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I refuse to do tapes but have a possible solution for you.

Posted By: sm on 2007-11-07
In Reply to: HIPAA compliance - Copper

I have eliminated tapes completely--just not worth the aggravation, gas, time, etc. I only do digital and the docs have two options. One, buy their own recorder and pay a lower line rate or have me supply the recorder and they pay $0.02 more per line. The digital recorders are as easy to use as the tapes recorders.Stress that improved quality of recording will allow you to hear what they're saying more clearly and will result in fewer blanks. Also, they will experience an improved TAT and there will be no more broken tapes. You may find that they are willing to give it a try when you stress the benefits.




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they don't REFUSE to hire new MT's. They REFUSE to hire them at 6-8 cents per line.

mostly because you can now hire experienced MT's at 6-8 cpl. In the near future, you will be able to hire experienced MT's at 5 cpl. Then people will start getting out of this business and new people will stop trying to get in. I had a job opening and asked people to bid what they wanted per line. One very smart young lady was a new grad and bid 3 cpl. I hired her a year and a half ago, she has been terrific! and I was willing to spend my time training her because a) time is money and she saved me money so I could spend my time and b) she had definite potential!. In another six months, she will be the MT with 2 years experience applying for jobs. AND she will get them because she will test well and essentially "bought" her experience. So use Economics 101...


 


I refuse
I have a second job and their information is on there as well. I could see it if it were company provided email, but to randomly want to look through email and files. I have medical information on my computer for my family and they have no business looking at anything. As a requirement of employment, we had to show we have antivirus and spybot protection or we had to download theirs. They delete work done about about 10 days, so no files remain and during that period of time, nobody could access those files without the proper log in as they are part of their own designed typing system. I don't believe for a minute this is regards to protecting their information as the statement mentioned sending out information about the company via email.
If we all would refuse to do bad dictators - what can they do about it?

Let them do them themselves or have their fair-haired Indians do them. 


Let the mush-mouthed doctors get back mush-typed dictation.  It would be fair.


Tonight I had so many questionable lab values it made me sick.  I also got a non-ending stack of bad, foreign, indistinct, unable to speak English doctors --- you know the guys who end up at the bottom on last day of the payperiod.


I have gotten to the point that I want them to say "This isn't right!" and stomp their feet, because I want to go nose-to-nose with these jerks.  Just mess with me suckers!  I'm ready.  I'm premenstrual and I'm ready.


If you have 25 years of exp and refuse SM

to be on the supervisory side of things, that's your problem and not your service's problem.  You sure think you are important if you expect the management to consult you on every supervisory hire they make to see if it meets your requirements.


 


Actually one now, but some people refuse to let go of the old way. SM
It took me forever to train myself! I finally made a macro.
Do you honestly think that you can get MTs to refuse to go to
People have enough problems getting to the physician of their choice due to insurance hurdles!

Your idea is very admirable but in today's economy (especially with all the moaning and groaning about NOT making enough money to live), you are more than unrealistic. Perhaps a handful, literally a handful, of those MTs who have husbands who provide very well might opt to do that but who/what is that going to serve? The well-supported MT club?! lol

You've waited too late. Besides, what are you going to use for your platform to reach the masses? These message boards where only God knows who visits (ID and numbers) -- eventually the owners will tire of your use of their services and probably charge you. Of course, you have television - a very, very expensive medium. Perhaps some trade magazines, again advertising costs. And what will the members who live far away get in return for their hard-earned dollars?

What product/service are you going to offer?

Everyone's just full of these ideas but no one is putting a reality in there anywhere.

