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

Nuance QCs - UNBELIEVABLE!

Posted: Aug 06, 2012

I AM SO LIVID! These QCs are unbelievable! I used "and" instead of "the" and the QC marks me off for English misspelling/typo which is a 0.5 error instead of an English word misuse which is less at 0.25.

Do you think "and" and "the" are typos? I think not!

You see, this is evidence that they are being totally unfair and proof that they do not want anyone to make incentive! This is my opinion! Anything to bring your score down! Man this pisses me off!

Oh I hear you! - anon

[ In Reply To ..]
It should not be any points off and certainly not 0.5. I got 1.0 marked off for not putting He (major omission) in front of a sentence on a verbatim account where it wasn't dictated. Okay, maybe I should have put He but 1.0, seriously.

How does any of this impact patient care? Oh yeah, it doesn't.

QA/QC at Nuance is blatanly unfair and WRONG!!!!

Anyway, as you can see I totally sympathize!!!

Does Nuance QA get extra money for the more mistakes they tack on??? - nm

[ In Reply To ..]
xx

Based on my experience, I would say yes. - anon

[ In Reply To ..]
Of course they will come on here and say they are just hard working stiffs like you and me and would NEVER in a million years do anything unethical. Gee, how can you think that. There are so many of us poor QA people we could never orchestrate that.

I don't buy it. The things we are getting marked off for are ridiculous. They are things that have ZERO meaning in the big picture.

I had 15 punctuation 0.25 errors in a report. She put commas in where they did not go. She changed commas to periods where they did not go. It was outrageous and clearly incorrect but she had to make sure I failed that audit and since I didn't commit any major errors, she had to create them.

They must be getting some kind of incentive to fail us.

I agree - cassie

[ In Reply To ..]
the errors that we are marked off for that make no changes are ridiculous. It really frosts my feathers when I go back and look at my Fiesa and see CLEAR errors on the QA's part and what I did was incorrect. Oddly enough, suddenly I can't go in and listen to the reports for me to see did I actually have the date typed in wrong with numbers when it should have been letters...a mistake I am now all the sudden making, however, never made it in the past.

Send it in for a reversal. - nm

[ In Reply To ..]
no message

A joke I assume, as reversals are the unicorn of Nuance. - anon

[ In Reply To ..]
They do not exist. I have never gotten a reversal, even when my TL said I was right and QA/QC was wrong.

never had a reversal either - cassie

[ In Reply To ..]
Even being stated that QA/QC was incorrect and I was right...no reversal here, more like grin and bear it honey. ERRR

reversal - new but old

[ In Reply To ..]
I actually have to disagree. I got a reversal and what is even stranger is that I didn't request it. I got a notice and it had the word that I had typed and the one they had changed it to and marked me off but then there was a reversal block which put back in what I had typed and changed my points off to 00. I have never gotten one before and I didn't even request it

Wow, I am going to say that is a rare event. - anon

[ In Reply To ..]
I can only assume that particular report was one that QA got QA'd and they had to reverse it.

I have a feeling that QA doesn't get anywhere near the amount of audits that we do or we would see a lot more automatic reversals.

Maybe the doctor complained about the wrong - being used and when they

[ In Reply To ..]
pulled in the report to check, they found the "fixed" error by QA and rightly credited you.

add me to the list of being ticked.... - cassie

[ In Reply To ..]
I'm so sick of this QA/QC bull. You do it one way and you are knocked off hefty, 0.5 points, so you do it the way you were told in that ding and the next day STILL MARKED OFF FOR THE WAY THEY TOLD YOU TO DO IT. Does anybody have a clue as to why, NOPE. Does my TL even know the right way, nope, instead she "forwards my email to QA for verification." Um tell me why when I have an issue w/ my fiesa, every time, it is forwarded to QA for verification and I never hear an answer back, I am just dinged all the way around for no matter how I do it. Maybe I should just put blanks in the entire report and see how they like that. For the life of me, isn't your TL supposed to be well informed of how things are supposed to be on your account, seems like the only thing my TL is well informed about is sending an email to pass it off to somebody else. Meanwhile, I'm sitting here with nasty comments from QA making me look stupid!

Nice racket isn't it. - anon

[ In Reply To ..]
They are getting more and more aggressive about it too. Major omissions are very common for minor words that do not change meaning. I got a huge 3.0 error for hearing the medication correctly but the QA said she couldn't understand it 100% so I should have put a blank.

