Unless the company is in financial trouble. We never know because they never tell us anything. This is the only place we can ever find out information.
Whatever it is, I suspect it is time to move on...
That's what QA is for. No one is allowed to push
nm
Its counterproductive to push VR
What are they thinking? They push VR, they sell VR. Client was happy with the status quo, and so were the MTs, but now the client gets to thinking, and they research VR on their own, and they buy Powerscribe, the docs do their own editing and presto, they no longer need Webmedx at all. Smart move guys! Brilliant!
How about concentrating on recruiting and KEEPING clients for a change, instead of this obsession with productivity? If all the clients leave due to getting sold on VR, typing nothing really fast cannot be very profitable.
True, but why should anyone have to push themself
to earn the cruddy half of a half of a half a cent 'incentives' you think are so wonderful just so they can start earning the cpl their experience should be paid from the start.
WMX is a joke with their offers. I turned them down after hearing I passed their level 4 and ESL tests and was only being offered 7 cpl to work their hardest accounts.
I'll stick with my part time job at FN for 10 cpl for every line I type and not worry about being micro-managed.
Experienced MTs should stop selling themselves short by accepting such low offers attached to glorified incentives. There are places out there that offer better cpl to start.
Sounds like push come to shove.
And I am glad you shoved back. I wish more MTs would start doing that. When an MT (like myself) has to sit at a computer from 6:30 a.m. until 5:00, 8:00, and sometimes 11:00 just to make a living, and sometimes just to meet the minimum, it is push come to shove time. I stood up to my employer about this and I was laid off. I simply refused to do it anymore. I would not take PTO when there was no work. That PTO was earned by ME to use as I pleased. We were told to clock in and out, in and out as work was available. I checked with the Labor Board in their state, who said it was like asking a sales clerk to clock out if there were no customers in the store. They have the right to change your shift, but not make you keep clocking in and out for hours on end, month after month. I told my AM I wanted third party involvement because this was going to stop. I told them to give me work or let me go. They let me go, paying a nice severance, my PTO, and cooperated with my unemployment income until I found a new job. It took 2 weeks, I make more money, and the work is quite steady. I too do not recommend issuing ultimatums unless you are ready for the consequences. I wanted my life back and it has actually taken me a couple of months to let the stress go, and I wish I had done it sooner.
I don't push like I did years ago - I usually get about 1300-1400 (sm)
If I push, I can get about 1600.
Transtech has straight typing but do push for VR
nm
it was NEMT and I didn't push anyone out of the running
DUH!
Based on my past experience, I think they will push everyone...
to be employees so they can lower your cpl rate. Once the company I worked for started pushing employee status, they made it miserable for those of us who wouldn't take the 2 CPL pay cut to be an employee, i.e., not mailing out checks and saying if we were employees, we could have direct deposit, etc.
Doesn't AHDI also push E&O insurance?
Sounds to me like they are just trying to make more money off the MTs.
I agree with the other poster that it is the corporations that get sued, not the employees. Why spend a lot of money suing someone that doesn't have a dime to their name (the MT)? You don't. You go after the corporation with the large pockets.
The day the first MT gets sued over something like this is the day I get out. Why would any of us risk our financial future for a job that pays squat?
NO probs for me except when I push on wrong pedal and can't figure out why no one is speaking, lo
:l
not to mention, this feels like a push to make this just a part-time
job because it seems to be happening already. My partner drives a school bus and they do that to the drivers, they only allow them to work so-many hours a week, with absolutely NO benefits, other than the few the union has gotten them, and the bit higher pay scale. My partner also has had the union fight for his job many times especially when new managers would come in and right away want to 'clean house', get rid of the higher paid, senior drivers. It costs him 37 dollars a month though for 10 months and that is a drag too but in the long run, he does have some protection and the union is only as strong as its members. they are also in bed with management most of the time but these managers are usually nasty, aggressive, and would rather just hire their friends and family, and that is one thing I appreciate the union for, if nothing else...
you have to have an advocate - someone has to have our best interest in mind if we are ever to keep our jobs...
No offshoring either. nm
Offshoring
Could someone define offshore "big time." When I worked for them I was told they have a company in the Philippines that they send work to, strictly some low priority government disability stuff. Their platform is great and the people I worked with were also wonderful to work for. I left for a personal reason but would not hesistate to recommend them, IF you can get a comparable line rate to make up for the spaces. Again the platform is very productive and they do pay for headers so that helps.
OSI offshoring - sm
Ask the recruiter when you speak to her. I know the offshore, I was working there when the news broke, and they are still doing it. Go ahead...ask. This is not sourgrapes, but fact.
Offshoring
Nah their govt would never bite the hand that feeds them. They would beat it out of their own citizens instead. That is the great thing about America, at least it is somewhat fair? We like to think it is the same in other countries but if it were they wouldn't be working for us in the first place. The only ones that can put a stop to this is us. You have to VOTE! Not for President but for all the little guys that have the power to keep the big P from allowing things we hate. Okay enough from me I have to go and type while I still have a job.
