Probably why the larger Nationals have their own
Posted By: software, no one can mess with. on 2005-08-03
In Reply to: Those, too! What's really funny is when - sm
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I don't work for one of the larger nationals, but a good-sized national and
in 5 years the hospital system has been down twice and my company wasn't able to pull work and the company's system was down once for a hurricane and once the power was out for part of a day. I never went a full day without work.
I think maybe some of the nationals are poorly managed and they use "server down" as an excuse for no work. For a company that depends on their servers for their livelihood I don't believe they actually have the much down time. I don't think most companies pay for downtime.
Do you like the larger font?
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Yes like the larger font. Thanks.
nn
not MQ, not SS, but see, most larger companies are ALL doing this...
everyone is trying to cut costs...
my question is, when the hospitals cut back on staffing (for example, the entire transcriptions departments, most all ancillary departments, nursing, etc.), the salaries/pay for all these Jobst, where did all that money go?
all I hear is how 'broke' supposedly hospitals are etc etc, but with all these cut-backs, all throughout the country, even in government, WHERE is all the MONEY?
why are we now to want all the savings to go to the heads of these corporations (hospitals are now businesses as well). they do not want to share the earnings anymore with employees, and we are supposed to like it?
benefits no longer have to be supplied by employers, etc, and every chance they get they are now making them contingent with hours worked or production...
well, where is all the money from all the savings?
it does not go to the patients (in the case of hospitals) because they do not even get to have nurses anymore, and are pushed out of the hospital immediately before they are even well.
it does not go to the employees, it does not go to the community, because none of taxes seem to go toward community programs much anymore...
where is the money?
why are we made to feel 'bad' about wanting more in our paychecks?
just not getting it here...I am worth every penny I get, and more, and deserve to have benefits and everything I used to have. rather, I am making less than I did 10 years ago in this business, plus less benefits...
sorry to go on about this...for those who are making tons of money right now, you obviously do not have to worry, but I am old-school, I guess. too much has been taken away from when I started...
10 is smaller not larger than 12, so it would be more than 65 cpl- nm
xx
I think mainly the larger companies have
incentive plans, or the companies that have an unfriendly system so that it is hard to get lines, or horrible dictators so that MTs do the minimum and no more. From what I have seen of the incentives there are a lot of strings attached and a lot of times the company finds a way to get around them, others make the line counts so high that is is near impossible to get the incentives without working 16 hours a day. My company offers incentives if they get in a bind and get too far out of TAT. They pay a 20% for any lines over your normal line count, so that anyone is able to reach the incentive level, just how much depends on how much they are willing to work extra. I am an employee, but the ICs are offered the same incentives. I have worked for other companies that did not offer an incentive until they got in a bind.
I think some companies try to confuse you with an incentive, so that you think you could make more than 7 cpl, but then the incentives aren't that easy to make and you'd have been better offer spending the extra time living instead of working.
Yes, a larger font would be more comfortable. Thx! nm
,
Yes I like it larger..helps my old eyes! nm
nm
Can't please everyone although we try. The majority like the larger font.
Does anyone know how to make the text larger in Word?? TIA
nm
larger text in Word - start by
to preview and select what suits you best. Toolbar should be showing at top of screen, pull down where is says what font type is in there. Otherwise, you can to either go to Tools to select the "formatting" toolbar, or go to View, then Font. Since my old eyes are going, I also choose the option to increase my page view to 150% (also on the toolbar at the top of your screen displaying some kind of number) by dropping down the menu (use the arrow next to it) and select the % that suits you best. Hope this helps.
Making text larger in Word
Ctrl+A to select all text, choose font size from format menu. Also make sure view is at 100%.
Yeah, we just moved and got a larger house...
so we have brought the dogs in the house now. I love having them with us and I know they are loving it, but the hair is just horrible. They are labs too, so they need lots of attention.
EMRs already in place and working well in larger institutions
The midsize MTSO I edit for uses an internet-based transcription system. Our programmers re-wrote some of our proprietary software so we could interface with one of our clients' (university hospital) EMR system. What it amounts to for us is that the dictator now dictates only the objective portion of the procedure/op note or followup note. The demographics, history, etc., are already in the record. In other words, what used to be a 150-line job is now less than 50.
I connect a larger screen - having two desktops is nice. sm
Just got my laptop cooler with its built-in USB hub, so I am adding other things.
Of course, the greatest thing you can do is take your job on impromptu vacations and not have to worry about approval from the boss.
keyboard shortcut/make letters larger
Somewhere I saw a simple keyboard shortcut that would make the letters in a program appear larger without changing the font size. I have a program I have to access at work and the letters are hard to read, but I'm not allowed to change the size. Does anyone know about this? Thanks!
