Thinking about going back in-house
Posted By: darwin on 2006-01-24
In Reply to:
We are moving to a new town, and two of the hospitals there have job postings for transcriptionists. I'm trying to decide what to do. I know it would be easier to sit down and do the work without the distractions of home, but I would also lose the flexibility.
Has anyone else out there ever gone back to the hospital medical records department? and what was that like for you?
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Totally deluded thinking! "bring transcription back in-house to gain control of the cost."
I just outsourced a hospital where the MTs across the board were making hourly wages that would shock you. My husband, who has a doctorate and makes well over $100 K a year, isn't making what some of them were! Hospitals are outsourcing because the MTs are making way too much money for what they do! Bring it back in house? Not unless they can make it fiscally feasible and pay someone do manage the deal.
Thinking of in-house
You're right. I was thinking of hospitals or other in-house where I know some still make $8.75/hr in South but I have a sister who makes $19.50/hr in Calif., plus incentive.
Stay where you are. I'm with National and thinking about going in-house.
a
Some hospitals are actually bringing transcription back in house.
I have heard of more and more hospitals bringing transcription back in house and using independent contractors as well as in-house staff to get the job done. So far, it is working out well for most hospitals and, believe it or not, saving the hospital more money then sending it to a service.
Imagine that!!!
Hopefully, 90% of the health services and facilities will bring it back in house and soon!!!!
H. told me the work was going back in house for some of the doctors. nm
x
Back to thinking on this...
I'm on too many accounts, and woe is to me if I forget a little account specific rule. The QA peep will spank you hard. Yes, you pay for your computer. Platform's okay, but not generous. They are a company experiencing growing pains, I suspect.
I was loyal to one company for many years and rose through management. I changed horses and decided to do something on a related career track and do MT part time with with Amphion.
At first, it seemed great. They were good people, very responsive. As they've added staff and accounts, the good times have definitely gone away. I hope they get through their growing pains, consult with some people who really know how to run things smoothly, hire and fire appropriately (QA and middle management) and get on the ball. Then, they will be a company to stay with, hopefully. Unfortunately, I will probably be gone by then. Line counts are more generous, and QA is better managed elsewhere. (I find myself thinking who thought this QA method WORKS, anyway? Clearly no one who knows how to mentor MTs or run a QA department.
Yeah, I'm thinking I may have to go back to that.
x
Well she would actually be thinking about them by going back to school also (sm)
I am at a point where i need a divorce but guess what? No job security. So far my kids are staying in an unhappy home. I pray that never happens to her. Even if it doesn't she still needs job security to take care of her babies, married or not, and nursing would give her way more security than this.
Thinking back about what others were posting about VR
and how newbies could do, slow typists, etc. and now I hear you say you have to use your whole brain. If you are slow, no money in VR and a newbie could certainly not distinguish what a dictator wants, as in example 1 that changes their mind over and over again and you have to know what they means rather than what you think they might be talking about. So many want to put down people who do VR stating anyone can do. I would very much differ with that. It takes a lot to listen and be as 100% accurate as you can in editing each and every word that is said, much less getting the numbers straight.
Do you work in-house here? I applied last August & was told in-house only and they weren't
s
At first I was thinking that you were being unrealistic, not thinking about taxes, benefits, etc. bu
surprised to find that you are not asking the moon. Let me clarify a few things: Rates charged are not as high as 0.25 per line, but no one that has U.S. employees goes as low as 0.115 or they would not be able to pay their bills. A more realistic range is 0.125-0.165, and that top end is hard to find, most falling at 0.14-0.15 per line.
The rates of pay you propose are very reasonable IF the following is true: These are seasoned MTs who do not need a lot of hand-holding, QA or blanks filled in, unless a very difficult/impossible doctor.
How about a scale based on experience and accuracy of 0.09 - 0.105 per line (acute care), and $1.15-$1.30 per report (radiology)?
The VR one is tough as everyone, MTs and MTSOs and facilities are still feeling their way on this. As an MTSO who was an MT, I feel that VR editing is as difficult to do as regular transcription. I don't think that it should be substantially less pay or charged less as the end product is still the same.
Funny thing here? My company already follows that scale. We should work together, not at odds, to reinforce this industry and bring it back to where it should be, right here in the U.S.A. with a decent paycheck.
