I wonder why when a department is outsourced/offshored sm
Posted By: MSMT on 2009-03-19
In Reply to:
the physicians never have a say in it even though most of them don't like it? They are the ones who bring in the revenue, after all, so why shouldn't they have a say in what goes on as regards patient care?
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Department outsourced
After going through this 2 years ago I feel your pain. Though there are some positives to working at home it is a whole different ballgame. Personally I miss my coworkers and just the general atmosphere of the hospital. I keep hoping more hospitals will realize they still need some in-house staff, at the very least to do QA on what a lot of the services are turning out. It seems to me it has become nothing more than churn and burn with the emphasize on turn-around time, not quality. When I look up old reports in our system I am appalled at some of the stuff that goes out, and I am on accounts that require American MTs. It is really sad what this "profession" has become.
Our tax returns are outsourced. Our credit history is outsourced. Our employers know everything
our age, our residence, our credit (if they want it), any criminal activity, etc. What is new here? You apply for health insurance and your employee knows your health background. What is new here? Privacy is long gone.
Lots of IT being offshored too..just FYI
x
Offshored work
Personally I have also decided to not work for any company at this point that offshores, and I will not edit work that has been outshored. As long as there are choices to work for a domestic company, and there are, I refuse to contribute to cleaning up offshored work. These companies have sold a bill of goods to our medical facilities regarding their quality, cheap prices, etc., and then they have found MTs who are willing to take low rates of pay to clean it all up. This just contributes to making them look competent when they are not. If, on the other hand, these companies could not produce what they say quality-wise, I think it would catch up with them, their contracts would not be renewed, and the work would come back to the US. I think MTs need to have some pride in the job they do and try and be part of the solution instead of the problem.
On # of Offshored MT Jobs
I am all for people writing specifically about the MTs. Especially confidentiality issues. What keeps nagging at me is the 30 MILLION that was an "estimate" by the Population Reference Bureau who also said it was "nearly impossible" (their words) to know how many because companies would not fess up to how much they offshored. What if it was 50 million, 60 million? How big a part of that is MT business, I don't know but just as important is the economic impact of a figure that no one seems to know the answer to. How can you make a reporter want to find out? And if he does, what will he do with that information? I believed it would make a bigger impact if you used total number of U.S. jobs offshored. All for one and everything.
When you do your research - see if you can find a credible source. I sure couldn't. What is a realistic number and how big a part of that number are we?
Offshored service reps.
I had to call customer service about a credit card accout. I got someone on the line, foreign accent, and I asked where they were located. Turns out it was India. As if that wasn't bad enough, this person had NO idea what he was talking about. I insisted I talk to an American and finally was given a phone number in Virginia. I called and talked to Jim, who knew just what I needed. From now on, ASK where the person on the other end of the line is located and insist on speaking to an service rep. in USA.
I sold out once to a company that offshored
Still dealing with the ID theft issues. They repeatedly broke into my computer. This was a US company that used offshore MTs, and I am telling you what, it has been a nightmare. I will never work with anyone who will consider offshoring nor will I ever let anyone install a platform on my computer system again. Tsk, Tsk? Say that when you spend a few days on the phone with all of your financial institutions and 6 months later having to scan every piece of info on your credit report. Not every one is shady but think about what you open yourself up to.
Why would billing/coding not be offshored?
x
I won't either, although I did in the past before I knew the companies offshored.
For every US MT insult, there is a position offshored to India
...think about it.
You are so hateful to MTSOs, you drive them to offshore.
When I deal with rude US folks, it reinforces the fact that I don't want to work with those people.
Thanks for the reinforcement! :)
But I have seen job ads that say the contract prohibits the work being offshored. So, there are
:+
PLEASE mention MT & medical records being offshored
& the privacy issues that go along with that!!! There are tens of thousands of MTs, many in nearly every city. There's no way your employer would know it's you.
Strike in Pakistan slowing down offshored work here. Just another example of offshore
:+
Oh, bull. I'm with a large national and those clients whose work is offshored
That one statement is bunk.
outsourced for sure
nm
I was outsourced and went to VR
because it was the same place I have typed for for over 15 years now. I am retirement age and really do not have to work as much nor do I want to work as much as I did years ago on straight, VR or anything. Having said that, VR on the work I do is like taking candy from a baby. I average about $25 an hour and only work part-time with my having cut my hours back. I am happy camper.
Is it possible that teaching can be outsourced?
the date is 2014, It a nice day. You drop off your kids to public school to for them to watch a huge plasma screen that has a teacher in it. And guess what... Its via Satellite, from India. Im getting goosebumps.... Arg. Its also outsourced. Oh im having a nightmare. I hope its its just a nightmare.
