I SO agree and some of the reasons this has happened include:
Posted By: Moody Jen on 2007-09-04
In Reply to: the downward spiral of the MT - time to get out
May I commend the poster for a very well-thought-out and thorough outline of the current state of affairs. You did an excellent job. Do not apologize for the length. It was necessary to be complete in your thoughts. You speak for all of the MTs in this regard.
It got me wondering about the following points:
1) Medical transcription company owners permitted the hospitals and doctors to dictate to them what they would be paid, instead of honoring the fee schedule of the MT owners and professionals. Are physicians told what they can charge per hour? No. They charge what they require. So do plumbers, housekeepers, etc. Years and years ago, the trend began where the transcription companies decided to accept what the hospitals would pay.
2) Hospitals and others have disrespected the medical transcription field. Someone allowed this to happen. Who would that be?
3) I do not see this sad state of affairs of this profession to be the fault of the working MTs at all.
4) Hospitals and clinics should be prohibited from sending work out of the country.
5) Medical transcription companies need to unite and charge an appropriate fee for their services, and likewise pass that increase on to the professional MTs performing the services.
I really think there needs to be a radical revolution of change.
What do you think?
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i agree -- lines counts are correct and include expanders per my checks.
x
I agree it's one of the reasons
I do this work...hard to get the work done with a baby or preschooler in the house but great once they go to school...no latchkey kid problem. Now if I only had a separate room for my own office...
Give professional reasons why you deserve it, not personal reasons
x
I agree that is what probably happened
they have minimum requirements for jobs and they probably sent other people with Ph.Ds also. Cuts down on money for advertising for jobs if they can fill them with applications already received. That HR person was probably some ditzy high school grad making minimum wage - just putting pegs into holes.
Agree! The same thing happened to me. I got everything correct
except run on and fragmented sentences. I knew I was right.
I stayed for many reasons and while those reasons have changed - sm
I loved MT because I was good at it and it came naturally to me. Typing, language, etc. The perks of working from home and being able to raise my family were a huge plus. I stayed because in the hayday of MT you could make really good money really fast (2500 lpd @ $0.15 cpl).
I stayed while my children were young and I could be available for them. I stayed so I could return to school and have that flexible schedule to juggle everything once the kids grew older. I stayed full-time and cut school back to half time so I could take care of my ailing parents and inlaws when the time arose.
I continue to stay because I still need to finish school (3 semesters to go) and unfortunately my DH is ill and needs someone to care for him now. I stay because it is convenient, but I do not plan to stay forever.
I sure miss the big money days, but what money I make now is sufficient enough to pay my bills. It is a means to an end so to speak and it has been a godsend along the way. But I in no way plan to stay at it forever. It served and continues to serve a purpose, but it is no longer what I "love" to do.
If they don't include spaces, don't do it.
You'll be making less money for more headache than you are now. I'd stick with what you've got and work on building your skills. Is there any way you could try both for a while to see which one you like better?
This thread does not include the other 90% of us
who struggle with bad dictators to make $300 a week.
Forgot to include this
There is nifty piece of portable equipment called the Lynx Portable Back Stretcher. It is sold by the same company that makes/sells Teeter Hang Ups (an inversion table). The Lynx is amazing. It helps to open up disk spaces.
It never hurts to include her even if she
doesn't come. It is about not having regrets. If you know that you always made an effort ...then in the end you will have peace about it.
Meant to include this one too
From: Add to Address Book
Date: 2006/03/14 Tue PM 04:04:51 EST
To:
Subject: IT trouble
I have been having a problem with IT whereby when I enter a short such as "Fln" and then choose "Flonase", the expansion produced in the document comes out
"Flnase", although it is not misspelled in the glossary. This also happens
with phrase entries, though in neither case does it happen every time (i.e.
sometimes when I enter "Fln" and choose "Flonase", that is what is produced in
the document). Usually it seems that it loses a letter that I skip in entering
a short, as above, but an example of one that happened today a little
differently was when I entered "Aqa" and then chose "Answers questions
appropriately", the expansion produced came out "Aswers questions
appropriately", which I believe is the first time I have had it just drop the
letter and not have what I had typed as the next letter in place (i.e. would
have come out something like "Aqswers questions appropriately", since I had
actually typed the letter q).
