they talk about one of the benefits of outsourcing but
Posted By: I don't see it happening on 2006-05-31
In Reply to: Interesting perspective of outsourcing... - See Link
supposedly if outsourcing results in cheaper labor to provide services or goods cheaper, prices will fall. Well, refrigerators are no longer being made in Rockford but in Mexico - do you see Whirlpool refrigerators going for $600 now instead of $1200? And if a radiologist from India reads the x-ray for $20 instead of $120, do you really think mammograms will drop from $227 to $127? Not on your life. The prices of goods to the consumer are still staying just as high, only now there are not a bunch of machinists in Rockford who have money to spend on refrigerators, they are all working at Walmart for $8/hr instead of $18. This is the disturbing piece of the puzzle that nobody talks about.
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That was with full benefits, which are the same benefits as an in-office employee for the QA staff..
However, I hear that their current QA staff are being asked to reach numbers that are out of sight and goals are basically impossible.
IC positions offer no benefits, employee positions off full benefits, so if you do not need
benefits, then IC would be best.
Eewwww... you don't talk like an MT, you talk like mangement. Ick. (n/m)
:p
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.
outsourcing
Hi
I too am concerned about losing my job. I've already lost one good job due to outsourcing, a gastroenterology office. My main job now is putting in system where info will be put in computer at time of patient visit thus, not needing transcription. Yes, I am very concerned about it.
outsourcing
Bless your heart... I just don't know if us transcriptionists can turn this around:( I called the Obama campaign line & reported what is happening to him & I also left a post on change.org about it. I just don't know if transcription is going to continue to spiral downhill or what, but I am so worried:( I am seriously thinking about going to college to do x-ray tech just so I can be multifunctional for the hospital if I get the shaft with transcription.
Outsourcing...
In my experience, the doctors who are either on staff and/or have admitting privileges to a particular hospital are basically at the mercy of the hospital board and administrators, as the revenues generated by the physicians to the hospital are filtered through all the departments, so that each gets their share of those revenues, with the hospital gain outweighing the physicians. So, although doctors may not necessarily like it if dept A is outsourced, they're still weighing that loss against depts B, C, D, etc. Does that make sense? Perhaps if they keep barking loudly enough as more and more departments are eventually outsourced, the powers that be will finally take notice and listen! Unfortunately, by the time that happens, those suits will all be standing around wondering what happened to THEIR jobs!
outsourcing
Working such rigid hours is a very common Eastern Asia thing. I know it is a stereotype but that is how one family can run a 24-hour store, because they are very strict with their hours. While IC used to be you work when you want as long as you get the minimum amount of work in each day that you said you would it is becoming more like just a glorified telecommute position. You still have to be online and ready to work certain hours and if you aren't you are disciplined like with any job. I see this a lot with jobs that are overseas companies and even American based companies are adopting the program. It prevents problems like were listed in another post - everyone taking the same days off and no work getting done.
Your best bet is to make sure the contract does not say you have to work certain hours, just submit so many lines a day AS WORK IS AVAILABLE...I've seen people get in trouble for not submitting lines but there wasn't work enough to get those lines.
We aren't given the freedom we used to, but there are still jobs out there if you dig far enough! Good Luck!!
Right Now, we do get benefits
but MQ is trying to change that, of course. They are trying to get our hospital to outsource everything to them, which would then mean i can work for MQ or leave. I hate MQ. I want to see them exposed for what they really are and I want to see everybody that have hurt, be compensated.
You can do that with benefits too, ya know.
:)
As long as you're happy, it pays your bills, and you can make ends meet at tax time, that's all that counts. :)
Is that with or without benefits
Do they have Editor positions as SE?
If you don't need benefits, look into
doing house cleaning for individuals on a weekly basis. Lots of under-the-table money to be made from what I used to see when I worked at a bank (and saw deposits of gals doing housekeeping). Weekly house cleaning is no longer limited to the well off professionals.
I was in QuickLube, or whatever it's called this week, and a 70-something lady was talking about her work as a home aide - light housekeeping and cooking and companionship - no medical stuff. She got her referrals through her church and was charging $10/hour.
Unfortunately, some of us need benefits.
Not even in the salad days did I make anywhere near that. In fact, most of the services I know don't charge that.
It's all about the benefits
Hospitals don't want to pay the benes. The hospital where I used to work was sold and the new owners threw us all out plus the service we used. My benefits alone costed the hospital roughly $5000 per year x that by 15 transcriptionists. Plus they provided everything for us, equip, desk, computer, etc.
Apparently they contracted a service for X amount of dollars per month/year to do it for them. No messing around with line counts and they always know what it will cost them.
Can you name some benefits for
the American MT to become certified? Please tell me how AAMT has changed the average MT's job security, satisfaction, etc. All I see is that they have given up on us and moved overseas to start programs and gain overseas members.
well, there are some benefits to having your own
was asking you to go away. A blog serves a similar purpose and in fact you may find a wider range of readers, interactions and help than what you may get on this web site. Yes, I have seen others here say they would start their own blog and have seen a couple of them, so it wasn't an only you thing (at least I didn't see it that way).