You are wrong. An IC can refuse
someone else.  The OP should not have to make-up work.  Also, anyone who is committing to lines or hours should then be paid as an employee.  I don't get how these companies can force an IC to type a certain amount of lines.  That is wrong.  An IC has every right to do as much or as little as he/she wants to do.  I know these companies don't like that and some MTs allow it, but I for one am an IC and am not expected to transcribe any amount of lines and when there is no work, there's no work.  That's it.  If there's work, and I want to type, I type.  I can also refuse even the accounts I am so-called expected to be doing without any problem.  There are other ICs that work for the same company that are able to do the work if I cannot.  This is how it should be.  The OP is not wrong in her thinking and no she is not overloaded due to her own fault.  A contract that states a certain amount of lines in a certain amount of time is considered employee.  Check the IRS site if you think I'm wrong.  There should be no control in that form at all. 
Maybe if refuse to do bad dictators, they will
x
refuse to quit
I told him of some of the posts on this board, even the few that were leaning in favor of him, and he says I am not painting a true picure of his concerns. He said that I have given up a good job with benefits and healthcare to now be a contractor and have to pay more for benefits and not even have a retirement plan with the company to fall back on. His company does not offer much in the way of benefits to spouses, so I had to get my own. I admit, I did have better benefits in my old job and this business is not as stable. He feels he is only being concerned for my welfare and that I am misjudging him. We just do not agree on the situation. But even if I go back to my old field, I will still do MT on the side because I love it. I have worked too hard to give up now.
IF MQ LETS YOU GO, ARE YOU GOING TO REFUSE TO TAKE $$ FROM THEM?
Be honest.
REFUSE to do QA work for CPL
Notice to all greedy MTSOs out there: I will NOT work for cents per line in QA. You will not be making money off of my knowledge and painful hours I have put into this profession.

I will be a Wal-Mart greeter before I let you make another dime off of my back and I hope all experienced QA people do the same.

This is ridiculous and insulting!!
I refuse to do it. I have research papers, etc.
get in the habit of doing INCORRECT things just to please AAMT.  If it means I can't be an MT after 25 years of MTing, then so be it.  But I learned English many years ago and every other facet of my life still requires PROPER English/punctuation and I'm not going to learn a bastardized version for AAMT.  AAMT can kiss my hiney!
If I were married, my husband would not refuse to let me do anything
of this nature. I had a husband like that. I got rid of him very quickly. I am who I am and if I want to go back to school, I would tell him I am going back, which is what I did. He demanded I stay home with the kids at all hours of the day and night. I told him bye.
I agree and I refuse to do any sort of
make up time because I feel if the work is not there, they cannot expect me to work the hours I said I was unavailable. They better not say a darned word about my not getting my lines in this pay period due to no work situations constantly.
And when the US MTs refuse to work for that guess
where the work will go? 
Let the next MT refuse him also. Be open bout
I dont consider this cherrypicking.  Just straight up refusing to do a doctor who has no regard for me or his pts if he is going to dictate in a manner that is indecipherable.  Again, I am in this for the money just like MTSO.  I am not here to work for mere pennies an hour.  There are plenty of jobs out there.  The MTSO can get rid of me over 1 crappy doctor or keep me, knowing I know the platform, etc.  If MTSO would rather have 1 crappy doctor or a darn good MT, whatever.  Again, it is hard to find a good MT, crappy dictators are a dime a dozen.  Let the next MT refuse him or not. It is here decision.  Mine is to ask to be taken off so I can make money just like the MTSO.
no and I would refuse to work for that company. nm
nm
If experirenced MTs refuse to do VR, then the services will not
find enough workers, and perhaps will decide to go back to straight transcription. Hard to make any money off VR. You do not get paid for inputting demographics. Are you typing one space or two spaces between sentences? Some VR programs are set to add only one space, so you are being short-changed there also. No extra for bolding or underlining. No numbering allowed. No tabs allowed. The signature line is not being counted toward your line count. The only way to make money with VR if you have taking a 50% cut in pay is to crank up the speed as fast as possible, let it play, and basically read and not have to fill in too many blanks. Otherwise, you will not make enough money to survive.
When US MTs refuse to edit their garbage
xx
Actually, I can REFUSE to have a breast exam done on
me by a doctor, and I always did. For me this procedure is much too intimate.

I guess you can refuse and be fired and then
be making no money.
If we all refuse to do VR at low rates, we may see an increase in pay.

I refuse to validate the idiot Cruise
or to enrich him with one penny of my hard-earned money. I will not be seeing his movie or any other project in which he is involved. I feel the same way about Johnny Depp since the horrible, hateful statements he has made about America and Americans. They are free to speak their minds, but I am also free to choose not to reward their hatefulness.
Training on secondary accounts. Can you refuse?
I have a great primary account. I realize I need a secondary for slow times but the secondary account blows big time. It is laborious (many fields, special requirements that are tedious, etc.). Can I say, "No, but thanks." I reach my required line count with what I have on the primary account even though I am not working a full eight hours. I have taken on a PT job and just fill in empty space by turning around and typing on the other computer when it gets slow.

Any feedback or advice would be appreciated. Thanks!