If starting with a larger service, yes, you'll get training... sm
...sometimes one day, sometimes 2, 3, or more days, depending upon how much depth they go into. You should get account specifics for your account(s), as well as their expectations as to style, procedures, etc.
Of course, the depth and quality of the training can vary, both with the company and with the trainer (and, to some extent, can be determined by the others in your training sessions and how much instruction they need).
If starting with a smaller MTSO, I have no idea what to expect; but, with a larger company/national, there's usually a couple of days plus a period in which you're on 100% QA so they can monitor your output and let you know what you may be doing that needs changing, etc.
Softer touch, clicky, yet larger size keyboard.
Don't know if you'll see this, but you may want to try the "cloned" IBM keyboard by the company I mentioned previously. It is the same size & layout as the IBM, "clicky", and yet there was a subtle difference in the "touch". I felt it "was" a "softer" touch compared to the original IBM. Wish I could offer a better explanation, but it's such an "individual" thing that it's hard to describe. What is comfortable for me may not be for you. I have the one I bought from them years ago boxed up for repair, so I'm just recalling this from memory. Haven't used it in quite a while, but do remember I did get comfortable with it in the interim without my IBM keyboard.
Oh - the memories - I'll never forget the "mag card" & how the part-time worker at night never failed to wipe out the "negatives" I had stored on "certain labeled" cards everytime she worked at my desk :o)
Well - if I do run across another keyboard I think you might be interested in, I'll address it to you as "me" & hope you'll see it.
Most larger drug stores carry a selection of OTC braces and will order others, too. nm
s
What nationals?
What nationals or hospitals have this policy of showing doctors how to dictate better? I have worked at 11 hospitals, clinics and trans services in my career, managed a few, was lead transcriptionist at a few hospitals, supervisor at another and also just an MT at times. Never have I ever heard of a policy like this.
There were no nationals
Nobody had ever HEARD of outsourcing. We were all in-house, regular employees, got a REAL SALARY with benefits including LOTS of PTO time, etc. We were treated with respect and appreciated for our hard work and MT was an actual profession to be proud of. Then after computers came along and the "want it on the chart 5 minutes before the doctor dictates it" mentality, somebody got the brainstorm that they could make tons of money off of us by getting rid of the in-house departments, "allowing" us to work at home, and only paying us peanuts on a "production only" basis. The bottom line of "the cheaper the better" took hold, the nationals took over, started outsourcing overseas, and you have the mess we have today. I guess that about covers it----
Do any other nationals have 10,000 MTs?
Maybe that's why it is talked about so much. There are 10,000 MTs affected by what they do.
Nationals are no better
Disagree, no matter whether you are an I/C with own accounts or with a national or even small MTSO, we are all at the beck of the doctors. If they are off or do not dictate, there is no work. I do not think that the majority of you realize how hard is to balance out having enough staff to do the work to keep the accounts and also keep them busy when the work does not come in, especially when the help does not think twice about someone in the family being acutely ill when they are not, taking off for children field trips on a whim, children being sick or whatever the excuse is not to work. It takes quite a juggline act to accommodate both employees and acounts themselves. That said -- flame me as I have already been burnt many times by people who do not have a work ethic or want to work when they want to and not when the work is available.
Nationals are no better....sm
Every group has people who don't come through when they should, doesn't matter what job, etc. but most of us are professional enough that we don't leave our employers in the lurch, certainly not nearly as often as most of them do us, no work, computer down, etc., etc. but, if someone refers to me as "the help" I wouldn't feel too kindly toward them. I would do the job, but don't ask "the help" for any favors.
Sorry...that's a sore spot. Makes me feel like we should be kept in a corner somewhere until we are needed to "help"
If that happens, no more nationals for me!
nm
Big nationals and MTs
I have been in this business over 20 years. I started when we used IBM Selectrics and tapes. I have seen this business changing over the years, some good, some bad. One thing in particular is the very large national companies getting more and more of a monopoly in the transcription business. This has had an impact on the MT. I am making less per line than 15 to 20 years ago, and I seen that is widespread in this industry. I see it is getting more and more impersonal.
20 years ago many MTs were getting 7 to 7.5 CPL. I see that still happening. Adjust that for cost of living increases and inflation, and I feel wages have gone down.
