medical transcription outsourcing - m*modal the client resource center at +1 800.863.7590 or...

© Black Book Rankings. This report is a licensed product.

2015 Black Book®

Medical Transcription

Outsourcing Hospitals and Physician Groups

Top Ranked Services Vendors:


2015 Black Book™ Medical Transcription Outsourcing Hospitals and Physician Groups

Top Ranked Services Vendors:

Black Book™ annually evaluates leading healthcare/medical software and

service providers across 18 operational excellence key performance

indicators completely from the perspective of the client experience.

Independent and unbiased from vendors’ influence, over 400,000

healthcare IT and managed services users are invited to contribute.

Suppliers also encourage their clients to participate to produce current

and objective customer service data for buyers, analysts, investors,

consultants, competitive suppliers and the media.

For more information or to order customized research results, please

contact the Client Resource Center at +1 800.863.7590 or info@brown-

wilson.com

Reproduction of this publication in any form without prior written

permission is forbidden. The information contained herein has been

obtained from sources believed to be reliable. Black Book™ disclaims all

warranties as to the accuracy, completeness or adequacy of such

information. Black Book™ shall have no liability for errors, omissions or

inadequacies in the information contained herein or for interpretations

thereof. The reader assumes sole responsibility for the selection of these

materials to achieve its intended results. The opinions expressed herein

are subject to change without notice.

Published June 2015

Black Book™ Financial Systems, Software & Outsourced

Services Survey overview In Q1 through Q3 2015, the Black Book Rankings’ financial systems division

client/user survey investigated 210 financial services and software vendors .

1,492 users submitted feedback specifically on their current medical

transcription vendor, contained as a subset in this document.

Black Book™ offers unrivaled

objectivity and credibility. At

a time when alliances between

major consultancies and

suppliers have clouded the

landscape, and advice is

difficult to discern from the

hype, Black Book reports may

be your greatest assurance.

Black Book™ remains

resolutely independent. We

have no incentive to

recommend specific

outsourcing, managed services

and software vendors. Our

only allegiance is to help you

achieve the results you want

with the best possible

solution.

For more information, visit www.BlackBookRankings.com


BLACK BOOK METHODOLOGY

How the data sets are collected

Black Book collects ballot results on 18 performance areas of operational excellence to rank vendors by

hospital financial product and service lines. The gathered data are subjected immediately to an internal and

external audit to verify completeness and accuracy and to make sure the respondent is valid while ensuring

that the anonymity of the client company is maintained. During the audit, each data set is reviewed by a Black

Book™ executive and at least two other external firm staff members. In this way, Black Book's clients are able

to clearly see how a vendor is truly performing. The 18 criteria on operational excellence are subdivided by

the client's industry, market size, geography and function outsourced, and reported accordingly.

Situational and market studies are conducted on areas of high interest such as electronic health records, e-

Prescribing, Health Information Exchange, Accountable Care organization, hospital software, services

providers, educational providers in e-health, benchmarkers and advisors. These specific survey areas range

from four to 20 questions or criteria each.

Understanding the statistical confidence of Black Book data

Statistical confidence for each performance rating is based upon the number of organizations scoring the

electronic medical and health records service. Black Book identifies data confidence by one of several means:

Top-10-ranked vendors must have a minimum of ten unique clients represented. Broad

categories require a minimum of 20 unique client ballots. Data that are asterisked (*) represent

a sample size below required limits and are intended to be used for tracking purposes only, not

ranking purposes. Performance data for an asterisked vendor's services can vary widely until

a larger sample size is achieved. The margin of error can be very large and the reader is

responsible for considering the possible current and future variation (margin of error) in the

Black Book performance score reported.

Vendors with over 20 unique client votes are eligible for top 10 rankings and are assured to

have highest confidence and lowest variation. Confidence increases as more organizations

report on their outsourcing vendor. Data reported in this form are shown with a 95%

confidence level (within a margin of 0.25, 0.20 or 0.15, respectively).

Raw numbers include the quantity of completed surveys and the number of unique

organizations contributing the data for the survey pool of interest.

Who participates in the Black Book Ranking process

Over 31,000 hospital financial and information technology leaders and other users ranking from hospital

executives, clinicians, IT specialists and front-line implementation veterans are invited to participate in the

2014 annual Black Book health initiative satisfaction surveys. Non-invitation receiving participants must

complete a verifiable profile, utilize valid corporate email address and are then included as well.

The Black Book survey web instrument is open to respondents and new participants each year from January

1 to May 5 online to evaluate financial software and services, and by paper ballot if requested. Only one ballot

per corporate email address is permitted and changes of ballots during the open polling period require a


formal email request process to ensure integrity. Telephone surveying supports the process additionally as

required for validations

.

