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

OH NO--hospital outsourcing to Nuance - anon

Posted: Oct 15, 2013

Just heard our hospital is outsourcing 100% to Nuance. They are offering us our hospital pay for a while. Benefits marginal. I've read all the horror stories about them eventually sending all the work offshore and the US MTs making minimum wage doing all the worst dictators. Please tell me this isn't true. I've been with the hospital 16 years and will retire in 2 years. I'm so upset.

Ask if there are any in-hospital positions for you. - curiousMT

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Honestly, you will not enjoy the Nuance experience and with 2 years to go I would opt to stick with the hospital, even if it meant janitorial work. Seriously, Nuance is absolutely horrible. They lie about everything they promise just to get the client and then it's just too late for the employees. I'm so sorry for you and this situation. Good luck to you.

stay with the hospital! - agree totally

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I have worked many hospital positions from admitting clerk to transcriptionist, and I would give anything to find an admitting clerk, unit secretary job now so I can escape. You never feel like you have job security with this company, and it makes you constantly anxious. Good luck!

I agree - MT Headed

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I don't understand why when a hospital outsources, the MTs think that going to work for the new company is their only option. You don't have to go to work for Nuance. With 2 years to go, try for clerical jobs within your facility, see if HR will help you. It will probably be less pay but you will be able to keep your benefits and it will definitely offer more stability. My MT job of many years went offshore a year ago and my employer helped to place all of us internally. If nothing else, draw unemployment for a while and take advantage of the education opportunities for displaced workers. With such a short time until retirement, you could even temp. Think things through before signing on with Nuance.

I believe with some facilities who are taken over you may be able to - contract as an IC

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The account I am on I still see people who have different initials and I believe they were original hospital employees and were taken on as ICs because of their expertise.

That might be something to at least ask about, because I have to think your knowledge of the hospital would be valuable and a bargaining tool and I have to think you could negotiate a better deal than what Nuance offers (really almost anything would be better). Also, you then might not be subjected to the idiotic FIESA with those special circumstances.

go on unemployment - Effie

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Go on unemployment...then retire in your 2 years. Are they offering severance pay?

IOutsourced to Nuance - Vera

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Been there and done that. I was outsourced 5 years ago from a hospital I had worked at for 24 years. We were not outsourced to Nuance though. Take unemployment until you find something else. If you are making by the hour now, you will not be for long and I went from about $32,000 a year now down to about $12,000 a year. Sad for me as I am 63 and going backwards in pay instead of forwards.

Do WHATEVER it takes to NOT work for Nuance. - RUN

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Came to Nuance through a buyout about a year ago. It has consistently gotten worse to the point that I can honestly say this is the worst job I have ever had. I dread getting up in the morning knowing I have to sit down at the computer and listen to the nonsense that their wonderful VR produces. Don't enjoy my days off like I used to because I spend my time dreading going back to work. RUN, RUN, RUN AS FAST AS YOU CAN AWAY FROM NUANCE!!!!!!!

Don't Rush Judgement! - Just Me

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Please make sure you do the judging and don't go off of this board. I have heard nothing but horror stories on this board, and I am now with Nuance and have not problems at all. This board is full of disgruntled employees - try it and MAKE THE JUDGEMENT FOR YOURSELF!!! Seriously!

Do rush to judgment! - donno

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Seriously! No e in judgment! Nuance would ding you for that one. According to FIESA (3) points off for a Major error.

I tried not to listen to this board when my place of business got bought out by Nuance, but I'm sorry I didn't. In the first few weeks to months I had no problem either, but the bad soon caught up to me. This board does not lie. Actually I have been able to relate to many of the events stated here on this board.

I wish I could like this a billion times. - nm

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so true

do rush to judgment - tree

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OMG! Misspelling judgment is not a 3 point error . . . you are just being ridiculous. I do QC here and that is a flat-out lie. This is why people are telling this person not to listen to everything on this board . . because a lot of it is lies!!

Just me and tree do rush to judgment! - InBud

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All specialties at Nuance are not created equal when it comes to QA. In my specialty, 3 points would be taken off for that error and that is no lie! Perhaps you should walk a mile in my shoes before you call me or any of the rest of us a liar.

Besides Just Me and Tree, the hallmark of any good QA evaluator is to know how to spell! Good luck on that one!

Lies - anon

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The only LIES you will hear on this board come from QC. They are the ones manufacturing lies.

Do listen to people on this board, we know, we have been there DAILY.

