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

MModal bankruptcy - Cries

Posted: Apr 08, 2014

Im an analyst who is following the bankruptcy of Mmodal and am trying to understand the company better on both the transcription and ASR side. I have read that on the transcription side, many of you have seen pay cuts, lower task volumes, increased quality standards and/or outsourcing of jobs. If anyone has the time, would you mind sharing with me when this transition first started? Has it been 5yrs, 3yrs, 1yr, or only in the last few months that things have gotten more difficult for you? Can you quantify for me what changes you have noticed (CPL offered? How much work is available? Changes in quality/accuracy standards?) Are all of your transcript reviewed by QC, or only some of them? On the ASR side, can you please explain to me where your job begins and ends? Do you basically receive a recording and an ASR transcript, then make corrections? If so, how are you paid for ASR work (CPL? Or salaried?)? Do you also do coding for the providers manually, or are EHRs filled out automatically and then reviewed by you? Is ASR work also commonly outsourced to India? Have job opportunities in ASR been growing or shrinking? Finally, do QC employees cover both ASR and transcriptions? Or are they different departments? Thanks so much for your help. Anything you can tell me about how your jobs/roles have changed over the last few years/months would be very helpful! Also, any compare/contrast between Nuance and MModal would also be really interesting to hear about!

You will have to give up more info on yourself - to get answers. (SM)

[ In Reply To ..]
And perhaps an email address or website. A lot of us are a bit paranoid. Even though a lot of us are looking to get out of this abusive situation, we still need a job in the meantime. For all we know from your post, you work for one of the biggies. If that's the case, the implications are vast and potentially detrimental to MTs. I mean no disrespect to you. Please understand our precarious situation and psyches at this moment. Thank you.

Interesting problem. - Cries

[ In Reply To ..]
I can represent that I am not affiliated with any of the organizations mentioned on this board.

However, I am restricted from giving out information of companies we are researching - which includes indicating that we are doing research on them in the first place.

I am not asking you to contact me directly. Are you restricted from commenting on the topics I mentioned in a public/anonymous forum such as this one?

Thanks for your time.

Cries, email me - sm

[ In Reply To ..]
Just identify yourself as Cries from the forum and I will fill you in on a lot of things..Been here 17 years now.

Emailed. - Cries

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Sent. Thanks for your help

Email me too - DKAD

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SENT YOU AN EMAIL, will fill you in if you respond to this.

Didnt receive. - Cries

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I did not receive it. Not sure why.

Either way, I have emailed you directly just now.

Wow ... I guess it's a personal decision but ... - SuziQ

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I'm actually quite amazed that you would offer up your private email address AND your personal experience with MModal to an unknown entity that mysteriously pops on the board asking lots of questions. Aren't you AT ALL concerned that this person could be someone from MModal trying to figure out our identities? Call me paranoid but I honestly think MModal would stop at *nothing* to know who we are, and to get a little inside "intel" as to our identity.

One of the things I love so much about this board is that we can post with anonymity and not have that compromised. Conversing off-board with some unknown party that suddenly pops up on the board asking tons of questions for some unknown reason doesn't seem very smart to me. But that's just me.

You can always use a disposable email address. - SayItGirl

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Not a current employee, but--sm - anon

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some of your questions are pretty much industry wide. It should not be hard to find out how long off-shoring has been going on (for quite a long time), there are likely records or newspaper clippings of when they have acquired companies in India. I know that there were when Spheris (purchased by MM) acquired more businesses in India.

ASR is generally CPL just at a much reduced rate. The industry itself is on a general decline. I was an employee of Spheris. I did not really care about the company name on paychecks so did not immediately jump ship when it was bought. However, I did jump ship when there were weeks of absolutely no work available several months after the buy-out.

Any differences between the 2 companies as it relates to the transcriptionists are relatively minor.

Thanks & Followup Q - Cries

[ In Reply To ..]
Thanks for the reply.

