I think it is important to point out that offshoring isn't just a MT problem...
Posted By: Tinks on 2007-06-16
In Reply to: sorry, meant offshoring isn't working, not outsourcing - happy MT nm
it has become increasingly more popular for American companies, especially companies that manufacture goods and need large factories to offshore that work. My brother works for a midwestern mom and pop owned company that manufactures gambling supplies for the riverboat casinos such as dice, chips, etc. The casinos have started to buy their supplies from companies who have sweat shops in third-world countries because those companies are able to sell their products cheaper. My brother's job is now in danger and mom and pop have had to lay off the entire 2nd shift.
Offshoring has a trickle down effect in every American industry. If we keep turning up on the volume on our headsets and pretending it doesn't effect us, we are going to end up on the losing end.
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One important point: SM
Spheris insurance is PPO, meaning the insurance is not expensive, however, it does not cover the cost of everything or most things, as does HMO insurance. This is a very important fact. Otherwise, agree with above.
Oh! I forgot maybe the most important point
If you are seriously considering a move there, you should know that for your training you MUST go to the office for two days, initially at your own expense. if you stay more than 6 months, you'll get reimbursed.
The point is they LIED about not offshoring.
x
Offshoring to India...Offshoring.
nm
I didn't apply, so that's a moot point. The point I was making is that
she's ranting here about something that doesn't even pertain to most of us. You can't come to a MT message board railing at MTs without getting a response. That's why it's not called MTSOstars. Also, it's unprofessional of a business owner to let her emotions overrule her common sense. As for the newbies, they'll learn. We were all newbies at one time or another. None of us was born perfect, not even the MTSO.
You missed my point. My point wasn't perks but prestige...nm
nm
The point wasn't that it was copyrighted. The point the poster tried to make
:(
That's not my point. My point is previous owner hired
nm
oh, sorry, yes that is important sm
the pay is average for a national. I make $900/week. I think that's pretty darn good! 
How important is it to you ...
How important is it to you that your US medical records are KEPT in the USA?
Does it matter to you? Why or why not?
It's VERY important to me. I don't want anyone in the US much less
outside of the US knowing my business, financial, medical, or otherwise. If I can't sue someone who has used my information for their personal gain then that is a problem for me. It would cost me a fortune to sue someone overseas who say sold my information or threatened to put it on the Internet.
How important is it
Very important. I am HIV and do not want that information going anywhere.
but TAT is what is important and OP...sm
stated that they were having a TAT problem prior - so? TAT is promised, not met, and so the OP didn't meet her/his end of the bargain. I promise 24-48 hour TAT and that's what they have been getting from me for nearly 10 years. 
A deal is a deal is a deal - whether on paper or not on paper - verbal contracts are also recognized - just ask Judge Judy *lol*
To the OP - I hope things go better for you truly - but remember this: A promise made is a debt unpaid....that also is in regards to TAT. Best of luck - things will turn around for you, I am hopeful. 
And this is important. sm
It varies state to state, I am sure. You need to get the house out of your mother's name. Where I live, the house has to come out of their name 2 YEARS before they can get in a decent nursing home. There are a not of variables and when you are running to doctors, doing shopping for 2 people, cleaning, plus working full-time which no one realizes if you are an MT because you are "at home"; you really don't have time to keep all the plates spinning by yourself, with no help, and this issue about my mother's home should have been addressed a long, long time ago.
It's important to ask
questions of a potential employer but sounds like she overdid it.
Have to admit though she certainly doesn't lack confidence!
It is amazing to me how self-important US MTs are ...
You want to point your finger toward offshoring companies using HIPAA as your miserable crutch; however, when it comes to ensuring the legitimacy of who YOU are to handle this sensitive, private, protected information -- well just forget it.
After all, I mean, YOU work at home. And you are a citizen of the US. And no US citizen EVER scammed the public, EVER stole identities, EVER did anything wrong. Talk about self-righteous and self-important. Hahaha
What's wrong? What are you afraid of? Someone might really find out about your lack of control over your own life?
No one has ANY idea what YOU are doing with this information either and if your attitudes and behavior on here were shown to physicians and your own employers (and probably your family and friends), many of you would be out - out of a job, out of respect, out of friends and maybe family, out of most of everything and everyone who has no idea what you are like when you feel your anonymous status is hidden.