Benefits can add up to $10,000 though. (nt)
Tax benefits
I guess I just like knowing I own my own business and I made it what it is today. I like getting out and delivering. Talking to the people in the office making personal contact. Working as much as I want. I also like the write offs and paying less than $1,000 taxes per year. To each their own. To me this is the answer. Most on this board all they do is say that there is no way to make 50K a year and I simply gave an example of how you can do it. I am not knocking you, you seem to have done it I just like doing it "my way" as Frank Sinatra would say. Best of luck to you.
If you do not need benefits then you would
there is more leg work involved especially when first landing an account. The other problem is that even when you have a contract with them they can break it any time for someone who charges less. So you must remain humble with your pricing. When you have your own accounts, you have cut out the middle man, BUT, you must chase down your money. In my experience, the Transcriptionist must get paid LAST because most weeks, I have to ask nicely or do without. Have a safety net, an account to borrow from until you get paid because a lot of the time they pull OOPS, forgot your write your check, or OOPS doc needs to sign it or you just wonder when you'll get it. Just SOME things to consider, but good luck on whatever you decide. 
IC - No benefits with this doc
I was total IC before. I dropped my other accounts and went the employee route for the bennies and so taxes are taken out. Now I get days and holidays off, too. That's a first. Worked 9 years 7/7, 12-14 hours a day, 3 days off a year for family.
What no one seems to realize that in my area, money is tight and so I can't charge the same as someone in a city or heavily populated area can charge. Jobs just aren't here.
Benefits
They cannot give you benefits if you are an IC. If they did they would have to turn you into employees. This is not just my opinion they are IRS rules.
My pay is okay - just no more benefits
It has become a matter of taking a higher cpl w/o benefits or lower cpl with benefits in this industry...as well as those employers who want (example) 7 years of experience for 5-6 cpl. Anyone accepting that should be ashamed to call themselves an MT. I make only slightly less than I did 5 years ago. Now I make 11 cpl on a 65 line count versus 11-12 cpl on a gross line - the difference though, is that I had paid benefits then which I don't have now. The other difference is that when I could work in DOS and create all reports into one file to send at the end of the day, I could routinely produced over 350 lph (and never, ever work more than 6 hours a day, 5 days a week!). Now that I have to work on a platform that requires individual reports being submitted, I've really taken a hit in how many lph I can produce. I still work less than 40 hr/wk, though.
I truly believe in working smarter than harder. If a company offers a platform or dictators that prevent me from making a minimum of 200 lph or more, then I don't work for them. If I can't use my abbreviations that I've built over the past 10 years, then I won't work for that company. If I can't have benefits paid by the company AND the cpl I want, then yes, I will be an independent contractor and take all the tax benefits I can. Last year, I only paid $268 in federal taxes for the entire year.
I have to work around my child as well (I am single) and I am fortunate that my training days are well behind me. I still have a good life and good income, but I am choosy about the company I will work for. When I am older and things change significantly that I make less than $40k/yr, then I will go back into coding and have a job with good pay and benefits. I can't see staying in a profession if it doesn't benefit me the way I need it to.
About benefits
After I wrote my last post I was just thinking about the benefits. I was with Keystrokes for a while and you can be an employee with them and still get the flexibility of 24 hour TAT and therefore you can get the benefits. So it's not impossible to get benefits and flexibility. I know the Keystrokes ortho accounts offer 24 hour TAT, not sure if it's all of the ortho accounts, but I know some of them do. I'm not sure if they have other specialties that have the 24 hour TAT. Good luck.
Benefits
The only "benefits" an IC gets is being able to make their own schedule. We do not get any medical, dental, retirement. We furnish our own equipment, do our own taxes, and do not get paid vacation or holidays.
benefits?
I know people who would change bedpans, just to get a hospital job because of the great benefits package. No judgement on types of jobs some of us would or wouldn't actually consider doing, but bottom line for some people is a steady paycheck and health insurance.
benefits
They do have good benefits and I did look into the kitchen job a bit more. I have not called HR yet. I guess my main point is I am surprised that the HR person did not follow through and let me know there is not an MT job. She did not indicate that when I met with her. I am also surprised that the application went to another department but if that is the way it is done, ok, fine. I do not feel I am a prima dona. I would have understood them passing the application on to perhaps the business office or something else in the medical record department. The job asked for an experienced MT so I was just responding to that particular job.
No Benefits
I'm an independent contractor and so I don't receive any benefits. The reason I stay as an IC is because it allowed me to obtain one degree, and now I'm going back to obtain my nursing degree, and so I like the fact that as an IC, I can set my own hours and that kind of thing...so unfortunately, the penalty for that is not having insurance, paid time off, etc., but I hope it will all be worth it in the end when I'm a nurse! And, I don't mind answering any questions at all...so feel free to ask.
Have a good day!
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