more knowledge of Offshoring is good.
Posted By: http://www.ericacodes.com/camio.html on 2009-02-06
In Reply to: making the public aware of outsourcing - suggestion
nm
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Good knowledge you passed along. nm
t
Offshoring to India...Offshoring.
nm
to anyone considering going out on their own, or has knowledge of such
What is the most difficult part of the process, whether it be finding a physician, figuring out a program for the pc, getting a legal binding contract. How much is the start up fee.
I have been considering this for awhile but to be honest i'm just too lazy. BUT, the thought of making around 11-12 cpl, having only one or two docs that I know like the back of my hand where I can make tons of macros, tons of money and work less, is so appealing, that might jump start me. Am I seeing the big picture here or just dreamin?
Not to my knowledge.....
Dianna -
I use Lanier VoiceWrite EX daily and unfortunately, the Lanier "undertones" are such that you cannot use anything else besides the VW Ex, as the main station or server "reads" the remote unit and you have to connect digitally before it will even let you into the system. Some companies have interphase software that will do this (not familiar with it myself) but I have not found anything personally compatible with Lanier except Lanier. I used to use a C-phone and loved that I could check work remotely or even re-record but with Lanier, I have not found anything else to work except the actual Lanier equipment. Maybe someone else has found a solution, but I have not heard of one.
Best of luck to you !
I am an A.R.T. Cant take away the knowledge.
nm
To my knowledge
xx
To my knowledge..
A hospital sitter must be a licensed nurse, usually private duty.
You're right .. and here's 1st-hand knowledge -- sm
I start med school (been an MT for 24 years) August 2006.
One of my classes last semester was Intro to Medical Practices. I especially inquired about pro bono work by all the physicians and dentists who spoke to the class as guests each week. All gave significant amounts of their practice to pro bono work.
One physician in particular impressed me. He is a cardiovascular surgeon. His main area of expertise is doing cardiac bypasses. To make a long story short, because of insurance changes (MCare) over the past few years, he only makes about $650 per bypass for his own pocket and that is gross. Of the $1850 MCare and insurance companies pay him for this procedure, it costs him $1200 in overhead for that procedure. Until last year, he would often do the procedure for free for patients who could not afford it and had no insurance. However, for 2 years he had to BORROW MONEY to pay his OVERHEAD because he did so much pro bono work. He finally decided he just could not go bankrupt doing that. So now, he STILL does HIS PART for free but the patient has to pay his overhead. He tells them to call their family, friends, churches and if they have the $1200 for his overhead, he will donate HIS skills/time/energy for free.
The physician (maxillofacial surgeon) who directed this class said his annual pro bono work runs around $250,000 a year.
As well, while dentists recoup 95% to 100% of the fees charged for their services (they are ALWAYS getting their money up front), physicians (with the exception of cosmetic plastic surgery) only recoup an average of 31% of their fees. For every $1000 they spend on a patient, they will only get back approximately $310 and must write off the rest.
Now that is INSIDE information - direct from the physicians and dentists we had in class. I was shocked. Not deterred, but shocked.
Regarding that lovely cardiologist who gives so much away, take into consideration that the $650 for HIS skills/time/energy for ONE cardiac bypass -- he invests a total of 12 to 15 hours for that one procedure (that is WITHOUT complications happening) including his consult/operative time/followup visits, hospital rounds, etc. That comes out to about $54 an hour -- and plumbers and electricians around here make more than that. My Ford dealership in town gets $76 an hour.
And now, since we are starting to do bypasses endovascularly through the femoral artery, he has to really put the money down for more education to train to do this or he will be out of business shortly.
Interesting huh?! When people make comments to me about my future as a physician as a way to "get rich", I tell them not necessarily so!! LOL I'm not doing it for money! You couldn't pay me enough to go through all this at this time in my life!! LOL
And would it not help if you could spell knowledge???? nm
:)
Because it's such common knowledge.
But by all means, give them your money and prove it again if you like! I was just trying to help you.
knowledge of med term a plus
knowledge of medical terminology is such a plus in the medical field. try applying to a hospital as a unit clerk or a receptionist in a doc office. it is good for the mind to get out there and see people again. maybe you will realize how much you have missed.
