BTDT. I worked for a large national. I had to practically get down
Posted By: me on 2008-04-22
In Reply to: I am so mad - need to vent
on my knees and beg for a secondary. Got one, had even less work than my primary. I went to upper management and got a third account, even less work that primary again, so 3 accounts, and still not getting in but about 600 lines/day.
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- I am so mad - need to vent
- BTDT. I worked for a large national. I had to practically get down - me
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Not Spheris or other large national. nm
It is a large national. All employees are IC status...nm
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Oh, bull. I'm with a large national and those clients whose work is offshored
That one statement is bunk.
I'm there with ya! I worked for a hospital that outsourced overflow to a very large, VERY SM
well-known service. The quality of the work was shockingly bad. There's no way to describe it except to say it was painfully obvious that the MTs on our account had no business being MTs. They didn't even have the very basic skills for the job, let alone the medical terminology.
I had the opportunity to read through the contract, and there was a paragraph in the contract that clearly stated that not only did the service promise to adhere to a specific TAT, but also promised high quality, proofread reports. Basically saying that they employed a highly qualified QA staff that insured nearly error free reports. That's the OUT clause as far as I'm concerned. I started a file of every report with errors from the service, every ridiculous error.
A new supervisor for our department was hired and her first order of business was to cut the flab out of department. She told us that the service doing our overflow was being paid something like $60,000 a MONTH! The hospital was paying the service 45 cpl. Now do the math! The service gets 45 cpl and pays you and me 7 to 8 cpl to transcribe for them or even worse pays 2 cpl for an India-based MT and 3 cpl for an American QA person to edit and correct it, so that's only 5 cpl they end up paying. That's quite a profit. I vowed the day I found all this out to NEVER work for a national service again and especially not THAT service.
The new supervisor was against outsourcing which was good news. She set out to renegotiate the contract or drop the service all together. I threatened her with breach of contract and that's where my little file came in handy. Needless to say, the service backed off and we not outsource overflow to a service local to our area and a much more reasonable rate.
My advice to you is start your file and keep track of everything. Tell your boss to reread the contract, especially those paragraphs that speak to what the service promises to provide for the inflated line rate!
Good Luck!
I don't think so. It sounds like you've never worked for a national.
Nationals DO check references. That's the job of the HR department. They DO run credit reports when you accept a job, and they tell you so on the piece of paper you have to sign giving them permission to do so. They DO prosecute and report to collections against people who don't return equipment. They DO keep deposits on unreturned equipment. They DO get the equipment super cheap anyways in bulk deals through major technology suppliers. Equipment, losses, and shipping are all tax deductible anyway. They DO use QA so that lazy or inexperienced MTs aren't sending garbage straight through to the clients. Most national MTs don't have any contact whatsoever with the clients. In addition, the majority will let you use your own equipment or charge rental fees so it's not coming out of their pocket.
Free computer? Have you EVER worked for a National?
Though it may take a while for them to get it picked up, it is not free. Many places make you pay a deposit. Both MQ and Spheris sent me a label. I then boxed up the computer and called the number on the label and it was picked up by the next day.
You obviously have no idea what you are talking about!
The national I worked for refused to pay mine when I decided to move on for better pay.
Hope it works out for you!
theoretically not, but practically, yes..nm
nm
Right, but practically speaking,
nowadays, when saying EMR 'point and click' is understood, AVR is automated voice recognition and then there is standard transcription.
When O says 'EMR', he means '
point and click'.
You better believe it.
Sounds like MS Florida! Practically have to tell them...
how many lines you actually worked and what you should be paid. I QUIT! If I have to be payroll person, I'll do it with an IC account. Sheesh!!!!
A small national is a national company that is smaller
than a big national. There are a few "big" nationals, where they have hundreds, if not thousands of employees. I work for what I call a small national, only has about 30 employees. An MTSO could also be considered a small national.
BTDT ... (sm)
... considering MANUFACTURING the T-shirts. :)
I'm glad to know you're feeling better about it; you are the best judge of what is best for you, but sometimes it does help to vent a little, you know?
Best of luck to you.
Boy I have BTDT too at my old job
I worked for a small MT service and we had a couple of accounts who seemed to want to try to use us as their office staff. If I were in your shoes I'd send a polite email back reiterating the steps you take to let them know what dictations come through and ask what specific steps she wants you to take to "be more careful." In other words, a gentle reminder that the problem lies on THEIR end and not yours. You can't pull dictation out your wazoo, natch!
That's not the standard rate. I'd keep that job. I've had to beg practically to get 4.5 cpl
might get 5 cpl as a IC but that's about it. If there are more companies out there paying over that, sign me up and give me names LOL
sorry, but I have to agree w/BTDT sm
I, too, have BTDT with a baby, and have nursed while I worked, which is no easy task, trust me! Working all night, in between the baby waking up, dead on my feet in the morning...it's not worth it. Also, it's hard to get started working at home, from what I've heard from other newbies lately, next to impossible. Sorry to rain on your parade, but you need the FACTS, before you dive in! Good Luck!!! 
Oh, BTDT, my sympathies!