Kristen suggested that I e-mail the custom glossary that I am currently using,
which is attached to this e-mail and titled "XXXX2", and I mentioned to her
also that I have created several glossaries for the various doctors for whom I
transcribe, and that the problem will happen when using any of them. I am
using Word 2000 and Windows XP. My telephone number is (XXX) XXX-XXXX, and I
appreciate any help you can offer.
Thank you,
Kim Xxxxxx
I would include....see inside
Specialties, Methods of receiving/returning the finished product. Think about why you are in the field, and focus on those qualities, for example, if you really take pride in your work, then say so. Think about your resume and focus on your experience. I hope this is helpful! Wish ya' luck!!! 
what does waiver include?
Just yesterday I asked at my doctor's office if when we sign the waiver giving "third parties" access to our medical records as needed to provide for our health care, would that also involve the transcription company of their choice. No one had an answer for me, as they do their notes by hand. BUT, they said they'd like to know and that that aspect of it had never occured to them. They suggested I contact their main office and inform them of the dangers of offshoring if they decide to do it. I intend to. No way I'm signing my own records over to offshore when I'm trying to hold them here in the US!!! Maybe they'd care; maybe not. But at least I will have made an effort to inform them.
Wow!! Did that include postage? nm
xx
Does the class action include the DEP
platform? Somewhere, don't remember where now, I thought I read the class action was about the old platform MedRite and was for a certain range of years. Is there info out there that the class action pertains to DEP also?
No kidding. That would seem to include some pretty
nm
You will want to include information regarding the platform you are on, etc.
dd
It depends on what you include in that figure.
where you live, how many in your family and what you get for your money.
Rehab medicine will include PT, OT, sm
speech therapy, etc.
DocShuttle is 99, but that does not include waveplayer. sm
I just purchased DocShuttle and then had to purchase the Docshuttle waveplayer because it does not include the waveplayer, that is a separate purchase.
Yes, definitely include your templates in your counts. nm
xx
I would and I have. Include verification of the error. sm
I would suggest being very matter-of-fact about it, keep all emotion out of it, even you're really annoyed inside.
I think it should be changed to the basic 5, and include ERs (sm)
A lot of hospitals have their med rec dept MTs (or MTSO) do ERs, as well. Those reports are usually sort of a combination H&P, OP (minor procedures) and/or DS--more detailed than clinic SOAPs.
I forgot to include that in my post here.
I have already written my letter & in the beginning of it there is a brief outline & I included that & then I go on to talk about stuff in detail & I mention that in it as well. I hope you guys join me in doing this & can get some letters to me. I feel we can make a bigger impact if we all stick together & by sending a packet of a bunch of letters maybe our voices will be heard & something be done.
meant to include ebonics is used and accepted
in this town. The schools are 95% segregated in the town. Very old southern roots. They do not care for change. Teaching children to speak properly is considered taking away from their "heritage". Why we moved here? Not really sure. People are very nice though. You are in the minority if you can speak, write, or read properly. Also, it is 100 miles or so SW of Columbus, GA, 30 miles or so NE of Albany
I forgot to include my hint of sarcasm phrase! nm
x
which is the most common that you use when flagging? do you include the time track?
I would include the why you're leaving part. They'll probably ask
s
It was very unprofessional for the dictating physician to include that statement.
I have never come across such a thing myself, but I wouldn't hesitate to type it.
I wasn't, honey. I'm not the OP. My point is she didn't include context
to tell which catheter out of 17 pages it might be, and most medical books don't cross-reference to other medical books.
MQ part-time benefits do NOT include medical/dental. Nm
nm
Nope! I only stress over things worth stressing over, which doesn't include turkey & taters!
just try to help him be sure its for the right reasons
You have to let kids this age make some decisions, even wrong ones, and live with the consequences. But i would just try to get the dialog going, find out why it isn't 'fun'...personally, i feel if the desire is gone -- he won't play well anyway. Ultimately, his is one decision i'd let him have.
Many many many reasons
Too many to type...just believe me...
My 2 reasons...
I love my husband because: 
1. He's thougtful...calls or emails me several times a day.
2. After almost 20 years together, he still gives me chills when he walks in the door after work.
There are so many more reasons why, but you said 2...
my reasons
1. He knows me better than anyone else on the planet after knowing me for 27 years and being married for 23 and SILL loves and accepts me! :-)
2. I always feel that "everything will work out" if he tells me so.
there are many reasons - sm
I know of two hospitals that had decided to completely outsource their transcription to a well known large national service. Their reason was that they could not find transcriptionists in their area. Two years later, both hospitals let the service go and decided to go back with in house transcription. There were many reasons behind that decision.
