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Serving Over 20,000 US Medical Transcriptionists

I beg to differ, OSi DOES offshore.

Posted By: Who are you kidding? on 2005-11-02
In Reply to: Lets set the record straight, email was concocted - OSI DOES NOT OFFSHORE

Or, trying to kid, it is a very well known fact that OSi offshores.


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Please post offshore topics on Offshore Concerns board. (NM)

Thank you. 


Goldbird


I beg to differ

When you do those awful dictators, do them consistently time after time, the supervisors see this.  Therefore, they assign you those jobs, knowing you will get them out.  They know its not good for the company to have newbies, lazies, greedies, getting these reports, because they will either guess and make tons of mistakes, or bypass them anyways.  So they figure, give em to the gals who can do them!  Therefore, they look good to their boss, everything is nice and tidy on their end, and we're all happy. 


Except those of us stuck with the horrible dictators.  No matter how good you are at them, if you get them over n over n over, it will reflect on the amount of lines you do because it takes time to not only decipher what they are saying, but also research on that one word which he "might" be saying but your not sure.  The cherrypickers and whiners and lazies are the smart ones, they're making the $$$$


I beg to differ
It that your reasoning behind your accusations of who Barney is and who she isn't.

That is pathetic.

It seems as though Barney has not responded lately and you know what, I don't blame her. I am outta here as well. Good day!
Beg to differ!
This board DOES allow this company to advertise here, although it admitted to offshoring once it got caught. There are ads here all the time posted by this company.

Is is this the email you are talking about from Mr. R?

"Whether we think offshore labor is right or wrong, it has become a fact we cannot escape from. XXX will not actively pursue offshore labor contracts, but we have made the decision to experiment with using some offshore labor to save this large XXX client from going elsewhere. We believe this is the best decision for our employees assigned to this account and the company because this account is growing and we can assign the offshore part to the future increases and not have to reassign any XXX MTs. XXX is committed to continue using US MTs for the majority of their work and we will continue to resist going offshore."


I do have to differ
My doggie DOES go to the bathroom in his crate.  I had always read that dogs won't go in their crate, but this one DOES and he just lays in it until we get get home.  That's why I stopped putting him into the crate, because every time we would leave him in it and then get home, he'd have to have a bath because he had "whizzed" all over the crate.  He's a little pill, but I love him so! :)
I beg to differ
I also was in court reporting school 15 years ago, and even I know that the court reporting machines automatically translate the ShortHand into English, so what you are saying about having to retranscribe it into English, you must be mistaken, and not to be mean, but I can't imagine going through a 3 year course that has an 85% drop out rate passing the exam and then saying you were burned out, unbelievable, but then I am not you, so I can't really know.
I beg to differ here about...

My dad and my husband's dad both make an excellent living driving a truck.  My parents raised 4 kids on a trucker's pay, and we lived very well. Now, as far as couples trucking, I don't think I could do that, just because I wouldn't like being stuck in a truck with my husband for days on end....although I love him passionately...enough is enough, know what I mean???


Good luck, though, with whatever you choose to do!


I beg to differ -
The labor board will get involved in certain situations, check your local office. Also, there are many other government offices that will support a independent contractor - and non payment of services, considered theft of services - I ask that you review the news regarding A&B fuel in PA, and look into what is happening with D&L Typing. The Transcriptionist is a business owner, independently just as a plumber, electrician, or other service professional - time that the transcription companies start remembering that. And time we start to treat ourselves that way too.
Beg to differ
I was paid by the minute of dictation - it's actually the fairest system - depending on of course the rate per minute...
Sorry but I beg to differ on this on
Phillychick was not bragging. Simply stating the way she lives. There are those of us out there who choose not to live beyond our means. Just because some of us do not have to work our fingers to the bone to pay the bills does not mean that we are bringing this industry down.

I have 3 teenagers at home presently so I do understand how tough it has gotten just to buy the everyday necessities, but what we consider necessities has also changed with the economy.

