A community of 30,000 US Transcriptionist serving Medical Transcription Industry
I don't agree with the MTs that are... - CMT
Posted: Apr 06, 2013
...complaining on how bad being an MT is. I noticed most of thOSS saying that have been doing this for 20-30 years. The MT field is not dying it is changing and people don't want to adapt. They refuse to do VR because it pays less but if you learn the short cuts & stop using the mouse you can make good money. I've been doing both straight transcription & voice recognition. My point being there will always be a need for editors!!!
I too hate the work going over seas & wish it would stop but there again there will always be a need for editing there.
I don't understand people who say they work full time and only make 12,00 to 15,000. If you are truly working full time & only making that maybe you should leave this field. Seven years ago I was making $26,000 now with VR I made 32,000 last year.
People also forget the $$ they save working at home the biggest being not having to drive to work hence a heck of a lot less gas, also we save on work clothes & not losing time in our day commuting.
The devil is in the details - Daisy
[ In Reply To ..]It all depends on what you are comparing it to. If you used to make 14 cpl and now are making 8 cpl, it is hard to argue that sucks! If you're treading water and have been making 8 cpl for years with no raise, that sucks too!
So when you are comparing MT now to what MT used to be it is hard to say the field has not declined precipitously.
I don't believe the downward pressure on wages will stop until we're at minimum wage levels. Even then, sitting at home doing MT would be better than any other minimum wage job that I can think of. So if you compare looking down then MT doesn't look that bad.
It depends on what you compare it to.
I do agree that 12,000 or 15,000 for full time is silly low.
No wonder she doesn't get it. After all, it appears - she fell for the "CMT" snake-oil, too. n/M
[ In Reply To ..]
yep got that CMT - the sky is the limit nm
[ In Reply To ..]nm
Savings on gas, clothing, and commute time same 30 yrs ago - akw a constant
[ In Reply To ..]Unless an MT was doing this 20 or 30 or even more years ago (me), it's really hard to completely comprehend the change, and what many may rightfully characterize as a dying field for domestic MTs.
There are many theories and reasons why MTs who have been in the field for decades have experienced decreases in pay and work conditions that have nothing to do with the MT's personal work ethic, habits, technique, or discipline, not the least of which is technological advances. This is not inclusive of all MTs, but probably a good percentage.
I've managed to dodge the bullet with VR, so I feel fortunate about that, but 10 to 15 years ago I was making a consistently yearly income of 50K to 60K. In the last 5 years, it's been 30K to just under 40K. My work ethic/habits and discipline have not changed.
I'm okay with what I'm making now because my lifestyle is different and less financially demanding than back in the day, and I feel fortunate to be working where I am, but by no means is MTing as lucrative for domestic MTs as it was 20 years ago. An MT coming in over the last 10 years probably would not feel this change as acutely as an old-timer.
I do agree one has to flow with the changes and if one has the means to get out of the field, definitely go for it, and by no means would I EVER recommend anyone to go into this field at this point, but comments from the 20- to 30-year veteran for the most part are coming from a very different place than even a 10-year vet.
And yes, savings on gas and clothes is a plus, but it's been that way since MTs started working at home, so that is definitely the only constant in this field!! :-)
correcting my own post--akw should be AKA-- a - constant (nm)
[ In Reply To ..]x
Bravo! - SassyMT
[ In Reply To ..]Thank you for this comment! As an MT with 22 years experience, I'm glad to see someone not actually bashing us older crew or talking about our work ethic. My work ethic has not changed, and I have embraced change with open arms but I still find it hard to make a living so like many others, I have decided to move on from this being my only source of income. I still enjoy MTing very much and I'm not really bothered by VR because it seems to be less stress on my hands but what is hard to grasp is the running time clocks, and being told we should clock out for anything not work related (potty breaks, beverage refills) to basically keep the clock "happy." That part to me is insane. If we were in-house, we wouldn't clock out for that. Of course, the pay cuts are a huge factor in pushing the older MTs out of the field but I also feel the "micro-managing" of every single minute of our shift is an even bigger issue, especially when some things like bad recordings or reports being stuck are completely beyond our control. I don't suggest anyone go into this field unless they just want to bring in a little extra cash from home.
