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IMAGE Management, LLC is your Nuance Gold Certified Partner -- your source for NaturallySpeaking products.   Read on for the press release and click here for our full write-up about what's new in Version 10.  This write-up includes screen shots.

The Dragon NaturallySpeaking family makes speech recognition available for everyone — at home or in the office — through various targeted editions:

• Dragon NaturallySpeaking Professional is the ideal solution for busy professionals — such as those in the government, insurance and education industries – to create documents and emails, fill out forms, and streamline workflow tasks – all by speaking. Additionally, Dragon NaturallySpeaking 10 Professional supports sophisticated macros for automating document-intensive business tasks and dramatically improving productivity, and also offers complete enterprise network support, including new security features, a special management guide for IT professionals and support for Citrix deployments.
• Dragon NaturallySpeaking Preferred gives small business and advanced PC users the power to create documents, reports and emails three times faster than most people type. People can surf the Web by voice or dictate and edit in Microsoft Word and Excel, Corel WordPerfect, and most other Windows-based applications. Dragon Voice Shortcuts in Dragon NaturallySpeaking Preferred collapse common multi-click tasks into simple voice commands, and users can also create custom commands to insert blocks of texts or bitmaps – such as name, title, and signature – with a single utterance.
• Dragon NaturallySpeaking Legal is the ideal solution for legal professionals looking to increase productivity and reduce transcription costs. Law firms and legal departments can create contracts, dictate briefs, and draft court documents or email messages all by voice. Dragon NaturallySpeaking Legal offers a preconfigured legal vocabulary that includes more than 30,000 legal-specific terms and phrases, and it even formats citations. Lawyers can browse through briefs or consult notes while entering text directly into virtually any Windows-based application, including the Microsoft Office suite and most case management programs. Additionally, Dragon NaturallySpeaking 10 Legal lets users (or a third-party) create custom voice commands to instantly build and format templates for contracts or other legal documents, or trigger the execution of frequent or complex computer tasks.
• Dragon Medical is the fastest, most complete way for physicians, nurses and other healthcare providers to create transcription-free clinical documentation in their own words. Unlike other Dragon 10 software versions, Dragon Medical exclusively enables clinicians to dictate directly into any Windows- or Citrix-based electronic medical record (EMR) system. Dragon Medical includes 75 medical specialty vocabularies to ensure proper spelling, pronunciation and high accuracy and has proven to be up to 33 percent more accurate than non-medical speech recognition software in clinical use. With more than 70,000 users today (see Dragon Medical press release below), Dragon Medical allows healthcare providers to quickly voice-enable their clinical documentation process with no IT integration required, for high out-of-the-box accuracy and rapid physician utilization. Dragon Medical 10 will be available in September 2008 and will introduce additional advanced, medical version-only features including enhanced medical formatting and improved EMR dictation and navigation capabilities. New customers purchasing Dragon Medical version 9.5 can order Version 10 at no charge via a mail-in rebate coupon or as part of their standard Maintenance and Support Agreement.

Nuance Communications Introduces Dragon NaturallySpeaking 10, Breakthrough New Release of World’s Leading Speech Recognition Software

New Release Sets Performance Standard for Speed and Accuracy; Delivers Innovative Features to Search the Web, Find Documents or Files and Send Email by Voice

BURLINGTON, Mass., August 7, 2008 — Nuance Communications, Inc. (NASDAQ: NUAN), a leading provider of speech solutions, today unveiled Nuance’s Dragon® NaturallySpeaking® 10 software, a breakthrough new release of the world’s best-selling speech recognition software. With Dragon, people can write documents and emails, search the Web, and even control their PC entirely by voice, saving time and boosting productivity. Because most people speak at least three times faster than they type, Dragon makes it possible to get things done more quickly by voice than by relying on keyboards and mice alone. Dragon 10 is nearly twice as fast as the previous release and can deliver accuracy up to 99 percent, while never making a spelling mistake.