I understand that offshoring is nothing new. The purpose of my questions were to try to understand how much worse things have gotten on the transcription side in recent history. I would like to get a clearer picture of how much/little transcription work is actually going on in the industry now, relative to the past. Is it borderline nonexistent? Has it gotten MUCH worse in the last year than in the previous year? Does the amount of transcription work available continue to decline, or have we hit the bottom yet?

Why do you think that there was no work available shortly after the Spheris buyout? Did something change fundamentally in those short few months, or was it just that they moved all of the work over to their Indian platform?

If it is so easy to outsource to India, why are there still some domestic MTs with jobs at MModal and Nuance? Shouldnt those jobs be literally nonexistent due to the CPL gap?

There can be issues with quality--sm - anon

[ In Reply To ..]
Not all of the work is able to be handled in India. Generally, the easiest stuff is off-shored. Some of the work is lost to facilities using electronic medical records, many routine things like ER reports. ASR also means that more work is able to completed faster and therefore there is less work for people to fight for. There are some hospitals that stipulate in their contracts that they do not want their work off-shored.

For many accounts, the work loads are all over the place and there seems to be no rhyme or reason to it as there was in the past. It was at one time expected to see lower volumes in the summer and around holidays but current volumes seem to be lower for no apparent reason, even when a doctor indicates all the beds in the hospital are full. It is a conundrum. Many MTs have often suspected that the companies over-staff as well.

My assessment of the MT profession as whole is that the work will continue to decline. This will be in part due to off-shoring, another part ASR, and electronic medical records. I think there will be a need for some transcriptionists stateside but that need is declining and there are too many still trying to hold on to their piece of the pie. The pay is no longer equal to the effort required.

I declines I think have been somewhat gradual in the past 5-10 years, the most marked problem has been the ASR and the declining pay rates associated with it. If one was a fast typist, they could do better with straight typing.

Not who you asked - But

[ In Reply To ..]
It's hard to know where the work goes, whether it goes offshore or to point-and-click systems like EPIC or how long it has been going on. We're not really privy to the MTSO's schedule for sending accounts overseas. I lost my primary account to EPIC 5 or 6 years ago, and so work has been shifting away from us for years now. The reason there are still some domestic MTs left is because we do the worst of the worst dictators, poor sound quality, whatever the ILPs can't understand. Hope this helps answer some questions.

It's gotten so much worse in the MT industry in - recent years that MTs are now - sm

[ In Reply To ..]
jumping ship in record numbers. I think the reasons there are still any left in the US are:

- Schools are not up to date on the job outlook.. keep telling students they can have a good career in MT.

- There are still some US MTs who either don't know any better (new to the field) or are homebound due to illness, location, etc. and are willing to accept an aggregious amount of abuse in exchange for the perceived "privilege" of working at home.

- I think the bottom line is there will be no more MT in the US by the time 2015 rolls around. "Point-and-click" EMR programs are making it possible for doctors to just make their own reports, bypassing all forms of transcription - VR or straight typing. M*Modal knows this, and is getting out of MT, and switching over to medical coding. The reason there are still US MTs, especially in a despicable company like M*Modal, is that during the transition they still need some of them.

- The other reason there are still MTs in this dying business is that these companies don't want to pay unemployment insurance to all the US MTs they want to let go. So, rather than laying them off, they're making their lives so miserable that most are just quitting, even though they know they won't get UI. Those that remain are being hounded, nitpicked, threatened and harassed daily, and more often than not, their reviews are bogus, made-up fantasy. One of my former companies used to hand-pick reports with mistakes in them, even if they were years old and already used in other reviews, to do my "random" reviews. This made my score completely under there control. Even if I had 100% accuracy, they had the control to downgrade that to 98% (which by their skewed standards, was a "failing" score). This way, had I not quit there to get another job, they could have fired me with what they perceived to be "just cause", and I may not have been able to collect UI.

Medical transcription as a means of making a living is ending. It will have an adverse effect on medical care through records inaccuracy, but obviously medical establishments no longer care. It's all about greed, these days, and nothing else.