Offshoring
They own OSi and denied offshoring to India until they were caught several times. They are now banned from advertising on MTStars. They are promoting at OSI and focusing their attention on their new company in Tampa. Very low key. Be very careful about any comments here or the posts will be removed.
offshoring
Really, people, it is the folks in our country, you know, the good ol' U.S.A. who are selling us short, so don't get angry at India for taking jobs. Well, that would be a way of airing your prejudices. That's weak. 
Truly sorry about your loss, MTLittle.
offshoring
Sorry, Little MT.
Might as well get used to offshoring. It's everywhere,
and Spheris didn't help by proudly announcing their new offices in India and give carte blanche to the rest of the online companies to follow suit.
It's here, and probably to stay. Our largest nationals do it, our medium size nationals are doing it, and our smaller privates are doing it. No getting around it.
If you swear you will never work for an offshoring company, you will probably have to eat your words one day. That or go hungry until you can re-educate yourself and find a new career.
I would venture to guess that there are many MTs here working for offshoring companies who know it and won't admit it. There are many more who work for offshoring companies and probably don't know it.
Bottom line, you are going to have a mighty long list, and it will grow daily. Good luck.
Offshoring
I own aing serious. MTSO and we do not offshore. We have been against it for sometime. However, we are having trouble getting a reliable workforce. Seems every Transcriptionist has 3 PT jobs. We pay between 7.5 and 9.5 cpl and have tons of work. I for the first time talked to my partner about offshoring. We may hold out as long as possible.
Offshoring
In some cases, though, offshoring has indeed been the downfall of manual transcription. I work in a very large medical center, and the offshoring with direct link to EMR has eliminated all in-house transcription. It's a combination of technology and economics that is making manual MT obsolete.
Yes, she has the right and they are offshoring now (sm)
Everything the above poster said was true. I'm not there anymore either.
Is OSI still offshoring?
TIA
I do not know about offshoring
but they do outsource. I worked for a company and did their (OSi's) work; I guess it was overflow.
Don't you mean offshoring?
/
Yes-- Offshoring
Sorry about that, I knew what I meant! Anyway, would appreciate if anyone can pass along just how to know if a company you are looking into sends some of their work out of the US. Thanks again.
offshoring is doing it
There are so many companies offshoring and hospitals offshoring that be LUCKY that you get 8 cpl. Most companies cant pay that!!!!
Are they still offshoring? nm
.
offshoring
They are NOT better, but one thing I don't think anyone realizes is that with electronic signature, the docs don't read a lot of their charts anymore - they have no clue what half of their charts look like, only the really anal (and I mean that in the best of ways) know the mistakes that are being made. I just QAd one that said the patient was running a bicycle for exercise; also another with a 0.3 x 0.5 tumor, and the MT put 3 x 5 tumor. Not a HUGE error the first time around, but the second one puts the patient's life at risk. A NOTE TO ANY PHYSICIAN: READ YOUR CHARTS!!!!!!!!!!!!!!
Offshoring
I refuse to renew my membership in AAMT or to give even one penny to this organization. Think about it, people. They have supported offshoring. Do they care about us?
Offshoring
I believe everyone has the right to work, and the new outsourcing trend is inevitable for all jobs that can be outsourced. But, I think it should be done fairly for everyone and the job market should be competitive for everyone doing the work no matter what country they are from. The pay should be the same for everyone who is hired at whatever level they are hired at. If the pay were the same, we wouldn't see so much of it leaving this country. GREED IS THE REAL FACTOR HERE FOLKS. They can live a lot cheaper on 2 cents a line, and we would starve to death. I met an Indian MT one time, and she said they were paid 2 cents per line and had to type 2000 lines a day.. Now what is that about.
offshoring
That's right. Just move on over and let others take over. It is the American way.
Offshoring
Actually, we can complain all day but it won't stop. Unfortunately, with the AAMT becoming cheerleaders for offshoring it is only going to get worse. They need to be shut down completely as they are useless If they really wanted to do their job, they should stand behind American MTs 100%.
Oh well, just my 1/2 a cent worth.
Offshoring
I don't care what Medware tells you about competing in the marketplace or that offshoring is here to stay in the competitive market, the bottom line is that eventually you will pay for it. You may not be paying for it now, but eventually you will.
The goal of Medware and any other company that offshores is to make more money. Right now they are losing money by having the offshores type the report, offshores then edit the report, then it is sent to America where the reviewers review it for errors. And trust me, there are a lot of errors!!! Some companies pay reviewers 0.03 cents a line for reviewing and cleaning up the errors, others will pay a wage that is less than what QuickTrip is paying. And if you don't know what QuickTrip is, it is a gas station/convenient store. If the reviewer has a blank or problem, then the report is sent on to their supervisor. That is way too many hands on a single chart. The goal is to have the report typed by offshores and then reviewed by offshores and never have an American touch the chart at all. And when that happens, our job market is seriously reduced. Instead of each company employing 20-30 reviewers, they will only employ 1 or 2 who will only listen to offshore editor's blanks.
