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


thoughts on nuance - ex-nuance


Posted: Jan 24, 2013

I had been with a GREAT hospital job for the last 20+ years. One day, completely without warning, we were all called in and told that we were being outsourced to Nuance. No worries, though, we will hire all of you, and all of your seniority will carry over. Recruiters present at the meeting talked up Nuance like it was some kind of step up from the hospital. We were then given folders with our names on them and inside was information for our new job with Nuance. We had 24-48 hours to let them know if we would take the new position. Every person, regardless of seniority, was given the exact same offer - 4 cpl/8 cpl and 5 whole days off a year, TOTAL, as in includes holidays, sick days, and vacation! So much for 20+ years! Several did not take the offer, but I figured why not try it. The account is familiar, so I figured it was worth sticking with it while I looked to see if there was anything else out there.    Nuance was okay as far as day to day work. Plenty of work, supervisor didn't seem too concerned about particulars of the day, like clocking in and out at exact times, etc., flexed my schedule as needed, and just made sure I got the minimum in. Really didn't hear too much from anyone unless there was something that we needed to be updated about. That part was not too bad, but after getting some paychecks, I realized what 4 cpl/8 cpl came out to be. It was completely insulting that someone with 20+ years of experience would get paid such a low wage in what used to be considered a professional career. My son works at a locally owned deli. Granted the owners are pretty generous, but he was making more with his tips than I was making! And to add insult to injury, the PTO.    In the meantime, I was looking and found a great in house position with a medical office group of several specialities. They pool their transcriptionists, and we provide service for multiple offices, so sort of created for themselves their own service. I don't know how long this will last, as so many places seem to outsource when the accountants get involved. They said they had outsourced in the past, but the quality was so poor they brought it all back in and will not even look at outsourcing again. Because all groups have ebbs and flows, we stay busy, our hospital expertise provides experience in all the specialties, and the benefits are really pretty good.    Since I left, I would say there are only a few of the old original hospital employees still at Nuance. They now have India and newbies providing a service for our hospital that mostly had 15-25 years of transcription experience. Honestly, I hope they are happy with their decision. My med recs in house friend says the doctors are in a total UPROAR over the quality of the records. Well, serves them right!    Anyway, long I know, but I wanted to let you guys know that there are jobs out there. My hospital outsourced about a year ago, and almost everyone of us has found something better. I did let my Nuance supervisor know that I was leaving over the pay, and she said she would love to have me stay, but her hands were tied. They absolutely would not even consider paying any more. My last friend still left at Nuance said this supervisor is pulling her hair out now over all the complaints from the hospital. Too bad, but I really don't feel too sorry. Would not be surprised if they ended up losing the account in the end!    Happy ending to a long story! 

ex-nuance. - recentlyoutsourced

[ In Reply To ..]
same happened here. Nuance started out by "helping" with our ER backlog. We were told by our hospital administration that once we had all that under control (and we did eventually get it under control) that we would get our ER dictations back (DIDN'T HAPPEN!) and everything would be find; we wouldn't be outsourced. YA RIGHT!!! One year later we were ALL outsourced to Nuance, but we could have an AWESOME position with them if we wanted, on our SAME hospital account since we were familiar with the docs. I took a month off, then decided to join the N team. I went from making $26 an hour in-house to 4 cpl/8cpl and what a joke!!!! If you have only 1 income,I don't know how ppl do it! The hospital I worked at before is (well the docs) having fits over the quality of the reports, blanks in the reports, very poor quality. I'm like you, serves them right for getting rid of a QUALITY group of transcriptionists just to save a buck. I hope one day something happens that the hospital gets sued over said reports cuz something was typed/edited wrong and no one caught it. As for Nuance, I will be quitting next month as I found an in-house clinic position that pays $17 an hour to start and has bennies that aren't ridiculous, and the docs actually come by to visit to see what they can do to make their dictations better for us to type! GOOD RIDDANCE.

I would be tempted, once free of Nuance, to write - the hospital and tell them WHY - sm

[ In Reply To ..]
the quality is so bad. You can't make a silk purse out of a sow's ear, and you can't make a skilled transcriptionist out of an ESL person living in India. Nor will you get quality transcription and editing from underpaid American MTs.

THEY GET WHAT THEY PAY FOR, and they deserve what they've got now.

recently outsourced - ex-nuancer

[ In Reply To ..]
Believe me, I completely understand the frustration in dealing with being outsourced to this company. Working from home still, same office space, same desk, same computer, same account, less than half the pay! NO THANKS! I have more respect for myself that that!