I'm entitled to how I feel the same as you are. You might want to get prepared though -- time and the conditions in this world are rooting for my opinion.
With the increasing security risks, insurance costs, etc., in this world -- you might want to get busy cleaning up whatever it is you're hiding because the likelihood of you submitting yourselves to any/all of these things for a job is going up and fast.
Hahaha
If bathing is so important to him
then he could wear some swim trunks in the tub with her. I stated that in my last post also. He would still have the bonding time with her but would be covered so she wouldn't be exposed to that. That was also an idea that was posted by another poster that her brother does I think.
I believe it is important for children too..
That does still does not mean that since you made a mistake in your life that you are not entitled to the same rights as everyone else. Could've, should've, would've. We can point fingers and tell people what they should have done, but the fact is, they have rights like everyone else. Of course you tend to do better financially when you do things in the right order. Life does not always work like you want it to though. I myself got pregnant while on BC with a man I had been with for 4 years. I had my son before I got married. We got married when he was less than a month old. He was our only witness. We have since had another child. I have never been on assistance, but I am lucky enough that we have been able to work out our problems and keep our marriage intact. If I could do it all over again, I would have waited, of course. We have struggled quite a bit by having kids so young. Life just doesn't always work out how you want it to though. I want my daughter to get married first and then have children, as do all mothers. Those are things I will teach her too.
Actually, what the account wants is more important than the BOS.
They sign my paycheck and I will do what they request. Don't care much for the BOS and you need to come off your high horse tell everyone they must be consistent with everything.
Yes, consistency is nice, but if the account wants the numbers spelled out from 1-10 that is what the account is going to get - one, two, three, four, etc. They are the ones putting food on my table.
Thanks for that important bit of advice!
I have been going to try them but I will now wait until my next teeth cleaning next month. I NEVER would have given that a thought before. That would be awful to end up with yellow outlines!
Do you know how it might affect crowns??? I assume it will leave them the same color they are. Mine are a little lighter than my natural teeth.
Although MT accuracy is very important,
I think the source of dosing medication comes mostly from the physician's order sheet. I agree with the other poster that a cascading effect is very possible when later dictation and charting is based on the previous records. Also, there are other safeguards and checks made in terms of operations, and they would not be based simply on the H&P. If a doctor bases any operation on just an H&P I would consider him incompetent. This does not excuse the MT who is not careful in documentation.
Get yourself a system...most important..
With Autocorrect, you have to remember everything! So I had to come up with a system that I would remember them. I use the letter *J* for anything that ends in *tion* or *sion,* the letter *Z* for endings with *ize* or *ization*, *x* for words that start with prefix of *ex*, for capitalizing abbreviations, such as HPI that you want to capitalize in a sentence, would be *xhpi.* I use *U* as in uhpi to bring up History of Physical Illness when needed in a sentence, as *HPI* will come up all caps for headings. I also have a system that I will use the first two letters of two words if I have already used the first letters of two words, such as *cp* for chest pain, *chpr* for chemistry profile. If those first two letters are used for something, I go to the first three letters of the first word and the first two letters of the second word. Also will use maybe the first four or five letters of a word. Also, have phrases, such as *sdnh* for she does not have, *shnos* for she has not seen, and just a lot of those types of things. Saves a lot of time. Also have, of course, what the docs constantly say, their little phrases they use all of the time. However, I do forget I have some of these things in there, and have to keep refreshing myself as with about 5000 abbreviations, it gets wicked!! But it really helps to have a system that helps you to remember what you have in there.
Important - see message
I too use Smartype with 2003 and have the same problem, but I wouldn't give up and found out why. What it is when you have a text box (when you jump around using the F11 key to fill in the box) you have to hit the delete key first before you type. If you type without deleting the box first, it will freeze or lock up.
The same thing happens if you hightlight text and want to type over the text. You have to hit delete first and then type. If you highlight and then type without deleting the text, it will lock up. I have trained myself to use the delete key at these times and rarely does it freeze up now. Every now and then I'll forget or accidently do something that will trigger it to lock, but it is not very often.
