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Serving Over 20,000 US Medical Transcriptionists

Too bad companies don't pay by QUALITY instead of experience. nm

Posted By: deb on 2009-04-02
In Reply to: I have something to say here sm - In the know

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It does exist; however, not everyone makes the same. I am paid for my experience and quality. nm
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Through your years of experience you care more about quality I bet than quantity
This happened to me after midcareer that is after about 15 years. I started caring about the patient more than my paycheck. This might have cost me a lot of dough, and I can't afford fancy extras much anymore. But, I can sleep at night knowing I put the right gender of the patient with the difficult ESL dictating. I do not know you, but I just bet that your 1200 is a really good 1200.
My experience with quality/quantity and an Indian owned company.
I worked for an offshore owned company where it was all about quantity.  Company even kept a HORRIBLE MT just because she cranked out the lines.  Didn't matter her quality was crap and was considered a joke by middle managment.  India did most typing but with US edit.  Typists changed regularly so it wasn't like they learned to do better.  Quality would improve slightly and then would notice, after couple of months, that quality was crap again so we knew we were dealing with a new batch of typists. Even so, the push was always on to get the jobs off US edit and send Indian work straight to client.  Of course, the clients never knew they were not getting US editing anymore, as they got no price reduction when they no longer had that level of work being done on their jobs.  The problem is the facilities accept the crap work so why should the companies change.  It took a while but I finally found a US owned company where quality matters.  Now one of the first questions I would ask a prospective employer is if they are US owned.
Now MT companies in India have control over the work produced. Quality is much
zz
In my experience, most companies sm
determine your time by your local time.  So second shift would be approximately 3 p.m. you time until 11 p.m. your time.  Third shift would be 11 p.m. or midnight until 6 or 7 am your time.  The all vary a little, but usually go by your local time, not the time of the accounts you are working.
Many companies will waive the experience (sm)

if you go to one of the "big three" schools, i.e., Andrews, M-TEC, or Career Step. 


only the companies that partner with each school will waive the experience
you need to ask those three schools more about that option. The services that don't partner with the schools are not likely to waive the experience.
Does anyone know of companies that hire for physical thearpy work? Many years experience.
nm
Hahah!a! Funny typo: not quality 'scAre', quality 'scOre'. LMAO!...nm
nm
I think that depends on the quality. Do you honestly think there is good quality just throwing every
MT on any account like they are. I also think QA has been told to not waste a lot of time on blanks so I think the hospitals are getting a lot more blanks. I certainly have more when I get in a hospital I dont know and they talk 100 miles an hour.
I thought quality was a given. Speed and quality are not mutually exclusive. sm

I maintain 99% accuracy above on my reports.  However, the original question was regarding personal preference, and I have stated mine, and I respect your opinion as well.  :-)    I do think if I was working in an office or hospital setting, the setup you mentioned might be more profitable in the long run.  There are too many interruptions and such when you have other people running in and out, phones ringing, etc. 


I doubt that anyone but me really cares about the lines per hour it takes for me to do a report.  They just want an accurate report in a timely manner.  I take pride in my work, and would never just slop something out for the sake of the almighty buck.   And, as an added incentive, I work for 2 companies, and one of them has my name on each report.  I don't have a problem with it, but I did think it was a bit unusual at first.


Oh well ... I must confess that what I'd TRULY like is to be paid lots of money to just sit and play Battle Phlinx on Pogo all day long, but as of yet, no such luck.  


Experience on top, current experience first. Education second. Leave out ALL fluff.
Recruiters don't need your life story. They need to know if you can do the job. If you want, put your current employer, then state "I have 20 years in the profession doing....." Keep it simple; keep it clean. If you want to go into more detail, do it during the interview. A HUGE red flag is to see that you've worked for 10 different companies, for months at a time. I know that someone who has worked for the same company for 2 years or more is going to have some degree of loyalty and will work through issues rather than cut and run.
MT companies negotiate with the insurance companies until they get what they want

It is strictly up to the agreement between the employer and the insurance company.  Your new employer can tell you what the pre-existing clause is in your new policy.  Some require proof of insurance for the past 12 months.  It may say something like if a diagnosis has not been made NOR treatment received within the last __ months.  Not good when companies negotiate with a pre-existing clause in order to get a lower rate.  Better check with your HR with your new company before doing anything.  It really gets hairy !


How is one going to get experience, when no one will hire without experience????
I constantly see all these job openings asking for experience.  How can I get experience, when no one will hire me without experience???
Quality is quality whether you are an MT or CEO.

How good is the quality of the performance of your managers or the guys at the top?   Anybody want to evaluate that?   Can they get their raises based on our evaluation of their quality?  


