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

Are there any American MT companies(no outsourcing), is so, who are they? - Lee

Posted: Sep 29, 2010

Is there a list of American MT Companies who do not outsource?

You mean offshore, not outsource - sm (rant)

[ In Reply To ..]
There are a few out there, I can't remember which though. I remember it being posted on their website as No Offshore Work, or Offshore MTs need not apply. It's good to see this, but I have a feeling they won't be in business too much longer as they have to compete with other companies who do offshore and can charge much less. Unless a miracle happens and something is done about this offshore business (personally I think companies that offshore should be taxed the same amount or a little more than they are saving by offshoring), I think the MT field is a sinking ship.

Since everything must be EMR soon, it doesn't help that hospitals are being told that EMR means that all the physicians/nurses have to learn to use that automatic interface thing by a certain date. What some don't understand is that all EMR means is that medical records need to be electronic, aka stored in a database. Whether we type them or it is done automatically doesn't matter. EMR just means no more paper charts.

Sorry-yes-offshoring--Wow MT really is dying isn't it? - Lee

[ In Reply To ..]
Sorry-yes-offshoring--Wow MT really is dying isn't it?

2 of the top 10 companies do not offshore, and both are doing well. sm - TiredFingers

[ In Reply To ..]
I think it as the opposite of your post; I think that the ones that do not send work offshore will do better than the others as many, many hospitals refuse to do business with companies that do send the work offshore.

I agree about EMR. It does not mean that we will not be needed; it just means that the records have to be electronic.

You are fooling yourself. Your statement about - many many hospitals

[ In Reply To ..]
refusing to do business with companies that offshore is so far off the mark. They are demanding offshore rates and don't care (and yes, they have to have knowledge and agree to offshoring the work through the MTSO). When hospital budgets are cut, transcription is a huge line item that gets slashed.

I'm certainly not saying it's right, but it's unfortunately reality.

I have been in sales for one of the big MTSOs that does offshore. - LateNightMT

[ In Reply To ..]
I was surprised how many hospitals will not allow offshore labor. They want domestic labor and will not contract for offshore.

I found that it was 50/50 and I had a very large territory.

I came back to MT because sales is too cut throat for me. Those people can be vicious!

They sell their company and say they don't offshore. - AT

[ In Reply To ..]
A company in Florida had their top people sell their service and the question was asked and they said, 'OH no!" Well guess what when the work came back??? Huge hospital and huge work. They just wanted it back. They could not do anything because the contract was signed, and the price was right. They send it over for 3 cents and the service gets the profit and a kick back in taxes from our government. The transcription departmen in-house was closed and we all were not even wanted by the service. We were told by management that this is good business and the hospitals save. It is a win/win for them. The services also know that once they get their foot in the door, they can do whatever and lie. Who will know the difference. They have many tricks.

Same thing happened to me to - medtyper

[ In Reply To ..]
a company from California took over our hospital and said they didn't offshore. I was transcription supervisor and had a lot of great girls working with me. Five of us lost our jobs, I was forced to retire. In the transition period we found out they were doing offshore, work quaility was the pits, still is from what I hear. Now I need a part-time job and I can't find one and I think it is all of my experience that is the problem. Applied for a job with another company that posted on here that specifically said no offshore in the posting and yes they do offshore to. So I figure you can't believe any of them.

Offshore work - n/n

[ In Reply To ..]
I worked in a hospital medical records department where they outsourced to a MTSO company that did the offshore thing. Well you had many doctors in the Medical Records Supervisor's office everyday complaining about this so they had to make a change and bring it back to our shores!!!!! That is what it takes is the doctors' complaining. However, the younger the doctors get the more they are used to the new technology and this is where I see the shortcuts being taken in documentation. No longer needed are the H&Pâ��s and OP reports, they just check a few boxes in the EMR and walla that is all the documentation needed. This all does not matter though when the Internet goes down in 2012 we will all be headed back to the hospitals for in-house transcription. See what happens to your mind when you work the night shift!!!!

when the internet goes down in 2012 - Cassie

[ In Reply To ..]
Could you please clarify your statement about when the "internet goes down in 2012," and direct us to wherever you found anything written about that. Thanks and have a great day.

Cute, but if the Internet goes down, we all - Anon.

