The larger companies are squeezing out the smaller ones, so they
Posted By: soon-to-be ex-MTSO on 2006-03-25
In Reply to: No, I would say "prudent". - LOL
probably do have 3 new hospitals starting. I have been letting my accounts fade out naturally, not renewing them when contracts come due, not replacing people that quit, etc. I am down to 3 of us, and will be looking to work for a national soon. No more headaches, no more worries about keeping hospitals happy, no more worrying about the financial well-being of my employees. I am done kaput. Finished as an MTSO.
Who do you think will still be around? I am looking at Medware, Execuscribe, Keystrokes, SilentType, Cymed and MDI-MD. Any others? Do you think these will be around and survive? I lost two accounts to Keystrokes and one to Silent Type. Neither was cheaper but the hospitals all felt they were bigger so better. What's up with that?
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What better/larger companies?
I have noticed that all of the better/larger companies that everyone talks about are all going offshore. Spheris is already there and so is MQ. We need to stick together on keeping our MTSOs HOME where they belong!!! If they want to send work offshore, let those MTs from there transcribe their own medical reports!!!!!!!!!
Larger companies are doing this...........
I have become very angry when my husband has told me this is happening, as I too believe it is nothing more than age discrimination, BUT on the other hand, there are younger employees who have major medical situations and any company's insurance could be greatly affected by this.
Most of this is practiced by companies who pay high range salaries. I believe they are checking to make sure if they put that kind of money into an employee, that employee will be around for the long haul so to speak and not out sick all the time....
Either way, if all the hooplah about discrimination against handicapped, gender, etc. is out there, why would this even be legal. It obviously is legal but I really don't understand why it hasn't been brought up in an age discrimination case myself. The employer can always just say that candidate didn't fit the bill and it had nothing to do with their health but of course, companies used to say the same thing about race and sex, so who knows!!
Most larger companies do not close for holidays, this is a 24 houra day/365 day a year job. (nm)
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There are a lot of smaller companies out there
That have managed to stay in business for a while because they don't get greedy. They're also the ones who don't really need to advertise because the people they hire usually stay with them for a long time and there isn't a high turnover. I left Transcend for a company that doesn't normally advertise for employees and has been in business for years. They don't supply equipment and don't have a huge tech support team, but all that overhead saving is passed onto the MTs instead of the lion's share going in the owner/CEO/shareholder's pockets. They also see the larger companies investing in VR, but they're just biding the time because they know that sooner or later companies are going to see that VR will go the route of offshore outsourcing. It's not the major wave of the future as some may think because there will ALWAYS be clients that prefer quality over quantity and are willing to pay for it. VR just does not offer the quality that a human can and the way editing is geared towards producing as much as you can to make enough to compensate for the wage cut, the mistakes will abound.
The easiest way to find the companies like this is to post your resume. You don't have to post your name. The companies that pay to see your resume are the only ones that will see it. Let them contact you instead of going for the companies that advertise consistently and are offering big bucks to get you in the door. Usually there is a reason for consistent advertising for employees or offering the bucks to hook you in, and it isn't always because of getting new clients. There ARE still companies out there that will pay for quality instead of quantity and will reward loyalty and experience. Some companies actually DO "get it" and realize that keeping the MTs happy keeps the business running smoothly. The company still makes a profit and has less problems. The problems arise when the companies get bigger, want more, and offer less.
Some smaller companies might. (sm)
Check locally.
Smaller companies
have a tendancy to have this problem because some of them tie payment to contractors to payment by their client. This is OK IF it's discussed up front and agreed to by all parties.
Frankly, any company that can't cover $200 payment has no business hiring people of any status (employee/IC).
These companies don't seem to realize, or care? just how critical it is to be paid on time, consistently.
How do you know which companies are Nationals and which are smaller companies.
Is there a list somewhere? I'm new to this.
You may have to search smaller companies
and look for a few IC jobs. Smaller companies have doctor office transcription and also will assign 2-3 docs. It seems to me that the larger nationals are the ones requiring you do acute care first and foremost, but these are the companies with the larger hospital accounts. Keep checking the job seeker's board for smaller companies.
The smaller companies just can't afford the health
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You mentioned smaller companies, but MQ is the largest, so do you think thousands will be let go?
