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

Am I the only one here who believes that medical - transcription/editing will always

Posted: Mar 14, 2015

be around in some shape or form? I'm sure straight transcription will be gone (it pretty much almost is now), but editing/proofreading? Although I know it won't be the SAME - it will NOT be a lucrative or very desirable job for sure, I just don't think it will go away completely. I do think there will be maybe less of us needed, but they do need humans to at least do editing of the crap that VR will ALWAYS put out. They also can't send it ALL to India.

always - Effie

[ In Reply To ..]
It may always be around, I agree, but who wants to be stuck in a job that will NEVER pay well?

Basically people that need a few extra dollars and have other - PAMT

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income or are retired. That is what this will be or actually already is.

MT profession - hayley

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I'll bet there are a lot of people who, for one reason or another, not just retired, still very much want these jobs.

There are other minimum wage jobs out there that people apply for. This is a stay at home, interesting, challenging job.

Always need a living, breathing MT/editor - Sunnycat

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After 50 years I finally had to retire due to EMR but think things will go full circle when lawsuits, etc will ensue. My dictators made many mistakes which I was able to identify & fix. Wondering what will happen with them but no longer care. They killed that.

Not really, no. - sm

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If you mean doing work like MT "editors" now do, no, I don't think it will be around much.

Front-end SR is replacing what you do (back-end SR followed by editing). That isn't even dictated over a phone and never leaves the doctor. His computer just transcribes it. He fixes anything himself. No MTSO even has a contract for work from facilities like that.

Doctors are also typing more. The other day, I was trying to see how long our MTSO had taken on an op report, but there was nothing at the bottom with the times. The times in the EHR said it was dictated at the same time the note was started, and the doctor signed it a few minutes later. That doctor typed it herself, and it was just fine.

Later, I was talking to a surgeon about when discharge summaries had to be on the record, and I said the time required by transcription had to be considered. He said no, because none of the surgeons dictated anymore. They typed them themselves. He said the turnaround time from the service was too long, they lost too much, and what they did not lose was filled with errors.

From what I see, there may be a very few MTs left, probably medical secretaries doing straight typing, for offices that want consult letters or hospitals that have older holdout docs on staff.

I also see a growing need for scribes who will accompany doctors during their day to navigate EHRs and research patient care issues like labs, radiography, and consults, coordinate scheduling, and enter information as it occurs in real time. To me, that is a much better job.

This is not what you wanted to hear, but it is what I see out there in the hospitals, where I work.

The MTSO who had our contract dropped us because it was not worth their time. They thought we were sending it to another company. We could not convince them there WAS no more dictation than the little they got.

Disagree with you completely. - sm

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Not likely to be scribes in the OR, and we are not likely to see the highly skilled and paid neurosurgeons, cardiothoracic surgeons, orthopedic surgeons, etc. editing their own reports on their very long, complicated surgeries. So yes, MT/Editor positions will be around. Just crappy pay.

That does not make sense - sm

[ In Reply To ..]
Those operative reports of yours aren't dictated in the OR right now, but there is no reason a scribe could not be in there.

Since you raise the issue, I will share that THAT -- the OR -- is where MT started out. A surgical secretary sat on a stool in the corner taking down what happened in shorthand on a stenopad. They had typewriters outside. Surgeons could also sit next to them afterward and dictate while they took it down in shorthand.

You still aren't grasping the situation, though. You are still thinking the service you provide is the best ever. It is not, not anymore.

Using an MT, the surgeon dials a dictation computer, enters a load of required demographic and report information, dictates the report, then waits days to review it, has to remember which reports are still outstanding, has to access the patient's record again, find the report, enter corrections by hand, and sign it. Because a report has to be on the chart before the patient leaves the OR area (you did not know this, did you) he then has to TYPE AN OP NOTE BY HAND ANYWAY. And, if it is lost, he has to do it all again.

Faced with all that extra work, if they can type, they just start doing it themselves on the keyboard, likely using templates that they themselves develop, or they dictate it using front-end SR. THAT only involves going to the record, talking or typing, signing, and leaving.

Dictating to a recording machine for an MT to type later used to be the best you could get, but it no longer is. It is not state of the art anymore. It is SLOWER and takes up MORE of the doctor's time.

Waste of Providers Time - Amber

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If it is faster for a provider to type their own reports than send them for transcription, then they didn't ask the service for the appropriate turnaround. It takes far longer to type, format, edit and correct than it does to simply dictate.

