A community of 30,000 US Transcriptionist serving Medical Transcription Industry


COMMENTS TO MTSO'S WHO READ THESE BOARDS - anon


Posted: Jun 26, 2011

As much as we all like for things to go back the way they were before VR, before offshoring, before the EMR, that is unlikely to happen.  I come from an era of transcription where we actually could support ourselves on being a medical transcriptionist.  Unfortunately, that is not the case with transcription any longer.  I work for three different companies and there isn't a dime's worth of diference in any of them low pay, long hours, supervisors that are not MTs that are over paid for what they do, (some granted are excellent but the majority of those supervisors, in my opinion are former MTs and have risen through the ranks). 

What I have come to believe is that I have to accept this industry the way it is, stay where I am (at least all three companies pay on time every time, the staff is very nice, and the QA is fair and the manager is a former MT, with one company she works every single day right along with us always on IM and available), not great pay, horrible platform, but it's a job and in this economy sadly to say I am greatful for the little checks that i do receive. 

Two years ago I lost my management position, along with all the perks because of downsizing and had to return to my roots.  I was shocked to realize how much the MT world had changed and how the advent of all these different platforms infringed on our production, I have not made over $8.00 an hour since I have been transcribing.  The biggest problem is all IC status and these companies let people work whenever they want, as much as they want with no regard to spreading the work around, or if TAT is with 6 hours they all panic and an "all hands on deck" e-mail goes out, MTSO's please give those of use that provide you good work, quality and show up, give us a chance to make a living?  Is that asking too much?  Please do not overhire, and please, please put people in management positions that check in once a day and send e-mails from their Blackberry's while they are shopping while we're working!

Frankly, I could make more money with benefits flipping burgers.  But if reversed most of the people flippping burgers could not do my job.

Please do not offer us 2.5 cpl, or 5 cpl to transcribe, how would you feel as an experienced manager if someone offered you minimum wage to do your job?  Get real with the 8 cpl, you're making money hand over fist with VR, while paying the MT 3 to 4 cpl, when you paid the same MT 8-9 cpl to do work,  You people are making 4 cpl per line profit and can afford to pay your VR editors at least 5 cpl to do this horrible VR work that is much more cumbersone (personally, I won't do VR, I transcribe).

Also, can I politely ask that you do not refer to us as "typist" we are not typist, we are medical transcriptionist or medical language specialist.  Please give us the courtesy and respect by referring to us by the title that we have earned.

One final comment, think on this, if you as MTSOs feel that we do not deserve to be compensated for our experience, and you feel everyone across the board should be paid the same, remember this, that if something happened and every MT in this county could take a week off, without pay, could you get just ANYONE to sit in that chair and transcribe a foreign doctor, correct his/her mistakes, and flag reports when the doctor makes a patient care error?  Does your average secretary know how to do this?  Not, so please think long and hard on bringing up the compensation to a livable wage, provide us benefits that we can afford that will keep us healthy so we can continue to work, and be happy and content with what we do, instead of asking us to work for wages below the poverty level but expect your reports to letter perfrect.  Come on 8 cpl ?  I made that 20 years ago!  Management should reorganize their salaries and funnel that money into the MT salaries, get rid of the managers who only have a title and do not work, and provide us with enough work on a daily basis to make a living and pay the MT with 10 years experience more than the Carrer Step grad with six months.

Dreaming yes, but we can all dream and have faith that as long as the work continues to return from overseas because of quality, we will have more of a voice to say what we will and will not work for, one day it is going to be they need us more than we need them, and we will be able to ask for that 10 cpl or we will not accept the position, but for now, I'll work for my three companies, on the horrible plaforms, low pay, and long hours, just to have a job and keep praying that things will turn around for all of out there who love what we do, take pride in our work, and consider ourselves a valuable part of patient care.

 

 

amen to above, like!!! - ex webbie

[ In Reply To ..]
nm

Why settle for dreaming? Why don't you take your power back and make your own - Reality. sm.

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My heart goes out to you die-hard MTs that still love what you do. You know in your heart of hearts that things are not going to get better, yet you still hope for the best.

