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Serving Over 20,000 US Medical Transcriptionists

I sent a comment to Advance and heard back from them

Posted By: no name on 2005-07-19
In Reply to: don't cancel ADVANCE subscriptions - just send an email or letter - sm

supposedly, they are going to put my letter in the next edition in Letter to the Editor .... we'll see. But I did not cancel my subscription.


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here's a comment I just heard today
from someone who has been in my house a few hours a day, 5 days a week,(helping with cleaning) for 3 years..that this must be a nice job for someone who wants to stay home with kids, has a husband with a good income and wants to set their own hours. I have not had a husband here all this time..how does she think I am making a living? (I wonder how much money she thinks I make). Although a husband with a good income would be appreciated! And I do have to follow a schedule!
In the back of Advance Magazine you see all the coding jobs. Can access it online, too.
s
Sombeody actually wrote a really good letter to Advance a few issues back. sm
It was in the Jan. 12, 2009, issue, letter to the Editor titled, "What Good is Change for MTs?" by Wendy Keller. She does attack AHDI in a very intelligently written letter.
PS.. It apparently worked..I heard back and already submitted the paperwork back.

I'm not sure how many people they are hiring but you shouldn't stress too hard over it. Do the best you can.


one last comment for me, then I'm back to work. sm
Consider that someone (lets say Magdelena) is Buddhist (or whatever) and Jesus is "just a nice guy" in her opinion.

Then lets say she led an exemplary life, servitude to others, love of mankind, everything "good".

Then lets say Jesus was THE only path. Would Jesus, a man of his magnitude, deny Magdelena the kingdom of Heaven if she lived her life with Jesus' principles but didn't believe he existed. I think not. He would say, pleased to meet you and come on in!
PS - just heard back from my state senator
So there!
I have been waiting since I first heard they were coming back last year...

and I'll probably fall asleep before the ending. Happens all the time.


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.


I saw the "per" recommendation over at MT911, emailed my QA and never heard back ... about BOS
I had all my frequencies formatted as

q. 6h.

Then noticed they were being changed to

q.6 h.

Searched my BOS and found one ... very marginal (an exampled within antother entry) citation ...

Sure -- I want to do it the right way ... if only I could know what the "right way" was ...

It would be infinitely easier if some sort of "rationale" or reason for this-not-that were given.

Whatever.
Advance
I too saw it and was as angry as you are! I'm canceling my subscription, how 'bout you?
Thank you in advance it should be !! nm
TYIF -- something like Thank goodness it's Friday, but not that either. OOOPS !
thanks in advance..................nm
x
Advance is another one.
x
Since ADVANCE is free, there would
be little immediate impact if we cancel our subscriptions. Contact the advertisers and express your displeasure. They're the ones who provide the income stream for ADVANCE. They need to know that the people they're trying to reach are displeased and that their companies are associated with an extremely unpopular position.
how to advance in the MT field ...

I am wondering what it takes to advance to another position in the MT field.  I've been an MT for about 13 years, acute care for 12 of those years.  I'm tired of typing and have done QA as well, but the pay is horrible.  What does it take to move up the ladder to another position, such as MT supervisor or account manager?  I'm just curious. I know there are probably many more qualified people than I out there for any such position, but curiosity has got me as to the general qualifications and average salaries of each.  Anyone know?  Thanks....


Article in Advance
Did anyone read the article in Advance: Is Mandatory Credentialing Next?

The article says: "we have more and more companies paying premium for credentialed MTs." Is that true? The author is president-elect of AHDI. You all know what that is? Never heard of em. Or is it that new organization that used to be called something else, what was it... I think it had the words Medical Transcription in it. Maybe we should write a letter to tell about the reality of working out here.


how is Advance irrelevant?
nm
Advance article
Thanks for sharing this article in Advance - don't get magazine anymore since I dropped my AHDI membership. Proud to be part of ATA - we MTs deserve an assocation that will advocate for us.
did anyone see the article in Advance magazine

about how wonderful it is to train Indians to do our job.  OH YAAAYYY, LET'S HERE IT FOR SPHERIS AND HEALTHSCRIBE   Let's give a big whoopie and cheer them on while they continue to post for transcriptionists on this board and yet outsource and TRAIN Indians to do our job.  I guess I'm angry about the article on other levels, such as the fact that it seems that Advance magazine is constantly promoting offshore transcription.  This is not the first time they have printed articles like this. 