I gaurantee I have more knowledge and experience than she does and I was 100% sure of the med or I would not have put it in the report. I looked up context, dosage and I heard it CLEARLY. I have been doing this for 17+ years and worked QA for about 8 of those years. I was right and she was absolutely wrong. It's not my fault she is stupid and unqualified for her job.

Anyway, it is a losing proposition. The TL pawns it off on QA and it is never resolved.

E-mail the QA person over and over again. Maybe that is what we should all do. I am sick to death of their idiocy.

left a nasty comment right back - cassie

[ In Reply To ..]
It's shameful. Its always this one QA that finds anything possible to be wrong. You are told to not put the dates in, you are marked off at least a point, so you put the dates in and you are marked off at least a point for putting it in "as per account specs it doesn't go in the body", but just yesterday you told me to put it in. Its a wash. This job has become more stressful than any other company that I have ever worked for. I just love their nasty comments back to us as well, just the icing on the cake!!!

There are 2 on my account that are pure evil. - anon

[ In Reply To ..]
These 2 make it their mission to make sure all reports that have the misfortune to cross their monitor fail. One in particular (name starts with a D)is a pure nightmare. It isn't enough for her to get you just under, nope, she has to try to get you into the low 90s on every report.

I am sorry but commas everywhere are no longer the rule. She also changed a singular to a plural incorrectly and left a sentence that a 5-year-old would cringe at.

I admit I make a mistake or two but I know the 2 that kill me everytime are over the top because none of my other audits are that bad, mostly 100% actually.

I really don't get the reasoning behind this practice. It serves no purpose.

the only purpose is serves is stress - cassie

[ In Reply To ..]
I am so stressed out that most days I don't even want to work anymore. I love being an MT and have been for years, but seriously it has gone too far. I wish there was somebody out there that we could complain to that would take our complaints seriously and investigate the company and how unfair they treat their employees.

I have a QA just like that, not only does she make sure you fail every dictation that comes to her, she makes sure you are put in the low 90s as well. Just sickening when another QA will evaluate my work and i'm getting 100%. The other day I was notified by her to make all labs a separate sentences...ALL OF THEM. So sodium 132. Potassium 3.0. or whatever it may be, but now all the sudden each lab is a separate sentence with the comment to not separate a sentence with a comma. Do I look that stupid. So whether it really should be a separate sentence, according to her and only her, all should be a separate sentence. Try make a good line count, going back over the VR to change the VR commas to now periods. Funny how this is a "new" rule and yet it doesn't state to do so in the specs. I guess she makes the rules now.

I will say this again...QA and QC are NOT the same - current QA

[ In Reply To ..]
QA do NOT send direct feedback ti the MT. That is the QC. QC scores do NOT count against your quality scores. Only QA POSTAUDIT scores determine your quality scores and affect your incentive. QA is POST DELIVERY which means AFTER reports are sent to the facility and CANNOT be changed. QC is PREDELIVERY which means BEFORE reports are sent to the facility and CAN be changed before the client sees it. QC supervisors are YOUR TEAM LEAD...QA has their OWN managers. Also if you are not hearing back from your TL regarding reversals that means it was not reversed. Do not lump us all in the same pot because we are NOT all the same and do not get raises and bonuses to fail you. That is just plain STUPID. We have a job to do just like everyone else. I for one have GREAT MTs on my account who ARE making incentive and some not so great ones who I wonder WHY they are MTs. I also think you should take responsibility for your failed audits and DO SOMETHING ABOUT IT instead of always placing the blame on the QCs and QA all the time. Just because you have YEARS OF EXPERIENCE I have found means SQUAT if you are not willing to adjust and change. Flame away because I REALLY do not care! Sometimes the truth hurts!

Based on your post, obviously the truth hurts (you). - anon

[ In Reply To ..]
Uh, we know QA and QC are different. It is irrelevant as both groups are equally inept.

I would find your arguement that the MT is to blame much more believable if I got poor QC audits from all QC people, however, I do not. The SAME 2 people fail every report. From the rest of QC I usually get 100%. I am not mixing QA and QC up here either, this is QC only and trust me you are not all on the same page.

I admit when I make an error and always make note of it so I don't do it again.

The QC report may not be able to be "changed," as in it has already gone to the client, but of course when we get corrections they show "changes" the QC has made and let me just tell you the changes are not always correct. Dickering over semantics doesn't change facts and the fact is some of the "changes" are flat out wrong!!!

It is very interesting to discover our TL is over QC, as those are the only reports that actually matter. Are you saying even if we are correct and QC has made an error that score cannot be changed?

Anyway, the truth does hurt, as you are clearly hurt by the posts regarding QA and QC, which are absolutely true.