Please take your power back and go to school or get some training in another career field. Just please do something to get yourself out of needing to work 3 jobs.

Do not leave yourself at the mercy of the MTSOs. They're not going to look out for your best interests...EVER.

Tru' dat - secrets nm

[ In Reply To ..]
nm

Maybe because it's all we know how to do and are too old to start over in another career - Old and Tired MT

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I am 68 years old and don't know how to do anything else. I HAVE to work, cannot afford to retire, and to go back to school to learn another career is not likely, considering the fact that by the time I finished, who would hire me in my 70s? If I were a lot younger, that's EXACTLY what I would do, but when I was that age, I never DREAMED that MT would turn into the low paying nightmare that it has become. I should have had a crystal ball to know this and I would have done things a lot different back then. There are lot of us older MTs who will be pounding a keyboard until we drop dead because we can't afford to retire and are not able to change to another career. Please take our age into consideration when posting that we need to "learn to do something else".

Exactly! - alias

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I am 61 and in the same shoes you are in. Starting a new career is not reasonable at this age. Even the MTSOs do not want to hire us at this age, so even changing employers is next to impossible. People only think of things from THEIR experiences or times of life, and accusing us of how things turned out is just plain wrong. Thank you for stating the obvious.
There was a 60YO man pursuing an education degree in - sm. Just saying.
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one of my classes.

I don't have all the answers. I am very compassionate and empathetic to the MT plight because it took me years to make the decision to get out.

I am sorry you feel like you don't have any options. I am just asking for everyone to check into something else. Don't accept what you feel life has dealt you. You are powerless as long as you do and situations generally do not get better in cases like that.
Getting the degree is one thing. Getting hired after 60 - is quite another. Poverty looms large for 60+ MTs
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For the past year I've stepped up my job search to get me out of this godforsaken MTSO nightmare. Even before I became an MT, I pretty much got EVERY JOB I APPLIED FOR. Once I became an MT, I was offered a job immediately every time I filled out an application.

Now, with 25 more years' experience, and no ideas whatsoever of retiring, at age 60 I can't get so much as a nibble. I've expanded my search, and have been applying for secretarial and receptionist jobs. Many secretary jobs are now wanting you to have a BA Degree (for a $12.50/hour secretary job? Pul-eeeze!) Still, whenever I've found jobs where my skills and experience would be a good match, the result is the same as the MT industry: Not even an email thanking me for my application. And only one has even taken the time to send a rejection email.

Old and Tired MT - Old Pro

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I couldn't agree more! I am of your vintage and am very fortunate in that I will be able to retire in a couple of months. We live rather modestly and humbly, so do not require too much. I find myself getting weary of these new age-ish "create your reality" rah-rah speeches. Until people knows other people's circumstances, perhaps a little less cavalier advice would be in order. I have many friends my age who will NEVER be able to retire and my heart aches for them.
Thank you! It's easy to give advice - Old and Tired MT
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About how to just "learn to do something else", but unless you are our age, you don't understand that people are not going to hire a newbie in some other career when you are pushing 70. As I said, if I only had known what was going to happen to MT, I would have changed professions years ago when I still had a chance to be hired in a new field.

This is an excellent response - **applause**

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xx

Well said!! - Popcorn

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XX

why blame the ICs for you not having enough work? - alias

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it is my understanding that the "employees" get the work first and the ICs get the overflow, so don't blame us for you not having enough work. I am in the same shoes as you are with low pay, no work, and cannot afford any "benefits" at all, much less have insurance at all. The insurance companies set the cost of the policies, and the companies pass that on to the "employees." I cannot afford a single person policy with a 7500.00 deductible at 350.00 a month any more than you can, so I do without, so don't point the fingers at the ICs and newbies. we are not to blame here.

