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Serving Over 20,000 US Medical Transcriptionists

bringing MTSO question below

Posted By: Hhilda on 2007-01-26
In Reply to:

Sugestion - when MTs complain their account is too hard. Instead of giving them something easier and pushing hard work on more experience Mts, assign the complainer exclusively to hard account until they are competent. Only way to be fair to distribute. Everyplace I work the complainers get the easy accounts.


 




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Just bringing up from below

Many years ago, when I worked in house for a local clinic, we had a Transcriptionist who had just graduated from a medical transcription course (I believe it was through the local community college since this was back in the early 1990s), and everytime this gal came across something she didn't know, she would ask the other transcriptionist or I how to spell it.  I truly think sometimes one of the BIGGEST problems is the fact that nowadays, people are not taught the proper way to spell or even how to research for that matter; for example not realizing that a spelling with an f sound could be spelled with a ph or Pf et cetra.


One classic example was a few years ago, and I was doing QA for a company and this company hired a friend of mine an older lady, who had decided to go into medical transcription and had completed a course.  Well, the company hired her on my recommendation and she called me one day, very upset and saying that she had received another email from a QA person, whom she felt was picking on her.  I asked her what the error was about and she stated that it was over the word chem as in chem-7 (which as an aside, I have NEVER abbreviated; always spelled it out as chemistry-7)  -- well anyway, my friend had typed it as Kem-7, so while I was on the phone with her I made her do a search, and what she came upon with the first hit was some rock band in a foreign country!!!!  This, is what I and older, more experienced transcriptionists get angry about is the fact that many people if they use the internet to do a search will use the first thing that comes to mind, rather than tryng to spell it several different ways to see if it fits in the PROPER context.  Sorry for this being too long.


Thank you for bringing that to my attention. DONE! sm

I am writing to request that you support the above bill. I am a medical Transcriptionist in Wyoming. I make an above-average income, which I spend in my community, but my job is at risk because so much of this work is being outsourced, particularly to India. More importantly, the health and privacy of the American public is being put at risk by this practice. First, Indian transcriptionists do their job poorly and inefficiently. The gross errors jeopardize health care. Every error has the potential to injure or poison an American citizen, including many young children for whom accurate diagnoses and medication administration can be a life and death issue. To add insult to injury, Indian transcriptionists are NOT required to honor HIPAA. Once a physician's dictation leaves this country, it is no longer private.


I am a very hard working medical transcriptionist and I am still able to earn a decent living in this industry, but it is certainly not what it used to be. I am paid 9 cents for every 65 Keystrokes I type, whereas an Indian is paid 2 to 3 cents for the same work. This undercutting has hurt this industry and every woman (95% of us are female), many of whom are trying to support families on their own, has been dragged to the poverty line because our wages have not grown with the cost of living. I make 9 cents today and I made 9 cents in 1996, the year my career began.


Please protect the healthcare and privacy of Americans, and help to protect yet another industry from moving to overseas. Support and sign S.810/H.R. 1653.


Bringing to the top - wouldn't any of us in D's

I worked for MDI.  I loved MDI.  I have always known D to be someone of yes, integrity.  I don't believe her integrity flew out the window.  There is surely a lot we don't know.  And of course, D would not have been at liberty to discuss the coming merger before it happened.


D is a businesswoman.  The purpose of a business is to generate income.  She ran her company with honesty and integrity.  I can't say I wasn't suprised, shocked even, at what has happened.  But I have known D since the early 90s and I know she is a good person and truly cares about people.  I don't know how to reconcile that with what has happened other than to think there is more to the story than we know and that it is the decision that D needed to make at this time for whatever reason, whether it be to ensure a secure retirement, whether it was because she was no longer able to compete with offshoring and VR (I think this may be part of it because she had told me at one time they were having to cut line rates to compete with VR and offshoring) or whether she was just tired and ready to not be the one at the helm any longer.  Maybe it's her health, or her husband's health.  We just don't know. 


 


This whole thing does make me afraid for the future of medical transcription, because another thought I had was that D saw the writing on the wall and knew it was either make the leap now and profit from all her years of hard work, or end up losing it all when transcription becomes obsolete for the most part, or at least for those who don't use VR or offshoring.


Whatever the reasons, I choose to believe that D is still the person of integrity I have always known her to be.  I just choose to accept that there must be more to the story than I know.


I wish the best to D and to all MDIers.  I feel like an era has come to a close and it will never be the same again.  But I feel lucky to have been a part of Signal and MDI and to have known D.


I feel like we are on the Titanic and we just saw D either jump to safety or jump into shark-infested waters, we don't know which, and we don't know whether we should jump or cling to the boat - because MDI was the last lifeboat and now it's gone.


Bringing up thread on Precyse sm

I just got off the phone with someone from Precyse and they have terrible communication and no flexibility.  She kept IMing another lady to ask questions.  Had to check with another person to see if I could do Monday through Friday.  Made it sound like she would really have to do some fancy talking to get that.  I had put in my info that I wanted to work from 6 am to 12 pm and she just read that as she was talking to me and said there was no way.  Told her that I am capable of doing full time line requirement in those hours and she said there had to be the hourly coverage there.