To pay a doctor $100 an hour to type his/her own reports rather than pay $10 an hour to a transcriptionist/editor is ludicrous and a total waste of the doctor's time. That is like forcing doctors to do their own reception, coding, billing and janitorial duties!

About 80% of doctors never have, and will not edit and correct their own reports. They do not have time for this, nor do they have time to learn how to change bullets to numbers, do a second indent or Google search for the spelling of the east Indian doctor's name.

Eliminating editors will definitely lead to an increase in malpractice suits, what they claim to be their biggest expense! When over half of the provider's time is spent typing rather than talking to the patient, a lot will be missed and again, more malpractice suits as a result.

Now that MTSOs have taken over our contracts, dditors are punished for sending something to QA, they have unrealistic production requirements to keep their jobs and they can't do the required research and still maintain a high enough production to keep their jobs, unless they have all good dictators, which does not happen, despite the claims of the MTSOs. As a result, non-critical errors cannot be prevented if an MT is making production.

I think it is just a matter of time, maybe a few years, for the CEOs to recognize the cost of not using editors. It will take many malpractice suits and a lot of extra time required of the physicians before they take a look at how much they have wasted on VR, being led to believe that it will replace transcriptionists. It places a much greater burden on the providers which is not at all cost-effective.

Wrong - sm

[ In Reply To ..]
They don't waste time on bullets, or numbering, or fuss with punctuation and indents.

They use templates that pull in medication records, labs, imaging and path, the patient's history, parts of other reports, and orders. They can construct click choices for text variations. They also do not need to Google anyone's name because they know who they are.

I cannot believe that you think a physician is too stupid to write his own reports when you accept that he is smart enough to dictate them. Really??

I disagree - Ex MT

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Where I work at now, ALL of the physicians do their own notes and the mistakes are there but nobody cares when its the physician doing the note.............bottom line they are saving money.........I work in a small to medium size city and if they are doing it, you know its going to be nationwide.......Its time to jump off the sinking ship of transcription.......the demands are greater on you guys and I know you get little if anything back as far as appreciation.............been there, done that, been out of transcription since 01/06/2015.....I wonder why I took so long to leave it!?

Wow your post is very condescending. And I totally disagree - with you -- I ask EVERY

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single doctor/surgeon I encounter (and that's a lot actually) if they would type their own reports....ALL say they do NOT have the time to do that..."isn't that for the "secretaries" to do?"

I agree with most here....our services WILL still be needed in some form BUT the pay will be undesirable. It will be for supplemental income only, as the doctors do NOT want to type AND they don't want to pay a lot to get it done. They want it both ways. And what they want they apparently get.

Not entirely correct... - MT

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Having an extra person in the operating room invites greater risk for infection. The benefit of having a scribe in the OR in no way outweighs the increased risk of infection. Having worked for a group of top surgeons who perform at a hospital that has a statistically very low rate of infection, I can tell you that they would never allow a non-essential person into the OR. They dictate their OP notes and use scribes in their office practice. They do not type any notes on their, including OP notes. They also do not fill in any blanks that come through on their OP notes. Having a great in-office scribe is wonderful, if the scribe is really knowledgable. However, if their work is mediocre, it ends up costing time and money. Whatever mistakes are made lead to lower billing and denials, which then have to be amended. Not only that, patients aren't happy when their tests are denied due to inadequate documentation. Also, patients now have access to their notes online. They will make complaints and require corrections when information is not accurate, which again costs time and money. Scribes will never be clinicians and will never be able to document nearly as well as a physician can.

Wait, wait, wait ... - sm

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So now no one can document as well as a physician can?? This board is plastered with gripes about rotten physician dictation. You can't have it both ways.

You also can't assume that a scribe's work product is going to be deficient. They do receive training, you know.

And where did this bit about scribes invading the OR come from? I did not bring that up, you did.

I'm a scribe and an MT - MT

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Nothing is "plastered" about scribes documentation always being deficient. We will never document as well as a physician. They have years of training that we do not have. I have no idea why you would even argue about that. And not all scribes are equal, with some producing excellent notes and others mediocre notes. When different scribes covered for me, my physician could tell immediately that it wasn't my note based on the quality. Regarding the OR, I replied to a post that stated, "There is no reason why they couldn't be in there." It's written in an above post for everyone to read.

See the post "Disagree with you completely" - for scribes in the OR

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The reference to scribes being in the OR started with the post "Disagree with you completely."

