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

Do you all think this is a dying career? - anon

Posted: Dec 23, 2011

I just basically would like some honest opinions on this subject.

yup...nm - L&L

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nm

Without a doubt... nm - Old Woman

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I kinda agree with you. - IAMT

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However, the better and more experience we get will never be compensated and not many will be fortunate to find a company that is not so greedy as to not give increases to reward production and skills. With the rising cost of living, we will not be able to maintain financially in this field and good MTs will slowly be forced to move on.

I cannot continue doing more and more research, search for and correct demographic info when the incorrect information has been entered so I don't get a HIPAA violation warning, add new contacts, learn new specifics and accounts, and sometimes even retype reports completely on the really disgraceful edit CPL and with no pay for anything that is not added to our line count. Sad, sad situation and not sure this is not the new norm.

Not sure myself, but I think - Ayn

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It depends on what you consider the "career" -- I think straight transcribing is dying, yes. But,I think there will always be a need for editors. IMO, the career is going through some drastic changes, yes, and may or may not be shrinking in the number of people needed in the field (remains to be seen), but I do not believe it will completely die out. Medical records will always exist, and someone will always be needed to enter in the text (whether it is us or someone else - doc - or a machine - speech wreck), and someone will always be needed to edit that text (especially if it is entered in by speech wreck or by docs/PAs themselves).

I agree with you. Well said! - nm

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nm

Yours is the best reasoning that I've heard - Agree With You

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Your reasoning is sound. I only wish that it would move along faster, weed out anyone who wants to be or needs to be weeded out, and let us get on with enjoying our jobs without all the frenzy from those who are truly hurting and not doing well. It's painful to watch people hurting and know that you can't do anything to help them because not everyone can do well in any career, especially these days. Fewer MTs are going to do well, but I believe those have the potential of doing very well once things settle out.

It's already dead as a career - sm

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... if you define that as a profession, one's life's work, an occupation that sustains you and puts bread on your family's table. Once VR and offshore outsourcing became the norm, the profession was downgraded to "job" and those who perform it treated as dime-a-dozen worker bees instead of professionals. EMR is going to nail down the coffin lid, but medical transcription is already well along in the process of becoming something else. I'm not even sure if the skill set is going to be in demand for whatever it becomes. All in all, the outlook isn't good from where I sit.

For perspective, I'm a hospital employee working from home, still doing straight transcription and paid decently. But the handwriting is on the wall for me as well as everyone else. I've loved this profession but it's become the Titanic. And I'm looking to jump ship before she sinks.

Yes and with EPIC is sooner than later...nm - sadone

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x

Yes there is no question about that. - sm

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It is the only "career" I know of where the pay has consistently gone down and there is no future. Our jobs are obsolete now you might as well say. I am very surprised people still go to school for this. If they only knew....

It was never a career. Careers have movement. - Whatever happens, pay for this job will not

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increase back to what we need it to be within the foreseeable future, regardless to what it might morph into. Anyone wanting movement back to a higher wage level needs to take the classes and prepare for a higher-level job--or career for the more ambitious.

Absolutely, without question....sm - SWMT

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Been in the business since the 80s (yes, that is a long, long time) Made more money then than I do now; in fact, could make $45,000 a year and OT was always available, so $60.000 was possible, and yes, that was the Selectric typewriter and cassette tapes :0 Never ran out of work either. In these last 5 years, it has totally gone into the toilet, with outsourcing, editing, no work, etc. Don't think MTing will last another 5 years because we only work to make money and that just isn't possible anymore.

Not dead yet - just in the

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zombie phase. No soul, looking to suck the life out of the living.

No, but we are going through tough times just like everyone else - Fearless

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I think we're not only going through tough times because of the poor national or global economy. We are also going through tough times because the industry is feeling its way to the next norm. Nobody knows exactly how that will turn out or how long it will take to become what it will be. I believe many people will find that there are other jobs they are better suited for. We're going to lose some jobs. The people who are left may actually be paid better to do the jobs that will remain over the next 10-15 years.

In my own experience, I've always done better when everyone else gave up and I didn't. I think the same thing is happening now.

without a doubt..unless you can live on 3 cpl - anon

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I have been in this business for nearly 30 years. Started out as an X-ray typist for a huge hospital, moved on to general medical and then owner of small MTSO with contracts for small rural hospitals for 15 years. Big business came in with lots of promises and cheap rates (outsourced) and we were out of business, like so many small services.