Dragon NaturallySpeaking software from Nuance is used by millions of people — in the office, at home, at school, on the road, even in the operating room — to get more done faster by voice. The new release of Dragon delivers what matters most in speech recognition – superior levels of accuracy, seamless integration with the most popular PC applications, and unrivalled ease of use — and introduces new features that promise to help anyone get more done, faster:

• Get it right the first time — For more than a year, Nuance has hosted a typing test on its Web site to highlight the boost in speed and accuracy that is delivered by Dragon. After testing 35,000 people, Nuance found that the average typing speed was 35 words per minute (WPM), down from previous estimates of 40 WPM. Even more significant, the data showed that the average accuracy was only 58 percent. Dragon’s near-perfect accuracy means less time spent pecking away at the keyboard and more time actually getting things done — at speeds of up to 160 WPM. Significant improvements to the Dragon NaturallySpeaking recognition system have yielded an accuracy improvement of more than 20 percent over the previous release, resulting in speech recognition accuracy levels as high as 99 percent. In fact, the product actually learns from corrections over time, making speech a more natural and satisfying experience. And, perhaps best of all, Dragon will never misspell a word.
• Dragon Voice Shortcuts — New Dragon Voice Shortcuts collapse common multi-step tasks into direct voice commands. Now you can send emails and schedule meetings, search the Web for information, products, news and more, or search your desktop faster than ever by saying what you want. For example:
  • “Send email to Peter Mahoney and Steve Chambers,” — Dragon opens the user’s email program, creates a new email and puts the appropriate contact names into the “to:” box.
  • “Search maps for Italian restaurants in Boston, Massachusetts,” or “Search the Web for Madonna concert schedule,” — Dragon opens the default search engine and Web browser to enter the spoken words in the search field and return the results. Users can also search specific sites by voice including Google, Yahoo, eBay, Wikipedia and YouTube.
• Quick Voice Formatting — Quick Voice Formatting commands allow users to issue a single voice command, such as “Bold Quick Voice Formatting,” to make formatting text faster than ever. In addition, an extensive set of natural language commands means users don’t have to memorize complex instructions. In Microsoft Word, for example, a user can say ‘make that bigger,’ and the font size increases instantly.
• Type as fast as you talk — With Dragon, spoken words appear on the screen almost instantly, making speech a faster, more natural approach to connect with your PC. Most people speak about 120 words per minute, but type fewer than 40 words a minute. Dragon NaturallySpeaking lets users create documents and emails about three times faster than typing.
• Cut the cord from the PC — For the first time ever, Nuance is offering a special Dragon NaturallySpeaking edition bundled with a Bluetooth headset to deliver a truly hands-free, untethered experience. With the accompanying Plantronics Calisto Bluetooth headset in certain bundles, people can move up to 30 feet away from their computer while dictating. In addition, because Dragon works with many digital voice recorders and personal digital assistants (PDAs), people can get more done while they are on the go, reclaiming lost time.
• Talk to your favorite applications — Dragon NaturallySpeaking 10 lets people speak their minds quickly with today’s most popular applications, including Microsoft Word and Outlook, Internet Explorer, Firefox, and popular instant message clients such as AOL Instant Messenger.

Changing Lives, One Voice at a Time

Dragon NaturallySpeaking gives people an easy way to get more done in less time — whether it is sending an email, writing a report, capturing an old family recipe or updating a blog. The best way to appreciate the power and flexibility of Dragon NaturallySpeaking 10 is to see how people in all walks of life are putting the software to work to make it easier for them to speak their minds.

• John Ungerleider, a graduate school professor, uses Dragon to provide more comprehensive feedback on student papers
• Nicholas Harding, an environmental lawyer, uses Dragon to dictate all of his correspondence and other written material in order to increase his productivity and free time for his assistant to focus on “smarter” tasks
• Rob Wirthland, a PhD student, used Dragon to dictate (and ace) all of his final exams

“Speech technology has reached a critical turning point where it is now fundamentally changing the way that we interact with the world around us,” said Steve Chambers, president of the Mobile and Consumer division of Nuance. “What was once a ‘Star Trek’ dream is now a reality — on our mobile phones, in our cars, on our navigation devices, and now on the desktop with Dragon. With its near-perfect accuracy and easy-to-use interface, Dragon has touched millions of people by creating a more productive and natural experience at the desktop. There’s no need to take time to train the software or learn arcane steps or commands anymore – people can simply start talking and see their ideas flow directly onto the page. It really is incredible to see.”

