Your concerns are valid, unfortunately : (
Posted By: GI MT on 2006-12-10
In Reply to: That happened with an account I had and - MTSO
EMR and voice recognition has put me out of a job. On my former job, there was one other Transcriptionist besides me. Because she had been there longer, she got what was left over after most of the docs jumped on the voice recognition bandwagon. They use Dragon Naturally Speaking. I have seen it at work myself and it is quite accurate. There is no editing being done on their work. Now, I'm doing a job that is just that, a JOB. I enjoy transcribing and am looking for another job, but MT jobs seem to be few and far between where I am. I can't get high speed internet where I live, so most services are out. I may move onto a different career if something doesn't come around soon. I thought about legal transcription. Anyone have experience with that?
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Know is old post - but valid concerns
I don't kow what they could do to help you RE: Katrina but companies need to verify the NEED to cut back or do it across the board, at least in the department / job level. I worked for this company for 6 yr & had several cuts in my take home. The platforms used became slower & slower because of the amazing amt of data in the programs. I had 3 gig memory & STILL took forever & you aren't making a dime for that several minute while a report is sending & the next coming in & then doing the demographic page.
I've been trying to find out if there was anything of that investigation - I never did get that paper that so many other employees got. And I had a definite beef.
unfortunately, you have a very valid point sm
and unfortunately, there is nothing we are going to be able to do about it. Of course, we can choose to shop at American owned stores-I do-we can choose to speak to Americans only-never tried asking for an American, but in the end, this is all a futile effort on our part! It's the wave of the future, and the bottom line is all that matters to corporate America! That's why we have to bring up our children with good values, excellent work ethic, and high moral standards, so that when they get out into the "real" world, they can out perform the, um, what do I call them, foreigners!
Is this a valid thing? sm
All of a sudden one day this box appears at the bottom of my computer stating....Repair Registry Pro has found 466 errors, click here for more information...I clicked it and it wanted to charge me a lot of money for this...I think maybe it is something not like a virus but not anything good either. I clicked on Microsoft website to see if I could find anything about this, and while there ran some tools to see if I had any errors which it did not report any. Has anyone ever came across this and is it legitamite (sp?)?
Another very valid reason
First let me say, I am so sorry for what you have been through. I hope and pray you find your child. This is just one of multiple reasons credit reports should be personal. The next thing you know, they will want sexual histories before hiring someone. It is just PERSONAL and PRIVATE and should be respected as that. I wonder how many companies that do credit reports for potential employees would like to have credit reports pulled on their business practices. Really, again, it is private and very personal. I believe every one has good intentions until proven otherwise.
valid point
This is a valid point and I am not happy with the cut in pay either. On the other hand, I do love what I am doing and accept that it will take some time for me to reach my full earning potential, although I am not too sure it will come to the 41,000 I made in the past. The point I am making is that although it is a cut in pay, I am still paying the same household bills I was contributing to with my other employment, although it is not as easy and I have never been the type of wife to rely on her husband for pocket money---I have always had my own and this has not changed.
It's a really valid question.
I've seen a lot of posts on this board from MTs who said their accounts went to EMR and they were out of a job. I haven't experienced that, though. I worked in house for an oncology practice that had a software program that was designed for EMR but everyone still dictated. The account I'm on now has EMR and they'll put things in the dictation for the meds, and review of systems that say "detailed review of systems in electronic medical record" or that the meds have been updated and a full list is in the EMR. Other times they dictate the med list and dictate a review of systems.
Personally, I don't think it's ever going to completely get rid of us. There are still too many variables in some reports. We may end up not typing things like cataract reports, or some surgical procedures which are pretty routine, but things like H&Ps, consults, discharges, and office/progress notes are still going to need something more than point and click.
That's my experience, anyway.
Definitely not...how do you know if it's a valid complaint?...(SM)
This happens very often with abuse claims. A case is started, the claim is false, someone's reputation is wrecked, and it costs them a fortune in legal fees to restore it. If you are worried she is not getting help or advice, the only discrete way to find out is fake a spontaneous meeting and get into conversation with him/her and go from there. You could never let it be known that you read her/his records...records that she thinks are confidential. (Boy, are a lot of people in for a shock.)