COMMENTS TO MTSO'S WHO READ THESE BOARDS - anon

[ In Reply To ..]
I placed no blame on the ICs or the newbies, in fact all three of my jobs are as an IC, and I believe we should all be fair and spread work around when it it slow. I have hired many newbies and have been responsible for giving many new grads their first job, however, there is no new grad that can possibly know what I do after 30 years of being in this business. There was no blame pointed to anyone in my post, it was just merely my opinion and thoughts on what I have experienced throughout the last few years and hope that the future will change when I am long out of this business for the people that are now going to be in my place should they stay in this business. God knows where it's going to be in 5 years if it's as bad as it is now.

I do not work for SGS. Although I have in the past. I can't remember when I first heard the "all hands on deck" line, but when I did, I died laughing and couldn't believe what I was seeing.

While I appreciate the post from the MTSO, I posted more than just the profit margin. There was no comment about the poor management we have to deal with, no benefits, and all IC status. The only companies that offer bennies are the larger companies and who wants to work for them?

To the poster that said do something else, I have two college degrees and three vocational degrees, however, I have a disability that does not allow me to work outside the home any longer, but unfortunately to qualify for disablity you have to make less than $800 a month as well as other qualifying criteria that I do not fit. So, I work at home. Also, there is age discrimination, I am not yet 60, but as soon as I hit the 50's the doors closed to any professional job. I have sent out resume upon resume, and not one call back, and you can't tell me it isn't that I am not qualified. I also speak three spanish, French and Italian. So, it's not for lack of education, but when you reach those 'golden years' the doors to the professional jobs are not so golden.

There's a lot of good platforms out there other than the VR platforms, and many companies that do not want VR and many MTSO's stilling hiring for transcription only and still commanding that high line rate, I know of a few. So, although the post was somewhat informative it is somewhat one-sided about one part of what we do in this industry.

Comment to MTSOs - Old Pro

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Bravo for a well-stated post. You are very articulate and present a well-reasoned, dignified, and excellent post. In distant days I was an MTSO and now I am an MT as an employee for a medium-sized company. I agree with what you say, and would like to piggyback on and add one thing, if I may. I think part of what has ruined our industry is MTs who are WILLING to accept to little pay for so much work because they want to "break in" to the MT world. As in any other career, they should demand a wage appropriate to their skill level and experience. When a plumber came to my home the other day to fix my sink, I did not offer him ten cents. Neither should we be offered ten cents (or ten dollars) for an hour of our knowledge. I hope that all MTs know their stuff--and stand up for the right to be paid adequate wages.

Correction to Comment to MTSOs - Old Pro

[ In Reply To ..]
Whoops! I typed "to little pay," when I meant "SO little pay." My apologies. I guess I have my mind on retirement in two months. I am sorry.

OMG.. Not another "All Hands on Deck" - GoldenOldie

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OMG! I am so sorry - I just cannot stop laughing. That statement in the subject is a true give away of where you work; either SGS or one of the partner companies. How many times did I see that, 100s if not 1000s of emails and IMs. Sometimes I wasn't sure if I was supposed to swab the poop deck or QA. Of course, I would have made more $ swabbing a poop deck; as it were, I was swabbing poop files, as the MTs I worked with getting paid at 2.5 cpl, 3 cpl and typing for a 6 or 7 cpl rate of pay, that's exactly what the files were. Most MTs won't take the time to ensure quality at those rates; they just want to kick them out and let someone else clean them up or "swab" them. LOLO... OMG.. I am just crying I am laughing so hard.
But, I do agree with your comments 100%, and don't mean to make light of what you are saying. It's just that for some reason, I thought I was the only one who thought that "All Hands on Deck" was ...lame?
I think I will put that on my urn - All Hands on Deck.