I was just not impressed at all.  She really did not seem like she knew what was going on, could have been a little more prepared for an interview.  I just wasted 10 minutes of my time! 


Bringing up my question on ProScript below
Didn't get any answers, so don't know if that's good or bad, maybe they're just a pretty small company and don't have many people working?  Anyone know anything about them recently?  Trying to update my notes for companies that may be interesting to check on.  Thanks!
Bringing up "who's going to stand up for us" from below

First, flamers, never mind, I'm not talking to you.


So we are all spread out but all of us know other MTs whether we work for the same company or not.  If everyone communicates with those they know and asks them to do the same, word will spread like wildfire and something really CAN be done.  Sitting around complaining and doing nothing accomplishes NOTHING.  As near as I can figure one MTSO is as good (or bad) as the next so they could all use an attitude adjustment.


Not only bringing suit, but our profession's tendency - sm
for it's members to behave like pirhanas towards one another whenever someone mentions something different. Yes, this topic IN GENERAL has been on the news before, but it needs to get more up-close and personal. To begin with, showing what MT really is, how it works, who does it and where, and how it integrates with their doctors, their insurance, and their healthcare, and just HOW MUCH of their personal, NON-MEDICAL information is really contained in their medical records. Then they might just START to care.
Bringing to the top, re Transcend's platforms: How is Beyond Textl? SM

Is it productive at all?  I think it is a VR and transcription mixture and may actually belong to MDI-FL.  Thanks! 


No she's not. She's obviiously replying to a post by DB and bringing to top. nm
xxxx
Be sure to tell them bringing US jobs back home
nm
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!!!!
Just a little slower than DQS in bringing jobs up, filling out screen. (sm)
Not a lot really, and the plus side of being able to research other documents by a particular physician or patient pretty much makes up for it.

Just thought I had heard something and was hoping there was an even better system coming about.


Sten-Tel is bringing all of their offshore work back in to USA. Per the client's wishes! nm
x
when docs give mtso a check, then mtso pays you?
nm
Isn't she an MTSO owner - which MTSO ? Just curious. n/mnn
nnnn
MTSO
New here.  What does MTSO stand for?  Thanks
Looking for an MTSO where I can do mostly ops.nm
nm
Better MTSO
I would contribute myself. Sorry to sound conceited, but I'm really good at my job - and I want to work with other people who are good at it, too.
I think that the MTSO can
anonymously or pseudonymously respond with line rate range info to provide general info to the posters.
Another MTSO here

Feeling just like you.  Look at the ones who complain about working weekends - how many medical professionals do you know that don't have to work weekends?  Why are they in this field if they don't want to work weekends?  It's a pity trip.  How about working in retail or restaurants?? You want a 9-5 job, go get it, away from home of course.


Would like to talk privately but I don't spend much time on this board and don't really know how to do so.  Let me know if you do!



To MTSO - sm
I don't fish, so I don't know what you are smelling, but perhaps something from your personality? I have posted this before, and will continue to do so, as IT DID HAPPEN to me, IT IS THE TRUTH, and I have no reason whatsoever to lie. I want the original poster to know what can happen if she gets
hired by Keystrokes. I want others to benefit from my hiring experience so they don't have to go through what I went through. If my posts are so distasteful to you, do not read them. Your attitude in your posts leaves much to be desired as MTSO...wish I knew your company so that I never cross your path. Perhaps someone posted the truth about your company once too often?
MTSO
Not all MTs are employees. There are ICs and there is a difference.
To: MTSO
Many of the MTs who send that great looking resume' with what appears to be a solid work history...are totally bogus. They may have worked for company x, x, x, x, and x in the last five years, yet they condense and fudge to make it looks like they only worked for company x, and x in the last five years. Many MTSOs don't take the time to check. If the MT passes the test...the MTSO is usually so desperate to get somebody in to work, they hire them without checking.

Also, many claim that they job hop because a company runs out of work....guess what? This happens at almost every MTSO, so instead of quitting only to find yourself in the same situation a few months later, get a second part time IC job to fill in the gaps.
MDI, anybody know how big this MTSO
is and how many MTs they have?  Does any body know if it is IC or employee status?

Any info is greatly appreciated.  
Does your MTSO allow you to use your own

I'm torn on this issue.  My company has just strictly forbidden us to use normals unless they were created by the client, since apparently some MT's have left text in the document in error by not editing correctly.  I can see how this causes a serious QA issue, but I can also see that my pay just got cut seriously yet again by not being able to use them.


So, what' s the answer here?  How does your MTSO handle normals/standards, and what happens if you make an error with one?


