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

does these numbskulls that dictate not realize, or not care, - wannie

Posted: Feb 04, 2013

that we work on production. When they start to dictate why can't they have their ducks in a row and just dictate? Why must they sit and scroll through computer screens or a paper chart? It makes me want to scream. Ten-minute dictations that produce 30 lines is totally ridiculous, but until the hospitals and MTSOs stand up for us and put a stop to it, it will keep happening. Okay, I'm through now.

They dont think about us at all. - nm

[ In Reply To ..]
s

We are non-entities to be bullied and mistreated - by every cog in this wheel of misfortune called MT

[ In Reply To ..]
!

my 2 cents - Snow Bunny (the original)

[ In Reply To ..]
It's not the dictator's job to know or care that you're paid on production, any more than it's their job to know or care if the dietician has placed an order for salad greens and bread.

The problem is with what the industry has become. It's became "the standard" for payment to be per line: "That's how we bill, so that's how we pay." It also keeps things honest with people who work from home. If a service has a 250 lph requirement and somebody happens to be an incredibly fast typist and can do that in 38 minutes, once they reach their quota they can surf the Internet and play computer games, 'cause they're paid per hour. (it happens all the time in companies)

Many are justifiably irked (okay, I'm putting it very nicely) at the ways things have ended up. I can't think of another industry where the requirements for the job have gone up while the earnings have gone down. There's a lot of finger pointing here, and I think everybody is 100% right from THEIR perspective.

Bottom line ... you can't change THEM, just yourself and your own situation. When you hit rock bottom and have had ENOUGH, then you'll get out of the industry, like I am.

I agree with - SB (to)

[ In Reply To ..]
This is a bed we made for ourselves when we decided that piecemeal was the best way to get paid, and back in the day this might have worked well.

Nowadays even workers who sew garments in Bangladeshi sweat shops have more control over how much they get paid.

The workers have to stand up and put a stop to it... the MTSOs and hospitals don't care because they are getting most of the work done for free apparently by fools who are willing to do it.

well....how do us workers - "stand up and put a stop to it?"

[ In Reply To ..]
this is the dilemma that eludes most of us who want to make a change. We don't know how...and those with any ideas at all, usually get beat to the ground with negativity. So what are your suggestions??

as with any issue of importance - Snow Bunny (the original)

[ In Reply To ..]
How did the issue regarding breast cancer reach the capacity that it did? How did it reach the point that nearly every facility is a smoke-free environment?

It has to start with YOU (and that applies to everyone as individuals). Do it and then talk about it with others.

Think of it in terms of finding a program which will help increase your line production. You use the product and pass the word around. Those who wish to jump on the bandwagon will. Those who do not, won't.

MTs need to stop applying to companies they know utilize VR. If they are currently working for one that uses it, start looking elsewhere.

sleeping in one's bed - Snow Bunny (the original)

[ In Reply To ..]
Actually ... and I'm going to get killed for this ... the problem was too many MTs priced themselves out of the industry. I spoke with many MTs over the years who had private accounts and they were charging 15 to 18 cpl. Their justification for charging that was that the doctors NEEDED them. Sorry folks, but that was not the case then and it still is not. As far as the hospitals are concerned, MTs kept pushing the "knowledge" issue so that's what is expected now ... BUT ... just 'cause you think you're worth that line rate don't mean that they do.

That said ... until all MTs (and I mean every one in this country) refuses to do VR, it'll continue. Just close your eyes and imagine the result if that happened.

Ghoulishly delightful. (g)

nobody is going to "refuse to do vr" anymore - than they will try to unionize or

[ In Reply To ..]
not work for a few days, to teach the companies how valuable we are. Nobody will do anything, because even though the jobs suck these days what with the pay, the vr, and offshoring to other countries to save a buck or two, nobody is going to stand up in a united fashion and try to change anything. It is not the MTs fault who were asking for and getting paid better line rates a few years ago. They did not stick us into this lousy economy. The did not create the technologies that are being sold to the poor naive doctors who all they hear is "save money." Don't blame the MTs for any of this. It's not their fault. and if you honestly think that, then you are on the wrong end of the stick lady!

I definitely agree that it is too late to - reclaim this as a viable

[ In Reply To ..]
job anymore and don't really care because I am near retirement and doing other things already. However, I do maintain that even when MT line rates were going down, MTs continued to accept work at 7 and 8 cpl (now apparently even 5 and 6 cpl) even though we all knew that part of the high line rates were to offset all the unpaid work we do.

No matter how fast one actually types, there are always going to be times when hands are off the keys doing something else, and lately, for me at least, that seems to be more and more of the time.

finger pointing - Snow Bunny (the original)

[ In Reply To ..]
Yeah, I will point the finger of blame at both the former AAMT and the MTs from years ago ... Modesto for pushing the skills on the MTs for imposing those skills on the doctors and then demanding compensation for it. No different than a car salesman forcing you to buy a Lexus when all you really want or need is a Dodge.

