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


New pay compensation plan - rock bottom


Posted: Dec 01, 2014

Since 2012, when Nuance "officially" took over the company I was with, they following has been very consistent.

1) Cut pay, then offer some type of carrot (incentive, bonus) to help us "make up" the loss in line rate. QA us to death for any little error, calll it a major error or a critical error to lower our quality score so that we cannot make 'incentive' or 'bonus.' If we do re-read the reports in order to bring quality scores up, our lines go down, and then it is a sum zero.

2) Did the above in January 2012. In December 2012, accounced a new 'pay plan' that would be 'oh so much better' and would begin January. Then suddenly January became December 22.

3) This year, they created a structure that we would gradually be introduced to that, according to the e-mail sent in November, would have a base line rate, with various ways to increase our scores (you can decide), plus increased ability for more PTO. That would roll out on December 25. Suddenly December 25 became December 6. Suddenly the base pay disappeared completely as did the extra PTO. The weighting factors are completely and totally subjective based upon ????? (I strongly suspect no input will come from the TSM or from anyone who actually really works on the account). They said they will use the current quality indices (they are currently running the old quality indices and the new ones simultaneously, so it is anyone's guess what the current quality indices are, new ones or old ones).

The communication in November stated they will audit a minimum of 2% of each MLS volume. Well, they have exactly 3 days left to audit 800 of my lines or another 30 of my reports. I don't think that will happen.

It seems that the ethical and moral (and perhaps even legal) thing to do is come right out and say the field is dying and they have to cut our pay to keep the accounts rather than destroy our self-image completely by nit picking or going back and forth with put in the comma, leave it out, split the diagnosis, don't spit it, etc.

It seems the moral and ethical thing to do (and perhaps even legal) is to stick to their written statements rather than just not do what they said in writing they would do, because it unfortunately is keeping them from getting any employees but newbies (nothing wrong with newbies but it does take awhile to get the ins and outs of online on your own transcription), and sending their current employees away with a mass exodus.

There are a LOT of minimum wage jobs out there wherein the boss does not demoralize you, destroy your self-image, make you work off the clock (check Fiesa and your time card on your own time), and where you don't have to simultaneously multi-task mentally with 5 different things at the same time. I feel this time they really shot themselves in the foot. Regardless of how good the pay is, I doubt that too many budgets can withstand a floating paycheck wherein every paycheck you have no earthly idea how much money you will make.

Yep, this time they shot themselves in the foot.

I will send them a calendar this year. Seems their calender is missing a few weeks.Undecided

 



Similar Messages:


New Pay Compensation Plan..sm
Oct 14, 2014

Can someone please explain to me this new email we all got this afternoon about the new pay compensation plan rolling out in December? Can anyone explain it a bit more in detail. Sounds like our pay will not be the same amount anymore as in no more cpl that we were used to? Sounded like to me it will be based on quality and working weekends/nights, etc. Is this something good? Email wasn't in detail too much and a little hard to read. I dont have time to go through it right now. Thanks! ...


Did Do Our New Compensation Plan?
Dec 14, 2014

This morning I checked my work email, as I have been off the last few days.  I found a new email titled "Update to 2015 Patient Safety Compensation Plan for the Bayscribe Platform."   They have decided now that after you figure your C-LPM, anyone straight typing in Bayscribe will need to apply a platform factor of 0.88, in other words, subtract 12% of your lines.  Their example was if you type 1000 lines, multiple x 0.88 and you will only get credit for 880 lin ...


New Compensation Plan
Dec 31, 2014

Okay, so i wanted to give the old school girl try, ya know?  This was the first check I could really see how this is going to work.  Keeping in mind that over the Christmas week, most of my regular docs were off, and I had accounts that I had never done before, and most, were sitting there for a reason.  After sitting for hours on end reviewing old note after old note to get the best quality for these unknown and often difficult providers, I was actually pretty proud of having only sent notes ...


