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


We should make India do all the transcription - see how that works for ya,India. - ceci


Posted: Nov 06, 2010

Everybody leave Medquist....go get other work -- working at McDonald's pays more and has better

benefits - at least you get to eat.

And see how well India does all the transcription -- they can't do it -- we do the hard work and they get the

cream.  We are sitting her dying with their bad machines and bad dictators.

Let them have it -- they will corode.

Cool

Lots of sloppy work coming from the good ol USA - Tired and beat

[ In Reply To ..]
I am frequently appalled when calling up previously-typed reports on my account. Trust me, it ain't just India that's producing sub-par work. I can hardly believe the spelling, grammar, and horrible errors in medical terminology I find on reports typed by native-English-speaking so-called medical transcriptionists. This industry is rapidly going down the tubes, but it isn't just because of offshoring. Maybe there are too many fly-by-night on-line schools churning out too many unqualified graduates. Typing a well-turned-out report used to be a source of pride for the average MT. Those days are over.

Paid well - n/a

[ In Reply To ..]
I do not know about you, but I used to get paid well (around 25 dollars an hour), now lucky if I make 10!!!! I used to take pride in a well established report, now I need to rush through and might miss something (especially with ELS doctor that I am not familiar with) just to make a decent wage. The old saying "You get what you pay for" always rings true!!!

get what you pay for - SM

[ In Reply To ..]
It is my opinion that if somebody is not willing to take the time to make sure reports are correct, they should not be in this business, even though pay is going down. Pay is going down in all professions. There have been ESL doctors for a long time, that is just part of our profession. I also get frustrated with difficult dictation, but if I was going to lower my quality because of this, I would get out of transcription. Quality is of utmost importance when typing patient reports. If I get an awful ASR report, I hit F11 and type the thing myself. I take the time to look up unfamiliar terms and make sure they are correct. That is just part of the job. If I am not sure of what a doctor is saying, I leave a blank. I do not send to QA anymore and will send the blanks to the doctors. At least with a blank, I am not putting something in there that may be incorrect. I do understand how you feel, but making reports that are not the best quality possible is not helping anybody. The patient's life could be in danger. If you believe that you get what you pay for, please move on to another field, so that we that do care can do the work correctly to make sure patient's lives are not in danger!
Agree w/you 100% - PB&JQueen
[ In Reply To ..]
You really said it all. Take your time with each report, think of each report as artwork that you are creating. Take pride in each report you type. Maybe it won't pay off in the short run, but it will pay off eventually. Yes, it is heartbreaking that we now can barely feed our families, but if you are not prepared to do the job right, its time to move on.
Don't Quite Agree - Wendi970
[ In Reply To ..]
Pay is not going down in all professions, and that statement is an unsubstantiated generalization. Pay is going down in our field because of technology and ILP. You shouldn't expect people to be as meticulous for half the pay. While I agree that the patient is of utmost importance, MQ might consider proving that themselves by improving our pay and eliminating the ridiculous "First Time Right," thereby removing anger and fear from the MTs who have been loyal worker bees. Some of us actually do this to provide for our families, not as a hobby.
First Time Right - PB&JQueen
[ In Reply To ..]
I think First Time Right is the only thing they have done that makes sense in a long time. When they made any MT (regardless of training) a "QA expert" that took a lot of time away from typing/line count just to constantly prove them wrong on the majority of their senseless and incorrect "corrections." I don't mind spending probably way to much time looking up and confirming unfamiliar words because I am learning something -- at least now I don't have to look up both QA's and mine to confirm it before adding it to my expansions. As to the newbies who don't know any better and the MT's who don't care anymore (and I understand and sympathize while not agreeing with them), we need more QA assistance other than 1 overworked person who can't keep up.
FTR - Wendi970
[ In Reply To ..]
I don't believe it will ever make sense to force an MT to send a document with excessive blanks to the customer under the threat of a cut in pay if the MT chooses to send it to QA, or to have an MT, experienced, inexperienced or otherwise, send it to the customer with wild guesses. I am in QA and have seen dangerous and scary guesses at medications, diagnoses, etc., because the MT did not want to send to QA. I've also seen documents that are almost completely QA markers because of the same. I agree not everyone can be a QA, but I know that the MT can easily contact their CCM if they feel a blank or correction is incorrect.
Respectfully disagree - PB&JQueen
[ In Reply To ..]
I strongly disagree with your last line "that the MT can easily contact their CCM if they feel a blank or correction is incorrect." I saw below there was one (1) MT that actually gets to speak with her QA lead and/or CCM. I believe a lot of us do not have that luxury. I ask questions all the time and am ignored 98% of the time. If not ignored, get labelled as a troublemaker and get audited. It is a very scary place to work. QA before First Time Right made it that much harder and honestly the untrained QA does not have helpful or correct feedback, mostly just "opinions" that can be easily challenged via AAMT Book of Style, etc. All I have is my integrity and willingness to try my hardest and that is what I will do until they slam the door in my face.
scary mistakes - sm
[ In Reply To ..]
I have seen them too being a QA. The powers that be have painted the MTs in a nice little corner. Either they don't know what they are doing, or know (meaning trying to get rid of the US MTs). Nobody can send a perfect report time after time, this is what a second ear is for!!!
DON'T QUITE AGREE - Nature
[ In Reply To ..]
I think that no matter what job you are doing, especially if you are getting paid for it, you should do your best. As a MT, I try to do my best no matter what. If it were my H&P, OP, Echo, or whatever, I would hope someone is trying to type the report as near perfect as they are able.
DQA - Wendi970
[ In Reply To ..]
Well again, as QA, it's wonderful that you have that type of integrity but, as I said in the other post, many do not, so I do not believe MQ's system of underpaying, overworking and reckless attitude with regard to documents is a good idea, overall. From what I've seen, most MTs do not much care, and most don't want their income to shrink anymore by taking extra time to be sure their document is A+.
don't agree - sm
[ In Reply To ..]
You must live in a different world than I do. I see pay going down, people losing benefits, taking pay cuts and making concessions to keep their jobs or get laid off. In my area, we have lost police and firefighters because they weren't willing to take pay cuts and so people were laid off. People are having to pay more for health care, which is a pay cut, in order to keep their jobs. We, the transcriptionists, have not been singled out.