Source: Black Book Rankings

Black Book™ KPI raw score scales

0 = Deal breaking dissatisfaction ◄ ► 10 = Exceeds all expectations

FINANCIAL SYSTEMS, SOFTWARE AND

OUTSOURCED SERVICES

MEDICAL TRANSCRIPTION

SURVEY RESPONDENTS

2014 2015

HOSPITAL FINANCIAL LEADERS PARTICIPATING

IN BLACK BOOK SURVEY

908 1,492

AGGREGATE SATISFACTION RATE FINANCIAL

SOFTWARE VENDORS

AGGREGATE SATISFACITON RATE OUTSOURCED

SERVICE VENDORS

72%

77%

76%

83 %


STOP LIGHT SCORING KEY

Individual vendors can be examined by specific indicators on each of the main functions of vendors as well as

grouped and summarized subsets. Details of each subset are contained so that each vendor may be analyzed by

function and medical transcription services collectively.

Figure 1: Comprehensive End-to-end Medical Transcription vendors are defined as being comprised of

four surveyed functional groups of inpatient facilities with outpatient components

PHYSICIANS PRACTICES & GROUPS

SMALL & RURAL HOSPITALS

COMMUNITY HOSPITALS

LARGE HOSPITALS & MEDICAL CENTERS


Figure 2: Color-coded stop light dashboard scoring key

Green (top 10%) scores better than 90% of Transcription vendors. Green coded vendors have received constantly highest client satisfaction scores.

8.71 +

Clear (top 33%) scores better than 67% of Transcription vendors. Well-scored vendor which have middle of the pack results.

7.33 to 8.70

Yellow scores better than half of vendors. Cautionary performance scores, areas of improvement required.

5.80 to 7.32

Red scores worse than 66% of vendors. Poor performances reported potential cause for service and contractual cancellations.

Less than 5.79


Figure 3: Key to raw scores

0.00–5.79 ►

◄ 5.80–7.32 ►

◄ 7.33–8.70 ►

◄ 8.71–10.00

Deal breaking dissatisfaction

Does not meet expectations

Cannot recommend

vendor

Neutral

Meets/does not meet

expectations consistently

Would not likely

recommend vendor

Satisfactory

performance

Meets expectations

Recommends vendor

Overwhelming

satisfaction

Exceeds expectations

Highly recommended vendor


Stop Light Scoring Key

Top Medical Transcription Outsourcing Vendors Published June 2015

© Black Book Research. This report is a licensed product.

Overall rank – this rank references the final position of all 18 criteria averaged by the mean score collectively. This vendor ranked fifth of the 20

competitors.

Criteria rank – refers to the number of the question or criteria surveyed. This is the sixth question of the 18 criteria of which this vendor ranked first

of the 20 vendors analyzed positioned only on this particular criteria or question. Each vendor required ten unique client ballots validated to be

included in the top ten ranks.

Company – name of the Medical Transcription services vendor.

Subsections – each subset comprises one-fourth of the medical transcription vendor mean at the end of this row, and includes all buyers and users

who indicate that they contract each respective Medical transcription functional subsection with the supplier, specific to their physician enterprise.

Mean – congruent with the criteria rank, the mean is a calculation of all four subsets of transcription services functions surveyed. As a final ranking

reference, it includes all market sizes, specialties, delivery sites and geographies.

Scoring key

Overall rank Q6 criteria rank

Company PHYSICIANS PRACTICES &

GROUPS


COMMUNITY HOSPITALS


Mean

5 1 Medical Transcription Services 8.49 8.63 8.50 8.01 8.66


Overall KPI Leaders: Medical Transcription

Black Book® Top Medical Transcription Services Vendors, Hospitals and Physician Practices Published June 2015


Summary of criteria outcomes

2015 Summary of criteria outcomes

HOSPITALS & PHYSICIAN PRACTICES

Total number one criteria ranks Vendor Overall

rank

11 M*MODAL 1

3 PRECYSE 3

2 NUANCE 2

1 TRANSCRIPT OUTSOURCING 4

1 ISOURCE 6

Source: Black Book

Overall KPI Leaders: Medical Transcription

Black Book® Top Medical Transcription Services Vendors, Hospitals and Physician Practices Published June 2015


Top score per individual criteria

Top score per individual criteria

Question Criteria Vendor Overall rank

1 Vendor overall preference/vertical industry recommendations M*MODAL 1

2 Innovation M*MODAL 1

3 Training M*MODAL 1

4 Client relationships and cultural fit PRECYSE 3

5 Trust, Accountability and Ethics M*MODAL 1

6 Breadth of offerings, client types, delivery excellence M*MODAL 1

7 Deployment and implementation PRECYSE 3

8 Customization NUANCE 2

9 Integration and interfaces ISOURCE 6

10 Scalability, client adaptability, flexible pricing M*MODAL 1

11 Compensation and employee performance NUANCE 2

12 Reliability M*MODAL 1

13 Brand image and marketing communications M*MODAL 1

14 Marginal value adds PRECYSE 3

15 Viability and Managerial Stability M*MODAL 1

16 Data security and backup services TRANSCRIPT OUT 4

17 Support and customer care M*MODAL 1

18 Best of breed technology and process improvement M*MODAL 1

Individual Key Performance

MEDICAL TRANSCRIPT OUT

© Black Book Rankings. This report is a licensed product and requires permission to distribute Published June 2015

