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Serving Over 20,000 US Medical Transcriptionists

There are many. Try smaller MTSOs. (nm)

Posted By: MT on 2008-05-08
In Reply to: Looking for a co. that does not use VR/editing, rather straight transcription - Which companies DO NOT use VR/editing




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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.

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!
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.
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.
x
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 about going for the smaller ones that don't test at all but pay well :) sm
They are there. You just have to look!
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
x
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?
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. 
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
s
The larger companies are squeezing out the smaller ones, so they
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?
The smaller companies just can't afford the health
00
Can I make the font smaller on this board? Some text is being cut off because it's too big on
nm
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. 
You mentioned smaller companies, but MQ is the largest, so do you think thousands will be let go?
x
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.
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.
There's a smaller service called Global Transcription in Texas. Had
s
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
x
How do you know which companies are Nationals and which are smaller companies.
Is there a list somewhere? I'm new to this.
And what about the MTSOs that ...
yell and scream and write nasty emails just because they happen to be in a bad mood? And that goes for some QA people I can think of too. They don't know or care to be civil. I suppose the double standard would apply here though. Only the peasantry should be given psychiatric tests?!
MTSOs?
Is this the correct board for me to ask a question of other MTSOs? I'm new to these boards.  Thank you. D
MTSOs

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.


MTSOs

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!!!


Who are the top 5 MTSOs (most MT's)? nm
nm
To all MTSOs...sm

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.


MTSOs
My opinion, I think part of the problem is with offshoring and the fact that offshored MTs can be paid less, therefore dropping US MTs pay. According to a lot of posts and my researching, MT pay has drastically dropped over the years and it's not getting better. Maybe if the MTSOs would post on what changes are happening on their end that makes them lower hire-on pay, that would help. From an MT standpoint, it seems that MTSOs are dropping MT pay but still lining their pockets, which is not a fair assessment, but that's the way some see it. We work hard and have to have a pretty much ongoing education to keep up with the medical terminology. I know some with 20+ years of experience are very frustrated that they cannot get a decent line pay. I don't know what MTSOs can do to make the situation better. Not all MTs are unhappy with their situation. I am very happy with the company I work with, although I do miss the statutory status and bonuses that I previously had at MQ, but times are changing and we have to adapt, and no I DON'T like it! Anyway, this is just my opinion.
MTSOs
I figure, it could get worse and for me, it actually has, so I try not to complain too much, but it does get frustrating and I try to look at it from both points of view, even though I'm not an MTSO and never actually owned one myself.
MTSOs
In the last 5 years that I have worked for an MTSO, I have seen a lot of changes in these companies and the way they treat their employees. When I first started working from home for one, the pay was good. They didn't bother you. They got your work to you...their were benefits. Now...with more experience and even certified, I get the run around too. Take a typing test with 20 minutes of dictation. Like being certified isn't good enough? My biggest concern is the fact they need to rethink how work-at-home employees should be treated. They tend to group us all together and try to treat us like we work in an office. It just isn't going to be the same. We obviously made this choice to work from home for our families. We give up a lot working from home, but they try to pretend that we should pay the same dues. The fact that they NEVER EVER CLOSE is a big one. Not to many companies out there make their employees work all hours, all days, all holidays with NO!!!!! reward for it. No thanks, nothing. They expect you to work on Christmas day in your home where your family is celebrating, perhaps 5 - 10 feet away and not participate?

For instance, I had to work last Christmas (and trust me, I've paid my dues on holidays). But it was a new job, so I had no choice. Sure I started late. I spent the first 2 hours celebrating with my family, opening presents, etc. As soon as that was over, I got on here and started working. I made my line count well before my shift was to end, but I got the mean e-mail about not working.

I think they need to get real. We work from home. We don't leave our problems at home when we go to work. Sure, you have to separate home from work while your working but I think they need to treat us with a little respect. Perhaps realize that we sacrifice for a reason instead of pretending that our reason doesn't exist.

Maybe they should take a clue from Google on how it treats its employees? Man I would just love to work there!

I feel so frustrated in this occupation lately, that I don't know what to do. I get the run around myself. Scheduling interviews and putting your whole day off for it and then the recruiter doesn't call!!! But e-mails saying sorry can we reschedule? NO, we can't.

I've seen and done it all in the last few years, offshoring, holidays, bad employers, horrible bosses. Its been a long time since I enjoyed my job.

Sorry if this runs on, but its late (since I have to work late shift to compete with the overseas people because they work while we sleep!) but I'm tired. Time to go to bed!

Here's hoping that something in the future happens and once again, our jobs are great and we brag to everyone about it!

This is what I believe about MTSOs

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. 


MTSOs

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!


 


MTSOs

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!


 


MTSOs
Shutting down the in-house hospital transcription department. Given the names of Alliance, Transcend, and Central Transcription Services. Not much of a choice. I need benefits. HELP!! Any information appreciated.
Those MTSOs
should spend the time making their company better instead of pretending it's so great.

You just wonder about people!
MTSOs and others
From what Im reading here on this board there are definitely some less desirable companies out there to work for.  There have been warnings many times on this board about these companies.  Its a vicious cycle it just keeps coming round and round, same company different month or week.  It could be that recruiters for these same companies keep posing as MTs and hooraying about what a great company it is, lots of fuzzies and smiley faces to reel people in.  Then, those very same people that were reeled in come back here to complain.  Heres a clue for ya, if the company is not talked about on this board its probably one of the rare ok places to work.  If you see too much bragging about a company then red flag- guess what, its a sneaking low down recruiter people!!!
if you ask me, MTSOs - sm
can cut corners by doing their own hiring and eliminating these recruiters.

with over 30 years experience I have said no to low-ballers because I started 20 years ago on production at - guess what - 8 cpl.

My personal favorites are the 'difficult' (and they know it) accounts that offer 7 - 8 cpl and claim commensurate with experience.

uh - run that by me again, and this time with a straight face, please.



JUST SAY NO, GIRLS. We can put them in a corner, too.



MTSOs
I work for 2 different services, one pays 10 cpl with differential for any weekend and holiday work typed. The other pays 9 cpl, but is very easy clinic work. These people who complain about not making any money on 9 cpl just aren't keeping their butts in their chairs.
MTSOs
Boy, you are correct!  I used to think the horror of horrors would be to work for someone who was not an MT.  For the past 10 years or so it seems that more than likely the strings are pulled by the suits who probably can't even type.  There are also those MTs who have sold out' and managed to get into management and they are just puppets for the suits so poor MTs have few anymore who will stand up for them. You are loyal to your MTs and chances are most of them reciprocate.
I think most MTSOs don't want MTs with
they don't want to pay for it. And it's quite obvious in my experience that the same goes for their QA people, as well!
$$$$ by MTSOs
As a past MTSO from the days gone by - not now... you cannot make a profit if you don't charge 3 times what you are paying your employee... so, 8 cents a line to the employee - the MTSO is making at least 24 CPL. Don't kid yourselves. We are all getting the screws from the MTSOs of today and they are getting rich as H-E-L-L.