Maybe it would work with deadbeat ex-spouses who refuse
to pay child support.
Good advice but some people refuse to
split "amicably." I know for a fact in my case it would be a blame game and a huge mess. Been there many times and resorted to other ways of handling it. I wonder if what you suggested would still work for me?

Not the OP but helped by your advice.

Thanks,
me
This is getting ridiculous. I REFUSE to buy yet another edition of the BS of Style.

Those broads at the AHDI or whatever it is called now have too much time on their hands!  They need to get real jobs.  Get back out there in the trenches, have someone QA the crap out their work, and see how they like every changing quicksand of MT.


I refuse to go to Imail...I've gotten a virus from there and so have many other people. nm
,,
Geesh! What's up with you people who refuse to work holidays?
Don't you think people get sick, have accidents, etc on holidays too? What about the doctors and nurses that have to work holidays? Did you forget about them too?

How about police officers, firemen, paramedics...

Do you think you are the ONLY people out there with family and would like to spend time with them during holidays? We would all love to do that but this chosen career requires some sacrifices.

If you can't give a little you should have never started doing this kind of work.
I refuse to work for a company who outsources. Period.
nm
True. Just as I refuse to deal with cust. service
x
Should've held out for the candy bar and refuse to leave till you get it!

Solution........sm
I live in Florida and have Adelphia cable which is lightening fast, WHEN it's working.  I was losing connection while working at least two or three times a month, which you obviously know, can be a nightmare, especially when it's down for hours at a time.  I have the solution.  I got BellSouth Fast Access DSL as a backup.  It works through my telephone line.  It costs me about $50 a month, but it is soooo worth it.  Now when my cable goes down, I just swith over to DSL and I'm back to work in a snap ! 
I have the solution..
Lets all move to India and only work for companies THERE that offshore!!!
a solution
There is probably a quicker way, but here is how I do it:
1. Go to google.com, highlight, right click and copy everything in the address bar. Minimize explorer.
2. Right click on desktop and select new > shortcut. A window will open. Paste (control-V)the Google info in the "location of the item" field, click next, name it, click on finish.
3. You will then have a new icon on your desktop which is clickable to google. Drag that icon down onto the toolbar next to the start button.
There is a solution that they don't tell you about. SBC/ATT have
a business plan that is called Complete Business Solution that is unlimited local, local toll and long distance. It is $59.99 in my area for this and they switched my residential line to a business line for $12. This is less than I was paying for my residential line and there is no limit on the unlimited calls, length, etc as long as you are not a telemarketing center. My boss (who has been slammed here too often for me to say her name without causing flames) researched this and let me know because I got the .19 per minute letter from SBC. No problems since and it was over a year ago!
Possible solution?
Okay, ethics is questionable here, but at times you need to fight fire with fire. At one MTSO all of the formats were templated. They charged the client, but didn't pay us. So...Many MTs would delete the template as soon as it popped in and put in a matching one of their own. They got the lines, the client got the template, and no one was ever the wiser (so far).

Would something like that work for you? It might be dodgy, but if they are going to play this game you could conceivably play right back. I know I'm going to get flamed, but MTSOs are looking for every opportunity to take food out of the mouths of our children, and at some point we need to say NO.
Got a solution...Buy a new/used one from me;) s/m
I have a couple of extras I'm getting ready to list on Ebay. Would you like to make me an offer? Just send me an email. Thanks.
Here's one solution

Send all the ESL dictations over there!  It seems really wrong to me that I'm sitting here typing ESL for residents with heavy Indian accents and they're sitting over there typing american doctors, and we're all struggling to understand!  Seems like everyone would be happier if those docs could dictate in their native language, those overseas MTs could type it in that same language, and then they could run it through translation software to come up with a report in English.  I know a lot of american patients don't wamt a doctor treat them that they can barely understand, and I often wonder why so many ESL folks want to practice here, dictate here and have americans type the dictation!  Why don't they sent THAT work oversease, and quit driving the rest of us nuts!


My solution
Recently I changed my working schedule in that I work three-hour stretches. It has definitely made a difference in my productivity, as well as decreasing the total time per day I spend transcribing (I'm an IC).  This works for me, although the downside is that for anyone, three hours without a break is a long time to transcribe.  I would recommend working up to what would be the longest time you could tolerate.
Somewhat of a Solution

Actually, I was able to copy the whole contents of the document and paste it into a new document, and the marks disappeared. Just in case anyone was curious.
Here is a solution.
If you have access to the folder containing those files. Right click on that folder, go to properties ...

and set it Owner can 'read', 'write' and 'execute'. In Unix/FTP terms it's known as chmod 777 permission. Try googling chmod 777.

