clarification on outsourcing
Posted By: SoDisgusted on 2008-10-24
In Reply to: When you say they "outsource," do you mean offshore outsourcing? - Cuz you're a part of the "outsourcing" yo
What I meant to say was they outsource a lot of the dictation to India. Should have clarified that.
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clarification
The original poster asked a question, which I answered. The examples I gave of actual reports have nothing to do with demonstrating my superiority, nor were they meant to make fun of anyone, but were simply to show the types of problems I personally encounter on a daily basis (all from MT’s with 5+ years experience in radiology, and including one supervisor) . Expanders are great when properly used, but I think there comes a point when one becomes to dependant on technology and complacency sets in, causing avoidable mistakes. Spellchecker’s are also wonderful, but what is the point if it is not being used?
I am well aware I am not perfect, nor can I think of anyone that is. I currently read an average of between 400-600 reports a day and I’m sure I occasionally miss something. I care about the quality of the work that I do however, and my first priority is to each patient when I read his or her report. It’s not just another medical record number, it’s someone’s mother, father, sister, brother, son or daughter and they deserve the best I can do, and their medical care depends on it. I’m not rich, hell I’m a month behind on my house note right now due to an emergency, but it can’t be just about the money, if it is, it’s time for a change.
Clarification please
When you guys are taking about SE - you just mean an employee and an IC is the independent contractor -- correct?
Clarification
It is not my understanding is that making MT an apprenticeable occupation will REQUIRE all new MTs to become apprentices before they can be hired. If that were the case, I would oppose it myself. My understanding is that if MT becomes an apprenticeable occupation, that will provide incentives to employers or others to start apprenticeship programs and hopefully provide some assistance to the MTs who will go through those programs. Certainly the concept of apprenticeship for MT is a great idea and very much needed to provide more opportunities for MTs to get the experience they need to get a good job. How we go about making that happen is, of course, where the crux of the matter lies.
I can tell you from personal experience that not all graduates of the "top 3 schools" are ready to work. In fact, I would say that is the exception rather than the rule.
When I hear people criticizing apprenticeship/externship programs that pay new MTs a small line rate while they are getting experience, I have to ask, what's the alternative? The fact is that many new MTs cannot get a job, period. That means not only are they not getting paid, they are not getting any experience--the experience they have to have in order to get a job! So to me, the opportunity to get experience at ANY rate of pay is better than nothing at all.
Jay
Clarification
I just wanted to clarify my comments on the subject in case anyone things I'm advocating your storming in the office with guns ready. LOL When I say "force her hand," I mean do your job and billing as usual. IF she's getting ready to end your contract, make her be the one to do so by keeping your end of the deal, rather than you walking out on something you've worked hard at. Also, when I said I'd be tempted to mention their vacation/inability to pay you, I meant just that. I'd be tempted. (I was merely venting.) As someone said, this is a business situation. I'm sure you'll act appropriately, especially if you happen to come face to face with the doctor, who seems to think highly of you. There really isn't much you can do besides business as usual and then decide what's next should things worsen.
Pay clarification
I should state that the MTs in question do not work in the hospital but rather as independent contractors for a national company. We are paid by line count.
IRS clarification.
See link below for differences between IC, employee, etc. Hopefully, this provide information to those on the board who have questions regarding this issue.
http://www.irs.gov/businesses/small/article/0,,id=99921,00.html
Clarification
My friend said at work at the hospital, things were pretty much just that, work, where you could ask the doctors, other staff questions. They took bus trips off the compound to go shopping and such, and that is when you had to wear the burka. You could not speak or make eye contact with a man (unless he was your husband), once they left the compound. I think she worked for an eye hospital. At work, you had to be covered at least to cover your elbows with your shirt and of course no skin at all showing anywhere else. My friend said they paid for your nice apartment, and all you had to buy was your food, so you could save most of the money and bring it back. She said it was not for everyone, with the strict rules about male/female, etc. I am still looking for Nellie. Hope you are well.
A little clarification. sm
I consider a line 65 characters with spaces.