To MTSO
At the risk of causing a stir, I am curious about your comment that no serious MTSO would hire a PCDI grad. I am the poster titled Another PCDI grad right below this post. Again, I state that I do not believe it is all about the school, I believe the person and the determination has a lot to do with how far you can go. I feel very comfortable with the 2 jobs I have. I also know that I am not the only PCDI grad with a job. I truly wish that more people would stop looking at just the school, and start looking at the person, because there are all types.
mtso
If I may ask, what does MTSO stand for? Thank you!
What is MTSO?
nth
Well, that's why you are the MTSO and we are the

MTs!! Its your responsibility to divide up the work, and sorry, but most MTSOs I have dealt with have asked me to commit to XX amount of work. They know full well that is all I can handle due to MY other commitments, yet the MTSOs are more than happy to have me at my commitment of XX. That is OUR agreement. I am an IC and on my own. So it is not my problem if Sally has an earache or Dr. Jones has extra work. That is YOUR problem. MTSOs should ASK if we can handle more due to the above situation, but when MTs get dumped on with 2 or 3 times the amount of the agreement, it is WRONG, and very frustrating for the MTs. Thus why most quit and move on to a MTSO who will keep the agreement. Its only common sense, really. Which seems to be a lot to ask for in this day and age.


Top 5 MTSO
Cymed advertises as the 3rd largest for domestic MTs. Not sure how you would verify that though.
Of course....but where are you and are you an MTSO?
It is just hard to give up all my info all the time only to never find out who an MTSO is or if they are legitimate. All of my info, address, etc. is usually on a resume which we submit via e-mail, but if a supposed MTSO never e-mails back, how do we know who we just sent OUR info to?
TO the MTSO
You are not being 'bashed.' People are merely using a public forum to forewarn fellow MTs of poor experiences. If you are truly concerned about your reputation, you will re-examine your business practices and make some needed changes.

Bashing implies an 'unfair' attack - that's not what is going on here.
This is why when you are an MTSO

You should have a payroll account.  Any business person knows that you must have an account to pay out subcontractors.  My brother pays his subs (painting contractor) every week.  He doesn't see his payments for work done until sometimes 90 days, but why then should his subs wait? 


If you want to run a business, you must have a payroll account and not rely on what the client pays to you and when. 


If you do not have the capital, then quit using subcontractors thinking you are making a buck.  Do your own work! 


Just yet another view. 


Which MTSO's allow you to use your own
nm
Seems to me an MTSO needs to see example of
x
MTSO
Where in the heck do some of you people get this mess? We have more work because the hospitals are busy. Stop trying to invent things. Pretty cut and dry if you really want to know the truth. You people always get on here to plant negative ideas in people's heads. Why don't you pay attention to the job numbers and you can see or is it just easier to assume. SHEESH!
me too!! Must be MTSO above..nm
nm
Which MTSO
was this?
Not only can your MTSO see....(sm)

your posts, management, supervisors, etc., etc., BUT anyone who Googles your name or anything associated with your post.  I have even gotten onto boards that are subscription only by Googling words and posts showed up on their boards.  True, I may not have been able to post on that board, but I sure could read whatever was associated with my search results. 


I have a second job as an IC. I let the MTSO
know when I can work and how many minutes I can transcribe. They will then assign me that many minutes and I have it in by their TAT time. If I can't work, I don't. If I request work and they have none, that is fine too. I have no set schedule and am not on call. I work when I want. They have requested I work 1 time when they had a backlog which I did, though I didn't have to, because at that particular time my FT was out of work. As an IC, you set your schedule, they don't tell you when to work.
You must be an MTSO?
x
To MTSO
Maybe it's time for you MTSOs to get together and lobby Washington to stop this off-shoring that is destroying the American dream.  Most MTs today are making less (including myself) than they were making in the 80s and I dare say the MTSO profit margin is probably also less. 
Because the MTSO will probably know who I am if I do this.
I am still working for both of these companies (no other choice right now). Both companies post job openings on this site, so I am sure that they also read some of these posts.
MTSO

because this was my company being owed $10,000, which was at the time about 6 weeks' worth of work.  It was easy at that time to rack up that kind of money...that is also about the time I found out that a company has 30 days to pay another company each individual invoice.  I was billing, per contract, every 2 weeks.


 


 


MTSO not MT

This person is looking for an MTSO with subs or employees to do 5000 lines a day not one MT.



 


Being an MTSO is not for everybody (sm)
I wish you luck, but be prepared for sleepless nights, major stress, and hassles you can't even imagine now. You'd probably be surprised how many MTs have done this in the past and gave it up because it's just not worth it. Being an IC and letting somebody else do the legwork, the marketing, the collecting, etc., is waaaay less hassle, believe me. I wish you luck, but I'm just sayin.... be prepared. It's more stressful than you can even imagine.
If an MTSO does not need 8 to 5
coverage, then they do not have to let an IC work those hours. They only have to let people work when they need the coverage if you are an IC.
They (MTSO) can also tell you when you
x
But the MTSO should tell them no, right?
Am I missing something?

If VR is not more cost effective, it's the MTSO's responsibility to educate the client. It's not right to make the MT pay by cutting their CPL. You're going to lose your experienced MTs, and all you'll have left to edit are the MTs who don't care about quality.





Are you saying that the MTSO is
supposed to accommodate you?? Don't think real life works that way 99.9% of the time.
No different than any other MTSO
...