If you cannot make a living doing MT, then you need to get a job that you can make a living at, plain and simple. It amazes me the bitterness that I hear come through this board regarding this profession. If its not right for you then find what is and stop blaming the rest of us who have made a go of it, and succeeded.


Ah, beg to differ
What you saw was very one-sided and probably paid for by WalMart. I was not a bad employee. Never missed a day of work, always on time, good reviews, etc. They pay minimum wage, always changing your schedule around so you do not get enough hours to qualify for benifits, poor management, when you ask for a raise they make things very difficult to get you to quit, etc. Employee discount was 10% where I worked. The worst employer I have ever worked for and thank God I was only there long enough to graduate from school to do MT.
I beg to differ

I would like to know where one of those jobs is.
I beg to differ.
I do operative notes only but for every single account in the company. I never know where the next report is coming from. Good dictators, great dictators, mediocre dictators, awful and absolutely horrid dictators.

Again, really sound experience and lots of investment in my expansions combined with a positive attitude allows me to be productive, steadily, even though I am working on so many different hospitals and dictators.

Everyone will have good days and bad days in this work but it happens with all other jobs, too.

Please don't try think and try to make others think that everyone in this line of work fits into that limited box. It isn't true.

I bet to differ
When I worked in house in several facilities our desks were lined up directly in front of the charts.  If the clerks were making a floor run, we had to answer the phones and pull charts, etc.  I've never seen a facility where the MT department was totally separate, except for one hospital.  They didn't have the room so they put all the MTs in a storage closet.
I beg to differ with you. An MT transcribes,
she/he should not have to translate/decipher what a rude person is trying to say. Doctors should realize, just as the MT does, how important that medical record is and that their dictation of that medical record is vitally important. Maybe they should be taught dictation and manners and grammar, etc.
I'm sorry, but I beg to differ -- my company would never
try to pull a fast one -- and, if that's the case, then there are tons of other companies out there doing the same thing, I see them every day on the Job Seeker's Board both here and on MT Daily.
I beg to differ Hayseed
Ebonics is a term coined, originally intended and sometimes used for the language of all people of African ancestry, or for that of Black North American and West African people, emphasizing the African roots of the former; since 1996 it has been largely used to refer to African American Vernacular English (distinctively nonstandard Black United States English), emphasizing the independence of the latter from (standard) English.


The original poster most definitely was referring to a particular race here in her commentary.

You missed the point entirely.




Beg to differ on Heinz
Kerry's wife has no involvement in Heinz Int'l. Never has. Neither did her late husband, who worked for his father's company for a short time just after college. He inherited the Heinz fortune, as did she when he died. She does, however, have much involvement in the philanthropic organization with the Heinz name, also not related to Heinz Int'l. This information can be found and is public to those who wish to find it. A lot of people have been blathering for years about how Heinz "outsources," etc, ad nauseum without actually checking the facts. Heinz Int'l is a multinational company. Not the same as "outsourcing" by a long shot.
Beg to differ - Schedule C with your sm
business expenses - 100% deductible. 
I beg to differ-EMR will take our jobs
I beg to differ but I know from firsthand experience that EMR can take our jobs. I lost a really good acct about a year ago that went to EMR, yes it was clinic work but I still talk to the doctor and staff and he said the whole hospital is on it and they have no transcriptionists at all.  They even sent me a clipping of a story that was in their local news about it.  Also my own doctor and the hospital system that was my main account when I was MTSO has been using EMR without transcriptionists for 3 years. I've seen it in my doctor's office, the ER and my friend is a manager of a hospital department and says they had to let the transcriptionists go.  Sorry but hospital work can be done with EMR.  Also just because EMR starts with transcription does not mean it will stay there.  I have a friend in Texas who is going through that right now...they are phasing her out.  So girls be afraid, be very afraid.
I beg to differ with your comment
When I worked in house MANY years ago, doc dictated in the "allergies" section that the patient was allergies to pencillin -- I then got to the "medication" section and lo and behold the patient was on GUESS what? PENICILLIN -- I went upstairs, pulled her chart looked through it and sure enough, the patient WAS allergic to penicillin -- I pointed out to the charge nurse who IMMEDIATELY called the doc and doc later came down and thanked me for saving the patient's life -- so yes, in a SMALL way we DO count!!!!
I beg to differ - I love my company!!

