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Serving Over 20,000 US Medical Transcriptionists

Our tax returns are outsourced. Our credit history is outsourced. Our employers know everything

Posted By: Just curious. on 2005-07-31
In Reply to: I agree - Cassie

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.


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    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??
    :=
    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.

    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? :)
    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?
    I wonder why when a department is outsourced/offshored sm
    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? 
    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.   
    YES, it's true, funding for schooling to replace outsourced jobs...sm
    my husband is a machinist (was a machinist) in Illinois where manufacturing took a hard hit. They sent home a piece of paper with his pink slip about getting funding for schooling if the company was identified as having lost jobs due to overseas outsourcing. His company was too small to qualify but I went on the list and found many companies in the Chicago area that qualified. I even posted the info on the boards here about six months ago.
    Total # of outsourced jobs? More less the population of 3 entire states!
    Try to calculate that economic nightmare!!!
    I was told that Healthscribe outsourced and when acquired, that Spheris would be bringing work
    And this is information came to me from the inside, given to me when I was hired and in training.
    Check all the brands in other stores. It's all outsourced. Nike, Rebok, Liz Claiborne.
    It leaves our country in the hands of the politicians who sold us out in the first place.
    What an ugly thing to post. Your job could be outsourced tomorrow, sweetie. FYI...Job security
    x
    Millions others wish Bush would be outsourced too, as evidenced by the poll. Bush = 1st Class moron
         
    wrong, wrong, wrong. work is being outsourced because of $. period. not because of unqualified MTs
    c
    Anyone know if coding would pay as well as MT? Is coding being outsourced too?
    xx
    great website for credit and credit cards, interest rates
    great website
    Has anyone used a credit counseling service to consolidate credit cards?
    What was your experience?  Was it worth it?  Which ones are credible?
    check your old tax returns
    to see what your status was checked. If "nonemployee compensation" was checked, then you were an independent contractor and owe the money. If it was not checked, then the IRS is in error.
    See last years returns
    A lot depends on your status -- are married?   If so, your husband can overwithold and you can pay that way.    If not, look at last year's return and see what your income was, how much you paid and compare that to what you will be making as an IC this year.   See what your tax liability was last year.  You might have more deductions as an IC for your net income on which you will base your SS and tax liability -- all get paid into the same place.   You can divide that by 4, go onto the IRS web page and print out Quarterly coupons and send in that amount if you do not want to have your husband overwithold.   If you don't owe much the penalty is  not that much.  But as I have said before, for the first year or two as an IC I suggest people seek out an accountant to help them get started.  It is hard to give advice without seeing the entire financial picture.  But first place to start is your last years return compare to this year's earnings and go from there.  Again, though if you have a husband working or have a second job as an employee just overwithold from either as it is easier than trying to save and pay quarterlies.   Good luck.  IRS page has a lot of good advice.    Patti
    IRS is not processing ANY tax returns sm
    until at least Feb 11, when the new software is in place.  You may be talking about and H.R. Block type place that figures you return, for a price, then cuts you a check.  But IRS not sending checks or processing until Feb 11.
    I'll bet she meant that's how long the lines are before it returns. nm
    x
    Personally I don't charge for tabs and hard returns - sm
    but then again it would not make a big difference for me. I just went over my last invoice and re-did it including spaces, tabs and hard returns, my invoice went up a whole $1.70. I will live w/o the extra $3.40 a month. On another point, I try not to put 2 spaces after my last period of each report (mine are just single block paragraphs on each patient) so I don't "pad" the invoice that way either. Now if I did a lot of reports with tabs and returns then I probably would bill for them, as it is a keystroke. As for how to phrase it, I thought you have already put it quite well, but I think asking for a cent raise might be too much, .005 would probably more than compensate you for your "loss" if you don't count the tabs/returns anymore. Run an invoice and see what the $$$ would be with .005 and .01 raises. Good luck.
    CREDIT, everyone is living on credit, and from what I see
    with a rather, 'might as well, we have no future' kind of attitude.

