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Unrealistic view that a lot of MTs do not understand. The offshore companies sm

Posted By: MTSO2 on 2006-01-08
In Reply to: To the MTSO who posted - C-msg

have very deep pockets and make it attractive for companies here to use them. Even if every smaller MTSO refused to do it, do you think we would be able to compete with Spheris and C-Bay just to name two of the bigger companies that use the offshore transcriptionists?

Hospitals, unfortuneately, often care more about the bottom line than the perfection we expect from ourselves. Many doctors do not read the reports (most from what I understand) and just care that they have satisfied JACHO requirements by having a record in the charts.

Offshore transcription is not going anywhere. Sad but true. I do not support it but I am a small tree in a very, very, very big forest.


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plus I understand they offshore to India...
at least that is what they told me when I interviewed with them a few years ago.
I dont understand why these companies keep SM

advertising, with multiple ads no less, when they obviously do not have enough work.  To me, this seems somewhat like false advertising.  This has not happened to me personally, but I would sure be po'd if it did. 


To all of you who have had this happen, hang in there!


 


Companies who truly understand IC and are legit won't
require that. My company says they will never require a schedule and do not direct deposit for the simple fact that those are things you do with employees, and they do not want to ever cross the line of IC/employee with their ICs. There are bound to be other companies on the same way of thinking. Sadly, I agree with another poster that said if people are willing to sign contracts and accept set hours, it will become something we can't get away from. ICs stand up for yourselves and point out the law to the interviewer so this does not happen!
Companies that offshore
I am about to make a move as far as employment goes. I'm an editor. I am not interested in editing  for a company that offshores. I'd like to know who they are. If you are aware of any, please list them.  Thanks.
Companies that offshore can now

from main board:


MTStars has been staunchly against the offshoring of American Private Health Information, but realizes that MTStars must evolve with the ever changing views of conducting business in the global economy. The hands of time cannot be turned back on the widespread transfer of information globally and as of January 1, 2006, MTStars opened itself up to include the global environment.


I try not to keep companies going that offshore.




DISKRITER
Find All Related Messages: Diskriter


A growing number of healthcare facilities have reduced costs significantly with our breakthrough transcription program. By eliminating the high labor-related inherent with traditional outsourcing, our SmartSourcing program will save you 25% or more.

Diskriter is involved in Offshore Outsourcing (sending sensitive private health information of US citizens to countries such as India, Pakistan, Philippines, etc...).

Official Website: http://www.transcriptionsmartsourcing.com
http://www.diskriter.com



Need to know which companies offshore
Need to start looking and need to know which companies to avoid...please share the names of companies who offshore.

TIA
not 100% sure but I do know that both companies offshore. sm
why would a client pay for US people to do the work when India can do it for much less?
Two companies that do NOT offshore
are MDI-MD and Landmark. Let's support American jobs for American workers.
Two companies that do not offshore
are MDI-MD and Landmark. Both are good companies with decent, honest people who will treat you fairly. As to offshoring, I might mention that a friend of mine was laid off this week (along with 250 other people) from Wal-Mart because they are now going to send the work to Mexico. Although I am poor, I will NEVER again give my business in Wal-Mart. There is a great DVD called THE HIGH COST OF LOW PRICES. I realize that we are not Wal-Mart workers, but the same principle applies. AMERICAN JOBS FOR AMERICAN WORKERS! Do not patronize companies that offshore. They are giving America away. (If you don't believe it, look at the mess we currently have in California--the state is going to go bankrupt.)
Companies that do not offshore

For anyone wanting to keep the work in the USA!!!!!


 


AMPHION

AXOLOTL

ENCOMPASS

FAST CHART

KEYSTROKES*

LANDMARK

ORACLE (OTI)

SILENT TYPE

SOFTSCRIPT

TRANSFORM

TRANSHEALTH

TRANSTECH

TRX

WEBMEDX*

ZYLOMED


Companies that do not offshore work

Are there any companies that pay a good line rate and are good to there MTs that do not offshore there work?  I am trying to help a friend looking for part time work, but she is staying clear of those that offshore..


Any help would be appreciated.


If companies offshore they are not allowed to
post ads on MTStars.  TM is not one of those companies.  They are not an MT company, more like an employment agency.  If a company pays to advertise on MTStars any post that doesn't glorify them is removed and evidently that is what happened.  
offshore - most companies send
only what their current staff cannot get done or if the hospital specifically demands it - how does this take away from the MT or is it the fault of the MTSO?? I think everyone is angry at the wrong party - - everyone (companies and MTs) do what the hospitals are demanding
I think they are trying to be competative with the offshore companies for one,
but I think some are just greedy and they want you to think that they must lower their rates to keep an account and that trickles down. 
There are companies that take a stand against offshore and mean it. sm
I would look for those. I know for sure that Execuscribe, JLG, Keystrokes and MDI-MD do not send work out of the USA. I am sure that there are others.

