A community of 30,000 US Transcriptionist serving Medical Transcription Industry
http://www.glassdoor.com/Reviews/Nuance-Transcription-Services-Company-Reviews-E537513_P3.htm
Maybe you should see what your current and previous transcriptionists feel about working for your disgusting, nitpicky, greedy, company.
I really feel the bulk of these companies need to be blatantly aware of what they are doing to the industry from the inside out. If they continue to outsource for "cheaper payouts" then prepare for cheaper quality.