I worked in QA for Transcending back in 2000-2001. They were paying hourly back then. SM
The accounts weren't too horribly bad. The reason I ended up leaving was because slowly but surely they began to inch closer and closer to paying QA by production. When I first started, the quota was something like 30 reports a day. We simply had to make sure that we QA'd all reports that were close to being out of TAT first and then do the rest. Then, my supervisor left and they hired a new one who immediately called a big teleconference meeting and said we had to up production to 60 reports a day. Then, they started counting lines. Which was fine because they were still paying hourly.
Next, there was an MT who used VR software because she was blind - yes blind. Again, when I first started, I was told we had to edit her entire reports because she used the VR software and we had to make sure that everything was correct and made sense. Then, we are told only check the blanks. I wasn't comfortable with that and I continued to completely proof every word. Then I was called on the carpet not because I wasn't meeting the production quota, but because I was ONLY meeting the production quota. I told them I was proofing all of the MT's work that used VR, I was told that no one ever told me to proof every word of the VR reports and that I needed to fill in blanks and move on. When I voiced my concerns, I was told that was my job, to fill in blanks and I should move on and strive to product above the standards. Next thing you know, rumors abounded about changing the QA staff to being paid on production. So I left.
There just seemed to me to be too little concern for quality and more emphasis on quantity and I just didn't want to be part of company who would take money out of my pocket just to line their own and that's what they were doing by putting QA on production. I also am not comfortable with the job of QA being thought of as a blank filler. There is much more to the QA profession than just simply filling in blanks.
I don't know if Transcend ever did start paying QA by production, but I could see that the idea was being floated there. Maybe there was a enough protest that they didn't change from hourly.
Good luck to you!
Phoenix Medcom- Another apply a few months back, ask to take a test and never heard back??
I applied a month or two ago, received an email from someone asking if I would take a test and said she was getting ready to go on vacation for a week, so I hurried and immediately and told her I'd love to take the test. I never heard back. I waiting thinking she went on vacation and would contact me when she got back to do the test but nothing...very strange..Just wondered if this happened to anyone else.
Has everyone heard back from Keystrokes yet regarding the email we received a while back?
Just wandering why I haven't heard any response yet.
I sent them an email back in August and never heard back sm
Is this company on Long Island? I checked out their website and even tried calling once. Were you successful in contacting them? All i know is that the company is owned by some doctors.
Hopefully, you will hear back. Unfortunately, I immediately heard back from MD-IT
but somehow with over 16 years of experience, I blew the test. I was soooo disappoionted and yet pretty stunned. I am by no means perfect but I haven't flunked a test in years. I expected it in my early years but not this far down the road. I was so confident and they will not tell you which part you did not pass and why so it really just blew my mind. I must have been in shock for like two hours after I got the email. Oh well, someone will want me....hopefully. I was thinking about OSi but I don't think I could take another rejection if I never heard back.
Then get an in-house job so there are no
your current position.
In house?
Just curious if that had at-home transcriptionists. Sorry, I dont know about their testing, but I had thought about applying there before also, so will watch this thread.
In-house
Never thought I'd hear myself say this, but I would love to get back into a hospital.
In-house only. sm
They listed the opening on MTjobs.com. Check there for info.
In-House
Yesss...and that is one of the reasons hospitals began outsourcing..
That's in-house only. Tried that already... nm
x
If you are in house, and they are (sm)
having trouble with the home people now, chances are excellent they will continue to have the problems when you go home until they get someone out to fix it. If all the home MT's are having trouble, then the clinic needs to get someone in to fix it. Maybe you might have more to say about that while you're there. Once you go home, you're stuck like everyone else.
im a in-house MT, BUT
I might sound sneaky and dishonest, but I really think that whether you're an IC or employee, they have no say. Unless it's in the contract. But then again, I really don't think they can find out. I also work for a private office consisting of 4 docs who also dictate for the hospital. That friend whom I mentioned who used to work for a vendor AND our hospitals--she now has her own business and I work under her also as an IC in the clinic setting. Our boss doesn't know this because the 4 docs I type for also dictate for 1 of our hospitals. I fear the conflict interest issue. I make $22 by the actual hour plus incentive for the hospital, but as a single parent, I need more than that. I really don't know if I could get in trouble because during my IC shift, I'm not typing for the hospital.
