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Nuance - Rate Of Pay - Hesitant Transcriptionist

Posted: Nov 10, 2014

Hello -

I am a long time salary employee for an orthopedic group that is laying off all inhouse transcriptionists and outsourcing to Nuance. Does anybody know the production line rate of pay offered by Nuance?

Not sure exactly but. sm - Anon

[ In Reply To ..]
SR (speech recognition) is probably around 0.04 and straight transcription is probably around 0.08. I was outsourced from a hospital making $18.35 an hour and found a job where I'm making around $8-10. Some make more, some make less. To be hired by Nuance, you pretty much have to be able to transcribe acute care because you'll get all work types, and there is no guarantee you'll be doing your old orthopedic work. If I were you I'd apply for unemployment and try to get training in another field. They'll help with that. If you're old enough to take early SS retirement, do that and look for a job to supplement SS.

Nuance has plenty of clinic accounts on their - ambulatory side...

[ In Reply To ..]
I don't know about now, but they had an ad on their website not too long ago looking for help on the ambulatory side, which is all clinic work.

Plenty for now, but will be off-shored as soon as VR is trained well - enough for our Indian "partners" to handle.

[ In Reply To ..]
They off-shore all accounts as soon as the buy-out contracts with the hospitals can be re-negotiated to permit it. You will be moved around fairly regularly as this occurs.

But the work does come back on Indian holidays! nm - acuteMLS

[ In Reply To ..]
nm

The Indians - are no partners of mine

[ In Reply To ..]
More like the enemy.

Yep - see message

[ In Reply To ..]
Sounds like you would be on the ambulatory side, which is clinic transcription. I can't say the exact amount but it's either right at 4 cpl or a tiny bit over and when I say a bit over, I don't mean like 5 cents per line I mean something like 0.0432 per line for speech recognition reports and typically 8 to 9 cents per line for straight typing.

However, you will not likely get much straight typing unless your account specifically does not use voice recognition. But in most cases, 99% of the accounts are voice recognition.

Nuance uses eScription, which is a darn good platform for voice recognition so it is possible to make a reasonably good paycheck with the low line rate; however, QA can be stressful from what I hear which will slow you down and hinder your production. Also, keep in mind that regardless how good your line count is, you are likely still going to take a sizeable pay cut depending on what you make now.

Also, Nuance is changing their compensation plan between now and January. Upon speaking to a recruiter, it was my understanding that pay would be based on production and quality scores. So if you have good quality scores and meet or exceed production, you will be compensated a higher line rate for the pay-period. The way it was explained to me is that your pay per line could fluctuate from one pay period to the next. However, she didn't seem too certain how it worked and said nothing was official yet and that they were still waiting to find out sometime between now and January. That was just my understanding of it, I could be wrong, but that's pretty much the way it was explained to me.

Check the Nuance board for better answers. Good luck.

Line rate - nuancemt

[ In Reply To ..]
Acute MTs make 4.5 cpl for VR and 8.5 cpl for straight transcription.

I believe clinic/ambulatory make 4 and 8, respectively.

Nuance announced a new pay plan that will be effective sometimes around the new year, so those rate are going to be changing (most likely for the worse).

Nuance Rate of Pay - anonie

[ In Reply To ..]
No one says they are renegotiating your contract. I assume you are ICs. Am I wrong?

If you are an IC, I would think this is against the law not to renegotiate your contract. I mean they could change your rate weekly, daily or whatever and you wouldn't know for sure unless it is in a contract.

Boy, what an awful way to treat good American MTs. I feel for all of you.

I am an IC and my pay has been cut way down and I had no real way of getting the better deal. I feel very used and ABUSED too.

nuance MTs - anon

[ In Reply To ..]
Pretty sure all Nuance MTs are employees. So, it sucks, but yeah they can lower pay rates without prior notice. No contracts to re-negotiate.

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