As far as first time right, If I can't figure it out, I send it on to the client with blanks. Refuse to lose pay for something that is not my fault. If you send it to them and lose pay, that is your fault. I research, as I always have, and if I can't get it or understand, on it goes with blanks. I don't have accounts that require only so many blanks, and if I did, I would still send it with no matter how many blanks there is and perhaps the doctor will speak more clearly next time. If I got chewed out for doing this, I would tell them tough! Either have the doctors speak more clearly or don't dock my pay because I can't understand them. If you choose to accept that, that is not my problem, I won't accept that.

By the way, my job is not a hobby, I also have a family to provide for. I also know I am doing the best job I can and if something is out of my control, I won't be punished for it. I also know times are tough and people are out of jobs and losing their homes and I am greatful to have a job and do the best I can in order to keep my job. You can keep the attitude you get what you pay for and see how long you keep your job. Employers do not owe us jobs, we have to do our job right to keep them. Keep giving them what they pay for and see how long you keep your job. I might have to put up with more in order to keep my job, but I know I am not singled out and that is just what is going on in the world now days, but I need what job I have and also have pride in doing my job right, so I will continue doing that. Good luck to you.
Free To Be U - Wendi970
[ In Reply To ..]
I'm going to end my role in this conversation with this: What you say about employment is somewhat true but, again, this is not across the board. Jobs and pay have not decreased in all sectors. For instance, in my community, a teacher or nurse would have no problem finding a job and being paid well. My friend, who is a real estate agent, however, is having a problem. There is no massive, staggering unemployment and across the board pay cuts. Transcriptionists are, in a way, singled out, as are customer service reps, as well as many factory workers, because corporations are greedy. Our jobs are going to India, the Philippines, and who knows where else. Also, technology is replacing the MT, slowly but surely. The idea would be to be flexible and move on to something more lucrative. Also, you can certainly tell your CCM "tough" if they don't like the number of blanks you send, but that doesn't mean you won't be either performance managed or docked. You can also say if something is out of your control you won't be punished for it, but that doesn't mean what you are saying is true. I have worked for MQ for 15 years, and have kept my job for 15 years with my attitude, though I will likely be leaving soon because I do believe in quality and I don't think the MTs who keep the company going should be treated this way. I do have another job, so my 'tude will stay intact.
not a hobby - sm
[ In Reply To ..]
Well said and I agree. We have to put food on the table. When they chop our pay like this, it becomes about survival first. Yes, I care about a quality report, but I also care about paying the mortgage and eating.