Let's see now.  Which CEOs were named in lawsuit?  F for quality.  How many managers do we need to give us stupid pep talks?   F for managers.  QA this post MQ and all other nationals who decide they reward us on "quality"   Look in the mirror and fix yourself.


what is your quality like?
.
Oh, the quality! Well now we know.
x
quality
I totally agree with you. There should be some kind of feedback on how you are doing. Not only for mistakes, but also if you are doing a really fine job. I know when am not real sure of something, or if I did do something wrong, I really do want to know. How else do you learn? I know too, that when someone notices a job well done and lets me know, it makes me want to strive for that "perfection", and it just plain feels good. I think the circumstance has become if nobody says anything, then it's ok, kind of leaves you in the dark. Just always remember, everything you type becomes a legal document. I'm sure you do a good job.
I can't believe the quality.
This year I had to subcontract out because I have too much work to handle, and frankly, I can't believe the appalling quality I am getting from transcriptionists with 10+ years of experience. To put it bluntly, it's shameful. I pay 11 cpl to my transcriptionists but after a year of searching, testing, and training, I have only found 2 that are actually worth it. My doctors are so easy. They are clear, they repeat everything, and there are no ESLs, but these people just don't read directions, don't proofread their work (when they clearly need to), and don't have even the basics of grammar down.

It wouldn't surprise me at all if doctors that have switched from an over-priced American company to an offshore firm didn't notice any difference in quality at all.

I know this isn't going to be a popular view but it is the truth, and I can tell you I was just as shocked to learn this as anybody.
98% quality
Hi peers,

Can someone describe me how to calculate 98% accuracy. Any description or link would be appreciated. Thx!
quality, etc.
Case in Point ~
with a union, we could at last demand to stop being treated like cattle and/or factory piece workers. What in the heck has happened to hourly salary!!??? How about straight salary? These records are, after all, LEGAL DOCUMENTS. When we are forced to type at the speed of sound instead of making the production of the highest quality possible documents our top priority, this demeans our profession.
UNION...UNION...UNION...UNION
better pay is better quality/less pay=less quality
nm
I just took one and know I did not do well, quality is not
an issue with me, but knowing I am timed my fingers just don't work.
should be quality - should have had an ESL MT do this for me
so sorry!
Most companies do no use their only files (HIPAA). They use files provided by other companies, serv
If you can get through the test files, then the sound quality on the actual company files is better. And, the dictation is never as bad as the test files, plus you have QA to help with hard blanks.
Why is it only for SEs? If its really quality they want it should apply to

Quality is quality whether an employee or not.


QA is Quality Assurance, QC is
Quality Control, for what that is worth
Bad quality dictation
What in heavens name do you do after starting work with a company and the dictation is so lousy qualitywise with static and the voice fading in and out.  Is this normal? Left lines in every report.  ??? Help?
Can you tell us who this is with the bad sound quality? nm
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The other will be cheaper but no quality
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The quality of the dictators is SM

pretty bad overall--even the Americans.  I would say with most national services, the accounts are about 75% ESL (30% terrible ESL), 20% fast Americans who don't care and 5% really good gravy dictators.


This is for acute care dictation--large hospitals.  Another problem is there are so many dictators in 1 facility that you hardly ever get the same ones day after day.


I think in QA you are seeing the low quality of MTs, not dictators sm
If I were you (and I admit I did QA for awhile and hated it, for so many more mistakes than the blanks they had sent to QA for) I would go back to MT. There is lots of money to be made, especially when you become familiar with dictators and accounts. I wouldn't do QA for anything. $15 an hour for QA versus $35 an our for MT. Go back to MT.
quality vs wages

While I do agree that there is a vast majority of MTs who are of extremely poor quality, there also are very high-quality, well-seasoned MTs like myself who are tired of making the same wages we made 10-15 years ago.  If there is such a discrepancy in our work quality and ethics, these corporations (who, by the way, are not slacking at all in their 6-figure income pockets!!!!) should pay MTs based on quality and experience, not just experience alone. 


IS ANYONE OUT THERE BESIDES ME INTERESTED IN FORMING A NATIONAL MT UNION SO WE CAN GET BACK THE DIGNITY WE HAVE LOST?


I remain,


tired


sound quality

I'm totally with you!  I used a Lanier station for the first 15 years of my career and the sound quality was superb compared to the internet dictation.  One thing you might try, if you have not already, is to make sure your speakers have a tone dial.  Lots of these companies provide speakers that only have a volume dial or they want you to plug right in to the PC but there is no tone setting on the voice program.  Turning the tone to high helps un-muffle the sound.  Good luck!


 


Quanity/Quality
Yeh tell me about it!!! Produce more reports if you want more$$$ but don't make any mistakes or you don't get incentive. This way they get out of having to give raises or pay more money, putting the responsibility back on the MT. Its all our fault right? Its BS!
quantity vs quality
Hey y'all, it's a buyers market out there. There a tremedous demand for transcriptionists. Just move on. Things are going to continue to change quickly in transcription over the next few years. Everybody hates change, but try to embrace it for a while, it'll put you in the catbird seat.
quality vs wages
YOU'VE JUST VALIDATED MY INITIAL COMMENT....