Dragon NaturallySpeaking 10 is also Section 508 certified to allow hands-free use of the PC for those with disabilities and to assist people with carpal tunnel syndrome or other repetitive stress injuries. Dragon NaturallySpeaking has been shown to reduce temporary labor costs and insurance premiums by reducing repetitive stress injuries and worker compensation claims.

The latest release of Dragon NaturallySpeaking comes from the world’s expert in speech recognition — Nuance. Nuance speech technology touches millions of people every day as they interact with their bank or airline reservation system by voice, dial by voice from their cell phone, or interact with their car’s navigation system.

More Than 70,000 Healthcare Providers Use Dragon Medical for Voice-Driven Clinical Documentation

Custom Engineered, Medical-Specific Speech Recognition Software Creates Highly Accurate, More Complete and Transcription-Free Medical Records

BURLINGTON, Mass., August 7, 2008 — Nuance Communications, Inc. (NASDAQ: NUAN), a leading supplier of speech solutions, is today announcing that its healthcare division has crossed the 70,000 license threshold with its Dragon Medical speech recognition solution. Dragon Medical is the only version of Nuance’s Dragon® software family designed exclusively for use by healthcare providers to create electronic medical records. With 70,000 users, Dragon Medical is used by more than 10 percent of all physicians in the U.S.

Utilizing specialized medical vocabularies and seamless integration into all electronic medical record (EMR) systems, Dragon Medical empowers physicians, nurses and other caregivers to use their voice to document highly detailed medical reports at up to 99 percent accuracy. Eliminating hours of typing, clicking and scrolling, Dragon Medical lets clinicians describe the narrative of the patient encounter through free-form dictation, quickly navigate patient charts using spoken commands, and reduce or eliminate the cost of transcription. By combining point-and-click EMR templates with clinician speech-recognized dictation, healthcare provider organizations can create more complete medical records that generate higher levels of reimbursement, while improving provider productivity and patient care.

“Dragon Medical is the most widely used medical speech recognition software in clinical settings. Its highly accurate medical dictation recognition and ease of use in electronic medical record environments maximize physician productivity,” said Robert Wise, President Healthcare division, Nuance. “While Dragon Medical is part of Nuance’s broad family of Dragon speech solutions, it is the only Dragon product uniquely designed with medical specific linguistic and acoustic research. Healthcare provider organizations can easily incorporate Dragon Medical into their clinical documentation process, with no IT integration needed, for high out-of-the-box accuracy and rapid physician utilization.”

Major EMR vendors are supporting Dragon Medical as an element of EMR deployments. Dragon Medical makes EMRs easier to use by reducing the number of mouse clicks and typing required by clinicians to document care. It drives all major EMR systems including, but not limited to those from Allscripts™, Epic, Misys®, GE® Healthcare, NextGen®, Siemens, eClinicalWorks, Meditech, McKesson®, Cerner and Eclipsys®.

Northtowns Orthopedics of New York provides one example of how Dragon Medical is used in a specialty setting to drive and improve clinical documentation through the use of highly accurate, medical-specific, speech recognition software. Joel Farwell, Practice Manager of Northtowns Orthopedics, shared the following.

“If you had asked me two years ago if our providers would ever consider utilizing a speech recognition solution for our orthopedic documentation, my response would have been a resounding no! However, after a pilot program within our organization demonstrated satisfactory results, the decision was made to implement Dragon Medical enterprise wide.

“The costs savings were immediate and significant,” continued Farwell. “The high level of recognition accuracy and quick turnaround time of reports made our providers more productive and improved the efficiency of the reimbursement team. Additionally, our patients are better served by a decrease in waiting times for authorization requests on surgery, diagnostic tests and other treatment modalities. We’ve improved our completion process for disability forms and due to faster report creation, we’ve improved communication with referring physicians,” Farwell added. “The adoption of Dragon Medical has allowed us to better utilize our EMR system, which in turn has afforded the gains of decreased postage, office supplies, stationary and other related items. While not done without effort, the rewards for those efforts are recognizable at all levels of the organization.”

