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The XY Files in an MT World

Are Medical Transcription's Days Numbered?

Published September 22, 2009 7:26 AM by Jay Vance

From a post on MTChat.com:

I think MTs are going to start losing actual real jobs a whole heap sooner in greater numbers than most of us are willing to admit is already happening.

It is happening here in our area now and we do have a pretty good working knowledge of what the employment outlook for MTs is here given the client base we have. Getting hired here now is 10 times harder than it has ever been. No one is hiring new staff. No one is adding employees ... no one is picking up ICs ... they are shifting the bulk and burden of what work is left to existing staff only and making do with what they have ... and of course, letting folks go as the accounts continue to automate and walk out the door, usually with no warning. Its has been going on steadily for the last couple of years, it is just that no one really openly talked about it until lately.

I think MTs, especially long-term stay at home independents like you or I, are going to have to start accepting that we have hit the place where there are no choices but to start lowering expectations of what we think the real worth of MT is in the process of medical documentation to stay employed or to doing work that essentially is what I consider as data entry for lower pay. Either that or transition/train for some other field of work as quickly as they can. Two really ugly choices, but that is what is happening here in my area and I doubt that is really any different in other areas of the country. New ones just starting out are not going to know any different because they are gonna be lucky to get hired at all, and, if hired it will be at the ever-dropping rates that are now the norm not the exception.

I've been an optimist when it comes to the future of MT even after many of my colleagues were expressing ever more pessimistic views about the state of the industry. However, lately I've had cause to revisit my opinions on this issue, although for different reasons than those voiced by Renee Priest above. My growing conviction is that it will be enforcement of HIPAA, given dramatically more muscle by the recently passed HITECH legislation, that may very well spell the end for small MTSOs and independent contractors. In following posts I'll be examining in greater detail the specifics of the new requirements for business associates under HIPAA/HITECH, but suffice it to say for now that life as we know it for mom-and-pop operations is about to get a whole lot more complicated.

In the meantime, I'd be very interested to hear if others are experiencing or observing circumstances similar to those voiced by Nae Priest. Please post your thoughts in the comments section here, thanks.

8 comments

Jay, thank you for your response. You have given me a reason to let out a little held breath. I love this work and don't know anything else.  My father was a hospital administrator who took me to work with him the summer I was 15 to work in medical records. I started learning on a "dictabelt" then went to the "tank".  (I have really confirmed my age) I'm new to Advance and appreciate and admir the hard work and informative articles being covered.  Again, thank you for your response.

Cindy, Radiation Oncology - Transcriptionist, Gulf Coast Cancer Centers October 2, 2009 1:40 PM
Gulf Shores AL

Cindy from Alabama, I don't think there's a need for individual transcriptionists to panic at this point. There's still plenty of MT work out there. Yes, compensation isn't what we would like it to be, but I don't think there's any danger of the MT industry disappearing any time soon. What's going to happen, though, is that MT services are going to be under even more pressure to comply with these new regulations, and I fear some smaller services are going to find the burden too much to bear and will simply go away. The larger MT companies will pick up the slack, no doubt, so again there will still be a need for MTs for some years to come, I believe.

Jay Vance October 2, 2009 12:25 PM

I agree with Jay--it is slowly happening, the demise of the MTs being needed in hospitals and MTSOs.  You might be lucky to find a few dinosaurs out there using MTs in their offices / clinics or having the MTs work at home for them, but the good old days are definitely gone.  The offshoring and technology have really changed the industry.  It is definitely time to change your role or add some education to the mix and find something else, like speech recognition editing or coding.  Best of luck!  I am now in the process of searching for my new niche after wearing many different hats in the MT industry--wish me luck!

Dixie Krieg, CMT

Mountain View, CA

Dixie Krieg, CMT, Medical Transcription - Former MT / recruiter, DRC/Acusis September 30, 2009 8:02 PM
Santa Clara CA

I have been told that "I'm just paranoid" from my manager. I work for a physician with 5 free standing clinics doing all the transcription for 3 physicians in radiation oncology. This last year the physician sold to a corporation. Everything is going electronic even to the point that the physicians were given laptops that they will point and click while in a face to face encounter. I have been doing transcription for 35 years (before certifications and college degrees were required). I am 56 years old, live alone and my sole support. I am extremely apprehensive about my future. I have already seen a big drop in my income over the last 1 1/2 years just with the change from hard copy to electronic. My self worth and self esteem is flying out the door. How do I support myself for the next 15 years and retire. Financially I am no where near being able to live on social security and my small 401K. I am concerned about training for a new career at my age. Any thoughts for the aging transcriptionist?

Cindy, Radiation Oncology - Transcriptionist, Gulf Coast Cancer Centers September 30, 2009 10:08 AM
Daphne AL

Ella is right - with the right technology partner a small or mid-sized MTSO will be just fine. One thing is for sure: the days of typing in MSWord and emailing reports (God forbid) are over! If you need a HITECH-ready solution for your MTSO please contact me.

Cindy Thomas, Transcription ASP - Bus Dev, InfraWare September 29, 2009 11:24 AM
Terre Haute IN

The good ole days are over.....transcriptionists are making little bits of money so you can keep the lazy "managers busy."

Get on with your life and new career.

Joni Joyner September 23, 2009 1:41 PM
Cleveland OK

HITECH will change the horizon. The small and mid-sized MTSOs can stay in business, however. They need to be doing their research on technology and how they can change to meet the new guidelines. Select a technology partner so that you can learn and stay in the game! Talk to your customers about what is happening and show them that you can provide what they need. MD-IT has a very affordable associates program that can fill this need. I'm sure there are others. Don't sit back and let it happen! Educate yourself and take action!

Ella Hudson, MTSO - Managing Director, MD-IT September 23, 2009 9:58 AM
Portland ME

HITECH, ugh! %0d%0a%0d%0aI didn't even throw that one into the mix of that topic discussion you quoted from because as near as I can tell the majority of MTs I work with have not even heard of HITECH more less have any idea what it is bringing to us. The few who have at least heard of it seem to have the idea that it is going to be like HIPAA ... all bark and no bite. I think they are about to wake up to a harsher reality, but when I mention the word HITECH eyes start to glaze over and you can visibly see the blank wall coming down. The rare 1 or 2 MTs I meet who do have some clue what it is all about are already warning small and mid-sized MTSOs that their options for staying in business are going to be seriously impacted.%0d%0a%0d%0aNothing like starting the week off on a high note is there :)%0d%0a

Nae Priest September 22, 2009 8:05 AM

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    Jay Vance, CMT
    Occupation: Medical Transcription Industry Consultant
    Setting: Yuma, AZ
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