I beg to differ - not all kids need medication....sm
Many with ADD/ADHD can learn just fine without medication as long as you break the tasks into smaller segments and implement visual aides.

No drug is completely safe. They all have chemicals in them. Ritalin, which you mentioned, caused my nephew to have growth retardation while he was on it and it was only after he came off that stuff that he started growing.

It's not the media afraid of drugging kids. There are many of us out there that don't believe that drugging a child is the correct answer. Sure there are kids that really need it if they can't stay focused at all, but asking a child to stay focused for an hour or more without a break when they're say 7 years old is extreme, especially if they're able to learn the same information if it's broken down into 3 20 minute sessions in the day.

Kids are now being pushed to learn more at a rate that for some of them taxes where their maturity levels are, and this can aggravate things like ADD/ADHD, especially when they don't have the recess breaks at school to give them a diversion from the classroom for a while. I'm glad that in my state some of the school systems have started mandating recess again - and those schools test scores have improved.
Beg to differ with the adding of words
to report if not necessary. That is commonly known as "line padding," especially adding "the patient" when it is not said. I know MTs who have been let go for doings things like that.
I beg to differ. That is what the companies want you to believe. Not all clients are paying Less!
The companies are lining their pockets more and more. AccuStat-Carolinas is not a "good" company to work for anyway. Read the archives!
I beg to differ. I work 35-40 hours a week
FT and have an IC job I work maybe 3 evenings a week for 3-4 hours. I easily make over 50K a year. There are good jobs out there that pay wages one can live on.
Accounts, companies, platforms differ...sm
To my mind, the only true barometer of compensation (aside from benefits) is one single number: What do you make, on average, per hour of labor? By "on average", I mean, for instance, as measured over a period of time such as a week or more.

Think about it: This one number takes into account all of the variances that we see between accounts, companies and platforms when it comes to nonproductive "clerical" demands, dictator variances, quirky site specifics, technical level of the content, sound quality, the usability of the platform, and even work availability.

I've found that those who wish to be paid by the hour are often being overburdened by nonproduction requirements, challenging site specifics (for instance, in one case, over 100 different worktypes with the need to listen to the first part of the report before you knew which template to choose!), or by platforms that are not "transcription-friendly", while those who are happy with production pay are more fortunate in one or more of these regards.

It is so difficult to compare the variables among accounts, companies and platforms individually that you need a single number like this to bring things into focus. That means that an essential question to ask any prospective employer is this:

"On average, how much are people in your company who have my level of experience earning per hour once they learn your system?"

You'll get one of three answers:

1. One that sounds knowledgeable and frank.

2. One that sounds "hedged" or questionable. Probe further. "How sure are you of that number?"...etc.

3. "I don't know." I would run very far and very fast from any company that is so poorly managed that they do not know how their production numbers relate to hours of employee transcription time. Such companies are likely to overhire and to make errors in creating their client teams, and they don't have a handle on the basic business metrics that apply to this industry.
You do know that they offshore, right?? Despite what they tell you -
about the hospitals asking, other hospitals have no idea that the accounts are being transcribed offshore!
They offshore and looking to do more. I have
nearly 20 years' experience in acute care, can do even the most difficult ESLs and they offered me 8 cpl, 8.5 cpl over 18,000 lines/pay period. 
does not offshore
AccuStat Carolinas does not for any of their clients
They offshore. nm
 
Try not to offshore.
They might get it done faster/cheaper, but it is going to look like crap. How happy would your clients be then?
All About Offshore

Sending the work offshore can and does work for a couple of reasons.