I had a supervisor, not even a national co. but a small one and she would do this. I was fuming every time I got one, thinking, if you don't put on your big girl panties and deal with this person individually, they're going to continue to think "It's not me!" Ugh!
I tell a complete stranger my whole life history practically.
I'm suddenly realizing that I have isolated myself and that I have no real friends and the only adult conversation I have is with my DH. While I love by DH dearly and he is my bestest friend, sometimes you need other conversations/relationships.
Had a resident who practically giggled through his entire dictation....
because his psych patient kept asking him if he wanted to see her underwear (she was in her 70s). I didn't find the woman's comment so funny, but this doc had the weirdest laugh...it was like Ernie from Bert & Ernie on Sesame Street. Weird.
I'm angry for you! That's the pits! BTDT!
I don't thinking nursing is a lot better. BTDT.
I make as much as a lot of RNs (and more than some) in my part of the country (Southeast) and don't have to deal with doctors who come in ranting and raving about something that wasn't done (even though no order was ever written for it) and about some blood test that was done (even though the lab is responsible), et cetera. It might work for you, but I would think long and hard about that field. Best wishes in whatever you choose. 
I have BTDT and I am a spaz who's faster at QA (sm)
I'm kind of a jumpy person whose mind goes in all directions so I do best in situations where I'm either doing QA or doing lots of different and new stuff as opposed to sitting and trying to do repetitive work. Generally hourly QA works out better for me, at least it's steady pay.
Plus like someone else said, if you hate it, you should be able to go back to MT without any problem. I think most management people are aware that not everybody likes doing QA. And like someone else said, it definitely increases your marketability.
Congrats on your offer and good luck whatever you decide.
Yea, and you ought to try it in a snow storm. Practically white out and they're roaring
x
Have you noticed that practically all the job postings these days say experience with ESLs. It seems
like without good ESL experience anymore you wont even get a job. I think it is really heading that way. I do ESLs but not a lot so I need to get more experience doing that and take a big cut in pay to learn it but seems like it is almost a necessity.
BTDT just 2 months ago myself. I can certainly feel your pain.
nm
BTDT. They expected a heck of a lot from the MT for that kind of pay
All the emails, all the demands, all the changes, ugh. For all they expect and demand, the pay is way too little, not to mention the fact that they need MTs who do SPECIALTY work (cardiology) and should pay the MT a higher cpl than they do currently for that reason alone.
Ah, fun times at Radio Shack, BTDT.
Even if you explain the situation to them, they often won't get the deal about what ''gender'' plugs you need, heh.
BTW, didn't you originally say your foot pedal was USB? I'm really confused now, if what you ended up needing was a VGA splitter and not a USB hub because of your lack of USB ports?
I went from national to small back to national
My large national has all the resources and money to operate successfully and have decent platform, etc., to work on, the small company did not, and I went back to the national.
No you don't, BTDT. They're home for a MONTH after 3 months on.
x
Every company is different -- I worked FT for one as an employee but worked a split shift - sm
So I never took breaks. I would work 5 hours, break for about 4 hours then do another 3. Another company I worked for did not care what hours you worked (IC) but wanted a min. amount of work each day, 500 for PT and 1000 for FT-- BUT they paid you by how many lines an hour you put out, the higher the lph the higher up the scale you made per line in pay; they have since changed everyone to a flat rate with incentive. But bottom line, if you are an IC it does not matter what hours you work, though many ask for a schedule and ask you to stick to it, they just want you to meet line requirements daily, i.e. 1000 per day, 1200 per day, whatever it is.
I got up early, worked during naps, and worked when DH got home.
You have to be disciplined to make yourself work when baby is napping instead of maybe watching TV or doing housework, etc.
I might also go the route of having a teen come into your home, or either trying a mother's morning out program at a local church/daycare. I've been home since my youngest was born and he has never been in all-day daycare, but I did have him in a mother's morning out program 15 hours a week at a local church. It didn't help a lot with my work schedule because I had an older son in school and was a room mom and tutored other kids, but that might be an option. The only problem with the mother's morning out program is they are around other kids and tend to pick up every germ. I finally took my DS out of the program because he stayed sick. You were supposed to keep them off if they had green nasal discharge and I did, but no one else did. Every time I got him well after 2 to 3 days back he would be sick again. Other than that it was very good for him because he would not have had a chance to be around kids his age otherwise.
yes! like the large font
x
Yes, in our bedroom, large though 27 x 12 - sm
We plan to build though in about 3 years (have some property)...getting a home office then....either a separate room or a room off the bedroom, but my own space anyway. Can't wait!
Thanks! The 16" look so small and the 20" so large! nm
x
I have 2 - one large, one small
My first was a very nice rose in the upper-inner quadrant of my left breast. I thought about it for 17 years before I did it. It kind of felt like going to the GYN when I had it do. The guy was very professional and let me catch my breath from time to time. The more fill-in work, the more painful. The more it is just an outline, the less painful.
The other is something private but special to me to honor my kids on my lower back, but above the bikini line. That was much more painful but different guy and it went much faster as I cussed a lot more with fewer breaks.
If I ever get another one it will be a circle on top of the sternum with the leters DNR inside!