Must be a outsourced Company
Is that for real? Thats still 1750 lines
being outsourced to TRINIDAD!! NM
.
How many of those outsourced MTs have even seen snow??
:=
Just because work is outsourced, unless
you have access to the entire medical record, not all personal info is available, only what the doctor chooses to include in his dictation. MTs do not necessarily have access to the entire record with the billing info and such.
hospital outsourced...
Believe me I didn't leave by choice! I had a great job with amazing benefits, however our hospital started outsourceing 5 years ago and slowly but surely all the work dried up and our department faded away...
I avoided Focus Infomatics due to their offshoring, but now, I don't know, they are sounding pretty good. I just want eScription back. Anyone hiring? :)
How big is the rad department?
I wonder if that makes a difference. My rad account is going to beta test VR and I am wondering if I should get out now.
You could try the Department
of Labor. There are many of us on this board who at one time or another have gotten the shaft by being an IC. Just wait.. you will get many suggestions. My case- there are at least nine of us owed close to $25,000.
They don't have in-house anymore - it's all outsourced.
I know because the service I work for does their work.
An Outsourced Life -- anyone see that on MSNBC?
I didn't know whether to laugh or be disgusted, so I have decided to do both.
Just saw a story on MSNBC about some jerk (an American jerk, looks like the biggest geek in the world) who has outsourced all his worries to a Pakistan company and a young, pretty Pakistani girl named "Honey" takes care of answering all his emails for work, for home, for his family, etc. Hired a second Pakistani woman, a middle-aged woman (forget her name) to handle his WIFE. When his wife is upset with him or he with her, he emails this Pakistani woman and she handles it -- emails the wife and argues FOR this jerk. Even picks out the gifts he gives his kids and wife. OMG.
What a stupidman for doing it and, I must say, a stupid woman for putting up with that.
How's that for Americans outsourcing everything and sending it overseas?!
Is work continuously being outsourced?
I'm just starting on a medical transcription career. But it sounds like too many companies are firing American workers and outsourcing to other countries. Is this common? Maybe I shouldn't pay for my training and try something else. Thanks.
amelia
I suppose all the work that is outsourced
Makes no sense. What do they expect for 7-10 cpl?
Can you go over both of their heads to the department
supervisor? Tell her that you're getting conflicting reports on your job performance. Do you have emails saying that you're doing great? Keep them, print them. Explain to the department head that you simply can't afford to pay for gas or daycare to work in-house. (Yeah, I've told my supervisors this before and their reply was that my daycare and gas expenses weren't their problem. I told them it was their problem and quit.) What is your production level? Eleven minutes or 130 lines per hour are about the average for direct hospital work. It's usually less than that in-house with all the interruptions and other tasks.
As far as the online company, can you work part-time or as-needed for them for a while? Is there any way you could do both jobs until after you get the bonus? You applied Friday and got called back Monday. That tells me that they're interested and you're a decent MT. How much research have you done into this company? Are you sure it's the best company for you? Honestly, if you're good, you'll get more offers. Sometimes it's nice to have the security net of a hospital job and a regular paycheck, especially with Christmas and bonuses coming up. Your production will probably drop by starting a new account, and it's not the best time of year to be taking a pay cut.
police department right behind us
Funny thing is the police department is right behind us--they probably hear her--just kidding. Her ex-husband workes on the volunteer fire department housed in the same building as police. He has probably already told them all she is crazy!
Can your company's IT department not
I bet they have all the information necessary and even suggestions.
One of my accounts is a PT department...
they invite me to their Christmas party every year. One year they had a huge bouquet delivered to me at home on Medical Transcription week! That was a nice surprise.
Our QA department is much too busy
to give us feedback like that. They are very complimentary of my work ... probably because I do take the time to look up other reports to make sure I fill in all the tough spots I possibly can. I've done acute care before, but got away from it for a few years. I only had one ESL at my last job. I sure got good at Korean though! With this job it's pretty typical, with many different dictators and accents, but it's just heavy on certain "Asian" (happy now?) dictators instead of Indian. At least there aren't many of the certain Spanish ones I have trouble with. What the ones I have trouble with have in common is that their language uses more percussive sounds and fewer vowel tones. It doesn't matter if the vowel tones are different; I can adapt. But when it records as whispery percussive sounds, I struggle.
Department of Labor
Were you awarded a judgment in your favor and how long it takes?
