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


Info wanted - ShockedIC


Posted: Nov 11, 2009

I've been an IC for 10 years with the same company.  Made excellent money working only part time.  This company has now lost a lot of accounts and work has slowed to almost nothing (had no work so far today).  Now I'm looking into getting a job through one of these national companies and have been reading the posts made here and have sent my resume to a couple places.  I feel shell-shocked with all the questions.  Can anyone tell me what these national companies are looking for in an MT or what they don't want in an MT?  Do they want an MT that does work only for them?  I'd like to keep my current work since it's such a small amount I would have no trouble doing both.  Do they want the MT to have a computer that is used for work only and no personal use?  I'm really in shock to see what these national companies pay per line and clearly I'll have to take a cut, but at least I'll have work.  A lot of these places ask what the salary expectation is.  What is an average amount per line that these companies start out at?   Is there much flexibility in the work schedule?  I'm used to basically coming/going as I please, as long as my work gets done.  Any info anyone can offer to someone back in the job market would be appreciated.  Thanks - ShockedIC 

Hello - Johnnie

[ In Reply To ..]
Well my dear friend,i am running an MT business my self.i can tell you from experience there is no such restriction as to only one MT will handle their operations or 'MT computer' will be used for business purposes only.
what they look for are the perfect results consistently.
If you deliver goods on a consistent basis then you can even get good rates.

Info wanted - ShockedIC

[ In Reply To ..]
Thanks. I was asking about the computer cuz 1 of the MTSOs I applied to inquired whether my computer was used for work only or work and personal use and the other asked if I had a "dedicated" work computer. Clarifying - the jobs I'm referring to would be employee status, not IC, so I'm wondering if these national MTSOs have a problem with an employee supplementing income and doing IC work for someone else. This came up in an application also. I did not mean that the MT would being the only person handling their account. Thanks

Here is some information that might be of interest to you - as to why some of those questions are asked

[ In Reply To ..]

  I cannot be certain, but I believe the reason you are getting those questions now is because MTSOs are starting to get their houses cleaned up for when the HITECH Act does into effect in February of 2010 regarding HIPAA regulations. 


  There are a lot of changes coming about in February of 2010 when the HITECH Act becomes effective.  Things are still in the process of being determined as far as how each MTSO handles HIPAA compliance after February of 2010.   Not much in the way of details has filtered down to the MT yet.  So, this is not a definite, but it has been rumored that at-home MTs will have to certify that they have a dedicated work space, that the computer is secure, that the computer is only used for work, and even that no one (spouses, kids, etc) EVER have access to the computer.  Some may even go so far as to say no one is allowed in the room where the work computer is so there is no chance of someone accidentally seeing personal information that is on a computer being used.  Again, this is all speculation at this point.  A lot of MTSOs are in the process of trying to figure out exactly what the HITECH Act requires and what they need to do to comply.  The fines are pretty stiff and will include the IC MT when it goes into effect.  It used to be that only the doctor/facility was responsible for HIPAA compliance.  After February of 2010, it also includes MTSOs and ICs.  It is not yet clear, but there is speculation that it could go as far as the at-home MT employee of an MTSO. 


  In case you have not heard about the HITECH Act, here is some good information.


  At the 2009 AHDI Convention, an Attorney prepared a Power Point presentation highlighting some of the things included in the HITECH Act. 


 


 Here is the Power Point link: 


 http://www.ahdionline.org/portals/0/downloads/ACE09_PowerPoint/ScottEdelstein.pdf 


  If you do not have Power Point, here is the alternate link, which is not as good, but you can get the general idea of what is going on:


 http://74.125.95.132/search?q=cache:X87Ve0gYvN0J:www.ahdionline.org/portals/0/downloads/ACE09_PowerPoint/ScottEdelstein.pdf+HITECH+Act+2009+MTSO&cd=1&hl=en&ct=clnk&gl=us


 


 

All this and our work is being shipped overseas to India? - Please explain why so hard on us here
[ In Reply To ..]
nm
My personal opinion and ramblings - Not an expert by any means
[ In Reply To ..]

