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

Before leaving Nuance think of this... - Not unhappy

Posted: Jan 29, 2013

I know some peoplea are going to slam me but so be it. I just ask those talking about leaving to consider the following while making your decision:

1. Will the next employer guarantee you won't run out of work or pay you for downtime if you do?

2. Do they give you 401(k) matching at the same level Nuance does or better?

3. Do they pay you the average hourly wage you make for vacation/sick days or do they limiit your dollar amount, even if you normally earn more than that? Do they offer the same amount of days off per year paid?

4. Do they pay differential for working evenings/nights?

5. Do they offer the opportunity to get a bonus for having QA at 99% or higher?

6. Is the cost of their insurance and coverage better or the same? (I have friends with other companies who pay more for insurance and the coverage is the same or worse).

Overall I'm content with Nuance and have compared their terms with other companies/few hospitals that hire directly. Yes I wish the line rates were higher but it's competition that has driving the pricing down. The going rate with clients is between 12-14 cpl for transcribed lines and 6-8 cpl for editing lines. Do the math - they can't pay us the rates we used to get when the competition has driven the pricing down for what companies receive. Don't believe me? Check into it. Call hospitals and ask them what they pay their vendors. Check with AHIMA members - that's where the directors hang out and talk about these things.

Oy vey - anon

[ In Reply To ..]
I am not bashing but your post was a thinly veiled recruiting post.

You are right in that not everything at Nuance is horrific but there is just enough wrong to make it worth moving on.

Are other MTSOs any better? Nope, but the aren't any worse either. I work for both MM and Nuance and in the end it is a wash of which is the best/worst.

The fact is we should all really be leaving the industry period. There is no point in moving from MTSO to MTSO as they are essentially all the same.

Best piece of advice is not to stay with Nuance because they are "the lesser of the evils" but to just plain get out of the entire quagmire the MT industry has become.

Lesser of two evils . . . - H

[ In Reply To ..]
I have to correct you on that one. As an MModal employee, I was just told by mgmt that anyone who works there now has to change his/her schedule to evenings because there is no longer any morning/early afternoon work in the company.

Ever since the holidays, I've sat here day after day, signing in at 0800 and literally sat at my desk for nearly 12 hours trying to get 6 hours in. I work in 15-20 minute increments and then I run out. I'm basically on call.

Yes, they both suck, but at least Nuance has something for you guys to type.

Sorry, but the fact is no work is a huge problem at Nuance as well. - anon

[ In Reply To ..]
That is why I took a second job.

I work the 2nd/3rd shift at MModal and having everyone move to that shift won't be helpful, as I run out of work there as well.

I think lack of work is an industry wide problem for US MTs, most of our work is going to India.

Don't forget EPIC system - informed

[ In Reply To ..]
In addition to work going to India with all the MTSO...many hospitals are moving to EPIC EMR with a more automated form of record keeping and that is also cutting way down on work available....I basically have no work a lot of the time and I know for a fact on some of my accounts it is because of EPIC...add that to the "follow the sun" process and we are BASICALLY SH#$ OUT OF LUCK

I work for MModal and I have no idea what you are - talking about with regards to

[ In Reply To ..]
everyone who works there having to change their schedule to evening hours. Thats ridiculous. They employ over 5,000 MTs and no way would there be enough work for everyone if every MT in the company had to work the same hours, which is what you are implying when you say we ALL have to change our hours to evenings. This site is full of rumors indeed because that makes no logical sense whatsoever.

I work 9am to 5:30pm, sometimes 10am to 6pm and I dont have a problem getting work. One of my close friends works 6am to 2:30pm and she does'nt complain either and we talk regularly. Of course it was slow here recently up until about two weeks ago, but thats usually what the holiday season is like in this industry.

Im interested in who told you EVERYBODY had to change their hours to evenings? Really? Think about it for a minute and ask yourself how much sense that makes? How in the world are they going to schedule over 5,000 MTs for the same shift? Never heard of that one.

Before leaving Nuance -- lol - anon

[ In Reply To ..]
Your post is funny.

I just have to add.

Before leaving Nuance ask yourself this:

Do you like being treated like crap?

Do you like not being able to make bonus because they give you 6 accounts with different specs within specs and there is no way to make bonus?

Do you like having insurance so expensive you cannot afford it?

Do you like the fact that your job has become a joke, that a cashier at a grocery store will be hired in your place?

Yeah, if you like all that then Nuance is a great place to work.

Oh, snap! Lol - nm

[ In Reply To ..]
xx

Wanted to add my experiences - sm

[ In Reply To ..]
Do you like a QA person in India changing your correct words to incorrect and dinging you for a Major or Critical error?

Do you like a Post-Audit where they change the above errors back to what you had and ding you again for another Major or Critical error?

Do you like the phone calls from your boss that you don't measure up due to the above two statements?

Do you like yearly pay cuts?

Have you read the thread on here about - possible corruption SM

[ In Reply To ..]
with uploading incorrect final version of report causing MTs to question when QC or QA points out errors you know you did not make? Check it out.

leaving Nuance - frustrated MT

[ In Reply To ..]
In addition, do you like the fact that the incentive is almost impossible to achieve with or without 6 accounts?