Top Ranked Medical TRANSCRIPT OUT Vendors – raw scores by Key Performance Indicator 2015 Physician Groups and Hospitals

Rank Vendor Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12 Q13 Q14 Q15 Q16 Q17 Q18 Mean

1 M*MODAL 9.70 9.73 9.77 9.28 9.70 9.55 9.33 9.77 9.30 9.75 8.93 9.79 9.65 9.28 9.64 9.29 9.42 9.71 9.52

2 NUANCE 9.14 8.37 9.11 8.93 9.30 8.82 8.51 9.81 8.80 9.42 9.60 9.63 9.01 9.22 8.57 8.22 8.91 9.23 9.03

3 PRECYSE 9.24 8.96 8.80 9.55 9.07 8.97 9.77 9.06 9.31 9.18 8.31 8.91 8.77 9.76 8.75 7.19 9.06 9.31 9.00

4 TRANSCRIPT OUTSRC 8.74 9.01 9.52 8.04 8.45 9.08 8.55 8.83 8.77 8.98 9.00 8.95 9.68 8.32 9.31 9.30 8.30 9.28 8.88

5 ANTHREON 9.00 9.27 9.26 8.59 8.94 8.65 9.74 8.13 8.92 7.76 9.10 9.23 8.20 8.06 9.03 9.14 8.31 9.30 8,81

6 ISOURCE 8.84 9.28 9.04 8.68 9.10 7.89 9.76 9.34 9.55 7.03 9.10 8.67 9.12 9.74 7.70 9.09 7.00 9.65 8.80

7 EHRSCRIBE 8.27 8.62 8.82 9.41 9.18 9.14 9.33 9.24 8.75 8.11 8.07 8.65 8.68 8.94 7.63 8.30 8.13 8.41 8.67

8 EMERALD 9.01 8.62 8.78 9.32 8.48 8.86 9.05 7.28 8.49 8.01 9.47 8.79 7.55 7.31 8.76 7.26 7.59 7.80 8.36

9 FAST CHART 8.29 8.55 8.67 8.22 7.05 9.12 7.36 8.14 8.93 8.96 9.02 8.04 8.82 8.25 8.91 8.39 6.50 7.22

9

8.25

10 ACCENTUS 7.85 7.08 8.97 8.94 8.33 8.52 8.93 8.55 7.84 8.50 6.98 8.69 7.69 6.11 7.58 8.38 7.81 7.44 8.01

11 MED TRANS CO 8.26 8.63 8.98 8.54 6.51 8.08 8.82 7.51 8.28 7.29 8.66 7.86 8.80 9.09 6.97 7.08 8.17 6.54 8.00

12 MEDSCRIBE 8.78 7.81 8.24 7.68 8.65 5.57 7.86 8.12 8.37 6.83 8.31 8.88 7.32 8.57 8.57 7.30 8.82 8.05 7.99

13 HINDUJA 8.14 7.88 5.94 8.66 8.69 5.83 8.75 7.90 8.72 8.40 8.67 8.66 8.06 7.28 7.34 8.46 5.24 7.07 7.76

14 SYNERNET 8.23 8.19 9.21 7.92 7.57 8.66 8.54 5.99 7.91 7.98 6.83 8.27 9.52 7.92 6.33 8.23 4.98 6.98 7.74

15 OUTSOURCE ACE 7.63 7.24 6.17 7.58 7.35 6.55 7.13 9.34 6.48 8.26 8.17 9.12 8.84 7.18 7.19 6.70 8.81 7.98 7.63

16 XTANT 8.78 7.26 6.06 8.18 8.54 6.68 5.51 8.76 8.98 7.47 6.65 7.03 6.79 6.46 7.66 7.36 8.10 6.52 7.35

17 CHASE TRANSCRIPT 8.30 6.20 7.18 7.96 8.56 6.07 6.84 6.50 5.89 7.43 6.58 7.20 6.36 8.74 6.81 8.52 7.77 5.18 7.12

18 VOXTAB 7.73 6.58 7.42 5.83 8.89 6.63 7.00 7.51 6.70 7.99 8.20 7.59 5.50 6.11 7.10 6.09 8.71 6.11 7.09

19 MAGELLAN 6.82 5.36 7.05 8.41 7.70 6.20 7.26 7.88 5.35 7.97 4.67 8.93 6.82 5.61 6.29 5.12 6.41 4.49 6.57

20 OUTSOURCE2INDIA 6.36 5.70 8.20 7.41 7.22 4.66 8.25 7.34 5.77 6.77 8.03 7.91 6.94 7.19 4.58 4.44 4.58 6.28 6.54




1. Vendor overall preference by similar users of hospital and chains for vendor expertise in medical transcription functionality

Organizational structure meets the needs of stakeholders or customers and stakeholder satisfaction is the most important priority. Transcription services client is

likely to recommend the vendor to similar sized hospital, networked physician groups, and chains/systems/networks.

