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

Too much talk of striking lately, but can we as a group of MTs - Consider some other options together

Posted: May 10, 2012

Let's face it, striking will do no good. Complaining about off-shoring has done no good, unless that will cease at a national level for all industries. Complaining about pay is doing no good, since there is always an MT that will take a job at any rate. What can we do?

What if instead of a strike, all MTs did only the minimum line requirement for a week?

I think many, many MTs should go the Labor Board and file a complaint:

If a company requires you to clock in and out, in and out when there is no work.

If a company requires you to use your PTO when there is no work.

If a company cuts your pay for QA submissions.

If a company has you work OT with no additional pay.

If your work falls to a level that you would be better off on UE.

If a company is having you do work that is not paid for.

What company policies do you find unfair that happens every day? What do you think we can do to take a stand without risking our jobs?

Personally, I am not too experienced with the Labor Board, but I do know that more than 1 MTSO should be brought to their attention for many reasons. Does anyone know, are there consequences to this? If enough MTs went to them on a regular basis with the same unfair practices over and over again, over a long enough period of time, would it change anything?

Absolutely great ideas! - sm

[ In Reply To ..]
For those who do not know, when you have to do work that you are not paid for, review your QA, even research (because you are not producing at that moment), that is called wage theft, and it should be reported.

Oddly, it would not be difficult for me to not meet minimum production on any day. Because of what speech wreck produces and the fact that I refuse to work over 7 hours a day (unhealthy and it hurts my physicially--hands, arms, etc.), I don't meet production and don't make minimum wage on most days.

I don't know how to get everyone on board for something like this, but we need to do something. We have heard all the excuses before, someone will come along behind us and work for 3 cpl, they will overhire, and they will hire more Indians, etc., but that already happens.

I agree, we have to do something. @MT_take_action

I, for one, am going to contact the Labor Board. - mt2

[ In Reply To ..]
Everything the 1st poster said is correct. I'm tired of not being paid for everything I do. I also refuse to clock in and out when there's no work. I'm not sitting here for 12 or 14 hours, working and getting credit for 8. What is the @MT_take_action? Website?

MT2 if you contact the Labor Board - Keep us in mind.

[ In Reply To ..]
I think this process may vary state by state but, MT2, if you do contact them, would you please come back and share the whole process with us and direct others on how to do this properly.

I could be way off, but I believe you have to go to the Department of Labor in the same state as the employer (not where you live). I am just not sure. Does anyone know about this?

On the items mentioned in the OP, and similar, if these complaints were filed in a particular MTSOs state over, and over, and over, something certainly would be done, if for no other reason than for the DOL to shut us up and get us off their backs!

The one thing that scares me a little is that we sign a confidentiality contract that states we will not share patient information, OR COMPANY POLICIES.

Please, if anyone has done this, would you share some facts with us without stating particular names and dates?

Companies - convince

[ In Reply To ..]
everyone that there is an "industry standard," which is something they have made up. It's what they can get away with in terms of pay. How low will they go? 4, 3, 2, 1?

I think MTs believe that this is the best they can do in terms of pay because of that "industry standard." Or they buy into "everyone else likes it here and makes good pay, makes incentive," when that is probably not true, and no one has ever shown me my co-workers line counts, how many hours a day it takes to get there, their incentive, etc.

We are being held hostage by that "industry standard," in every way they use that term.

My company feeds me all the same doodoo. - Their platform is so overloaded - sm

[ In Reply To ..]
it stalls out constantly. It's clunky and slow. Sometimes I have a low-production day, and they claim others are producing 2 or 3 times what I do. I find that hard to believe, unless they're doing templates all day, with little in the way of corrections. Or else working on a different platform than I am! They always try to make me feel like I'm the bottom of the barrel, ability & production-wise, which is also hard to believe since at all my other jobs I was a high producer.

I've asked to see proof of these alleged "super-MTs" they claim everyone else but me is, but when I do, they change the subject.

They know full well their pay is a starvation wage. I've come right out and told them so. They're constantly on my case to upgrade my equipment & software here at home, yet they know full well I have trouble just affording a packge of hamburger. Any my current equipment works just fine. They just claim it's somehow "inferior" when I tell them how slow THEIR clunky software is.

Wage theft certainly DOES seem to be the "industry standard", however. I would sure like to know why a keystroke that produces a space, and requires the same amount of time and effort to produces as a "visible black character", is somehow inferior to other keystrokes. If we do it, it should count, and be paid for.

The same goes with research time, and the horrendous amount of time we waste hunting for, and filling in, demographic information the dictators fail to provide, or provide erroneously. Because it doesn't involve keystrokes, we're unpaid for that. Yet accounts and doctors who are known for creating a lot of research time for their MTs are still billed and paid at the same rate.