 


Our hospital used Spheris and Cbay and we spent hours up hours redoing the reports, yet these companies got paid in full.  Where is the logic in that?  Thank God, administration wised up and brought the work back in.  Now we can go back to doing what we've always done ... OUR OWN TRANSCRIPTION ACCURATELY!


 


I sent Advance magazine an email
I think if enough people did, then maybe they will stop glamourizing the overseas work. This is the third article in a year's time that they have done. A few months back Advance actually interviewed an Indian owner, picture and all, about his company!!!


If we cancel our subscriptions, Advance won't be able to
sell as much advertising.  THAT is where they make their money, not by promoting offshoring.  If they can't distribute XX numbers of copies per month, the advertisers will go elsewhere.  Boycott ADVANCE and spread the word.  Shut the traitors down.
Great article about this in Advance (sm)
early this summer -- explained the 3-prong test (instead of the old 20+ questions).

If the service insists you use their software, if the service tells you when you can invoice them (instead of the 2 of you deciding together), if the service, not the client, decides turnaround time and quality, and if the service says you can't subcontract the work and insists on a noncompete clause, then you are an employee.

You can file a form with the IRS if you want your status clarified. Also contact Dept of Labor office in your state.

If you don't have an attorney and accountant on retainer, then you aren't professional enough to be an IC.

Also check the Nolo Press site as they have some excellent reference books regarding IC/employment issues.
lol=laughing out loud, tia= thanks in advance
b
Current ADVANCE issue is MT pay

Cover story:  Are MTs Paid Fairly.  This story needs rebuttals.  (I don't know if I spelled that right -- too mad to look it up.)  There is another article about MTing as well as some good letters to the editor.  No, I didn't write them.  Not promoting self.


Look, this magazine wants feedback.  Controversy creates publicity which creates readership.  Please think about sending your own letters to the editor.  Write what you write here.  Let more people involved in our field know your thoughts whether they be MTs or not. 


No, I don't work for ADVANCE.  I'm just an MT just like most of you.  I just want our voices to be heard by more people who call the shots that affect us.  This is one venue.  Even if you don't like the publication, fight back and make your voices heard!!!  What a lot of you write here would be fantastic letters to the Editor which would reach a wider spectrum of our associates than this forum for MTs.  We've got to keep the topic of the MT situation HOT in the media.  You can submit articles to them as well.  Get busy, PLEASE!!


Advance is irrelevant. Who cares what they say?
x
Letter to Editor-Advance

I will  write a letter...


Lasted Advance MT article
I was wondering if any of you have read the latest article in Advance about MTs? It's called The MT Critic.  Color me stupid but I did not know MTs had to go to medical school to do their jobs?  How many of you know the average size of the left atrium of the heart? How many of you would contradict the doctor's vital signs because the patient had a fractured ankle and you just knew that because of his pain, those vitals could not possibly be correct?  It is no wonder we are not attracting qualified people to our profession.  What are your thoughts?
Advance to the 21st Century and get a new job

I couldn't believe it either. Advance has gone the way of offshore, just like AAMT

Link to Advance IC v. employee article (sm)

which discusses the 3-fold test that the IRS is using instead of the former 20-factor list.


I know of very few MTSOs which really treat ICs like ICs. 


My best friend successfully challenged the company she worked for -- she got unemployment and a nice tax credit; the company owner got hit with huge penalties. 


You mean that MSN link to Melbourne IT? (it comes up each time). Thanks in advance. nm
nm
Regarding the Advance article, here's how I would have handled the examples

I'm curious how other MTs would have handled them?


1. Hemoglobin 9, hematocrit 39. (I would have flagged this with a blank for the hemoglobin and sent to QA).


2. The nose and mouth were suctioned on the perineum (during a C-section dictation).  (I would have changed "perineum" to "abdomen" and sent it on).