That's the difference with a relative newcomer to the field... - MT
[ In Reply To ..]You're "content" making what you do because you have nothing to compare to. For me, $32,000 would be a $40,00 drop, yes DROP, from what I made 10 years ago. You may be content with that, but who in their right mind would want to be in a business where the harder you work, the more experience you have, and the larger your vocabulary and medical education grows, the less you make. None of us have a problem with VR IF it works. Up until 2011, I was still making $50,000+ using a great VR program editing 400-500 lph. Unfortunately, after 20+ years with the same company, my boss/owner retired, and since, I've seen how bad VR can be (and now know it's the MTSO's fault since I've seen it 'trained' the way it is supposed to be used).
Besides the obvious factors that have changed the industry (greedy MTSOs, VR salesmen, offshoring, uninformed facilities regarding EMR, etc), the "I work at home so I'm happy with whatever I get" mentality has hurt us. When we "old-timers" started, NONE OF US joined this business so we could work at home. We did it because we loved it, doctors thanked us daily because they trusted us to fix their mistakes, and we were paid accordingly. We didn't need QA. We didn't need a time clock. We didn't need to refer to a book of BOS 'rules'. We didn't need to be micromanaged. We did our job, happily, and excelled at it.
When it eventually transitioned to being able to be done at home, that was just a bonus. However, once schools flooded the market with pictures of women with babies in their lap typing, that's when the industry became flooded with people who didn't become an MT because they loved the field, but because they wanted to work at home. There is a huge difference. Every time someone justifies their low pay because they "work at home", I shake my head. That makes you worth less? So someone who lives a mile away from work should be paid less than someone who commutes an hour? Sorry, I'm not "content" with that kind of thinking.
To "That's the difference" - Old Pro
[ In Reply To ..]At last, someone who can think critically and has good analytical skills! I agree with you completely. In the 90s I was making 90K a year. My last year in MT (1-1/2 years ago) I made about 40K. Big difference. I would just like to say that your post "did my heart good"--it is a pleasure to see someone who can actually think and analyze, rather than react from emotion and overbroad, useless generalizations. You sound like my kind of MT!
Working from home - outahere
[ In Reply To ..]Bless your heart for saying that! I've worked in this field for 35+ years and not because of the money, because I love what I do and I'm damn good at it. There was a time we commanded a degree of respect for our skill and intelligence, the fact that we could dial up a doctor ourselves and ask for clarification of something without being fired for it. They trusted us to correct where necessary because, except for the medical degree and the ability to perform those surgeries we typed every day, we become nearly as knowledgable in medicine and patient care as they are. What do we get now for a lifetime of being dedicated to our profession and the people we serve, both physician and patient? 4 or 5 cents a line and a lot of crap from management who know virtually nothing about us and have very few, if any, "people skill." We are faceless numbers on a time clock that can and will be dismissed without a second thought. With all due respect to newbies, you are naive and have a lot to learn about what it takes to be a dedicated transcriptionist besides a CMT certification, which by the way, won't afford you higher pay or better benefits, unless you think 1 cent a line more is higher pay. You have entered into a once honorable profession that has been debased by global outsourcing.
Me too! - Got the Tee-Shirt
[ In Reply To ..]I've got 28 years here. I used to LOVE this job. Worked for the greatest MTSO company back in the 90s, on an ER account. Was pretty much caught up early one morning (3:00 a.m), and an ER doc wanted a template of hers changed. Didn't clearly understand, and knew she was working. I called the ER and spoke with her. She was grateful I called, we discussed her changes, and she thanked me. I then emailed my MTSO to let them know what I did. I got kudo's back for TAKING THE INITIATIVE. Gosh, I miss those days...
Anyone who can actually do this work with a tot at - home deserves a RAISE, not a decrease! (sm)
[ In Reply To ..]I can't even imagine how they could stay focused and get anything done. It's hard enough to do just having a couple cats trying to monopolize my attention!
Kids period - SassyMT
[ In Reply To ..]My youngest is 17 and sometimes I have to say "Hello, I'm wroking."
