Dictation Outsourcing Price Worksheet

Our price is based on some of the factors listed below. Please choose one option for each question, fill out the form below and click 'Submit'. You will receive our price for transcription service by e-mail or phone from a member of our sales staff. If you would rather speak to a member of our sales staff now, call us at 1-800-515-0095.

Contact Information

Name and Title:*
Facility Name:*
Street Address:
City:
State:
ZIP:
Phone:
Fax:
Email:*

01)

Your facility is a

02)

How are you presently handling your transcription service needs?

In-house		Home Workers
Handwritten		Speech Recognition
EMR		Other	(Specify)
Outsourced / Contracted out	Enter Vendor's name and contract expiration date

03)

Do you have any EMR or EHR now?

Yes	No
Whether your current transcriptionist type into that EMR or they just send you reports typed in Microsoft Word?
Yes, they type into EMR and SpectraMedi need to do the same or build an interface?	No, just type and send the reports in Microsoft Word or other special format.

04)

What is your most preferred mode of dictation (audio recording)?

Use SpectraMedi’s
	Phone-in system		Digital Recorders
	PDA or PC Application		Combination
	Own phone-in dictation system	Specify make, model, version, year etc.
	Own Digital Recorders/PDAs	Specify make, model etc.

05)

What is your required turnaround time (TAT) for your transcribed reports (transcription)?

	Less than a day	Specify hours
	Next Day		1 to 2 Days		1 to 3 Days

06)

a) On an average how many reports your doctors will be dictating?		per
b) How much do you spend for MT?		per

07)

How many doctors/providers will be dictating with us?

08)

How soon do you plan to change the transcription service?

	Immediately		Within One Month		Long Range
	Within two weeks		Within Two To Four Months

09)

Besides you who else is involved in making decision to change transcription service?

	I alone make the decision
	Other	(Specify)

10)

Do you consider your transcription need as permanent long term or temporary short term requirement?

	Permanent long term (1 year or more)
	Temporary short term (few weeks to few months)

11)

How are you currently charged for transcription services and how much?

Per ( )-Character Gross Line Per( )-Character Gross Line	Per 55-characters
Per Word	Per Page
Per Report	Per Hour
Per Year	Other	(Specify) Enter Rate

12)

Among Quality, Turnaround Time and Price, what is most important to you?

	Quality
	Turnaround Time
	Price

13)

Have you received prices from any other company or whom are we competing with to earn your business?

	No
	Yes	(Specify)

14)

What price range I have to be at to earn your business?

15)

Do you have any means to give us your patient details such as patient names, their account number, date of birth etc. in Microsoft Excel or CSV or HL-7 interface?

Yes – can give us in Microsoft Excel or CSV

Yes – can give it through HL-7 interface

No – print and fax only

16)

Comments

17)

How did you hear about us?

	Name Explain