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Anyone here from Ambulatory side? - emilysue

Posted: Jun 25, 2014

I was just wondering if anyone posts here that work for the Nuance Ambulatory Care side of things. All I see here are what appears to be posts from the acute care side and they are not very favorable. I will probably get hung on this board for saying this, but so far things are pretty good on this side of the fence. Same managers, same good accounts, plenty of work. Flexible schedule. Not crazy about all the logging in to everything (WorldClient, WebClock, Spark), but its doable and I am getting used to it. Anyway, just asking to see if the ambulatory MTs are happy or, not so much. Thanks!

I did not know there were 2 sides to Nuance - are you talking about specific account?

[ In Reply To ..]
I do clinics, ops, consults, H and P, discharges, everything but ER reports on my accounts. Some would be considered ambulatory, particularly same day outpatient surgery and clinic notes. Other work from my accounts are inpatient acute care notes.

Ambulatory side - emilysue

[ In Reply To ..]
We were formerly Accentus and transitioned to Nuance over the last 18 months or so, becoming employees in April. Our side only does clinic and doctors' office transcription. Before Accentus acquired us, we were Zylomed.

Clinic and doctor's office - YB

[ In Reply To ..]
I'm surprised there are any clinic notes available anymore. Every office I've seen including rehab centers are all on EMR - no more dictation. 2015 I guess we'll all be out looking for a job flipping burgers.

2 sides of Nuance - promises and lies

[ In Reply To ..]
zzzzzzzzzz

Likely more realistic to ask if anyone on here is an IC - hired to replace employees

[ In Reply To ..]
Nuance just LOVES hiring ICs with no insurance commitment. Probably would love to replace all of us employees with ICs. But, I know of no differences in "sides" of the giant conglomerate house known as Nuance.

No ICs from Zylo/Accentus... - sadie

[ In Reply To ..]
...that I'm aware of anyway. All of us that were ICs were forced to become employees. From what I understand, there were many who left instead.

IC to employee - Amb care MT as well

[ In Reply To ..]
I also work on the ambulatory care side of Nuance. When we were Accentus, we were all ICs. When Nuance acquired us, we were required to all become employees, no exceptions. So I am not sure what you mean about Nuance loving to hire just ICs. Most of us wanted to remain ICs but this was not possible. And there are different sides to Nuance. They reportedly did not have an ambulatory care share in the industry and wanted to have that exclusive option so hence we became the ambulatory care side of Nuance. I am happy there, and as the OP said, so far we have not had any changes to deal with other than those which go with being employee status. Still wonderful managers, good accounts, lots of work, flex schedule. etc. No complaints from me.

So far so good - me too

[ In Reply To ..]
I'm just worried when they start taking away our straight typing and moving it all to VR. I will also not be happy if we move to FIESA for QA. It's terrible.

Yes - so far, so good for me, too - sadie

[ In Reply To ..]
I do worry, though, that things will begin to gradually change over the next 3-4 months. I decided to stay in April, willing to give it 6 months and see how things go.

Happy so far - Judie4

[ In Reply To ..]
Me, too, happy with our side of Nuance. Yes, I am keeping an eye out for changes that could come along, but so far, so good. Seems we did better than the acute side of Nuance is doing at this time. Hopefully, it will continue. Time will tell.

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