From the smallest practice to the largest enterprise, Dragon Medical is the healthcare speech recognition software of choice to enhance EMR deployments in the private, public and government sectors. Among the growing list of 70,000 users, customers include:

• Atrius Health
• Fallon Clinic
• Group Health Cooperative
• Swedish Medical Center
• U.S. Military Health System — Army, Navy, Air Force and Marine Corps.
• University of Rochester Medical Center

Because medical terminology and phraseology differs greatly from everyday English, Dragon Medical includes vocabularies that are designed to support a range of medical specialties to ensure proper spelling, pronunciation and accuracy of clinical words. Dragon Medical has proven to be up to 33 percent more accurate than non-medical speech recognition software in clinical settings, reducing the need for documentation correction and thereby increasing clinician productivity and reimbursement. As an example, the medical term, “cerebral embolism,” would automatically be recognized by Dragon Medical, but has a higher likelihood of being incorrectly recognized by non-medical speech recognition software, which might convert “embolism” into “symbolism.” Dragon Medical minimizes medical report errors by recognizing medical terms accurately the first time.

Dragon Medical is the fastest, most complete way for physicians, nurses and other healthcare providers to create transcription-free clinical documentation in their own words. Dragon Medical 10 will be available in September 2008 and will introduce additional advanced, medical version-only features including enhanced medical formatting and improved EMR dictation and navigation capabilities. New customers purchasing Dragon Medical version 9.5 can order Dragon Medical 10 at no charge via a mail-in rebate coupon or as part of their standard Maintenance and Support Agreement.

Nuance Communications, Inc.

Nuance (NASDAQ: NUAN) is a leading provider of speech and imaging solutions for businesses and consumers around the world. Its technologies, applications and services make the user experience more compelling by transforming the way people interact with information and how they create, share and use documents. Every day, millions of users and thousands of businesses experience Nuance’s proven applications and professional services. For more information, please visit our "Speech Recognition" page or call us at 888-462-4346.

Nuance, the Nuance logo, Dragon and NaturallySpeaking are trademarks or registered trademarks of Nuance Communications, Inc. or its affiliates in the United States and/or other countries. All other trademarks referenced herein are the property of their respective owners.

The statements in this press release, relating to future plans or future events or services, are forward-looking statements which are subject to specific risks and uncertainties. These could involve particular market trends, competition factors and other risks described in the documents submitted to the US Securities and Exchange Commission. The actual results, events and services may vary significantly from the forecasts. The reader is warned not to rely on these forward-looking statements without reservation, since these are simply reflections of the current situation.

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Nuance Communications, Inc. Introduces Dragon Medical 10

Healthcare Speech Recognition Software Enables Highly-Accurate, Real-Time Clinical Documentation with Numerous Medical-Specific Advanced Features

BURLINGTON, MA, September 16, 2008 — Nuance Communications, Inc. (NASDAQ: NUAN), today unveiled its Dragon® Medical 10 software, the fastest, most accurate, real-time medical speech recognition software released to date. The new Dragon Medical 10 software recognizes dictation nearly twice as fast as its previous release and yields an accuracy improvement of more than 20 percent over the previous release. Dragon Medical 10 offers new medical vocabularies, improved integration with electronic medical record (EMR) systems, enhanced regional accent support, and customizable commands, like Voice Shortcuts and DragonTemplates.

Dragon Medical 10 is a part of the world’s best-selling speech recognition software family, Dragon NaturallySpeaking®, and is one of many offerings in Nuance’s healthcare portfolio of proven, speech-enabled clinical documentation and communication solutions.

Dragon Medical is used by more than 70,000 caregivers today in hospitals and physician practices across private, public and government settings. Dragon Medical 10 lets physicians create medical documents and emails, search the Web, control their PC and EMR entirely by voice, saving time and boosting productivity as compared to typing and mouse navigation alone. By enabling clinicians to rapidly and completely document patient encounters via their voice, Dragon Medical reduces transcription costs, improves clinician productivity, enhances patient care and increases insurer reimbursement.