CMT - Astounded
[ In Reply To ..]Since you know all the answers and paint all MTs with the same broad brush, why limit your talents to the MT world? Why not run for the presidency and fix the world? And no, I am not one of those people who do not make the money you think is enough. Last year I made $38,600 part-time. And yes, I am one of those old-timers. And no, I do not put down other MTs who have had an unfortunate thing happen to them (i.e., layoffs, etc.). How about not judging and showing a little compassion? You cannot possibly know everyone's situation, nor is it your place to "should" on everyone who does not meet your standards. Please lighten up.
Astrounded! - GollyGirl
[ In Reply To ..]With the way, we are paid for VR (give or take 4-6 cpl), how do you figure you can make $38,600/yr? Even at 300 lph working fulltime, you would be lucky to make $26K/year. Yeah back in the day before VR, you could make that if you really kicked some serious keyboard nonstop, making better than average cpl with a good MTSO. Agreed, VR is less wear and tear but it also (for most of us) means a lot less $$$$ and not really a living wage.
GollyGirl - Astounded (not "astrounded")
[ In Reply To ..]I do straight transcription, not VR. And "how I figure" is directly from my W-2s, which I recently reviewed with my CPA when he did my taxes. I actually took quite a bit of time off in 2011, made 43K the year before.
There are a lot of factors involved. You may have a good - Me
[ In Reply To ..]platform where you don't have to look up demographics versus someone else having a horrible platform like Meditech. Your SR program may be good or stink like MModal. You may have a low percentage of ESL dictators versus someone having a very high percentage. You may have one or two accounts with relatively simple account specifics versus have 10 accounts with very picky account specifics that you may have to keep referring to because you might not do all accounts on a regular basis, or the account could change the account specifics at least weekly, as one of my accounts did. Some, like me, may hate to leave a blank and care about the quality of their work instead of being on autopilot and just transcribing, not paying any attention to if they typed serial or cereal, or verifying a drug dosage that doesn't sound right.
I do think that 15,000 seems low, but I also think 60,000 is not reasonable in most cases these days. When I started doing transcription 25+ years ago I was making 6.5 cents per gross line as an employee. I also had some benefits. Today many companies are paying 8 cpl for 65 characters, some with spaces and headers and some without. Also, more and more of these positions are IC, though they want to treat you as an employee. I have finally given up on MT, but I shouldn't be making less now than I was when I started.
I've adapted to the changes over the years, though giving up WP5.1 and PRD was difficult. There is one thing to have to adapt to a new platform or account specifics, but to be paid less and less every year, have often inconsistent QA, not have work available during your shift and being told to flex so that you have no life but to sit in front of your computer all day in hopes of getting a job, the fear of being reprimanded because you didn't meet quota when you couldn't because there wasn't work, or being docked for sending too much to QA, etc.
I think there are reasonable concessions MTs should make, but I also believe they should be treated as human beings. There may always be a need for editors, but MT is still a dying profession and I would never recommend it to anyone.
Me - Old Pro
[ In Reply To ..]Yours is one of the most intelligent, reasonable responses I have read. I really appreciate what you said:
"I think there are reasonable concessions MTs should make, but I also believe they should be treated as human beings. There may always be a need for editors, but MT is still a dying profession and I would never recommend it to anyone."
When I read that, I said "There's a woman who knows what she's talking about." I used to mentor (for free) women who wanted to get into MT. Now I will not do it, not because I am not willing to help people, but because I do not want to lead them down the road into the puckerbrush of unemployment. Every day I thank God that I am old enough to be retired and on SS. Heaven help the new grads, and the good MTs who were let go from M*Modal and other such places. Most (all?) of these big companies have no heart, and if I might be allowed a political statement even though this is not the politics board: NO, CORPORATIONS (INCLUDING BIG MTSOs) ARE NOT "PEOPLE."
/rant off
Working - at home
[ In Reply To ..]turns out to be far from the great achievement a lot of us thought it was. You are out of the loop, away from any networking opportunities and removed from any kind of training that will make you more marketable when the time comes and you start running out of work like I am this morning... "working" for the biggest MTSO on earth on Saturday morning with zero work (after being assured, by the way, that "we are so big you will never run out of work").
Now I wonder how I will pay my bills and what will happen when the little work I do have completely dries up and me with only one skill to put on my sad little resume after 30 some years. Fortunately I only have 2 years before I can take early Social Security.