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send resumes to the smaller companies, try your state first, and then branch out. sm
they are out there. If you can put your money where your mouth is and prove your skills, these small to mid size companies will grab you. I work for a mid-sized MTSO in my state. They absolutely do not outsource overseas, do not mess with VR, and I make .10 at minimum, more depending on the specialty I get. I bounce around between 5 specialties, but have become familiar enough with each specialty to make a good line count. Sorry, I'd rather not share who I work for. The company does not even advertise. You will find many of these companies do not advertise because very seldom are they in need of MTs, as most of their MTs stay with them for years.
unfortunately KS is squeezing out small independents
At least three small transcription companies have lost some or all of their accounts to Keystrokes; while that's good for Keystrokes, it's bad for the small independents. Eventually no one will be left but the mega-companies...I guess it's just the American way.
Larger squeeze. .
Since medical care is 24% of our gross domestic product (1.9 trillion)and electronic charts has been made law, a small MTSO could not pay for a VR machine or an $80,000 dictation retrieval system. Smaller is better, but bottom line always speaks. 1000 lines a day is achievable working in one hospital, familiarity, normals. Unfortunately that standard carried over to MTSOs, with MTs transcribing eight accounts at the same time. No money!! Pay for your own computer, $$high-speed internet and/or phone line. Unachievable benefits based on production. What a deal!
I would imagine all the larger ones do, whether
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I keep my font at 100% (not larger), and I also have to
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...and Easter. Wonder if any of the larger ones do this? nm
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There is a new, larger account coming on in Dec. (sm)
I would imagine they are hiring in anticipation of that. Work flows vary anywhere, but these people go out of their way to try and keep us all in work on a steady basis. Benefits good, you are treated well by management, pay on time, accounts pretty good, platform is such that you can actually make money.
Ups and downs are the name of the game, but I would highly suggest you at least talk to them. Hiring on with them was one of the best things I ever did for myself. I will ride the waves of feast and famine gladly with this company.
Opinion: Small company vs. larger one?
Just looking for opinions on the positive side and/or negative side of a small company vs. a larger one. Help me out here....please!
Correction: They owned the other one and built this which one which is much larger. sm
I just read this in one of the magazines and asked my lead if they were moving far. She said it is literally across the parking lot from a small office to a huge building, taking on the whole building. I am thrilled to be part of a growing company instead of the sinking ship I was on!!!
I'd be afraid to jump from a larger company to a
Sometimes these smaller companies seem great, but then the contracts run out and they lose accounts. Also, the smaller companies do not offer as many benefits. Don't feel left out. All of these people going to Keystrokes could be in for a rude awakening and then have to go back to MQ. JMO.
I think they are making a much larger profit on the backs of MTs...
Think about it. Do you think it is costing the clients any less for their transcription. How would they even know it was VR? If the MTSO charges the same, they are making more money (half of what they used to pay the MT).
The requirement is 50% participation. It is actually harder for a larger company sm
than a small company if they are national to get good rates. Once in, they will have it easy after that. I dealt with it personally for another company and it was a nightmare. Insurance is crazy and once national, it is harder to get the insurance. They should have gone with BC/BS when smaller but chose Unicare for some reason. Now they are regretting it.
This hospital started in July after WX lost another, larger acct.
Currently, the acct is always out of work. Perhaps they will be sending more work WX's way now.
HELP!! Looking for a smaller MT compay!
I am looking to work for a smaller MT company. The kind of company where you transcribe the same dr. every day! That sounds so great to me!! Anybody know of any???? If you do work or have worked for a company like this, please tell me likes/dislikes.
Thank you so much!
I wonder if you could try a smaller MTSO? sm
Maybe a smaller company would like the option if you are interested especially in case of emergency and p.r.n. for summer vacations, etc. I think you definitely have something here with what you're asking. I'm just not so convinced a national would be receptive, but who knows?
yes there are; keep looking, try smaller company.
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How about going for the smaller ones that don't test at all but pay well :) sm
They are there. You just have to look!
