The big companies and the small MTSOs are

• From what I am seeing on - me
  • The big companies and the small MTSOs are - I agree2
  • large comp - mal

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The only reason they use subs is that the client needs more work done than they can physically do themselves.  Most small MTSOs did not start out wanting to be an MTSO at all, but just having their own accounts.  Then there is too much work and they have to use subs.  And most of the line count is forwarded on to the subcontractor, not kept as profit for the MTSO.

I am just such a small MTSO and I make more money when I don't have subs because I can spend my time typing instead of listening to blanks, setting up templates, explaining format, etc., doing payroll, etc.

I have worked for both and I think that small companies are very, very particular. Not that that is a bad thing, but  ZERO room for error (everyone knows perfection is impossible 100% of the time).  So if you can QA at 100% every single time with a national, a small company would be perfect for you.  In all of my experience my lowest QA score was a 99.2 with nationals.  Small company just made me feel extremely inadequate.  That is one thing about communication with a small company, you can start feeling attacked for very (and I mean very) minor things. 

HTH.

Are there companies out there that people really enjoy working for any more?

are going the way of the dodo (and family farms), only to be replaced by huge, corporate McTranscription companies?  The Wal-Martization of medical transcription is a step backwards for discreet, high-quality medical records.

(American MT) -                    - (McTranscription)

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recruiter is temporarily assuming job duties for an account supervisor while they look for someone or maybe a leave.

Put your questions here and we can tell you.

Thank you!  I have been in business 12 years and, if you can believe it, I have never implemented any guidelines for acceptable error rates from my transcriptionists.  I have 19 transcriptionists and am finding that I need to do something to make them realize that they can no longer be lazy and just figure, oh, Dell will fix it.  We have reached a volume of work where I cannot fix lazy transcription problems any longer.  I am unsure how to go about this?  What are various ways to figure out the allowable error rate?

Thank you for all the help you can provide!  D.

I currently do offer a three tiered pay scale where the transcriptionists work their way up -- but I nevertheless find so many things they simply are not looking up or aren't sure of themselves and so will put question marks.

Do you know how the nationals figure the 98% accuracy? That's my real problem, I don't know how to go about figuring the 98% accuracy. 

Good luck on getting that big account!!  We have a large one starting on 02/01 and I'm nervous that with the sudden increase in volume I won't have the time to QA the way I have to now.  In my area it is hard finding really top notch transcriptionists -- the couple I am having trouble with have been with me awhile and I've tried and tried to train them but they lack self confidence and don't THINK about what they are typing -- hard to teach that THINKING skill!!!

I am just curious.  I am sure it is very hard for MTSOs to find dependable, well-trained, honest people that work their required schedules as it is hard for dependable, honest, hardworking MTs to find companies that pay well, when they are supposed to, and have decent accounts and availability of work. 

My question is where are you?  I have close to 15+ years experience in multiple phases.  I have been burned by 2 telecommuting companies already.  I have been employed with this last company for over a year.  I thought they were great but over the past 5 months or so things have began to have turned sour.  Plus absolutely no benefits are offered.  I can handle not having any benefits as long as everything else is good. 

I have been skeptical to change jobs but things have just gotten to where I am completely dissatisfied. 

If any MTSOs are hiring, I would be happy to take any test, send resume, etc.  I just don't want to be burned anymore.  I love this profession but times have changed.  But like I said, it is hard for the MTSO as well as the MTs.

Most all of them are probably offshoring work secretly or not.  They overall don't respect their MTs.  They offer baloney rates.  They lie through their teeth.  They offer steak and deliver animal chow.  They punish all MTs supposedly because of the faults of a few MTs.  They keep tabs with countless instant messages and phone calls to keep their ignorant little children in check.  They are constantly running ads because they can't keep good MTs. 

How can any industry survive with this treatment?  I think almost every one of them is offshoring whether they admit it or not.  What other explanation could there be?  It can't be simply because the MTs put up with it.  There HAS to be something else behind it.  MTs as an industry don't put up with any more crap than any other type of employees.  BUT the MT industry has a way of offshoring work with nobody the wiser, unlike other industries and I think that is what is behind the whole sham. 

The way I see it (and probably others) is the reason many companies are struggling or not making it is because they did it to themselves.  Coming from a hospital setting, it's like comparing USA to Aruba, and I'm not talking scenery, here!

The way I see it (and probably others) is the reason many companies are struggling or not making it is because they did it to themselves.  Coming from a hospital setting, it's like comparing USA to Aruba, and I'm not talking scenery, here!