It was presented as a reason for MTs continuing to be needed. That makes no sense, because almost no surgeons dictate while in the OR performing surgery. They go out to a telephone to dictate.

If physicians documentation was so good ... - Sm

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If physician documentation was so great, there would be no need for clinical documentation improvement programs at hospitals. Joint Commission would not need to inspect it. The size of quality assurance programs would be slashed. CMS would not need to audit it. There would be very little need for about 80% of what HIMS does.

Physician documentation is notoriously poor, both in offices and out.

Arguing just to argue... - MT

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You are arguing just to argue. No one said physician documentation was wonderful. They can document better than scribes. After all, it is THEIR note and THEIR patient. Your whole gripe was that you thought I was an MT who was against the idea of scribes. You cannot tell me that a physician who has been treating a patient for 10 years cannot provide better documentation for that patient than a scribe who has been with the office for 1 year and has not seen the patient before. You really think the physician does not have more information to provide than the scribe? Funny. And it has nothing to do with dictation versus scribing, it has to do with common sense.

I can disagree with that. - CDI

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Sorry, but I have to disagree. We have a staff of 3 hounding physicians about their documentation. Doctors are not all that good at it.

Re: That does not make sense - TransCription Liason

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Using McKesson PhysDoc, the physician, pull in the canned pt data, labs, etc, then might front end dictate a few paragraphs which they edit on the screen as it appears - this teaches them to speak more clearly and accurately because they see the "crap" they make the VR produce, then sign it. At our hospital we still allow 12 hours for the physicians to create an Op Report. But I can see the "must be completed before they leave the OR" as a potential down the pipe line. So my dear MT's retrain before it's too late - find jobs in alternative energy fields, water conservation or some other growing field.. Sorry - but the world has changed.

I tend to think there may be some need, but--sm - anon

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I think that the need will decrease drastically. The other question will be in what country will the limited need be met.

The main reason they sent us all home - in the first place was to save

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the hospitals money. Why would they want to hire medical scribes inhouse when they have to pay them more than the MLS/ME at home? Doctors just want to dictate knowing that the cheap service they have remotely will do the job and save them time and money. A few medical scribes will no doubt be needed here and there but any way they can eliminate clerical costs inhouse, they will do it.

Scribes do more than typing from dictation - That is why they exist

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Do yourself a favor and learn what scribes are. They do NOT do what YOU do ... They do more.

Scribing could be a job you might like.

scribe - bettymcbricker

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I looked into this medical scribe stuff and I really hope it happens near me. So far all the medical scribe jobs I have found are on the east coast of the country (I'm in Canada) but I hope they are coming west soon! This sounds like a job I would love. A combination of the medical wordiness I love with some human interaction. Yay! Fingers crossed.

I used to work in a hospital as an MT (before I had a baby and starting doing MT from home) and I can't believe it, but I kinda miss the hospital and all the people. Never thought I'd say that. And it would have to pay better that this. I am tanking here financially.

If these scribe jobs show up in a few years and my son is in school this could be great. I have been feeling so stupid that I went to school for transcription not knowing that this career was circling the drain and this is the first time I feel hopeful that it might work out!

At my doctor's office, Scribes are Medical Assistants. - Amber

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So it doesn't seem like it would take much training to learn the MA part of it.

How it works - EHR

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This is how "front end document creation" works in a healthcare environment with a fully functional EHR within their own organization.

The patient makes appointment with their provider.
The medical assistant sees you first in the examining room and takes your vitals and your chief complaint, smoking history, etc., and enters it into the EHR.
The doctor arrives, and examines you and asks you questions. Either during the visit, or after, the doctor uses "dropdown" boxes to enter your more detailed history (it's canned), and sometimes uses voice recognition on his PC to enter a quick summary.
Your doctor then refers you to the orthopedic surgeon.
You go to your appointment at the orhtopedic surgeon's office (Same EHR), and the process repeats itself (MA takes info, MD enters dropdown canned data and perhaps uses voice recognition on his own PC for a quick summary.
Decision is made to perform a hip replacement.
The surgery schedulers, using the same EHR, enter your preop and postop dx, plus the name of your surgery into the EHR.
The day of your surgery is here!
You enter the hospital through admitting, and are taken to the surgical area and you are seen by Anesthesiology, who uses the same EHR to enter their notes.
The surgeon, prior to surgery pulls up your account on the EHR and clicks one button "create H&P" The EHR merges together all of your prior notes from the first office visit, orthopedic visit, MA vitals, etc., and creates your history and physical - it's done.
Finally, your in surgery. During your surgery all surgical items, anesthesia notes, etc are tracked on the computer by the surgical staff.
After surgery, the surgeon sits down at a PC and clicks "create operative report" and uses a canned right hip replacement template that pulls in the preop and postp dx and procedure performed from the surgery schedulers entries. Anesthesia data is pulled from the anesthesiology staff notes, AND if their is a variance from the canned report, the surgeon uses voice recognition and/or types his own quick "oh by the way" at the end of the canned report. The discharge summary is created exactly the same way - with the push of a button. Yes, the quality is lacking, but quality only seems to be an issue when using transcription services, not when the MD makes the error. Believe me, no one cares if a comma or semicolon was used incorrectly, OR if a brand name medication was not capitalized. The documents are also signed electronically at the time of creation, so there is no delay in processing the medical record and getting it to coding for billing (another plus for the hospital).