More on Dragon Medical 10:

• Real-time Speech Recognition Makes EMRs Use Faster and Easier
  Dragon Medical 10 is the only Dragon NaturallySpeaking edition that enables clinicians to dictate directly into an EMR system, and rapidly edit and sign medical reports, speeding data input, reducing clicking and typing and, in turn, accelerating EMR utilization. Dragon Medical is available for integration with any Windows®- or Citrix®-based EMR system, including, but not limited to, those from Allscripts™, Epic, Misys®, GE® Healthcare, NextGen®, Siemens, eClinicalWorks®, Meditech, McKesson®, Cerner and Eclipsys®.
• Real-time, Clinical Documentation Reduces Operating Costs
  By using Dragon Medical’s highly-accurate, real-time speech recognition capabilities, clinicians are able to provide detailed clinical notes than typing or EMR point-and-click templates alone, without the costs or delays associated with manual transcription.
• More Detailed Documentation Drives Better Patient Care
  According to physicians, the narrative is the most important part of a patient note. A medical record that combines point-and-click EMR templates with dictated physician narrative promotes ongoing higher quality care via complete and patient specific information that clearly articulates the unique story of every patient encounter. By using Dragon Medical, critical patient documentation is available immediately for other care providers to access electronically.
• Less Typing Makes Clinicians Up to 25 Percent More Efficient
  Eliminating reliance on typing allows clinicians to spend more time practicing medicine and up to 25 percent less time documenting care, when compared to using a non voice-enabled EMR. With Dragon Medical 10’s new macro capability, clinicians can create customized voice shortcuts for common phrases or larger blocks of text that can include embedded fields. Abbreviated voice commands such as “patient history,” speeds up documentation and associated desktop, EMR or Web search and navigation tasks.
• More Complete Documentation Helps Increase and Speed Reimbursement
  By dictating the narrative component of the patient visit versus just typing or relying on point-and-click EMR templates, Dragon Medical enables physicians to document the encounter in a more complete manner resulting in higher and more appropriate reimbursement. In addition, by completing clinical documentation in real-time, healthcare providers can improve their entire reimbursement cycle.
• Clinical Dictation Requires Robust and Highly-Tuned Medical Speech Recognition Vocabularies
  Dragon Medical 10 supports more than 75 medical disciplines, from family medicine and internal medicine to orthopedics and cardiology with proprietary medical speech recognition vocabularies. With these specialized vocabularies, Dragon Medical has proven to be up to 38 percent more accurate than non-medical speech recognition software in clinical settings.
• Accent Recognition Knows What You’re Saying, No Matter Where You’re From
  As 30 percent of U.S. physicians are born foreign, Dragon Medical 10 now calibrates to regional accents through an initial voice screening process. The software automatically adapts to a variety of U.S., Southeast Asian, Indian and Hispanic accents.
• Nearly Twice as Fast as Previous Versions
  With Dragon Medical 10, clinicians will see their dictated text appear almost instantaneously, noticing a dramatic reduction in the time it takes for the software to recognize what is being dictated, significantly improving user experience.
• Rapid Deployment with No Custom IT Integration Required
  As a result of Dragon Medical’s ability to enable direct dictation into EMRs and other clinical information systems, healthcare provider organizations can rapidly deploy the software without any customized IT integration or interface development efforts. With the proper provider training and associated deployment services, clinicians can be up and running within a matter of days.
• Supports HIPAA Regulations
  Dragon Medical 10 supports patient confidentiality and helps healthcare provider organizations comply with HIPAA regulations.

Dragon Medical is one of many offerings in Nuance’s healthcare portfolio of proven, speech-enabled clinical documentation and communication solutions including the eScription on-demand platform for computer aided medical transcription, the Dictaphone Enterprise Express on-premise platform for integrated transcription workflow and speech recognition, and radiology solutions including PowerScribe®, RadWhere™, RadPort™, RadCube™, and Veriphy™ critical test results management. All of these solutions enable healthcare provider organizations to reduce operating costs, increase reimbursement, and enhance patient care and safety. No matter the specific requirements of a healthcare provider organization, Nuance has solutions to meet its needs.