Department of health
According to my doctor, Hillary Clinton was the main one involved in the HIPPA. Don't know if it is true or not, just what he said.
Try the Department of Labor and Industry.
You can turn them into the State Attorney General's office, BBB, FTC, as well. And small claims court. I would send a certified letter demanding payment first with the threat that if they do not pay by XX date, you will pursue further legal action against them.
Turn them in to the BBB and the Department of Labor.
They're scamming people. Somebody needs to stop them before they hose over any other new MTs. Parents magazine even had an article about TranScam.
Call the MR department at the hospital and ask sm
simply "who does your transcription". May not work every time, but they gave me the name of the service, and the phone number. I called the service and asked if they were hiring. She said, "we are always hiring", and I was working for them 3 days later.
With our QA department, blanks count against us..sm
If we have more than 1 blank per report, other than for dictation that is cut off or something like that, it counts against our percentage, which isn't very high given the difficulty factor associated with a lot of the dictators. Once the percentage reaches a certain point (and again it don't take much to reach that point) we start losing bonuses that we would otherwise be entitled to and even getting deductions from our pay. So, to say the MT doesn't get blamed is not true for everyone. We shouldn't get blamed, but a lot of us do.
That's because Dell's customer service is outsourced to India. sm
The guy probably answered yes, yes, yes to all your quesions and didn't understand a single word.
Sorry to hear that. All the hospitals that outsourced on me went with US-based companies and we were
nm
I'm there with ya! I worked for a hospital that outsourced overflow to a very large, VERY SM
well-known service. The quality of the work was shockingly bad. There's no way to describe it except to say it was painfully obvious that the MTs on our account had no business being MTs. They didn't even have the very basic skills for the job, let alone the medical terminology.
I had the opportunity to read through the contract, and there was a paragraph in the contract that clearly stated that not only did the service promise to adhere to a specific TAT, but also promised high quality, proofread reports. Basically saying that they employed a highly qualified QA staff that insured nearly error free reports. That's the OUT clause as far as I'm concerned. I started a file of every report with errors from the service, every ridiculous error.
A new supervisor for our department was hired and her first order of business was to cut the flab out of department. She told us that the service doing our overflow was being paid something like $60,000 a MONTH! The hospital was paying the service 45 cpl. Now do the math! The service gets 45 cpl and pays you and me 7 to 8 cpl to transcribe for them or even worse pays 2 cpl for an India-based MT and 3 cpl for an American QA person to edit and correct it, so that's only 5 cpl they end up paying. That's quite a profit. I vowed the day I found all this out to NEVER work for a national service again and especially not THAT service.
The new supervisor was against outsourcing which was good news. She set out to renegotiate the contract or drop the service all together. I threatened her with breach of contract and that's where my little file came in handy. Needless to say, the service backed off and we not outsource overflow to a service local to our area and a much more reasonable rate.
My advice to you is start your file and keep track of everything. Tell your boss to reread the contract, especially those paragraphs that speak to what the service promises to provide for the inflated line rate!
Good Luck!
In 5 years there won't be any transcription departments in any hospital. All will be outsourced.
Same thing happened to me and if those HIM hags who control our destiny think it's a good thing they are so WRONG. Life has been hard since having to work at a service, and I refused to work for the Monster MTSO that took my job as a matter of principle. I think we should all write to Hillary Clinton, Nancy Pelosi, Amy Klobuchar (the MT in MN can write to her), etc., and express our strong needs to have MT jobs and American information STAY in America with American MTs.
If it were me I'd do some house cleaning in the friendship department.
Make some new friends. It's time.
Report them to the Department of Labor and Industry and the BBB, too.
I can't stand it when pay is not received in a timely manner. It shows a complete lack of professionalism and inability to manage a business.
Health department here said straight mayo. SM
Slathered it on, put on a shower cap and left it for hours. Not only were the lice gone, but our hair was so soft and shiny and conditioned!
Turn them in immediately to the Department of Labor and
Industry, the BBB, the FTC, small claims court and anybody else that will listen. Contract or no contract, they CANNOT withhold pay due to giving no notice. ICs do not have to give notice. It was even on Judge Judy that you can't stiff somebody their pay for walking off the job.
Or maybe check with your state's labor department?
?
Frederick Police Department - 580-335-7503 (sm)
Tell them Kristen is at it again - they know all about her.
It took the fire department to get her out of the house! My GAWD!!!!
Department of Labor worked for me in my state
Also contact the Attorney General in your state; but the final result for some was to file a complaint with the magistrate in that company's district. Good luck
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