Unless you hung out in the forums I did or went to the same meetings I did, you don't know what I heard. I was drowning in egos. I also spoke with a good many doctors who ultimately switched to Dragon BECAUSE of what they felt was the excessive cost of getting their dictation done by MTs. So, I stand by my personal knowledge and experience.
These were the days of billing 12-15 cpl and having the capability of transcribing 300-350 lph, very easy to do if you've got a lot of standards. Do the math. You're looking at billing the doctor AT LEAST $36.00 per hour.

Please don't tell me that MTs from years ago aren't part of the problem.

No they don't - and

[ In Reply To ..]
they never did. This is not a new phenomenon. Get used to it. It's physician arrogance at its worst and it's unlikely to change.

Just as I dont think of the driver who takes produce to - grocery store, they dont think of us. nm

[ In Reply To ..]
x

They are too busy! - CrazyKat

[ In Reply To ..]
It isn't that they don't think of us on the other end. They are just so loaded down, patient after patient, they just want to get their dictation done and be on their way. Not saying that is an excuse, but it is part of the reason. Have you been to the hospital lately and stopped by a nurse's desk or the hospitalist or ER department? These doctors are so stressed. Most docs are now "employees" of the hospital, because of malpractice insurance is sky high, and they have to meet a daily quota, etc. etc. Not many solo practices any more, except maybe orthopedics who have 10+ docs in their practice. They are trying to make a living with more and more pressure put on them.

The reality is that the entire healthcare industry stinks!

Similar Messages:

Nov 11, 2011

before they finish a 10-minute dictation. But, by all means, let's not say anything to them. After all, they're doctors, residents, PAs, and they don't get up and put their pants on like everybody else. Forget the poor people on the other end trying to make sense out of the nonsense they spew out of their mouths. That's my vent for the day! Now maybe I will feel better! ...

Jun 01, 2010

Did you ever start a job and realize immediately that it is not the right one for you, that you will be miserable in it? Too many crazy account specifics. Too much bumbling around with the software to get to the actual typing. Too much crap. The thing is, I am so broke beyond belief. But this job is just awful. I am stuck between a rock and a hard place. My goodness, I am so sick of this profession. Sick of taking test after test with company after company and them never responding ba ...

Jun 02, 2013

Reports go through hospital/clinic QCs (not every report) and if they are not over 99% Nuance doesn't get paid. ...

Mar 08, 2010

The hardest thing for executives to do is to acknowledge the need to take a new direction. Study after study has shown the propensity of the people at the top to fiddle around the edges of failed initiatives trying to "fix" them - but, like Nero, they fiddle while Rome burns. To call Medquist's history "spotty", especially in the area of employee relations, but also with respect to some of it's technology initiatives, would sadly understate the case. This company is very badly ...

Aug 10, 2010

Wow I knew I hated my job, but it is much worse than I thought. Though I have my resume out to find another job and I pray every night to find one, I feel as though I'd rather be without a job than to continue working for this company which has definitely sucked the life out of me and has taken away my ability to earn a decent living. How does one work 93 hours and only take home 500 bucks...oh yeah by working for the Q, that's how. Take an 18 year employee who starte ...

Nov 06, 2014

...bills. Most Saint hospitals and others actually operate as non-profits, and for what they are screwing us over in taxes unpaid, they can afford to help out folks with their bills and still give their CEOs generous stock options and obscene salaries! But, you have to ask for this after your visit, treatment, x-ray, or ER visit. ASK for help if you need it. It is not our fault that suits are in charge of medical care in this country. ...

Mar 04, 2010

is the DICTATORS?! THEY are the ones being sloppy and negligent, not the MT who is trying like hell to understand what on earth they're saying. If hospitals had to pay a premium to get the dictation of their sloppy-guys transcribed, maybe they'd think twice about hiring them in the first place. ...

Jan 20, 2011

and people are just not going in for surgeries or waiting till they are horribly sick before coming to the hospital. It is always slow everywhere I have worked between January and February. Of course you will be out of work at this time of year. I have been here long enough to know I work for 2 jobs because of this reason and, unfortunately, both places I work are low on work right now. Please just suck it up and quit complaining. At least you have a job and ...

Sep 11, 2012

for a medical facility and not a fire department. ...

Oct 15, 2012

It's no secret that on the charts and pies, there is the "elite" mgt team where all the money is funneled and then the lowly worker bees, aka MLS who allow that mgt team to enjoy the life they've become so accustomed to. Why bother to have such a call to just rub it in everyone's face? ...

Apr 02, 2013

. ...

Nov 12, 2009

Basically meaning that the platform is not going to MT friendly or you're going to spend too much time filling in patient demo, or a myriad of any other reasons. And once you found out that it wasn't going to work out, how long did you stick it out? ...

