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Serving Over 20,000 US Medical Transcriptionists

Acusis is giving workers 30% pay cuts?

Posted By: Since when? on 2009-04-30
In Reply to: ah..ah..ah...CUEsis - bless me

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Unions may be good for workers short-term, but look what has happened to American car union workers.
They priced themselves out of the market while making an inferior product. Ford and GM are now junk bonds. I'm driving a Toyota. So if that's un-American just like shopping at a non-union store like Walmart, well you can talk to whoever is in charge of wages and taxes who have created this monster where even middle-class has very little extra money to support a union store where the employees are paid well and you pay the price in the product they sell. I can't afford it.
Acusis
Where have all the laid off Acusis MTs gone?  I mean to a different company?
Acusis
I am a laid off Acusis worker. Started with TransHealth, but htat was a major mistake. The account manager is not a Transcriptionist and does not know anything about the transcription platform. I was given their outdated style guide. I could go on and on---what a nightmare.
Acusis

Just think it's weird ---- things just seemed to go downhill fast once DRC was bought by Acusis --- a predominantely ofshore company ---- hmmmmmm!  Stanford was so desperate they went to Spheris, which I heard they left once before because of problems.


Acusis
I too got laid off from Acusis after being with them for about seven years. No if's, and's, or but's about it, just a big fat "see ya"!  What a shame that they are on MTJobs every single week trying to hire new MTs instead of making an attempt to call some of the ones laid off back to work.  I did find two much better jobs after leaving them.  Steady work, no scrambling at the end of the pay period to get lines, exclusive dictators.  Much better than when with Acusis.  They did me a favor.  I gained a whole lotta experience that I have been able to use elsewhere. 
Acusis QA
Has anyone noticed something weird going on with the QA??  It seems like all my work is being QA'ed...This is happening to anyone else?
Laid-off Acusis MT...

Stay away from Spheris.  They're a terrible company to work for, and they put out garbage work.  They, too, will end up losing the "big" account (which DRC did lose before the Acusis buyout).  I am one of the stragglers left behind at DRC/Acusis, but not for long.  I'll take the gum chewing, mumbling, flatulent, ESL cardiologist any day of the week over being told someone in India is going to train me on a new account. 


Acusis office
Your information is incorrect.
WordScript - which is what Acusis uses.

Not anymore. (Acusis - just more of the same)
X
Acusis has an office in Mumbai...sm
hmm....and that is where these companies want to send OUR records and OUR jobs
Good - Keystrokes, MDI-MD, Acusis, Silent Type. Bad - MQ, MDI-FL, Transolutions, Healthscribe. nm
n
We got cuts when we went to VR.
nm
And we got cuts when we went on DQS.
  Actually, I guess you can't say they gave us an actual pay cut, HOWEVER, you sure don't make the money you made on the old platform.  That also isn't true because you can make the same money - it just takes LOTS longer.  In my eyes, that is a pay cut.
MQ pay cuts
I'm rather new to this board, so forgive me if this has already been discussed. I work for MQ as a SE and received the "letter" but I know nothing about pay cuts. Have I missed something?
Yes, they do so many more cuts because...
they have to do them so fast to keep up the quota.  I reluctantly took my 2 kids there a couple weeks ago and yet again (it happened a couple years ago too), they could not even trim a child's hair.  I actually had to send my daughter back to the chair because there were long pieces of hair hanging down past the level of her hair.  My other daughter looked like she went 3 rounds with a weed whacker...  I had to pay more money to have it fixed at another place.  This was 2 different stylists, more than one event.  They are know in the stylist world as "chop shops"  I have gone cheap and I have paid more and I can definitely tell the difference. 
There need to be cuts

What's wrong with someone receiving medicaid paying a copayment?  I hear grumbling over this all the time, but you sure see some of them in the grocery store buying an expensive 24 pack of beer, yet they want to complain over paying a 10.00 copay?  Medicaid was designed to be temporary assistance, not a way of life.  I have no problem with helping lower income, but not handouts. I have neighbors in their 20s, healthy as horses, who don't even try to work.  They have 4 children with them, the husband has 2 by other women, and they collect 700 a month in stamps plus 300 in cash because she claims he doesn't live there.  They do NOTHING, nada


As for Medicare, I believe if retirees make over a certain income they should not be eligible at all.  I read that even retired movie stars worth millions of dollars get full medicare benefits.