Just hope you are not rushing through and endangering - sm

[ In Reply To ..]
the patient because you missed something or didn't question something that could be vital.
just hope you are not rushing through and endangering.. - zoesnana
[ In Reply To ..]
I too agree with the admonition about not "rushing through" a report. I transcribe Pathology reports and have done so for over 25 years, and believe me, there is no second guessing ANYTHING that is dictated. If there is something that I have a question about (I work in a hospital in NorthernCal), I will not hesitate to call either the pathology technician or pathologist to ask. Just because I have many years experience, I understand and keep in mind that every now and then something comes across in the dictation I receive that may not sound correct. When in doubt- ask someone for help - it can make a great difference in the life of a patient who is depending on all of us working together in a competent manner. I, as well as many of us here take pride in a job well done.

I hate to say it but I agree with you - Appalled

[ In Reply To ..]
Maybe we work at the same place, lol! I understand my MTSO did go on a mass auditing and apparently terminated a few MTs that were shipping substandard work through without properly editing it. Sometimes I just sit at my computer and shake my head in amazement at what I've seen that's gone through to the client. Absolutely mortifying.

*I edited this to add that not only are these MTs sending through shoddy work, they're also jeopardizing the account for ALL of us diligently working on the account and sending through quality reports, even if it does cost us a few cents at the end of the day to take that extra step to clean everything up. It's like they don't realize that if the client gets tired of receiving error-filled reports that they can simply go elsewhere, leaving all of on the account possibly unemployed. So, a little advice to anyone just uploading reports without properly editing them...Is it worth it to make those few extra cents a report when you're jeopardizing the ENTIRE ACCOUNT? It's tantamount to shooting oneself in the foot in the long haul.*

In these days where everyone seems to be scrambling to make their line count so they can hopefully pay their bills, I'm afraid even "seasoned" MTs are simply blazing through reports at top listening speed and throwing caution to the wind.

Yep, absolutely mortifying.

That's what happens when you refuse to pay for - experience. The experienced MTs - sm

[ In Reply To ..]
are taking their talent and expertise to other professions. If you turn a profession into a "You, too can work at home in as little as 6 weeks!", "matchbook cover" SCAM-job, with bottom-of-the-barrel pay, then the quality of the work your company produces is going to reflect that. Sadly, most large MTSOs have been reflecting that for quite some time. I just read on the Company board that a company called Acusis is in the process of losing its largest and oldest client. I'd be willing to bet it can all be traced directly back to low-paid MTs. Low pay attracts zero talent.

Not A Problem - Wendi970

[ In Reply To ..]
CBaySystems (India) Pvt Ltd, with its headquarters in Mumbai, is Indiaâs largest provider of medical transcription services employing over 5,500 employees in its captive and franchisee centres in India and one each in Bhutan and Oman. It is also on a drive to increase its employee strength considerably, in anticipation of shift in job works, post-acquisition of MedQuist.

For more interesting information, how's this: âOur optimism is based on the feeling that a big chunk of business was waiting to be moved to India from the US, which is the biggest source for the Indian MT industry,â said Mr Raghu Vasu, CEO of the company.

Unlike the BPO/ITES segment, where accent barriers and time differential for working are demanding, the MT sector does not require high English language skills and the outsourced work time coincides with the day in India. This provides opportunities for housewives, graduates etc to take up jobs.

CKar Systems, a 100 per cent subsidiary of CBay Systems, US, the worldâs largest medical transcription company, is also on the expansion mode.

Source: http://www.thehindubusinessline.com/2009/01/02/stories/2009010250790300.htm

Taken from: http://loyalcareers.blogspot.com/2009/01/job-opportunities-galore-in-medical.html


And my favorite:

Bottom line is no excuse for shoddy work period - My pay has gone down too

[ In Reply To ..]
Definitely people should be just as meticulous for half the pay. It's a shame that our pay has gone down, but that is no excuse for shoddy work. NO EXCUSE. Get into a different profession.

Re: Bottom line is no excuse.... - earlymusicus

[ In Reply To ..]
Too bad corporations don't follow that philosophy. How many bad CEOs, who ran corporations into bankruptcy, walked out the door with several million dollars in severance pay and bonuses? Why shouldn't THEY have to "be just as meticulous for half the pay"? Or try asking a doctor to "be just as meticulous for half the pay."

This is why I refuse to do QA or VR, which simply - enables India to steal our jobs. nm

[ In Reply To ..]
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