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| What are you looking for in a transcription service? |
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Browser-based access (including electronic signature) dictation input via telephone |
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Voice recognition/self edit. Dictation input at workstation |
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Traditional transcription (dictation input by phone, document delivery by email) |
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| Current Process |
| How is your patient care currently being documented? (check all that apply) |
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Hand-writing directly on charts |
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In-house transcriptionist(s) |
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Number of transcriptionists:
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Service (select type) |
Total Outsource |
Overflow Only |
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| If using a service, what is your average volume?
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| Billing Period:
Bi-Weekly
Semi-Monthly
Monthly |
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| Do you know how your service defines a "line"? (check all that apply) |
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Includes spaces |
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Includes pre-formatted text |
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A line =
characters |
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Any single line on a report, no matter how many characters are present |
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Other |
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No idea |
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| By what increment are you billed by your service? |
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Character |
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Line |
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Bytes |
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Page |
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Report |
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Minute |
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Don't Know |
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Other |
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| Current method of dictation: (Check all that apply) |
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Do Not Dictate |
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Tapes |
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Digital Dictation System |
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If digital dictation is used, do you own the system?
Yes
No |
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If yes, what is the name of the system?
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| Do all providers dictate?
Yes
No |
| How many providers will be utilizing the service?
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What is your average number of visits?
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/per:
day
week
month
year |
| Days we can expect to receive dictation: |
Mon
Tue
Wed
Thur
Fri
Sat
Sun
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| What is your current turn-around time? |
days
hours
minutes |
| Your current STAT turn-around time? |
days
hours
minutes |
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| What's your preferred turn-around time? |
days
hours
minutes |
| Your preferred STAT turn-around time? |
days
hours
minutes |
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| Do you have multiple locations/satellites?
Yes
No |
| Are all locations on a single network (LAN)?
Yes
No |
| Does everyone have Internet access?
Yes
No |
| What information will the doctors enter? |
ID
WT
MRN
Other?
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What is your desired start date?
*
*start date may be delayed based on receipt of required information by MAG Mutual HSI |
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| Please provide us with the corporate decision tree |
| CEO:
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| CFO:
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| Medical Record Director:
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| Practice Administrator:
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| Lead Transcriptionist:
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