My response - to the above

[ In Reply To ..]
1. Will the next employer guarantee work or else pay downtime?--On multiple accounts at Nuance I run out of work an average of between 3-15 times per week. I am not paid downtime. Well, I can earn 15 minutes of downtime each time, but that tanks my lph.
2. 401(k): Who gives a fig?--I can't make ends meet on what I have with NOTHING deducted from my check. There's no extra to put away, and before anyone starts--yes, I live frugally.
3. There's no money for vacation anyway and, again: What with the constant OOW, the WILDLY varying QC standards, and the daily account hopping, there's no "making more than" to discuss here.
4. Yes, most MTSOs offer a shift differential. But who said anything about staying with MTSOs?
5. Again, yes, they do. Too bad at Nuance that 99% QA or higher (and actually, it's 99.4% now) is NEVER GOING TO HAPPEN because neurotic obsessives run riot in QC are going to pick the moment an MT approaches it as their golden opportunity to debate the merits and applications of semicolons.
6. See #2 and others related to taking money out of what is already a minimum wage check.

As to your last point, spare me the "don't believe me?" cuteness; no one doubts that increased consolidation of MTSOs combined with offshoring has allowed them all to race each other to the bottom. That isn't up for debate. What's debatable is how long U.S. MTs will permit them to keep taking us with them.

Re: point #5: I think the QAs must get the Bonus, for - running interference with us getting it. n/m

[ In Reply To ..]
nm

so make a change!! - comt74

[ In Reply To ..]
Did you know there is currently talk at both state and federals levels to implement new Acts or amend current ones to stop offshoring? Did you know that most Americans don't know their personal medical information is being sent overseas and my guess is they would want to know! Did you know that there was a bill they were trying to pass that all medical facilities have to notify their patients' in writing that their records may be sent out of the country for admin reasons? Call your local newspaper, contact all state elected officials. Write a letter and copy and paste it in the email and send it to these people twice a week to see if we can change this!! GET THE WORD OUT!! Coming on here and moaning and groaning about how one company treats you does not change anything and doing so does not show medical transcriptionists in a good light Oh and that company does not care!!!

Ohmigosh thank u so much so educational I had no idea - I have seen the light!!!

[ In Reply To ..]
Did you know people can vent AND take action? True story! People can do two things at once.

Well. Most of us can. :D

negativity gets you nowhere - comt74

[ In Reply To ..]
You don't have to like what I said, I really don't care. I can see why you posted your comment with no name. Just don't come on here and complain about everything without trying to make a difference.

I left already - ex-Nuance MT

[ In Reply To ..]
It is important to consider the things you noted above, but there are also other things to consider as well, like flexibility (Nuance offers none), quality of accounts (I had the worst of the worst dictators at Nuance), QA (which everyone knows is ridiculous at Nuance), and the fact that Nuance just basically does not care one iota about their MTs. The last reason was the one that really caused me to leave.

Anyway, I am working as an IC now. I don't have all the benefits that I had at Nuance, but I couldn't afford their benefits anyway. I didn't get to use my PTO for vacations because I had to use it all up when there was no work available. I couldn't afford to contribute to a 401K because I was making less than half of what I made prior to my company being acquired by Nuance and constantly running out of work. Now I work Monday through Friday with a 24-hour TAT and get paid 11 cpl for all straight transcription. I do have to pay my own taxes out of that, but all in all it adds up to much more than 4.5 cpl for editing at Nuance. I am happy that I left, but to each his own.

Ex-nuance - recentlyoutsourced

[ In Reply To ..]
I, too, left Nuance without as much as a notice or "THANK YOU VERY MUCH." I am working in a clinic making $17 an hour with AWESOME bennies. There are jobs still out there. Sure, I'm not working from home anymore but my kids are all grown now and I love getting out of the house to go to work now. Been working from home for over 14 years (doing MT for 17 years). Nuance acquired our hospital and now that quality has gone down the tubes (they are now sending ALL stuff from our hospital to India). They lied (said I would keep on the hospital account I had when they acquired us and would grandfather my PTO). The QA is RIDICULOUS. SO LONG NUANCE!

For everyone reading this, there ARE better - SM

[ In Reply To ..]
places to work. Yes, I always have work and am guaranteed (not at Nuance, no sir). No 401K, but I didn't make enough to contribute anyway at Nuance. No vacation days, but I can afford to take days off when I make more than minimum wage, so who cares? Yes, bonus at 98% or higher, yes, 98%, that's right.

There is a better place and another world beyond this Nuance nightmare. Keep looking.

When have they ever guaranteed work or paid for downtime? - genuinely curious

[ In Reply To ..]
That was my #1 reason for leaving; always running out of work and no paid downtime. So, either you're lying about that benefit or you're getting a benefit that most of us aren't getting somehow.

The answer is "Yes" to all of those if you get a - real job, OUT of medical transcription! - Meerkat

[ In Reply To ..]

Get a second job - CatLady

[ In Reply To ..]
I like the work I do for Nuance. There is no way I could afford the health insurance though, and you can't either if you have a family (unless you're the CEO). Sure the PTO and the 401K are nice, but there just is not enough work. I had to take a second job to fill in the holes. It's the only way I could afford to stay with the company. I even bought a second computer to try and get more accounts from Nuance, but I didn't buy the right software with it (Microsoft Office for home and business) and I can't afford to buy the software after purchasing the computer. I sure hope things pick up soon.

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