[ In Reply To ..]
will go down with it. Temporarily anyway. Everything's just too interdependent. And where would they put us, anyway? In the halls with the patients--like they did at the millennium? I'll tell you, I had fun biking down empty freeways to work every day. :)

sorry, but what is "walla?" - huh?

[ In Reply To ..]
nm

I think that is slang for voila.... - sm....

[ In Reply To ..]
voilaâ��used to call attention, to express satisfaction or approval, or to suggest an appearance as if by magic

http://www.merriam-webster.com/dictionary/voila

thanks, I could not make the connection - lol, sorry

[ In Reply To ..]
from the French "voila" to "walla."

Voila is pronounced like "voala," the a at the end is accented.

Thanks again.

Not slang, just a sad misspelling that is found all too often. nm - MT

[ In Reply To ..]
.

EMR - RLee

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My husband's physician told him last year that the MT field was a "sinking ship" when my husband told him what I did for a living. You are correct - EMR only means there is no more paper charts, but someone has to type the report regardless. Many people misconstrue this conception. On the other hand, many doctor offices are using a software program where they do not need the report typed. They have a software program with templates installed on their computer or database and just type in the pertinent info themselves and it is always on their computer. I have not seen any actual doctor do this, but have witnessed FNPs, RNs, etc using this method. My personal FNP is one of them, and she enters the info on her computer as I am sitting there. But of course, the doctors do not have time to do this themselves in most cases. When I worked at a neurology office one the physicians, who specialized in EMGs, had a software program installed in the lab and it typed what he dictated. He even somehow incorporated the actual EMG tracing into the report, which was very impressive I must admit. With this method there was only one report - instead of the EMG report and then a separate tracing report. By using this particular method the doctor himself has to take the time and teach the program to learn his voice and it takes patience and time on their part. Because of that factor, I really do not see that particular software becoming a real threat to the MT industry. But in my case, I was no longer typing EMG reports!!!! There are many ways the MT can be replaced, but I do not see EMR being one of them today, but who knows about the future.

EMR is "point and click" data into preprepared - emr

[ In Reply To ..]
templates with very little dictating of text.
This is done by doctors, PAs or nurses, it can not be done by MTs, since the data are entered into the templates DURING the actual physical examination.

Traditional transcription is over, do not fool yourself, hiding behind madeup explanations and excuses.

EMR does NOT mean reports done online by MTs and uploaded to the employers.

EMR means Electronic Medical Record. It does not mean point and click. sm - The Sky is Falling!

[ In Reply To ..]
EMRs have been around for a very long time, some greater than 20 years. When you go to the hospital and register, they are using an EMR. When you ask for reprints of a report on a surgery you had, they are using an EMR. When you transcribe and the report goes to the hospital, it is going into an EMR. Most hospitals have EMRs in place and nothing will change.

Look outside the immediate world of transcription into the whole healthcare industry, and you will realize that transcription is not going away. The new ICD-10 codes need more detail to be coded properly, which means more detailed transcribed reports. More patients will seek healthcare due to being able to get it through the new Healthcare Reform. Doctors are already stretched too thin, expected to spend 10 to 15 minutes max on each patient. Do you really think that they have the time to use the point and click systems or do their own transcription? I know that some do now, but new toys get played with the most until someone gets tired of it and wants to put it away.

I do think that technology will decrease our total volume, but I also believe that the increase in reports and patients will make up for that volume loss. We may only get 20 lines per patient instead of 40, but we will have 40 patients instead of 20 to transcribe reports on.

When I started in this field 31 years ago, I was told that computers were going to replace us within 5 years, and that I was foolish training on a job that would be obsolete. 15 years ago, Windows was going to replace DOS and the internet was going to do our work. 5 years ago, all reports were going to voice recognition and being self edited.

Do you really think that doctors went to school for 10+ years to learn to transcribe?

We have moved from typewriters to computers, from tapes to digital, from transcribing to editing. Yes, our roles have changed, but so has the world or I wouldn't be able to post on a board on the internet.

All of the PCPs through Hopkins use point and click. - All

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All of the PCPs at the various offices throughout John Hopkins use point and click for both MT and billing. I get on my doc about it every time I see him. He says he does not like it as it makes more work for him, but he he has to do it. Hopkins used to be a HUGE account; not anymore.

