MUST READ: INDIAN UNITS OF LARGE U.S. PLAYERS
Posted By: Digusted and Ashamed on 2008-05-30
In Reply to:
Please cut and paste this Indian article onto your address bar. It is a MUST READ. It is titled:
A blog by BHARAT, dated 5/16/08
The BIG U.S. Players are: CBAY, Spheris, Spryance, Acusis and Heartland (a play on words and INSULTING!).
The article goes onto to say, These large players account for almost 70 percent of Indian medical transcription offshoring revenues.
http://bharatbookbureau.wordpress.com/2008/05/16/the-us-medical-transcription-industry-perspective-on-outsourcing-and-offshoring/
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spaces in units of measure?
Would you transcribe 2inches, 2feet, 2gallons, etc.? I've been in the biz since the 1960s and never was it correct to transcribe without the space between the number and the unit of measure, but maybe it is client preference....
If it's 20 units given INDIVIDUALLY, it's were. If it's ONE bolus, or injection
of 20 units, then it should be was.
See if your local college has an MT program that you can just take certain units of, like terminol
s
WAV players
What kinds of .WAV players does everybody use to play voice files. I am having a hard time trying to use it with TouchType 2.
TIA.
players
I use express scribe too! Love it!
Any suggestions on wav players? (nm)
*
.dss files are not compatible with wav players--sm
They need to be *converted* for WAV players to be able to play them. your wav player may have a conversion tool within it. If it has a *tool* button, open that. It will not automatically play them and saving your files in Word will not convert them to wav files. you have to do that manually. good luck.
Are there any other free players besides Express Scribe?
I have many problems with express scribe. Hard to explain, but it stems from stopping and starting the recording just one time too many, and the express scribe "freezes up" for awhile. Sometimes I have to sit and wait for 2 minutes before it will play again. I have uninstalled/reinstalled it - no help. This has been going on for years and I am sick of it. Sometimes I have to reboot my computer to regain control of it.
Anyone know of any other free players out there I could try? Thanks!
How about cheerleaders and football players..no..wait..just kidding! nm
b
A trivia game question mentions Colonel Sanders; younger players had
(Has KFC been around THAT long????
In 12 years of MT'ing I've never re-read an entire chart. Edit/read as I type. nm
x
Yes, I read your post, and I just re-read it, and I've copied and pasted for you in case
you've forgotten your own words! Your post above is 100% different "flavor" to it, now all positive and cheery! Your first post was 100% doom and gloom every which way, including "raining on your parade", and "if you want to go forward"...God, sounds like she's talking about jumping into oncoming traffic! Here is your quote:
My first boss (the one who hired me as a new grad) gave me some words of wisdom that I haven't forgotten. She said that transcribing at home with small children NEVER works under any circumstance. Either the work will suffer or the parenting will suffer.
****
How can the word "NEVER" in caps be interpreted in any positive way? You took about 8 paragraphs to cover every aspect and completely dash this poor woman's dream. I'm not blind, I'm not talking about day care at all, I'm talking about the total negativity of your original post! You know exactly what I'm talking about, cause you added some sugar to your second version! And that's much nicer than the first!
yes! like the large font
x
Yes, in our bedroom, large though 27 x 12 - sm
We plan to build though in about 3 years (have some property)...getting a home office then....either a separate room or a room off the bedroom, but my own space anyway. Can't wait!
Thanks! The 16" look so small and the 20" so large! nm
x
I have 2 - one large, one small
My first was a very nice rose in the upper-inner quadrant of my left breast. I thought about it for 17 years before I did it. It kind of felt like going to the GYN when I had it do. The guy was very professional and let me catch my breath from time to time. The more fill-in work, the more painful. The more it is just an outline, the less painful.
The other is something private but special to me to honor my kids on my lower back, but above the bikini line. That was much more painful but different guy and it went much faster as I cussed a lot more with fewer breaks.
If I ever get another one it will be a circle on top of the sternum with the leters DNR inside!
Laser - large HP
I have a large HP, three drawer laser printer and I go through 500 sheets of chart note paper, probably another 400 to 600 for consults and letters per month and probably 200 envelopes per week and I seriously use only at the maximum of 3 toners per year and they are $110 per toner recycled. My printer gets 10,000 to 15,000 copies per toner so about every three to four months I get one. I spend more on the chart paper than I do the toners. But that is all figured into my cpl.
You can go to B&N or Borders and they have a large
section of educational workbooks. You can even find workbooks at Wal-Mart in the toy section. You can Google and find tons of stuff depending on what subjects you want.