What is equally sad is that M*Modal, one of the most unscrupulous companies in the world, is now branching out into medical coding, which today is a promising field for people to get into, but that is all just about to change in a big way. That's because the greed in the healthcare industry is STILL THERE, and coding is a relatively high-paid field. Most coders work on-site, but gradually more and more are being sent home to save the facility money. And of course we all know where it goes from there. The middlemen (M*Modal and others like it) are poised and waiting for all the direct employee work of these hospitals to be outsourced to them, and once that happens, then offshoring, paycuts, and the same abuse that has been happening to American MTs will start to happen to American coders. Coders are already being trained in India. It's just a matter of time before another good middle class job goes down the toilet.

Thank you again. More questions! - Cries

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Thanks for explaining. I have more questions based on your (and other contributor's) responses. Sorry for being so inquisitive!

Are you ex-MTs or current MTs unqualified to become EHR coders? or is it just that there arent enough of those opportunities around?

I have been reading a bunch of articles on the death of MT, and many of them claim that transcription and EHR can coexist, and even be complementary to one another. Is this not the case? Why not?

Do you have any idea how much coding is outsourced today? Are the coders that you referred to who are working from home still employed by the healthcare facility? or are they being employed by MM and Nuance when they are sent home?

How does outsourced coding work? Are coders simply given a digital recording of the physician's dialogue with a patient, then asked to check the relevant boxes and fill-in relevant EHR fields?

Do you think there is a risk that EHRs will be filled out automatically (similar to ASR) based on digital recordings, thus eliminating the human element completely? Has this software already been developed, and it is being marketed?

Is ASR dying out as well, or are there a growing number of opportunities in ASR? Are transcript simply no longer needed in the average physician office in the US?

Just because something is discounted, does not make it a good value--sm - anon

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There are point and click systems that many physicians use and hospitals too, I believe EPIC is the name of one of the programs.

If I had the money for investment, I would look elsewhere than the MTSO. Hospitals are feeling the pinch financially and while medical records are important, if there is a budget to meet, transcription is an area to squeeze.

Will coding fill the gap for a company like MM? I think it is too early to say but it is like to have some of the difficulties of transcription where the potential for revenue decreases. In your search for information, you can also begin to look at the trend for scribes, another piece of the complex puzzle of medical records.

EHR and MT coexisting - sm

[ In Reply To ..]
I left medical transcription last year after 17 years in the field. Now, I scan papers into the electronic chart in a doctor's office (a new age file clerk).

Personally, I don't think transcription and EHR can coexist. My office runs quite smoothly on EHR and voice recognition, which a couple of the physicians use for short paragraphs.

Unfortunately, many of the EHR systems are lacking in many areas and the records produced by them are pretty much useless to specialists, etc.

I've worked on four different EHR systems and three of them were not user-friendly and the final product was horrible. In my opinion, that's the only reason transcription has been able to hold on this long. If all EHR systems ran as smoothly as the fourth one I've worked on, transcription would be nothing but a memory.

Regarding a comparison of MModal to Nuance, one was no better or worse than the other. The ASR at Nuance required much less editing, but the platform at MModal was much more user friendly. The supervisors at Nuance were mostly non-existent in my experience. Nuance also seemed to run out of work a lot more often than MModal, but the grading scale and feedback from QA/QC were much better at Nuance.

Great context. Thanks for the help. - Cries

[ In Reply To ..]

This is fantastic information, and gets to the core of what I am trying to understand (does this business need to exist?). Sorry that I’m only just getting around to reading it now. I had sorta given up hope and expected the rest of the replies to this thread to be of the tin-foil-hat variety (although I do understand why I may have worried people).

I have some more questions for you based on your responses, if you don’t mind:

Which EHR platform was the winner? Which 3 did you try that were not so good? What were the key differences that made them more ‘user-friendly’?

Am I understanding this correctly: your physicians use the drop-down menus and mouse interface for the majority of their record-keeping – and only occasionally use VR?

Are you physicians self-editing the VR paragraphs?

Who provides your office with VR?

What aspects of EHR platforms make them less applicable to specialists? Are they not fully built-out to include more specialized procedures and conditions?

