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


To MTSOs: Pay your workers a wage they can live on, - preferably by the hour, not on -(sm)


Posted: May 12, 2011

"production", and watch quality improve. Or, if still determined to pay on production, then acknowledge overtime worked (you know we do it, you just don't want to acknowledge it, or pay for it), and increase cpl earned beyond 8 hours. Offer higher cpl for years worked for your company. Reward loyalty, and your workers will continue to be loyal. Blow them off, and they'll blow YOU off.

Pay MTs more per line for typing horrible-quality voice files. Pay them more for ESL doctors and even native English-speaking mumblers. Then grow yourselves a pair, and CHARGE THE CLIENT MORE for more difficult work! Charge more for STATs! Charge more when the client is inflexible about switching to your company's general format, instead of bending over, grabbing your ankles, and letting every single freaking doctor in every single freaking account do things his very own little pompous A$$inine way.

You want faster turnaround? More quality? Fewer mistakes? Higher customer satisfaction? Then instead of treating your MTs like DIRT, try treating them like the hard-working human beings that they are.

Do any of you even realize the wealth of INFORMATION you have available to you in your MTs? No, because you never listen to a word they say. If MTs had more input about the things in the transcription process that affect them directly, both in productivity and pay, you and your software techs would likely be able to build a leaner, meaner, smoother-operating system. That might mean saying "no" to the primadonnas you call clients, when it comes to allowing 400+ individual job descriptions for each and every client, but they'll get over it, especially when they see that their work is coming back faster, more correct, better-looking, with fewer blanks.

You all know just as well as anyone that YOU GET WHAT YOU PAY FOR. Pay a little more up-front, and reap the benefits in more savings (and better, more prestigious hospitals as clients) down the road. But if you pay cheap, then all you're EVER going to be able to turn out is a CHEAP PRODUCT.

The better, more prestigious hospitals that you mention often pay the least. sm - Ex-MTSO

[ In Reply To ..]
They also often don't care about sending work offshore and push for back-end and front-end VR. They use transcription as a commodity, and they go with the lowest bidder or the loudest voice.

When I had a service, I wanted to do all those things. I actually did most of them, paid a good wage, covered downtime, paid overtime and gave raises. Guess what? I was going bankrupt, literally, and a bigger company offered me a decent price for what was a quickly-failing company. It was not poor management either; it was the pressure from hospitals and clinics to charge less, the loss of income from Dragon and the inability to morally convince myself to send work to India.

Good luck finding the Emerald City. Too bad the Wizard is a fraud.

What a RUDE answer. Not surprising, coming - from one of the lizards, themselves....

[ In Reply To ..]

Why is reality always considered rude or a suit on this board? - ex-MTSO, now an MT again

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I was being honest. I gave my all to building a good company for 10 years. My employees were very happy, but it was not sustainable. We all need to be realistic. The MTSOs don't decide the prices and have no control over them.
Your answer was not at all rude but unless - one is a "YOU GO GIRL!" responder
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his/her reply is not welcome on this thread and will be attacked as coming from a suit, liar, or just pain ignoramus.

Tums (or popcorn) all around as this thread moves along.
Thanks, Ex-MTSO for intelligent and honest input. My MTSO just - lost my #2 account to offshore, and
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I'm pretty sure we were doing everything we could to keep that hospital happy. The quality of SR sent to us editors was very low, requiring very extensive editing. My LPH were below those of my other accounts, so I feel I was certainly doing more than my part to lower their costs, but that wasn't good enough.

The idea that MTSOs these days can just put prima donna clients in their place and start paying us more is absurd. A little facing up to reality is in order, unpleasant as it may be.
MTSOs should've stood up to greedy hospitals - long ago. They made their bed, -sm
[ In Reply To ..]
and when the transcription they produce continues to go down the toilet, quality-wise, more likely than not, more changes will come along down the road that put them ALL out of business.

Would any of us still have a job if that happens? No.

Would I still reap intense enjoyment out of watching them all circle the drain? You betcha.
Don't you GET IT YET? NOBODY cares about quality anymore!! - QualityIsPasse
[ In Reply To ..]
While yours is a good post, and I agree with every word you said, unfortunately all of that was applicable 10, 15 years ago but NOT TODAY.

