offshored to India.....
Posted By: EvaEv on 2008-05-26
In Reply to: I believe the new gripe is not that work is being - offshored to India or
Why do you automatically assume that an Indian or any foreign employer will be hostile?
By not accepting to work for a foreign employer, you shoot youtself into your foot; because if you don't accept as an US MT the work, then they will be forced to offshore. It is the other way around, so much work is outsourced, because many US MTs refuse to work for 'hostile', foreign employers.
On top of this, there is literally no middle class in India; the gap between rich and poor is immense. The poor people who manage to get a good education are struggling for jobs, and they are good. There are IT experts who cannot find a job, students who studied a
couple of semesters of medicine, cannot work as a physician, start a career in medical transcription. And they are good, hardworking and very cheap; they are happy to survive.
Mexican do the work US citizen do not want to do, it is too 'low' for them.
Reading all these negative comments from US MTs, make me wonder if the profession of MT will go down the same road and will be given to people who are ready and 'eager' to take this kind of work.
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will be offshored.
x
I don't see how this could be offshored at this point
or in the future. It is really much more intricate than MT as you have to know coding assigned by individual states as allowed by Medicare, and you pretty much have to know all Medicare/Medicaid regulations and independent insurance company regulations. Because of the oath you take when you become certified and because you have to be physically available IF a monetary/or jail term penalty is issued, I don't think employers would take the chance with coding that they do with MT. See, when it comes to getting paid for services, employers aren't as willing to take chances.
Oh, other employers who need coders are insurance companies and medical office management companies.
good luck,
d~
LINK TO WHAT ELSE IS OFFSHORED
I have spent the last hour doing research on offshoring of medical transcription. This is one of the sites that I found and now they do our taxes and legal stuff too? Some of the ones I found also offshore to Russia and China! Check this link out and look to the right of the page to see what else they are doing. They even listed some of the MTSOs and will sell you articles and information on their plan of action or whatever they call it.
LINK:
http://www.valuenotes.biz/bpo/vnbiz_mti.asp
VA accounts cannot be offshored
- so that could not have been the excuse given by the previous company/employer I mentioned. I know this is a huge factor for most companies providing quality work from quality MTs. Really is a sad situation all around. Sure don't see my medical bills decreasing and I prefer someone qualified and, because they are, hopefully adequately paid to type my medical records.
What does scoping pay? And does it get offshored?
Perhaps recruiting has been offshored?
amn
I want to add: An US MT newbie would know, an offshored MT probably not..nm
nm
I thought AllType offshored?
nm
They might be offshored BUT they drove down prices when they were sm
able to be sent offshore, prior to the VA system getting wise. Until 15 months ago, keeping the work in the USA was not a requirement for VA accounts. You had to be a US company but could have anyone do the work.
Most facilities don't know their work is offshored
the MT dept. head knows about it and nobody else. That's pretty evil. Hadn't thought about that.
All easy dictators are offshored
I was part of a package that Transcend purchased. We were all assured there would be no changes, which was initially true for several months........then the massive offshoring became more and more noticable. One account would have hundreds of jobs in the evening; at 5 AM there was nothing left and if there were any jobs available they were very difficult dictators.
It got to a point where any audible dictator was offshored and there were no decent dictators left. You also had to be flexible waiting for work. Sometimes you would have to wait 4-5 hours for jobs to be available. Then your health insurance was revoked for not meeting your quota.
My advice is that you have no choice, give them a try. Maybe your luck will be better. If you do have job currently, I would not consider changing.
Good luck!
All easy dictators are offshored
I was part of a package that Transcend purchased. We were all assured there would be no changes, which was initially true for several months........then the massive offshoring became more and more noticable. One account would have hundreds of jobs in the evening; at 5 AM there was nothing left and if there were any jobs available they were very difficult dictators.
It got to a point where any audible dictator was offshored and there were no decent dictators left. You also had to be flexible waiting for work. Sometimes you would have to wait 4-5 hours for jobs to be available. Then your health insurance was revoked for not meeting your quota.
My advice is that you have no choice, give them a try. Maybe your luck will be better. If you do have job currently, I would not consider changing.
Good luck!
so, you know for sure this account agrees to be offshored? (some do not agree).
nm
and they dont care is offshored. Bottom line to them
x
They only offshore if the client wants it. Most accounts do not want their work offshored. NM
x
My 1 cent (keeping it low so opinion doesn't get offshored).
I agree with a lot of the other people. I will say, though, that I would be A-OK just working on Word since I'm assuming getting a the DocQScribe set up for a bunch of people might be cost prohibitive, at least at first.
Also, since you are talking hospital transcription, that is going to mean 7 day a week coverage. If the need arises, I would rather see rotating weekend coverage rather than requiring everybody to work every weekend.