Do you think specialists would continue to benefit from MM and Nuance’s services? (looks like MM actually has a product specifically for radiology practices)

I will send you an email as well to be sure you see this, as I thought the context you gave was very helpful. Feel free to reply either by email or on this thread.

Answers - sm

[ In Reply To ..]
â�¢Which EHR platform was the winner? Which 3 did you try that were not so good? What were the key differences that made them more â��user-friendlyâ��?

Allscripts is the winner by far. The electronic chart is super easy to navigate and the printed reports look just like transcribed reports.

EclinicalWorks - The doctors had a very hard time navigating it and the report prints out as one very long report, so you might have part of today's visit on the same page as part of last month's visit.

Nextgen - The scheduling and billing part is very good, but the medical records part was difficult as the company seems to have trouble building templates.

Cerner - I was a superuser at my previous office. That meant I taught the doctors and other staff how to maneuver around in it. The chart was confusing and hard to find specific reports, but it was easy to navigate to enter the information. It wasn't horrible, but it was set up to do too much. Basically, the doctor was to enter everything and the system created the codes for billing. It was not always accurate.

â�¢Am I understanding this correctly: your physicians use the drop-down menus and mouse interface for the majority of their record-keeping â�� and only occasionally use VR?

Correct. They use VR for about two or three sentences in the HPI.

â�¢Are you physicians self-editing the VR paragraphs?

Correct.

â�¢Who provides your office with VR?

I don't know.

â�¢What aspects of EHR platforms make them less applicable to specialists? Are they not fully built-out to include more specialized procedures and conditions?

I was referring to specialists receiving reports from referring physicians. The dates and/or providers are often unclear. A lot of times, multiple dates, procedures, and/or tests will be generated on one long report rather than separate reports.

â�¢Do you think specialists would continue to benefit from MM and Nuanceâ��s services? (looks like MM actually has a product specifically for radiology practices)

In an ideal world, transcription would be around for a long time, but as the EHR continues to improve I see less need for it. Even radiology reports can be done with templates with just a bit of tweaking on specific findings.

As much as I want to say this business needs to exist, after seeing the difference in EHR over the past five years, I'm afraid my opinion is that it doesn't.

By the way, it really doesn't matter who you are or why you're asking. They are legitimate questions.

Thanks yet again. - Cries

[ In Reply To ..]
The responses are extremely helpful. I have some questions on something more tangential: coding.

Did any of the offices that you worked at have coding positions, whether they be internal or outsourced? Does every facility 'need' coding employees or coding support - or is this optional?

Can you explain to me what information coders are given to do their jobs? Are they simply provided with a chart, then tasked with looking up the correct ICD codes? Is there more to it?

Is there actually demand for outsourced coding services? It seems to me like coding services may have a good reason to exist - assuming my understanding of what they do is correct.

Coding - sm

[ In Reply To ..]
Actually, my desk is currently in the billing/coding office so I work closely with them. At this point, they code from the electronic chart but when ICD-10 starts, their jobs are going to change drastically. From what my office manager said, only diagnoses that appear in the Impression/Assessment section will be allowed to be used, so coders will no longer have to look over the entire report/chart.

I'm not sure about the other systems, but I do know that Cerner has the codes built in so that when the diagnosis is entered into the Impression/Assessment section, the code automatically appears. If the other systems do not currently have that capability, I'm sure they will before long.

I would suggest you research ICD-10 and see how that is going to affect the process.

Also, insurances are now giving preferred status to providers who meet certain quality standards. It's my understanding that means when a patient looks to see which providers accept their insurance, preferred providers will have a star by their name indicating they meet high quality standards. We are just starting out with this so I don't know a lot about it yet, but it would be worth looking into. IF one of those standards prevents outsourcing, etc., that would limit the number of providers available, as being a preferred provider means more patients.

I'm posting my answers here rather than email because it's important information that I think others may benefit from.

Thanks - Cries

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Much appreciated.

I dont understand why they are going through the process of training outsourced coders if automated coding is the norm, and if under ICD-10 chart-reading will no longer be required.