NOBODY cares about the quality of the transcription; I am even seeing physicians not caring! (the older ones still do) As the BEANCOUNTERS have all the control now (they don't care what docs want or think anyway!), it's all about CHEAP. If that were not the case, then we wouldn't be watching our work being offshored.
No quality in medical care anymore, either, even - though the cost is through the roof.
[ In Reply To ..]
And look at the products we buy. Just about everything in my house that barely works (PC, phone, toaster oven), falls apart (clothing, coffee mugs, ballpoint pens), or poisons us or our pets if we eat it, has "Made in China" stamped on the bottom.
I was being honest. From a worker's point of view. - MTSOs mostly are NOT honest.
[ In Reply To ..]
And therein lies the problem.

Take a good look around the entire country. People who get very, very rich NEVER do so by being honest, or by doing the right thing. They get rich on the backs of those they grind into the dirt.
What a crap comment - mtmt
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IMO, to make this sort of blanket statement just shows how clueless you really are. Walk a mile in the shoes of an MTSO and THEN talk about honesty.

It just becomes more clear as I read here why some MTs are being pushed out--- and should be.
Followed by your cr@p reply. On which I rest my - case about all you slithering MTSOs.
[ In Reply To ..]
.

I agree with both posts. However, when I - read on here yesterday SM

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that the CEO of Transcend was making close to 1 million a year, including stock, bonuses, etc., it made me sick. The original post is dead on correct, and many of the MTSOs do have to underbid to get accounts. However,there is that big BUT...that I just referred to.
That is not even the CEO, it is his COO. sm - Need to look at it closer
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Her stock option money (400,000+ per year) was part of her sale of MDI Florida, I am sure. This is fairly common with publically-traded companies.

I would bet he makes more than she does!

I also would bet that most CEO's or COO's do not make that much.

No, rude is the post they repled to - see message

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I'm not an MTSO before you go accusin cos that's just the norm here - disagree with someone and we'll call them a "suit" Sort of like that "racist" thing.

First, I read the OP. It was VERY VERY rude. First thing I thought is boy has she got a bug up her you know what.

If the poster has a problem with her MTSO she needs to address her supervisor personally, but to come on the board and act as though every MTSO/supervisor or whatever they are called falls into the rant she went on about is just plain wrong.

People like that is what is going to really tick off the companies who hire and say forget that, well send the work overseas and won't hear any complaints.

Before someone comes on here and shoots off their mouth as though her situation is the same for every single MT in the country they need to think twice about shooting off at the mouth.

If you don't like your job then be proactive in your own life and do something about it.
Anyone who isn't aware that there is a huge class - war brewing in this country, - sm
[ In Reply To ..]
is in all likelihood breathing that rarefied air of ill-gotten wealth. If calling one of those oinkers a "suit" is somehow "racist", then what exactly should we call their treatment of women, which by some odd coincidence make up the majority of medical transcriptionists in this country?

Just because you obviously are working your Dream Job, doesn't mean we all are. Most of us are working The Job From H*ll, and it just keeps getting worse. Many of us USED to have those rosy Dream Jobs at one time or another. Until they either got outsourced, or offshored, or worse, sold to a huge, small-MT-gobbling, Pac-Man-esque mega-MTSO. If you think you can't end up in the same boat, then you obviously don't hear the waterfall up ahead.

Apparently you lack a mirror - ME

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Your response was the rude one. Name-calling (lizard) was a cheap shot.
Sorry, I was just being nice. - OP
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Not rude at all. I worked for a small MTSO in the upper midwest. - see message

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When it came time for contract renewal with the largest hospital accounts, the hospital showed her quotes from other competitors, including offshore MTSOs. They didn't care about the longstanding relationship they'd had, or the quality work her company had done for the hospital. It was a bottom line decision. She gave them a lower line rate, and our pay went down. She could not stay afloat and finally sold out to a company based in Islamabad. And I lost my job.

The MTSOs, large nationals or small mom and pop business are under huge pressure from clients to offer faster TATs and higer volume of reports at ever decreasing prices. That gets passed on to us. Or, the work goes offshore.
if you pay cheap, then all you're EVER going to - be able to turn out is a CHEAP PRODUCT.
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Obviously, it bears repeating.
Obviously, your logic is still off nm - ME
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nm
Like the quality of MTSO-produced medical records? - Because that is WAAAYY off.
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same thing happened to my small MTSO in CA - anon
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My MTSO was a small "mom and pop" place, but with several very good local accounts, a hospital and a university center. Bottom line is that she lost both to offshoring because she would not lower our line rates and she could not come close to those bids without significantly reducing our rates. She tried to take the high road and she lost her company. Things aren't always so "black and white" as some see it.
Do you think the hospital is gonna take all that money - they saved by going with the - sm
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cheap MTSO, the one with the inferior product, and put it back into better healthcare for their patients? Nuh-uh.
I'm sure you'll find those "saved" dollars tucked into the pocketbooks of all the pin-stripe people on the top floor.