In this year alone, 2011, I have seen 5 HUGE hospitals/medical facilities go to VR, and its like a snowball. Medical transcription as we have known it will be a blip in history soon. I have spent the last year and a half attending "real college", not some online course for coding,to position myself at 55 years old to be able to continue to provide for myself. Self-employed can't collect unemployment....I will graduate with an associates degree, be qualified to sit for the RHIT and coding exams by June of 2012 and be on my way OUT OF THE MEDICAL TRANSCRIPTION FIELD. My only regret is that I didn't do it sooner because I have known for years this was the future.

Don't sit there and believe all those promises of "our docs will never go VR/SR"...docs are employees anymore, just like we are. They don't make the decisions anymore, they get a paycheck just like we do. And, all this EHR stuff, its not a flash in the pan, its GOVERNMENT MANDATED and billions of dollars up for grabs. Its not an option, its THE LAW, be EHR compliant by 2013, as well as coding changes to ICD-10 by 2013 and many, many coders not up for the transition, requires quite a bit of continuing ed and recertification and some old coders just said enough, and are retiring.

As far as VR/SR don't be fooled...doctors don't even know they are dictating to speech recognition!! read up on it. Why do you think they are cutting transcriptionists pay 2/3 and then some?? As soon as they pay for the software its all profit. They have "us" sitting in the backroom making sure the speech recognition got it right and try to blow smoke up our nose that its gonna make our jobs so much easier, NOT....easier maybe but can't make a living.

I really have done this for nearly 30 years and I'm telling you to run, not walk, run to some education in another field, or Wal-Mart where you can make at least minium wage cause it isn't in the medical transcription field, or anywhere else but transcription.

Those of you who still have the hopsital jobs making good line count and have a "false sense of security" I encourage you to be alert...I am praying my little backup job that still pays a decent amount for transcription doesn't go VR before June of 2012 so I can get on to my coding career and be done with transcription.

I have yet to see anyone make any money with VR/SR editing...run, go to school and get an education in something else, NOT EHR SOMETHING TRAINING THAT DOESN'T EVEN EXIST...EHR is not a "thing" in and of itself, it is an "electronic health record" and they are "programs", not some generic computer application that you can get training online with some scam "educational software." There are hundreds of EHR PROGRAMS so don't be fooled into some scam program to "train for EHR"...its a scam.

My choice to go with coding and be legitmately trained on ICD-10 was to be able to use my experience, but be very, very careful about buying any kind of "online" training programs. They have to be "credentialed" by AHIMA and if it doesn't say that, don't buy anything. Very few programs/facilities/higher education programs are "credentialed by AHIMA"....be sure of what you are buying.

Hope I gave you a little insight into the rapidly declining world of medical transcription.

You've had a rough time. - My sympathies

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I can't imagine how it must feel to have lost your business. All the best in your new career. I don't agree with some of your rationale, but wish you a better career. It sounds like you have had a really rough time.

not looking for sympathy, stating truths - anon

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I am not looking for sympathy, I am stating truths...you can always tell those who are selling the BS and those who are actually trying to make a living with the "new and improved".

I know 3 really good transcriptionists who can't make a living on 3-4 cpl VR Editing..me and 2 daughters. I didn't even tell my girls what would happen when their jobs went VR, I had to let them see for themselves. Now they are along with thousands more of us desperately looking for other jobs NOT IN THIS FIELD, and not with the Big-2,3,4,or 5...

I have watched this for 30 years and I read these boards too...we ain't buying it !!!

Not dying, changing - Old Pro

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I do not think it is dying, but I think it is changing radically from what it has been in the past. Those who survive will be those who are comfortable with change, who are flexible, and are technologically literate. I think that the process will weed out some folks who never should have become MTs in the first place--people who only wanted to work at home and would not care if they were transcribing or assembling widgets so long as they were working at home. The profession has never needed these sort of people, and they will get weeded out. There are TONS of people working at home for the right reasons and with the right education and motivation and I say more power to them. I think becoming an MT right now at this point in time is sort of like investing in the commodities market. He is highly volatile and downright dangerous, YET there are SOME people making amazing money at it. It just depends if you are risk-averse. I would not invest in commodities--not that brave--neither would I begin an MT career right now, but there are bravy hardy women (and men) who will do it and who will succeed. I guess the old Clint Eastwood saying applies, "Do you feel lucky?"

SUIT, SUIT, SUIT, you are so transparent!! - anon

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You don't even try to sound like a transcriptionist. No one is "making amazing money"........

Oh for goodness sake - Can you all at least TRY to be original

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Why is it that when someone says something positive about this industry they are immediately called a "suit?"

