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


Has anyone transitioned from working - anon


Posted: Jul 30, 2012

for a hospital that has sold out to Nuance to working for Nuance and watched with disbelief what they do?  Has anyone watched them try to manage the account without asking anyone who works/worked at the hospital for suggestions, for instance, how to staff and cover busy days, evenings, etc.?  Or QA, when they don't know the doctors but then send out emails with QA tips that are just wrong - yet they STILL don't ask anyone who works at the hospital or just plain ignore correspondence from hospital staff who offer to help?  I'm truly stumped by this way of doing business, especially when patients records are involved.

it's amazing - how they manage to stay in business

[ In Reply To ..]
This thing called karma, it WILL catch up to them.

India power failure - MT

[ In Reply To ..]
That might be sooner than you think.
Massive power failures yesterday and again today with over half the country without power according to Yahoo this morning!

That explains the high volumes on some accounts this morning. - anon

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I wondered why suddenly there were thousands of jobs.

Guess they can't quite live without us yet.

nuance/transcend - kt16

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TS took over our company... we worked with them for quite a while and experienced what we called the "pinocchio" effect. They lie. They lie about their being enough work,about coverage and based on my experience of 6 months, I knew it would only get worse. I cut and ran when they made all of us MTs an offer. Not one person went with them.

Ours went to WMX first and they actually - anon

[ In Reply To ..]
made the ICs a good offer as the employee salaries were a pittance and no one accepted their offers. They needed people who knew the acct and reluctantly offered IC status and a high per-page rate. Nuance came along and blew that. I needed to be home for a while to take care of a sick relative so stayed on.

You are right - they do lie - about everything. Our awful QA person who still doesn't know the acct got promoted to TL. She's awful. Doctors are furious but hosp big shots tell them to shut up.

MTSO takeover - recentlyoutsourced

[ In Reply To ..]
YEP....Our hospital got outsourced to Nuance in December of 2011...Docs have been having a FIT since then...QA people are VERY irritating, inconsistent, and I fight with them EVERY DAY. Totally ridiculous. First, they took over our ER department, POOR QUALITY, and now the whole hospital. I blame the hospital board for them outsourcing us, but the poor quality....COME ON...I can only hope they fire the MTSO and hire us back, but probably will NEVER happen. Here's to a career change!
Docs don't run the hospital - anon
[ In Reply To ..]
Adminstrative decisions are made based on $$. The Docs can complain all they want, nothing will change.

I got the boot several years ago from in-house and, yes, the quality went way downhill (I knew this because I went to work in a clinic and we saw the reports, of course that job is now gone because they went to EMR point and click but I digress).

Anyway, even though the quality was garbage (India) and the docs were complaining, it changed nothing. It has been years and they have not come crawling back to in-house MTs. It's all about money and outsourcing the work is SOOOOOO much cheaper, I would say at least half when you consider wages and benefits of in-house MTs.
Our work was not off-shored - anon-OP
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It is all done within the US. There has been no progression in learning the acct. They keep making the same mistakes. No ESL MDs either.
Wow, that is sad, but I guess you get what you pay for. - anon
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It does seem odd that our quality has to be 99% or better at most MTSOs these days, so how exactly are we producing work that is so terrible?

Maybe they don't have dedicated MTs on the account? Or maybe the sound quality is bad?
The 99% accuracy is not the case w/ - anon
[ In Reply To ..]
every account. We DO have the same MTs, doctors, and mistakes.
Great post - Agree
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Sad isn't it? Had a discussion in school last night how this one MT who is learning coding says she just had to quit Brittner transcription because she was only making 7.74 an hour. The instructor told her to call the labor board because they are in violation of our minimum wage laws in our state. The instructor also said she quit doing transcription long ago because she can tell how the transcription business was going downhill. She's currently an RHIT and a software expert on medical billing software. She has a few other degrees as well. She also stated that if no transcriptionists will do the job at this low wage, it does right to India.

Oh BTW, here's to India's infrastructure! A good majority of the country has a power outage, LMAO. This is what the health care institutions in this country asked for by going with MTSOs like Nuance.


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