Now we must compete with overseas work and if an MT wants to do VR, they must take a pay cut, at some companies of up to 50% of your line rate. I remember many years ago when they were talking about implementing VR, we were told we would not have pay cuts, just be able to type more. I knew then that they were lying, of course they would cut our wages. They will squeeze and squeeze to get the most money for themselves. Many of these CEOs make millions, but what about all the unethical business practices. Remember Enron.
I feel most of these changes are because of the a few very large nationals changing the nature of the business. Of course, they want to make as much money as possible. Everybody does, I cetainly do. But it seems to me they are doing it at the expense of the individual MT.
Did you know many transcription companies actually train the MTs in India and then give them a job. If you are in the good old USA, you pay for your own schooling and are lucky to get your foot in the door because of no experiernce.
I think if there were fewer nationals and more smaller companies, maybe the MT would benefit.
Nationals can pay much better
than hospital jobs. If you are capable of 1500 lines in a hospital setting, you can easily do the same at home. With experienc (which you seem to have) you can make at least .95 or .10 per line. Most hospital MTs do not make $150.00 a day. If you want benefits, there are some good national companies with good benefits.
You just need to decide how much your in house job means to you versus staying at home. I work in a hospital during the day and at home in the evening. I make more money at home but I need to see other people so I love going to the hospital 6 hours a day.
No, they don't. Maybe Spheris or the big nationals
that actually send you equipment and take the time to train you, but the little MTSOs don't do anything except set up your user ID and password to get into their system and fax you their contract. Ooh, 15 minutes out of their lives are gone. Dreadful. They expect you to have your own equipment, be proficient with the computer and software, and know how to transcribe medical reports. Reasonable enough, but it does NOT cost them anywhere near the figures you quoted.
$18.5K two smaller nationals. nm
x
nationals vs working for yourself
Regarding the post below about how to avg 1600-2000 lines per day, someone posted they make about 12 cpl and about 3500 lines per day. I'm assuming this person works for themselves. To all of you wonderful ladies who are so lucky to do this, where the heck do you get started??? I'm soooo jealous, thats a dream living right there. Seriously, where to look, how to get started, what equipment. Any pointers from you gals? I work no less than an 8 to 9 hour shift to scrape in my 1300-1400 lines, work until my fingers get stiff....!!!!
OH! One of the nationals I worked for did that.
Of course, the supervisors had been on the accounts before getting promoted, so they had tons of macros and expansions already. However, they'd work a few hours and get these astronomical line counts while I had all the leftover garbage dictators. Between that and the frequent shortage of connections available, I quit. The supervisor not only got her supervisory wages, but she also cranked out about 2,000 lines a day in less than four hours by taking work away from the MTs. Why did they hire me and the other MTs if she was just going to hog the good lines and the C-phone connection?
YES! nationals have turned
wife's kind of job......need a second income to live.
It is no longer a career
It is no longer a respectable job.
They have lowered it to _drop in_ make a few bucks_go to bed
But don't expect or receive RESPECT, A LIVING, OR ANYTHING ELSE
from a transcription company. They are there to make the profit
OFF OF YOU.
Bows sounds real darn good - when do we start - I'll make the
wagon to sell them from - I'm pretty handy with power tools now since
my husband left because I had to type 26 hours a day! Stupidly he thought
we should have a life.
I won't work for nationals. Been there, did that.
I got hired on part time at the local hospital, then gained one account on my own. I continue to work for the hospital PT, and now have five accounts and two subs who work for me.
what about nationals where you use THEIR expander....
never thought of that...couldn't they just glean your normals from the Expander without even telling you? I am going into it right now and change the NAMES that I associated with those normals I slaved for free to create!!! (doctor names) Thanks for the tip.
I agree about big nationals
Ridiculous. They pressure you, but leave you high and dry with low work available and expect you to work. Thank goodness for the smaller companies. They are getting the cream of the crop of good MTs!! I switched from a big national to smaller company too!!
Smaller nationals are way to go...
It seems you get treated like dirt by the large nationals, i.e., Medquist, Spheris, no communication, etc. Many experienced MTs have gone the way of smaller national companies simply because of the better communication among employer and employee, more warmth among the company, etc. Spheris tries to give off this impression they are a warm company much thanks to the CEO, but the organization itself is not a good employer to work for.
Nationals: Sometimes the hospitals have their own MTs sm
and pull the MTSO off the account when work is low to keep the hospital employees busy. This probably happens more often than one might think these days. IMHO
I want to look into Smaller Nationals.
I am hoping to get some names of some good Small National companys to work for.
Thanks in advance for your help!
Small Nationals.