You can use it, but you have to train yourself. It is a Word problem I was told. If you have any questions, e-mail me and I will try to help
Important ? re. digital(sm)
I get the heebie jeebies worrying that dictation will be erased/lost in the transfer. Is there any backup which will prevent this happening? Where I live if anything is lost, things fly and tempers flare. Scared to death of this happening. How wonderful that you are sharing, kudos to all of you. We need more of this helping attitude.
The MOST important question is.....
Very important - thanks for your post.
Take care of your kids and be flexible while they are still young. Take the time because they grow so fast. If that means losing a buck here and there, so be it. I for one would not trade getting my son to his ballgame or being able to see my daughter receive an award at school for all of the money in the world. I will carry those memories with me forever. We can work on-site when our children are older and no longer need us so much. What a great feeling! Glad you are making the switch back/welcome once again! We missed you!!!!
Most important I think is spelling
Not the spelling police, but I thought your post was cute! Seasoned???? How about proofing your typing? Just kidding  . I'm joking!!!
That's why it is so important that there is uniformity regarding...SM
style and format which the BOS has tried to do. I don't always agree with the BOS, but at least it is trying to standardize things. Things like spelling and terminology misuse are pretty much black and white -- either you spell correctly or you don't.
Another practice that the MTSOs have gotten into is allowing the clients to dictate their preferences to the point where it is in direct opposition with the accepted norm and sometimes are just totally incorrect! Facilities hire MTSO for their expertise in medical transcription and, therefore, should let us do what we do best rather telling us how to do our job. I don't tell the doctor how to treat the patient and he shouldn't tell me how to do my job.
With the exception of formatting, the MTSOs should be giving the clients a copy of the rules and standards MTs follow. I understand that formatting will change from client to client and in my opinion, that is an acceptable variation.
I worked for an MTSOs who contracted with a client -- a hospital -- whose transcriptionists had "always" typed gravida and para values in Roman numerals, i.e. gravida III, para II. When the MTSO contracted with the hospital, the MTs typed it according to the BOS, but were quickly corrected by a file clerk in the HIM department stating we were doing it wrong. Did the MTSO stick up for its MTs and say we follow the BOS and that is the accepted norma? Nope. An email went to the MTs saying that on this particular account gravida and para should be expressed as Roman numerals!
This shouldn't be happening! We are professionals and should be treated as such. We are not show dogs jumping through hoops!
So see, I'm not some evil QA person who lives to find errors. I am a QA person who sees problems on both side of the issue!
IMPORTANT - Real VNC
Please ladies. If a company ever ever ever installs this on your computer, get rid of it! The program itself is for technical support but it also can enable a company to get into your system without your knowledge. This happened to me and I caught someone from that company remotely taking over my keyboard and mouse!
All they need to get in is your IP address and they can see your whole screen. I was told by an independent IT person that they can log your Keystrokes and get your financial info if you have it stored. I just had to change all of my banking and credit card accounts and run multiple scans on my computer. I am an IC with my own computer and they installed this to run in the background as soon as I boot up the computer even though for tech support we used an entirely different program.
Yes, I absolutely ended that contract, but I just wanted to let everyone know so the same does not happen to them.
It depends on what is really important...s/m
I worked in an ER for 6 years (clerical) and have a sister and a brother-in-law that are nurses. I also worked on the floor at the hospital and knew that I could never be a nurse. Yes, my sister and brother-in-law make great money, but my sister never sleeps (works nights) and both miss holidays all the time. this year, my brother-in-law works Christmas day (11a-11p) and new year's eve (11a-11p). To me, no amount of money is worth missing the holidays with my kids. if you don't have kids then maybe nursing is for you. however, if you have kids and want to be able to go to school functions, not work holidays, and have the flexibility (I'm IC so work my OWN schedule), then I would definitely look into MT. As far as the pay goes, I have only been doing MT for about 5 years and have made the same rate per line since starting. I don't have company benefits (again, IC) but my home benefits outweight the hospital benefits i had when I worked there (not as an MT). On some days (easy doctors), i can make as much as my sister (w/o her night shift) and other days I make average. Sorry, going on and on... but I would definitely consider experiencing each aspect of both fields before putting your money into schooling.