BTW, which FTP client you are using? CuteFTP? or WS_FTP?. Sometime, you need to set options within the FTP client program as well.


no solution here yet either

I have been at this for over 7 years now and still have not found a solution to this problem.  My situation is not nearly as bad as yours, but I have always said that my husband's mouth was connected to my pedal.  I press play and he starts talking LOL


Me too and solution

I use Escription as well and I think you're referring to something that reads ProcMon or something?  Well I disabled the darn thing and nobody said anything.  Didn't realize it was a monitoring tool but IMO unless you are going to provide me with a computer then you have no business montioring me especially without telling me. 


So here are some instructions.  Go to Control Panel.  Click on Administrative Tools.  Click on Services.  Find EditScript Process Monitor (assuming this is what the process is you have that I have).  Double click on it.  Under the General tab there is a drop down menu that says Startup type.  Choose Disabled. Click Apply then OK. 


Make sure this is the same exact thing you are seeing.  NEVER change any process that you do not know what it is.  This is something that is best left to someone in the IT field.  It so happens my husband was a Senior Network Engineer (he's since moved on to development) and these instructions come from him.  But be very careful as you could turn off something important!


RIGHT HERE is the solution sm
We could mount a campaign to make outsourcing of medical transcription illegal, or at the very least tax the crap out of it until it is not practical. Write your representatives, write to the political talk shows, write to Oprah, write to news magazine programs, write the New York Post. Get on the phone and talk to people who can make a difference!!!!

The end result? There are NOT enough highly qualified MTs to do the work that needs to be done. So, supply and demand will work FOR us. Benefits and wages will have to go up so that companies can attract the best, most productive MTs and keep them. Gone will be days when we work for such a pittance. We will be in demand.
Well, for both of you I have a solution

that is going to sound reeaally strange.  I got the suggestion from my chiropractor when I complained of sore lower back and sore hiney.  He suggested that I buy one of those large (about 24" round) inflatable pilates exercise balls and sit on that.  He had one in his physical therapy department and I gave it a test sit.  Felt pretty good.


STOP LAUGHING, I KNOW HOW WEIRD THIS IDEA SOUNDS and the visual image is a scream.  Yes, yes, I know.  You think that would be a totally unworkable situation and so did I.  But I was ready to try just about anything and this $20 idea seemed affordable, so I went for it.  The theory is that you learn to hold yourself straight by strengthening your core muscles instead of leaning against a chair back.  And the seat is very yielding under your butt.  I initially had a problem with my ball/chair rolling away every time I stood, but I solved that by getting a giant heavy plastic flower pot saucer to set the ball in.  Voila!  Looked weird, worked well.


Takes some getting used to, but I eventually did.  My back was more tired than ever for about a week, but my bum was in heaven.  Then I got the hang of it and it was great.  I sort of got away from the system when I broke my arm and the cast was throwing my balance way off so that I had trouble with my..uh... mount and dismount.  After tipping over a couple of times, I deflated the ball and stored it, rolled in a regular chair so I could one-handed hunt and peck for e-mails and internet.   


Been back transcribing for over a year, but never got back 'on the ball.' Now that I mention it, though, I think I'll reinflate that sucker and try it again.  I SAID QUIT LAUGHING, BOTH OF YOU!


best solution to this
Better Business Bureau, file complaint under misleading advertising. Bring the complaint here and ask everyone who views it to make a complaint to the BBB. It would shut them down. I filed one on Transcription for Dummies website www.transcriptionfor dummies.com!
no solution for me,
other than positioning in the shade, with sun not shining on the screen. Its so nice to be out there working in the fresh air, but much less convenient for me (even with the minimal items packed along, and the various concerns, animals knocking something over, dust, wind, bugs...)
THE PERFECT SOLUTION....sm

I interviewed for a company a while back whose method for discouraging cherry picking was to dock their paycheck by $5.00 for every report they cherry picked !    ha.. love it !!


 


 


 


Same problem - no solution yet
I just have the same problem. I hope i can resolve it soon. I am afraid that some new worm has come, or some security fix from MS has coused it...
OKay, we've got that much. Now what is your solution?
x