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

is more work going to India? - and how do you know?

Posted: Mar 05, 2013

Do you know for a fact that more work has been shifted recently and if so, how do you know this? Thank you.

Are you MME? - see msg

[ In Reply To ..]
If you're MME, you'll see the reports in front of you when you need to fill in a blank. I left this place months ago but wasn't MME, and last I saw/heard, you could tell by certain things on the demo/ADT.

Don't expect your supe to tell you "guess what, everyone, your job went to India."

You have to read between the lines here. "Expanding our global market" means "more work is being shifted to Inida." If you were prolific in work, then all of a sudden POOF it's gone, then there's a good chance they expanded their global market to include your account/accounts.

well, my sup did tell me that - more work went to India

[ In Reply To ..]
Months ago. Also, Amy and Vern both stated that they are focusing on shifting more work. That is the goal.

mine said the opposite - sm

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Said percentages have remained the same but volumes are just down.

thats a contraindication - if I ever heard one

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Yea, I suppose it is the weather, nobody goes to the doctor at the first of the year becuase of the deductible, St. Patricks day, Easter, no one wants surgery in spring...

BLAH, BLAH, BLAH! They just say whatever pops into their head each second, dont they?

if volumes are really down - sm

[ In Reply To ..]
if volumes are really down, is that something that would go on and on for weeks and months? People don't have control over when they get sick or have an accident. Sure some things are elective, but most of the stuff I type is not. If you have a heart attack, you can't really wait around till your deductible is paid. How can anyone predict what volumes will be from one day to the next, much less one season to the next?

and mine said that 7.1 is so much faster that - everyone is just doing more work now

[ In Reply To ..]
So it just looks like less, even though the same amount of work is coming in.

right. have your lines gone up? - mine either nm

[ In Reply To ..]
nm

As an MME, it's painfully obvious - sm

[ In Reply To ..]
Whenever we get a new account, it is usually split between the US MTs and the ILPs (Mmodal's coined term for international labor partners, aka, India). During this time the whole account is on 100% QA. ILP work is obvious, the MT name is Indian and it has already gone through at least 2 levels of ILP QA, of which we can also see the names. Anyway, once the account is off 100% QA (US MTs usually are taken off 100% quickly; ILPs are on it for probably twice as long), most if not all of the account will move to India.

The reason they do this is so that the client can compare US work with ILP work. Since the ILPs are on 100% for a longer period with 3 levels of QA (although ILP QA is worthless), the ILP work will look equivalent or superior to US work...at a fraction of the cost. That is when the client decides to move everything to India. The ILPs remain on 100% QA a little while longer until the client isn't watching their quality as much, and then they are finally taken off 100%. I've seen this happen to dozens of accounts. A few of the more picky clients have actually come back to the US because they had been more vigilant and caught the garbage that comes from India; the rest probably are ignorant or just don't care about the quality.

Another reason for low work is the "would-you-like-fries-with-that" point-and-click EMR setups that many hospitals think are going to be mandatory. The providers for this software twist the truth in saying that EMR means that all reports need to be generated from the point-and-click interface and then sell this garbage for top dollar, eliminating the need for MTs. In reality, as long as the patient records are stored on a computer somewhere, it is considered an EMR. EMR just means no paper charts so records can be easily and quickly accessed between hospitals through a computer without waiting for the physical copy.

Wouldn't sending it through 3 levels of QA negate the cost savings by using Indian MT's? - nonea

[ In Reply To ..]
It just seems like having 3 levels of US MME's reviewing reports would cost more than just having a US MT transcribe the report.

From what I heard, but can't verify - sm

[ In Reply To ..]
The ILPs are paid differently that the US MTs. I'm not saying this is true, but I heard on this board once that the ILPs get a flat rate for the report. For instance, Mmodal will pay 4 cpl for the report. If it goes through 4 people, it'll be 1 cpl for each person. If it goes through 2 ILPs, then 2 cpl for each.

I think that MModal is willing to eat the initial cost of sending it through US QA until off 100%, as they make up for it later when it doesn't need to go through the US.

MModal is sort of doing something similar to us. If you send more than 5% to QA, they'll dock you 3 cpl, which is what an MME makes for QAing your report.

Wouldn't - Kitty Lady

[ In Reply To ..]
I asked that same question of my supervisior a couple of months ago and she said that "They pay the MT in India so little that the hospitals save money. The hospitals are informed that it may hold up the report and they agree with that.

Point-and-click - WasHappyNowSad

[ In Reply To ..]
That is exactly what happened with my IC job about a month ago. And now that they have spent the money on the system, many of the doctors are very unhappy with it.

I read an article about the point-and-click systems. - serious drawbacks

[ In Reply To ..]
The article stated that, with point-and-click the PE, because of the canned text and doctors only clicking and not changing findings to fit the patient, they are getting credit for a full examination which has a higher MediCare/Medicaid, state assistance health program payout, so this is causing higher payouts from the health assistance programs. Also, it causes physical findings to be an a patient's record that were never observed. Such as, for example, a rectal exam. If a normal exam is in the template, and the entire template clicked, the patient will be shown as having had a normal rectal exam, and that may affect medical decision making in the future for this patient. Such as, is a rectal lesion acute, or has it been present for a long time.

Medical documentation has become just plain scary and questionable.

That's the most concise, honest, calm SM - luluwu

[ In Reply To ..]
summation of things I have heard yet. Thank you for your honestly.

I have one possibly silly question to ask you. Do they keep a small number of US MT's on an account they are "testing", just in case it will be brought back? I believe that's going on in the West.

a little off the topic, but have you seen this? - anon

[ In Reply To ..]
I'm speechless. See link.

Oh, yeah, a few times. - Kinda like a punch to the throat

[ In Reply To ..]
the first time seeing it. Can't quite get your air.

I know, does it not just make you sick? - nm

[ In Reply To ..]
x

ALL MTS NEED TO READ THIS! - FedUpToHere

[ In Reply To ..]
WOW. I don't even know what to say to that. So India gets FREE healthcare but we can't even make minimum wage.... I knew I should have jumped ship long ago.

Yep, Its a FACT - FedUpToHere

[ In Reply To ..]
Yes, I know for a fact that more accounts are going to India, I just lost a few of mine to them. The company waits for the US MTs to get the voice files all nice and pretty, then pulls the rug out from under us and send the accts to India. Ain't that a kick in the teeth?

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