Apr 13, 2011

I recently left a company after four years because the grass seemed greener elsewhere, has anyone ever done this and then realized right away it was a huge mistake? I feel guilty after the company has trained me and worked with me for almost two weeks but I am so miserable, any suggestions or advice of what to do? ...

Jun 03, 2010

Sorry just had to let it out...ty for listening to my scream lol ...

Dec 15, 2009

x ...

Feb 03, 2010

I see a lot of MTs returning to school and often in the medical profession. Since the industry seems hell-bent on having all the transcription done in India, will that influence how you nurses and psychologist dictate when it is your turn to dictate, or will you be so relieved to be through with this tragedy that you won't even think about it? Just wondering. ...

Nov 04, 2010

Just tried calling DICTATE (1-800-342-8283) to report outage and got message that the number has been changed, or no longer working... Used it yesterday, but who knows any more.... Anyone have another number for DICTATE? At least with these posts they can't tell me that i am the only one... Getting so tired of hearing that. ...

Jan 20, 2011

I was always told to change it to mL. ????? ...

Nov 17, 2014

Has anyone worked with or know anything about IDictate? Possibly losing current position so I am looking for something just in case. ...

Mar 16, 2015

This "mandatory" OT is just the type of thing to tip a lot of employees to the breaking point, resulting in some quitting. This will just cause a cycle and get worse. I wish businesses were like pirate ships, where if the workers were fed up enough and were to collectively agree, they could mutiny and overthrow the captain, putting one of their own in charge who they believe would do better. I don't believe there are many of us who could do any worse than MM's curre ...

Mar 27, 2010

...in the middle of an airport runway. At least it sounds like that. It's especially so lovely with ASR, picking up as it does every random conversation in the area. ...

Oct 13, 2011

Ok, I'm curious, but can doctos do their dictations anywhere? A lot of times, I hear a bunch of doctors in like some sort of dictation room. You can hear other doctors doing dications. I just picture a bunch of people in white coats sitting at a desk talking into a phone. lol. Other times it sounds like they're in an emergency room while an emergency is going on. People are asking for things, things are clanging around. Sometimes it sounds like they're in their own home. Had an ...

May 16, 2013

More and more frequently, I am getting dictators who say, "the patient underwent the procedure IN 04/11/12" or "the patient underwent the procedure ON April 2012." It's just a little thing that's kind of annoying because you have to change the IN to ON and vice versa, but it's happening so often, I'm wondering if that's now an acceptable way to say it and I'm just not in the know. Anyone else get this? ...

Jun 04, 2013

I am an experienced nurse practitioner with seven years of experience. Now that I am working in an acute care environment, I am required to dictact all of my consultations. I have a template from which I am dictating. But from the results of my transcriptions, I could use some help from medical transcriptionists on how to dictate the RIGHT WAY. Of course, I was never taught how to dictate. I was taught how to use the telephone to dictate, but I was never taught the right way to dictate clearly ...

Dec 15, 2013

than some of these idiots who you have to muddle through on day after day after day ad nauseum? I am transcribing this dictator tonight who has had one patient with "infantigo" and on her "review of symptoms" she dictates "Eyes" as a subheading by itself then does HEENT later on in the review. I would be so organized if I were doing this, I would have a standard sheet for every patient with ROS and PE, then just fill in the blanks and note any abnormalties. It would be so easy for us ...

Apr 10, 2014

greatest job of them all - You can be an MT here for a whopping........WAIT FOR IT........0.05 CPL!!!!!!! Plus you can pay your own taxes and never get a paid vacation!!! Just when you think you've seen it all. Let's not all trample each other lining up to apply. Please - can we all realize we're better than this and deserve better than this and not apply to these places that low ball us like this?!!??! I think these companies will keep just seeing ho ...

Apr 15, 2014

then it is insane to expect to transcribe 99.7%. That's all. ...

Apr 26, 2014

Has anyone been hired by or worked for Dictate Express in Solana Beach, California? I checked with BBB and they have no record of them. Got email I was hired. I have been scammed once this month and do not need another. Please help???? Signed numbtypist ...

May 14, 2014

dictating a lengthy report and mentioned a dozen different doctors, do not say at the end, please cc all above because I will NOT do this. I will not take another half hour to read your report and cc all noted physicians. You get paid the big bucks. Use your time, not mine that is paid by pennies!!!! ...

Oct 14, 2014

#1 I would be able to understand you. And BTW, chewing like a cow is not attractive at all. And #2, you wouldn't choke on your food. And since you did choke through a word or 2, it would be nice if you re-dictated that because I have no idea what cough, cough, cough is supposed to be. I HATE this dictator, why does the company not tell her how to talk, I'm done complaining since it gets me nowhere.. ...