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


Future of MT -- love what I do, but reality sinks in - wiseMT


Posted: Feb 04, 2012

REALITY CHECK ... makes me wanna holler!!

Now working as an ME/MT at two major MTSO corporations – and then reality slaps me in the face, on a daily basis, as I merrily type my little fingers away, almost to the point of feeling a bit of pain and arthritis coming on.  Please someone hand me the Mineral Ice or  Aspercreme before I  can no longer stand the pain !!! 

... and I am very good at what I do (top Tier ME/MT and QA, at the top of the pay scale, and always maintain 98% plus accuracy), and yes one would say on top of my game.

REALITY CHECK  has hit me HARD very recently!!  Maybe it was the frequent meals of beans and brown rice???  So I said to myself – return to school?  Then I realized that it would cost me multiple thousands of dollars to return to school to become “proficient “ as a Medical Coder or possibly even earn my degree in some arena of Health IT -- or whatever it would take to utilize my vast experience as a Medical Language Specialist, or MT/ME and to be able to transfer my vast medical knowledge to some other field where I could actually work and pay my bills, and then have a few dollars left over.....instead of struggling to live from “paycheck to paycheck. “  Not get rich ... just to be able to simply pay my bills....  i.e., the basics of life, such as rent/mortgage payment, utilities, phone bill, and some food on the table.  The basics ??? 

So I ask myself, is it worth the effort to go back to school, and possibly get into MORE debt with student loans and in the end, just to come out earning a salary of possibly $50K per year PLUS the increased debt incurred to go back to school, just to make a few bucks more per year in my annual salary.

Okay, so then I thought about medical school – and that would mean taking the MCAT, possibly having to complete a Post-Bac Program (since it has been many years since I earned my Baccalaureate degree), and then also incurring even more debt, PLUS 4 more years of medical school, PLUS a residency of say 3 to 7 additional years of training (depending of course on the chosen specialty) and then possibly ending up earning a physician’s salary of $150K or so, maybe more if I specialize in an area of medicine that actually pays a bit more.

OR... I thought about possibly going to law school, taking the LSAT which means investing in a pre-law LSAT preparation course (say another $1000 or so) and then there are absolutely no guarantees that I will get into a “good law school” or even that I would land a job with a descent salary working as a lawyer.  I know a lot of unemployed lawyers.....yikes !!

There Are So Many Choices, Right ?? 

REALITY CHECK:  Not so many choices after all !!!  

The reality is -- right now (today) ... I MUST pay my rent/mortgage and my basic living expenses.  And since I am now working at home as an MT/ME, I have to pay for internet service, preferably DSL, and I must have a reliable computer system that will NOT CRASH in order to keep up with the minimum requirements, etc. etc.

Let’s face it -- Right now I have to eat nutritious foods each and every day so that I will not get sick, or worse, become dehydrated, or get ill with a compromised immune system, or come down with the FLU, – i.e., while at the same time that my expertise MT/ME services are needed to help out with a “huge backlog” at my current job and the reports that were due yesterday.

REALITY CHECK:  Personally, I have over 20 years of experience in this industry, have previously worked in-house at several large teaching hospitals as an MT and supervisor, then transitioning to own an MT business with  several “dependable” accounts (direct billing, of course, which was many years ago before VR) , and I have also worked as a Medical Coder at a major hospital. 

So I have truly been there, done that. 

Now I sit here and ask myself – WHAT NEXT?????

Yes, I have “peace of mind” and not dealing with a lot of drama while working at home – but I am not at all accustomed to “No Jobs Available” --  especially when I am now working TWO JOBS with national corporations.  

And I realize (...here comes the “AHA MOMENT”)  that each of these large corporations are OVER HIRING – and the head of these large corporations, the “big cheese“ leadership truly does NOT care whether or not me, the MT/ME is running out of work and constantly getting “NJA” almost every week now – and subsequently not earning any money in the meanwhile, oh yes ... as long as the corporation is meeting TAT and ultimately maintaining the financial goals of the Venture Capitalists to whom they must answer to – in the name of profit (of course) !!

All the while – I am the one sitting here at my home office – truly praying for a favorable outcome from this situation.  

I am too old for this !!  God is my only salvation.

Ashamed that I didn't pay attention - anon

[ In Reply To ..]
I live in a rural state with very little manufacturing, so back in the day when all these people were losing their jobs in textile mills and manufacturing in places like Ohio I just short of shrugged and thought, oh well, they'll have to get jobs elsewhere. Now I am in EXACTLY the same boat with medical transcription, and I'm sure if people knew what was going on with MT, they'd probably be as self-absorbed as I was. So what did all those out-of-work textile workers do? I'd like to know so I can do it, too.