Also, while cross-training is great for vacations, sick days, heavy work, it would be terrific to be able to get an account and not have to chase the work across 6 different accounts in a crazy MT version of musical chairs. I guess that would mean not over-hiring.
It may be unpopular, and it's probably easy for me to say because I've been at this for so long, but since we don't really establish seniority at a company, I would love to see some sort of reward for years on the job. I think I bring more to the table than someone with 2 years, and it would be great to be rewarded for that.
I'm sure I'll think of more...it's been so long since anybody asked what could make my job great that I had given up even thinking about it!
"All kinds of industry is offshored" yep, & guess who started it early 1980s?
.
India, Michael. The MT world is going to India. Wonder why? nm
!
When they called me and I asked them if they offshored, they asked me why that was my business!
xx
offshore to India, it's OFFSHORE (off shore), not outsource to India.
nm
If the transcribed files go to India, are sent out from India to be transcribed, sm
then the transcribed work is sent BACK to India to be pasted into the GEMS platform and then sent back to the clients in America, how on earth can the company claim to be US-based because its Indian owner has a home in Kentucky?
...or from India. nm
x
so done with india
so done with india.... they can't make it w/o us americans
It all went to INDIA....
Spheris over-hired all right. All of your work went to India to the Combitore office they opened up. Look into some websites and you will find it. Indiadaily. com or something like that. It talks all about the nice growth they are experiencing in India with the new Spheris office. They immediately hired like 300 or some MTs. Now that is going to take a bite out of your work isn't it. Get out of that place and find a place that is not giving all of our work to India. Plain and simple!! Let them have all India workers for a while and when the quality gets so bad and they have to come back to US MTs, well then you should ask for a better rate of pay as well. Spheris does not deserve to have even 1 good US MT to work for them. They are biting the hand that feeds them. As a matter of fact, people should not even use the hospitals that use Spheris as an outsource. There is more than one way to skin a cat!!
Not ALL of it goes to India.
I do not work there, but I have a friend who does and she works on an account for C-Bay that does not allow the work to go to India.
india
Just wondering, do these MT companies actually give computers in India to those people like they do for their employees in US? At one point does the Editor know their editing a foreigner's work? Just a question I had.
India says? Says where?
x
yes to India
/
India
Can it possibly be worth it to these companies by time the pay someone out of the country and then QA. Wouldn't it make more sense to just have an MT who could do the job correctly in the first place! Guess not - since they are all going this route.
India
As the owner of DIT, I can assure you that we most certainly do not outsource to anywhere. All of our work stays in the U.S., always has...always will. We subcontract with MTs all over the U.S.
Donna, Owner, DIT Transcriptioj
India
I posted something a few days ago after the acusis/DRC buyout. I said I would have to tighten up the budget until I knew what was going on. Today I tried to call a company about an account I have, thinking I would close it out. After speaking with a gentleman for a few minutes I wasn't comfortable with the answer I got from him because I had remembered something different when I signed up. I asked him where he was located. He named some city in India! I then said I wanted to speak with someone in America. He said that was not possible!! He kept asking me, Is something wrong with my answer? I asked his name - he said Mark, which I doubt. I don't know, if it wasn't so sad it would be funny. Maybe this belongs on the comedy board. I was speaking with a friend today who owns a small transcription company, and he says that pretty soon the Indians will be having the same problem we are becuase they will be undercut by China.
In India
nm
I believe it. The same for India.
x
India
Lost two small accounts completely that were okay. Now getting primary, but they are the worse dictators in the pool - not seeing any of the halfway decent dictators. These are all ESL. I'm lucky if I get 80 lines per hour because they are SO BAD. As usual, can't get a response from PS or WFC. I looks like the same situation here that the decent doctors have been shipped to India.
MTs from INDIA
Please do not use this site to contact me to find you a job. I do not agree with outsourcing and feel our jobs need to stay here in the US. Please find your own job in your own country because there are jobs in India that pay India wages to India resident.
MTs from India
Anon..I agree wholeheartedly with you. I used to have my bio on one of the sites and it would never fail....I would get online about 6:30 a.m. our time and there would be 3 or 4 Indian people wanting to talk to me about wanting to work for me and how much they could help me. I told them I was very sorry, but I felt that we needed to keep our own MTs busy and thus I did not outsource. Took awhile for them to get the message, but finally they did. We have to keep putting this message out there....American work for American MTs.
MTs from India
Has anyone heard that recently Indian companies (from India)are now outsourcing to Romania? Seems that the Indian transcriptionists in India are becoming disgruntled about pay, and sweat shop labor. Too funny!!! So, okay, let's move on to another country and exploit them!! HaHa!! It never ends does it - it's all about the cheap.