Gain knowledge sm
I think I addressed this before, you cannot get enough knowledge to put in your bank. If they are willing to pay you, soak it in like a sponge. It's hard, I wanted to quit so many times but I went from "duh" to "diva" by blood, sweat and tears. It's worth it, hang in!! Knowledge is power.
more knowledge needed sometimes sm
You have to be aware of all body parts (anatomy) as well physiology, etc. in all specialties because you may have 50 discharge summaries from many specialties, not only a few, in one day You also have to have the ability to pick up on abnormal lab values (or you should), etc., as you don't want a totally erroneous value to go through without questioning. After you get through the chief complaint, history of present illness, review of systems, physical exam, etc., then you get to the lab and x-ray findings. When you get to the summary, you will be working in terms of what is wrong with that particular patient, know the drugs and dosages, etc. With acute care, you may get H&P's, discharge summares, operations (difficult at first) and consults (many different specialties) all in one day's work. Others may not agree with what I just said, but in a nutshell, you have to be fairly well rounded in your knowledge of anything that may come your way in the basic 4's each day as well as psych reports if the facility has a psych ward,, etc., Also., if the facility has a rehab department or other speciality floors, you will have to learn them as well. If you are a dedicated learner, you can do it, you just have to be willing to work hard. I would say it took me several years to be really good at it and it is well worth it. In todays world though, I am not sure, it seems like there are a lot of unhappy people on these boards. Just be positive and if you love it, you may enjoy it. Acute care covers many specialties and is just that, "acute." requiring hospitalization. Hope I didn't discourage you, it's challenging. If you work for an MTSO, they may be willing to give you one speciality at a time (although I doubt it). Radiology is usually in it's own department with it's own staff and dictation. Hope I didn't confuse you even more, just trying to help here.
If it requires that much knowledge
above the normal they might consider paying a wage for it - starting .07 cpl doesn't exactly scream you're valued for your knowledge.
It seems there's always someone on this board, with no knowledge of their own , who - sm
insist upon arguing with anyone offering tech support or advice. It happened earlier in the AV thread where one of the participants obviously didn't have a clue what they were talking about yet insisted that everyone else didn't know what they were talking about.
It seems to be rather common in the MT community to be able to speak much and listen little. Very sad, actually.
If there's any question on my knowledge in these matters,
I am a college educated and certified computer technician who has been in the technology field for 20 years now. FWIW, Atomic Clock Sync has rave reviews from PC Magazine, but merely synchronizing your computer clock doesn't fix the underlying problem. If the battery on your computer's motherboard goes completely dead, your CMOS settings will go byebye, which is a royal PITA to fix.
http://www.decosystech.com/Techsupport/Batteries.htm
I know several MTs who are being paid high $$ for their knowledge... Sure is (sm)
something to think about!! With IC you lose your flexibility and punch the 9-5 clock. Maybe if your kids are in school. Mine are still little yet. But I definitely am keeping that option open, taking a few courses along the legal line.
New clients with no computer knowledge
I just landed a new awesome client because they were desperate. They didnt even have internet! I talked them into go with a DSL line, I bought them a digital recorder (with USB connector)..I had my computer guy write a script. all they have to do is plug the recorder into the USB connector, press a button on the desk top (that has script written by my computer geek) and it automatically sends it to me...the files are sent back, they press another scripted icon on their desk and VOILA they have the work back. They have no idea what they are doing either....but they are learning slowly and I have a great new account (all mammograms and ultrasounds 2 days a week)
I LOVE IT!
be armed with knowledge and documentation
Along with sending all employees W2s, a copy of every employee's W2 is transmitted along with a W3 with the totals of FICA/MED and Fed taxes.
The problem probably arises from what was sent in to IRS and Social Security that raised a flag. I really don't think that the SE part set off the flag. MQ might have tried to do a switch-a-roo and sent in a 1099 with the transmission. After you go in for the examination, this will probably clear it up. When I was with MQ, they sent me a W2 and a 1099, and was always leery of this but never had a problem. I left them in 2000 because of lack of work but always wondered about the dual reporting.
I speak from first hand knowledge...
and I never said she didn't love the boy, but rather not in the traditional sense. You know the kind where you actually take care of your kids. I won't blast all that on the internet. I'm just saying though that I only speak from what was actually done, not by assuming something heard through the media.
Physicians are willing to share their knowledge with (sm)
anyone who will listen. They love young bright eyed students. I expected the MT world to be just like medicine.
Why is cost the only issue? It is unprofessional to only think about money. What about pride in the profession and wanting to share knowledge? Isn't that how professions advance and grow?
I am surprised. 
Approach homeschooling with knowledge. sm
I have family in California that homeschool their children, and it is wonderful. The mother has an education, sets up great courses, and the support network there is absolutely fantastic. Sports, music, field trips, clubs, they are all available. They couldn't get a better education anywhere, and the socialization is absolutely great.