Clarification
Sorry...I failed to mention that I have the WP 5.1 documents saved to a flash drive. I am trying to search the flash drive for a last name, for example, through Windows, but the documents are WP 5.1 documents.
This is for your clarification.
It hosed me financially and she had the gall to tell me she wasn't responsible for my financial situation. When you are the one holding my paycheck, you are.
The statement above is made by the poster. It is simply stated in other posts that the MTSO paying late is not responsible for this particular poster's financial situation, and this is true. No one has stated yet that the MTSO should not pay on time or an MT should tolerate it, but the fact remains that it is not the MTSO's responsibility to plan an MT"s finances. I feel sorry for the sick child, but please let's not make excuses. I know plenty of people with sick children that still financially plan. Come on - I think this is all out of context here.
for clarification
I could clearly hear the patient in the background. She spoke English. her son was also trying to interpret for the doctor repeating things like throwing up etc. If a doctor can't understand that - then English classes are necessary. This was an emergency clinic, so she had no where to go apparently at the time she needed to be seen. Personally i would have left.
You are so right. Thanks for the clarification.
Clarification please
Your printer usually prints in the font that you are typing your document in, what exactly do you mean??????
Clarification
No. I have done MT for 15 years but STOPPED it approximately 2 years ago. I should clarify that.
clarification
Let me clarify.......I'm finishing up my MT school. I already have the BS degree...
Thanks!
Clarification.
FlashType is proprietary software owned by MTStars.com and it's Owners.
We in all respects along with Source Code etc, own the software legitimately.
We advise all those who are claiming that software belongs to them should follow the legal recourse (if they have problems with software ownership) rather posting messages on boards.
Thanks,
MTStars Administration.
Clarification
The SR/ASR that my company is using is not on the client end. The clients dictate as normal. This software we use will listen to the recorded dictation and then spit out a report for us to edit.
CRUELTY CLARIFICATION
To the multiple posters below, regarding the thread on farm animal cruelty. First of all, I believe you. Second of all, me and many like me don't have access to video and/or cannot watch the video. Yet, we still want some facts. I was not able to pick up fact based on the thread. Here is what I found out -- VERY INFORMATIVE by the way, and I appreciated reading it -- but there were still questions in the air. Can someone please CLARIFY, by way of simply stating the facts, what is going on with each of the following animals, so that we, AS CONSUMERS WHO MOSTLY SHOP AT BIG CITY SUPERMARKETS, can make an INFORMED CHOICE based on these facts:
1. Chickens. Know they live their lives squashed and get heads severed off via rotating razor blades. True, false, anything missing?
2. Veal calves. The cruelest fate of all (besides french geese for fois gras or however you spell it). Tiny crates, water deprivation, light deprivation, no straw, no way to move the extremities. And how are they killed?
3. Regular calves, and cows for meat. How are they killed - really? I think the general public thinks they get a humane bullet in the head. Is this not true?
4. Dairy cows. Their fate? And aren't they treated a little better (fresh air, etc.) for dairy vs meat? Please inform.
5. Pigs. We know that they eat, we know they are dirty, but assume that they, too, get room to roam, and are killed with a bullet BEFORE being cut up. Is this true? If not, how different?
6. Anything else we need to know about?
So very, very much appreciate a WRITTEN answer to those of us who have no access to / cannot go the video route. BIG THANK YOU IN ADVANCE.
For: clarification for Kate
I was referring to working as an IC for a service. Some services offer IC, SE and employee status positions.
1099 clarification
The person who paid you, need to have the 1099 post marked no later than 01/31. The person who paid you needs to supply copies of the 1099s to the IRS no later than 02/28. Do no confuse these dates. If you utilized (mind you not employed) ICs, then you too need to have their portion fo the 1099s post marked by 01/31 and the portion that is to be filed with the IRS by02/28.
Thanks for the clarification and additional information.
x
clarification-had no formal training in....
working for MDs/transcription but came fully experienced into the medical and then MT field by working years prior in secretarial/typing/administrative assistant work....
not like I came into the MT biz with no training whatsoever...hence, I needed to clarify my original post...