India
According to a Wikipedia article: More than four-fifths of Indians practice Hinduism. Islam, practiced by around one-sixth of the population, is the most prevalent minority religion. Christianity and Sikhism are each practiced by around 2% of Indians.
Here's a list of Hindu festivals/holidays:
http://hinduism.about.com/library/weekly/extra/bl-alm.htm
BTW, I had occasion to communicate with the India technical people at Acusis around Christmas, and every one of them greeted me with Merry Christmas or something similar. They have always been very polite and respectful. Actually, the people I have the most issues in the upper echelons of this company are those in the States.
India - every now and then
I reply to them and send them voice files to try out. This last time, I sent 3 voice files. I took one look at the result and my fears were confirmed. If any doctor in the US were to say I FORCED the patient to take his medications we would have a problem. The culture in these other countries don't quite get it. Needless to say, I didn't follow through (which I wouldn't have in the first place anyway). Flame me if you like but I am not going to trust our medical records to countries who don't know our culture and would open us up to lawsuits.
About US MTs and India sm
I have been a QA Editor for quite a while. I used to disagree when some companies state that they have a hard time finding qualified US MTs.....Now, from what I have been doing QA on, I have to agree with some of the companies. Is it that the quality is so poor because MTs just do not care anymore because of the low pay? I don't understand. Some of the MTs that I QA claim to have 15 to 20+ years' experience......but the quality is just awful!!!
At this point, I would prefer doing QA on work typed by Indian MTs.....It shocks me daily when I see what I have to QA. I assume these MTs have typed this way for so long, they are set in their own way, but it is just awful and I am about to start typing again as I am so tired of sending the same feedback over and over and over again!!
India vs US
I would disagree - I have been in this business a long time and the quality of Indian labor is far below acceptable. PRN typed as PORN, medicines spelled wrong, dosages incorrect, etc. etc.
india vs us
I am sorry but I have seen the work that comes from India and they DO NOT remember the feedback and use it. They make the same errors over and over. I have sent work back to India more than once and they still make the same error each time. Keep the work in the US! Figure the costs, 5 cents per line PLUS 100% QA vs 8 to 9 cents per line for US labor and the QA does not take as long.
India MT
How do you know they make 5 cents a line? My PMD (who is foreign) told me the India MTs make approximately $500 MONTHLY which is roughly $3.12 an hour if they work full time. He wants to start his own transcription business to offshore to India and wanted me to give him pointers! Some nerve!! I told him to forget it!!!
Well, we have India to thank for
chump-change pay. Just recently had an interview with a company who advertised they did NOT outsource only to find out they did and I immediately declined the offer. I will stick to my guns and hopefully find a company who values what I am worth!
They are from INDIA
http://www.offshorexperts.com/index.cfm/fa/buyer.profile/p/228601
Gee, they are even HIPPA (sic) compliant! I feel so reassured.
Not just India
I was doing research for my own edification and came across an acticle (from 2005 and the actual numbers may have changed but the scale hasn't) in a Manilla newspaper saying,
The Philippines graduates an average of 30,000 medical professionals every year and Filipino doctors, nurses and healthcare providers are acknowledged worldwide for their keen sense for details, high degree of productivity and credibility assuring clients of safety of any medical information.
Also, around 25,000 college graduates from the total 380,000 are said to be qualified to do BPO work, with starting salaries of US$1.00 to US$2.00 per hour.
Medical transcription is here to stay. With more companies improving their cost position ...
and that point I had to subscribe to read more, which I declined.
But did everyone catch that? $1 to $2 PER DAY??
You can bet your bottom dollar (and may have to) that places offshore are aggressively positioning themselves to battle the anti-offshore mentality that many Americans have. That was another quote I read in an Indian newspaper article but could kick myself for not making a note of where I saw it.
At any rate, they know a good thing when they see one and aren't going down without a fight. That is their right, of course. They're pursuing the American Dream (if you catch the irony).
BUT, but, but, but....we've been too complacent too long. They're positioning themselves for success and we're whining about our wages going down, and I'm as guilty as the next person.
Time to participate in the increasing number of posts that are calling us to action.
Most of their MTs ARE in India
The worst dictators are left for the few American MTs they hire.
What's with you and India?......
I have nothing to do with India.
You lost it completely.
You are too old for this profession, MT30+.
Again what's with you and India, you
keep mention this.
Do you regard this tehutmost insult you can give?
I said exactly the contrary.
You lost it and you are going against the flow, too oldfashioned.
India
Politics my dear... politics. It sure stinks, doesn't it?
Wow, you are in India, right? nm
xxx
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