A community of 30,000 US Transcriptionist serving Medical Transcription Industry
My opinion, having been in the industry for over 30 years and after reading a few posts on this subject below.
For years a good deal of MTSO's including Webmedx had in place bonus or incentive plans based on production ONLY. Such a plan most likely helped Webmedx win "employer of the year" for years. Employees would go the extra mile even working through breaks to achieve higher line counts while at the same time the newer employees could look forward to gaining more experience and expertise to be rewarded with higher salaries in the form of bonus incentives. QA for the MT had to be at least 98% accuracy which has always been acceptable in the medical transcription industry. All of this made for a good business policy for the MTSO, the hospitals/clients and the MT as well.
Now comes Nuance, I think a somewhat "new comer" to the MTSO part of the industry boasting about how they are growing. At the same time buying out smaller MTSO's and more recently a larger Webmedx. Right away they seemingly start slashing MT salaries and at the same time changing the policy of a stable and proven production ONLY bonus plan set forth by a long lived MTSO such as Webmedx to a production/quality plan monitored by Nuance
Nuance may think this is a smart move on there part as they will probably be able to control the bonus plan payouts while using the same in Hiring advertisements as well as signing on prospective clients by possible claims of a workforce with higher than than 99% QA. All of this at the expense of the MT. Relatively speaking 98% and 99% is not a big difference in QA but it is the monitoring of the given QA percentages and the "grey areas" of discrepancies that will come into play as well as the penalty process. A production ONLY based plan is pretty darn simple, higher production equates to more dollars for the employee with no exceptions. If the employee does not meet the required 98% QA then the MT suffers the consequences and possibilities of finding another career.
While this company is still trying to grow as an MTSO it would have been a big mistake to do away with the bonus plan outright at present as more employees would have left, some even filing unemployment claims in some states possibly costing this company more dollars. Better to cloud the issue of paying out the bonus money which with quality in the mix puts it in a very grey area for the employee to collect while working harder in obtaining and maintaining a higher production rate over a long period of time. The "NEW" bonus plan is presently set up to penalize an employee for an entire quarter or possibly more depending on the employees next QA review.
Employees at Nuance will be taking a closer look at this new plan costing the company more dollars as employees once again will be going through the revolving doors at Nuance looking for a more stable pay method that will pay a little more without this questionable bonus plan Nuance has come up with. Nuance may have just outsmarted themselves. Time will tell.
Very ironic to say the least when one can consider the percentage of accuracy with all the Voice recognition programs, some of which at the hands of Nuance.