Point and click - RLee

[ In Reply To ..]
EMR is not SOLELY point and click - maybe some software is geared that way, as I explained if you READ my post clearly. At a former in-house job I worked at they were headed towards EMR and still needed the MTs. It only meant the records would be electronically filed and stored - so that in my opinion is not by any means hiding behind madeup explanations and excuses, although I do AGREE that "traditional transcription" is just about over, but due to VR and not EMR.

I hope you really don't believe that - not another one

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As other posters have said, EMR is not point and click. What you are talking about is software that creates an EMR. An MT also creates an EMR. It is a Medical Record that is Electronic. EMR just gets rid of medical records that are on paper. I worked in a temporary position at a hospital where my job description was to convert paper medical records into EMRs. This consisted of all day, taking paper charts and scanning them one by one into a computer.

you don't know. RLee is right. I've worked hospital transcription EMR - small message ANON

[ In Reply To ..]
Hospitals - diagnostic studies cannot point and click. Doctor's offices can for their little patient files.

I works a huge hospital system with EMR. It was fabulous in that - needed a drug? point click - there is the whole list including dosages and the generic names for all. Same with past reports and all lab results. You are typing in the patient's chart so EVERYTHING is at your fingertips. But they are still having to dictate and we will still have to type it. I have to say, it made the worst accent doable.

you are all talking about the "oldfashioned" - emr

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EMR, TODAY when talking about EMR the "point-and-click method" is meant, done by doctors, PAs and nurses, directly into their computers which they carry or drag alongside with them, also called COWS, Computers On Wheels.

Very little text is dictated that the doctors edit themselves.

Long, narrative reports are out, much too expensive and a lot a repetitions. Who has money to pay for that?

Traditional transcription, done in the USA, sorry to say, was so expensive, cpls often 20-25 cents!
First step to curtail this was offshoring, sorry to say, then VR and soon EMR = point and click.

This is also what Obama means when he talks about EMR.

HAHAHAHA! Do you really believe what you just wrote? - Still Laughing

[ In Reply To ..]
An EMR is just that: Electronic Medical Record. Only 5% of records are done with point and click. Most EMR developers and hospitals recognize that you need narrative reports to code and bill, ultimately getting paid. There is something called Health Story Project that you should research.

The part I am laughing about is the 20-25 cpl for traditional transcription. Maybe this was true on the west coast in the 90s but not for at least 10 to 15 years. The going rate for transcription has been between 13 and 15 cpl for years.

Offshore prices have gone up and quality has gone down; more reports are being brought back to be done in the U.S. than ever before as hospitals are getting more and more quality conscious and doctors are afraid of being sued. VR is here to stay, but editors are still necessary for at least 50% of the work, especially for complicated cases or for busy doctors. EMR is not taking over because it has been here longer than the other two and still does not take our jobs away.

Yes, volume will decrease for some hospitals but it will increase at others. The latest statistic that I read said that only 30% of medical offices, clinics and hospitals have an electronic medical record and some still use manual processes or even handwritten notes. Everything is required to be electronic by 2014, and that will open floodgates of volume.

This is true mainly for clinics, offices, etc. However, - sm

[ In Reply To ..]
hospitals (other than maybe ER and X-ray) would find it hard to use the point and click method. Example - Op notes, if not canned notes, no way you could point and click. Same for H&Ps and consults and discharge summaries, if they want any kind of detailed patient info in them.

Your ignorance is appalling - and yet you keep going

[ In Reply To ..]
The EMR is NOT point and click. That is one method of CREATING an EMR.

EMR, the way President Obama refers to it, is a digital record. He doesn't address HOW that digital record will be prepared.

There are many methods of creating an EMR that include traditional transcription into an online application, point and clicks, templated databases with structured text, voice recog/editing. They *ALL* make up the EMR.

This is a lot like the semantical difference between offshoring & outsourcing. - info

[ In Reply To ..]
I have seen instances where "point & click" is referred to as EMR or the like, but those vendors or posters are in the wrong, using the generic term when they should be using a more specific one. Point & click is *one* type of EMR.

EMR once again - RLee

[ In Reply To ..]
Some may consider EMR as a "COW" or "point and click," but in most cases EMR only means that the patient's chart is electronically recorded and has to be typed and then scanned into the electronic system - doing away with the paper chart!!! The "COW" does not have any typed reports - it has templates which consist of point and click and check marks that are used for specific questions or maybe a small remark section. How can a "COW" be used for a procedure note or OP note or even a tracing - meaning a detailed report, i.e. discharge summary, consultation, history and physical, etc. Obviously a patient's history cannot be detailed in a point and click method, that is when the MT comes into the picture to type the actual report and have it scanned into an EMR and the report has to be DICTATED!!!! As far as Obama, I will not even go into that topic. That will need to be discussed on the politics board.