THAT'S EXACTLY WHY WE NEED A UNION!!!!!
Pay versus quality
I understand that experience warrants more pay - however, if working means I take a lower rate, and work up to a higher rate - than I take it - it does not mean I give less of myself - Being a Transcriptionist I take pride in my work and work hard at whatever the rate. Too many jobs going over seas for a much much lower rate than 7 cents a line - if we want to get it back, and / or continue working than you do what you have to for the time being. I have companies that pay me 7.5 and clients that pay me between 7 and 14 - and thank goodness I am busy enough to make a decent living. I am not a prima dona who picks and chooses - I have a responsibility to my family to make money, and a desire to work and maintain a household.

However, I will not work for someone who does not pay at all, bounces checks or disrespects me in any way - but my quality never wans for any reason - that is my reputation on the line not any one else's.

So, yes we should make more money - but if this is what is out there, I will take it.
quality of dictation
for the most part and filling out demographics, etc. Escription they just started recently.
Sound quality may/may not be the
the wav player but your sound card.  You can get a new sound card or you can get a USB thing and bypass the sound card.  I'm not sure exactly what the thing is called but the one I have is by Turtle Beach and is called Audio Advantage.  I got it at Best Buy for about $30.   You can Google and read about them.  There are 3 different ones to choose from.   I didn't think it made a huge difference, but I went on a working vacation once and didn't bring it and realized how much difference it did make.  You can adjust all kinds of things on it, which will be a trial and error thing for you.   If you have Win98 or less you can't access all the features though. 
company quality down...

Would you stay with a company that is getting multiple complaints from a client?  I work on as an IC for a company and the account I am on is recieving complaints about quality of reports and MTs not following formats, ect.  I'm trying to decide if I should stay on with the company or find work elsewhere.  My work has never come into question and my QA scores are always higher than required.  I'm not sure I want to stay on though with a group that apparently is not doing a proper job.  Apparently the client has requested several specific MTs to be taken off the account and is threatening more if things are not fixed. 


Would you stay or go? 


you mean Quality? not qaulity

hmmm, maybe the US MT needs some editing.
Quality and verbatim

Even though you type verbatim does not mean you type all the mistakes the doctor's dictate.  I would NEVER type an error.  When in doubt, it is blanked and sent to QA.


The company I work for is known for their QUALITY and we type VERBATIM on all accounts except stated otherwise in account specifics. 


sound quality

I have had a couple of at-home jobs in which the dictation was received by phone line.  Is it true that the sound quality is better this way?  I am currently looking for a new job and wondering if dictation via internet will be a rude surprise in comparison.  Appreciate any comments.


Quality Assurance
Don't get discouraged. As time goes on you will get better and better at what you do.
Med Workshops... Quality?

Hey Everyone.


I need a decent training program. I have looked into Career Step, Andrews, etc...


As I was browsing Craigs List, I discovered Med Workshops.  They have a six month program and then a two month internship program for TNI Transcriptions.  They told me that they would train me to work for TNI during the internship phase of the training.  Anyways, I was just wondering if anyone has any experience with this program or company.  I had never heard of them before.  Thanks!!!!


Sound quality.....MT : QA
This is an excerpt from a post from an MT some while ago and I AGREE 100% WITH IT:

'Is it me, have I totally lost it, or is the sound quality on the QASAR playback FAR better than the quality on the original job?

Last night I had job after job dictated by a gal who mumbles, speed talks, fades in and out, rattles papers, and it sounds as if she is talking through a shoe. I listened repeatedly. I had my husband listen. I even stuck the headset on the cat to no avail; none of us could understand her as she rattled off study meds.

This morning I check QASAR and while QA couldn't get everything she said either, the sound was crisp, clear, and sharp as a bell. I find this very frustating. If the sound on my end had been this good while I was transcribing I could have gotten the majority of these blanks and saved QA some work.'



All I know about quality is from the test,
and the test was easy. The sound was so good that I was able to hear the abbreviations correctly - I could tell D from B. Just because the test had good sound quality doesn't mean the work would be like that. If I'd just been able to get my foot pedal to work, it seems like I could have flown through it.
you say ESL MTs have better quality and should replace US MTs?
Can you back up your claim? I do not believe for one second ESL MTs are better in qaulity than US-based MTs.

Have you had first-hand experience editing reports from ESL MTs?

Blaming the MT is almost ridiculous in my opinion. Blame the MTSOs and the managers for it is their responsibility to hire/train/mentor/teach and deliver ongoing support and supervision.

Blame the hospitals who demand we as MTs single-handedly carry the entire burden of quality all the while cutting nurses jobs (jobs that directly and adversely affect patient care), who got in bed with the devil (offshoring) to make their profits, who day in and day out come up with new ways to 'cheat' patients of care and make more money for themselves.

...and the MT is supposed to carry all the burden? we are not martyrs, we are working women most of which just trying to make a living on what are now becoming third-world wages thanks to every suit in this business that used to be more of a humanitarian effort rather than a cash cow.
Do you need to have 2 years full time experience or just 2 years' experience? nm
..
Some people put out quantity, some put out quality and
there are very few who can do both.  If you produce a quality product you shouldn't be penalized for not putting out more lines.   It is sort of like the bonuses, in order to get more $$ you have to work more - like dangling a carrot.   99% of the other companies don't pay this way and manage to make a living.