    our credit cards are maxed out, we are buying gas, food (which I swore I would never do, how stupid - all that interest for food, yuck!), paying bills, and we would not have survived without them. now they are maxed out, and we are not making one bit more than we were.

    glad things must be going so well for you, but look around in your own neighborhood.

    the gap is closing between rich and poor. like it is in somalia, for example.

    call us doomsdayers, but I call it protecting our own interests.

    why is it the only people who are supposed to care about themselves are the rich?
    employers
    I was just looking at the available jobs, and I noticed  all of them require at least 2-5yrs experience. I also noticed that some of the employers can't even spell, yet experience is required. This seems kind of silly to me.
    No credit card is a good credit card.
    Just kidding. I'd suggest not using credit cards to pay debts. It'll only dig you in deeper. Look into a signature loan or putting a lien against a vehicle or house. Lower interest rate, pay off sooner.
    Just tell prospective employers you...sm
    Stop behaving like factory workers on piece-work, demand a fair "hourly wage" for what you do. Find out what is paid in your area, 13.00 to 17.00 dollars is what I often hear as a range for MT pay. Decide what you want, be willing to give an honest days work for an honest days dollar" and then only work for an hourly rate. You will say, but no one pays that, and I will say that is only because no one demands it. We are not migrant workers being paid for how many bushels of apples we pick, why should our take-home pay depend on whether or not the doc is ESL, or is just having a bad day? I don't know about the rest of you, but I need to know how much I will earn to determine how much I can spend. When we start acting like professionals, I think we will be treated like one.
    My 2 cents is that I wish all employers - sm
    of MTs, whether MTSO or inhouse, would realize that their MTs are an ASSET, not just another 'unnecessary' expense that somehow needs to be eliminated. And then treat them as such! A very intelligent & highly respected MD I once transcribed for told me he couldn't understand the whole downward spiral of the MT profession, pay, etc., because we were the MD's 'first line of defense' against malpractice. He said his job was to practice medicine, and our job was to help him document it accurately.

    The wages most places offer are an insult right up front. And then all the sleight-of-hand when it comes to cheating MTs with 'doctored' line counts, late paychecks, etc., adds injury to insult for the MT.

    I think part of the problem lies in the fact that because most MTs are home-based nowadays, it's just too easy for them to become faceless, nameless, non-persons to the employer, and it's just too easy for them to cheat someone they don't have to look in the eye every day at work.
    I don't see why employers are so afraid to ask for ... sm

    at least the minimum lines each day.  I used to work at a hospital where the required minimum was I believe 40 minutes, which ain't a lot of work.  Most times (and this was when we were in house) the girls would chat and chat and chat and go for lunch and chat and chat, etc., and never work.  And they got by with it because they were too scared to demand that these people stick to the guidelines by which they were hired.  One day I went in to work OT on a Saturday and worked 4 or 5 hours, and I don't remember what my line count was, but one person typed 12 lines.  And she was supposed to be the regular Saturday morning person.  Some saturdays I would go in to work and there would be NOBODY there.  NOBODY typing in a hospital transcription dept. just because it was Saturday.  They got by with it for years, continued to get by with it, and we lost our jobs to MQ because nobody worked and nobody made them work.  Me, I worked.  I worked a lot.  I had (still have) goals, meet them, exceed them routinely because I happen to like paying the bills and having money left over.  Like I always say, people whine on here about no work but when there's a lot of OT to be worked they are nowhere to be found. 


    I think most employers have just left
    this board
    MT is history.
    After doing this for 10 years, 3+ in house, I'm on the brink of hanging it up and forgetting it. The pay keeps getting worse for the MTs (and better for the corporatists), the platforms keep getting slower and more cumbersome, the quality of the dictation does not get any better and tends to get worse overall as the old masters of English retire and more ESLs move in to replace them.