You may start out okay, but it won't take long until all the changes kick in, and YOU will be one of the disgruntled employees.

QC makes up stuff to ding you for. Almost funny, if I didn't have to spend my time getting errors reversed for what I did right in the first place.

All you QC cheerleaders, I imagine you as little trolls that live under a bridge, desparate, pitiful, trying to find that error. Makes me laugh.

Trolls under a bridge? - JustMe

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Funny how I've never gotten an error reversed on me since I've been here. Not one. Mistakes are mistakes and people don't like to hear they make them. If you don't hear from us, you'll hear from the client. Your choice.

Trolls - anon

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Funny too, how I have gotten most of my so-called errors reversed, and I always make bonus.

Here's the thing, when QC combs the report and tries to find an "a, the (as in The patient or not), a comma, or anything else to take points off, it's like they are grasping for straws. Anything to try and take that bonus away. It seems counterproductive and adds NOTHING, notta, zip to the report or care of the patient, which is why most MTs chose their line of work to begin with.

Funny, but sad. Maybe that's why all the turnover, people not willing to help out when there is overtime. Nuance, employee satisfaction is what you need more than anything, as the workers are why you exist, unless you count buying up other companies just cause you can.

Do rush to judgment - burnedoutco

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Actually mispelling is a 1 point error, "major" though. Also, missing out the word "the" even though the doctor did not acutally say it is also a "major" error. Still, certain QCs either make up errors or are downright incompetent as I get the majority of my "major" errors reversed and am sick, sick, sick, angry, and frustrated of spending my precious time doing this. If you correct grammar, QC say "verbetum" but if you don't you get a sickening little note explaining where you went wrong grammar wise. You just can't win with Fiesa no matter how hard you try. One QC will say it should be this way, one that and when you get a little note saying "good job" I want to throw up.

To the person who wonders if they should go with Nuance, do you get the picture? Get trained for something else, there is only frustration at Nuance. I am out of here in less than a year myself when I retire. The posts are 99% correct.

WOW TREE - Catness

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Sounds as if someone has a bit of angst over their inferiority complex, which makes you truly a legend in your own mind!

"Do" rush judgment - donno - JustMe

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First of all, I am not typing a medical document so don't need to be QA'd by someone on here. That would also NOT be a CSPE error for 3 points. I do QC here. The sad thing is people who constantly lie and have no clue what they're talking about and spout off on here with incorrect information. This board DOES lie and I've seen tons. Most of it are MTs who are not up to par, don't want to put the extra in, and get ticked off when they called on the carpet for a mistake they make. Maybe you should look at the mistakes you make, learn from them, and improve yourself. .....and if you're old school and don't like the technology, then maybe this line of work is not for you. The stuff I see on here is ridiculous and I would bet my next 5 paychecks is newbies out of school or old timers. I've been doing this for 25 years but can roll with the technology. Some people just need stuff to whine about.

to JUST ME - donno

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Looks like Nuance hierarchy is on damage control. Your generalizations are pompous, self-righteous, and disingenuous.

Nuance hierarchy? - JustMe

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...not quite. Call it what you want. You know it's true which is why you have nothing else to say. You can't tell me that Nuance is #1 in the country with 10,000 unhappy employees. Try some logic.

Judgment...with no e - JustMe

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According to FIESA, a Major error is 1 point, a CSPE error is 3 points. If you're going to call me on the carpet, get your own facts straight.

Just me: For all my truth-telling quality MLSs - dunno

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Just me is a confoundedly fiendish derelict, a miserable dissolute narcissist, a frightfully ill-mannered filch, a cruelly inept delinquent, a corrupt nostril-offending mass of neuroses and complexes and a decadent odiously suffocating chromosome-deficient test tube experiment that is a one-dimensional nauseating assault on the senses and a conglomerate of intellectual constipation.

Disgruntled employees - Verydisgruntled

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If I saw a board full of "disgruntled employees," I'd have to ask myself WHY. We can't all be crazy, bad, uneducated medical transcriptionists. Ultimately the decision is yours, but if I were you, I'd heed the advice you're reading here. There's a reason, actually many reasons, why we despise this company. My pay has been literally slashed in half from Webmedx days just to name one reason.

Please for your own sanity - sufferinginsilence

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Try to find a job in the hospital - whatever it is. These stories are TRUE and there are a lot of very talented MTs with years of experience (I have over 25 years) and what is on this board is TRUE!! This is the WORST company I have every worked for and that is no lie!! We are disgruntled for a good reason. I too am a Webmedx transplant and my pay was too literally cut in half.