Your value is recognized - MTSO

[ In Reply To ..]
Please believe me when I say that there is so much truth in what you have to say in terms of the value of what you do. As an MTSO, but former transcriptionist, former QA manager, I recognize how few people in the world can do your job and do it perfectly. Your value is immeasurable. And I know that my next response is unpopular and not believed by most, but I am going to respond to those who might look at the other side of that fence. Undertand, I am in no way crying 'poor me or poor us' for MTSOs. But while you all decry the 8 cpl, we too, cannot bill what we did ten years ago. Wanting to believe this or not, here are the facts...we pay 8, we pay 2 cpl to the platform that we provide, and 2.7 cents per minute for phone dictation for our accounts. So we are at 11 cents per line minimum, and here in the Northeast, we are not able to bill more than 13 cpl for any work...be it acute care, or doctors' practices. We have been forced to take cuts or leave the work, and while we have all felt the way that you do...take a stand and leave it and then they will come crawling, that will never happen. We have turned down work for less than 12, because by using american transcriptionists, we cannot take less than that, but we also cannot turn down the 12 and 13. VR costs 5 cpl to use mmodal or any of the other vr companies, and the one thing left out of the equation in the posts about this, is that when an account agrees to VR, they will not pay more than
10 cpl here in the East at least. SO, if an MTSO pays 4 for transcription editing, 5 to the platform, 2.7 cp minute of dictation, there is no way to increase the amount paid. It can often move to a loss quickly. Again, I am not crying 'poor us'. I am explaining that the economy has pushed the health care industry to go for the lowest, and if we wish to stay in business, we can't pay more than 8 cpl, no matter what the rate was ten years ago. We hope, as you do, that the tide will turn and the accounts will stop going overseas, and need us all again, and then our leverage will return. Until then, we are all at the mercy of what the account will pay the MTSO. I cannot speak for all, and I'm sure there are some who can bill more, and stil pay less to keep it all, but we are not among them. And I wish each and every physician and bean counter in the industry would recognize the skill it takes to do your jobs. We are vying against an off shore company right now, and we've been told we are 40% more expensive, and we are at those numbers I quoted above...12 cpl, or VBC, which is changing the situation even more because we all know that's a reduction as well. Good luck to all of us. Please know that some of us do understand.

Thanks! - JustaTypist

[ In Reply To ..]
Thanks for your post!

I work closely with the owner of an MTSO who is in the same position you are. The company has to start transcriptionists at 7cpl just to have some "grow space" for raises when they prove themselves. Experience is not always the answer. The MTSO I work with has hired people with 20 years of experience who do no better than those with 2-5 years.

I know that on some contracts this MTSO services, they make less than 1 cpl to cover all of the other overhead the company has to pay before ever taking a cent of profit.

Wow, which MTSO gives raises?! - mt

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I didn't think any of them do. I know Transcend doesn't and won't.
This was a wonderful post, but - anon
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During my last doctor appointment, my doc and I started visiting about the MT industry. Subsequently, he asked me how much I made, and I answered honestly. He was disgusted by this, and he told me that the MTSO that has their accounts, contracted through the hospital, not the physicians, charges them .15 per line. This MTSO happens to be discussed on this board a LOT. Thankfully, I don't work for them, as they pay their MTs less than what I am making, although not a lot. ;)
Oops, that was meant to be a reply to MTSO, sorry. - anon
[ In Reply To ..]
n/m

MTSO, thanks for sharing this perspective. - sm

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It was very illuminating and helps give a more balanced view of what is actually happening in this industry in terms of both downward pricing and declining wages.

wow-sm - anon

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Your honesty is appreciated. From that information, MT has no where to go except down. I'm jumping ship. At this point, I just want a day shift job where I can leave work at work and say goodbye to the stress and frustration. We are all being screwed, MTSO and MT...

Value - Anon

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speaking of 40% cheaper off shore, I just wonder, does the doctors who are not American get paid 40% less for being a doctor here? Also, doctors actually pay for the service, at least they did in my time, it was automatically taken out of their pay. I hope with the decrease that we are taking decreases from the doctor's pay too.

Thanks for being candid... - justhappenedby

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Thank you for this thread, and many thanks to the MTSO for stepping into the fray and letting us know that at least YOU are not a two-headed monster ;-). I appreciate you making yourself known and voicing the difficulties you are having. By what I'm going to say now, I believe I'll be throwing a monkey wrench in (not in a malignant way - just out of extreme curiosity, and because I still care about the plight of the medical transcriptionist), and perhaps you could respond. My question is? Why should a hospital pay more than 10 cents per line for voice recognition??

