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Ambulatory - exciting changes? - Oh well

Posted: Oct 28, 2014

Did any of you on the Ambulatory side get the e-mail this morning about the exciting new changes? What is your take on it? I, for one, am not "excited" - but more like horrified.

details please... - sm

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I am acute, but we still have not heard anything. What types of changes are going to occur?? Please let us know.

Luckily won't affect you - see msg - Oh well

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On the Ambulatory side, we have exclusive dictators...but it looks like they won't be so "exclusive" anymore. Sigh.

Yes - confused

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I did too. Not sure what to think. Plan for full integration with Nuance. They are switching TSMs and now want work completed within the first 4 hours of receiving it, even if its 24 hour TAT.

so they are doing an MModal... - wtf

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When I saw "normalization of platforms" on that email they sent earlier this month, that's where I thought they were headed. My suspicions are confirmed. Good luck keeping your quality percentage above 99%, because now we're going to be doing work from every single account Nuance has. What a load of crap.

If that happens, I'm definitely out. - Oh well

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I used to work at MModal and every day I would get work from dozens of different hospitals from every state in the country. I had a huge stack of account specifics on my desk and every dictation I got was from a different facility. If that happens here, then I am done.

MModal fiasco - barbara adair

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My experience with MModal was a nightmare. Even working as Medquist, it was pretty much a nightmare. I think for our profession to be outsourced to India is a travesty. I am ready to hang it up after over 20 years in this profession, some years as a lead, for one of the largest and most demanding hospitals in So. Calif. I have no idea who to trust anymore.

Exciting changes is what has been talked about here - for months. They are not so exciting

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as the info came out last week. Nobody knows the lines rates yet, but they are sure to not be good. Ambulatory was a good ride while it lasted.

I am ambulatory, but I received no email - sm

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what was the content of it? If I didn't get the email, does that mean I might not have a job? LOL! I saw the email changing our InScribe log in with a bleep about integrating into Nuance, but no where did I receive anything that said we now have a TAT of 4 hours. Had no clue what "integrating" into Nuance meant. Guess we in ambulatory are not Nuance. Quite probable we will all be on FIESA now, but as far as I know, ambulatory has not been told that.

The basics... - Oh Well

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I was wondering if everyone got the email, because I have 3 TSMs and I only received the email from 1 of them. So I'm wondering why ALL the TSMs are not sending out the same email? The email states that the changes are "across the board."

As far as the changes, basically they are now saying that when your exclusives dictate, if you do not transcribe the files within "a few hours" the files will then become available to other MTs to transcribe. So your exclusives are not so exclusive any longer.

How long is a few hours? How would you know at what point other MTs are going to start doing your work for you? I am so frustrated right now. I have only been here a few months, but I was just starting to really get into a groove with my workflow and schedule, and now this?? Really?!?

Welcome to our world, Ambulatory - a cute MT

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Now ya understand what our noise is all about??

We weren't that dumb...we knew..most of us just kept our mouths shut - me

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Only a few ambulatory MTs posted here. most of us have been keeping our mouths shut waiting for our turn, not wanting to draw attention to ourselves. I, for one, left Medquist to come to a small ambulatory company that eventually got gobbled up by Nuance. I am surprised it lasted this long. It was nice.

My poor, poor exclusives ='0( - BBMT

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Well that email did say if we have exclusives now that we will continue to have them because we will pull those accounts as our #1 priority!!! Yay! So that's good news, right?! Oh.. but wait... you say you are pooling the work if we cannot get the work transcribed within that 4-hr TAT, and other MTs will be able to pull that work... so, wait a sec... THAT WORK IS NOT EXCLUSIVELY MINE ANYMORE IS IT?! Jeez... don't sugar coat the bullshit please. Just say it like it is... no more exclusives, work will be pooled, and next we will be picking a set schedule and getting pay cuts. Right, Nuance? I'm right aren't I? Yep... I'm right.

I think you're dead on. - Oh well

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So sad.

When they start out saying - sm

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something is going to be "new and exciting" that translates to "big grief, be on your guard."

Anything at Nuance sold as new or especially - exciting translates to you are screwed.

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Nothing new. Surely you figured sooner or later they would get around to incorporating you into the big exciting Nuance mix, right? I know a few weeks back one of the ambulatory MLS making thousands of dollars a month just knew this would never happen on that said "cuz they said so." Sorry this is happening to you, but hopefully you took notice a couple of months ago to the posts and made preparations for entering the below poverty level class. Exciting, 'ey?

YES..MOST OF AMBULATORY PROBABLY KNEW IT WAS COMING - me

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I am sure most of us have been waiting for the other shoe to fall for a LONG time, waiting to be incorporated into the Borg. Now it is happening fast. I believe exclusives will be quickly phased out even if we keep within TAT. For those dictators who save up their reports and send them all at once, keeping within 4 hours TAT is probably not feasible since they are probably sending more than 4 hours work. Then if they make us follow a set schedule, well, that is the end of that since we never know when our doctors will dictate. I am going to try it and see how it goes. Have been thinking for months what to do next. Have may ideas but so hard to change when you have been doing something for so long.

You will most likely have schedules with other work - thrown in your mix so should be okay.

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Sorry it's happening, but I think we can all say we've been through these exciting changes at one time or another.

Anything I have to say would just be my jealousy talking--sm - anon

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Exclusives? Man, that must have been nice! But, I do know what it is like to have the rug pulled out from under me on things like that so I am sorry for you too (even though jealous of the exclusives you have been enjoying).

Just because they are exclusive, doesn't mean they are good. - Oh well

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I happen to have 1 exclusive that is horrible.

I understand that, but there is also the consistency--sm - anon

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I am now on my 3rd primary within 18 months time, due to my first account going offshore, then being moved to an account that 6 months later was lost to EPIC. Part of speed comes from knowing who you do well. Then, I found out I am now on a list of MTs that may be possibly moved to where they need more coverage.

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