However, I had to homeschool my son last year for health reasons, and there can be real problems. He is an only child and was left out of all the school social activities. Unfortunately, there is no homeschooling network in my area, the nearest one is 150 miles away, so there were no field trips, sports activities, etc. We live in a small town, and not much is available outside school. It took him 2-3 months to get back into the social swing in high school. Fortunately he is very well adjusted, and turned out fine. Be sure the pieces are in place before you homeschool. Otherwise, you will be the only support your child has, and it can be almost a full-time job, especially if you have to start your own organization. I highly recommend homeschooling if you are in an area to do so. It can be a great experience and children can learn so much faster than in the public school. Good luck.
knowledge increases productivity
My productivity is up and down. I have found that with doctors and report-types that I am use to typing my productivity is higher, with new docs and new/rarely typed report a lot lower. I think only knowledge can increase your productivity, when you can anticipate what the doc will say next because you have a true knowledge of what you are typing. (please excuse typos.. I am on a quick break)
For the amount of knowledge this job takes...
The constant demands to do more and more, increased accuracy requirements, I think #4. #2 would be a good entry level wage, but in reality I think most of us are stuck there.
What is your experience and knowledge worth? sm
Only you can decide what a good line rate is for you. Everyone has different opinions, expenses, time management, and issues. No two people are the same.
Now, if you take the IC part out of it and ask if 7 or 8 cpl is a good line rate - basically the answer would be no, not really. Then again, it seems to be what companies are offering these days.
Remember, most companies base any health benefits, etc on your production. So, if you have a bad month of production, your benefits might go bye-bye!
Just think, as an independent contractor, 8 cpl, nice easy account, canned reports, lots of templated work - Yeah you can make decent money.
Now, no canned reports, difficult account, you might have to work 10 to 12 hours a day to make decent money.
See the difference - Go with your gut and decide what you are worth.
Good luck!
But QAing requires much more knowledge
and experience than VR editing. They can hire newbies to do VR editing, but not QA.
To my knowledge, you can't print the physicians'....sm
list and I doubt they are in there by specialty, too. You can print the contents of your ESP file if you save it to your desktop and then print it. Hope this helps.
QA's lack of knowledge really irks me.
Most of the time, they say the exact opposite the next day, anyway.
I've used it. There are a ton of knowledge base forums out there
where you can research your results.
It's a knowledge-intensive field which doesn't pay anywhere near enough..
depends on your speed, knowledge & accounts.
x
So dont you think the knowledge & experience it takes
B.S. in HIM, no MT school, OTJ training for that skill, but the HIM classes for the knowledge. nm
x
Exactly! We have a broader knowledge base. My sister has been an RN for 30+ years and I have the u
I could never do what they do. I am an anxiety-ridden person and the thought of someone's health and well being, not to mention physical comfort or discomfort being completely my responsibility and then to be able to function in a calm, methodical manner in a high-stress, life or death situation... Well, let's just say I know I could not handle it. I would have a nervous breakdown.
It's a pity that some nurses can't return to the favor and respect us for what we do. My sister respects me. She actually comes to me with medical questions because she realizes she doesn't know it all and I basically get a medical education on a daily basis what with new terms, drugs, procedures, equipment, etc. And let's face it, MTs are the masters of research and medical references, searching the internet, etc.
But all people see when they see an MT is that we sit at a desk all day and type and to them it looks easy. It's just a shame.
Addendum: As well as your fund of medical terminology knowledge.
I had head if you were connected to a VPN your computer could be searched without your knowledge ??
nm
Well, John Maxwell will tell you that attitude not knowledge is what keeps most people afloat. From
check out of her hand without thanking her for paying your bills for the lasft 5 years, then you could probably guess that she won't be calling you back even if it doesn't work out.
You have to be positive about everything. You may have been a "great, dependable worker," but if your attitude "stunk" then honestly, that just doesn't matter. I'm sorry. Been there done that. Know this to be quite true.
I miss MT50 too. She rocks with her vast pool of knowledge.
MT50, please, please, please...come back. You are missed.
Offshoring
Just remember YOUR elected representives allowed this offshoring to happen. Nothing illegal thanks to the politicians is happening when work is shipped offshore while allowing Americans to lose jobs while increasing taxes.
This is all the fault of the greed and power of the politicians and the corporations. It's not about an Indian worker who has been offered a job and can't lose their accent to please the consumer.
As far as contacting you in a few years when our jobs are overseas, they are shipping them out daily. Where have you been? Check OSI, Precyse, etc. They all offshore some outright and some undercover.
I don't have problems with the workers. I have problems with the government allowing this to happen and the corporations who cut costs while cutting quality by shipping work out of our country.
Keep you eye on your enemy and it is some Indian who is trying to keep a job to make a living.
To those against offshoring...