Clarification - I did not mean breast exam sm
was required, only that an exam was required in NY for a minor to get a work permit. Personally, my kids have gone slightly over 12 months in between physical exams, and I was assuming that this girl's exam was probably overdue. Therefore, she was getting more than just a routine "Stick out your tongue, let me listen to your chest, you're okay to work" type of exam solely for the permit and instead had to have a more thorough exam. That being said, I don't care how old my daughter is, as long as she is a minor, I will be in the room with her during an exam. Same thing for my son.
Clarification: 1200 lpd x 5 days/week...
1200 lpd x 5 days/week =
MQ: $0 incentive
Spheris: $24 incentive/week
Ok, I didnt post this, another JWA did. just wanted clarification.
 
Need some clarification on C-phone dictation and some websites for urology sm
I will be covering the transcription for a urology clinic. I was briefly told that the doctors dictate to a C-phone that goes directly to a base office. Then the file is e-mailed to their office where they can access the dictation. Does this sound right or are they accessing the file from the base office through FTP and then downloading it. Also, doesl AOL work OK to access files or do you need another FTP provider. Not sure how they are doing the work, but any help would be appreciated. Need some good website for urology, Just want to be prepared. Always ask the experts! Thanks.
OUTSOURCING....
http://msn.com.com/2100-9589_22-5757832.html?part=msn&subj=ns_5757832&tag=tg_itdc
outsourcing
In this day and age, especially with globalization, any one of us can be replaced quite easily..not just in the MT field, in all fields. When I heard they are outsourcing radiology work to India and hospitals are letting some radiologists go, I almost choked! The other day when I called the local court house to postpone my jury duty service, I talked with a lady who had a thick Indian accent. I was tempted to ask, are you in India.
outsourcing ad
about 20 or so posts down, subject "censorship" ... two advertisements at top of page, one soliciting transcription to be sent to india for great savings, etc. outrageous.
Outsourcing
Great article-- but do you think the CEOs care? They are too busy with their big 6-7 figure salaries and bonuses to worry about us. All they care about is the bottom line-- how to save an extra nickel so they can line their pockets and buy that new yacht every year. 
Outsourcing
I think it will get to the point where everybody will outsource at least some of the work. With all these companies begging for employees it doesn't seem like there's enough of us. The employer I just left was a private owned company and one of the biggest accounts decided to outsource. Don't know who they chose to do this for them, they didn't say, but my income was cut from 4500. a month to 1300. a month. Right now just desperate for a good job.
outsourcing
No way. It's here to stay. There just aren'the enough transcriptionists out there to do all the work and turn it around as quickly as it is expected these days. I would not worry. There is enough work for everyone.
Outsourcing
...I hear you. The more we rely on technology, the greater the risk, and the more our private information goes bye-bye to India, Timbuktu, or where ever, the greater the risk we are putting ourselves. Interesting to find out China, the sleeping giant, has thrown out all things MICROSOFT in the country. See, there're thinking ahead, years down the road. They use only Linux, won't chance anything to a world wide shut down someday by terrorists or otherwise. THAT, I find interesting. I also wonder if our powerful men in politics, especially our President and his administration have arranged to keep their private healthcare records state side ... hmmmmm...
outsourcing
I agree with the posters. Check your medical reports, some of them contain serious errors, I was misdiagnosed in an op report as having a serious condition I was determined "not" to have.
I also was treated like a common criminal by a foreign country because I bought a laptop from someone who lost their job in 9/11. I paid a little more than I should have because I felt sorry for him and unless I pretended to be "him" they would not help me. I finally after two months got the right part from an American company and my laptop worked just fine after two shipments of the wrong part and a whole lot of aggravation and misinformation.
They are a third world country and we will take their place soon if we don't watch out. They'll be taking over more than our jobs. It's very dangerous. It is life-threatening as far as information goes. Some will be saving money but losing lives.
outsourcing
What worries me is it's bad enough when they mess with our finances because they don't understand how things work in our country. But now with transcription being outsourced, they are literally messing with our lives! A transcription mistake of left versus right, Klonopin versus Clonidine, 0.5 mg versus 50 mg, could mean disfigurement or death if not caught in time by an overworked nurse or doctor.
