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

This is in reference to the post right below me sm - just me

Posted: Aug 15, 2012

Sorry not sure what people have said and not sure where this would be posted but.........all those things you list, we have had but the Q took them all away!

Everything you say is correct but the suits want the money and throughout corporate America no company wants to pay the people who do the work. They just want the money in their pockets. Until the Q loses accounts because the work is so bad will they think about paying the MTs what we are worth.

Don't hold your breath!

And since facilities would rather save money than worry about - quality, nothing will change ever.

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Yes, the facilities play a role in this too. They have - the right to put it in their

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contracts to keep work in the US and obviously many of them do not utilize that right otherwise MM and Nuance wouldn't have so many off-shore MTs.

The facilities are the ones who decided it was cheaper to outsource their transcription dept to save money. The facilities are looking for the cheaper way out by moving to point and click systems for ER and radiology dictations, the facilities would like to bypass the companies altogether and save even more money if it were possible.

These companies wouldn't be thriving if it were not for the facilities.

Point and click for ER - mt

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I don't get how point and click can work for ER. I have typed them for years and there is usually so much narrative connected with them, I don't see how this can work with point and click.

Apparently it does - see message

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The group of accounts I work on are all owned by one Health Network and they all use some sort of point and click thing for their ER dictations. There was only one left that didn't use it, but it switched over to using it back in June and we no longer see ERs for that particular account.

Dont get me wrong, its not a big deal because it didn't put much of a dent in our work as these are all very busy accounts, but yes that particular Health Network has all their ER departments on some sort of point and click templated system. It is very rare that you will come across an ER on our accounts. So yes, they can do it.

Do you think other work types might follow? - nm

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No because most require a narrative summary - like H&Ps, Consults and OP notes..sm

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It is mandatory to have a narrative summary with most acute care work. Clinics, ERs and radiologist can use these systems because apparently a narrative summary is not necessarily required. The narrative is very important to patient care and is mandatory for most all clinical documentation.

Point and click templated systems are mainly used in clinics and doctors offices. Not acute care settings.

Just trying to have some fun - broken promises

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Like I had stated before the thread got carried away by trolls, since the suits haven't done anything about our promised comp plan I thought maybe we could give them suggestions. I thought that maybe there could be honest discussion and debate on this board but someone always has to ruin it.

Oh I know those things all got taken away. I have been here long enough to remember all that. That doesn't mean some of them couldn't come back, like bonuses or incentives or a flexible schedule.

I understand your fair compensation ideas - but...

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MM thinks that since they pay on a tier level that they are in alignment with industry standards. Tier 2s are supposed to be making over 4cpl or 5cpl. Tier 3s make anywhere from 5 to 6 cpl and Im talking about voice recognition rates here. I am not sure what the ranges are for tier 1 but I know they start at 4cpl.

Typing rates are within reason for most a friend of mine gets 10cpl straight typing tier 3 and I get 9cpl straight typing tier 3. So I think the pay is competible for some; however, I do believe tier 1 gets the short of the stick, but as a tier 3 I dont think I could go any place else and make what I make with MM.

As far as bonuses, I would agree that we should have some type of incentive, better shift differential and weekend differential.

Wish there was a minimum pay for each tier. - nm

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Tiers - Nature

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I think tier 1 MTs should not be paid all that much. They don't do ESL, OPs, or any hard doctors. Therefore they should be able to type without difficulty. I notice that all the discharge summaries are done first over all the really hard reports, which a lot of tier 1 MTs do. Sorry, but that really irritates me. I know a lot of you are going to fan the flame, but that is my opinion, and I am being nice about how I really feel.

Nature I get what you are saying - see message

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I think they need to gradually introduce more work-types to the tier 1s so that they can eventually become tier 2s once they have learned more work types so they are not at a stand still with their earning potential.

The only problem with this is that it probably takes extra manpower to do this as most tier 1s probably have not been MTs for long, either that or have only done clinic work. And when you introduce new work-types they have to be mentored and have the work checked for accuracy and I dont think MM wants to invest that type of time in traning these MTs to progress to higher tier levels.

But I have read here where there are some tier 1 and 2s typing tier 3 work. So if you are going to throw them out there like that without any additional training, at least pay them a bit more. But I do understand your reasoning.

