That is talking about outsourcing not off-shoring work. NM
Posted By: FrustratedMT on 2009-08-27
In Reply to: Link didn't attch last time - NorCalMT
NM
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Which are you against -- outsourcing, off-shoring, or both?? nm
xx
speaking of outsourcing/off-shoring
The news had a segment last night about medical identity theft becoming a big problem in the U.S. Hmm. Interesting. We've been trying to tell them this for years. All one need do is jot down numbers a doctor dictates, whether the software is secure or not. U.S. MTs are accountable and it is a felony. Unless they start extraditing off-shore MTs for felony charges, then they have absolutely no jurisdiction.
I have a feeling more and more legislation about off-shoring confidential information is in America's future.
MT companies and even AAMT like to say there are not enough qualified U.S. MTs. It's not true and we know it. There are simply just not enough U.S. MTs who will work for nothing.
Are you talking about outsourcing altogether
nm
Outsourcing our work!
Great idea - Donna - If we got organized and spread the word as to who to work for that was not doing this to a major degree and let our local medical community be aware of the dangers of the medical records not coming under any privacy laws and the patients response to this - then we could make a difference. If we could only get an organized effort going - I would be more available and willing to help - even if it would mean a trip to Washington DC on my own dime.
Please let me know what kind of efforts I can join to fight this - are there any around Tampa Bay? We should be organized in our fight and bring this up at the local medical association meetings and convince the doctors that a penny saved is not necessarily a penny in the direction of 'best practices' in the end! Please feel free to e-mail me anytime. Let's Roll!!
Off shoring
There are unfortunately very few companies that do not offshore anymore. Most would rather not go on the record for doing it. They are doing it to try to make ends meet and to meet 24-hour TAT demands. It is really a shame.
off shoring
You speak garbage and BS. It is corporate greed, is and always will be. You are right about all the stuff we have in our homes that say Made in China but where did it start? There is not one USA car maker that has its total car made in the USA. All the cars components are made elsewhere. The only true American car made entirely in the US is the Ford Excursion. The rest are outsourced. I hate it and most MTs hate it. I make sure that my own personal records from the doctors and hospitals only hire Americans, as I do not want my medical records transcribed anywhere but here. I deplore NAFTA and CAFTA. I think it is wrong. Everything is one sided or leaning that way. AHDI could not get enough members so that started teaching elsewhere to get the membership numbers they wanted. Now they are getting more and more away from transcriptionists problems and they are a lot of the problem also.
But then again, when I see some of the questions on the word board of people needing help, and in reading some of these posts, I am appalled that these are MTs. Some of the most basic stuff coming off the word board should have been something that was taught in MT school. Okay, now I am getting away from the real issue here and it is outsourcing.
IMO, wrong, wrong, wrong!!!!
Outsourcing is a hospital sending work out to SM
be done by a service (for our purposes, this is a good definition), while OFFSHORING is when a hospital or service sends the work outside the U.S. (like to India, Pakistan, Phillippines, etc.) to be done.
outsourcing means the work is sent outside the office
so if they do not have an inhouse transcriptionist, they outsource the work to a service or IC. Off shoring is work done somewhere outside U.S. However, most people do not make a distinction between the two. Outsourcing CAN BE offshoring and often is used interchangeably.
Off-shoring link
Isn't it funny that Heartland was named in this article, yet...considering that they are getting ready to send ALL of their work to India...it appears that they learned nothing from the experience.
My thots exactly. Why not pull some of the work back from outsourcing
and ask us if we want to learn a new platform rather than telling us to take the day off or telling us to adjust schedules to meet the demand (which there is none since I already do that). There is no work and they continue to send work overseas. They continue to put new people on to help and we have even less work. Management is not concerned about the peons, just their own fat paychecks and fun times in the city.
TransTech has lost work somehow, somewhere . . . or outsourcing/offshoring it !
How could Transtech mgmt be so noncaring of their MT's who provide their paychecks for them??? Yet, they care NOT of the MT's get a paycheck or NOT.
Soon to be gone from TT. Not what it was cracked up to be from the beginning.
TransTech has lost work somehow, somewhere . . . or outsourcing/offshoring it !
How could Transtech mgmt be so noncaring of their MT's who provide their paychecks for them??? Yet, they care NOT of the MT's get a paycheck or NOT.
Soon to be gone from TT. Not what it was cracked up to be from the beginning.
Mgmt and those leads/sups who are STEALING our work should add money to the piecework MT's paychecks every pay period that we make less. Oh, boy, you are really good mgmt at TT !!!
The sweet talk from most of your mgmt-type people wore out VERY QUICKLY. What is left from TT for the MT's -- NOTHING but low and no work.
Mgmt, SHARE YOUR PAYCHECKS/GAINS/BONUSES with us lowly *per your opinion of us in reality* MT's who type our fingers off so that you can GET ALL THAT MONEY for YOURSELVES !
Between the outsourcing and overhiring, there is absolutely no work for anyone/anything American, pe
nm
OFF-SHORING issue/idea. sm
I have absolutely no clue how to do this and have never even been to the site,
but I heard on TV about teenagers getting Obama to listen to them through You-Tube.
Why cant we all do that? If someone has more insight, Please Share! This might also be a way to reach out to other MTs who don't know about this site and to the public about our medical records!
What do you think?
Companies will not stop off-shoring. I'm worried about my job
z
All large co's are off-shoring and no one appreciates people with
xx
The hospital I work has no intention of outsourcing...physicians and administrators want inhouse tra
and Medquist hasn't bothered us at all. Our reps are still the same personable guys they have always been.
Talking to IRS about how ICs are told to work
I wanted to let you know about what happened when I tried to talk to the IRS a few years ago about a fraud that I knew was happening, had all the information. This pertained to a woman scamming section 8, food stamps, welfare money (living with a guy with a city job yet claiming no money). Her children came to live with me for 2 years. I took total care, housing, food, etc. with no money from her. I claimed the kids on my income tax for those 2 years and come to find out her boyfriend also claimed the children on his taxes (remember when at home they were on all kinds of welfare and he probably was claiming them then- this is against the law and called double dipping). I got information from a tax preparer at my home, not mine, wanting to know if filing and called the place, found out he had claimed them in the past and then I contacted IRS. Oh, I also got notice from IRS that I was one of 2 filers who had claimed the kids! I had all the social security numbers, names, birthdates, all that I needed. This scamming on their end went on for several years and do you think anyone interested or would talk with me? Nah, nothing. No one contacted me or their parent. When I see the rah-rah about turning these companies in I am reminded of what I tried to do with just wasting my time in the long run.
Talking about the ones who say you cannot work for another national MT service. nm
nm
If you no longer work there, you don't know what you are talking about. My stub came sm
the day after my deposit last pay period. The period before, it was the same day.
They do care about us, and as I just went through a family tragedy, I was shown just how much they care.
I do think it has been light lately, but if you are consistently running out of work try talking to
your account lead and see if there are some answers for you. I have several accounts and don't usually run out, but don't always work on my primary.
She is talking about QA and money is not tops. It is line pay for junk work.
They need to pay by the hour like they used to.
Not talking about lines. Talking about what you actually
afsd
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
What they're outsourcing
Our docs are outsourcing all dictation, including research and academic, and an EMR won't help them there. Until the EMR is completely in place, they're using a company that outsources to India for the clinic as well. When the templates are set up for them (they're in a transition period now), you're absolutely right - they won't need any Transcriptionist for clinic. It's just point and click, and the info is pulled into a letter. I'm just still mourning the loss of research and academic. I was preparing myself for the loss of clinic; I just thought there was still a living to be made there for me, but the docs have outsourced that too.
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