My license is valid again. Yay! I called the
numbers on the suspended license notice this morning and was told to go to the courthouse, which I did. I told them I was contesting the ticket because it was not me who got it but I know who did get it. I explained what my sister did and the lady told me to go to DMV and file identity fraud charges where I fill out a form saying someone is using my name and give their name if I know who. That's done! She also cleared my name in the computer and gave me a copy of the ticket which says issued in error. The ticket was issued at 3 in the morning so she's lucky she didn't get a DUI on my name. The ticket shows her car and her license plate number. Gee, wonder how that happened? I now have a court hearing middle of September where I explain my case and the officer who wrote the ticket will be there. You can bet I'll be bringing life size photos of her to show that it wasn't me. Now I can breathe again, at least until September.
There would never be a valid reason to go to her clients - ever. sm
Remember - those clients are her bread and butter. HER business is to protect HER BUSINESS. Late TAT one time would not be enough reason to stop using your services. Late TAT enough times that SHE is getting uncomfortable with the client is ample reason.
You have no business relationship with the clients. Your business relationship was with the MTSO.
Tried to e-mail and said addy was not valid.
Most likely you would need a USB pedal or an adapter to convert any other type of foot pedal. There are numerous options available as far as internet - cell phone, dial-up, WiFi, satellite, air cards. It depends on how you will be traveling and where you will be staying. You need to have a primary plan and a backup.
You make some valid points; HOWEVER,
telling an MT to use the BOS is not really helpful. Many of us transcribe "verbatim" accounts where we are told to reference the BOS. Scuze me, what's the line between verbatim and the BOS? And if the BOS says one thing but the client specifics say another thing, then what? Pretty much NOTHING in this business is standardized. Not pay, not line count methods, verbatuum vs nonverbatim...
As far as looking things up, I will look for a name or address (if I'm given enough information to do so) for 2 minutes. I'll relisten to a potential blank 3 times on its own and then in a final run-through of the entire report to see if I can get it by context. But this is a PRODUCTION job and I do not get paid to spend all that time looking things up.
And there are a lot of words that really are not words that doctors use. What do we do with those?
I've been doing this 12 years and still occasionally run across things that are wrong that I was told to "do it this way" by one client or another along the way and the "wrong" way just stuck. I'm always happy to have those pointed out so that I can correct any old bad habits...
But here's another thing. If we, as so many of us are, are required to work on 3-5 accounts to get the equivalent of full-time work, and those 3-5 account all have different specs, then it should be expected that screwups are going to happen.
Again proving my point that NOTHING is standardized and the BOS is, at its best, a fundraising tool for the former AAMT and, at its least, a very general sort of guideline.
you raise such a valid point...
"If money is your goal"...
I too thought about the nursing program... It's really the only other thing I could see myself doing long-term... but I don't want to give up MT because of all the freedom I have. Granted, I get no benefits, it's hard to scrape by sometimes, but I basically get to do whatever I want as long as I meet my TAT...
Money, however, is my goal for the things I want to continue doing. Plus all the money I'd go in debt for for schooling... will it ever equal out. I just feel like I'm too old to start a career, by the time i want school over with i would hope im married with a baby. HAHA
Oh I Hate being indecisive!!!
this was maybe 20 years ago valid, but not nowadays
with such a low line rate and VR, when transcribing's speed has to be tripled to get the same pay.
Newbies can still learn and profit from the answers given on the word help board.
CHANGE is inevitable in every field.
FYI - Internet petitions are not valid in most
x
sometimes this concerns me as well
I talked with my account managers about the future of MT and does she really feel there is a shortage. On the 1 hand she said yes there is a lack of qualified MTs, but what she also did say is that those with experience have more job security, which makes sense.
For ideas, have you ever thought of possibly becoming a paralegal or perhaps a legal secretary? Also, what about maybe delving into possible general transcription? I did a bit of that myself and it was not too bad. At least some of the skills you have learned being a Transcriptionist can still be used. I always try to keep a mental list of 5 different "paths" I could pursue if things got bad, but luckily things have never gotten to that point.
