| |
| Salutation |
|
| Your Name |
|
| Contact Person |
|
| Practice |
|
| Address |
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| City, State, Zip |
|
| Phone Number |
|
| Fax |
|
| your E-Mail Address |
|
| What is the medical
specialty of your practice? |
|
| How many physicians
will dictate? |
|
| What types of documents
will be dictated for medical transcription? |
Others
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| What would be your
average number of lines/documents of medical transcription
generated per day? |
|
| How are you currently
charged for transcription services and how much?
|
|
Character Gross Line |
Per 65-characters |
|
Per Word |
Per Page |
|
Per Report |
Per Hour |
|
Per Year |
Other |
| How soon do you need
transcriptionstar's transcription service? |
|
Immediately |
Within One Month |
|
Within Two To Four Months |
Long Range |
| |
What
is your required turnaround time (TAT) for your transcribed
reports (transcription)?
Irrespective
of the TAT you choose, you can convert, at any time, any
dictation into a STAT dictation which will be transcribed
and sent to you within hours. SpectraMedi's TAT is verifiable
and part of our Transcription Service Level Agreement. |
|
Less than a day |
Next Day |
|
1 to 2 Days |
1 to 3 Days |
|
| What is your
most preferred mode of dictation (audio recording)? |
| At no cost, use Transcriptionstars
|
|
Own Digital Recorders/PDAs |
Digital Recorders |
|
PDA or PC Application |
Combination |
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Own phone-in dictation system |
Phone-in system |
| |
|
| How
are you presently handling your transcription service needs?
|
|
In-house |
Home Workers |
|
Handwritten |
Speech Recognition |
|
EMR |
Other |
|
Outsourced / Contracted out |
| |
|
Explain here if you require special formatting, file naming
convention, delivery method, HL-7, or other interface to
your Electronic Medical Record, Hospital Information System,
or Radiology Information System, etc. If you want us to
type into your system, specify that here. |
|
|
How would you like to send us your patient schedule or ADT
data? (HL-7, data file, fax, etc). By making the patient
schedule available to us, we can ensure that the patient
demographic information like Name, DOB, Unique ID, DOS will
be more accurate. |
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