It seems like the majority of the coder's work will either be eliminated due to complete automation, or it will be vastly simplified (thus, many less coders will be required to achieve the same level of productivity).

The Fluency One suite doesnt look like its helping with the demand for manual coding either.

I am confused by why they started this in-house coding program. All the signs seem to be pointing in the opposite direction.

With that said, I will read more about ICD10 and quality standards for preferred providers.

To make it look like they restructured - sm

[ In Reply To ..]
Right now, coding is still necessary and will be for another year or so. By training coders, it looks like they are restructuring to make the company profitable again, when it's really just a smokescreen. This will buy them some time until Fluency One is up to speed.

Personally, if I were looking at purchasing part of this company, I would focus on Fluency One because that's eventually going to be what this company is all about. It might actually be worthwhile to get in on the ground floor if that software can compete with the others that are out there.

I hope I've been able to help with some of my answers.

While I do agree with - some of the statements above,

[ In Reply To ..]
I think that anyone doing a serious "analysis" of the MT field would have to dig much, much deeper than getting the opinions of a few (often disgruntled) MTs on a message board.

I work for a small company, never run out of work and the pay is still fairly reasonable (although certainly nothing like the glory days). I don't claim to know what's going on in this industry other than it pays less. When I look at the help wanted board, it appears that there are still some companies out there doing at least VR MT so not all have gone overseas or to EMR. Now with MM possibly going belly up, this number might even get larger.

My wish is that we would have a real journalist researching and writing a book about what's really going on this industry.

Some Other Things - Alias

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Don't forget the cc's and ADT fields that have to be researched and filled in, all without pay. Also, the double standard that's set up between the U.S. MTs and the India MTs as far as quality. There's also the questionable HIPAA violations by even allowing medical information to be sent to other countries. This is just the tip of the iceberg as far as the ethical games MTSOs play with their MTs here in this country.

One has to start SOMEWHERE. What better - place to begin than with actual MT workers? nm

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I Agree - Cries

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That was my thought process.

I am limited to public information, and I am finding that the information published by MModal on their operations is lacking. Im having a hard time determining if there is any value left in this company, and I figured you guys could help give me a clue!

Cries - What exactly

[ In Reply To ..]
is your objective?

Objective - Cries

[ In Reply To ..]
Fair question. In simple terms:

My primary objective is to understand the business as well as the employees/managers do. This is proving difficult, because I am starting with exactly 0 knowledge of the MTSO business (but I will get there).

After that, I will form an opinion on whether or not this is a business that is worth owning after the bankruptcy is over.

If I think it could be valuable, then we will consider buying a piece of the bankrupt company today, in hopes that it will appreciate over time.

I asked my questions with the goal of understanding how much I should be willing to pay today, and how valuable the company might be tomorrow (or in 12months).

A good - answer

[ In Reply To ..]
and most probably, honest answer. I did get that impression as your questions went on. Email me your questions, along with your timetable and I will answer as many as I can.

Thanks - Cries

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My timetable is flexible. Keep in mind, I am learning trying to learn as much as I can about MTSO and how the business is changing. This will take time.

I will most definitely have more questions over time.

I have emailed you the latest round of questions (which are also included above).

That's HILARIOUS! - anon

[ In Reply To ..]
So let me get this straight ... you're going to base your business decision of whether or not MModal is worth owning, on the opinions and input of a bunch of disgruntled and pissed off employees on a message board? You're kidding ... right?

Something about you STINKS. My radar is beeping like crazy right now. Anyone who speaks to this person any further either on board or off board is out of their mind.

smells odious - coming

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to a chat board to determine whether or not to buy a huge company? Don't think so. If you believe that, I have a sacred cow to sell you.

Maybe it - is

[ In Reply To ..]
Thurston Howell. Otherwise, he would have a crack team of lawyers to gather the info, rather than Mr Moneybags himself.

He is the lawyer - or the

[ In Reply To ..]
lawyer's assistant. I knew that from his answer. Moneybags would never think of contacting those who actually work in the field, that takes savvy.

