Congressional bill re outsourcing
Posted By: mtnMT on 2009-05-20
In Reply to:
Upset about outsourcing? We can do something about it. Let your voice be heard in Washington. Thanks to post from NM in MME thread below.
http://www.rallycongress.com/support-for-h-r-427-nabopia/1585/support-h-r-427-notify-americans-before-outsourcing-personal-information/
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I heard back from my senator today about outsourcing bill sm
He thanked me for my letter, said that as he understood it, this bill didn't cover anything of what I had mentioned. However, he said he would be paying more attention to this bill when it comes before the full senate for a vote. He said he was against outsourcing. Below is my letter to him:
Dear Senator Barrasso:
I am writing to request that you support the above bill. I am a medical Transcriptionist in Wyoming. I moved here 2 years ago from Colorado, bringing my job and income with me. 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.
Bill in Congress re: offshoring/outsourcing of medical records
Just something to think about.
The link below will take you to a page explaining the House and Senate versions of the bill and a link to send an email to your representatives in Washington indicating that patients have the right to be made aware that their personal information and medical records are being sent overseas for transcription. The letter is already written for you!
for tracking congressional bills
http://thomas.loc.gov/
I think it's unprofessional not to pay..I simply state, if you don't bill, I bill directly...
This has only happened once, and I had my check cut same day. This is business and I will not beg someone to give me my money. I simply stated it as a fact.
I'll trade you your $88 bill for my $350 bill.
I would love to have such a small bill like that.
Ole Bill for me too...
Believe it or not, my bill was $35.
But then my apartment complex pays for AC and heat - yea!
Bill in NY
The rates in NY have gone up too, but we just paid $175 so I feel very lucky after reading some of the amounts.
$440 last bill
I bill
once a month and pay my MT's once a month. Payable upon receipt. I've only had a few times where the check didn't come but that was a small account at the hospital and the bill was going to the wrong department, etc. As a business owner you should be prepared to have SOME cash flow, just for occurrences such as these. I have had accounts miss a payment but when I send the next month's bill, they paid right away. Then again, there were some months when I forgot to send THEIR bill, so fair enough. I have never really been stiffed.
p.s. a contract is only as good as the two people signing it...
Yep, except the game with Bill
was minus the odor and the little white crabs marching around the stogie.
Mine went from $19 to $138 from one bill to the next.
We expect it to go even higher despite using wood heat in the shop now.
Heating bill
I just got socked with an over $500 bill for a fill of propane
That is what I am doing now---I bill at .10 a line BUT -sm
it is a 50 character line. I have no idea if the docs know it or now though as I took it over from another MT. So I do my billing with the just the line counts showing, no character totals, and take it from there, comes out to about a .13 line if by 65 characters. I plan on doing the same when soliciting new accounts as no one wants to go over .10 around here. Yes the line blurs a little here but you gotta do what you gotta do--- if the docs weren't such cheapskates maybe the line would not have to be tweaked or crossed.
You know, it may be because of Bill Cosby!
Doesn't that take you back?
bill clinton nm
x
electric bill
Yes, our electric bills have been outrageous. Last month was $199.00, and my new bill came in and is $256.00 also! I too live in California, and we get shafted with the utilities in this state. During winter months my gas bill was as high as $175.00 which is almost five times what it used to be 7 years ago, and my paychecks keep going down in the transcription field!.
how can you *bill for your time* when all that --sm
the MTSO sees is your line count? am I missing something here??? Please explain. thanks
Pt should worry more about the bill
Yuk.
If there is one bill you NEVER ignore
mortgage. Always, always keep in touch with them even if you don't have the payment. Your not alone in your dilemma. The mortage companies have been very flexible and willing to work with payment issues in the past year. Not sure if the options are still available since they've started foreclosure proceedings, but there are payment plans and now the popular "modification" loans. Pick up the phone and call them - do it ASAP. Explain your situation, decreased income, ARM adjustment and see if there is an option to keep you in the home at a payment that is comfortable. I know many of the lenders are waiting for the exact guidelines on March 4th under the new stimulus plan to come out. Hopefully this will be the saving grace some are hoping for.
I wish you luck though, I know you're in a touch situation. I was there too so can truly sympathize. My loan is currently pending modification, but I first started with a payment plan. My fingers and toes are crossed.
it fits the bill for me! i'm frugal too :)
x
FOX NEWS??? BILL O'REILLY???
Great source of "unbiased" news there...lol.
Would rather have Bill and his sexual escapades...
than W with his useless and tragic war anytime...
Does anyone know when the Safe ID bill comes up for vote?
(regarding our medical records being sent out of the country). I have already emailed my senators and am encouraging everyone to do the same.
Mine was a bill collector
You just get yelled at all day and threatened. What a miserable job, listening to people cry about their problems, etc. I felt bad for them.
I worked beside a bill collector once (sm)
and she was NOT very nice. I really think she enjoyed badgering people on the phone. People cussed her, hung up on her. I used to work insurance billing in the same office and once in a while had to call patient's concerning their accounts. I worked with them on payment arrangements, I mean something is better than nothing. I brought in more than she did.
Anyone getting socked by heating bill yet?
My latest was $88 - hmm...I've almost never had my heat going since I use space heaters. Hmm...odd.