3. SKIN: Without lesions, rashes or scars (Patient has HIV and kaposi sacroma).  (I'm not the doctor.  I did not examine the patient.  Therefore, I would have transcribed as dictated and sent it as usual).


4. Left atrium is normal, measuring 4.6 cm.  (I don't get paid enough to second guess the doctor on whether the LA is "normal" or not.  You get what you pay for.)


5. VITAL SIGNS: Heart rate 70, respirations 18, BP 120/70 (in an 18-year-old with a comminuted ankle fracture).  (Again, the patient may have gotten pain medication by the time the doctor saw him, so perhaps he/she didn't have pain at the time of examination and so the vitals were normalized.  I wasn't there, I don't know.  Type verbatim and send it on!)


Try off of the Advance Magazine web site, pasted inside. nm
http://health-information.advanceweb.com/main.aspx
Mayo Clinic in AZ has an ad for in-house MT in Advance Mag, $19/hr base pay. sm

Plus shift diff and bonus, plus $1000 sign-on bonus, and relocation $. What a great offer if it's true.


Anyone read Letter to Editor in ADVANCE see message
 February 26, 2007 issue?  Two letters regarding MT and AAMT.
Advance magazine? Anyone notice the letter to the editor?
It's on page 5 entitled Does Walmart or Home Depot pay better?......Gee, I wonder what company this person is talking about?  Okay, which one of you sent this in? hahaha!

 

Well, while everything the writer of this letter says is true about the company, I think we all know most of us make a bit more than 8 to 10 bux an hour.  For myself, it's about twice that.  If I really were only making that for what I'm doing, I WOULD head over the the Walmart or Target.  I would NOT do this for 10 bux an hour NO WAY in HE double toothpicks!

Idea in letter to Editor in Advance magazine (sm)
Just last night I read a letter in the Advance for Health Information Professionals from a former MR who is now a cancer registrar and loves it. I had looked into that myself a few years ago, although I chose to stay with MT. At the time there were on-line courses through community colleges.

What about coding? I have a friend who works now for a local hospital at home doing ambulatory coding.

Just some thoughts.

BTW, the letter to Advance can probably be found on-line at advanceweb.com/him. It's the Nov 5 issue.
don't cancel ADVANCE subscriptions - just send an email or letter

detailing how disgusted you are with the fact that they are promoting offshore training and offshoring transcription.  This is the third article on this sort of topic that the magazine has done in a year. 


I find this particularly offensive because so many hospitals/medical record departments get the magazine and if they see this, then companies like Spheris, CBay, Healthscribe, and others will be getting called to come do their transcription!


 


So please, don't cancel your subscription, just voice your opinion and comments.  Thank you.


MODERATOR - I am apologizing in advance for my nasty remark to a poster, but I had to get it out of
x
DocQscribe and Dragon Naturally Speaking.. Can they work together? Thanks in advance.
nm
There was an excellent letter to the editor in Advance Magazine last month sm

that spelled how why, but here are some of my reasons:


1. In all their years in existence, the AAMT has yet to make life easier for the AMERICAN MT.  In fact, the state of MT in this country is worse than I have seen it in a very long time. 


2.  The AAMT chose to align themselves with MTIA whose board of directors is largely composed of Indians.  They also support offshoring and have adopted the motto "work smarter" which to them means pay hundreds of dollars for a CMT that most companies will not even acknowledge and then hundreds more dollars to join AAMT yearly to get their crappy publications.


3.  They are now certifying offshore MTs.  Yes, nothing like opening the cover of the AMERICAN Association for Medical Transcription and seeing the names of the Indians who have received their CMT. 


4. I get less pay than I did 20 years ago and offshoring is the main reason.  So pardon me if I am a little testy that I just paid so much money to an organization who stabbed me in the back.


5. I certainly think they SHOULD change their name to something else.  How about the I SOLD THE AMERICAN MT DOWN THE RIVER ASSOCIATION FOR MEDICAL TRANSCRIPTION.  Bitter?  You bet.  Gosh, they made so many promises and all they did was take our money for a piece of paper rarely recognized by anyone at the same time extending a hand to the reason I am making less money than I did 20 years ago!  