Never never never would someone "official" from the corporate office send a lawyer here - anon

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... on official business. NEVER. My husband is in business management for a company in Silicon Valley and there is no way on earth anyone associated with a higher up in a company (attorney or otherwise) would ever come to a CHAT BOARD on official business. There is a very tight protocol they are instructed to follow and visiting chat boards to get information from employees would never happen - ESPECIALLY for information regarding the purchase of a company. Sorry. This person is a fraud.

right on right on - Matthew

[ In Reply To ..]
nm

Lots of value here still - SM

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There are a lot of happy HDSs and SHDAs (formerly known as MTs and QA) here at MM. Most of us don't post on this board though because it seems to upset everyone that we're happy. Please keep that in mind when readings these posts. Thanks!

Agree! - sm

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Happy here. :)

What do you do? - Cries

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Out of curiosity, what are you doing at the company that makes you happy and meets your needs?

SHDA aka QA - nm

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nm

because - MTs have no

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idea about the financial dealings, contractual obligations, equipment costs, etc., that someone who actually wanted to buy the place would want to know. Not "what do you like about your company?" But if it strokes your little ego to think someone is interested in your opinion, continue on!

Another attempt at an explanation - Cries

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In response to the above comments , and this one...

I am not interested in getting financial details from you employees. I am capable of doing that myself.

However, financial statements are just that. They lack context, and fail to explain what is going on in the industry/company behind the scenes.

I follow bankruptcies regularly, and often need to understand the companies/industries better than what the limited disclosures of a company in chapter11.

This often forces me to contact employees, ex-employees, and other industry experts/insiders.

Sorry, you would never do that on a message board - anon

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There is a very specific protocol followed for that kind of interaction and message boards do not fit that criteria. I'm not sure who you are exactly, but I KNOW you're not related to the purchase of MModal. You might be a member of the media snooping around to get "insider information" about the bankruptcy but everyone here knows that if they are found to be speaking to the press in any official capacity they will be fired on the spot.

I would suggest that if you're "analyzing" MModal's viability in the marketplace to make your decision about purchasing the company that you follow the appropriate channels like everyone else does and speak to the appropriate administration and management within the company.

Actually... - Cries

[ In Reply To ..]
Im not a big-shot trying to purchase the whole company. That would be extremely different.

Think of me as someone who is considering buying a small part of the equity for a fortnight. Its no different than buying shares in the stock market (just a bit more confusing and specialized due to the chapter11 status)

That's not exactly what you said in your earlier post - anon

[ In Reply To ..]
Copied and pasted from your earlier post:

"Fair question. In simple terms:

My primary objective is to understand the business as well as the employees/managers do. This is proving difficult, because I am starting with exactly 0 knowledge of the MTSO business (but I will get there).

****After that, I will form an opinion on whether or not this is a business that is worth owning after the bankruptcy is over.

If I think it could be valuable, then we will consider buying a piece of the bankrupt company today, in hopes that it will appreciate over time.

I asked my questions with the goal of understanding how much I should be willing to pay today, and how valuable the company might be tomorrow (or in 12months)."****

FRAUD ALERT. Anyone who speaks to this person either on board or off board would be walking into a huge set up. I just haven't figured out what kind yet or what this person's MO is.

Umm, sweetheart, I hate to point out what you have quoted - but it did say....

[ In Reply To ..]
"....consider buying A PIECE of the bankrupt company...."

He did not say he wants to buy the entire company.

Just wanted to point that out.

I never said he wanted to buy the WHOLE company - anon

[ In Reply To ..]
And only a guy would ever degrade a woman by calling her "sweetheart" in such a patronizing way so that tells me that my instincts are correct - you're a fraud, "sweetheart". You've just been outed.

I'm neither a guy nor the OP! - sweetheart

[ In Reply To ..]
I call everyone sweetheart. Didn't mean for it be patronizing, but I can see how it can be read that way. Sorry 'bout that.

Carry on.

"a small part of the equity for a fortnight" - Where are you from, Cries?