They figure the easier the work, the less the pay, as they should be able to produce tons of lines if all they are getting is easy stuff.

TIERs - Nature

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I know we were all new MTs at one point, but 20 years ago when I started, we were expected to learn quickly if we wanted to keep our job. I know it is frightening to do ESLs, I still have my moments, and there are some dictators that I just can't understand (even their name with me looking at it), but some MTs just chose to be Tier 1, so they don't have to do ESLs, and that is just not fair for us Tier 3 MTs, who do it all. I think that they should be given an ESL every once in awhile just to get them use to them. I mean, there is ASR to help with these ESL dictators, which is more than we had 20 years ago.

I agree with you nature and thats my post you responded - to. You gotta learn at some point.

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We also had QA as a mentor and no FTR - broken promises

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When I started I was on 100% QA until I was released and sometimes it took weeks especially on a new account. I had great QA mentors that were paid by the hour and took the time to help me learn my account and help me improve in my listening skills. Now since FTR the newer MTs are punished by FTR for asking for a second listen so they just send it through. The QAs God Bless Them are now paid by the line too so they just do not have the time to mentor and deliver feedback. Therefore the MTs do not learn and will never be able to advance their skills to tier up. It is a vicious cycle where nobody wins.

TEAR 3 pay - mouse

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Glad I am outta MM. I was tier 3 and tier 3 pay means nothing when you are paid tier 1 because of the "First Time Right" policy. Anything over a fraction going to QA - and you are paid tier 1 wages. So really...what difference does it make what tier you are as far as wages. It's one of the many reasons I left. Got nothing but crap to transcribe, had no choice but to leave blanks or send to QA, then got punished with tier 1 wages. They should change that to TEAR wages.

Some companies pay better line rate depending on production - broken promises

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Some companies may pay what you stated for a minimum number of lines 6000 per week, but if you hit 8000 you would get 0.5 cpl on all lines during the week additional and at 10,000 would be 1 cpl additional for the week. They are rewarding their high producers and there is nothing wrong with that either. You know we would all work like mad to get to the threshold where we would get extra money per line.

Any incentive they offer should not need an advanced calculus degree to figure out. Easy is better. We used to get a $50 bonus for each 10,000 lines we produced per pay period and then $10 for each 1000 after that. Simple.

I totally agree with you broken promises but in - my case I have no reason to

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seek out other companies because I have great accounts with heavy workloads and never run out of work. I have a really good CCM and quality coach and this job is the least stressful job I have ever had in all my working years and I've been working since age 16, but only doing MT for 10+ years. I come from a hospital setting and its the only other job I have ever had as an MT other than a couple part-time gigs for extra money on the side.

At the hospital we made good incentive even though we were paid by the hour so I know where you are coming from and I agree 100%.

Yeah, maybe those companies are out there that will pay you those bonuses, but I cant take the chance on giving up what I got here which is guaranteed work on high volume accounts, a good CCM and quality coach, tons of OT and best of all, no stressing out over QA and being left alone to work.

I would love to see a bonuses in place such as an extra cpl on Saturdays and Sundays and being paid a bonus of some sort for any extra lines produced over target rate.

misunderstood my post - broken promises

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I brought up what other companies pay or do only because Amy said regarding the new comp plan they would look at "industry standard." If other companies are paying bonuses on production wouldn't it be nice if this one did too? If other companies are considering FT at 32 hours and pay benefits why couldn't this one do it too? If other companies give a 12 hour window or have rotating weekends why couldn't Mmodal do the same?

Since we have no reward plan in place and it looks like yet another broken promise I thought it would be fun to dream a little. I in no way was advocating leaving a decent situation. I know they do exist in this company, I have heard rumors.

sorry, misunderstood. - thanks.

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All that does is encourage more errors - flying fingers

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You base pay on number of lines and you will get people flying through reports to make more money.

How is that different... - MT

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...than getting paid by the line? That makes no sense. This was common before - before corporate MTSOs - and quality was higher. Hmmm...I can't see how any MT on this board would be arguing against incentives.

even if we could come up with good ideas how - would we relay this to management?

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nm

Cant help but think MT idea of good idea is gonna be - vastly different than MM idea of good idea. nm

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