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


Company tactics; unethical, but not illegal. - MT Mom


Posted: Mar 02, 2012

I am starting to see a trend here with companies hiring MTs at 6 cpl enticing them with easy doctors, tons of work, and once off of QA "you are bumped up to 7 to 7.5 cpl."  When asked, "Typically, how long does it take to get off of QA?"  The answer always is, "No one is ever on QA for more than 2 weeks or we let them, go...1-2 days typically."  What tends to happen after the first day or two, they begin to add the worst dictators to the pool, thus making it more and more difficult to achieve the goal of coming off of QA; meaning that they are counting off for blanks (we all know most MTs do not leave blanks unless they cannot understand what is being said in the first place), QA changing their mind on formatting and not being consistent in feedback, and every other trick in the book to keep the MT at 6 cpl.  When asked, "When do you think I will be able to come off of QA," the answer is "Oh, you are doing a great job, within the next couple of days," and then the cycle starts all over again, more hard doctors tossed into the pool, etc.

I do not how many of you have experienced this, but it is time we open our eyes to what is happening here because this is the new trend that some MTSOs are using to get MTs to work extremely low wages with open-ended promises of "We will increase you once off of QA."  It used to be with most companies, if you are on QA after 30 days, you were let go, let alone six months.  The bottom line, it may be unethical, but it is not illegal.

company tactics - not company

[ In Reply To ..]
Let me get this straight, you can't get off QA and it's their fault? Most companies cut you a break in the beginning by not hitting you with the full array of dictators, then eventually, you get all docs. That's part of life.

I don't understand why you aren't saying (as long as you are not sending everything to QA or making major errors) that you can't work anymore until you're at the "higher" rate?

I just don't buy into this major conspiracy theory that so many of you seem to espouse.

Company tactics - MT Mom

[ In Reply To ..]
I have been an MT for 15 years and have never had a problem with getting off of QA with any of the companies I worked for. I have typed for easy and very difficult doctors and have done anything from SOAP notes to acute care. Most of the companies I have worked for have been good, reputable companies, but due to cutbacts, off shoring, and EMRs, I have been back in the job market for the last six months, and this has been my experience with a few of the newer/renamed companies that are currently hiring. I am not saying that all or even the majority of companies are bad to work for. If you, as the company, only want to pay your MTs 6 cpl and have no intention of paying more than that, then just be honest about it or even say "there may be an opportunity for an increase over time."

I have experienced ... sm - alias

[ In Reply To ..]
the exact same thing with two different companies in the past six months. One even told me that my QA was horrible and for someone with this much experience, they did not understand how I could get "plain x-rays" correct on their test, but put "plane x-rays" into a different dictation. I found my test later and there was no mention of any x-rays at all, much less either "plain" or "plane". I re-read the whole entire report, and the radiographic portion stated "In a separate report."

They lie when it is to their benefit. They take whole lines away for one blank or one, what they perceive, misplaced comma. a whole line for each perceived error! Two different QA people with two different concepts of what an error entails, and rude comments to boot. This is not a "conspiracy theory." it is happening on a daily basis with many companies. Of course, they don't "fire you" either, but just keep you at a lower pay. my experience only.
COMPANY TACTICS - OR
[ In Reply To ..]
AMEN SISTER. They lie. This has happened to me about 4 times in 6 months. When are WE going to do something about it???? This is the only type of work that is able to get away with this junk! I am sick of it.
Unhappy - anOldOldMT
[ In Reply To ..]
My experience with MTSOs has not been good. I worked with one, did 40 hours of work and got paid for 20. I did not tolerate this at all. I have over 30 years of experience! They don't want to pay for experience and then complain you leave too many blanks, you have too many errors. Give me a break. The last company I worked for called me half an hour before my shift and terminated me! Medical transcription was good to me for many years, but now I'm bitter and hate transcription and all it has become. Years ago, we wanted to unionize, but the hospitals did not like that, so AAMT came along, and we thought that would help get us out of the basement, but now these companies are driving us into the poor house and into the grave.

Probably not... - Berta

[ In Reply To ..]
There's a TON of questionable practices in this business, but I rather doubt that this is one of them. It would require someone doing a whole bunch of constant monkeying around with the workpools for each individual MT, and it would greatly interfere with getting work completed within TAT by playing a silly game like this.

Believe me, I'm no fan of MTSO's, but they have many other ways to screw us over. This ain't one of them.

Do they tend to start people with easier dictators and then increase the difficulty level as people get the "mechanics" of the account specifics down? Sure, some might. But if the increased difficulty means you're not getting off QA, it's really on the MT and perhaps a lack of skills, not on them. It's not their fault if the MT can't hack it.


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