Firstly the time zone difference, while the US sleeps we are transcribing and the reports back on the specialists' desks, so to speak, when they arrive at work the next morning.


I do not take issue with the fact that you want to keep the work on your shores, but I do take issue with the fact that you think the rest of the world is Third World and incapable of producing work of a high standard. Believe me, there is a world out there and its name is not the US, contrary to what you might think.


A.


 


Even if they never offshore....sm
when their contracts renew they will be competing against the offshoring companies and the companies offshore already who will bid them under the table and they'll lose the account.

There are several interesting threads, articles, and blogs across the internet concerning the dying industry of the small MTSOs because of not having the capital to keep up with the technology and equipment needed and the decreasing line rates and increasing turnaround times that the facilities are demanding - and big national companies can offer them these things, so they can blow the small MTSOs out of the water.

There is no such thing as security in any job, but the MT industry is on even shakier ground. When your small MTSO has to sell out or loses their contracts and you lose your $36/hour client, you will find that very hard to replace when you go out into the new world of MT and try to find a comparable job today... there just aren't many out there and those that are have hundreds of MTs applying for them.

Now that's getting real...
Offshore
This is sooooooo not true. I work an afternoon shift and have friends/coworkers who work the midnight shift. Despite, this, even during the day shifts, the company we work for is sending all of the easy work offshore, leaving us domestic suckers to do ALL of the ESLs and otherwise hard work. This work was being stripped off daily, in ever increasing amounts --- now it is gone completely. Most of us do not mind doing all of the work as it comes --- but it absolutely sucks that we are being treated this way.
Offshore VR (sm)
I would think so. Personally, I think VR is better suited to newbie MT's and non-English-speaking transcriptionists because VR has a tendency to get the medical words right while totally mangling sentence structure, grammar, proper nouns, and other nuances of transcription that are more easily picked up by novices. Since the medical words have a better track record in VR, it thus becomes easier to bring in low-paid trainees.
Are you offshore?
Your grammer is soooooo bad,  I can't take you seriously.
Oh, I have too, for offshore ads. But not U.S.

Oh so you are another offshore supporter?
Sounds like YOU may be the creep.
Offshore Ad on this site?
I was just over on the State Boards forum and saw an Ad for AAAMT saying they charge 5.9 cents per line.  Unless they have monkeys working for bananas, they must have offshore workers because we could not put bread on the table for what they would have to pay after Charging 5.9 cents per line.  They offer everything that the big MTSOs offer at 1/3rd to 1/4th the price so I think we can be sure they are not hiring US MTs.   I believe MTSOs usually pay the MT around one-third what they charge so at 5.9 cents per line, we would be making around 2 cents a line.  Ads like this make me question this site's loyalty to US MTs. 
You are offshore and got caught.
/
Nope, even more would end up offshore.
//
They also offshore to Trinidad.
y
Transcend does not offshore
but they are going to voice recognition which has a lot of bugs along with a paycut to about 4 cents a line. There are some other posts on this page about good companies because somebody else asked about them and they made a decision about it. It is probably your best answer. Sorry about the job loss. Why do things always happen around the holidays? Good luck to you.
Don't they offshore big time?
I've never worked there, but I've heard they will undercut American MTs just to send the work overseas.
They OFFSHORE and are wanting to do even more.
Pay not that good.  I have 20 years' experience in acute care, can do ESLs and was only offered 8 cpl. 
Which companies do we know do NOT offshore?
x
re: Which companies do we know do NOT offshore?
Transcend.
Amphion Does Not Offshore
www.amphionmedical.com
They offshore, pay is average. nm
 
Cymed-offshore

 


Well, thank you!  You just answered a question I asked Cymed.....and they never answered!