People, people, you gotta come up with something new at this point. I mean, really.

As for no one making amazing money, well that's all about perspective, isn't it? Quite honestly, in my situation, on a normal day I'm averaging $25 an hour and when I'm not playing around on MT Stars and really pushing it I've done close to $40. It works for me.

$25 an hour... - Amazing!

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On VR paid at 5 cpl (unusually high these days), an MT would need to produce 500 lph to make $25/hour. Straight transcription at 9 cpl would require almost 280 lph. The only thing ''working'' for you is posting baloney on message boards.

280 lines/hour is nothing - Jessi

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I can 280 with an ESL where I work, though admittedly I know my docs. But 280 isn't like some impossible dream or something.

Also, I agree with Old Pro. I had a long talk with my boss the other day about whether or not I needed to be looking for a new job and she said MT wasn't going to be the same but that our department definitely wasn't losing anyone. We might not be doing the same job as we know it but we'd definitely have a purpose and our skills would definitely be put to use.

And I wear jeans to work so don't even think about calling me a suit lol!

Thank you. 280 is a lower amt for me - Can you all at least TRY to be original

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If I'm only doing 280 lph,I am being a little slow. I am for a minimum of 300 lph and do that pretty consistently and if I'm really focusing and not messing around, I'll do 400, but don't really sustain that for too long without my wrists and hands just needing a break.

To Miss "Amazing!" up above - don't assume that just because YOU can't do 300 lph that no one can.

This is not hard to do, once you get yourself acclimated (sm) - lucky, I guess

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Guess I am fortunate because I get 0.6 cpl for VR and 12 for ST. I average $28 an hour with VR and $29 on straight typing. I work for a large hospital group.

No, they cannot be original...because they cant swim they assume - Everyone should be sinking

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Ignore them. The biggest whiners are the ones who are the first to cry troll or suit or management.

They feel because they are failing EVERYONE should be failing as well.

Just ignore them...they aren't worth your keystrokes to try to deny their idiotic protestations.

It just has to be a good match of what you can produce (skills) and - what you have to make as income

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Not everyone has the skills to make any money. Not everyone loves to do medical transcription in the first place. Some of us live where there are higher costs of living. Others have a completely different view of what an acceptable amount of income is. What makes one person happy with an MT job would make someone else go running to another career, as it should be. That's the way things have always worked. You find the best job you can get with the skills and knowledge you have to offer. If that job doesn't provide an income that meets you needs, you have to (1) improve your skills and knowledge; or (2) find out what other skills you have or can get.

Thank you old pro - anon

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I'm the one who started this post and I'm just starting to get very discouraged and this post really, really put it in perspective for me. I am making a decent living out of this as is my husband as well right now, but I'm just worried about our future with it. We are computer literate and are easily trainable on new platforms and new systems, but at the same time I'm just honestly concerned about the future of it and I really think you put it best with "changing." I honestly appreciate everyone's input who posted back to this and mostly yours Old Pro, you honestly lifted my spirits a bit. I can deal with change better than I can deal with dying, so thank you!

"thank you old pro" by ANON - anon

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I did not THANK OLD PRO, you hijacked my thread with my "anon" alias even....DYING, GASPING FOR AIR...

I challenge anyone to put their web cam on and SHOW ME even close to 500 lph on VR much less 800 lph, AND DO IT FOR 8 HOURS.

I've done 600 lines an hour - wheres_my_job

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oh, but what happens - they start giving you the crappy dictators, who need a lot of work on the demos / header - and then needs to be sent to QA for X, Y or Z...then in the actual report, whole PHRASES aren't picked up by VR, drugs are left out of the medications, and then what is "recognized" is crap you have to change - so then you're fricking back down to 180 lines an hour for 4 hours...and then you run out of work!!!!! So yeah, in an ideal world where everything is working perfectly, wow, 600 lines an hour! But then, crapsville returns...then also for some benighted reason, there are 60 reports available...and the first solid TWENTY are the worst dictator in the department...is there some reason the WORST dictators are the highest priority????

You're welcome - Old Pro

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You're welcome (and Merry Christmas!). All of the doomsayers kind of remind me of a story about Robert Fulton when he invented the steamboat. When he took it down to the riverbank to launch it, many people chanted "You'll never get it started." When he did get it started and it was chugging down the river, they then started to yell "You'll never get it stopped!" So rather than make changes or have hope or really be willing to look at the fact that perhaps MT is not a good for for them, many people would rather yell allegations of "SUIT!" (I'm not) or whine about why their lives don't work. MT these days involves an incredible amount of flexibility and tolerance for change. Some people have it, some don't. And it's fine whether they do or they don't. It's not about being good, bad, right or wrong--it is only about whether the MT world in its current incarnation works for any given individual. Each person has to answer this for him/herself. Good luck to you! It sounds like you have it all together!