You may feel that you are safe in VR at Medware. But did you know that all the doctors who are not trained for VR have their reports transcribed by offshores? Did you know, well, you should if you read the memo that the offshores are currently being trained to produce a quality document which will not require further editing in America. Once they are trained who is to say they will be working on YOUR voice recognition work?
You would do well to look over to Heartland. They decided to only use offshore MTs to work for them. They fired over 150 MTs. What makes you think Medware won't do the same one day?
NO offshoring
True and all the owner has done unfortunately is lied and made the company and MTs look bad -- hopefully her other business will fail as well
And no offshoring either
I forgot to mention that. All the government contracts I have been looking at say no offshoring. That is something new from when I looked at government contracts previously.
OFFSHORING
Ask SPi--they're doing exactly the same thing. They're losing accounts and employees by droves.
Offshoring
Knowing which transcription services do not offshore would be greatly appreciated! They are the only ones I will work for, and I am sure most MTs feel the same. Please raise your hand, and let us know who you are.
No, no offshoring. (sm)
Sorry, but don't know about connections. I have high speed.
Offshoring, huh?
Good to know - I had heard pretty good reports about this company - giving them the benefit of the doubt, I can certainly understand platform trouble - but off-shoring is a big TURN-OFF to me.
No more offshoring????
Keep off-shoring broke!
My best suggestion for stopping this off-shoring is for MTs to unite somehow and realize that electronic medical records are here! They will not go away - this will force the major transcription companies to off-shore big time because there will be of a lack of third shift necessary to cover shorter TAT - everyone gets upset about the offshoring but little is being done about it. With shorter turnaround times and instant gratification desired by the docs the responsibility falls back on the MT to make that happen not the company. They type while we are sleeping, taking our weekends off, or refusing to do ESL...lets not worry about the migrant workers how about saving our own butts? If we can meet the turnaround and still provide the quality we would have a leg to stand on to impose sanctions on companies that send this out of the US kinda like fines imposed on those that hire migrant workers - but we surely could not go to congress and say, well I dont work the weekends or nights.
About offshoring...
There was a big stink years ago when foreign car makers brought factories to the USA. These autoworkers are still working and in the USA and they are foreign owned. If the jobs stay here I really can't get too upset about who owns it.
Sony owns a movie studio and they make TV programs too. I am not sure I could tell what shows not to watch. They are produced in the USA, do well and American companies advertise with those programs...oh so what? JOBS ARE HERE.
With MT, I am not that concerned about outsourcing taking my job away. I WILL NOT edit Indian work, I WILL NOT work for a company that outsources to India or anywhere else. That, perhaps, has taken work away from me, but given that I work full time, I can pay all my bills and some and my job is here (and to stay) it isn't something I sit and worry about.
I'll have to rag on MTs for minute. I have, in fact, edited American MTs and I have tell you, many of them I have seen are worthless. They don't show up and when the do I wonder why they bothered. I don't know that I'd call them MTs, they are typists after a fashion. Ever try to staff an MT company? You try to find qualified MT who also show up when they are supposed to and do the lines they are supposed to do! Every last recruiter I know or have spoken to will tell you that staffing a new account will drive you over the edge. They tell me that most MTs appear to have lied on their resumes, as evidenced by their lack of knowledge, speed and accuracy once they start the job. Many of them put everything they want to do in life ahead of their job and show up late, leave early and do almost nothing while they are working. On top of that, they don't do a good job when they show up, then they will gripe about line rate and want more money, an easier account, or to be allowed to cherrypick in some way. One recruiter told me that if she needs 30 MTs she will try to hire 50 to 60 of them because she knows she'll get about 15 who will stick for any period of time and who can do an adequate job.
If you want to stop outsourcing of MTs, then hone your skills. Talk to others about how they have their Expanders fixed up. Brush up on your terminology. Seek to expand your knowledge by offering to learn new things. Quit whining about line rates. They go up, they go down and you might as well get used to it. Work to be accurate. Work at being faster. SHOW UP and on time. Be worth it, and be worth it at a company who refuses to outsource to India.
offshoring
Excellent!
Offshoring or not?
Some companies state on their website whether they have US MTs only. Of course we don't know how reliable this information is. Why not just ask the MTSO?
OFFSHORING
I had no idea this is going on. Maybe would could come up with a form letter that could be used by anyone interested that would notify AAMT that we are withdrawing any and ALL support of this organization. I really don't think that they would survive peddaling their wares only to foreigners.
Another avenue for change might be getting the knowledge out to American patients that their medical records are being peddeled to whatever foreigner charges the least, with subsequent compromise of the integrity, accuracy, security, and privacy of their medical records.
OFFSHORING
Another thing we can all do is check with the medical facilities that we use for our personal health maintenance, as to who does their transcription, and let them know that you are not interesting in your medical records being shared with the world. We can also all encourage our friends and families to do the same.
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