I have a friend that works at a hospital in the midwest and says that the outsource service is costing the hospital more than if they had kept their staff. She had said that her hospital is in the process of hiring people to come back to work either at the hospital or, hopefully, at home.
The hospital I worked at could not find transcriptionists in the area, so they decided to outsource as well. Our boss didn't make it a secret that the service was charging them $45,000 MONTH. That was more than if our whole staff was working 10 hours of overtime a week/per transcriptionist. So our boss is looking into hiring transcriptionists that live within a 2 hour driving radius to work from home after a week of training in our hospital and paying for them to stay in a hotel.
Sometimes it is not cost effective to outsource. Sometimes the service is really bad and the hospital does not want to continue to pay for the errors. There could be other reasons, but those are ones that I can think of off the top of my head.
Which, among other reasons, is why I would -
;)
My reasons...
Well, Pattie, I have been doing this for 25 years. I am 50 years old. I am good at it. I want to work at home. I am reluctant to leave my chosen field at this stage in my life.
I could not have predicted, when I obtained my MT training, that this field would take such a nosedive in pay. Obviously I would have chosen another field had I known.
As you get older, you are more reluctant to train in a new field.
My reasons...
for stick with MT and even coming back after a couple of absences:
1. I love the work. It satisfies my need to be in the medical field (quit nursing school way back when - bonehead move on my part!) without having to go back to school or actually deal with people too much.
2. My husband is disabled and my boys are teenagers. If I worked outside the home in another field, I'd be spending everything I made on paying someone to take care of things at home.
3. I really like the company I'm with. Been with 'em now for about 4 years and have loved nearly every minute of it.
4. I'm too old (44) and set in my ways to retrain in a new field and get used to dealing with office politics again.
5. The money that maybe I'm NOT making, I'm also not spending on gas, clothes, lunches, etc. that are part of working outside the home.
6. Did I already say I love the field? 
Well, 2 reasons. 3 really.
1) That seemed to be what everyone was hiring for.
2) I hoped to make more money that way.
3) After being an MT for 14+ years, I had a lot of confidence in my abilities as a transcriptionist. Honestly, I didn't realize how much I didn't know. I feel like a dang newb again
Several reasons ... sm
1) May be checking to see if you have previous employment history with them under different name.
2) May be doing some type of credit/background check.
reasons
You know I will definitely pass these along. Some people just think you are being racist because you state the obvious and because you show such bitterness towards these people. Look at what they cost our country. Do you know how much crime these people bring here? The diseases? Do some research. They don't have proper vaccines over there. I mean think about it these are poor 3rd word people from an uncililized culture apparently. How can 3rd world culture merge into 1st world culture smoothly. It can't and it won't. They will never smoothly transition to the American culture because they do not want to.
And people can say well what about all the European immigrants many years ago? Well guess what? They wanted to be American so bad that they learned the English language and worked hard. They wanted to be AMERICAN. They did not expect Americans to transition for them they were willing to transition to our culture. These uncivilized vultures basically come here and they come here for one reason only: money and all they can get for nothing. They come here to work but they also abuse our social services to the utmost degree. I have seen on news programs where they will come over here and fly their Mexican flags. And you know how they fly the American flag? Upside down. Oh yes I have seen it on TV. I have seen them trying to burn the American flag. I don't care if it cost a trillion dollars this country needs to send every one of these people back to Mexico. Our country would be a whole lot better for it. We don't need this filth and crime in our nation. We are better than that. I am sorry if this offends some poeple but it is so true and sometimes the truth just hurts. That is what is wrong with our country today. Poeple tiptoe around the truth. Lets dont offend anyone! Well hey I say state the obvious. Tell it like it is.
Reasons
I answered your question above where you posted it as well. I must have misunderstood your post, as it seemed that you were challenging me. But, I was just trying to say that I don't want to debate the fact as to whether or not the queue is shuffled, cause I see it happen. I don't know their reasons, but this new shuffling maneuver only happens on one account that I work on there, and it just began about 5 weeks ago. It is really difficult for me to get a decent line count now, as all of the reports that I get are laborious since the reports that I find to be easiest are always being shuffled to the bottom of the pool. I understand that it is not a prison and that my only option is to get out the kitchen if I can't stand the heat.
