|        Rated Top        among 2600 Hospital CFO, CIOs, and Financial Staff Managing        Reimbursement Challenges and Preparing for Value-Based Payment Models         | Nuance            Named #1 Vendor for End-to-End Clinical Documentation Improvement            (CDI) in Black Book Ranking |  
 BURLINGTON,        Mass.--(BUSINESS WIRE)--July 22, 2014--
 
 Nuance Communications,        Inc. (NASDAQ: NUAN) announced today that it was named the #1 vendor for        end-to-end clinical documentation improvement (CDI) services in the 2014        Black Book financial software and services survey. Black Book(TM) honors        top-performing vendors based on client experience and customer        satisfaction derived from interviews with 2,600 hospital CFOs, CIOs,        business and financial staff.
 
 The Nuance Clintegrity 360 | CDI        platform, which was ranked the highest CDI program today, draws on more        than 20 years of clinical documentation expertise from Nuance's J.A.        Thomas & Associates (JATA). This arms providers with advanced        technologies and services that improve the accuracy and efficiency of        clinical documentation starting at the point of care to ensure the        integrity of patient information for both clinical and business        processes.
 
 "Nuance is committed to helping our customers        understand and succeed in an increasingly complex healthcare        environment. Ranking first in customer satisfaction is rewarding because        we have earned the loyalty of clinicians who rely on us to help overcome        some of their biggest clinical documentation and coding problems," said        Trace Devanny, president, Nuance Healthcare Division. Today Nuance        solutions are used by more than 500,000 clinicians and 10,000        organizations.
 
 To learn more about Nuance's top-ranked CDI        solution, visit: www.nuance.com/for-healthcare/index.htm. The complete        Black Book's 2014 financial solutions survey results can be viewed at        www.blackbookrankings.com/healthcare/rankings-revenue-cycle-management.php.        Black Book(TM), the largest user opinion poll of its kind in healthcare        IT, collects more than 400,000 viewpoints on information technology and        outsourced services vendor performance annually.
 
 About Nuance        Communications, Inc.
 
 Nuance Communications, Inc. (NASDAQ: NUAN)        is a leading provider of voice and language 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 devices and systems. Every day, millions of users and        thousands of businesses experience Nuance's proven applications. For        more information, please visit: www.nuance.com. Connect with Nuance on        social media through the healthcare blog, What's next, as well as        Twitter and Facebook.
 
 Nuance and the Nuance logo are trademarks        or registered trademarks of Nuance Communications, Inc.or its affiliates        in the United States and/or other countries. All other company names or        product names may be the trademarks of their respective owners.
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