Good luck, I know where you're coming from as far as really wanting just 1 job but needing to live, pay bills, and eat.
in-house
I left MQ after 20+ years to go in-house. I assumed I'd take a pay cut, but because of all the changes at MQ and constant lowering of pay, I decided I'd trade the money for some security. I was totally surprised that because of my experience, I started at more than $20.00 an hour, plus shift/weekend/holiday differentials and great benefits. I did have to change my schedule slightly (working afternoons/evenings) but again the differential comes into play so made it worthwhile. Only work 1 weekend a month, no holidays (unless I want to) and the pay is hourly, no production, no worries about NJA. The future of making a living with the MTSOs seems to be more and more uncertain so in your shoes, I'd definitely look into going back in-house. Also my employer now sends their MTs home to work after training and I think a lot of other hospitals are looking at doing the same thing. I know it will be an adjustment for you not working at home, but I've never regretted it for a moment.
in-house MT now
Four months ago, I started work for a local hospital and couldn't be happier. I've been a Transcriptionist for 33 years, and this job has been a God-send. No stress, no minimum line counts, paid hourly (excellent pay) exceptional benefits, low cost health care. I had been an at-home transcriptionist for 10 years, and the work had decreased to the point that my last pay check was only $500.00 for a two week period. I was facing foreclosure on my home. On my interview, the director informed me that they had an outside company, but decided to bring transcription back in-house to be more cost effective for the department.
I had the same thing happen, went back to MQ, went back to KS and could not be sm
happier. I am on a different account then the first time and it is as if it is a different company. I have a great lead who leaves us alone most of the time but is there when I need her. It showed me that you can have a different experience within the same company.
I have to say that in the few weeks since they have the new office, it is much more organized probably because there are a lot of people there all the time. I had the pleasure of speaking to the new HR manager who was HR at a hospital, got my questions answered about insurance as I am going to full time and had a live voice pick up the phone.
Not all change is bad. This is one company that has changed for the better.
I was reading about the back up help. I would like also to have some back up work.
I am not getting anywhere near 12,000 lines this go around. My goal is 12,000 lines each pay period.
What planet are you on? Put your name on here so the OSI hen-house
among each other? Sorry, but you need a reality check.
They must have cleaned house, then. sm
This was a few years ago. However, anybody can do a search of these (and other) boards and find that this was (and I think continues to be) their reputation.
Work in house
I currently work in house for a hospital in Maine who is going from pay per hour to pay per line
Ops are being kept in-house more and more. Lucky to get the few that come my way. nm
s
There are no in-house MTs at Medware
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Transcription House
Does anyone have any info on Transcription House in Arizona?
Since I only go out of the house about once a week, no one
x
Transcription House
Any info. on Transcription House in Arizona?
transcription house
Has anyone ever heard of or worked for an ENT position for a transcription house? I have seen this posted a few times and have applied before but this is the first time I have had a response back. Just wanted to know if anyone knew anything??
Thanks in advance.
Oh, they do that at your house too - I once mailed (sm)
2 gift cards from my home mailbox to 2 different parts of town. Neither arrived. Tells me something about the P.O. Mail delivery on my street is absolutely the worst! Thankful for Direct Deposit. I would let Deb know.
There's an in-house MT job in Wichita, KS, in the
s
I was hospital in-house for 13 yrs
and only did radiology. There were gals who did basic 4 called the MR people.
Pathology, orthopedics, cardiology and the morgue, among others, had their own transcriptionists. NONE of us did everything.
Fair question.
In-house work
I work for two hospitals directly as an employee. Both jobs I got after seeing their ads in the local paper, but would suggest to actually contact the hospitals in your area and inquire rather than wait for an ad.
She could try to find something in-house. SM
She could also post a resume on a message board and hope someone may offer her some work.
You should see the new house he just built! nm
I would like to get the heck OUT OF THE HOUSE.
nm
when they gave away my in-house, I
finally got a holiday off. I have worked them for so long, everybody quit even inviting me anywhere. This is the first time I have had Thanksgiving, Christmas, New years, mother's day, off in 21 years. Mostly just got one or two a year.
Sounds like my old in-house job, where all
Try in-house at a hospital.
z
Transcription House
Any information on Transcription House would be appreciated. Thank you.
Transcription House
Hi Betty, I am new to this board. I work for a company in AZ where I live, and just recently found this ad for TH also in AZ. I have sent them my resume and visited their website, but don't know much more than this. If you do happen to get any info, good or bad, will you let me know as well? thanks!
Transcription House
I worked for them in the past and had a great experience. I would recommend them.
I truly do not know of any except in-house employees, sorry! nm
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