Please hear me out as I have to provide a bit of a backdrop - I have been an MT for well over 20 years, and --- worn out phrase coming up ---- 'Back then, it was different.' It used to be that a qualified medical transcriptionist was self-sufficient, in a manner of speaking. Everything needed to transcribe any kind of medical report (difficult or otherwise) was contained in one person - a qualified, experienced medical transcriptionist - there wasn't any overhead to speak of - just a typewriter. If you didn't have the qualifications, you couldn't get a job as an MT. I worked as a private secretary prior to becoming an MT. I wanted to do something different and thought I might like to go to work in a doctor's office, so I took a medical terminology course. After finshing it, I saw a newspaper ad for a medical transcriptionist. Not knowing what an MT was (never even heard the words before) but seeing that it involved medical terminology (and here I was with my one medical terminology course under my belt) and I had several years experience as a secretary, I was confident I could at least be considered. I called and gave them my qualifications -- I was laughed at. Thankfully, at that time, there was a man in Cambridge, Massachusetts (anyone familiar?) who would train people (people who could type and knew English grammar well) to become medical transcriptionists. I took a steep cut in pay but went to work for him, however, I was glad I did. It was a struggle - I would sit down with a lot of reference books and would do actual doctor's dictation (I think in the beginning I typed maybe about 9 pages [PAGES, not reports] a day), but I stuck with it and became a qualified, experienced MT. Furthermore, I loved it. I found it to be very interesting work and it has given me an education I never otherwise would have acquired. I owe a debt of gratitude to that man as do many others - I think at that point in time, he supplied more (qualified) MTs to the field than any other entity.

However, back to my point... At that time, an MT was self-contained (for lack of a better way to put it). We used typewriters, and computers were on the scene, but either way, an MT provided client-ready work. If you couldn't produce a finished product, you didn't work as an MT. There were spot checks, but that was it.

You mostly worked for a hospital or a doctor's office and got paid by the hour, perhaps with an incentive. There were not a lot of Transcription Services, and the ones that were around were usually run by a transcriptionist, there was not a lot of overhead, if you worked at home you had to drop off work and pick up tapes, and the pay was usually 7 to 8 cents for a 55-character line (which was considered the standard sentence length globally (not just for MT) according to the Chicago Book of Style) - not bad 25 years ago.

Quickly, technology advanced and things were being done digitally, so we didn't have to deal with tapes and a lot of MTs could now work without leaving the comfort of their homes - a big step forward. However, in and around this time, it seems the word was out on the street that MT was a money-making proposition, which I believe, looking back, was the turning point, and there were more and more fingers getting into the MT pie. There were more and more MT services run by people who had no clue what medical transcription was, but were big business people with the big, top-heavy mentality. More and more managers, human resources people, IT people. And with the cooperation of AAMT, the MTSOs were putting more rules and regulations (rules about pay, line lengths, etc.) into place. There were some sophisticated word expanders being marketed that were a boon to the transcriptionist, making it possible to produce more transcription in the same amountof time, but instead of it resulting in better pay for the MT, it was a way for the conglomeration to justify cutting the pay for the MT. No longer was it the MT and his/her knowledge... it was all about the big bloated MT services. Also, there was the advent of QA ... for every MT there had to be a QA person. Please forive me QA people, but why does a qualified MT need a QA person? I have been with my present company for more than 4 years and my work is regularly QA'd and I have never gone below 98%, and only once or twice have I gone below 99%. And so the story goes, less money going out to more and more people, now with the MT on the bottom underneath all the layers, who STILL does (or should) have everything necessary to transcribe medical dictation within himself/herself, trying to pick up a few pennies. But unlike the top-heavy management, the the buck stops with the MT, who has to be concerned with more and more difficult (and that's being benevolent - try 'horrible') dictation, choosing correct work types, learning pages upon pages of "account specifics", etc., etc., because if they don't get it right, they will have their pay docked even more.