Depends on how large it was - sm
If it was the $1000 for life (which here is only good for 10 years, guess they don't expect you to live long, ha, ha), I would probably take a little time off (say a month or two) so I could get some things done around here. Taxes would cut that down to a little over $2K a month, so that would end up being just a little more than I make now. After my "leave of absence" continue to work but probably at about half schedule so I could have more time for me. IF I ever hit one of millions, I would quit in a heartbeat, but buy the company (small local) I work for and give the office manager (a great lady) one heck of a raise, hire her at least 1 assistant and 2 FT QA, and change a few things about the company in its day to day operations. Then I would just observe the runnings, but not actively participate, couldn't anyway as I'd be living 2+ hours away in my new house/estate on the river.
large company.
My IC pays 4/10 for an eScription account.
Tip of a very large iceberg...
I am in the process of working with an attorney to address some compensation issues at a company I shall kindly remain nameless cuz I'm a nice guy; but the problem is industry-wide so once the issue gets heard and ruled on, we will have the groundwork laid to address it globally and the court to point me there. I'm not sure what that will look like; one step at a time. there are specific laws that address the work we do and they are flat ignored. There are also laws for telecommuters... ditto. I see this offshoring issue same story different channel. Laws and protocols disregarded because it costs money to adhere to them. I think our fragmented work environment, as well as the relatively new concepts of where we work and how we are paid have allowed a lot of our employers to disregard the laws because, frankly have managed to stay off the radar screen. Personally, I do not think these are quick fixes like letters or news releases. They first require fact gathering; I keep thinking about VR and wondering if someone is going to study the success or lack of same, or if it's going to hang over our head and be tossed around subjectively forever. Does anybody anywhere like it? lol... I have thought after getting this discussion heard by the court, that it might prompt the next thing to do. I have piles of reading and delving done about this; I am very interested in exploring it. I won't form an opinon about the outsourcing thing because I just havent looked at it in detail yet. Has anyone else? I'd be curious to know if it is really so much cheaper since, in my observation, much of it requires re-work. So back to before by tangeant...I think these are very complex problems requiring very complex investigations and presenting of hard a fast data. Opiniating just lends itself to more of the same thing.. arguing, where everyone choosed an opinion that fits their personal agenda. But that's just MY opinion. I could be all wet! Aaaamen, sing it over...
Any other MTs for large nationals getting the
Sorry, but that is the opinion of some large MT
xx
Sorry about the large spaces! (nm)
nm
Large Macros
Can anyone tell me how to monitor whether making a whole report macro is worthwhile? I have quite a few, but I cannot decide if it is worth it or not. I end up having to make changes and delete things. Often seems like kind of a toss up and wonder if anyone has any guidelines for this or has experiemented with any specific result.
Thanks for any help you can give me! 
large macros
Huge macros have never seemed to help me, but on one account, there's a cardiologist who puts two huge jawbreakers into his mouth and then dictates at top speed. I managed to take his long ROS and his short ROS and his short PE and long PE and make four very useful macros, but I put @@ in at the variables. Works great for me. Turns out the guy says the same thing over and over, but it just sounds different if he's speaking Martian that day, or Yugoslavian, or pig latin. Good luck.
I am doing the same thing, large sm
medical centers, working for a national MT service, lots of nurses,NPs, students also. It is straight typing. I have thousands of short cuts in my system. I do not have templates, normals etc. About once a week I MIGHT get a normal ophthalmology report, but I suspect those are all being kept in house. It took me a while to figure out how to make this work but once you make up your mind you can do it.
Having just had a large pay cut, I no longer do
x
Indian?
What does him being indian have to do with anything?
Indian MT
I don't believe you for 1 second. Indian work is NOT SUPERIOR to what is done here. A few of them are doctors, but most are not. They get the medical terminology, but their American English is horrific. Very few of the Indians who do MT trained over here or in Europe. They completed medical school here in India, which is a very abbreviated compared to US or Europe training.
The Indians are enticing American companies to invest and train MTs over there, working at next to nothing, so that when they have captured a significant percentage of the market, they will jack up their rates and the hospitals and clinics here will have to pay because they have driven out all the US MTs by not paying us living wages or giving us decent paid time off, benefits, etc.
People like you are cutting your own throats in the long run.
I am an excellent MT, QA 100% for 15 years, never miss work unless there is a death in the family. My income has gone down steadily over the past 3 years because of the greed of MTSOs. I am leaving this job shortly. I look forward to the day when you bleed to death from the Indian MTSO who will put you out of business.
Indian pay
I am not privy to a lot of info about this, but I can tell you my experience. When I lost my contracted work to a couple of small hospitals that went with India, the administrator told me they went with India because they were doing away with lines. India took 6 of my last invoices and averaged the pay and gave the hospital 2/3rds off!! Mind you, I was only charging them 11.5 cents per line!! She then told me that the offshore company would pay their Indian transcriptionists $2.00 an hour.
Indian......
I am an Indian MT working from home and I read your post. Indian MTs are not bad, they are best. The only thing you need to do is get to a real good one rather than just these newbies who just want to make some quick money and do not have enough experience. Get in touch with some experienced one and you will them superior when compared to other MTs. I myself have been working for 8 years now and i know what it takes to be an MT to prdduce a good accuracy consistently.