I forwarded the entire thread about an hour ago to my Lead Transcriptionist, HR and to the owner of the company I work for so that they are aware of Heartland doing this. The owner has already answered me and said that they will watch out for displaced Heartland MTs and give them special attention. She agrees that no one deserves this treatment. I am proud to be an MT, but discouraged and worried that things like this happening will chase away my fellow professionals. I hate to say it, but we really do need more structure if we are going to make a difference.
She tries to hook you up with companies that offshore. NO thanks.
/
More and more companies offshore. Lots of them
say they don't, but they do.  It is getting harder and harder to find a company that doesn't offshore, whether it be to India, the Phillipines, or Trinidad.   If you have children to feed and a mortgage to pay you HAVE to work.   Unless you've figured out a way to get the bills paid and not work you do what you have to do.  
Yes. I will not work for companies which offshore.
If we all did that, the companies would have no choice but to come back and give us our jobs back.
Is there a list of companies that DON'T OFFSHORE?

If not, can we list them here?  I'm tired of getting laid off or not having enough work from companies who're sending work to India. 


 


If you know of a company that doesn't offshore, it would also be nice if you could say whether or not they require VR.


 


Thanks in advance to anyone who participates -- we're all in this together!   


Here is a list of companies that offshore ... FYI

See study overview table from 2008 MTSO study:

[image]



I was fired from Keystrokes today for errors. Are there any companies that pay well and understand
we are human and sometimes things happen.  I have had a rough time in my life for the last few months, and I thought they were understanding but *POOF* out of the blue I get a call today that my services are no longer needed due to quality issues.  Is this fair?
Nearly all the offshore companies have front offices in the U.S. sm
Sometimes their actually hotel rooms.  They use international phone numbers and purchase a phone # in the U.S.  In point of fact, clients many times don't even know they are dealing with an offshore company.  The owner of this website has done extensive reseach and knows who offshores and who doesn't.  It isn't that hard to figure out when you start connecting the dots, i.e., visit the website and there is no place for MTs to apply. Almost all U.S. based companies have a place to apply.  Notice that all the offices, including those in other states, all have the same address and phone number.  And notice if you call that 24/7 phone number you always get a voice mail.  There are lots of ways to tell.   The offshoring companies are getting more sophisticated about how they work things.  And some hospitals are getting more persistent about not contracting with services who are offshore.  It's a shill game. Dishonest and deceitful. 
Is there an easier way to find out if companies offshore?
I have worked for 3 companies that all offshored and were absolutely not forthcoming about it upfront. I never want to work for one again. Is there a list somewhere or am I banging my head on the wall. Again.
How about this? In a nutshell, which companies DO NOT outsource OFFshore?

I though offshore companies could not advertise on this site?
Guess I am wrong about that.
OP asked for a list of companies that DO offshore (sm)
Inside the post she asked to start a second list of companies who keep work here in the USA.  I understood the post, and was merely listing Keystrokes as someone who does NOT offshore to go on the second list of companies that keeps work here.  KS does NOT offshore and they never will.
WHOOPS, referring to companies who do not offshore.
x
Are there any companies left who don't send work offshore?
?
I think the 2 largest companies that do not offshore are Webmedx and Keystrokes. sm
Webmedx is in the $25m range with 750 employees and Keystrokes in the $20m range with 600 employees.

I am not sure about SoftScript or Transtech but I do not think they are bigger than those two.

I know that both have goals to be in the same size range as Spheris. I worked for Spheris in management for a while before coming to my senses and both companies were discussed frequently.

I just hope that MQ or Accusis does not buy either of them. The rumor is that neither will even think of selling but $$$ talks and MQ still seems to have plenty even after losing the lawsuits AND after having a negative income for several years. Not sure how or why, but their pockets are deep, as are those at Accusis.

Thoughts?
Actually, companies get BIG tax breaks if they do offshore thanks to Prez Bush; who we all know supp
x
Everyone is always wondering what companies offshore and i found a link to a bunch

http://www.angelfire.com/mt2/transcription/medical_transcription_services.htm


 


Notice AlphaBest is on there and she SWEARS she does not  send work to India.  I worked there and i knew she did but she refused to admit it even though it is in writin now.


