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

Small company vs MTSO - Curious

Posted: Sep 08, 2011

I am beginning to think it's better to work for a small company than a big MTSO. So many of the comments on here are really not in favor of the "big boys." I'm sure it's partly old employees that dislike the company, but there seems to be less "drama" about the smaller companies. I would LOVE to find a small company that uses the Emdat Inscribe platform.

Thoughts, ideas on the subject or tips on smaller companies who actually pay?

Unfortunately, the small companies are having a tough - time keeping up with the big boys

[ In Reply To ..]
I think, much like the way of community banks and small mom and pop grocery stores, the small MTSO is on its way out. Think of Nuance or MedQuist as the Walmart of the MT world. The little guys just flat out can't compete with the rock bottom prices that the big nationals are capable of getting away with. It's why so many services that used to be really decent such as WMX, OSI, Spheris, etc., either went belly up and then were acquired or just flat out sold to out to the big guns.

I work for what is considered a mid size MTSO and I still worry about them struggling to not off shore and yet pay reasonable wages.

I have a horrible nightmare of 7 to 10 years from now everyone either working for Nuance or MedQuist or Transcend and just not having any other options.

I agree with the above response... - caffeinatedmom

[ In Reply To ..]
I worked for a small MTSO for four years, until recently, when I left to take a full-time job away from home. I left my MTSO on good terms and they said they'd gladly take me back if I ever needed work again, but honestly, work had been slow there for a while, and I only stayed because they were really good to me. Unfortunately, a few weeks after I started my new job, the company eliminated my position due to a financial crisis and I was left entirely without work. I called back to my former MTSO and they have not had any work for me. I only left there about two months ago. :( Now, I'm looking at the big MTSOs and will probably take a position at Amphion, about which I've heard both good and bad, but at this point anything is better than nothing.

I do think my former company has struggled lately with having work across the board for their MTs. They primarily had clinic accounts and they never outsourced overseas. They paid well, and they were great to work for, but the work flow was always unreliable.

Similar Messages:

Aug 06, 2013

I've been a member of this board for years and feel it's time to speak out from a business owner's perspective. I see a lot of negativity against MTSOs (maybe it's just the big ones but still it touches a nerve) and just wanted to give my 2 cents.Not all of us are greedy, mean, nasty, evil people. I can't speak for everyone but as for myself, I don't consider myself that way at all and my team of transcriptionists doesn't think so either. As a ...

May 17, 2014

other and now we are all scrambling for work. Seems to be the sign of the times. ...

Nov 18, 2012

interested in obtaining some work from this company and I am wondering if anyone else has worked as a sub for them or knows of MTs that may work through the company. Would appreciate any information about them if you have current knowledge of how they are to work with. ...

Dec 26, 2009

so I did not get the checks until sometime in January/Feb. She never sent my 1099 on time when I worked for her so I doubt I will even get one this year unless she decides to say she paid me more than she really did (which I would not put past her). Do I have to claim the money she paid me in 2009 even though I should have received it in 2008?? With the two paid in 2009 that should have been paid in 2008 ($488.25) and the two that were supposed to be paid in 2009 ($418.25).&nbs ...

Dec 01, 2014

So tired of the "Big" MTSO. Can anyone recommend a smaller company? I'm not really trained to do anything but MT and hate to give up working at home, but I'm probably considered poverty level now with what little I make. There must be some smaller companies around, but I can't find them. ...

Jul 27, 2010

work there? I am always hesitant about small companies having enough work. They seem nice. ...

Jul 05, 2011

I can't believe the management dumped more MTs. One week they fired 7 MTs and we were asked to work extra even though usually we run out of work. Sounds like mismanagement is still the TTS way of doing things. Wonder if the same owner and supervisors are there? Anybody know? ...

Dec 15, 2011

I am wondering what the pros and cons are for working for a smaller company versus a larger one? I work for a small company and this is the only one I have worked for, but find myself lately wondering if I need to move on as I am afraid that my skills I learned may be deteriorating and there has been such a lack of communication. I realize that every place is different, but I need some opinions from others that have been in the field longer than myself. Thanks. ...

Dec 03, 2010

7 cents a line for independent contracting and for radiology? What is going on with this business? The hospitals at least treated us with hourly wages and health benefits. Now what gives? For years we fought in-house over knowing that you cannot treat radiology the same and line count it the same either, yet you work just as hard. Now, 7 cents without taking out taxes? Every hospital I know has no transcription radiology department any more anyway, so may ...

Sep 04, 2014

I am looking for a smaller company that needs help with private practice transcription. Does anybody know of one that needs help? I can't find anything when I search. I am currently going part-time at a large company to get them off of my back about how long I am glued to the keyboard and foot pedal and how much work I do per hour. I have over 14 years of experience and I am good at what I do. I want to work for a company that will appreciate that and not hound ...