When they send out emails saying they're backlogged, and need everyone's help getting things caught up, there's NEVER an offer of overtime. Yet most of us who go the extra mile to catch them up never get paid for the overtime which they're fully aware we put in in order to do so.

The "industry standard" is a big bunch of BS. What idiots the MTSOs are. Every year, the clients want it faster, better, easier (for THEM), etc. Instead of sticking together to ensure their service is fairly priced, and can support, and thus retain, their MTs, they all go into a feeding frenzy of undercutting each other. They're all putting themselves on sale, and not a single one of the bunch has the gonads to stand up to the hospitals and tell them that if they need to make cuts, then they need to do it somewhere other than medical records.

I think the whole "clocking in and out" game they play is a total JOKE. They don't pay us by the hour, anyway. Only by the piece (when we can even get it). I think the only reason they do that is, in addition to it being kind of a power-trip for them, it also helps them to "prove" our working hours on our time cards are accurate. When we ALL know that couldn't be further from the truth. What kind of work is off-and-on like that? You're working for 14 minutes, then you're "off" for 12 minutes, then you're back "on" again for 4 more minutes, then "off" again for 6 minutes? Umm, I DON'T THINK SO.

Do receptionists only get paid for the time they are answering the phone, and the rest of the time, their presence at the reception desk goes unpaid? If the company's phone doesn't ring all day, yet she's required to be there just in case it does, is that day an unpaid write-off for the receptionist? A big, fat NO on that one!

So if we're expected to be at the ready for any job that might come our way, even if we only get a few that day, why is our time waiting for it less valuable than the receptionists?

I'm so sick of the "everyone else is making good lines and good money - I don't know why YOU aren't!" line they constantly throw at me when I complain to them about low work and/or low pay. I think MTSO supervisors must take special classes (and get paid for doing so, of course!) in how to make transcriptionists feel worthless and inferior.

Bravo! I think you're right on every count! -nm - Meerkat

[ In Reply To ..]

my issue with this list - mt

[ In Reply To ..]
WHERE IS THE PERSONAL RESPONSIBILITY?

IMO, your post is no different than the blah blah blah strike blah blah blah posts.

If MTs only type the minimum, remember they are then only PAID for the minimum. IMO, that's WORSE than saying take a day off.

All of you want to blame the MTSO (and I'm not saying there are MTSOs who push the legal limits and sometimes overshoot them), but where is the responsibility for the MT to say-- I'm not working for a company that a) pays too little b) doesnt have enough work, etc?

The Labor Board doesn't want to hear you. What you fail to realize is a lot of these MTSOs have a legal staff that lets them know how far they can go w/o going over. The Labor Board doesn't need to be your champion-- YOU need to be your champion!

A word from the not so wise - sm

[ In Reply To ..]
Long story short, I was with a company for 9 years when they were bought. Work started going off-shore and I was put on account after account with little to no work. I had to keep clocking in and out, and as one poster said, I was spending 12-16 hours a day trying to get in 8.

I was stupid enough to tell my AM that I wanted to bring in a third party on this practice. She said fine. Then I started getting audited like twice a week. Scores were all near or 100%.

A week later, I was laid off, with severance, and agreement to UE.

No matter how much "personal responsibility" we take, there are still companies that are trying to rip us off. I am making good money. I do not want to leave my company, but I do have a problem being asked to do work I do not get paid for, or using PTO for their convenience.

How can we do this without risking our jobs?

so what did they say? - mt

[ In Reply To ..]
When you went to your company and said, "Hey, I'm doing a bunch of stuff I'm not paid to do. I don't want to leave the company but I need to be paid."

I'm really interested in hearing what their response was.

Not OP, but the response I usually get is, "If - you dont like it, leave!" -Meerkat

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I agree with you. Too many MTSOs with the attitude there are - many others in line to take your job, sm

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That's just one of the problems with the MTSOs right now. They know they can get someone else to take your place, so being dedicated and great at what you do no longer matters. It's all about the numbers and meeting their TAT, and for that, they can get anyone to fill your shoes.

You sure were quick to go on the attack, huh? - sm - Meerkat

[ In Reply To ..]
To begin with: This poster was NOT posting the same old "blah blah". Her issues were legitimate issues we all face. The ones "not taking responsibility" are NOT the MTs in this regard, it's the MTSOs. Even MTs who type far in excess of the "minimum" are still making less than minimum wage, which is unethical and crooked on the part of the employer.