Loved your reality check! - tmismary

[ In Reply To ..]
By chance I happened to read your post just as I have been feeling steeped in similar frustration. Could you please say which 2 major MTSOs you are with?

The landscape is rapidly changing for sure.

Good thing you're not an atheist. LOL nm - Maggie May

[ In Reply To ..]
x

Amen, I hear you - cjsi

[ In Reply To ..]
What is happening to MT is so sad and scary. I was one of the lucky ones working for a small company where they really did care about us and still do, but VR and systems where the docs can enter things themselves are creeping in, and our workload is slowly dwindling. I'm afraid it's only a matter of time and there won't be nearly enough. If you have worked as a coder, maybe that would be a possibility. It would take some training, but I was looking on the AAPC website forums, and it sounds like it's a lot like MT where everyone wants someone with experience. I worry, though, because it sounds like there are also a lot of people who went to school for it and now can't find jobs. Maybe if ICD 10 starts, there will be more of a demand. I also thought about working as a CNA. There's always a demand for those, and it wouldn't require going back to school. I also see quite a few ads for lab techs and phlebotomists. I bet they'd practically hire you off the street for phlebotomy. The pay is probably not great, but the way things are going with MT, it might be a way to make OK money while taking a few classes in something else. I pray a lot these days too. Let's all pray for each other that God will help us. Maybe there are still good MT companies out there too, but who knows for how long.

Feeling you, sister. - anon.anon

[ In Reply To ..]
The decline of this industry that I used to love has been on my mind so much lately. I've gone through all the stages of grieving, and I've finally gotten to the point where I simply don't give a rip any more. Elvis has left the building. I am only using my current job to tide me over until I can get through a coding program... which is not that expensive.

It is $3800 (Andrews) very well spent. It's only $1000 down and then ~$100 a month thereafter. I am working as much OT as I can and selling CDs, books, and clothes on eBay to get the $1000 together. I've also turned the heat down and am really sticking to a strict food budget with no eating out or Starbucks or going out with friends until I can get that $1000.

Another thing to factor in here is time. Time is of the essence when the walls are closing in. Andrews allows experienced MTs to skip ahead and get straight to the meat of the coding program, thus shaving off months of time. There are also similar "bridge" coding programs for MTs arising now.

I found a great blog by an MT-to-coder doing just this. In less than a month, she has already finished module 1 of 4. I shared the link here. It was promptly deleted. You will just have to Google for yourself. (I'm more and more disenchanted with this board/spending less time here.)

feeling you sister - ej

[ In Reply To ..]
I wish you great success with coding. I used to code when I worked in the hospital, just when transcription was slow, but also when in the doctor's office. The last time I was at the doctor's, they said coding was going VR also. For everyone's sake, I hope it is not. These times we are living in are not for the faint-hearted. I am from the older than dirt group and have seen a lot I do not like, but am still working - so far. Best wishes to all.

I know it will be okay - wiseMT

[ In Reply To ..]
Truly appreciate the responses to my original post. Right now, I continue to look forward to the next phase and know it will be okay. Power of prayer !!


Similar Messages:


Christmas Time - My Reality Check -- Love What I Do Then MT Reality Sinks In
Dec 22, 2013

REALITY CHECK ... makes me wanna testify this Holiday Season, let me share. I am now working as an MT/ME at a major MTSO corporation - and then reality slaps me in the face, on a daily basis as I merrily type my little fingers away, almost to the point of feeling aches and pain penetrating into my metacarpal phalanges. Now do not get me wrong, I love what I do and enjoy my work... and I am very good at what I do (top Tier ME/MT and QA, at the top of the pay scale, and always maintain 98% p ...


Perception Vs. Reality
Mar 03, 2010

I have read the emails and spoken with several of my friends as well as my Quality Coach. I have not always agreed with MedQuist over the years, however, I am not so ignorant or blind to miss the fact that the Q ... perceived to be evil or not, IS INVESTING in several programs that undeniably help the MTs who do the right thing, the so-call "higher performers".     ...


Need To Know The Reality About An MT Career
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 ...


Internet And Reality
May 01, 2012

You all do know that because this is a public forum, that ANYONE can say WHATEVER they want and pump up their company, MQ, M*Modal, Nuance, ad. naseum?  Right?  You do know that, okay.  Back in the "day", we kinda knew who was who, and what was what; it is not that way anymore.  It is a whole new world.  You can open a new company with a couple bucks, post a lot of "WOW" comments on Google reviews and what-not, hey, looking good, good ratings/reviews.  Really, you&n ...