Outsourcing...
In response to: People say outsourcing will happen.....It is happening!! There are a few National companies (which will go unnamed, but you know who they are) who have contracts with facilities who know the work is being outsourced and they want it because it cut their line rates significantly. This is our biggest competition right now. Overseas, the piddly line rates of 6 cents/line is a lot of money to those people. They are getting better and better at it (the offshore countries), and in time, they will be so good that there will be little editing needed. It is just like newbies here in the US, it just takes time for them to improve and learn...and before you know it, we'll wake up one day and poof...very little if any work in US, all overseas! It is a global economy and what we think is peanuts, they think is a fortune! I am currently retraining in another profession (nutrition) because I have been watching this evolution for the past 7-10 years. I managed a company back in 1997 that first sent transcription overseas and I had to proof and edit that crap! I think in 9 years, they are probably getting better at it and with time, they will improve even more. Don't be so sure that outsourcing will not continue to be a current event! IMHO.
Outsourcing
I originally posted this on the "Company Board," but one kind soul there suggested I repost it on the Main Board, so here it goes:
I'll tell you my personal take on this. I'm a very small MTSO and am fighting like heck to keep my jobs in the good old USA - hiring only Americans, etc.
We face stiff competition from companies who offshore, use EMR, etc. I charge my clients what the market will bear. I've already had to lower my rates to 2 of my largest clients because even at the lower cpl rates I was charging them at the time, they were ready to walk to India, and in fact were testing out some Indian MT companies - this after I had, in fact, already lost 2 other doctors' offices to offshore Indian companies. I feel I am fair and pay my IC transcriptionists 2/3 of whatever I make from my clients. But whenever I advertise for experienced transcription help, I am pretty much told to go jump in the lake with the rates that I'm able to afford to pay, even though it's good, steady work. So the bottom line is that I really find it difficult to get any competent help from American MTs. Not that there aren't many around, just that I and many like me can't afford them. Not blaming the MTs (American OR Indian) for wanting to make a living either, I'm just saying this to demonstrate the dilemma I find myself in. I suspect it's the same for other small MTSOs. Can't really raise my rates, because from prior experience, many doctors offices have no scruples about sending work offshore. I've never resorted to offshoring anything, but I'd be lying if I said I wasn't tempted.
Not singing the blues, just telling the facts. Personally, I'd rather be selling hotdogs on the beach.
outsourcing
I am the only Transcriptionist in a doctor's office. We started sending some work to a transcription company in November and later found out they were outsourcing to India. I thought my doctors would be upset, but guess what??? NO!!! It has been the biggest "mess" for me to correct. It has been far more trouble for me than if I just typed everything. I started leaving all the blanks, etc. and let the doctors start dealing with this and as of 6/15/07 we are no longer using that transcription company. We found someone locally (IC) who is typing our work for the same amount per line. YEAH!!!!!
ASR/VR/Outsourcing
Right. Hopefully the other companies do not do the same as Medquist. One company can ruin it for everybody.
The truth of the matter is if you can get the same item at a different store for half the price, you are going to go to that store to get it (which in turn would cause the other stores to have to lower their price).
I am just putting a warning out there for people to know that this is out there. Medquist will tell you that you will be able to produce more work and will lower your cpl to 5 cents/line; however, as you said, the quality VR puts out is horrible and it takes just as long to edit the VR work as it would to type it. They (Medquist) are also outsourcing work to the Phillipines. Our pay is lowered as the cost of living goes up.
maybe it goes along with outsourcing.
If you can outsource paperwork, why not babies? The article says all nationalities are involved. It does make one wonder.
Outsourcing sm
Our jobs are going overseas and I had an idea! Lets outsource the US Government to India.
I'd bet it would cost a lot less. When candidates are running for office, they can use those Indian phone banks to explain their platforms. The accents are thick, but what does it matter? Politicians are not outstanding speakers and when it comes to listening to the people their skills are nil. Employ an Indian to run your rhetoric...raise funds...and sit in a caucus.