Bob Wise, President, Nuance Healthcare Division — “With healthcare provider organizations under increasing pressure to reduce operating costs, enhance patient care and maximize reimbursement, speech-driven clinical documentation solutions such as Dragon Medical are a proven strategy to transform the medical record creation process, reducing costs, and reallocating physician time away from reporting and toward patient care. As these pressures will only increase across the healthcare industry, we expect the adoption rate of speech-enabled clinical documentation solutions to accelerate as they continue to show demonstrable value in providing more detailed clinical notes at lower costs, while simultaneously improving the clinician experience.”

Availability

Dragon Medical 10 is available in Medical Small Practice, Medical and Medical Enterprise versions (see more information below) through Nuance’s global network of certified reseller partners and professional sales organizations. Within the broader Dragon 10 family of solutions (Dragon NaturallySpeaking 10 Standard, Preferred and Professional), Dragon Medical is best suited for use in a clinical setting due to its superior accuracy, support for direct dictation into EMRs, and other powerful medical version-only capabilities. For additional information on features, pricing, upgrades, rebate offers and volume licensing programs, please view our Dragon Medical 10 pages or call at 888-462-4346.

Quotes from Industry Leaders

Wes Rishel, Healthcare Industry Analyst, Gartner
“EMRs cannot make a dent in improving healthcare without dramatically increased physician adoption. Physicians must not only adopt the products, but begin to use them as more than electronic file-drawers and billing systems. Voice input, well-recognized and well integrated with EMR software is critical to closing the gap to meaningful adoption.”

Dr. Loren Leidheiser, Chairman and Director of Emergency Medicine, Mount Carmel St. Ann’s Emergency Department
“I’ve used Dragon Medical speech recognition for about eight years. We use Dragon Medical in our busy emergency department with the Allscripts electronic medical record. Dragon Medical speech recognition has greatly increased the value of our medical records by including detailed narratives that point-and-click templates simply can’t capture; accuracy is near perfect, even in a hectic emergency department environment. Based on my testing and use of Dragon Medical 10, the software seems more intuitive and the recognition has yet again improved from previous versions. Beyond the documentation efficiency gains for our providers, Dragon Medical lets our team tell our patient’s complete story and that raises our quality of care.”

Dr. Betty Rabinowitz, Primary Care Internist, University of Rochester Medical Clinic
“We were most interested in the ROI associated with implementing a speech-enabled technology. We were spending close to $1.2 million on transcription costs in our primary care network and with the implementation of Dragon Medical to complement our Allscripts EMR, our projected cost for transcription has been brought to zero.”

Dr. Jon W. Wahrenberger, Cardiology, Dartmouth-Hitchcock Medical Center
“For just over two months I’ve had early access to Dragon Medical 10, which I’ve found to be extremely fine-tuned for the needs of medical users and clinical workflow. It is faster, more accurate and integrates beautifully with our homegrown electronic health record system. I’m excited to share the latest version of Dragon Medical with my colleagues and showcase its ability to improve physician productivity by facilitating the creation of highly detailed and accurate medical records. When compared to the cost of transcription, I’d estimate that the institution [Dartmouth Hitchcock] has saved around $150,000 over the last five years by Dragon Medical working successfully for me alone. The cost of the software purchase can be recouped in a few weeks, not months.”

Glen Tullman, CEO, Allscripts
“With the option to speech enable their EHR system with Dragon Medical, our clients are empowered to create high-quality, real-time patient documentation without solely relying on templates. Speech is raising the bar in healthcare IT, and voice command is an essential component of our comprehensive electronic health record solution.”

About Nuance Communications

Nuance (NASDAQ: NUAN) is a leading provider of speech and imaging solutions for businesses and consumers around the world. Its technologies, applications and services make the user experience more compelling by transforming the way people interact with information and how they create, share and use documents. Every day, millions of users and thousands of businesses experience Nuance’s proven applications and professional services.

Nuance, the Nuance logo, Dragon, Enterprise Express, PowerScribe, RadWhere, RadPort, RadCube, Veriphy and NaturallySpeaking are trademarks or registered trademarks of Nuance Communications, Inc. or its affiliates in the United States and/or other countries. All other trademarks referenced herein are the property of their respective owners.

The statements in this press release, relating to future plans or future events or services, are forward-looking statements which are subject to specific risks and uncertainties. These could involve particular market trends, competition factors and other risks described in the documents submitted to the US Securities and Exchange Commission. The actual results, events and services may vary significantly from the forecasts. The reader is warned not to rely on these forward-looking statements without reservation, since these are simply reflections of the current situation.