And, if that's not enough, to top if off, the BIG player comes on the field - VR - which, along with EMR (more pie in the sky) is going to do away with MT completely and make it cheaper for the hospitals - the Panacea. NOT... It doesn't work, and the dirty little secret is that everyone knows it doesn't work. Oh, it works in certain specialized situations, for radiology or for the few dictators who can speak in a pristine manner... but for the most part, people are using it whose speaking capabilities run anywhere from the sublime to the ridiculous (ask any MT, she/he will tell you). So what happens?, it gets jammed in anway, and who takes it in the end? you guessed it. The MT who is now reduced to getting pennies is STILL responsible for the end product, even if it means having to retype a mangled VR report, at slave wages.

And I could go on because there are so many other variables in the equation, such as the bad (and getting worse) quality of the dictation which has never been dealt with - could it be perhaps because the contracts are being hammered out by people who have never even listened to some of the garbage they demand that their workers translate and who promise the client the moon?

So I ask again, why should a hospital now pay more than 10 cents per line for VR... when they've been told by someone selling a VR system that their costs will go down? or when they've been told by a MT service that the MTs will correct all of the report demographics, get all the work types correct, correct billing numbers, search and search for correct name spellings (all for free) and then and only then will they transcribe anything from Albert Einstein to Porky the Pig and make it 100% perfect? I mean, this may be a stupid question so I wish someone would enlighten me. As far as I know, medical records, and with it MT, has never been a money-making part of a hospital, it's been a cost center, so how often can you go to the trough for more money? especially with healthcare the way it's going. And how much less money can you pay a transcriptionist before they finally say I can't do this anymore? Why should someone who provides a (marginal at best) VR platform make more than the person who has to translate or rewrite what is being said and then produce a AAA product? It seems to me that in this scenario, VR is only in the way. And after that, pardon me, but why does a service owner then still have to get a cut? when in the end everything is still predicated on having a qualified, experienced MT to produce the final product?

I mean, at this point in my life, if a hospital wanted to directly contract with me (without a middle person and a lot of other layers getting their slice before me, AND if I got an equal opportunity to do both easy work along with the really bad stuff, i.e., before it has been filtered through) to do their VR editing for 7 or 8 cents a line or more (and I am not being insulted by being offered 2 or 3 cents), I'd grab it. It stands to reason that if MMODAL doesn't have anyone to clean up the transcription for them after its been run through their marginal VR system, then they can charge 5 cpl all they want, but they're going to go out of business if they don't have qualified, experienced medical transcriptionists. And unfortunately, the same goes for the MTSOs, even though some, like yourself, legitimately provide a great service. I think there are going to be a lot more people who have been feeding at the MT trough who might have to "find a new career", not just the MTs.

I've gone way long, thanks for listening. I hope you get the gist of what I've tried to say and will take it in the spirit in which it was meant. I have one and one-half feet out the MT door, but I still care, because "it used to be" a great career.







Bless you! - Old and Tired MT

[ In Reply To ..]
You have read my mind! I could have written that myself! That's why I am getting out of MT altogether. The ONLY way I might even consider doing it any more is if I found a local service or an in house position, but I would NEVER work for any of the big nationals ever again. I have been screwed over by every one I have ever worked for and this last time, it was the last straw! You work extra hours for them, sit in front of a blank computer, work nights, weekends, and holidays, and they treat you like dirt. No more-- they can send it ALL to India if they want-- they just need to remember the old "you get what you pay for". I'm tired of working for less than minimum wage when they run out of work constantly and having to deal with 99.9% of the most horrible dictators who can't even make a simple English sentence. Everything has to be THEIR way. Well, not for me any more. I'm done. Too bad all my many, many years of experience and knowledge will go with me. It's THEIR loss, not mine!