Point and click EMR - worked with it

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The hospital I worked for went to this "point and click" EMR. It was a huge system called Epic. This caused over half the transcriptionists to be laid off! The first week Epic was in store we all sat there with no work. The doctors were told they had to use the system with the "point and click" method. Believe me, they were not happy with the time it took to do this. They all complained that they did not go to medical school to do transcription. It did not matter. Some worked their way around the system and still dictated whole notes, but most did not. There ARE ways to get some narration into the reports, BUT they dictate minimal. ALL reports can be done with the point and click, even though some of you think it CAN'T possibly be done! I said the same thing, until I witnessed myself. The reports are terrible to look at and extremely impersonal, but they ARE doing it!

The hospital I worked for already had EMR and made their 2nd largest investment in this Epic system, so IF one decides to go with it...I am sure they will enforce it's proper use and more MTs will be out of a job like myself.

I am really not trying to scare everyone! I just wanted to share my experience it...

Same thing with a hopsital we contracted with. - NYC hospital

[ In Reply To ..]
They already had an EMR, as a lot have for years, but they went to point and click and I have seen the printed reports and they look just like a transcriptionist typed it. It really stinks that we are being replaced due to technology.

I don't know of a list but TT does not offshore (NM) - TTer

[ In Reply To ..]
x

how do you know they don't offshore? - AT

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You are kept in the dark with the services. They like that. You have absolutely no idea what they do. They love it that way. How much are they charging the hospitals and all the guarantees they promised at the MTs expense? They pay all differently and their favorites cherry pick also. Do you think they are fair? Absolutely not. Do they pay extra for difficult dictators? No. But their top people surely get the easy work so they can get the lines so they can get the few benefits. No union here, and no contracts to MTs. Guess we should have access to the contracts.

They do NOT offshore...let the paranoia crew light the torches - and storm the castle, LOL!

[ In Reply To ..]
Honestly, you people are going to put yourselves straight into the psych ward with your paranoia and suppositions that all MTSOs are dirty, stinking liars, LOL!

Have a wonderful evening and get some rest...Sounds as if your brain has been working overtime on conspiracy theories.

Paranoia - anon

[ In Reply To ..]
Love your post! I totally agree. If everyone believed everything here, we would need many more psych wards!!! Industries all over, every field, are experiencing cutbacks. We need to keep plugging, do the best we can, change what we can and STOP CBM (crying, b____ching and moaning)

They do not offshore - TT MT

[ In Reply To ..]
I work for TT, and I can assure you that they DO NOT offshore. But, there are companies that do say they do not offshore and they do indeed offshore. I asked that question one time when I was looking for work, and they insisted they did not offshore, only to find out it was the exact opposite, but as I said TT does not offshore.

I work for Webmedx and they do not offshore. - no message

[ In Reply To ..]
nm

Services that provide equipment - ame

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Does Webmedx, Softscript and Proscript listed here as companies that do not send their work to India and who do not do ASR or VR provide the computer equipment like MedQuist does? I want to just do straight transcription but I need equipment. Going bankrupt soon since all the pay cuts at MQ

SoftScript does not offshore and does not do VR either. nm - LTMT

[ In Reply To ..]
x

Keystrokes does not offshore. nm - KeystrokesMT

[ In Reply To ..]
nm

ProScript does not offshore - proscriptmt

[ In Reply To ..]
they do not offshore.

ProScript out of FL? - info

[ In Reply To ..]
I'm pretty sure I read here several times that they did offshore, yet the info seems to have been pretty well scrubbed. Did find this still, though (see about halfway down the search page):

http://www.mtstars.com/c-Does-anyone-know-anything-about-Proscript--100800.html

GREGORY FAMIGLIO, MD, MBA

BUSINESS EXPERIENCE

May 1998-2002 PROSCRIPT DOCUMENTATION SERVICES Sarasota, FLPrincipal owner. Start up Internet medical documentation and transcription company. National exposure. High tech and customer oriented. Outsourced labor to India via internet. Evolved into www.copytalk.com.

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