My particular employer keeps on RAISING the minimum, even though the accounts they have, and the software we're expected to use, make it harder and harder to produce even the old minimum. The new "minimum" then becomes out of reach, and they can terminate any one of us on that alone, for no other reason than they want to replace us with 2 or 3 Indians, instead.

Although few of us would knowingly sign on with a company who pulls all these stunts, if you've been in the game for any amount of time, then you know that far too many of us have had our formerly-ethical companies bought out by larger, UNETHICAL ones. The dilemma there, then, is do you jump ship with no job on the horizon to take its place, or do you stick it out until such time that you CAN find other work?

I'm in that position myself. I gave the new, purchasing company the benefit of the doubt for a year, to give them a chance to prove all the promises they gave us, and all the praise they lavished upon themselves. When that proved to be false, and our pay went DOWN, not up, as they had promised, well, what better time to look for a new job than during a full-on recession/depression?

You're wrong about the Labor Board not wanting to hear you. I've dealt with them before, and as long as you stick to facts, provide proof, and give them as much info as you can (no personal conflicts or such, just the facts), they sure as heck ARE interested in hearing from you! They have the power to get you the money you are owed (which was my case when I went to them), and also have the power to shut the company down - either temporarily, while doing investigation and going through files & records, or, permanently. Which in my case also happened.

MTs are already their own "champions". But just sitting there and doing your work and keeping your mouth shut about all the wage theft that keeps happening in this industry won't change things.

Doing as you suggest, and refusing to TAKE a job with such a company is a step in the right direction, but just that alone, or quitting a company that does that, isn't enough, because the "schools" (and I use the term loosely) are cranking out new, naiive young MTs every day, here and in India, to feed the machine.

The MTSOs have very "conveniently" CREATED a glut of MTs so that they can be used up and spat out just as quickly as they are created. As long as you're inexperienced and/or dumb, then you've got a job. As soon as you get wise to "the system", you're spat out and replaced.

I'm sorry, but that's an incredibly EVIL business practice. If that's the "industry standard" everyone else is talking about in this thread, then yes, I think it's time for the government, starting with the Labor Board and working our way upward, to step in and regulate this currently unregulated industry.

You have a right to be pro-MTSO, and to believe whatever you want to about the slime-bags that own and run them, but then we MTs have our rights, as well - the most basic of them being:

AN HONEST DAY'S PAY FOR AN HONEST DAY'S WORK.

You go Meerkat!!!! So true. We need to take a stand without striking. - Many are in this same boat.

[ In Reply To ..]
Very nicely stated.

Okay, so maybe the thing about doing the minimum line count for a week is not a good idea. There simply has to be things that we can do on a very, very regular basis that may improve the theft of wages. Even good companies do it.

I am making good money and have plenty of work. I do not get paid for cc's, even if there are 12 of them, but I have to do the work and look them up. I do not get credited for time that I do research, but some companies will certainly have your pay docked it you send it to them. Is that so they can get paid for doing it?

I do want to take personal responsibility. I do not want to strike or put my job at risk. I simply cannot afford it, as I am the breadwinner. I just believe that if the companies or the DOL heard from us on these issues often enough, they would start to see that there are sweat shops right here in the good ole USA, and start a little regulating.

Again - mt

[ In Reply To ..]
more rah-rah baloney.

You will NEVER change this system. And that's years of experience talking, not negativity or naivete. I personally have done this for years and I don't accept (or stay in) a position that doesn't pay me a reasonable wage. I'm an IC and when one company started telling me that there were mandatory meetings once a week, I immediately wrote back and asked what would be my compensation for that meeting and how do I bill for it correctly. Within half an hour, I was no longer required to attend the meeting. When asked to do some tricky maneuvering between programs, I asked how was I being compensated for that and was then given 1 cpl increase for doing the work.

Schools will continue to make money and churn out "less than" or naÃ¯ve MTs who will trade an arm and a leg for the "privilege" of working at home. You won't change that either because money talks on every level.

Do you HONESTLY think places like Nuance, M*modal, Keystrokes, etc will stay in business if MTs refuse to do things for no pay, or to work for less than, or refuse to sign in and out, etc?

I know way too many MTs who are happy, content, speak up for themselves to the employers/clients, and ARE HEARD and attended to. I just find it difficult to believe that those of you who shout, "BUT I HAVE NO CHOICE" are more than a handful of people.

And if someone is far exceeding the minimum and not making minimum wage-- when in gawd's name would they do it after one paycheck? Don't say because they NEED the paycheck. That doesn't fly.

Don't take a job that doesn't pay and don't do tasks that you aren't paid for. Those jobs EXIST.