very well said n/m - anon

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n/m

Excellent post! - Another MT

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Your post amplifies what I feel and the sadness I see in the progression of this profession. There was a time when I was so proud to be called an MT, although people now feel we are no better than typists and you see that look on their faces when you tell them what kind of work you are doing. We are not average, not uneducated and definitely very smart and saavy. I started out over 30 years ago, and have worked my way up the ranks to become an excellent MT. My children were raised by me alone as an MT. At one time I made an excellent salary, but right now I do not make even minimum wage and even though I make 9 dollars per hour, I see very little of that with the age of VR. It is demeaning to say the least. There are very few MT companies out there that pay well, supervise poorly and even though they say they need you, they do not back anything up to go along with that. Many of us feel that we have lost the incentive to give 100%, and we have been promised so much, and hired by recruiters who tell us half-truths in order to make us come on board with their companies. Unfortunately, we cannot turn back the clock and make things better. I had hoped that when I turned 65, which I am now, I would be able to slow down or retire, but that is not in my future right now. I sit here night after night telling myself it will be better, but I don't see that on the horizon. If anything, I feel that eventually there will not be a profession like this. I predicted when VR came onto the horizon over 10 years ago, and I do remember sitting in on meetings when they presented this to us, that this was the end of being paid well as we knew it. I wish all the MTs well, and I see myself doing this for many years yet. People my age are supervising now and phased into a different part of the MT world. I would like to advise any young MT starting out to also go to school to learn an additional skill. Again, thank you for your post!


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Every MTSO Should Read This
Apr 22, 2014

It is so frustrating in this industry to work day after day with no hope of ever being shown appreciation or being acknowledged that we are nothing more than an ID number. 10 Reasons Your Top Talent Will Leave You http://www.forbes.com/sites/mikemyatt/2012/12/13/10-reasons-your-top-talent-will-leave-you/   ...


Hiring MTSO's Please Read!...sm
Mar 11, 2010

As an experienced MT, 20+ years, who has been looking for a new position, I am very disconcerted by MTSO's posting available jobs. asking for experience, givng the trite line "compensation based on experience and testing", and then offering insulting rates (7 or 8 cents a line) as an IC AND requiring a schedule!  Number one, this equates to about 5 or 6 cents a line after the IC pays expenses and taxes, not anywhere near what I would expect if experience i ...


MTSO Management? Read This.
Jan 13, 2013

I have noticed my main account going out of TAT recently.  It virtually NEVER did before.  You know why?  Because when you cut our pay and show no appreciation of us, we don't care to give you our free time, work on our days off or jump on when we are not scheduled, anymore.  So you see, your actions have consequences.  Not to mention that you over-staff so work is no longer steady.  And when you've succeeded in running off all the most talented, hard work ...


Job Boards
Dec 09, 2010

I am just finishing up my medical transcription course and was wondering if anyone knew if it is helpful to use the job seeker's board/resume bank on this site? Has anyone ever gotten any responses from it? Thanks. ...


Maybe We Could Split Into Two MM Boards
Mar 16, 2014

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How To Link On The Boards
May 04, 2014

How to easily link to boards here, since links don't "click" unless one does the following. Go to the site you want to link. Highlight it as if you were "copying" it. Paste into Link field here below your note. You subject line will come up in that link and we can all click it. ...


I Think We Need Two Nuance Boards
Jan 22, 2015

Sometimes I think we need two Nuance boards.  One for everyone who is disgruntled and need a place to vent, and another for those of us who are trying to keep a positive outlook can find some encouragement.  The "Gooooood Morning" post a few days ago made me think about that.  It would be good to interact with our fellow Nuance coworkers, but after visiting the board, I am usually upset and rattled by all the negativity...... ...


Why Are There Lines Through Some Posts On The Boards?
Oct 04, 2012

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Any Coding Job Seeker Boards?
Jul 21, 2013

Hi I was just wondering if there are any boards with coding jobs listed on here? I just thought that maybe there is somewhere since they have this coding/billing forum?  Any ideas?? Thanks   ...


What Is Wrong With The Boards Today?
Aug 19, 2014

Nothing shows up. ...


What Other Discussion Boards Are There For Coders?
Mar 10, 2015

I've found a few but they all have very old posts of them.  I alraedy know about the AAPC boards of course.   Thank you. ...