Like I said in my heading, sometimes the future of MT concerns me, but the reality is there is no such thing as a stable job anymore. I also got into transcription during my college years, 2 year actually. I ended up completing my AA as well and went on to pursue a degree in IT with an emphasis in networking, but it really bored me to death. Your family should not look at you like you did not succeed. So many people that I know from friends and family all think it is so great that I get to work at home and do so well for myself.
concerns--sm
I tend to agree with the other poster below. Do not discuss things with your mother. You already know how she is going to react and it only serves to aggravate you. If you have genuine concerns about your aunt or any other family member's health, try to address it to the doctor directly. As far as your mother goes, it sounds to me like you are seeking her approval and acknowledgement for your accomplishments. Apparently you are not going to get that. I have a mother who is the same way and it angered me to the point where I confronted her a couple of times about it. It only caused alot of hurt and anger when I did that, so now I just turn the other cheek and try to ignore it. The only person you have to prove yourself to is you and the good Lord. Since He already knows your worth, you need to work on your own. Don't look to others to validate your worth. You don't need to. You are already special. :^) Have a good day, and think positive thoughts of yourself and your abilities.
Plenty of room here! Your thoughts are as valid as all the others.
.
Her points are valid, true, and very appropriate to discuss here.
The only thing I would add to that is that in addition to discussing this age-old medical "dirty secret" here, it should also be discussed with anyone and everyone, until the issue can be brought to the forefront in the medical industry. A lot of terrible medical mistakes are being averted because of skilled MTs catching them.
We are an important line of defense in the medicolegal risks every doctor & medical institution faces every day. Yet because very few people know this profession even exists, we're continually being kept in the medical industry's darkest closet, and many of them get their hides saved from financial ruin every day -- literally at our expense.
Concerns/questions
As always, if you have concerns/questions/comments regarding DSG, I have an open door policy. Please feel free to contact me at kdenson@dsg-inc.net.
Thank you.
Offshore concerns
They are smart , and that is why the jobs are going to them! Jobs don't make people smarter; smart people do their jobs well. If you don't believe this then you must question the wisdom of the American MTSOs and companies that outsource. As I have said before, all Indian MTs are not bad and all US MTs are not good. I've seen excellent quality from India and poor quality from the US - that's the other side of the story which none of you wants to see, let alone admit.
This is why I call US MTs insular. If you will only look outside of your own town/state/country you will see how the world has changed and the so-called developing countries have advanced in many ways.
The problem with the US is it has been functioning too long in a cocoon, sheltered and protected. But with the coming of the global age, competiton has become fierce and jobs are moving overseas and it is now finding it difficult to cope in this new business climate.
You say "sadly" because it affects you but have you ever wondered how Indians like it when American companies dump poor quality goods on them and Indian businesses have to shut shop because they can't bear the competition? Of course most of you would not have heard that pesticides were found in bottles of a premier American brand of soft drink sold in India!
Instead of treating "offshoring" as some terrible phenomenon, it is high time US MTs learned to accept the situation because this is the New Age Economy where everything is decided in competition.
You are an IC -- state your concerns
You need to get some faith in yourself. If you are an IC and if you agreed on a certain rate of pay, they need to adhere to that. If you have a plumber come and work for you and you don't agree with his rate of pay, you cannot halfway through the job decide to pay him less. It is the same thing. I give an offer to my IC's and if they want to work for that they can but I cannot suddenly change halfway through without re-negotiating with them and they must agree to a lower rate, etc. So if you agreeed fine -- accept it but if they just did it, don't. It is hard around the holidays but is appears you are not making that much anyway so what do you have to lose especially if they took away half of your job. You need to read and see what an IC actually means and if they are calling the shots you are an employee and can raise a little bit of trouble for them. But talk to them as sometimes until you stand up to them, they will walk all over you.
Outsourcing Concerns
Did any of you watch the special the other night on identity theft? I think it was maybe on Dateline. If so, you heard them say the identity theft ring reaches far beyond the shores of the US. It involves many of the countries that are receiving outsourced transcription work.
The first thought that came to mind when watching that was our medical records. I often have dictation that gives me a SSN and DOB. I also often have dictation on a new patient giving me other details, such as where the individual works, how many children they have, etc. I always get their height, weight and race. With these details, the individuals being outsourced to have everything they need to supply a terrorist or identity theft ring information to enable them to pose as someone else. This is very frightening to me!