Did you read my post?? - current QA

[ In Reply To ..]
QC CAN change the report because it is done BEFORE it is sent to the client. QA CANNOT change the reports as they are audited AFTER it is sent to the client. QA reports are the ones that determine your quality scores. If QC is failing your reports it DOES NOT matter. If QA is failing you THAT matters. You obviously do NOT know the difference or did not read my post or you would not have posted this nonsense. I was trying to help you! I am not hurt by the comments which is why I was TRYING to explain to you the difference between QA and QC. The POST AUDIT scores are the ones that matter (QA scores).

and you are correct that we are not on the same page.. - current QA

[ In Reply To ..]
We are 2 different depts with different supervisors. QA is HIGHER than QC.

Similar Messages:

Dec 12, 2011

According to a poster below which has apparently already attended one of the payroll meetings (as the poster posted) for nuance they have decided to keep the incentive part of all of our pay going with an exception that now you have to have over the industry standard of 98% to get a production based incentive. In addition (if this poster is accurate) they have again cut the overall pay from 8 and 4 to 3 3/4 AND 7 1/2. This is nothing but a bunch of crapploa...an MT who is now getting ...

Mar 09, 2012

that fall during the shift. For example, if half of your hours fall in 3rd shift and half fall in 1st shift, do the 3rd shift hours pay more cpl? Or, do all hours have to fall within the shift to qualify? Thanks, Yet another sad Transcend employee... ...

May 01, 2012

I thought they were 2 different services. Everyone is buying out everyone, so who knows. All the small companies have been merged I guess. I thought Nuance was out of New York and were the primary with VR. Maybe one has to keep up with the changes and be a member and pay the dues and go to the meetings with AAMT and be a CMT to keep up with the changes, even though you still get 4 cents. ...

Jun 27, 2014

Wow. Posted this on company board but wanted to post here as well - some of you may feel vindicated. LPn ...

Apr 14, 2011

Any thoughts on this merger???? ...

Sep 15, 2011

Does anyone know why the ad says "No inquiries from overseas" when they obviously offshore the work? Anyone reading that would incorrectly assume they do not offshore. I was reading an article in the newspaper that a journalist was talking about a few days ago regarding the hospital outsourcing to the Web/Nuance, and the spokesperson for the hospital said in the article that the company only employs US MTs. ...

Oct 08, 2011

xx ...

Oct 23, 2011

The ad Nuance has up says increased PTO. Anyone willing to tell me what it is now. Also information on their bonus program would be helpful. Thank you. ...

Nov 04, 2011

....First send us an email with fabulous Nuance ins (bad news) because they had to announce that due to open season. However at the same time telling us that the new pay structure (probably more bad news) will be announced at a later date but will be effective Jan 1 2012. Good way to keep us hanging on while they are so behind with their horrid platform. Guess what Nuance/Nuisance, it will not work as your reputation has gone from bad to worse and we are now realizing that the We ...

Nov 18, 2011

What do Nuance MT's get for editing and transcribing per line. Thanks ...

Dec 06, 2011

If Webmedx does away with or changes their recently advertised "PRODUCTION BASED INCENTIVE" bonus and adopts the Nuance quality based bonus then this change may be considered by quite a few WMX employees as yet another cut in pay. I’m sure that there are quite a few MT’s currently at WMX that have a high QA average and are earning $300-$400 (some even more) in production incentive pay each pay period, which equates to $600-$800 per month. As an example, acco ...

Dec 28, 2011

Did anyone hear anything about changes for QA. I heard there was a webinar today? ...

Jan 20, 2012

Has Nuance/Alphastaff released W2s yet? Quit mid-December, have no idea. Thanks! ...

Mar 09, 2012

Is there a specific QA staff? I was under the impression that the team managers did most of the QA. Is that correct? Or how is the QA done? Someone said below that QA is paid hourly; I was under the impression it was cpl. Any info on QA structure for Nuance would be helpful. Thanks in advance. ...

Mar 09, 2012

Does anyone know if Nuance hires IC's? I could not find it anywhere. It could be a solution for me if they do. Thanx in advance. ...

Mar 12, 2012

I have an interview this week with Nuance. Any advice on what to expect? I'm interviewing for an MT job and have been reading some posts on here about the company and it's not looking good. ...

Mar 12, 2012

Had our usual update this morning from my AM, one of the best IMO and the reason many of us stayed after Nuance took over. Then at 1:30 an e-mail that he is no longer with the company??? What is going on??? (DO) ...

