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Serving Over 20,000 US Medical Transcriptionists

Curious question about overseas transcriptions...sm

Posted By: CuriousGeorge on 2008-01-31
In Reply to:

Do companies that outsouce work overseas have to pay taxes on the money they pay to the companies overseas or do the overseas companies have to pay taxes on work they do for the US? TIA.


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Just curious if MQ/TL in your message meant Transcriptions Limited, Nashville, TN, bought by MQ?..nm
nm
ProScript Documentation Services does not send work overseas or employ any overseas MTs. (nm)

For CURIOUS: You are not curious, you are paranoid and a sociopath
Are you referring to the sentence

'And HOW to you put a marker?'

where I typed a 't' instead of a 'd'?

It was just a TYPO!

I am an American MT!

It is so pitiful how PARANOID SOME American MTs have become, ESPECIALLY THE OLD ONES, fearing for their jobs and being afraid of getting the boot.

Trying to be 'expert linguists,' sniffing out various dialects, detecting some Indian hints, whereas they most probably live in rural areas or in cities with a population of 1,000 inhabitants.

So sad, so sad, what has become of the MTing profession?

Now, CURIOUS, start nitpicking my post.





Transcriptions, Ltd
I worked for a company called Transcriptions Lts from 1984 until the mid 90's when another company took them over. I thought TL had dissolved. If it is the same company, it was a great, small company to work for.
ANP Transcriptions
Michelle,
Thank you for your question. My name is Errol Stryker and I am the Production Manager at ANP.

We are a fast paced, consistently growing company, that prides itself on delivering high-quality transcripts that are turned around quickly. We accomplish this through good organization skills and cutting edge file access technology.

It is preferred that our contractors turn around about 1 hour of recorded audio within a 24 hour time frame. If your skills and needs can accommodate it, then we can provide more audio than that on a regular basis. Our main focus is to make sure that we know what your needs are, and what we can expect from you. With that information, we assign work that fits your schedule/workload needs and fulfills the turn-around expectations of our clients.

Since we have such a large range of clients, the projects our transcribers work on change constantly.

Our clients range from world wide medical and pharma companies to small research groups, police departments, to churches. And everything else in between.

Some of these projects are rush jobs, most are not. I would be lying if I said that we provide perfect audio each time. I would love that for our team, but the reality is that we have to work with whatever our clients give us.

What is nice about the variety of work we get is that we can offer a healthy mix of content and quality.

All audio can be downloaded from a personalized online folders. In that folder one can access all necessary templates, guidelines and sample documents.

In addition to having easy access to your audio, we provide large amounts of support. We have a dedicated email account that fowards all "help" issues to everyone in the production department. If your issue is time-sensitive and critical to your project, we will get back to you, even if it's 11 at night. Also, our proofers are available to answer all of your formatting questions during the course of a project.

We only ask that you practice healthy communication habits and submit good work by the agreed upon deadlines.

I hope I have answered all your questions.

If you have any questions that I have not addressed please do not hesitate to contact me.


Errol Stryker
Production Manager
ANP Transcriptions Production Department
P:845.369.8492
F:845.369.7234

www.anptranscriptions.com
"Where Precision Counts"

JLG Transcriptions

 


Hi!  Has anyone heard of this company and have an opinion?  I am looking for a position at home (preferrably Radiology but I can do acute care "kinda") and I am nervous about all the national companies.  I don't know who to trust. I don't know what equipment I must purchase or even  how to set it up!  I worked from home for a local hospital for many years and also 3 years for a service who provided all equipment.  Any advice would be appreciated!


 


 


transcriptions have a skill also
as far as looking up addresses go!
It was Dependable Transcriptions, I think
Just so we all know where NOT to look for work! LOL
canned transcriptions
I think I would ask the company if I can correct all the errors. I have done that with my employer and he is happy that I have fixed things. I can't stand to have things be wrong and have my name on them.
disabled transcriptions
Thanks to all of you that gave me an answer.  It is for my friend and I will pass on the information as this is something that she really wants to do as being disabled it is much easier working from home than trying to use public transportation in our little rural town.   I will certain pass on you sugestions.
Same Day Transcriptions IS a US Company
You people don't know what you're talking about. I've been working for Same Day Transcriptions for three years. The company is owned by a young couple who live and work in New Jersey.