I guess just not the huge places like Medquist. I would like a little bit smaller. I am even interested in any companies that are great to work for and pay okay. I am not having that great of luck working for MTSO and getting paid good.
Thanks!!
Not the OP, but it's what the nationals are willing to pay, not what they charge. Most of us out
s
Did you ever work for nationals? nm
..
obviously then you don't work for nationals..nm
HATE Nationals
It is terrible what these large nationals are doing to our industry. I have worked for several and they all start out saying, "We really care about our MTs" Bull feathers!! What they care about is making money off our backs and not paying us a decent wage. And sending our work over to India, Pakistan, or whoever is the lowest bidder. I hope hospitals, clinics and doctor's offices here in the US quit using them so they just go away. I will take a small MTSO any day of the week over these megamonster money machines!
Any other MTs for large nationals getting the
Exactly! What are the big nationals providing?
except a tasp and a salesman to land the account?
If IC, use which ever you prefer; most of the Nationals
xx
I salute those that work for Nationals
After reading these boards and I really have to hand it to you guys that work for the Nationals. I mean it as I thank the Lord everyday for my three small accounts and business because you guys really have to put up with the garbage and I don't think I could do it. As mentioned below, I am one of those that do clinic notes, consults, minor surgery reports, and have good line counts but I do get lazy and my docs don't care if we are compliant with certain abbreviations, or how some medical organization has said how something should be typed, if it is gramatically correct, spelled correct then it is fine. It is like driving a car for many years if we all had to take the driving test most of us would not pass because we have picked up some bad habits along the way. I recognize that I have and sometimes capitalize generic drugs or something is not typed as the AAMT says how it should be typed or that book that begins with "B". How you guys can keep up on all the changes is beyond me and why they make them is beyond me also. But again, my hat is off to all of you and I think you all deserve a pat on the back and I wish I could put some money in your pockets because I think you all deserve it. If there are errors in here, give me some slack as my day started at 5 this morning as Tuesday is one of my busiest days and am covering for a friend who is on vacation. So am hitting over 3200 lines today and am tiredddddddddddddd.
Patti
The nationals were the undoing of transcription. nm
x
Nationals versus locals
I'm not sure if you mentioned how long you worked for MQ, but working for a national is not the same as working for a local company.
Your MQ supervisor might not have even remembered that you had a health problem... maybe she did, I don't know, but when working for a national, you cannot expect that one-on-one treatment. It's just not going to happen. I never elaborate on personal circumstances about why I have to take off. I just send an email saying I can't work for X amount of days because of an unexpected crisis or circumstance and if they need to know more, they can contact me.
The same goes with being routed work types with at which you excell. When you work for a national, 95% of the time you are expected to be able to do all work types. I wonder how many MTs like the same work types as you. Not only that, it would be quite time-consuming to document hundreds of MTs areas of expertise and then assign them only those work types.
I'm just crossing my fingers that MTs who are "friends" with supervisors aren't routed work types I prefer to do as well.
I hope I'm not being harsh, but the reality is that when you work for a national, you can't expect to be treated like an "individual."
I'm not saying that this is always the way it is, but to expect anything else is just unrealistic. As posters said below, your real family and friends are the ones you need to rely on for support and compassion.
theory on why nationals are so awful
If you think about how much money they spend on computers and equipment, shipment, they need to make sure they are not just hiring any joe who does not know what they are doing and can walk away with a free computer. That explains the testing that goes on to get hired on with these companies.
Not only that, being so remote, having so many MTs, they have no time to check references, or to know whether or not you are seasoned or how much experience you might have. You could lie your way all the way into becoming an MT, they lose clients because of the lousy work from inexperienced MTs, lose money because of the thieves who just want a free pc.
We seasoned MTs get lost in the blizzard of this. They are just looking out for themselves, for good reason if you look at it from their perspective.
not everyone thinks nationals are awful.
i have worked for 4. two were terrible, one was okay, one great.
the one that was okay and the one that was great made you put up a deposit on the computer stuff and if you didn't get it back to them in good shape they kept it. i think that is fair. costs a lot of money to do that.
all 4 of the companies i worked for checked references. i had to test on terms, meds, and then do a transcription test for 3 of the companies.
the 2 that were terrible - i just did not like their software (1 sent me a computer that wouldn't work so they sent another one and it wasn't very fast at all). it wasn't really anything they did. i just didn't care for how their stuff ran.
i think all of them are decent companies. beats the hospitals i've worked for. beats getting in the car for a drive everyday in pantyhose and heels and listening to coworkers gripe about what they're not getting and having to work when they want you to.
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