Overall rank Q1 Criteria

rank

Company PHYSICIANS PRACTICES & GROUPS


COMMUNITY HOSPITALS


Mean

1 1 M*MODAL 9.78 9.47 9.89 9.66 9.70

3 2 PRECYSE 9.39 9.11 9.43 9.02 9.24

2 3 NUANCE 8.85 8.98 9.35 9.39 9.14

8 4 EMERALD 8.82 9.60 8.50 9.13 9.01

5 5 ANTHREON 9.24 8.98 8.99 8.80 9.00

6 6 ISOURCE 8.51 8.94 9.13 8.79 8.84

12 7 MEDSCRIBE 9.34 7.89 8.59 9.28 8.78

4 8 TRANSCRIPT OUT 8.82 9.24 8.57 8.33 8.74

6 9 ISOURCE 8.63 8.50 7.81 8.26 8.30

9 10 FAST CHART 7.66 9.07 8.80 7.63 8.29





2. Innovation

Customers are also continuing to push the envelope for further enhancements to which the medical transcription vendor is responsive. Transcription clients also

believe that their vendors’ technology is helping them manage hospitals more effectively, generate accurate records and reimbursement billings and cut their

overhead in ways that were difficult or impossible to accomplish before the incumbent transcription services were implemented. Vendor is responsive to make

client recommendations with cutting edge improvements.


rank



COMMUNITY HOSPITALS


Mean

1 1 M*MODAL 9.84 9.71 9.92 9.64 9.78

6 2 ISOURCE 9.33 9.04 9.45 9.31 9.28

5 3 ANTHREON 9.32 8.86 9.16 9.73 9.27

4 4 TRANSCRIPT OUT 9.15 9.03 8.85 8.99 9.01

3 5 PRECYSE 8.82 9.06 9.02 8.92 8.96

11 6 M T C 8.38 8.92 8.36 8.84 8.63

7 7 EHRSCRIBE 8.84 8.89 8.26 8.48 8.62

8 8 EMERALD 8.45 9.65 8.51 7.86 8.62

9 9 FAST CHART 9.06 8.82 8.52 7.80 8.55

2 10 NUANCE 8.87 8.51 7.22 8.88 8.37





3. Training TRANSCRIPT OUT vendor leadership provides significant and meaningful training opportunities for internal employees and client staff. Leadership strives to

develop technology staff, transcription client service and customer servicing consultant employees in particular. Training modules are effective and practical so

that minimal post-implementation training is required on or off site. Regular updates are timely and require minimal additional training to implement.

Overall rank

Q3 Criteria rank

Company

PHYSICIANS PRACTICES & GROUPS


COMMUNITY HOSPITALS


Mean

1 1 M*MODAL 9.84 9.67 9.76 9.82 9.77

4 2 TRANSCRIPT OUT 9.87 9.36 9.54 9.30 9.52

5 3 ANTHREON 8.96 9.34 9.48 9.27 9.26

14 4 SYNERNET 8.78 9.71 9.10 9.24 9.21

2 5 NUANCE 9.10 9.00 9.17 9.15 9.11

6 6 ISOURCE 8.90 8.71 9.34 9.22 9.04

11 7 M T C 8.59 9.50 8.89 8.95 8.98

10 8 ACCENTUS 9.26 8.97 8.92 8.72 8.97

7 9 EHRSCRIBE 8.83 8.48 9.39 8.58 8.82

3 10 PRECYSE 8.87 8.31 9.24 8.76 8.80

Source: Black* Book Rankings




4. Client relationships and cultural fit Medical TRANSCRIPT OUT vendor leadership honors customer relationships highly. The relationship with the vendor elevates the customer reputation. Improving

hospital financials and healthcare delivery efficiency and effectiveness are top priority of the supplier. Governance of engagement is neither complex for buyer nor

does it require vendor management attention regularly. There is no regular transparency or quality issue. There are no culture clashes or misfits that threaten

relationship’s success or client’s satisfaction.