I do know that they have a facility in Manila because the wife (I will leave names out of this) is from there, but they live in New Jersey. I also know that they have - like me - transcriptionists around America too and they are very good to us.

It's one thing to bash a company that is bad, but these are good, honest people. That article was very unfair, not to mention inaccurate.

I think we should all rememebr that just because it's written in a newspaper doesn't make it true. I am really tired of seeing these threads of false rumors hurt good people. Please have more responsiblity about what you post.

Megan Teaghan

legal transcriptions...sm
Cold you please explain a little further why you hated legal transcriptions?
Does one also go through a training for that and needs a certificate for that?
Also ASR?
I guess payment is equal to MT?
Thanks


California Transcriptions Unlimited...SM
No schedule, no line commitment.  They presently have an ad on the Job Seeker's Board.  All radiology. 
Transcriptions Unlimited Denver?sm
In Vegas now, but from Colorado Springs. Miss Colorado too.
Transcriptions, you are saying, are unskilled workers?
I spent over a year training for this job. It took my total attention, I spent so much time in books be it the regular dictionary or medical books. I thought I could go right into transcribing because after all, I had worked in hospitals, medical offices and the like and if I were not a trained professional then, I do not know what it was. Very, very hard for me to understand the ESL physicians and most of the hospital dictators just that, training hospital. I was glad I kept it up but I in no way demean the profession I choose for myself but putting a slant on it like you have. I feel sorry for anyone thinking in this day and time they will be able to make a liveable salary because it would take more than 1 job to do that, a full and a part I would think. Our jobs started being outsourced and that is why the really lousy salaries now, I do not think has to do with being unskilled.
Same Day Transcriptions IS a US Company - I work for them
I would like to clear the record for a good company that I have been working for for over two years now - Same Day Transcriptions.

Same Day Transcriptions is an American company. I know this because I have been working for them for over two years now. The owners are a young couple who live in New Jersey. She is Filipoino and it is my understanding that her family also works for them in Manila. I know that they employ many people like myself right here in the US.

I get very irritated with people (reporters) who spread gossip without checking the facts first. These are good, honest people who don't deserve that kind of slander.

Anyone looking for a good company to work for, I highly recommend talking to Same Day Transcriptions. They always have a lot of work and they are very fair people.

Rochelle Patrick, CMT
When I was an IC, I just used my initials like this: "XXX Transcriptions, Inc"

NM means "no message," so why are you looking? 


Same Day Transcriptions is based in New Jersey
The people who own Same Day live in Cherry Hill, New Jersey. I used to work for them and will again if I can find the time. Nice people. They pay well and on time.
I agree with Megan.
Any current info on X-press Transcriptions?
I was told that I passed their test and was sent an IC contract out, but just wondering about any good/bad experiences before I sign for sure.  Also, how are the pay and accounts?  Thanks! 
Also, they could be done overseas..
I proofed Indian work a few years ago and they sound like similar reports--blanks, everything wrong.

For everyone's info, the clinic in town that outsourced to India still dislikes the quality intensely, after all these years, but still uses them because they are cheaper. Go figure.
overseas
The doc that I work for now used to use a service and paid 9cpl.
re:overseas
We could do this, but then we'd have a small choice of credit cards, cell phone providers, computers, toilet paper, paper towels, food in general, entertainment such as cable and internet providers, clothing, tires, and I could go on and on, but what would be the point? The simple fact of the matter is that this is widespread and there's no turning back on it now. Even in our industry we have plenty of overseas working alongside of us. The way I see it, these people have families to feed as well and want to make a living for them as well. I've worked with U.S. companies that employ both American and Overseas MTs and I have to say that they are more than willing to put in the time and effort to get it right. They are also willing to take English classes to do better. I just think it's time that we end this whole caste system everyone wants to push on the MT world. There is plenty of work to go around, instead of pushing them to the side, why don't we include them and help them become better at this job?
overseas
May I ask what company this is? I would like to work overseas as well.
overseas
Haven't decided yet! Maybe Spain
overseas
haven't decided yet! France maybe?
overseas

The system is not accepting the 3-digit password, after I write out my message, why not?