Have you noticed that anywhere you call, whether it be the phone company, the gas company, the insurance company, you get someone foreign on the phone. Oh yes and do not forget Microsoft and other computer related companies. I realize this cuz i get so damn mad because i can't understand what they are saying to me and they don't understand what i am saying to them. Now I noticed the post below about Earthlink and I am wondering...all of you who are against this..what are you going to do about the fact that the computer company that creates most of the software you use has places in other countries..your gas company..you insurance company, etc. etc. etc.? I, too, do not agree with offshoring, but I do not think there is REALLY anything we can do about it. Not working for companies that do it, yes thats a start, but what are you going to do about the rest of reality and everyday living? Just curious to opinions on this. I am not flaming..just concerned.
Offshoring - don't be too sure.
Look at history....work will be outsourced whether we like it or not. What happened to the steel, printing, shipping, automotive, and many other manufacturing efforts is happening to transcription. While we may produce a better product, if it can be produced cheaper somewhere else it will be. Sometimes MTSO's are forced to look at other avenues because they can't hire and maintain TATs. Clients want their costs reduced when it is already at rock bottom. Transcriptionists want higher pay and the profit margin isn't there to allow this. The transcription business has changed and will continue to change. After all....the only constant in life is change. The offshore MT is hungry and willing to give up just about anything to put food on the table. They probably don't argue, call in sick, complain or quit without notice. They don't bad mouth their employer. They just want to work...much like American workers decades ago. Take heed. I'm in the same boat and don't want to see it happen, but there are many factors that result in change. Transcriptionists are by nature not an organized group. We are mostly solitary and therefore have no voice or at least not one loud enough to be heard. We're all on production. We don't have time for such things. There is no large group lobbying for us. There isn't enough money in transcription anymore to have lobbyists and that is how...regardless of our protests...change happens...silently. People in India and other countries will learn to transcribe. It's only a matter of time. For myself, I am just going to try to do the very best job I can every single day and hope it is appreciated and know that I am not adding to the problem. Actually....I need to get back to work.
A - As soon as I tell them my pay has gone down about 40% since the offshoring (sm)
they are no longer interested in entering this field. In fact, their mouths about drop to the floor.
Having another American MT is not going to save another American job. They will send their work offshore if you are living next door and can do a 4-hour turnaround, just because the price is lower.
I'm getting out also, only doing part-time now and probably won't be doing part-time much longer.
offshoring
Don't know about this company, but there are companies that offshore and lie about it. Know this for a fact. I work for one.
OSi Offshoring - sm
If you are an employee of OSI, you should be able to access that article from the employee web page, try going back to about April or so...it should still be there, where it was originally posted. Read it for yourself and maybe then you'll believe it.
Offshoring
Ah, thanks for clearing that up for me. All this happened before I started. New employees are probably not aware of it, like me.
I probably got myself on the $hit-li$t now, but that's okay for something I did today to see any reaction. It wouldn't be the first time I've been on the list and probably won't be the last.
I will stay, though, as I really do like working for them...and I like the work..
OSi Offshoring
Ah, thanks for clearing that up for me. All this happened before I started. New employees are probably not aware of it, like me. This breaks my heart.
I probably got myself on the $hit-li$t now, for something I did today to see if there was any reaction, but that's okay. It wouldn't be the first time I've been on a list and probably won't be the last.
I will stay, though, as I really do like working for them. I like the work, and really don't have much of a choice anymore.
I think if these companies are going to offshore, they should send the work from the ESL's that can't speak English correctly. That work should be easy for the offshore companies for them to do.
Offshoring
I just wonder who these big businesses think is going to buy their products/services when all the jobs are in foreign countries. Not only that, when there are no jobs, or only minimum wage jobs, who's going to pay the big fat salaries of our idiot politicians? Heard on Lou Dobbs the other night that while the minimum wage remains stagnant, the senate voted themselves a hefty $30,000 raise!!!! Doncha wish we MTs could "vote" ourselves that kind of raise? Or maybe we're not so greedy and we'd settle for a fraction of that.
Offshoring
Is there any way you can share as there are others of us who suspect this also and maybe it's the same company. If not, that's understandable too.
Offshoring
Keystrokes does not!
MQ OFFSHORING
I need some Positive Proof that offshoring is occurring.. .will help in our hospital's fight against outsourcing all of us.. thanks
Offshoring
There was an article on the internet quite some time ago where a MQ bigwig admitted to MQ offshoring. I have posted on here before regarding offshoring, tell all your family and friends that when they go to the doctor, they need to tell him/her they do not want ANY part of the their medical record being offshored, including transcription. You have that right as a patient. My family and friends know. Unfortunately, none of us have been to the doc lately.
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