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

Outsourcing to Nuance - Whatdowedonow?

Posted: Jun 26, 2015

Just found out the hospital I work for, along with the rest of the hospitals in the group nationwide, is outsourcing everything to Nuance. Does anyone besides a troll have anything good to say about Nuance? And what is this "grid" thing--quality incentives no matter how fast/slow you transcribe? If you don't want their benefits, do you get more cpl?

Oh dear - ugh

[ In Reply To ..]
You have my sincerest condolences. You will not get more cpl if you don't want their benefits. I am not a troll, but I have absolutely nothing positive to say about Nuance. It is worse than you can possibly imagine. Sorry, but everything you have read on here is true. Really, really, really. Please believe it. If you are content with minimum wage but having to work far more than 40 hours (in chunks of time; not consecutively) in order to get 40 hours worth of work in, you will be okay.

Does not sound good. - Nik

[ In Reply To ..]
Wow, does not sound good for us, does it.

All of you, just say no. En masse, choose UE or other jobs in your facility. - There are MANY reasons why no one says good things

[ In Reply To ..]
I used to just type, RUN! But too few people paid attention, and too many were suckered in. Please, don't any of you make a decision without knowing that Nuance is a SOFTWARE company in business to sell the very software that is unemploying you, they then utilize whatever few of you sign on to help train that new software, and once you have it all trained, the jobs just disappear from your queue with absolutely no warning. You just clock in one day, and, well, nothing. You go for two or three days with precious little if any work and then you are told that you will be trained on some other account (many times on entirely new platforms than the one you just learned and any shift they demand) and on, and on, and on. This happens very quickly, usually about 6 weeks on the job, so then you are already wishing you hadn't fallen for their false promises. Save yourself the financial harm and stomach ulcers. Take a job at Burger King and be happy! Or better yet, kindly explain that UE will work better so that you have the time and mental energy to find something that might actually pay your bills, because after you sign with Nuance, you most assuredly will not.

UE not an option - Whatdowedonow?

[ In Reply To ..]
I want to thank everyone for their input. Unfortunately UE is not an option as I am an IC. I am old enough to retire, just not ready to yet. My daughter is also affected by this, and not sure what she will/can do. We have until November, supposedly, to find something else.

you might fight that, some have gotten UE - anon

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There was a hospital I believe in Mass. that was bought out by Nuance. They got enough info to show the drastic change in pay that would come and UE accepted them. I'm not sure of what is involved, contact your UE NOW and ask! Of course Nuance tells you that you can't, they get the hospitals to sign on by agreeing to give you jobs and telling them they won't have to pay any severance pay or UE.

Regarding trolls, etc., believe what you read here. I do believe some can be happy (there are MANY different platforms and work types), I was for a while but then was switched to another account (my nice one went to India) and my pay was cut in half!! AND I am an RN and had 20 years' experience as an MT, and I was working hard and fast and timing myself so I didn't waste time (they LOVE to tell you it is YOUR fault) and the QA is ridiculous!

If you can't fight it, what has happened with many acquired is this: It will continue the same for a bit, then they will transition to their platform, then eventually to their pay scale, but they will still be giving you make up pay for a little while so you won't notice the decreased pay. They say this is so you can learn the platform and at the end of this make up pay you should be able to make the same. Good luck with that, it won't happen. But my point is that for maybe up to a year if you are lucky you won't see the drastic cuts in pay that are sure to come and during that time apply everywhere in your spare time so you can get out.

Poster said she was IC. Cannot fight UE if you - are an IC.

[ In Reply To ..]
x

A little info - Mscuedawg

[ In Reply To ..]
1. QC (< 10%, after exception)
2. QA (> 99%)
3. Throughput (> 150 C-LPH).

that puts you at 7 cpl.

And no, you don't get compensated for not taking their benefits.