Cuts

I used to work for Kodak and as most everybody knows they went through years of layoffs and always around this time of year.  The reasoning for it was that the department heads had to have their budgets in for the following year and so you had to cut everyone before the new year started.  It sucks but that is they way corporate America works.


 


Dee


MQ pay cuts, My Two Cents
When MQ first bought up the smaller co. I was with, all of the accounts were still intact. I was pleased when my office (Baltimore now, but at that time, still in the Herndon area) offered up increased pay differential for an extremely difficult account.. hallelujah, I thought... and thought that all the worries I had about the Big Bad MT Company eating up the small company I was with were maybe unwarranted. I jumped on this opportunity to actually get paid for doing more difficult work - but was told by my supervisor, well, you already make too much money per line (actually, per 1,000 characters at the time). She of course welcomed me to the account at regular pay - I passed!

Add in that I have not had a pay raise since this same time frame (7 years) ... not exactly a direct pay cut, I guess, and add in the seemingly unprovable decreased pay over the last 7 years... well, that's my 2 Cents. None of it makes sense.
Possible pay cuts, my experience so far
I have been with MQ since 1998 and have 20 years experience as an MT, editor, and MT instructor. I currently make 10 cents per line and in past yrs have been told I am at the top of various tiers also, so not eligible for raise (for life??) bonuses (some, not all), etc. I too received the letter mentioned above, the one about rewarding "YOU for your skill and performance."

I am still on INET, though attempted without success to move to DQS (only have dial-up available where I live, and the ADT searches and other processes were a nightmare without some sort of high-speed internet). In the process of almost going to DQS, my pay conversion remained the same, 10 cents per line. Though this may sound higher than others are making, I have been making the same thing for 8 years now - but yes, compared to what I see on this board that other MQ-ers are making who have same experience or more, I am grateful and surprised. The company I was with that MQ bought out gave us decent raises, and I had just received one before MQ acquired us, and it carried over, thankfully. Little did I know it would be my last raise for that many years.

Anyway, I eventually will have to go to DQS even on dial-up, pay an arm and a leg for satellite, or quit and go to a new company - all options, woohoo, involve pay cuts. I can't even imagine an additional pay cut for ASR, as this makes no sense to me. ASR is an AID, no different than Expander programs (do we get paid less for other things that make us more productive??!) We should get paid for whatever characters/lines we modify on an ASR report and get paid the same as we would for doing straight MT work. Maybe this has already been said here, sorry if repeat!

So, I am wondering what they will knock my pay down to when I finally get over to DQS and get put on the ASR reports... I'm not sure I will accept this pay cut either.

On another note, I am glad for those of you who are getting paid so well by MQ, have great supervisors, have lots of work, and just love DQS - that is great, it truly is. But, it's simply not that way for a lot of the rest of us. I appreciate being able to speak of my true experience here on this board. So, thanks for listening.


MQ pay cuts, more info
I just got a call from Corporate and I asked them specifically if they were going to cut the charges to the client the same amount of the pay cuts to the employees and she said Yes, they are...............  I found that interesting  as long as it is indeed true.
She only cuts 3. By hand. That's all.
x
Short cuts

Ctrl U - underline


Ctrl A - blocks all


Ctrl S - saves


Ctrl X - deletes


Ctrl C- copies


Ctrl V - pastes


. . . and my favorite Ctrl Z - brings back something you accidental delete.