Reality Check
Jun 18, 2012

Transcenders are nothing special? Oh yes we are. Worked for a hospital system for over 20 years, was sold into slave labor to Transcend and now Nuance, the Wal Mart of transcription, is taking over. Sit here daily wait, wait, wait for work on an account that I KNOW GOOD AND WELL there is work on. Nuance, the Wal Mart of health care does not care about YOU, ME or the next person. All they want is $$$$$. ...


Economic Reality And MQ Policies
Mar 02, 2010

Years ago, hospitals were charged 15 cents a line.  Now you see ads for 9 cents.  You all know all the factors that make this possible.  The executives are not going to lower their salaries; they are going to continue to try to lower their cost per line of transcription.  If you are doing this to make some extra money, that is one thing, but for most MTs there is going to be no way you will be able to earn a decent full-time salary unless you can work 100 hours a week.  ...


The Reality Of The UNION Talk
Apr 25, 2011

The only person REALLY interested is apparently the person who recently posted.  ****** This followup is posted mostly to point out the REALITY and that's that MTs will NEVER unionize :)  It's just a topic that comes up, everybody creates fervor for their POV and then it all goes away (thank goodness)!   ...


When Will The Stats Show The Reality In Transcription?
Nov 15, 2009

In searching the web for a new job I keep running into federal and state stats that say the low end salary of a newbie transcriptionist is $14 and high end is $24.  They must be talking American dollars because Indians make $0.78 an hour.  They also say it is a growing field (so much so it's spilling into the sea and floating to India) and there is a high demand for experienced medical transcriptionists (!?)  Where the heck do they get their outdated information???  I f ...


Expectations, Reality Check ..and Plan Of Action
Dec 23, 2012

I just cant believe MMOdal have set their bar so low... What has MModal done to make our accuracy grow DEP programers, heres a piece of advice...get an option of grading the dictator in ur next version of DEP within the file....like, excellent, decent, good, bad, worst...whoever ever get 2 weeks of worst % should be warned if still no improvement, penailze with heafty fine and still no improvement, should be dumped from dictating forever.. 1.  MMODAL face it..ur DEP program is grabage..e ...


LOVE, LOVE Mmodal
Nov 01, 2012

Have to say, I love Mmodal.  My CCM is caring and considerate and kind.  Also, love the pay and hardly ever running out of work but when we do, that is a nice break for me.  I just put the pedal to the metal and don't take anything posted here to heart cuz, lots of angry people just wanting to take you down.  Pass on the love!!! ...


ARRRGGGGGHH! I Love Resident Dictators. I Love Resident Dictators. I Love Resident Dictators.
Jun 19, 2010

A new ESL dictating a DS. Can't speed him up because he's too "new" (to this country?). He is spelling every other word!!!!!! AND then spells it again - extubated, e-x-t-u-b-a-t-e-d, extubated e for elephant, x for crosses, t for tom, u for umbrella, b for .......... get the picture (sigh)? On top of that, the report is 28 minutes long!!! Should never have gotten out of bed this morning. LOL I do feel bad for him that he doesn't realize he doesn't have to spell every other ...


The Future Of MT
Nov 25, 2009

Many have said that MT is not what it once was. Here's a topic: What is/could be the future of medical transcirption?   Diane   ...


MT's Future?
Feb 20, 2010

I was told not to enter the medical transcription field because it was not going to exist in about five or six years. Is this true? I really want a job that is professional and allows me to work at home as well. Thanks ...


The Future Of MT.
Sep 26, 2012

Wondering what thoughts are on this article.  I believe MT is changing but is not a dying profession.  ...


Future Of MTs
Jun 06, 2013

Iâve been doing more research into the future of the MT field and I find that it is morphing into something I do not want to be a part of. Are EMR/EHR really cutting down transcription costs/jobs? If you goggle this you will find a huge disparity of opinion from âgoal being to have no transcriptionists whatsoeverâ at one extreme to âall this new fangled stuff is just some new toys for the kids to play withâ being at the other. Some are on the fence and some are crying itâs a ...


The Future Of MTs - Is There One?
Jan 18, 2014

I am a former MT who is going to school for Health Informatics.  I worked as a transcriptionist for over 20 years.  Two and a half years ago our team was told the organization we worked for was going to voice recognition and our jobs were being phased out which is when I chose to go back to school.  I am writing my final paper on “The Future of Medical Transcription – Is There One?”   I would like to get information from other transcriptionists on this ...


The Future
Mar 19, 2014

Hello to everyone on MTStars. I've been reading all these posts for weeks.  My hospital announced in Jan. that we would get laid off in July b/c they had decided to go with M*Modal.  After everything I have read here you could not beat me with a stick to apply for M*Modal; even though that is what they wanted us to do.  I've come to terms with it.  I am at peace.  I have been transcribing for 16 years, and have made EXCELLENT money, $25-30/hour. If this is the ...


