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No Choice but to go with Nuance - Grandfathered

Posted: May 25, 2015

Hello fellow MTs,

In July, the only Acute Care Hospitals left in my area have been taken over by Nuance. Everything in my area has been taken over, as the rest of the country.

Basically, only the BIG GUYS are left anymore. They are eating up the rest of the smaller transcription companies.

I have been a transcriptionist since the age of 21, back in the typewriter days. I am now going to be 54 and have to stick it out until hopefully 60s.

I worked for MedQuist a few years back for about 3 months. It was hard to change from the hospital mentality to a service one.

I was wondering who can tell me what about this "incentive program." I know the work has to be there to even make incentive, but I was curious as to what Nuance MTs can tell me about it.

Just a few years back Nuance had the 4 cents "edited" and 6 cents "transcribed." I just wonder what changes have been made and is anybody making GOOD Money.

A lot of MTs have no choice basically but to go with the service. Unfortunately, sometimes we have to just take it and go with it because we are too old to start over in another field.

Thanks,

Terri (grandfathered in)

Depends on which platform you are on. - wtfe

[ In Reply To ..]
The FutureNet/Bayscribe platform has a different grid which is less lucrative than the other grid, as if anything about either grid could be called lucrative. You only get "on the grid" if you meet over 99% quality and less than 10% of work going to QC. Generally, if one does not knock you off, the other will. On the FN/B platform, there is the added bonus of having to meet production of over 150 lph. If that is not met, then you drop even further in line rate, as if there were a good line rate on that grid to start with.

With 6+ years left, I would look elsewhere. Nuance is not worth the 6 years. Also, we are halfway into the year. By December, they probably will have lowered the whole thing to something even worse because that's the Nuance way. Merry Christmas!

Down on the page, past all this discussion about QC pay, etc., - start reading and go back in time at

[ In Reply To ..]
...at least 1 month before deciding that you "have to go with Nuance." In many, many, many cases you will see harm to physical and mental health for having signed on.

Please consider finding some other minimum wage job doing anything else.

No choice - all smiles

[ In Reply To ..]
Yes, you have a choice. Your skills are transferable to other jobs within and outside the healthcare field.

Per average, they have reduced us to $10 to $12 per hour. Incentive is a joke. There is no incentive.

Once you get up to where you make even anything resembling a livable wage, they will shake it up, change your accounts, audit more, or whatever it takes to get you back down to the above hourly wage.

The problem with the board here is that people talk about money and very little about the other things that affect us more.

Drop everything and come to this meeting (less than 24 hour notice).

Approve your timecard, check your e-mail and check your fiesa off the clock.

IT support - not.

Spellcheck is a joke. There are so many misspelled words in the spellchecker that cost you $$$$ (lower quality = lower pay).

OOW - you can quit for the day with no pay or just flex and keep coming back until there is work.

Incessant changes to the account specs - and no e-mail telling you so. So logon every day and see if they changed the account specs.

Reversal on an audit - good luck.

In short, if you sign on with N, they own you and every 168 hours in your week.

Those are more demoralizing than the low pay. I'm getting out at age 61 to whatever I can find because I've become so depressed I'm suicidal.

Terri - don't know what to say to you except I am so - sorry

[ In Reply To ..]
I don't know what you were making at the hospital, but I can bet it is more than what you will make here. I know that is a moot point though. I have 15 years' experience, usually meet all the metrics for quality, not sending to QC, etc, and yet I STILL can only top out at about 13/hr average thanks to either the unfair punitive auditing system, constantly changing client profiles, and most of all, regular OOW situations. Sad but true. I'm looking to get out asap.

One Word For You - FormerNuance_MT

[ In Reply To ..]
I speak from experience, having subjected myself to working at Nuance several years ago. Here is my suggestion -- ONE WORD FOR YOU: RUN !!!

Best bet is count on min wage weekly and anything - above will be a bonus.

[ In Reply To ..]
Good luck.

Many other options out there! - SM

[ In Reply To ..]
Check out Net Transcripts for "general" transcription which is much easier than medical. As an IC I am averaging $15 an hour. It took me a couple months to get to that pay, but it is consistent now. They do not deduct for leaving blanks. They have work 24/7 that you can pull from a queue system.

I also do "elder care" which includes light housekeeping. I put an ad on craigslist and a very nice family contacted me to spend a couple days a week with their elderly mom. They pay cash.

Do not give up. Just learn to be resourceful. I and 20 others were offered a job at Nuance when they outsourced us last year, and NONE of us took it. We are all somehow making it by finding other opportunities!

No choice - Put unemployment on speed dial - and bend over :( nm

[ In Reply To ..]
x

RUN as far as possible from this company - anon

[ In Reply To ..]
I was in your same position about 4 years ago and thought the same things, mainly because I believed their LIES.

They said we would keep our same hospital account. NO. At first, but not for long.

They said our seniority would count. NO. Well, maybe it did in some way, but everyone got the same amount of PTO and wage, so I don't see how that mattered for beans.

IT and QA support. Umm, no.

Plenty of work. HE(( NO.

I can tell you we were a dept of about 30 +/- working for 3 local hospitals all owned by the same company, and flexing between the 3. We all had plenty of work. Right now, last I heard anyway, there was 1 or maybe 2 still left with N out of the 28 or 29 that took the position.

If I had it to do over, I would take the unmemployement and look for something else rather than learn their system, ultimately have to look elsewhere anyway, and then learn another system. I could have used that time off to really explore if there was anything totally out of transcription worth pursuing. I still knew a couple of people in med recs at that time. If I had pursued that, I would still be at the hospital, with the hospital's benefits, and still getting a raise every year, a little Christmas bonus, credit union perks, free company days at the ballpark,etc.

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