When Nuance first merged with our company they immediately cut the salaries. We were making 8-9 cpl and our salaries dropped 15% to a base rate of 7 cpl. It was then raised about 6 months later and made 8 cpl. Later it was tiered and based on production and shifts you could earn more, but they took off so much for sending too much work to QA or by getting even one quality control error (even a minor error could decrease salaries to a substantial degree for that entire payperiod). In addition they have what is called a platform factor score which grades platforms on difficulty and with those they deduct as much as 10-15% of lines a transcriptionist actually produces. First they deduct those, then they run the lines per hour calculation so even if you were averaging 250 lines per hour once they deduct lines and then run your calculation you end up with only approximately 210 lines per hour which drops you a 1/2 cent per line on your pay scale. Then if you have one error it drops you again. They just recently terminated a huge number of management staff and also they will be terminating all employees in California, followed by NY, and later any other state who adopts a higher mininum wage/employee friendly benefit package. In the beginning we had plenty of work, but each time they acquire new hospitals they will also bring on the current staffing for that hospital if the hospital or company being acquired makes it part of the contract negotiation. By doing that they end up with too many employees and not enough work to go around. People constantly run out of work all day and have to cross-train on multiple platforms and go back and forth every few jobs. They are attempting to fix this problem by slashing their staff by any means necessary.