I hardly ever use my mouse as it breaks my rhythm and slows me down.  If I think of anymore I will send them your way.  Did you know that if you hold down your Ctrl key and use the arrows you can move around a document that way?


 


 


 


short-cuts
I've lost my short-cuts...could I have hit a key on my keyboard?  Thanks!! 
ME versus MT, the pay cuts only apply to
those who do ASR (automated speech recognition), now being referred to by MQ at ME (Medical Editors). If you do not do ASR it would not apply, if you do you should receive a letter stating a 20% pay cut for same, or option to quit doing it at all and just do MT.
Inside gives a summary of cuts about to come
E-mail this page to a friend!

House Passes Budget Bill with Biggest Cuts in Medicaid, Medicare

Cuts $99.3 billion over 10 years - 27% from Medicaid, 23% from Medicare.

Feb. 1, 2006 – It's done. The House has passed and sent to President Bush the budget reconciliation bill that was strongly opposed by most senior citizen advocacy groups and newspaper editorials due to the deep cuts it makes in Medicaid and Medicare. It was a very close vote – 216 to 214. The bill cuts the budget by $38.8 billion over five years – 50 percent of the cuts are in Medicaid and Medicare.

Related Stories

Final House Vote on Budget Bill Could Cut Billions from Senior Programs

Passage expected Wednesday to cut Medicare, Medicaid

Jan. 30, 2006 – The Budget Reconciliation Bill, which many see as making drastic cuts in government programs for senior citizens – Medicaid and Medicare, is expected to hit the House floor on Wednesday for a final vote, the day after the President's State of the Union address. As reported today by the Capitol Hill Watch at KaiserNet.org, the bill will reduce federal spending by $99.3 billion over 10 years, with half of that coming from these senior programs. The Congressional Budget Office analysis says premiums for Medicaid beneficiaries in the bill could cause 110,000 to lose coverage by 2015. Read more...

Senate Budget Chair Calls for More Cuts in Medicare

Republicans to recycle old failed issues in 2006

Jan. 26, 2006 – The Republican chairman of the Senate Budget Committee is calling for more cuts in health care programs in fiscal 2007, which includes Medicare, according to The Daily Health Policy Report by KaiserNetwork.org, which cites CQ Today. The daily news summary says Republicans will also be targeting health care proposals this year, but most are proposals that have failed in the past. Read more...

• Homecare Industry Rallying Support to Kill Reconciliation Act

• Television Campaign to Stop Health Care Cuts for Seniors Launched by AFSCME

• Vote on Budget Set for Feb. 1; Senior Groups Seek to Sway GOP Moderates

The House first passed the bill on Dec. 19, 2005, by a vote of 212-206. It went to the Senate, where it passed by only one vote – 51-50. Due to procedural changes in the Senate, it had to go back to the House for this final vote. There was intensive lobbying by the senior citizen advocates and others since the Senate vote on Dec. 21, 2005, but they came only four votes closer.

The final vote was mostly along party lines, with Republicans supporting the bill and Democrats in opposition.

AARP CEO, Bill Novelli, quickly issued the following statement:

"Last night, in his State of the Union Address, the President said, "Keeping America competitive requires affordable health care. Our government has a responsibility to help provide health care for the poor and the elderly, and we are meeting that responsibility."

"Today the U.S. House of Representatives has turned a cold shoulder to that responsibility by further limiting eligibility for Medicaid, a program that serves the neediest -- the disabled, children, the poor and the elderly. It also approved a provision in its budget that will deny long-term care coverage to those who give money to charities, churches and family members in need.

"Working with our members, AARP will continue the fight to have this ill-conceived policy reversed."

The bill would save $99.3 billion over 10 years, with half of that coming from Medicaid and Medicare - 27% from Medicaid and 23% from Medicare.

There's also $1 billion in new spending to extend an income subsidy program for dairy farmers and a reprieve for physicians who had faced a 4 percent cut in Medicare fees, according to the Associated Press.