The Right Dragon Medical Edition for Every Medical Setting
Through its various targeted editions, the Dragon Medical 10 family makes medical speech recognition software available for all healthcare providers including physicians, nurses and physician assistants — in the hospital, the clinic, the private office or even at home — for the real-time creation of electronic patient records. The Dragon Medical versions are the only Dragon NaturallySpeaking solutions developed to support dictation directly into an EMR system and to support HIPAA regulations.

Dragon Medical Small Practice 10 is the entry-level solution designed to meet the needs, workflow requirements and budget constraints of the small (1-5) physician practice market. Physicians can create electronic patient documentation either directly into an EMR or in Microsoft Word, including patient notes, initial assessment, referral letters and consult letters. With Dragon Medical Small Practice 10, physicians can create more detailed and significantly higher quality electronic clinical documentation, in less time and for less cost than manual transcription.

Dragon Medical 10 is targeted at the mid-sized (6-25) physician practice market to create real-time electronic patient records via dictation into any Windows®- or Citrix®-based EMR system. It enhances EMR utilization by allowing clinicians to navigate industrial-strength EMR packages via voice command to review patients’ lab tests or past medical history, while simultaneously allowing them to document care (via dictation) within the electronic medical record. Dragon Medical helps physicians create a more detailed patient document as compared with notes created only using an EMR system’s point-and-click templates. Dragon Medical 10 includes many new features not found in Dragon Medical Small Practice 10, including:

• Hidden Mode — Allows clinicians to dictate into the EMR while reviewing lab or radiology test results, eliminating the need to go back and forth to a dictation window.
• MyCommands — Shows a clinician their favorite commands in command browser for easy reference.
• DragonTemplates — Allows clinicians to create fields with values within frequently-used templates, speeding dictation with fewer voice commands.
• Correction-Only Profile — Allows medical transcriptionists to open Dragon Medical-dictated files and make corrections via keyboard. These edits are captured by Dragon Medical and used to further optimize the clinician’s dictation accuracy moving forward.
• Custom Macro Encryption — Dragon Medical value-added resellers can now encrypt their macros for distribution, allowing resellers to safely protect the value of their offerings.

Dragon Medical Enterprise 10 is the best solution for healthcare provider organizations that have made an enterprise-wide commitment to achieving electronic health records, and are looking to decrease transcription costs and accelerate physician adoption and productivity, which may have been adversely affected by the complexity of the EMR. It offers large (25+ physicians), multi-site physician practices, hospitals, or integrated deliver networks the most full featured and lowest investment option for enterprise-wide, real-time speech recognition ownership. Dragon Medical Enterprise gives all healthcare providers full access to real-time speech recognition, minimizing the cost of IT administration with features such as remote installs to any machine on a network, physician access via any laptop or PC within the provider organization, and the ability to access and back-up voice files via a central server. Dragon Medical Enterprise also comes with an enterprise-quality annual maintenance and support program that includes all updates, upgrades and technical support, in addition to various site licensing purchase options.

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Dragon NaturallySpeaking 10 Standard, Preferred and Professional are available immediately and NaturallySpeaking Legal and the Dragon NaturallySpeaking SDK will be available in the coming weeks from Image Management, LLC (your Nuance Gold Certified Partner).

Dragon Medical 10 will be available in September-November, 2008, depending on edition.   Contact us for more information.

For additional information on features, pricing and volume licensing programs, please:

• For more information or to order, visit our "How to Order NaturallySpeaking" page or call us at 888-462-4346. 
• More general  information about the various editions of Dragon NaturallySpeaking was located at the top of this press release page and specific availability info is below.

Version 10, in general, was announced on August 7, 2008 and Dragon Medical 10 was introduced on September 16, 2008.  Products are scheduled to be available as described.  Estimated First Ship Dates from Nuance -- add 2-4 days for distribution time-in-transit:

See our how to Order Documents for how to order.  IF YOU NEED AN UPGRADE TO V10 from a previous version, read our Upgrade Description Page and then use our Upgrade Order Document.

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