Go to your HR department and see what's available in the hospital.

Dislike - LMAO

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Slow day today in HR Laura? NOBODY that does this job would be disliking any comment made by any of us, which are 100% true. Your transparency is beyond laughable. Go back to Human Resources and whatever it is you DON'T do.

Run to the nearest exit! - Alianne

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For one thing your way to qualified for them and for another this company represents the devil's incarnate. It is a real hello hole if you know what I mean.

Sometimes when we hear the worst, we don't - Sm

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want to believe it's true. I admit, that is the way I usually am. I am a positive person, not a complainer, always wanting to see the best in everything. However, in this case, about 99% of what you hear is true about Nuance. It's ultimately your decision and you will, I'm sure, weigh all your options.

try it.You will most assuredly be typing on your present - lessie

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account. I always say to the jeers I make good money with them and apparently so do many others. For the 5-10 MLS who may have true problems there are tons of MLS content.

You will probably make less than hospital pay. I would make a pro and con listg - sm

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Pro - 1. Only two years to retire
2. Stay at home.
ETC.

Con: 1. Less pay.
2. Eventually turn on the 99%
QC/QA unreasonable.
3. ETC.

Make your own.

Someone is trying to yank my chain - Tocarz

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A ton of MLSs who are content? Good money Eh? Poor is the new black!

See? - JustMe

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14 Dislikes and 1 Like and yet there are 9,985 other MTs out there who work for Nuance you haven't heard from yet. Hmmmmm....I'm sure they are just ALL so miserable which is why they stay and Nuance is at the top. Use some logic new people and don't listen to the same people on here who post over and over and over and over again.

Stop tying to save Nuance singlehandedly - Alianne

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Ms. Nuance, JUSTME: This company is partially owned and run by Indians. There will be another bus load from India arriving soon that will make an even 10,000 who have to love their job and be complacent because it is the only job they can get that pays $150 dollars a month.

As far as the being #1, you are mixing apples and oranges. In 2011, Nuance was #1 in acquiring a KLAS award. That award has nothing to do with employee satisfaction, but instead satisfaction in software/products such as (escription, Powerscribe). You were wondering why there are so many dislikes from your posts? REALLY?

Find out if there will be a transcription - aliciaf

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coordinator at your hospital and apply for that. An MT who had worked at the hospital for 25 yrs became the transcription coordinator. She's now doing a lot of work with the MDs and IT people trying to get Powerscribe up and running with templates, tables, does some QA, figures out glitches like orders not attached to reports, and transcribes as needed.

Find out what exactly Nuance will be offering the hospital. Nuance doesn't necessarily send everything to India. Nuance provided IT people and support to transition our work to Powerscribe.

My experience with a takeover first by WMX (5 yrs ago) and then by Nuance (about 2 yrs after WMX) is that most people didn't stick around to find out what would happen and the majority of jobs went to WMX MTs. It took a while for the transition to occur. Offer to be the person who does the transcription even after the transition is complete. There will be STATs, tired docs who don't want to edit or send to editor, tech glitches, etc that stay in-house and are straight-typed.

If your transition is anything like ours was, the doctors hated it and it took well over a year before things settled down. Nuance came in and there was yet another upheaval. I did IC work for WMX (at the hospital rate and for 2 yrs) and Nuance (slightly lower rate) and then the hospital hired me back (at 1990s rate). I thought 5 years ago my job would end shortly after WMX but I'm still working for the same department.

do try to stay in the hospital - beulah

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With retirement a mere 2 years away, I'd certainly advise against leaving the hospital. In retrospect, that is what I should have done, for practicality's sake, when my hospital outsourced, even though I love MT work and am glad to have been able to do it just a little longer. It was very stressful to make the conversion to all-internet and the company's typing platform, along with brand-new accounts in other states, and being paid by production instead of hourly. My wages dropped significantly along with benefits. This is a far different ballgame than hospital work. There are definitely some MTs that are quite happy here, but I think it completely depends on the demands of your accounts, your typing platform, how much work is available, how helpful your supervisor is, and the type of work you do (radiology, clinic, acute care), so it's hard to predict how it will work out. Your pay and benefits are probably already pretty good in the hospital, and you have socialization too with other coworkers (I miss that), so probably better to stick it out, even if it might mean taking a position you're not quite as keen on. Just my 2 cents-worth.

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