rank



COMMUNITY HOSPITALS


Mean

3 1 PRECYSE 9.763 9.50 9.61 9.44 9.55

7 2 EHRSCRIBE 9.33 9.39 9.57 9.35 9.41

8 3 EMERALD 9.47 9.28 9.24 9.25 9.32

1 4 M*MODAL 9.76 9.16 9.04 9.19 9.28

10 5 ACCENTUS 8.81 9.04 9.09 8.81 8.94

2 6 NUANCE 8.74 9.53 8.86 8.59 8.93

6 7 ISOURCE 8.57 8.70 8.88 8.57 8.68

13 8 HINDUJA 8.48 8.98 8.99 8.18 8.66

5 9 ANTHREON 8.22 8.42 8.81 8.90 8.59

11 10 M T C 8.17 8.90 8.54 8.55 8.54





5. Trust, Accountability and Transparency Trust in enterprise reputation is important to transcription clients as well as prospects. Client possesses an understanding that its vendor organization has the

people, processes, and resources to effectively deliver the desired business and clinical results, based on its industry reputation and past performance. There are

no disconnects between promises and delivery


rank



COMMUNITY HOSPITALS


Mean

1 1 M*MODAL 9.76 9.81 9.65 9.59 9.70

2 2 NUANCE 9.56 8.91 9.33 9.31 9.30

7 3 EHRSCRIBE 8.95 9.26 9.40 9.09 9.18

6 4 ISOURCE 8.89 8.93 9.19 9.39 9.10

3 5 PRECYSE 8.99 9.05 9.32 8.91 9.07

5 6 ANTHREON 9.14 9.34 9.16 8.11 8.94

18 7 VOXTAB 8.67 8.94 9.13 8.81 8.89

13 8 HINDUJA 8.49 8.58 8.99 8.69 8.69

12 9 MEDSCRIBE 8.48 8.78 8.20 9.15 8.65

17 10 CHASE TRANSCRIPT 8.65 8.79 8.45 8.36 8.56





6. Breadth of offerings, varied client settings, delivery excellence across all user types Transcription vendor offers industry recognized horizontal functionality and vertical industry applications, and manage bundled financial services such as coding

and bad debt management w and developing new e-Health initiatives. Vendor routinely drives operational performance improvements and results in the areas

they affect. Comprehensive offerings are constructed to meet the unique needs of the client’s financial systems initiatives. Breadth of vendor modules may offer

comprehensive nonfinancial/clinical system services and broad modules.


rank



COMMUNITY HOSPITALS


Mean

1 1 M*MODAL 9.60 9.45 9.55 9.60 9.55

7 2 EHRSCRIBE 9.00 8.99 9.54 9.02 9.14

9 3 FAST CHART 8.67 9.39 9.22 9.20 9.12

4 4 TRANSCRIPT OUT 8.82 9.15 9.18 9.17 9.08

3 5 PRECYSE 9.00 9.37 8.74 8.78 8.97

8 6 EMERALD 8.79 9.67 9.05 7.94 8.86

2 7 NUANCE 8.75 8.70 8.97 8.85 8.82

6 8 ISOURCE 8.50 8.28 8.80 9.06 8.66

5 9 ANTHREON 8.62 8.65 8.88 8.45 8.65

10 10 ACCENTUS 8.44 8.61 8.54 8.47 8.52





7. Deployment and Medical transcription services implementations Transcription client deploys at a pace acceptable to the client. TRANSCRIPT OUT solutions eliminate excessive supervision over vendor implementations. Vendor

overcomes client implementation obstacles and challenges effectively. Technical, organizational and cultural implementation obstacles are handled professionally

and punctually. Outsourcing implementation time meets standard expectations. Implementations are efficient and sensitive to users’ specific situations which may

cause delays.

Overall rank

Q7 Criteria rank

Company PHYSICIANS PRACTICES &

GROUPS SMALL & RURAL

HOSPITALS COMMUNITY

HOSPITALS LARGE HOSPITALS & MEDICAL CENTERS

Mean

3 1 PRECYSE 9.81 9.89 9.71 9.68 9.77

6 2 ISOURCE 9.83 9.61 9.88 9.72 9.76

5 3 ANTHREON 9.60 9.86 9.64 9.86 9.74

1 4 M*MODAL 9.76 9.20 9.21 9.16 9.33

7 5 EHRSCRIBE 9.33 9.20 9.50 9.30 9.33

8 6 EMERALD 8.17 9.67 9.08 9.26 9.05

10 7 ACCENTUS 8.74 8.84 9.00 9.09 8.93

11 8 M T C 8.56 9.19 9.03 8.51 8.82

13 9 HINDUJA 8.25 8.74 8.68 9.31 8.75

4 10 TRANSCRIPT OUT 9.06 8.97 8.16 7.99 8.55





8. Customization Outsourced transcription process services are customized to meet the unique needs of specific practice client purpose, processes and physician models. Little

resistance is encountered when changing performance measurements as clients’ needs vary. Extraordinary efforts are made to adapt and convert client special

needs into workable solutions with efficient cost and time considerations. Financial software allows for modifications that are not costly or complex.