Wrong. Companies chose to or not to offshore work, nobody makes them. sm
My company does not offshore work, absolutely will not. We've actually gained/kept accounts assuring clients that we do not. We have many clients, cutting edge technology for both customer and employee, a healthy growth rate and a high MT retention rate. It's not impossible to have a successful USA-only based company. Sadly that may not be the norm anymore, but it's a choice MTSO/CEOs (whatever they may be) make and in my opinion maybe cutting some of the bottom line and offshoring is being done in place of producing a high quality of work that keeps a customer happy and not looking around for other service options. Subsequently I think these companies then suffer inferior work further because they are paying less and/or maybe have contractural obligations. Personally I'd like to think they'd still prefer high quality to low prices and inferior product. I have to wonder if these offshore companies are losing just as many accounts because of their product. I just know I am glad I work for a company who doesn't outsource, doesn't plan to, and has every intention to remain successful because quality does count.
How is that unrealistic?

If you had any other job and didn't meet the expectations of your employer you would be terminated.  What makes this job any different? 


But very unrealistic!
;*
How unrealistic to say they are not going to get
This is just not true and such a blanket pessimistic statement.  Of course they can do better. MDI was not the end all of end alls, and to have your attitude, well, of course they will have no options. Might as well just throw in the towel according to you, and give up. What a terrible way to look at life and how sad for you.Of course, you'll reply that you are just fine and dandy, which is BS. Why come on here then and spread your doom and gloom. Say something encouraging, why not?? As I said, I've worked for MDI before and they were OK.  They were very nice and very accommodating, but they had no work.  No work equals no work. This was not just one time, either, but over a period of several years.  They treated me like gold, but were always short of work.  Before you bash me, I am a top notch MT who types anything and everything, can handle any number of accounts, so it was not me.  I can still write to staff today and they are friendly and would give me a job, but truly MDI was not the best game in town and certainly not the only game.Now why not encourage the MDI MTs some more?? any more doom to toss at them? 
I don't think it is unrealistic at all and I am a very
were, for the most part, top notch MTs.  But if you haven't noticed, MT has been on a downhill slide for a while now.  The writing is on the wall, and that writing just got so big a blind man could see it with the aquisition of MDI.  If I am wrong, I'll come back someday and say so.  But even with my own accounts and within 20 years of retirement, I am preparing for another my exit from MT. 
That's so true. It's unrealistic to think otherwise.
x
Whoa, please be very careful. Their ad is very unrealistic
nm
The powers that be at JLG had unrealistic expectations.

May of 2008 is when they went live with their SR program.  They hired a bunch of the QA people that were fired from Focus in their shake up in early May.  They hired everyone in at hourly pay because the SR supervisor told mangement that there would be a learning curve for the SR engine.  In other words, the QA people hired at the beginning would be teaching the SR engine by making corrections to the reports typed by the SR software.  We were basically transcribing entire reports in an effort to teach the engine.


Within two weeks of starting the program, JLG management was crying about losing money because they were paying us hourly and we weren't producing where they thought we should be.  The supervisor again tried to explain to them that as the SR engine began to learn, our production would increase significantly because we would need to make fewer corrections.  This shut them up briefly.  Then they began to cry again and said all SR people need to be paid on production even though they had contracts with each and every one of us stating we were to be paid hourly.  So the decision was made to put everyone but the team leads on production. 


Still JLG management wasn't satisfied because they weren't lining their pockets well enough or quick enough.  They kept pushing and the SR supervisor turned in her resignation.  They in turn told her she was terminated as of that day instead of letting her work her final two weeks.  They then cut her off completely and told her to not have contact with any of us.  Within a week of her departure, the team leads were then contacted and told they had to go on production as well.


Still not satisfied, management began to scrutinize each SR editor, putting some on 100% QA and bombarding them with email, making them feel as though every move they made was being watched.  It was a very stressful situation.  Management played games such as cutting off work so there was no work in the SR queue for anyone or putting in some phantom editor who was doing SR at a rate three times faster then the rest of the SR team.


Some of us were producing upwards of 3000 lines a day on SR and still were made to feel it was not enough and if we were producing enough, then our quality was called into question.


Now this.  Now they just pull the plug.  We put our blood, sweat, and tears into making SR work for JLG and they have had no intentions of letting work --> well at least one person specifically had no intentions of letting it work.


So there is the sad saga of the JLG SR fiasco.


Totally unrealistic as long as Indians make it worth their while.
nm
Boycott the BOS? Why not boycott the companies who offshore? Makes more sense to me.