OUTSOURCE OVERSEAS
and you will be begging for work. get ready to brown-nose to get enough money to live on.

good luck. you could do much better.
They have to be using overseas employees...sm
So remind her that  while they claim HIPAA compliance, truth of the matter is that  once the records leave the US soil there's really no protection.
They use overseas labor.
.
how did you get an overseas account in the UK?
x
Has anyone ever lived overseas?....sm

A friend of mine is moving to Italy and I am really considering going with her.  Just wanting to know if anyone has lived outside of the US (not necessarily in Italy, just anywhere).


Thanks


Overseas posters?
I can't find anywhere on the site that prohibts off shore MTs from posting.
jobs overseas
Personally, I do not worry about this. There are plenty of companies who hire MTs purely in the US. For other jobs, just you wait, there is going to be relocalization of jobs/services, etc in the coming years. I already see/read about towns relocalizing. I would never consider going abroad for any major medical procedures. I proudly support my local medical team. There is probably a reason that medical care is cheaper abroad.

With the comment made in this article about importing physicians, does anyone wonder why medical costs have skyrocketed? I am sure a good portion of these physicians have come over here to make all sorts of money versus what they could make in their country of origin. I am sure they would not have left their country of origin if they were doing well for themselves.
Military Overseas

When companies state no overseas applications or solicitations does that include Overseas Military?? I have DSL and we have a US Post office here on base. Curious cause i'm about to start school and want to know it wont be wasted while we are stationed overseas.


Thanks!


Overseas outsourcing SM

I don't know where you have been for the past several years but a whole bunch of people are screaming bloody murder about this to their congressmen/women.  There are plenty of petitions being circulated to put a stop to foreign outsourcing.  Most MTs I know have not only sent letters to congress but have called the senators from their states to complain about this.  My friends refuse to see a physician who outsources medical records - and they ask up front who does the transcription and make it know that their records are not to be sent to a foreign country. 


There's lots of stuff going on.  Do a search on the Web and you will more than likely more than you ever imagined.


Don't kid yourself. The overseas companies are going in at 0.13 and 0.14 now. nm
nm
Overseas jobs?

Does anyone have any sources for info on overseas MT jobs?!  I have been Googling but haven't come up with a single MT position in Australia, New Zealand, Japan, or Costa Rica -- only Saudi Arabia, the UAE, and Dubai.


Thanks.


 


never worked overseas....
If I could get up the courage to fly over the ocean I may have been able to answer this one for ya... :)

But I dont know why you wouldn't be able to take your work with you... you just have to have access to everything you use on a daily basis... Right now I'm away from my home away from home, visiting my sister (and new niece!!!) for Christmas and here I am working away... :)

Good luck!!! and how awesome for your son
Working overseas

If you worked for an American company say in Scotland all well and good, transcribing for U.S hospitals and the work contained in the U.S., BUT if you transcribe for British or European hospitals/doctors, the work contained in those countries, it is VERY difficult.  The spelling is very different.  I was born and raised in Britain x25 years and when I started working here in the U.S. I found the American spelling very difficult - although less characters per word.  British spelling adds a lot.  Just a thought!  Plus the accents are hard too.  They don't say period, they say full stop which sometimes sounds like part of the text, but you have probably already experienced that.  Good luck, it sounds wonderful.


They did not contract an overseas
company. The company they contracted with was sending it overseas.
Just because the records go overseas
does not mean the laws are being broken. Granted, they cannot be enforced, however, if the company doing the overseas transcription does not follow the guidelines, then something might be done. However, unless there are specific cases, you cannot say laws are being broken. I am sure their contracts state they have to abide by our laws.
It is more of a risk overseas. SM
If some company operating from an offshore country with a "store front" in the U.S., decides to retaliate against Dr. John Doe, and spreads 50 of his patient's medical records over the internet, how easy do you think it would be to track down the so-called contact (whose name cannot even be pronounced) for the transcription company who is nowhere to be found? HIPAA has now power to fine, penalize, or imprison any overseas operation because the HIPAA laws only apply here in the United States. IMO, there is a substantial safety risk in having medical records leave the country.
working overseas

Can a U.S. citizen travel while working for an American transcription company, as long as they have a legal U.S. residence?  Is there any legal reason not to hire someone who likes to travel and visit foreign countries while they work?  I'm not talking about off-shoring. 