As the deadlines approach for migration to electronic records across the U.S., we will see more and more of this. Already in California one of the largest HMOs has been doing this for years. Once a common sharable on line EHR (speaks the same software language) is deployed, it will become even more prevelant.

Think for a moment about the documents you edit/type now, they are typically the bad dictors, either because of ESL or just the good old American mushy mouthed dictators that voice recognition cannot handle. There will always be "hold out" MDs who like the old way, but the younger folks coming out of med school have grown up in an electronic world, do not know what a typewriter is, and are very skilled on a smartphone and PC, and would prefer instant results. The world of transcription as we know it is changing, reducing, and probably will be completely gone in the future. How long? I don't know, it depends on a lot of factors, but everything we write about here on this board is a symptom of the changes that are taking place in the healthcare world. Working for an MTSO from this day forward is going to be frustrating because we are getting the bad dictators who can't pass through VR successfully, the pay has not increased in over 20 years, the ability to increase productivity has gone away, and the MTSOs are trying to maximize profit of course by finding ways to reduce the transcriptionist's pay.

This field that many of us have loved for years has changed, you have to accept it, and either find a new career, or if you don't mind minimum wage to perhaps $13 an hour (if your lucky) for the vast knowledge that you have, then by all means stick with it. You have to realize that things will not get better than they are now - there is no knight on a white horse who is going to ride in and create a transcription business that pays it's staff $20 an hour, give you 4 weeks vacation, sick time and great benefits to work at home. If those companies do exist now, they will be changing in the future. I know a lot of you live very rural and work at home jobs via internet is the only job for you, and so you will have to see it through to the end and deal with the daily issues you write about here on the blogs. For the rest of you who can find a job near you, I suggest that you take it. A guaranteed $12 an hour as an employee is better than waffling between minimum wage and the occasional "wow I had a good week and made $14 an hour". It also beats sitting at your computer for 12 hours a day waiting for work on your account to finally bubble up. You have to find some peace in your life, have a happy life, and the frustration of working for an MTSO (as most of your write on this blog) is definitely not going to give you that peace.

I know that the haters are going to hate, and I'm okay with that. If your stuck in your situation, I get it, and I encourage everyone to continue posting about these companies and how badly they are treated - or good, if that still exists.

Just remember -
1. It will not get better than it is now in the world of transcription.
2. The EHR will continue to decrease the amount of work you receive.
3. There is life out there beyond the frustrating job you are doing now, sometimes you just need to take a leap of faith.

Good luck.

Well, - if you

[ In Reply To ..]
google "EHR mistakes" you get 196,000 hits discussing it.

These mistakes will determine the future of the MT. I think there will be more and more 'partial' dictations, point and click just doesn't work for everything.

I do think MT will be around for awhile but will continue to morph and change and new jobs will be created around monitoring the EHR.

The "EHR mistakes" are nothing that an MT can solve - sm

[ In Reply To ..]
OK, your MTSOs and AHDI make a big deal out of MT errors, so in your mind, that is what you think EHR errors are, too.

The only thing you know about are dictated, typed reports, so in your mind a medical record is a pile of dictated, typed reports, and an EHR is an electronic pile of dictated, typed reports.

Medical records consists of more than that and EHRs consist of even more than a regular medical record.

The "errors" that are a problem in EHRs are NOT spelling and typos. They are far more serious errors rated to order entry, undetected pharmaceutical interactions, and poor performance rated to default setting choices.

For your own sake, please educate yourself on this. You are making poor career decisions based on your misunderstanding, and your pronouncements about this are encouraging others to follow you into the same poor decisions.

