Tip of a very large iceberg...
Posted By: cartwheel on 2007-05-18
In Reply to: Outsourcing Concerns - We all need to get involved
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...
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Only the tip of the iceberg...
This is even worse than I had imagined what could happen. No excuse for it. If people only knew who sees their most personal information, addresses, birthdates, SS#, etc. Just look at how much private information we see that we really shouldn't. If people only knew.....
yes! like the large font
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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.
Any other MTs for large nationals getting the
Sorry, but that is the opinion of some large MT
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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
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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?
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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.
15 sounds reasonable for a large
The doctor I transcribe for said the company charges 15. Of course we do not make anywhere near that, so I think that is reasonable.
Another large MT website that always was pro MQ now has many many negative posts so I think MQ is
not looking too popular and I expect after getting THE phone call a lot more will be unhappy. Well, my resume is out.
Opan a large stable and board
horses, or become a doctor.
It is a large national. All employees are IC status...nm
nm
Vinyl stickers with very large letters...sm
work really well, I ordered them from Gold Violin.com. I believe they were $9.00. I don't look at my keys, but it just bugs me when there are no letters on my keys.
Although no letters means nobody else will get on my puter. 
Irises -- from dwarf to large any color!
I once found a patch of wild dwarf sized irises in the woods over a very small stream. That was a sight I will not forget!
275-310 lph - one account-large teaching hospital
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My work space is in the MBR- it is plenty large -sm
but the room is a bit cluttered. It is a large room though, 12' x 27', 1 corner is a small walk-in closet though (5 x 9), I am against that 5' wall of the closet for my "space". If I could lose the radio (old 1940s) and the corner shelf unit it would look a lot nicer even with my desk and TV cart I use for my printer and misc. papers. The one "spare" room we have is the dining room which is the kids play room but I am getting rid of that this Fall, however it will basically turn into storage on one side for my DHs antique TVs and the other I might make a reading nook, for the rare spare time I get to have a haven to go to outside of the bedroom. I have the recliner, just need a place to put it!
I put one of those pads they use for dogs size large (M)
under the cat box. If he misses the pad absorbs the urine, it does not go through the plastic on the other side, and then I just throw away and replace with a new one.
But I'm talking about a large, multi-vet clinic - sm
where the techs have their hands full all day long with people/animals coming and going, helping with procedures, etc. There is a front desk with receptionists that work non-stop, and I doubt if any has the time to sit down and transcribe. So for the small, one-or-two-vet practice, I can see not using MT, but for a large clinic like this it could be a possibility. Also, there are many large veterinary teaching hospitals in the country, such as Cornell in NY, and that is on an even larger scale. Those might use transcription, as well.
Don't feel too badly MQ folks. Another large SM
company soon to initiate docking for errors. Whether these errors exist or not. These may be style guide errors. It seems the latest version of said style guide contains a lot more pages than the original version which was, perhaps 80 pages long.
Yes, I'm quite sure these companies are only concerned about quality transcription and not the bottom line.
There have been a lot of MTs leaving a large company the last few weeks. sm
It might be a little more difficult than usual, but there's always a shortage of qualified people. Check your resume, make sure it is selling your best points. Are you using your current place as a reference? Could that be a problem? Are you testing with companies, or do you not get that far? Have any of them offered you a reason for not being interested?
I'm not sure if they can if it's open enrollment with a large company. I think if it were an i
your application. They only thing I think they can do is possibly impose a pre-existing clause if he has not had continuous medical coverage. If he has, then you'll probably be fine. If not, they can do up to 12 months pre-existing where they will not cover anything pre-existing. I'd check with Human Resources on this though.
And large companies love getting ahold of those
nm
My company sent me a large tower computer to
I appreciate the computer, but the tower is huge! My desk doesn't have any place for a tower (it's not a computer desk and I can't afford to buy one). What's a good way to place the tower so that all the wires will fit (other than on top of the desk?).
LOL!! Yes they are sizes like small, medium and large - sm
I have a B (medium) and it is very comfortable. I got it when I was 130 pounds and now I'm much larger at 190 and it is still as comfortable. I believe the A was a lot smaller and the C was just huge - felt like I could get lost in it.
Why hasn't Mayo clinic signed on with a large
Like Spheris or Medquist??? What is so special about them?
Philadelphia - $25 per hour at a large teaching hospital. nm
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I don't have expensive chair, but large and I just bought temperpedic
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Need help with calculating expenses for bid on large account. At the moment I do not know *sm*
how many lines they dictate per day/week. I am going to call the person who sent me the bid forms and ask. I do not have my own call-in system and would be using a TASP. Can someone tell me that currently uses a TASP how to go about figuring my costs in so that I do not under bid. I know that each dictator and the type of report is going to vary but on an average what would you say? Bottom line is I need to know how many cents per line I need to charge to cover the call-in system and my other expenses. Another thing they listed in the bid is that the vendor is to provide all other supplies including plain paper to complete each assignment. The hospital will provide any special letterhead, envelopes, etc. How do you provide the paper and probably the toner if you are doing this remotely? Would there be any other expenses that would fall under other supplies that you can think of other than toner and paper? How much toner and paper do I provide or should I ask the hospital what they use on a weekly basis? I would assume I have the right to ask questions as to how much paper, toner, how many lines they do each day or week on average. I want this account very much but I do not want to have to pay a cheap line rate and I need to make this worth my while. Thank you very much for you help.
I know a very large MTSO that lost a LOT of money and ended up
/
What are you doing with a large group of Italians??? I'm Italian and may want an invite:-)) (nm)
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