I would think that those reasons
are given as opposed to unexplained weight loss, disease process, etc.
Three reasons...
1. It's good for a company to provide upward pathways for their people.
2. Some accounts can be very complex and require the QA to have prior experience with different special worktypes and/or exposure to certain dictators, etc.
3. There are many things you learn about an MT over the course of their employment that you will never learn from interviewing and even testing a new applicant, however experienced they may be. Unfortunately, our litigious society has rendered reference-checking practically useless, and you will never be able to test any applicant across the full range of dictation that you see coming in from your MT's every day.
There could be several reasons.
1. A lot of companies are hiring and do overhire to get their backlog down. Once their backlog is caught up, they weed out. They don't have to let people go, they can manipulate their queue until they quit. And please don't say this isn't true because one of my ex-friends who was a production manager actually told me this.
2. Benefits are based on production. If management can hire a lot of people, they can produce a lot for their clients, they still get the same bottom dollar. Yet, if the queues or servers are controlled, they can avoid overhead on benefits if production quotas are not met.
3. Why pay domestic employees 7 or 8 cpl when they can pay offshore MTs 3 or 4 cpl? They still have the same amount of production and still make the bottom dollar, yet they can control where the reports are going and who is getting them.
It all comes down to bottom dollar to management and owners. They can control whatever and whomever to achieve their goals. Not all companies are like this, but it is becoming more and more common.
Not working out for a lot of reasons...
The platform they have me on is not user-friendly at all.
It seems simple enough. You have to enter the job # and date, and then press enter to get the template to download with the patient's name, etc.
But if the doc hasn't entered the patient ID correctly, you'll have to look it up.
This can take a minute or several minutes, depending on if the patient exists in the system, among other things.
You'll come out ok if the note is long, but they average about 30 seconds.
Also, the doc may not have entered the correct clinic note ID, or the correct dictator ID, so that's another story.
If all goes well, you'll download a template. If there's something typed in the template, you don't get paid for it...but, if the doc makes changes (which of course they do), you have to delete.
I know what I'm capable of doing, but for some reason, I just can't make any lines working for Spheris.
I gave it a shot, but I'm ready to move on...maybe even change careers.
First, be very sure of the reasons that you want to homeschool.
It is tougher beginning at such a late grade, but it can be done. I started my son in 9th grade 9 years ago, so obviously I know a little bit about it. I also had a great friend who homeschooled her high school kids, so she could get me started with a lot of support and encouragement. Be sure you're ready to be with this child 24/7, because that's pretty much how it will feel. We did have problems with the school but tried every avenue to solve them before saying, "We don't need to put up with this, we do have a choice," when the school counselor said that we didn't have a choice. They thought they ruled my son's world; they were WRONG. I AM HIS PARENT, I believe I do have his best interests in mind when making choices for him. We are a Christian family, so it was easy to start by investigating Abeka Books for materials; bear in mind you'll have to buy all your own materials, nobody helps with that. My son now has his degree and is IT manager at a bank, looking to make VP.
You'll need to check out the homeschooling laws for your state, they vary. Just do an internet search for homeschooling laws for your state. Check around for homeschool groups, there are several out there. But, the biggest thing is just to make sure that you and your child are committed to working together to do this. It does take a lot of commitment and communication to do this and do it right. BEST of luck to you whatever your choice.
So, PFFFT to the person who says kids need to be in school. I know better and obvious hundreds or thousands of others do too.
Those are the reasons I do shop SM
at Target. I have a huge problem with the Salvation Army's practices (be our religion, go to OUR church, adhere to OUR values, or stay cold), I think our government ought to be the ones supporting the military since they sent them where they are, and as for supporting gay and lesbian rights, I think that is a good thing. I'm not sure exactly how you phrased that.
QA can be very tedious for these reasons:
1. You get all the garbage someone else either could not or did not take the time to hear and understand.
2. You often have to fix all kinds of little errors that the MT had no idea they even missed.
3. If you also have to provide feedback, then you will type your fingers to the bone.
I decided after 5 years to go back to being just an MT! :-)
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