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| Key Factors | Options | |||
| Mode of Dictation |  Phone-In |
Hand-Held | Other Systems | Re-Record |
| Area of Discipline | Primary Care | Specialty Physicians (specify below) |
Hospitals (specify report names below) |
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| Nature of Dictation | Straight Office Notes | Hospital Reports | Letters | Any Combination |
| Special Formatting | Standard Format | Same Format for All | Multiple Formats | Custom Tagging/Coding |
| Speed of Dictation | Less than 60 Words per Minute |
60-90 Words per Minute |
90-120 Words per Minute |
More than 120 Words per Minute |
| Name & Address | Spell Name & Address in Dictation |
Fax Legible Schedules | List from PM Software |
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| Normal Turnaround | 1 to 4 Days | 1 to 3 Days | 1 to 2 Days | Next Day |
| Same Day Hrs (Please Enter Hours for Same Day Turnaround) | ||||
| Quality of Dictation | Good | Average | Poor | Difficult |
| File Delivery Format |
Each Day's Work in Batch Files by Doctor |
Every Patient's Note in Separate File |
Every Patient's Note in a Separate Continuous File |
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| EMR System | No EMR | SpectraMedi's EMR | SpectraMedi's EMR with Continuous Note |
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| Origin of Work | Premium. Transcribed in US or India. But Proofread & Edited by our US QA Team. |
USA. Transcription & QA Performed in the US. |
India. Transcription & QA Performed in India. |
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| How soon do you need this service? | Immediately Within 1 Month Within 2-4 Months Long Range |
| How many providers in your group practice/clinic/hospital will be utilizing our transcription service? | |
| Please rank the following in the order of importance. | |
| Quality : Live Customer Support : Turnaround Time : Price : | |
| How did you hear about us? | |
| Any special requests? | |