You hit the nail on the head... - WeGetNoRespect
[ In Reply To ..]We're isolated and kept almost in a paper bag, wearing our sweats and slippers, and not ever meeting an actual live human being. Even trying to find another MT position can be tough when they're demanding three professional references. Who should I ask? How about my dog? Does she qualify?
what made you feel the need to boast, I mean, post? - 2nd shift
[ In Reply To ..]I am sure those who make only 15K are working hard and using shortcuts too. No one has forgotten that they are not paying for gas and work clothes. I fail to see how your post was enlightening in any way.
Agreed - GollyGirl
[ In Reply To ..]Since the start of the MTSOs in the 1990s and the start of being paid on the cpl basis, competition in our industry has known no bounds. It has brought out the worst in some people especially the ones that enjoy bragging about how good they are and how much they make. It serves no purpose other than to make themselves appear "successful and more worthy." I remain a skeptic.
Reply - CMT
[ In Reply To ..]Sorry you thought I was trying to make myself seem "successful and worthy." Sorry I don't need to post here to feel that. I was trying to show people a different side of things.
I appreciate the people who responded professionally and did not attack me personally. People don't have to agree with me. I enjoy reading others opinions and I respect them unless they are attacking me personally. Those people are the ones who feel successful & worthy when they are attacking and bullying other people.
telling people they need to get out of the business - is bullying as well nm
[ In Reply To ..]nm
CMT - Nick
[ In Reply To ..]Do you consider someone giving an opinion that is contrary to you own to be "bullying?" Just curious.
Not at all - CMT
[ In Reply To ..]I welcome and respect other views. The "bullying" I am referring to is the post that read "ha, ha how does it feel to be hated"
job vs. career - anon
[ In Reply To ..]The problem with being an MT and working from home is that it has become a job and not a career. If you are content to eek out a meager living, you can probably do so in this line of work. But it doesn't get any better than that.
MT is not a career. It will not get you a raise, a better quality of life, any retirement to speak of.
Lots of people have careers that eventually give them the financial stability to buy a house, a new car, take a vacation, start a savings. I'm getting out of MT because I am on track for none of those after 10 years in the field. I still have time left to pursue a better life, something better than living paycheck to paycheck.
The whole point of having a career is to better yourself. Earn more for your hard work and experience, not find yourself going backwards financially.
savings on essential like clothes, gas, etc. - good worker
[ In Reply To ..]The fact that we don't commute to an outside office daily should be no reason for lower wage whatsoever. Let me put it this way. There are 2 office workers. One lives 2 miles from work, the other lives 25 miles from work. They do the same exact job. Should the one who lives closest be paid any less than the one who lives further? As home workers we also save the company mega $ in overhead for office space and equipment, etc. So, you see, that's a cheap excuse used by the greedy to pay the worthy less than what we should be making.
CMT boast, I mean post, hilarious!! - anon
[ In Reply To ..]How's that CMT working out for you? Want to boast about that a bit?
Do you like being disliked?
Oh, by the way, I have been doing this job for 25 years and KNOW ALL THE SHORTCUTS but I am still making less than I did when I started out.
Cheap labor is all we are to those MTSOs and I hope they all go broke.
Boast post - CMT
[ In Reply To ..]Sorry you were so offended by my post that you had to act like a bullying teenager.
I guess it was the line about refusing to do VR - who does that?
[ In Reply To ..]Almost everyone is doing VR. I'm sure everyone strives to do it well, learn the tricks, but the fact is it does not pay well, and it can't be done in half the time that it takes to transcribe, no matter what the MTSOs claim.
Refusing to do VR - CMT
[ In Reply To ..]I didn't mean the majority of people on this board refusing VR. I was referring to the few posts I read about people refusing VR. I understansd it id difficult transitioning to VR. Transcribing and VR editing are 2 very different things. But it maybe easier for people who are relatively new to the field to adapt to it faster not because they're smarter or anything like that I don't mean that. Maybe it's because they don't have to unlearn things like "the mouse is our friend" or "if you're fingers aren't busy you're not productive."
And yes..... - CMT
[ In Reply To ..]I do realize VR is all about the platform. I've done some part time work over the years for various companies and have worked with some pretty horrendous VR systems.