Future Net - Anybody Still There?
May 08, 2014

Anybody still there?  After months of shoving MModal down our throats they just sent an email out on how to fix the spellchecker in the program!  Do you think that should have been done before forcing this on MTs?  Looks like there is no turning back, they are just forcing the issue and you can either make less than minimum wage, WAY less, or take a hike as many of us have been told.  A ton of work in regular SR every day because looks like everyone is in fact leaving but at the same time, m ...


Is This The Future?
May 20, 2014

I am beginning to think that the future with VR and point-and-click plus offshoring means that the work that is remaining will be just a little bit from a bunch of different accounts, meaning we have to navigate through a bunch of different account specs for those MTs left.  My old account went completely offshore, the new account I was transferred to went completely over to Epic and my new assignment has me with 3 accounts and the work is dried up so I will have to ask for more.  The ...


Future
Nov 02, 2014

Recently, I  saw several posts about TSMs being let go, about other things that are changing in the different regions.   Will that be happening across the board I wonder?  Are these changes in place right now?   Thank you for your input. ...


Future Of MT
Mar 25, 2015

Well, just saw a report on my local news that one of the hospitals in my area is trying out the Dragon Medical voice/rec system, where they are doing it directly at the hospital right into the medical record.  Allegedly it is just a pilot program, but it showed the doctor looking at a computer screen and dictating into the machine, and the text would appear directly on the computer.  Then he can read what he said and put it directly into the chart.  Then any doctor in the hospital ...


Is There Really A Future For MT Work?
Feb 03, 2010

I don't mean to start a downer post here, but I sincerely want to know if there is a future for MT work. I see posts by a few who have succeeded, at least somewhat, in the MT world.  However, these are very few.  Then there are those who were happy just to find a job, but a few months later, were let go because of no work.  There are some whom I know to be conscientious workers who were fired out of the blue.  Could this just be the company losing accounts and placing t ...


Future Job Outlook
Feb 09, 2010

I'm currently an MT, wanting to change careers.  In your opinion, what are the chances of coding going the way of MT with outsourcing to foreign countries and/or technology cutting back the number or coders needed? Any opinions would be appreciated.  I'm thinking about starting classes. ...


This Is Actually The Future For Transcriptionists, Sm
Aug 03, 2010

Go to this website.  Transcriptionists will no longer be needed in the future for transcribing or editing.  One of my friends told me the hospital she retired from is going to this system and their transcription department will eventually no longer exist.    http://www.youtube.com/watch?v=KGMEf11GmBo ...


TransTech In My Future?
Feb 09, 2011

I'm on the fence and need some advice.  I would like to make a move and I've applied to TransTech, but I think I might want to apply for an in-house position versus at-home position.  I have friends who work at TransTech,  but they are at-home MTs and they don't know how TransTech in-house MTs are set up or even how many there are.  Are there any in-house MTs for TransTech who could tell me why they chose the in-house versus at-home position?  Other than ...


EMR And The Future Of Transcription
Jul 27, 2011

With the president's health care reform he is giving incentives to doctors to switch to EMR.  From what I understand, if doctors have not switched over to EMR by 2014 they will be taxed.  What is the future of our business with this policy?  Especially the big transcription companies like Transcend? ...


The Future Of Coding
Aug 13, 2011

I am currently taking a program taught by a coder in my city.  It is very in depth and I will be able to sit for the CPC when I finish, but I am worried about the future of coding.  I read an article (I can't remember where but was in a health journal of some kind) that in 5 years coding will be mostly computer-assisted, documentation for coding will be 3/4 electronic, and coding staffing levels will be starting to decrease due to technology.  Who agrees with this?  Am I ...


Hope For The Future! Sm
Dec 18, 2011

I just finished typing a patient -   106 years old - NO past medical history, NO past surgical history, completely negative ROS, NO medications at all.  She came into the ER for a tooth abscess!  ...


No Future In This Industry?
Jun 29, 2012

I don't know why I'm posting, just a last bit of hope left in me.  I have devoted my entire adult life to this industry, what I used to consider a career. Over the decades, I became a top-notch professional MT, basically 100% accuracy, never needed QA help, and was a huge producer.   Fast forward 20 years, and I climbed up the ladder in our industry, joining QA, being a team lead, then up into management levels, and.... rather than have my salary 'commensurate with ...


Brighter Future?
Sep 01, 2012

  You know, I just stumbled upon this website a week or so ago. Reading some of your post have really opened my eyes as to how lucky I am to have my position. I am semi-new to the MT world. I work for a wonderful company, but it makes me sad to see everyone has to put up with just insane working conditions from other companies.  I hope all of you find companies that realize you are their biggest asset. They cannot make deadlines, or quality goals without the hard work that all of you ...