rank



COMMUNITY HOSPITALS


Mean

2 1 NUANCE 9.85 9.93 9.75 9.72 9.81

1 2 M*MODAL 9.84 9.62 9.89 9.73 9.77

7 3 EHRSCRIBE 9.61 9.87 9.65 9.87 9.75

6 4 ISOURCE 9.77 9.21 9.22 9.17 9.34

15 5 OUTSOURCE ACE 9.34 9.21 9.51 9.31 9.34

3 6 PRECYSE 8.18 9.68 9.09 9.27 9.06

10 7 ACCENTUS 8.75 8.85 9.01 9.10 8.94

4 8 TRANSCRIPT OUT 8.57 9.20 9.04 8.52 8.83

16 9 XTANT 8.26 8.75 8.69 9.32 8.76

9 10 FAST CHART 9.07 8.98 8.17 8.00 8.56





9. Integration and interfaces Outsourced medical transcription vendor supports interfaces so information can be shared between necessary applications. Solutions are easily integrated to

existing backend systems as needed and connectivity feasible. Seamless interfaces to legacy applications are performed as required for optimal functioning. Human

integration and interface activities are administered precisely. Systems communicate effectively among provider groups and ancillaries. True interoperability with

other healthcare organizations is factored into implementation.


rank



COMMUNITY HOSPITALS


Mean

6 1 ISOURCE 9.54 9.65 9.35 9.65 9.55

3 2 PRECYSE 9.08 9.38 9.47 9.30 9.31

1 3 M*MODAL 9.19 9.40 9.39 9.20 9.30

7 4 EHRSCRIBE 9.03 8.60 9.39 9.18 9.05

16 5 XTANT 8.74 9.15 9.08 8.93 8.98

9 6 FAST CHART 8.73 8.92 9.16 8.91 8.93

5 7 ANTHREON 9.53 8.73 8.79 8.62 8.92

2 8 NUANCE 8.53 8.82 9.03 8.80 8.80

4 9 TRANSCRIPT OUT 8.98 8.28 9.12 8.71 8.77

13 10 HINDUJA 8.56 8.98 8.65 8.69 8.72





10. Scalability, client adaptability, flexible pricing Managed transcription services and solutions vendor provides flexible pricing allowing the client to choose and pay for the precise functionality and services

needed. Vendor Invests in significant infrastructure and has the ability to provide services to enterprise organizations. IT products and services meet the changing

and varied needs of the hospital financials customer. Pricing is not rigid or shifting and meets needs of client.


rank



COMMUNITY HOSPITALS


Mean

1 1 M*MODAL 9.65 9.71 9.78 9.84 9.75

2 2 NUANCE 9.14 9.61 9.42 9.50 9.42

3 3 PRECYSE 9.20 9.26 8.89 9.36 9.18

4 4 TRANSCRIPT OUT 9.15 8.75 9.17 8.86 8.98

9 5 FAST CHART 9.18 8.65 9.09 8.90 8.96

10 6 ACCENTUS 8.32 8.84 8.46 8.38 8.50

13 7 HINDUJA 8.33 8.68 8.34 8.24 8.40

15 8 OUTSOURCE ACE 8.40 7.89 8.38 8.36 8.26

7 9 EHRSCRIBE 7.85 8.46 8.23 7.91 8.11

6 10 ISOURCE 8.16 7.80 8.03 8.41 8.10





11. Vendor staff expertise, compensation and employee performance Medical transcription vendor team of employees is considered top in industry for professionalism and skill. Vendor attracts and retains high performing staff.

Vendor is focused on building and developing a strong employee team of producers. Employees act like owners/leaders. Company is moving towards leveraged pay

at all levels. Vendor is using effective tools to tie performance metrics to compensation policy and compensating top leaders. Human resources-related criteria are


rank



COMMUNITY HOSPITALS


Mean

2 1 NUANCE 9.57 9.54 9.71 9.58 9.60

8 2 EMERALD 9.20 9.88 9.54 9.25 9.47

5 3 ANTHREON 9.21 9.03 9.17 8.99 9.10

6 4 ISOURCE 9.18 9.23 8.91 9.09 9.10

9 5 FAST CHART 8.79 8.94 9.31 9.04 9.02

4 6 TRANSCRIPT OUT 9.09 9.35 8.65 8.91 9.00

1 7 M*MODAL 8.91 8.96 9.00 8.86 8.93

13 8 HINDUJA 8.80 8.16 8.94 8.79 8.67

11 9 M T C 8.89 8.64 8.38 8.73 8.66

3 10 PRECYSE 8.24 8.63 8.05 8.26 8.31





12. Reliability Medical transcription services supplier meets agreed terms as evidenced by routine, acceptable service level reporting and industry expectations. Depth and

breadth of applications/solutions are acceptable in meeting client needs. Online reliability is maximized and outages/downtimes are minimized. Solid product and

service capacities are demonstrated consistently. Service levels are consistently met as agreed. Services and support response is maximized by vendor team.