Seriously, I think it's Bill Cosby playing...
mind games with us because I do the same thing with Jello! I never make it, but I can say I have at least 3 or more boxes of the pudding and the Jello at all times. My children often see it and beg me to make it. What's the deal? Really, I think it's a leftover 'Bill Cosby' thing for me. I don't know what makes me buy it, I don't even like it. It's an illness. I'm sure of it.
The doc charged $500 I don't see that as a rip off - the hospital bill though - sm
for $5K is a bit outragous and has nothing to do with the doctor actually. I hope she has insurance.
Bet Hillary's is higher than Bill's!?!?!?!
!
a little factual HX on Bill and Hill...sm
when in Arkansas, Bill was governor earning $32,000 yearly
when in Arkansas, Hill was an attorney earning $267,000 yearly.
So calling her DUMB only makes you look MORE DUMB.
Check your Verizon bill... sm
When I first signed up for DSL, they added all kinds of charges and extras - one was for a backup dial-up account in case DSL went down for some reason!! Yeah right! I was able to get at least that one removed, if not more, and now my monthly fee is around $35 or so.
We live in a rural area and waited forever for DSL, but I know my mom is also very happy with her cable, which, as someone else mentioned, might be a good option. I know it's really fast.
I believe the total bill was close to $400.00 sm
but keep in mind that this was about 8 years ago. Also, your pooch may have needed much more care than mine did--and also it could be more depending on what area of the country you are as well. I'm in a small rural community with only 3-4 vets in the area.
Not laughing at your bill.. that bites..but
in California gas & electric has sucked big time for decades! I average around $2000 a year...throw in some rolling blackouts too.
Not OP, but Bill Clinton is STILL sexy,
and unlike Bush, very intelligent!!
A $300+ bill is typical for us in Arizona. sm
We use the payment plan so our bill is the same every month. They average all 12 months and come up with a month payment. Our winter bills usually would be as low as $70 if we weren't on the payment plan.
Can't live here without AC - no way, no how.
DId it cost a lot to run it/electricity bill go way up? nm
nm
Yes it can vary, that is up to the MTSO how they want to pay/bill - sm
I used to work for one that billed out as a line being 60 characters; she also had another account that was 50 characters (which gives the Dr. the impression they are paying less as the rate is .10; which is actually .13/65 char). This was a smaller MTSO though, all the larger companies I have worked for have all been 65 char/line.
E&O insurance is not necessary. I bill on 1st and 15th.
.
Shades of Bill & Monica
I'm not mud-slinging. I'm simply telling you why I don't support AHDI and that there are other ways to do everything you do through AHDI, including education, and also keep a clear conscience. I can't control how you interpret something, & I can't do anything about someone who thinks doing a little bit of something is the same as not doing it at all. Everyone has her own line in the sand.
??? Why Bill Gates. He is not making you
x
How to bill for HIDA scan?
I know HIDA scans are nuke med but would they fall into the category of CT/MRI/PET or US/DEXA for billing purposes?
I say CT/MRI/PET but please correct me if I'm wrong.
I swear, I just transcribed Bill Cosby! sm
you know that voice that Bill Cosby does, kinda sounds like he's drunk? Well, this doc I just transcribed sounded like that!!! and it's workers' comp, no less. Just had to vent a little! It's still too early for all this! 
I had a similar experience, had a cow when I got the bill from the hospital - sm
I did not know I needed PERMISSION to go the ER (any ER).....I had taken a bad fall while skiing (back in 1995) and had my friends drop me off at the ER when we got home as my leg was killing me and I had hit my head too. Got a bill for $1500 or so saying it had been denied. I promptly called up the insurance company found out my "error", explaining that I did not know I needed to get "authorized" before a trip to the ER, etc. I had to go through a little red tape but was able to get them to resubmit it and have insurance pay for it. --So it may take a couple phone calls and maybe a letter, but it is worth the effort!
No, they don't know what they're talking about. The California bill was
x
If he has surgery, wait until you get the hospital bill for that sm
I had knee surgery a couple of years back. Three days in the hospital and the bill was almost $20,000. The surgeon's bill was $10,000. I can just imagine what the cost will be with today's inflated prices.
and Bill Gates dropped out of college when he
became a millionaire! and the Google owners are young too! Just people with "visions." Wish I had some visions, LOL.
Gastroenterologists ripping us off. My mother just got her bill
for a routine screening colonoscopy. Hospital bill was $5000+ and the doctor's bill was 500. I know that this jerk does at least 10-15 scopes a day, which is $5,000 to $7,500 a day, $25,000 - $37,5000 a week, which is about 1.2 - 1.9 million a year . And most of these docs are foreign garbage!!!!!!!!!!!!!!!!!!!!!!
$256.00 for June electric bill in Calif.
Am curious if anyone's else is outrageously high. Mine typically is $150-200 for summer months.
I keep temp at 82 during day, 78 at night. Temperatures here soar to 95-100 though. But, I live alone and have gas hot water, gas stove.
Working at home has its pluses and minuses! Leaving the air off for 8-10 hours a day while I was at the hospital working saved me a lot of cash in this utility bills.
my bill in central California for June was $392,
last month was $299. If this year is anything like last year, July will be $500 and August $600. I keep it at 78 to 80 all day.
How to bill client for call-in system....
Do you charge slightly more per line if the client is using your call-in system (versus other less expensive methods like digital recorder) or do you just bill them the amount of the phone bill?
Thanks for any suggestions!
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