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

It finally happened. Nuance has shown their ugly face. - IC no more

Posted: Feb 21, 2014

After over a year from the acquisition of my company, Nuance decided to end the ICs and make us employees. Guess I starve again.

Just ask your TSM - Retired oldie

[ In Reply To ..]
Ask your TSM?? When I worked at Nuance (not long), my TSM had never transcribed anything nor did she know anything about the platform we used. She was very nice, available, but was a cheerleader for the company because if we did not keep up with TAT, she got in trouble!! So you just need a cheerleading background to be a TSM!!!

I just received my email about this... sm - BBMT

[ In Reply To ..]
I was afraid this was going to happen eventually. I started out with On-Time which was bought by Accentus, and then a short while later Accentus was bought by Nuance. I have browsed the Nuance board here many times and usually have no clue as to what anyone is talking about (FIESA, web-clocks, etc.). Not many people seem very happy about it though, and I've always felt somewhat lucky to not have to deal with all of that. Looks like my luck just ran out.

Why is this a bad thing? - nm - Inquiring minds

[ In Reply To ..]
nm

First and foremost, you can only work 40 hours a week. - see message

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I know a lot of ICs that work more than 40 hours a week currently, so that is one reduction in pay.

Also, it will be interesting on the ambulatory side with the irregular workflow volume. You will only be able to work 40 hours a week, so you can no longer make up for a slow week the week before or the week after. You probably will have to learn some different accounts, and others will learn yours. The work will be spread around differently most likely.

Webclock is just an electronic time clock that you clock in and out of. It is not bad. It will be interesting to see if there will be specified schedules that have to be worked.

Also, the email indicated you will be given information on your pay in March. Everyone is starting over as a brand new hire. I think there will be pay cuts for those still making good rates of pay. There was also no indication of any attempt to keep people with the same supervisors or accounts but hopefully this won't be an issue. The onus will be on them to have you 40 hours of work a week.

The way it is worded leaves a lot of room for speculation but try not to get lost in it. Hopefully it will be okay, just expect more pressure to try to make close to the money you probably are making. Taxes will be taken out, so that will be another reduction in your take home pay, but you can make that impact minimal if you choose. This will be nice come income tax time though.

Benefits are actually pretty good, except the health insurance is barely worth bothering with. It is a terrible plan. And now that you will have an employee offered plan, I do not think you are eligible for subsidies on your insurance. Not 100% on that but about95% sure.

At this point, I think it is a wait and see situation. Thing is, there are really not many decent places left to go to work unless you get out of MT, which we all need to get serious about.

Expect the best, prepare for the worst. Good luck to everyone. Hopefully it'll be alright.

greedy? - No name

[ In Reply To ..]
There are some people that would like a 40 hour job and you are working over 40 hours? Do you think that is fair when there are other people out there needing work? Seriously? Dont just think about yourself and lining your pockeet while there are people out there that need a job. geez...

LOL. seriously? - OP

[ In Reply To ..]
Greedy, no. Just trying to pay my bills and was fortunate enough to find a company that I still had a CHANCE to do that at the current MT wages. Working hard is never a bad thing, and who is to say "others" have the qualifications and skills to get hired? I do what I need to do for MY family, and from where I stand, there is absolutely nothing wrong with that.

That is not greed! - Rose

[ In Reply To ..]
The OP doesn't do the hiring so why label her greedy. Do you expect everyone to turn down any OT because they feel an unemployed MT should be hired first??? You've got to do what needs to be done to survive.

To No Name: A middle name to you would be considered - Greedy

[ In Reply To ..]
Years have been spent by these companies to figure out ways to make themselves profitable, and they have succeeded. Greedy is surely NOT a word MTs can use when it comes to 3-4 cpl. Get a grip No Name. Stay anonymous as I'd hate to think you are really an MT.

If being greedy means I can pay all my bills - Anonymous

[ In Reply To ..]
and have some money left over for food and maybe something extra....then call me greedy. It boggles the mind that people like you think others shouldnt work hard simply because someone else might need the job.

It is a bad thing because. . . - TJ516

[ In Reply To ..]
There are many of us that need flexibility more than we need benefits. I have good benefits through my husband. I have another job as well, and cannot work set hours with any of these companies, and that is what more and more of them want. I need to be able to attend workshops from time to time. But I need more work to pay the bills and supplement my other income, which is very cyclical. I can't understand why they would want to pay payroll taxes, paid vacation, and 401Ks, etc. when they could hire ICs. Flexibility means more to me than 40 hours a week.

Will they still allow you to be an IC if you want? - JuJu

[ In Reply To ..]
If you do not want to become an employee, is there an option to just remain an IC?

this should be expected - because

[ In Reply To ..]
For every MT who gets on here screaming SUE THEM and does, there is an MT thinking- don't rock my boat. I'm not condoning companies that legitimately cheat their MTs, they should be held accountable, but there are a bunch of MTs who can't cut it in the current environment and are suing the MTSO. The MTSO is going to have to do what they can to protect themselves. I would imagine that Nuance cannot have IC and employee doing the exact same job and classifying them differently.

They also likely are not paying you so much more as an IC that being an employee is going to make that much difference. You will feel the pinch of paying your taxes per paycheck. That's the only downside here.

So many are screaming they want change, well, we're all going to feel that change, like it or not.

Nuance-Accentus - Sylvia

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Try seeing if you can switch to or apply at Accentus Ambulatory. They are IC status. The company sucks though, but only hire IC.

We are talking about Acct. Ambulatory. Email came yesterday about all being Employees.. - small message

[ In Reply To ..]
They are part of Nuance now and the changes are beginning. And, they did hire employees before after you maintained a certain production status and requested consideration for it.

ACCENTUS ambulatory - Sylvia

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Are you saying that Nuance Accentus Ambulatory is now only hiring direct employees? Their website states they only hire IC for the ambulatory accounts.

I'm so glad I'm out of there.

I know current ICs are being transitioned to employees. - sm

[ In Reply To ..]
The process just began; ICs were notified by email Friday, so perhaps the website just has not been updated yet. That's all I know. I can't imagine they would hire new ICs while making the old ones go employee.

ACCENTUS ambulatory - Sylvia

[ In Reply To ..]
Just checked the website for Accentus ambulatory. It still notes IC status for that division. I feel for all those new MT's who have to do all the pool work and deal with all the ESL's.

They just have not updated it. No more IC. - no message

[ In Reply To ..]
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