You have to admit when doctors say stuff they don't necessarily say/spell it right.  It's your job to do so, and that includes producing a readable, understandable report that is uniform with those that are in use in whatever facility it goes to.  If everybody did things their own way imagine what a mish-mosh of things would wind up in a patient's chart, not to  mention there would probably be no end to made-up things or things inserted because it seems to fit.   


I wrote a letter to Hillary Clinton today, and I also wrote one to Mitt Romney.  I am also going to write ANOTHER letter to the Editor as soon as I can compose my thoughts.  Just think, if we ALL did this someone might say, well what's up with all this? and maybe we would eventually see a change.  This didn't happen overnight and it won't change overnight.  And it certainly won't change at all if everybody just sits around and complains.  Strength in numbers, they say, and I'm sure we MTs are a large one. 


And I would type 40, three refills, I believe that's what the BOS says.  I don't see it as particularly rebellious on your part. 


 


Why the view on QA?
I've seen some slamming of the QA dept of OSi here. I'm curious to know why the negative view of their QA? What is the reason that you think it's the worse QA department anywhere?
A different view
I'm not sure where the other poster's info regarding mostly verbatim accounts comes from. Not one of the 4 or 5 accounts I've worked on over the years have been verbatim. Ease of production of course depends a great deal on your individual account. I happen to have a good one, although challenging, and I don't have any problem getting my lines on it. Management has been great to me personally, and I have no problem with the company whatsoever.
Osi and another view

On the other side of the coin, yes, being a newbie there was difficult because they threw so much at me at once, so many specialties, over 100 physicians all at once on a verbatim account.  Yes, I did get e-mails where I had to go back and point out to QA where they were contradicting the account specifics.  They had too much to handle.


BUT -- and this is a HUGE BUT -- I left there knowing so many specialties precisely because I got it all dumped on me at once and it had better be right.  It was not a job, it was more like a school and I was being paid a little bit for doing the work. 


Where I am now, no matter what they give me I can do it.  I've had experience in almost every specialty, close to 30 or more.  I've learned to push and push and not give up and take advantage of the overload to better myself.  My Stedman's books are loose from the covers at this point.  I don't think any school could be harder than OSi because of the pressure, the exposure to so much all at once, and you HAVE to do it as fast as you can because for me at least it was my only income.  Sometimes the worst experiences pay off the best in the end.  But as of the time that I left which was not that long ago, I would not advise a newbie to go there unless they had another source of income and could afford to get fired.  They are VERY strict.  I won't even go into the line counting debate. 


To the one who has a different view
I agree with you. I think you have hit the nail right on the head. As to what will happen in 2 years, I will be happily retired (hopefully in Florida). Two years until retirement and I can hardly wait. If a child of mine ever wanted to become an MT, I would absolutely discourage them from doing it. Anyway, for what it is worth, I completely agree with your opinion and I have been an MT for a goodly long while!
another view
Hi all.  I'm the original poster that caused so much backlash (ss# question).  I am very happy to say that the replies to kitty and at the response I got for my seemingly simple minded question have changed my view.  Just for the record, I understand HIPAA laws and have seen this before, just not as an IC with no background check, etc.  To be honest, I never really paid attention, just did my job and did it well I might add.  I'm one of those lucky ones who has never been without work and has had no trouble getting job offers with a respectable line rate.  I was so happy to have found a place to communicate with others like me and I guess I kind of got knocked off my square a bit with some of the responses.  I'm going to take the advice given and turn the other cheek and stick around.  Those of you who are so helpful, pleasant and kind to one another have changed my mind.  Thanks again to all of you for showing me the positive side of this site. 
Thanks for a different view
You could be so right about this, just was not thinking that way. I am very careful person and I really pick and choose carefuly when I try to do something. I thought she figured maybe I was on a scam which is far from the truth. My daughter tells me I cannot rescue the world (do animal rescuing also) but gosh, I can give a little of myself sometimes. Thanks for the insight!
offshore overseas.... not outsource .... correct term is offshore.
nm
curious about your view
Did she not break the law and was it not her own doing?  You make it sound like she has had such a hard life.  If she has because of this, it is her own fault.  She made the choices and now suffers the consequences as we all do.  Why are they bringing all this up now?  Maybe she is into something she shouldn't be again?
My point of view
I don't think anyone is goint to find a perfect company. I have found OSi to be pretty good to work for, comparing to two other nationals I have worked for lately. THe work has been slow because of the holiday and hiring so many people, but I think they're moving people around and evening it out. I have plenty of work now. And I find my coordinator very knowledgeable and professional and very ready to help. There will always be things to gripe about, but I'm making my line count easily and can't complain.