New Compensation Plan - AGAIN?!?!?!?!?
Mar 18, 2015

I am about ready to cry.  After finally becoming accustomed to the "new and exciting" compensation plan and realizing that my salary had actually increased by several hundred dollars per paycheck, am I really reading this email correctly when I see that NUANCE is actually CHANGING the friggin compensation plan again at the end of this month for Bayscribe MLS?!?!?!?  And now my line rate is going down to about 0.0800?!?!?!?  This is lower than what I was hired at over a year ago?!& ...


NEW QC Compensation Plan
May 06, 2015

They have rolled out the new QC compensation plan.  It appeared in Enrich today.  We are now screwed just as badly as everyone else.   ...


New Compensation Plan Around The Corner
Dec 10, 2012

I wonder what lies in wait. ...


New Compensation Plan - My View
Dec 04, 2014

To set things straight, first of all, I am not new at this game.  I have been in this business for 25 years, so I have seen a lot come and go as far as the transcription game.  But I have to say this tops them all.  I have been able in the past to make a decent salary, help support my family, pay my bills and have a little left over,  just like the rest of you.  When I saw the words, "new and exciting" I cringed.  Never good words to hear.  I tried to give it a ...


Grid For New Compensation Plan
Dec 05, 2014

Does anyone know where I can get a copy of the "grid" they keep talking about and showed in the video?  Thanks ...


Nuance QC Compensation Plan
May 16, 2015

At Nuance, the caste system THRIVES. The deception of this company is criminal. For the last year, the QCs were required to meet the company standard metrics of 150+ LPH, quality of 99% or higher, schedule adherence of 99%. If you failed to meet any portion of the metrics one week, you received a verbal warning; two weeks, you were moved to the Performance Action Plan. On 5/4/2015, we received our individual QA Weekly Scorecard; we also received the QC Compensation Plan on the same day. With no ...


New Compensation Plan/changes Coming... Any News?
Oct 24, 2014

Has anyone heard any more details about this new compensation plan rolling out in December? My TSM said she would have a meeting with our group once she "got all the information together," but... big suprise... we still know nothing. Just wondering if there is anyone out there with concrete information on what is going on? ...


Month Away For New Compensation Plan To Start
Nov 23, 2014

Supposedly the plan is to be implemented in approximately a month.  Any bets on whether or not that happens in a timely fashion.  So far the November deadline has just flown right past us without any explanation on their part as to why the NO REVEAL.  Grrrr.    ...


New Compensation Plan, Do We Still Get Bonus For December?
Nov 30, 2014

A wonderful suprise and just before Christmas.  Do we still get our weekly bonus through December?  So many of us are relying on this for Christmas.  I finally got bonus  ...


Compensation Plan Shift Factors
Feb 15, 2015

Is everyone aware that the hours between Saturday midnight until Sunday 6 a.m. are not considered "weekend overnight"?  ...


Let's Face It. If New Compensation Plan Is Great And Exciting,
Nov 13, 2014

to announce it by now. Rather, it's end of year, they are frantically trying to hire new MLS who don't know any better and will be locked into the crappy exciting compensation plan while there is the expected stampede for the door. Can't get any lower than that. I wonder how much they paid a committee or team to think up this plan. ...


Is There Anyone Who Was Not Negatively Impacted By The Patient Safety Compensation Plan?
Apr 02, 2015

My understanding is that the earnings of Nuance employees in the transcription division were negatively impacted by the initiation of the patient safety compensation plan.   If the original incarnation of the patient safety compensation plan caused an increase in earnings for your specific team, it was quickly amended to not only negate that change, but to also result in a decrease in earnings by 30-70%.  Is that correct across the board?  Is there anyone who did not receive ...


Email Sent Late Last Night....compensation Plan More Fully Explained.
Mar 21, 2015

nothing else changed as far as I can tell.  Must get 300 lph for 0.1050 a line. Oh, and if you have any questions, send them to your TSM. No mention of any future meetings.    ...


BS "Patient Safety Compensation Plan"
Jan 20, 2015

I have never hated a company as much as I do Nuance!  They should have called it the "Screw the employee compensation plan" because that is just what it is.  I feel like I work in a third world country and get paid 1 or 2 cents a line - that's probably next!  Last paycheck even though I had 99 percent QA and 2 percent QC, I figured it out I made about $9.00 per hour.  I'm sick of this and can pretty much go anywhere for this kind of money.  Can you say CORPORAT ...


