Nuance Communications has made its second acquisition in recent days, this time picking up consulting firm J.A. Thomas and Associates of Atlanta. The consultancy helps providers implement a clinical documentation improvement program and leaves behind proprietary software for the client to manage the program. Terms were not disclosed.

Nuance--which sells dictation, transcription, speech recognition and natural language processing software--on Sept. 27 announced it will buy the Quantim HIM unit of QuadraMed Corp. The back-to-back acquisitions bring two new services to Nuance--coding and clinical documentation improvement--as it focuses on helping 450,000 physician clients prepare for ICD-10.

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