They don't give a hoot - they'll take the poor quality for less money.
Posted By: SM on 2006-04-19
In Reply to: Call their bluff! - nm
It is clear nobody is held responsible for poor quality medical transcription - do you often hear of lawsuits for errors on dictated reports? How about JCAHO failing a facility for errors on reports? Rare. And as an auditor I have seen what gets through. Either nobody checks or nobody cares. Part of the problem with MT rates. Very unfortunate.
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It is usually the ones with poor quality most likely.
x
If I had been fired for poor quality...sm
I certainly would have never gotten on the board and blamed the MTSO. I'm not sure what this person expected.  We all make mistakes, but when we are called down for them (again and again) we should own them and fix them. Until an MT can do that, she will never reach her full potential. And... while we ALL go through some awful times in our lives, we must remember that the medical records we are typing also represent others who are experiencing misfortunes as well.
Whose fault is poor quality?
And, why do we keep hearing that the welfare of the patient is a top priority?
I took the time to point out some errors in reports. It seemed to me that the facility did not care about the body of the report. The only part they seemed to care about was the demographic information, usually in the header, and the carbon copy designations, usually in the footer. This was because their automated filing system did not work properly if the header was not correct. Otherwise, they never even required the physicians to review and sign the reports. So, how can it be said that they cared about the patient? I truly believe that the patient's welfare was far down on their lists of priorities. What really seemed to matter was getting the billing process correct and getting the reports on the chart in order to comply with privacy and JCAHO requirements.
I also continue to believe that, if facilities cared about the welfare of the patients, bad dictators would be required to improve or not allowed to dictate at all.
The quality of the Indian work is so poor, sm
that the company will eventually lose the accounts, thereby the US MTs lose even more work!!
As soon as a company offshores, it creates its own doom. (A chink in the armor, so to speak.) It will eventually come back and bite the company where it hurts--unfortunately, it's the US MTs who get hurt the most.
Offshoring is putting US MTs out of work, plain and simple.
When you've been around this business a little longer, you'll understand.
I left due to the poor sound quality. I don't know if it was just my
account or what, but I couldn't make lines and was stressed out. I was told that they were going to upgrade their system within the year. I don't know if that has happened and if it made a difference if it did.
As to your generalizations about American MTs and poor quality, sm
Do NOT include ME. I do ALL work types, work ANY shift, work ANY day and EVERY day, I transcribe whatever I get. I am not a radiology or ops-only snob. I bet I can transcribe circles around you and all your silly little QA friends and I can transcribe circles around the Indians. There is NEVER a place for anyone but Americans to have American jobs and never will be.
Sick and tired of poor audio quality (sm)
that seems to get worse and worse as the days go by? Remember when we were told that switching from tapes to digital would make all the difference in the world with regard to clarity and our production? Remember when we were paid more and had plenty of work? Remember when there was no working on Sundays or holidays?
Why is EVERYTHING MT going to the dumpster?
Why do these MTSOs accept reports dictated on cell phones? Can't they write in their contracts that cell phone dictation is not clear and it can also be intercepted by others and therefore unacceptable? Why don't the QA personnel who read our flagged comments about awful audio pass this information on to the client so that it can be fixed? It's getting worse and worse.
Back in the days when I had my own accounts, one of my dictators asked me to please tell him as soon as his equipment malfunctioned (in those days, it was batteries running low or a tape that needed to be tossed and replaced). He said there was no need for the MT to suffer with poor audio reports when there is a simple fix. So, what's the difference here when the idiots dictate on cell phones? Or there is a hospital phone with a short in it? Why can't these things be fixed?
My plea: If you are a QA person or MTSO getting repeated complaints about specific dictators' dictations being garbled or unclear, won't you please notify, and keep notifying the client until they are brought up to par. How about sticking up for the MTs for a change rather than protecting the client all the time!? In the end you are protecting everyone, including the poor patients whose reports are being dictated and transcribed.