    I would strongly advise anyone who is young enough to find something with a future.
    CPL History
    Just a thought here.  It seems we're all so consumed with making lines and working faster and faster, has anyone stopped to wonder about how the 8-10 cpl rate was devised??  It seems that with the amazing fund of knowledge we have to possess to function in this profession, I feel ridiculously underpaid and overworked.  The companies are constantly begging for us to do extra work with no incentives - just the statement that "here's a chance to get extra lines".   I realize that this is a production-based business, but COME ON!!   Am I the only one who feels like the companies are profiting big-time from our skill and knowledge??   There's so much we have to know as well -- A&P, meds, extensive terminology, hardware, equipment, and on and on.  Please tell me if I'm overlooking something obvious, because I'm getting really burned out.   Thanks guys for listening. 
    Well, it costs sometimes. I have had to change employers before because
    they were not going to negotiate with me. HOwever, there are plenty of places to work and I have luckily landed in 2 good ones.

    I feel very fortunate today with my employment. I know full well it may change tomorrow but I am prepared - emotionally and financially - and will not let that disrupt my life. Too many options out there, folks.
    What is FTP site and do employers provide this?
    I heard that they have this site and will give you a username and password.  Or is this something I have to put together myself.  If so, anyone have any information on how to set this up?  Thank you. 
    Most employers are fine as long as you tell ...sm
    them when you're interviewing the dates you'll be unavailable.  When it usually becomes a problem is when someone says something like 2 days before Christmas "oh by the way I need the next week off...." and they wonder why you tell them no!
    Illegal immigrants do it as well as their employers and....sm

    they're oftentimes working "x" hours a week or even full-time. It's a big problem here in Georgia because it's not fair that these people not only get the jobs that they're being paid cash for but then they show up in the ERs when sick and are given Medicaid to pay the bill, even though they're not US citizens.  Their kids are given free education and right now the illegal immigrant groups are mad because the state of Georgia is planning to  start making them pay out of the country tuition to the universities if they aren't documented legal residents - which I think they should be forced to do.   Heck, if I were to get on a plane to say France I couldn't walk off the plane and demand that I be allowed into college at the local tuition rates just because I'm there - whether or not I were there legally.


      There's some legislation going forward in January here to put a stop to some of this but of course the illegal immigrant groups are fighting it.  


    I don't mind paying someone cash if they're doing something rarely for me (i.e. once or twice a year).


    For those of you who use say teenage babysitters do you really report every dime you give them to the IRS?    What about when you go to a restaurant and tip the wait staff in cash?  Do you make sure the  manager knows you gave them a cash tip so it's reported?   Ever have a neighborhood kid rake leaves for you?  Do you pay Little Johnny and then demand his SS# to report you gave him $20 to the IRS? 


     


     


     


    Still INFJ. We had to take these at a few of my previous employers.
    I actually got denied promotion for being an INFJ. Go figure. Then another supervisor told me I was the exact type of employee they were trying to avoid because INFJs are two-faced backstabbers. I've never been like that. If I have a problem with someone, I'll measure the severity of the situation then tell them to their face. Nothing two-faced there. I don't think those personality tests are an accurate projection of a person's future actions or successes. They shouldn't be used in employment or managerial decisions.
    Do employers not realize that a little explanatation
     low work volume would go a long way?  Nothing special, just to notify us.  Just like they expect to be notified if our schedule changes, it would be nice if they let us know about volume and if they were trying to do something to get us more work, etc.  Rather, they let us sit here and wonder what the problem is!!! 
    Pity my employers? Furthermore, grow up!
    x
    My employers forbids us to have VoIP because...
    it fouls up lots of things.  Also, I have a friend with Vonage and we are constantly cut off, or it sounds like she is talking from the bottom of a fish tank.  She hates it. 
    Maybe I'm from old times, but I doubt employers could get away with that...
    if the EMPLOYEE has proof they are really an employee and not an IC, especially when it came to tax time. They'd need their W2.  That's why I ASKED.   I'd flip if an EMPLOYER did that to me. There were no need to get snippy about it. I was stating a fact.