Wasn't It the hospitals who sold us out to begin with... - cindyoh

[ In Reply To ..]
in the name of saving bucks, not wanting to pay our insurance or upkeep. Yeah, I know we wanted to go home to work but seems it would have been best to keep us all local in the long run. Still hoping for a turnaround before I retire but it's probably fruitless.

They did, but only were able to because the MTSO - tempted them with cut-rate transcription.

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(They just failed to mention in the contract that the work was going to be 3rd-rate).
Offshore MTSO started the low rate wars. Not initiated by US MTSOs. - nm
[ In Reply To ..]
nm
The use of offshore MTs was initiated by MTSOs, - not hospitals. MTSOs just wanted - sm
[ In Reply To ..]
to beef up their profit margins so the suits could get those obscenely high salaries. Those salaries had to come from somewhere, and since they all lack the guts to stand up for the integrity of their product, the transcribed medical record, they instead cut their workers' pay. To make that easier for them to do, they went running off to 3rd world countries that have no problem with underpaid, sweatshop labor. Yes, they've all got their dirty fingers in the pie, but the ones who made it happen, who ENABLED the financial raping of the American Medical Transcriptionist, are the middlemen. The MTSOs.

Tell It Like It Is! - Bettie_Bgood

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Thanks for rockin' Bettie's world tonight. I'm with you all the way - great manifesto spoken from the heart.

Like it is? - LMJ

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I think BB and TU like to come on and tag-team.

The OP was rude. Could you imagine paying home MTs by the hour? Want to see production DECREASE? Because I'm sure that would be seen immediately.

Everyone in MT is in it to make money. If you are NOT making money, then you need to reassess your choices and make some hard decisions. Just like MTSOs have to make, so do MTs.

I agree, but more cents per line wouldn't hurt. - then we could afford better care for our own and o

[ In Reply To ..]
Starving people out of the profession is not the way to go, yet as it is, only the mamas out there that married money can afford to live on what is paid nowadays. I suspect that is the plan, though, so you can justify sending everything overseas, because no one in the US in their right mind would work for that wage.

Again, the capitalist way is failing the people.
The "capitalist way" isn't just failing the people, - its ruining the entire country.
[ In Reply To ..]
Why? Because this isn't honest, work-ethic-type capitalism at work here anymore. It's greed, lies, cover-ups, labor law violations, line counts and payrolls that don't add up to the same amount, offshoring, obscene profits, selling a company's soul to stockholders and the Market, stealing, paying off politicians, and all sorts of other kinds of skullduggery. I don't think the slimy mess we call "business", or "capitalism", or "consumerism", or "trickle down theory", or anything else they want to call it is exactly what our founding fathers had in mind when this country's economy was in its infancy.
Capitalism breeds corruption. Period. NM - ME
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,
And socialists countries aren't corrupt? ROFL - Historian
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ROFL
Face it - most of humanity is corrupt. - Especially in this country.
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except that above, you appear to be defending the - MTSO. so my guess? youre one, too.
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It's been done successfully before, so why not again? - That old "work harder" mantra is SO lame.

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It's what they keep telling us to do, as they lower our cpl every closer to zero. At the rate they're going, the whole system is gonna implode, chicky.

I wouldn't mind a lower wage if they supplied the work, and - gsh

[ In Reply To ..]
I was not sitting there twiddling my thumbs for hours on end, fighting for work. Spending 12 hours a day on an amount of work I could have accomplished in 6. Also, I am sick to death of applying for these posted jobs, I apply, fill out the application, get an e mail saying congratulations, I passed their test, they will put my app on file for six months and never hear another thing. And, if I get one more telemarketing call from someone with an Indian accent, I am going break something.

If wages keep going down, and ESL's and dufus- - inspired MTSO software continue - sm

[ In Reply To ..]
to proliferate, it won't matter how much work you have. At what MT pay already is now, let alone what it's likely to be in a few years, there won't be enough hours in a 24-hour day to make enough money to live on.

What part of capitalism is confusing? - ME

[ In Reply To ..]
I don't disagree with your basic premise - but hopefully you feel better about this rant because that's about all the good it will do.

You really should try to better understand the system Americans have embraced: Capitalists will always try to increase profit margin for their investors at the expense of the workers.

It's called modern slavery.

That's not to say that there are exceptions to the rule and that ALL MTSOs are the same. You also should read up on supply and demand: When the supply is greater than demand, they have the upper hand with regard to wages, benefits, etc.

I find it interesting that you don't mind being a slave. - Not my idea of a good economy, capitalist or not.