How anyone that has transitioned over from another well paying hospital/transcription job is beyond my ability to comprehend. Like I said, my son at our local deli makes more.

Most everyone from my hospital left Nuance and found something better. Some stayed on while looking, and it took the better part of a year, but eventually just about everyone found something better than this!

my thoughts on nuance - op - ex-nuancer

[ In Reply To ..]
I really just gave my account of what has happened over the past year, did not express my real thoughts on Nuance, so here goes:

The good:
The only really positives I have to say is that they didn't seem to mind how I flexed my schedule and 90% of the time there was work available when I was ready to work. I didn't have any horrible experience with QA or nasty supervisor emails, etc.

The downside to Nuance:
Pay, benefits, any treatment of employee has to be, without hesitation and no comparison even close, the worst company I have ever worked for in this regard. Absolutely NO respect from a company side of things as far as treating you like anything but a number.

I have worked for MANY large companies, some of the largest corporations in this country, before my transcription days, as well as a few smaller ones. The other larger companies I worked for ALWAYS, EVERY ONE OF THEM, had AWESOME benefits. Christmas bonuses, weekend diff. if you had to come in, overtime pay, Christmas bonuses, etc.

Nuance is the absolute worst of the worst in my many, many experiences in and out of the transcription field as far as the GREED factor is concerned. They seem to have NO CLUE whatsoever how important it is to staff a transcription firm with experienced pros or how or why they need to retain top notch transcriptionists. They have ZERO respect for their employees. They are just plugging in numbers, this one leaves, whatever, put a warm body in her place. EVERY company I have left has made me an offer to stay except 1, NUANCE!

The good news is that in the end, this company is so poorly run as far as managing and retaining employees, they will certainly end up losing accounts. I don't think a company like this can sustain itself in the long run. They will either be forced to pay the folks with 20+ years better than someone with 1, or I can't imagine then retaining all these accounts!

If I thought the hospitals really cared about quality, I'd totally agree. - sm

[ In Reply To ..]
But I don't think most of them really, really do, which is obvious by the continued escalation of offshoring. Sure, some of the docs will kvetch, but the administrators with their bean-counters are the ones who rule the roost, and they don't care about sacrificing quality in order to save a few cents per line, patients dying or being harmed because of errors in medical records or not. And the bigger the hospital is, the worse it is in terms of caring. Kind of like transcription companies.

you are right about the hospitals, but - ex-nuancer

[ In Reply To ..]
I have been seeing a little backlash towards the big services as far as the smaller to mid sized accounts go. I asked where I am currently employed why the took the work back from the service and why they say they will not do it again. It seems that after the initial "introductory offer" that the bean counters just love, the services just hike their rates every time the contract comes up. It ends up costing the medical office about the same in 2-3 years' time. Add in the poor quality and lack of control over the work, and it seems many smaller to mid sized medical offices are not seeing the benefit of the service. Of course, the transcriptionists on these accounts never see any of that increased rate. From what I have been told, that "introductory rate" is soo attractive it is hard to justify in house transcriptionists. Once they have the company essentially where they want them, no one left in house that can handle the work, they start the gouging process. I know of 3 other offices that have brought transcription back in house from outsourcing services. Cost savings dwindled and quality issues they never had before rose.

I agree, most hospitals are probably too big to turn back around. I would love to see a comparison a few years down the road of what the in house staff cost them versus what the service's raised fees have grown to cost them. Bet a lot are paying more!

Hospital transcription used to be the pinnacle of this field. In my experience in job shopping in recent months, the small to medium sized companies are the way to go. Most seem happy to have a professional producing their patient's records!

my thoughts on nuance - FlyngFngrz

[ In Reply To ..]
And the TTS side of Nuance isn't any better. Things are beginning to slide there after they've pretty much swallowed up everyone else and now they are blocking people from being able to log on. They have switched people's hours to later in the day from what was originally agreed upon (follow the sun) crap, because of outsourcing. I've seen this pattern before and it's ALWAYS the same.

blocking people from logging on??? - ex-nuancer

[ In Reply To ..]
Hi FlyngFngrz,
Not sure what you mean by blocking people from logging in. Do you mean you have access to the work ONLY during your scheduled time and other times you are locked out? If so, this is crazy! What a degrading way to treat an experienced professional! I have never, EVER, seen a company with such little respect for their employees!

Yes, they are locking us out when it is not our shift. - anon
[ In Reply To ..]
And on one account I am on we are locked out even if it is our shift if it gets below a certain level.


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