With New Plan STM Stated 35% Of Our Team Would C Increase With New Comp Plan
Dec 04, 2014

This means 65% will see decrease and/or paid minimum wage. They are touting this as the great new comp  (local Burger King is advertising job for $10/hour).  Anyone find out if the QC percentage is just for blanks or include all sent to QA including Audio issues, etc, and will EQA be included.  Also, trying to figure out our pay from week to week is going to be a pain.  I am going to see how this new comp plan works out, but since the conference call, I'm not feeling pos ...


Compensation
May 19, 2013

One company lists compensation as:  "$1.06 per dictated minute & up depending on acute experience and operative report experience.." I've always been paid per line and am not familiar at all with this form of compensation..  Does anyone have any experience with this, and does it sounds okay?  It's an IC position.  Thanks. ...


New Compensation
Oct 26, 2014

I wonder if the new compensation is that they are making us all independent contractors.  What a hoot that would be.. ...


PTO Under New Compensation
Dec 31, 2014

Hello.  I have requested and been approved for some PTO hours for Christmas Eve.  On the time log I just approved, it shows the hours but does not show a monetary figure for them.  Could anyone tell me how they calculate that? Thanks! ...


Worker's Compensation Through MQ
Apr 01, 2010

What company do we file through?  Any info appreciated, TIA. ...


M*Modal And Compensation
Aug 26, 2011

Does anyone know how an MT is compensated when they begin using M*Modal and basically editing?  If paid by the line, if M*Modal creates a report consiisting of 75 lines, and you edit a few lines here and there, are you paid for the entire report (the full 75 lines) or just paid for what lines you edit?  ...


Sten-Tel - Can You Believe This Compensation?
Mar 13, 2012

Sten-Tel has add on MTJobs.  Can you believe this compensation?  I hope they have NO replies.  " Starting rate ranges: 5–6 cents per transcribed line; 2-3 cents per edited line." ...


Nuance Compensation ????
Jul 16, 2012

No one ever said for sure if this compensation had been to offset insurance costs, MUP or whatever?  I didn't get it and am curious why it was not across the board.   They may have been caught with their pants down on this one. ...


Coding Compensation
Oct 11, 2012

I am an MT of 20 years and 2 companies in this year alone have skimmed lines from me, albeit 1 company paid up and now am waiting on the other before I quit. I want to get out of MT and see that others have made the transition. How are at home coders compensated? MTs are paid by the line and just curious as to how coders are paid.   Thank you. Hope you are enjoying your fall where ever you may be! ...


Compensation Letter?
Dec 12, 2012

I've seen a couple of folks post on here about getting a compensation letter but I've gotten nothing other than the info they presented at the meeting yesterday.  Did they e-mail this or snail mail it?   ...


Compensation - For Transcenders
Dec 16, 2012

As you transition to Nuance, you will have training jobs going to QC.  This will count against your QC percentage and affect your ability to earn any increased increment in line rate based on your quality.  Please plan ahead carefully for a much lower paycheck and look for another job as hard as you can.  Advise all would-be MTs to look into coding or some other profession entirely.  MTs are living at poverty levels these days and we have to get the word out.  With VR ca ...


MT Compensation By MModal.
Jan 04, 2013

http://mmodal2.wordpress.com/2010/07/23/mt-compensation/ Please remember this – your company is paid for its OUTPUT, not for that high percent gain! This industry has seen an alarming increase in MTs who are not interested in transcription as a full-time career. What is happening to the career MT? How will the profession attract the quality-minded, dedicated professional if MTs can’t make any money? It won’t – it will attract the person interested in making a bit of ex ...


Here's A Article About Compensation
Mar 11, 2013

Here’s an article by For the Record magazine that is worth reading. Sometimes, their articles are a lot of fluff, AHDI stressing we need them, or words just filling a page, but this one affirms what we have all known for a very long time.   http://www.fortherecordmag.com/archives/091012p22.shtml Interesting what is written about the Transcend lawsuit too. What can we do? At the end of the article, it mentions “MTs need to work with their employers to develop a fair compensat ...