May 31, 2011

I like that I will be an employee and that the office people are staying on with them. I hope that this is good and that they don't try to get rid of us; I really love the account I am on. Anyone else from MED-X here? ...

Jul 27, 2014

And is it hyphenated, or not? I find it both ways for both questions. Looking for input from the pros here, thank you. ...

Jun 08, 2015

I've always just used "small bowel," but then noticed most put "small-bowel," I assume to differentiate it as being part of the intestine as opposed to a small, or little bowel. Okay, that makes sense, so I stated hyphenating small-bowel. However, I just got marked off by QA for putting in a hyphen! No matter what you do or don't do, you're screwed! I do believe they just look for ways to antagonize so you'll never feel appreciated. ...

Oct 07, 2014

I am working at a company who observes certain holidays and we are required to work 4 of them, but this is the first company I have ever worked where I have to use my PTO on the holiday I am supposed to be off. Does your company do the same? Thank you! :) ...

Mar 12, 2010

I have one of "those" dictators. I know. . . . . who doesn't, right? This guy is a native English speaker, but he's a speedy mumbler. I struggle with him, but work on each one of his that I get so that I can get better. Just when I think I'm getting better with him one of his comes back from QA completely marked up. Some are changes that could be debated, but some are just stupid mistakes that I should have caught. I'm just frustrated ...

Mar 16, 2010

hypen or no hyphen? ...

Jun 17, 2010

Also, although voice recognition has taken off, do you think there will always be companies that won't do it? I think I feel more comfortable with the small companies than the big ones. ...

Aug 16, 2010

After struggling with names like Siobhan, Ahleksi (concocted to prove a point), and Yvan, I am so happy to have a "normal name" such as what sounds like "John Carter." Whew! Finally! A no-brainer! But I start to look it up-- no such thing in the data base. Well! It just happens to be "John Carter" spelled "Gionn Kharter." This is just a not-real-life illustration. But isn't it irritating when you finally get a regular-sounding name and it's not so regular, and the d ...

Aug 24, 2010

I wish my MTSO would stop asking people to work on Monday's. You requested I work a weekend day and not M - F, so now deal with it. ...

Sep 10, 2010

she is nowing having some small s/l calvater? stools. ...

Nov 06, 2010

In describing the patient's imaging, the hand x-ray showed "...OA, small s/l cystual erosion in the left lunate, nonspecific." I'm not sure what she's saying. ...

Jun 15, 2011

I hate it when doctors put punctuation in their dictation. (In this instance it was "p.m. in capital letters") We don't tell them how to do their jobs ... why should they tell us how to do ours? Sorry, this a vent that rears its ugly head from time to time. ...

Sep 02, 2011

Recently, one of our local hospitals opened up 4 full time jobs to QA the work they are getting from their vendor. It seems the doctors were complaining about the quality of their reports. My hope is that other hospitals as well will see that you get what you pay for and that the lower rates they are demanding followed by the lower rates paid to qualified MTs working for companies like MQ results in the loss of the most qualified MTs and inferior work being produced by less qualified ...

Oct 18, 2011

I know I am putting myself on the firing squad front and center, but I just would like to make a small comment. I am of the opinion that if a person posts a question about something specific or important to them often times there are a lot of views but no replies. The common thread here I notice is if the topic revolves around negativity it gets all kinds of response. Don't get me wrong, I am in the same boat everyone else is with my career changing at warp speed, and I have been doing this ...

Jan 04, 2012

If you, the doctor, can't pronounce a medication or another doctor's name, what in the name of little green apples makes you think I can figure out what the heck you're saying so I can spell it correctly???? /rant. ...

Sep 27, 2012

Text is small. Having a hard time seeing it. Does anyone know how to make the text I am typing bigger? ...

Oct 22, 2014

Noticed that SS receipients are going to be getting a 1.7% increase this coming year. They are saying that will average out to about $20.00 per person extra. I might be getting a little more being as they are saying the average per month is $1,190.00 and mine is more than that monthly. Well, may never see another raise in this job but at least somewhere they are thinking about the cost of living raise. ...

Jan 19, 2010

Could anyone tell me very small, small, medium-sized services that use Bayscribe? This is a difficult thing to find and I've only located about 3. Thanks!!! ...

Jan 25, 2010

Have XP Dell and use Word Office to type up letters and such. No matter how large the print is on the screen of my monitor, when I print it off it is so minute you can hardly see. I have no idea how to set the printer to have larger print. Can anyone give me some assistance? TIA ...

Aug 06, 2010

Can anyone please give me a reliable source to verify the correct way to type small-bowel follow-through? Appreciate any help. ...