A major boost to opponents was an estimate issued by the Congressional Budget Office estimating that 45,000 Medicaid beneficiaries would lose their coverage in FY 2010 because of higher premiums in the bill. The CBO report also estimated 65,000 beneficiaries would lose coverage in FY 2015.

Children would account for 60% of the Medicaid beneficiaries who would lose coverage, according to the report.

The report also estimates that 13 million Medicaid beneficiaries would have new or higher copayments for services such as physician visits and hospital care. In addition, 13 million Medicaid beneficiaries would pay more for prescription drugs by 2010, and 20 million would pay more by 2015, the report states.

According to the report, "About 80% of the savings from higher cost-sharing would be due to decreased use of services." The report estimates that 1.3 million Medicaid beneficiaries would have to pay premiums and that 1.6 million would lose benefits, most likely for dental, vision and mental health services.

In addition, the report estimates that 15% of Medicaid long-term care beneficiaries would have their coverage delayed because of additional restrictions on asset transfers.

The asset transfer provisions in the bill would impose punitive new restrictions on the ability of the elderly to transfer assets before qualifying for Medicaid coverage of nursing home care. (Click here to read these provisions.)

That is true of ANY job. Cuts happen everywhere.
Companies do the same thing consumers do: Look for ways to get the most for less. It's actually a rather natural process.

Any job can change in its direction, its stability, etc., as our economic, technologic and global relationship status change constantly.

The only security anyone has is to be prepared with continuing education in more than 1 field, low debt load, high savings -- really living within your means, and keep good insurance.

JMO
We do use dx for diagnosis, and all the short cuts expanders
dd
Radiology MTs - Major cuts in outpatient

imaging by Congress - called the Deficit Reduction Act of 2005.  Signed by Bush in December.  Over five years will amount to 20 Billion dollars cut from outpatient imaging payments for Medicare and medicaid patients.  This will have a ripple effect.  Private insurers soon will follow suit.  Posted the DRA but it was removed by Administrator.... This will have a detrimental effect on us all, as cuts will begin occurring in every aspect of radiology. 


Here is a comprehensive article.  Please do not remove this post for one day, Administrator.  This will impact MTs in radiology significantly.


imagingBiz.com - The Information Service of the Imaging Center Institute


This way works, too, but using the ;yo or ;py cuts down on hitting the spacebar
nn
Cuts in medicare and medicaid are about to take place
I have mentioned this but it was always deleted as I think the monitor thought I was talking politics.

There will be a marked decline in coverage for services to medicare and medicaid patients and I believe to offset this, medical facilities are finding ways to cut costs.

The cuts will be significant. You could do a Google search for Deficit Reduction Act. Radiology will be most severely hit, especially stand alone facilities.
DQS short-cuts to Word 2003? HELP!

Does anyone know how to do this.  I have been searching and searching for info and cannot find anything.  Please help!   Thanks.


Love the serrated bread knife! Cuts everything!! nm
s
Please back you info up. Pay cuts have not been announced. Have you received a letter? nm.

nm.


Like most of the MQ workers lately.