I'm tired of MTs taking all the blame for this industry's downfall. If MTSOs and clients demand 2-hour turn-around time, how about improving the technology to make your unending demands more attainable? It's 2006. There is no excuse for the garbage I have to listen to day after day. No excuse at all.
You would be surprised how many MTs with 10, 15, 20 years of experience put out poor quality. sm
Unfortunately, based on this, testing saves everyone a lot of headache down the road. The company I used to work for did not test and they would go through the hassle of getting IDs, training the person, etc just find that they did not know the difference between an elbow and a knee :)
Horrendous dictators, poor sound quality, system
not user friendly, management issues, pay not on time, many complaints over line counting. MTs who have asked for and no heeded advice have come back to apologize because everything that has been said repeatedly was true.
Think I'll keep my money and keep trying on my own
...
Oh, they'll be QT money, just not the way you think.nm
I'm about to give up on TT. The lines and money just
nm
Prostitutes usually get money not give it away.
I'll give you sm
With the advent of EMRs that allow you to fill in the blanks for exams, clinic is on its way out...to some extent. It is not as easy to find jobs in clinic work as it was.
Acute care is another matter. You have a couple of regional companies who have shut down their VR departments and let all their MEs (medical editors) go. The company I work for ramped up the use of VR over the spring from about 30% on many accounts to 90% on many accounts...then back down to around 50% of the work on the same accounts. The reason is that MEs DO NOT do a very good job, they edit in every way imaginable other than how they are supposed to do it. You are to listen WORD FOR WORD and edit the text in front of you. The programs are not at the point with accuracy where they need to be. Unless we go to faster computer processors and we have pretty well maxed out the current computer chip technology, and unless or until we can write programs that learn better as they go along, the quality of VR is not going to get much better than it is currently. I don't care what the VR software companies say.
The need for VR is something we have created ourselves, as MTs. There is more and more need for our services every year. The problem is that there are relatively few of us who have the necessary skill sets, who will actually show up to work when we said we would be there and get our minimum lines or better. Most of the platforms out there are NOT conducive to higher levels of production, no matter what recruiters say about them. There are just not enough of us to go around. What else can be done? This business takes years to learn properly and to get to where you make a living with it.
I do QA and I MT. The work I QA from so-called trained graduates of programs is horrendous. Even MTs who seem to have experience are often not much better. They don't care about the quality of their work, only the lines they produce. They either don't know or don't care about their accuracy.
A QA person can help teach an MT...if they even know what they are doing...if they have the time and moreover, if the MT is willing to learn. I am the one who recommends that someone be released from QA and I have input into firing MTs who don't make the grade. It is my call as to whether an MT is willing to learn or if they should be let go. We have a small staff and in the last 6 months, I have recommended that one MT be retained and worked with (it turned out very well) and suggested 4 other MTs for being let go and they all were, because not one of them would take constructive criticism. I have about the driest feedback style I have ever seen because I don't want anyone to feel personally attacked, but they still would not listen.
My biggest gripe about MT training right now, since I have your ear, is that no one is trained to use an expander! If you want to see less VR you have to see bigger production numbers with traditional MTs. An Expander is the only way to do that. It is critical to making a decent income sooner, critical to accuracy, critical to job satisfaction and therefore critical to this industry. The best way would be to teach by system (body system and specialty) and include expansions for that system while you are at it.
Thanks! I'll give that a shot....nm
nm
Please, give ME a break! Just do your job and you'll be fine!
Why, if you were doing what was required of you, would Transcend single you out to treat unfairly and why would you be afraid to post publically if you were not stirring up trouble? This what the rest of us wanna know!
GIVE ME THE NAME OF A BETTER PLACE AND I'LL APPLY!
PLEASE, PLEASE, I'M BEGGING!
They can give you what you like, but it'll depend on what Their need is at the moment. nm
s
which one? give a short description and I'll let you know if Im one of many
.