6.  It's a bloated association full of lots of people who "do things."  Everything except stick up for the American MT. 


7. Oh yes, and the BOS is ridiculous.


Advance for Health Information Professionals. Mostly geared toward coders now. nm
s
Auto Text entries on word. Is there a way to copy these or print these? Thanks in advance. NM
nm
Emdat platform?? Good, bad or ugly? Any info is appreciated. Thanks in advance. NM
/
I WASN'T GUESSING. I HEARD WHAT I HEARD VERY CLEARLY.
I don't even agree with what QA said, but they are QA. Question them, and your out the door.
With short arms, I need chair with shallow seat, good back support and high back. Want arm rests
:+
OK! I'm glad you're back down here. Now don't go back up there and read those evil posts ag
Okay? But I have to leave you now, sadly. Thousands of noble dictating doctors are anxiously awaiting my help with their "dictations"....They're all loading up on chips, drinking lots of soda so they can burp, and then have to go to the bathroom...You know the routine! Off I go to earn some pennies!! But, truly, I am thankful that I have a job!
QA comment
I just wanted to say a few things from the world of QA. There are some MTs who get dictators the likes of which I just cannot even describe as far as ESLs. Oh my. My heart just bleeds for you all - I mean it.  I don't know how you do it, the dictators are that awful. But most of you MTs who get these language-murdering dictators struggle and persevere thru usually endless reports.  It IS noticed, though you might think its not.  Not that peon QA people can do anything for you, but I do notice and applaud you. And I DO mention names of these MTs to account managers on a regular basis, praising their effort on these impossible dictations. Don't know if it helps, but I like to believe it does!  On the flip side, there are other MTs who are just a disgrace to our profession - they're not learning or new (we can tell). They are simply lazy and sloppy, making the most horrendous careless STUPID mistakes one can even imagine.  Sometimes my mouth just hits my desk in horror.  And I just shake my head and wade in and fix the entire report myself - that's what I'm there for, right? And for those who take offense that some mistakes are stupid - well, there are some that are stupid! No questions are stupid, but mistakes sure can be!  I wish all of you could see firsthand what is out there as far as the quality of MTs.  I know you would be amazed at the disparity between MTs.  And we ALL makes mistakes, yes, but its how you handle them that counts. I try to be so kind and respectful to all with my corrections, even the lazy sloppy ones.  So many MTs are so sweet and write back and thank me for the help, which is totally not expected, while the lazy ones write back screaming at the injustices of their errors!  Or they call the president of the company screaming in indignation! Its a shame - I could give dozens of examples of absolutely incredible lazy not-thinking mistakes, but I would never want to embarass someone who I probably QA'd and who might read my post.  I never want to hurt a soul, but really wish some MTs would just think while they were transcribing.  Some MTs do try so hard - and with all the odds stacked against them by the dictators from outer space! Just my rambling thoughts at the start of a long night shift in QA-land!
Comment

Please also check borderline personality disorder on the internet.  True bipolar has fairly long periods of either mania or depression and cycles.  Bipolar is more ongoing pervasive personality of poor coping skills and conflicted interpersonal interactions.


My advice is to realize there is probably nothing you can do to help them or change them other than altering the way YOU deal with THEM for the good of your own mental health!


Comment

Not sure why you needed the computer as I am assuming you already had a computer and the equipment?  Most computers with fairly new Windows system would work okay.  I personally feel the rental fee is kind of a bad idea in the long run at $48.00 a month.  Sounds like you may need a phone line again unless you can get wireless.  You'll have to talk to tech, I guess.


As far as learning and training, are you on DQS? 


comment
With any job anymore be it MT or something such as an engineer, there is no such thing anymore as job security. I myself am 27 having 7 years experience as an MT. I actually got started in MT after my first year of college as I wanted something part-time . . so much for that:) Do I moan and groan sometimes about work, sure, we all do either if you are an MT or not, but at this point in my career I am confident that if I do not feel that I am getting enough work to provide myself with a wonderful life and not just getting along that I can submit my resume with confidence that I will find something to suit my needs.