One of my co-workers had a (sm)
similar situation, only it involved her entire family. She was adopted as an infant by these people and they never let her forget it. It finally got to the point that she told a dear friend that she was planning to cut off all contact because she couldn't see putting herself or her children through it anymore. That dear friend and his wife adopted her at the age of 40!!
Ummm--read her post again, please--it don't say *keyboard* short cuts..it says *word* shortcuts
duh!
Indian workers
I was obvious they were Indian workers from Indian..Every one of them that I talked to had an Indian accent..I have nothing wrong with American workers with accents..but I called at least eight people to get my internet account straightened out and all had Indian accents..Come on now, I cannot believe eight people are of Indian descent all working at the billing department of my internet account..If you are American of first descent and working IN America, more power to you..if the account is sent overseas, I have a major problem with that..and if you dont have a problem with that, contact me in a few years when our jobs are overseas.
MTs/factory workers
I'm sure many younger and maybe even older MTs might not agree with this, so if you do, I'll be pleasantly surprised. The "how many lines per hour can you do?" mentality so prevalent in medical transcription today is not a good thing for this profession. This belittles the professionalism of the job we do, a profession which requires immense medical knowledge and skill, a fact which, sadly, no one in hospital administration or other positions of management have a clue about and really don't want to know about, else they would have to monetarily compensate us for the professionals we really are. The sad fact is that like a frog being killed by slowly upping the temperature of the water in which he is immersed, without his being aware of the change in temperature, we have by an analagous method slowly but surely become no more than skilled factory workers. X-ray techs, nurses, physical therapists, and other professionals are not evaluated on the basis of the number of patients they take care of each day but on how well they take care of these patients, so why are we evaluated on the basis of how many lines of transcription we can do per hour or day rather than the quality and accuracy of the reports we transcribe? It used to be our responsibility as MTs to put the patient first, to give the appropriate time to research any questions we have regarding the physician's dictation on a particular patient and to make sure we get it right for the sake of the patient, but now it has become the focus of our profession to see many lines per hour we can transcribe. This mentality leads to just trying to produce lines rather than trying to transcribe accurate medical reports. It is my firm opinion that we should not be paid by the line but by the hour, and unfortuantely, AAMT has not been there to represent us in this very relevant issue. If we are so professional as they espouse, then why don't they try to get on track and reverse this trend? In my opinion, AAMT has failed us. They have been so focused on style issues, which are of far less significance than medical accuracy and have caused many of us to boil inside because of the attention given to these really mostly irrelevant issues, that the crux of our problems has escaped them. They have been in absentia and have not been focusing on the issue of getting health care facilities and transcription companies to recognize us for the professionals we are and elevating our pay scale to the level it should be. I have been an MT for over 20 years, so I've seen the negative changes as they've slowly but surely transpired through the years. Perhaps it's time for me to leave the profession altogether because I just can't deal with this "factory productivity" mentality.
MTs/factory workers

There are many ways of sifting the chaff from the wheat.  It doesn't take long to figure out those who are goofing off versus the ones who are researching to transcribe accurate medical reports.  There also other means of monitoring MTs at home if one feels the necessity to be monitored.  Also, there are ways to clock in and out on a pay-per-hour basis. One is via dial-up method and entering one's ID number into a designated system. 


As for being paid for the amount one does versus being paid hourly I would only ask, would you want someone rushing through your H&P, your child's H&P,  or the H&P or other report of any loved one just to get a certain number of lines a day, possibly listing an allergy to the wrong medication or listing the wrong extremity or wrong eye designated for a surgical procedure?  I have transcribed for many, many years and there have been innumerable times that I have had to correct mistakes by physicians who have dictated the wrong extremity, the wrong eye, the wrong medication, the wrong drug allergies, etc., etc.  I for one wouldn't want someone transcribing that I'm allergic to Namenda when I'm really allergic to Augmentin, and it's easy to see how these two medications could be misunderstood if the physician dictating isn't articulate enough, if the quality of the dictation system is poor, or if one is in just too big a hurry to produce lines to care.  I do pray if I am ever a patient in a hospital that the MT who does my report gets it right.  With such emphasis on line counts, it's no wonder we have patients who have had their only "good eye" or "good extremity" removed surgically.