rank



COMMUNITY HOSPITALS


Mean

1 1 M*MODAL 9.62 9.74 9.80 9.68 9.71

6 2 ISOURCE 9.65 9.75 9.71 9.62 9.68

2 3 NUANCE 9.49 9.54 9.51 9.64 9.55

5 4 ANTHREON 9.32 9.10 9.20 8.99 9.15

15 5 OUTSOURCE ACE 9.01 9.41 9.00 8.74 9.04

4 6 TRANSCRIPT OUT 8.68 8.79 8.98 9.02 8.87

19 7 MAGELLAN 8.81 9.03 8.98 8.56 8.85

3 8 PRECYSE 8.70 8.84 8.92 8.85 8.83

12 9 MEDSCRIBE 8.55 9.06 8.82 8.76 8.80

8 10 EMERALD 8.36 9.53 8.55 8.38 8.71





13. Brand image and marketing communications Medical transcription vendor’s marketing and sales statements/pitches are accurately and appropriately represented by actual financial product and service

deliverables. Image is consistent with top outsourced transcription vendor rankings. Sales presentations and proposals are delivered upon and corporate

integrity/honesty in marketing and business development are highly valued. Company image and integrity are values upheld top-down consistently. High level of

relevant client communications enhances the vendor – user relationship.


rank



COMMUNITY HOSPITALS


Mean

1 1 M*MODAL 9.59 9.71 9.77 9.65 9.68

4 2 TRANSCRIPT OUT 9.62 9.72 9.68 9.59 9.65

14 3 SYNERNET 9.46 9.51 9.48 9.61 9.52

6 4 ISOURCE 9.29 9.07 9.17 8.96 9.12

2 5 NUANCE 8.98 9.38 8.97 8.71 9.01

15 6 OUTSOURCE ACE 8.65 8.76 8.95 8.99 8.84

9 7 FAST CHART 8.78 9.00 8.95 8.53 8.82

11 8 M T C 8.67 8.81 8.89 8.82 8.80

3 9 PRECYSE 8.52 9.03 8.79 8.73 8.77

7 10 EHRSCRIBE 8.33 9.50 8.52 8.35 8.68





14. Marginal value adds The medical TRANSCRIPT OUT vendors' cost savings are realized as generally estimated and not over-positioned or over/underestimated in ways that effect major

client satisfaction or costs. Vendor offers value-adds as a practice management partner in cost savings and avoidance initiatives and creative programs through

bundled financial product design. Provides true business transformation opportunities to hospital(s), affiliated physician practices and other medical settings

utilizing the transcription system modules.


rank



COMMUNITY HOSPITALS


Mean

3 1 PRECYSE 9.78 9.78 9.95 9.54 9.76

6 2 ISOURCE 9.82 9.70 9.85 9.58 9.74

1 3 M*MODAL 9.42 8.87 9.35 9.94 9.28

2 4 NUANCE 9.02 9.25 9.82 8.80 9.22

11 5 M T C 9.25 9.23 9.12 8.75 9.09

7 6 EHRSCRIBE 9.80 8.27 8.19 9.51 8.94

17 7 CHASE TRANSCRIPT 9.33 9.41 8.38 7.82 8.74

12 8 MEDSCRIBE 8.93 7.67 8.77 8.90 8.57

4 9 TRANSCRIPT OUT 7.86 7.99 8.73 8.70 8.32

5 10 ANTHREON 8.42 8.33 8.32 7.18 8.06





15. Viability and managerial stability Vendor’s corporate viability, employee turnover, financial stability and/or cultural mismatches do not threaten relationship. Senior management and the board

exemplify strong leadership principals to steward appropriate resources that impact outsourced transcription buyers. Client is confident of long term industry

viability for this vendor based on investments, client adoption, exceptional outcomes and service levels. Field management is notably competent, stable and

supportive of clients. Vendor demonstrates and provides evidence of competent financial management and leadership.


rank



COMMUNITY HOSPITALS


Mean

1 1 M*MODAL 9.60 9.68 9.65 9.61 9.64

4 2 TRANSCRIPT OUT 9.39 8.61 9.60 9.63 9.31

5 3 ANTHREON 8.92 9.31 9.59 8.30 9.03

9 4 FAST CHART 9.09 9.48 8.38 8.68 8.91

8 5 EMERALD 8.42 8.90 8.97 8.95 8.76

3 6 PRECYSE 9.17 9.26 7.75 8.82 8.75

2 7 NUANCE 9.35 8.87 8.14 7.93 8.57

12 8 MEDSCRIBE 8.50 8.11 9.64 8.02 8.57

6 9 ISOURCE 7.58 8.04 7.78 7.41 7.70

16 10 XTANT 8.31 7.74 7.44 7.15 7.66





16. Data security and backup services In order to provide secure and constantly dependable medical transcription service offerings for physician and hospital entities, an financials software vendor has

to provide the highest level of security and data back-up services. Outsourcing vendor’s service in these two areas is superior to the security and back-up system of

past internal systems of the hospital, ancillaries, and affiliated physician practices.