The industry is not going to come full circle and return to reports typed by MTs to solve any of these problems.

Healthcare is, however, developing roles for scribes to assist physicians with navigating the EHR, but those scribes do not perform the same function as an MT.

Everything changes. You need to change now, too, if you want to be employed in 5 years.

To disagree - Not a scribe

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Gee, thanks for knowing what it is that people need to do with their lives. You are correct in regard to EHR errors being different than transcription errors. However, the transcription errors still exist and from what I have seen Dragon is not getting any better. My facility also uses an offshore vendor for transcription because some providers prefer that; you don't see the importance because I don't think you are an MT but errors do matter; node positive was heard as Downs and that could affect how a visit was coded and billed, not to mention that the patient might be a little distraught to find out that they'd been diagnosed with a disease they never had. Medication errors and lab errors are also abundant in offshored work and those type of errors are huge and do affect patient care. I work in quality assurance and fixing those reports has become a full-time job, so someone out there thinks it matters.

Now, in regard to scribes. My facility has them, but they are MAs who can do it all. In the hospital setting, medical students and interns act as scribes and accompany the doctors on rounds, I see no new positions being created. Many physicians use a hand held device in the exam room and do their own documentation. The scribe position is relatively new and it will be interesting to watch and see how that plays out in regard to liability issues for provider and facility and if it really is the wave of the future. Personally, I only want my doctor or nurse or MA in the room with me, not someone standing over a computer on a cart typing while I'm sharing intimate details of my health history. I don't know if you are aware, but using scribes has also created some cases of fraud where patients have been billed for things that never happened because the scribe became over zealous with the documentation.

Some people don't want another career. I'm 60 and my 5 year plan includes getting the heck out as soon as I'm eligible to retire. Some people still want to work at home. We all know MT as we once knew it is dead. Does that mean that everyone shoul become a scribe? Of course not.

Thanks for the concern, but coders are - not that stupid.

[ In Reply To ..]
Thank you for your concern, but even that kind of SR error is not going to lead us to ruin. We do not just blindly code every medical word in the record.

We see MT errors all the time, and we read right around them. It is usually clear what they should be. Besides, we do more than you think we do. If it does not fit from context and the rest of the record, we can deal with it.

Incidentally, the example you gave would not affect billing if if it was coded or not.

I did not say you were stupid - Read between the lines

[ In Reply To ..]
But apparently transcriptioists are. None of this is an issue until it's your chart or your records are subpoenaed and then it becomes a very big deal.

Agreed... - MT

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My experience as an MT for 16 years, a scribe for 1 year, and a health administration major tells me that there will be more partial dictation. Point and click is not effective, and EHRs are not set up to type in. That is where scribes come in. However, because there are no shorthand options, and templates are blocks of text that cannot be broken up, there is very limited opportunity for narration, which is what I was told was wanted by hospital auditors. Scribes are a great tool to relieve physician stress and increase patient interaction, but they still have to dictate to you in the room. Scribes aren't clinicians who can make decisions and cannot give and take orders. Part of the battle is getting physicians to understand what scribes really are. They still have to dictate the exam, assessment, and plan in the room.

Reply to how it works - rock bottom

[ In Reply To ..]
You're pretty much said it.

But, here's a clue:

The EHR is within a system, so every time you got a provider in the system, they have access to all previous records created by anyone within that system.

As a personal experience, I went to a new provider, who pulled up records in the system.

My height was way off. My medication list was way off.

I was told they could not fix it because they did not create it.

I asked who created it? They gave the names of the persons who entered the data (not the business entity). I have no idea who these people are nor where they are.

As EHR mistakes get shared among providers, their value will become worthless because any mistakes in there need to be fixed by the person who entered them which is who?

Imagine the billion dollar lawsuit after a 'system' transfers erroneous records which the provider believes is correct, acts on that information, and something bad happens because the patient could not get the erroneous information out of the record.

This of course has happened before just by faxing old reports, so nothing new.

What is new is the increased probability of an error happening because so many providers have access to the erroneous information.

No one asked me why my BMI was really low. Cause they listed me a whole foot taller than I actually am.

Second point: It is not quite that easy for the doctors to create records that are not so totally 'canned' causing the risk for malpractice.

Once the bean counters wonder why their salaried physicians are seeing 2-4 less patients per week (200 to 400 dollars lost income), and then realize it is because the provider is doing their own clerical work, the system will change. Doesn't make sense to pay someone $100 to $200 to create and change their own reports.