How Come There Are SO Many Messages Posted To The Wrong Boards Lately?
Nov 18, 2010

Messages are appearing on the main board for word help, questions about companies, and those looking for jobs. Messages are posted on the Job Seeker's board for questions about companies.  Is there that many new people on this board that haven't read the guidelines or checked the different boards out before posting or is everyone just in a hurry and decide to post wherever or whatever board they are on? Sorry, people, but I'm in a bad mood today and when I go to t ...


Please Add July And August Tabs To The Other Boards
Aug 07, 2014

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Now I Know Why People Post Questions On The Boards Rather Than Ask Supervisors
Jan 18, 2010

The original company I worked for was sold to a big company and I had loads of unanswered questions.  I would call supervisor or someone who had been in contact with the peeps from my old company and ask away.  Now I find out I have been labeled a troublemaker because I ask too many questions.  I guess I would have been wiser to just come on this board and fire away with complaints, questions or anything else I wanted to know.  I know my future is gone now where I am. &n ...


TTS - Any Comments?
Jan 10, 2013

Anyone have any experience with TTS good or bad?  Thanks!  To elaborate - I am possibly moving from a hospital situation to working for them. ...


No Work Comments.
Oct 20, 2009

There are lots of posts from yesterday about "no work."  Anyone care to elaborate on which companies you are experiencing this.  I am trying to make a change and don't want to go through the same experience again.  Thanks so much. ...


Any Comments On WebMedx?
Oct 22, 2009

I am looking to make a change from MedQuist.  Does anyone know how WebMedx compares? ...


All The Over The Top Comments Regarding Webmedx
Sep 02, 2010

1. It sucks to lose a job, period.  At least 10 million people have gone thru the process in the recent past and none of them liked it. 2. No matter how it was delivered, you would still be upset. I gty you a phone call would have gone this way...."Hello, I am XX from HR and I need to inform you blah blah blah..."  Read from a script with no substantive answers due to today's legal environment and discrimination laws.  Having had the news delivered to me this way in the ...


Any Comments RE Transcend?
Apr 04, 2011

Job searching once again. Got lots of experience, strong on op reports/procedures. I've had my fill of days with no work available. ...


Keystrokes - Comments?
May 18, 2011

I've been looking at the comments on Keystrokes.  Have recently received a job offer and wondering if there are any new developments since the last post I can find (March).  Is anyone working there currently?  If so, how is job volume/flow?  How many lines are you able to get in straight transcription on the DocQScribe platform?  Info is appreciated! ...


QA Comments In FIESA
Sep 30, 2012

So sick of the comments left in the FIESA - I do NOT leave random blanks and always take the time to try and research it in the data base by either looking up patient or physician depending on what I am looking for and then when I cannot find it I leave a blank and then at end of day to see their remark that it WAS EASILY found is truly an insult and a smack in the face.  I DID try and find it and maybe they are more experienced then I am or they may have heard of this physician and how is ...


Landmark: Any Comments? Thanks.
Oct 25, 2012

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Another Physician's Comments On Using The EMR
Nov 23, 2012

Below is a link to a NY Times editorial.  "The advent of electronic medical records has been a boon to patient safety and physician efficiency in many ways. But it has also brought with it a slew of “timesaving” tricks that have had some unintended consequences. These tricks make it so easy for doctors to document the results of standard exams and conversations with patients that it appears more and more of them are being documented without ever having happened in the first pla ...


UGH's COMMENTS BELOW - MEDIATOR
Dec 12, 2012

MEDIATOR, someone needs to take note of "Ugh's" comments below, contemplating suicide.  Surely, that e-mail address could be intercepted and the appropriate "counselor" contact this person. ...


Amphion? Any Comments
Apr 28, 2013

Any comments about Amphion? I feel I'm about to get the boot from MModal and have started checking out other ads. Amphion looks okay for what I want - VR and PT employee status, but their requirement about being tech savvy intimidates me. I can download and save a file, but I'm not good at troubleshooting - I'm an old time MT who started out on a typewriter, so this sort of thing is more out of my realm. It looks like they provide IT help only sparingly. Any comments? ...


Encompass - Thoughts/comments
Feb 23, 2010

Any thoughts/comments on working for the company Encompass? ...