[ In Reply To ..]
We don't use the term "fortnight" much here.

you people are - so easy

[ In Reply To ..]
how exciting. another clue. Fella said fortnight. Intriguing huh.

What is wrong with asking where he/she - is from?

[ In Reply To ..]
Easy this

nothing is - wrong

[ In Reply To ..]
I think this is someone (possibly from the company) just yanking your chain. I imagine a couple of people gathered around the screen yukking it up at the naivety of the earnest replies.

Agreed - anon

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Wonder how many genuises fell for it hook line and sinker and actually responded off-board? Sheesh.

Mine was the first post directly under Cries. - sm

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I smelled a rat from the get go. As I was seeing this thread evolve, I began to doubt myself. As of this moment, I have no doubt that my gut instict was right initially. No good can come of this.

Please include the corporate greed aspect in your analysis. - sm

[ In Reply To ..]
The health care division of Nuance is most profitable. The CEO of Nuance made $37 million in 2012. Part of the way he did this was to steal the money from the MTs by slashing their pay 40%. People have lost their homes and everything they own because of this greedy man. There have also been serious medical issues with a lot of MTs. Please peruse the Nuance board going back many months as you will find a wealth of information there.

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Not to stomp on someone when they are down....but WOW! You mean with all the outsourcing and cutting pay, you STILL cannot pay your bills M-Modal??? I was really surprised to see this in the mail today. Almost threw it away when I saw it because it looked like junk mail. Glad I didn't. Unbelievable. But I imagine they are not filing Chpt 13, just getting a fresh start. Best of luck to all my former sister and brother MTs there! Wow!!! ...

Mar 10, 2014

Just got an e-mail from Glassdoor about "new jobs for medical transcription" and the first one in the list is M-Modal for acute care MT 3 days ago. How could they do this if they have filed for bankruptcy? Or is this just an automated posting for new MTs? ...

Apr 06, 2014

I am curious about this. Are they just reorganizing or going out of business? ...

May 03, 2014

Does anyone know why I am receiving notifications of this process when I no longer work for the company? Are past employees filing claims against the company? If so, for what exactly? It appears to be a reorganization of the company and not a dissolution, which is good for those still there. Just curious about what's going on. Thanks! ...

May 12, 2015

It's been my experience that when there's a deluge of work all at once to be finished up, it's because the hospital/company is about to switch gears, with the MT suffering the most. I'm not financial savvy, but I wonder if this latest MOT stuff is related to the recent bankruptcy, that possibly the reserve money to pay the MTs is running out, so the company is about to go under or sell out. Something's up for sure. ...

Feb 16, 2010

Today I received 2 letters advising of Spheris bankruptcy. I want to know if this went out to all employees and ex-employees (like me). Anyone know why we got these letters? thanks ...

Feb 18, 2010

Gonna lose the car. Thank God I work at home, but it still sucks. ...

Mar 08, 2014

Wall Street Journal M*Modal Preparing to File for Bankruptcy Wall Street Journal M*Modal is in discussions with its creditors on a prearranged restructuring plan that would streamline its trip through bankruptcy court, these people ... ...

Mar 21, 2014

http://www.healthcareitnews.com/news/mmodal-files-bankruptcy-protection?topic=76,02,08 ...

Apr 02, 2014

Got mail entitled "IMPORTANT LEGAL DOCUMENTS ENCLOSED", and its the legal filings and info on the Chapter 11, as if we, the employees, are creditors??? That makes me WAY WAY NERVOUS, as if I wasn't nervous already. Any thoughts? I flinched at the email that brought up we "would be paid". Now I'm freaked. Been with companies before that went BK and NEVER was included in the legal papers. ...

May 06, 2014

What the he** are we supposed to do with this paper I received today. It is asking how much my claim is, how the h*** am I supposed to know. Am I just to guess or do I need to take this to a lawyer. I can't figure this stuff out. So frustrated. ...

Mar 09, 2014

LOL ...