By then I'll be dead, but it will happen. Just will take a few lawsuits and a few bean counters realizing how much money they are losing.

Not exactly how it works... - MT

[ In Reply To ..]
It depends on your workplace. I was an in-house scribe for a year (just left last week) for a group of surgeons. There was no "create H&P" button in Allscripts. The PA copied and pasted everything from the note that the scribe created, added some details of their own, and created an H&P. I was told via an auditor for the hospital who looked at our notes that we needed more narration and less template use. In other words, more dictated words from the physician. That's part of the reason why I left. Every week was a different documenting requirement. I will tell the MTs this, though, physicians LOVE and VALUE MTs. As a scribe, I had two physicians tell me that I was the most valuable employee in the office. With the documentation. Requirements constantly changing and having nonMT coworkers who were jealous and snotty and thought I just "sat there and typed" I had to resign.

Excellent overview - Transcription Liason

[ In Reply To ..]
This hit the nail on the head. It is exactly where our Hospital is going with McKesson PhysDoc.

MT's take heed.

it can go many ways!! - RADMT

[ In Reply To ..]
1) Part of the curriculum in schooling for these MD's (going on quite a few years now) is them dictating their reports into VR and editing them, themselves. This is why the newer generation of docs do not mind doing this. Our older generation of docs, hate VR and technology. The accounts i have lost due to VR, actually, the doctors were editing their own reports - totally did away with us in every aspect.
2) The people that will let us editing their VR reports can pay us peanuts because of lack of jobs out there... so, its still a bad situation.
3) What I have been told by many people in "higher places" in these companies is that they feel VR will eventually be kicked to the curb and then they would need us more than ever. Lawsuits and lack of technology reliability are contributing factors to this perception here.
So who knows!!!! :(

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Dec 02, 2009

Anyone heard of AYR? What is it? HELP! ...

Dec 03, 2009

Does anyone know the best medical dictionaries to put in your computer. And of any other websites or links to quickly look up words in the fastest manner. ...

Feb 04, 2010

Anyone that works for Scan Medical can you tell me how the work is there. ...

Feb 04, 2010

Any informatioin regarding medical coding and billing? I am thinking about going back to school. I recently lost my MT job. Thanks! ...

Mar 06, 2010

I've been in the medical transcription industry for 16 years and dont have any clue what HB medical transcription is. There is a job posted which has been filled, but I for the life of me cannot figure that out, unless it is hispanic/bilingual. Can someone help me out! ...

Mar 22, 2010

Tachy palpitations is this tachy/palpitations or tachy-palpitations or one word? ...

May 05, 2010

Any info on Advanced Medical Transcription? I applied and want to know if I should go any further. ...

Jun 23, 2010

I have visited their web site and seen their new ad. I was wondering if anyone who visits this board has any work experience/history with them. TIA ...

Jun 25, 2010

I just saw an ad for a Medical Scribe. The description is that the MT accompanies the doc from room to room to see patients, sits at the computer in the room and transcribes the H&P/procedure while doc is doing the exam. Starting pay was $17/hr with full benefits. Anybody ever heard of this? I think it's a good idea, leaves the doc hands free to tend to the patient. It sounds a little like being a court reporter as far as "live" dictation being done. ...

Jul 24, 2010

Does anyone know if the Virtual Learning Center still exists? I am not getting any responses to emails to them. The website has changed since the last time I looked at it. Also, I thought they were supposed to be the third best of the top three medical transcription companies to learn from. If they are not, who is? ...

Sep 09, 2010

Any info on JLG pros/cons, pay would be greatly appreciated. ...

Jun 23, 2011

Does anyone know anything about Western Medical and the MTPro software they are selling for $495.00. They are claiming to be hiring me, looks dicey. Rich ...

Sep 20, 2010

nm ...

Sep 28, 2010

I have been using a platform for the last 4 years that has the spellchecker. Now I'm looking at work where I would need to have this. I saw Stedman's is $99, ouch. Then I saw some free medical spellcheckers, and some in between. Anyone use the free software? Is Stedman's worth the high price? Any advice/feedback is appreciated! ...

Dec 03, 2010

Has anyone heard anything about whether we're keeping the old insurance or getting a new company? Shouldn't we have already heard by now? Getting concerned. With all this new healthcare crap, I've heard some companies (not MT necessarily) are electing not to offer coverage. ...