There are many. Try smaller MTSOs. (nm)
What about starting a little smaller, like the op-ed
The larger a paper you can get your piece accepted by, the better the chance that one of the TV shows might pick it up. Remember, it's not just about MT... our problem is just the tip of the iceberg when it comes to America selling itself and it's workers to the lowest bidder. Telling the nation about MTSO lies, scams, bait-and-switch hiring tactics, and sweatshop working conditions would be a very good way for the media to illustrate the SYMPTOMS of a much larger and more pervasive problem.
10.75 cpl National; 11 cpl smaller MTSO. 25 yrs exp. nm
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I have a question.. are smaller transcription
I've just been wondering this because I made the switch last fall from a national to a smaller place, kept a 99-100% accuracy with a national, but never feel good enough for the small one.
Thanks,
Kel
What does one consider a smaller company, 100 MTs, 150 or a lot less? Just curious so I know where
to look.
Smaller company? Not me! Heartland was a
shocker to me!! No thanks! Smaller to me means easier to put on idle status - or lay off!
I don't agree -- some of the smaller great sm
companies find you from your resume. I recently had an offer and accepted a postion with a very small MTSO who saw my resume. If she posted an ad, she'd probably be inundated with tons of resumes, if you can believe what everyone says here on the boards about the amount of responses. Instead, she looks at the qualifications and contacts those who meet her requirements. I suppose if you are currently in a position and afraid to have your employer know you are looking, it could be a sticky situation, but ...... use a different email addy and/or a different ID of some type until you find out.
Bottom line ..... I never say never :-) I feel very fortunate to have fallen into the situation I am in -- a great small MTSO with great accounts, who cares about helping you achieve whatever you want to achieve.
Is Keystrokes smaller than TransTech?
Do they have more MT's than Transtech out of Houston?
And with so many smaller MTSOs selling out
to larger MTSOs with no warning, it certainly justifies our being suspicious and expecting the worse possible outcome.
I don't know about D...her silence during this entire month-long famine has made me second-guess my opinion of many of those at MDI-MD whom I previously thought very highly of. While selling MDI-MD wouldn't make her dishonest per se, at this point it feels like she is selling out her dedicated MTs.
I was completely exasperated with her email this morning which made no mention of any of our concerns and instead acted like it was regular Happy MDI Wednesday.
The lack of acknowledgement that there is a problem on more than one account just flabbergasts me.
Another nat'l (smaller sized) just announced they
are going to voice recognition very soon. Pay now 3-4 CPL. I quit MQ for this. I could cry.
Sounds like one of the smaller, new services out there...hmmm...nm
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Look at smaller MTSOs that want to send you files
in Word. You'll need to go MOM AND POP shop because it seems all of the larger companies have what you don't want, which is what I don't want and totally despise. All of these junk-u-scribe platforms seem to benefit the company and not the MT.
Exactly, but everyone blames MQ - its the smaller MTSOs who are "jiving" us all. Poor little
companies that can't compete with MQ - yeah, right!
Can I make the font smaller on this board? Some text is being cut off because it's too big on
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Are TransHealth or Medware considered big nationals or smaller
companies? I'm having trouble sifting through some of these companies and trying to find the smaller ones. Thanks.
If you want big, move to Philly (3.6 mil); or on a smaller scale, the surrounding suburbs where
you can live as if in the country, but only be minutes away from all the action. Philly really does have it all.
There's a smaller service called Global Transcription in Texas. Had
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Can anyone provide a name of a good smaller company to work for that offers decent benefits..
I want to get away from the "nationals". I know there are smaller transcription companies out there looking for a good MT.. Hopefully someone will have some good advice for me.
Base rates with National incluidng shift differential. Smaller - base rate 11 cpl. nm
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TransTech and Medware, are these companies considered large, medium-sized or small companies? (sm)
TIA
Yikes.. That is only inline with companies like Focus and such. "Real" companies pay their MTs
decent rate. I make over 5 cpl editing. So, if I got that slap in the face, I'd be outta there.
I don't work for them, but I do work for a smaller
a schedule or quota. I type from a pool of accounts that I am familiar with. It's a great supplement. I do not think that is too good to be true. It is actually more of what an IC should be doing as opposed to assigned work and a set schedule. These two things equal employee. JMO.
Do the research...most companies, and not just MT companies, do not pay for maternity leave...
we get time off but not paid...and I really don't even understand the point of you posting this...
By "most of the companies", I meant MORE than MT companies.
clarification
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