Real talent for talking - out of both sides of your mouth

[ In Reply To ..]
Putting others down for wanting to take action and make a different, while at the same time stating what you have done. We will never make a change but you have for yourself? You know way too many MTs who have spoken up for themselves and made a change, but anyone here never will? Do you see how you are talking out of both sides of your mouth?

no i donâ��t see that - mt

[ In Reply To ..]
I didn't have to run to a Labor Board or take a day off work or tell someone to just do minimums, I simply had a conversation with my client. If your client/boss isn't willing to listen to you, then I guess I just simply cannot comprehend why anyone would stay? It just makes no conceivable sense in my brain. But I'll shut up. If you guys think going the route you're going is going to get what you think, I predict you will be sorely mistaken, but I concede it is your mistake to make.

good luck.

If you've never had to ask for help, then hey - - hurray for you. Unfortunately, -sm

[ In Reply To ..]
when it comes to MTs, MT companies, and how badly one gets gypped by them, "Individual results may vary."

If you think it's baloney, why are you even here? - So dont read it, already. - Meerkat

[ In Reply To ..]
Whatever your opinion on the subject may be, or your own experiences, that's fine, but it's not going to change what we all know is the truth.

Walk a mile in our shoes, then get back to us.

you ask the question - and make same comment

[ In Reply To ..]
about personal responsibility whenever any topic like this comes up. It is you, isn't it?

I don't have any idea what your point is, because you are talking out of both sides of your mouth. You start out asking where is the personal responsibility, and I would point out taking action or discussing action to take is personal responsibility.

Then you go on to say be your own champion. Again, taking action is just that.

With the VR pay, everything else adds up to salt in the wound. - Enough is enough!

[ In Reply To ..]
Just one of these items alone is not such a big deal, but now that we are on clunker platforms for VR, reduced pay, etc., not to mention the fact if there is low work, all other wage thefts combined with the same is a VERY BIG DEAL.

Your opinions are duly noted. Glad you are happy but - see message

[ In Reply To ..]
Since you do not have problems with any of the issues being discussed, and you have taken that personal responsibility you talk about, there would be no need for you to tells others who do not have that dream-job like you not to try to put our heads together to take what we consider our personal responbility.

Your statements are a little offensive, and I do not see any reason whatsoever for you to respond to any of these posts since you do not agree, the issues do not apply to you, and you do not share the thinking that many MTs have, but I will not lose sleep over it. Again, your opinions, even though rejected, are certainly respected.

Congratulations to you on your success. Have a good day.

above addressed to poster, MY ISSUE WITH THIS LIST. - nm

[ In Reply To ..]
x

Options - I empathasize

[ In Reply To ..]
I'm not going to read through the entire thread, but some of the things you mention happen with on site transcripion too. It doesn't happen very often, but I've flexed my hours or used PTO when there hasn't been work. Our pay is docked 5% if we don't get a QA score of 99% or above, and it stays that way for 3 consecutive pay periods. I never thought these things were against the labor laws, I just accepted them because that's the way it is. We're not permitted to work OT, at least you get extra money when you work extra hours. I do think that many of you have legitimate issues though, and contacting the Labor Board would be a postive thing. Unfortunately, it would have to be state by state and the laws are different in every state, that's how the MTSOs get away with a lot of this. Maybe legal aid could be consulted, a class action suit might be possible. It's actually nice to read about some suggestions being made instead of people crying "strike" all the time and leaving it at that. Good luck to everyone.

Re: Strikes. I struck on May 1, and on May 2 - my account was backlogged.

[ In Reply To ..]
Yep, jus' doin' my part, and it DID make a difference!

So, your account was backlogged after strike. - What difference did it make?

[ In Reply To ..]
So you had a backlog? Are you now making money for ALL of the work that you do? Do you get paid for copies, headings, and demos? Has your pay increased? Do you get paid a typing rate for what you have to type in VR. Do you get OT pay when you work OT?

It appears that you only affected the work flow, and not your actual job.

I make decent money as well, but all of the items discussed does decrease my pay and it does not seem fair that these companies get away with it. The class action suit sounds good. The first thing MTs from companies like M and N would have to do is to make someone actually understand our jobs and our pay.

"The journey of 1,000 miles starts with a single step". - Ya gotta start SOMEWHERE. - Meerkat

[ In Reply To ..]

Know what is sad? THE AHDI SHOULD HAVE OUR BACKS ON THIS. - Where are they?

[ In Reply To ..]
The lack of support should go both ways.

AHDI (AAMT) never had our backs at all, from - the very beginning. In fact,

[ In Reply To ..]
they have played an integral part in sending this profession down the toilet.

All ADHI ever had - in our backs...

[ In Reply To ..]
was a knife!

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