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

I got a call from Precyse - katrina

Posted: Jan 10, 2013

I got a call from Precyse. Can you tell me if they offer bonuses and if they offer 4 cpl for voice, what kind of rates do they offer? do you get much straight transcription? Thank you.

Better than average pay, mostly ASR, good program, - great training and support. sm

[ In Reply To ..]
Its a huge company with a rigid corporate structure but there is a lot of opportunity for advancement into non-MT positions if that's what someone wants. But honestly, as far as the big companies go, this is the only one worth its salt from the MT perspective.

Worth their salt? - Random thoughts

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I guess that's why Precyse got sued for 140 million dollars for missing a medication error (80 units of Levemir instead of 8) that resulted in a patient's death.

I don't think that matters to the MT who is working for a paycheck. - I wonder how many mistakes have been made by sm

[ In Reply To ..]
good old Medquist and current M*Modal who shift 40% of their work overseas. Honestly, I couldn't care less about that lawsuit. It doesn't matter to me whatsoever. The only thing that I care about is that the software is easy to use, the pay is good, the lines are correctly counted and they pay me for overtime. I'm not an investor in that company, I just want to do my work and "go home." Anything beyond that is another MT rant falling on deaf ears in an industry that thinks MTs are the bottom of the corporate barrel. So, get over it. I know I have. In fact, so much so that I'm leaving MT. I have finally gotten some good nibbles on the hook I have out there and I am confident that I will see this in the rear view mirror by summer anyway. Thank God. I literally despise this industry.

And one more thing. Any good MT would have questioned 80 units of insulin. I - would have left a blank for that. sm

[ In Reply To ..]
But I'll bet a nickel that a newbie in MT for only a few years right here in the good 'ol US of A would not have caught that error. Besides, it was a nurse who gave the patient so much insulin that ig is mind-boggling. The reason that patient died is because the licensed clinician did not question that incredible amount of insulin and TOOK IT OFF A DISCHARGE SUMMARY??? OMG, for pete's sake. That's the dummy in this whole thing, not the MT. We are not licensed clinicians. Period.

The nurse should also have caught the error, IMO. nm - Kindred

[ In Reply To ..]
n/a

Who are you..a nurse? If the doc said 80 units I take 70 units! - I was told I can take 120 U

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Excuse me, but if you are not diabetic, what would you know? This is pretty bogas to know this information. Mistakes are horrible in the hospital, but they are made and we have tried to learn from them. Right and left make a difference as does NO. NO is left out also. Lab work gets errors too. Oh, you have not made mistakes typing 12 hour days for 3-4 cents or 6 cents a line on odd shifts because you need to work! Blame is easy.

Not a nurse - Random thoughts

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I am a former US MT who now does QA on the work that comes back from an Indian company. We are not talking about you, we are talking about a patient who was given 10 times her required insulin dose because the nurse took the information from a discharge summary that contained a critical error. If you want the particulars of the case, it is easily Googled. It is not bogus to know this information. I see medication dosage errors all the time; 50 mg instead of 15, 75 instead of 5. I research these things, even when they are not flagged, when they don't look right to me. Someone should have recognized the 80 units was probably high and flagged it or questioned it. Saying that a pediatric patient had a Pap when they had a TDap is another error I have seen. We all make mistakes, that is not the point. The point is that we all need to be careful and listen carefully to VR, questioning what does not make sense. This lawsuit should have been a wakeup call to all of us. We weren't talking about you and your insulin dose, but about someone who died because of an error that could have been easily corrected and properly documented. In this case, the provider clearly said 8 units (testified to by several MT witnesses in court).

Random thoughts--then why bash Precyse? Don't see the fault lying there. - Big responsibility for 3cpl?

[ In Reply To ..]
You were the one who downed the company for this mistake and would have left a blank and questioned. I only said I would have not questioned the dosage with not being a nurse and 80 would not have drawn my attention. You indicated how much you knew and that you would have put a blank there. I just said IF I heard 80, I would not have questioned nor blanked it. I was not saying I was the patient nor were they talking about me. There are many factors that go into ordering medications...for one, they are ordered written by the physician and the nurses put that information into the computer or the doctor does himself. We are the bottom of the food chain, that is why we only get 3 and 4 cents and are no longer employees and they can send the work off to a foreign-speaking country where English is the 2nd language and they do not care, because it is all 'just paperwork.' It was just documentation of an overview of what was done...and bottom line was that the doctor and the nurse, plus the head nurse were the final say. That's why there are pharmacists. I was once told that even havaing a CMT after your name, it would give some sharp young lawyer an opening to include you in the lawsuit, because you have 'credentials,' usually that comes with bigger responsibilities and bigger paycheck.

If he clearly said 8 units, then the MT should have typed that. - FBL

[ In Reply To ..]
If he did not clearly enunciate either number, it should have been flagged. If he clearly misread it himself as 80, the MT was correct to type that; insulin dosages are all over the map and we can't flag every report with insulin on it. The reference my company uses does not give a range for this insulin; I looked it up when the story first came out. I myself take 70 units of a different brand daily plus a short-acting a.c. Would not have thought twice about typing 80 if the audio was clear and there was nothing in the patient's history to make me question it.

Can't blame this one on offshoring.

Except it killed someone. Point. - It was the ultimate responsibility of the nurse

[ In Reply To ..]
x

I agree - However - Random thoughts

[ In Reply To ..]
I also think that the nurse had the responsibility to question this. It is my understanding that nurses are not to take information directly from the discharge summary anyway. My point is that the provider clearly dictated 8 units and no one caught it, neither the MT, QA or anyone else who might have reviewed the record, the 80 units was a VR error, so while Precyse was not completely to blame, they shared some of the liability. The doctor had not yet signed off on the report, so he missed the error too. Why am I bashing Precyse? Because they were the MTSO named in the lawsuit.

Not entirely true - anon

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The 140 million was not solely against Precyse. It also included hospital and others.

My 2 cents worth - Just me

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My best friend has worked for them several years but is thinking of leaving because they now send the "good" work to India and give the Americans only the dictators the Indians don't want - those that talk crappy. Her pay has dropped by 30% because of this. The only reason she has stayed is she likes the responsiveness of management and they're trying to get new accounts and saying they will give more good things to the US folks to do. I'm sure they're sending all they can to India because of having to pay for that lawsuit.

Gag me - noname

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Precyse has been sending work to India for years. I quit working for them 5 years ago just because of that. I have NO respect for that company.

Just my opinion - but

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Any company who does not make changes when they are sued for killing a patient is not a company I would work for. I know people who work there and they are not happy at all, they stay because yes the money is better than some but besides the money they are a horrible company from the top on down.

The company and transcription does not kill a patient. - rediculous

[ In Reply To ..]
Many, many foreign doctors and nurses out there whom you cannot understand. The work also being sent to foreign lands and then a machine shows you that you have to double check everything in life and hope you are able to catch a huge error. Lab companies are notorious also.

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