What do we do? How do we wake America up to what we're facing? Sure, we can write our elected officials, but you all know as well as I do that such correspondence falls upon deaf ears. Does anyone have any suggestions on where we go from here? At this point, it isn't only about losing our jobs, its about national security.
What concerns me about newbies is
that often they write these excited posts and reveal how tiny their working English vocabulary is. That's a terrible place to start out from. I try to be polite, but I do remember being a newbie for hospital work and how appalled the trainer was with the other MTs who had tiny English vocabularies. She about dropped her teeth because the first time I had to spell shotty adenopathy I spelled it right. I couldn't believe anybody would think "shoddy adenopathy" would make any sense. It's not logical.
How do you train people to THINK and be logical in their transcription? Those are things the person should bring to the table if they want to go into a career in the written word. Then you can build on that logic as you interpret MD slurring.
Bitter? I think the recruiter/owner had some valid points. nm
x
I've had similar concerns
about blacklisting. After all, anybody can see how easy it would be to paint a dark picture of a company on this board so why wouldn't companies have a similar board somewhere to do the same with employees? I think the answer is because it would be considered blacklisting which would likely violate some employment laws and it would be too difficult to keep it a secret. But I could be wrong.
Faxing and HIPAA concerns
I need to know the regulations imposed by HIPAA for MTSOs faxing medical reports to referring doctors. Thanks.
Of course they do. That was one of the concerns about Medquist. Info from the VA
was going offshore. The info included the location of the soldier's troop when he was wounded in combat and more.
Offshore concerns blog
I mentioned this a few messages below, but the blog has its first post. I am NOT supporting any Ad things on there and will not be making anything off this.
http://violatingamerica.blogspot.com/
If you have a link that would be useful to others to write their gov't reps, companies, news sources, etc, feel free to post them or e-mail me so i can get them up there. I am also looking for any news stories or any information we can get. One way or the other, we might be able to make a difference.
Please use Offshore Concerns board for those topics. (NM)
Goldbird
be sure to mention HIPAA concerns with offshore...nm
..
Anything an MT can do when you have grave concerns about patient care?
Is there anything at all an MT can do when you have grave concerns about the care a patient is receiving? I know the answer to this is probably no, but I am so completely frustrated with my one of "my" doctors right now. I know that one of his patients is not receiving the proper care, and I am really worried for this patient. I wish I could contact the patient's mother and let her know my concerns, but I know that is not allowed and I would be fired for doing so. I know that I'm not anywhere near as smart as a doctor, but my son has the same condition that this patient does and I know that the patient is not receiving the proper care or even the correct diagnosis. It is hard to go into all of the details for confidentiality reasons. I just know, 100% sure, that this patient deserves better care than he is receiving.
Sometimes the virtual world that we work in is great, and other times it really stinks. If I were working in the doctor's office I could gently share my concerns (maybe I would still be fired but I could give it a shot). Here in this virtual world where the doctors don't even know I exist I can do absolutely nothing.
I'm just so frustrated at the doctor and so very worried for this patient.
Interesting info on Offshore Concerns board
OSI offshores and that is why they can't keep quality MTs
In Reply to: Today, I landed a client that was using and Indian service. They said the service - Kansas MTSO sm
The MTs they do keep are basically no more accurate than the Indians. The QA department is a joke because they hire people fresh out of MT school. It is a sad company and is destined to fail if they don't start thinking more about quality than keeping the brownnosers happy. This could be true for other companies that offshore as well.
D I T T O D I T T O
Taking 2 polls on offshore concerns board
Please participate!
Thank you!
d~
Take your medical degree into the office and voice your concerns.
How do you know the patient isn't getting the proper care? No two patients are alike, just because your child has the same condition doesn't mean anything. This parent probably has googled her child's condition and is working along with the doctor. As an MT, you should not talk about any patient even with the other people in the office. It is confidential information and very unprofessional.
Comedy Stop & Offshore Concerns were the last 2 boards to be changed over to the new format.
Archives will be available soon.
Please post offshore topics on Offshore Concerns board. (NM)
Thank you.
Goldbird
This thread belongs on Offshore Concerns; thread locked. (NM)
Goldbird
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