[ In Reply To ..]
So many people are willing to just roll over and die at company command.

So, let me get this straight: As long as you're on - the top of the heap pay-wise, then -

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every way you find to screw your employees to get there is alright?

Well you dont have it nearly straight - ME

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This post says you are replying to my post. I have NO employees. I am an MT. Perhaps you failed to understand the meaning behind my post.
What "MT" defends big business these days? - Especially big MTSO business?
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And it WORKED for 200+ years! - Analyst

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Capitalism worked GREAT for us for over 200 years.

What we are witnessing right now is merely a BLIP in the big picture. It is also the culmination of destructive economic policies for the last 30 or so years of "free trade." There is NO more protectionism in America as there should be. In addition, the losses are being underwritten by U.S. taxpayers. In short, this is perversion of true capitalism -- capitalism run amok, or GREED capitalism.

Here, here! - That is so true!

[ In Reply To ..]
I think they call that fascism. That is what has happened to our industry and why we are getting paid beans now. Greed is the new way to do things. Unfortunately, anytime you sow such seeds, it comes right back at you, which will also bite us in the bu$$, too, so we get it going and coming.

You really do not get it. No analyst you. - ME

[ In Reply To ..]
First of capitalism has not been around for 200 years. Secondly, it has NOT worked for what number of years its been around *except* for those with the power and money.

Capitalism IS NOT THE SAME AS free enterprise. This is where I think you are confused. Please do some homework on the issue.

Capitalism breeds corruption, so it is in and of ITSELF bad.

UNLESS of course you *like* modern slavery.
Our system is CAPITALIST. - Analyst
[ In Reply To ..]
Our system is a CAPITALIST system, and it always has been. It's not socialist or communist.

Sit in any Economics 101 class. You may learn something.
Our government is a plutocracy, rule by the rich. - No longer capitalist.
[ In Reply To ..]
Why do you think no politicians will touch Wall Street.

Our nation is not capitalist. Capitalism was just used to pander the rich class and is a word used to deceive the middle and lower classes into believing they have the same chance as everyone else.
Lexicon 101 - Analyst
[ In Reply To ..]
You're mixing up terms.

No argument: we have a plutocracy. But that has do to with government organization. The discussion here was ECONOMIC SYSTEMS. Plutocracy is not -- and never has been -- an ECONOMIC SYSTEM.

Sounds like you would benefit from an Economics 101 class too.

Modern or not, slavery is WRONG. - !

[ In Reply To ..]

Underpaid MTs - Varesa

[ In Reply To ..]
Wow! You said what many of us are thinking and said it so well!!

I also hear these companies bending over backwards to save money for their clients out of fear of losing an account, and we all know who pays; the MTs. You are absolutely correct!

Probably repeating something from below but.. - flyin fingers

[ In Reply To ..]
I haven't read all the threads below but just wanted to throw something out there regarding hourly vs. production pay.

I have been in this business for 20 years and have been paid by both routes.

Based on my own personal experience I have found that production pay is better for both the employer and the employee. Hourly wages have (in my experience) basically promoted laziness and milking the clock. Very little gets done except for non-work stuff.

However, when I went to production pay and the employer also gave us small production bonuses (with reasonable quality control guidelines) a lot more work got done and it was quality work. The workers were more motivated to work their full shifts as scheduled and were rewarded for their quality and production with a little extra bonus.

Unfortunately, not everyone is going to make the bonus tiers but at least it gives people something to work toward.

However... take away the bonuses and production is going to fall again. People do not like taking a pay cut, even if it is just in their usual bonuses. We especially dont like it when they take our bonuses AND cut our pay so.... yeah, my production has hit the skids over the last year or so because both of these things have happened to me. YUCK

Maybe the answer is in the middle: A base hourly rate - combined wiht ATTAINABLE production-based bonuses.

[ In Reply To ..]
NOT the impossible-to-reach, carrot on a stick that most employers dangle in front of us.

I especially hate the "overtime pay" that is based on reaching a certain impossibly high line count within a certain time frame, once you've gone into overtime. You bust your ** trying to reach it, but of course, just miss it because you "conveniently" either get the worst dictation files ever, or else you get lots of NJA within your OT time frame, and then you get no OT pay or bonus.

This homie don't play dat game no more.


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Saw this ad posted here, but the training is on site in Michigan -- 9 cpl for SR?? Wow!! http://forum.mtstars.com/472346.html ...


BTxt Hospital Account Go Live
Apr 09, 2013

Anybody know which hospital accounts are going live today?  Just curious.   ...