Apr 15, 2010

MedQuist Inc. is set to buy bankrupt medical transcription firm Spheris Inc., sources confirmed to NashvillePost.com this morning. The New Jersey-based company came out on top in the race to buy Spheris' assets, beating out competitors Transcend Services and Nuance Communications in an auction that apparently lasted through Wednesday night and into this morning. It is unclear this morning what price MedQuist (Ticker: MEDQ) will actually pay for Spheris. Transcend offered $7 ...

Mar 10, 2011

I got caught up in the ARM back in 2004 and 2005 and when it was time for my mortgage to adjust, the rates were higher, and my payment jumped to almost 900.00 dollars a month, and while that may sound low to some, how about at the same time, regular transcription went to VR, and companies started outsourcing, and my transcription pay went from about 45,000 a year to 29,000 to 30,000. I finally found a stable MT position at a local hospital, at almost 17.00 an hour, and while it is a good s ...

Nov 07, 2011

A few weeks ago, I wrote a post on the company board that STAT-Copy Technologies is over 2 months late paying me (over $2500). A week and a half ago, she had sent me an e-mail saying she sent a check, which I have not yet received as of today. I contacted her again to let her know I had not received any check. I told her I was tired of messing around and begging for my money and she would hear from my attorney. Well, she just e-mailed me and told me her company is filing ...

May 19, 2011

and noticing that it is really not doing a good job lately. I've not usually had problems with it when it comes to regular English-speaking doctors, but this week it has been a mess. It is either not putting in entire sentences or putting in off the wall stuff that sounds nothing like what is being said. I've come to expect that with ESL, but certainly not with English as native language. Weird. Must be taking some time off for MT week. ...

Feb 13, 2012

What is MModal company? General typist edit company or Medical transcription company? This question is bugging me ever since this ASR took over from us.. LOL to wrap it up.. ...

Apr 30, 2012

MModal asks for your SS# on the application process of applying for jobs there!!! Thanks to some of you, I ran ran ran from this place. When I inquired about how uncomfortable I was with sharing my SS#...I was told to just use any number. WHAT?!!? Then why have it there!!! Who in their right mind would give their SS# to a company that hasn't even hired them yet. I agree with the rest of you. RUN SALLY RUNNNNNNNNNNNNNNNNNNN ...

May 24, 2012

Why is MModal posting job openings, when so many of use are running out of work or worse falling into the pool--what with the pay cuts, VR being paid half even though it takes nearly as long to edit most reports, and the fact that I only get my "primary" accounts about 30% of the time and the rest of the time I am typing from the pool so that nearly every report that comes up is a new facility or dictator, I have gone from making $16 an hour to minimum wage. I cannot afford this. Why can' ...

Oct 02, 2012

nm ...

Oct 17, 2012

nm ...

Oct 23, 2012

I just saw that MModal has a tier 3 level where VR is 6 cpl. Thinking is it worth it to move over when you top out at 4 cpl for acute care here. ...

Jan 03, 2013

Would someone mind briefly explaining how the QA penalty works for MModal? ...

Jan 22, 2013

I see so many complaints about MModal. Does anyone actually like them? I'm in the hiring process and they are calling with an offer. I would like to try it out. I work in-house now, but eventually my position will be eliminated due to VR. I do not make that great of pay, and have lots of down time, but still have to sit in the office all day. I know that all companies have their ups and downs. My hospital being Union makes doing anything impossible and makes it easier to keep the "bad ...

Apr 12, 2013

Well, I suppose any transciption job would do the same. Before this profression, I was a good little girl who would never swear or cuss and even chastised others for doing so, but since becoming an MT (especially with MModal), with all these horrendous dictators and this buggy platform, if you listen from outside my office, you'd think someone locked a surly sailor with Tourettes in with me. I've called dictators names that would make a construction worker blush. I al ...

Jun 26, 2013

How long after being hired to get health insurance? I am currently with Nuance, my ex, who provides health insurance for our son just got laid off and lost health insurance. Our son has antiphospholipid syndrome., he is chronically on Coumadin, and he cannot go without health insurance. I cannot afford $735 a month to cover him and myself working at Nuance. Thanks ...