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

life after Nuance??? - nn

Posted: Oct 09, 2014

Tried to leave a couple of times, companies I went to got bought out by Nuance. Ready to try again. I know no company is perfect, but Fiesa and their additional layers of QA are driving me insane. They probably aren't too worried about losing MTs, after all they have enough QA and QC to handle it all don't they?

My question is whether you have found it to be a good thing to jump ship and start over again with another company. Have been considering Keystrokes but once again the fear of them being purchased by Nuance is in the back of my mind.

Anyone sorry they left Nuance and came back? or is the Fiesa freedom totally heaven?

Haven't jumped ship yet... s/m - mtnest

[ In Reply To ..]
for that exact reason. I know if I leave I will probably end up at a company that gets bought out by Nuance anyway, so why bother? Just trying to stick it out, and am seriously considering going back to school for something else. I got into transcription as a way to be home with my young kids, but obviously this won't be a career I retire from since everything is either getting outsourced or switched to EMR. Ugh, I feel your frustration.

life after Nuance - busymt

[ In Reply To ..]
I jumped ship a few months ago and went to a company that had a good rep and they were really great to work with. QA actually a help and not a point reduction calculator like it is here - but, the platform was ExEditor which is not at all MT friendly - at least to me - and there just wasn't enough work to go around, so came back. I wish I could offer more info but that's all I am comfortable with sharing. To be honest, had the situation not been like it was at the new company, I would still be there because I did not miss the QA process that Nuance had at all and I do believe there are companies out there who actually do appreciate our efforts. If you can find a place that is similar, I would jump ship in a heartbeat. Problem is you don't know about a company until you are there and that is just a chance you have to decide to take or not. Wish I was more help. Good luck to you.

I have gotten a part time job - which takes the stress off

[ In Reply To ..]
Meaning, when I first many months ago got the last minute FIESA ding that meant I would not be getting a bonus for 3 months (in my case that meant $100/week less and I have not seen the bonus since), I was ready to quit on the spot, but since I have a part time job I have trained myself not to feel that particular pain.

The problem is the part time one is IC which is kind of a pain for me.

I jumped ship a few years ago to a well known company that treats employees well. Unfortunately for me, the pay was even worse than Nuance, with NO bonuses or OT (such as it is with Nuance, you may get a pittance more, but with this company it was just lph no matter how many hours or lines you did), and it was clinic work, which I detested and missed the acute work. Mind you, I think had I qualified on their test for a more specialized work type the opportunity to make more would have been there, but since I only qualified for general kind of work I found it extremely difficult to pick up my pay.

Even my part time job now, which pays more lph than Nuance and actually gives raises in lph every year, is not something I would go to full time, mainly because even though I work there only 20 hours, I have to do so much off the clock work that probably 10 of my 20 hours is wasted as far as making $. That is probably my fault, since I like the company and, since I am not on the (web)clock like Nuance, take my time to perform the niceties of MT which we used to do, i.e. proofread everything, make sure presentation is absolutely correct, and every account has a lot of specs to read with that one too and enough different ways of saving and sending files to make your head spin.

The thing about Nuance is that the demographics being in the platform make it much less of a time waster than a lot of places, so there's that. I could not live on the pay from Nuance when they cut every chance of bonus, but it gets dangerously depressing when you realize you cannot pay some bills because of it, so having the second job at least takes some of the pressure off.

The pressure of working 60+ hours per week, however, for less pay than I used to make with 40, is another consideration, along with not being able to exercise or do much of anything since I am stuck to the monitor all day.

So tradeoffs. I know my pre-Nuance company line count was much higher and their speech engine was better. Why Nuance (supposedly the originator and expert in speech recognition) does not bother to upgrade ours is anybody's guess, maybe they are actively trying to depress our income?

Also, they are demeaning to MTs. As per that new little training video thing, according to it the focus group of MTs did not understand why quality was important, or something like that. Total BS and they should know it. They treat us like little girls doing not important work, even though we are their money spinners and we could all exist fine without the cost burdens of FIESA, ENRICH, and all that other garbage, all of whom probably get paid multiples of what we get.

The actual work, though, from what I read on here about other companies, is not going to get better with a switch. You just need to get where you never expect a bonus and don't care about FIESA and hopefully there's enough work (another sore point).

My perspective is that it is not about Nuance--sm - anon

[ In Reply To ..]
It is the industry as a whole. My goal is to get to a point where transcription is no longer in my life, QA/FIESA would not be a big deal if the pay were better and unfortunately, the only place pay is truly better is in house but I am not applying for any in-house jobs as I figure it would only be a limited time before those wind up outsourced as well.

I have had multiple plans of what I would like to accomplish before quitting but I think at some point I will just need to plug my nose and do it.

If you decide to go through all the time and - effort it takes to leave -(sm)-

[ In Reply To ..]
Nuance, it might make a lot more sense to jump off the Medical Transcription Titanic completely. The industry appears to be gearing up for going non-MT, themselves.

Left Nuance in early spring for another MT job ... - anon

[ In Reply To ..]
Post FIESA freedom is heaven!! Not sorry, never would go back to N. Best wishes to you

Left 2 years ago - gonesoon

[ In Reply To ..]
Have not regretted it - work for a different service.

FREEDOM from Nuance is AMAZING - Foolfighter

[ In Reply To ..]
I left Nuance to work for a large medical group. I work in EHR and transcribe. Jobs are out there, you just have to look outside these services that want to push down your earning potential. I have NEVER been so happy in my LIFE once I left Nuance. A huge burden of stress was gone. I no longer had to feel that my skills were in constant question and I knew I was worth more than minimum wage. Nuance has you all boxed in by Fiesa on one end and MUP on the other. This is a business run by bullies and thugs on the management end. I know first hand how they run. It was really like leaving an abusive relationship. The freedom on the other end is priceless. My suggestion...leave this horrible company and get your dignity back.

Thank you for your reply - Val

[ In Reply To ..]
"Bullies & thugs" describes management perfectly.

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