I'll give you an honest answer
I've had many, many years experience in all specialties and doing all work types, as well as radiology, pathology and autopsies. When I went to work for TT in 2003 the best the recruiter could give me was 8.5 cpl despite the fact that she knew me and knew my work. When I retired I had the occasion to be talking to someone I had worked for some 15 years ago. He also knew my work and my production. He offered me 10.5 cpl which he said was the top out pay for their MTs. He said the usual starting pay was 8.5 for experienced MTs. I didn't take the job because I wanted to stay retired. When I left MQ I was making 11.5 cpl plus bonuses. It had become unbearable when the MT supervisor quit and her replacement was a control freak. I don't know the person who said they had been offered 9 or 10 cpl but I think if he/she was offered that amount, there were other factors in play so don't feel bad. I should think that while CNAs do hard work for low pay, you would be better off. MT was good to me but it is not a career I would choose these days.
I'll give you an honest answer
I've had many, many years experience in all specialties and doing all work types, as well as radiology, pathology and autopsies. When I went to work for TT in 2003 the best the recruiter could give me was 8.5 cpl despite the fact that she knew me and knew my work. When I retired I had the occasion to be talking to someone I had worked for some 15 years ago. He also knew my work and my production. He offered me 10.5 cpl which he said was the top out pay for their MTs. He said the usual starting pay was 8.5 for experienced MTs. I didn't take the job because I wanted to stay retired. When I left MQ I was making 11.5 cpl plus bonuses. It had become unbearable when the MT supervisor quit and her replacement was a control freak. I don't know the person who said they had been offered 9 or 10 cpl but I think if he/she was offered that amount, there were other factors in play so don't feel bad. I should think that while CNAs do hard work for low pay, you would be better off. MT was good to me but it is not a career I would choose these days.
typos are one thing (inadvertent), but poor grammar is a poor reflection and demonstrates lack..
of knowledge. In this profession, if you lack proper grammar knowledge, you should expect to receive comments from those MTs who take pride in producing top quality work. Just my opinion, but I think it is quite embarrassing to see inproper use of the english command from those who profess to be MTs. There's a difference between typing a message here and having a slip of the finger and just not knowing proper word forms and spelling. I see grammer quite often, dependible etc. I truly do no believe these are simple typos, sorry.
Okay..I'll give ya that one. I came from the MDI side as it merged with Transcend so...
I was offered more than 4 cpl per line on editing and I'm not sure why if everyone else prior had been given 3 cpl. There is no way I would do editing for 3 cpl and trust me..coming from MDI into Transcend was not happy days for us. The biggest problem that I did have was when I found out our work was getting sent to India. Nothing is worse than being told we share work with our overseas partners and have too many days of no work. I have no doubt where it was going. So, never having come from the Transcend side, where you came from, I'm only going to relay my experience and apologize if that is what actually happened there. Yikes..I rely heavily on the MTs and supervisors who came from MDI because I know they watch our backs.
Give it time, they'll get to you. The grand plan is
my shoulder, it's a block(head). The games they play, the excuses/reasons are old, worn out, and it's aggravating to sit there staring at that NJA cyclops when others are getting the work. Dog-eat-dog is not conducive to a good work environment. We didn't create the situation but we bear the brunt.
Thanks, I'll give it a shot! Hope they are hiring PT. nm
..
I'm glad you're going to give it a try. I think you'll like it. I can't imaging giving
only 3 days, especially since we did have the 4th slowdown. They will work with you to get you a secondary account if your primary is not enough. Good luck to you.
Well la-ti-da, who gives a hoot anyway?
And may you fail miserably for showing off in public. My mother always said bragging would make you fail. 
What a Hoot! Yep, I have personal experience with
Bet this thread will get deleted by morning. Heavens, run from a Christian company that plays the Christian card. I have run into two - TRS and Transcend. Both totally lied to me about their plans for offshoring, as in international labor partners! TRS was in the process of actually training their own batch of Trinidad MTs, while Transcend was doing the same thing, all while swearing to me that they would never entertain the idea - America only!! Yep, they didn't entertain the idea, they were doing it at the time of the lie! So guess that might count a wee bit less than a bald face lie?? Now when I hear someone play the Christian card at me as a potential employer, I run. Immediately. The true ones don't have to wear it on their sleeve. They just have integrity and can usually tell someone with similar values.