Let Indians do the accounting for the feds. I am willing to bet that for 3 cents a line a "highly educated" Indian could find all the wastage of $100 hammers and $1000 toilet seats. Let them type up bills to be put before congress, they type cheap and we all know that. I can't speak for the accuracy, but it is CHEAP.
Better yet, buy American! Shun the goods from China, India, and all those third world countries. Keep it at home.
And um, Mr. President? Exporting democracy doesn't mean you export American jobs...
Outsourcing
Can anyone enlighten me just how an individual such as myself could check to see if a company that adverises on MT Job Boards has any affiliations with India or outsourcing? Thanks for your help.
Not outsourcing
All our hospitals/facilities Outsource - to us.- so unless we all want to loose our jobs, we need to be careful what we complain about. It's Offshoring that we're protesting.
outsourcing
I recently lost my job due to outsourcing and it is killing me emotionally. I loved the company had been with them for a year and it was okay, could have been better but I felt good about the work, company etc. Monday, got the call and just been ship wrecked every since. I expected more out of them...nothing like we will find you another account, it was just we are going to be sending it to India due to the cost. I am still hurting from it....not really financially, but mentally.
Outsourcing
Our manager has fought off that demon more than once. She is very supportive of in-house transcription. It's great to have someone finally stand up for us!!!
Outsourcing
I just have to vent my frustration! I had an appointment with my orthopedic doctor this morning and we started on the subject of transcription. When I asked if he had inhouse or a service he told me they send all their work to India. They have several physicians and PACs which dictate and they were spending over $100,000 a year for transcription. Their service was charging them .12 a line. They pay .06 a line in India. Obviously the service could not compete. :( I should have asked him about quality and TAT!
Outsourcing
It is rightly mentioned by “none” that “this is not the only industry that outsources”. One just has to look around our house or a store nearby to find that there are lots of electronic goods, clothes etc. which are not made in the United States. These have been true since decades.
Frankly speaking it was the western world and US which wanted these economies to open up so that American products could be sold there. Now these countries have a Nike, Pepsi, Ford, Whirlpool etc. but they are now producing it too and at a cheaper rate. The job losses through manufacturing have been huge but this sector innovated. My take is that MT industry also has to innovate because technology has made outsourcing inevitable.
And those of you who say that we should not visit a doctor who sends work overseas, my question is are you using only American made products? If you are then you can say that otherwise please don’t say things which you don’t follow yourself. Maybe lot of American jobs would be created if all the things we use in our daily life were made in US and not in China or India.
Outsourcing
This just recently happened at the company I work for (not just psych but psych was included), they went with another service to do their work (we were just doing overflow) and part of the deal was they had to take all the inhouse transcriptionists...well from what I hear they are making it real difficult for the transcriptions, I think so they'll quit and they can bring newer people in at a lower rate. Just my opinion.
About outsourcing...
It's not just us - but darnit, I'm still mad!!!
http://www.comcast.net/data/fan/html/popup.html?v=928157451&pl=newestFinance.xml&config=&launchpoint=Link&cid=fanlink&attr=featured_sidebar&tab=featured&attr=finance_sidebar
outsourcing
A lot of them do. Usually they start outsourcing discharge summaries. No matter where you work, inhouse or at home for a national, it can be sheer drudgery at times and the holidays are usually the worst of it.
Changing careers can be a good idea and a welcome change but with the uncertain times we live in who knows???? It's hard to make decisions when everything seems to be in the throes of bankruptcy, bailout and the old rules seem to be gone forever.
Things will get better in time. I hope.
outsourcing
Girl (or guy), I feel your pain! Unfortunately, it's not just transcription. I had heard that radiology reports were read by off-site radiologists now (in India, or wherever), and we experienced it firsthand a couple of months ago when my husband went to the ER and had several tests done. What took the longest time for us to get out of there was having to wait for the radiology report to be faxed back to the hospital. Sure, I guess they still have to have someone on site to take the pics, but I guess those are lower level, tech jobs. Crazy.
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