PS: Used to my computer fixing capitals at the beginning of sentences and fixing spelling errors (funny how we get so used to our autocorrect, huh).
This is mot important issue, IMO.
x
DG, critically important, not just SM
an aid. In future no one will be able to make a living at this work without extensively using one, including specifically editing.
You tell the Expander to record the Keystrokes you use to do a correction dozens of times a day and then give those functions one- or two-key abbreviations. That way, a tap of a single key, or maybe 2 taps, will change the case of a letter (delete old one, shift+new letter) or insert the word "The" at the beginning of a sentence and then lower-case the first letter of the next word. A function key can be instructed to open a new screen and send a standard message to QA. That sort of thing.
And you will need a professional-quality expander to do the job.
nope don't think I am important sm
at all, but telling the truth. That is the problem with too many folks, too unwilling to do the work over the years to learn what they need to learn and do what needs to be done. Sorry if I hit a nerve but I didn't say anything that wasn't true!
To me, this is the most important finding: - sm
"The average transcription price ranges from 11.9 cents to 13.2 cents per line, depending on whether the services provided are onshore, offshore or a mix of both."
There are some problems with the methodologies used to produce these KLAS studies, but setting those aside what's instructive here is that around 10 years ago a different study showed the average industry price to be 14 to 17 cents per line. Offshoring and cutthroat competition, and to a much lesser degree technology, have resulted in lower prices, and that can only do one thing - put downward pressure on the wages paid to transcriptionists.
Predictably, then, wages in our segment of the healthcare industry have stagnated or declined, while in most other segments prices and wages have risen - in some cases much more rapidly than the rate of inflation.
Experience is more important than
what school you went to. Experience helps you pass the tests. I'd hire someone with hands-on experience & able to pass the test any day before I'd hire a newbie graduate from CareerStep, Andrews, etc. You'll do fine.
RE: Very important read !!
For those who could not see the URL, I hope you can see it in this mail and EVERYONE sh
Just something to think about.
The link below will take you to a page explaining the House and Senate versions of the bill and a link to send an email to your representatives in Washington indicating that patients have the right to be made aware that their personal information and medical records are being sent overseas for transcription. The letter is already written for you! http://www.rallycongress.com/support-fo ... formation/ |
ould act on this !!
A very important read !!
Just something to think about.
The link below will take you to a page explaining the House and Senate versions of the bill and a link to send an email to your representatives in Washington indicating that patients have the right to be made aware that their personal information and medical records are being sent overseas for transcription. The letter is already written for you! http://www.rallycongress.com/support-fo ... formation/
not my point, actually. My point was the bigotry is the same.
The bigotry's always there. Not all "Mexicans" are Mexican, nor are they all illegal. My point is, though, people used to make remarks about cabbage smell about the Irish just like comments are made now about how nasty Mexicans are.
Every time somebody says something about "those people," something bigoted is coming out. That's all I'm saying.
Offshoring
Just remember YOUR elected representives allowed this offshoring to happen. Nothing illegal thanks to the politicians is happening when work is shipped offshore while allowing Americans to lose jobs while increasing taxes.
This is all the fault of the greed and power of the politicians and the corporations. It's not about an Indian worker who has been offered a job and can't lose their accent to please the consumer.
As far as contacting you in a few years when our jobs are overseas, they are shipping them out daily. Where have you been? Check OSI, Precyse, etc. They all offshore some outright and some undercover.
I don't have problems with the workers. I have problems with the government allowing this to happen and the corporations who cut costs while cutting quality by shipping work out of our country.
Keep you eye on your enemy and it is some Indian who is trying to keep a job to make a living.
To those against offshoring...
Have you noticed that anywhere you call, whether it be the phone company, the gas company, the insurance company, you get someone foreign on the phone. Oh yes and do not forget Microsoft and other computer related companies. I realize this cuz i get so damn mad because i can't understand what they are saying to me and they don't understand what i am saying to them. Now I noticed the post below about Earthlink and I am wondering...all of you who are against this..what are you going to do about the fact that the computer company that creates most of the software you use has places in other countries..your gas company..you insurance company, etc. etc. etc.? I, too, do not agree with offshoring, but I do not think there is REALLY anything we can do about it. Not working for companies that do it, yes thats a start, but what are you going to do about the rest of reality and everyday living? Just curious to opinions on this. I am not flaming..just concerned.