CMT - Nick
[ In Reply To ..]I am a law student and there is a saying we have in the law: "When you don't have a case, abuse the plaintiff." It is a saying used in jest, but it makes me wonder why you consider name-calling ("bullying teenager") necessary when someone has a different view from your own. Just kind of interesting......
MTs - redmaj
[ In Reply To ..]I think the seasoned transcriptionist compare now to a few years back when MTs were the elite-we got paid what we were worth. I had to have an associates degree for this job, then on the job training and we are expected to type fast, no or very few mistakes, know or medicine, etc. Believe me, those of you who never worked in house have no idea. We got great benefits and very good money. WHAT WE WERE WORTH.
Okay..... - CMT
[ In Reply To ..]First of all, a big thank you to all the people who posted a professional response. To the others, I'm sorry I wasn't trying to belittle you.
What I was addressing really was all the negativity on this board. Is the MT field changing yes. Are we under appreciated by our employers yes. The world is perfect NOT. Comparing things to 20 years ago I was making 70,000 as an accounting paraprofessional. The economy was very different back then.
I understand what you are saying regarding if 1 worker lives 1 mile & another farther away.....I was thinking at least for me in today's economy working at home benefits me. I live in upstate New York. I would have to travel 20+ miles 1 way to work. So for me working at home is good for me.
In today's economy we are all lucky to BE employed and I don't mean we shod be grateful for every crumb we are thrown. I meant making the best of the situation.
Of course you were - belittling us
[ In Reply To ..]You implied that we are stupid, lazy, and incompetent. How was that a compliment?
oh but she did it in such a professional way - right? nm
[ In Reply To ..]nm
Again with the - CMT
[ In Reply To ..]Bullying
I'm do glad you are able to tell me what I was and am thinking!!
That's funny - you are accusing
[ In Reply To ..]the targets of your bullying and hatefulness of being bullies. How does that work?
If you think that's bullying - CMT
[ In Reply To ..]Commenting that if you're not happy with what you're doing then change it is bullying then too bad for you.
That's why I said she sounds like my supervisor. They're - experts in passive-aggresive bullying. nm
[ In Reply To ..]
Sure she did it in a professional way; after all..... - Old Pro
[ In Reply To ..]....she's a CMT!
Here's the thing CMT - see message
[ In Reply To ..]I made 32K last year. It's less than I made 20 years ago, but still more than a lot of people make. But never, not once, have I ever been tempted to come on here and tell people it's their own fault if they make 15K, or that they need to get out of the business.
Sorry you missed the whole point - CMT
[ In Reply To ..]Sorry you took it that way
And I'm sorry - AM
[ In Reply To ..]that you drank the CMT Kool-Aid. What will you do when the AHDI folds?
I have 35 years' experience, & made $12.5k last - year. Part of the reason for that is - sm
[ In Reply To ..]because I know MT is circling the drain, and I'm already putting feelers out for cash flow from somewhere else. I now only do as much MT as I absolutely HAVE to, in order to keep my health insurance. The rest of the time, if a freelance gig or odd job comes along that pays better, I take it. I've baby-sat, walked dogs, house-sat, driven cars home from the airport for people, worked a special outdoor event for a department store (for 2 days of having fun, I made $500), am currently working on a book manuscript, and taking a class in school.
There are only so many hours in a day, and only so much energy available to expend during it. So now, I expend as little as possible in MT, so I can give 110% towards finding something more interesting and more lucrative.
Here's the thing - Old Pro
[ In Reply To ..]I have a good friend who is a neurosurgeon. Top-flight neurosurgeons here in California make a couple million or so a year. Does she feel the need to put me down because I don't now and never have, earned money approaching a million a year? Of course not. Only the most crass folks decide who is "worthy" based on what they can earn. And maybe that person earning 15K does far more careful, meticulous work than someone grinding it out at twice that. People need to think about these things before "shoulding" on others and telling them to leave the profession. As we members of the tribe say, WHAT CHUTZPAH!
And in response to CMT status - CMT
[ In Reply To ..]I never said being a CMT pays you more money. I chose to be a CMT for a few reasons one if which was because I wanted to go into, and yes I know it's a bad word, management.