Indian......
I am an Indian MT working from home and I read your post. Indian MTs are not bad, they are best. The only thing you need to do is get to a real good one rather than just these newbies who just want to make some quick money and do not have enough experience. Get in touch with some experienced one and you will find them superior when compared to other MTs. I myself have been working for 8 years now and i know what it takes to be an MT to produce a good accuracy consistently.
Indian MTs
From what I have heard, you are on the money and it is so ironic because as American MTs we are not allowed to make any mistakes at all. We have to have this impeccable quality of 98% and above to stay employed. We have to abide by these high standards painstakingly so patient care is not compromised by an inaccurate medical record. Is this a double standard (no pun intended)? Are they not lowering the bar when an MT is paid considerably less money and their profits are thus enhanced in the process?
This is a no brainer and we all know it is about the almighty dollar and not just about patient care.
Indian.
Indian English is not the same as American or British English. Somebody please tell that to the Indians!
Are you Indian?................nm
nm
You are Indian
You Are Indian
I'm hardly Indian...
...and hardly a troll...I'm pure born-and-bred Texan through and through.
As I said, take my advice or leave it. In the meantime, keep putting money into the pockets of all those money-grubbing MTSOs. I sure won't contribute to them...nor do I have to do so.
You SHOULD be able to tell by my writing style that I am certainly not Indian or foreign in any way, shape or form.
Not Spheris or other large national. nm
large file transfer
My MTSO sends large volumes of new account info (tons of normals, etc) in compressed files thru e-mail. Don't know anything else about compressed files, but thought it might be worth checking out.
Webmedx, probably about 300 MTs. is that large or small?
x
Monitor-Hyundai (large) for $150...sm
Bought at Best Buy (monitor) or Office Depot (Logitech mouse)
But the monitor is big, not a thin trinitron.......you could go to the website or contact dell dot com for pricing of a thin monitor.
Best luck!!
I agree. I can't imagine having a BR that large.
I don't even think my family room is 600 square feet so I can only imagine what an 850 square foot bedroom must be like! When I win the lottery (LOL!) I'll have one!
I work for a service, a rather large one sm
They probably, or possibly, keep the records for awhile, in Echart. But as an IC, I would think that legally, you would be limited to the amount of time you are allowed to keep patients medical records, and I would bet it would be around 30 days, not more.
It was a very very large medical office that
outsources the transcription to various transcriptionists rather than to a service. The form that I was sent for formatting, I was told is basically the way they do it, but yet, the transcription I did for them definitely did not apply to the format.
Resignation from a large MTSO...sm
Dear Sirs:
I am turning in my resignation with giving the required 2 weeks notice. I have enjoyed working for your organization for 10 of the past 11 years; however, I feel that I must step down at this time. Over the past year I have been asked increasingly to work outside my schedule because work isn't available during my daytime shift because you're now sending the work on the account overseas overnight, leaving little work for the day shift employees. In addition, the benefits have decreased and while my cost of living has gone up, requests for a line rate increase to 8.5 cpl have been denied. You forget that I am a top producer and transcribe over 2500 lines a day & have QA scores of 99-100, so perhaps you'll enjoy paying benefits for 2 employees to replace my production.
You may wonder where I am going to work. I have found a small mom and pops company that refuses to send our work outside of the US. I will have guaranteed work from the same doctors each day and will have 24 hours to return work that I obtain Monday through Thursday, and Friday work received will be due back by Monday afternoon. This will allow me to schedule my own work hours. They are going to be paying me more than you are, because they realize that hiring one excellent Transcriptionist and paying them more per line is cheaper than hiring 2 inferior transcriptionsts, especially when you consider the cost of keeping that extra employee working for you. The owner of this company is well known to take very good care of the employees and not jerk them around, and that is the way they also treat their clients. Doctors love them for their dependability and accuracy of reports, and knowing that work will not leave the US unless they specifically request it do so.
Sincerely,
Suzie Q Transcriptionist
If you live in or near a large city sm
Check the Yellow Pages under "Dictation Services" or "Transcription Services." Some of them train in-house for several weeks and are willing to work with newbies.
Good luck!
They want standarized testing, for a large fee.
nm
How large is your hard drive, and
how much free space do you have. Remove unnecessary programs that you do not use. Download CCleaner from the Internet. It is a great program and free. It cleans out the temp files, cookies, etc. when you log off the Internet. See how much RAM you have and check your motherboard manual for the maximum RAM allowed. More RAM will speed up your computer. Also, if you have more than 1 stick of RAM, some of them may be dead, and this could slow down the computer too. A lot of variables come into play. Try one thing at a time. There are plenty of things you can do. Good luck!
I also know of a very large medical center which did
xx
15 sounds reasonable for a large
15 is too high unless you are on the west coast. Here on the east, 14 is about as high as anyone can get on a clinic account. Acute care goes for about 15-16.
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