That is probably the question of the ages.  In my opinion, simply, in the United States of America, the people have been brainwashed to think they have rights of privacy (although every day, those are being eroded, in my opinion).  The United States of America is also based on Capitalism.   People work hard to build a business and they want to make a profit.  Some unscrupulous and greedy people want to become billionaires so they can move anywhere in the world so they do not have to deal with us peons.  Companies hire lobbyists to promote their agenda.  Various medical and privacy rights organizations hire lobbyists to promote their agenda.  Congress gets pulled in both directions and in the end no one wins.  Companies go where the labor is cheaper while U.S. workers get more and more restrictions added to their work place in the name of privacy for the population as a whole.  The rich win – the poor workers lose.  That is the way of life and, unfortunately, that will probably never change.  As long as there are rich companies and poor workers, the workers will never get ahead. 


 


  As far as Medical Transcription, all we can do is try to find a company to work for that has half a clue as to what it is like to be at the bottom and does not try to push us down further with dropping wages and no regard as to whether we have work or not. 


 


    IN MY HUMBLE OPINION. 


 

Humble opinion - MT17
[ In Reply To ..]

Touche'!  Me likes your humble opinion and totally agrees.  My transcription job/work went to the Philippines at the beginning of October and I find myself looking for a new job after 20 years with the same company.  I am trying to stay positive and I will prevail."  Smile

Thanks for posting these links. I recently attended, sm - LaurieG.
[ In Reply To ..]
a local AHDI symposium on this very subject and I can verify that what you say is accurate. We were told that specific changes in HIPAA by Feb. 2010 will make all ICs "covered entities" (as business associates) and we would be considered just as liable to lawsuits as the dictating physician for any breach of information. In California, for instance, the fine for a breach of PHI (protected health info) is now $250,000 per breach. This will require protocols to produce "privacy" measures for every record that crosses your desk, i.e., no "offices" that are public where anyone else can see the computer screen, etc. There will be audit trails for every one who accessed PHI. State Attorney Generals will now be able to prosecute any breach of PHI. The MTSO for whom I worked over the last 2 years sold her business to a national company because it was going to be very expensive for her to implement all these measures, and I can't imagine what it will be like down the road. MTs are either going to have to implement these new measures and be willing to grow by learning new skills (possibly adding coding to your MT skills) or be "squeezed" out by the new regs.
HITECH Act=death of small MTSO - no work
[ In Reply To ..]
now it is all making a bit more sense why so many smaller companies here in FL got bought out. Thanks to all who gave this much needed info.
HITECH HIPAA - Beth
[ In Reply To ..]
February 2010.. I lost my position just this week because of an incorrect carbon copy based on this HIPAA HITECH policy. So caution should begin immediately or MTs will be losing their jobs or paying fines.

The head of Manpower International recently SM - MissIndigo

[ In Reply To ..]
commented on TV that, with a slow economy and many job applicants, companies across many industries are taking their time filling vacancies, filtering through the applications for what they hope will be just the right hires. It's not just MTSOs that're asking all these questions.

Sigh. I remember not so long ago e-mailing an application to a desirable MTSO and getting a call back with a job offer on the spot, no testing, I wanted surgical reports, okay, and more money, can do, when can I start? The wheel will turn again some day. I like to think.

In the meantime, though, to get in the door I'd promise them my first born if that's what they seemed to be looking for (he's actually perfectly capable of dealing with whatever I might dish up these days), but I suspect they'd be content to hire a very stable and dependable pro who routinely worked all assigned hours, occasional extras when TAT needed, and produced lots and lots of high-quality work without requiring much support or causing them any trouble at all. That sounds like it could be you, doesn't it?

BTW, one thing I am sure of is that those brief transitional years when the patients' reports got done whenever we felt like it are in the past, never to come back--no matter what phase the economy is in. Working the specific hours a day contracted to is the new reality.


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