 


Can anyone confirm that JLG outsources overseas?
y
I find it hard to believe that the MTs overseas
experienced at MT, but that's just me. These companies are just trying to save money, plain and simple because people in those countries can and will work for peanuts.
Does Transcend outsource overseas?
Thinking of applying with them as an IC.  Anybody with any input?
We had an account that went overseas that when we lost it
one of hte people said they'd be back. Hasn't happened yet and it's been over a year. I always wished they would.
Outsourcing doesn't always mean overseas, you
A physician who uses an MTSO for their transcription work, American or otherwise, is outsourcing. That practice has benefitted most of us, so I assume you just mean offshoring.

Don't you think that eventually foreign MTs will up the ante and start asking for more money? I do. Greed usually takes over and I predict it won't be long before they wake up and see that their services are worth more. If that happens, I think we will see less offshoring because the reason most companies offshore is the cost advantage. I've already seen some of the Indian companies requesting more, i.e., it used to be they wanted only 3-4 cpl and now they are saying 5-6 cpl. As an MTSO myself, I get quite a few emails from foreign MTs looking for work so I am just speaking from my personal experience. (I personally do not offshore and never will.)

There are some companies that offshore because they can't find enough MTs that want to work the graveshift and foreign MTs will gladly work it due to the time difference. That practice doesn't bother me as much as the companies just looking for cheap labor despite quality issues.
Good accounts are going overseas
How ironic!
Overseas outsourcing is here to stay

I've been reading some very interesting posts regarding off-shore outsourcing.  I worked as a supervisor in a large MTSO in the 1990s when this subject was being "bantered" around the office, but it was my mistake that I didn't start taking it more seriously at that time.


As I have seen transcription issues evolve over the past 10+ years, I can think back to a time when, in fact, we had lots of "visitors" coming to our office, looking at servers, etc. in what I quite naively thought were server upgrades.  Some of these so-called "visitors" were indeed of foreign descent.  I lived in the southwest at the time so there was a fair amount of "overseas occupants" and I didn't think much about it.  Now, in hindsight, it's plainly and perhaps painfully clear that this was the beginning of outsourcing.


One thing I will say upfront is the fact that overseas outsourcing companies employ smart and very patient people.  I don't doubt this very concept of $.03 cpl transcripton is very palatable to foreign entities where there is so much poverty.  I also remember reading in some of the transcription magazines around that time that doctors and nurses were quitting their jobs in India to transcribe because they made more money!  I laughed outloud when I read that, but I guess the joke was on us.   I also remember reading ads for medical editors in Saudi Arabia for $40-50,000 with a full housing allowance, but the employee had to sign a two-year retainer agreement.  One MT I knew took a job in Saudi Arabia.  I did hear from another MT who was writing to her that there were huge personal safety issues and she would be glad when her time was up so she could "come home."


If we want to know how persistent outsourcers can be, especially with medical office/hospital administrative staff making critical decisions without actual hands-on experience and think MTs are just "typists," just look at our current situation.  We in the USA don't seemingly have the patience to look at the broader picture and the dollars matter more.  Don't get me wrong but the spiraling out-of-control cost of healthcare has always been an issue and with more sophisticated scanners, research, etc. being necessary just to compete with the hospital/clinic across the street, dollars have to be taken from somewhere and voila! it's comes from  'discretionary funds' called MT.  There is only one very large medical institution still in his country who tried outsourcing in the beginning and when the quality of the work was so poor they wouldn't stand for it anymore, they cancelled the remainder of the "standard" contract and vowed never again to outsource whatever the cost.   To this day, they are still one of the most prestigious medical centers in the world and all transcription is being done in-house.


I truly believe there is safety in numbers and hope I live along enough to see a radical change from off-shore outsourcing to bringing MTs "bread-and-butter" home where it belongs!


Regarding US companies using overseas labor

Maybe we can start by not utilizing their services and getting the word out.


http://www.cnn.com/CNN/Programs/lou.dobbs.tonight/popups/exporting.america/content.html