rank



COMMUNITY HOSPITALS


Mean

4 1 TRANSCRIPT OUT 9.33 9.24 9.39 9.24 9.30

1 2 M*MODAL 9.03 9.43 9.36 9.33 9.29

5 3 ANTHREON 9.32 9.11 9.13 9.00 9.14

6 4 ISOURCE 9.22 9.29 8.96 8.90 9.09

13 5 HINDUJA 8.45 7.76 8.06 9.56 8.46

9 6 FAST CHART 8.29 7.88 8.22 9.16 8.39

10 7 ACCENTUS 8.04 9.08 8.77 7.65 8.38

7 8 EHRSCRIBE 7.89 8.98 8.80 7.54 8.30

3 9 PRECYSE 7.80 8.80 8.77 7.71 8.27

14 10 SYNERNET 8.20 8.62 8.70 7.41 8.23





17. Support and customer care Account management provides an adequate amount of onsite administration and support to clients. There exists a formal account management program that

meets financial client needs. Media and clients reference this vendor as a financial services leader and top transcription vendor correctly. Customer services and

relationship satisfaction is manifested through significant flagship clients as well as smaller and newest customers similarly. Vendor provides appropriate number

of accessible support and customer care personnel.


rank



COMMUNITY HOSPITALS


Mean

1 1 M*MODAL 9.59 9.40 9.49 9.18 9.42

3 2 PRECYSE 9.10 9.11 8.79 9.24 9.06

2 3 NUANCE 9.42 8.47 9.39 8.36 8.91

12 4 MEDSCRIBE 8.86 9.28 8.62 8.51 8.82

15 5 OUTSOURCE ACE 8.60 8.40 8.51 9.71 8.81

18 6 VOXTAB 8.58 8.73 8.70 8.83 8.71

5 7 ANTHREON 8.19 8.31 8.92 7.80 8.31

4 8 TRANSCRIPT OUT 8.04 9.13 8.33 7.69 8.30

11 9 M T C 8.35 7.93 8.85 7.56 8.17

7 10 EHRSCRIBE 8.08 7.87 8.46 8.12 8.13





18. Best of breed technology and process improvement Transcription services management and related technology services are considered best of breed. Vendor technology elevates customers via capabilities,

equipment, processes, deliverables, professional staff, leadership, quality assurance and innovative initiatives. Outsourced transcription services are delivered at or

above current/former in-house service levels. Technology is current and relevant to exchanging patient financial information among providers, as well as

sufficiently offering patient access.


rank



COMMUNITY HOSPITALS


Mean

1 1 M*MODAL 9.76 9.59 9.78 9.70 9.71

6 2 ISOURCE 9.68 9.48 9.69 9.76 9.65

3 3 PRECYSE 9.49 9.64 9.05 9.06 9.31

5 4 ANTHREON 9.23 9.53 9.17 9.26 9.30

4 5 TRANSCRIPT OUT 9.52 9.20 9.01 9.39 9.28

2 6 NUANCE 9.49 9.09 9.29 9.06 9.23

7 7 EHRSCRIBE 8.49 8.23 9.15 7.75 8.41

12 8 MEDSCRIBE 8.10 8.22 8.19 7.67 8.05

15 9 OUTSOURCE ACE 7.95 7.67 8.24 8.06 7.98

10 10 ACCENTUS 8.85 6.96 7.83 8.15 7.95





APPENDIX

Brown-Wilson Group consulting

We hope that the data and analysis in this report will help you make informed and imaginative hospital technology

business decisions. If you have further requirements, the Brown-Wilson Group consulting team may be able to help you.

For more information about BWG and Black Book’s consulting capabilities, please contact us directly at info@brown-

wilson.com

Disclaimer All Rights Reserved.

No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form by any

means (electronic, mechanical, photocopying, recording or otherwise), without the prior permission of the

publisher, Black Book Rankings.

The facts of this report are believed to be correct at the time of publication but cannot be guaranteed. Please

note that the findings, conclusions and recommendations that Black Book Rankings delivers will be based on

information gathered in good faith from both primary and secondary sources, whose accuracy we are not

always in a position to guarantee. As such, Black Book Rankings can accept no liability whatever for actions

taken based on any data that may subsequently prove to be incorrect.

medical transcription outsourcing - m*modal the client resource center at +1 800.863.7590 or...

Documents