Not true. And they pay their workers well &
http://www.snopes.com/business/alliance/costco.asp
Workers Compensation
Have any of you who are employees of a national company ever had to file for WC due to hands that just won't work anymore?  I need to get carpal tunnel surgery but can't afford to make zero dollars while I'm off.  I don't want to start accumulating medical bills or alert my company until I've done my research.
Workers Compensation
I did workers' compensation claims in my pre MT life.  If MD says it is work related, should be no problem being covered.  Depending on what state you live in, there is probably a waiting period that you would not be paid for until you are off for a certain number of days.  State laws dictates the % you are paid of your average weekly wage based on a minimum and maximum rate.  Do not wait too long to get your CTS taken care of.  You could cause more problems with your hands if you wait too long. 
Workers' Compensation and the ER
I thought the correct order of things would be for him to be seen regardless of where or how it happened, and the Workers' Compensation part handled after the fact. What would they have done if he'd been hurt more severely? I thought they'd (WC) reimburse whatever out-of-pocket expenses you have once the insurance claim is settled. The boss was definitely trying to set him up, which is disgusting. The funny part is that he actually gave your husband ammunition for an even more complicated lawsuit, should it come to that.
problens with co-workers

Does anyone know of a good way to get my co-workers to be quiet?  I swear there is this one who if something sets her off we hear about it for the next 4 hours (no kidding).  Then others get involved and come into the office and try to say their piece.  It is so hard to concentrate and get a decent line count.  The quality of my work is suffering.  I got a report back the other day with some embarrassing typos in it.  I don't get paid hourly I get paid on production.  I need to make more than 1003 lines a day to make it worth my trip up there.  I was making 1300 lines a day when working from home but then they pulled me in house because they didn't like my internet connection.  Complaining to the supervisor  doesn't do any good as there was a girl that did that and it just made everyone mad and they talk ugly about her.  help!


Workers' comp for IC? Where to get?
I am an IC and have just been told I need to have WC Insurance. Where do I get it? Thanks for your help. suzq
Any MTs out there w/Workers' Comp. (sm)
eval transcription experience in Ortho, Neurology and/or Neurosurgery?   How many years' experience do you have, and for which state?  I'm wondering if it's a hard transition for someone with non-Workers' Comp Rad experience to transition to Ortho, etc. in WC.
ILLEGAL WORKERS
Good for you, glad your experience worked out. Mine didn't. I got a bid for our lawn, which is huge, from a local landscaper, it (the bid) was huge. Unbeknownst to me, my dh had ordered sod and had a delivery date. Someone called from the landscaper with a revised bid ($400.00 cheaper) and I said okay, and took it because the sod was on its way the following day, no cancellations allowed (it was a whop-load, like four truck trailers). I cold not afford to lose all that money. I took the bid, not knowing what else to do and low and behold a mass of people showed up with the truck and guess who they were? Right! I was totally out of my element and just backed up out of the way as huge machine things sent the sod rolling off the trucks and these guys all grabbed some and started rolling it out. Four hours later, the foreman from the landscape company showed up and these evidently were "his men" who showed up (complete with children and dogs and yes, they did want beverages, etc). These kids ran rampant all over the place with little to no supervision. Seems the foreman was stabbing his employer in the back and did this frequently. He is a citizen, but his workers are not. Most ended up being his relatives. Never again! This is my one personal experience with this and I know that it goes on all the time from a neighbor who is a contractor. So, I still blame illegals and people who foster illegals. They need to go home and leave us to ours. I was railroaded that day and others are too. Be careful who you talk to at landcaping companies.
IC Workers Compensation
Having come from being a workers compensation claim represenatative in my prior life, unfortunately you do need to carry your own coverage as an IC. 
This is what happens to workers when companies
If we just sit on our rears and let them, they'll happily keep on doing it. If all U.S. MTs (AND the editors who fix the Indians' stuff) were to stop work for just ONE week, do you think the offshores alone, without us to do the hard stuff and clean up their messes, could cut it and keep the hospitals happy? I think not. Food for thought.
The construction workers are not all

People in the construction business do require certain licenses.  They are not all uneducated making $30.00 an hour. 


New MTs should be on this board so they can get a reality check.  If you plan to stay in this field, just be cautioned that will not make more unless you transcribe more lines and put in more hours.  That's the bottom line and I'm speaking from 20 years of experience and I'm in my late 30s still raising two children along with my husband.