Laser - large HP
I have a large HP, three drawer laser printer and I go through 500 sheets of chart note paper, probably another 400 to 600 for consults and letters per month and probably 200 envelopes per week and I seriously use only at the maximum of 3 toners per year and they are $110 per toner recycled. My printer gets 10,000 to 15,000 copies per toner so about every three to four months I get one. I spend more on the chart paper than I do the toners. But that is all figured into my cpl.
You can go to B&N or Borders and they have a large
section of educational workbooks. You can even find workbooks at Wal-Mart in the toy section. You can Google and find tons of stuff depending on what subjects you want.
Depends on how large it was - sm
If it was the $1000 for life (which here is only good for 10 years, guess they don't expect you to live long, ha, ha), I would probably take a little time off (say a month or two) so I could get some things done around here. Taxes would cut that down to a little over $2K a month, so that would end up being just a little more than I make now. After my "leave of absence" continue to work but probably at about half schedule so I could have more time for me. IF I ever hit one of millions, I would quit in a heartbeat, but buy the company (small local) I work for and give the office manager (a great lady) one heck of a raise, hire her at least 1 assistant and 2 FT QA, and change a few things about the company in its day to day operations. Then I would just observe the runnings, but not actively participate, couldn't anyway as I'd be living 2+ hours away in my new house/estate on the river.
large company.
My IC pays 4/10 for an eScription account.
Tip of a very large iceberg...
I am in the process of working with an attorney to address some compensation issues at a company I shall kindly remain nameless cuz I'm a nice guy; but the problem is industry-wide so once the issue gets heard and ruled on, we will have the groundwork laid to address it globally and the court to point me there. I'm not sure what that will look like; one step at a time. there are specific laws that address the work we do and they are flat ignored. There are also laws for telecommuters... ditto. I see this offshoring issue same story different channel. Laws and protocols disregarded because it costs money to adhere to them. I think our fragmented work environment, as well as the relatively new concepts of where we work and how we are paid have allowed a lot of our employers to disregard the laws because, frankly have managed to stay off the radar screen. Personally, I do not think these are quick fixes like letters or news releases. They first require fact gathering; I keep thinking about VR and wondering if someone is going to study the success or lack of same, or if it's going to hang over our head and be tossed around subjectively forever. Does anybody anywhere like it? lol... I have thought after getting this discussion heard by the court, that it might prompt the next thing to do. I have piles of reading and delving done about this; I am very interested in exploring it. I won't form an opinon about the outsourcing thing because I just havent looked at it in detail yet. Has anyone else? I'd be curious to know if it is really so much cheaper since, in my observation, much of it requires re-work. So back to before by tangeant...I think these are very complex problems requiring very complex investigations and presenting of hard a fast data. Opiniating just lends itself to more of the same thing.. arguing, where everyone choosed an opinion that fits their personal agenda. But that's just MY opinion. I could be all wet! Aaaamen, sing it over...
Any other MTs for large nationals getting the
Sorry, but that is the opinion of some large MT
xx
Sorry about the large spaces! (nm)
nm
Large Macros
Can anyone tell me how to monitor whether making a whole report macro is worthwhile? I have quite a few, but I cannot decide if it is worth it or not. I end up having to make changes and delete things. Often seems like kind of a toss up and wonder if anyone has any guidelines for this or has experiemented with any specific result.
Thanks for any help you can give me! 
large macros
Huge macros have never seemed to help me, but on one account, there's a cardiologist who puts two huge jawbreakers into his mouth and then dictates at top speed. I managed to take his long ROS and his short ROS and his short PE and long PE and make four very useful macros, but I put @@ in at the variables. Works great for me. Turns out the guy says the same thing over and over, but it just sounds different if he's speaking Martian that day, or Yugoslavian, or pig latin. Good luck.
I am doing the same thing, large sm
medical centers, working for a national MT service, lots of nurses,NPs, students also. It is straight typing. I have thousands of short cuts in my system. I do not have templates, normals etc. About once a week I MIGHT get a normal ophthalmology report, but I suspect those are all being kept in house. It took me a while to figure out how to make this work but once you make up your mind you can do it.
Having just had a large pay cut, I no longer do
x
large file transfer
My MTSO sends large volumes of new account info (tons of normals, etc) in compressed files thru e-mail. Don't know anything else about compressed files, but thought it might be worth checking out.
Webmedx, probably about 300 MTs. is that large or small?
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Monitor-Hyundai (large) for $150...sm
Bought at Best Buy (monitor) or Office Depot (Logitech mouse)
But the monitor is big, not a thin trinitron.......you could go to the website or contact dell dot com for pricing of a thin monitor.
Best luck!!
I agree. I can't imagine having a BR that large.
I don't even think my family room is 600 square feet so I can only imagine what an 850 square foot bedroom must be like! When I win the lottery (LOL!) I'll have one!
I work for a service, a rather large one sm
They probably, or possibly, keep the records for awhile, in Echart. But as an IC, I would think that legally, you would be limited to the amount of time you are allowed to keep patients medical records, and I would bet it would be around 30 days, not more.
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