Management - to CMT - Anonymous
[ In Reply To ..]Having a CMT will not get you any closer to a management job than not having one, I don't know who fed you that line. I'm a veteran MT (35 years) and I've seen all the changes that have taken place over the years. I used a typewriter, carbon copies and Liquid Paper (ever heard of that?) and still managed to be productive. I was paid next to nothing when I started working and worked my way up the ladder. My employer paid my CMT examination fees and I passed, but dropped my credential years ago because it makes absolutely no difference in my pay. My employers cared about my skills, which I already had and which others had without being certified. All I can say to you is do not be disappointed when that CMT gets you nothing. I have always worked on site by choice and I never took pay cuts, but I did experience a layoff when my employer chose to send all the work to India but now I QA their work. As one who has just about seen it all in the MT world, just know that technology and offshoring has made victims of us all and having a CMT is not going to save you. If you want to be involved in management, I would suggest trying another field. No offense; I'm writing this as someone who has seen both sides of the coin.
"Make good money" doing VR? Total hogwash. - You sound like my supervisor.
[ In Reply To ..];p
Turns out she aspires to be - management
[ In Reply To ..]So maybe it's not surprising that she has such contempt for all other MTs.
My thoughts - MT of 17 years
[ In Reply To ..]It's not all black and white. What may be happening with (or for) some MTs does not mean its like that across the board.
I've read posts here where some MTs are doing very well (I'd love to know their secret), and I've read here where some MTs have fallen on hard times and through no fault of their own are sinking and they are not happy with the way the field is changing/dying.
I love my job, love my supervisors and I enjoy my accounts and I worry all the time that things will one day change. When you've got a lot of jobs going overseas, and you've got most of it moving to SR/VR, and electronic pads replacing actual typed reports, yes that is "dying".
No, a lot of people don't want to adapt, but most of us have to. We have gone from making over $18 an hour to making around $6.
It depends on what kind of a system you use too as to whether it is too cumbersome to use. I've worked on systems where it's a breeze and thing just flow smoothly. As an example one hour I could make $9 that hour, but the next hour get a horrible dictator and end up averaging $3. an hour. Before this job I worked on a system that was not user friendly and my average pay was around $1.75 an hour. That hit me hard especially since before I had moved I was making $17 an hour. So yes, it is possible that people working full time can make $12 to $15K or if we are lucky make about $23K. Have you never heard of "no jobs available"? I don't think it is anyones place to tell anyone they should leave a field. We all have our reasons.
Now, I've been doing SR/VR for some years. I don't know how you are making $32 a year on it. Not saying I don't believe you, what I'm saying is I'd like to know your secret. I'd love to make that. I use my keyboard, hardly any mouse movements, but it's not that fast. You get on, pull in the report check patient info then read along and correct. Most of the time I am correcting 50% of the report. Even after 17 years when they say something like I hear 400 mg and the system has 40 mg I have to research the drug to see if they have dosages. If the doc says one drug and another one is typed in I have to research to find out which drug works with whatever symptoms the patient has. So I'd like to know how you are making that kind of money cos I'll follow your lead. I WANT to make that kind of money. I think I have a lot of shortcuts now, maybe I need more? Some of my reports are straight typing, some I have to move around in the document, like when he says - oh let me go back to the part where I talked about his hypertension and add this (when there is no mention of hypertension in the report an I have to read through 4 pages to see if I can find what he's talking about), or when he says "next number", and I have to figure out where the numbering was supposed to begin. Drives me mad I'll tell you. LOL
I do think working at home does save money. Sometimes it will be days before I decide to change pajamas :-). No commute/gas, coffee funds, birthday funds, luncheons out. I'm so not a morning person. I wake up at 8:45, walk down the hallway to my room turn on the computer, make some coffee and log in by 9:00 (no more 6 am wake up calls, shower, makeup, iron clothes, dress, commute). I have not worn makeup since 2004. However, since I am home my heating and electric bill is a bit higher. Then of course while our bills are going up our paychecks are not.
Why bring up the CMT status....sm - Annonymous
[ In Reply To ..]I will never, ever join an organization that helped steal from the very people it was supposed to represent. Yes, I am one of those MTs that the line counts were manipulated, the company caught and slapped on the hand. The money should have come back to the transcriptionists not go the thieves who helped the other thieves. Speaking of which I know personally of transcriptionist who were certified and could not do the dictation.
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