Wouldn't be a hoot if all the employees showed
.
They offshore, sound quality not great, quality
of work coming back from India is bad and they don't pay enough for editing it.
you spelled quality qualitily maybe that is why you have quality issues.
Sorry, but even spell check misses stuff. You have to at least be able to spell to do this job. Well, you don't have to know English if you are Indian, but us Americans have to spell!
Amherst so we make less money and they get more money for MQ and bigger bonuses. Our guidelines came
from Amherst.
The company takes the money out of your salary, before they cut the check. It is your earned money,
:+
It's about "money, money, money, mmmoonnney. Singing The Apprentice song.
:{
That's a hoot! Must have supv approval. The supv works 8-5 MF in different
No, stupid is too nice a word.
yep, gotta spend money to make money. NM
.
So does yours. Perhaps you need a basic money class to learn to keep money. sm
I am off today and appalled at reading the posts on here.
Are you always this bitter? Do you have a family and friends who are safe and healthy? Count your blessings instead of being so angry and you might see that this is not a bad field to be in. It has kept food on my table for 27 years and will continue to do so. Is it harder now? You bet, but it is not impossible to make a good living of $50,000. You just have to work hard, give it your all and appreciate the good companies that are out there.
If I were an MTSO, I would find out who all these people posting such bitter posts are and find replacements for them a.s.a.p. Negativity spreads like poison, and with the world in the state it is, we should bond together not make it worse.
Money is not the root of all evil, the LOVE of money is. nm
x
If you'll read through past posts you'll find lots of
recent info. Why do you need menitoring if you already work as an MT. Unless you do clinic work most companies will require you to work at least one weekend day, at least initially.
Quality is quality, and really should have nothing to do with getting new accounts.
MQ isn't scheming against the MTs regarding QA. They just want a quality finished product. Heck, half the slams on this board about MQ are the garbage work the MTs put out. Talk about a no win situation! Getting used to a new account should not lower your quality by any real degree if you are a good MT. Even getting used to new dictators or ESLs. Good MTs still produce quality work, and should not have to fret over QA.
If you'll read the archives you'll find out everything
you want to know, none of it good.
"warned" by someone who won't give facts or sign her name. Give me a break! nm
x
Nationals give at least a week to learn program. Give
xx
Probably figure you'll want Way more than they'll offer, whatever it might be. :) nm
s
If you'll read more carefully you'll see
I was referring to AFTER she's missed out on a job, having a friend do sort of an audit to tell her what what was wrong with her test she submitted -- not cheating.
They used to give out $25 Amex cheques -- give them time. :-) nm
Poor me?? Really now!
I have seen only one post that you could possibly misconstrue as a "poor me" attitude, and that was from a very close friend of mine who lost her home to a hurricane. She wanted me to go to work for OSi because she thought they had been very considerate of her circumstances (plus she wanted the referral bonus). I will say right now that she is THE strongest woman I know. She does not kiss butt at work or here on this board. She told the truth about her experience with the company. She has not said a word about anything other than OSi's support. She has never met any of the managers and does not participate in garbage gossip of any type on either "side." Does she gush over OSi all the time? No, absolutely not, but she voices her concerns and opinions with them, not on a public board, particularly in order to humiliate another person. I am highly offended that she has been attacked without cause. I used to work with her at a local hospital, and she is a joy to be around and doesn't go around with a hang dog "poor me" demeanor. There is never a dull moment because you never know what she is going to say next. "Poor me" - you don't even know who or what you are talking about. It is time to write something productive on this board instead of jamming it with bulls**t.
Yes, they do, but very poor IT
x
Some poor MT will take it though.
That's pretty bad.
LOL!!! Poor pud! ....nm
s
Poor pay
I got paid per line during QA but had to submit 10 reports at a time for review and then had to wait around for approval of each set before I was allowed to type again. Sometimes I was idle for 1 to 1-1/2 hours after each set waiting for the go ahead. Needless to say, I lost a lot of money that way.
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