Mar 13, 2012

Can anyone help me with instructions on how to create a new entry in the carbon copy? I am getting lots of dictations where I can't find that particular physician in the CC list and need to create a new one. I am new and need help. Thanks in advance! ...

Mar 17, 2012

Is this true? Because if so that means they dont take into consideration years of experience, opportunity for increase or nothing. Seems kind of hard to work for an obviously big and successful company that is only willing to pay their employees 0.41 cpl and thats it, no ifs, ands, or buts about it. I mean they dont come off to be the type of company that "cant" afford to give increases in pay to their transcriptionist. I heard that if you work from 10pm to 6pm you can make 0.46 cpl, bet ...

Apr 08, 2012

Anyone willing to share how much per line they make with VR or straight transcription? Or any information how the company is with raises? Thank you ...

Apr 19, 2012

I received an incentive bonus this paycheck (for the first time ever). My QA score was 99.3%. So, I get an email today from my supervisor that my latest audit was only 98.2% and they are going to reaudit me in 2 weeks to see if my score is improving or if I need further disciplinary action. WTF? I've been with Nuance for 3 years and think it's time to jump ship. This company is messed up, and the QA is so inconsistent. ...

May 22, 2012

Nuance servers were down all day yesterday as well as Transcend servers? Really? We were told in an email it had nothing to do with Nuance. That's quite a coincidence, don't ya think? Oh gosh, I sure hope this doesn't indicate the way things are going to go in the future with Nuance. Does this happen often there? ...

May 22, 2012

In house just got outsourced to Nuance. In our meeting, they said the PTO is 10 days total, which you have to use for holidays and sick time as well. So, if you take all 6 holidays (if that is even possible), you get 4 days off a year? Not even a week for vacation left over. Someone asked if that changes with time of service and they said no, that will never go up. ARE YOU KIDDING? Is this what the rest of you get for PTO, or is this just something they have s ...

Aug 02, 2012

I have been with Nuance a few years. I'm an MT. I'm not the best MT out there, nor am I the worst. I read the comments on these boards and my jaw is on the floor. FYI, not everyone has the bad experiences that have been discussed on this site. I can't account for the horrible things I hear people saying about Nuance, except to say if things are really that bad for you, maybe MT is not for you or Nuance is not a good fit for your career path. ...

Aug 08, 2012

I don't work for Nuance but have a question. Somewhere on MTStars, I saw the amount they deduct from your pay if your QA percentage is low. Please explain. How much do they pay per line and how much do they deduct if you have low QA percentage? Thanks so much in advance. I have looked and looked but can't find the previous post. ...

Aug 16, 2012

There is someone who claims to be a QC for Nuance and that they are only paid minimum wage for this position. That is utter nonsense. Why would any experienced MLS take a minimum wage job in the MT industry when you could make more than that on production easily. If you are experienced enough to be in QC or QA then please don't lie to the rest of us and tell us that you only make minimum wage. ...

Aug 21, 2012

I am really in need of a job, and because I like eScription and ExText for the most part, I thought Nuance was the most likely candidate. However, I'm hearing terrible things about them. I know some have good experiences and some bad, but I'm not in a position where I want to struggle through several months of working and then quit because there's no money in it. I did have an interview, and my red flag was that the interviewer said that they had 80 to 100% ESL on some ac ...

Aug 21, 2012

Got to admit that I am still not a big fan of Nuance's QC/QA departments, but I have to admit I appreciate some of the nice comments they are leaving in feedback lately and are very appreciative. I think there are still a few brutal ones out there though in saying this. I these select few do this becauise it serves as some kind of gratification for them to make an MT miserable like they are so superior (like the MT is the dummy) when that is not the case at all. I think s ...

Oct 11, 2012

Ode to Nuance Here I sit day after day with NSAWatching all that I've worked so hard for slipping awaySo many bills I have to payBut I guess they will just have to wait for another day All my accounts they have been taken awayBecause other MTs out there are getting NSA Too much time wastedToo many opportunities missedWaiting on something that no longer existsYou ate up my employer and along with it my lifeTime to move on now and be done with this strife India is your new cash cowBut I ...

Nov 02, 2012

After quitting my job to work for Nuance and spending hours training (supposed to be PAID training), I decided that Nuance just was NOT the kind of company I wanted to work for since I was blindly recruited (borderline lied to)... So, I begged for my old job back (and got it), but knew I was going to get a short paycheck because of the time I spent training with Nuance... Well, I just checked my bank account, and I was not reimbursed one penny for the time... Looks like I'll hav ...