Offshoring - don't be too sure.
Look at history....work will be outsourced whether we like it or not. What happened to the steel, printing, shipping, automotive, and many other manufacturing efforts is happening to transcription. While we may produce a better product, if it can be produced cheaper somewhere else it will be. Sometimes MTSO's are forced to look at other avenues because they can't hire and maintain TATs. Clients want their costs reduced when it is already at rock bottom. Transcriptionists want higher pay and the profit margin isn't there to allow this. The transcription business has changed and will continue to change. After all....the only constant in life is change. The offshore MT is hungry and willing to give up just about anything to put food on the table. They probably don't argue, call in sick, complain or quit without notice. They don't bad mouth their employer. They just want to work...much like American workers decades ago. Take heed. I'm in the same boat and don't want to see it happen, but there are many factors that result in change. Transcriptionists are by nature not an organized group. We are mostly solitary and therefore have no voice or at least not one loud enough to be heard. We're all on production. We don't have time for such things. There is no large group lobbying for us. There isn't enough money in transcription anymore to have lobbyists and that is how...regardless of our protests...change happens...silently. People in India and other countries will learn to transcribe. It's only a matter of time. For myself, I am just going to try to do the very best job I can every single day and hope it is appreciated and know that I am not adding to the problem. Actually....I need to get back to work.
A - As soon as I tell them my pay has gone down about 40% since the offshoring (sm)
they are no longer interested in entering this field. In fact, their mouths about drop to the floor.
Having another American MT is not going to save another American job. They will send their work offshore if you are living next door and can do a 4-hour turnaround, just because the price is lower.
I'm getting out also, only doing part-time now and probably won't be doing part-time much longer.
offshoring
Don't know about this company, but there are companies that offshore and lie about it. Know this for a fact. I work for one.
OSi Offshoring - sm
If you are an employee of OSI, you should be able to access that article from the employee web page, try going back to about April or so...it should still be there, where it was originally posted. Read it for yourself and maybe then you'll believe it.
Offshoring
Ah, thanks for clearing that up for me. All this happened before I started. New employees are probably not aware of it, like me.
I probably got myself on the $hit-li$t now, but that's okay for something I did today to see any reaction. It wouldn't be the first time I've been on the list and probably won't be the last.
I will stay, though, as I really do like working for them...and I like the work..
OSi Offshoring
Ah, thanks for clearing that up for me. All this happened before I started. New employees are probably not aware of it, like me. This breaks my heart.
I probably got myself on the $hit-li$t now, for something I did today to see if there was any reaction, but that's okay. It wouldn't be the first time I've been on a list and probably won't be the last.
I will stay, though, as I really do like working for them. I like the work, and really don't have much of a choice anymore.
I think if these companies are going to offshore, they should send the work from the ESL's that can't speak English correctly. That work should be easy for the offshore companies for them to do.
Offshoring
I just wonder who these big businesses think is going to buy their products/services when all the jobs are in foreign countries. Not only that, when there are no jobs, or only minimum wage jobs, who's going to pay the big fat salaries of our idiot politicians? Heard on Lou Dobbs the other night that while the minimum wage remains stagnant, the senate voted themselves a hefty $30,000 raise!!!! Doncha wish we MTs could "vote" ourselves that kind of raise? Or maybe we're not so greedy and we'd settle for a fraction of that.
Offshoring
Is there any way you can share as there are others of us who suspect this also and maybe it's the same company. If not, that's understandable too.
Offshoring
Keystrokes does not!
MQ OFFSHORING
I need some Positive Proof that offshoring is occurring.. .will help in our hospital's fight against outsourcing all of us.. thanks
Offshoring
There was an article on the internet quite some time ago where a MQ bigwig admitted to MQ offshoring. I have posted on here before regarding offshoring, tell all your family and friends that when they go to the doctor, they need to tell him/her they do not want ANY part of the their medical record being offshored, including transcription. You have that right as a patient. My family and friends know. Unfortunately, none of us have been to the doc lately.
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