Outsourced to Nuance - Minnie

[ In Reply To ..]
I was on that phone call too . . . I used to work for Nuance part-time several years ago, so I know the pay isn't good. Right now, I'm at the top of the pay scale for the hospital I'm at and I can't pay all the bills with any less, so I'm getting another part-time job and I've already contacted the local hospital's nursing school and I'm signing up for the pre-requisites so I can enroll in January for nursing school next fall. I'm single and have no help with any of my bills, so I guess it's goodbye to transcription for me . . . after a few more years of struggling.

Great plan - sm

[ In Reply To ..]
That's a fabulous plan, Minnie, and I think you are very wise to create that light at the end of the tunnel. The thing with Nuance acquisitions is they promise you the moon and it sounds as if things will "not be that bad". They lie. Oh, do they lie. Many (most) of us here have been down the buy-out road and it never, ever ends well. Now is the perfect time to find a way out, otherwise it is just prolonging the agony of the inevitable. So many think they are going to be the exception and receive the top end of the pay grid. Nuance has specific metrics in place to ensure that does not happen. Believe it, please. It's really terrible and I would not recommend Nuance to my worst enemy.

To add to that, we at Nuance now are in the worst situation - they have ever put us in,

[ In Reply To ..]
yet past experience says that every December they hit us with something to make it worse. Again, right now things are BAD, so bad you would think they could not get worse, yet I bet Nuance has a way to make it worse. It would seem impossible but I could see this company managing it. Definitely, run far, run fast. Anything is better. Try FutureNet. I know someone who works there. The pay is not great but it might be better than what you can find on the "grid," especially depending on which grid you make it on.

Outsourcing to Nuance-a suggestion - OKMT

[ In Reply To ..]

You have my sympathy. My job was outsourced to them about 8 months ago. Here is what I did. I knew I did not want to work for any company that sends work overseas. Nuance had offered to pay us the hourly rate we were making with the hospital for 2 pay periods. That seems to be a common thing for them to do, so I accepted that offer for 2 reasons. A)Great pay for another 4 weeks and B)Learn their Escription platform and a little about editing because that's the way things seem to be in this business these days. In the meantime, I had that 4 weeks to research other companies and make a decision on what to do. Lots of MTSOs use some version of the Escription platform, so that came in very handy. Just be aware that for the most part, you will learn to do most of this on your own as there is an appalling lack of postiive communication in that company, i.e. you have a question, but no one will answer you.

In short, USE THEM while you can, then hightail it out of there. Frankly, I did not even give them a 2 week notice because I knew I'd never want to work for them again. I've never done that before and I hope I never feel like it is necessary to do that again. I wish you the best of luck finding something, MT or anything else, that suits you. Don't forget to check with your current hospital to see if you can transfer to some other department.

Outsourcing to Nuance - What do you do?

[ In Reply To ..]
Same thing happened to me about three years ago, but it was the other monster company that took over. I declined the position, despite all the promises, etc. I collected UE and vigorously looked for another job. There wasn't much out there and I was trying everything I could. As the end of UE was coming, I just found a job in an office, doing odd jobs, etc. It wasn't all that bad, but not what I wanted. For another year, I kept looking for something better.

I gave up on transcription as my main job and looked for a part time position and that I did find. Then, after a few months, found a job in one of the local hospitals in med records, again jack of all trades, but the pay was decent and good benefits.

Do not give into them and take the job. Look out for yourself. I would contact you local UE office now and see what you need to do, so there aren't any surprises.

Good luck and like the other post states, what you read here is the truth and it is worse than what is posted, if that could even be possible. I never worked for Nuance, but I knew other MTs that did and their stories were horrible and believe I didn't think anything could be worse than M*Modal.

Outsourcing to Nuance - runasfastasyoucan

[ In Reply To ..]
Run, don't walk to any other company to work for. Believe everything you read on these boards, it is all true. It took a little over a year after my company's acquisition for the sh*t to hit the fan and believe me it did and it will for you too.

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