My personal experience with EHR and VR - Know from experience

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I worked for a 470 bed hospital. There were 11 MTs, 9 full-time, 2 part-time, and we sent out overflow, mostly discharge summaries, to a large MTSO. (Use your imagination here). This MTSO wanted to "buy" the MTs. Hospital said no. Used to have to have 4 or 5 MTs working on radiology, the others were doing acute care. Most were trained in all work types. As MTs quit or retired, were not replaced. Still had very heavy workload, stayed behind. Enter the EHR. Work started decreasing slowly. First was just residents using the system for some discharge summaries. Then other doctors began doing progress notes and h&Ps in it. Then consults, then some routine OPs. Then enter VR for Radiology. All radiologists but 2 do their own editing. Still have a lot of transcription work. Enter the VR system that is compatible with the EHR and billing systems and will interface with both. Doctors start dictating. Unknown to them, VR is "Learning" their patterns of speech, etc. Gradually almost all of the dictators are now VR. These are mostly for OPs and a few that refuse to do the canned template reports. Since the work all but dried up, there was no need for all of the MTs. Guess what happened?

I was laid off. Don't blow smoke up someone's skirt and tell them it isn't going to happen eventually because it has happened. It IS happening to others, and it WILL continue to happen in the future, probably at a faster rate and to more MTs. No, I'm not a fortune teller, I'm not psychic, I'm not omnipotent. I just see the writing on the wall. You might just be one of the fortunate ones that survive but don't tell others it isn't going to happen to them because it is entirely possible. The government is MAKING the doctors and hospitals go to an electronic record.

Hospitals have used the electornic record for years WITH MTs - Nothing new about that

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nm

BIG changes, less warm bodies needed (sm) - CMTx2

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MT as we once knew it is on its last leg ... much to my chagrin, as I actually did enjoy being left in the corner to do straight old-school transcription.

*Best case* scenario with EHR, there will be a significant reduction in work to even be edited. I do think there will always be a need for some editing work, but just less and less.

CYA, ladies! If there is any job type you don't do, please learn how. Knowing ops will give you a big competitive advantage, especially with EHR. If there's any way you can slide into a team lead job, DO IT. I used to think QA jobs would be safe and sound, but if EHR eliminates a big chunk of our workload, there will be less and less work to QA.

Fortunately, there's still time to reposition yourself (I've already done so) to ensure your livelihood.

This information isn't necessarily correct - sm

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I don't agree with your statement of fact about the "best case scenario", because we simply don't know how it's going to go. It might be factual to say that you don't know, but you are not willing to wait and find out or you don't think so, but you really don't know. None of us do. There is just so much of this making comments sound as if they are facts when they aren't.

SM what exactly do you do besides reply here ? - anon

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you sure seem to have lots of time to reply on every thread and refute almost anything said. I don't claim to be the end-all source of information on MT or coding, but I've been deeply entrenched in transcription for 30 years and the writing is on the wall. It was a good run while it lasted, but now its time to move on to something else, and let them figure out how to make VR even better than it already is and use it without us, cause "WE" are bailing ship with our 3 cpl.

So you are the same person who was giving the information about coding above? - sm

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I didn't realize you were the same person who was giving the information about coding above.

Anon - sm

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SM just means short message or small message, it is not necessarily the same person posting.

CMTX2 - Nick

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Hiya and Merry Christmas! Please don't make the assumption that everyone on here is a "lady." I'm a former Marine, former quarterback, and definitely NOT a lady! :)

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I have been enrolled in college for the last year while still working. Found out today about a whole new carrer that has just come out and being created because of EHR/EMR and now being offered and will become even more popular. My teachers in college informed me of a meeting they had in the city where I live. This meeting was held with physicians, PA's, NP's, MT's, Medical Assistance, nurses, etc. Because of EHR/EMR, most doctor's (about 78%) do not ...

Oct 26, 2011

I am considering going through training to become an MT and have been reading the posts on this forum for several weeks now. Before I make a decision I would like some opinions from you all who know this industry. Specifically, I would be looking to do MT on a part time basis. I am a stay- at- home mom with two kids in elementary school. My questions: 1) How realistic is it to find a part time job in MT (after training) where I can work my own hours from home? It seems like a lot of ...